SKILL  KNOWLEDGE  SAFETY

HLTHY403B - Conduct post compression routines

Description

This unit of competency describes the skills and knowledge required to safely conduct post compression routines

Pre/Co-Requisites

The following are co-requisite units of competency:
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 some discretion and judgement.

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

Performance Criteria

1. Restore chamber at completion of procedure
1.1 Remove occupants from chamber
1.2 Complete post compression checklist in accordance with organisation policies and procedures
1.3 Clean chamber compartment and ensure it is free from flammable items
1.4 Ensure chamber components are in working order/serviceable
1.5 Correctly align chamber valve
1.6 Empty waste disposal system
1.7 Complete user maintenance in accordance with organisation policies and procedures and maintenance schedule

2. Isolate power supply to panel and chamber
2.1 Switch off lighting to chamber
2.2 Isolate gas analysers
2.3 Isolate alarm indicators
2.4 Switch closed circuit TV systems off

3. Isolate gas supply to chamber
3.1 Isolate primary treatment gas
3.2 Ensure that sufficient treatment gas is available for further treatments
3.3 Vent gas supplies to chamber
3.4 Isolate secondary gas supplies
3.5 Shut down air compressors

4. Restore equipment and materials at completion of procedure
4.1 Clean and store equipment in accordance with manufacturer’s instructions and infection control guidelines
4.2 Ensure equipment is serviced for further treatments
4.3 Dispose of disposable items in accordance with waste management policies
4.4 Handle soiled linen in accordance with infection control guidelines
4.5 Identify faulty equipment and follow established procedures to rectify faults

5. Debrief attendant post compression
5.1 Identify decompression problems
5.2 Issue post compression restrictions to attendant

Required Skills & Knowledge

Essential Knowledge:
  • Function of a compression chamber
  • Safety procedures/actions in event of an emergency related to post treatment decompression medical complications for personnel
  • Correct valve alignment on chamber and control panel, compressors and storage cylinders
  • Relevance of operational test on all equipment
  • Operational procedures relating to isolation of compression chambers
  • Function of valves and regulators
  • Function of electrical and communication systems
  • Function of gas analysing systems
  • Legal and regulatory requirements
  • Infection control policies and procedures
  • Safe manual handling practice
  • Basic first aid
  • Relationship between 100% oxygen and metals/non metals under pressure

Essential Skills
  • Restock a compression chamber safely
  • Interpret gas systems diagrams
  • Supervise operation of all compression chamber systems
  • Operate the Built In Breathing System
  • Solve problems including the ability to use available resources
  • Deal with conflict
  • Work with others and display empathy with client 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

Occupants
  • Nurse
  • Clients
  • Doctors
  • Technicians


Post compression checklist may include:

  • Inspect panel
  • Communications systems
  • Emergency systems
  • Environmental conditioning system


Flammable items may include:

  • Newspapers
  • Magazines
  • Dirt
  • Maintenance cloths
  • Non-cotton clothing
  • Plastics
  • Non metal items


Gas analysers must include:

  • Oxygen
  • Carbon-dioxide


Alarm indicators may include:

  • Low pressure gas supply
  • High/low oxygen environment
  • Power supply alarms
  • Fire
  • Fire deluge water levels/supply
  • Uninterrupted power supply


Gas supplies may include:

  • Air
  • Oxygen
  • Gas mixtures eg oxygen/helium


Secondary gas supply may include:

  • Bulk storage
  • Secondary compressor


Equipment and materials must include:

  • Communications equipment for inside chamber
  • Multi-place hyperbaric chamber
  • Client monitoring equipment
  • Client ventilator
  • Intravenous infusion
  • Client hoods/Built In Breathing Systems
  • Fire fighting equipment
  • First aid kit


Equipment and materials must include:

  • Seating and bedding for chamber


Problems may include:

  • Functionality of equipment
  • Maintenance of environmental condition
  • Length of time of treatment


Post compression restrictions may include:

  • Surface interval before next compression
  • Flying restrictions
  • Altitude restrictions
  • Compression restrictions

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 organisation policies and procedures including those of ohs and infection control
    • demonstration of the ability to safely restore the hyperbaric c equipment is safely restored
    • identification of unserviceable equipment
    • recognition of post compression implications

Context of and specific resources for assessment:
  • 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 conducting post compression routines
  • Observation of simulation and/or role play when conducting post compression routines
  • 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 conducting post compression routines (Documentation associated with performance reviews, supervisor/coordinator 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


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










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