CHC33021 Certificate III in Individual Support Placement Diary (Part 4)











CHC33021

Certificate III in Individual Support

Placement Diary (Part 4)




















Contents

Task 1 Manage Blood Spills 5

Task 1.1 Apply Control measures to Manage Blood Spills 5

A.Supplementary Questions 6

B.Supervisor Observation Form 7

Task 1.2 Dispose of Infectious Waste 9

A.Supplementary Questions 10

B.Supervisor observation Form 11

Task 1.3 Document and Report the Incident 12

A.Incident Report 13

B.Supervisor observation FormHayes, S.C. and Hofmann, S.G., 2021. “Third?wave” cognitive and behavioral therapies and the emergence of a process?based approach to intervention in psychiatry. World psychiatry, 20(3), pp.363-375.



Rosenbaum, D.A., 2024. The Cinderella of psychology: The neglect of motor control in the science of mental life and behavior. In Cognitive Control of Action (pp. 136-155). Routledge.



Laland, K. and Seed, A., 2021. Understanding human cognitive uniqueness. Annual Review of Psychology, 72(1), pp.689-716.



Balakrishnan, J. and Dwivedi, Y.K., 2021. Role of cognitive absorption in building user trust and experience. Psychology & Marketing, 38(4), pp.643-668.



Eccles, J.S. and Wigfield, A., 2020. From expectancy-value theory to situated expectancy-value theory: A developmental, social cognitive, and sociocultural perspective on motivation. Contemporary educational psychology, 61, p.101859.



Hutchins, E., 2020. The distributed cognition perspective on human interaction. In Roots of human sociality (pp. 375-398). Routledge.



Ajzen, I., 2020. The theory of planned behavior: Frequently asked questions. Human behavior and emerging technologies, 2(4), pp.314-324.



Philip, T.M. and Sengupta, P., 2021. Theories of learning as theories of society: A contrapuntal approach to expanding disciplinary authenticity in computing. Journal of the Learning Sciences, 30(2), pp.330-349.



Huibers, M.J., Lorenzo-Luaces, L., Cuijpers, P. and Kazantzis, N., 2021. On the road to personalized psychotherapy: A research agenda based on cognitive behavior therapy for depression. Frontiers in Psychiatry, 11, p.607508.



Shiraev, E.B. and Levy, D.A., 2020. Cross-cultural psychology: Critical thinking and contemporary applications. Routledge.



Weindling, P., 2022. From the Nuremberg “doctors’ trial” to the “Nuremberg Code”. In Bioethics and the Holocaust: a comprehensive study in how the Holocaust continues to shape the ethics of health, medicine and human rights (pp. 219-228). Cham: Springer International Publishing.



Kashevarova, N.A.T.A.L.I.Y.A., 2020. Crimes Against Cultural Heritage: the Einsatzstab Reichsleiter Rosenberg and the Nuremberg Trial. ??????????? ?????????? ??????.



Tobin, M.J., 2022. Fiftieth anniversary of uncovering the Tuskegee syphilis study: The story and timeless lessons. American journal of respiratory and critical care medicine, 205(10), pp.1145-1158.





Alsan, M., Wanamaker, M. and Hardeman, R.R., 2020. The Tuskegee study of untreated syphilis: a case study in peripheral trauma with implications for health professionals. Journal of general internal medicine, 35, pp.322-325.



Scott-Bottoms, S., 2020. The dirty work of the Stanford Prison Experiment: Re-reading the dramaturgy of coercion. Incarceration, 1(1), p.2632666320944316.



Mead Jasperse, S.C. and Kelly, M.P., 2023. Contextualizing contemporary research ethics policies and practices in significant historical events. Behavior Analysis in Practice, pp.1-19.



Karunarathna, I., Hapuarachchi, T., Ekanayake, U., Rajapaksha, S., Gunawardana, K., Aluthge, P., Bandara, S., Jayawardana, A., Kapila De Alvis, P. and Gunathilake, S., Learning from the Past: Ethical Lessons from Historical Research Misconduct.



Hu, J., 2023. Ethical Standard in Psychological Research: A Review. Psychomachina, 1, pp.1-12.



Head, G., 2020. Ethics in educational research: Review boards, ethical issues and researcher development. European Educational Research Journal, 19(1), pp.72-83.



Xu, A., Baysari, M.T., Stocker, S.L., Leow, L.J., Day, R.O. and Carland, J.E., 2020. Researchers’ views on, and experiences with, the requirement to obtain informed consent in research involving human participants: a qualitative study. BMC medical ethics, 21, pp.1-11.







15

Task 2 Manage Other Body Fluid Spills 16

Task 2.1 Apply control Measures to Manage Infection Risk 16

A.Supervisor observation Form 17

Task 2.2 Dispose of Infectious Waste 19

A.Supervisor observation Form 20

Task 2.3 Document and Report the Incident 21

A.Incident Report 22

B.Supervisor observation Form 24

TASK 3 Manage Other Infection Risks 25

Task 3.1 Apply Control Measures to Manage Infection Risk 25

A.Supervisor observation Form 26

Task 3.2 Dispose of Infectious Waste 28

A.Supervisor observation Form 29

Task 3.3 Document and report the Incident 30

A.Incident Report 31

B.Supervisor observation Form 33

ASSESSOR CHECKLIST 34

(To be completed by Student’s RTO Representative) 34






SUBJECT 4: Infection prevention and Control

The assessments in this subject assess the candidate’s practical knowledge and skills in relation to the following units of competency:


  • HLTINF006 - Apply basic Principles and practices of infection prevention and control




The goal of this assessment is to assess your practical knowledge and skills in:

  • Contributing to workplace procedures for identifying hazards and controlling risks

  • Following standard and transmission-based precautions for infection prevention and control in the work setting

  • Responding to potential and actual exposure to infection risks.



The workplace assessment is divided into nine tasks:

  1. Task 1.1 – Apply Control Measures to Manage Blood Spills

  2. Task 1.2 – Dispose of Infectious Waste

  3. Task 1.3 – Document and Report the Incident

  4. Task 2.1 – Apply Control Measures to Manage Infection Risk

  5. Task 2.2 – Dispose of Infectious Waste

  6. Task 2.3 – Document and Report the Incident

  7. Task 3.1 – Apply Control Measures to Manage Infection Risk

  8. Task 3.2 – Dispose of Infectious Waste

  9. Task 3.3 – Document and Report the Incident

For these tasks, assume that you are a worker required to apply basic infection prevention and control principles in your workplace.

Each task comes with a set of instructions. You are to follow and perform these instructions while being observed by the assessor and submit any required documentation.

Before starting this assessment, your assessor will also discuss these tasks with you, as well as instructions and guidance for satisfactorily completing them. They will also organise the resources required for this assessment (listed below).





You are required to:

  • Complete the tasks within the time allowed, as scheduled in-class roll.

  • Review the instructions in each task included in this Workplace Assessment.

  • Contribute to workplace procedures for identifying hazards and controlling risks.

Contribute to workplace procedures for identifying hazards and controlling risks.



IMPORTANT

Before you start the assessments in this subject, make sure you have:

  • Carefully read the instructions provided in each assessment task in this subject.

  • Printed hard copies of any required vocational workplace forms and templates so you may bring them with you at your vocational placement organisation/workplace.

  • Discussed and reviewed the assessment tasks in this subject with your workplace supervisor.

  • Coordinated with both your supervisor and assessor regarding schedules on when you can complete these tasks while being directly observed by the assessor in the workplace.






Task 1 Manage Blood Spills

Task 1.1 Apply Control measures to Manage Blood Spills

For this part of the assessment, you are required to apply control measures to manage blood spills and prevent the spread of infection. Your supervisor/observer needs to observe during your placement.



Read all instructions carefully before proceeding.

STEPS TO TAKE

  1. Identify the incident and assess the risk of contamination.

  2. Alert people at risk as soon as possible.

  3. Designate clean and contaminated areas to reduce the risk of contamination to people, materials and equipment.

  4. Remove the spill.

  5. Follow protocols for care after exposure to blood.

  6. Ask the supervisor to observe your performance and complete the supervisor observation form.

  7. Complete the Supplementary Questions.

YOU WILL BE ASSESSED ON YOUR

  • Practical knowledge of national standards and guidelines relevant to infection control

  • Practical skills relevant to responding to breaches in infection control

  • Practical skills relevant to using personal protective equipment, practicing hand hygiene and cleaning spills.

YOUR ASSESSOR WILL

  • Organise workplace resources required for you to complete this assessment.

  • Advise you on the time and location of the assessment.

  • Discuss with you the practical skills listed in the Observation Form prior to the assessment.

  • Address your queries and concerns regarding this task.

EVIDENCE TO BE SUBMITTED

  • Supplementary Questions

  • Supervisor observation form.




  1. Supplementary Questions


  1. Please list the name of national standards used as reference in this task for risk minimization in your work placement organisation.

Answer: For this task the national standards used will be the National Standards for the prevention and Control of Infection in Healthcare 2010 (Australian Commission on the Safety and Quality in Healthcare, 2024).

NSQHS (National Safety and Quality Health Service Standards): Include specific criteria for infection prevention and control as segment of high-quality care.

  1. Please list the name of the national guidelines used as reference in this task for risk minimisation in your work placement organisation.

Answer: The Australian Commission on the Health and Safety provides the guidelines for the prevention of infection and blood spillages:

  1. Cleaning the blood spills immediately to avoid the spread of infection through the bacteria and viruses that might be present in the spilled blood with a disinfectant.

  2. The infectious blood should be handled with personal protective equipment or with sterile hand gloves and they should be discarded immediately after use. In case there is a danger of spills, eye protection should be used.

  3. All the blood spills must be reported to the infection control unit of the hospital (NHMRC, 2024)

  1. List all the control measures you followed to minimise the risk of infection related to blood spills in your work placement organisation. These control measures must be consistent with the national standards and guidelines you referred to for this task.

Answer:

  1. Use of personal protective equipment

  2. Immediately cleaning of the surface of blood spills with a disinfectant and absorbent material.

  3. The sharps used in the procedures such as scalpels must be used with proper practice.

  4. The area where the blood is spilled should be disinfected with proper against such as bleaches.

  5. All the injuries and blood spills must be reported.



  1. Supervisor Observation Form

OBSERVATION CHECKLIST

During this workplace task:

YES / NO

The candidate identifies the incident as soon as it occurs and assesses the consequences of infection risks, likelihood of occurrence and control measures that can be implemented to minimise the infection risks.

