Assessor Resource

HLTAHCS004
Complete comprehensive physical health assessments

Assessment tool

Version 1.0
Issue Date: May 2024


You may want to include more information here about the target group and the purpose of the assessments (eg formative, summative, recognition)

Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assingnment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)


Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.
Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice Yes No Comments/feedback
Complete health assessments according to scope of practice and organisational standard treatment protocols. 
Consult relevant health professionals and client health records to evaluate current status of client’s health and impact of any previous treatment strategies. 
Obtain current client medical and social history and discuss specific presenting problems using culturally appropriate and safe communication. 
Obtain client information about effectiveness of any current treatments and self-care strategies. 
Explain organisational requirements for maintaining confidentiality of information and permissions for disclosure. 
Accurately document client history according to organisational policies and procedures. 
Determine specific examination and clinical test requirements from information gathered. 
Explain the reason and procedures for each examination and test to the client, confirm understanding and obtain informed consent. 
Implement required infection control precautions according to examination and test requirements. 
Use correct protocols to measure vital signs and identify any significant variation from normal reference range. 
Conduct physical examination and clinical tests based on observations and client presentation, and with respect for community values, beliefs and gender roles. 
Use correct clinical protocols to collect, record and send specimens for pathology testing. 
Accurately record details of all measurements, examinations and tests according to organisational policies and procedures. 
Evaluate pathology test results, check numerical test values against normal reference range and identify abnormal results. 
Identify, from examination results, any significant variations from normal reference range or client’s baseline and previous measurements. 
Evaluate significance of outcomes on the clinical progress or regression of any pre-existing client disease. 
Accurately identify any signs, symptoms and test results that indicate emerging or worsening disease and/or comorbidity. 
Determine own interpretation of client’s current health status based on history, presenting problems, examination and test results. 
Provide clear and accurate reports and consult with other health care team members to verify results and confirm client’s health status. 
Report any confirmed notifiable diseases according to procedural and legal requirements and within scope of own responsibility. 
Update client records with health assessment details according to organisational policies and procedures. 
Provide information about verified assessment results in plain language using culturally appropriate and safe communication. 
Explain significance of examination and pathology test results in the context of any pre-existing client disease and health care plan. 
Explain to client importance of regular check-ups and tests for the ongoing management of their health. 
Provide client with recommendations and referrals to assist with ongoing treatment and management of their health. 
Encourage client and/or significant others to question and clarify outcomes, and purpose of potential treatments and interventions. 
Confirm understanding and document information provided in client records. 

Forms

Assessment Cover Sheet

HLTAHCS004 - Complete comprehensive physical health assessments
Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

Student signature:

Result: Competent Not yet competent

Feedback to student

 

 

 

 

 

 

 

 

Assessor name:

Signature:

Date:


Assessment Record Sheet

HLTAHCS004 - Complete comprehensive physical health assessments

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

Feedback to student:

 

 

 

 

 

 

 

 

Overall assessment result: Competent Not yet competent

Assessor name:

Signature:

Date:

Student signature:

Date: