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Qualifications Pack - Dialysis Technician

1. v s N S D C J ao 202 Healthcare National Sector Skill Development Skill Council Corporation E Contents h eens 1 Introduction and Contacts cccsseeeees P 1 gt o TE T D PARVE Pack ccscsssssessescseeseseseess P 2 W n a t are ERA ee ee P 8 a Uccupationa J Standards OS ES ES I A y f Annexure Nomenclature for QP amp OS P 6 Glossary Of Key Terms ccccssseessessscsssseeees P 4 gt OS describe what ff individuals need Wa y 6 to do know and _ U 1 Wa a understand in order to carry out a particular job role or function a Introduction Qualifications Pack Dialysis Technician OS are SECTOR HEALTH performance SUB SECTOR Allied Health amp Paramedics standards that individuals must OCCUPATION DIALYSIS TECHNICIAN achieve when carrying out functions in the workplace REFERENCE ID HSS Q 2701 NCO No 3211 50 together with Dialysis Technician also referred to as renal dialysis technicians hemodialysis specifications of technicians or nephrology technicians the underpinning knowledge and Brief Job Description Dialysis Technician operates machines and perform understanding dialysis on patients with acute or chronic kidney failure They work under the supervision of physicians and nurses primarily in hospitals clinics dialysis centers facilities nursing homes as
2. PC3 Carefully remove IV cannulas with minimum discomfort to patient PC4 Suitably dress the canola catheter to keep it sterile and pair free for future use if the doctor nurse instructs PC5 Understand needs of the patient and help them to be B fortable Knowledge and Understanding K A Organisational The user individual on the job needs to Context KA1 Follow relevant protocols good practices standards policies and procedures for removing dressing cannulas and catheters KA2 Inform doctor nurse in case a difficulty arises during unhooking or if patient feels uneasy as per protocol Knowledge of the Healthcare provider Organisation and its processes B Technical The user individual on the job needs to know and understand Knowledge KB1 The signal sound from machine to indicate completion of dialysis KB2 The protocol for disconnecting KB3 The technique for removing putting a dressing on cannulas or catheters KB4 That the procedure is done in a manner which prevents infection Skills S Optional A Core Skills Writing Skills Generic Skills Not Applicable 32 Page N S D C atg N S D C o Z amp Zoe NOS National at ae Skill Development Skill Council National Occupational Standards Corporation HSS N 2706 Unhook patient from the machine Reading Skills The user individual on the job needs to know and understand how to SA1 Record important instruction
3. B Organisational The user individual on the job needs to know and understand Context KA4 What are the standard procedures for cleaning and sterilization of the machine unit KAS Where to obtain supplies of cleaning agents and reusable parts KA6 About the servicing policies adopted by the organisation Knowledge of the Healthcare provider Organisation and its processes B Technical The user individual on the job needs to know and understand Knowledge KB9 The cleaning and maintenance procedures of the machine KB10 How the reused bicarbonate acid containers be disinfected between use KB11 How to disinfect the system using disinfectants and rinse solutions KB12 How to rinse machines between chemicals and before a dialysis session KB13 The Dead space is needed between dialysate effluent line and drain KB14 Which parts need replacement and how to do it KB15 How to undertake sterilisation of the unit KB16 The components of the dialysis unit and their functioning SEM CR Coyehtteyar1 60 Page sig e y N S D C Z0 Healthcare NOS S National gt Sector Skill Development Skill Council National Occupational Standards Corporation HSS N 2712 Reprocess dialysers G Core Skills Writing Skills Generic Skills The user individual on the job needs to know and understand how to SA4 Record and report cleaning and sterilisation procedures performed Reading Skills The user individual on the j
4. The user individual on the job needs to know and understand how to SB7 Apply analyse and evaluate the information gathered from observation experience reasoning or communication as a guide to belief and action 47 Page gt WS N S D Cc so National aN SA i aai NOS Skill Development Skill Council National Occupational Standards Corporation HSS N 2709 Maintain and disinfect the delivery system NOS Version Control NOS Code HSS N 2709 T A NAIAN ANN o 5 7 OPTIONAL Version number Industry m Drafted on 12 05 13 Allied Health and Industry Sub sector Paramedics Last reviewed on 22 05 13 Occupation Dialysis Technician lt a Next review date 22 05 15 48 Page N S D C alg 29 5 NOS gt National Y a Skill Development Skill Council National Occupational Standards Corporation HSS N 2710 Evaluate and prepare the site for cannulation National Occupational Standards Overview This OS unit describes the knowledge understanding skills required of a Dialysis Technician for evaluating and preparing a site for vascular access and cannulation prior to initiating dialysis 49 Page 6 N S D C so National aN S dina NOS Skill Development Skill Council National Occupational Standards Corporation HSS N 2710 Evaluate and prepare the site for cannulation Unit Titl i i ena Evaluate and prepare the site for cannulation Description This OS unit is about evaluati
5. PC10 Identify infection risks and aa an appropriate respone within own role and responsibility PC11 Document and report activities and tasks that put patients and or other workers at risk PC12 Respond appropriately to situations that pose an infection risk in accordance with the policies and procedures of the organization PC13 Follow procedures for risk control and risk containment for specific risks PC14 Follow protocols for care following exposure to blood or other body fluids as required PC15 Place appropriate signs when and where appropriate PC16 Remove spills in accordance with the policies and procedures of the organization PC17 Maintain hand hygiene by washing hands before and after patient contact and or after any activity likely to cause contamination PC18 Follow hand washing procedures PC19 Implement hand care procedures PC20 Cover cuts and abrasions with water proof dressings and change as necessary PC21 Wear personal protective clothing and equipment that complies with Indian 89 Page My e N S D C Soj National 24z Healthcare NOS Skill Development Sector Skill Council National Occupational Standards Corporation HSS N 9609 Follow biomedical waste disposal protocols Standards and is appropriate for the intended use PC22 Change protective clothing and gowns aprons daily more frequently if soiled and where appropriate after each patient contact PC23 Demarcate and maintain clean
6. signals of the machine during dialysis and take appropriate action Analytical Thinking The user individual on the job needs to know and understand how to SB9 Interpret an unusual signal and report it 28 Page M e f N S D C Z9 Healthcare NOS S National Sector Skill Development Skill Council National Occupational Standards Corporation HSS N 2705 Monitor technical clinical vitals during the treatment SB10 Use appropriate techniques to take remedial action Critical Thinking The user individual on the job needs to know and understand how to SB11 Apply analyse and evaluate the information gathered from observation experience reasoning or communication as a guide to belief and action 29 Page gt N S D C So National aN SA dina NOS Skill Development Skill Council National Occupational Standards Corporation HSS N 2705 Monitor technical clinical vitals during the treatment NOS Version Control Moe ants HSS N 2705 Credits NVEQF NVQF NSQF 5 7 7 OPTIONAL Version number Industry e Drafted on 12 05 13 Allied Health and Industry Sub sector Paramedics Last reviewed on 22 05 13 Occupation Dialysis Technician E Next review date 22 05 15 30 Page wy N e A s S 7 Cc Z2 OS ationa NI me eraai Skill Development National Occupational Standards Corporation ector Skill Council HSS N 2706 Unhook patient from the machine National Occup
7. Optional A Core Skills Writing Skills Generic Skills The user individual on the job needs to know and understand how to SA1 Record any observation made during the procedure Reading Skills The user individual on the job needs to know and understand how to SA2 Read the doctor nurse instructions and interpret it correctly SA3 Comprehend important instructions mentioned in the clinical notes Oral Communication Listening and Speaking skills The user individual on the job needs to know and understand how to SA4 Discuss the procedure with the patient and make him feel comfortable SA5 Answer patient s queries regarding their draping and positioning needs B Professional Skills Decision Making The user individual onthe job needs to know and understand how to SB2 Make decisions regarding the best way to perform draping and positioning depending upon the patient s condition SB2 Apply best practices in existing processes to driveimprovements SB3 Modify procedures to prevent spread of infection Plan and Organise The user individual on the job needs to know and understand how to SB4 Plan and organise the scheduled maintenance Patient Centricity The user individual on the job needs to know and understand how to SB5 Build rapport with patient and attendant SB6 Use patient centric approach and make the patient feel comfortable SB7 Ensure patient privacy Problem Sol
8. The appropriate containment or dismantling requirements for waste and how to make the waste safe for disposal KB4 The importance to adhere to the organisational and national waste management principles and procedures KB5 The hazards and risks associated with the disposal and the importance of risk assessments and how to provide these KB6 The personal protective equipment required to manage the different types of waste generated by different work activities KB7 The importance of working in a safe manner when carrying out procedures for biomedical waste management in line with local and national policies and legislation KB8 The required actions and reporting procedures for any accidents spillages and contamination involving waste KB9 The requirements of the relevant external agencies involved in the transport and receipt of your waste KB10 The importance of segregating different types of waste and how to do this KB11 The safe methods of storage and maintaining security of waste and the permitted accumulation times KB12 The methods for transporting and monitoring waste disposal and the appropriateness of each method to a given scenario KB13 How to report any problems or delays in waste collection and where to seek advice and guidance KB14 The importance of the organisation monitoring and obtaining an assessment of the impact the waste has on the environment KB15 The current national legislation guidelines local policies and pr
9. rAd kd Hes ale NOS Lh Corporation HSS N 9606 Maintain a safe healthy and secure working environment National Occupational Standards Overview This Occupational Standard describes the knowledge understanding skills required of an Allied Health Professional to monitor the working environment and making sure it meets health safety and security requirements 78 Page fy N S D C Zo National Ey ee NOS Skill Development Skill Council National Occupational Standards Corporation HSS N 9606 Maintain a safe healthy and secure working environment Unit Title f i Task Maintain a safe healthy and secure working environment Description This OS unit is about monitoring the working environment and ensuring a safe healthy secure and effective working conditions This OS unit applies to all Allied Health professionals working within an organised workplace Scope This unit covers the following e Complying the health safety and security requirements and procedures for workplace e Handling any hazardous situation with safely competently and within the limits of authority e Reporting any hazardous situation and breach in procedures to ensure a safe healthy secure working environment Performance Criteria PC wrt The Scope Element Performance Criteria National Occupational Standard To be competent the user individual on the job must be able to PCT Identify indi
10. technician to be ready for the next use Aftercare amp cleaning of the dialysis unit is necessary to keep it sterile and maintain its accuracy and functionality for subsequent use 59 Page d N S D C So National LAN SS Am aai NOS Skill Development Skill Council National Occupational Standards Corporation HSS N 2712 Reprocess dialysers Unit Title Reprocess dialysers WER j x Description This OS unit is about aftercare and cleaning of the machine by the dialysis technician and prepare it for the next patient Aftercare amp cleaning of the dialysis unit is necessary to keep it sterile and maintain its accuracy and functionality for subsequent use Scope This unit task covers the following Performing the standard procedure for cleaning the different parts using appropriate cleaning agents Performing procedures to keep the unit sterile and functional Performance Criteria PC w r t the Scope Element Performance Criteria To be competent the Gset Apdigiauiatan the job must be able to National Occupational Standard PC6 Clean up any A spillage PCZ Know when the dialysate distyzer or aher constituents need to be rkplaced PC8 Follow standard sterilisation and cleaning procedure for the unit PC9 Disinfect dialysis machine according to the manufacturer S recommendations PC10 The dialysate circuit should be exposed to disinfectant Knowledge and Understanding K
11. the user individual on the job needs to know and understand how to SB3 Communicate effectively with patients and their family physicians and other members of the health care team 75 Page N S D C wy S 7 Soj National at ee N Skill Development Skill Council National Occupational Standards Corporation HSS N 9604 Work effectively with others SB4 Be capable of being responsive listen empathetically to establish rapport in a way that promotes openness on issues of concern SB5 Be sensitive to potential cultural differences SB6 Maintain patient confidentiality SB7 Respect the rights of the patient s Problem Solving To be competent the user individual on the job needs to know and understand how to SB8 Identify problems while working with others and devise effective solutions Analytical Thinking Not applicable Critical Thinking Not Applicable 76 Page d e N S D C BS so VS National 7 oa Skill Development Skill Council National Occupational Standards Corporation HSS N 9604 Work effectively with others NOS Version Control NOS Code HSS N 9604 r A NAIAN OITAN Not applicable f OPTIONAL Version number Industry Drafted on 28 01 13 Allied Health Industry Sub sector red S thana Last reviewed on Dd mm yy Paramedics Next review date Dd mm yy 77 Page Skill Council National Occupational Standards RY X N S D C Ey e
