Ambulance Draft 1

HLTOUT006 Transport emergency patients_Draft 1

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Unit application and prerequisites

UNIT CODE

HLTOUT006

UNIT TITLE

Transport emergency patients

APPLICATION

This unit describes the skills and knowledge required to transport vehicle occupants to and from a health care facility or service under emergency circumstances. This may include patients, crew, emergency service and other appropriate workers, relatives and pets. The unit includes skills for loading, driving and unloading a vehicle safely, and for checking vehicles and equipment in order to restock and remedy faults.

 

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 Standards and industry codes of practice.

PREREQUISITE UNIT

Nil

COMPETENCY FIELD

Pre-hospital and out-of-hospital health care

13 Comments

Prerequsites

"is it worth HLTOUT 007 Transport non emergency patients being a prerequisite. The transfer of Skills / RPL etc. would reduce the need to cover many of the topics in the unit and participants should be competent at transporting non emerge people before dealing with emergency cases"

Andrew Hillier 22.10.2019 01.50PM

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3 Replies

"Agree"

Narelle Greig 22.10.2019 02.14PM

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"There are not suppose to b prerequisites any more"

Susan Gleeson 22.10.2019 09.02PM

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"Agree with Susan. This unit should also be able to be delivered as a stand-alone with no need for a pre-requisite."

Janine Nicholas 07.11.2019 06.37PM

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""

Susan Gleeson 18.10.2019 02.24PM

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Title

"Could we include "under Operational Conditions" as in HLTOUT007 as this gives organisations scope to decide what their Op conditions are"

Andrew Hillier 18.10.2019 02.19PM

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2 Replies

"Agree "

Julie Johnson 21.10.2019 02.07PM

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"agree"

Audrey Trenerry 04.11.2019 02.14PM

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pets

"Disability discrimination act (which dictates transport of animals) does not talk about Pets it describes something along the lines of "assistance animals". Pets would never be taken in an ambulance. "

Andrew Hillier 18.10.2019 02.17PM

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3 Replies

"Agree that the term of assistance animals is a better description than Pets. "

Narelle Greig 22.10.2019 02.16PM

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"Agree that 'assistance animals' should replace the word 'pets'"

Audrey Trenerry 04.11.2019 02.12PM

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"Agree that the wording needs to change from pets to assistance animals"

Janine Nicholas 07.11.2019 06.39PM

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code

"A person would generally learn non emergency before emergency. The 06 and 07 could be swapped so that 06 comes first in the units."

Andrew Hillier 18.10.2019 02.13PM

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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. Prepare and check vehicle and equipment.
    1. Check vehicle and equipment systematically and comprehensively based on local vehicle checklist or inventory.
    2. Conduct vehicle checks on a regular basis according to organisation procedures to ensure continuing serviceability of vehicle and equipment.
    3. Ensure interior and exterior cleanliness of vehicle in accordance with organisation policies and procedures on the minimisation of infection risk to vehicle occupants.
    4. Maintain vehicle operating stock to organisational minimum and maximum levels.
    5. Maintain vehicle and equipment according to established clinical guidelines and protocols.
  1. Ensure faults in vehicle and equipment are remedied.
    1. Identify and report general nature of faults and liaise with organisation to remedy faults.
    2. Assess risk of all faults, malfunctioning vehicle or equipment against patient care priorities and notify the appropriate person in accordance with organisational policies and procedures.
    3. Establish need for additional or replacement resources and communicate to appropriate workers.
  1. Convey and receive information relating to emergency transport.
    1. Establish and maintain communication with control centre according to established clinical guidelines and protocols.
    2. Notify appropriate receiving facility according to established clinical guidelines and protocols.
  1. Access, egress and secure vehicle occupants and equipment for emergency transportation.
    1. Remove patients from scene in a manner consistent with relevant Acts, regulations and according to established clinical guidelines and protocols.
    2. Conduct accessing and egressing smoothly, consistent with safe work practices and according to established clinical guidelines and protocols and safe manual handling practices.
    3. Ensure patient illness or injury is not exacerbated by unnecessary movement during accessing and egressing.
    4. Ensure vehicle occupants are secured in vehicle according to organisational procedures.
    5. Organise and secure equipment in accordance with relevant Australian Standards, Acts and regulations and according to established clinical guidelines and protocols.
  1. Transport patient under emergency conditions.
    1. Establish and maintain communication as required between driver and patient care officer to ensure safe transport and effective patient care.
    2. Drive vehicle to current road conditions and in a manner that avoids exacerbation of patient condition.
    3. Recognise and negotiate hazards at low risk in accordance with relevant road traffic Acts and legal requirements governing emergency vehicles.
    4. Notify vehicle occupants of upcoming hazards to facilitate preparation and management of situation for safety of patient and self.
    5. Utilise maps and Global Positioning Systems (GPS) as required to accurately navigate to a specified destination.
    6. Choose appropriate route to receiving facility according to distance, time, travel, terrain and monitor factors likely to cause delays or route deviations.

