Leicester, Leicestershire and Rutland

Training Passport for GenericHealthcare Tasks

IntroductionWelcomeThis training passport has been produced in conjunction with the Leicester, Leicestershire andRutland (LLR) Health and Social Care Protocol.

The Protocol sets out the responsibilities of the NHS that, with the right oversight and training, caretasks that can be delivered by social care agencies, whilst remaining the responsibility of the NHS.

Tasks that can be delegated from the NHS to social care are categorised as either generic orspecific. These terms relate to the type of training that is required to be undertaken by social careworkers before they are deemed competent to carry out the task.

• Generic - once a social care worker has undertaken training for a generic task, they will be deemed competent to carry out that task with all and any individuals that require it

• Specific - these are tasks that require social care workers to undertake one to one training for each and every individual person before they are deemed competent to carry out that task only with the individual that requires it

This training passport will focus on generic tasks.

In order to be competent to undertake the generic tasks we will provide a training programme. Ouraim is to provide you with the knowledge and skills to undertake the generic tasks confidently andsafely.

We would like you to keep this training passport as your evidence for receiving the training andalso deemed competent to carry out the task.

Good luck, we hope you find this training programme enjoyable and informative.

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The generic tasks that are illustrated in the LLR Health and Social care Protocol are detailedbelow. Core generic skills are those skills that are the most common delegated tasks.

Apply steroid based creams at above 1%.

When prescribed by a GP or Nurse Practitioner apply creams or lotions to the skin when a pad management system is in use by individuals with incontinence.

Assist with base line charting of urinary incontinence initiated with carers in order to identify appropriate care.

Monitor the condition of the skin where there is a risk of pressure ulcers developing and refer to a health worker if required (specific to care homes).

Assist individuals to eat who are at risk of choking and where the risk is managed by a standard plan of care (e.g. thickened fluids, softened diet).

Use of NHS provided equipment to lower the risk of pressure sores.

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Generic Healthcare TasksC

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Check stoma, colostomy, ileostomy, urostomy care systems, recognise and report any concerns to a health worker.

Administer eye/ear drops, for individuals that need artificial tears or medication except pre or post operatively.

Help individuals to put on surgical stockings.

Reapply simple dressings in an emergency and as a short term measure until the health worker can be contacted. i.e. when dressing becomes dislodged.

Assist the individual to access their oxygen in accordance with their plan of care.

Assist individuals to use a nebuliser in accordance with their plan of care.

Manage stoma, colostomy, ileostomy and urostomy care systems.7

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13Undertake blood sugar finger prick test for diabetics where included in their plan of care and take appropriate follow up action.14

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PROCESS FOR COMPLETING GENERIC TASKCOMPETENCIES

This diagram explains what steps will be taken to support the Social Care Workerachieving the required competencies for the training passport.

Provision of knowledge and skills toundertake task

Opportunity to practice skills to meetrequired performance criteria

Assessments of delegated care task

If additional support is required feedback will be given tothe individual and the Care agency informed

An opportunity to practice the required skill will beprovided

If competent sign off completed document in passport,social care worker can undertake delegated generic task

for individuals within their care

Undertake common steps

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COMMON STEPS ON DELEGATED TASKSCommon steps are basic key skills that are required for all delegated tasks, it is expectedthat these key skills will be demonstrated when undertaking a task with an individual.

Preparation Make sure you have all the equipment you need before you start.

Infection prevention Make sure you wash your hands.and control Wear the protective clothing that is identified in your work place policy or guidelines for the

procedure.

Introduction Introduce yourself to the individual and explain your role.

Identification Make sure you have the right individual by asking their name and date of birth. If the individual is unable to answer make sure you have checked the individual’s identity against your organisation’s identifiable records.

Consent Always ask the individual for consent to carry out the procedure. You should explain to the individual what you are going to do, how you are going to do it and why it is required. Consent should be gained each time you do the procedure. If the individual is unable to give consent this needs to be obtained from next of kin or if it’s in the individuals best interest.

Step Detail of steps

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COMMON STEPS ON DELEGATED TASKSCommon steps are basic key skills that are required for all delegated tasks, it is expected

that these key skills will be demonstrated when undertaking a task with an individual

Approach to Dignity and privacy must be maintained at all times and the individual must always be treated individual with respect.

To finish Always thank the individual. Make sure the individual is covered and help to redress if needed. Always clear up any equipment you have used and throw away any waste in the correct bins. Ensure that the patient feels safe and comfortable.

