SISFFIT415A
Work collaboratively with medical and allied health professionals

This unit describes the performance outcomes, skills and knowledge required to identify situations and conditions requiring guidance from medical or allied health professionals, to interpret instructions from medical or allied health professionals and implement appropriate exercise plans.

Application

This unit applies to exercise trainers who provide a range of exercise programs to diverse populations including older clients, and is applicable to those employed in fitness environments such as fitness venues and those working autonomously in the fitness or health industry.


Prerequisites

Nil


Elements and Performance Criteria

ELEMENT

PERFORMANCE CRITERIA

Elements describe the essential outcomes of a unit of competency.

Performance criteria describe the performance needed to demonstrate achievement of the element. Where bold italicised text is used, further information is detailed in the required skills and knowledge section and the range statement. Assessment of performance is to be consistent with the evidence guide.

1. Identify and refer clients requiring medical or allied health professional expertise.

1.1. Access and review client initial pre-test screening information according to Legislation and regulatory requirements and organisational policies and procedures.

1.2. Ascertain additional health information from the client as required.

1.3. Analyse health information to determine the need for referral and guidance from medical or allied health professionals within established professional parameters.

1.4. Recommend client seek advice from medical or allied health professionals as appropriate according to organisational policies and procedures.

1.5. Arrange a referral to an appropriate medical or allied health professional.

1.6. Ensure referral occurs with permission or consent of client and within confidentiality and privacy standards

1.7. Complete relevant documentation according to organisational policies and procedures.

2. Receive and respond to referrals.

2.1. Identify instructions within the referral received from medical or allied health professional.

2.2. Seek clarification from medical or allied health professional as required.

2.3. Discuss outcomes of referral with client and answer client queries regarding exercise plan.

2.4. Develop exercise plan as directed by referral.

2.5. Document referral process according to organisational policies and procedures and legislation and regulatory requirements.

3. Apply exercise considerations and guidelines to provide an exercise plan to manage clients with identified special requirements.

3.1. Describe the exercise and types of exercise which are recommended for clients with identified special requirements exercising in the fitness industry to maintain and develop health and functional capacity to clients.

3.2. Deliver the exercise plan designed by a suitably qualified medical or allied health professional to clients with identified special requirements.

3.3. Instruct clients with identified special requirements under the supervision of suitably qualified medical or allied health professionals.

3.4. Apply aerobic and resistance training guidelines to clients with identified special requirements in line with recommendations and guidelines from medical or allied health professionals.

3.5. Provide advice on exercise guidelines appropriate to clients with identified special requirements in consultation with medical or allied health professional.

4. Monitor client responses and progress.

4.1. Monitor client response to the exercise program.

4.2. Report client progress including difficulties and concerns to medical or allied health professional in a timely manner.

4.3. Recognise signs and symptoms of instability and take appropriate action.

4.4. Notify medical or allied health professional of any changes in client condition or health status as required according to organisational policies and procedures and legislation and regulatory requirements.

4.5. Review client's fitness level and health status regularly and make appropriate modifications to exercise plan as required.

4.6. Provide feedback to client on progress and any recommended adjustments.

5. Maintain case management file.

5.1. Identify information that needs to be recorded in the case management file.

5.2. Identify information that needs to be shared with medical or allied health professionals and provide as required.

5.3. Maintain current, complete, accurate and relevant client records for each client contact.

Required Skills

Required skills

literacy skills to:

enable the accurate recording of client information

interpret and follow written sequenced instructions from medical or allied health professionals

communication skills to enable interaction with clients and medical or allied health professionals in an appropriate manner

problem-solving skills to determine situations and conditions requiring guidance from medical or allied health professionals

self management skills to determine and work within own areas of professional expertise.