19 Comments

Elements and performance criteria

"2.1 ...liaise with organisation to remedy faults. This is not always the role/responsibility of the on-road officer and therefore recommend this be reworded to 1.1 Identify and report general nature of faults in accordance with organisational policies and procedures 4.2 Wording is clunky and should be revised. Suggestion: conduct all manoeuvres smoothly and in accordance with…. 4.3 Wording. Suggest merging with 1.2 conduct all manoeuvres in a manner that is appropriate for, and does not exacerbate, the patients illness or injury in accordance with established clinical guidelines , safe work practices and safe manual handling procedures. "

Teresa Jurgensen 08.11.2019 05.57PM

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Expansion of unit

"The performance criteria should be further expanded to have more of a emphasis on the practical application of defensive and emergency driving and exacerbating patients condition. It should be mandatory to practically apply emergency driving skills to increase competence and avoid providers allowing a drive around the block to satisfy the criterion. "

Alexander Matkin 06.11.2019 04.40PM

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1 Reply

"I agree but applying "emergency" driving skills could be an issue for a private provider under the Australian Road Rules though. A clear decision as to what are the required skills is needed. ie: must be able to recognise when a hazard becomes a threat and respond accordingly etc."

Andrew Hillier 07.11.2019 10.00AM

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Element 4 - Access and egress

"This should be replaced by loading and unloading and Elements 4.1 and 4.2 replaced with the corresponding Elements in HLTOUT007. Loading and unloading a patient has some inherent safety hazards therefore should be assessed accordingly. "

Narelle Greig 24.10.2019 09.11AM

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1 Reply

"Agree"

Audrey Trenerry 04.11.2019 02.30PM

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Element 5 - Transport patient under emergency conditions

"There is no criteria that is focused on effective scanning using the 9 point check i.e ahead as far as possible (1) , down both sides (2 & 3), up every side street and entrance (4 & 5), to the rear including centre, left and driver's side mirror and over shoulder (6, 7 & 8) and at instruments i.e. speedometer (9)"

Narelle Greig 22.10.2019 02.42PM

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2 Replies

"Agree, one big issue is that these units are looking at the "transport of patients" but not focused on the many and varied complex driving skills that are required. We have to drive to all cases but we do not always transport. We are currently looking at PUAVEH001B - Drive vehicles under operational conditions as this can broadly cover the driving aspect and can be done in addition to the HLTOUT 06/7 units. My world we should have a routine driving skills and transporting patients unit and a " emergency driving" unit"

Andrew Hillier 22.10.2019 02.56PM

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"I agree, there is not a lot on actual driving skills in either HLTOUT006 or HLTOUT007. The loading/unloading etc of a patient should be the same whether they are emergency or non-emergency therefore it would make more sense to have one unit about routine transport of patients and the other unit concentrating on emergency driving skills."

Audrey Trenerry 04.11.2019 02.40PM

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Element 5 - Transport patient under emergency conditions

"The performance criteria does not specifically references the requirement to respond to hazards using the low risk driving model including seeing the hazard, adjusting speed and position to help see hazards and to be seen by other road users, recognising how hazards could threaten safety, makes early adjustments in response to hazards and then continues to make adjustments in response to specific hazards until it is reasonable to resume normal driving. This includes how to recognise hazards that could threaten safety."

Narelle Greig 22.10.2019 02.33PM

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Element 1 - Prepare and check vehicle and equipment

"There is currently nothing within the performance criteria to ensure that individuals check and secures any loose items (this is essential when often transporting patient belongings), carries out pre-drive adjustments to ensure that the vehicle has been adjusted to suit the individual drivers needs i.e. driver's seat, head restraint, steering wheel, mirrors etc."

Narelle Greig 22.10.2019 02.26PM

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E5.3

"Low Risk is not defined, some driving fields use this term but can you drive in a low risk manner when you are teaching people to go through red lights? (i believe you can as the drivers mindset is the most important thing) should there be a descriptor? we use drive defensively with low risk (defensive driving - Road Craft established driving style). "

Andrew Hillier 18.10.2019 02.40PM

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E5

"what does transport under emergency conditions mean; emergency driving with lights and sirens or a pt receiving active treatment. my take would be that we should be specifying about a pt receiving ongoing treatment during the transport."

Andrew Hillier 18.10.2019 02.35PM

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E4

"Don't need the word emergency in the element title as securing people and equipment for transport is the same regardless of nature of drive. 4:1 is a MT issue 4:3 is a MT issue Is this element about accessing and egress from a site /scene to which you are driving or about the pt to the vehicle? could be read both ways"

Andrew Hillier 18.10.2019 02.33PM

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E3

"the skill of conveying and receiving information about Pt transport is the same for routine and emergency cases. could take "emergency" out of the element title"

Andrew Hillier 18.10.2019 02.27PM

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"1.3 needs to real 'policies and procedures for minimisation of infection risks...' to make it consistent with 007 4.2 and 4.3 should read 'access and egress' 'ing' superfluous. Should 'manual handling' be 'manual tasks'"

Cordelia Tuft 18.10.2019 02.25PM

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1 Reply

"agree with Manual Tasks not "handling""

Andrew Hillier 18.10.2019 02.28PM

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PC numbers

"format of PC numbers not correct"

Andrew Hillier 18.10.2019 02.22PM

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Element 4 what should be 4.1 and 4.2

"these are covered in other units and are not required here. This unit is about the transport of the patient not how to get them out of a situation. it is adding unnecessary steps to a unit."

