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Elements and Performance Criteria

  1. Maintain accurate records
  2. Contribute information to the development and implementation of the service delivery plan in accordance with role and responsibilities
  3. Comply with the administration protocols of the organisation
  4. Work within a legal and ethical framework to meet duty of care requirements

Required Skills

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 knowledge of

Legal aspect of documentation

Purpose of client records

Confidentiality and security of records

Basic health terminology

Common abbreviations used in the sector

How to complete assessment tools

How to identify and incorporate a clients personal preferences

How to assist with the collection of data

How to assist in identifying clients needs

How to participate in case conferences

Relevant assessment tools and funding sources

Essential skills

It is critical that the candidate demonstrate the ability to

Maintain accurate records

Contribute information to the development and implementation of the service delivery plan in accordance with role and responsibilities

Comply with the administration protocols of the organisation

Work within a legal and ethical framework to meet duty of care requirements

In addition the candidate must be able 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 the ability to

Demonstrate application of skills in

providing handovers

providing documentation in records

liaison with supervisors

use of information systems and technology

Apply language literacy and numeracy competence appropriate to the requirements of the organisation and client group

this may range from oral communication skills if reporting verbally to writing skills if filling in work forms

workplace forms may also vary in complexity

language used would most commonly be English however a community language may be appropriate according to the organisations policies

Apply oral communication skills required to fulfil the job role in the organisation service

oral skills may include listening to enquiries to providing simple factual information relevant to the workplace and client group

language used may be English or community language depending on the client group

Apply literacy competence required to fulfil the procedures of the organisationservice and according to the support available in the workplace

writing skills may range from the need to fill out a simple form to completion of a short report

language used would most commonly be English however a community language may be appropriate according to the organisations policies and accreditation requirements

reading skills may range from understanding the names on envelopescorrespondence to reading pamphlets to determine their relevance to an enquiry

Apply numeracy competence required to fulfil the procedures of the organisation service and according to the support available in the workplace

numeracy tasks may range from the need to count supplies to recording information on an organisation form

Evidence Required

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

Evidence must include observation of performance in the work environment or in a simulated work setting

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 andor Torres Strait Islander clients and communities

Context of and specific resources for assessment

This unit can be assessed independently however holistic assessment practice with other community services units of competency is encouraged

Resources required for assessment of this unit include access to

an appropriate workplace where assessment can be conducted or simulation of realistic workplace setting for assessment

Method of assessment may include

Observations

Questioning

Evidence gathered from the workplace environment

Demonstration over a period of time to ensure consistency of performance


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.

Factors to be considered when working within a plan of care include:

Accountability

Individual treatment plan

Personality of aged person

Expectations of aged person

Health status of aged person

Environment

Changes in behaviour may include:

Substance abuse

Distress

Agitation

Aggression

Sleeplessness

Withdrawal

Disorientation

Confusion

Changes in behaviour may be reported verbally or written, and may include:

Telephone reports

Face-to-face reports

Written reports

notes

memos

client records

specially designed report forms

Records and case history may include:

All records related to the aged person's health status

Assessments

Plans of care

Progress notes

Test results

Continence management charts and activities programs

Appropriate person may include:

Administrator

Colleagues

External agencies (complaints and advocacy services and professional registering authorities)

Health professionals

Immediate supervisor

Law enforcement officers

Member of senior management

Other health workers

Relative or other responsible person

Senior manager

Workplace forms may include:

Job sheets, time sheets, rosters

Client contact registers including telephone calls

Meeting registers and records

Purchase orders and invoices

Promotional materials

Records may be:

Accounting records e.g. account for payments, petty cash payments, purchases

Client records e.g. client statistics, client details, contact numbers etc.

Assessment and referral records

Records of jobs/clients attended

Sign on/sign off sheets

Purpose designed report forms

Store and maintain organisation informationincludes:

Manual and computer filing

Data base

Management of computer directories

Equipment includes:

Answering machines

Appliances

Computers

Email

Fax machines

Machinery

Maintenance equipment

Microwave ovens

Photocopiers

Telephones

Two-way radios

Cleaning equipment

Vehicles

Maintenance of equipment is:

According to routine maintenance instructions and responsibilities of the job role

Inquiries and requests may be internal and external via:

Telephone calls

Facsimiles

Letters

Email

Internal office memos

Personal visits

Reports may be in English or community languages as required by the organisation/service:

Verbal or written

Memos

Letters

Records

Chart reports

Notes

Organisation policy and protocolsinclude those relating to:

Filing and indexing

Security

Circulation

Confidentiality

Key statutory and legislative regulatory requirements may include those related to:

Privacy legislation

Health records legislation

Equal employment opportunities

Discrimination and harassment

Residential and community services

Poisons and therapeutics

Registration and practice of health professionals

Pharmaceutical benefits

Occupational health and safety

Freedom of information

Public health

Building standards

Criminal acts

Report may be, and include:

Verbal:

telephone

face-to-face

Non-verbal (written):

progress reports

case notes

incident reports

Rights may include:

Privacy

Confidentiality

Dignity

Freedom of association

Informed choice

To lodge a complaint

Right to express ideas and opinions

To an agreed standard of care

Rights are detailed in:

Legislation

Industry and organisation service standards

Industry and organisation codes of practice and ethics

Accreditation standards

International and national charters

Principles of access and equity may include:

Creation of a client orientated culture

Non-discriminatory approach to all individuals using or accessing the service

Respect for individual differences