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Department of Education and Training

Western Australia

RPL Assessment Tool Kit

HLT51607

Diploma of Nursing

(Enrolled/Division 2 Nursing)

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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

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1 Prospect Place

WEST PERTH WA 6005

Tel: (08) 9229 5200 Fax: (08) 9227 8393

Email: sales.westone@det.wa.edu.au

Website: westone..au

Acknowledgements

This 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

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Disclaimer

Whilst 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.

Contents

Section 1 – Assessor’s information 5

Introduction 7

Units of competency covered by this assessment tool 9

Section 2 – Self-evaluation information 11

Self-evaluation checklist – Skill Set 1 14

Self-evaluation checklist – Skill Set 2 15

Self-evaluation checklist – Skill Set 3 16

Self-evaluation checklist – Skill Set 4 18

Self-evaluation checklist – Skill Set 5 19

Self-evaluation checklist – Skill Set 6 20

Section 3 – Interview question bank and recording sheets 23

Topic A – Aged care 25

Topic B – Chronic care 27

Topic C – Acute care 29

Topic D – Medical care 31

Topic E – Medications 33

Topic F – Mental health care 35

Topic G – Cultural care in nursing 37

Topic H – Communication in nursing 39

Topic I – Infection control 41

Demonstration/observation/practical 43

Third party evidence report 47

Candidate’s contact information 49

Record of initial interview 51

Other information that will assist with the assessment process 53

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Section 1

Assessor’s information

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Introduction

This 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 care |

|Unit Code |

|Unit Title |

| |

|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 |

| |

|Skill Set 2 – First aid |

|Unit Code |

|Unit Title |

| |

|HLTFA301B |

|Apply first aid |

| |

|Skill Set 3 – Implementing nursing care |

|Unit Code |

|Unit Title |

| |

|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 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 Title |

| |

|HLTIN301A |

|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 care |

|Unit Code |

|Unit Title |

| |

|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 for consumers with mental health conditions |

| |

|HLTEN513A |

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

| |

|Skill Set 6 – Medications |

|Unit Code |

|Unit Title |

| |

|HLTEN507A |

|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 tool

|Unit 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 |( | |

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Section 2

Self-evaluation information

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HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)

Note to the candidate

The 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 1

Delivery of care

The 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? |( |( | |

|Q2 Can you demonstrate an understanding of medical terminology? |( |( | |

|Q3 Can you demonstrate the ability to apply oral, written and interpersonal communication skills in nursing |( |( | |

|practice? | | | |

|Q4 Can you demonstrate the use of effective strategies to address and eliminate discrimination and bias in the |( |( | |

|workplace? | | | |

|Q5 Can you communicate respectfully and with sensitivity to varying cultural beliefs and their practices? |( |( | |

|Q6 Can you show evidence of contributions to OHS processes in the workplace? |( |( | |

|Q7 Can you use an itemised checklist to identify hazards and risks? |( |( | |

|Q8 Can you demonstrate the ability to apply nursing interventions/procedures to the medically unstable patient? |( |( | |

|Q9 Can you demonstrate safe manual handling principles? |( |( | |

|Q10 Can you demonstrate an understanding of the culture and history, including relevant legislation and policies,|( |( | |

|of local Aboriginal and/or Torres Strait Islander communities? | | | |

Self-evaluation checklist – Skill Set 2

First aid

|Questions relating to Skill Set 2 |Yes |No |What evidence can you provide? |

|Q1 Do you have a current first aid certificate? |( |( | |

Self-evaluation checklist – Skill Set 3

Implementing nursing care

The 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.

|Questions relating to Skill Set 3 |Yes |No |What evidence can you provide? |

|Q1 Can you demonstrate a detailed level of knowledge of anatomy and physiology required to confirm physical |( |( | |

|health status? | | | |

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

|Q3 Do you know how to recognise common clinical conditions? |( |( | |

|Q4 Can you demonstrate the underpinning knowledge relation to pathophysiology and diseases? |( |( | |

|Q5 Can you read and interpret the legal requirements of nursing documentation? |( |( | |

|Q6 Are you able to demonstrate knowledge of the legislation related to nursing practice, duty of care and scope |( |( | |

|of practice of the enrolled nurse? | | | |

|Q7 Have you undertaken a nursing assessment of the older person in both acute and residential aged care |( |( | |

|environments? | | | |

|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? | | | |

|Q9 Can you demonstrate knowledge of critical thinking and analysis? |( |( | |

|Q10 Can you demonstrate knowledge of problem-solving using logic, analysis and sound argument? |( |( | |

