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Evidence Guide: HLTAH404C - Assist with basic foot hygiene

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

HLTAH404C - Assist with basic foot hygiene

What evidence can you provide to prove your understanding of each of the following citeria?

Prepare for basic foot hygiene

  1. Interpret and respond to client Foot Care Plan and occasion of care requirements as prescribed by supervising podiatrist
  2. Determine client availability according to organisation protocols
  3. Gather necessary equipment
  4. Undertake steps to meet infection control requirements
  5. Prepare for basic foot hygiene to comply with legislation, regulatory and organisation/practice requirements
Interpret and respond to client Foot Care Plan and occasion of care requirements as prescribed by supervising podiatrist

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Determine client availability according to organisation protocols

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Gather necessary equipment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Undertake steps to meet infection control requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare for basic foot hygiene to comply with legislation, regulatory and organisation/practice requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Perform basic foot hygiene

  1. Explain to the client the purpose, rationale and requirements of the foot hygiene session
  2. Determine the client's understanding of the purpose, rationale and requirements of each part of the foot hygiene session
  3. Identify any condition indicating the client is at high risk that requires podiatrist attention
  4. Assist client in and out of shoes, socks and hosiery where necessary
  5. Correctly position the client prior to foot hygiene session
  6. Implement necessary infection control measures
  7. Perform basic foot hygiene according to the directions of the podiatrist and using appropriate infection control precautions, especially in relation to air borne particles
  8. Apply appropriate dressings to any skin breaks which might result from treatment
  9. Provide feedback that reinforces the podiatrist's advice
  10. Identify and manage client compliance issues.
  11. Work with client to determine and plan any follow up requirements and dates
  12. Seek assistance when client presents with needs or signs outside limits of own authority
  13. Report client difficulties to the supervising podiatrist
Explain to the client the purpose, rationale and requirements of the foot hygiene session

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Determine the client's understanding of the purpose, rationale and requirements of each part of the foot hygiene session

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify any condition indicating the client is at high risk that requires podiatrist attention

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist client in and out of shoes, socks and hosiery where necessary

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Correctly position the client prior to foot hygiene session

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Implement necessary infection control measures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Perform basic foot hygiene according to the directions of the podiatrist and using appropriate infection control precautions, especially in relation to air borne particles

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Apply appropriate dressings to any skin breaks which might result from treatment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide feedback that reinforces the podiatrist's advice

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and manage client compliance issues.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Work with client to determine and plan any follow up requirements and dates

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Seek assistance when client presents with needs or signs outside limits of own authority

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Report client difficulties to the supervising podiatrist

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Apply padding and cushioning as prescribed by the supervising podiatrist

  1. Explain to the client the purpose, rationale of the dressing, padding or cushioning
  2. Determine the client's understanding of the purpose, rationale of the dressing, padding or cushioning
  3. Correctly position the client
  4. Implement necessary infection control measures, including disposal of used, padding and cushioning according to infection control protocols
  5. Apply, padding and cushioning according to directions of podiatrist
  6. Provide feedback that reinforces the podiatrist's advice
  7. Identify and manage client compliance issues.
  8. Work with client to determine and plan any follow up requirements and dates
  9. Seek assistance when client presents with needs or signs outside limits of own authority.
  10. Report client difficulties to the supervising podiatrist
Explain to the client the purpose, rationale of the dressing, padding or cushioning

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Determine the client's understanding of the purpose, rationale of the dressing, padding or cushioning

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Correctly position the client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Implement necessary infection control measures, including disposal of used, padding and cushioning according to infection control protocols

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Apply, padding and cushioning according to directions of podiatrist

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide feedback that reinforces the podiatrist's advice

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and manage client compliance issues.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Work with client to determine and plan any follow up requirements and dates

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Seek assistance when client presents with needs or signs outside limits of own authority.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Report client difficulties to the supervising podiatrist

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Clean and store equipment

  1. Collect, handle, manage and dispose of biological waste material according to organisation guidelines and infection control requirements
  2. Prepare equipment for sterilisation according to manufacturer and organisation requirements
  3. Store equipment according to manufacturers requirements and organisation protocols
  4. Report equipment faults to appropriate person
Collect, handle, manage and dispose of biological waste material according to organisation guidelines and infection control requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare equipment for sterilisation according to manufacturer and organisation requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Store equipment according to manufacturers requirements and organisation protocols

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Report equipment faults to appropriate person

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Document client information

  1. Document occasion of basic foot hygiene according to organisation requirements
  2. Document referral to supervising podiatrist as required
  3. Use appropriate terminology to document symptomatic expression of identified problems
Document occasion of basic foot hygiene according to organisation requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Document referral to supervising podiatrist as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use appropriate terminology to document symptomatic expression of identified problems

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Comply with supervisory requirements

  1. Provide podiatry assistance according to the instruction of treating podiatrist
  2. Provide client progress feedback to the treating podiatrist
  3. Report client difficulties and concerns to the treating podiatrist
  4. Implement variations to the podiatry care according to the advice of the treating podiatrist
Provide podiatry assistance according to the instruction of treating podiatrist

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide client progress feedback to the treating podiatrist

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Report client difficulties and concerns to the treating podiatrist

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Implement variations to the podiatry care according to the advice of the treating podiatrist

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

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 for assessment and evidence required to demonstrate this competency unit:

The individual being assessed must provide evidence of specified essential knowledge as well as skills

Observation of workplace performance is essential for assessment of this unit

Consistency of performance should be demonstrated for a minimum of seven different foot hygiene sessions

Access and equity considerations:

All workers in the health industry should be aware of access and equity issues in relation to their own area of work

All workers should develop their ability to work in a culturally diverse environment

In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities, workers should be aware of cultural, historical and current issues impacting on health of Aboriginal and Torres Strait Islander people

Assessors and trainers must take into account relevant access and equity issues, in particular relating to factors impacting on health of Aboriginal and/or Torres Strait Islander clients and communities

Context of and specific resources for assessment:

Assessment must be completed in the workplace.

