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Evidence Guide: HLTAH405B - Assist with podiatric procedures

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

 

HLTAH405B - Assist with podiatric procedures

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

Prepare for the surgical podiatry procedure

  1. Obtain information from the podiatrist and the client's record (including the Podiatry Care Plan) relevant to the procedure to be undertaken
  2. Determine client availability according to organisation protocols
  3. Conform to all infection control guidelines and requirements specified by the National Infection Control Guidelines for Podiatrists and the protocols of the organisation
  4. Ensure the environment in which the procedure is to be performed conforms to OH&S standards and protocols
  5. Gather necessary equipment, instruments and materials
  6. Prepare the environment for surgery, including cleansing and disinfecting of surfaces, equipment and materials
  7. Ensure all instruments, dressings and related materials have undergone sterilisation according to the guidelines and protocols stated above
  8. Ensure work flow and set up for work flow by additional persons in the environment comply with the guidelines and protocols
Obtain information from the podiatrist and the client's record (including the Podiatry Care Plan) relevant to the procedure to be undertaken

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Determine client availability according to organisation protocols

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Conform to all infection control guidelines and requirements specified by the National Infection Control Guidelines for Podiatrists and the protocols of the organisation

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure the environment in which the procedure is to be performed conforms to OH&S standards and protocols

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Gather necessary equipment, instruments and materials

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare the environment for surgery, including cleansing and disinfecting of surfaces, equipment and materials

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure all instruments, dressings and related materials have undergone sterilisation according to the guidelines and protocols stated above

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure work flow and set up for work flow by additional persons in the environment comply with the guidelines and protocols

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist with the surgical podiatry procedure

  1. Determine procedural requirements from the client's record and the treating podiatrist
  2. Provide the physical environment required to meet procedural requirements in a manner that is safe for the client as directed by the podiatrist
  3. Follow the directions of the podiatrist to provide assistance during the procedure
  4. Follow all infection control and OH&S protocols to ensure the procedure conforms to organisation, state, national and legislated requirements
  5. As required, assist with care and supervision of the patient during procedure
  6. Follow directions for instrument handling, equipment handling material handling and any additional assistance required from the podiatrist
  7. Safely and correctly use equipment and instrumentation to collect assessment information
  8. Follow organisation guidelines and protocols for the safe and appropriate handling and disposal of hazardous and sharps materials
  9. Provide documentation assistance and support as directed by the podiatrist
Determine procedural requirements from the client's record and the treating podiatrist

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide the physical environment required to meet procedural requirements in a manner that is safe for the client as directed by the podiatrist

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Follow the directions of the podiatrist to provide assistance during the procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Follow all infection control and OH&S protocols to ensure the procedure conforms to organisation, state, national and legislated requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

As required, assist with care and supervision of the patient during procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Follow directions for instrument handling, equipment handling material handling and any additional assistance required from the podiatrist

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Safely and correctly use equipment and instrumentation to collect assessment information

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Follow organisation guidelines and protocols for the safe and appropriate handling and disposal of hazardous and sharps materials

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide documentation assistance and support as directed by the podiatrist

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist with templating for manufacture of orthotic devices

  1. Determine requirements from the client's record and treating podiatrist
  2. Seek assistance and clarification as required
  3. Gather equipment and materials required for templating and foot measurement
  4. Provide the physical environment required to meet procedural requirements in a manner that is safe for the client and operator
  5. Assist with templating and foot measurement according to podiatrist's instruction
  6. Work with podiatrist and client, within organisation guidelines, to determine appropriate follow up and further appointments
Determine requirements from the client's record and treating podiatrist

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Seek assistance and clarification as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Gather equipment and materials required for templating and foot measurement

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide the physical environment required to meet procedural requirements in a manner that is safe for the client and operator

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist with templating and foot measurement according to podiatrist's instruction

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Work with podiatrist and client, within organisation guidelines, to determine appropriate follow up and further appointments

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist with modification to orthoses and footwear

  1. Determine procedural requirements from the client's record and the treating podiatrist
  2. Seek assistance or clarification to procedural directions as required
  3. Provide the physical environment required to meet procedural requirements in a manner that is safe
  4. Assist with modifications according to the care plan and prescriptions from supervising podiatrist
  5. Present modified orthoses or footwear to podiatrist for assessment
  6. Interpret and respond to instructions from podiatrist regarding further procedural or modification requirements
  7. Provide instructions and assistance to client as directed by the podiatrist
  8. Work with podiatrist and client, within organisation guidelines, to determine appropriate follow up and further appointments
  9. Use machinery and equipment for modifications in accordance with manufacturer's guidelines, OHS requirements and organisation protocols
Determine procedural requirements from the client's record and the treating podiatrist

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Seek assistance or clarification to procedural directions as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide the physical environment required to meet procedural requirements in a manner that is safe

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist with modifications according to the care plan and prescriptions from supervising podiatrist

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Present modified orthoses or footwear to podiatrist for assessment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Interpret and respond to instructions from podiatrist regarding further procedural or modification requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide instructions and assistance to client as directed by the podiatrist

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Work with podiatrist and client, within organisation guidelines, to determine appropriate follow up and further appointments

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use machinery and equipment for modifications in accordance with manufacturer's guidelines, OHS requirements and organisation protocols

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist with support and advice to clients in the selection of footwear

  1. Under the guidance of podiatrist use appropriate devices and procedures to measure for fit
  2. Confirm measurements with supervising podiatrist
  3. Under the guidance of supervising podiatrist support and educate client in the selection of footwear and fit
  4. Seek assistance or clarification to procedural directions as required
  5. Work with podiatrist and client, within organisation guidelines, to determine appropriate follow up and further appointments
Under the guidance of podiatrist use appropriate devices and procedures to measure for fit

