HLTOUT004 Assess and deliver basic clinical care Assessment Task 1: Theory Task

Student Name Date Unit code/name HLTOUT004 Assess and deliver basic clinical care

Assessment Name Theory Task Assessment No. AT1.0

Student Declaration: I declare that by submitting this assessment, I confirm the assessment within is my own work. I am aware of and understand the rules and responsibilities related to assessment, as outlined in the Student Code of Practice, Student Handbook and related policies. I acknowledge that my failure to comply with the Academic Integrity Policy and Student Code of Conduct will be regarded as misconduct and will be subject to disciplinary action and may result in my enrolment being withdrawn by the Australian Paramedical College (APC).

Privacy Disclaimer: Australian Paramedical College is collecting your personal information for assessment purposes. The information will only be accessed by authorised employees of the College . Some of this information may be given to the Australian Skills Quality Authority (ASQA) or its successor for audit and/or reporting purposes. Your information will not be given to any other person or agency unless permitted or we are required by law.

Assessment Information Assessment Submission:

You are required to complete the name and date fields on the first page of this document. Failure to do so will result in your submission counting towards an attempt and will not be assessed as it is incomplete.

Number of Attempts:

Students receive three (3) attempts at this theoretical assessment task.

Should your 1st and 2nd attempt be deemed as Not Yet Satisfactory (NYS), your assessor will provide feedback informing you of the areas requiring additional or further information. You will be required to submit your updated attempt on a resubmission form template. If your 3rd attempt is deemed Not Yet Satisfactory (NYS), you will be required to schedule a call with an assessor to address the areas deemed Not Yet Satisfactory (NYS). If you fail to attend the scheduled call for discussion, you will receive an overall Not Yet Satisfactory (NYS) result for this assessment task.

General information:

Each unit will have theoretical and practical components. The practical components for this unit will be addressed within the clinical practice workshop which you are required to attend to finalise individual unit outcomes.

Students are advised to read the Student Unit Guide prior to beginning assessment to ensure a clear understanding of the unit requirements and assessment tasks involved.

Students must satisfactorily complete all associated assessment tasks to be deemed competent overall in this unit of competency.

Students are permitted to use the Student Learner Guide and additional resources available to support responses, however where relevant it is expected that references are listed or identified for any work that is not your own words. Academic misconduct is monitored and plagiarism will be penalised as per the Academic Integrity Policy.

Students are required to submit this completed assessment task via the online learning portal, or as directed by the assessor.

If you require assistance with content, please email trainer@apcollege.edu.au with the unit code, AT number and question you are stuck on or call (07) 5520 2522 for assistance.

If you require assistance with anything else, please email support@apcollege.edu.au with your question or call (07) 5520 2522 for assistance.

Theory Task

Please read each question carefully to ensure your response addresses all required components.

In your own words, explain what the Paramedicine Board of Australias Code of Conduct states about ensuring non-discriminatory patient access to care.

You have been called out to a local park. A member of the public called for ambulance assistance because they believe there is a person at the park who is drug affected. When you arrive at the park, you see the person slumped on a bench. As you approach, you can see they are dishevelled and appear agitated. They will not make eye contact with you and keep staring into the distance. They appear to have poor motor skills.

Outline the steps you would take to ensure you apply non-discriminatory practices.

Explain the principle of duty care and how it applies to providing basic clinical care to patients.

List three (3) steps you would follow to ensure yourself and your co-workers safety when arriving at a scene.

Identify four (4) things you should do to maintain situational awareness and safety when on the job.

When providing care to your patients, explain what you should do to ensure that you and your co-workers remain as safe as possible.

In your own words, explain what the Paramedicine Board of Australias Code of Conduct states about providing care to a patient who poses a risk to health or safety or the team.

Part of your role will include the application of safe manual handling techniques. List three

(3) situations where you must follow requirements of the hazardous manual tasks code of practice.

Outline the key steps in maintaining good posture when lifting and moving loads.

List four (4) key WHS responsibilities you have as an employee.

Identify at least four (4) different types of infectious and contagious diseases you could come into contact with in your job.

List three (3) types of PPE you can wear to reduce the risk of exposure to infectious and contagious diseases.