Relevant guidelines, standards and procedures

Supervision from a podiatrist

Resources essential for assessment include:

Clients

Equipment

Documentation

Methods of assessment:

Observation in the work place

Written assignments/projects or questioning should be used to assess knowledge

Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice

Clinical journals, observation and structured clinical examinations

Clinical skills involving direct client care are to be assessed initially in a supervised and controlled clinical setting
If successful, subsequent assessments are to be conducted during workplace application under direct supervision

Required Skills and Knowledge

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:

Basic anatomy and physiology of the foot and basic understanding of foot pathology

Client care plans, goals and limitations of podiatry intervention

Conditions treated by a podiatrist

Disease processes relevant to the client group/s

Infection control protocols

Medical terminology

Work health and safety (WHS) policy and procedures

Pathology of nails

Principles of aseptic technique

Principles of foot hygiene

Privacy and confidentiality requirements

Record keeping requirements

Relevant organisation policies and procedures

Roles, responsibilities and limitations of self and other allied health team members and nursing, medical and other personnel

Standard precautions

Structure and functioning of the skin and integuments

Supervisory and reporting protocols

The function of medicaments:

emollients

astringents

moisturisers

antiseptics

Essential skills:

It is critical that the candidate demonstrate the ability to:

Consistently apply infection control requirements

Consistently apply a simple wound dressing

Consistently apply padding and cushioning to a range of conditions

Consistently identify foot issues requiring additional podiatry support

Consistently adhere to supervisory requirements.

Communicate effectively with clients

Provide legible, logical and appropriate documentation

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:

Apply medicaments:

emollients

astringents

moisturisers

antiseptics

Apply time management, personal organisation skills and establishing priorities

Apply wound dressing for iatrogenic wound

Communicate effectively with supervisors and co-workers

Cut and file nails

Identify pathological nail and skin conditions

Identify situations and conditions requiring referral to podiatrist

Identify variations in podiatry conditions

Maintain accurate records

Operate within OH&S and infection control requirements

Safely and effectively use podiatry instruments

Safely use electrical equipment, including electric drill

Select and implement basic foot assessment skills

Take into account opportunities to address waste minimisation, environmental responsibility and sustainable practice issues

Undertake activity analysis - breaking activities down into component parts

Undertake padding processes

Use effective observation skills

Work effectively with non-compliant clients

Work under direct and indirect supervision

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.

Supervision refers to:

Instructing, advising, and monitoring another person in order to ensure safe and effective performance in carrying out the duties of their position

The nature of supervision is flexible and may be conducted by various means including:

in person

through use of electronic communications media such as telephone or video conferencing, where necessary

Frequency of supervision will be determined by factors such as:

the task maturity of the person in that position or clinical placement

the need to review and assess client conditions and progress in order to establish or alter treatment plans in case of students and assistants

the need to correct and develop non clinical aspects such as time management, organisation requirements, communication skills, and other factors supporting the provision of clinical care and working within a team

A person under supervision does not require direct (immediate) and continuous personal interaction, but the method and frequency will be determined by factors outlined above

Clients include:

Clients assessed as low risk by the podiatrist (and may include elderly people)

Settings may include

Hospitals

Community health services

Private practice

Client homes

Aged care residential care settings

Basic foot hygiene may include but is not limited to:

Washing

Drying

Applying medicaments

emollients

astringents

moisturisers

antiseptics

Cutting and filing of non pathological nails

Removal of superficial dead skin material (maceration) interdigitally

Conditions indicating client at high risk include:

Diabetes

Peripheral vascular disease

Peripheral neuropathy

Immunologically compromised

Nail pathology and disease

Dermatological disease

Equipment may include:

Files

Clippers

Scissors

Forceps

Gauze applicators

Personal protective equipment such as eyewear, gloves, masks

Drill and burr/mandrel/Moore's disc

Black's file

Tissue nippers

Dressings may include:

Simple wound dressings used for skin breaks, cuts and abrasions incurred during performance of foot hygiene such as :

Sterile gauze

Tube gauze

Adhesive tape

Padding and cushioning may include:

Tube foam

Fleecy web

Adhesive felts and foams

Hypoallergenic tape

Clinical standards, guidelines, policies and procedures may include:

Clinical standards (state and national)

Industry professional bodies

Industry standards (state and national)

Organisation policy directives

Privacy Act

Relevant Australian standards:

Australian New Zealand Standard AS/NZS 4815

Australian Standard AS 4187 - 1998

Australian Standard AS 2182 - 1998

Infection Control Guidelines for Podiatrists, Australasian Podiatry Council, September 2005

Australasian Podiatry Council

Australian Podiatry Association (state)

Podiatrist Registration Board (state)

Medical Records Act

Client compliance refers to:

Ability to follow instructions or suggestions

Willingness to follow instructions or suggestions

Information may include:

Podiatry care plan

Supervising podiatrist's instructions

Client record

Checklists

Case notes

Other forms according to procedures of the organisation