BSBMED301 reading material 2024

CHCAGE005 Provide support to people living with dementia Learner Guide BSBMED301 Interpret and apply medical terminology appropriately Learner Guide HLT37015 – Cert III Sterilisation Services

Table of Contents Unit of Competency ..................................................................................................................................... 3 Application ................................................................................................................................................ 3 Performance Criteria ................................................................................................................................... 4 Foundation Skills ......................................................................................................................................... 4 Assessment Requirements .......................................................................................................................... 5 Knowledge Evidence .................................................................................................................................... 5 Assessment Conditions ................................................................................................................................ 5 1. Respond appropriately to instructions which contain medical terminology ............................................ 6 Receive, interpret and document written and oral instructions using medical terminology ........................ 7 Written and oral instructions .................................................................................................................... 7 Medical terminology ................................................................................................................................... 8 Medical terminology may include: ................................................................................................................ 8 Use checklists where appropriate .............................................................................................................. 10 Using checklists ....................................................................................................................................... 10 Interpret abbreviations for specialised medical terminology ..................................................................... 10 Common abbreviations and acronyms .................................................................................................... 11 Interpret and adhere to the policies and procedures of the workplace ..................................................... 11 Seek clarification when necessary ............................................................................................................... 11 Ensure own understanding of policies and procedures .......................................................................... 11 Policy examples ......................................................................................................................................... 12 Cleanliness and hygiene (infection control) ................................................................................................ 12 Work health and safety (WHS) .................................................................................................................... 13  To prevent workplace injuries and illnesses related to sterilization processes .................................. 13  To promote safe work practices and procedures within the sterilization department ...................... 13  To provide comprehensive training and resources to Sterilisation Technicians for carrying out their duties safely ....................................................................................................................................... 13  To ensure the proper maintenance and utilization of sterilization equipment and tools .................. 13  Sterilisation Technicians must adhere to safe work practices and use the prescribed personal protective equipment (PPE) when performing their duties ....................................................................... 14  Reporting safety hazards, incidents, or near-miss situations to their immediate supervisors in a timely manner is mandatory ..................................................................................................................... 14 Privacy and confidentiality .......................................................................................................................... 14 Privacy Act ................................................................................................................................................... 14 Learner Guide - Copyright © Chisholm 2023 1

Unit of Competency Application This unit describes the skills and knowledge required to understand and respond to instructions; to carry out routine tasks and communicate with a range of internal/external clients in a medical environment; as well as use appropriate medical terminology. It applies to individuals who apply a broad range of competencies in various medical administration contexts. They may exercise discretion and judgment using appropriate knowledge to provide technical advice and support to a team. No licensing, legislative or certification requirements apply to this unit at the time of publication. Unit Mapping Information BSBMED301B Interpret and apply medical terminology appropriately – equivalent unit Unit Sector Administration – Medical Services Administration Learner Guide - Copyright © Chisholm 2023 3

Performance Criteria Element: Elements describe the essential outcomes. Performance Criteria: Performance criteria describe the performance needed to demonstrate achievement of the element. 1. Respond appropriately to instructions which contain medical terminology 1.1 Receive, interpret and document written and oral instructions using medical terminology 1.2 Use checklists where appropriate 1.3 Interpret abbreviations for specialised medical terminology 1.4 Interpret and adhere to the policies and procedures of the workplace 1.5 Seek clarification when necessary 2. Carry out routine tasks 2.1 Use medical terminology correctly in the completion 2.2 Use medical terminology correctly in the completion of routine tasks 2.3 Seek assistance from supervisor or experienced staff member as required 3. Use appropriate medical terminology in oral and written communication 3.1 Use appropriate medical terminology as directed, in oral communication with patients, fellow workers and health professionals 3.2 Use appropriate medical terminology as directed, in written communication with patients, fellow workers and health professionals 3.3 Present written communication to a designated person for verification if required 3.4 Spell and pronounce medical terminology correctly Foundation Skills This section describes language, literacy, numeracy and employment skills incorporated in the performance criteria that are required for competent performance.  Reading o interprets technical language within various texts o determines how content can be used appropriately in the workplace  Writing o uses clear, specific and industry related terminology to complete and update workplace documentation  Oral Communication o pronounces complex and specific words correctly and uses them in the correct context o seeks the view and opinions of others by listening and questioning  Navigate the world of work o understands and operates within organisational procedures and policies  Interact with others o selects the appropriate form, channel and mode of communication for a specific purpose relevant to own role  Get the work done o plans a range of routine tasks, accepting goals and aiming to achieve them efficiently Learner Guide - Copyright © Chisholm 2023 4