? YES

? NO

The candidate takes immediate action in accordance with organisational guidelines to minimise the risks associated with the infection by limiting access to the site.

? YES

? NO

The candidate alerts the people in the area about the blood spill by informing them about the area of spill, areas inaccessible until it is cleaned or disinfected and asking if anyone was contaminated or got exposed to the substances.

? YES

? NO

The candidate communicates effectively with others as clients, staff, carers, etc about the facts of the incident and avoids the medical jargons.

? YES

? NO

The candidate wears the required PPE (gloves, apron) by following current national guidelines for correct use of PPE prior to removing the spill

? YES

? NO

The candidate selects the clean zone (away from the contaminated area) and places signage and all other items as records, material, equipment are stored in this area.

? YES

? NO

The candidate selects the contaminated zone, places signage and all other contaminated with blood in this area.

? YES

? NO

The candidate implements the control measures identified during the risk assessment.

? YES

? NO

The candidate follows the correct procedures for cleaning blood spill depending on the volume of spill as spot cleaning, small spill (up to 10cm in diameter), Large spill (greater than 10cm in diameter) including:

  • Wiping the spill immediately

  • Placing the contaminated absorbent material into impervious container or plastic bag for disposal

  • Wiping area with sodium hypochlorite

  • Allowing the surface to dry

? YES

? NO

The candidate removes the PPE in correct order and disposes it correctly.

? YES

? NO

The candidate performs the hand washing afterwards correctly:

  • Wet their hands with clean running water

  • Apply the alcohol-based soap on both hands

  • Lather their hands by rubbing them together with soap

  • Lather the palm of their hands with soap

  • Lather the backs of their hands with soap

  • Interlaces the spaces between their fingers with soap including skin under their nails

  • Scrub their hands for at least 20 seconds

  • Rinse their hands well under clean, running water

  • Dry their hands using single use towel or air dry


? YES

? NO

ASSESSOR’S COMMENTS:























Task 1.2 Dispose of Infectious Waste

For this part of the assessment, you are required to dispose of infectious waste following waste management procedures. Your supervisor/observer needs to observe during your placement.





Read all instructions carefully before proceeding.



YOU WILL BE ASSESSED ON YOUR

  • Practical knowledge of national standards and guidelines relevant to infection control

  • Practical knowledge of waste management procedures

  • Practical skills relevant to disposing of infectious waste

OBSERVATION FORM

Before starting this task, review the Workplace Assessment Task 1.2 - Supervisor Observation Form provided along with this workbook. This form lists all the practical skills you need to demonstrate while completing this task.

YOUR ASSESSOR WILL

  • Organise workplace resources required for you to complete this assessment.

  • Advise you on the time and location of the assessment.

  • Discuss with you the practical skills listed in the Observation Form prior to the assessment.

  • Address your queries and concerns regarding this task.

EVIDENCE TO BE SUBMITTED

  • Supplementary Questions

  • Supervisor observation form.




  1. Supplementary Questions


  1. Please write which state/territory you are working in.

Answer: New South Wales (NSW)

  1. Please write the waste management requirements applicable to the state/territory.

    1. Waste management of blood spills


  1. The waste material should be kept in the regular waste container.

  2. Disposable paper towels must be used to wipe off the surface and must be immediately discarded as per standards.

  3. A proper biomedical waste bag must be used to dispose of all the blood-containing waste.

  4. The area must be cleaned with either chlorine or bleach.

    1. Waste management of other body fluid spills


  1. The body fluids must be immediately absorbed in an absorbent material to prevent spread.

  2. The absorbent paper towels may be disposed of in proper designated biomedical waste bags.

  3. The area must be cleaned with disinfectant.

  4. The waste disposal of the body fluid must be reported.

    1. Waste management of other infection risks


  1. The waste must be segregated from the rest of the waste material and must be disposed of in suitable waste bags.

  2. The staff responsible for the waste segregation and disposal must be fully protected with personal protective equipment and fully equipped with gloves and eye protection.

  1. Supervisor observation Form


OBSERVATION CHECKLIST

During this workplace task:

YES / NO

The candidate wears the required PPE (gloves, apron) by following current national guidelines for correct use of PPE e.g., apron was worn first before the mask when disposing of contaminated items.

? YES

? NO

The candidate places the materials contaminated with blood as soiled rags, using gloves in biohazard bags.

? YES

? NO

The candidate follows the correct waste management procedures applied in the candidate’s state/territory when disposing items contaminated with blood. This includes:

  • Placing any sharp waste in rigid-walled container

  • Storing the sharp waste separately from other waste

  • Storing wastes in properly labelled containers or bags


? YES

? NO

The candidate disposes of all materials, soiled rags, used gloves, sharp objects etc., contaminated with blood.

? YES

? NO

The candidate removes the PPE in the correct order after disposing of contaminated materials and then disposes the contaminated PPE correctly.

