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Evidence Guide: HLTAHW041 - Assess and manage emergency treatment of burns

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

HLTAHW041 - Assess and manage emergency treatment of burns

What evidence can you provide to prove your understanding of each of the following citeria?

Elements define the essential outcomes.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assess the severity of a burn injury

  1. Use culturally appropriate and safe communication skills when treating clients
  2. Assess the size and depth of a burn injury using appropriate estimation methods
  3. Identify the pre-disposing factors to burn depth progression
  4. Identify the pre-disposing factors to delayed burn wound healing
Use culturally appropriate and safe communication skills when treating clients

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assess the size and depth of a burn injury using appropriate estimation methods

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify the pre-disposing factors to burn depth progression

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify the pre-disposing factors to delayed burn wound healing

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Implement burn injury emergency management procedures appropriate to the client’s burn injury

  1. Identify need(s) for emergency services and medical assistance and undertake triage as required
  2. Communicate with personnel, emergency management services and medical assistance personnel as appropriate
  3. Undertake a systematic survey of the client’s clinical status using standard emergency treatment principles
  4. Use pain management strategies with the client
  5. Refer clients with a burn injury to a Burn Unit, as appropriate
  6. Identify and implement emergency management procedures and select correct wound dressing to treat identified type of wound
  7. Commence intravenous resuscitation under supervision and/or as directed by a medical officer or other qualified personnel
  8. Monitor and document fluid balance chart
  9. Monitor and document the client’s ongoing clinical status
Identify need(s) for emergency services and medical assistance and undertake triage as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Communicate with personnel, emergency management services and medical assistance personnel as appropriate

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Undertake a systematic survey of the client’s clinical status using standard emergency treatment principles

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use pain management strategies with the client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Refer clients with a burn injury to a Burn Unit, as appropriate

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and implement emergency management procedures and select correct wound dressing to treat identified type of wound

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Commence intravenous resuscitation under supervision and/or as directed by a medical officer or other qualified personnel

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Monitor and document fluid balance chart

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Monitor and document the client’s ongoing clinical status

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Treat burn injury according to specific burn type

  1. Undertake a risk assessment of potential hazards in the incident area
  2. Identify need(s) for emergency services/medical assistance and undertake triage as required
  3. Communicate with appropriate personnel, emergency management services and medical assistance as appropriate
  4. Convey information on client’s burn injury to relevant personnel to minimise the risk of complications
  5. Use Personal Protective Equipment (PPE) when undertaking first aid
  6. Use irrigation to minimise injury to unaffected body parts and to the health worker
  7. Identify specific risks and implement management procedures to treat identified burn
  8. Deliver appropriate first aid to a client, according to type of burns wound, using available resources and within the context of client and environmental factors
  9. Treat wound(s) in the immediate post-first-aid period
Undertake a risk assessment of potential hazards in the incident area

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify need(s) for emergency services/medical assistance and undertake triage as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Communicate with appropriate personnel, emergency management services and medical assistance as appropriate

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Convey information on client’s burn injury to relevant personnel to minimise the risk of complications

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use Personal Protective Equipment (PPE) when undertaking first aid

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use irrigation to minimise injury to unaffected body parts and to the health worker

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify specific risks and implement management procedures to treat identified burn

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Deliver appropriate first aid to a client, according to type of burns wound, using available resources and within the context of client and environmental factors

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Treat wound(s) in the immediate post-first-aid period

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assess psychosocial needs and risks, implementing techniques that support the client and family.

  1. Establish effective communication with a client and family
  2. Provide a supportive environment to a client and family in crisis
  3. Identify presentation patterns of possible non-accidental burn injury in children and mandatory obligations when working with children
  4. Identify presentation patterns of possible non-accidental burn injury in adults and provide appropriate support strategies
  5. Undertake risk assessment of a client, identifying risk factors which may indicate a risk to self or the safety of others
Establish effective communication with a client and family

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide a supportive environment to a client and family in crisis

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify presentation patterns of possible non-accidental burn injury in children and mandatory obligations when working with children

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify presentation patterns of possible non-accidental burn injury in adults and provide appropriate support strategies

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Undertake risk assessment of a client, identifying risk factors which may indicate a risk to self or the safety of others

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Implement burn injury emergency management procedures appropriate to the client’s burn injury

  1. Identify need(s) for emergency services and medical assistance and undertake triage as required
  2. Communicate with personnel, emergency management services and medical assistance personnel as appropriate
  3. Undertake a systematic survey of the client’s clinical status using standard emergency treatment principles
  4. Use pain management strategies with the client
  5. Refer clients with a burn injury to a Burn Unit, as appropriate
  6. Identify and implement emergency management procedures and select correct wound dressing to treat identified type of wound
  7. Commence intravenous resuscitation under supervision and/or as directed by a medical officer or other qualified personnel
  8. Monitor and document fluid balance chart
  9. Monitor and document the client’s ongoing clinical status
Identify need(s) for emergency services and medical assistance and undertake triage as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Communicate with personnel, emergency management services and medical assistance personnel as appropriate

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Undertake a systematic survey of the client’s clinical status using standard emergency treatment principles

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use pain management strategies with the client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Refer clients with a burn injury to a Burn Unit, as appropriate

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and implement emergency management procedures and select correct wound dressing to treat identified type of wound

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Commence intravenous resuscitation under supervision and/or as directed by a medical officer or other qualified personnel

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Monitor and document fluid balance chart

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Monitor and document the client’s ongoing clinical status

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes.

Performance criteria specify the level of performance needed to demonstrate achievement of the element.

1. Assess the severity of a burn injury

1.1 Use culturally appropriate and safe communication skills when treating clients

1.2 Assess the size and depth of a burn injury using appropriate estimation methods

1.3 Identify the pre-disposing factors to burn depth progression

1.4 Identify the pre-disposing factors to delayed burn wound healing

2. Implement burn injury emergency management procedures appropriate to the client’s burn injury

2.1 Identify need(s) for emergency services and medical assistance and undertake triage as required

2.2 Communicate with personnel, emergency management services and medical assistance personnel as appropriate

2.3 Undertake a systematic survey of the client’s clinical status using standard emergency treatment principles

2.4 Use pain management strategies with the client

2.5 Refer clients with a burn injury to a Burn Unit, as appropriate

2.6 Identify and implement emergency management procedures and select correct wound dressing to treat identified type of wound

2.7 Commence intravenous resuscitation under supervision and/or as directed by a medical officer or other qualified personnel

2.8 Monitor and document fluid balance chart

2.9 Monitor and document the client’s ongoing clinical status

3. Treat burn injury according to specific burn type

3.1 Undertake a risk assessment of potential hazards in the incident area

3.2 Identify need(s) for emergency services/medical assistance and undertake triage as required

3.3 Communicate with appropriate personnel, emergency management services and medical assistance as appropriate

3.4 Convey information on client’s burn injury to relevant personnel to minimise the risk of complications

3.5 Use Personal Protective Equipment (PPE) when undertaking first aid

3.6 Use irrigation to minimise injury to unaffected body parts and to the health worker

3.7 Identify specific risks and implement management procedures to treat identified burn

3.8 Deliver appropriate first aid to a client, according to type of burns wound, using available resources and within the context of client and environmental factors

3.9 Treat wound(s) in the immediate post-first-aid period

4. Assess psychosocial needs and risks, implementing techniques that support the client and family.

4.1 Establish effective communication with a client and family

4.2 Provide a supportive environment to a client and family in crisis

4.3 Identify presentation patterns of possible non-accidental burn injury in children and mandatory obligations when working with children

4.4 Identify presentation patterns of possible non-accidental burn injury in adults and provide appropriate support strategies

4.5 Undertake risk assessment of a client, identifying risk factors which may indicate a risk to self or the safety of others

Required Skills and Knowledge

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes.

Performance criteria specify the level of performance needed to demonstrate achievement of the element.

1. Assess the severity of a burn injury

1.1 Use culturally appropriate and safe communication skills when treating clients

1.2 Assess the size and depth of a burn injury using appropriate estimation methods

1.3 Identify the pre-disposing factors to burn depth progression

1.4 Identify the pre-disposing factors to delayed burn wound healing

2. Implement burn injury emergency management procedures appropriate to the client’s burn injury

2.1 Identify need(s) for emergency services and medical assistance and undertake triage as required

2.2 Communicate with personnel, emergency management services and medical assistance personnel as appropriate

2.3 Undertake a systematic survey of the client’s clinical status using standard emergency treatment principles

2.4 Use pain management strategies with the client

2.5 Refer clients with a burn injury to a Burn Unit, as appropriate

2.6 Identify and implement emergency management procedures and select correct wound dressing to treat identified type of wound

