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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. |
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Cultural respect | This competency standard supports the recognition, protection and continued advancement of the inherent rights, cultures and traditions of Aboriginal and Torres Strait Islander peoplesIt recognises that the improvement of the health status of Aboriginal and Torres Strait Islander people must include attention to physical, spiritual, cultural, emotional and social well-being, community capacity and governanceIts application must be culturally sensitive and supportive of traditional healing and health, knowledge and practices |
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Community control | Community participation and control in decision-making is essential to all aspects of health work, and the role of the health worker is to support the community in this process |
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Supervision | Supervision must be conducted in accordance with prevailing State/Territory and organisation legislative and regulatory requirementsReferences to supervision may include either direct or indirect supervision of work by more experienced workers, supervisors, managers or other health professionalsA person at this level should only be required to make decisions about clients within the organisation's standard treatment protocols and associated guidelines |
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Legislative Requirements | Federal, state or territory legislation may impact on workers' practices and responsibilities. Implementation of the competency standards should reflect the legislative framework in which a health worker operates. It is recognised that this may sometimes reduce the application of the Range of Variables in practice. However, assessment in the workplace or through simulation should address all essential skills and knowledge across the Range of VariablesAboriginal and/or Torres Strait Islander health workers may be required to operate in situations that do not constitute 'usual practice' due to lack of resources, remote locations and community needs. As a result, they may need to possess more competencies than described by 'usual practice circumstances'Under all circumstances, the employer must enable the worker to function within the prevailing legislative framework |
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Care plan may include: | Clinical treatment (from standard treatment protocols)Referral for further assessment, counselling and/or treatmentAdministration of medicinesSelf-management for chronic conditionsMonitoring regimeEvaluation of care |
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Related health care providers may include: | Personnel internal to the service providerExternal health care providersOther service provider |
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Standard treatment protocols include: | Written guidelines or orders that support the clinical management of presenting health problems (e.g. CARPA)Standard guidelines for infection control and occupational health and safety |
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Clinical equipment includes: | ThermometersStethoscopesPeak expiratory flow rate metersAuroscopeBlood glucose testing unitsNebulisers |
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Vital signs include: | TemperaturePulseBlood pressureRespiratory rate |
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Initiated action must include: | Application of standard precautions for infection control |
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Conditions requiring basic life support and urgent referral: | Raised respiratory rate or other signs of respiratory distress |
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Clinical treatments that may be initiated at this level include: | SplintingBandagingBasic eye and ear health care, including:ear toilets to clear pus and debris from outer earuse of appropriate management protocols for ear healthApplication of simple wound dressings, including:cleaning and dressing of wounds using wound management protocolsarrangements for follow up care of wounds and skin infectionsTreating head lice, scabies, common cold, diarrhoeaSimple podiatry care and referral to specialised podiatry services as indicatedAssisting diabetic clients to inject insulin |
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Serious or potentially serious health problems requiring First Aid and/or referral include: | Clinical signs of or susceptibility to serious infectionElevated blood pressure or pulse-rateCommon sexually transmissible infectionsEye problems, such as:acute deterioration in visual acuitysharp or blunt eye traumadiplopiaunilateral red eyeeye injury relating to hammering or using high speed equipmentchemicals, concrete or lime in the eye'arc eyes' - welders' flashFacial and dental trauma |
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Other conditions requiring prompt action in line with standard treatment protocols include: | Foot infection or ulceration in a person with diabetesSymptoms of feverEye problems requiring first aidClients with identified chronic diseasesClients requiring access dental careWomen with signs and symptoms of imminent childbirth, potentially serious complications of pregnancy and/or post-partum haemorrhage |
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Clients with fever who are susceptible to serious infection include: | InfantsElderlyPeople with chronic diseases (e.g. diabetes, chronic renal failure or hear disease)People with valvular heart diseaseThose with past rheumatic fever |
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Simple measure to ease symptoms of fever include: | Administration of paracetamol appropriate to ageUndressing and tepid sponging without causing discomfort |
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Monitoring and review of chronic conditions may include: | Anticipation and recognition of likely signs and symptoms to enable early interventionReferral to a medical practitioner or other senior health staff |
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Appropriate actions to be taken when significant variations from normal are found on urine testing include: | Referral to a medical practitioner or other senior health staffSending urine samples for further pathology testing (e.g. laboratory microscopy and culture; assay of albumin-creatinine ratio)Further pathology tests (e.g. blood for diabetes screening when there is glucose on urinanalysisActions recommended in:OATSIH Otitis Media Guidelines Communicable Disease Network Australia Trachoma Guidelines |
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Abnormal appearances of tympanic membrane and ear canal include: | Inflamed tympanic membraneTympanic membrane perforationPast tympanic traumaDischarging perforationImpacted waxForeign body in ear canalInflamed ear canalEx oma |
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Ear toilets to clear pus, wax and debris include: | Gentle syringing using warm water or dilute povidone-iodine solutionDry-mopping using 'tissue paper smears'Ear drops |
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Appropriate management of child with trachoma includes: | Antibiotic treatment of:the affected child other children in the household and immediate care-givers |
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Assistance to access dental care may include: | Liaising with local dental servicesArranging dental appointmentProviding transportCompleting dental assistance scheme forms |