? YES

? NO

The candidate performs hand hygiene i.e., handwashing

? YES

? NO

ASSESSOR’S COMMENTS:












Task 1.3 Document and Report the Incident


For this part of the assessment, you are required to document one incident relating to managing blood spills and meet with relevant individuals to report it.

STEPS TO TAKE

  • Accomplish an incident report form.

Use your organisation’s template for reporting incidents related to breaches in infection control. You may also use the Incident Report template provided along with this workbook.

  • Meet with your supervisor, manager or responsible authorities to report the incident.

  • Seek advice from your supervisor, manager or responsible authorities for other actions you must take to address the incident.

YOU WILL BE ASSESSED ON YOUR

  • Practical knowledge of procedures relevant to documenting and reporting breaches in infection control

  • Practical skills relevant to reporting breaches in infection control

This Observation Checklists lists the criteria your submission must address to complete this task satisfactorily.

YOUR ASSESSOR WILL

  • Organise workplace resources required for you to complete this assessment.

  • Advise you on the time and location of the assessment.

  • Discuss with you the practical skills listed in the Observation Form prior to the assessment.

  • Address your queries and concerns regarding this task.

EVIDENCE TO BE SUBMITTED

After completing this task, submit the following to your assessor:

  • Completed Incident Report

  • Supervisor observation form.






  1. Incident Report

INCIDENT REPORT

Name

Sarah Jones

Position

Staff Nurse ??

Date and time record were made

???4?/?10???/????24?

???5:00?? PM

Signature (must be handwritten)

?????XXXX


Breach of infection control encountered

  1. ?????No use of disinfectants while cleaning the surface of blood and body fluid spills

  2. ????The materials used were not properly segregated and disposed of in the biomedical waste. ?

Add more rows as necessary.

Incident details

Incident date and time

4?????/????10?/?????24

????5?PM

Type of incident

?????Blood and body Fluid Spills

Incident location

?????Reception Area

General description of the incident

?????The patient had severe bleeding and the blood spilled in the reception area during the emergency response.

Name of witness

?????Kate Wilson

Signature of witness (must be handwritten)

???KATE??

Date: ????5?/10?/?24????


Action taken

Details of action taken (clean up, disinfection, etc.):

Answer: The blood spilled was immediately cleaned with the help of an absorbent paper towel and simultaneously the area was disinfected thoroughly with the help of disinfectants such as bleach and chlorine. The material used for cleaning the spill was discarded in the designated biomedical waste bins.

Risk management strategies implemented:

Answer:

The risk management strategies implemented:

  1. Proper reporting of the incident and the blood spillage.

  2. Reporting of the waste management procedure at the site of the spill.

  3. The people weren't allowed to be present at the site of the blood spillage till the time the area was fully disinfected.

Have any steps been taken to prevent or minimize this type of incident in the future?

Answer: Yes, there have been robust steps taken to prevent the spillage of blood in public areas in hospitals.

Spill kits have been installed in the reception area, emergency wards and other public areas within the hospital premises. The staff is trained to avoid any such accident in the future and to manage it effectively if it occurs. The spill management protocols have been set up in the hospital so that the staff knows the procedure of managing blood spills and steps can be taken quickly.

Additional notes

?????



End of Infection Incident Report Template

  1. Supervisor observation Form


OBSERVATION CHECKLIST

During this workplace task:

YES / NO

The candidate informs the incident that occurred to the supervisor, and/or manager and/or other responsible authority.

? YES

? NO

The candidate sets a meeting with the identified party/parties to discuss the breach in infection control.

? YES

? NO

The candidate discusses the details of the incident during the meeting including:

  • Any breach in infection control, e.g., incidents that may result in the transmission of infection.

  • Date and time of the incident, e.g., when the incident happened

  • Incident location, e.g., where the incident happened

  • General description of the incident, e.g. what happened

  • Risk management strategies implemented to address the breach in infection control

? YES

? NO

The candidate seeks advice from the party/parties above for other actions they must take to address the incident including:

  • Asking if the actions they took were enough to address the incident

  • Asking if they missed any actions when addressing the incident

  • Asking if further actions are needed to fully address the incident

? YES

? NO

ASSESSOR’S COMMENTS:







Task 2 Manage Other Body Fluid Spills

Task 2.1 Apply control Measures to Manage Infection Risk

For this part of the assessment, you are required to apply control measures to manage other bodily fluid spills and prevent the spread of infection. Your supervisor/observer needs to observe during your placement.



Read all instructions carefully before proceeding.

STEPS TO TAKE

  • Identify the incident and assess the risk of contamination.

  • Alert people at risk as soon as possible.

  • Designate clean and contaminated areas to reduce the risk of contamination to people, materials and equipment.

  • Remove the spill.

  • Follow protocols for care after exposure to blood.

YOU WILL BE ASSESSED ON YOUR

  • Practical knowledge of national standards and guidelines relevant to infection control

  • Practical skills relevant to responding to breaches in infection control

  • Practical skills relevant to using personal protective equipment, practicing hand hygiene and cleaning spills

OBSERVATION FORM

Before starting this task, review the Workplace Assessment Task 2.1 - Observation Form provided along with this workbook. This form lists all the practical skills you need to demonstrate while completing this task.

YOUR ASSESSOR WILL

  • Organise workplace resources required for you to complete this assessment.

  • Advise you on the time and location of the assessment.

  • Discuss with you the practical skills listed in the Observation Form prior to the assessment.

Address your queries and concerns regarding this task.

EVIDENCE TO BE SUBMITTED

  • Supervisor observation form.


  1. Supervisor observation Form


OBSERVATION CHECKLIST

During this workplace task:

YES / NO

The candidate identifies the incident (body fluid spill: urine) as soon as it occurs and assesses the consequences of infection risks, likelihood of occurrence and control measures that can be implemented to minimise the infection risks.

? YES

? NO

The candidate takes immediate action in accordance with organisational guidelines to minimise the risks associated with the infection by limiting access to the site.

? YES

? NO

The candidate alerts the people in the area about the body fluid spill by informing them about the area of bodily fluid spill, areas inaccessible until it is cleaned or disinfected and asking if anyone was contaminated or got exposed to the substances.

? YES

? NO

The candidate communicates effectively with others as clients, staff, carers, etc about the facts of the incident and avoids the medical jargons.

? YES

? NO

The candidate wears the required PPE (gloves, apron) by following current national guidelines for correct use of PPE prior to removing the spill

? YES

? NO

The candidate selects the clean zone (away from the contaminated area) and places signage and all other items as records, material, equipment are stored in this area.

? YES

? NO

The candidate selects the contaminated zone, places signage and all other contaminated with blood in this area.

? YES

? NO

The candidate implements the control measures identified during the risk assessment.

? YES

? NO

The candidate follows the correct procedures for cleaning blood spill depending on the volume of spill as spot cleaning, small spill (up to 10cm in diameter), Large spill (greater than 10cm in diameter) including:

  • Wiping the spill immediately

  • Placing the contaminated absorbent material into impervious container or plastic bag for disposal

  • Cleaning the area with warm detergent solution, using disposable cloth or sponge

  • Wiping area with sodium hypochlorite

  • Allowing the surface to dry

? YES

? NO

The candidate removes the PPE in correct order and disposes it correctly.

? YES

? NO

The candidate performs the hand washing afterwards correctly following the standard procedure for handwashing.

? YES

? NO

ASSESSOR’S COMMENTS:







Task 2.2 Dispose of Infectious Waste

For this part of the assessment, you are required to dispose of infectious waste following waste management procedures. Your supervisor/observer needs to observe during your placement.





Read all instructions carefully before proceeding.



YOU WILL BE ASSESSED ON YOUR

  • Practical knowledge of national standards and guidelines relevant to infection control

  • Practical knowledge of waste management procedures

  • Practical skills relevant to disposing of infectious waste

OBSERVATION FORM

Before starting this task, review the Workplace Assessment Task 2.2 - Observation Form provided along with this workbook. This form lists all the practical skills you need to demonstrate while completing this task.

YOUR ASSESSOR WILL

  • Organise workplace resources required for you to complete this assessment.

  • Advise you on the time and location of the assessment.

  • Discuss with you the practical skills listed in the Observation Form prior to the assessment.

  • Address your queries and concerns regarding this task.

EVIDENCE TO BE SUBMITTED

  • Supervisor observation form.





  1. Supervisor observation Form


OBSERVATION CHECKLIST

During this workplace task:

YES / NO

The candidate wears the required PPE (gloves, apron) by following current national guidelines for correct use of PPE e.g., apron was worn first before the mask when disposing of contaminated items.

? YES

? NO

The candidate places the materials contaminated with blood as soiled rags, using gloves in biohazard bags.

? YES

? NO

The candidate follows the correct waste management procedures applied in the candidate’s state/territory when disposing of items contaminated with blood. This includes:

  • Placing any sharp waste in rigid-walled container

  • Storing the sharp waste separately from other waste

  • Storing wastes in properly labelled containers or bags


? YES

? NO

The candidate disposes of all materials soiled rags, used gloves, sharp objects etc., contaminated with bodily fluid.

? YES

? NO

The candidate removes the PPE in the correct order after disposing of contaminated materials and then disposes the contaminated PPE correctly.

? YES

? NO

The candidate performs hand hygiene i.e., handwashing

? YES

? NO

ASSESSOR’S COMMENTS:









Task 2.3 Document and Report the Incident


For this part of the assessment, you are required to document one incident relating to managing other body fluid spills and meet with relevant individuals to report it.



Read all instructions carefully before proceeding.



STEPS TO TAKE

  1. Accomplish an incident report form.

Use your organisation’s template for reporting incidents related to breaches in infection control. You may also use the Incident Report template provided along with this workbook.

  1. Meet with your supervisor, manager or responsible authorities to report the incident.

  2. Seek advice from your supervisor, manager or responsible authorities for other actions you must take to address the incident.

YOU WILL BE ASSESSED ON YOUR

  • Practical knowledge of procedures relevant to documenting and reporting breaches in infection control

  • Practical skills relevant to reporting breaches in infection control

YOUR ASSESSOR WILL

  • Organise workplace resources required for you to complete this assessment.

  • Advise you on the time and location of the assessment.

  • Discuss with you the practical skills listed in the Observation Form prior to the assessment.

  • Address your queries and concerns regarding this task.

EVIDENCE TO BE SUBMITTED

After completing this task, submit the following to your assessor:

  • Completed Incident Report

  • Supervisor observation form.





  1. Incident Report

INCIDENT REPORT

Name

Clara Smith ?????

Position

Staff Nurse ?????

Date and time record was made

5 ?????/????10?/???24??

???3:30?? PM

Signature (must be handwritten)

?????


Breach of infection control encountered

  1. Improper discard of infectious waste ??????????

Add more rows as necessary.

Incident details

Incident date and time

?5????/?10???/?????24

2: 30?PM

Type of incident

?????Improper discard of infectious waste ?

Incident location

?????In the emergency ward of the Hospital

General description of the incident

?????A patient with a severe wound infection was brought to the emergency wards of the hospital. While treating the patient, infectious waste was generated which included cotton swabs filled with infectious pus from the infected wound of the patient. This biomedical waste was not discarded as per the national standards for the discard of biomedical waste.

Name of witness

?????Sam Smith

Signature of witness (must be handwritten)

?????Sam

Date: ??5???/?10????/?24????


Action taken

Details of action taken (clean up, disinfection, etc.):

???The actions taken during this incident are:

  1. The waste generated during the treatment of the patient which include the cotton swabs and bandages filled with infectious pus and other blood-containing bandages and cotton was immediately discarded as per the national standards.

  2. The area where they were kept was cleaned with disinfectant.

Risk management strategies implemented:

  1. The staff was provided with the requisite training on the discarding of infectious waste.

  2. All the departments which deal with infectious materials should be regularly monitored for the proper disposal of the wastes.

  3. The regular collection of the waste should be implemented.

Have any steps been taken to prevent or minimise this type of incident in the future?

  1. Stricter guidelines have been formed and implemented for the proper disposal of wastes, non-compliance of which leads to prohibition.

  2. The staff is provided comprehensive training for all kinds of waste along with the training regarding the importance of this process.

  3. Proper disposal of the waste material through processes such as incineration and autoclaving to ensure that the waste is rendered harmless.

?????

Additional notes

?????



End of Infection Incident Report Template



  1. Supervisor observation Form


OBSERVATION CHECKLIST

During this workplace task:

YES / NO

The candidate informs the incident that occurred to the supervisor, and/or manager and/or other responsible authority.

? YES

? NO

The candidate sets a meeting with the identified party/parties to discuss the breach in infection control.

? YES

? NO

The candidate discusses the details of the incident during the meeting including:

  • Any breach in infection control, e.g., incidents that may result in the transmission of infection.

  • Date and time of the incident, e.g., when the incident happened

  • Incident location, e.g., where the incident happened

  • General description of the incident, e.g. what happened

  • Risk management strategies implemented to address the breach in infection control

? YES

? NO

The candidate seeks advice from the party/parties above for other actions they must take to address the incident including:

  • Asking if the actions they took were enough to address the incident

  • Asking if they missed any actions when addressing the incident

  • Asking if further actions are needed to fully address the incident

? YES

? NO

ASSESSOR’S COMMENTS:






TASK 3 Manage Other Infection Risks

Task 3.1 Apply Control Measures to Manage Infection Risk

For this part of the assessment, you are required to apply control measures to manage another infection risk and prevent the spread of infection. Your supervisor/observer needs to observe during your placement.

Read all instructions carefully before proceeding.

STEPS TO TAKE

  1. Identify the incident and assess the risk of contamination

  2. Alert people at risk as soon as possible.

  3. Designate clean and contaminated areas to reduce the risk of contamination to people, materials and equipment.

  4. Apply transmission-based procedures or enhanced cleaning as required.

  5. Follow protocols for care after exposure to the infection risk.

YOU WILL BE ASSESSED ON YOUR

  • Practical knowledge of national standards and guidelines relevant to infection control

  • Practical skills relevant to responding to breaches in infection control

  • Practical skills relevant to using personal protective equipment, practicing hand hygiene and cleaning spills

OBSERVATION FORM

Before starting this task, review the Workplace Assessment Task 3.1 - Observation Form provided along with this workbook. This form lists all the practical skills you need to demonstrate while completing this task.

YOUR ASSESSOR WILL

  • Organise workplace resources required for you to complete this assessment.

  • Advise you on the time and location of the assessment.

  • Discuss with you the practical skills listed in the Observation Form prior to the assessment.

  • Address your queries and concerns regarding this task.

EVIDENCE TO BE SUBMITTED

  • Supervisor observation form.



A.Supervisor observation Form


OBSERVATION CHECKLIST

During this workplace task:

YES / NO

The candidate identifies the infection risks as soon as it occurs as COVID -19 and assesses the consequences of infection risks, likelihood of occurrence and control measures that can be implemented to minimise the infection risks.

? YES

? NO

The candidate takes immediate action in accordance with organisational guidelines to minimise the risks associated with the infection by limiting access to the site; postponing non-urgent appointments and advising people in the vicinity about the breach in infection control.

? YES

? NO

The candidate alerts the people in the area about the infection risks by informing them about a breach in infection occurred, areas inaccessible until it is cleaned or disinfected and asking if anyone was contaminated or got exposed to the risks.

? YES

? NO

The candidate communicates effectively with others as clients, staff, carers, etc about the facts of the incident and avoids the medical jargons.

