EVIDENCE LOG
Unit X19 Prepare and undertake agreed clinical activities with clients in acute care settings
Element X19.1 Prepare clients for clinical activities
OBS | OBS | OTHER | KE | |||
PC | 1 | The correct necessary documents and records for the clinical activity are ready for use. | ||||
2 | Before the activity starts, the essential resources for the clinical activity are prepared ready for use. | |||||
3 | Before any actions are taken, the client’s consent to the activity is confirmed. | |||||
4 | Where the client and advocate do not give consent to the activity, advice is sought from an appropriate member of the care team without delay. | |||||
5 | The client is offered appropriate support and information in preparation for the activity in a manner appropriate to them. | |||||
6 | Client behaviour and condition is observed and monitored throughout contact and any unexpected change or aspect which gives cause for concern is reported to an appropriate member of the care team without delay. | |||||
7 | Any questions from the client and advocate are answered correctly and in a manner, and at a level and pace, appropriate to them. | |||||
8 | Where the client and advocate raise questions which are beyond the worker’s responsibility, further appropriate advice or assistance is sought before undertaking the activity. | |||||
9 | The reasons for any particular forms of dress and protection are explained in a manner appropriate to the client. |
OBS | OBS | OTHER | KE | |||
10 | Where there are contra-indications before starting the activity, the preparation is halted and advice sought from the appropriate member of the care team with minimum delay. | |||||
11 | The client is offered the opportunity to use toilet facilities prior to the activity when this is appropriate. | |||||
12 | The client is assisted to reach as comfortable a position as possible given the constraints of the activity. | |||||
Range | 1 2 | Clinical activities: a) care of lesions and applications of dressings b) elimination c) extended personal care d) tube feeding e) obtaining specimens f) undertaking physical measurements and monitoring Essential resources: a) for the activity to be undertaken b) necessary protective clothing |
Candidate Signature: …………………………………………………………
Assessor Signature: …………………………………………………………
Date: ………………………………
Candidate Name: …………………………… Registration No: …………………………
EVIDENCE LOG
Unit X19 Prepare and undertake agreed clinical activities with clients in acute care settings
Element X19.2 Undertake clinical procedures, treatments and dressings
OBS | OBS | OTHER | KE | |||
PC | 1 | Hands are cleansed effectively before and after the activity. | ||||
2 | The client is informed of the activities being undertaken during the procedure, treatment or dressing in a manner which is sensitive to their needs and concerns and is at an appropriate level and pace. | |||||
3 | The procedure, treatment and dressing is carried out using the correct technique and at an appropriate time according to the plan of care. | |||||
4 | The client is given appropriate support throughout. | |||||
5 | Client behaviour and condition is observed and monitored throughout contact and any unexpected change or aspect which gives cause for concern is reported to an appropriate member of the care team without delay. | |||||
6 | Particular observation and monitoring of the client is carried out at the time intervals specified in the plan of care. | |||||
7 | Any condition or behaviour which may signify adverse reactions to the activity is reported without delay and action appropriate to the client’s condition is taken. | |||||
8 | Following the activity, the client is assisted to reach as comfortable a position as possible given their current state of health. | |||||
9 | The outcomes of the activity are recorded correctly using the required format and reported to the appropriate member of the care team. |
OBS | OBS | OTHER | KE | |||
10 | Waste materials or equipment are disposed of in an appropriate safe manner and place. | |||||
11 | Records completed by the worker are accurate, legible and complete. | |||||
Range | 1 2 | Procedures, treatments and dressings: a) care of lesions and the applications of dressings b) elimination c) extended personal care d) tube feeding Adverse reactions related to: a) the client’s condition b) the procedure being undertaken |
Candidate Signature: …………………………………………………………
Assessor Signature: …………………………………………………………
Date: ………………………………
Candidate Name: …………………………… Registration No: …………………………
EVIDENCE LOG
Unit X19 Prepare and undertake agreed clinical activities with clients in acute care settings