12. 73 Page d N S D C 3 Of Healthcare NOS National Sector Skill Development Skill Council National Occupational Standards Corporation HSS N 9604 Work effectively with others Unit Title Work effectively with others UERS Description This OS unit is about working effectively with other people who can be part of the immediate team organisation or external to the team or organisation This OS unit applies to all Allied health professionals working in a team or collaborative environment Scope This unit covers the following e Working with other people to meet requirements e Sharing information with others to enable efficient delivery of work Communicating with other team members and people internal or external to the organisation Performance Criteria PC wrt The Scope Element Performance Criteria National Occupational Standard To be competent the user individual on the job must be ableto PC1 Communicate with other people clearly and effectively PC2 Integrate one s work with other people s work effectively PC3 Pass on essential information to other people on timely basis PCG4 Work in a way that shows respect for other people PCS Carry out any commitments made to other people gt s PC6 Reason out the failure to fulfill commitment PC7 Identify any problems with team members and other people and take the initiative to solve these problems PC8 Follow the organisation s poli
13. PC4 Disinfect dialysis machine according to the manufacturer S recommendations PC5 The dialysate circuit should be exposed to disinfectant DAL Knowledge and Understanding K A Organisational The user individual on the job needs to know and understand Context KA1 What are the standard procedures for cleaning and sterilization of the machine unit KA2 Where to obtain supplies of cleaning agents and reusable parts KA3 About the servicing policies adopted by the organisation Knowledge of the Healthcare provider Organisation and its processes B Technical The user individual on the job needs to know and understand Knowledge KB1 The cleaning and maintenance procedures of the machine KB2 How the reused bicarbonate acid containers be disinfected between use KB3 How to disinfect the system using disinfectants and rinse solutions KB4 Howto rinse machines between chemicals and before a dialysis session KB5 The Dead space is needed between dialysate effluent line and drain KB6 Which parts need replacement and how to do it KB7 Howto undertake sterilisation of the unit KB8 The components of the dialysis unit and their functioning Skills S Optional 46 Page sig e N S D C Z0 Healthcare NOS National gt Sector Skill Development Skill Council National Occupational Standards Corporation HSS N 2709 Maintain and disinfect the delivery system A Core Skills Writing Skills Generic Skills The
14. Scope Element Performance Criteria National Occupational Standard To be competent the user individual on the job must PC1 Use standard protocols for inserting IVlin s and making connections to l prevent infection and reduce discomfort to the patient PC2 Understand how to utilise existing catheters for performing dialysis PC3 Be aware of the protocol of starting the dialysis PC4 Minimise inconvenience and pain for the patient while performing the procedure gt A Organisational The user individual on the job needs to know and understand Context Knowledge of the KA1 The importance of following the right procedure for inserting IV lines Healthcare KA2 The protocol for starting dialysis j KA3 Whon to inform in case of observing something which is clinically important provider KA4 Relevant protocols good practices standards policies and procedures Organisation and KA5 The protocol for contacting the senior technician physician nurse in case of its processes difficulty in insertion B Technical The user individual on the job needs to know and understand Knowledge KB1 How to make incisions on the limb of the patient for inserting IV lines with minimum discomfort KB2 How to use existing catheters without causing additional discomfort KB3 The purpose and functioning of the different connections KB4 The appropriate method for starting the dialysis KB5 How to manage additional equipment like othe
15. able to i PCL Check the incoming water temperature PC2 Look around the RO reverse osmosis system for any visible fluid leaks PC3 Check and record the pressure gauge PC4 Measure and record the pressures before and after the endotoxin filter PCS Record all checks including time and initials on the Daily Dialysis Water Equipment Monitoring Log Sheet PG6 Check and record the pump reject and piot pressures PC7 Check and record the recycle waste and permeate flow rates PG8 Check and record the inlet and permeate conductivities PC9 Read the RO monitor and record the conductivity and percent rejection PC10 Check and record the pump run hours PC11 Check the multi media sediment filter PC12 Measure and record the pressures before and after fhe 2 met media filter PC13 Check the water softener PC14 M asure and record the pressures before and after the water softener PC15 Check and record the setting for the regeneration timer The timer should be set to activate when the facility especially the RO is not operating PC16 Check the brine tank Knowledge and Understanding K ge pa ae xe fae Y 9 p g0 Q gt Ss p ae Za A Organisational The user individual on the job needs to know and understand Context Knowledge of the KA1 What are the standard procedures for cleaning and sterilization of the Hesltncare machine unit KA2 Wher
16. how to do it KB7 Howto undertake sterilisation of the unit KB8 The components of the dialysis unit and their functioning Skills S Optional E Core Skills Writing Skills 56 Page sig e N S D C Z0 Healthcare NOS National gt Sector Skill Development Skill Council National Occupational Standards Corporation HSS N 2711 Respond to dialysis related emergencies in patient and equipment Generic Skills The user individual on the job needs to know and understand how to SA1 Record and report cleaning and sterilisation procedures performed Reading Skills The user individual on the job needs to know and understand how to SA2 Follow instructions on the user manual brochure of the machine Oral Communication Listening and Speaking skills The user individual on the job needs to know and understand how to SA3 Communicate any unusual findings regarding machine components or sterilisation to the bio medical engineer or senior technician F Professional Skills Decision Making The_user individual onthe job needs to SB1 Identify components which need to be replaced SB2 Know which type of observations regarding machine care need to be reported immediately Plan and Organise The user individual on the job needs to SB3 Plan and organise the cleaning and sterilisation process as per the schedule Patient Centricity The user individual on the job needs to kn
17. like keeping of cannula or catheter and follow them correctly Oral Communication Listening and Speaking skills The user individual on the job needs to SA2 Understand and know how to respond to patient s needs in coming back to a comfortable position SA3 Answer patients queries compassionately B Professional Skills Decision Making The user individual on the job needs to know and understand how to SBi Identify the signals from the dialysis machine which indicate completion of the process SB2 gt Follow correct protocols for disconnecting tubings SB3 Use right techniques for removing dressing IV cannulas and catheters SB4 Modify proceduresito keep patient more comfortable Plan and Organise The user individual on the job needs to know and understand SB5 How to plan and organise the movement of patient i e gt for immobile patient keep a wheel chair or stretcher near and help patient to move onto it Patient Centricity The user individual on the job needs to know and understand how to SB6 Perform all procedures gently to avoid causing pain to patient SB7 Be quick and alert to patients needs Problem Solving The user individual on the job needs to know and understand how to SB8 Identify unusual observations regarding site of catheter or IV line and report them SB9 Assist the patient in getting into a comfortable position Analytical Thinking The user in
18. needs to know and understand how to SB12 Use the existing experience for improving the comfort during the process Critical Thinking The user individual on the job needs to know and understand how to SB13 Apply analyse and evaluate the information gathered from observation experience reasoning or communication as a guide to belief and action 24 Page gt WS N S D Cc Soj National y Seca OS Skill Development Skill Council National Occupational Standards Corporation HSS N 2704 Connect patient to the dialysis machine NOS Version Control NOS Code HSS N 2704 eNe 5 7 ET OPTIONAL S Industry ee Drafted on 12 05 13 Allied Health and Industry Sub sector Paramedics Last reviewed on 22 05 13 Occupation Dialysis technician s Next review date 22 05 15 25 Page p e N 5 D C V Ea re NO S Lh oralini Sector Skill Council National Occupational Standards Corporation HSS N 2705 Monitor technical clinical vitals during the treatment National Occupational Standards Overview This OS unit is about monitoring the patients vital signs while undergoing dialysis by the dialysis technician The purpose of monitoring is make sure that the various vital parameters like temperature blood pressure oxygen saturation breathing rate rate of blood flow etc are within acceptable limits during the dialysis treatment 26 Page N S D C gt ee ited so National rN singe
19. regarding the appropriate size and type of catheter IV tubing to be used SB2 Make decisions regarding the incision e g on which limb body part an incision can be made SB3 Apply best practices in existing processes to minimise spread of infection and reduce pain Plan and Organise The user individual on the job needs to know and understand SB4 Steps involved in making correct connections and starting the dialysis SB5 Howto ensure patient is comfortable and cooperative during the process SB6 The subsequent actions which will be needed when dialysis is in progress Patient Centricity The user individual on the job needs to know and ensure that SB7 All IV lines catheters tubings are in place functional and are of suitable size for the patient SB8 The dressing procedure is carried out appropriately so as to minimise pain SB9 Patient privacy is maintained 23 Page N S D C wy amp Soj National 24iz Healthcare NOS Skill Development Sector Skill Council National Occupational Standards Corporation HSS N 2704 Connect patient to the dialysis machine Problem Solving The user individual on the job needs to know and understand how to SB10 Interpret the patient needs related to inserting and using catheters and provide solution compassionately SB11 Prevent spread of infection to other parts by using appropriate technique Analytical Thinking The user individual on the job
20. report the hazard KA6 The responsibilities of individual to maintain safe healthy and secure workplace 79 Page My ef N S D C A National 24iz Healthcare NO S Skill Development Sector Skill Council National Occupational Standards Corporation HSS N 9606 Maintain a safe healthy and secure working environment B Technical To be competent the user individual on the job needs to know and understand Knowledge KB1 Requirements of health safety and security in workplace KB2 How to create safety records and maintaining them KB3 The importance of being alert to health safety and security hazards in the work environment KB4 The common health safety and security hazards that affect people working in an administrative role KB5 How to identify health safety and security hazards KB6 The importance of warning others about hazards and how to do so until the hazard is dealt with A Generic Skills Writing Skills To be competent the user individual on the job needs to know and understand how to SA1 Report and record incidents Reading Skills To be competent the user individual on the job needs to know and understand how to SA2 Read and understand company policies and procedures Oral Communication Listening and speaking skills To be competent the user individual on the job needs to know and understand how to SA3 Clearly report hazards and incidents with the appro
21. to know and understand how to SB14 Apply analyse and evaluate the information gathered from the patients chart as well as by measuring the vitals as a guide to thought and action prior to initiating dialysis 9 Page gt e f N S D C 2Of Healthcare NO S National ctor Skill Development Skill Council National Occupational Standards Corporation HSS N 2701 Collect and assess the patient s chart and vitals NOS Version Control NOS Code HSS N 2701 eNEAN 5 7 ET OPTIONAL j Industry ee Drafted on 12 05 13 Allied Health and Industry Sub sector Paramedics Last reviewed on 22 05 13 Occupation Dialysis Technician Next review date 22 05 15 10 Page alg N S D Cc Z9 Healthcare NOS National gt Sector Skill Development Skill Council National Occupational Standards Corporation HSS N 2702 Manage dialysis machine set up and assemble the extracorporeal circuit National Occupational Standards Overview This OS unit is about setting up the dialysis machine The purpose of dialysis is to remove waste from the blood of patients suffering from chronic or acute renal failure 11 Page d N S D C so National aN S ss aaia NOS Skill Development Skill Council National Occupational Standards Corporation HSS N 2702 Manage dialysis machine set up and assemble the extracorporeal circuit Unit Title Pee 3 P Task Manage dialysis machine set up and assemble the extracorporeal
22. user individual on the job needs to know and understand how to SA1 Record and report cleaning and sterilisation procedures performed Reading Skills The user individual on the job needs to know and understand how to SA2 Follow instructions on the user manual brochure of the machine Oral Communication Listening and Speaking skills The user individual on the job needs to know and understand how to SA3 Communicate any unusual findings regarding machine components or sterilisation to the bio medical engineer or senior technician B Professional Skills Decision Making The user individual on the job needs to SB1 Identify components which need to be replaced SB2 Know which type ofobservations regarding machine care need tobe reported immediately Plan and Organise The user individual on the job needs to SB3 Plan and organise the cleaning and sterilisation process as per the schedule Patient Centricity The user individual on the job needs to know SB4 The importance of cleaning and sterilisation to prevent the spread of infection Problem Solving The user individual on the job needs to know and understand how to SB5 Handle any accidental spillage or contamination of the unit Analytical Thinking The user individual on the job needs to know and understand how to SB6 Perform cleaning and sterilisation procedures in a meticulous manner Critical Thinking
23. 2 Work within organisational systems and seguireinents as appropriate t to one s role PC3 Recognise the boundary of one s role and responsibility and seek supervision when situations are beyond one s competence and_authority PCS Use relevant research based protocols and guidelines as evidence to inform one s practice PC6 Promote and demonstrate good practice as an individual and as a team member at all times PC7 Identify and manage potential and actual risks to the quality and safety of practice PC8 Evaluate and reflect on the quality of one s work and make continuing improvements The user individual on the job needs to know and understand 69 Page wW A N DG Z0 2 Healthcare NOS National Sector Skill Development Skill Council National Occupational Standards Corporation HSS N 9603 Act within the limits of one s competence and authority Knowledge ofthe KA1 The relevant legislation standards policies and procedures followed in the Healthcare organisation provider KA2 The medical procedures and functioning of required medical equipment Organisation and KA3 Role and importance of assisting other healthcare providers in delivering care its processes B Technical The user individual on the job needs to know and understand Knowledge KB1 The boundaries of one s role and responsibilities and other team members KB2 The reasons for working within the limits of one s competence and