? YES

? NO

The candidate wears the required PPE (gloves, apron) by following current national guidelines for correct use of PPE prior to removing the spill

? YES

? NO

The candidate selects the clean zone (away from the contaminated area) and places signage and all other items as records, material, equipment are stored in this area.

? YES

? NO

The candidate selects the contaminated zone, places signage and all other contaminated with blood in this area.

? YES

? NO

The candidate implements the control measures identified during the risk assessment.

? YES

? NO

The candidate follows the enhanced cleaning procedure to prevent the spread of infection including:

  • Cleaning high-traffic and high touch areas at least two or three times daily

  • Cleaning visibly soiled areas with a warm detergent solution, using disposable cloth or sponge

  • Wiping area with and approved disinfectant, e.g., sodium hypochlorite

? YES

? NO

The candidate follows transmission-based precautions including:

  • Putting mask on patient

  • Ensuring appropriate patient placement in an airborne infection isolation room (AIIR)

  • Restricting susceptible healthcare personnel from entering the room.

? YES

? NO

The candidate removes the PPE in correct order and disposes it correctly.

? YES

? NO

The candidate performs the hand washing afterwards correctly:

  • Wet their hands with clean running water

  • Apply the alcohol-based soap on both hands

  • Lather their hands by rubbing them together with soap

  • Lather the palm of their hands with soap

  • Lather the backs of their hands with soap

  • Interlaces the spaces between their fingers with soap including skin under their nails

  • Scrub their hands for at least 20 seconds

  • Rinse their hands well under clean, running water

  • Dry their hands using single use towel or air dry


? YES

? NO

ASSESSOR’S COMMENTS:

















Task 3.2 Dispose of Infectious Waste

For this part of the assessment, you are required to dispose of infectious waste following waste management procedures. Your supervisor/observer needs to observe during your placement.





Read all instructions carefully before proceeding.



YOU WILL BE ASSESSED ON YOUR

  • Practical knowledge of national standards and guidelines relevant to infection control

  • Practical knowledge of waste management procedures

  • Practical skills relevant to disposing of infectious waste

OBSERVATION FORM

Before starting this task, review the Workplace Assessment Task 3.2 - Observation Form provided along with this workbook. This form lists all the practical skills you need to demonstrate while completing this task.

YOUR ASSESSOR WILL

  • Organise workplace resources required for you to complete this assessment.

  • Advise you on the time and location of the assessment.

  • Discuss with you the practical skills listed in the Observation Form prior to the assessment.

  • Address your queries and concerns regarding this task.

EVIDENCE TO BE SUBMITTED

  • Supervisor observation form.




  1. Supervisor observation Form


OBSERVATION CHECKLIST

During this workplace task:

YES / NO

The candidate wears the required PPE (gloves, apron) by following current national guidelines for correct use of PPE e.g., apron was worn first before the mask when disposing of contaminated items.

? YES

? NO

The candidate places the materials contaminated with infection risks as soiled rags, used gloves in biohazard bags.

? YES

? NO

The candidate follows the correct waste management procedures applied in the candidate’s state/territory when disposing of items contaminated with blood. This includes:

  • Placing any sharp waste in rigid-walled container

  • Storing the sharp waste separately from other waste

  • Storing wastes in properly labelled containers or bags

? YES

? NO

The candidate disposes of all materials soiled rags, used gloves, sharp objects etc., contaminated with infection risk.

? YES

? NO

The candidate removes the PPE in the correct order after disposing of contaminated materials and then disposes the contaminated PPE correctly.

? YES

? NO

The candidate performs hand hygiene i.e., handwashing

? YES

? NO

ASSESSOR’S COMMENTS:






Task 3.3 Document and report the Incident

For this part of the assessment, you are required to document one incident relating to managing other infection risks and meet with relevant individuals to report it.



Read all instructions carefully before proceeding.

STEPS TO TAKE

  1. Accomplish an incident report form.

Use your organisation’s template for reporting incidents related to breaches in infection control. You may also use the Incident Report template provided along with this workbook.

  1. Meet with your supervisor, manager or responsible authorities to report the incident.

  2. Seek advice from your supervisor, manager or responsible authorities for other actions you must take to address the incident.

YOU WILL BE ASSESSED ON YOUR

  • Practical knowledge of procedures relevant to documenting and reporting breaches in infection control

  • Practical skills relevant to reporting breaches in infection control

YOUR ASSESSOR WILL

  • Organise workplace resources required for you to complete this assessment.

  • Advise you on the time and location of the assessment.

  • Discuss with you the practical skills listed in the Observation Form prior to the assessment.

  • Address your queries and concerns regarding this task.

EVIDENCE TO BE SUBMITTED

After completing this task, submit the following to your assessor:

  • Completed Incident Report

  • Supervisor observation form.






  1. Incident Report

INCIDENT REPORT

Name

Will Smith ?????

Position

?Nurse Manager ?

Date and time record was made

???2??/???10??/???24??

2??PM

Signature (must be handwritten)

?????


Breach of infection control encountered

  1. Improper disposal of the used sharp equipment such as scalpels. ???

  2. Improper disposal of the PPE kit worn by the health care staff.

Add more rows as necessary.

