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Elements and Performance Criteria

1. Refer to medical or allied health professional.
   • Analyse client pre-exercise screening, risk stratification, and relevant fitness testing results.
   • Collect relevant health information from client as required.
   • Identify need for referral and guidance from medical practitioner or appropriate allied health professional.
   • Determine appropriate medical or allied health professional for client referral.
   • Obtain informed consent from client for the purpose of sharing client information with health professionals, including referrals.
   • Conduct referral in accordance with industry endorsed referral procedures.
2. Receive and respond to referrals.
   • Receive guidance from medical or allied health professional.
   • Seek verbal or written clarification from medical or allied health professional, if required.
   • Clarify recommendations with client and answer queries as required.
3. Deliver and monitor client fitness program.
   • Deliver exercise in accordance with guidance received from medical or allied health professional, within industry endorsed scope of practice.
   • Monitor client responses to exercise and make appropriate adjustments as required.
   • Respond to signs and symptoms of exercise intolerance and take appropriate action within scope of practice.
   • Refer client to appropriate medical practitioner or allied health professional if required.
4. Report on client progress.
   • Maintain records of client participation and progress.
   • Provide feedback to relevant medical or allied health professional in a timely manner using industry endorsed referral reporting procedures.
   • Receive further guidance from medical or allied health professional and modify exercise program and delivery as required.
   • Provide feedback to client on progress and any recommended adjustments to exercise program.
5. Maintain client records.
   • Identify and record information for communication and reporting to relevant medical or allied health professionals.
   • Update and maintain current client.
6. Refer to medical or allied health professional.
   • Analyse client pre-exercise screening, risk stratification, and relevant fitness testing results.
   • Collect relevant health information from client as required.
   • Identify need for referral and guidance from medical practitioner or appropriate allied health professional.
   • Determine appropriate medical or allied health professional for client referral.
   • Obtain informed consent from client for the purpose of sharing client information with health professionals, including referrals.
   • Conduct referral in accordance with industry endorsed referral procedures.
7. Receive and respond to referrals.
   • Receive guidance from medical or allied health professional.
   • Seek verbal or written clarification from medical or allied health professional, if required.
   • Clarify recommendations with client and answer queries as required.
8. Deliver and monitor client fitness program.
   • Deliver exercise in accordance with guidance received from medical or allied health professional, within industry endorsed scope of practice.
   • Monitor client responses to exercise and make appropriate adjustments as required.
   • Respond to signs and symptoms of exercise intolerance and take appropriate action within scope of practice.
   • Refer client to appropriate medical practitioner or allied health professional if required.
9. Report on client progress.
   • Maintain records of client participation and progress.
   • Provide feedback to relevant medical or allied health professional in a timely manner using industry endorsed referral reporting procedures.
   • Receive further guidance from medical or allied health professional and modify exercise program and delivery as required.
   • Provide feedback to client on progress and any recommended adjustments to exercise program.
10. Maintain client records.
    • Identify and record information for communication and reporting to relevant medical or allied health professionals.
    • Update and maintain current client.

Performance Evidence

Evidence of the ability to complete tasks outlined in elements and performance criteria of this unit in the context of the job role, and:

prepare referral letters for at least ten clients across a range of the following appropriate medical or allied health professionals when guidance and feedback is required regarding exercise participation:

accredited exercise physiologist

accredited practising dietician

chiropractor

continence nurse advisor

general practitioner

occupational therapist

osteopath

physiotherapist

podiatrist

psychologist

remedial massage therapist

sports physician

deliver at least five suitable exercise programs in response to guidance or instruction provided by medical or allied health professionals

maintain and store the following professional records:

parental or guardian consent, if relevant

pre-exercise screening results

other client health information

client informed consent

documented guidance provided by medical or allied health professional

clinical test results, as required

fitness test results, as required

exercise program

client participation

provide ongoing clear and constructive feedback to clients and medical or allied health professionals, in a timely manner and in accordance with industry endorsed referral and communication reporting procedures including:

client health and fitness status

program progress

questions and concerns, if any

client response to exercise

client goals.

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Knowledge Evidence

Demonstrated knowledge required to complete the tasks outlined in elements and performance criteria of this unit:

legislative and regulatory requirements regarding:

privacy

anti-discrimination

work health and safety/occupational health and safety

duty of care

business licenses and practices

consumer protection

civil liability law

organisational policies and procedures in regards to:

industry endorsed risk management protocols, exercise implications and referral requirements

confidentiality

privacy

recording client information

hygiene

emergency

standards of personal presentation

participant’s clothing and footwear

use, care and maintenance of equipment

industry endorsed risk stratification procedures, exercise implications and referral requirements for:

low-risk clients

moderate risk clients

higher risk clients

when there are extreme or multiple risk factors present and professional judgement to decide whether further medical advice is required identification of clients at high or higher risk of an adverse event occurring during exercise

physical activity and exercise intensity and frequency guidelines

role of medical or allied health professionals and their areas of expertise to enable appropriate and timely referrals for clients:

sports physician

registered general practitioner

registered physiotherapist

accredited exercise physiologist

occupational therapist

remedial massage therapist

registered chiropractor

registered osteopath

podiatrist

accredited practising dietician

registered psychologist

continence nurse advisor

the Health Practitioner Regulation National Law, Australian Health Practitioner Regulation Agency (AHPRA) and searchable practitioner registers

risk factors requiring client referral in accordance with industry endorsed pre-exercise screening and risk stratification processes

signs and symptoms of exercise intolerance or medical conditions requiring referral to appropriate medical practitioner or allied health professional, this may include but is not limited to:

chest pain at rest or during activity

severe breathlessness/feeling faint/dizziness/loss of balance

unusual fatigue or shortness of breath

asthma aggravation/attack

significant muscle, bone or joint pain (beyond what is normally expected during exercise)

recent rapid weight change

frequent or persistent headaches

visual problems such as diploplia or visual aura

balance or coordination deficit

a situation whereby the fitness professional makes a judgement that continuing the session is beyond their professional capabilities and scope of practice, and could potentially compromise client health and safety.

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