1. Respond appropriately to instructions which contain medical terminology o Receive, interpret and document written and oral instructions using medical terminology o Use checklists where appropriate o Interpret abbreviations for specialised medical terminology o Interpret and adhere to the policies and procedures of the workplace o Seek clarification when necessary Learner Guide - Copyright © Chisholm 2023 6

Receive, interpret and document written and oral instructions using medical terminology By the end of this chapter, you must be able to:  Give examples of written or oral instructions that you receive and interpret on a regular basis  Give examples of abbreviations for medical and pharmacological terms that you use in their workplace  Give examples of names of doctors working in specialist fields  Explain the difference between chronic and acute  Name a bodily system and its functions. Written and oral instructions When working in a medical administrative environment, you will receive both written and oral instructions that you will have to interpret and document. Written and oral instructions may include:  Diary entries  Instrument Checklists  Daily Maintenance Test Documentation  Notices  Occupational health and safety (OHS) signs and instructions  Equipment Maintenance Checklists  Routine reports  Telephone calls  Theatre lists  Verbal instructions. You may receive this information verbally; over the telephone or face to face, or via written documentation; either electronic or hard copy. You will need to judge where the information you receive needs to be documented – for example, in a patient’s notes, in the diary. You will also need to predict who might need such information and inform them at your nearest opportunity. You may need to pass information over to health professionals. If passing information from health professionals to others, you may need to interpret and correctly document medical terminology that they have used, so that you can communicate this clearly to a third party (either orally or written). Learner Guide - Copyright © Chisholm 2023 7

Medical equipment and instruments:  Washer/Disinfector – Used to clean Medical Instruments  Ultra–Sonic – Cleans cannulated instruments using high frequency sound waves  Steriliser – Uses high temperatures & pressures with steam to kill all microbes on medical instruments – to sterilise them  HiPot Machine – Tests the insulation on electrical medical instruments for breaks  Drying Cabinet – Used to dry washed medical instruments that are still wet  Scanner – Used to scan instruments into an electronic checklist  Decontamination – an area of CSSD where contaminated instruments are cleaned of visible dirt & disinfected  Laparoscopic – a thin tube with a camera & light that is inserted to view & perform procedures within the body Medical procedures:  Colonoscopy – a medical procedure in which a flexible, lighted tube is inserted through the rectum to examine the inner lining of the large intestine and rectum for abnormalities. Parts of the body:  Nasal – relating to the nose  Renal – relating to the kidneys  Uterine – referring to the uterus, the muscular organ in the female reproductive system There are many terms that you will need to become familiar with and use when writing communications and plans to support healthcare practices. The above are select examples and you will need extra research and time to become familiar with relevant terms in your work area. Your supervisor may be able to help you with appropriate terms and it is also a good idea to keep a glossary book so that you can note terms down when you come across them. Use checklists where appropriate By the end of this chapter, you must be able to: Learner Guide - Copyright © Chisholm 2023 9

 Name types of medical checklist  Name checklists and explain why can they be useful  Describe the disadvantages of checklists. Using checklists Checklists contain a list of criteria for consideration for specific processes. They help to categorise items, simplifying the concepts contained within them so that they are easier to remember. The list of items can then be checked to see if anything has been missed. They are used to improve performance and prevent errors. This is highly important for health professionals, as they are likely to come across stressful situations where a checklist can be used as a prompt for memory to ensure specific procedures have been practised. The types of checklists you will use in CSSD can include:  Instrument Checklist  Equipment Test Checklist  Procedural Checklist  WHS or OHS hazard inspection checklist  Daily Maintenance Checklist  Infection Control Checklist You must bear in mind that checklists can be restrictive; it is up to you and your team to think of situations where they are needed. In some instances, they may be an unnecessary formality that is getting in the way (this can be the case if the time it takes up too much time). You should be involved in the regular reviews of any checklists that you use to ensure that they are working efficiently. Interpret abbreviations for specialised medical terminology By the end of this chapter, you must be able to:  Explain the abbreviations used for specialised medical terminology and give examples of the benefits that can be gained from interpreting abbreviations  Give examples of common abbreviations for specialised medical terminology used in your area of work. Common abbreviations and acronyms Abbreviations are used to communicate information succinctly when timeframes are limited. Time is often stretched in this sector and phrases that are commonly used have become abbreviated for efficiency. It is important that you are aware of some of the common abbreviations used in your area (note that these will differ depending on the area that you work in – for example, if you work with babies you may Learner Guide - Copyright © Chisholm 2023 10