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

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

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

|Q14 Can you identify common complementary therapies of health care? |( |( | |

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

|Q16 Can you meet objectives and prioritise your work load? |( |( | |

Self-evaluation checklist – Skill Set 4

Infection control and wound management

The following questions relate to your knowledge, skills and experience of infection control and wound management.

|Questions relating to Skill Set 4 |Yes |No |What evidence can you provide? |

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

|Q2 Can you identify the transmission paths of various infections? |( |( | |

|Q3 Can you clarify the concept of susceptible hosts? |( |( | |

|Q4 Can you name methods of breaking the chain of infection in an acute health care setting? |( |( | |

|Q5 In what circumstances have you used PPE? |( |( | |

|Q6 Have you undertaken any infection control risk assessment? |( |( | |

|Q7 Have you collected any specimens for microbial testing? |( |( | |

|Q8 Can you describe different types of wounds? |( |( | |

|Q9 In what ways have you practised aseptic techniques? |( |( | |

|Q10 What types of wound care have you carried out? |( |( | |

Self-evaluation checklist – Skill Set 5

Complex nursing care

The following questions relate to your knowledge, skills and experience of complex nursing care of clients with acute, chronic and mental health problems.

|Questions relating to Skill Set 5 |Yes |No |What evidence can you provide? |

|Q1 Can you demonstrate a detailed level of knowledge of the nursing management of common disorders and conditions|( |( | |

|associated with the body systems? | | | |

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

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

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

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

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

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

|Q8 Have you undertaken medical interventions and contributed to outcomes? |( |( | |

|Q9 Can you demonstrate the underpinning knowledge related to clinical manifestations of chronic disease states? |( |( | |

Self-evaluation checklist – Skill Set 6

Medications

The following questions relate to your knowledge, skills and experience of administering and monitoring medications in the work environment.

|Questions relating to Skill Set 6 |Yes |No |What evidence can you provide? |

|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? | | | |

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

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

|adults | | | |

|older clients | | | |

|paediatric clients | | | |

|intravenous therapy? | | | |

|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? | | | |

|Q5 Can you identify resources to assist in the recognition of drug incompatibilities, side effects, |( |( | |

|contraindications, allergies and precautions associated with specific medications? | | | |

|Q6 Can you explain the emergency management for clients experiencing an adverse medication reaction and outline |( |( | |

|your own role in such a situation? | | | |

|Q7 Can you observe and monitor peripheral intravenous therapy? |( |( | |

|Q8 Can you demonstrate strategies for the effective assessment and management of a client’s pain? |( |( | |

|Q9 Can you demonstrate an awareness of traditional medicine in the context of the health of Aboriginal and/or |( |( | |

|Torres Strait Islander people? | | | |

|Q10 Can you demonstrate professional conduct, skills and knowledge, including the application of the NBWA scope |( |( | |

|of nursing practice decision making framework? | | | |

|Q11 Can you outline medication terminology and approved medication abbreviations? |( |( | |

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

|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? | | | |

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Section 3

Interview Question Bank

and

Recording Sheets

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

Assessor’s Instructions

It 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.

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Interview question bank and recording documents – Topic A

Aged care

Note to the assessor

It 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 ( |

| |At an RTO’s premises ( Name: _______________________________ |

| |Demonstration/theory assessment ( |

| |In the workplace ( Name: _______________________________ |

Interview question bank and recording documents – Topic A

Aged care

The 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 |( |( |

|mobility |( |( |

|skin integrity/pressure care |( |( |

|nutrition |( |( |

|elimination |( |( |

|client comfort |( |( |

|ACFI |( |( |

Interview question bank and recording documents – Topic B

Chronic care

Note to the assessor

It 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 ( |

| |At an RTO’s premises ( Name: _______________________________ |

| |Demonstration/theory assessment ( |

| |In the workplace ( Name: _______________________________ |

Interview question bank and recording documents – Topic B

Chronic care

The assessor is to ask leading questions.

