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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 competency unit	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 for a minimum of seven different foot hygiene sessions

Access and equity considerations	All workers in the health industry should be aware of access and equity 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 health issues facing Aboriginal and Torres Strait Islander communities workers should be aware of cultural historical and current issues impacting on health of 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 health of Aboriginal andor Torres Strait Islander clients and communities

Context of and specific resources for assessment	Assessment must be completed in the workplace Relevant guidelines standards and procedures Supervision from a podiatrist Resources essential for assessment include Clients Equipment Documentation

Methods of assessment	Observation in the work place Written assignmentsprojects or questioning should be used to assess knowledge Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice Clinical journals observation and structured clinical examinations Clinical skills involving direct client care are to be assessed initially in a supervised and controlled clinical setting If successful subsequent assessments are to be conducted during workplace application under direct supervision Clinical skills involving direct client care are to be assessed initially in a supervised and controlled clinical setting If successful, subsequent assessments are to be conducted during workplace application under direct supervision

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.

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 The nature of supervision is flexible and 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 in that position or clinical placement the need to review and assess client conditions and progress in order to establish or alter treatment plans in case of students and assistants 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 A person under supervision does not require direct (immediate) and continuous personal interaction, but the method and frequency will be determined by factors outlined above

Clients include:	Clients assessed as low risk by the podiatrist (and may include elderly people)

Settings may include	Hospitals Community health services Private practice Client homes Aged care residential care settings

Basic foot hygiene may include but is not limited to:	Washing Drying Applying medicaments emollients astringents moisturisers antiseptics Cutting and filing of non pathological nails Removal of superficial dead skin material (maceration) interdigitally

Conditions indicating client at high risk include:	Diabetes Peripheral vascular disease Peripheral neuropathy Immunologically compromised Nail pathology and disease Dermatological disease

Equipment may include:	Files Clippers Scissors Forceps Gauze applicators Personal protective equipment such as eyewear, gloves, masks Drill and burr/mandrel/Moore's disc Black's file Tissue nippers

Dressings may include:	Simple wound dressings used for skin breaks, cuts and abrasions incurred during performance of foot hygiene such as : Sterile gauze Tube gauze Adhesive tape

Padding and cushioning may include:	Tube foam Fleecy web Adhesive felts and foams Hypoallergenic tape

Clinical standards, guidelines, policies and procedures may include:	Clinical standards (state and national) Industry professional bodies Industry standards (state and national) Organisation policy directives Privacy Act Relevant Australian standards: Australian New Zealand Standard AS/NZS 4815 Australian Standard AS 4187 - 1998 Australian Standard AS 2182 - 1998 Infection Control Guidelines for Podiatrists, Australasian Podiatry Council, September 2005 Australasian Podiatry Council Australian Podiatry Association (state) Podiatrist Registration Board (state) Medical Records Act

Client compliance refers to:	Ability to follow instructions or suggestions Willingness to follow instructions or suggestions

Information may include:	Podiatry care plan Supervising podiatrist's instructions Client record Checklists Case notes Other forms according to procedures of the organisation

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HLTAH404B - Assist with basic foot hygiene

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Elements and Performance Criteria

Required Skills

Evidence Required

Range Statement