Ambulance Draft 1

HLTOUT009 Manage the scene of a major incident_Draft 1

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Unit application and prerequisites

UNIT CODE

HLTOUT009

UNIT TITLE

Manage the scene of a major incident

APPLICATION

This unit of competency describes the skills and knowledge required to manage the scene of a major incident as the first arriving resource and then participating in the management and coordination following the arrival of further resources.

 

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

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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. Respond to scene as first crew.
    1. Provide initial SITREP using organisational procedures that enables the declaration of an incident.
    2. Park vehicle as near to the scene as safety permits and establish command post.
    3. Allocate roles of initial Commander and initial Triage Officer (Clinician).
    4. Don appropriate personal protective equipment.
  1. Undertake role of Initial Commander.
    1. Take charge of ambulance activities at incident scene in accordance with organisational policies and procedures.
    2. Conduct scene assessment as soon as possible.
    3. Establish and maintain communications with control centre and Primary Triage Officer.
    4. Liaise with other emergency agency commanders at the scene.
    5. Identify the need for additional ambulance resources and equipment.
    6. Document key information and decisions.
    7. Handover all relevant information to Forward Command on their arrival.
  1. Undertake role of Primary Triage Officer.
    1. Coordinate the triage sieve of casualties at the incident site in accordance with organisational policies and procedures.
    2. Provide estimate of casualty numbers.
    3. Use appropriate triage sieve to tag patients according to priority/severity of injury.
    4. Ensure only life-saving treatment is performed.
    5. Encourage bystanders to assist with basic casualty treatment.
  1. Respond to scene as additional resource.
    1. Proceed to incident as directed by control centre.
    2. Park vehicle in designated ambulance parking area.
    3. Don appropriate PPE.
    4. Take equipment to the scene.
    5. Report to the Ambulance Commander.
    6. Undertake tasks as delegated by Ambulance and in accordance with organisational policies and procedures.
    7. Use appropriate communication.
  1. Participate in debrief.
    1. Participate in debriefing in accordance with organisational policies and procedures.

2 Comments

'park vehicle'

"This elicits a simulation assessment and restricts a desk top unless change in terminology. "

Julie Johnson 21.10.2019 01.54PM

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"The first time SITREP is used is should be in full as Situation Report (SITREP) Term 'initial Triage Officer' is used in 1.3 , and then Primary Triage Officer is used in 2.3, are these the same role, or different? 4.6 should read 'Undertake tasks as delegated by Ambulance Commander...' - word Commander is missing."

Cordelia Tuft 18.10.2019 02.34PM

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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

No equivalent unit.

LINKS

Companion Volume Implementation Guide

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Performance evidence

TITLE

Assessment Requirements for HLTOUT009 Manage the scene of a major incident

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:

  • Perform triage sieve with tags in accordance with organisational policies and procedures for 10 casualties of varying conditions and severity of injury
  • Provide SITREPs at regular intervals until completion of incident and in accordance with organisational policies and procedures

2 Comments

Assessment of underpinning knowledge

"consideration need to be given for how assessment of the KE 'basic life support, airway management and major haemorrhage control' will be undertaken. Should be addressed in PE or PC. "

Julie Johnson 21.10.2019 02.02PM

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"The performance evidence for this unit is too restrictive as it will not be possible for all student to be in the two roles required to achieve these criteria. The triage sieve should be moved to the knowledge evidence. The criteria should be participant in any capacity in a mock/desktop incidence."

Susan Gleeson 18.10.2019 01.52PM

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Knowledge evidence

KNOWLEDGE EVIDENCE

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

 

  • Major incident response plan
  • SITREP and the use of standardised process (i.e. ETHANE)
  • Personal protective equipment appropriate to major incident management (i.e. tabards)
  • Key roles of major incident management, including:
    • Initial Commander
    • Primary Triage Officer
    • Forward Commander
    • Medical Commander
    • Secondary Triage Officer
    • Casualty Clearing Officer
    • Parking Officer
    • Loading Officer
    • Incident Commander
    • Ambulance Commander
  • Level of incidents:
    • Level 1 incident
    • Level 2 incident
    • Level 3 incident
    • Level 4 incident
  • Declaration of an incident
  • Triage sieve process
  • Triage sort process
  • organisation policies and procedures in relation to major incident management
  • relevant legislation and industrial guidelines in relation to major incident management
  • scene assessment, hazard identification and risk mitigation
  • role of other emergency services at a major incident:
    • police
    • fire
    • SES
  • signs of Terrorism/HASMAT/CBRN
  • basic life support for applying life-saving treatment:
    • basic airway management
    • major haemorrhage control

2 Comments

Basic Life support requirements

"Given that basic airway management and major haemorrhage control are included as knowledge evidence HLTAID006 Provide advanced first aid and HLTAID007 Provide advanced resuscitation should be included as prerequisite units as there is no other provision in the performance criteria to assess these requirements"

Narelle Greig 22.10.2019 02.57PM

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"HAZMAT not HASMAT"

Cordelia Tuft 18.10.2019 02.35PM

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Assessment conditions

ASSESSMENT CONDITIONS

Skills must be demonstrated in simulated/desk top environment. The following conditions must be met for this unit:

  • Include demonstration of being commander and triage officer

 

Assessment must ensure access to:

  • triage tags
  • Major incident response plan action cards

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

LINKS

Companion Volume Implementation Guide

4 Comments

airway management and haemorrhage control

"Basic Life support including airway management and major haemorrhage control are included as KE. As a stand alone unit these require assessment and therefore access to suitable resources are required "

Julie Johnson 21.10.2019 02.05PM

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"The assessment condition of include demonstration of being commander and triage officer makes this unit unusable as it is impossible to run a desktop scenario the number of time required to have all students preform in these two roles "

Susan Gleeson 18.10.2019 01.48PM

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2 Replies

"Agree. In either simulation or desk top it would be impossible to cycle a full cohort of students through just 2 roles of TCO and CCO. Consider a change in terminology to reflect active participation in a variety of key roles undertaken in a major incident. The TCO/CCO roles can be specifically address in the KE "

Julie Johnson 21.10.2019 01.53PM

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"I agree and believe Julie's reply is a better option."

Audrey Trenerry 04.11.2019 03.29PM

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