24. Council Y e f N S D C Zo Eaa NOS S National gt Sector Skill Development National Occupational Standards Corporation HSS N 2704 Connect patient to the dialysis machine National Occupational Standards Overview This OS unit is about connecting the patient to the dialysis unit by inserting IV lines carefully or utilising catheters already present in patient s body for this purpose and then initiating the dialysis process 21 Page N S D C gt We n lt o National rN dina NOS Skill Development Skill Council National Occupational Standards Corporation HSS N 2704 Connect patient to the dialysis machine og Connect patient to the dialysis machine Description This OS unit is about connecting the patient to the dialysis unit by inserting IV lines carefully or utilising catheters already present in patient s body for this purpose and then initiating the dialysis process The IV tubing is inserted by making an incision in the arm or limb of the patient and for patients already having a catheter in place for dialysis the correct tubings are attached and connected to the specified points on the dialysis unit Scope This unit covers the following e Perform the procedure for inserting IV lines at appropriate places and be able to carry out the same while causing minimum inconvenience to the patient e Perform the procedure to nitiate the dialysis process Performance Criteria PC w r t the
25. D Professional Skills Decision Making The user individual on the job needs to SB1 Identify complications in vascular access SB2 Know when to request for medical attention to a patient s access site graft catheter or fistula Plan and Organise The user individual on the job needs to SB3 Plan and organise the dialysis process Patient Centricity The user individual on the job needs to know SB4 The importance of cleaning and sterilisation to prevent the spread of infection SB5 How to calm and reassure a patient SB6 How to deal with fear of needles in a patient Problem Solving The user individual on the job needs to know and understand how to SB7 Handle any complication in initiating vascular access Analytical Thinking 52 Page My e N S D C Healthcare NOS S National Sector Skill Development Skill Council National Occupational Standards Corporation HSS N 2710 Evaluate and prepare the site for cannulation The user individual on the job needs to know and understand how to SB8 Perform cleaning and sterilisation procedures in a meticulous manner Critical Thinking The user individual on the job needs to know and understand how to SB9 Apply analyse and evaluate the information gathered from observation experience reasoning or communication as a guide to belief and action 53 Page gt WS N S D Cc so National aN SA i aai N
26. Exhibit commitment to the organisation and exert effort and perseverance Plan and Organise The user individual on the job needs to know and understand how to SB3 SB4 SB1 Recommend and implement plan of action Organise files and documents Plan for safety of the work environment Patient Centricity The user individual on the job needs to know and understand SB2 How to make exceptional effort to meet patient needs and resolve conflict to patient satisfaction Problem Solving 97 Page My eJZ N S D C 39 Z Healthcare NOS S National gt Sector Skill Development Skill Council National Occupational Standards Corporation HSS N 9611 Monitor and assure quality The user individual on the job needs to know and understand how to SB3 Identify hazards and suggest effective solutions to identified problems Analytical Thinking The user individual on the job needs to know and understand how to SB4 Analyse the seriousness of hazards Critical Thinking The user individual on the job needs to know and understand how to SB5 Evaluate opportunities to improve health safety and security SB6 Show understanding and empathy for others 98 Page gt WS N S D Cc So National aN A oe NOS Skill Development Skill Council National Occupational Standards Corporation HSS N 9611 Monitor and assure quality NOS Version Control NOS Code HSS N 9611 eee ANAIA
27. NOS Skill Development Skill Council National Occupational Standards Corporation HSS N 2705 Monitor technical clinical vitals during the treatment Unit UnitCode U N 2705 Unit Title Task Monitor technical clinical vitals during the treatment Description This OS unit is about monitoring the patients vital signs while undergoing dialysis by the dialysis technician The purpose of monitoring is to make sure that the various vital parameters like temperature blood pressure blood flow oxygen saturation breathing rate etc are within acceptable limits while dialysis is going on Scope This unit task covers the following e Measuring the important parameters like blood pressure temperature rate of blood flow proper mixture of dialysate presence of air bubbles Maintaining patient s comfort Performance Criteria PC w r t the Scope Element Performance Criteria T be competent the user individual on the job must National Occupational Standard PC1 Understand the various indicators alarms and sensors of the dialysis machine PC2 Know the corrective steps to be taken when a particular alarm goes ei PC3 Be alert and quick in his her responses PC4 Know whom and how to inform in case of m dical emergency Knowledge and Understanding K A Organisational The user individual on the job needs to know and understand Context Knowledge of the KA1 The importance of various patient para
28. Not applicable f OPTIONAL Version number Industry Drafted on 12 05 13 Industry Sub sector putea irsa and Last reviewed on 22 05 13 Paramedics Next review date 22 05 15 99 Page
29. OS Skill Development Skill Council National Occupational Standards Corporation HSS N 2710 Evaluate and prepare the site for cannulation NOS Version Control Nee code HSS N 2710 TTA OlaM 5 7 OPTIONAL Version number Industry m Drafted on 12 05 13 Allied Health and Industry Sub sector Paramedics Last reviewed on 22 05 13 Occupation Dialysis Technician Next review date 22 05 15 gt 54 Page N S D C alg 29 5 NOS gt National Y a Skill Development Skill Council National Occupational Standards Corporation HSS N 2711 Respond to dialysis related emergencies in patient and equipment National Occupational Standards Overview This OS unit describes the knowledge understanding skills required of a Dialysis Technician for responding to any complications or emergencies in the equipment or the patient related to dialysis during the treatment 55 Page fy N S D C 3 f Healthcare NOS National Skill Development poe uncil National Occupational Standards Corporation HSS N 2711 Respond to dialysis related emergencies in patient and equipment ys Respond to dialysis related emergencies in patient and equipment Description This OS unit is about responding to any complications or emergencies in the equipment or the patient related to dialysis during the treatment Scope This unit task covers the following Monitoring the patient and equipment during the treatment Ident
30. Skill Development Skill Council National Occupational Standards Corporation HSS N 9611 Monitor and assure quality National Occupational Standards Overview This Occupational Standard describes the knowledge understanding skills required of an Allied Health professional to monitor and assure quality Unit Code HSS N 9611 95 Page 6 N S D C A so VS National y gei Skill Development Skill Council National Occupational Standards Corporation HSS N 9611 Monitor and assure quality Unit Title Task Monitor and assure quality Description This OS unit is about Assuring quality in all procedures This unit applies to all Allied Health professionals Scope This unit task covers the following e Monitor treatment process outcomes e Identify problems in treatment process outcomes Solve treatment process outcome problems e Attend class read publications to continue industry education Identify needs and expectations of patient health care professionals Performance Criteria PC w r t the Scope Element Performance Criteria To be competent the user individual on the job must be able to PC1 Conduct appropriate research and analysis PC2 Evaluate potential solutions thoroughly PC3 Participate in education programs which include current techniques technology and trends pertaining to the dental industry PC4 Read Dentalshygiene dental and medical publications related to quality con
31. The user individual on the job needs to know and understand how to SA1 Record and report the faults Reading Skills The user individual on the job needs to know and understand how to SA2 Follow instructions on the user manual brochure of the machine Oral Communication Listening and Speaking skills The_user individual on the job needs to Know and understand_how to SA3 Communicate any unusual findings regarding machine components or sterilisation to the bio medical engineer or senior technician B Professional Skills Decision Making The user individual on the job needs to SB1 Identify components which need to be replaced SB2 Know which type of observations regarding water treatment plant care need to be reported immediately Plan and Organise The user individual on the job needs to SB3 Plan and organise the checking and maintenance as per the schedule Patient Centricity 65 Page wy e N S D C 2 f Healthcare NOS National Sector Skill Development Skill Council National Occupational Standards Corporation HSS N 2713 Operate and maintain water treatment plant The user individual on the job needs to know SB4 The importance of maintenance to prevent the spread of infection Problem Solving The user individual on the job needs to know and understand how to SB5 Handle any accidental spillage or contamination of the unit Analytical Thinking T
32. The user individual on the job needs to know and understand how to SA6 Read and understand medical reports SA7 Keep abreast with the latest knowledge by reading most recommended values of blood parameters and other vitals with reference to the functioning of kidneys Oral Communication Listening and Speaking skills The user individual on the job needs to know and understand how to SA8 Discuss medical reports and patients condition with co workers SA9 Interact with patient appropriately in order to understand the nature of the complaint or request SA10 Keep patient informed about procedures SA11 Avoid using jargon slang or acronyms when communicating with a patient SA12 Promote and demonstrate good communication practice as an individual and as a team member at all times B Professional Skills Decision Making The user individual on the job needs to know and understand how to 8 Page why EUA eff N S D C Z0 jg Healthcare NOS S National Sector Skill Development Skill Council National Occupational Standards Corpora And HSS N 2701 Collect and assess the patient s chart and vitals SB1 Make decisions pertaining to the concerned area of work in relation to job role Plan and Organise The user individual on the job needs to know and understand SB2 Howto plan and organise activities that are assigned Patient Centricity The user individual on the job needs to know an
33. Thinking 13 Page Y e f N S D C Zo A Healthcare NOS National r Skill Development National Occupational Standards Corporation Sector Skill Council HSS N 2702 Manage dialysis machine set up and assemble the extracorporeal circuit The user individual on the job needs to know and understand how to Assist in interpreting the observations and design a solution for that SB7 Critical Thinking The user individual on the job needs to know and understand how to SB8 Apply analyse and evaluate the information gathered from observation experience reasoning or communication as a guide to belief and action 14 Page gt WS N S D Cc So National LAN SS A aai NOS Skill Development Skill Council National Occupational Standards Corporation HSS N 2702 Manage dialysis machine set up and assemble the extracorporeal circuit NOS Version Control NOS Code HSS N 2702 eee MMU OLFAIVOClFAN ela 5 7 OPTIONAL Version number Industry Drafted on 12 05 13 Allied Health and Industry Sub sector Paramedics Last reviewed on 22 05 13 Occupation Dialysis Technician Next review date 22 05 15 15 Page 3 NOS cal SS ee gig Skill Development Skill Council National Occupational Standards Corporation HSS N 2703 Prepare and position the patient for treatment National Occupational Standards Overview This OS unit is about correctly draping and positioning the patient for start
34. and contaminated zones in all aspects of health care work PC24 Confine records materials and medicaments to a well designated clean zone PC25 Confine contaminated instruments and equipment to a well designated contaminated zone PC26 Wear appropriate personal protective clothing and equipment in accordance with occupational health and safety policies and procedures when handling waste PC27 Separate waste at the point where it has been generated and dispose of into waste containers that are colour coded and identified PC28 Store clinical or related waste in an area that is accessible only to authorised persons PC29 Handle package l bel store transport and dispose of waste appropriately to minimise potential for contact with the waste and to reduce the risk to the environment from accidental release PC30 Dispose of waste safely in accordance with policies and procedures of the organisation and legislative requirements PC31 Wear personal protective clothing and equipment during cleaning procedures PC32 Remove all dust dirt and physical debris from work surfaces PC33 Clean all work surfaces with a neutral detergent and warm water solution before and after each session or when visibly soiled PC34 Decontaminate equipment requiring special processing in accordance with quality management systems to ensure full compliance with cleaning disinfection and sterilisation protocols PC35 Dry all work surfaces before and after
35. and disinfect the delivery system National Occupational Standards Overview This OS unit is about aftercare and cleaning of the machine by the dialysis technician to be ready for the next use Aftercare amp cleaning of the dialysis unit is necessary to keep it sterile and maintain its accuracy and functionality for subsequent use 45 Page d N S D C So National aN SS ws aai NOS Skill Development Skill Council National Occupational Standards Corporation HSS N 2709 Maintain and disinfect the delivery system aes Maintain and disinfect the delivery system Description This OS unit is about aftercare and cleaning of the machine by the dialysis technician and prepare it for the next patient Aftercare amp cleaning of the dialysis unit is necessary to keep it sterile and maintain its accuracy and functionality for subsequent use Scope This unit task covers the following Performing the standard procedure for cleaning the different parts using appropriate cleaning agents Performing procedures to keep the unit sterile and functional Performance Criteria PC w r t the Scope Element Performance Criteria T Be pertent the user individual on the job must be able to National Occupational Standard _PC1 Clean up any p EA i PC2 Know when the dialysate dialyzer or other constituents need to be replaced PC3 Follow standard sterilisation and cleaning procedure forthe unit
36. are Sector Skill Council VA N S D C NOS National Skill Development National Occupational Standards Corporation HSS N 9611 Monitor and assure quality Generic Skills KB2 Identify problems deficiencies in dental hygiene treatment goals processes and outcomes KB3 Accurately identify problems in dental hygiene care KB4 Conduct research KB5 Select and implement proper hygiene interventions KB6 Obtain informed consent KB7 Conduct an honest self evaluation to identify personal and professional strengths and weaknesses KB8 Access and interpret medical and scientific literature KB9 Apply human needs motivational theory KB10 Provide thorough and efficient individualised care KB11 Employ methods to measure satisfaction Skills S Optional A Core Skills Writing Skills The user individual on the job needs to know and understand how to SA1 Report and r cord incidents Reading Skills The user individual onjthe job needs to know and understand how to SA2 Read and understand company policies and procedures Oral Communication Listening and Speaking skills The user individual on the job needs to know and understand howto SA3 Report hazards and incidents clearly with the appropriate level of urgency B Professional Skills Decision Making The user individual on the job needs to know and understand how to SB1 SB2 Make decisions pertaining tothe area of work
37. ational Standards Overview This OS unit is about unhooking the patient from the machine by the dialysis technician after the dialysis has been completed The purpose of unhooking is to disconnect the patient from the dialysis machine by detaching the tubings and other connecting lines from the limb of the patient 31 Page d N S D C gt s lt o National LAN S es NOS Skill Development Skill Council National Occupational Standards Corporation HSS N 2706 Unhook patient from the machine Unit Title Unhook the patient from the machine ES 4 Description This OS unit is about unhooking the patient from the machine by the dialysis technician after the dialysis has been completed The purpose of unhooking is to disconnect the patient from the dialysis machine by detaching the tubings and other connecting lines from the limb of the patient Scope This unit task covers the following e Perform procedure to disconnect the patient when the dialysis session is complete and it is appropriate to disconnect e Perform the procedure to remove the IV cannula from the patients limb or cover it with suitable dressing for future use depending upon the doctors instructions Performance Criteria PC w r t the Scope Element Performance Criteria National Occupational Standard To be competent the Fe on the job must be able to Poe Know when a is SAED PE2 Detach all connections between patient and unit
38. authority KB3 The importance of personally promoting and demonstrating good practice KB4 The legislation protocols and guidelines effecting one s work KB5 The organisational systems and requirements relevant to one s role KB6 The sources of information that can be accessed to maintain an awareness of research and developments in one s area of work KB7 lt The difference b tweendirectand ndirect supervision and autonomous practice and which combination is most applicable in different circumstances KB8 gt The risks to quality and safety arising from o Working outside the boundaries of competence and authority o Not keeping up to date with best practice o Poorcommunication o Insufficient support o Lack of resources KB9 The importance of individual or team compliance with legislation protocols and guidelines and organisational systems and requirements KB10 How to Report and minimise risks KB11 The principle of meeting the organisation s needs and how this should enable one to recognise one s own limitations and when one should seek support from others KB12 The processes by which improvements to protocols guidelines and organisational systems requirements should be reported KB13 The procedure for accessing training learning and development needs for oneself and or others within one s organisation KB14 The actions that can be taken to ensure a current clear and accurate understanding of roles and responsibilities is mainta
39. ave a record of the procedures being performed on the patient which would help in further treatment options 36 Page gt N S D C so National rN dina NOS Skill Development Skill Council National Occupational Standards Corporation HSS N 2707 Record the treatment ile Unit Titl ena Record the treatment Description This OS unit is about documenting the performed dialysis treatment on the patient s chart by the dialysis technician The purpose of documenting is to have a record of the procedures being performed on the patient which would help in further treatment options Scope This unit task covers the following e Recording the dialysis procedure on the medical report chart of the patient Performance Criteria PC w r t the Scope Element Performance Criteria 13 be ong ig user Mewidua on the job must be able to RCT Fahiow th rigut format for documenting the dialysis on the patient s chart PC2 Record the components constituents and their quantities used PC3 Understand the impgirapce of Pe OERTRNE the procedure on th patient s chart PC4 Record the quantity and type of constituents like dialysate acid mixture etc yy used during the process National Occupational Standard Knowledge and TEE C9 A Organisational The user individual on the job needs to know and understand Context Knowledge of the KA1 The relevant protocol and format for documenting treatmen
40. bacterial solutions KB17 How to apply a tourniquet KB18 How to select a site for cannulation and insert a needle into the patient s vein KB19 The concept of Antegrade and retrograde needle direction KB20 How to rotate cannulation sites for fistulae and grafts KB21 How to secure needles after insertion KB22 Common complications that occur due to a Fistulae grafts and catheters b Poor needle site rotation c Dialysis 51 Page y e N 5S D C A National rd A re NO S Skill Development Skill Council National Occupational Standards Corporation HSS N 2710 Evaluate and prepare the site for cannulation KB23 Howto monitor catheters during the treatments KB24 Post dialysis care for fistulae catheters and grafts Skills S Optional C Core Skills Writing Skills Generic Skills The user individual on the job needs to know and understand how to SA1 Record and report the procedures performed SA2 Record the assessment of the vascular site SA3 Record any problems observed with the fistula graft or catheter Reading Skills The user individual on the job needs to know and understand how to SA4 Follow instructions for vascular access Oral Communication Listening and Speaking skills The user individual on the job needs to know and understand how to SA5 Communicate any unusual findings regarding the access sites or patient assessment to the appropriate medical personnel
41. cations Framework National Vocational Qualifications Framework Occupational Standard s Acronyms Qualifications Pack SPO 2 Saturation Potential of Oxygen 5 Page wy e f N S D C 2 f2 Healthcare NOS S National Sector National Occupational Standards Skill Development Skill Council Corporation HSS N 2701 Collect and assess the patient s chart and vitals National Occupational Standards Overview This OS unit is about checking the patient s chart and vital signs prior to starting the treatment of dialysis 6 Page N S D C rAd ne maa NO S S National or kill Devel t Sigil Council National Occupational Standards cna HSS N 2701 Collect and assess the patient s chart and vitals it Titl aaa Collect and assess the patient s chart and vitals Description This OS unit is about checking the patient s chart and vital signs prior to start the treatment of dialysis Scope This unit task covers the following e Reading and understanding the values mentioned in the report of the patient e Checking and documenting the vital parameters such as non invasive blood pressure body temperature body weight oxygen saturation of blood SPO2 breathing rate ECG etc as appropriate of the patient before starting the dialysis e Interacting with e Patients suffering from acute or chronic renal failure with or without other complications e People within same Hos
42. cies and procedures Knowledge and Understanding K A Organisational To be competent the user individual on the job needs to know and understand Context Knowledge of the KA1 The people who make up the team and how they fit into the work of the Healthcare organisation provider KA2 The responsibilities of the team and their importance to the organisation Organisation and KA3 The business mission and objectives of the organisation its processes KA4 Effective working relationships with the people external to the team with which the individual works on a regular basis KAS Procedures in the organisation to deal with conflict and poor working relationships B Technical To be competent the user individual on the job needs to know and understand Knowledge KB1 The importance of communicating clearly and effectively with other people and how to do so face to face by telephone and in writing KB2 The essential information that needs to be shared with other people KB3 The importance of effective working relationships and how these can contribute towards effective working relationships on a day to day basis KB4 The importance of integrating ones work effectively with others 74 Page e N S D C ay 7 N S D C o National NI ce oni NOS Skill Development Skill Council National Occupational Standards Corporation HSS N 9604 Work effectively with others KB5 The types of working relationships that
43. circuit Description This OS unit is about setting up the dialysis machine and assembling the extracorporeal circuit The purpose of dialysis is to remove waste from the blood of patients suffering from chronic or acute renal failure Scope This unit task covers the following e The technology functioning calibration and sterilisation of dialysis machines according to their e Type brand e Frequency and duration of use e Maintaining the components for doing dialysis such as dialysate heparin purified water etc as required and in adequate amounts Performance Criteria PC w r t the Scope Element Performance Criteria National Occupational Standard To be competent the e on the job PC1 gt Needs to know and undenn the mechanics and a of all parts of the dialysis machine being used PC2 Should know how to calibrate the machine wihour error PC3 Should ensure that the dialysis unit has been sterilised after previous use PC4 Should ensure that all the components required are adequately present PC5 Should know how to assemble and check the extracorporeal circuit parts i e the patient connectors Dialyzer connectors Drip chamber and bubble trap Blood pump segment Heparin infusion line and saline infusion line Knowledge and Understanding K A Organisational The user individual on the job needs to know and understand Context Knowledge of the KA1 The terms of reference agreed upo
44. d understand how to SB10 Analyse evaluate and apply the information gathered from observation experience reasoning or communication to act efficiently 81 Page d N S D C BS so VS National S es Skill Development Skill Council National Occupational Standards Corporation HSS N 9606 Maintain a safe healthy and secure working environment NOS Version Control NOS Code HSS N 9606 T A Nh el FAN Velza kyelai Not applicable f OPTIONAL Version number Industry Drafted on 12 05 13 Industry Sub sector Alied Penlth and Last reviewed on 22 05 13 Paramedics Next review date 22 05 15 82 Page RY X N S D C zolz Pes sl re NOS Pa To alpan A i Corporation Skill Council National Occupational Standards HSS N 9609 Follow biomedical waste disposal protocols National Occupational Standards Overview This Occupational Standard describes the knowledge understanding and skills required of an Allied Health professional to manage biomedical waste N S D C 3 e e National Ey NOS Skill Development Skill Council National Occupational Standards Corporation HSS N 9609 Follow biomedical waste disposal protocols Unit Title Foll i dical waste disposal protocols Task ollow biomedical w p p Description This OS unit is about the safe handling and management of health care waste This unit applies to all Allied Health professionals Scope This unit ta
45. d understand how to SB3 Communicate effectively with patient and their family physicians and other members of the team SB4 Listen in a responsive and empathetic manner to establish rapport SB5 Show sensitivity while checking vitals towards the pain discomfort of the patient Problem Solving The user individual on the job needs to know and understand how to SB6 Think through problems evaluate the possible solution s and suggest an optimum best possible solution s SB7 Deal with patient until attended by other care providers and try to address any concern with acquired clinical knowledge SB8 Identify immediate or temporary solutions to resolve delays Analytical Thinking The user individual on the job needs to know and understand how to SB9 Integrate historical physical social and ancillary data into differential diagnosis in relation to dialysis SB10 Recognise indications for various diagnostic tests and treatment modalities from medication to surgery SB11 Perform various procedures such as lumbar punctures and inserting intravenous catheters and able to think through medical issues and exhibit sound judgment in a variety of clinical settings including emergency situations SB12 Make concise prompt cogent and thorough presentations based on various kinds of data collection SB13 Function effectively as part of the renal care team Critical Thinking The user individual on the job needs
46. dividual on the job needs to know and understand how to SB10 Interpret machine signals for process completion and act subsequently SB11 Assist immobile patients to attain a comfortable position after dialysis Critical Thinking The user individual on the job needs to know and understand how to SB12 Apply analyse and evaluate the information gathered from observation 33 Page w N S D C a A NOS National Y T W Skill Development Skill Council National Occupational Standards Corporation HSS N 2706 Unhook patient from the machine experience reasoning or communication as a guide to belief and action 34 Page gt WS N S D Cc Soj National y ec OS Skill Development Skill Council National Occupational Standards Corporation HSS N 2706 Unhook patient from the machine NOS Version Control NOS Code HSS N 2706 eNEAN 5 7 ET OPTIONAL z Industry ee Drafted on 12 05 13 Allied Health and Industry Sub sector Paramedics Last reviewed on 22 05 13 Occupation Dialysis Technician lt STE 22 05 15 35 Page e f N S D 30 2 Healthcare NOS a gt Sector Skill Development Skill Council National Occupational Standards Corporation HSS N 2707 Record the treatment National Occupational Standards Overview This OS unit is about documenting the performed dialysis treatment on the patient s chart by the dialysis technician The purpose of documenting is to h