Element X19.3 Obtain and test specimens from clients
OBS | OBS | OTHER | KE | |||
PC | 1 | Hands are cleansed effectively before and after the activity. | ||||
2 | The client is informed of the activities related to obtaining specimens in a manner which is sensitive to their needs and concerns and is at an appropriate level and pace. | |||||
3 | Any questions from the client are answered correctly or referred to the appropriate member of the care team. | |||||
4 | The specimen is collected using the correct technique and at an appropriate time according to the plan of care. | |||||
5 | The client is given appropriate support throughout. | |||||
6 | Client behaviour and condition is observed and monitored throughout contact and any unexpected change or aspect which gives cause for concern is reported to an appropriate member of the care team without delay. | |||||
7 | Particular observation and monitoring of the client is carried out at the time intervals specified in the plan of care. | |||||
8 | Any condition or behaviour which may signify adverse reactions to the procedure is reported without delay and action appropriate to the client’s condition is taken. | |||||
9 | Where the worker is unable to obtain the specimen, this is correctly recorded and the appropriate member of the care team informed without delay. |
OBS | OBS | OTHER | KE | |||
10 | Specimens are labelled correctly for the individual, the relevant documentation attached and they are put in the correct place for storage, collection or transportation. | |||||
11 | Specimens are tested correctly, the results accurately recorded in the required fromat and reported to the appropriate member of the care team. | |||||
12 | Following the activity, the client is assisted to reach as comfortable a position as possible given their current state of health. | |||||
13 | After use, equipment and materials are cleaned and returned to the correct location for storage, sterilisation and transportation, and waste is disposed of in an appropriate safe manner and place. | |||||
Range | 1 2 3 | Tests: a) urinalysis b) blood sugar analysis Specimens: a) urine b) faeces c) sputum d) exudates e) blood Adverse reactions related to: a) the client’s condition b) the specimen being taken |
Candidate Signature: …………………………………………………………
Assessor Signature: …………………………………………………………
Date: ………………………………
Candidate Name: …………………………… Registration No: …………………………
EVIDENCE LOG
Unit X19 Prepare and undertake agreed clinical activities with clients in acute care settings
Element X19.4 Measure and monitor the physical characteristics and conditions of clients
OBS | OBS | OTHER | KE | |||
PC | 1 | The client is informed of the nature of the measurement and what is involved, in a manner which is sensitive to their needs and concerns and is at an appropriate level and pace. | ||||
2 | Any questions from the client are answered correctly or referred to the appropriate member of the care team. | |||||
3 | Measurements are taken using the correct technique and at the appropriate time according to the plan of care. | |||||
4 | The client is given appropriate support throughout. | |||||
5 | Client behaviour and condition is observed and monitored throughout contact and any unexpected change or aspect which gives cause for concern is reported to an appropriate member of the care team without delay. | |||||
6 | Particular observation and monitoring of the client is carried out at the time intervals specified in the plan of care. | |||||
7 | Measurements are accurately interpreted, correctly recorded using the required format and reported to the appropriate member of the care team. | |||||
8 | Where any change or unexpected occurrence is observed from taking the measurement or the measurement is difficult to take or to interpret the results, advice is sought without delay. |
OBS | OBS | OTHER | KE | |||
9 | Any condition or behaviour which may signify adverse reactions to the measurement is reported without delay and action appropriate to the client’s condition taken. | |||||
10 | Following the activity, the client is assisted to reach as comfortable a position as possible given their current state of health. | |||||
11 | Records completed by the worker are accurate, legible and complete. | |||||
Range | 1 2 | Measurement and monitoring of: a) temperature, pulse, respiration b) blood pressure c) height, weight, girth d) peak flow e) fluid balance Adverse reactions related to: a) the client’s condition b) the physical measurement being taken |
November 2004 February 2005 May 2005 June 2005 July 2005 September 2005 October 2005 December 2005 January 2006 August 2006 September 2006 January 2007