Skill Set 1 – Delivery of care - Welcome |...

Department of Education and TrainingWestern Australia

RPL Assessment Tool Kit

HLT51607

Diploma of Nursing

(Enrolled/Division 2 Nursing)

First published 2009

ISBN 978-1-74205-394-3

© Department of Education and Training

All rights reserved.

Western Australian Department of Education and Training materials, regardless of format, are protected by copyright law.

Permission, however, is granted to Trainers, Assessors, and Registered Training Organisations to use, reproduce and adapt the material (third party material excluded) for their Recognition of Prior Learning (RPL) assessment activities.

This permission is subject to the inclusion of an acknowledgement of the source. Permission does not extend to the making of copies for hire or sale to third parties, and provided it is not used for commercial use or sale. Reproduction for purposes other than those indicated above requires the prior written permission of the Western Australian Department of Education and Training.

Published by and available from

WestOne Services

1 Prospect PlaceWEST PERTH WA 6005Tel: (08) 9229 5200 Fax: (08) 9227 8393Email: [email protected]: www.westone.wa.gov.au

AcknowledgementsThis work has been produced with the assistance of funding provided by the Council of Australian Governments (COAG) National Reform Initiative (NRI).

This resource contains ‘Units of Competencies’ from HLT07: Health Training Package – HLT51607 Diploma of Nursing (Enrolled/Division 2 nursing), © Commonwealth of Australia 2007 Department of Education Science and Training (DEST), used under the AEShareNet-FfE licence

DisclaimerWhilst every effort has been made to ensure the accuracy of the information contained in this RPL Assessment Tool Kit, no guarantee can be given that all errors and omissions have been excluded. No responsibility for loss occasioned to any person acting or refraining from action as a result of the material in this RPL Assessment Tool Kit can be accepted by the Western Australian Department of Education and Training.

HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)RPL Assessment Tool Kit

ContentsSection 1 – Assessor’s information 5

Introduction 7Units of competency covered by this assessment tool 9

Section 2 – Self-evaluation information 11Self-evaluation checklist – Skill Set 1 14Self-evaluation checklist – Skill Set 2 15Self-evaluation checklist – Skill Set 3 16Self-evaluation checklist – Skill Set 4 18Self-evaluation checklist – Skill Set 5 19Self-evaluation checklist – Skill Set 6 20

Section 3 – Interview question bank and recording sheets 23Topic A – Aged care 25Topic B – Chronic care 27Topic C – Acute care 29Topic D – Medical care 31Topic E – Medications 33Topic F – Mental health care 35Topic G – Cultural care in nursing 37Topic H – Communication in nursing 39Topic I – Infection control 41Demonstration/observation/practical 43Third party evidence report 47Candidate’s contact information 49Record of initial interview 51Other information that will assist with the assessment process 53

of 54 © Department of Education and Training 2009Version 1, August 2009

HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)RPL Assessment Tool Kit

Page intentionally blank

© Department of Education and Training 2009 of 54Version 1, August 2009

HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)Section 1 – Assessor’s information

Section 1

Assessor’s information



IntroductionThis document contains the assessment tools for the Diploma of Nursing. These tools have been developed to support a ‘whole-of-trade’ assessment, to reflect the work undertaken in industry. This approach focuses on clustering the units of competency from the qualification into a number of skill sets. These are as follows:

Skill Set 1 – Delivery of care

Skill Set 2 – First aid

Skill Set 3 – Implementing nursing care

Skill Set 4 – Infection control and wound management

Skill Set 5 – Complex nursing care

Skill Set 6 – Medications.

Skill Set 1 – Delivery of careUnit Code Unit TitleHLTEN502A Apply effective communication skills in nursing practice

HLTHIR403B Work effectively with culturally diverse clients and co-workers

HLTEN504A Implement and evaluate a plan of nursing action

HLTHIR404B Work effectively with Aboriginal and/or Torres Strait Islander people

HLTOHS300A Contribute to OHS processes

Skill Set 2 – First aidUnit Code Unit TitleHLTFA301B Apply first aid

Skill Set 3 – Implementing nursing careUnit Code Unit TitleHLTAP401A Confirm physical health status

HLTAP501A Analyse health information

HLTEN509A Apply legal and ethical parameters to nursing practice

HLTEN515A Implement and monitor nursing care for older clients

HLTEN508A Apply reflective practice, critical thinking and analysis in health

HLTEN503A Contribute to client assessment and developing nursing care plans

HLTEN516A Apply understanding of the Australian health care system

HLTEN401A Work in the nursing profession

Skill Set 4 – Infection control and wound management



Unit Code Unit TitleHLTIN301A Comply with infection control policies and procedures in health work

HLTEN506A Apply principles of wound management in the clinical environment

Skill Set 5 – Complex nursing careUnit Code Unit TitleHLTEN505A Contribute to the complex nursing care of clients

HLTEN512A Implement and monitor nursing care for clients with acute health problems

HLTEN510A Implement and monitor nursing care for consumers with mental health conditions

HLTEN513A Implement and monitor nursing care for clients with chronic health problems

Skill Set 6 – MedicationsUnit Code Unit TitleHLTEN507A Administer and monitor medications in the work environment

The assessment tools contained in this document and developed to support the assessment of these six skill sets include:

a self-assessment checklist

interview questions and recording documents

practical observation tasks and recording documents

third party evidence question bank.

These tools have been mapped to all of the core units of the HLT5106 Diploma of Nursing.

The following Topics are suggested and may cover more than one Skill Set

A Topic 1 Aged care

B Topic 2 Chronic care

C Topic 3 Acute care

D Topic 4 Medical care

E Topic 5 Medications

F Topic 6 Mental healthcare

G Topic 7 Cultural care in nursing

H Topic 8 Communication in nursing

I Topic 9 Infection control



Units of competency covered by this assessment toolUnit code Unit title Core Elective

HLTEN502A Apply effective communication skills in nursing practice

HLTHIR403B Work effectively with culturally diverse clients and co-workers

HLTEN504A Implement and evaluate a plan of nursing action

HLTHIR404B Work effectively with Aboriginal and/or Torres Strait Islander people

HLTOHS300A Contribute to OHS processes

HLTFA301B Apply first aid

HLTAP401A Confirm physical health status

HLTAP501A Analyse health information

HLTEN509A Apply legal and ethical parameters to nursing practice

HLTEN515A Implement and monitor nursing care for older adults

HLTEN508A Apply reflective practice, critical thinking and analysis in health

HLTEN503A Contribute to client assessment and developing nursing care plans

HLTEN516A Apply understanding of the Australian health care system

HLTEN401A Work in the nursing profession

HLTIN301A Comply with infection control policies and procedures in health work

HLTEN506A Apply principles of wound management in the clinical environment

HLTEN505A Contribute to the complex nursing care of clients

HLTEN512A Implement and monitor nursing care for clients with acute health problems

HLTEN510A Implement and monitor nursing care with mental health conditions

HLTEN513A Implement and monitor nursing care for clients with chronic health problems

HLTEN507A Administer and monitor medications in the work environment


HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)Section 2 – Self-evaluation information

Section 2

Self-evaluation information



HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)Note to the candidateThe purpose of this self-evaluation is to enable you to identify if you already have the required skills and knowledge as to be judged competent to receive the above qualification.

To complete this form, answer all the following self-evaluation questions by placing a in the column (Yes/No) that best reflects your current level of skills and knowledge.

As you answer each question, make a note of any evidence you have that could be used to verify your skills. For example, if you claim to be able to have undertaken a nursing assessment, you need to be able to provide examples of this.

Examples of different types of evidence that you could provide include:

résumé describing where you have worked

job descriptions

records of formal or informal training you may have done on the job

references

discussing work you have done and where you have done the work with an assessor

demonstrating the task to an assessor (either in your workplace or at a training facility)

performance appraisals.



HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)Self-evaluation checklist – Skill Set 1Delivery of careThe following questions relate to your knowledge, skills and experience of effective communication, working effectively with Aboriginal and Torres Strait Islander and culturally diverse people, OHS processes in the health industry and implementing and evaluating a plan of nursing care.

Questions relating to Skill Set 1 Yes No What evidence can you provide?

Q1 Can you demonstrate the use of information technology to support nursing practice? q q

Q2 Can you demonstrate an understanding of medical terminology? q qQ3 Can you demonstrate the ability to apply oral, written and interpersonal

communication skills in nursing practice? q qQ4 Can you demonstrate the use of effective strategies to address and eliminate

discrimination and bias in the workplace? q qQ5 Can you communicate respectfully and with sensitivity to varying cultural

beliefs and their practices? q qQ6 Can you show evidence of contributions to OHS processes in the workplace? q qQ7 Can you use an itemised checklist to identify hazards and risks? q qQ8 Can you demonstrate the ability to apply nursing interventions/procedures to

the medically unstable patient? q qQ9 Can you demonstrate safe manual handling principles? q qQ10 Can you demonstrate an understanding of the culture and history, including

relevant legislation and policies, of local Aboriginal and/or Torres Strait Islander communities?

q q

Self-evaluation checklist – Skill Set 2First aid




Q1 Do you have a current first aid certificate? q q



Self-evaluation checklist – Skill Set 3Implementing nursing careThe following questions relate to your knowledge, skills and experience of physical health status, health information, legal and ethical parameters, nursing care for older adults, reflective practice, critical thinking, client assessment and development of nursing care plans, the Australian health care system and working in the nursing profession.


Q1 Can you demonstrate a detailed level of knowledge of anatomy and physiology required to confirm physical health status? q q

Q2 Can you identify the potential impact of internal and external factors in relation to the body systems? q q

Q3 Do you know how to recognise common clinical conditions? q qQ4 Can you demonstrate the underpinning knowledge relation to pathophysiology

and diseases? q q

Q5 Can you read and interpret the legal requirements of nursing documentation? q qQ6 Are you able to demonstrate knowledge of the legislation related to nursing

practice, duty of care and scope of practice of the enrolled nurse? q q

Q7 Have you undertaken a nursing assessment of the older person in both acute and residential aged care environments? q q

Q8 Have you cared for the older person and communicated with older people, family and carers in both acute care and residential aged care facility? q q

Q9 Can you demonstrate knowledge of critical thinking and analysis? q qQ10 Can you demonstrate knowledge of problem-solving using logic, analysis and

sound argument? q q




Q11 Have you contributed to the admissions and discharge process in the health care setting? q q

Q12 Can you identify a range of physical assessment techniques to be carried out on an unstable patient? q q

Q13 Can you describe the overall structure of the Australian health care system? q q

Q14 Can you identify common complementary therapies of health care? q q

Q15 Can you describe the scope of practice nursing decision making framework? q q

Q16 Can you meet objectives and prioritise your work load? q q



Self-evaluation checklist – Skill Set 4Infection control and wound managementThe following questions relate to your knowledge, skills and experience of infection control and wound management.


Q1 Can you demonstrate knowledge of the basic microbiology required to follow clean and sterile procedures? q q

Q2 Can you identify the transmission paths of various infections? q q

Q3 Can you clarify the concept of susceptible hosts? q qQ4 Can you name methods of breaking the chain of infection in an acute health

care setting? q q

Q5 In what circumstances have you used PPE? q q

Q6 Have you undertaken any infection control risk assessment? q q

Q7 Have you collected any specimens for microbial testing? q q

Q8 Can you describe different types of wounds? q q

Q9 In what ways have you practised aseptic techniques? q q

Q10 What types of wound care have you carried out? q q



Self-evaluation checklist – Skill Set 5Complex nursing careThe following questions relate to your knowledge, skills and experience of complex nursing care of clients with acute, chronic and mental health problems.


Q1 Can you demonstrate a detailed level of knowledge of the nursing management of common disorders and conditions associated with the body systems?

q q

Q2 Can you demonstrate a detailed level of knowledge of common diagnostic tests? q q

Q3 Can you demonstrate how to implement acute care nursing interventions and outcomes? q q

Q4 Are you able to demonstrate the underpinning knowledge related to pre-operative and post-operative care? q q

Q5 Can you demonstrate the underpinning knowledge related to emergency management? q q

Q6 Can you demonstrate the roles and responsibilities within the mental health environment? q q

Q7 Are you able to demonstrate the documentation and risk assessment in the mental health setting? q q

Q8 Have you undertaken medical interventions and contributed to outcomes? q qQ9 Can you demonstrate the underpinning knowledge related to clinical

manifestations of chronic disease states? q q



Self-evaluation checklist – Skill Set 6MedicationsThe following questions relate to your knowledge, skills and experience of administering and monitoring medications in the work environment.


Q1 Can you demonstrate the appropriate language, literacy and numeracy skills required for:

drug calculation, administration and documentation

estimation

SI abbreviations

comparison of metric measurements?

q q

Q2 Can you apply infection control principles – hand washing, handling of medications, standard precautions? q q

Q3 Can you use formulae to calculate appropriate drug doses to 100% accuracy for:

adults

older clients

paediatric clients

intravenous therapy?

q q

Q4 Can you demonstrate preparation, administration and recording of medications via all routes as per state and territory legislation, including the use of pump and delivery devices?

q q

Q5 Can you identify resources to assist in the recognition of drug incompatibilities, side effects, contraindications, allergies and precautions associated with specific medications?

q q

Q6 Can you explain the emergency management for clients experiencing an adverse medication reaction and outline your own role in such a situation? q q




Q7 Can you observe and monitor peripheral intravenous therapy? q qQ8 Can you demonstrate strategies for the effective assessment and

management of a client’s pain? q q

Q9 Can you demonstrate an awareness of traditional medicine in the context of the health of Aboriginal and/or Torres Strait Islander people? q q

Q10 Can you demonstrate professional conduct, skills and knowledge, including the application of the NBWA scope of nursing practice decision making framework?

q q

Q11 Can you outline medication terminology and approved medication abbreviations? q q

Q12 Can you demonstrate an awareness of the role of complementary therapies in client care? q q

Q13 Can you demonstrate knowledge of the legal requirements for practice parameters of the enrolled nurse relating to the administration of medications, including legal requirements of each route of administration?

q q


HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)Section 3 – Interview Question Bank and Recording Sheets

Section 3

Interview Question Bank and

Recording SheetsThis section contains questions the Assessor may ask the candidate while documenting their conversation during the RPL interview.

Assessor’s InstructionsIt is not intended that every question for each competency be asked or discussed during the conversation. Only questions related to those competencies that the initial documentary review has failed to fully address are required.

Each question provides key points to look for in the candidate’s responses. You may wish to use these key points to formulate questions of your own, contextualise, or rephrase the suggested questions to suit the candidate’s particular work situation.

On the Recording Sheets, place a tick next to each key point as it is addressed by the candidate during the conversation. By doing this, you are recording what you have heard the candidate say during the interview.

Use the Assessor’s Comments section next to each question to provide further details about the context of the discussion or other key points and examples the candidate has discussed that may be relevant in confirming competence.

It is important to remember that the notes taken during the questioning interview are important evidence and should be retained as part of the candidate’s assessment records.



Interview question bank and recording documents – Topic AAged careNote to the assessorIt is not mandatory for you to ask the candidate all the questions in this question bank. The candidate may have provided sufficient information to demonstrate competence based on their self-evaluation and documentary evidence. You will need to use your professional judgement as to which questions you focus on at this stage of the evaluation. You may choose to discuss a work task topic rather than ask a series of direct questions.

Record of interview

Candidate’s name

Assessor’s name

How/where interview was conducted

Interview only qAt an RTO’s premises q Name: _______________________________

Demonstration/theory assessment qIn the workplace q Name: _______________________________



Interview question bank and recording documents – Topic AAged careThe assessor is to ask leading questions.

The following topics are suggested and may cover more than one skill set:

Topic A – Aged care

Topic B – Chronic care

Topic C – Acute care

Topic D – Medical care

Topic E – Medications

Topic F – Mental health care

Topic G – Cultural care in nursing

Topic H – Communication in nursing

Topic I – Infection control.

