DP0A 04 (PCS1) Prepare for and transport patients to, within and from the perioperative care environment

About this Unit

This workforce competence is about moving and transporting patients to, within and from the perioperative care environment. You will need to be able to identify the patient to be moved and make sure the necessary resources are available to move the patient. You will also need to move the patient safely and securely, and maintain their privacy and dignity during the move.

Where the patient is recovering from general anaesthesia, transport of patients will involve a Registered Practitioner to monitor the patients airway and vital signs.

Scope

The scope is here to give you guidance on possible areas to be covered in this Unit. The terms in this section give you a list of options linked with items in the performance criteria. You need to provide evidence for any option related to your work area.

Ancillary equipment: includes oxygen cylinders, tubing and masks, IV stands, traction equipment and specialised mattresses.

Patients: patients may be adults or children, who may be alert and orientated, disorientated or unconscious. They may be a day case or in patients undergoing scheduled or non-scheduled surgery.

Problems include: the patient not ready to be moved, the required members of staff are not available to identify the patient for transfer or available to receive the patient on completion of transfer, suitable transportation equipment is not available, faulty equipment, contaminated equipment, a health emergency.

Standard precautions and relevant health and safety measures a series of interventions which will minimise or prevent infection and cross infection, including handwashing/ cleansing before during and after the activity, and the use of personal protective clothing and additional protective equipment when appropriate. It also includes handling contaminated items, disposing of waste and untoward incident procedures.

Transportation equipment includes: trolleys, beds, wheelchairs.

Specific Evidence Requirements for this Unit
Simulation:
Simulation is NOT permitted for any part of this Unit.
The following forms of evidence are mandatory:
Direct observation: your assessor or an expert witness must observe you in real work activities which provide all of the performance criteria for this Unit. For example how you prepared for receiving a patient into the perioperative area including assessing the need for any specialised transfer equipment.
Reflective account/professional discussion: you describing your actions in a particular situation(s) and reflecting on the reason(s) for your practicing in that way in relation to individual patients and within the context of the perioperative team.
Competence of performance and knowledge could also be demonstrated using a variety of evidence from the following:
Questioning/professional discussion: may be used to provide evidence of knowledge, legislation, policies and procedures which cannot be fully evidenced through direct observation or reflective accounts. In addition the assessor/expert witness may also ask questions to clarify aspects of your practice.
Expert witness: a designated witness (for example, nurse, doctor or ODP) may provide direct observation of practice, questioning, professional discussion and feedback on reflective accounts.
Witness testimony: can be a confirmation or authentication of the activities described in your evidence which your assessor has not seen. This could be provided by a work colleague.
Products: these can be any record that you would normally use within your normal role eg policies and procedures and reports and records, etc. You need not put confidential records in your portfolio, they can remain where they are normally stored and be checked by your assessor and internal verifier. If you do include them in your portfolio all names and identifying information must be removed to ensure confidentiality. You could also use evidence of previous in-house training course/programmes you have completed showing professional development.
General guidance
Prior to commencing this Unit you should agree and complete an assessment plan with your assessor which details the assessment methods you will be using, and the tasks you will be undertaking to demonstrate your competence.
Evidence must be provided for ALL of the performance criteria ALL of the knowledge and the parts of the scope that are relevant to your job role.
The evidence must reflect the policies and procedures of your workplace and be linked to current legislation, values and the principles of best practice within the Perioperative setting. This will include the National Service Standards and/or KSF for your areas of work and the individuals you care for.
All evidence must relate to your own work practice.

Knowledge specification for this unit

Competent practice is a combination of the application of skills and knowledge informed by values and ethics. This specification details the knowledge and understanding required to carry out competent practice in the performance described in this unit.

When using this specification it is important to read the knowledge requirements in relation to expectations and requirements of your job role.

You need to provide evidence for ALL knowledge points listed below. There are a variety of ways this can be achieved so it is essential that you read the ‘knowledge evidence’ section of the Assessment Guidance.

