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Standards for health services in Australian prisons

Criterion 3.2.2 Qualifications and training of other staff with clinical roles

All other staff with clinical roles are appropriately trained for their role in our health service.


Indicators

A. Our other clinical staff (clinicians other than doctors) have appropriate training, qualifications and current registration, and participate in continuing professional development relevant to their profession (interview, document review).

B. Other staff who are involved in clinical care have appropriate training and qualifications, and participate in continuing education relevant to their role (interview, document review).

C. All our staff involved in clinical care have undertaken training in CPR in accordance with the requirements of the relevant registration act or professional organisation or at least every 3 years (document review).

D. All our staff involved in clinical care can describe how to use our automated external defibrillator (interview).


Explanation

Staff other than doctors who are involved in clinical care may include nursing staff, psychologists, allied health professionals or other members of the health service team who provide clinical care. All nonmedical staff involved in clinical care need to be appropriately trained for their roles, including the use of any clinical equipment and tests required for their role (eg. electrocardiograph, spirometer, steriliser, psychological screening or testing). Training may be gained through participation in external courses or on-the-job training at the health service.

The RACGP recognises that CPR skills are used infrequently and there is evidence that these skills diminish without use. Although Indicator C does not mandate CPR training more frequently than 3 yearly, many general practice professionals believe CPR training should be conducted on a more frequent basis, preferably annually.

The nature of incarceration means that patients have restricted ability to directly contact and use mainstream primary health and emergency services. As a consequence, health services in prisons need to have appropriate equipment for emergency care and resuscitation including an automated external defibrillator. All members of the clinical team should be trained in resuscitation techniques (CPR) and the use of the automated external defibrillator.

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