Required knowledge

legislation and organisational policies and procedures to enable accurate recording of information and to maintain the security of client information

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

risk stratification process

exercise testing and testing supervision recommendations

risk factors beyond own expertise and authority indicating the need for referral recommendations

medical and anatomical terminology to accurately interpret instructions from medical or allied health professionals and to record client condition and information.

normal and abnormal values of common clinical tests used to determine health status of clients

effects of common medications prescribed to manage common health conditions

Evidence Required

The evidence guide provides advice on assessment and must be read in conjunction with the performance criteria, required skills and knowledge, range statement and the Assessment Guidelines for the Training Package.

Overview of assessment

Critical aspects for assessment and evidence required to demonstrate competency in this unit

Evidence of the following is essential:

identifies and advises clients requiring referral to medical or allied health professionals

communicates effectively with medical or allied health professionals using appropriate communication techniques to respond to instructions contained in referrals and provides accurate information to clients advised to seek referral

demonstrates ability to receive referrals in a professional manner in accordance with guidelines of referring medical or allied health professional and own organisation.

maintains confidentiality, security and privacy of information.

Context of and specific resources for assessment

Assessment must ensure participation in multiple client interactions that reflect a range of commonly encountered conditions requiring the guidance of a medical or allied health professional.

Assessment must also ensure access to:

a range of clients with a real or simulated range of fitness requirements

a range of real or simulated medical or allied health professional referrals appropriate to the range of clients

relevant documentation such as client record forms.

Method of assessment

A range of assessment methods should be used to assess practical skills and knowledge. The following examples are appropriate for this unit:

observation of consultations with a range of medical or allied health professionals

accurate and legible completion of workplace documentation in response to rehabilitation referrals according to legal and organisational requirements

oral or written questioning to assess knowledge of personal responsibilities and the range of services offered by medical or allied health professionals

third-party reports from a supervisor detailing work performance.

Holistic assessment with other units relevant to the industry sector, workplace and job role is recommended, for example:

SISFIT421A Plan and deliver personal training


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. Bold italicised wording, if used in the performance criteria, is detailed below. 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) may also be included.

Pre-test screening information must include:

medical history, including medications

current medical conditions

informed consent

letter from a medical or allied health professional.

Legislation and regulatory requirements may include:

Occupational Health and Safety

duty of care

privacy

anti-discrimination

copyright

licensing

child protection

trade practices

consumer protection

environmental

business registration and licences.

Organisational policies and procedures may include:

privacy

confidentiality

referral for appraisal

appraisal forms

recording appraisal information

waiver or release form.

Health information may include:

medical conditions

injuries

prescribed medication

medical and exercise history

functional limitations.

Client may include:

male or female

pre-natal

post-natal

menopausal

older clients:

de-conditioned males over 45

de-conditioned females over 50

older adolescents:

16 years and over

those with:

illness or sickness

disease or disorder

unaccustomed lack of functional strength.

Medical or Allied health professional may include:

sports physician

sports doctor

general practitioner

physiotherapist

accredited exercise physiologist

occupational therapist

remedial massage therapist

chiropractor

osteopath

accredited practising dietician

psychologist

continence nurse advisor.

Referral may include:

instructions to provide part or all of the exercise program to a client

specific instructions to implement an exercise program within the current expertise and knowledge of the fitness trainer.

Feedback may include:

verbal, in a timely manner

written.

Client response may include:

heart rate

respiratory rate

subjective ratings of perceived exertion

subjective ratings of specific symptomatic complaints

signs and symptoms of exercise intolerance.

Signs and symptoms of instability may include:

unusual fatigue and weakness

pain, discomfort or other anginal equivalent in the chest, neck, jaw, arms or other areas that may be due to ischemia

breathlessness

oedema

palpitations or tachycardia or bradycardia

claudication pain

dizziness or lightheadedness

musculo-skeletal pain.

Client records may include:

electronic

hand written

pre-exercise screening form

medical clearance

fitness test results

clinical test results

informed consent

caregiver or legal guardian sign off.


Sectors

Fitness


Employability Skills

This unit contains employability skills.


Licensing Information

No licensing, regulatory or certification requirements apply to this unit at the time of endorsement.