Elements and Performance Criteria

RANGE STATEMENT

The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.


Delegation by supervising health professional refers to:
Conferring of authority to perform specific health support treatments and activities to a worker not usually authorised but who has been determined as appropriate for the task by the delegating health professional
Delegation is within the context of a care plan or other written instruction
Where delegation is provided verbally it must be confirmed as soon as practicable according to organisation procedures in writing and incorporated in the care plan
The authority is specific to an individual client within a specific care context and is not transferable
Delegation instructions must include:
specific instruction relating to the treatment and its purpose for particular client
expected impact of treatment on client
any other relevant instructions or information, especially information specific to the client


Supervision refers to:
Instructing, advising, and monitoring another person in order to ensure safe and effective performance in carrying out the duties of their position
Supervision may be conducted by various means including:
in person
through use of electronic communications media such as telephone or video conferencing, where necessary
Frequency of supervision will be determined by factors such as:
the task maturity of the person being supervised
the need to review and assess client conditions and progress in order to establish or alter treatment plans
The need to correct and develop non-clinical aspects such as time management, organisation requirements, communication skills, and other factors supporting the provision of clinical care and working within a team
Information may include:
Rehabilitation plan
Client care plan
Exercise plan
Client treatment plan
Instructions from the relevant health professional
Client record
Case notes
Other forms according to procedures of the organisation
Health plan


Health professional may include:
Registered nurse
General practitioner
Physiotherapist
Occupational therapist
Podiatrist
Speech pathologist
Dentist
Pharmacist
Community nurse
Psychiatrist


Client may include:
Adults
Children and young people
Older people
Client's recovering from a illness
People with a disability


Treatment may include:
Treatments delegated by a health professional, and in which the worker has had training and assessment specific to the needs of each client, including:
Asthma management, including nebulisers and according to a plan
Bowel management
Colostomy care
Continence management
CPAP
Enteral feeding
Foot care
Hot and cold packs
Naso gastric feeds
Oral hygiene
Oral suction
Oxygen therapy
PE.G. feeds
Physiotherapy support
Seizure management plans
Skin integrity
Suppositories, enemas, pessaries
Suprapubic catheter care (but not including insertion)
Urinalysis
Wound care


Document any inconsistencies may include:
Incident reports
Medical charts
Progress notes
Care plans
Health plans


Environment may include:
Home
Hospital
Mental health services
Other community setting
Palliative care units
Recreational setting
Rehabilitation setting
Residential settings
School
Work


All checks include:
Checking treatment against treatment plan
Checking client details
Checking the chart
Checking for authorisation
Checking the health plan


Relevant guidelines may include:
Organisation policies and procedures
WHS policies and procedures
Manufacturer specifications

EVIDENCE GUIDE

The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package.

Critical aspects for assessment and evidence required to demonstrate this unit of competency:
The individual being assessed must provide evidence of specified essential knowledge as well as skills
Observation of workplace performance is essential for assessment of this unit
Consistency of performance should be demonstrated over the required range of situations relevant to the workplace
Where, for reasons of safety, space, or access to equipment and resources, assessment takes place away from the workplace, the assessment environment should represent workplace conditions as closely as possible
Ability to work collaboratively with clients, carers and others


Access and equity considerations:
All workers in community services should be aware of access, equity and human rights issues in relation to their own area of work
All workers should develop their ability to work in a culturally diverse environment
In recognition of particular issues facing Aboriginal and Torres Strait Islander communities, workers should be aware of cultural, historical and current issues impacting on Aboriginal and Torres Strait Islander people
Assessors and trainers must take into account relevant access and equity issues, in particular relating to factors impacting on Aboriginal and/or Torres Strait Islander clients and communities


Context of and specific resources for assessment:
Assessment must be completed in the workplace and reflect specific delegation by supervising health professional
Resources essential for assessment include:
equipment and materials for undertaking identified treatments
protocols for determining client needs and goals and for measuring progress
infection control procedures
workplace health and safety guidelines
relevant organisation and legislative guidelines, standards and procedures


Method of assessment:
In cases where the learner does not have the opportunity to cover all relevant aspects in the work environment, the remainder should be assessed through realistic simulations, projects, previous relevant experience or oral questioning on 'What if?' scenarios
Assessment of this unit of competence will usually include observation of processes and procedures, oral and/or written questioning on Essential knowledge and skills and consideration of required attitudes
Where performance is not directly observed and/or is required to be demonstrated over a 'period of time' and/or in a 'number of locations', any evidence should be authenticated by colleagues, supervisors, clients or other appropriate persons