Before arriving at the scene, explain how you can learn about the types of infection control equipment/PPE you may need to wear based on the patients condition.

Provide a detailed explanation of mandatory reporting. In your answer, provide an example of what is considered significant harm in your state or territory.

Are paramedics mandatory reporters in your state or territory?

Explain the concept of informed consent.

Assume a patient has been provided with as much information as possible to assist them in making an informed choice about their care. The patient refuses to receive treatment. What should you do in this case? (Assume the patient has capacity to make their own decisions.)

Assume a patient does not have capacity to give consent. What should you do in this situation? (Assume this is not an emergency situation.)

Indicate which of the following skills Paramedics are able to undertake when providing care to patients in your state and/or territory.

Skills: Yes No

Pulse oximetry Direct laryngoscopy Cardiac monitoring Intranasal drug administration Breech delivery Shoulder dystocia Sedation acute behavioural disturbance Bag valve mask ventilation Manual defibrillation Defibrillation semi automatic Cardiopulmonary resuscitation Arterial tourniquet Cervical collar Skin closure skin stapler Haemostatic dressings Chest seals Recognition of life extinct List three (3) ways you can demonstrate respect for practitionerclient boundaries in your role as a healthcare worker.

You are treating a female patient who discloses that she is in the early stages of pregnancy. Her husband is at the scene but in another room. She whispers that he does not know and she is going to terminate the pregnancy. She requests that you do not say anything. You feel strongly about this due to a similar situation having occurred within your own family.

Write down the correct response to this situation.

You have attended a scene where two (2) people have been involved in a fight. There are open wounds and obvious signs of contamination between the individuals. You learn that the patients are strangers. As you begin to treat Patient A, they quietly disclose they are HIV+. They tell you firmly that they do not want anyone, including Patient B to know about it.

Considering patient confidentiality, write down the correct response to this situation.

Your partner is busy treating Patient B and has obviously not heard Patient As disclosure. Should you take your partner aside and tell them Patient A is HIV+?

Write down the correct response to this situation, answering from a risk perspective and taking into consideration confidentiality requirements.

Your partner approaches you. They have been treating Patient B. Your partner is new to the role and Patient B has asked them about their risk of contracting HIV and other blood transmissible diseases. They are unsure of what to say, and are nervous of saying the wrong thing. Assume they do not know anything about Patient As status at this time.

Considering patient confidentiality, write down what you would say to your partner, and then to Patient B.

You and your partner attend an elderly patient at their home. After some assessment, it is clear that the patient is not at risk of any life threatening condition or illness. However, the patients adult daughter is demanding that the patient be taken to the emergency department. This patient is known for calling the ambulance services on a regular basis claiming they are near deaths door, despite almost all complaints being minor.

Write down what you would do in this situation.

Outline the primary survey steps for: Medical cardiac arrests:

All other presentations:

Briefly describe the steps in the primary survey.

Danger Airway As per patient and clinical assessment guidelines, list and describe the two (2) mnemonics used as part of the secondary survey.

List four (4) assessments you need to complete as part of the vital sign survey.

List four (4) examples of an airway obstruction.

For each of the following vital signs, indicate what you should be looking for.

Breathing Pulse Skin appearance and temperature How would you educate a layperson to assess breathing on a patient? Provide a script in first person below on how you would instruct them, inclusive of normal respiration values.

List three (3) possible contributing factors as to why a patient may present with an elevated heart rate.

For the following vital signs, list the normal or expected values in an adult patient.

Blood pressure Temperature Pulse oximetry Fill out the table below to identify the range of body temperatures.

Normal/afebrile Febrile (oral) Hyperthermic Mild hypothermia Moderate hypothermia Sever hypothermia Hyperpyrexia Identify the normal respiratory rate for the following:

Adults Infants (012 months) Children (13 years) Children (45 years) Children (612 years) Identify the normal heart rate for the following:

Adults Infants (012 months) Children (13 years) Children (45 years) Children (612 years) List each part of the body that must be assessed when conducting the secondary survey. For each part, explain what you have to check and do (where relevant).

What other important thing should you be looking for as part of the secondary survey?

Explain why it is important to carefully consider the application of stimulus when assessing a person who may be drug or alcohol affected.

Describe the Glasgow Coma Scale.

If a patient has a GSC of 15, what does this mean?

Complete the table below.

Eyes opening Verbal response Motor response

4 5 6 3 4 5 2 3 4 1 2 3 1 2 1 What is one of the best ways to test someones verbal response?

What is the common way to test motor skills?

Describe each of these terms. Abnormal flexion:

Extension to pain:

List two (2) appropriate types of painful stimuli that can be applied to patients.

List the five (5) critical areas to neurological assessment.

Describe the purpose of the AVPU scale, including the three (3) questions that are asked to the patient.

Complete the table below.

AVPU scale Appearance Intervention Result

What are the pupil sizes for the following:

Pinpoint Normal Dilated What assessments are made to check sensory function?

What assessment is conducted after AVPU?

Briefly explain what is meant by perfusion status.

Complete the table below (adult perfusion status).

Skin Pulse BP Consciousness

Adequate perfusion Borderline perfusion Inadequate perfusion Grossly inadequate perfusion No perfusion Complete the table below (paediatric perfusion status).

Skin Pulse BP Consciousness

Adequate perfusion Borderline perfusion Inadequate perfusion Grossly inadequate perfusion No perfusion Describe each part of the mnemonic OPQRSTT.

What is the rating scale for adult pain severity? Indicate the pain severity for each scale.

What should you do if your patient cannot understand the numerical rating scale?

Explain the purpose of the Wong-Baker FACES Pain Rating Scale.

What are the six ratings levels of the Wong-Baker FACES Pain Rating Scale?

Fill out the table below to identify and describe each category in the FLACC infant pain assessment scale.

Categories Scoring

0 1 2

Face Legs Activity Cry ConsolabilityExplain why it is important to carefully handle hypothermic patients.

Explain how the skin assists in regulating body temperature.

Discuss in your own words the general function of the circulatory system.

Explain the difference between heart attack and sudden cardiac arrest.

2158433-466791Pulmonary valve

Right atrium

Mitral valve Right ventricle

Left atrium

Tricuspid valve

Interventricular Septum

Left ventricle

Image source: Unknown. This image has been edited by APC for the purposes of student assessment to show incorrect labelling.

Image source: Open Stax College (http://cnx.org/content/col11496/1.6/). This image has been edited by APC for the purposes of student assessment to show incorrect labelling.

Image source: OpenStax (https://cnx.org/contents/FPtK1zmh@8.25:fEI3C8Ot@10/Preface). This image has been edited by APC for the purposes of student assessment to show incorrect labelling.

Image source: OpenStax, (http://cnx.org/content/col11496/1.6/). This image has been edited by APC for the purposes of student assessment to show incorrect labelling.

List the four (4) functions of the human skeleton.

Explain the function of the endocrine system.

Identify four (4) body functions regulated by the endocrine system.

Explain the importance of blood glucose levels for human health.

What is considered a normal blood glucose level reading?

If you have a blood glucose level reading under 4, what are you?

If you have a blood glucose level reading over 8, what are you?

1844718591410Some labels on the diagram below are in the wrong location. Look at the diagram carefully and write below which ones are incorrect, and where they should be.

Image source: Lady of Hats, https://commons.wikimedia.org/wiki/File:Digestive_system_diagram_edit.svg. This image has been edited by APC for the purposes of student assessment to show incorrect labelling.

Identify in which quadrant these organs can be found.

Liver Pancreas Small intestine Stomach Sigmoid colon Right ovary and uterine tune Left part of transverse colon Duodenum Right kidney Right ureter Spleen Appendix Gall bladder with biliary tree Lower part of ascending colon Lower part of descending colon You may often see patients who are diagnosed with appendicitis. What is it and what are the signs and symptoms?

Explain the function of the urinary system.

Explain which organ performs the function listed below.

Blood is filtered; the organ removes waste products and excess fluid through urine. Two tubes that transport urine from the kidneys to the bladder. Tube that excretes urine from the bladder to the outside of the body. Storage location of urine 1938654484594Some labels on the diagram below are in the wrong location. Look at the diagram carefully and write below which ones are incorrect, and where they should be.

Image source: R Dewaele (Bioscope, Unige), J Abdulcadir (HUG), C Brockmann (Bioscope, Unige), O Fillod, S Valera-Kummer (DIP), (www.unige.ch/ssi) This image has been edited by APC for the purposes of student assessment to show incorrect labelling.

Identify the organ of the female reproductive system with its function/characteristics.

Can stretch significantly due to its elasticity. Consists of three layers, the endometrium, myometrium and perimetrium. Connect the ovaries and the uterus. Its opening is called the os. The os will open to allow sperm through to the uterus. Produce and protect eggs (ova) and also produce hormones (progesterone and oestrogen). Some labels on the diagram below are in the wrong location. Look at the diagram carefully and write below which ones are incorrect, and where they should be.

115570016446500

Image source: R Dewaele (Bioscope, Unige), J Abdulcadir (HUG), C Brockmann (Bioscope, Unige), O Fillod, S Valera-Kummer (DIP), (www.unige.ch/ssi; https://commons.wikimedia.org/wiki/File:Male_genital_system_-_3D_view.svg). This image has been edited by APC for the purposes of student assessment to show incorrect labelling.

Identify the organ of the male reproductive system with its function/characteristics.

Produce and store sperm and secrete hormones called androgens. Lose sac of skin, the function of which is to protect the testes. Three internal chambers make up the erectile tissue. Where urine is released from the body. Its muscles press semen into the urethra during ejaculation. Explain the purpose and function of the integumentary system.

Explain the purpose of the lymphatic system.

List the five (5) senses and explain their importance.

Explain why it is important to cover an eye if it has been injured.

List three (3) things you should never do if a person has an eye injury.

Understanding common conditions that may affect the special senses is important knowledge required for all pre-hospital workers. Define the below conditions.

Cataracts Glaucoma Barotrauma Ear infection Tinnitus Identify the legislation and regulations that cover the scheduling of medication/drugs and poisons.

In your own words, explain the purpose of the medicine and poisons schedules.

Identify each of the schedules (remember not all are in use).

Schedule 1 Schedule 2 Schedule 3 Schedule 4 Schedule 5 Schedule 6 Schedule 7 Schedule 8 Schedule 9 Schedule 10 Identify the nine (9) rights of drug administration.

Briefly explain each of the following routes of administration.

Oral ItranasalIntramuscular IV IO Explain the Z-track method.

List the key steps for intramuscular injection (start from the beginning and do not forget infection control).

Explain the importance of infection control with administrating medications intravenously

What consequences may occur if infection control is not followed when administering IV medication to a patient?

Identify five (5) drugs that a registered paramedic can administer.

Identify five (5) drugs that a registered paramedic cannot administer.

Fill out the tables provided for each drug.

Adrenaline

Indications Contraindications Side effects Routes Schedule Fentanyl

Indications Contraindications Side effects Routes Schedule Naloxone

Indications Contraindications Side effects Routes Schedule Paracetamol

Indications Contraindications Side effects Routes Schedule Ibuprofen

Indications Contraindications Side effects Routes Schedule Morphine

Indications Contraindications Side effects Routes Schedule Explain the procedures to be followed for drugs in regards to:

storage

handling

disposal

documentation

In your own words, describe the differences between the sympathetic and parasympathetic nervous systems. In your explanation provide an example of where each system may be required to act.

List the six (6) components for the 6-step Method of ECG interpretation.

Other than the rights of administration, what must always be checked before drug administration?

From the following, match the definition that relates to time or transport criticalities.

Options:

Actual time critical

Potential time critical

Transport critical

Emergent time critical

Patients requires treatment outside of paramedic scope

(requires rapid surgery or hospital-based intervention) Requires treatment on scene (cardiac arrest,

haemorrhage control) Pattern of injury with high risk of deterioration Patient has an injury/issue with the potential for

deterioration Consider that while treating a patient their condition starts to deteriorate. How would you adjust your treatment to assist the patient? Within your response, ensure that you outline the below.

Patient signs and symptoms

Treatment provided

Signs of deterioration

Counter measures that you would provide.

If a rhythm is described as sinus, what does this indicate?

107759574295

1077595453390

1077595826135

A P-wave precedes each QRS-complex. QRS-complexes are present.

