Assessor Resource

FNSPIM505
Use medical knowledge in the management of personal injury claims

Assessment tool

Version 1.0
Issue Date: May 2024


This unit describes the skills and knowledge required to apply medical information and knowledge of body systems and functions to personal injury management. It includes an overview of how human body systems are impacted by personal injuries and knowledge of common personal injury treatments, prognoses and management strategies.

It applies to individuals who have well developed skills and a broad knowledge base of the sector, services and organisation and take responsibility for case and/or technical management of claims.

Work functions in the occupational areas where this unit may be used are subject to regulatory requirements. Refer to the FNS Implementation Guide Companion Volume or the relevant regulator for specific guidance on requirements.

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



Evidence Required

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.

ELEMENT

PERFORMANCE CRITERIA

Elements describe the essential outcomes.

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Determine types and impacts of personal injuries

1.1 Research the location and nature of most common types of personal injuries

1.2 Determine the physiological impacts of personal injuries on identified body systems and their functioning

1.3 Identify the bio psychosocial effects of personal injuries and the personal injury management process on the claimant and significant others

1.4 Use knowledge of types and impacts of personal injuries in the management of claims

2. Research common treatments and prognoses

2.1 Identify the most common disorders arising from personal injury

2.2 Determine the most common treatments and prognoses of common disorders arising from personal injury

2.3 Research bio psychosocial barriers to effective treatment of personal injuries and strategies to manage them

2.4 Identify and coordinate appropriate services to manage personal injuries for claimants

3. Analyse and interpret medical information

3.1 Identify sources and obtain relevant medical information to meet specific personal injury management objectives

3.2 Use appropriate technology to analyse, interpret, store and share medical information to inform injury and claims management decisions

3.3 Seek advice from and escalate issues to appropriate specialists as required

3.4 Communicate accurate information about claims or cases using correct medical terminology to relevant stakeholders according to legislative and organisational requirements

Evidence of the ability to:

research, request, share and analyse medical information in the context of personal injury insurance claims management

use correct medical and anatomical terminology in communications with relevant stakeholders

use medical information to assist in making decisions and undertaking personal injury management work.

Note: if a specific volume or frequency is not stated, then evidence must be provided at least once.

To complete the unit requirements safely and effectively, the individual must:

identify appropriate sources of relevant medical information

define common medical and anatomical terminology used in personal injury management

outline the key features of the structure and physiology of major body systems, including:

cells, tissues and organs

cardiovascular system

respiratory system

musculoskeletal system

endocrine system

digestive system

urinary system

integumentary system

lymphatic system

sensory systems

immune system

neurological system

describe common types of personal injuries obtained through trauma, exposure, overuse, toxins and other environmental hazards

describe common disorders arising from personal injuries associated with a range of body systems and their impacts on the functioning of the relevant system

outline the potential physical, psychological and emotional impacts of a range of disorders on the claimant and their impact on personal injury management strategies

discuss common treatments and prognoses of a range of identified disorders

outline referral services required to manage a range of disorders, including treatment, investigation and diagnostic services

outline the key legislative, regulatory and organisational policy and procedural impacts on entitlement and the personal injury management process.

Assessment must be conducted in a safe environment where evidence gathered demonstrates consistent performance of typical activities experienced in the personal injury management field of work and include access to:

office equipment, technology, software and consumables

anatomical models, charts and/or diagrams

organisational records, policy and procedures.

Assessors must satisfy NVR/AQTF assessor requirements.


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.

ELEMENT

PERFORMANCE CRITERIA

Elements describe the essential outcomes.

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Determine types and impacts of personal injuries

1.1 Research the location and nature of most common types of personal injuries

1.2 Determine the physiological impacts of personal injuries on identified body systems and their functioning

1.3 Identify the bio psychosocial effects of personal injuries and the personal injury management process on the claimant and significant others

1.4 Use knowledge of types and impacts of personal injuries in the management of claims

2. Research common treatments and prognoses

2.1 Identify the most common disorders arising from personal injury

2.2 Determine the most common treatments and prognoses of common disorders arising from personal injury

2.3 Research bio psychosocial barriers to effective treatment of personal injuries and strategies to manage them

2.4 Identify and coordinate appropriate services to manage personal injuries for claimants

3. Analyse and interpret medical information

3.1 Identify sources and obtain relevant medical information to meet specific personal injury management objectives

3.2 Use appropriate technology to analyse, interpret, store and share medical information to inform injury and claims management decisions

3.3 Seek advice from and escalate issues to appropriate specialists as required

3.4 Communicate accurate information about claims or cases using correct medical terminology to relevant stakeholders according to legislative and organisational requirements

Evidence of the ability to:

research, request, share and analyse medical information in the context of personal injury insurance claims management

use correct medical and anatomical terminology in communications with relevant stakeholders

use medical information to assist in making decisions and undertaking personal injury management work.

Note: if a specific volume or frequency is not stated, then evidence must be provided at least once.

To complete the unit requirements safely and effectively, the individual must:

identify appropriate sources of relevant medical information

define common medical and anatomical terminology used in personal injury management

outline the key features of the structure and physiology of major body systems, including:

cells, tissues and organs

cardiovascular system

respiratory system

musculoskeletal system

endocrine system

digestive system

urinary system

integumentary system

lymphatic system

sensory systems

immune system

neurological system

describe common types of personal injuries obtained through trauma, exposure, overuse, toxins and other environmental hazards

describe common disorders arising from personal injuries associated with a range of body systems and their impacts on the functioning of the relevant system

outline the potential physical, psychological and emotional impacts of a range of disorders on the claimant and their impact on personal injury management strategies

discuss common treatments and prognoses of a range of identified disorders

outline referral services required to manage a range of disorders, including treatment, investigation and diagnostic services

outline the key legislative, regulatory and organisational policy and procedural impacts on entitlement and the personal injury management process.

Assessment must be conducted in a safe environment where evidence gathered demonstrates consistent performance of typical activities experienced in the personal injury management field of work and include access to:

office equipment, technology, software and consumables

anatomical models, charts and/or diagrams

organisational records, policy and procedures.

Assessors must satisfy NVR/AQTF assessor requirements.

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
Research the location and nature of most common types of personal injuries 
Determine the physiological impacts of personal injuries on identified body systems and their functioning 
Identify the bio psychosocial effects of personal injuries and the personal injury management process on the claimant and significant others 
Use knowledge of types and impacts of personal injuries in the management of claims 
Identify the most common disorders arising from personal injury 
Determine the most common treatments and prognoses of common disorders arising from personal injury 
Research bio psychosocial barriers to effective treatment of personal injuries and strategies to manage them 
Identify and coordinate appropriate services to manage personal injuries for claimants 
Identify sources and obtain relevant medical information to meet specific personal injury management objectives 
Use appropriate technology to analyse, interpret, store and share medical information to inform injury and claims management decisions 
Seek advice from and escalate issues to appropriate specialists as required 
Communicate accurate information about claims or cases using correct medical terminology to relevant stakeholders according to legislative and organisational requirements 

Forms

Assessment Cover Sheet

FNSPIM505 - Use medical knowledge in the management of personal injury claims
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

FNSPIM505 - Use medical knowledge in the management of personal injury claims

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: