DK5E 04 (HSC380)Supply and exchange injecting equipment for individuals
Elements of competence
HSC380.1 / Conduct initial assessment and provide adviceHSC380.2 / Supply and exchange injecting equipment
About this Unit
For this Unit you need to establish the extent and type of individuals’ injecting behaviour, providing harm minimisation advice, providing injecting equipment and exchanging used injecting equipment. You also need to maintain records of the supply and exchange of injecting equipment in order that the service can be monitored and evaluated.
Scope
The scope is here to give you guidance on possible areas to be covered in this Unit. The terms in this section give you a list of options linked with items in the performance criteria. You need to provide evidence for any option related to your work area.
Individual: adults; children and young people.
Health assessment: skin conditions; abscesses; injecting sites; substances used.
Other services: within your organisation; external to your organisation.
Maintain records: record of service users (eg by gender, ethnicity, substance used); record of individual’s injecting behaviour at initial assessment; record of number of new service users; record of individuals moving on to treatment elsewhere; number of service users (eg by gender, ethnicity, substance used); number of exchange packs given out (eg exchange packs given out per month per service user).
Appropriate materials: protective gloves; forceps or tweezers; hypochlorite 1%.
Evidence Requirements for the Unit
It is essential that you adhere to the Evidence Requirements for this Unit – please see details overleaf.
SPECIFIC Evidence Requirements for this unitSimulation:
- Simulation is NOT permitted for any part of this unit.
The following forms of evidence ARE mandatory:
- Direct Observation: Your assessor or an expert witness must observe you in real work activities which provide evidence for some of the performance criteria for both elements in this unit. You could for example, be observed giving advice to individuals or groups – or dealing with the procedural aspects of needle exchange within your workplace, including adherence to all necessary safety precautions.
- Reflective Account/professional discussion: These will be a description of your practice in particular situations either in relation to individuals or procedures. Your Reflective Accounts should demonstrate working to value base including confidentiality and being non-judgemental when communicating and assisting individuals.
Competence of performance and knowledge could also be demonstrated using a variety of evidence from the following:
- Questioning/professional discussion: May be used to provide evidence of knowledge, legislation, policies and procedures (especially in relation to substance use/misuse) which cannot be fully evidenced through direct observation or reflective accounts. In addition the assessor/expert witness may also ask questions to clarify aspects of your practice.
- Expert Witness: A designated expert witness may provide direct observation of practice, questioning, professional discussion and feedback on reflective accounts.
- Witness testimony: Can be a confirmation or authentication of the activities described in your evidence which your assessor has not seen. This could be provided by a work colleague or service user.
- Products: These can be records of the needle injecting equipment supply and exchange, diary evidence of day to day practice, and case notes for particular individuals you are supporting. Other products might be certificates from training courses on needle exchange or Health and Safety issues in relation to injecting, HIV, blood etc.
GENERAL GUIDANCE
- Prior to commencing this unit you should agree and complete an assessment plan with your assessor which details the assessment methods you will be using, and the tasks you will be undertaking to demonstrate your competence.
- Evidence must be provided for ALL of the performance criteria ALL of the knowledge and the parts of the scope that are relevant to your job role.
- The evidence must reflect the policies and procedures of your workplace and be linked to current legislation, values and the principles of best practice within the Care Sector. This will include the National Service Standards for your areas of work and the individuals you care for.
- All evidence must relate to your own work practice.
Knowledge specification for this unit
Competent practice is a combination of the application of skills and knowledge informed by values and ethics. This specification details the knowledge and understanding required to carry out competent practice in the performance described in this unit.
When using this specification it is important to read the knowledge requirements in relation to expectations and requirements of your job role.
You need to provide evidence for ALL knowledge points listed below. There are a variety of ways this can be achieved so it is essential that you read the ‘knowledge evidence’ section of the Assessment Guidance.
You need to show that you know, understand and can apply in practice: / Enter Evidence NumbersValues
1The rights of individuals to equal access to substance misuse services.
Legislation and organisational policy and procedures
2Legal and organisational procedures and requirements regarding the recording, storage and passing on of information relating to individuals and work undertaken with them.
3Policy guidelines and legislation for needle exchange with under-16s.
4Policy guidelines for working with individuals with learning difficulties.
