HLTAMB007

Assess and Deliver Basic Clinical Care

What you will learn by studying this unit

Make initial incident and patient assessment
Plan basic pre-hospital/out-of-hospital patient care
Implement basic patient care procedures
Monitor basic patient care and modify as required
Handover patient to a healthcare facility

Throughout your study of the HLT51015 you will cover the unit HLTAMB007 – Assess and Deliver Basic Clinical Care, which describes the knowledge and skills required to conduct clinical assessment and deliver basic clinical care in a pre-hospital/out-of-hospital environment.

This unit applies to pre-hospital/out-of-hospital health care workers. The worker provides basic life support and prioritises clinical care of a patient in accordance with established clinical practice guidelines.

These units are common units in the paramedical and general health care sector training and education courses.

All our units are written by us and have a paramedic/prehospital care focus

Paramedical EMT First Responder Courses and Learning Pathway to Becoming a Paramedic

HLT21020 Certificate II in Medical Service First Response

HLT31220 Certificate III in Basic Health Care

HLT31120 Certificate III in Non-Emergency Patient Transport (NEPT)

HLT41120 Certificate IV in Health Care (First responder EMT Medic)

HLT51020 Diploma of Emergency Health Care (Paramedical Training)

Health & Administration Units

HLT37315 Certificate III in Health Administration

HLT47315 Certificate IV in Health Administration

HLT37215 Certificate III in Pathology Collection

Nursing & Community Services Units

CHC43115 Certificate IV in Disability

CHC43015 Certificate IV in Ageing Support

HLT51020 Diploma of Nursing

Elements and Performance Criteria for this Paramedic/Medic unit

What does this mean? Elements, which tell me what I should be able to do if I am competent in this unit of a course; Performance Criteria, which tell me how I can show that I am competent in the individual tasks or activities to the required standards

ELEMENT	PERFORMANCE CRITERIA
Elements define the essential outcomes	Performance criteria describe the performance needed to demonstrate achievement of the element.
1. Make initial incident and patient assessment	1.1 Conduct pre-planning before arrival at scene based on information communicated in the request for service 1.2 Conduct scene survey according to established clinical guidelines and protocols 1.3 Conduct primary survey of patient, including taking vital signs 1.4 Conduct a secondary survey, including a systematic physical examination of the whole body using applied clinical knowledge 1.5 Obtain and document history of the event 1.6 Identify patient’s main complaints as a basis for systematic prioritised treatment 1.7 Apply situational knowledge of the patient to guide selection of appropriate treatment options 1.8 Determine the time-critical issues given resource considerations 1.9 Assess transport requirements and appropriate destination, versus transport criticality, to ensure requirements of urgency and patient care are met
2. Plan basic pre-hospital/out-of-hospital patient care	2.1 Establish priorities of care based on initial patient assessment according to established clinical guidelines and protocols 2.2 Develop a treatment plan and outline treatment priorities 2.3 Identify and develop contingency plans based on mechanisms of injury and potential for patient deterioration according to established clinical guidelines and protocols
3. Implement basic patient care procedures	3.1 Implement all patient care procedures and pharmacological therapies within the own level of expertise and authority to practise, and the limits of clinical guidelines and protocols 3.2 Identify the need to seek assistance immediately where the situation or patient’s condition requires treatment that is outside scope or authority to practise 3.3 Operate equipment as required for patient management according to manufacturer or supplier’s instructions and clinical guidelines and protocols 3.4 Apply infection prevention and control principles to patient care 3.5 Use safe lifting and patient handling techniques in accordance with workplace health and safety (WHS) requirements and organisation policy and procedures
4. Monitor basic patient care and modify as required	4.1 Re-assess patient at appropriate intervals and modify treatment as required according to established clinical guidelines and protocols 4.2 Monitor pharmacological outcomes, noting effectiveness of treatment regime and amend according to patient’s condition
5. Handover patient to a healthcare facility	5.1 Document relevant patient details according to established clinical guidelines and protocols 5.2 Maintain patient confidentiality at all times 5.3 Ensure documentation for clinical handover procedures contains all necessary information 5.4 Convey information appropriately to authorised individuals involved in ongoing patient care 5.5 Maintain patient care until responsibility for patient is taken over by staff of the receiving agency