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

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

|pain management |( |( |

|rehabilitation |( |( |

Interview question bank and recording documents – Topic C

Acute care

Note to the assessor

It 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 ( |

| |At an RTO’s premises ( Name: _______________________________ |

| |Demonstration/theory assessment ( |

| |In the workplace ( Name: _______________________________ |

Interview question bank and recording documents – Topic C

Acute care

The assessor is to ask leading questions.

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

|pre-operative and post-operative care |( |( |

|wound management, eg drains, tracheostomies and other ostomies |( |( |

|catheter care |( |( |

|IV care |( |( |

|medications |( |( |

|pain relief and management |( |( |

|infection control |( |( |

|admissions and discharges |( |( |

|public hospital system versus private hospital system |( |( |

Interview question bank and recording documents – Topic D

Medical care

Note to the assessor

It 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 ( |

| |At an RTO’s premises ( Name: _______________________________ |

| |Demonstration/theory assessment ( |

| |In the workplace ( Name: _______________________________ |

Interview question bank and recording documents – Topic D

Medical care

The assessor is to ask leading questions.

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

|vital signs |( |( |

|neurological observations |( |( |

|medical conditions and care related to the conditions: CVA, MI, CAL, CCF |( |( |

|fluid balance |( |( |

|medications |( |( |

Interview question bank and recording documents – Topic E

Medications

Note to the assessor

It 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 ( |

| |At an RTO’s premises ( Name: _______________________________ |

| |Demonstration/theory assessment ( |

| |In the workplace ( Name: _______________________________ |

Interview question bank and recording documents – Topic E

Medications

The assessor is to ask leading questions.

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

|common drugs for common disorders |( |( |

|abbreviations and terminology |( |( |

|legal issues |( |( |

|schedule 4 to 8 | | |

|prescriptions | | |

|5 Rs | | |

|adverse reactions to medications |( |( |

|side effects from medications |( |( |

|intravenous therapy medications |( |( |

|calculations test (100% required) |( |( |

Interview question bank and recording documents – Topic F

Mental health care

Note to the assessor

It 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 ( |

| |At an RTO’s premises ( Name: _______________________________ |

| |Demonstration/theory assessment ( |

| |In the workplace ( Name: _______________________________ |

Interview question bank and recording documents – Topic F

Mental health care

The assessor is to ask leading questions.

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

|Mental Health Act |( |( |

|major mental health disorders |( |( |

|types of therapy |( |( |

|medications |( |( |

|community services |( |( |

Interview question bank and recording documents – Topic G

Cultural care in nursing

Note to the assessor

It 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 ( |

| |At an RTO’s premises ( Name: _______________________________ |

| |Demonstration/theory assessment ( |

| |In the workplace ( Name: _______________________________ |

Interview question bank and recording documents – Topic G

Cultural care in nursing

The assessor is to ask leading questions.

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

|cultural communication techniques |( |( |

|death and dying |( |( |

|cultural diets |( |( |

|cultural beliefs and pastoral care |( |( |

|culture as it relates to Aboriginal and Torres Strait Islander people |( |( |

Interview question bank and recording documents – Topic H

Communication in nursing

Note to the assessor

It 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 ( |

| |At an RTO’s premises ( Name: _______________________________ |

| |Demonstration/theory assessment ( |

| |In the workplace ( Name: _______________________________ |

Interview question bank and recording documents – Topic H

Communication in nursing

The assessor is to ask leading questions.

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

|professionalism/employability skills |( |( |

|communication across the age range |( |( |

|written and oral communication |( |( |

|legal documentation |( |( |

|cultural diversity |( |( |

|medical terminology |( |( |

|informed consent |( |( |

|privacy/confidentiality |( |( |

|admissions and discharges |( |( |

|equal opportunity – freedom of information |( |( |

Interview question bank and recording documents – Topic I

Infection control

Note to the assessor

It 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 ( |

| |At an RTO’s premises ( Name: _______________________________ |

| |Demonstration/theory assessment ( |

| |In the workplace ( Name: _______________________________ |

Interview question bank and recording documents – Topic I

Infection control

The assessor is to ask leading questions.

