Conduct a clinical assessment

Formats and tools

Unit Description
Reconstruct the unit from the xml and display it as an HTML page.
Assessment Tool
an assessor resource that builds a framework for writing an assessment tool
Assessment Template
generate a spreadsheet for marking this unit in a classroom environment. Put student names in the top row and check them off as they demonstrate competenece for each of the unit's elements and performance criteria.
Assessment Matrix
a slightly different format than the assessment template. A spreadsheet with unit names, elements and performance criteria in separate columns. Put assessment names in column headings to track which performance criteria each one covers. Good for ensuring that you've covered every one of the performance criteria with your assessment instrument (all assessement tools together).
Wiki Markup
mark up the unit in a wiki markup codes, ready to copy and paste into a wiki page. The output will work in most wikis but is designed to work particularly well as a Wikiversity learning project.
Evidence Guide
create an evidence guide for workplace assessment and RPL applicants
Competency Mapping Template
Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners. A template for developing assessments for a unit, which will help you to create valid, fair and reliable assessments for the unit, ready to give to trainers and students
Observation Checklist
create an observation checklist for workplace assessment and RPL applicants. This is similar to the evidence guide above, but a little shorter and friendlier on your printer. You will also need to create a seperate Assessor Marking Guide for guidelines on gathering evidence and a list of key points for each activity observed using the unit's range statement, required skills and evidence required (see the unit's html page for details)

Self Assessment Survey
A form for students to assess thier current skill levels against each of the unit's performance criteria. Cut and paste into a web document or print and distribute in hard copy.
Moodle Outcomes
Create a csv file of the unit's performance criteria to import into a moodle course as outcomes, ready to associate with each of your assignments. Here's a quick 'how to' for importing these into moodle 2.x
Registered Training Organisations
Trying to find someone to train or assess you? This link lists all the RTOs that are currently registered to deliver HLTDEFHC403B, 'Conduct a clinical assessment'.
Google Links
links to google searches, with filtering in place to maximise the usefulness of the returned results
Books
Reference books for 'Conduct a clinical assessment' on fishpond.com.au. This online store has a huge range of books, pretty reasonable prices, free delivery in Australia *and* they give a small commission to ntisthis.com for every purchase, so go nuts :)


Elements and Performance Criteria

ELEMENT

PERFORMANCE CRITERIA

1. Prepare for clinical assessment

1.1 Assess environment for suitability to conduct a clinical assessment

1.2 Select required equipment, consumables and documentation, check for serviceability and arrange for use

1.3 Review relevant client history

1.4 Use personal protective equipment as required

2. Prepare client for clinical assessment

2.1 Explain clinical assessment clearly and simply to the client

2.2 Give client is given the opportunity to ask questions and discuss concerns

2.3 Gain informed consent from client in accordance with clinical guidelines, organisation policies and procedures

2.4 Assure and maintain confidentiality of client information

3. Obtain and record a medical history and client profile

3.1 Ensure client is comfortable and positioned in a manner to avoid distractions

3.2 Interview client to gather and convey information

3.3 Obtain and record medical history and client profile according to clinical guidelines, organisation policies and procedures

4. Conduct a physical examination

4.1 Follow personal hygiene and infection control procedures

4.2 Measure and record vital signs in accordance with clinical guidelines, organisation policies and procedures

4.3 Conduct examination using appropriate physical examination techniques according to clinical guidelines, organisation policies and procedures

4.4 Record examination outcomes in accordance with clinical guidelines, organisation policies and procedures

5. Make a clinical assessment

5.1 Make clinical assessment according to applied clinical reasoning and organisation policies and procedures

5.2 Determine need for referral for extended physical examination and/or further diagnostic procedures

5.3 Use information gathered through the clinical assessment to the develop treatment plan

5.4 Arrange appropriate referral as required

6. Conclude clinical assessment

6.1 Explain clinical assessment findings clearly and simply to the client

6.2 Record clinical findings in a way that can be interpreted readily by others and according to clinic guidelines, organisation policies and procedures

6.3 Clean and/or dispose of equipment and consumables in accordance with manufacturers' requirements and infection control policy

6.4 Store equipment and consumables in accordance with organisation policy and procedures


Qualifications and Skillsets

HLTDEFHC403B appears in the following qualifications:

  • HLT43107 - Certificate IV in Defence Health Care
  • HLT43112 - Certificate IV in Defence Health Care