Record keeping At the end of the procedure always record the treatment in the plan of care relating to the delegated task stating what you have undertaken using a black pen and clear hand writing.

I have read the above and know that this must be used when giving care to individuals

Name of carer

Signature

Step Detail of steps

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GENERIC HEALTHCARE TASKS

START HERE

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Apply steroid basedcreams at above 1%

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Name: Description of Task: Apply steroid based creams at above 1%

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- The reasons for applying steroid based creams and the rationale for when this can beperformed by a social care worker within their level of competence.

- How to apply steroid based creams.

- The importance of following manufacturer’s instructions.

- The importance of checking the medication, the batch number and expiry date in line with the delegated care plan.

- How to monitor the effectiveness of treatment.

Demonstrates the common steps inthe preparation, undertaking andcompleting the task.

Explains procedure to the individualand ask if there have been anyproblems with previous applicationof steroid creams.

Undertakes infection controlprinciples relevant to the task.

Checks medication to be appliedusing plan of care.

Applies cream in line withmanufacturer’s instructions orrelevant instructions from healthworker in a way that minimises painor discomfort to the individual.

Disposes of waste appropriately andwashes hands.

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Name: Description of Task: Apply steroid based creams at above 1%

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- The sources of support, advice and information whichmay prove helpful to individuals, e.g. information leaflets.

- The importance of compliance and circumstancesthat would require reporting concerns.

Explains the importance ofobserving individuals for anyreactions, and what immediateactions to take if this occurs.

Explains procedure for reportingany concerns to the health worker.

Records treatment given in plan ofcare relevant to the delegated task.

Comments Section:

* In addition to the training programmes in place a health worker may also sign the performance criteria if the social care worker can demonstrate the requirements. A social care manager may also sign the performance criteria if they are assured that the skills and knowledge have been previously acquired by the social care worker.

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When prescribed by a GPor Nurse Practitioner,apply creams or lotionsto the skin when a padmanagement system is inuse by individuals withincontinence.

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Name: Description of Task: When prescribed by a GP or Nurse Practitioner, apply creams or lotions to the skin when a pad management system is in use by individuals with incontinence.

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- The reasons for applying creams and lotions to the skinand the rationale for when these can be performed by a social care worker.

- The types of creams and lotions that are commonly prescribed.

- The protective nature of creams and lotions.

- Awareness of how creams can affect the absorbency of pads.

- How to monitor the effectiveness of the treatment.

Demonstrates the common steps inthe preparation, understanding andcompleting the task.

Explain the procedure to theindividual and ask if there havebeen any problems with previousapplication of creams/lotions.

Undertakes infection controlprinciples relevant to the task.

Checks creams/lotions to be appliedusing plan of care.

Applies cream in line withmanufacturer’s instructions orrelevant instructions from healthworker.

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Name: Description of Task: When prescribed by a GP or Nurse Practitioner, apply creams or lotions to the skin when a pad management system is in use by individuals with incontinence.

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- The importance of checking creams/lotions batch number and expiry date in line with delegated care plan.

- The importance of complianceand circumstances that wouldrequire reporting concerns

Explain the importance ofobserving individuals for anyreactions, and what immediateaction to take if this occurs.

Explain procedure for reporting anyconcerns including anydeterioration to the integrity of theskin to the health worker.

Record treatment given on plan ofcare relevant to the delegated task.

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Name: Description of Task: When prescribed by a GP or Nurse Practitioner, apply creams or lotions to the skin when a pad management system is in use by individuals with incontinence.

Comments Section:

* In addition to the training programmes in place a health worker may also sign the performance criteria if the social care worker can demonstrate the requirements. A social care manager may also sign the performance criteria if they are assured that the skills and knowledge have been previously acquired by the social care worker.

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Assist with baselinecharting of urinaryincontinence initiatedwith carers in order toidentify appropriatecare

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Name: Description of Task: Assist with baseline charting of urinary incontinence initiated with carers in order to identify appropriate care.

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- The reasons for completing baseline charts and the rationale for when this can beperformed by a social care worker within their level of competence.

- The type of baseline charts used.

- The importance of the patientmeasuring fluid intake and urine output.

- The length of time the baseline charts must be completed for minimum threedays; maximum five days.

- The importance of the charts being accurate.

Demonstrates the common steps inthe preparation, undertaking andcompleting the task.

