New Zealand Certificate in Health and Wellbeing (Level 3)
Health assistance and orderly services
Trainee integrated assessment – core module two – for hospitals and the health sector
Unit standard / Version / Level / Credits23388 Provide support to a person whose behaviour presents challenges in a health or wellbeing setting. / 3 / 3 / 4
27459 Observe and respond to changes in people in a health or wellbeing setting. / 2 / 3 / 4
28535 Demonstrate knowledge of procedures for infection control in a health or wellbeing setting. / 1 / 3 / 4
28557 Communicate to support people’s health and wellbeing. / 1 / 3 / 5
Trainee name:
Trainee workplace:
Training start date:
Contents
Integrated assessment
Communication
Observe and respond to changes
Challenging behaviour
Infection control procedures
Trainee declaration
Integrated assessment
(As provided to the trainee.)
Introduction
The unit standards in the Level 3 New Zealand Certificate in Health and Wellbeing
(Health Assistance/Orderly Services) are assessed in a total of three integrated assessments. Each of the assessments has an associated resource. You may also attend study days provided by your DHB which also assists you to learn and understand the expectations in the assessments. The three parts are:
1Core module one.
2Core module two.
3Relevant Area of Focus, for example acute care or mental health for healthcare assistants, or orderly services.
Expectations
You must complete the questions in your own words and you will need to sign a declaration at the back of this book to say that you have done the work yourself. However, you may refer back to your module resources and the education day hand outs and notes and so this is known as open book assessment.
All your answers must be in accordance with your organisational policies and procedures and you will be shown how to find and access these documents. You may need to include parts of these documents as evidence to show your assessor.
There will be parts of each module which requires someone in your workplace to confirm (verify or observe) and sign these off. It is a good idea to try to complete the assessment books as soon as possible after completing the relevant teaching days. You do not need to have the same observer for every assessment as we recognise that you may work with several supervisors in the course of a shift.
However, each observer needs to sign in the appropriate place so that the assessors are able to identify who they are in case of a query about your performance.
You will need to hand in your assessment books for marking at regular intervals during the course to ensure you are making satisfactory progress and can access additional tutorial support if required. Please post (internal mail) or deliver your assessment books for marking, to:
If you have any questions about the course or assessment, please contact as below.
Definitions
The people/person you support can also be known in your organisation and workplace as the patient, client, service user or consumer.
A ‘care plan’ or ‘service plan’ in this workbook means an individual plan prepared to support a person and their care needs.
‘Trainee’ is you, the person completing this course.
‘Verifier/observer’ is the manager, supervisor or designated senior staff member who has observed you completing the described task.
Assessors in your workplace are: (insert names here)
Please do not allow verifiers to write in the assessor notes.
Unit standards content and results
The below unit standards are covered in this core module twoin the order suggested for assessment.
Unit standard / Version / Level / Credits /28557 Communicate to support people’s health and wellbeing. / 1 / 3 / 5
27459 Observe and respond to changes in people in a health or wellbeing setting. / 2 / 3 / 4
23388 Provide support to a person whose behaviour presents challenges in a health or wellbeing setting. / 3 / 3 / 4
28535 Demonstrate knowledge of procedures for infection control in a health or wellbeing setting. / 1 / 3 / 4
/ Assessor’s name: / Assessor’s number:
Signature: / Date:
Communication
1Choose two barriers to communication that you have experienced with the people you support and describe how each one prevents effective communication.
Then describe what you did to communicate with that person and overcome the barriers in order to make sure that the right care was given.
Barriers may include: sensory impairments, speech/language impairments, lack of health literacy, use of jargon, dementia, cultural practices, language or other barriers you may identify yourself. Two barriers identified – answers as per indicative answers below.
Barrier one / Barrier twoBriefly describe barrier and situation.
How it prevented effective communication.
What I did to overcome the barriers.
2When you support a person who has a communication difficulty (eg a sensory impairment, a disability or limited English) support may be needed to assist the communication process.
a) Describe a communication difficulty you have had with someone you support. (You may use one of the examples from Question 1, if appropriate)
b) Describe the support/s available in your organisation for the communication difficulty you have just described (2a) and how access to the support is gained eg how a referral happens.
Support availableHow to access this support
Verification/observation form
This form is for your supervisor, CNM or an RN to fill out.
You have been asked to verify that you have observed the trainee exhibiting certain behaviours or tasks as a healthcare assistant/orderly.You have been asked to do this in your capacity as the trainee’s manager, supervisor or senior staff member (eg RN) who works closely with the trainee.
Please tick each statement below if you agree that the trainee meets the requirements described and their performance over time is consistant with the answers provided by the trainee in this section.
Please add comments to support your verification, where indicated.
Relevant unit standard / 28557 Communicate to support people’s health and well-being.
