Unit of competency Outline
Date retreived
22/07/2026 2:35 PM AWST
22/07/2026 2:35 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 standard clinical care
Deliver standard clinical care
Unit of competency
National Code
HLTAMBCR502C
HLTAMBCR502C
State Code
WD047
WD047
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
150
Description
DescriptorThis unit of competency describes the knowledge and skills required to deliver 'standard' client care in the pre-hospital (or equivalent) environment by planning and administering procedures, and monitoring the state of the client based on assessment of the client needs
Notes
Elements and Performance Criteria
1. Assess client needs, including non-obvious clinical needs
- 1.1 Conduct client assessment, including advanced primary, vital sign and secondary surveys, including non-obvious clinical signs, using applied clinical knowledge
- 1.2 Ensure client assessment includes consideration of psychosocial, developmental and cultural considerations
- 1.3 Base client assessment on a demonstrable and clearly thought out series of problem solving steps or linkages
- 1.4 Collect and analyse information that contributes to the client assessment
- 1.5 Identify main complaints as a basis for systematic prioritised treatment
- 1.6 Refer to client's medical history in the selection of appropriate treatment procedure
2. Use information to make a judgement about standard pre-hospital client care
- 2.1 Systematically evaluate and interpret client assessment information to make judgements regarding client care requirements
- 2.2 Ensure judgement is in line with evidence-based practice and local clinical practice guidelines
- 2.3 Ensure judgment, which forms the basis on which treatment is planned, can be reasonably justified in terms of the information available at the time
3. Plan standard pre-hospital client care
- 3.1 Establish priorities of care based on assessed client needs and overall assessment of the scene
- 3.2 Recognise mechanisms of injury and potential for client deterioration
- 3.3 Develop contingency plans, based on mechanisms of injury and potential for client deterioration
- 3.4 Establish client management plan, based on primary and secondary survey, client history, assessment of the scene and factors related to distance from hospital/medical care
- 3.5 Determine client's potential or actual time criticality versus transport criticality
4. Implement standard pre-hospital client care procedures
- 4.1 Implement all care and treatment procedures to the level of expertise and authority to practise of the individual within the limits of the local ambulance clinical practice guidelines
- 4.2 Commence client care procedures and drug therapies as client's presenting condition determines, with reference to local clinical guidelines and pharmacological requirements
- 4.3 Recognise the need for assistance where the situation or client's condition requires treatment that is outside the scope or authority to practise of the attending officer and seek help immediately
- 4.4 Implement client care techniques in accordance with infection control procedures and techniques
- 4.5 Use safe lifting and client handling techniques in accordance with WHS requirements and organisation policies and procedures
5. Monitor standard pre-hospital client care and modify as require
- 5.1 Monitor all aspects of client's condition at appropriate intervals to establish trends
- 5.2 Assess potential effects on client's condition of procedures implemented
- 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 Where the situation or client's condition requires treatment that is outside the scope or authority to practise of the attending officer, recognise the need for assistance and seek help immediately
6. Hand over client requiring standard client care
- 6.1 Document relevant client details according to local ambulance standard operation procedure
- 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.
Client assessment must include but is not limited to:
Integration of anatomy and physiology, primary, vital sign and secondary surveys, including non-obvious clinical signs, using applied clinical knowledge at the standard level of client care
Client assessment includes consideration of psychosocial, developmental and cultural considerations
Assessment based on a demonstrable and clearly thought out series of problem solving steps or linkages
Information that contributes to the assessment is collected and analysed
Main complaints are identified as a basis for systematic prioritised treatment
Client's medical history is referred to in the selection of treatment procedure
Clinical judgement must include but is not limited to:
Systematic evaluation of client assessment to interpret and make judgements regarding standard client care requirements
The use of evidence-based practice and local clinical practice guidelines/protocols
A treatment plan which can be reasonably justified in terms of the information available at the time
Medico-legal considerations
Primary survey must include, but is not limited to:
Dangers
Response
Airway
Breathing
Circulation
Vital signs may include, but are not limited to:
Conscious state assessment e.g. Glasgow Coma Score, AVPU-alert, voice, pain, unconscious
Respiratory status assessment e.g. rate, rhythm, effort and breath sounds
Perfusion status assessment e.g. pulse, blood pressure, capillary refill and skin
Secondary survey may include, but is not limited to:
Systematic head to toe physical body examination
Assessment of time criticality as indicated by physiological status or pattern and mechanism of injury
Client history includes:
Pre-existing conditions
Allergies
Current medication or treatment
The integration of anatomy and physiology into standard client assessment, care and treatment must include but is not limited to:
Cardiovascular system
Respiratory system
Musculo-skeletal system
Endocrine system
Nervous system
Digestive system
Urinary system
Reproductive system
Integumentary system
Lymphatic system
Special senses
Assessment of consideration for psychosocial, developmental and cultural considerations must include, but is not limited to:
Geriatric clients
Obstetric clients
Paediatric clients
Mental health clients
Demonstration of assessment of client's main complaint must include but is not limited to the following conditions:
Kinematics of trauma
A compromised Integumentary System
Burns trauma
A medical or traumatic disorder of the Musculoskeletal system
Extremity trauma
Neurological insult
Mental health disorders
Metabolic disorders
Poisoning or overdose emergency
Cardio-vascular insult
Hypoperfusion
Immunological disorders
Respiratory disorders
Thoracic trauma
Abdominal disorders or trauma
Urogenital disorders or trauma
Gynaecological disorders
Medical or traumatic obstetric disorders
Genetic disorders