Explains how to complete abaseline chart including all of therelevant columns.

Explains the importance of theindividuals documenting when theygot up and went to bed todistinguish between night and day.

Advises the individual to use an oldjug at home to measure urineoutput or purchase a cheap plasticjug.

Explains the correct measurementsused for measuring fluid intake andoutput.

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Name: Description of Task: Assist with baseline charting of urinary incontinence initiated with carers in order to identify appropriate care.

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- Why the charts are an important part of the continence assessment

- The completed charts must bepassed on to the trained member of staff undertaking the continence assessment after completion

Describes incontinent episodes on abaseline chart, includingincontinent episodes and padchanges.

Explains the importance of theindividual completing baselinecharts immediately.

Explains procedure for reportingany concerns to the health worker.

Records actions in individual’s planof care relevant to the delegatedtask.

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Name: Description of Task: Assist with base line charting of urinary incontinence initiated with carers in order to identify appropriate care.

Comments Section:

* In addition to the training programmes in place a health worker may also sign the performance criteria if the social care worker can demonstrate the requirements. A social care manager may also sign the performance criteria if they are assured that the skills and knowledge have been previously acquired by the social care worker.

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Monitor the conditionof the skin where thereis a risk of pressureulcers developing andrefer to a health workerif required (specific tocare homes).

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Name: Description of Task: Monitor the condition of the skin where there is a risk of pressure ulcers developing and refer to a health worker if required (specific to care homes).

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- The reasons for monitoring the condition of skin and the rationale for when this can beperformed by a social care worker within their level of competence.

- An awareness of the 5 SSKIN campaign.

- How to inspect skin and identify a potential risk of a pressure sore.

- How to reposition an individual in bed.

- The importance of moving/changing position.

Demonstrates the common steps inthe preparation, undertaking andcompleting the task.

Demonstrates how to undertake askin inspection and blanch test.

Demonstrates a 30 degree tilt to apatient sitting up and lying flat.

Explains the importance ofencouraging individuals to keepmoving.

Explains the reason for using abarrier cream and apply correctly.

Explains the importance of nutritionand hydration and discuss somesimple tips to encourage foodintake and hydration.

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Name: Description of Task: Monitor the condition of the skin where there is a risk of pressure ulcers developing and refer to a health worker if required (specific to care homes).

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- How barrier creams and otherincontinence products are used to reduce the risk of pressure sores; and moisture lesions.

- The importance of nutrition and hydration for wound healing

Demonstrates the correct use of theSSKIN bundle pressure care plan.

Explains the procedure for reportingany concerns to the health worker.

Comments Section:

* In addition to the training programmes in place a health worker may also sign the performance criteria if the social care worker can demonstrate the requirements. A social care manager may also sign the performance criteria if they are assured that the skills and knowledge have been previously acquired by the social care worker.

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Name: Description of Task: Manage stoma, colostomy, ileostomy and urostomy care systems

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

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Assist individuals to eatwho are at risk ofchoking and where therisk is managed by astandard plan of care(e.g. thickened fluids,softened diet).

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Name: Description of Task: Assist individuals to eat who are at risk of choking and where the risk is managed by a standard plan of care (e.g. thickened fluids, softened diet).

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- The reasons for assisting individuals who are at risk of choking and the rationale for when this can be performed by a social care worker withintheir level of competence.

- The key factors that contribute towards a safe swallow.

- How to prepare and use thickener correctly.

- The importance of following a speech and language therapy (SLT) plan.

- Circumstances that would require reporting concerns.

Demonstrates the common steps inthe preparation, undertaking andcompleting the task.

Explains procedure to the individualand ask if there have been anyrecent swallowing problems.

Undertakes infection controlprinciples relevant to the task.

Demonstrates how to prepare anduse thickener correctly in line withfeeding/swallowing plan.

Demonstrates maximising potentialof safe swallowing by checkingposition, distractions, dentures priorto feeding.

Explains why a SLT feeding /swallowing plan needs to befollowed.

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Name: Description of Task: Assist individuals to eat who are at risk of choking and where the risk is managed by a standard plan of care (e.g. thickened fluids, softened diet).

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

Follows instructions / advice leafletsin terms of equipment, position andtexture of food / drink.

Explains procedure for reporting anyconcerns to the health worker.

