Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners

HLTAHW058 Mapping and Delivery Guide
Prepare for and support childbirth

Version 1.0
Issue Date: March 2024


Qualification -
Unit of Competency HLTAHW058 - Prepare for and support childbirth
Description
Employability Skills
Learning Outcomes and Application This unit describes advanced skills and knowledge required to support Aboriginal and/or Torres Strait Islander women during childbirth and support of childbirth in a culturally safe environment.This unit applies to those Aboriginal and/or Torres Strait Islander Health Workers working independently and as part of a multidisciplinary team to deliver primary health care services to Aboriginal and/or Torres Strait Islander clients and communities. The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian/New Zealand standards and industry codes of practice.
Duration and Setting X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.

Skills must be demonstrated working:

in a health service or centre

individually or as a member of a multidisciplinary primary health care team

with Aboriginal and/or Torres Strait Islander clients and communities.

In addition, simulations and scenarios must be used where the full range of contexts and situations cannot be provided in the workplace or may occur only rarely. These are situations relating to emergency or unplanned procedures (such as unplanned or emergency births) where assessment in these circumstances would be unsafe or is impractical.

Simulated assessment environments must simulate the real-life working environment where these skills and knowledge would be performed, with all the relevant equipment and resources of that working environment.

Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors.

Assessment must be undertaken by a workplace assessor who has expertise in this unit of competency and who is:

an Aboriginal and/or Torres Strait Islander Health Worker

or:

accompanied by an Aboriginal and/or Torres Strait Islander person who is a recognised member of the community with experience in primary health care.

Prerequisites/co-requisites
Competency Field
Development and validation strategy and guide for assessors and learners Student Learning Resources Handouts
Activities
Slides
PPT
Assessment 1 Assessment 2 Assessment 3 Assessment 4
Elements of Competency Performance Criteria              
Element: Elements define the essential outcomes.
       
Element: Plan and support culturally safe birthing for women and their families
  • Identify local birthing practices and cultural beliefs and discuss with women in planning and advocating for culturally appropriate and safe birthing options
  • Discuss roles, relationships and responsibilities to support culturally safe birthing, including the role of the Aboriginal and/or Torres Strait Islander Health Worker as an advocate for women and families
  • Discuss and identify signs of onset of labour and support women to attend the planned place of birth as required
  • Provide physical and emotional support to women as appropriate during childbirth and the immediate post-partum period
  • Support women and their families to take a self-care approach in line with individual needs to organisation and community requirements
  • Maintain referral and communication networks with medical staff, specialist obstetricians, midwives, allied health staff, birthing facilities and female community Elders regarding culturally safe birthing options and services
       
Element: Prepare and deliver safe birthing
  • Maintain emergency delivery bundles and instructions in isolated community settings
  • Identify signs and symptoms of imminent unexpected childbirth
  • Seek urgent professional assistance and advice with birthing as necessary
  • Prepare to manage untimely birth in a community or home setting using the best available resources
  • Identify helpers and allocate tasks as appropriate based on experience and knowledge
  • Prepare appropriate equipment and medication
  • Institute basic management of second and third stages of labour, if needed
  • Undertake initial management of post-partum haemorrhage according to emergency care guidelines and organisational protocols, as well as other common birthing emergencies
  • Arrange safe evacuation in consultation with medical or midwifery staff if required and as per organisation procedures
       
Element: Monitor and evaluate care
  • Monitor care of individual women after birth according to organisation procedures
  • Regularly update client files with birthing and postnatal details according to organisation procedures and policies
  • Review progress and outcomes in consultation with pregnant woman
  • Maintain registers of women undergoing postnatal care according to organisation policies and procedures
  • Keep schedules of participation in antenatal care and use to organise continuing care according to woman’s needs
  • Organise transport and other assistance as required to women post-birth
  • Supervise other staff participating in provision of birthing practices
  • Maintain referral and communication networks with medical staff, specialist obstetricians, midwives, allied health staff, birthing facility staff and female community Elders
  • Keep statistics for birthing outcomes and use to evaluate maternal health programs
       


Evidence Required

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes.

Performance criteria specify the level of performance needed to demonstrate achievement of the element.

