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

This includes knowledge of

Depth of knowledge of anatomyphysiology pharmacology microbiology treatments and associated care services and treatments relevant to clients overall health

Availability effectiveness and risks associated with identified treatments and associated care services

Depth of knowledge of problems other treatments or conditions that may precipitate problems require modification of or result from specific treatments prescribed

Depth of knowledge of other conditions that may occur and require concurrent management

Commonly requested pathology tests and abbreviations including

full blood examination and ESR

random and fasting blood sugars

glycated haemoglobin

electrolytes and creatinine

liver function tests

lipid tests

thyroid function tests

iron studies

cardiac enzymes

urinary albumincreatinine ratio

tests for sexually transmitted infections

microscopy culture and sensitivities

The clinical significance of abnormal findings on common pathology tests with particular reference to use of medicines

Evaluation criteria and methods

Essential skills

It is critical that the candidate demonstrate the ability to

Use high level clinical knowledge and skills in delivering primary health care services to Aboriginal andor Torres Strait Islander clients including

detailed client observation questioning and assessment to determine the clients health status issues and needs including initiating and interpreting the result of common pathology tests

development documentation implementation and review of client care plans in collaboration with the client and relevant other care providers or members of a multidisciplinary team

maintenance of client records and upholding client confidentiality

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

This includes the ability to

Assess client condition in relation to health condition and treatments provided taking prior history into consideration

Recognise circumstances that indicate a need to modify the care plan

Work with other members of multidisciplinary team to

determine actions to address changing priorities or potential areas of risk

develop and document care plan

ensure actions determined in the clients care plan are carried out and documented

Refer for further assessment as required

Communicate effectively with client to

ensure understanding and obtain agreement to care plan

promote and obtain high level of compliance

evaluate effectiveness of and level of compliance with prescribed treatmentcare plan

Holistically evaluate potential impact of treatment on clients physical mental and emotional condition and behaviour

Assess clients potential for compliance in following prescribed treatmentcare plan

Perform clinical procedures safely and effectively

Use clean and store clinical equipment safely and effectively

Provide andor manage treatment medication and associated services in line with care plan

Apply highlevel decisionmaking and problem solving skills

Revise treatment medicines in consultation with multidisciplinary team as required to enhance or maintain overall effectiveness of care plan

Refer client for further assessment treatment andor counselling as required

Reflect on and improve own level and application of skills and knowledge to achieve desirable outcomes and maintain own capabilities

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

Cultural respect

Community control

Supervision

Legislative requirements

Common haematological, biochemical and microbiological tests include:

Common haematological, biochemical and microbiological test abnormalities include:

Developing a plan of action includes:

Care plan may include:

In addition to procedures covered at Certificate IV level, treatments may include:

Implementation of care plan may include:

Evaluation of care plan may include: