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

This describes the essential skills and knowledge and their level required for this unit.

Essential knowledge:

The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role

These include:

Working knowledge of principles and practices of rehabilitation

Knowledge of codes of practice for delegated work

Legal and organisation requirements on equity, diversity, discrimination, rights, confidentiality and sharing information when supporting client treatment

Specific health issues associated with delegated work, including:

chronic health problems

health problems with older people

health problems relevant to specific disabilities

Continence management

Understanding of the physiology of ageing

Confidentiality and privacy requirements

Pain management principles

Infection control principles

Knowledge of anatomy and physiology to underpin delegated work

A range of treatments (as listed in the Range Statement) and their impact on client well being

Legal frameworks/requirements associated with delegated work

Principles and practices of assessment of individuals with complex needs

Best practice guidelines to address complex needs

Work health and safety (WHS) policies and procedures that relate to delegated client treatments

Infection control policies and procedures that relate to delegated treatments

Delegation, supervisory and reporting protocols of the organisation

Essential skills:

It is critical that the candidate demonstrate the ability to:

Read and accurately interpret delegated responsibilities from the care plan or other written instructions

Ensure all work is in accordance with supervising health professional's instructions

Follow delegated treatment instructions

Observe and record changes in the client's condition during and after delegated treatment and report to delegating/supervising health professional

Identify requirements outside scope of role, responsibility, knowledge and skill

Communicate effectively with clients in a treatment relationship

Communicate effectively with supervisors and co-workers

Work within a multi-disciplinary team

Establish priorities, manage time effectively and demonstrate well-developed personal organisation skills

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