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

|sterile techniques |( |( |

|asepsis |( |( |

|use of sterile equipment |( |( |

|MRSA and VRE |( |( |

|microbiology |( |( |

|immunisation |( |( |

|standard and additional precautions |( |( |

|duty of care |( |( |

|legislation |( |( |

|risk management and identification |( |( |

|emergency procedures |( |( |

Demonstration/observation/practical

Reporting 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 | |

|Instructions |

|The candidate is required to: |

| |

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|During the demonstration or observation of skills, did the candidate: |Yes |No |Feedback to candidate |

|maintain appropriate safety procedures and requirements? |( |( | |

|follow nursing care plans? |( |( | |

|use appropriate equipment to perform the task? |( |( | |

|During the demonstration or observation of skills, did the candidate: |Yes |No |Feedback to candidate |

|perform the task in a logical sequence? |( |( | |

|adequately describe processes and demonstrate application of underpinning knowledge? |( |( | |

|perform tasks to nursing standards? |( |( | |

|demonstrate appropriate communication and interpersonal skills with a range of people? |( |( | |

|perform defined work tasks as directed? |( |( | |

|demonstrate the required underpinning knowledge to support performance of task skills? |( |( | |

|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 |( |( | |

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

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

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

|Transferability – apply skills that are generic across workplaces |( |( | |

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

|Comments/Observations |

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|Assessor’s name | |Outcome |S |NYS |

| | |(Please circle) |(Satisfactory) |(Not Yet |

| | | | |Satisfactory) |

|Assessor’s signature | | | | |

|Candidate’s signature | |Date | |

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Third party evidence report

Course name and number: _______________________________________________________

Note for the assessor

A 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 collected |interview at the workplace ( |

| |interview on the telephone ( |

|Interview conducted by | |

|Instructions |

|As 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? |( |( |

|contribute to the maintenance and improvement of work communication? |( |( |

|deal with work issues, problems and conflicts? |( |( |

|Does the candidate consistently: |Yes |No |

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

|support others in the workplace? |( |( |

|work well within the team environment? |( |( |

|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? | | |

|operate safely in the workplace? |( |( |

|undertake tasks following a logical sequence of events? |( |( |

|understand and follow the organisation’s quality control processes? |( |( |

|Supervisor’s signature | |Date | |

|Assessor’s signature | |Date | |

Candidate’s contact information

Note for the assessor

This form is not mandatory but may assist in the gathering of information.

|Candidate’s name | |

|Candidate’s address | |

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|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 ( |

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Record of initial interview

Note for the assessor

This is to be conducted after the candidate has completed the self-evaluation checklist.

|Qualification |Candidate’s name | |

|HLT51067 Diploma of Nursing ( | | |

| |Assessor’s name | |

|Description of candidate’s tasks at work |The evidence the candidate is able to collect |

|(The assessor is to complete this section during the interview, with a summary of the candidate’s work |(The assessor is to complete this section during the interview, with the evidence the assessor and candidate |

|history.) |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 ( no ( |

|Have you received copies of the standards that will be assessed? (optional) yes ( no ( |

|Do you understand what evidence is to be collected? yes ( no ( |

|Have your rights and the appeal system been fully explained? yes ( no ( |

|Have you discussed any special needs to be considered during assessment? yes ( no (If yes, provide details: ___________________________ |

|Assessor’s signature |Candidate’s signature |Date |

| | | |

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Other information that will assist with the assessment process

Section 1 – Personal details

What is your first language?

Which language do you speak at home?

Do you speak English?

Yes ( No ( How well? Fluent ( Basic (

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

Do you have a disability? Yes ( No (

Will you need special aids? Yes ( No (

Provide details so we can assist you:

Section 2 – Previous applications

Have you previously applied to have your nursing skills assessed? No ( (Go to Section 3.)

Yes ( (Give details.)

Name of qualification:

Name of Authority to which you applied:

Date of application:

Was your application successful? Yes ( No (

Section 3 – Formal vocational education training

Have you ever done any formal vocational training or technical courses relevant to this application?

No ( (Go to Section 4.)

Yes ( (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 ( (Go to Section 5.) Yes ( (Give details. If self-employed, provide evidence.)

Company/Employer:

Address:

Phone: Fax:

Date you commenced:

Occupation:

Section 5 – Employment history

Give 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 | |

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

Signature: Date:

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