Medical or traumatic geriatric disorders
Medical or traumatic paediatric disorders
Treatment may include, but is not limited to:
Procedures approved by the Australian Resuscitation Council to the level of Advanced Life Support
Within any limits defined according to organisation policies and procedures
Situation involves a client in need and must 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
Drug therapy used in the treatment of a client's condition may include, but is not limited to:
Standard pharmacological agents for the management of anaphylaxis, continuous recurrent seizures, narcotic overdose
Other medications as indicated by local ambulance clinical guidelines
Techniques, where client's condition indicates they would be of some benefit, may include, but are not limited to:
Airway management e.g. nasopharyneal airway, laryngeal mask airway, and laryngoscopy and magill forceps
Cardiac dysrhythmia interpretation and manual direct current counter shock
Other techniques as indicated by State/Territory ambulance clinical guidelines
Establishing a standard client management plan must include, but is not limited to:
Establishing priorities of care
Determining a client's time or transport criticality
Regular reassessment of the client.
Recognising and responding to changes to client's condition.
Reports may include, but are not limited to:
Oral or written reports
Client handover
Incident reports
Patient Care Record
Case management material
Client care implementation must include, but is not limited to:
Care is implemented at a level consistent with the level of expertise and authority to practice of the officer, within the limits of the organisation clinical practice guidelines/protocols.
The need for additional assistance is sought promptly when the client's condition or situation is beyond the scope or authority to practice of the attending officer
Infection control principles and practices are observed at all times for the safety of the client and attending officers
Client is lifted in accordance with the organisation WHS policies and procedures.
Persons authorised to receive confidential information may include, but are not limited to:
Medical personnel
Police Officers
Legal practitioners
Others, where approved as acting in the best interests of the client
Acts and regulations are those specified in each State/Territory that relate to:
Confidentiality and privacy
Freedom of information
Drug and poisons regulations
Health
Mental Health
Policy and procedures are organisation policies and procedures that relate to:
Documentation
Reporting of client medical information
Occupational Health and safety
Clinical Practice
Operational
Medico-legal
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.
Client assessment must include but is not limited to:
Integration of anatomy and physiology, primary, vital sign and secondary surveys, including non-obvious clinical signs, using applied clinical knowledge at the standard level of client care
Client assessment includes consideration of psychosocial, developmental and cultural considerations
Assessment based on a demonstrable and clearly thought out series of problem solving steps or linkages
Information that contributes to the assessment is collected and analysed
Main complaints are identified as a basis for systematic prioritised treatment
Client's medical history is referred to in the selection of treatment procedure
Clinical judgement must include but is not limited to:
Systematic evaluation of client assessment to interpret and make judgements regarding standard client care requirements
The use of evidence-based practice and local clinical practice guidelines/protocols
A treatment plan which can be reasonably justified in terms of the information available at the time
Medico-legal considerations
Primary survey must include, but is not limited to:
Dangers
Response
Airway
Breathing
Circulation
Vital signs may include, but are not limited to:
Conscious state assessment e.g. Glasgow Coma Score, AVPU-alert, voice, pain, unconscious
Respiratory status assessment e.g. rate, rhythm, effort and breath sounds
Perfusion status assessment e.g. pulse, blood pressure, capillary refill and skin
Secondary survey may include, but is not limited to:
Systematic head to toe physical body examination
Assessment of time criticality as indicated by physiological status or pattern and mechanism of injury
Client history includes:
Pre-existing conditions
Allergies
Current medication or treatment
The integration of anatomy and physiology into standard client assessment, care and treatment must include but is not limited to:
Cardiovascular system
Respiratory system
Musculo-skeletal system
Endocrine system
Nervous system
Digestive system
Urinary system
Reproductive system
Integumentary system
Lymphatic system
Special senses
Assessment of consideration for psychosocial, developmental and cultural considerations must include, but is not limited to:
Geriatric clients
Obstetric clients
Paediatric clients
Mental health clients
Demonstration of assessment of client's main complaint must include but is not limited to the following conditions:
Kinematics of trauma
A compromised Integumentary System
Burns trauma
A medical or traumatic disorder of the Musculoskeletal system
Extremity trauma
Neurological insult
Mental health disorders
Metabolic disorders
Poisoning or overdose emergency
Cardio-vascular insult
Hypoperfusion
Immunological disorders
Respiratory disorders
Thoracic trauma
Abdominal disorders or trauma
Urogenital disorders or trauma
Gynaecological disorders
Medical or traumatic obstetric disorders
Genetic disorders
Medical or traumatic geriatric disorders
Medical or traumatic paediatric disorders
Treatment may include, but is not limited to:
Procedures approved by the Australian Resuscitation Council to the level of Advanced Life Support
Within any limits defined according to organisation policies and procedures
Situation involves a client in need and must 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
Drug therapy used in the treatment of a client's condition may include, but is not limited to:
Standard pharmacological agents for the management of anaphylaxis, continuous recurrent seizures, narcotic overdose
Other medications as indicated by local ambulance clinical guidelines
Techniques, where client's condition indicates they would be of some benefit, may include, but are not limited to:
Airway management e.g. nasopharyneal airway, laryngeal mask airway, and laryngoscopy and magill forceps
Cardiac dysrhythmia interpretation and manual direct current counter shock
Other techniques as indicated by State/Territory ambulance clinical guidelines
Establishing a standard client management plan must include, but is not limited to:
Establishing priorities of care
Determining a client's time or transport criticality
Regular reassessment of the client.