Comments Section:

* In addition to the training programmes in place a health worker may also sign the performance criteria if the social care worker can demonstrate the requirements. A social care manager may also sign the performance criteria if they are assured that the skills and knowledge have been previously acquired by the social care worker.

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Use of NHS providedequipment to lower therisk of pressure sores.

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Name: Description of Task: Use of NHS provided equipment to lower the risk of pressure sores.

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- The reasons for using equipment, and the rationale for when this can be performed by a social care worker within their level of competence.

- The types of cushions and mattresses available.

- Equipment provided for low and elevated risks.

- How to use the equipment correctly.

- The hazards associated with using the equipment.

Demonstrates the common steps inthe preparation, undertaking andcompleting the task.

Explains the reason for using theequipment and the risks of non-compliance.

Identifies the types of cushionsavailable and how to use themcorrectly.

Identifies the types of mattressesavailable and how to use themcorrectly.

Explains the difference betweenequipment used for low risk andelevated risk.

Identifies any potential hazards withusing cushions and mattresses.

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Name: Description of Task: Use of NHS provided equipment to lower the risk of pressure sores.

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- Infection control procedures specific to the equipment.

- Circumstances that would require reporting concerns

Explains infection control principleswith using the equipment.

Explains procedure for reporting anyconcerns to the health worker.

Demonstrates how to recordrelevant intervention in the plan ofcare relevant to the delegated task.

Comments Section:

* In addition to the training programmes in place a health worker may also sign the performance criteria if the social care worker can demonstrate the requirements. A social care manager may also sign the performance criteria if they are assured that the skills and knowledge have been previously acquired by the social care worker.

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Manage stoma,colostomy, ileostomyand urostomy caresystems.

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Name: Description of Task: Manage stoma, colostomy, ileostomy and urostomy care systems.

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- The reasons for changing/emptying the stoma appliance and the rationale for when this can be performed by a social care worker within their level of competence.

- The equipment to be used to change the stoma appliance.

- The importance of following standard precautions i.e. hand washing, gloves and aprons.

- The importance of maintaining skin integrity and preventing trauma to theskin.

Demonstrates the common steps inthe preparation, undertaking andcompleting the task.

Explains procedure to individual andask if there have been any problemswith previous application ofappliance e.g. leakage.

Undertakes infection controlprinciples relevant to the task.

Check with individual and/or careplan the stoma appliance theindividual uses and frequency ofchange required.

Correctly identifies when a drainablepouch is half full and the contentsneed emptying to prevent leakage.

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Name: Description of Task: Manage stoma, colostomy, ileostomy and urostomy care systems.

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- How to promote a good standard of hygiene around the stoma to reduce the risk of sore skin.

- To know when a pouch is well fitting to minimise the risk of skin damage.

- To know when a pouch is drainable and therefore needs to have a closure.

- How to correctly dispose of waste.

- Circumstances that would require reporting concerns

Demonstrates removing the oldappliance and correctly using anadhesive remover, if supplied toprevent trauma to the skin.

Checks the stoma, the output andsurrounding skin, and can recognisenormal from the abnormal andreport problems to stoma care team.

Demonstrates cleaning the stomaand surrounding skin with water tomaintain skin integrity, promotegood hygiene and prevent sore skinand use of skin barrier, if supplied.

Demonstrates applying a newappliance by removing theprotective cover from the adhesiveflange and applying the pouch tothe client ensuring there are nocreases and it’s a snug fit.

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Name: Description of Task: Manage stoma, colostomy, ileostomy and urostomy care systems.

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

Comments Section:

* In addition to the training programmes in place a health worker may also sign the performance criteria if the social care worker can demonstrate the requirements. A social care manager may also sign the performance criteria if they are assured that the skills and knowledge have been previously acquired by the social care worker.

Identifies outlet is closed if adrainable pouch is used to preventleakage and odour.

Correctly disposes of equipment.

Explain procedure for reporting anyconcerns to the health worker.

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Check stoma,colostomy, ileostomy,urostomy care systems,recognise and reportany concerns to ahealth worker.

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Name: Description of Task: Check stoma, colostomy, ileostomy, urostomy care systems, recognise and report any concerns to a health worker.

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- The reasons for checking the stoma and the appliance and the rationale for when this can be performed by a social care worker within their levelof competence.

- To monitor, record and report the normal stoma/skin condition and normal stoma output for the client.

- The need to be able to recognise the abnormal with the stoma and stoma output and report to a healthcare worker.