Did the candidate satisfactorily answer questions on the following topics? Yes No

identification and application of ADLs q q mobility q q skin integrity/pressure care q q nutrition q q elimination q q client comfort q q ACFI q q

Interview question bank and recording documents – Topic BChronic care



Note to the assessorIt is not mandatory for you to ask the candidate all the questions in this question bank. The candidate may have provided sufficient information to demonstrate competence based on their self-evaluation and documentary evidence. You will need to use your professional judgement as to which questions you focus on at this stage of the evaluation. You may choose to discuss a work task topic rather than ask a series of direct questions.

Record of interview

Candidate’s name

Assessor’s name






Interview question bank and recording documents – Topic BChronic careThe assessor is to ask leading questions.


identification of conditions, eg diabetes, paralysis, respiratory and/or blood disorders q q

pain management q q

rehabilitation q q



Interview question bank and recording documents – Topic CAcute careNote to the assessorIt is not mandatory for you to ask the candidate all the questions in this question bank. The candidate may have provided sufficient information to demonstrate competence based on their self-evaluation and documentary evidence. You will need to use your professional judgement as to which questions you focus on at this stage of the evaluation. You may choose to discuss a work task topic rather than ask a series of direct questions.

Record of interview

Candidate’s name

Assessor’s name






Interview question bank and recording documents – Topic CAcute careThe assessor is to ask leading questions.


pre-operative and post-operative care q q wound management, eg drains, tracheostomies and other ostomies q q catheter care q q IV care q q medications q q pain relief and management q q infection control q q admissions and discharges q q public hospital system versus private hospital system q q



Interview question bank and recording documents – Topic DMedical careNote to the assessorIt is not mandatory for you to ask the candidate all the questions in this question bank. The candidate may have provided sufficient information to demonstrate competence based on their self-evaluation and documentary evidence. You will need to use your professional judgement as to which questions you focus on at this stage of the evaluation. You may choose to discuss a work task topic rather than ask a series of direct questions.

Record of interview

Candidate’s name

Assessor’s name






Interview question bank and recording documents – Topic DMedical careThe assessor is to ask leading questions.


vital signs q q neurological observations q q medical conditions and care related to the conditions: CVA, MI, CAL, CCF q q fluid balance q q medications q q



Interview question bank and recording documents – Topic EMedicationsNote to the assessorIt is not mandatory for you to ask the candidate all the questions in this question bank. The candidate may have provided sufficient information to demonstrate competence based on their self-evaluation and documentary evidence. You will need to use your professional judgement as to which questions you focus on at this stage of the evaluation. You may choose to discuss a work task topic rather than ask a series of direct questions.

Record of interview

Candidate’s name

Assessor’s name






Interview question bank and recording documents – Topic EMedicationsThe assessor is to ask leading questions.


common drugs for common disorders q q

abbreviations and terminology q q legal issues

schedule 4 to 8

prescriptions

5 Rs

q q

adverse reactions to medications q q

side effects from medications q q

intravenous therapy medications q q

calculations test (100% required) q q



Interview question bank and recording documents – Topic FMental health careNote to the assessorIt is not mandatory for you to ask the candidate all the questions in this question bank. The candidate may have provided sufficient information to demonstrate competence based on their self-evaluation and documentary evidence. You will need to use your professional judgement as to which questions you focus on at this stage of the evaluation. You may choose to discuss a work task topic rather than ask a series of direct questions.

Record of interview

Candidate’s name

Assessor’s name






Interview question bank and recording documents – Topic FMental health careThe assessor is to ask leading questions.


Mental Health Act q q

major mental health disorders q q

types of therapy q q

medications q q

community services q q



Interview question bank and recording documents – Topic GCultural care in nursingNote to the assessorIt is not mandatory for you to ask the candidate all the questions in this question bank. The candidate may have provided sufficient information to demonstrate competence based on their self-evaluation and documentary evidence. You will need to use your professional judgement as to which questions you focus on at this stage of the evaluation. You may choose to discuss a work task topic rather than ask a series of direct questions.