47. e it safe for transport and disposal PC8 Transport the waste to the disposal site taking into consideration its associated risks PC9 Report and deal with spillages and contamination in accordance with current legislation and procedures PC10 Maintain full accurate and legible records of information and store in correct location in line with current legislation guidelines local policies and protocols Knowledge and Understanding K A Organisational The user individual on the job needs to know and understand Context 84 Page 4 of N S D C sojl National 9i Healthcare NOS Skill Development Sector Skill Council National Occupational Standards Corporation HSS N 9609 Follow biomedical waste disposal protocols Knowledge of the KA1 Basic requirements of the health and safety and other legislations and Healthcare regulations that apply to the organisation KA2 Person s responsible for health safety and security in the organisation KA3 Relevant up to date information on health safety and security that applies to the organisation provider Organisation and its processes KA4 Organisation s emergency procedures and responsibilities for handling hazardous situations B Technical The user individual on the job needs to know and understand Knowledge KB1 How to categorise waste according to national local and organisational guidelines KB2 The appropriate approved disposal routes for waste KB3
48. e to obtain supplies of cleaning agents and reusable parts provider KA3 About the servicing policies adopted by the organisation Organisation and its processes 64 Page wM e f N S D C a 2ej NOS National ah ae Skill Development Skill Council National Occupational Standards Corporation HSS N 2713 Operate and maintain water treatment plant B Technical The user individual on the job needs to know and understand how to Knowledge KB1 Measure and record the pressures before and after the pre filter KB2 Calculate and record the pressure change across the pre filter KB3 Calculate and record the pressure change across the filter KB4 Perform chemical analyses for contaminants in the water If the conductivity is less than the prescribed limit KB5 Perform chemical analyses for contaminants in the water If the percent rejection is less than 90 KB6 Look for the presence of a salt bridge where salt at the top of the tank solidifies making it appear as though the tank is full when it is actually empty underneath KB7 Check and record whether the salt pellets fill at least half the tank KB8 Test for total hardness KB9 Collect a sample of water at the water softener output KB10 Use an EDTA Ethylenediaminetetraacetic acid test or dip and read test strips to test for total hardness by measuring the calcium carbonate concentration SEM CM Covel tteyar1 A Core Skills Writing Skills Generic Skills
49. ents reports y j PC2 Take measurements of non invasive blood pressure body temperature body weight breathing rate and or other vital parameters as appropriate PC3 Recognise the levels of vital Parameters under which dialysis can be performed safely PC4 Be alert in noticing any change or distress in the patient aurigae or fter dialysis PC5 Communicate effectively with 1 pauan Hortara and nurses to enable quick l remedial action PC6 Document the changes as per protocol Knowledge and Understanding K A Organisational The user individual on the job needs to know and understand Context KA1 How to communicate effectively with co workers as per the defined protocol KA2 Whom and how to contact in case of emergency as per protocol KA3 The relevant protocol and format for documenting treatments in the clinical records of the patient Knowledge of the Healthcare provider Organisation and its processes B Technical The user individual on the job needs to know and understand Knowledge KB1 How to observe and identify changes in patient s condition KB2 The method for proper documentation KB3 Howto effectively communicate the observed symptoms and assist in 41 Page 3 24 gt Healthcare Sector Skill Council VA N S D C NOS National Skill Development National Occupational Standards Corporation HSS N 2708 Conduct pre and post dialysis evaluation SEM CE Covel tleyar 1 A C
50. g a needle into the fistula graft PC13 Assess catheters prior to dialysis treatment PC14 Describe the considerations for accessing catheters and cleansing exit sites PC15 Describe the various methods for preparing a patient s skin for cannulation PC16 Prepare a patient s skin for cannulation using anti bacterial solutions PC17 Apply a tourniquet PC18 Select a site for cannulation and insert a needle into the patient s vein PC19 Understand the concept of Antegrade and retrograde needle direction PC20 Understand how to rotate cannulation sites for fistulae and grafts PC21 Secure needles after insertion PC22 Describe common complications that occur due to National Occupational Standard a Fistulae grafts and catheters 50 Page wM e 2 N S D C o Healthcare NOS National Skill Development ector geni Council National Occupational Standards Corporation HSS N 2710 Evaluate and prepare the site for cannulation b Poor needle site rotation c Dialysis PC23 Monitor catheters during the treatments PC24 Describe post dialysis care for fistulae catheters and grafts Knowledge and Understanding K A Organisational The user individual on the job needs to know and understand Context Knowledge of the KA1 Clinical practice guidelines for vascular access Healthcare KA2 Clinical guidelines for preparing a site for vascular access provider KA3 Where to obtain supplies of cleaning a
51. gents and reusable parts Organisation and its processes B Technical The user individual on the job needs to know and understand Knowledge KB1 The three main types of vascular access fistulae grafts and catheters KB2 The process for predialysis assessments for all types of vascular access KB3 The methods of needle insertion for AVFs and grafts KB4 The process for predialysis assessment accessing procedure exit site care and monitoring of catheters KB5 How fistulae are created and the pros and cons of these KB6 How to assess the maturity of a fistula KB7 How grafts are created and the pros and cons of these KB8 How catheters are placed and the various methods of catheter placement both short and long term KB9 The pros and cons of catheters KB10 The types of catheter and port catheter devices KB11 How to assess a fistula or graft prior to each treatment by inspecting looking for infection steal syndrome stenosis etc auscultating listening for bruit and deep access location and palpating feeling for skin temperature thrill stenosis vein diameter etc the access KB12 How to assess the blood flow before inserting a needle into the fistula graft KB13 How to assess catheters prior to dialysis treatment KB14 The considerations for accessing catheters and cleansing exit sites KB15 The various methods for preparing a patient s skin for cannulation KB16 How to prepare a patient s skin for cannulation using anti
52. h together specify the technical generic professional and organizational specific knowledge that an individual needs in order to perform to the required standard National Occupational NOS are Occupational Standards which apply uniquely in the Indian Standards NOS context Occupation is a set of job roles which perform similar related set of functions in an industry OS specify the standards of performance an individual must achieve when carrying out a function in the workplace together with the knowledge and understanding they need to meet that standard consistently Occupational Standards are applicable both in the Indian and global contexts Organisational Context includes the way the organization is structured Organisational Context and how it operates including the extent of operative knowledge managers have of their relevant areas of responsibility Performance Criteria are statements that together specify the standard of performance required when carrying out a task Qualifications Pack comprises the set of OS together with the Qualifications Pack QP educational training and other criteria required to perform a job role A Qualifications Pack is assigned a unique qualification pack code Knowledge and Understanding Occupation Occupational Standards OS Performance Criteria Qualifications Pack Qualifications Pack Code is a unique reference code that identifies a Code qualifications pack Scope
53. he user individual on the job needs to know and understand how to SB6 Perform procedure in a meticulous manner Critical Thinking The user individual on the job needs to know and understand how to SB7 Apply analyse and evaluate the information gathered from observation experience reasoning or communication as a guide to belief and action 66 Page gt WS N S D Cc so National aN SA es aai NOS Skill Development Skill Council National Occupational Standards Corporation HSS N 2713 Operate and maintain water treatment plant NOS Version Control Nes code HSS N 2713 TTA 5 7 OPTIONAL Version number Industry i Drafted on 12 05 13 Allied Health and Industry Sub sector Paramedics Last reviewed on 22 05 13 Occupation Dialysis Technician _ MOATTE 22 05 15 67 Page Skill Council National Occupational Standards N S D C wy Vv Baar me Soj National KS lthcare NOS Skill Development Corporation HSS N 9603 Act within the limits of one s competence and authority National Occupational Standards Overview This Occupational Standard describes the knowledge understanding skills required of an Allied Health Professional to recognise the boundaries of the role and responsibilities and working within the level of competence in accordance with legislation protocols and guidelines 68 Page gt 2Of Healthcare Sector Skill Council VA N S D C NOS National Skill Developmen
54. help people to work well together and the types of relationships that need to be avoided KB6 The types of opportunities an individual may seek out to improve relationships with others KB7 How to deal with difficult working relationships with other people to sort out problems A Core Skills Writing Skills Generic Skills To be competent the user individual on the job needs to know and understand how to SA1 Communicate essential information in writing SA2 Write effective communications to share information with the team members and other people outside the team Reading Skills To be competent the user individual on the job needs to know and understand how to SA3 Read and understand essential information Oral Communication Listening and speaking skills To be competent the user individual on the job needs to know and understand how to SA4 Communicate essential information to colleagues face to face or through telecommunications SA5 Question others appropriately in order to understand the nature of the request or compliant B Professional Skills Decision Making To be competent the user individual on the job needs to know and understand how to SB1 Make decisions pertaining to work Plan and Organise To be competent the user individual on the job needs to know and understand how to SB2 Plan and organise files and documents Patient Centricity To be competent
55. idual on the job needs to know and understand how to SA3 SA4 Read the brochure manual of the dialysis unit and interpret it correctly Comprehend important instructions mentioned regarding setting up of the machine Oral Communication Listening and Speaking skills The user individual on the job needs to know and understand how to SAS Discuss the procedure of care and maintenance of dialysis machine with the company representative and or senior technician bio medical engineer B Professional Skills Decision Making The user individual on the job needs to know and understand how to SB1 SB2 Make decisions regarding the most appropriate practices with respect to care and functioning of the machine Apply best practices in existing processes to drive improvements Plan and Organise The_user individual on the job needs to Know and understand SB3 How to plan and organise the scheduled maintenance Patient Centricity The user individual on the job needs to know and understand how to SB4 SB5 Calibrate and set up the machine in order to provide better treatment Reassure the patient and their attendants that the dialysis unit has been well sterilised Problem Solving The user individual on the job needs to know and understand how to SB6 Interpret any unusual readings of the machine and contact the concerned person to take remedial steps Analytical
56. ifying and responding to any complications or emergencies Performance Criteria PC w r t the Scope Element Performance Criteria To be competent po ser pahiga onthe job must be ableto PC1 cien up any ae PC2 lt Know when the dialysate dialyzer or other constituents need to be replaced PC3 Follow standard sterilisation and cleaning procedure for the unit PCa Disinfect dialysis machine according to the manufacturer s recommendations PCS The dialysate circuit should be exposed to disinfectant National Occupational Standard Knowledge and Understanding K A Organisational The user individual on the job needs to know and understand Context Knowledge of the KA1 What are the standard procedures for cleaning and sterilization of the machine unit KA2 Where to obtain supplies of cleaning agents and reusable parts KA3 About the servicing policies adopted by the organisation Healthcare provider Organisation and its processes B Technical The user individual on the job needs to know and understand Knowledge KB1 The cleaning and maintenance procedures of the machine KB2 How the reused bicarbonate acid containers be disinfected between use KB3 How to disinfect the system using disinfectants and rinse solutions KB4 Howto rinse machines between chemicals and before a dialysis session KB5 The Dead space is needed between dialysate effluent line and drain KB6 Which parts need replacement and
57. ined and how this affects the way one work as an individual or part of a team A Core Skills Writing Skills Generic Skills The user individual on the job needs to know and understand how to SA1 Document reports task lists and schedules SA2 Prepare status and progress reports SA3 Record daily activities SA4 Update other co workers Reading Skills 70 Page ali N S D Cc Z Z0jg Healthcare NOS National Sector Skill Development Skill Council National Occupational Standards Corporation HSS N 9603 Act within the limits of one s competence and authority The user individual on the job needs to know and understand how to SA5 Read about changes in legislations and organisational policies SA6 Keep updated with the latest knowledge Oral Communication Listening and Speaking skills The user individual on the job needs to know and understand how to SA7 Discuss task lists schedules and work loads with co workers SA8 Give clear instructions to patients and co workers SA9 Keep patient informed about progress SA10 Avoid using jargon slang or acronyms when communicating with a patient B Professional Skills Decision Making The user individual on the job needs to know and understand how to SB1 Make decisions pertaining to the concerned area of work in relation to job role Plan and Organise Not applicable Patient Centricity The user individual
58. ing dialysis The purpose of proper draping and positioning is to facilitate connecting the patient to the dialysis unit at the same time ensuring adequate patient comfort and privacy 16 Page 6 N S D C so National aN S dna NOS Skill Development Skill Council National Occupational Standards Corporation HSS N 2703 Prepare and position the patient for treatment Unit Titl iti i a E Prepare and position the patient for treatment Description This OS unit is about correctly draping and positioning the patient for starting dialysis The purpose of proper draping and positioning is to facilitate connecting the patient to the dialysis unit at the same time ensure adequate patient comfort and privacy Scope This unit covers the following e The dialysis technician needs to know the appropriate linen including covering sheet needed depending on the patient male female child e Assist in draping the patient and moving them on the bed couch without disturbing catheters or any other IV line already in place Ensure patient comfort and privacy Performance Criteria PC w r t the Scope Element Performance Criteria National Occupational Standard To be competent the yee eee on the job must be able to PC1 Maintain patients privacy PC2 Drape the patient such that it facilitates connecting the patient to the dialysis unit PC3 Explain the need to dress and be place in particular position for dial