- To be able to reassure the individual of the steps taken if concerned about the stoma condition or output.

Demonstrates the common steps inthe preparation, undertaking andcompleting the task.

Explains procedure to individual andask if there have been any problemswith previous application ofappliance.

Undertakes infection controlprinciples relevant to the task.

Checks stoma appliance to be usedby asking the individual or checkingthe care plan.

Demonstrates knowledge of stomaand surrounding skin abnormalities.

Demonstrates the differencesbetween stomas outputs.

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Name: Description of Task: Check stoma, colostomy, ileostomy, urostomy care systems, recognise and report any concerns to a health worker.

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- To know the contact details for the stoma care team.

- The importance of documenting care undertakenin the appropriate records.

- Circumstances that would require reporting concerns.

Explains procedure for reporting anyconcerns to the health worker.

Comments Section:

* In addition to the training programmes in place a health worker may also sign the performance criteria if the social care worker can demonstrate the requirements. A social care manager may also sign the performance criteria if they are assured that the skills and knowledge have been previously acquired by the social care worker.

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Administer eye/eardrops, for individualsthat need artificial tearsor medication exceptpre or post operatively

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Name: Description of Task: Administer eye/ear drops, for individuals that need artificial tears or medication except pre or post operatively

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- The reasons for administeringear/eye drops and the rationale for when this can beperformed by a social care worker within their level of competence.

- The importance of following manufacturer’s instructions.

- The importance of checking the medication, the batch number and expiry date in line with the delegated care plan.

- The risks associated with instillation of eye/ear medication and measures which can be taken to prevent these risks.

Demonstrates the common steps inthe preparation, undertaking andcompleting the task.

Explains procedure to the individualand ask if there have been anyproblems with previousadministration of drops.

Undertakes infection controlprinciples relevant to the task.

Checks what drop is to be instilledusing plan of care.

Checks correct dose, frequency andsite of application.

Confirms that the eye/ear drop to beinstalled has not exceeded its expirydate and has been correctly stored.

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Name: Description of Task: Administer eye/ear drops, for individuals that need artificial tears or medication except pre or post operatively

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- The possible side effects of eye/ ear medication includingduration and consequences.

- Adverse reactions which may occur and appropriate action to be taken.

- The range of methods and correct techniques for instillation of eye/ ear medication and their correct application for intended purpose.

- The requirements for labelling and storing of eye medication.

- Infection control procedures and their application.

Instil the correct eye/eardrop usingcorrect technique for instillation.

Explains the importance ofobserving individuals for anyreactions, and what immediateaction to take if this occurs.

Records which eye/ ear drops havebeen instilled in plan of care relevantto the delegated task.

Explains the procedure for reportingany concerns to the health worker.

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Name: Description of Task: Administer eye/ear drops, for individuals that need artificial tears or medication except pre or post operatively

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- Requirements for accurate and legible recording of information.

- Circumstances that would require reporting concerns.

Comments Section:

* In addition to the training programmes in place a health worker may also sign the performance criteria if the social care worker can demonstrate the requirements. A social care manager may also sign the performance criteria if they are assured that the skills and knowledge have been previously acquired by the social care worker.

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Help individuals to puton surgical stockings.

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Name: Description of Task: Help individuals to put on surgical stockings.

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- The reasons why individuals have surgical stockings fitted.

- The range of stockings available to the individual.

- The importance of applying stockings correctly and how to ensure correct fit to avoid damage to the individual.

- The devices available to assistthe application if needed.

- How to apply stockings without the use of a device.

- The importance of the on-going monitoring of the stockings to ensure there are no adverse effects to the individual.

Demonstrates the common steps inthe preparation, undertaking andcompleting the task.

Explains procedure to the individualand ask if there have been anyproblems with the stockings.

Undertakes infection controlprinciples relevant to the task.

Checks what size of stocking are tobe applied using plan of care.

Demonstrates how to use theappropriate device to aid fitting ofstocking using manufacturer’sinstructions.

Demonstrates how to applystockings with/without the use of anaid using manufacturer’sinstructions.

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Name: Description of Task: Help individuals to put on surgical stockings.

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- Circumstances that would require reporting concerns.

Confirms with individual thatstockings fit comfortably.

Explains to individual what action totake if any problems occur.

Explains procedure for reporting anyconcerns to the health worker.

Documents the care given in theplan of care relevant to thedelegated task.

