Deliver intensive clinical care

Unit of competency Outline

Date retreived
22/07/2026 3:09 PM AWST

Whilst all efforts are made to provide accurate and timely information from the relevant source/documentation, please be aware that the information supplied may not be the most current version. The accuracy of the detail has not been confirmed by the Department and therefore should not be relied upon without first confirming the contents.

Unit of competency

National Code
HLTAMB009

State Code
AWA59

TGA Status
Deleted

DTWD Status
Deleted

Current Release Number
1.00

Current Release Date
08/12/2015

View on TGA

State Implementation and Classification

Approved Date

22/06/2016

Field of Education

069905 - Paramedical Studies

Original Release Date

22/06/2016

Nominal Hours

225

Description

This unit of competency describes the skills and knowledge required to deliver advanced clinical pre-hospital/out-of-hospital patient care at a specialised level by assessing the needs of a patient, planning and administering intensive clinical care, and monitoring the state of the patient. This unit applies to pre-hospital/out-of-hospital health care workers. Workers follow established clinical guidelines and protocols and work independently, applying specialised knowledge of pathophysiology and pharmacology to perform intensive clinical care.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.

Notes

Elements and Performance Criteria

1. Assess need for specialised intervention

1.1 Assess patient on the basis of a high level of clinical knowledge and a high level of contemporary clinical evidence based practice
1.2 Confirm that assessment of the need for specialised intervention is based on a demonstrable and clearly thought out series of problem-solving steps or linkages
1.3 Analyse and explain the patient assessment process when subject to clinical audit

2. Analyse information from clinical assessment to make a judgement about specialised pre-hospital/out-of-hospital patient care

2.1 Use systematic evaluation of patient assessment to interpret and make judgements regarding specialised patient care requirements
2.2 Confirm judgement is in line with high level contemporary evidence based practice and organisation clinical practice guidelines/protocols
2.3 Justify that the judgement, which forms the basis on which specialised treatment is planned, is reasonable in terms of the information available at the time

3. Plan specialised pre-hospital/out-of-hospital patient care

3.1 Establish priorities of care, based on assessment of the total scene and drawing on specialised knowledge and experience
3.2 Recognise and interpret mechanisms of injury and potential for patient deterioration in conjunction with factors inherent in patient’s condition, environment and potential impact of procedures or movement
3.3 Develop contingency plans, based on mechanisms of injury and potential for patient deterioration
3.4 Establish patient management plan, based on analysis of the scene and the patient and drawing on high level clinical knowledge
3.5 Determine patient’s potential or actual time criticality versus transport criticality

4. Implement procedures for specialised pre-hospital/out-of-hospital patient care

4.1 Commence all patient care procedures and pharmacological therapies as patient’s presenting condition determines, with reference to local clinical and legislative guidelines and pharmacological requirements
4.2 Confirm all actions are in accordance with established clinical guidelines and protocols.
4.3 Consult and collaborate with designated medical authorities as required

5. Monitor specialised pre-hospital/out-of-hospital patient care and modify as required

5.1 Monitor all aspects of patient’s condition including vital signs at appropriate intervals to establish trends in terms of specialised procedures, interventions or knowledge
5.2 Assess potential effects of procedures implemented on patient’s condition
5.3 Monitor pharmacological therapy noting effectiveness of treatment regime, and amend according to patient’s condition
5.4 Recognise changes in patient’s condition and adapt management according to the scope or authority to practice of the attending officer
5.5 Recognise the need for assistance and seek help immediately where the situation or patient’s condition requires treatment outside the scope or authority to practice of the attending officer
5.6 Maintain and/or modify treatment, according to patient need as determined by the re-assessment process

6. Hand over patient requiring specialised care

6.1 Document relevant patient details according to organisation clinical practice guidelines/protocols
6.2 Maintain patient confidentiality at all times
6.3 Ensure documentation for handover procedures conveys all necessary information
6.4 Convey information appropriately to those individuals involved in ongoing patient care to facilitate understanding and optimise continuing patient care
6.5 Maintain patient care until responsibility for patient care is taken over by staff of the receiving agency

No information

Replaces

State Code	National Code	Title	Type
D5740	HLTAMBCR603B	Deliver intensive clinical care	Unit of competency

State Code	National Code	Title	Type
AD289	HLTSS00063	Advanced Paramedical Science Skill Set	Skill set