59. is the set of statements specifying the range of variables that an Scope individual may have to deal with in carrying out the function which have a critical impact on the quality of performance required Sector is a conglomeration of different business operations having similar Sector businesses and interests It may also be defined as a distinct subset of the economy whose components share similar characteristics and interests SulbPseator Sub sector is derived from a further breakdown based on the M ej N S D Zo Healthcare amp oe National Sector Qualifications Pack For Dialysis Technician Skill Development Skill Council Corporation characteristics and interests of its components Sub functions are sub activities essential to fulfil the achieving the objectives of the function Technical Knowledge is the specific knowledge needed to accomplish specific designated responsibilities Unit Code is a unique identifier for an OS unit which can be denoted with either an O or an N Unit Title gives a clear overall statement about what the incumbent should be able to do Vertical Vertical may exist within a sub sector representing different domain areas or the client industries served by the industry Sub function Technical Knowledge Unit Code Unit title Keywords Terms Description Intra venous National Occupational Standard s National Vocational Education Qualifi
60. ise the patient s report for doctors reference SB3 Which details need to be documented on the patient s chart Patient Centricity The user individual on the job needs to know and understand how to SB4 Be meticulous in documenting the procedure knowing that it would have consequences on future treatment options for the patient Problem Solving Not Applicable Analytical Thinking The user individual on the job needs to know and understand how to SB5 Document the procedure using prescribed protocols and format Critical Thinking The user individual on the job needs to know and understand how to SB6 Apply analyse and evaluate the information gathered from observation experience reasoning or communication as a guide to belief and action 38 Page gt WS N S D Cc So National aN SA sida NOS Skill Development Skill Council National Occupational Standards Corporation HSS N 2707 Record the treatment NOS Version Control NOS Code HSS N 2707 eN 5 7 Gan ee OPTIONAL Industry a Drafted on 12 05 13 Allied Health and Industry Sub sector Paramedics Last reviewed on 22 05 13 Occupation Dialysis Technician DEAETE 22 05 15 39 Page Skill Council Y e f N S D C Zo Poia NOS S National gt Sector Skill Development National Occupational Standards Corporation HSS N 2708 Conduct pre and post dialysis evaluation National Occupational Standards Ove
61. llow biomedical waste disposal protocols Follow infection control policies and procedures Monitor and assure quality As described in the relevant OS units 04 A e y N S D C 204z Healthcare S National Sector Qualifications Pack For Dialysis Technician j Skill Council f ono a Keywords Terms Description Core Skills or Generic Skills are a group of skills that are essential to f Core Skills Generic learning and working in today s world These skills are typically needed in e Skills any work environment In the context of the OS these include m communication related skills that are applicable to most job roles Description gives a short summary of the unit content This would be Description helpful to anyone searching on a database to verify that this is the appropriate OS they are looking for Dialysis Technician Dialysis Technicians operate machines that remove waste and excess fluids from the blood of patients whose kidneys can no longer carry out those functions Function is an activity necessary for achieving the key purpose of the sector occupation or area of work which can be carried out by a person Function am F or a group of persons Functions are identified through functional analysis and form the basis of OS Job role Job role defines a unique set of functions that together form a unique employment opportunity in an organization Knowledge and Understanding are statements whic
62. ment Skill Council National Occupational Standards Corpora ton HSS N 2701 Collect and assess the patient s chart and vitals B Technical The user individual on the job needs to know and understand Knowledge KB1 The significance of the medical reports describing the patients condition KB2 The values of the vital parameters under which dialysis can be safely performed KB3 The method of measuring vital parameters accurately KB4 The sources of information that can be accessed to maintain an awareness of research and development in one s area of work KB5 The risks to quality and safety arising from a Lack of knowledge of the blood parameters and other test results b Not keeping up to date with best practices c Poor communication d Insufficient support e Lack of resources KB6 The importance of reporting and minimising risk KB7 The right person to be contacted in case patients chart vitals are not within the prescribed limits for undertaking dialysis Skills S Optional A Core Skills Writing Skills Generic Skills The user individual on the job needs to know and understand how to SA1 Write at least one local official language used in the local community SA2 Document and report findings related to patients condition SA3 Prepare status and progress reports SA4 Record daily activities that are being performed SA5 Document the readings measurements as per the protocol Reading Skills
63. meters and how they are measured Healthcare KA2 Whom to inform and contact in case of emergency as per the protocols KA3 Relevant protocols good practices standards policies and procedures provider KA4 The protocol to contact the concerned physician or nurse in case the patients vitals remain out of limit inspite of appropriate action by the technician B Technical The user individual on the job needs to know and understand Knowledge Organisation and its processes KB1 How the dialysis machine maintains and monitors blood pressure blood flow presence of air proper mixture of dialysate etc KB2 What the different alarms and beeps blinking lights signify KB3 How to take appropriate corrective action KB4 The danger which could result from absence of corrective steps KB5 The appropriate corrective action to be taken when an alarm goes off KB6 How to maintain these parameters within permitted limits during dialysis KB7 To keep the patient comfortable during dialysis Skills S Optional A Core Skills Writing Skills 27 Page alg e N S D C o Z Health NOS S National at Sector Skill Development Skill Council National Occupational Standards Corporation HSS N 2705 Monitor technical clinical vitals during the treatment Generic Skills The user individual on the job needs to know and understand how to SA1 Record any unusual signal by the machine SA2 Record and report all alar
64. mmunication Problem Solving The user individual on the job needs to know and understand how to SB19 Communicate only facts and not opinions SB20 Give feedback when required Analytical Thinking The user individual on the job needs to know and understand how to SB21 Coordinate required processes effectively Critical Thinking The user individual on the job needs to know and understand how to SB22 Apply analyse and evaluate the information gathered from observation 92 Page RY e N S D C soj National 24iz Healthcare NOS Skill Development Sector Skill Council National Occupational Standards Corporation HSS N 9609 Follow biomedical waste disposal protocols experience reasoning or communication as a guide to belief and action SB23 Take into account opportunities to address waste minimisation environmental responsibility and sustainable practice issues 93 Page N S D C gt A v a a Zo jg Healthcare NO S Sail Development Sector 5 Skill Council National Occupational Standards Corporation HSS N 9609 Follow biomedical waste disposal protocols NOS Version Control MEE Goci HSS N 9610 A ANIANI NE Not applicable 3 OPTIONAL Version number Industry Sub sector Allied Health and Last reviewed on 22 05 13 Paramedics aE I Next review date 22 05 15 94 Page O lt 2 c wM VA N peg Zo Healthcare NOS Pa Danona ector
65. ms and actions taken during the dialysis Reading Skills The user individual on the job needs to know and understand how to SA3 Read and understand the functioning of the dialysis unit as given in the manufacturers manual or brochure SA4 Comprehend important instructions mentioned in patients clinical notes Oral Communication Listening and Speaking skills The user individual on the job needs to know and understand how to SA5 Respondto patients questions during the dialysis process SA6 Communicate any significant unusual findings to the physician and or senior technician B Professional Skills Decision Making The user individual on the job needs to know and understand how to SB1 Recognise and rectify the cause of any signal alarm SB2 Pace the processes to keep patient comfortable SB3 Contact the physician when it is necessary Plan and Organise The user individual on the job needs to SB4 Plan and be prepared to carry out the corrective steps as needed SB5 Check _if all the components and constituents of the dialysis unit are in functional order and organised before starting Patient Centricity The user individual on the job needs to know and ensure that SB6 Patient is comfortable during the process SB7 Patient does not panic at the sound of an alarm Problem Solving The user individual on the job needs to know and understand how to SB8 Interpret the alarms
66. n as a guide to belief and action 61 Page N S D C so National aN SA i aai NOS Skill Development Skill Council National Occupational Standards Corporation HSS N 2712 Reprocess dialysers NOS Version Control Nee code HSS N 2712 TTA OlaM 5 7 OPTIONAL Version number Industry m Drafted on 12 05 13 Allied Health and Industry Sub sector Paramedics Last reviewed on 22 05 13 Occupation Dialysis Technician Next review date 22 05 15 62 Page My eJ N S D C Z0 Healthcare NOS National gt Sector Skill Development Skill Council National Occupational Standards Corporation HSS N 2713 Operate and maintain water treatment plant National Occupational Standards Overview This OS unit is about operating maintaining and monitoring the water treatment plant 63 Page N S D C gt Ve iona so National rN 4 Am aai NOS Skill Development Skill Council National Occupational Standards Corporation HSS N 2713 Operate and maintain water treatment plant Unit Title ee Task Operate and maintain water treatment plant Description This OS unit is about operating maintaining and monitoring the water treatment plant Scope This unit task covers the following Checking and maintaining the water treatment plant for proper functioning Performance Criteria PC w r t the Scope Element Performance Criteria To be competent the user individual on ule aie must be
67. n the job needs to know and understand SB6 How to make exceptional effort to keep the environment and work place clean Problem Solving The user individual on the job needs to know and understand how to SB7 Identify hazards and suggest effective solutions to identified problems of waste management Analytical Thinking The user individual on the job needs to know and understand how to SB8 Analyse the seriousness of hazards and proper waste management Critical Thinking The user individual on the job needs to know and understand how to SB9 Evaluate opportunities to improve health safety and security SB10 Show understanding and empathy for others 86 Page N S D C gt A v a a Zo jg Healthcare NO S Sail Development Sector 5 Skill Council National Occupational Standards Corporation HSS N 9609 Follow biomedical waste disposal protocols NOS Version Control MEE Gec HSS N 9609 A ANIANI Ne Not applicable 3 OPTIONAL Version number Industry Sub sector Allied Health and Last reviewed on 22 05 13 Paramedics aE I Next review date 22 05 15 87 Page RY X N S D C Ve zolz Pes a re NOS 2 i Corporation Skill Council National Occupational Standards HSS N 9609 Follow biomedical waste disposal protocols National Occupational Standards Overview This Occupational Standard describes the knowledge understanding skills required of an Allied Health profe
68. n with the manufacturer regarding care and Healthcare maintenance of the machine KA2 The procedure and importance of calibration and sterilisation as per the provider protocols Organisation and KA3 How to and whom to inform in case of observing something unusual about the its processes machine KA4 The relevant protocols good practices standards policies and procedures to be followed B Technical The user individual on the job needs to know and understand Knowledge KB1 How the machine helps to remove wastes from the blood KB2 The need and procedure for calibration KB3 How to sterilise the unit KB4 The basic functionalities of the applications and components that are used during the process 12 Page W 24 gt Healthcare Sector Skill Council VA N S D C NOS National Skill Development National Occupational Standards Corporation HSS N 2702 Manage dialysis machine set up and assemble the extracorporeal circuit Skills S Optional A Core Skills Generic Skills KB5 How to check the extracorporeal circuit blood pressure alarm to ensure that it works properly before each treatment KB6 Howto check the extracorporeal blood tubing parts Writing Skills The user individual on the job needs to know and understand how to SA1 Record the calibration of the machine with relevant details SA2 Record the observations made during sterilisation and set up Reading Skills The user indiv
69. ng the vascular access site and cannulating prior to initiation of the dialysis treatment of a patient Scope This unit task covers the following Evaluating the vascular access site Cannulating the patient Performance Criteria PC w r t the Scope Element Performance Criteria To be competent the user individual onthe job mustbe abl to PC1 Describe the three main types of vascular access fistulae ne and lt catheters PC2 Identify the predialysis assessments for all types of vascular access PC3 Describe the methods of needle insertion for AVFs and grafts PC4 Describe the predialysis assessment SE CESARE prpcedure exit site care and Monitoring of catheters PC5 Describe how fistulae are created and the pros shay cons of these PC6 Assess the maturity of a fistula PC7 Describe how grafts are created and the pros ath cons of these PC8 Describe how catheters are placed and the various methods of catheter placement both short and long term PC9 D scribe the pros and cons of catheters PC10 Describe the types of catheter and port catheter devices PC11 Assess a fistula or graft prior to each treatment by inspecting looking for infection steal syndrome stenosis etc auscultating listening for bruit and deep access location and palpating feeling for skin temperature thrill stenosis vein diameter etc the access PC12 Assess the blood flow before insertin
