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Evidence Guide: HLTAHW403B - Plan and implement health care in a primary health care context

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

 

HLTAHW403B - Plan and implement health care in a primary health care context

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

Develop care plan for client

  1. Use standing order/written care protocols to underpin health care plans
  2. Consult clients about proposed care plan and explain how it relates to their health assessment results
  3. Develop the care plan with reference to relevant health care team and other health care providers
  4. Propose treatment in accordance with organisation policies and procedures and as negotiated with the client, their family and/or the community
  5. Include measures consistent with standing orders/ written protocols, based on health assessment findings
  6. Refer clients as required to relevant health professionals in line with community, organisation and regulatory requirements
  7. Clearly establish responsibilities for implementing the care plan and obtain client agreement to plan
  8. Document health care plan in client's file in line with organisation policies and procedures
Use standing order/written care protocols to underpin health care plans

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Consult clients about proposed care plan and explain how it relates to their health assessment results

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Develop the care plan with reference to relevant health care team and other health care providers

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Propose treatment in accordance with organisation policies and procedures and as negotiated with the client, their family and/or the community

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Include measures consistent with standing orders/ written protocols, based on health assessment findings

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Refer clients as required to relevant health professionals in line with community, organisation and regulatory requirements

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Clearly establish responsibilities for implementing the care plan and obtain client agreement to plan

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Document health care plan in client's file in line with organisation policies and procedures

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Implement care plan

  1. Build and maintain a relationship of trust with each client, with active promotion of and strict adherence to confidentiality
  2. Provide health information to client in appropriate language, supported by visual and other aids as required
  3. Provide client with information about each aspect of the care plan and the rationale for its inclusion
  4. Initiate action (including referral) as determined by effective decision-making in line with organisation policies based on results of clinical assessment and in accordance with accepted procedures and protocols
  5. Conduct treatment in accordance with the care plan, organisation policies and procedures and occupational health and safety requirements
  6. Use medical equipment correctly and maintain in accordance with manufacturer's specifications and organisation policies
  7. Provide client with information about promoting and maintaining health in a way they understand
  8. Maintain current, complete, accurate and relevant records for each client contact
  9. Support client to take a self-care approach to implementing care plan in line with individual, organisation and community requirements
Build and maintain a relationship of trust with each client, with active promotion of and strict adherence to confidentiality

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Provide health information to client in appropriate language, supported by visual and other aids as required

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Provide client with information about each aspect of the care plan and the rationale for its inclusion

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Initiate action (including referral) as determined by effective decision-making in line with organisation policies based on results of clinical assessment and in accordance with accepted procedures and protocols

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Conduct treatment in accordance with the care plan, organisation policies and procedures and occupational health and safety requirements

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Use medical equipment correctly and maintain in accordance with manufacturer's specifications and organisation policies

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Provide client with information about promoting and maintaining health in a way they understand

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Support client to take a self-care approach to implementing care plan in line with individual, organisation and community requirements

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 of assessment:

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

Consistency of performance should be demonstrated over the required range of situations relevant to the workplace

Where, for reasons of safety, space, or access to equipment and resources, assessment takes place away from the workplace, the assessment environment should represent workplace conditions as closely as possible

Conditions of assessment:

This unit includes skills and knowledge specific to Aboriginal and/or Torres Strait Islander culture

Assessment must therefore be undertaken by a workplace assessor who has expertise in the unit of competency or who has the current qualification being assessed and who is:

Aboriginal or Torres Strait Islander him/herself

or:

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

Context of assessment:

Competence should be demonstrated working individually, under supervision or as part of a primary health care team working with Aboriginal and/or Torres Strait Islander clients

Assessment should replicate workplace conditions as far as possible

Related units:

This unit may be assessed independently or in conjunction with other units with associated workplace application

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:

Organisation policies and procedures relating to client confidentiality

Underpinning knowledge of:

anatomy/physiology

pathophysiology

microbiology

pharmacology

relevant conditions

relevant treatments

care planning methods

associated care services available

Specific knowledge of pharmacology relevant to each treatment given

Current Medicare benefits applicable to clients

Potential impact of planned actions on client

Relevance of actions to client's state of social and emotional well-being

Potential risks associated with the condition being treated and treatment being proposed in relation to the holistic health of each client

Essential skills:

It is critical that the candidate demonstrate the ability to:

work independently and consistently in delivering primary health care services to Aboriginal and/or Torres Strait Islander clients, including:

Development and implementation of care plan for client

Working within an organisational framework, including working as part of a multi-disciplinary team