You need to show that you know, understand and can apply in practice: / Enter Evidence Numbers
Legislation, policy and good practice
1A factual knowledge of the current European and national legislation, national guidelines and local policies and protocols which affect your work practice in relation to:
(a)health and safety
(b)infection control
(c)moving and handling patients and equipment
(d)moving deceased patients
2A working knowledge of your responsibilities and accountability under the current European, national and legislation and local policies and protocols within the perioperative care environment.
3A factual knowledge of the importance of working within your own sphere of competence and seeking advice when faced with situations outside your sphere of competence.
4A working knowledge of the application of standard precautions to moving and transporting patients and the potential consequences of poor practice.
Patient care and support
5A basic awareness of the effects of pre-medication and anaesthesia on patients, and how this may affect how you move and transport them.
6A working knowledge of how to communicate effective with others.
7A working knowledge of how to make patients feel at ease.
8A working knowledge of how to maintain patients privacy, dignity and confidentiality.
Clinical procedures and techniques
9A working knowledge of procedures for identifying, moving and handing over patients.
10A working knowledge of how to move and transport patients correctly.
11A working knowledge of the safe techniques for moving and handling patients.
12A factual knowledge of the circumstances in which a patient escort is needed.
13A factual knowledge of the geography of the work area.
You need to show that you know, understand and can apply in practice: / Enter Evidence Numbers
14A working knowledge of the types of problems which may occur and how these should be dealt with.
Materials and equipment
15A working knowledge of the types of transportation equipment available.
16A working knowledge of how to use transportation equipment correctly.
17A working knowledge of the types of medical equipment which may require movement with the patient.
18A working knowledge of how to handle medical equipment safely.
19A working knowledge of how and when to use personal protective equipment and additional protective equipment.
Reporting, recording and documentation
20A working knowledge of the types of documentation that must accompany the patient in your organisation.
21A working knowledge of the importance of immediately reporting any issues which are outside your own sphere of competence without delay to the relevant member of staff.
Performance criteria
DO / RA / EW / Q / P / WT
1Apply standard precautions infection control and other appropriate health and safety measures.
2Check the nature of the job with the Registered Practitioner.
3Communicate effectively with members of staff, patients and others.
4Accurately identify the patient that needs to be moved and clearly explain to them who you are and where you are taking them.
5Care for the patient during transportation in accordance with the patient’s needs, maintaining their dignity, safety and security at all times.
6Check that any necessary accompanying documentation is available.
7Check that the transportation equipment is clean, safe and functioning correctly.
8Check ancillary equipment is in place, sufficient and appropriate for the job and clean, safe and functioning correctly.
9Use all equipment correctly and return in the correct location in good working order after use.
10Co-operate with other members of staff involved to achieve the best possible outcome for the patient, taking the appropriate action where problems arise.
11Use the most suitable route for the patient.
12Hand over the patient and any necessary documentation to the appropriate member of staff and assist with any further movement of the patient.
13Communicate the completion of the move to the Registered Practitioner and complete any necessary documentation.

DO = Direct ObservationRA = Reflective AccountQ = Questions

EW = Expert Witness P = Product(Work)WT = Witness Testimony

To be completed by the Candidate
I SUBMIT THIS AS A COMPLETE UNIT
Candidate’s name: ……………………………………………
Candidate’s signature: ………………………………………..
Date: …………………………………………………………..
To be completed by the Assessor
It is a shared responsibility of both the candidate and assessor to claim evidence, however, it is the responsibility of the assessor to ensure the accuracy/validity of each evidence claim and make the final decision.
I certify that sufficient evidence has been produced to meet all the elements, pcS AND KNOWLEDGE OF THIS UNIT.
Assessor’s name: …………………………………………….
Assessor’s signature: ………………………………………....
Date: …………………………………………………………..
Assessor/Internal Verifier Feedback
To be completed by the Internal Verifier if applicable
This section only needs to be completed if the Unit is sampled by the Internal Verifier
Internal Verifier’s name: ……………………………………………
Internal Verifier’s signature: ………………………………………..
Date: ……………………………………..…………………………..

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Unit: DP0A 04 (PCS1) Prepare for and transport patients to, within and from the perioperative care environment