1. Plan and support culturally safe birthing for women and their families

1.1 Identify local birthing practices and cultural beliefs and discuss with women in planning and advocating for culturally appropriate and safe birthing options

1.2 Discuss roles, relationships and responsibilities to support culturally safe birthing, including the role of the Aboriginal and/or Torres Strait Islander Health Worker as an advocate for women and families

1.3 Discuss and identify signs of onset of labour and support women to attend the planned place of birth as required

1.4 Provide physical and emotional support to women as appropriate during childbirth and the immediate post-partum period

1.5 Support women and their families to take a self-care approach in line with individual needs to organisation and community requirements

1.6 Maintain referral and communication networks with medical staff, specialist obstetricians, midwives, allied health staff, birthing facilities and female community Elders regarding culturally safe birthing options and services

2. Prepare and deliver safe birthing

2.1 Maintain emergency delivery bundles and instructions in isolated community settings

2.2 Identify signs and symptoms of imminent unexpected childbirth

2.3 Seek urgent professional assistance and advice with birthing as necessary

2.4 Prepare to manage untimely birth in a community or home setting using the best available resources

2.5 Identify helpers and allocate tasks as appropriate based on experience and knowledge

2.6 Prepare appropriate equipment and medication

2.7 Institute basic management of second and third stages of labour, if needed

2.8 Undertake initial management of post-partum haemorrhage according to emergency care guidelines and organisational protocols, as well as other common birthing emergencies

2.9 Arrange safe evacuation in consultation with medical or midwifery staff if required and as per organisation procedures

3. Monitor and evaluate care

3.1 Monitor care of individual women after birth according to organisation procedures

3.2 Regularly update client files with birthing and postnatal details according to organisation procedures and policies

3.3 Review progress and outcomes in consultation with pregnant woman

3.4 Maintain registers of women undergoing postnatal care according to organisation policies and procedures

3.5 Keep schedules of participation in antenatal care and use to organise continuing care according to woman’s needs

3.6 Organise transport and other assistance as required to women post-birth

3.7 Supervise other staff participating in provision of birthing practices

3.8 Maintain referral and communication networks with medical staff, specialist obstetricians, midwives, allied health staff, birthing facility staff and female community Elders

3.9 Keep statistics for birthing outcomes and use to evaluate maternal health programs

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role.

There must be evidence that the candidate has:

prepared for and supported at least five women during the pregnancy and birthing process, including:

communicating effectively with each client and family if available to obtain information and ensure understanding of information provided

providing treatment, medicine and other health care services appropriate to interpartum health in a safe and effective manner and within guidelines

liaising between service providers, individuals, families and community groups

holistically evaluating the impact of treatment on client’s physical, mental and emotional condition and behaviour

performing all required assessments to determine health of the client and baby

interpreting assessment outcomes to determine course of action for health care, including issues requiring immediate action

utilising referral services as necessary

recognising situations requiring immediate or urgent action and taking appropriate action as required within current job role, legislative requirements and organisation procedures

supporting the client to attend appointments for monitoring of own and baby’s health.

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:

birthing practices suitable for culturally safe and positive birth outcomes

organisation policies and procedures relating to client confidentiality

anatomy/physiology, pharmacology, pathology and basic microbiology relevant to pregnancy, maternal and/or infant health

knowledge of microbiology relevant to maternal and/or infant health and prevention of infection or cross infection

health conditions, obstetric problems and associated issues related to pregnancy, maternal and infant health

medical problems occurring in pregnancy requiring referral and follow-up

relevant assessment methods and use of associated equipment and testing procedures

relevant treatments, medicines and associated care services available

risks and contraindications associated with relevant treatments and medication

realistic expectation of client condition during monitoring of progress

obstetric problems, including:

antepartum haemorrhage

vaginal discharges

fluid loss from the vagina

ruptured membranes (including onset of labour, prolapsed cord, infection)

abdominal pain in pregnancy (including braxton hicks contractions and labour contractions)

pre-term labour

breech presentation

post-partum or intrapartum haemorrhage

shoulder dystocia

retained placenta

obstructed labour

eclampsia

vital signs during childbirth or delivery, including:

TPR

blood pressure

auscultation of foetal heart rate

blood glucose level

foetal palpation

fundal height measurements

urinalysis

weight

monitoring progress of labour

bloods

rate of contractions

baseline observations including, but not limited to:

temperature, pulse, respiration

blood pressure

blood loss per vaginum

condition of fundus

rate of contractions

progress of labour

documentation of findings from a physical assessment and follow-up as per policy and procedures manual

pain assessment

blood sugar levels

pulse oximetry

recognition of significant abnormalities in cardiotocograph (CTG) reading

immediate care required for newborns, including:

use of humidicribs

intravenous infusions

blood sugar levels

skin-to-skin contact and breastfeeding in the first hour after birth

weight, length and head circumference measurements

temperature

respiratory rate

APGAR scoring and assessment

resuscitation

oxygen administration.


Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assignment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)


Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes.

Performance criteria specify the level of performance needed to demonstrate achievement of the element.