1077595340995

A QRS-complex precedes each T-wave. P-waves are present.

What is the duration of a normal PR-interval?

107759582550

0.120.2 seconds (35 small squares)

1077595-11430

0.080.12 seconds (23 small squares)

1077595-9525

0.04 0.12 seconds (13 small squares)

1077595-20320

0.040.08 seconds (12 small squares)

What view of the heart does lead II represent?

107759563500

1077595442595

1077595801370

10775951184910

Lateral Anterior Inferior Septal

The absence of P-waves and a rapid, wide and regular rhythm would suggest a diagnosis of?

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Atrial fibrillation

1077595-36830

1077595335915

1077595688340

2nd degree heart block 1st degree heart block Ventricular tachycardia

Using your 6-step approach please diagnose each of the following ECGs.

781050115276A.

790587-11088B.

13150855397500C.

884555-21071D.

6858004963E.

What is the acronym that is used when handing over to a receiving health facility? Explain each part of the acronym.

Discuss what you would do if the patient required treatment interventions that were outside of your scope of practice?

Project

Read the following information carefully and answer the questions that follow. You must answer all questions correctly to receive a satisfactory outcome for this task.

6858003238500You are dispatched to respond to a motorcycle collision that has occurred on a steep part of the road located within the Hinterland.

Upon arrival you find a young male who has struck a road barrier. He has landed among leaves, large rocks, debris and branches.

It has been identified that he was travelling at high speed.

You evaluate the scene and identify the appropriate personal protective equipment. You evaluate the conditions and proceed with caution to approach the patient.

The patient had not been wearing a helmet and you immediately observe that he has sustained significant head and facial injuries. His eyes are closed and he is unable to be alerted via verbal communication.

His arms and legs extend when you apply painful stimulus. You conduct a primary survey and find that, although suffering from facial trauma, he appears to be breathing normally but at a slower than normal rate.

During your secondary survey you find the following at 9.30am:

Pulse rate 118

BP 100/68

BSL 4.6

Oxygen sats 92%

Temperature 35.9C

EGC sinus tach

Chest sounds L=R clear @ rate 14

Pupils are sluggish to react to light.

You radio ambulance headquarters and request a rescue team be dispatched to assist with extracting the patient from the steep forestry terrain. The extraction will require a helicopter, as you identify that the patient will need emergency transportation to the closest hospital, which is located 60km away.

As you wait for the rescue team to arrive, you apply a cervical collar and secure the patient on the long spine board.

You radio the helicopter rescue team and advise them to prepare the stokes litter and update on their location. They update that the helicopter has a 7-minute estimated time of arrival. You continually re-evaluate your patient and relay your patient's condition when speaking to the helicopter rescue team.

Shortly after the rescue team arrives and you provide them with a handover report and assist with moving the patient onto the stokes litter. The patient is airlifted into the helicopter.

You are required to provide the following information via written response and completion of the templates provided.

Describe in detail the pre-planning and scene survey you would consider and apply for this scenario.

List at least four (4) resources you would require for this scenario. Consider in your answer equipment, type of PPE, clinical resources and/or other services.

Provide a detailed explanation of the access and egress requirements for this scene. Consider real and potential safety issues. Provide a rationale for your response.

Discuss in detail how you would assess the patient. In your response, discuss what you would need to support patient assessment from arrival on scene to the debrief activity. List all processes and explain why you would implement these.

Identify at least four (4) types of injuries you would expect to see for this patient. Discuss the treatment pathways as per Queensland Ambulance Service CPGs.

Consider the mechanism of injury and potential environmental factors. For each of the four injuries you identified above, note the treatment or management plan (including drug

therapies you would consider).

You must be specific with your treatment or management plan for each injury.

You must provide a rationale for each treatment/intervention identified.

Justify the transportation need for calling the helicopter.

You must complete the below templates (located within Q paramedical module) and upload them as part of your assessment evidence:

Patient Care Report

Glasgow Coma Scale assessment

SOAP or CHART report, inclusive of event narrative

IMIST AMBO briefly outlining your handover to the Rescue Team.

Case studies

Read the following case studies carefully and answer the questions that follow. You must answer all questions correctly to receive a satisfactory outcome for this task.

