HLTOTH007 — Apply and remove traction
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What an assessment for HLTOTH007 must cover
122 assessable components: 4 elements (24 performance criteria), 5 performance evidence and 89 knowledge evidence requirements, plus 4 foundation skills. 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 Prepare to apply and remove traction.
- 1.1Receive and interpret traction application and removal instructions in referral documentation and seek clarification if required.
- 1.2Identify safety hazards and risks, assess risks and implement risk control strategies to minimise risks to client and self.
- 1.3Perform hand hygiene and use personal protective equipment (PPE) according to work health and safety and infection control procedures.
- 1.4Source information through delegated subjective and clinical assessments to determine client condition, individual needs, to identify precautions and potential complications.
- 1.5Provide relevant and timely feedback including liaising with medical practitioner for conditions requiring immediate review.
- 1.6Liaise with healthcare team to discuss subjective and objective findings and confirm instructions.
- 1.7Explain traction application and removal procedure to client, provide opportunities to ask questions and discuss areas of concern.
- 1.8Obtain client consent to proceed with traction application and removal.
- 1.9Observe wound and pin site care and identify issues for referral to medical practitioner.
2 Apply traction techniques.
- 2.1Assemble equipment and inspect to confirm it is clean and in working order in accordance with manufacturer specifications.
- 2.2Communicate with clients in a caring and respectful manner.
- 2.3Monitor client to identify and manage client anxiety.
- 2.4Position client for correct anatomical positioning of limb and confirm client comfort and safety.
- 2.5Refresh and maintain clean skin.
- 2.6Select and use equipment and traction techniques to apply and remove traction according to instructions.
- 2.7Check and confirm traction to meet instructions and individual client needs.
3 Undertake post traction application and removal procedures.
- 3.1Review client condition and identify precautions and potential complications.
- 3.2Provide written and verbal advice for care of traction and limb according to referral from the healthcare team and discuss client concerns.
- 3.3Identify and report client self-management concerns to healthcare team and arrange support within limitations of job role.
- 3.4Complete clinical records according to documentation procedures.
4 Clean working environment.
- 4.1Remove PPE and perform hand hygiene according to work health and safety and infection control procedures.
- 4.2Dispose of waste according to waste management procedures.
- 4.3Clean, sanitise and store equipment according to manufacturer specifications.
- 4.4Clean work surfaces according to infection control procedures.
Performance evidence
- apply and remove traction including: manual; skin adhesive; skin non-adhesive.
- interpreting referrals, sourcing information with the healthcare team and following instructions within the healthcare setting
- reviewing, treating, advising and referring clients: paediatrics; adults
- selecting, using and maintaining equipment: eye protection equipment; felt and calico; foot plate; measuring tape and goniometer; medical adhesive tape; safety pins; scissors; skin traction assembly kits; traction attachments; traction bed; traction ropes and pulleys; traction weights and water bags
- documenting clinical records.
Knowledge evidence
- procedures relevant to applying and removing traction:
- client confidentiality and privacy
- client consent
- duty of care
- infection control
- inventory
- work health and safety
- role and responsibilities and boundaries of responsibilities relevant to applying and removing traction
- anatomy and physiology relevant to applying and removing traction
- methods for interpreting radiological findings and features of x-rays, CT scans and MRI scans relating to orthopaedic devices and the presenting condition
- conditions for referral of clients for immediate review by a medical practitioner:
- evidence of infection
- intense localised pain
- neurovascular status outside normal limits
- wound breakdown and deterioration
- individual client needs:
- developmental stage including paediatrics and adults
- in clients and out clients
- functional requirements and restrictions
- mobilisation difficulties and restrictions
- level of anxiety
- physical anomalies
- religious and cultural beliefs
- environment and climate
- pathology and assessment of client conditions:
- allergies
- mechanism of injury
- interference
- non-union fracture
- oedematous extremity
- wires, pins, external fixatures and surgical wounds
- medical history and co-morbidities
- skin condition including oedema, blisters, pressure areas, broken skin, fragile skin and wound breakdown
- precaution types, characteristics and resolution:
- diseases which may contribute to loss of bone density and reduction in bone strength
- fluid retention
- areas of broken skin
- complication types, characteristics and resolution:
- broken pins and wires
- contact dermatitis and allergic response
- failure to achieve acceptable length including insufficient weights
- failure to achieve alignment
- loss of apposition due to over distraction including excessive weights
- loss of movement and function due to immobilisation
- neurovascular complications
- pressure areas
- reduced range of movement and function of joint
- secondary infection including pin site etc.
- pneumonia
- constipation
- contra-indication types, characteristics and resolution:
- fragile and anaesthetic skin
- osteoporosis
- rheumatoid arthritis
- infection
- pregnancy
- respiratory and circulatory problems
- claustrophobia
- cardiovascular disease
- joint problems
- traction type and purpose:
- manual
- skin adhesive
- skin non-adhesive
- traction techniques:
- anatomical positioning
- bone manipulation
- balanced suspension
- protective cover for broken skin with aseptic technique
- traction equipment purpose, selection, safe use and maintenance:
- eye protection equipment
- felt and calico
- foot plate
- measuring tape and goniometer
- medical adhesive tape
- safety pins
- scissors
- skin traction assembly kits
- traction attachments
- traction bed
- traction ropes and pulleys
- traction weights and water bags
- medications relevant to traction and future care
- types of client advice:
- limb, body and pin site care
- mobilisation exercises and routines
- traction care
- clinical record requirements
- medical terminology relevant to traction.
Foundation skills
- Oral communication skills: to ask open and closed questions and actively listen to determine and meet needs of client; communicate with people from diverse backgrounds; manage conflict.
- Numeracy skills: to read, use and discuss spatial and measurement information in referrals, x-rays, CT scans and MRI scans.
- Teamwork skills: to collaborate and cooperate with multidisciplinary teams and healthcare professionals.
- Technology skills: to access and record clinical records and referrals.
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 HLTOTH007
What does an assessment tool for HLTOTH007 need to cover?
To satisfy the Principles of Assessment and Rules of Evidence, an assessment for HLTOTH007 needs to address all 122 unit components: 4 elements with 24 performance criteria, 5 performance evidence requirements, 89 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 HLTOTH007?
Auditori pulls the current release of HLTOTH007 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 HLTOTH007 — with no card and no subscription required. After that it's pay-as-you-go per unit.
Can I check my existing HLTOTH007 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 HLTOTH007, showing exactly what's covered and what's missing. Mapping costs a quarter of a credit.
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