NVQ evidence

NVQ evidence

X19 THNIGS THYAT NEED DOPINGA

X19 THNIGS THYAT NEED DOPINGA

Archives

Wednesday, January 04, 2006

Wednesday, January 04, 2006

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
PC	1	The correct necessary documents and records for the clinical activity are ready for use.	This is important because this fascilitates the easy flow of any procedure as well as presents a professional approach to activities. Documentation must pertain to the specific client as if they do not, inapproriate care, if not fatal care could be given to a client.
	2	Before the activity starts, the essential resources for the clinical activity are prepared ready for use.	COVERED
	3	Before any actions are taken, the client’s consent to the activity is confirmed.	COVERED
	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.	If a client or client's advocate say no to a procedure then it is the role of the worker to report this. Any activity carried out when there is not validly conscented constitutes assault. It is very important that an accountable practitioner is involved as soon as possible to answer any questions that are outside the role of the worker.
	5	The client is offered appropriate support and information in preparation for the activity in a manner appropriate to them.	COVERED
	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.	It is very important that the worker understands what the effects of any given treatement as this can give indications for what is normal in the given instance. If there are deviations from the norm with a procedure, it is very imporant that Accountable Practitions are contacted as they can then act accordingly.
	7	Any questions from the client and advocate are answered correctly and in a manner, and at a level and pace, appropriate to them.	COVERED
	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.	It is not the role of the worker to answer questions that are outside their role. Even if the worker knows the answer, this is still the case. Support workers are not Accountable for their practice. They are responsible. If any incorrect information is given by the worker, then the Practitioner is vacariously accountable for this. If there is any doubt then the Practitioner should be informed as soon as possible.
	9	The reasons for any particular forms of dress and protection are explained in a manner appropriate to the client.	It is very important to explain the specific types of dress that are required for certain clincial prccures for a number of reasons. An individual may feel treatened by the wearing of gloves and apron for example. It may be that they feel that they have an infection that the medical fraterity are not telling them about. it must be explained that the the wearing of protective clothing is mearly precasuialry and universal. It is also important that their protective qualities are emphasised as being two way.

			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.	It is very imporatant that contra-indications are noted before any procedure is commence as beginnning without prior consultation may cause harm to the individual. Also, there are accountability issues that may arrise if nothing is done.
	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.	COVERED
Range	1 2	Clinical activities: a) care of lesions and applications of dressings b) elimination COVERED c) extended personal care d) tube feeding e) obtaining specimens COVERED f) undertaking physical measurements and monitoring COVERED Essential resources: a) for the activity to be undertaken COVERED b) necessary protective clothingCOVERED

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.	COVERED
	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.	COVERED
	3	The procedure, treatment and dressing is carried out using the correct technique and at an appropriate time according to the plan of care.	COVERED
	4	The client is given appropriate support throughout.	COVERED
	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.	COVERED
	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.	COVERED
Range	1 2	Procedures, treatments and dressings: a) care of lesions and the applications of dressings b) elimination COVERED c) extended personal care d) tube feeding Adverse reactions related to: a) the client’s condition b) the procedure being undertaken COVERED

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.	COVERED
	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.	COVERED
	3	Any questions from the client are answered correctly or referred to the appropriate member of the care team.	COVERED
	4	The specimen is collected using the correct technique and at an appropriate time according to the plan of care.	COVERED
	5	The client is given appropriate support throughout.	COVERED
	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.

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

		2 4 10 11 R1ABE 2B	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.

posted by alanpjack # 4:15 AM

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Specimens are labelled correctly for the individual, the relevant documentation attached and they are put in the correct place for storage, collection or transportation.

Specimens are tested correctly, the results accurately recorded in the required fromat and reported to the appropriate member of the care team.

Following the activity, the client is assisted to reach as comfortable a position as possible given their current state of health.

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.

Tests:
a) urinalysis
b) blood sugar analysis COVERED
Specimens:
a) urine
b) faeces
c) sputum
d) exudates
e) blood COVERED
Adverse reactions related to:
a) the client’s condition
b) the specimen being taken COVERED