F045 04 (GEN8) Assist the Practitioner to Implement Clinical/Therapeutic Interventions

F045 04 (GEN8) Assist the practitioner to implement clinical/therapeutic interventions

About this Unit

This Unit applies to anyone whose role requires them to work, under the direction of a registered practitioner to offer assistance during clinical or therapeutic interventions. Within this Unit the term clinical/therapeutic interventions refers to any clinical/therapeutic intervention where there is a registered practitioner carrying out the work role. This Unit covers the assistant’s role in supporting the practitioner within the context of surgery, a recovery suite, ward round activity, therapeutic interventions, or clinical procedures. The focus of the Unit is on being effective in an assisting role rather than the clinical/therapeutic skills involved in the intervention, which are covered by other units.

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.

Individuals include:

• adults
• children and young people
• older people
• people with communication differences

Others - these could include:

• the practitioner
• members of an interdisciplinary team
• family/carers
• other healthcare support workers
• colleagues

Standard precautions and health and safety measures - a series of interventions which will minimise or prevent infection and cross infection, including:

• handwashing/cleansing before during and after the activity
• the use of personal protective clothing and additional protective equipment when appropriate

It also includes:

• handling contaminated items
• disposing of waste
• safe moving and handling techniques and untoward incident procedures

Evidence Requirements for the Unit

It is essential that you adhere to the Evidence Requirements for this Unit – please see details overleaf.

• Simulation is not permitted for any part of this unit.

• Direct observation: Your assessor/expert witness must observe you in real work activities, which provide evidence for a significant number of the performance criteria for this unit. You should be observed supporting a practitioner to implement clinical/therapeutic activities including how you support and relate to individuals.
• Reflective accounts/professional discussion: These will be descriptions of your practice, you should describe what you did, how you did it, why it was done and how you might do things differently given different circumstances. You need to reflect on how you supported the practitioner and how you communicated with them.

• Questioning: may be used to provide evidence of knowledge, legislation, policies and procedures, 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.
• Witness testimony: can be a confirmation or authentication of the activities described in your evidence that your assessor has not seen. This could be provided by the person in charge of the clinical/therapeutic area or the practitioner you assisted
• Work Products: These can be any records that you would normally use within your normal role e.g. individuals care plan, risk assessment, untoward incident record. Organisational policy and procedures in relation to the activity to be carried out, any Reports or entries in the care plans of individuals detailing any specific instructions Product evidence will be important for this unit. NB Confidential records are not required to be in your portfolio, they can remain where they are normally stored and checked by your assessors and verifier. If they are included they must be made anonymous
• APL/Assignment/Project: You may have already completed a project or assignment from Vocationally Related Qualification; you may also have evidence form other training e.g. Health and Safety, risk assessment, Infection control, Personal Protective Clothing/equipment, Moving and Handling, recording and reporting. COSHH, communication.

• 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 Health Settings. This will include the National Service Standards and/or KSF 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.

1. A factual awareness of the current European and national legislation, national guidelines and local policies and protocols which affect your work practice in relation to providing assistance to practitioners during clinical/therapeutic interventions

1. A working understanding of your responsibilities under the current European and national legislation, national guidelines and local policies and protocols within the care environment

1. A working understanding of why it is necessary to obtain informed consent prior to working with an individual and the methods used to achieve this where the individual is not able to give their consent directly (e.g. because they are comatose, are a child or have communication differences)

1. A working understanding of the importance of following standard precautions relevant to the clinical/therapeutic intervention and the potential consequences of poor practice

1. A working understanding of the policies and guidance which clarify your scope of practice and the relationship between yourself and the practitioner in terms of delegation and supervision

1. A working understanding of policies and guidance relating to the moving and positioning of individuals and the impact they have upon your work

1. A working understanding of the types of information it is appropriate to give others about an individual’s programme and treatment

1. A working understanding of the clinical/therapeutic intervention to be undertaken

1. A working understanding of the importance of supporting and encouraging the individual to promote their own health and well being and how this might be achieved

1. A working understanding of the factors that facilitate an effective and collaborative working relationship

1. A working understanding of the appropriate methods and procedures for communicating information to others

1. A working understanding of the correct procedures to be followed where other colleagues actions give you cause for concern

1. A working understanding of the information that should be recorded and the importance of doing this as contemporaneously as possible

1. A working understanding of record keeping practices and procedures in relation to diagnostic and clinical/therapeutic interventions

1. A working understanding of the sort of information that might be needed by the practitioner prior to or during the course of a clinical/therapeutic intervention

1. A working understanding of the importance of immediately reporting any issues which are outside your own sphere of competence without delay to the relevant member of staff

1. apply standard precautions for infection control and other necessary health and safety measures

1. respond promptly to requests and directions from the practitioner leading the clinical or therapeutic intervention

1. carry out delegated activities in accordance with the individual’s care/treatment plan and your own scope of practice

1. collaborate effectively and proactively during actions that require close team working

1. communicate required information to others clearly, accurately and in a timely fashion

1. keep accurate, complete and legible records as directed by the practitioner, in accordance with local policies and procedures

1. take appropriate and prompt action in line with relevant protocols and guidelines where other colleagues’ actions give you cause for concern

DO = Direct ObservationRA = Reflective AccountQ = Questions

EW = Expert Witness P = Product (Work)WT = Witness Testimony

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Unit: F045 04 (GEN8) Assist the practitioner to implement clinical/therapeutic interventions