CHC33021
Certificate III in Individual Support
Placement Diary (Part 4)
Contents
Task 1.1 Apply Control measures to Manage Blood Spills 5
B.Supervisor Observation Form 7
Task 1.2 Dispose of Infectious Waste 9
B.Supervisor observation Form 11
Task 1.3 Document and Report the Incident 12
Hu, J., 2023. Ethical Standard in Psychological Research: A Review. Psychomachina, 1, pp.1-12.
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
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
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:
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The goal of this assessment is to assess your practical knowledge and skills in:
The workplace assessment is divided into nine tasks:
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:
Contribute to workplace procedures for identifying hazards and controlling risks.
IMPORTANT Before you start the assessments in this subject, make sure you have:
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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
YOU WILL BE ASSESSED ON YOUR
YOUR ASSESSOR WILL
EVIDENCE TO BE SUBMITTED
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OBSERVATION CHECKLIST |
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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:
|
? YES ? NO |
The candidate removes the PPE in correct order and disposes it correctly. |
? YES ? NO |
The candidate performs the hand washing afterwards correctly:
|
? YES ? NO |
ASSESSOR’S COMMENTS:
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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
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
EVIDENCE TO BE SUBMITTED
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Answer: New South Wales (NSW) |
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OBSERVATION CHECKLIST |
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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:
|
? 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:
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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
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.
YOU WILL BE ASSESSED ON YOUR
This Observation Checklists lists the criteria your submission must address to complete this task satisfactorily. YOUR ASSESSOR WILL
EVIDENCE TO BE SUBMITTED After completing this task, submit the following to your assessor:
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INCIDENT REPORT |
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Name |
Sarah Jones |
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Position |
Staff Nurse ?? |
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Date and time record were made |
???4?/?10???/????24? |
???5:00?? PM |
Signature (must be handwritten) |
?????XXXX |
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Breach of infection control encountered |
Add more rows as necessary. |
Incident details
Incident date and time |
4?????/????10?/?????24 |
????5?PM |
Type of incident |
?????Blood and body Fluid Spills |
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Incident location |
?????Reception Area |
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General description of the incident |
?????The patient had severe bleeding and the blood spilled in the reception area during the emergency response. |
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Name of witness |
?????Kate Wilson |
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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:
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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
OBSERVATION CHECKLIST |
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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:
|
? YES ? NO |
The candidate seeks advice from the party/parties above for other actions they must take to address the incident including:
|
? YES ? NO |
ASSESSOR’S COMMENTS:
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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
YOU WILL BE ASSESSED ON YOUR
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
Address your queries and concerns regarding this task. EVIDENCE TO BE SUBMITTED
|
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:
|
? 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:
|
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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
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
EVIDENCE TO BE SUBMITTED
|
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:
|
? 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:
|
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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
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.
YOU WILL BE ASSESSED ON YOUR
YOUR ASSESSOR WILL
EVIDENCE TO BE SUBMITTED After completing this task, submit the following to your assessor:
|
INCIDENT REPORT |
||
Name |
Clara Smith ????? |
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Position |
Staff Nurse ????? |
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Date and time record was made |
5 ?????/????10?/???24?? |
???3:30?? PM |
Signature (must be handwritten) |
????? |
|
Breach of infection control encountered |
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 ? |
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Incident location |
?????In the emergency ward of the Hospital |
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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. |
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Name of witness |
?????Sam Smith |
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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:
|
Risk management strategies implemented:
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Have any steps been taken to prevent or minimise this type of incident in the future?
????? |
Additional notes
????? |
End of Infection Incident Report Template
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:
|
? YES ? NO |
The candidate seeks advice from the party/parties above for other actions they must take to address the incident including:
|
? YES ? NO |
ASSESSOR’S COMMENTS:
|
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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
YOU WILL BE ASSESSED ON YOUR
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
EVIDENCE TO BE SUBMITTED
|
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:
|
? YES ? NO |
The candidate follows transmission-based precautions including:
|
? YES ? NO |
The candidate removes the PPE in correct order and disposes it correctly. |
? YES ? NO |
The candidate performs the hand washing afterwards correctly:
|
? 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
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
EVIDENCE TO BE SUBMITTED
|
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:
|
? 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
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.
YOU WILL BE ASSESSED ON YOUR
YOUR ASSESSOR WILL
EVIDENCE TO BE SUBMITTED After completing this task, submit the following to your assessor:
|
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 |
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. |
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Name of witness |
?????Carl Smith |
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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:
????? |
Additional notes
????? |
End of Infection Incident Report Template
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:
|
? YES ? NO |
The candidate seeks advice from the party/parties above for other actions they must take to address the incident including:
|
? YES ? NO |
ASSESSOR’S COMMENTS:
|
|
|
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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. |
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Supervisor/Assessor’s signature |
?????
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Supervisor/Assessor’s name |
?????
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Date signed |
?????
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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. |
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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