Record of interview

Candidate’s name

Assessor’s name






Interview question bank and recording documents – Topic GCultural care in nursingThe assessor is to ask leading questions.


cultural communication techniques q q

death and dying q q

cultural diets q q

cultural beliefs and pastoral care q q

culture as it relates to Aboriginal and Torres Strait Islander people q q



Interview question bank and recording documents – Topic HCommunication in nursingNote to the assessorIt is not mandatory for you to ask the candidate all the questions in this question bank. The candidate may have provided sufficient information to demonstrate competence based on their self-evaluation and documentary evidence. You will need to use your professional judgement as to which questions you focus on at this stage of the evaluation. You may choose to discuss a work task topic rather than ask a series of direct questions.

Record of interview

Candidate’s name

Assessor’s name






Interview question bank and recording documents – Topic HCommunication in nursingThe assessor is to ask leading questions.


professionalism/employability skills q q

communication across the age range q q

written and oral communication q q

legal documentation q q

cultural diversity q q

medical terminology q q

informed consent q q

privacy/confidentiality q q

admissions and discharges q q

equal opportunity – freedom of information q q



Interview question bank and recording documents – Topic IInfection controlNote to the assessorIt is not mandatory for you to ask the candidate all the questions in this question bank. The candidate may have provided sufficient information to demonstrate competence based on their self-evaluation and documentary evidence. You will need to use your professional judgement as to which questions you focus on at this stage of the evaluation. You may choose to discuss a work task topic rather than ask a series of direct questions.

Record of interview

Candidate’s name

Assessor’s name






Interview question bank and recording documents – Topic IInfection controlThe assessor is to ask leading questions.


sterile techniques q q

asepsis q q

use of sterile equipment q q

MRSA and VRE q q

microbiology q q

immunisation q q

standard and additional precautions q q

duty of care q q

legislation q q

risk management and identification q q

emergency procedures q q



Demonstration/observation/practicalReporting and recording document

Workplace observation checklist

Candidate’s name

Assessor’s name

Work activity

Unit(s) of competency (Assessor to insert relevant units.)

Workplace/simulated workplace

InstructionsThe candidate is required to:

During the demonstration or observation of skills, did the candidate:

Yes No Feedback to candidate

maintain appropriate safety procedures and requirements? q q follow nursing care plans? q q use appropriate equipment to perform the task? q qDuring the demonstration or observation of skills, did the Yes No Feedback to candidate



candidate:

perform the task in a logical sequence? q q adequately describe processes and demonstrate application of

underpinning knowledge? q q

perform tasks to nursing standards? q q demonstrate appropriate communication and interpersonal skills

with a range of people? q q

perform defined work tasks as directed? q q demonstrate the required underpinning knowledge to support

performance of task skills? q q

Dimensions of competency

During demonstration of the skill, did the candidate show evidence of the following?

Yes No Comment

Task skills – perform the task to the required standard as described in the unit of competency q q

Task management skills – manage a number of different tasks within the job q q

Contingency management skills – respond to problems, breakdowns and changes in routine q q

Job/role environment skills – fulfil the responsibilities and expectations of a workplace q q

Transferability – apply skills that are generic across workplaces q q

The candidate’s overall performance met the standard. Yes q No q

Comments/Observations



Assessor’s nameOutcome (Please circle)

S(Satisfactory)

NYS(Not Yet

Satisfactory)Assessor’s signature

Candidate’s signature Date



Third party evidence reportCourse name and number: _______________________________________________________Note for the assessorA sample format is provided below on some skill areas, eg communication and team skills. Third party evidence relating to other competencies should follow a similar format.

Candidate’s name

Third party evidence provided by

Relationship to candidate

Unit(s) of competency (Assessor to insert relevant units.)

Evidence collectedinterview at the workplace qinterview on the telephone q

Interview conducted by

InstructionsAs part of the assessment for the unit(s) of competency listed above, evidence is sought to support a judgement about the candidate’s competence. As part of the process of gathering evidence of competence, reports are sought from the supervisor and other people who work closely with the candidate.

