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Evidence Guide: HLTDEF002 - Provide treatments for common conditions

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

 

HLTDEF002 - Provide treatments for common conditions

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

Elements define the essential outcomes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Perform a basic patient assessment

  1. Establish and accurately record a basic patient history
  2. Ascertain the history of the complaint through patient questioning
  3. Conduct basic clinical assessment and measurements according to established procedures and infection control requirements
  4. Maintain patient privacy according to guidelines
  5. Identify and respond to requirement for further referral
  6. Liaise with other health care providers as applicable for ongoing assessment
Establish and accurately record a basic patient history

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ascertain the history of the complaint through patient questioning

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Conduct basic clinical assessment and measurements according to established procedures and infection control requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Maintain patient privacy according to guidelines

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and respond to requirement for further referral

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Liaise with other health care providers as applicable for ongoing assessment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Determine treatment plan

  1. Determine treatment options most suitable to the patient’s condition.
  2. Liaise with other health care providers in determining treatment options according to client needs
  3. Read and correctly interpret medical reports and other data relevant to the condition
  4. Provide accurate and current patient advice on assessment and treatment options
  5. Develop a treatment plan, in accordance with clinical guidelines and authorised treatment procedures
Determine treatment options most suitable to the patient’s condition.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Liaise with other health care providers in determining treatment options according to client needs

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Read and correctly interpret medical reports and other data relevant to the condition

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide accurate and current patient advice on assessment and treatment options

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Develop a treatment plan, in accordance with clinical guidelines and authorised treatment procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Implement treatment plan

  1. Gain appropriate consentto proceed with treatment plan
  2. Implement proposed plan following clinical guidelines and authorised treatment procedures
  3. Use equipment according to manufacturer instructions
  4. Organise follow up appointment for treatment evaluation
  5. Accurately document treatment provided
Gain appropriate consentto proceed with treatment plan

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Implement proposed plan following clinical guidelines and authorised treatment procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use equipment according to manufacturer instructions

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Organise follow up appointment for treatment evaluation

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Accurately document treatment provided

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Manage and review the treatment

  1. Monitor treatment outcomes against expectations
  2. Provide ongoing advice to patient regarding condition
  3. Evaluate therapeutic expectations and liaise with other health care professionals regarding ongoing treatment.
  4. Amend treatment plan as required
  5. Organise ongoing referral as required
  6. Accurately document treatment outcomes and follow up appropriately
Monitor treatment outcomes against expectations

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide ongoing advice to patient regarding condition

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Evaluate therapeutic expectations and liaise with other health care professionals regarding ongoing treatment.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Amend treatment plan as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Organise ongoing referral as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Accurately document treatment outcomes and follow up appropriately

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Perform a basic patient assessment

1.1 Establish and accurately record a basic patient history

1.2 Ascertain the history of the complaint through patient questioning

1.3 Conduct basic clinical assessment and measurements according to established procedures and infection control requirements

1.4 Maintain patient privacy according to guidelines

1.5 Identify and respond to requirement for further referral

1.6 Liaise with other health care providers as applicable for ongoing assessment

2. Determine treatment plan

2.1 Determine treatment options most suitable to the patient’s condition.

2.2 Liaise with other health care providers in determining treatment options according to client needs

2.3 Read and correctly interpret medical reports and other data relevant to the condition

2.4 Provide accurate and current patient advice on assessment and treatment options

2.5 Develop a treatment plan, in accordance with clinical guidelines and authorised treatment procedures

3. Implement treatment plan

3.1 Gain appropriate consentto proceed with treatment plan

3.2 Implement proposed plan following clinical guidelines and authorised treatment procedures

3.3 Use equipment according to manufacturer instructions

3.4 Organise follow up appointment for treatment evaluation

3.5 Accurately document treatment provided

4. Manage and review the treatment

4.1 Monitor treatment outcomes against expectations

4.2 Provide ongoing advice to patient regarding condition

4.3 Evaluate therapeutic expectations and liaise with other health care professionals regarding ongoing treatment.

4.4 Amend treatment plan as required

4.5 Organise ongoing referral as required

4.6 Accurately document treatment outcomes and follow up appropriately

Required Skills and Knowledge

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Perform a basic patient assessment