Performance Evidence for HLTAMB007 – Assess and Deliver Basic Clinical Care:

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage task and manage contingencies in the context of the job role. There must be evidence that the candidate has:

• performed the activities outlined in the performance criteria of this unit during a period of at least 80 hours under clinical supervision in the workplace

• performed a clinical assessment and implemented basic care in a pre-hospital/out-of-hospital context on 3 different patients for an illness or trauma impacting health status, including:

− performing primary survey

− performing secondary survey – systematic head to toe physical body examination, including vital signs and level of consciousness

− planning and implementing basic clinical care based on assessment and time-criticality

− monitoring patient

− safely delivering patient to receiving facility or service

• performed basic life support on an adult, child, and infant simulation manikin according to established clinical guidelines and protocols.

Knowledge Evidence for HLTAMB007 – Assess and Deliver Basic Clinical Care:

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

assessment and interpretation of vital signs, including:
level of consciousness, covering for example
Glasgow Coma Score (GCS)
alert, voice, pain, unconscious (AVPU)
respiratory status assessment – for example, rate, rhythm, effort, and breath sounds
temperature status — for example, febrile or afebrile or hypothermia
blood volume and perfusion status assessment– for example pulse, blood pressure, capillary refill and skin
basic anatomy and physiology in recognising body systems:
cardiovascular
respiratory
musculoskeletal
endocrine
nervous
digestive
urinary
reproductive
integumentary
lymphatic
special senses
basic life support, including procedures and equipment used as specified within established clinical guidelines and protocols
chief complaints when attending pre-hospital/out-of-hospital situations including trauma and medical disorders and possible actions to alleviate complaints
clinical practice guidelines and protocols
how to accurately obtain and document patient medical history including pre-existing conditions, allergies, social and emotional wellbeing, and current medication or treatment plans to provide to receiving health facility workers
national and State/Territory legal and ethical considerations for emergency health care workers relevant to pre-hospital/out-of-hospital are, and how these are applied in organisations, including:
children in the workplace
continuing professional education
discrimination
duty of care
human rights
informed consent
mandatory reporting
practitioner/client boundaries
privacy, confidentiality, and disclosure
specific Commonwealth legislation and State/Territory legislation or regulation for health care workers, including, for example:
children and young people
anti-discrimination
disability
health, drugs, and poisons
mental health
health records and information privacy
industrial relations
National Safety and Quality Health Service (NSQHS) Standards
industrial regulations
work role boundaries – responsibilities and limitations
work health and safety
organisational administrative and patient care policies and procedures
primary survey and secondary survey
receiving facility requirements or how to access these requirements
recognise the patterns of illness and injury relevant to the delivery of basic clinical patient care
situations where the required patient treatment is outside the scope or authority to practice of the attending worker

Assessment Conditions for HLTAMB007 – Assess and Deliver Basic Clinical Care:

Skills and knowledge must be demonstrated in the workplace with the addition of simulations and scenarios where the full range of contexts and situations cannot be provided in the workplace or may occur only rarely.

The requirement in the performance evidence for performing clinical assessments and implementing basic clinical care for 3 patients for an illness or a trauma must have been demonstrated using simulation before being demonstrated in the workplace and with members of the public.

The following conditions must be met for this unit:

use of suitable facilities, resources, and equipment as per local governing body including:
simulation adult, child, infant manikins
vital signs monitoring devices
organisation policies and procedures and/or established clinical guidelines/protocols on which the candidate bases the planning process.

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.

To see more details on this paramedical unit HLTAMB007 – Assess and Deliver Basic Clinical Care click here to view the full details here on training.gov

Pre Hospital Care and Health Care Jobs and Career Choices

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