Unit of competency Outline
Date retreived
22/07/2026 1:47 PM AWST
22/07/2026 1:47 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.
Deliver intensive clinical care
Deliver intensive clinical care
Unit of competency
National Code
HLTAMBCR603B
HLTAMBCR603B
State Code
D5740
D5740
TGA Status
Replaced
Replaced
DTWD Status
Replaced
Replaced
State Implementation and Classification
Approved Date
06/08/2014
Field of Education
069905 - Paramedical Studies
Original Release Date
06/08/2014
Nominal Hours
250
Description
DescriptorThis unit describes the skills and knowledge required to deliver pre-hospital client care at a specialised level, by assessing specialised needs of a client, planning and administering procedures, and monitoring the state of the client
Notes
Elements and Performance Criteria
1. Assess need for specialised intervention
- 1.1 Assess client on the basis of a high level of clinical knowledge and a high level of contemporary clinical evidence based practice
- 1.2 Ensure 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 Ensure that client assessment process can be analysed and explained when subject to clinical audit
2. Analyse information from clinical assessment to make a judgement about specialised pre- hospital client care
- 2.1 Use systematic evaluation of client assessment to interpret and make judgements regarding specialised client care requirements
- 2.2 Ensure judgement is in line with high level contemporary evidence based practice and organisation clinical practice guidelines/protocols
- 2.3 Ensure the judgment, which forms the basis on which specialised treatment is planned, can be reasonably justified in terms of the information available at the time
3. Plan specialised pre-hospital client 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 client deterioration in conjunction with a broad range of factors inherent in client's condition, environment and potential impact of procedures or movement
- 3.3 Develop contingency plans, based on mechanisms of injury and potential for client deterioration
- 3.4 Establish client management plan, based on analysis of the scene and the client and drawing on high level clinical knowledge
- 3.5 Determine client's potential or actual time criticality versus transport criticality
4. Implement procedures for specialised pre- hospital client care
- 4.1 Commence all client care procedures and drug therapies as client's presenting condition determines, with reference to local clinical and legislative guidelines and pharmacological requirements
- 4.2 Ensure all actions are in accordance with organisation standard operating procedure and clinical practice guidelines/protocols
- 4.3 Consult and collaborate with designated medical authorities as required
5. Monitor specialised pre-hospital client care and modify as required
- 5.1 Monitor all aspects of client'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 client's condition
- 5.3 Monitor drug therapy noting effectiveness of treatment regime and amend according to client's condition
- 5.4 Recognise changes in client's condition and adapt management according to the scope or authority to practise of the attending officer
- 5.5 Recognise the need for assistance and seek help immediately where the situation or client's condition requires treatment outside the scope or authority to practise of the attending officer
- 5.6 Maintain and/or modify treatment, according to client need as determined by the re-assessment process
6. Hand over client requiring specialised care
- 6.1 Document relevant client details according to organisation clinical practice guidelines/protocols
- 6.2 Maintain client 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 client care to facilitate understanding and optimise continuing client care
- 6.5 Maintain client care until responsibility for client care is taken over by staff of the receiving agency
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.
Specialised intervention may include, but is not limited to:
Those procedures approved for specialised client care based upon organisation policies and procedures and assessment of the knowledge and understanding of the officer involved.
Situation involves a client in need and may include, but is not limited to:
Transfer of client with pre-diagnosed illness or injury
Transfer of client with sudden undiagnosed illness or injury
Management of client in trauma or with undiagnosed illness
Mechanism of injury is obtained from a detailed description of what specifically happened physically to the client during an incident, such as:
High speed vehicle accidents
Falls
Being struck by a vehicle
Being thrown from a moving vehicle
Penetrating injury e.g. gunshot, stabbing
Electrocution
Drug therapy used in the treatment of a client's condition may include but is not limited to:
Advanced pharmacological agents for the management of:
cardiac arrest
cardiac dysrhythmias
pain relief
airway management
hypoglycaemia
hypovolaemia
sedation
Techniques which client's condition indicates would be of some benefit, may include, but are not limited to:
Airway management e.g. endotracheal intubation
Intravenous and intraosseous cannulation
Tension pneumothorax decompression
Other techniques as indicated by organisation clinical practice guidelines/protocols
Reports may be verbal (oral or written) or non-verbal (with gestures), and types of documentation may include, but are not limited to:
Incident reports
Handover reports
Case management material
Persons authorised to receive confidential information may include, but are not limited to:
Medical personnel
Police officers
Legal practitioners
Other acts and regulations are those specified in each state/territory that relate to:
Confidentiality
Freedom of information
Policy and procedures are organisation policies and procedures that relate to:
Documentation
Reporting of client medical information, where approved as acting in the best interests of the client
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.