Does the candidate consistently: Yes No

contribute to the flow of relevant work information and ideas? q q

contribute to the maintenance and improvement of work communication? q q

deal with work issues, problems and conflicts? q qDoes the candidate consistently: Yes No



respond quickly and remain calm in contingency situations in accordance with enterprise standards? q q

support others in the workplace? q q

work well within the team environment? q q

operate to the level of an enrolled nurse by:

reading standard working instructions and nursing care plans?

independently planning the method and order of progressing a job?

taking measurements and readings using measuring instruments of appropriate accuracy?

preparing environment and equipment for procedures?

checking and/or comparing own work in relation to the relevant standards?

demonstrating 100% accuracy when dispensing medications?

completing tasks in a safe and timely manner?

q q

operate safely in the workplace? q q

undertake tasks following a logical sequence of events? q q

understand and follow the organisation’s quality control processes? q q

Supervisor’s signature Date

Assessor’s signature Date



Candidate’s contact informationNote for the assessorThis form is not mandatory but may assist in the gathering of information.

Candidate’s name

Candidate’s address

Telephone number Fax number

Mobile number Email address

Candidate’s employer (if applicable)

Name of candidate’s supervisor (if applicable)

Qualification and trade details HLT51067 Diploma of Nursing q



Record of initial interviewNote for the assessorThis is to be conducted after the candidate has completed the self-evaluation checklist.

QualificationHLT51067 Diploma of Nursing q

Candidate’s name

Assessor’s name

Description of candidate’s tasks at work(The assessor is to complete this section during the interview, with a summary of the candidate’s work history.)

The evidence the candidate is able to collect(The assessor is to complete this section during the interview, with the evidence the assessor and candidate have agreed could be collected by the candidate, eg

job description, training records, references).

Candidate to answer questions (yes/no)

Have the purpose and the consequences of the assessment been explained? yes q no q Have you received copies of the standards that will be assessed? (optional) yes q no q Do you understand what evidence is to be collected? yes q no q Have your rights and the appeal system been fully explained? yes q no q Have you discussed any special needs to be considered during assessment? yes q no qIf yes, provide details:

___________________________

Assessor’s signature Candidate’s signature Date



Other information that will assist with the assessment processSection 1 – Personal details

What is your first language? __________________________________

Which language do you speak at home? __________________________________

Do you speak English?

Yes q No q How well? Fluent q Basic q

Do you need an interpreter to help you with an interview? Yes q No q

Do you have a disability? Yes q No q

Will you need special aids? Yes q No q

Provide details so we can assist you:

_____________________________________________________________________________________

_____________________________________________________________________________________

Section 2 – Previous applicationsHave you previously applied to have your nursing skills assessed? No q (Go to Section 3.)

Yes q (Give details.)

Name of qualification: ______________________________________________

Name of Authority to which you applied: ______________________________________________

Date of application: ______________________________________________

Was your application successful? Yes q No qSection 3 – Formal vocational education trainingHave you ever done any formal vocational training or technical courses relevant to this application?

No q (Go to Section 4.)Yes q (Give details.)

Name of course: ______________________________________________

Name and address of college /institution you attended: ______________________________________________

______________________________________________

______________________________________________

Dates you commenced and completed the training: commenced:_______________________

completed:_________________________

Name of qualification obtained: ______________________________________________



Section 4 – Current employment details

Are you employed? No q (Go to Section 5.)_______Yes q (Give details. If self-employed, provide evidence.)

Company/Employer: ________________________________________________________________

Address: ________________________________________________________________

________________________________________________________________

Phone: ______________________________ Fax:______________________________

Date you commenced: ________________________________________________________________

Occupation: ________________________________________________________________

Section 5 – Employment historyGive details of any previous employment relevant to this application. You may attach a résumé rather than complete this section. If you do not have a résumé, document your work history here.Start with your present or most recent employer. Attach other pages if necessary. Attach copies of references from employers. The references should list the main duties you performed and other relevant information. Include evidence of any periods of self-employment.

Company name and address Occupation/Duties

Period of employment Is employer reference attached?From To

I certify that the information contained in this application is a true and accurate record of my employment and training.

Signature: Date:


Skill Set 1 – Delivery of care - Welcome |...

Documents

Transcript of Skill Set 1 – Delivery of care - Welcome |...