HLTENN059Apply nursing practice in the hyperbaric environment

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What an assessment for HLTENN059 must cover

93 assessable components: 3 elements (19 performance criteria), 1 performance evidence and 73 knowledge evidence requirements. An audit-defensible tool maps every question and task back to these — that mapping is the coverage matrix Auditori generates alongside the assessment.

Elements & performance criteria

1 Work in the hyperbaric environment.

  • 1.1Identify roles and responsibilities of members of the multidisciplinary health care team in the hyperbaric environment.
  • 1.2Identify potential and actual hazards in the hyperbaric environment and observe workplace health and safety requirements in own practice.
  • 1.3Identify rationale for pre-hyperbaric treatment safety checklists and participate in pre-hyperbaric treatment safety processes.
  • 1.4Identify potential causes of emergencies associated with the hyperbaric chamber and hyperbaric treatment and use methods to prevent emergencies.
  • 1.5Apply requirements of the hyperbaric chamber and locate main oxygen valve for situations and emergencies where the valve needs to be shut off.
  • 1.6Set up hyperbaric chamber equipment for treatments and solve problems during hyperbaric treatments.
  • 1.7Identify actual and potential contraindications to hyperbaric therapy for the person undergoing hyperbaric treatment and the multidisciplinary health care team.
  • 1.8Undertake annual hyperbaric medical and promote requirement with colleagues.

2 Contribute to comprehensive and specific assessment for hyperbaric treatment.

  • 2.1Perform nursing assessment using resources and tools specific to the hyperbaric unit in line with organisational policies and procedures.
  • 2.2Identify possible physical and psychological complications of hyperbaric treatment including contraindications based on findings of the assessment.
  • 2.3Evaluate physical, psychological and social impacts of hyperbaric treatment with the person, families and carers and ensure their knowledge is sufficient for informed consent.
  • 2.4Identify where acuity of a person exceeds own knowledge, skill or assessed competence and consult with multidisciplinary health care team.

3 Perform nursing interventions in the hyperbaric environment.

  • 3.1Apply strategies for managing anxiety during hyperbaric therapy.
  • 3.2Monitor and manage drainage tubes including interventions related to suction in the hyperbaric chamber at depth and at surface.
  • 3.3Apply principles related to hyperbaric oxygen therapy when setting up and managing breathing system in the hyperbaric chamber.
  • 3.4Perform wound management and record wound response to hyperbaric therapy and report to the multidisciplinary health care team.
  • 3.5Respond to hyperbaric emergencies and toxicity in line with organisational policies and procedures.
  • 3.6Analyse and problem solve to propose and implement nursing interventions to reflect changes in the condition in consultation with registered nurse.
  • 3.7Evaluate nursing interventions and identified outcomes against evidence-based best practice in hyperbaric nursing care.

Performance evidence

  • Evidence of the ability to complete tasks outlined in elements and performance criteria of this unit in the context of the job role, and:  perform nursing interventions for three different people undergoing a session of hyperbaric therapy in the workplace The tasks must be undertaken in accordance with the Nursing and Midwifery Board of Australia (NMBA) professional practice standards, codes and guidelines.

Knowledge evidence

  • Australian Standards applicable for work in compressed air and hyperbaric oxygen facilities
  • basic structure and internal layout of a hyperbaric chamber
  • common dive tables for hyperbaric treatment and their indications
  • common treatment profiles for hyperbaric therapy and their indications
  • conditions indicated and contraindicated for hyperbaric therapy treatment and the mechanisms of therapeutic benefit
  • educational resources and professional organisations associated with hyperbaric therapy
  • emergencies associated with the hyperbaric chamber and treatment:
  • fire inside the chamber
  • fire outside the chamber
  • emergency decompression
  • explosive decompression
  • uncontrolled compression
  • power failure
  • communication failure
  • chamber atmospheric contamination
  • isolation emergency including actual and potential violence
  • hyperbaric chamber treatment:
  • the chamber and sequence of events that occur during treatment
  • air equalisation observation techniques
  • strategies for managing an anxious patient during hyperbaric treatment
  • prohibited items in the chamber
  • clothing for treatments
  • complications
  • location of main oxygen valve and how to shut off
  • maintaining hyperbaric chamber cleanliness
  • fire and medical emergency procedures
  • symptoms of hyperbaric central nervous systems (CNS) toxicity and actions in response to the symptoms.
  • indications for hyperbaric therapy:
  • decompression sickness
  • carbon monoxide poisoning
  • smoke inhalation
  • osteoradionecrosis
  • selected wound healing
  • mixed non-aerobic and aerobic infections
  • air and gas embolism
  • osteomyelitis and refractory
  • gas gangrene and clostridial myonecrosis
  • soft tissue radio-necrosis
  • crush injuries and compartment syndrome
  • compromised skin grafts and flaps
  • thermal burns
  • blood loss
  • spider bites
  • legislative requirements for practice
  • complications of hyperbaric therapy:
  • cardiac arrest and airway management
  • hypoglycaemia
  • oxygen toxicity including CNS and pulmonary
  • isolation emergency including actual and potential violence
  • pneumothorax
  • claustrophobia
  • sinus and dental barotrauma
  • lung barotrauma
  • physiological effects of increased atmospheric pressure on the human body and of breathing 100 per cent oxygen, hyper oxygenation, helium and mixed gases under hyperbaric conditions
  • rationale for annual staff hyperbaric medicals
  • contraindications for hyperbaric therapy:
  • pulmonary function tests
  • tissue perfusion tests
  • excessive alcohol intake
  • dehydration
  • asthma
  • anxiety states or claustrophobia
  • dental work in the previous 24 hours
  • strenuous exercise before and after therapy
  • flying within 24 hours of treatment
  • anatomy, physiology and pathophysiology related to hyperbaric issues sufficiently in-depth and specialised to make judgements and to make professional contributions to hyperbaric nursing care
  • screening procedures to identify suitability for hyperbaric treatment
  • considerations for paediatric persons
  • theories of physics as they relate to hyperbaric treatments including:
  • Boyle’s law
  • Charles’s law
  • Henry’s law
  • Dalton’s law.

Unit content sourced from training.gov.au — © Commonwealth of Australia, licensed under CC BY 4.0. Auditori is not affiliated with the Department of Employment and Workplace Relations.

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Questions about assessing HLTENN059

What does an assessment tool for HLTENN059 need to cover?

To satisfy the Principles of Assessment and Rules of Evidence, an assessment for HLTENN059 needs to address all 93 unit components: 3 elements with 19 performance criteria, 1 performance evidence requirements, 73 knowledge evidence requirements, and the foundation skills. A coverage matrix mapping each question and task to these components is what an auditor looks for.

How does Auditori generate an assessment tool for HLTENN059?

Auditori pulls the current release of HLTENN059 from training.gov.au and generates a complete package: candidate assessment, assessor guide with model answers and observation criteria, and a coverage matrix mapping every component. A suitably qualified person then reviews and approves the draft in a built-in workflow — consistent with ASQA's guidance on AI use in VET — before export as branded PDF and editable Word.

Is the first assessment tool really free?

Yes. Every new account includes one free credit — enough to generate the complete assessment tool for HLTENN059 — with no card and no subscription required. After that it's pay-as-you-go per unit.

Can I check my existing HLTENN059 assessment instead of generating a new one?

Yes — upload your existing assessment or learner guide and Auditori maps it against every element, performance criterion, PE and KE of HLTENN059, showing exactly what's covered and what's missing. Mapping costs a quarter of a credit.

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