I confirm that the trainee:
- initiates and maintains communication following the preferences of people being supported.
- communicates in a way that considers and addresses any barriers to effective communication, within the boundaries of their role.
- communicates information about a person they support to others following privacy, confidentiality and reporting requirements at all times.
- checks information communicated by others for comprehension, interpretation and clarity of intent.
- consistently communicates effectively in the workplace.
Name of verifier ______
Signature______ / Date______
Title ______
Observe and respond to changes
3Complete the table below with the details of two situations where you have observed and responded to changes in two different people you support.
These people should have different health issues or functional abilities. The change can be an improvement or deterioration.
Do not include any identifying details about the person in your answers.
First persona) What was the situation? Include in your answer the health issue/problem/functional ability of the person.
b) What changes did you see?In your answer, identify whether the change was an improvement or deterioration.
Change
Was this change an improvement or deterioriation?
c) How did you respond to the changes you saw?
d) Give two reasons why it is important that you report these changes to the RN/RM (include in your answer what impact (changes) your reporting may have on the care that is given).
1
2
Second person
e) What was the situation? Include in your answer the health issue/problem/functional ability of the person.
f) What changes did you see?In your answer, identify whether the change was an improvement or deterioration.
Change
Was this change an improvement or deterioriation?
g) How did you respond to the changes you saw?
h) Give two reasons why it is important that you report these changes to the RN/RM (include in your answer what impact (changes) your reporting may have on the care that is given).
1
2
Verification/observation form
This form is for your supervisor, CNM or an RN to fill out.
You have been asked to verify that you have observed the trainee exhibiting certain behaviours or tasks as a healthcare assistant/orderly.You have been asked to do this in your capacity as the trainee’s manager, supervisor or senior staff member (eg RN) who works closely with the trainee.
Please tick each statement below if you agree that the trainee meets the requirements described and their performance over time is consistent with the answers provided by the trainee in this section.
Please add comments to support your verification, where indicated.
Relevant unit standard / 27459 Observe and respond to changes in people in a health or wellbeing setting.
I confirm that the trainee has observed, described and responded to changes in people's health or functional status according to the standards below.
- Changes in people’s health and functional status are observed and described in terms of whether they have improved or deteriorated.
- Potential impacts of observed changes are identified in terms of effects they could have on the delivery of personal plans.
- Changes in people’s health or functional status are responded to following the rights of the people being supported.
Name of verifier ______
Signature ______ / Date______
Title ______
Challenging behaviour
This unit standard assessment is about how you reduce the incidence and escalation of challenging behaviour in your workplace. Challenging behaviour might include: aggressive behaviour, repetitive behaviour, invasion of personal space, confusion or another type of behaviour you identify yourself.
4Complete the following tables.
a) Describe the situation and the behaviour that challenged you.b) Give at least two reasons why this behaviour may have happened (include in your answer how these reasons affected the behaviour).
1
2
5Write down three positive ways (strategies) you have used or can use to try to reduce or prevent the incidence of the challenging behaviour.
Then explain how they worked or could have worked to reduce or prevent the behaviour from occurring.
Then identify any problems that you had or may have implementing these.
Strategies may include – your approach, ways to communicate (verbal or non-verbal), the number of individuals involved, the consistency of approach from individuals involved, changes to environment, opportunities to make choices, reducing waiting times, using diversionary tactics, improving health.
Ways to reduce or prevent challenging behaviour. / How it works to reduce or prevent challenging behaviour (positive effects). / Describe any problems you may have had implementing these (negative effects).a)
b)
c)
6Describe how you would record and report challenging behaviour according to your organisation’s policies and procedures.
Verification/observation form
This form is for your supervisor, CNM or an RN to fill out.
You have been asked to verify that you have observed the trainee exhibiting certain behaviours or tasks as a healthcare assistant/orderly.You have been asked to do this in your capacity as the trainee’s manager, supervisor or senior staff member (eg RN/RM) who works closely with the trainee.
Please tick each statement below if you agree that the trainee meets the requirements described and their performance over time is consistent with the answers provided by the trainee in this section.
Please add comments to support your verification, where indicated.
Relevant unit standard / 23388 – Provide support to a person whose behaviour presents challenges in a health or wellbeing setting.
I confirm that the trainee:
- Identifies, implements and evaluates positive support strategies to reduce challenging behaviour.
- Uses strategies to manage challenging behaviour in accordance with organisational policies and meets the trainee’s responsibilities within the boundaries of their role. These responsibilities must include – legal responsibilities, timeliness, cultural considerations, safety considerations.
Name of verifier ______
Signature ______ / Date______
Title ______
Infection control procedures
7Provide details about two different situations and/or tasks where you have used two different types of personal protective equipment (PPE) in your workplace.