Incident details

Incident date and time

?2????/???10??/???24??

?12:30????PM

Type of incident

?????Improper discard and disposal of waste

Incident location

?????Emergency Room of the Hospital

General description of the incident

The incident occurred when the healthcare staff did not properly discard the Personal protective kit worn by them according to the national guidelines prescribed for disposal. The sharps used in the treatment of the patient such as scalpel and syringes were also not properly disposed of as per the guidelines prescribed for the disposal of biomedical wastes.

Name of witness

?????Carl Smith

Signature of witness (must be handwritten)

?????Carl

Date: ?5????/???10??/?24????


Action taken

Details of action taken (clean up, disinfection, etc.):

Answer: The personal protective equipment was immediately discarded as per the prescribed guidelines. The area where it was kept was disinfected and cleaned thoroughly with disinfectants to prevent the spread of infections. The sharps were immediately disc and disposed of as per the guidelines in the biomedical sharp waste bins.

Risk management strategies implemented:

Answer: The risk management strategies implemented were the proper awareness, education and training of the staff regarding the importance of careful disposal of personal protective equipment and sharps used in the treatment of the patients. Moreover, stricter guidelines were formulated for the disposal of biomedical waste. Biomedical waste bi9ns were kept in all the areas of the hospitals to prevent the spread of infection and implement the proper disposal of waste. Regular monitoring was done to ensure that all the sharps used in the treatment are being properly discarded.

Have any steps been taken to prevent or minimise this type of incident in the future?

Answer: Steps have been taken to minimize this risk in the future:

  1. All the areas and treatment room are fully equipped with the biomedical ate management bins.

  2. All the waste from the bins is segregated and discarded regularly on timely intervals.

  3. The staff is trained regarding the disposal of waste which can cause severe infections.

?????

Additional notes

?????



End of Infection Incident Report Template


  1. Supervisor observation Form


OBSERVATION CHECKLIST

During this workplace task:

YES / NO

The candidate informs the incident that occurred to the supervisor, and/or manager and/or other responsible authority.

? YES

? NO

The candidate sets a meeting with the identified party/parties to discuss the breach in infection control.

? YES

? NO

The candidate discusses the details of the incident during the meeting including:

  • Any breach in infection control, e.g., incidents that may result in the transmission of infection.

  • Date and time of the incident, e.g., when the incident happened

  • Incident location, e.g., where the incident happened

  • General description of the incident, e.g. what happened

  • Risk management strategies implemented to address the breach in infection control

? YES

? NO

The candidate seeks advice from the party/parties above for other actions they must take to address the incident including:

  • Asking if the actions they took were enough to address the incident

  • Asking if they missed any actions when addressing the incident

  • Asking if further actions are needed to fully address the incident

? YES

? NO

ASSESSOR’S COMMENTS:








Candidate Name and signature:


Supervisor Declaration

By signing here, I confirm that I have observed the candidate whose name appears above, has been adequately supervised and observed while completing the tasks outlined above.


I confirm that all the information above is true and accurately reflects the candidate’s performance during his/her vocational placement.

Supervisor/Assessor’s signature

?????


Supervisor/Assessor’s name

?????


Date signed

?????




ASSESSOR CHECKLIST

(To be completed by Student’s RTO Representative)


During this workplace task:

YES / NO

  • TASK 1

  • TASK 1.1

A.Supplementary Questions

B.Supervisor Observation Form

  • TASK 1.2

A.Supplementary Questions

B.Supervisor Observation Form

  • TASK 1.3

A.Incident Report

B.Supervisor observation Form

? YES ? NO

  • TASK 2

  • TASK 2.1

A.Supervisor Observation Form

  • TASK 2.2

A.Supervisor Observation Form

  • TASK 2.3

A.Incident Report

B.Supervisor observation Form


? YES ? NO

  • TASK 3

  • TASK 3.1

A.Supervisor Observation Form


  • TASK 3.2

A.Supervisor Observation Form

  • TASK 3.3

A.Incident Report

B.Supervisor observation Form


? YES ? NO

ASSESSOR’S COMMENTS:








Assessor Declaration

By signing here whose name appears above, have completed all the documents satisfactorily.

I confirm that the information recorded on all Assessment Forms are true and accurately reflect the candidate’s performance during their completion of the workplace task.

Assessor’s signature

?????

Assessor’s name

?????

Date signed

?????


END OF PART 4


References

Australian Commission on the Safety and Quality in Healthcare (2024), Australian Guidelines for the Prevention and Control of Infection in Healthcare, Australian Commission on the Safety and Quality in Healthcare. Retrieved 1 october, 2024 from https://www.safetyandquality.gov.au/our-work/infection-prevention-and-control/australian-guidelines-prevention-and-control-infection-healthcare#:~:text=The%20Australian%20Guidelines%20for%20the,the%20Commission%20and%20the%20NHMRC.

NHMRC (2024) Australian Guidelines for the Prevention and Control of Infection in Healthcare, NHRMC. Retrieved 2 October 2024 from https://www.nhmrc.gov.au/about-us/publications/australian-guidelines-prevention-and-control-infection-healthcare-2019



(Part 4) CHC33021 Placement Diary V1.1 Page 23 of 23

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