Unit of competency details
CHCDIS023 - Provide specialised support (Release 1)
Summary
Usage recommendation:
Current
Releases:
| 1 1 (this release) |
23/Nov/2022 |
Companion volumes:
Unit of competency
Assessment requirements
Training packages that include this unit
Qualifications that include this unit
Skill sets that include this unit
Classifications
Classification history
| ASCED Module/Unit of Competency Field of Education Identifier | 090509 | Care For The Disabled | 08/Feb/2023 | |
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Unit of competency
Modification History
Not applicable.
Application
This unit describes the performance outcomes, skills and knowledge required to provide support to people who need specialised support in relation to enteral nutritional consumption and continence care.
This unit applies to individuals who work with people in a range of community services and disability support contexts. Work would be carried out according to an established individualised plan.
The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian standards and industry codes of practice.
No occupational licensing, certification or specific legislative requirements apply to this unit at the time of publication.
Pre-requisite Unit
CHCCCS041 Recognise healthy body systems
CHCDIS020 Work effectively in disability support
Unit Sector
Disability Support
Elements and Performance Criteria
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ELEMENTS
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PERFORMANCE CRITERIA
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Elements describe the essential outcomes
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Performance criteria describe the performance needed to demonstrate achievement of the element.
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1. Identify specialised support needs.
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1.1. Read individualised plan to identify specialised care needs and preferences.
1.2. Consult with the person to identify and confirm specialised care needs.
1.3. Prepare a safe and comfortable setting for specialised support according to the person’s specialised care needs and preferences and organisational policies and procedures.
1.4. Obtain consent for the provision of specialised support.
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2. Provide specialised nutrient consumption support.
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2.1. Gather, check and prepare equipment and materials for enteral nutrition provision following infection control guidelines.
2.2. Communicate with the person throughout enteral nutrition provision process.
2.3. Prepare and measure prescribed liquids according to the individualised plan.
2.4. Provide enteral nutrition to meet individual needs and preferences and according to organisational policies and procedures.
2.5. Assess and maintain care of skin, stoma and mouth.
2.6. Monitor the person, process and equipment to identify risks.
2.7. Recognise, report and respond to abnormal enteral nutrition provision situations according to organisational policies and procedures.
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3. Provide specialised continence care support.
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3.1. Recognise and report irregular continence care situations, including skin health issues, according to organisational policies and procedures.
3.2. Recognise, report and respond to changes in continence care situations according to the needs and preferences of the person and according to organisational policies and procedures.
3.3. Gather, check and prepare equipment and materials for continence care, including personal protective equipment (PPE) following infection control guidelines and according to individualised plan.
3.4. Communicate with the person throughout continence care process.
3.5. Provide specialised continence care to meet individual needs and preferences and according to organisational policies and procedures.
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4. Complete specialised support.
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4.1. Collect, handle and dispose of waste material according to organisational policies and procedures.
4.2. Clean and store equipment according to manufacturer instructions, setting protocols and infection control requirements.
4.3. Complete, maintain and store documentation according to organisation policies and procedures.
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Foundation Skills
Foundation skills essential to performance are explicit in the Performance Criteria of this unit of competency.
Unit Mapping Information
No equivalent unit.
Links
Companion Volume implementation guide are found in VETNet - https://vetnet.gov.au/pages/trainingdocs.aspx?q=5e0c25cc-3d9d-4b43-80d3-bd22cc4f1e53
Assessment requirements
Modification History
Not applicable.
Performance Evidence
Evidence of the ability to complete tasks outlined in elements and performance criteria of this unit in the context of the job role, and:
- provide specialised support according to individualised plan to meet the person’s needs that involves:
- assisting with continence care:
- one urinary incontinence
- one faecal incontinence
- one percutaneous endoscopic gastrostomy (PEG)
- one percutaneous endoscopic jejunostomy (PEJ)
- one nasogastric tube (NG)
- provision of nutrition assistance must be demonstrated in the workplace on at least one occasion.
Knowledge Evidence
Demonstrated knowledge required to complete the tasks outlined in elements and performance criteria of this unit:
- individual needs and preferences relevant to specialised support for nutrition assistance and continence care:
- dignity of risk
- informed decision making
- communication techniques for engaging the person in delivery of specialised supports
- organisational policies and procedures relevant to specialised support for nutrition assistance and continence care:
- reporting including enteral nutrition charts, oral care, bowel charts, process notes and incident reports
- hygiene
- manual handling
- personal protective equipment (PPE)
- consent
- industry context relevant to relevant to specialised support for enteral nutrition delivery and continence care:
- job role scope and functions
- supervision requirements and limitations to job role
- roles of interdisciplinary team members including nursing staff and other carers
- individualised plan content relevant to specialised support for enteral nutrition delivery and continence care
- enteral nutrition delivery methods:
- percutaneous endoscopic gastrostomy (PEG)
- percutaneous endoscopic jejunostomy (PEJ)
- nasogastric tube (NG)
- skin and stoma assessment
- washing and drying
- ointments and dressings
- enteral nutrition and continence care risk identification, monitoring, reporting and responses:
- personal hygiene
- hand hygiene
- infection control
- aspiration and position of the person
- stoma site
- oral health
- manual handling
- tube problems including dislodgement, displacement, clogging, knotting, breakage, broken feeding port caps and leaking, signs of fungal/mould growth
- intolerance during and after enteral nutrition delivery including reflux, nausea, vomiting, bloating, extreme flatulence, abdominal obstruction, irregular bowel movements and liquid stools
- faulty equipment
- not following individualised plan
- not following manufacturer instructions
- not following organisational policies and procedures
- enteral nutrition delivery processes, equipment and materials:
- basic anatomy of the digestive system
- enteral nutrition delivery process, tasks and sequence
- types and function of equipment and components including pumps, tubes, bolus set, gravity drip
- safe set up and operation of equipment and components including flushing, decompressing, venting, priming, rotating and moving tubes and flow speeds
- equipment and component checks
- care of equipment including stoma and tubing
- cleaning of equipment
- storage of equipment
- urinary
- faecal
- both urinary and faecal
- specialised continence care process, equipment and materials.
Assessment Conditions
Skills must be demonstrated in the workplace or a simulated environment that reflects workplace conditions in the disability support sector, in line with the requirements outlined in the performance evidence.
Assessment must ensure access to:
- facilities, equipment and resources that reflect real working conditions and model industry operating conditions and contingencies
- individualised plans
- equipment and materials relevant to specialised nutrition assistance and continence care and associated manufacturer instructions
- personal protective equipment (PPE)
- manikins.
Assessors must satisfy the Standards for Registered Training Organisations’ requirements for assessors.
Links
Companion Volume implementation guide are found in VETNet - https://vetnet.gov.au/pages/trainingdocs.aspx?q=5e0c25cc-3d9d-4b43-80d3-bd22cc4f1e53