Maintenance of client records and upholding client confidentiality

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:

Collaborate with client and work with other members of multi-disciplinary team to formulate care plan

Work with other members of multi-disciplinary team to document care plan complying with organisational protocols

Communicate care plan to client and check their understanding

Use a motivational interviewing approach

Recognise situations requiring immediate or urgent action

Recognise and promote the need for continuous monitoring of chronic conditions

Implement care for defined range of conditions in line with protocols

Determine correctly the appropriate clinical procedure required in the specific circumstance

Carry out clinical procedures safely and effectively

Take action to appropriately respond to and manage signs/symptoms of uncontrolled pain

Use, clean and store clinical equipment safely and effectively

Manage treatments within context of individual care plan in consultation with multi-disciplinary team

Make timely and appropriate referrals within relevant guidelines, providing accurate and relevant details to clients and referral agencies

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.

Cultural respect

This competency standard supports the recognition, protection and continued advancement of the inherent rights, cultures and traditions of Aboriginal and Torres Strait Islander peoples

It recognises that the improvement of the health status of Aboriginal and Torres Strait Islander people must include attention to physical, spiritual, cultural, emotional and social well-being, community capacity and governance

Its application must be culturally sensitive and supportive of traditional healing and health, knowledge and practices

Community control

Community participation and control in decision-making is essential to all aspects of health work, and the role of the health worker is to support the community in this process

Supervision

Supervision must be conducted in accordance with prevailing state/territory and organisation legislative and regulatory requirements

References to supervision may include either direct or indirect supervision of work by more experienced workers, supervisors, managers or other health professionals

A person at this level should only be required to make decisions about clients within the organisation's standard treatment protocols and associated guidelines

Legislative requirements

Federal, state or territory legislation may impact on workers' practices and responsibilities. Implementation of the competency standards should reflect the legislative framework in which a health worker operates. It is recognised that this may sometimes reduce the application of the Range of Variables in practice. However, assessment in the workplace or through simulation should address all essential skills and knowledge across the Range of Variables

Aboriginal and/or Torres Strait Islander Health Workers may be required to operate in situations that do not constitute "usual practice" due to lack of resources, remote locations and community needs. As a result, they may need to possess more competencies than described by "usual practice circumstances"

Under all circumstances, the employer must enable the worker to function within the prevailing legislative framework

Developing a plan of action includes:

Negotiation/consultation with client, team and others.

Documentation of the care plan.

Client involvement and understanding.

Use of appropriate range of assessment tools and methods.

Care plan may include:

Clinical treatments (as listed separately)

Holistic lifestyle self-management actions

Chronic condition self-management actions

Referral for further assessment, counselling and/or treatment

Administration of medicines

Monitoring regime

Evaluation of care

Care plan may be:

Written

Computer generated

Situations requiring immediate action include:

Life-threatening conditions or injuries

Cardiovascular or cerebrovascular events.

Situations requiring systematic long-term management include:

A range of chronic conditions related to social and emotional wellbeing.

Standing orders/written care protocols include:

Written guidelines or orders that support the clinical assessment and management of presenting health problems (eg. CARPA)

Medical equipment used for treatments may include:

Centrifuge

Ear syringes

Suturing equipment

Resuscitation equipment

Nebuliser

Peak flow meter

Syringes

Needles

Vacutainers

Sphygmomanometer

Stethoscope

Oxygen equipment

Ophthalmoscope

Glucometer

Scales

Bandages

Dressings

Oral health care instruments, including dental mirror, blunt tweezers, light source

Treatments may include:

Splinting

Bandaging

Basic eye and ear health care, including:

ear toilets to clear pus and debris from outer ear

use of appropriate management protocols for ear health

Application of simple wound dressings, including:

cleaning and dressing of wounds using wound management protocols

arrangements for follow up care of wounds and skin infections

Treating head lice, scabies, common cold, diarrhoea.

Simple podiatry care and referral to specialised podiatry services as indicated.

Basic suturing and wound closure as per standard treatment protocols

Oxygen therapy

CPR

Nebuliser administration

Administration of medications

Immunisations

Conditions to be managed may include:

Lacerations

Burns

Choking

Asthma

Poisoning

Respiratory arrest

Cardiac arrest

Stings and bites

Hypothermia

Hypoglycaemia

Hyperglycaemia

Sprains and fractures

Scabies/lice

Confusion

Epilepsy or fits

Haemorrhage

Head injuries

Facial and oral trauma

Spinal injuries

Clients presenting with general emotional or mental distress, anxiety, anger, frustration, mourning or grief.