Case study 1

You are working to your full scope as a Certificate IV graduate. Someone presents looking pale, sweaty and looking scared. You introduce yourself to your patient.

What is the first assessment you conduct? State all of the components of this assessment and the information you are hoping to gather from it.

You have now conducted the required assessment. You ask the patient what has caused them to seek help today. They tell you they are suffering from chest pain. You decide to conduct a history-taking assessment first.

Using the information below, sort it into the correct history-taking assessment framework.

John woke up at 7am today and had gluten-free toast for breakfast (he is allergic to gluten). After breakfast he moved his bowels, which is when he noticed central chest pain/heaviness, radiating up to his left jaw. He also noticed some tingling down his left arm and was so nauseated that he vomited his breakfast. John immediately took his morning tablets of aspirin and Perindopril, which he takes for angina and hypertension. John tried resting but this didnt help the pain. The pain was an 8/10 despite these medicines so he took 1g paracetamol and decided to present to you for further treatment.

From the information gathered, correctly make a pain assessment using the OPQRST framework.

You get out your kit and assess the patient further. You decide to conduct a perfusion status assessment.

What are the components of a perfusion status assessment? What sort of specific information will you look for?

You have decided you would like to treat this patient for their chest pain.

State two (2) key drugs in your scope of practice that are indicated for this patients presentation and list the following:

Indications for the drug

Contraindications for the drug

Side effects/adverse reactions of the drug.

Presentation of the drug (ie what does the medication actually look like)

Dose indicated for this patient, including any possible repeat doses.

Case study 2

You are working to your full scope as a Certificate IV graduate. You are approached by someone looking short of breath. After you conduct your initial assessment, you decide to conduct a respiratory status assessment.

State the components of a respiratory status assessment and the sorts of information you would be looking for in your patient.

Component Information

You find the patient to have increased work of breathing, a rapid respiratory rate, and expiratory wheezes when you listen to their lungs.

State the medical condition you believe this person is suffering from. As part of your response, include a short explanation of the normal anatomy and physiology and how your patients is affected by their condition.

You have decided to treat the patient for the medical condition you have identified.

State the primary drug used to treat this condition, including:

Indications for the drug.

Contraindications for the drug.

Side effects/adverse reactions of the drug.

Presentation of the drug (ie what does the medication actually look like)

Dose indicated for this patient, including any possible repeat doses.

Case Study 3:

You are working to your full scope as a Certificate IV graduate. You are beckoned to a patient who is lying on the ground, moaning incoherently with their eyes closed. When you attempt to rouse them using painful stimuli, they open their eyes and push your hand away but then close their eyes again.

You decide to calculate a GCS on this patient. Explain the purpose of a GCS and what score you would give them based on the information above.

You decide to conduct a vital signs survey

List the six (6) vital signs you would take and the expected normal values/ranges for each.

After conducting this assessment you find that the patient has a BGL of 2.3mmol/L.

What is your diagnosis for this patient? Explain how this would contribute to their GCS level.

You now need to treat your patient.

There are two (2) treatments available for your patient within your current scope. State the two treatment options. Decide which is more appropriate and explain your choice.

Case Study 4

You are working to your full scope as a Certificate IV graduate. A 26-year-old female approaches you. She is hunched over, holding her right lower abdomen and appears to be in pain. You conduct a head-to-toe assessment.

Under the head-to-toe assessment, list the specific things you would be looking for in an abdominal assessment.

Your pain assessment finds the following information:

O = Sudden onset R) lower quadrant abdominal pain P = Standing up straight makes the main worse

Q = Sharp, stabbing pain R = Pain doesnt radiate S = 10/10 pain

T = Onset 30 minutes ago, hasnt taken anything.

What pain relief options do you have available for this patient? Include:

Indications for the drug.

Contraindications for the drug.

Side effects/adverse reactions of the drug.

Presentation of the drug (ie what does the medication actually look like)

Dose indicated for this patient, including any possible repeat doses.

Your patient asks what you think is wrong with her. You know it is difficult to determine abdominal diagnoses without further imaging and tests at a hospital, but your patient is very distressed.

List the three (3) most likely causes for your patients pain. Take into consideration the patients gender and age when noting your answer.