Susan Gleeson 18.10.2019 01.58PM

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1 Reply

"Agree that Elements 4.1 and 4.2 are covered under the new unit HLTOUT001 Implement safe access and egress. Element 4 should therefore be focused loading and unloading the patient as per HLTOUT007 and also ensuring that vehicle occupants, equipment and patient belongings are secured within the vehicle. "

Narelle Greig 24.10.2019 09.08AM

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Foundation skills

FOUNDATION SKILLS

Foundation skills essential to performance are explicit in the performance criteria of this unit of competency.

UNIT MAPPING INFORMATION

HLTAMB003 Transport emergency patients

LINKS

Companion Volume Implementation Guide

1 Comments

unit mapping info

"should this read 'No equivalent unit'?"

Audrey Trenerry 04.11.2019 02.45PM

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Performance evidence

TITLE

Assessment Requirements for HLTOUT006 Transport emergency patients

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:

  • checked the safety of transport vehicle and safely transported 3 emergency patients under operational conditions including:
    • accessing and egressing
    • performing driving skills suited to specific situations and the case being attended
    • assessing and analysing available driving routes and available resources
    • making decisions that ensure the efficient and safe driving of vehicles under different operational conditions for safe transport of emergency patients
    • adherence to the relevant road traffic Acts and regulations.

3 Comments

Access & Egress / Loading & Unloading

"As per previous suggestion that it would be more suitable to have one unit about routine transport of patients and the other unit concentrating on emergency driving skills, the loading and unloading of patients could be incorporated into the Transporting Patients unit and access and egress to the scene in the emergency drive unit."

Audrey Trenerry 04.11.2019 02.53PM

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"remove accessing a egressing as not required in a transport unit. this is better covered and is better covered in a scene management unit."

Susan Gleeson 18.10.2019 01.59PM

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1 Reply

"Agree - this should then be replaced by loading and unloading the patient as this is a key safety aspect of the patient transport process. "

Narelle Greig 24.10.2019 09.08AM

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Knowledge evidence

KNOWLEDGE EVIDENCE

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

  • methods of accessing and agressing patients under life-threatening conditions
  • organisation policy and procedures related to:
    • vehicle being used for transportation
    • equipment in vehicle
    • vehicle checks
  • relevant Acts, regulations and organisation policies and procedures related to transport of patients including:
    • manual handling and lifting
    • care and restraint of patient and others during transportation
    • patient care during transportation
    • road rules in accordance with the State/Territory regulations when driving emergency vehicles
    • use of communications equipment and systems for transporting emergency patients
  • stock inventory and the safe storage and disposal of pharmacological products
  • requirements and protocols for safe transport of vehicle occupants under priority:
    • patients
    • crew
    • emergency service and other workers
    • clinical staff
    • relatives or carers
    • pets.

4 Comments

Knowledge evidence suggestions

"• Methods of accessing and aggressing patients – should be egressing • Requirements and protocols for safe transport of vehicle occupants under priority (what does this mean?) o Pets – include assistance animals to provide some context of this inclusion. "

Teresa Jurgensen 08.11.2019 05.58PM

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"Rather then 'pets', a better term might be 'support/assistance animals'"

Cordelia Tuft 18.10.2019 02.27PM

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1 Reply

"as per legislation under disability discrimination Act"

Andrew Hillier 22.10.2019 01.27PM

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"once again accessing and egressing is covered in the scene management units and is adding extra to an already complex unit"

Susan Gleeson 18.10.2019 02.00PM

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Assessment conditions

ASSESSMENT CONDITIONS

Skills must be demonstrated in an operational vehicle used for the transport of an emergency patient. This may be in the workplace or in a simulated environment on 3 separate occasions. Driving skills must have been demonstrated at least once using simulation prior to any demonstration in the workplace.

 

Assessment must ensure access to:

  • suitable facilities, resources and equipment as per local governing body including:
    • transport vehicle (emergency or non-emergency)
    • communication protocols, devices and equipment used in emergency vehicles
    • modelling of industry operating conditions including access to real people for simulations and scenarios in transporting emergency patients.

 

Emergency patient is defined as an individual requiring active treatment by a clinician while en route to a receiving facility (i.e. hospital) - simulation. It does not necessarily require activation of warning signals (emergency siren and lights).

 

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

LINKS

Companion Volume Implementation Guide

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