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Name: Description of Task: Help individuals to put on surgical stockings.

Comments Section:

* In addition to the training programmes in place a health worker may also sign the performance criteria if the social care worker can demonstrate the requirements. A social care manager may also sign the performance criteria if they are assured that the skills and knowledge have been previously acquired by the social care worker.

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Reapply simpledressings in anemergency and as ashort term measureuntil the health workercan be contacted i.e. when dressingbecomes dislodged.

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Name: Description of Task: Reapply simple dressings in an emergency and as a short term measure until the health worker can be contacted i.e. when dressing becomes dislodged.

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- The reasons for applying dressings and the rationale for when this can be performed by a social care worker within their level of competence.

- The importance of applying the correct dressing.

- The importance of preventingcross infection during the procedure.

- Importance of observing wound for any signs of redness, change in appearance, swelling or discharge.

Demonstrates the common steps inthe preparation, undertaking andcompleting the task.

Explains procedure to individual andasks if there have been any problemswith any previous dressings.

Undertakes infection controlprinciples relevant to the task.

Demonstrates removing dressing anddisposes of this correctly.

Correctly applies relevant dressing inline with manufacturer’s instructionsor relevant care plan.

Records information in plan of carerelevant to the delegated task.

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Name: Description of Task: Reapply simple dressings in an emergency and as a short term measure until the health worker can be contacted i.e. when dressing becomes dislodged.

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- Circumstances that would require reporting concerns.

Reports procedure and findings torelevant health worker.

Comments Section:

* In addition to the training programmes in place a health worker may also sign the performance criteria if the social care worker can demonstrate the requirements. A social care manager may also sign the performance criteria if they are assured that the skills and knowledge have been previously acquired by the social care worker.

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Assist the individual toaccess their oxygen inaccordance with theirplan of care.

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Name: Description of Task: Assist the individual to access their oxygen in accordance with their plan of care.

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- When this task can be performed by a social care worker within their range of competence.

- Equipment and accessories needed to deliver oxygen e.g.cylinder or oxygen concentrator.

- The hazards and complications which may arise during the administration of oxygen andhow to minimise risks.

- When it is safe or not safe to administer oxygen.

Demonstrates the common steps inthe preparation, undertaking andcompleting the task.

Explains procedure to individual andask if there have been any problemswith the oxygen.

Undertakes infection controlprinciples relevant to the task.

Checks that the individual has arelevant plan of care from a healthprofessional to be using oxygentherapy.

Explains the safety measures andpotential dangers when usingoxygen.

Demonstrates the correct procedureto apply a face mask, mouthpiece ornasal cannula.

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Name: Description of Task: Assist the individual to access their oxygen in accordance with their plan of care.

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- The importance of the manufacturers labelling of oxygen equipment and safetyguidance.

- How to report faulty equipment.

- How to ensure individual comfort during oxygen administration.

- Circumstances that would require reporting concerns.

Explains the adverse effects ofoxygen therapy and how they canbe prevented and/or minimised.

Checks the oxygen equipment hasbeen labeled with safety guidanceby the manufacturer under statutoryregulations.

Explains comfortable positions forthe delivery of oxygen within theconstraints of thetreatment/environment.

Explains the importance ofobserving individuals for anyproblems associated with oxygen,and what immediate action to takeif this occurs.

Explains procedure for reporting anyconcerns to the health worker.

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Name: Description of Task: Assist the individual to access their oxygen in accordance with their plan of care.

Comments Section:

* In addition to the training programmes in place a health worker may also sign the performance criteria if the social care worker can demonstrate the requirements. A social care manager may also sign the performance criteria if they are assured that the skills and knowledge have been previously acquired by the social care worker.

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Assist individuals to usea nebuliser inaccordance with theirplan of care.

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Name: Description of Task: Assist individuals to use a nebuliser in accordance with their plan of care.

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- The reasons for assisting an individual with a nebuliser and the rationale for when this can be performed by a social care worker within their level of competence.

- Awareness of equipment needed to use a nebuliser.

- Know the hazards and complications that may arise during the use of nebuliser.

- How to minimise risk.

- How to ensure individual comfort during use of nebuliser.

Demonstrates the common steps inthe preparation, undertaking andcompleting the task.

Explains procedure to individual andask if there have been any problemswith previous nebuliser usage.

Undertakes infection controlprinciples relevant to the task.Checks medication to be appliedusing plan of care.