Examples of PPE are gloves, eye shields, aprons, gowns, hats, masks, alcohol hand rubs.
Situation one / Situation twoa)Situation and/or task. / a) Situation and/or task.
b) Two examples of PPE used. / 1
2 / b) Two examples of PPE used. / 1
2
8Describe how you have handled and/or disposed of two potentially infectious items in your workplace.
Examples of potentially infectious items are: clinical waste, sharps, soiled linen and clothing.
Item one / Item twoa) What was the potentially infectious item?
b) How did you handle and/or dispose of it?
9Describe how you have handled, cleaned and stored two items of reusable instruments or equipment.
Re-usable items include scissors, jugs, bedpans, urinals, commodes, washbowls, etc that require sanitisation/sterilisation.
Item one / Item twoa)What was the reusable instrument or equipment item?
b)What did you do to handle, clean and store the item?
10Describe your organisation’s reporting requirements and procedures for twoinfection outbreaks andtwo infection control incidents/accidents.
Examples of infectionoutbreaks might include the spread of bacterial infections, viral infections, parasite and worm infestations and yeast and fungal infections.
Infection outbreak example 1 / Infection outbreak example 2a) Description
b) What are the procedures?
(How is the outbreak/incident managed? Refer to the policies/procedures for immediate actions).
c) What are the reporting requirements?
(Who should you report it to, what forms need to be filled out, who else needs to be told?)
Examples of infection control accidents and/or incidents might include blood and body fluid exposure eg sharps injuries, splashes and spills.
Infection accident or incident example 1. / Infection accident or incident example 2.a) Description
b) What are the procedures?
(How is the outbreak/incident managed? Refer to the policies/procedures for immediate actions).
c) What are the reporting requirements?
(Who should you report it to, what forms need to be filled out, who else needs to be told?)
Verification/observation form
This form is for your supervisor, CNM or an RN to fill out.
You have been asked to verify that you have observed the trainee exhibiting certain behaviours or tasks as a healthcare assistant/orderly.You have been asked to do this in your capacity as the trainee’s manager, supervisor or senior staff member (eg RN) who works closely with the trainee.
Please tick each statement below if you agree that the trainee meets the requirements described and their performance over time is consistent with answers provided by the trainee in this section.
Please add comments to support your verification, where indicated.
Relevant unit standard / 28535 – Demonstrate knowledge of procedures for infection control in a health or wellbeing setting.
I confirm that the trainee:
- Consistently applies routine infection control precautions according to the organisational policies and procedures and includes:
- correct practice of PPE, which is inclusive of hand hygiene practices (Question 7).
- correct handling and disposing of potentially infectious items (Question 8).
- appropriate handling, cleaning and storing reusable instruments and equipment (Question 9).
- staying home from work when infectious.
- maintaining personal hygiene practices.
Comments
Name of verifier ______
Signature ______ / Date______
Title ______
Trainee declaration
I understand the requirements of this assessment.
I have prepared all answers myself.
Where patient’s/staff/care situations have been used as examples I have protected the privacy of individuals concerned and not used real names.
I agree that this document can be photocopied for the purpose of moderation, as part of quality control processes.
I agree that once the assessment decision has been made, my personal details and results will be sent to Careerforcefor registration of credits in the New Zealand Qualification Framework.
Trainee name:______
Trainee signature: ______
Date: ______
Assessment matrix
Health assistance and orderly services – hospitals and the health sector28557 Communicate to support people’s health and wellbeing
ER / 1.1 / 2.1 / 3.1 / 3.2 / 4.1 / 4.2
Q1 / Q2 / Q1 / Q1
Verification/ observation / / / /
27459 Observe and respond to changes in people
ER / 1.1 / 1.2 / 1.3 / 2.1
Q3 / Q3 / Q3 / Q3
Verification/ observation / / /
23388 Provide support to a person whose behaviour presents challenges
ER / 1.1 / 1.2 / 1.3 / 1.4 / 2.1 / 2.2 / 2.3
Q4 / Q4 / Q5 / Q6 / Q5 / Q5
Verification/ observation / / /
28535 Demonstrate knowledge of procedures for infection control
ER / 1.1 / 1.2 / 1.3 / 1.4 / 2.1 / 2.2
Q7 / Q8 / Q9 / Q10 / Q10
Verification/ observation / / / /
Assessor feedback on trainee performance
Assessor comments:Assessor decision / Credit awarded: Yes/No / Date:
Reassessment / Credit awarded: Yes/No
More evidence required: Yes/No / Date:
Loaded on Iportal / Yes/No / Date:
Assessor name / Assessor signature / Assessor number
Moderator comments:
Moderator signature / Date:
Health Assistance (Level 3)Core module two: (28557v1, 28535v1, 23388v3, 27459v2) Trainee Assessment
© Careerforce – Issue 1.1 – April 20181