Recognising and responding to changes to client's condition.
Reports may include, but are not limited to:
Oral or written reports
Client handover
Incident reports
Patient Care Record
Case management material
Client care implementation must include, but is not limited to:
Care is implemented at a level consistent with the level of expertise and authority to practice of the officer, within the limits of the organisation clinical practice guidelines/protocols.
The need for additional assistance is sought promptly when the client's condition or situation is beyond the scope or authority to practice of the attending officer
Infection control principles and practices are observed at all times for the safety of the client and attending officers
Client is lifted in accordance with the organisation WHS policies and procedures.
Persons authorised to receive confidential information may include, but are not limited to:
Medical personnel
Police Officers
Legal practitioners
Others, where approved as acting in the best interests of the client
Acts and regulations are those specified in each State/Territory that relate to:
Confidentiality and privacy
Freedom of information
Drug and poisons regulations
Health
Mental Health
Policy and procedures are organisation policies and procedures that relate to:
Documentation
Reporting of client medical information
Occupational Health and safety
Clinical Practice
Operational
Medico-legal
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 across the Range Statement outlined in HLTAMBAS501A Conduct clinical assessment 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/ practical)
After successful completion of initial assessment, further assessment is to be conducted during workplace application under direct supervision
The application of skills and knowledge described in this competency unit should be assessed in conjunction with the application of knowledge and skills identified in HLTAMBAS501A Conduct clinical assessment
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 period, usually of 12 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
Resource implications:
Access to appropriate workplace and simulation of realistic workplace setting where assessment can be conducted
Access to equipment and resources normally used in the workplace
Method of assessment:
Evidence must include observation of performance in the work environment and in a simulated work setting
Observations, questioning and evidence gathered from the workplace environment
Demonstration over a period of time to ensure consistency of performance
Related units:
This unit is to be assessed in conjunction with the following competency unit which identifies underpinning knowledge required for assessment of client needs and delivery of client care at this level:
HLTAMBAS501B Conduct 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 across the Range Statement outlined in HLTAMBAS501A Conduct clinical assessment 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/ practical)
After successful completion of initial assessment, further assessment is to be conducted during workplace application under direct supervision
The application of skills and knowledge described in this competency unit should be assessed in conjunction with the application of knowledge and skills identified in HLTAMBAS501A Conduct clinical assessment
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 period, usually of 12 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
Resource implications:
Access to appropriate workplace and simulation of realistic workplace setting where assessment can be conducted
Access to equipment and resources normally used in the workplace
Method of assessment:
Evidence must include observation of performance in the work environment and in a simulated work setting
Observations, questioning and evidence gathered from the workplace environment
Demonstration over a period of time to ensure consistency of performance
Related units:
This unit is to be assessed in conjunction with the following competency unit which identifies underpinning knowledge required for assessment of client needs and delivery of client care at this level:
HLTAMBAS501B Conduct clinical assessment
Replaces
| State Code | National Code | Title | Type |
|---|---|---|---|
| D5738 | HLTAMBCR502B | Deliver standard clinical care | Unit of competency |
Replaced By
| State Code | National Code | Title | Type |
|---|---|---|---|
| AWA60 | HLTAMB008 | Assess and deliver standard clinical care | Unit of competency |
| State Code | National Code | Title | Type |
|---|---|---|---|
| J101 | HLT50412 | Diploma of Paramedical Science (Ambulance) | Qualification |