1. Plan and support culturally safe birthing for women and their families

1.1 Identify local birthing practices and cultural beliefs and discuss with women in planning and advocating for culturally appropriate and safe birthing options

1.2 Discuss roles, relationships and responsibilities to support culturally safe birthing, including the role of the Aboriginal and/or Torres Strait Islander Health Worker as an advocate for women and families

1.3 Discuss and identify signs of onset of labour and support women to attend the planned place of birth as required

1.4 Provide physical and emotional support to women as appropriate during childbirth and the immediate post-partum period

1.5 Support women and their families to take a self-care approach in line with individual needs to organisation and community requirements

1.6 Maintain referral and communication networks with medical staff, specialist obstetricians, midwives, allied health staff, birthing facilities and female community Elders regarding culturally safe birthing options and services

2. Prepare and deliver safe birthing

2.1 Maintain emergency delivery bundles and instructions in isolated community settings

2.2 Identify signs and symptoms of imminent unexpected childbirth

2.3 Seek urgent professional assistance and advice with birthing as necessary

2.4 Prepare to manage untimely birth in a community or home setting using the best available resources

2.5 Identify helpers and allocate tasks as appropriate based on experience and knowledge

2.6 Prepare appropriate equipment and medication

2.7 Institute basic management of second and third stages of labour, if needed

2.8 Undertake initial management of post-partum haemorrhage according to emergency care guidelines and organisational protocols, as well as other common birthing emergencies

2.9 Arrange safe evacuation in consultation with medical or midwifery staff if required and as per organisation procedures

3. Monitor and evaluate care

3.1 Monitor care of individual women after birth according to organisation procedures

3.2 Regularly update client files with birthing and postnatal details according to organisation procedures and policies

3.3 Review progress and outcomes in consultation with pregnant woman

3.4 Maintain registers of women undergoing postnatal care according to organisation policies and procedures

3.5 Keep schedules of participation in antenatal care and use to organise continuing care according to woman’s needs

3.6 Organise transport and other assistance as required to women post-birth

3.7 Supervise other staff participating in provision of birthing practices

3.8 Maintain referral and communication networks with medical staff, specialist obstetricians, midwives, allied health staff, birthing facility staff and female community Elders

3.9 Keep statistics for birthing outcomes and use to evaluate maternal health programs

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice Yes No Comments/feedback
 
Identify local birthing practices and cultural beliefs and discuss with women in planning and advocating for culturally appropriate and safe birthing options 
Discuss roles, relationships and responsibilities to support culturally safe birthing, including the role of the Aboriginal and/or Torres Strait Islander Health Worker as an advocate for women and families 
Discuss and identify signs of onset of labour and support women to attend the planned place of birth as required 
Provide physical and emotional support to women as appropriate during childbirth and the immediate post-partum period 
Support women and their families to take a self-care approach in line with individual needs to organisation and community requirements 
Maintain referral and communication networks with medical staff, specialist obstetricians, midwives, allied health staff, birthing facilities and female community Elders regarding culturally safe birthing options and services 
Maintain emergency delivery bundles and instructions in isolated community settings 
Identify signs and symptoms of imminent unexpected childbirth 
Seek urgent professional assistance and advice with birthing as necessary 
Prepare to manage untimely birth in a community or home setting using the best available resources 
Identify helpers and allocate tasks as appropriate based on experience and knowledge 
Prepare appropriate equipment and medication 
Institute basic management of second and third stages of labour, if needed 
Undertake initial management of post-partum haemorrhage according to emergency care guidelines and organisational protocols, as well as other common birthing emergencies 
Arrange safe evacuation in consultation with medical or midwifery staff if required and as per organisation procedures 
Monitor care of individual women after birth according to organisation procedures 
Regularly update client files with birthing and postnatal details according to organisation procedures and policies 
Review progress and outcomes in consultation with pregnant woman 
Maintain registers of women undergoing postnatal care according to organisation policies and procedures 
Keep schedules of participation in antenatal care and use to organise continuing care according to woman’s needs 
Organise transport and other assistance as required to women post-birth 
Supervise other staff participating in provision of birthing practices 
Maintain referral and communication networks with medical staff, specialist obstetricians, midwives, allied health staff, birthing facility staff and female community Elders 
Keep statistics for birthing outcomes and use to evaluate maternal health programs 

Forms

Assessment Cover Sheet

HLTAHW058 - Prepare for and support childbirth
Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

Student signature:

Result: Competent Not yet competent

Feedback to student

 

 

 

 

 

 

 

 

Assessor name:

Signature:

Date:


Assessment Record Sheet

HLTAHW058 - Prepare for and support childbirth

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

Feedback to student:

 

 

 

 

 

 

 

 

Overall assessment result: Competent Not yet competent

Assessor name:

Signature:

Date:

Student signature:

Date: