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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 of assessment	The individual being assessed must provide evidence of specified essential knowledge as well as skills Consistency of performance should be demonstrated over the required range of situations relevant to the workplace Where for reasons of safety space or access to equipment and resources assessment takes place away from the workplace the assessment environment should represent workplace conditions as closely as possible

Conditions of assessment	This unit includes skills and knowledge specific to Aboriginal andor Torres Strait Islander culture Assessment must therefore be undertaken by a workplace assessor who has expertise in the unit of competency or who has the current qualification being assessed and who is Aboriginal or Torres Strait Islander himherself or accompanied and advised by an Aboriginal or Torres Strait Islander person who is a recognised member of the community with experience in primary health care

Context of assessment	Competence should be demonstrated working individually under supervision or as part of a primary health care team working with Aboriginal andor Torres Strait Islander clients Assessment should replicate workplace conditions as far as possible

Related units	This unit may be assessed independently or in conjunction with other units with associated workplace application

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.

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 peoples It 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 governance Its application must be culturally sensitive and supportive of traditional healing and health, knowledge and practices

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

Supervision	Supervision must be conducted in accordance with prevailing State/Territory and organisation legislative and regulatory requirements References to supervision may include either direct or indirect supervision of work by more experienced workers, supervisors, managers or other health professionals A person at this level should only be required to make decisions about clients within the organisation's standard treatment protocols and associated guidelines

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 Variables Aboriginal 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

Health promotion/education services may include (for example) promotion of:	Child and adult immunisation Diabetes care Drug and alcohol use Nutrition Child health broadly Women's health Men's health Older people's health Oral health Eye health

Factors affecting food availability and access may include:	Social and domestic factors Community infrastructure Individual factors, such as: income level of knowledge physical ability transport

Australian Dietary Guidelines for specific groups apply to:	Infants Children Adolescents Adults Older adults

Provision of health care information includes:	Promotion of: benefits of good nutrition and physical activity factors that act as enablers and barriers to participation in physical activity (ref. national physical activity guidelines) smoking cessation and safe use of alcohol safe sex avoiding hazards for children ways to seek help accessing health services/ programs available to the community Information on nutrition, such as: benefits of obtaining a nutritionally adequate diet information on healthy food&cooking food content labelling risks of food-borne disease how to avoid contamination during food preparation safe food hygiene and storage Information on environmental health, such as: basic hygiene practices (personal, home and family) pest and animal management basic water, sewerage and waste management food safety Reinforcement of specific information provided by health service provider to support health care plan and requiring client compliance, such as: requirements of treatment program or medication regime specific dietary requirements and/or health care practices Sexual/reproductive health information, such as: safe sex practices common methods of birth control use of common contraceptives availability of help in relation to making decisions about unwanted pregnancy Information on healthy lifestyle and risks during pregnancy, including: Smoking cessation restrictions on alcohol balanced diet moderate physical activity iron and folate supplement continued ...

Provision of health care information includes: (continued)	Maternal and infant health information, such as: common physiological and emotional changes after childbirth activities to enhance post natal health care benefits of breast-feeding advantages/disadvantages of infant formula feeding and correct preparation of formula care of the newborn baby hearing health issues Information on nutrition for children, such as: appropriate age to introduce solid foods appropriate foods to introduce basic advice on healthy food healthy snacking for toddlers and pre-school age children Information on treatment of treatment of common childhood conditions, such as: nappy rash gastro-enteritis scabies and school sores chronic suppurative otitis media growth delay Information on oral health, such as: oral hygiene oral disease and its effects on the body prevention of dental caries, gum disease and oral cancer

Basic routine screening services may include:	Routine screening by age, sex, ethnicity and regional disease prevalence using common clinical procedures under supervision Screening practices in line with relevant local, organisation and national guidelines as per 'Evidence base to a preventative health assessment in Aboriginal and Torres Strait Islander peoples' (RACGP/NACCHO publication) Conditions to be screened for may include: diabetes overweight and obesity hypertension proteinuria hearing STIs oral health

Information may be obtained from:	Client Family Significant others Community Other professionals Relevant documentation, such as: National Physical Activity Guidelines (for adults, children, adolescents and older adults

Significant others may include:	Members of family Carers Any person with the right to speak for the client Government and non government organisations Key members of the community

Organisation guidelines may include:	Clinical protocols Occupational health and safety guidelines Procedures manuals Infection control guidelines Legislation National guidelines

Other health personnel may include:	Other health workers Nurses Doctors Specialists Allied health professionals Members of the community who provide health care for client Dental personnel

Documenting and recording may include:	Verbal reports Reporting in writing Taping Filming Photographs

Environment may include:	Remote Urban Rural Coastal Island Inland Clinic Community centre Patient's home, workplace or location

Feedback may be provided:	In writing Verbally Using symbols or drawings As a recording using sound or visual media

Resources may include:	People Brochures Displays Stories Videos Tapes CDs Computerised information Whiteboards etc

Key people are:	Identified by the local community and community controlled organisations

Agencies include:	Government and non-government organisations Community controlled organisations Other agencies that provide health and community services

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HLTAHW308B - Assist with basic health screening, promotion and education services

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Elements and Performance Criteria

Required Skills

Evidence Required

Range Statement