Ambulance Draft 1

HLTOUT001 Implement safe access and egress_Draft 1

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Unit application and prerequisites

UNIT CODE

HLTOUT001

UNIT TITLE

Implement safe access and egress

APPLICATION

This unit describes the knowledge and skills required to ensure safe removal of the patient under routine conditions and in an emergency environment.  It may be necessary for the individual to overcome major obstacles, use ingenuity and/or use specialised equipment. 

 

This unit applies to pre-hospital/out-of-hospital health care workers.

 

The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian/New Zealand Standards and industry codes of practice.

PREREQUISITE UNIT

Nil

COMPETENCY FIELD

Pre-hospital and out-of-hospital health care

5 Comments

Ingenuity

"Agree with the feedback that has been provided that the word ‘ingenuity’ be removed from the application statement. "

Teresa Jurgensen 08.11.2019 05.45PM

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"ingenuity"

"I agree that the word 'ingenuity' should be replaced with a more appropriate word"

Audrey Trenerry 04.11.2019 12.43PM

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"'ingenuity' is not the right term for here, I think 'problem solving is a better term, as they will still be abiding by policies and procedures, but can overcome obstacles."

Cordelia Tuft 18.10.2019 02.11PM

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"Do not like the wording use ingenuity. All care must be within guideline and protocols. this encourages people to move outside these guidelines and may detrimentally impact on patient, rescuer or public"

Susan Gleeson 18.10.2019 01.39PM

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1 Reply

"Agree"

Narelle Greig 22.10.2019 02.03PM

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Elements and performance criteria

ELEMENTS

PERFORMANCE CRITERIA

Elements describe the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

  1. Assess situation in relation to safe access and egress.
    1. Survey scene and assess condition of patient in relation to procedures necessary for safe removal of patient.
    2. View situation to identify and mitigate dangers according to established clinical guidelines/protocols.
    3. Identify accurately obstacles impacting safe access and egress.
    4. Formulate access and egress plan based on an assessment of all factors associated with the situation or incident in line with Commonwealth legislation, State/Territory legislation and emergency management arrangements.
    5. Identify additional resources (including specialised knowledge, workers or equipment) based on an assessment of all factors associated with the situation or incident, and with patient and worker welfare as the prime concern.
  1. Implement procedure to enable safe access and egress.
    1. Request or arrange for additional or specialised workers and equipment according to the assessed need.
    2. Implement access and egress plan using equipment and workers necessary to ensure safe access and egress, and patient welfare.
    3. Negotiate and maintain means of safe access and egress according to relevant Commonwealth and State/Territory legislation including workplace health and safety Acts, and according to established clinical guidelines/protocols.
    4. Ensure actions are according to established clinical guidelines/protocols.
    5. Use available resources in an appropriate manner to achieve safe access and egress, and patient welfare.
  1. Evaluate access and egress procedure in an emergency situation.
    1. Monitor progress of access and egress constantly to ensure welfare of the patient and safety of workers.
    2. Communicate with patient and monitor their welfare, condition and any other factors impacting the safe movement of the patient.
    3. Modify access and egress plan as necessary to ensure safety and the welfare of the patient.
    4. Identify and arrange for additional resources as necessary to complete procedure.
    5. Address barriers to safe access and egress as they arise.

2 Comments

3.3 modify access and egress plans as necessary

"as is the wrong work it should read if . As means that the student will never be able to have a good plan as the unit implies that every plan must be flawed in some way"

Susan Gleeson 18.10.2019 01.42PM

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Performance Criteria

"The description provided for 'Performance Criteria' indicates that all of the points detailed in Performance Criteria need to be performed/demonstrated. If this is the case, why are they not in the Performance Evidence section? If they don't need to be be performed/demonstrated, the description needs to be re-worded. NB: This relates to the description in all units of competency."

Audrey Trenerry 18.10.2019 10.38AM

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Foundation skills

FOUNDATION SKILLS

Foundation skills essential to performance in this unit, but not explicit in the performance criteria are listed here, along with a brief context statement.

UNIT MAPPING INFORMATION

No equivalent unit.

