New Zealand Certificate in Health and Wellbeing (Level 3) Health assistance and orderly services Trainee integrated assessment core module one for hospitals and the health sector Unit standard Version Level Credits 28542 Demonstrate and apply knowledge of professional and ethical behaviour in a health or wellbeing setting. 28528 Describe and apply a person-centred approach in a health or wellbeing setting. 28521 Recognise and describe responses to vulnerability and abuse in a health or wellbeing setting. 28544 Provide support to people from different cultures in a health or wellbeing setting. 23385 Demonstrate knowledge of advocacy and self-advocacy in a health or wellbeing setting. 1 3 5 1 3 3 1 3 5 1 3 5 3 3 4 Trainee name: Trainee workplace: Training start date:
This document is part of an integrated training programme leading to an NZQA approved Level 3 qualification. The modular approach to this training has been co-designed and contextualised by Waikato and Waitemata DHBs using resources made publicly available by Careerforce under a creative commons licence. This programme has been developed specifically for hospital settings and may also be applicable to non-dhb service providers. Careerforce would like to acknowledge the work of these DHBs in developing and refining this programme and their willingness to share this. Careerforce Issue 1.1 17 March 2017 2
Contents Integrated assessment... 4 Professional behaviour/person-centred care... 6 Abuse... 19 Advocacy... 23 Cultural support... 28 Trainee declaration... 33 Careerforce Issue 1.1 17 March 2017 3
Integrated assessment Introduction The unit standards in the Level 3 New Zealand Certificate in Health and Wellbeing (Health Assistance/Orderly Services) are assessed in a total of three integrated assessments. Each of the assessments has an associated resource. You may also attend study days provided by your DHB which also assists you to learn and understand the expectations in the assessments. The three parts are: 1 Core module one. 2 Core module two. 3 Relevant area of focus, for example acute care or mental health for healthcare assistants, or orderly services. Expectations You must complete the questions in your own words and you will need to sign a declaration at the back of this book to say that you have done the work yourself. However, you may refer back to your module resources and the education day hand-outs and notes and so this is known as an open-book assessment. All your answers must be in accordance with your organisational policies and procedures and you will be shown how to find and access these documents. You may need to include parts of these documents as evidence to show your assessor. There will be parts of each module which requires someone in your workplace to confirm (verify or observe) and sign these off. It is a good idea to try to complete the assessment books as soon as possible after completing the relevant teaching days. You do not need to have the same observer for every assessment as we recognise that you may work with several supervisors in the course of a shift. However, each observer needs to sign in the appropriate place so that the assessors are able to identify who they are in case of a query about your performance. You will need to hand in your assessment books for marking at regular intervals during the course to ensure you are making satisfactory progress and can access additional tutorial support if required. Please post (internal mail) or deliver your assessment books for marking, to: If you have any questions about the course or assessment, please contact as below. Careerforce Issue 1.1 17 March 2017 4
Definitions The people/person you support can also be known in your organisation and workplace as the patient, client, service user or consumer. A care plan or service plan in this workbook means an individual plan prepared to support a person and their care needs. Trainee is you, the person completing this course. Verifier/observer is the manager, supervisor or designated senior staff member who has observed you completing the described task. Assessors in your workplace are: (insert names here) Please do not allow verifiers to write in the assessor notes. Unit standards content and results The below unit standards are covered in this core module one. Unit standard Version Level Credits 28542 Demonstrate and apply knowledge of professional and ethical behaviour in a health or wellbeing setting. 28528 Describe and apply a person-centred approach in a health or wellbeing setting. 28521 Recognise and describe responses to vulnerability and abuse in a health or wellbeing setting. 28544 Provide support to people from different cultures in a health or wellbeing setting. 23385 Demonstrate knowledge of advocacy and self-advocacy in a health or wellbeing setting. 1 3 5 1 3 3 1 3 5 1 3 5 3 3 4 Careerforce Issue 1.1 17 March 2017 5
Professional behaviour/person-centred care 28542v1, 28528v1 New Zealand law and your organisation outline expectations about how you behave in your role as a support worker. Your behaviour must be professional and ethical and this includes providing care that is focussed on the specific needs of each person (known as person-centred care). This assessment will focus on the Code of Rights (legislation) and your organisation s policies and procedures and how they relate to your behaviour. 1 Describe two principles (purposes) of the Code of Rights. 28542 3.1 a) b) 2 List five person-centred values that are used in the Code of Rights. (An example has been given for you). 28528 1.1 Example: The right to respect. a) b) c) d) e) Careerforce Issue 1.1 17 March 2017 6
3 Give examples from your workplace of how you apply the Code of Rights in the following three areas. Please make sure you use a different example in each section. a) In your professional behaviour (behaviours expected by the organisation). 28542 1.1 b) In your ethical behaviour (behaviours governed by right/wrong). 28542 1.2 c) In the role/responsibilities you have (behaviours expected in job description/as an employee). 28542 3.2 Careerforce Issue 1.1 17 March 2017 7
4 a)what are the benefits for the person/patient of providing care that is specific to their needs? 28528 1.2 b) What are the benefits for the patient/person when they participate in their own care? 28528 1.2, 1.3 5 How would you encourage a patient to participate in their own care? 28528 2.2 Careerforce Issue 1.1 17 March 2017 8
As an employee, your organisation also expects you to act ethically in all your interactions with other staff and in your community. Acting ethically or being ethically responsible means behaving in a way that is based on ethical principles such as honesty and integrity. 6 Write down one ethical responsibility you have to a) your colleagues, b) your community and c) the people you support. 28542 1.3 This means providing an example for each part of how your behaviour is ethically responsible. a) Ethical responsibility towards your colleagues (how do you behave ethically with your colleagues?) b) Ethical responsibility towards your community (how do you behave ethically in your community?) c) Ethical responsibility towards the people you support (how do you behave ethically towards the people you support?) Careerforce Issue 1.1 17 March 2017 9
7 List three of your own personal values. Why are they important to you? 28542 2.1 Personal value Why is it important to me? a) b) c) Careerforce Issue 1.1 17 March 2017 10
8 Describe three situations in your workplace where a personal value of yours might cause conflict. 28542 2.2 One situation must be between you and another member of the healthcare team, one between you and a patient/client and the third between you and a patient/client s family. You will need to describe why the conflict might happen and what the effect may be. Situation one Give a brief outline of a potential/actual conflict of personal values between you and colleague. Why was there a conflict and what effect did it have? Situation two Give a brief outline of a potential/actual conflict of personal values between you and a person you support. Careerforce Issue 1.1 17 March 2017 11
Why was there a conflict and what effect did it have? Situation three Give a brief outline of a potential/actual conflict of personal values between you and a patient/client s family. Why was there a conflict and what effect did it have? Careerforce Issue 1.1 17 March 2017 12
9 Consider one situation from the previous question and describe two ways (strategies) in which you changed your behaviour to help resolve the conflict. 28542 2.3 Strategies a) b) Careerforce Issue 1.1 17 March 2017 13
10 How does your organisation deal with an ethical dispute or grievance (such as a patient complaint) related to the Patient Code of Rights? 28542 3.3 Careerforce Issue 1.1 17 March 2017 14
11 In your organisation, how does a person s history, preferences, wishes and needs get identified? 28528 2.1 In your answer you must include how the information is gathered, where it is recorded and whose responsibility it is to do this. a) Process for gathering information. b) Where is it recorded? c) Whose responsibility is it to gather and record information? Careerforce Issue 1.1 17 March 2017 15
12 How does your organisation make sure all staff use a person-centred approach (for example the Code of Rights). 28528 2.4 Careerforce Issue 1.1 17 March 2017 16