1.1 Establish and accurately record a basic patient history

1.2 Ascertain the history of the complaint through patient questioning

1.3 Conduct basic clinical assessment and measurements according to established procedures and infection control requirements

1.4 Maintain patient privacy according to guidelines

1.5 Identify and respond to requirement for further referral

1.6 Liaise with other health care providers as applicable for ongoing assessment

2. Determine treatment plan

2.1 Determine treatment options most suitable to the patient’s condition.

2.2 Liaise with other health care providers in determining treatment options according to client needs

2.3 Read and correctly interpret medical reports and other data relevant to the condition

2.4 Provide accurate and current patient advice on assessment and treatment options

2.5 Develop a treatment plan, in accordance with clinical guidelines and authorised treatment procedures

3. Implement treatment plan

3.1 Gain appropriate consentto proceed with treatment plan

3.2 Implement proposed plan following clinical guidelines and authorised treatment procedures

3.3 Use equipment according to manufacturer instructions

3.4 Organise follow up appointment for treatment evaluation

3.5 Accurately document treatment provided

4. Manage and review the treatment

4.1 Monitor treatment outcomes against expectations

4.2 Provide ongoing advice to patient regarding condition

4.3 Evaluate therapeutic expectations and liaise with other health care professionals regarding ongoing treatment.

4.4 Amend treatment plan as required

4.5 Organise ongoing referral as required

4.6 Accurately document treatment outcomes and follow up appropriately

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:

• performed an accurate clinical assessment in accordance with established procedures at least 4 times, incorporating all of the following:

- patient history

- known allergies and medications

- temperature, pulse and respiration, blood pressure (TPR&BP)

- oxygen saturation (SaO2)

- non invasive general physical examination

- examination of presenting condition

- assessment outcomes

• developed and applied treatment(s) for the following conditions according to established procedures:

- acute rhinitis

- allergic rhinitis

- bites and stings

- bowel constipation

- common cold

- contact dermatitis

- diarrhoea

- fever

- fungal and yeast infections of the skin

- headache

- influenza

- lip soreness

- malaria (prickly heat)

- motion sickness

- parasitic infestations of the skin

- pharyngitis

- worms/parasitic infestations

- foreign body in eye

- skin injuries, including blisters, lacerations, punctures, grazing, contusions or minor burns

- soft tissue injuries, including haematoma, sprain, strain or overuse injuries

• used all of the following treatments and approaches:

- application of hot/cold therapy

- basic dressings and bindings

- sports strapping/bandaging

- issue and administration of topical and enteral medication (oral and rectal)

- referring for further clinical assessment and treatment

• used effective communication techniques during the client interview process, including:

- two way questioning

- clinical education

- treatment plan support

- negotiation

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

legal, ethical and military requirements for treatment provision:

codes of practice

duty of care

infection prevention and control

informed consent

mandatory reporting

privacy, confidentiality and disclosure

records management and documentation

rights and responsibilities of workers, employers and clients

specific information sources that inform work practice:

Primary clinical care manual (PCCM)

organisation/unit standard operating procedures

current operational mandate

established clinical procedures

work role boundaries – responsibilities and limitations

work health and safety

anatomy and physiology, including:

structure and function of the following human body systems and their interactions:

cells, tissues and organs

cardiovascular system

respiratory system

musculo-skeletal system

endocrine system

digestive system

urinary system

reproductive system

integumentary system

lymphatic system

nervous system, including sensory systems – eye and ear

the special senses – smell, taste, vision, equilibrium and hearing

immune system

anatomical and medical terminology:

when referring to the human body

when taking measurements in different body systems

patient assessment requirements and techniques

normal values and parameters

aspects of the common conditions listed in the Performance Evidence, including:

presenting symptoms

disease process and phases

treatment modalities and their contraindications

medical tests and diagnostic procedures and the need for referral

patient compliance consequences

principles of clinical assessment, prescribing, and case management

referral procedure and pathways

role of other health care providers and support services