Explains procedure for reporting anyconcerns to the health worker.Explains safety measure andpotential risks when using anebuliser.

Demonstrates correct procedure toconnect nebuliser to face mask.

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Name: Description of Task: Assist individuals to use a nebuliser in accordance with their plan of care.

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- The importance of following manufacturer’s instructions.

- How to apply equipment to ensure nebuliser is effective.

- Circumstances that would require reporting concerns.

Correctly applies face mask toindividual.

Demonstrates an awareness ofpotential side effects and action tobe taken.

* In addition to the training programmes in place a health worker may also sign the performance criteria if the social care worker can demonstrate the requirements. A social care manager may also sign the performance criteria if they are assured that the skills and knowledge have been previously acquired by the social care worker.

Comments Section:

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Undertake blood sugarfinger prick test fordiabetics whereincluded in their plan ofcare and takeappropriate follow upaction.

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Name: Description of Task: Undertake blood sugar finger prick test for diabetics where included in their plan of care and take appropriate follow up action.

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- The reasons for undertaking blood sugar finger prick tests and the rationale for when this can be performed by a social care worker within their level of competence.

- The procedure for undertaking a blood sugar finger prick test.

- An awareness of the equipment required to undertake the test.

- The importance of following manufacturer’s instructions.

- The factors that may influence the quality of specimen/sample and their significance.

Demonstrates the common steps inthe preparation, undertaking andcompleting the task.

Undertakes infection controlprinciples relevant to the task.

Correctly identifies the equipmentrequired to undertake a blood sugarreading.

Demonstrates that the equipment isworking and if applicable notexpired.

Prepares individual for task.Correctly obtains a sample of bloodand obtains reading.

Correctly disposes of equipment.

Records measurement correctly.

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Name: Description of Task: Undertake blood sugar finger prick test for diabetics where included in their plan of care and take appropriate follow up action.

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- The importance of dealing with results if not within acceptable levels.

- The importance of ensuring that the equipment used is appropriate.

- The importance of checking batch/lot numbers of reagents and kits and their expiry dates.

- The importance of infection control relating to the blood sugar finger prick test procedure.

- The importance of the safe disposal of used reagents, solutions and/or kits

Demonstrates correct action ifmeasurements are not within limits.

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Name: Description of Task: Undertake blood sugar finger prick test for diabetics where included in their plan of care and take appropriate follow up action.

Knowledge and understanding required:

Performance Criteria: Assessed by: Signature: Date:

- The importance of working effectively to make efficient use of resources.

- The importance of documenting results and meet prioritisation needs.

- Actions to take if a blood sugar reading is out of the limits for the individual.

- Circumstances that would require reporting concerns.

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Comments Section:

* In addition to the training programmes in place a health worker may also sign the performance criteria if the social care worker can demonstrate the requirements. A social care manager may also sign the performance criteria if they are assured that the skills and knowledge have been previously acquired by the social care worker.

Name: Description of Task: Undertake blood sugar finger prick test for diabetics where included in their plan of care and take appropriate follow up action.

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LEARNING PORTFOLIOThis section can help you record any learning thatyou have undertaken. Please remember not toinclude any information about any individuals thatyou are providing care for.

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Date Name of Event / Training provider Skills Acquired

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Date Name of Event / Training provider Skills Acquired

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Date Name of Event / Training provider Skills Acquired

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Date Name of Event / Training provider Skills Acquired

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GLOSSARY OF TERMSThis is a glossary of terms that explains what each specific word means in

relation to the training passport

Assist To help the individual to perform the task where the responsibility of the task remains with the individual.

Administer or To undertake a task of an individual where the responsibility remains with the social care worker.Manage

Individual The person who receives the delegated care.

Health worker The person delegating the task who remains responsible for the overall management of the individual.

Social Care worker The person who undertakes the delegated task.

Delegated task The process by which the health worker allocates treatment or care to the social care worker.

Performance criteria The skills and knowledge that need to be assessed to demonstrate competence.

Level of Competence The degree to which the social care worker has been trained to carry out the task.

Term Description

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This passport was produced by Learning and Development, The Leicestershire Partnership NHS Trust, Glenfield Hospital Site, Groby Road, Leicester, LE3 9DY

A special thanks to Debbie Leafe, Julie Grant and other members of the Health and Social implementation training team.

Leicestershire PartnershipNHS Trust

Produced May 2014