 Telephone protocol  Recording information  Security, confidentiality and privacy procedures. Policy examples Cleanliness and hygiene (infection control) You should ensure that you follow infection control procedures at all times. Standard precautions are what you need to implement no matter what the situation. They include:  Washing your hands before and after patient contact  Using PPE, e.g. gloves, masks and plastic aprons  Safe use and disposal of sharps  Routine cleaning e.g. of equipment  Sterilising tools and only using certain tools once  Appropriate handling of linen  If you need to sneeze or cough do this away from the person and into a handkerchief which you can dispose of (if none available into the crease of your arm). You may be able to go on courses that provide training for certain policies and procedures. These may be based on legislation, or best practice. Sharps: Sharps are any item that can puncture the skin and transmit a blood borne disease such as HIV or Hepatitis B. Some common sharps in CSSD are:  Scalpel blades  Cat’s Paw Retractors  Surgical scissors  Tenaculum Forceps Work health and safety (WHS) Workplace Health and Safety (WHS) legislation replaced Occupational Health and Safety (OHS) legislation in 2011. WHS legislation stipulates that employers must provide their staff with: Learner Guide - Copyright © Chisholm 2023 12

 “ Safe premises  Safe machinery and materials  Safe systems of work  Information, instruction, training and supervision  A suitable working environment and facilities.” www.business.gov.au , accessed 15/12/2014 Employees are also obliged to ensure that they work safely and do not endanger the safety of their colleagues, clients and others. How WHS affects your work in health will vary according to your job role and your industry. In order to work safely and legally in your role, you should have been trained to do so by your organisation, as this is a legal requirement. Where you identify possible or actual WHS breaches in your planned responses, they will need to be reviewed and amended to be compliant immediately before they are used again. The Occupational Health & Safety (OHS) Policy for Sterilisation Technicians has the following objectives:  To prevent workplace injuries and illnesses related to sterilization processes.  To promote safe work practices and procedures within the sterilization department.  To provide comprehensive training and resources to Sterilisation Technicians for carrying out their duties safely.  To ensure the proper maintenance and utilization of sterilization equipment and tools.  To establish clear channels of communication for reporting safety concerns and incidents.  To ensure compliance with all applicable OHS laws, regulations, and industry best practices. The responsibilities for CSSD Technicians in the OHS Policy for Sterilising Technicians are:  Sterilisation Technicians must adhere to safe work practices and use the prescribed personal protective equipment (PPE) when performing their duties.  Reporting safety hazards, incidents, or near-miss situations to their immediate supervisors in a timely manner is mandatory.  Sterilisation Technicians are required to actively participate in OHS training programs and strictly follow all OHS policies and procedures. Privacy and confidentiality The Privacy Act comprises of 13 Privacy Principles that legally must be adhered to and also, as explained by the Office of the Australian Information Commissioner (OAIC) website: Learner Guide - Copyright © Chisholm 2023 13

 Where there is an imminent, serious threat to the public or a specific person  Where there is a police request for information under the Police Powers and Responsibilities Act 2000  For use by healthcare professional (as long as a recognised standard of treatment is being delivered). Issues of confidentiality should never be taken lightly – you should discuss them with your supervisor. Senior staff should always be involved for complex, competing decisions, e.g. confidentiality vs. safety. Anti-discrimination In Australia, the following anti-discrimination laws apply:  Age Discrimination Act 2004  Australian Human Rights Commission Act 1986  Disability Discrimination Act 1992  Racial Discrimination Act 1975  Sex Discrimination Act 1984. Full details about these Acts can be found at www.humanrights.gov.au Seeking clarification At times, you may be faced with uncertainty, for example, you may be asked a question that you do not know the answer to, you may need to check what a term means, or you may need to check what the procedure is for something. At these times it is wise to seek clarification. Clarification may be sought from:  A doctor  Medical dictionary  A nurse  A medically approved handbook  Immediate supervisor or manager. You will need to use your judgement to determine where to seek clarification. A medical dictionary is probably a good place to look for terminology, but an experienced staff member or supervisor may also know. If staff are busy, it could be a good idea to look up the term in the medical dictionary – this also shows initiative. There may be other terms that you come across that you need to clarify, and it may not be appropriate to seek clarification from staff several times. Learner Guide - Copyright © Chisholm 2023 15