Verification/observation form This form is for your supervisor, CNM or an RN to fill out. You have been asked to verify that you have observed the trainee exhibiting certain behaviours or tasks as a health-care assistant/orderly. You have been asked to do this in your capacity as the trainee s manager, supervisor or senior staff member (eg RN) who works closely with the trainee. Please tick each statement below if you agree that the trainee meets the requirements described and their performance over time is consistent with answers provided by the trainee in this section. Please add comments to support your verification, where indicated. Relevant unit standards 28528 Describe and apply a person-centred approach in a health or well-being setting. 28542 Demonstrate and apply knowledge of professional and ethical behaviour in a health or well-being setting. I confirm that the trainee: Always works within the specifications and boundaries of their role (28542, 28528). Behaves professionally and ethically in all work activities and interactions with others (28542 4.1, 4.2). Addresses ethical issues, grievances and/or disputes according to organisational policy and procedure (28528 4.3). Maintains professional, cultural and age-appropriate physical, emotional, sexual and spiritual boundaries at all times (28528 4.4). Works within relevant legislation and/or organisational policies and procedures at all times (28542, 28528). Careerforce Issue 1.1 17 March 2017 17
Applies person-centred values (Code of Rights) while providing support or services (28528 3.1). These must include: individuality, rights, choice, privacy, independence, dignity, respect, partnership, consent. Encourages active participation by the person being supported (28528 3.2). Seeks feedback from the person receiving support or services and identifies possible changes within the boundaries of own role (28528 3.3). Comments Name of verifier Signature Date Title Careerforce Issue 1.1 17 March 2017 18
Abuse 28521v1 13 Choose three factors from the list below and describe how they increase the risk of abuse. 28521 1.1, 1.2 Factors: Age, frailty, isolation, cognitive impairment, mental health, other impairments (specify). Factor How does this increase the risk of harm/abuse? 14 Which of the factors you have listed above contribute to the following areas of vulnerability? 28521 1.2 a) Physical vulnerability. b) Emotional vulnerability. c) Financial vulnerability. Careerforce Issue 1.1 17 March 2017 19
15 Beside each type of abuse below, list two signs (indicators) that might tell you that the abuse is occurring to someone. 28521 2.1 Type of abuse Indicators (signs) Physical Emotional Sexual Financial Neglect Careerforce Issue 1.1 17 March 2017 20
16 Write down two possible long-term effects of any type of abuse on a person s health and wellbeing. 28521 2.3 a) b) 17 Describe the power imbalance/difference between the abuser and the victim. 28521 2.2 Careerforce Issue 1.1 17 March 2017 21
18 What does your organisation expect staff to do if someone you support may be being abused or is vulnerable to this happening? 28521 3.1, 3.2 Include in your answer the recording and reporting requirements of a suspected case of abuse and how the rights (eg privacy/dignity) of the person are maintained. a) What should you do? b) How is the suspected abuse recorded/reported? c) How do you maintain the rights (eg privacy/dignity) of the person? Careerforce Issue 1.1 17 March 2017 22
Advocacy 23385v3 For this part of the assessment, you need to show your understanding of advocacy and self-advocacy and their differences. 23385 1.1 19 a) What does an advocate do? b)why are advocates needed in a healthcare setting? 20 Why is self-advocacy important for the people you support? 23385 1.2 Careerforce Issue 1.1 17 March 2017 23
21 In the table below give one example of either self-advocacy or advocacy that you have been involved in at work. 23385 2.1, 2.2, 2.3, 2.4 a) Describe the situation. b) Explain three things (strategies) you did and how you did them eg listened to the patient, informed the RN, filled out a menu sheet. c) Show how the person s choices and decision making were encouraged and respected during the process therefore empowering them. Careerforce Issue 1.1 17 March 2017 24
22 How does an advocacy or self-advocacy process change a person from feeling disempowered to feeling empowered? 23385 1.4 Careerforce Issue 1.1 17 March 2017 25
