Elements and Performance Criteria

RANGE STATEMENT

The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.


Personal protective equipment may include:
Gown
Gloves
Mask
Protective eyewear
Apron
Lead Gown


Clients may include:
Neonates
Paediatrics
Adolescents
Adults
Elderly
Pregnant women
Impaired clients
Traumatised clients
Unconscious clients
Infectious clients


Equipment and consumables may include:
Warming equipment
Tourniquets and exsanguinators
Operating table and attachments
Anti-embolus equipment
Electro-surgical unit
Gel pads
Trolleys
Beds
Transfer devices
Wheelchairs
Drains
Catheters
IV lines
Absorbent under pads
Diathermy plates
Stockinette
ECG dots


Skin preparation procedures may include:
Shaving
Removal of dressings
Removal of plaster
Removal of clothing


Relevant personnel may include:
Registered nurses
Enrolled nurses
Surgeons
Anaesthetists
Other medical practitioners
Perfusionists
Other operating theatre staff


Client transfer may include:
Transfer of client on beds or trolleys
Transfer of client from bed or trolley to operating table
Use of wheelchair
Correct use of transfer devices


Operative procedure may include:
General, regional and local anaesthetic
Interventional radiology
General surgery
Gastro-intestinal
Ear, nose and throat
Gynaecology
Obstetrics
Orthopaedics
Vascular
Urology
Ophthalmic
Oral, dental and maxillofacial
Cardiothoracic
Neurosurgery
Plastics and reconstructive
Trauma/emergency surgery


Procedures for protection of clients may include:
Confirmation with relevant personnel as to correct position and specific client risks
Use of correct and safe positioning techniques
Use of padding and supports to prevent necrosis and nerve damage
Smooth movements
Careful movement of joints
Avoidance of sudden movements
Avoidance of abnormal body positions
Locking wheel brakes
Maintenance of protection of heat loss


Client positions may include:
Supine (Trendelenburg/reverse Trendelenburg, lithotomy, beach chair/sitting)
Prone (knee/elbow, with laminectomy rest or spinal table, jack knife)
Lateral (park bench, kidney positioning)
Lithotomy (use of stirrups, Allen's Boots, knee crutches, lithotomy poles, Lloyd Davis)

The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package.

Critical aspects for assessment and evidence required to demonstrate this competency unit:
The individual being assessed must provide evidence of specified essential knowledge as well as skills
Consistency of performance should be demonstrated over the required range of situations relevant to the workplace
Where, for reasons of safety, space, or access to equipment and resources, assessment takes place away from the workplace, the assessment environment should represent workplace conditions as closely as possible


Context of and specific resources for assessment:
Access to appropriate workplace where assessment can take place and relevant organisation policy, guidelines, procedures and protocols
Simulation of realistic workplace setting for assessment


Method of assessment
Observation of work activities when assisting with preparation of clients for operative procedures
Observation of simulation and/or role play when assisting with preparation of clients for operative procedures
Discussion of physical and/or behavioural contingency scenarios involving duty of care
Authenticated transcripts of relevant education/training courses/
Recognition of relevant life/work experience
Written assignments/projects or questioning should be used to assess knowledge
Authenticated reports of experience assisting with preparation of clients for operative procedures (Documentation associated with performance reviews, supervisor/co-ordinator evaluations of work performance)
Training records associated with work health and safety (WHS) training, orientation/induction training, safe manual handing, universal infection control procedures
Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice


Access and equity considerations:
All workers in the health industry should be aware of access and equity issues in relation to their own area of work
All workers should develop their ability to work in a culturally diverse environment
In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities, workers should be aware of cultural, historical and current issues impacting on health of Aboriginal and Torres Strait Islander people
Assessors and trainers must take into account relevant access and equity issues, in particular relating to factors impacting on health of Aboriginal and/or Torres Strait Islander clients and communities


Related units:
This unit can be assessed independently, however holistic assessment practice with other health services units of competency is encouraged