LINKS

Companion Volume Implementation Guide

0 Comments

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Performance evidence

TITLE

Assessment Requirements for HLTOUT001 Implement safe access and egress

PERFORMANCE EVIDENCE

Evidence of the ability to complete tasks outlined in elements and performance criteria of this unit in the context of the job role, and:

  • performed 3 extrications of a patient including:
    • analysing the scene and developing access and egress plans, recognising that the welfare of the patient, workers and bystanders is paramount
    • conducting risk assessment and identifying hazards
    • applying the correct and safe lifting and manual handling techniques
    • communicating the plan to patient, colleagues and/or other emergency workers at the scene
    • amending original plan as situation dictates
    • achieving access and egress in difficult environments when given limited equipment and using equipment as the situation dictates.

5 Comments

In difficult environents

"Agree it should be varied environments. It is just as important to perform safe access and egress in routine environments as it is in difficult"

Susan Gleeson 22.10.2019 09.06PM

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"It should read manual tasks instead of manual handling to make the terminology consistent with the other units. 'achieving access and egress in difficult environments' - this will be hard for them to do three times, as not all patient's will be in difficult environments, - maybe this needs to talk about 'varied/different' environments which could include 'difficult environments'"

Cordelia Tuft 18.10.2019 02.13PM

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1 Reply

"Agree that the wording should be 'varied' environments"

Audrey Trenerry 04.11.2019 12.49PM

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"as in 3.3 should read amending original plan if situation dictates "

Susan Gleeson 18.10.2019 01.43PM

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Clarification

"Re 'Evidence of the ability to complete tasks outlined in elements and performance criteria of this unit in the context of the job role' - Further to my comment re Performance Criteria, this appears to be confirming that all Performance Criteria require actual performance evidence. However, some other people I've discussed this with have differing views therefore the descriptors need to be made clearer so there is no confusion resulting in assessment gaps and disadvantaging learners."

Audrey Trenerry 18.10.2019 11.24AM

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Knowledge evidence

KNOWLEDGE EVIDENCE

Demonstrated knowledge required to complete the tasks outlined in elements and performance criteria of this unit:

  • policies and procedures relating to access and egress including:
    • organisation policies and procedures
    • Commonwealth legislation and State/Territory legislation
    • established clinical guidelines and protocols
    • work health and safety
  • potential for adaptation of available resources
  • factors that may affect safety and welfare of patient and crew dangers associated with various hazardous situations, and the response agency for hazard control
  • patient care under circumstances requiring complex access and egress procedures
  • relevant equipment and its uses, including specialist equipment for hazardous versus a routine situation
  • factors which may affect safe access and egress and patient welfare such as decision-making guidelines for extrication versus delivery of immediate patient care.

2 Comments

"The knowledge statement 'Potential for adaptation of available resources' should maybe have a clarifying statement about 'while still complying with organisational policies and procedure and manufacturers guidelines' or something to that effect."

Cordelia Tuft 07.11.2019 10.51AM

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"In the top point of knowledge evidence I don't think the 'policies and procedures' needs to be in there as it is specifically listed in the sub-point 'organisational policies and procedures'. The top statement could read 'Guidelines or legal requirements relating to access and egress, including:'. The sub-dot points should also be reordered so that legislation is at the top followed by org policies, then clinical guidelines. Not sure what work health and safety is relating to, is that legislation, policies and procedures, or all of the above. this should be clarified."

Cordelia Tuft 07.11.2019 10.48AM

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Assessment conditions

ASSESSMENT CONDITIONS

Skills and knowledge must be demonstrated in a workplace or in a simulated environment that reflects workplace conditions. Where simulation is used, it must reflect real working conditions by modelling industry operating conditions and contingencies, as well as using suitable facilities, equipment and resources.

 

Assessors must satisfy the Standards for Registered Training Organisations’ requirements for assessors.

LINKS

Companion Volume Implementation Guide

1 Comments

Assessment Resources

"As both a training provider and employer, it would be our expectation that candidates must have knowledge of the different types of manual handling and extraction equipment that are available to assist in the safe removal of a patient. However this unit does reference any of the typical equipment used which is therefore open to interpretation by the training provider as to how the assessment of 3 extractions. Therefore similar to first aid units, this unit should include a list of assessment resources including: spine boards, slide sheets, evacuation mats, lifting cushions, walk belts, carry chairs, stair chairs, stretchers. It is appreciated that there are various models of this equipment and it is responsibility of the employer to ensure competency of their supplied equipment, it is also expected that candidates have good working knowledge of the type of equipment available to facilitate safe access and egress and in what situations they are to be used. "

Narelle Greig 22.10.2019 02.11PM

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