70. ob needs to know and understand how to SA5 Follow instructions on the user manual brochure of the machine Oral Communication Listening and Speaking skills The user individual on the job needs to know and understand how to SA6 Communicate any unusual findings regarding machine components or sterilisation to the bio medical engineer or senior technician H Professional Skills Decision Making The user individual on the job needs to SB8 Identify components which need to be replaced SB9 Know which type ofobservations regarding machine care need tobe reported immediately Plan and Organise The user individual on the job needs to SB10 Plan and organise the cleaning and sterilisation process as per the schedule Patient Centricity The user individual on the job needs to know SB11 Fhe importance of cleaning and sterilisation to prevent the spread of infection Problem Solving The user individual on the job needs to know and understand how to SB12 Handle any accidental spillage or contamination of the unit Analytical Thinking The user individual on the job needs to know and understand how to SB13 Perform cleaning and sterilisation procedures in a meticulous manner Critical Thinking The user individual on the job needs to know and understand how to SB14 Apply analyse and evaluate the information gathered from observation experience reasoning or communicatio
71. on the job needs to know and understand how to SB2 Communicate effectively with patients and their family physicians and other members of the health care team SB3 Be responsive and listen empathetically to establish rapport in a way that promotes openness on issues of concern SB4 Be sensitive to potential cultural differences SB5 Maintain patient confidentiality SB6 Respect the rights of the patient s Problem Solving Not applicable Analytical Thinking Not applicable Critical Thinking Not applicable 71 Page d N S D C BS so VS National S oc Skill Development Skill Council National Occupational Standards Corporation HSS N 9603 Act within the limits of one s competence and authority NOS Version Control NOS Code HSS N 9603 T A NAIAN elE Not applicable f OPTIONAL Version number Industry Drafted on 12 05 13 Industry Sub sector Alied Penlth and Last reviewed on 22 05 13 Paramedics Next review date 22 05 15 72 Page dhg l X N S D C W amp rAd kd mr singe NOS oralini Corporation ector i Skill Council National Occupational Standards HSS N 9604 Work effectively with others National Occupational Standards Overview This Occupational Standard describes the knowledge understanding skills required of an Allied Health Professional to work effectively with other people and integrate one s work the work of other people
72. opment Skill Council National Occupational Standards Corporation HSS N 9609 Follow biomedical waste disposal protocols The user individual on the job needs to know and understand how to SA8 Follow instructions as specified in the protocols Oral Communication Listening and Speaking skills The user individual on the job needs to know and understand how to SA9 Listen patiently SA10 Provide feedback verbal and non verbal to encourage smooth flow of information D Professional Skills Decision Making The user individual on the job needs to know and understand how to SB10 Take into account opportunities to address waste minimisation environmental responsibility and sustainable pract ice issues SB1it Apply additional precautions when standard precautions are not sufficient Plan and Organise The user individual on the job needs to SB12 _ Consistently ensure instruments used for invasive procedures are sterile at time of use where appropriate SB13 Consistently follow the procedure for washing and drying hands SB14 Consistently limit contamination B15 Consistently maintain clean surfaces and manage blood and body fluid spills Patient Centricity The user individual on the job needs to know and understand how to SB16 Be a good listener and be sensitive to patient SB17 Avoid unwanted and unnecessary communication with patients S B18 Maintain eye contact and non verbal co
73. ore Skills Generic Skills Writing Skills providing remedial measures as appropriate The user individual on the job needs to know and understand how to SA1 Record and report the observations and symptoms of the patient using the right protocol Reading Skills The user individual on the job needs to know and understand how to SA2 Follow instructions as specified in the patient file Oral Communication Listening and Speaking skills The user individual on the job needs to know and understand how to SA3 SA4 Listen carefully to what patient is saying trying to express Communicate patient s condition in an efficient timely and effective manner B Professional Skills Decision Making The user individual on the job needs to know and understand SB1 SB2 The change in patient s condition as observed or expressed by the patient and what they signify How to communicate to the concerned person andsend across the message quickly Plan and Organise The user individual on the job needs to know and understand SB3 SB4 How to record and document patient s symptoms in a planned manner How to formulate and structure message correctly for communicating with other co workers Patient Centricity The user individual on the job needs to know and understand how to SB5 Be a good listener and be sensitive to patient Problem Solving The user individ
74. ot Applicable Qualifications Training Suggested but not mandatory Relevant professional qualification Experience Not Applicable 2 Page 2 Healthcare Sector Skill Council Occupational Standards OS Performance Criteria 3 Page Qualifications Pack For Dialysis Technician Compulsory HSS N 2701 HSS N 2702 HSS N 2703 HSS N 2705 HSS N 2707 HSS N 2708 HSS N 2709 HSS N 2710 HSS N 2711 HSS N 2712 HSS N 2713 HSS N 9603 HSS N 9604 HSS N 9606 HSS N 9609 HSS N 96010 HSS N 96011 Optional N A VA N S D C National Skill Development Corporation Collect and assess the patient s chart and vitals Manage dialysis machine set up and assemble the extracorporeal circuit Prepare and position the patient for treatment HSS N 2704 Monitor technical clinical vitals during the treatment HSS N 2706 Record the treatment Conduct pre and post dialysis evaluation Connect patient to the dialysis machine Unhook patient from the machine Maintain and disinfect the delivery system Evaluate and prepare the access site for cannulation Respond to dialysis related emergencies in patient and equipment Reprocess dialysers Operate and maintain water treatment plant Act within the limits of your competence and authority Work effectively with others Maintain a safe healthy and secure environment Fo
75. otocols which affect work practice KB16 The policies and guidance that clarify your scope of practice accountabilities and the working relationship between yourself and others Skills S Optional A Core Skills Writing Skills Generic Skills The user individual on the job needs to know and understand how to SA1 Report and record incidents 85 Page m e N 5S D C W 2 Healthcare NOS A Sector Skill Council National Occupational Standards Corporation HSS N 9609 Follow biomedical waste disposal protocols Reading Skills The user individual on the job needs to know and understand how to SA2 Read and understand company policies and procedures for managing biomedical waste Oral Communication Listening and Speaking skills The user individual on the job needs to know and understand how to SA3 Report hazards and incidents clearly with the appropriate level of urgency B Professional Skills Decision Making The user individual on the job needs to know and understand how to SB1 Make decisions pertaining to the area of work SB2 _Exhibit commitment to the organisation and exert effort and perseverance Plan and Organise The user individual on the job needs to know and understand how to SB3 Organise files and documents SB4 Plan for safety of the work environment SB5 Recommend and implement plan of action Patient Centricity The user individual o
76. ow SB4 The importance of cleaning and sterilisation to prevent thespread of infection Problem Solving The user individual on the job needs to know and understand how to SB5 Handle any accidental spillage or contamination of the unit Analytical Thinking The user individual on the job needs to know and understand how to SB6 Perform cleaning and sterilisation procedures in a meticulous manner Critical Thinking The user individual on the job needs to know and understand how to SB7 Apply analyse and evaluate the information gathered from observation experience reasoning or communication as a guide to belief and action 57 Page gt WS N S D Cc so National aN SA i aai NOS Skill Development Skill Council National Occupational Standards Corporation HSS N 2711 Respond to dialysis related emergencies in patient and equipment NOS Version Control Nee code HSS N 2711 TTA OlaM 5 7 OPTIONAL Version number Industry m Drafted on 12 05 13 Allied Health and Industry Sub sector Paramedics Last reviewed on 22 05 13 Occupation Dialysis Technician Next review date 22 05 15 gt 58 Page Skill Council Y e f N S D C Zo Eaa NOS S National gt Sector Skill Development National Occupational Standards Corporation HSS N 2712 Reprocess dialysers National Occupational Standards Overview This OS unit is about aftercare and cleaning of the machine by the dialysis
77. pital Clinic health care unit Renal specialists nurses other technicians and staff National Occupational Standard Performance Criteria PC w r t the Scope Element Performance Criteria To be competent the user individual on the job must be able to PC1 Read and understand the patients reports PC2 Take measurements of non invasive blood pressure body temperature body weight breathing rate and or other vital parameters as appropriate PC3 Recognise the levels of vital parameters under which dialysis can be performed safely PC4 Identify and manage potential and actual risks to the quality and safety of work PC5 Maintain competence within one s role and field of practice PC6 Evaluate and reflect on the quality of one s work and make continuing improvements A Organisational The user individual on the job needs to know and understand Context Knowledge of the KA1 The relevant hierarchy of doctors nurses and other staff of the renal care Healthcare tean KA2 The procedure that should be followed while communicating and provider documenting the findings prior to the dialysis process Organisation and KA3 Medical procedures and knowledge of using the relevant medical equipment its processes KA4 The procedure for accessing training learning and development needs for oneself and or others within one s organisation 7 Page sy e f N S D C Zog Healthcare NOS S National Sector Skill Develop
78. priate level of urgency B Professional Skills Decision Making To be competent the user individual on the job needs to know and understand how to SB1 Make decisions pertaining to the area of work Plan and Organise To be competent the user individual on the job needs to know and understand how to SB2 Plan for safety of the work environment Patient Centricity To be competent the user individual on the job needs to know and understand SB3 Communicate effectively with patients and their family physicians and other members of the health care team SB4 Be capable of being responsive listen empathetically to establish rapport ina way that promotes openness on issues of concern 80 Page N S D C Soj National Y N Skill Development Skill Council National Occupational Standards Corporation HSS N 9606 Maintain a safe healthy and secure working environment SB5 Be sensitive to potential cultural differences SB6 Maintain patient confidentiality SB7 Respect the rights of the patient s Problem Solving To be competent the user individual on the job needs to know and understand how to SB8 Identify hazards evaluate possible solutions and suggest effective solutions Analytical Thinking To be competent the user needs to know and understand how to SB9 Analyse the seriousness of hazards Critical Thinking To be competent the user needs to know an
79. r catheters or IV lines while performing the task KB6 The tubings that are required to be connected to the dialysis unit 22 Page e N S D C W A 2 f Healthcare NO S National Sector Skill Development Skill Council National Occupational Standards Corporation HSS N 2704 Connect patient to the dialysis machine KB7 How to operate the machine after making proper connections in order to initiate dialysis Skills S Optional A Core Skills Writing Skills Generic Skills The user individual on the job needs to know and understand how to SA1 Record observations made during the procedure SA2 Identify and record the change in patient s behaviour or pain experienced during the procedure Reading Skills The user individual on the job needs to know and understand how to SA3 Read the doctor nurse instructions and clinical reports SA4 Comprehend important instructions mentioned in the user manual of the dialysis machine Oral Communication Listening and Speaking skills The user individual on the job needs to know and understand how to SA5 Discuss the procedure with the patient and make him feel comfortable SA6 Answer the patient s queries regarding the IV lines tubings and other equipment SA7 Communicate any significant findings to the concerned physician nurse B Professional Skills Decision Making The user individual on the job needs to SB1 Make decisions
80. rview This OS unit is about observing documenting and reporting any change in patient s condition by the dialysis technician during and after dialysis Observing and reporting changes is necessary to ensure that patient is comfortable and stable and that dialysis has been well tolerated 40 Page N S D C gt a icioral lt o National rN aaia NOS Skill Development Skill Council National Occupational Standards Corporation HSS N 2708 Conduct pre and post dialysis evaluation it Titl ae l aa F Conduct pre and post dialysis evaluation Description This OS unit is about observing documenting and reporting any change in patient s condition by the dialysis technician before during and after dialysis Observing and reporting changes is necessary to ensure that patient is comfortable and stable and that dialysis has been well tolerated Scope This unit task covers the following Observing the patient before and during dialysis and make note of any change in blood pressure body temperature breathlessness or any other symptom expressed by the patient Communicate the observed changes to the doctor nurse Documenting the changes 2L as well as remedial actions taken for future reference Performance Criteria PC w r t the Scope Element Performance Criteria National Occupational Standard To be competent the user individual on the job must PGI Read and understand the pati
81. sisted living facilities and long term care facilities They are responsible for the operation cleaning and sterilisation of the dialysis machines Dialysis Technicians give patients important medical Contact Us HSSC contact ils l l i be a GGE a technical social emotional support and also provide vital information on patient conditions to nurses doctors and other medical staff Personal Attributes This job requires the individual to work in collaboration with Doctors nurses and other healthcare providers They must have good communication skills to accurately report and document findings results of their patients They should be sensitive to the needs of the patient and be able to establish a good rapport with them a e y N S D C Zo National or lifications Pack For Dialysis Technici i Skill Council Qualifications Pack For Dialysis Technician con ora pum Qualifications Pack Code HSS Q 2701 Credits NVEQF NVQF NSQF a Version number 1 con ER 2s Last reviewed on 22 05 13 Industry Job Details Allied Health amp Paramedics Occupation Dialysis Technician 22 05 15 Job Role Dialysis Technician Operate machines and perform dialysis on patients with acute or Sub sector Role Description chronic kidney failure They are responsible for the operation cleaning and sterilisation of the dialysis machines Minimum Educational a ee Class XII in Science Qualifications Maximum Educational N