Verification/observation form This form is for your supervisor, CNM or an RN to fill out. You have been asked to verify that you have observed the trainee exhibiting certain behaviours or tasks as a health-care assistant/orderly. You have been asked to do this in your capacity as the trainee s manager, supervisor or senior staff member (eg RN) who works closely with the trainee. Please tick each statement below if you agree that the trainee meets the requirements described and their performance over time is consistent with answers provided by the trainee in this section. Please add comments to support your verification, where indicated. Relevant unit standards 23385 Demonstrate knowledge of advocacy and self-advocacy in a health or well-being setting. I confirm that the trainee: Followed the organisation s policies/procedures at all times (23385 2.4). Applied at least three strategies eg listening, problem solving, responsiveness, assertion, challenging stigma and discrimination, negotiation, networking, accessing and assessing information and resources, conflict resolution, identifying and assessing risk (see Q21)(23385 2.1). Used a process that contributed to meeting the choices and/or decisions of the person being supported (see Q21) (23385 2.2,2.3). Followed the empowerment process (see Q21) (23385 2.3). Used a process that showed respect for the person being supported at all times (see Q21) (23385 2.4). Careerforce Issue 1.1 17 March 2017 26
Comments Name of verifier Signature Date Title Careerforce Issue 1.1 17 March 2017 27
Cultural support 28544v1 23 Please complete the questions and tables below. 28544 1.1, 1.2, 1.3 You are asked to compare your culture with the culture of two people you have supported and then think about how these differences impact on how you support those people. If you do not identify as Māori then one person you support must identify as Māori. Your culture is: Name two other cultures of people you support/have supported (these must be different from your own.) Person A Person B Careerforce Issue 1.1 17 March 2017 28
Describe three examples of similarities between your culture and the other two cultures you have identified. These can include but aren t limited to customs, celebrations, clothing, care during death and dying, food, communication etc. For example, all cultures do this for death and dying. a) b) c) Careerforce Issue 1.1 17 March 2017 29
Describe three examples of differences between your culture and the other two cultures you have identified. These can include but aren t limited to customs, celebrations, clothing, care during death and dying, food, communication etc. Make sure you refer to all three cultures in your answer. For example, my culture does this for death and dying, Culture A does this for death and dying and Culture B does this for death and dying. a) b) c) Careerforce Issue 1.1 17 March 2017 30
Adjustment to support. For three of the preferences (can be a differences or similarity) you identified above describe what you did to support that person s culture while they were in your area. Person A Preference What I did to support this. Preference What I did to support this. Preference What I did to support this. Person B Preference What I did to support this. Preference What I did to support this. Preference What I did to support this. Careerforce Issue 1.1 17 March 2017 31
Verification/observation form This form is for your supervisor, CNM or an RN to fill out. All boxes completed comments support evidence. You have been asked to verify that you have observed the trainee exhibiting certain behaviours or tasks as a health-care assistant/trainee. You have been asked to do this in your capacity as the trainee s manager, supervisor or senior staff member (eg RN) who works closely with the trainee. Please tick each statement below if you agree that the trainee meets the requirements described and their performance over time is consistent with answers provided by the trainee in this section. Please add comments to support your verification, where indicated. Relevant unit standards 28544 Provide support to people from different cultures in a health or wellbeing setting. I confirm that the trainee: Identified three different cultural preferences (see Q23) and support was provided that took these into account (28544 1.1, 1.2, 1.3). Adhered to the Code of Rights and organisational policies at all times. Comments Name of verifier Signature Date Title Careerforce Issue 1.1 17 March 2017 32
Trainee declaration I understand the requirements of this assessment. I have prepared all answers myself. Where patient s/staff/care situations have been used as examples I have protected the privacy of individuals concerned and not used real names. I agree that this document can be photocopied for the purpose of moderation, as part of quality control processes. I agree that once the assessment decision has been made, my personal details and results will be sent to Careerforce for registration of credits in the New Zealand Qualification Framework. Trainee name: Trainee signature: Date: Careerforce Issue 1.1 17 March 2017 33
Assessor feedback on trainee performance Assessor comments: Assessor decision Credit awarded: Yes/No Date: Reassessment Credit awarded: Yes/No More evidence required: Yes/No Date: Loaded on Iportal Yes/No Date: Assessor name Assessor signature Assessor number Moderator comments: Moderator signature Date: Careerforce Issue 1.1 17 March 2017 34