2. Carry out routine tasks o Use medical terminology correctly in the completion of routine tasks o Seek assistance from supervisor or experienced staff member as required Use medical terminology correctly in the completion of routine tasks By the end of this chapter, you must be able to:  Record use of medical terminology while completing a routine task  Describe consequences of using incorrect terminology during a routine task. Routine tasks Routine tasks are those tasks that occur regularly on a daily basis. When completing these tasks, you will need to use the correct medical terminology. You should become accustomed to this type of medical terminology over time. Routine tasks include:  Daily maintenance of cleaning & sterilising machines  Contributing to meetings  Entering instrument checklists into computer systems  Ordering stock (e.g. Medical supplies)  Examining RMDs  Filling out documentation of tests performed  Receiving and making telephone calls  Cleaning work areas It is extremely important to use terminology correctly as misleading information could not only be confusing, but also have negative consequences. Consequences of using incorrect medical terminology may include:  Ordering the incorrect supplies may lead to lack of vital equipment  Mislabelling packed & wrapped trays of instruments which will be rejected in theatre  Instruments may become lost and time is spent locating them  Instruments may be damaged by not being processed correctly  Technicians may be injured by not following correct directions. Learner Guide - Copyright © Chisholm 2023 16

other people are talking. Using the correct medical terminology is important when communicating orally so that you do not mislead and confuse people. Oral communication may include:  Answering routine telephone enquiries  Communicating with a range of medical/hospital professionals  Reporting to staff at meetings  Transferring calls  Verbal instructions. You will have to alter your communication slightly when dealing with different people and situations. Fellow workers and health professionals will have a much better understanding of medical terminology than patients or their families. When communicating orally with fellow workers and health professionals, you should try your best to use the correct terminology. If you can, check terms before you communicate. Sometimes it can be more difficult to prepare if the conversation is spontaneous – for example, dealing with difficult patients/customers or answering queries either face to face or over the telephone. In these situations, you could explain that you need to check the terminology first, or ask a supervisor or fellow worker for help with an explanation. Teamwork and multi-disciplinary teams Undertaking work in a multi-disciplinary environment involves working alongside people with different expertise and within different departments. This is the case in the healthcare profession. A greater cooperation is therefore needed to be able to achieve the required goals. Attempts should be made to understand other department’s roles and needs. If you manage to cooperate and work together as to achieve a common goal you can benefit from all the advantages that a multi-disciplinary environment has to offer.  A large yet closely entwined support base means quick communication between distinct groups  A wide range of knowledge and skills can offer the opportunity to transfer skills  Peer review opportunities enable multi-disciplinary teams to improve and excel. Learner Guide - Copyright © Chisholm 2023 18

Use appropriate medical terminology as directed, in written communication with patients, fellow workers and health professionals Present written communication to a designated person for verification if required By the end of this chapter, you must be able to:  Describe types of written communication you use at their workplace  Explain how you can maintain accuracy when using terminology in written documents  Explain when you might need to present information for verification, and who you might need to present this to. Written communication Medical administration involves a large amount of written communication that needs to be documented and conveyed to appropriate people. Written communication may include:  Case reports  Forms  Letters  Memoranda  Minutes  Patient histories  Patient records  Telephone messages. You should use appropriate medical terminology when writing information down using any of the above methods. Abbreviations are a good idea if time is tight, e.g. in minutes, but you should only abbreviate as per your organisational requirements, so that your fellow workers can understand what you have written. You should also be familiar with the format of the above-written communication methods. Your organisation will have template documents for some written communications that should be used as part of organisation policies and procedures. Learner Guide - Copyright © Chisholm 2023 19