5Health and safety legislation relevant to transportation and storage of used injecting equipment.
6Legal obligations and organisational policies regarding client confidentiality.
7Legal obligations and local policies regarding service provision for children and young people.
8Organisational policies and procedures for supply and exchange of injecting equipment.
9Potential benefits of brief interventions (eg referring individuals to other services).
10Complaints and appeals procedures which individuals can utilise.
11The range of substance misuse services offered by your organisation and other organisations.
Theory and practice
Information handling:
12The importance of keeping full and accurate records, and how to do so.
Substance misuse:
13The range of behaviours that can be expected from substance users, and how to deal with these.
14How to recognise and deal with immediate risk of danger to individuals who have used substances.
Supply and exchange of injecting equipment:
15Harm reduction techniques when using injecting equipment.
16The health risks associated with returned needles.
17How to dispose of needles safely.
You need to show that you know, understand and can apply in practice: / Enter Evidence Numbers
18Potential blood borne viruses including HIV, Hepatitis B and C.
19How to provide safe sex advice.
20What to do in the event of a needle stick injury occurring.
21What constitutes adequate stocks of injecting equipment.
Good practice:
22How to provide a service with due regard for personal health and safety.
HSC380.1Conduct initial assessment and provide advice
Performance criteriaDO / RA / EW / Q / P / WT
1You establish whether the individual is injecting and the frequency of injecting.
2You establish whether a needle exchange service can be provided for the individual in line with local policy (eg for children and young people a needle exchange service may be inappropriate).
3You conduct a health assessment with the individual.
4You provide advice on safe or safer injecting techniques and sites.
5You provide relevant and timely advice on harm minimisation, primary health and safer sex.
6You provide advice and resources for safe storage and disposal of injecting equipment.
7You refer individuals to other services according to identified need.
8You liaise with providers of other services in line with policies and protocol.
9You maintain records of the needle exchange service.
HSC380.2Supply and exchange injecting equipment
Performance criteriaDO / RA / EW / Q / P / WT
1You check that adequate stocks of injecting equipment are maintained.
2You check that injecting equipment is stored safely and securely.
3You dispense injecting equipment to individuals in line with the assessment of their needs.
4You demonstrate safe handling of dispensed injecting equipment.
5You carry out the exchange process discreetly and give out injecting equipment in a dispensing bag to maintain confidentiality.
6You do not handle returned injecting equipment, but direct individuals to place returned injecting equipment in the sharps bins themselves.
7You check that sharps bins are correctly assembled and never over-filled.
DO = Direct ObservationRA = Reflective AccountQ = Questions
EW = Expert Witness P = Product (Work)WT = Witness Testimony
HSC380.2Supply and exchange injecting equipment (cont)
Performance criteriaDO / RA / EW / Q / P / WT
8You adhere to your organisation’s needle exchange policies and procedures.
9You deal with any spillages and discarded needles and syringes using the appropriate materials.
10You maintain records of injecting equipment supply and exchange in line with organisational procedures.
11You maintain confidentiality in all matters relating to individuals using the exchange scheme.
DO = Direct ObservationRA = Reflective AccountQ = Questions
EW = Expert Witness P = Product (Work)WT = Witness Testimony
To be completed by the CandidateI SUBMIT THIS AS A COMPLETE UNIT
Candidate’s name: ……………………………………………
Candidate’s signature: ………………………………………..
Date: …………………………………………………………..
To be completed by the Assessor
It is a shared responsibility of both the candidate and assessor to claim evidence, however, it is the responsibility of the assessor to ensure the accuracy/validity of each evidence claim and make the final decision.
I certify that sufficient evidence has been produced to meet all the elements, pcSAND KNOWLEDGE OF THIS UNIT.
Assessor’s name: …………………………………………….
Assessor’s signature: ………………………………………....
Date: …………………………………………………………..
Assessor/Internal Verifier Feedback
To be completed by the Internal Verifier if applicable
This section only needs to be completed if the Unit is sampled by the Internal Verifier
Internal Verifier’s name: ……………………………………………
Internal Verifier’s signature: ………………………………………..
Date: ……………………………………..…………………………..
1
Unit: DK5E 04 (HSC380) Supply and exchange injecting equipment for individuals