Specialised intervention may include, but is not limited to:
Those procedures approved for specialised client care based upon organisation policies and procedures and assessment of the knowledge and understanding of the officer involved.
Situation involves a client in need and may include, but is not limited to:
Transfer of client with pre-diagnosed illness or injury
Transfer of client with sudden undiagnosed illness or injury
Management of client in trauma or with undiagnosed illness
Mechanism of injury is obtained from a detailed description of what specifically happened physically to the client during an incident, such as:
High speed vehicle accidents
Falls
Being struck by a vehicle
Being thrown from a moving vehicle
Penetrating injury e.g. gunshot, stabbing
Electrocution
Drug therapy used in the treatment of a client's condition may include but is not limited to:
Advanced pharmacological agents for the management of:
cardiac arrest
cardiac dysrhythmias
pain relief
airway management
hypoglycaemia
hypovolaemia
sedation
Techniques which client's condition indicates would be of some benefit, may include, but are not limited to:
Airway management e.g. endotracheal intubation
Intravenous and intraosseous cannulation
Tension pneumothorax decompression
Other techniques as indicated by organisation clinical practice guidelines/protocols
Reports may be verbal (oral or written) or non-verbal (with gestures), and types of documentation may include, but are not limited to:
Incident reports
Handover reports
Case management material
Persons authorised to receive confidential information may include, but are not limited to:
Medical personnel
Police officers
Legal practitioners
Other acts and regulations are those specified in each state/territory that relate to:
Confidentiality
Freedom of information
Policy and procedures are organisation policies and procedures that relate to:
Documentation
Reporting of client medical information, where approved as acting in the best interests of the client
EVIDENCE GUIDE
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:
Assessment must establish acquisition of Essential Knowledge prior to assessment of skills application for this unit
Skills involving direct client care are to be assessed initially in a simulated clinical setting (laboratory)
After successful completion of initial assessment, further assessment is to be conducted during workplace application under direct supervision
Assessment must include evidence of competence in dealing with all situations outlined in Essential Skills section of this competency unit
Evidence must include demonstration over a period of time to ensure consistency of performance
Candidates must demonstrate their ability to apply essential knowledge and skills identified for this competency unit before undertaking independent workplace application
Candidates must provide evidence of their ability to apply all clinical competencies consistently (over a minimum period of 4 months) as part of supervised clinical 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 should be assessed in conjunction with the following competency unit:
HLTAMBAS604B Conduct advanced clinical assessment
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:
Assessment must establish acquisition of Essential Knowledge prior to assessment of skills application for this unit
Skills involving direct client care are to be assessed initially in a simulated clinical setting (laboratory)
After successful completion of initial assessment, further assessment is to be conducted during workplace application under direct supervision
Assessment must include evidence of competence in dealing with all situations outlined in Essential Skills section of this competency unit
Evidence must include demonstration over a period of time to ensure consistency of performance
Candidates must demonstrate their ability to apply essential knowledge and skills identified for this competency unit before undertaking independent workplace application
Candidates must provide evidence of their ability to apply all clinical competencies consistently (over a minimum period of 4 months) as part of supervised clinical 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 should be assessed in conjunction with the following competency unit:
HLTAMBAS604B Conduct advanced clinical assessment
Replaces
| State Code | National Code | Title | Type |
|---|---|---|---|
| C9048 | HLTAMBCR603A | Deliver intensive clinical care | Unit of competency |
Replaced By
| State Code | National Code | Title | Type |
|---|---|---|---|
| AWA59 | HLTAMB009 | Deliver intensive clinical care | Unit of competency |
| State Code | National Code | Title | Type |
|---|---|---|---|
| D103 | HLT60307 | Advanced Diploma of Paramedical Science (Ambulance) | Qualification |