2.7 Commence intravenous resuscitation under supervision and/or as directed by a medical officer or other qualified personnel

2.8 Monitor and document fluid balance chart

2.9 Monitor and document the client’s ongoing clinical status

3. Treat burn injury according to specific burn type

3.1 Undertake a risk assessment of potential hazards in the incident area

3.2 Identify need(s) for emergency services/medical assistance and undertake triage as required

3.3 Communicate with appropriate personnel, emergency management services and medical assistance as appropriate

3.4 Convey information on client’s burn injury to relevant personnel to minimise the risk of complications

3.5 Use Personal Protective Equipment (PPE) when undertaking first aid

3.6 Use irrigation to minimise injury to unaffected body parts and to the health worker

3.7 Identify specific risks and implement management procedures to treat identified burn

3.8 Deliver appropriate first aid to a client, according to type of burns wound, using available resources and within the context of client and environmental factors

3.9 Treat wound(s) in the immediate post-first-aid period

4. Assess psychosocial needs and risks, implementing techniques that support the client and family.

4.1 Establish effective communication with a client and family

4.2 Provide a supportive environment to a client and family in crisis

4.3 Identify presentation patterns of possible non-accidental burn injury in children and mandatory obligations when working with children

4.4 Identify presentation patterns of possible non-accidental burn injury in adults and provide appropriate support strategies

4.5 Undertake risk assessment of a client, identifying risk factors which may indicate a risk to self or the safety of others

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role.

There must be evidence that the candidate has:

performed emergency burn procedures for at least five different clients with burn injuries. This includes:

- assessing percentage of Total Burn Surface Area (TBSA) using Lund and Browder

- estimating burn depth

- communicating with personnel from emergency management services and/or medical services

- calculating fluid resuscitation requirements according to modified Parklands formula

- commencing intravenous resuscitation under supervision and/or as directed by a Medical Officer or other qualified personnel

- monitoring and documenting:

o fluid balance chart

o vital signs

- undertaking a risk assessment of potential hazards in the incident area

- delivering information to minimise the risks of complications

- delivering appropriate first aid to the burn type

- administering appropriate wound care in the immediate post-first-aid period, appropriate to the type of burn

- performing ‘to the floor’ irrigation in relation to chemical burn injuries

- communicating information to minimise the risk of burn wound complications

- using PPE as required

- instigating communication with clients and families

- enabling a supportive environment for clients and families

- providing support strategies for clients with possible non-accidental burn injuries.

The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role.

This includes knowledge of:

- structure and function of the skin

- principles of healing

- principles of burns shock

- effects of burn injury on the immune system

- pathophysiology of inhalation injury

- estimating the percentage of TBSA using the Lund & Browder method

- determination of burn depth

- knowledge of the Jackson Burn Wound Model

- principles of moist wound healing

- predisposing factors to burn depth progression

- predisposing factors to delayed burn wound healing

- morbidity and mortality rates of burn injuries

- referral guidelines for clients with a burn injury to a Burns Unit

- regional emergency services

- expert medical assistance

- emergency burns injury management procedures:

o incident severity assessment

o systematic assessment of the person’s clinical status

o pain management strategies

- specific risks and management of:

o chemical injury

o electrical injury

o circumferential injury

o inhalation injury

o children with burn injuries

- fluid input and urinary output

- monitoring and documenting the person’s clinical status

- specific first aid management for thermal, chemical, and electrical burns, and cold injuries

- potential hazards associated with:

o flame, scald and contact burn incidents

o liquid and powder chemical burn incidents

o electrical burn incidents

o LPG, ice and other cold injury incidents

- contact persons from emergency and medical services

- information that minimises the risk of complications

- predisposing factors to burn depth progression

- correct emergency management of spinal injury (electrical injuries)

- PPE usage

- risks and management of specific chemical burns, including:

o acid burn

o alkaline burn

o powder chemical burn

o alkali-metal burn

o bitumen burn

- burn wound care and management, including:

o principles of wound care

o what environment minimises risk of infection

o principles of wound dressing selection

o traditional or bush medicines and local products that may help or infect a burn injury

- initial psychosocial management, encompassing:

o effective communication with family and client

o supportive environment for family and client

o mandatory obligations when working with children

o supportive strategies in relation to non-accidental injuries when working with adults.