Case Study 5

You are working to your full scope as a Certificate IV graduate. You are enjoying your chicken satay lunch when your colleague suddenly makes a strange noise from the tearoom and you hear a thud. You find your colleague collapsed on the floor, pale with an extensive rash developing, and obvious facial swelling. You notice a smear of your satay sauce on the bench next to your colleagues lunch.

What do you think has happened to your colleague? As part of your response, list the symptoms that have led you to make your conclusion.

Which drug do you have access to within your scope that can treat this condition? As part of your answer include:

Indications for the drug.

Contraindications for the drug.

Side effects/adverse reactions of the drug.

Presentation of the drug (ie what does the medication actually look like)

Dose indicated for this patient, including any possible repeat doses.

HLTOUT008 Manage a scene

Q1 List three (3) workplace policies and procedures that are applicable to scene management. For each one, explain why they are important.

Q2 -List three (3) Acts relevant to your state or territory that are applicable to your work in managing the scene of an incident

Q10 -Describe the five (5) steps of the scene management cycle.Student Learner Guide

Q16 Assume that one of the people in the multi-vehicle collision is suspected to have a weapon. What procedure must you follow to keep yourself and your team safe? Student Learner Guide

Q19 -Emergency sedation should only be performed at what point?Student Learner Guide

Q22 -List the two (2) sided document you must complete when a patient with ABD needs to be sedated. NOTE: You must list both sides of this document.

Q23 -Define each of the three (3)safety zonesin relation to patient de-escalation. Student Learner Guide

Q26 -In your own words explain the three (3) steps of de-escalation Student Learner Guide

Q27 -In your own words, outline the key protocols of the clinical practice guidelines that relate to patient refusal of transport. Student Learner Guide

Q29 -Identify two (2) other allied health services that could be contacted and theirrole/function..

Q35 -Assume you are at a scene where a health professional is taking actions or making decisions that you believe could put yourself, your team and your patients at significant risk. Explain the procedure you need to follow to handle thissituation.athttps://www.ambulance.qld.gov.au/docs/clinical/cpp/CPP_Interacting%20with%20non%20QAS%20health%20professionals.pdf

Q36 Under what circumstances is a medical escort required?athttps://www.ambulance.qld.gov.au/docs/clinical/cpp/CPP_Interacting%20with%20non%20QAS%20health%20professionals.pdf

Q37 -When a medical escort is provided, what procedures must the ambulance officers put in place? athttps://www.ambulance.qld.gov.au/docs/clinical/cpp/CPP_Interacting%20with%20non%20QAS%20health%20professionals.pdf

Q39 -List three (3) items of personal protective equipment that a responder should utilise when attending a standard call out..

Q40 -When arriving at the scene of a suspected trauma, asking bystanders about what they saw and how the incident happened helps you to determine what?

Mechanism of injury

Secondary survey

Scene size-up

Q41B -. You have been called to a private residence for reports of several people attending a gathering that are feeling unwell. On arrival, each person is complaining of sudden headache, nausea and breathing difficulties. On further scene assessment you immediately identify two (2) people are unconscious in the main lounge with a gas BBQ located inside.

B) What measures would you employ to safeguard yourself, your partner and others on scene? (50-100 words)

Q43 -When approaching a potential crime scene, explain what additional precautions you would apply. (50-100 words)

HLTOUT008 Manage a scene

Q6 -Given the assessment above, articulate your plan on safely transporting Jane to the vehicle. Justify your response with potential risk consequences you have identified and how your plan best mitigates these identified risks (50-100 words).

Q7 - 7. How and what will you communicate to your partner that you have deemed it unsafe to enter the building?

Risk Register -Please review the entire table. Consequence details under risk, none have been entered. I'm going to write an example, follow this:

Chemicals - Inhalation or absorption of chemicals, very likely, controls call HAZMAT to handle, consequence rating Moderate, likelihood possible, medium overall risk.

Q14 -. Explain in detail the acronyms you will need to refer to and what decisions you will make to ensure effective management of the above multi-casualty scene.

Q17 -. You have been called out to an emergency that involves multiple burn victims oil factory. What state or territory policies and procedures would you refer to before arriving on the scene? State a minimum of three (3) that are relevant