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Confirm measurements with supervising podiatrist

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Under the guidance of supervising podiatrist support and educate client in the selection of footwear and fit

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Seek assistance or clarification to procedural directions as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Work with podiatrist and client, within organisation guidelines, to determine appropriate follow up and further appointments

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Clean, sterilise and store equipment

  1. Clean equipment according to manufacturers and organisation requirements
  2. Prepare equipment and instruments for sterilisation according to organisation protocols
  3. Store equipment according to manufacturers requirements and organisation protocols
  4. Report equipment faults to appropriate person
  5. Ensure consultation environment is maintained according to guidelines and organisation protocols
Clean equipment according to manufacturers and organisation requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare equipment and instruments for sterilisation according to organisation protocols

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:

 

 

 

 

 

 

 

Ensure consultation environment is maintained according to guidelines and organisation protocols

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Document client information

  1. Use accepted protocols to document information in line with organisation requirements
  2. Use appropriate terminology to document client information
Use accepted protocols to document information in line with organisation requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use appropriate terminology to document client information

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. Seek assistance when client presents with needs or signs outside limits of own authority or competence
  4. Report client difficulties and concerns to the treating podiatrist
  5. 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:

 

 

 

 

 

 

 

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

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

Evidence of understanding and application of infection control and OH&S standards and protocols is essential

Observation of workplace performance is essential for assessment of this unit

Consistency of performance should be demonstrated for a minimum of seven different procedures (including surgical assistance, basic assessment and orthotic/footwear preparation and modification)

Consistent adherence to supervisory requirements

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

Method of assessment

Observation in the work place

Written assignments/projects or questioning should be used to assess knowledge, along with structured objective clinical assessment and self reflective tasks such as journaling

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

Clinical skills involving direct client care are to be assessed initially in a supported and controlled clinical setting. If successful, a second assessment is 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:

Podiatry procedures, including orthotic manufacture/modification; assessment; and podiatric surgery

Conditions treated by a podiatrist

Basic anatomy and physiology of the skin and nails

Structure and function of the skin and integuments

Common pathological conditions of the skin and nails

Disease processes relevant to the client group/s

Identification and purpose of podiatry surgical instruments

First aid, emergency and evacuation protocols of the site

Basic biomechanics of the lower limb

Principles and guidelines of orthotic devices

Principles of footwear selection and fitting

Relevant organisation policies and procedures

Client care plans, goals and limitations of podiatry intervention

Medical terminology

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

OHS policy and procedures

Privacy and confidentiality requirements

Infection control protocols

Supervisory and reporting protocols

Record keeping requirements

Essential skills:

It is critical that the candidate demonstrate the ability to:

Undertake activity analysis - breaking activities down into component parts

Identify variations in podiatry conditions

Establish and maintain sterile field

Use hygiene practices such as (surgical) handwashing

Modify orthotic devices

Modify shoes

Construct and maintain the environment for safe modification of orthotic devices and footwear

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:

Use observation and reporting skills

Work under supervision

Communicate effectively with supervisors and co-workers

Work effectively with non-compliant clients

Operate within OHS and infection control requirements

Use personal protective equipment

Work safely and effectively with electrical equipment and machinery

Work safely with potentially hazardous materials

Safely and appropriately dispose of hazardous materials

Provide a safe and effective response in first aid, emergency and evacuation conditions

Apply time management and personal organisation skills and establish priorities

Maintain accurate records

Safely and appropriately use materials including animal derived leathers, synthetics, solvents and adhesives

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 may include:

Infants

Children

Adolescents

Adults

Elderly people

Settings may include

Hospitals

Community health services

Private practice

Client homes

Aged care residential care settings

Surgical podiatry procedures may include

Debridement of onychocryptosis under local anaesthesia

Partial or total nail avulsion with phenolisation

Curettage

Conservative sharp debridement of wounds

Equipment may include:

Personal protective equipment such as eyewear, gloves, masks, surgical gowns, footwear protection, surgical headwear

Surgical drapes and those materials used to comply with infection control guidelines and protocols

Podiatry surgery instruments, including:

scalpel handles and blades

root elevators

black's files/files

nail clippers

thwaites nippers

digital torniquets

rasp

curette

excavator

spatula

forceps (fine, blunt, locking, straight, spencer wells, cheatles, rampley)

bailey toe spreader

burrs

scissors

Syringes and needles (disposable and reusable syringes, suture material and needles

Electrical devices for curettage and haemostasis

Casting /orthoses/footwear equipment including:

bench grinder

solvent and adhesive materials

synthetic and natural orthotic and footwear materials

plaster/ plaster bandage

cleaning and disinfecting equipment

brannock device

Clinical standards, guidelines, policies and procedures may include:

Clinical standards (state and national)

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

Clinical Guidelines for Orthotic Therapy Provided by Podiatrists

Relevant Australian Standards

Australian New Zealand Standard AS/NZS 4815 - 2001 (Office-based health care facilities not involved in complex patient procedures and processes - Cleaning, disinfecting and sterilising reusable medical and surgical instruments and equipment, and maintenance of the associated environment)

Australian Standard AS 4187 - 1998 (Cleaning, disinfecting and sterilising reusable medical and surgical instruments and equipment and maintenance of associated environments in a health care facilities)

Australian Standard AS 2182 - 1998 (Sterilisers - steam-bench top)

Industry professional bodies:

Australasian Podiatry Council

Australian Podiatry Association (State)

Industry standards (state and national)

Podiatrists Registration Board (State)

Organisation policy directives

Privacy Act

Medical Records Act

Information may include:

Podiatry care plan

Client treatment plan

Supervising podiatrists instructions

Client record

Checklists

Case notes

Other forms according to procedures of the organisation

Material Safety Data Sheets

Manufacturers' instructions and guidelines