HLTHY404B – Implement emergency procedures for hyperbaric chamber

Description

This unit of competency describes the skills and knowledge required to respond in the event of an emergency to reduce the risk of injury to personnel and damage to equipment

Pre/Co-Requisites

The following are co-requisite units of competency:

  • HLTHY401B Prepare multi-place hyperbaric chamber
  • HLTHY402B Operate multi-place hyperbaric chamber
  • HLTHY403B Conduct post compression routines

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

Application

Work will be performed within a prescribed range of functions involving routine and non-routine methods and procedures, which require the exercise of discretion and judgement

All activities are carried out in accordance with organisation policies, procedures and infection control guidelines

Learner must comply with industry standards and guidelines

Performance Criteria

1. Implement emergency procedures in the event of a fire
1.1 Identify fire and raise alarm
1.2 Apply appropriate fire fighting equipment
1.3 Follow emergency procedures in the event of a fire in accordance with organisation policies and procedures
1.4 Summon medical support, once chamber has surfaced and provide first aid to occupants as required

2. Implement emergency procedures in the event of equipment failure
2.1 Identify equipment failure and raise alarm
2.2 Maintain chamber pressure
2.3 Follow emergency procedure in the event of equipment failure in accordance with organisation policies and procedures

3. Implement emergency procedures in the event of personnel emergency
3.1 Notify nurse located outside of emergency and raise alarm
3.2 Complete transfer of personnel under pressure if required, in accordance with organisation policies and procedures
3.3 Follow emergency procedure in the event of personnel emergency in accordance with organisation policies and procedures

Required Skills & Knowledge

Essential Knowledge:

  • Function of a compression chamber
  • Safety procedures/actions in event of an emergency related to compression chambers
  • Contraindications and complications for attendants and clients undergoing pressurechanges
  • Correct valve alignment on chamber and control panel, compressors and storage cylinders
  • Operational procedures relating to compression chambers
  • Function of valves and regulators
  • Function of electrical and communication systems
  • Function of gas analysing systems
  • Legal and regulatory requirements
  • Medical terminology related to clients who may be undergoing compression relevant to implementing emergency procedures for a compression chamber
  • Pathophysiology and the interrelationship with compression and decompression relevant to operating a compression chamber
  • Decompression/treatment tables

Essential Skills:

  • Supervise the safe operation of a compression chamber
  • Interpret gas systems diagrams
  • Interpret pressure gauge increments
  • Supervise the operation of all compression chamber systems
  • Supervise the operation of the Built In Breathing System
  • Solve problems flexibly including an ability to use available resources
  • Use fire fighting equipment and breathing apparatus
  • Deal with conflict
  • Work with others and display empathy with clients and relatives
  • Use reading and writing skills-literacy competence required to fulfil job roles in a safe manner and as specified by the organisation. The level of skill required involves reading and documenting clinical information and understanding complex policy and procedure manuals
  • Use oral communication skills-language competence required to fulfil job roles in a safe manner and as specified by the organisation. Assessors should look for skills in asking questions, providing clear information, listening to and understanding workplace instructions, and clarifying workplace instructions when necessary. Effective verbal and non verbal communication skills with a range of internal and external persons are essential. Organisation may require competence in English or a community language, depending on client group
  • Use numeracy skills ranging from the ability to complete basic arithmetic calculations, recording stock levels and statistical information
  • Communicate with people from diverse cultural and linguistic backgrounds
  • Apply confidentiality requirements in relation to client information

Range Statement

Fire may include:

  • Internal eg equipment or personnel
  • External, within department
  • External, within the organisation

Raising alarm may include:

  • Security
  • Fire department
  • Organisation?s management
  • Intensive care unit
  • Medical and nursing personnel
  • Organisation?s maintenance staff
  • Unit manager
  • Medical emergency response team
  • Engineering department

Fire fighting equipment may include:

  • Fire alarm
  • Fire deluge system inside chamber
  • Building sprinkler systems
  • Hand held appliances, internal and external
  • Breathing apparatus, internal and external
  • Protective clothing

Equipment failure may include:

  • Loss of primary or secondary high pressure air
  • Uncontrolled decompression
  • Explosive decompression
  • Loss of breathing gases
  • Loss of environmental system
  • Loss of gas analysing system
  • Built In Breathing System failure
  • Communications failure
  • Ventilator failure
  • Failure of chamber controls

Personnel emergency may include:

  • Oxygen toxicity, client or attendant
  • Cardiac or respiratory arrest
  • Gas embolism
  • Aggressive client
  • Barotrauma
  • Acute anxiety reaction

Evidence Guide

Critical aspects for assessment and evidence required to demonstrate this competency unit:

  • The assessee must provide evidence of specified essential knowledge as well as skills.
  • 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.
  • Consistency of performance should be demonstrated over the required range of situations relevant to the workplace:
    • compliance with industry standards and guidelines
    • compliance with policies and procedures including those of ohs and infection control
    • identification of various emergency situations
    • demonstration of the ability to respond to emergencies
    • identification of the steps that must be taken to ensure the safety of the chamber occupants
    • rectify equipment malfunctions efficiently

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

Context of and specific resources for assessment:

  • Use of fire fighting equipment and breathing apparatus
  • Knowledge of industry standards and guidelines
  • Relevant organisation policy, guidelines, procedures and protocols

Method of assessment:

  • Clinical skills involving direct client care are to be assessed initially in a simulated clinical setting (laboratory). If successful, a second assessment is to be conducted during workplace application under direct supervision
  • Observation of work activities when implementing emergency procedures for hyperbaric chamber
  • Observation of simulation and/or role play when implementing emergency procedures for hyperbaric chamber
  • 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
  • Questioning, written assessments/projects, elearning can be used to assess knowledge
  • Authenticated reports of experience in implementing emergency procedures for hyperbaric chamber (Documentation associated with performance reviews, supervisor/co-ordinator evaluations of work performance)
  • Training records associated with First Aid, OH Safety 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