82. sistently and thoroughly P 5 Report any identified breaches in health safety and security procedures to the designated person PC6 Identify and correct any hazards that he she can deal with safely competently and within the limits of his her authority PC7 Promptly and accurately report any hazards that he she is not allowed to deal with to the relevant person and warn other people who may be affected PC8 Follow the organisation s emergency procedures promptly calmly and efficiently PC9 Identify and recommend opportunities for improving health safety and security to the designated person PC10 Complete any health and safety records legibly and accurately Caton evel E T GE lta 4 A Organisational The user individual on the job needs to know and understand Context KA1 Basic requirements of the health and safety and other legislations and regulations that apply to the organisation Knowledge of the Neate KA2 Person s responsible for health safety and security in the organisation provider KA3 Relevant up to date information on health safety and security that applies Organisation and to the organisation its processes KA4 Organisation s emergency procedures and responsibilities for handling hazardous situations B Technical The user individual on the job needs to know and understand how to Knowledge KB1 Evaluate treatment goals process and outcomes 96 Page W 24 gt Healthc
83. sk covers the following e Classification of the Waste Generated e Segregation of Biomedical Waste e Proper collection and storage of Waste Reference The content of this National Occupational Standard is drawn from the UK Skills for Health NOS SFHCHS212 Disposal of clinical and non clinical waste within healthcare and SFHCHS213 Implement an audit trail for managing waste within healthcare J Performance Criteria PC w r t the Scope Element Performance Criteria r National Occupational Standard To be competent the user individualon the job must be able to PC1 _ Follow the appropriate procedures policies and protocols for the method of collection and containment level according to the waste type PC2 Apply appropriate health and safety measures and standard precautions for infection prevention and control and personal protectii equipment relevant to the type and category of waste PC3 Segregate the waste material from work areas in line with current legislation and organisational requirements PC4 Segregation should happen at source with proper containment iy using different color coded bins for different categories of waste PCS Check the accuracy of the labelling that identifies the type and content of waste PC6 Confirm suitability of containers for any required course of action appropriate to the type of waste disposal PC7 Check the waste has undergone the required processes to mak
84. ssional to comply with infection control policies and procedures e N S D C sf so National 3 lt oi NO S Skill Development Skill Council National Occupational Standards Corporation HSS N 9609 Follow biomedical waste disposal protocols Unit Titl ie ae Follow infection control policies and procedures Description This OS unit is about complying with infection control policies and procedures It is applicable to workers who are responsible for workplace procedures to maintain infection control This unit applies to all Allied Health professionals Scope This unit task covers the following Complying with an effective infection control strategy with an effective infection control strategy that ensures the safety of the patient or end user of health related products services Maintaining personal protection and preventing the transmission of infections from person to person Performance Criteria PC w r t the Scope Element Performance Criteria National Occupational Standard Tobe Camanetent the user individual on the job must ols able to PC7 Preto the standard precautions to prevent the spread of infection i in accordance with organisation requirements PC8 Preform the additional precautions when standard ore itetins alonemay not be sufficient to prevent transmission of infection PC9 Minimise contamination of materials equipment and instruments by aerosols and splatter
85. t National Occupational Standards Corporation HSS N 9603 Act within the limits of one s competence and authority Unit Code Description Unit Title EGO HSS N 9603 Act within the limits of one s competence and authority This OS unit is about recognising the boundaries of the role and responsibilities and working within the level of competence in accordance with legislation protocols and guidelines This is applicable to all Allied Health Professionals working in an organised regulated environment Scope National Occupational Standard SFHGEN63 Act within the limits of your competence and authority It has been This unit task covers the following e Acting within the limit of one s competence and authority o Knowing one s job role o Knowing one s job responsibility o Recognising the job role and responsibilities of co workers Reference This National Occupational Standard is from the UK Skills for Health suite tailored to apply to healthcare i in India and has been E with their permission Performance Criteria PC wrt The Scope Element A Organisational Context PC4 Maintain competence within one s role and field of practice Knowledge and Understanding K Performance Criteria Tobe competent the user individual on the job mat Urges to PC1 Adhere to legislation protocols and guidelines releyagl toone s rolex and field of practice PC
86. ts in the clinical Healthcare records of the patient provider Organisation and its processes B Technical The user individual on the job needs to know and understand Knowledge KB1 How to document the procedure in a clear concise manner KB2 How to include the relevant details in the documentation KB3 The name and type of the constituents used during the process KB4 How to make note of the time taken for the procedure Skills S Optional A Core Skills Writing Skills Generic Skills The user individual on the job needs to know and understand how to SA1 Record treatment on the patient s chart in the proper format without any language errors Reading Skills 37 Page ali e N S D C Z0 Healthcare NOS National gt Sector Skill Development Skill Council National Occupational Standards Corporation HSS N 2707 Record the treatment The user individual on the job needs to know and understand how to SA2 Read understand and interpret the clinical notes and know where to document the performed dialysis Oral Communication Listening and Speaking skills Not Applicable B Professional Skills Decision Making The user individual on the job needs to know and understand SB1 How to document the procedure and include relevant details in the prescribed format Plan and Organise The user individual_on the job needs to know and understand SB2 How to organ
87. ual on the job needs to know and understand how to SB6 SB7 Communicate and document changes in the right manner Give feedback when required Analytical Thinking The user individual on the job needs to know and understand how to SB8 Communicate a message related to patient care effectively and promptly to a 42 Page M eff N S D C o Z amp l 2 Of Healthcare N Nationa Sector Skill Development Skill Council National Occupational Standards Corporation HSS N 2708 Conduct pre and post dialysis evaluation co worker Critical Thinking The user individual on the job needs to know and understand how to SB9 Apply analyse and evaluate the information gathered from observation experience reasoning or communication as a guide to belief and action 43 Page gt WS N S D Cc So National aN SA ee NOS Skill Development Skill Council National Occupational Standards Corporation HSS N 2708 Conduct pre and post dialysis evaluation NOS Version Control NOS Code HSS N 2708 eel MMU OLFAMVOlaA ela 5 7 OPTIONAL Version number Industry en Drafted on 12 05 13 Allied Health and Industry Sub sector Paramedics Last reviewed on 22 05 13 Occupation Dialysis Technician Next review date 22 05 15 44 Page Skill Council Y e f N S D C Zo OP NOS S National gt Sector Skill Development National Occupational Standards Corporation HSS N 2709 Maintain
88. use PC36 Replace surface covers where applicable PC37 Maintain and store cleaning equipment Knowledge and Understanding K B Organisational The user individual on the job needs to know and understand Context Knowledge of the KA4 The organisation s infection control policies and procedures KA5 Organisation requirements relating to immunisation where applicable KA6 Standard precautions KA7 Good personal hygiene practice including hand care Healthcare provider Organisation and its processes B Technical The user individual on the job needs to know and understand Knowledge KB4 Additional precautions KB5 Aspects of infectious diseases including opportunistic organisms pathogens KB6 Basic microbiology including 90 Page 06 e N S D C I i Soj National 204 Healthcare NOS Skill Development Sector Skill Council National Occupational Standards Corporation HSS N 9609 Follow biomedical waste disposal protocols bacteria and bacterial spores fungi viruses KB7 Howto clean and sterile techniques KB8 The path of disease transmission paths of transmission including direct contact and penetrating injuries risk of acquisition sources of infecting microorganisms including persons who are carriers in the incubation phase of the disease or those who are acutely ill KB9 Effective hand hygiene procedures for routine hand wash procedures for surgical hand wash when hands m
89. ust be washed KB10 Good personal hygiene practice including hand care KB11 Identification and management of infectious risks in the workplace KB12 How to use personal protective equipment such as guidelines for glove use guidelines for wearing gowns and waterproof aprons guidelines for wearing masks as required guidelines for wearing protective glasses KB13 Susceptible hosts including persons who are immune suppressed have chronic diseases such as diabetes and the very young or very old KB14 Surface cleaning cleaning procedures at the start and end of the day managing a blood or body fluid spill routine surface cleaning KB15 Sharps handling and disposal techniques KB16 The following Follow infection control guidelines Identify and respond to infection risks Maintain personal hygiene Use personal protective equipment Limit contamination Handle package label store transport and dispose of clinical and other waste Clean environmental surfaces Skills S Optional C Core Skills Writing Skills Generic Skills The user individual on the job needs to know and understand how to SA5 Consistently apply hand washing personal hygiene and personal protection protocols SA6 Consistently apply clean and sterile techniques SA7 Consistently apply protocols to limit contamination Reading Skills 91 Page eff N S D C 20 2 Healthcare NOS S National gt Sector Skill Devel
90. vidual responsibilities in regen to ee gining workplace health safety and security requirements PC2 Comply with health safety and security proce kag fot the workplace PC3 Report any identified breaches i in health safety and security procedures to the designated person PC4 Identify potential hazards and preaches of safe work practices PCS Correct any hazards that individual can deal with safely yer and within the limits of authority PC6 Promptly and accurately report the hazards that individual is not allowed to deal with to the relevant_person and warn other people who may get affected _PC7 Follow the organisation s emergency procedures promptly calmly and efficiently PC8 Identify and recommend opportunities for improving health safety and security to the designated person PC9 Complete any health and safety records legibly and accurately Knowledge and Understanding K A Organisational To be competent the user individual on the job needs to know and understand Context Knowledge of the KA1 The importance of health safety and security in the workplace Healthcare KA2 The basic requirements of the health and safety and other legislations and provider regulations that apply to the workplace Organisation and KA3 The person s responsible for maintaining healthy safe and secure workplace its processes KA4 The relevant up to date information on health safety and security that applies to the workplace KAS How to
91. ving The user individual on the job needs to know and understand how to SB8 Interpret the patient needs related to draping and positioning and provide solution compassionately SB9 Modify general techniques for patients in distress while ensuring infection control protocol Analytical Thinking The user individual on the job needs to know and understand how to SB10 Interpret observations and report them 18 Page My e N S D C o Healthcare NOS S National Sector Skill Development Skill Council National Occupational Standards Corporation HSS N 2703 Prepare and position the patient for treatment SB11 Use the existing experience for improving the comfort during the process Critical Thinking The user individual on the job needs to know and understand how to SB12 Apply analyse and evaluate the information gathered from observation experience reasoning or communication as a guide to belief and action 19 Page gt WS N S D Cc Soj National y Seci OS Skill Development Skill Council National Occupational Standards Corporation HSS N 2703 Prepare and position the patient for treatment NOS Version Control NOS Code HSS N 2703 eNEAN 5 7 ET OPTIONAL z Industry ee Drafted on 12 05 13 Allied Health and Industry Sub sector Paramedics Last reviewed on 22 05 13 Occupation Dialysis Technician S Next review date 22 05 15 20 Page Skill
92. ysis to patient PC4 Perform actions gently to Bid causing pain speeidiy taking care to not disturb any catheters IV lines already present PC5 Keep the patient ina comfortable posture PC6 Provide the appropriate linen including covering sheet depending on the patient male female child and should know from where to obtain the same Knowledge and Understanding K A Organisational The user individual on the job needs to Context Knowledge of the KA1 Follow the provider s or organisation instructions about draping and positioning the patient KA2 Know and understand the relevant protocols good practices standards policies and procedures Healthcare provider Organisation and its processes B Technical The user individual on the job needs to know and understand Knowledge KB1 How to drape the patient appropriately KB2 Howto position the patient comfortably KB3 Howto modify the general protocol for patients with additional special requirements e g for cardiac patients physically handicapped persons etc KB4 Howto use personal protective gear while draping and positioning contagious and infected patients KB5 How to make sure that proper procedures and processes are followed 17 Page aM e N S D C soj National 24s Healthcare NOS Skill Development Sector Skill Council National Occupational Standards Corporation HSS N 2703 Prepare and position the patient for treatment Skills S

Qualifications Pack - Dialysis Technician

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