HLTWHS002 Follow safe practices for direct client care

STUDENT ASSESSMENT BOOKLET
CHC33015 Certificate III in Individual Support
WORK HEALTH AND SAFETY
For class room-based students
HLTWHS002 Follow safe practices for direct client care

ASSESSMENT TASK 1: WRITTEN QUESTIONS

TASK SUMMARY:

• This is an open book test – you can use the Internet, textbooks and other documents to help you with your answers if required.You must answer all 9 questions correctly.
• Write your answers in the space provided.
• If you need more space, you can use extra paper. All extra pieces of paper must include your name and the question number/s you are answering.
• You may like to use a computer to type your answers. Your assessor will tell you if you can email them the file or if you need to print a hard copy and submit it.

WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT?

• Access to textbooks and other learning materials.
• Access to a computer and the Internet (if you prefer to type your answers).

WHEN DO I DO THIS TASK?

• You will do this task in the classroom or for homework – your assessor will advise. ▪ Write in your due date as advised by your assessor:

WHAT DO I NEED TO DO IF I GET SOMETHING WRONG?

If your assessor marks any of your answers as incorrect, they will talk to you about resubmission. You will need to do one of the following:

• Answer the questions that were incorrect in writing.
• Answer the questions that were incorrect verbally.

QUESTION 1

1. Which of the following are hazards? Tick the correct answers

Is this a hazard?	Tick each correct answer
Working with clients in their homes
A strained back
Workplace procedure for manual handling
Showering client
Lifting a box
Working long hours
Stress

2. What could be the consequence if you did not correctly follow your workplace’s policies and procedures in the following areas? Provide one consequence for each. ▪ Hazard management
   • Care plans
   • Manual handling
   • Using mobility equipment
   • Using personal protecting equipment
   • Duress alarm system
   • Emergency procedures
   • Incident procedures
   • Infection control

QUESTION 2

List six things you would check when you are doing a fire safety check on a client’s home.

QUESTION 3

a) You notice that a box of rubbish has been left in the corridor again. You nearly tripped over a similar box last week and you moved it outside to the rubbish bin – where it should have been placed. Now someone has done the same thing again!

Why is it important that you report this particular hazard, rather than just moving it out to the bin like you did last time?

b) The residents at the nursing home have put in a complaint that the dining room is too cold. Management has now forbidden the use of the air conditioners in the dining room. Jenny is concerned that this makes the environment unsafe for the workers. The staff all get extremely hot while serving the meals. It is always a very busy time and they are running around getting the residents in place, serving meals, assisting with feeding, packing up the dishes and so on. Jenny notices that some of the staff are getting uncomfortable. Ian had sweat pouring off him yesterday and Rebecca was bright red in the face. By the end of mealtimes they are all hot and bothered.

• Should Jenny report this as a WHS issue to management? Explain your answer.
• What possible solution could Jenny could suggest?
• Jenny’s solution (see your response above) has been approved. She has been asked to assist with putting her solution into effect. Suggest at least three ways that she can do this.

QUESTION 4

Fill out the table below.

a) Standard precautions

What are they and when should they be used?

What precautions should be taken?

b) Additional precautions

What are they and when should they be used?

What precautions should be taken?

QUESTION 5

While you are on a home visit, a client tells you that she is feeling unwell. She has stomach cramps, feels very nauseous and has bad diarrhea.

She tells you she must have picked it up off her grandson who visited yesterday, as he was unwell when he was visiting and had to rush off to use her toilet.

1. What responsibility does the client have to the worker?
2. What infectious disease do you think it is likely your client has?
3. What are three things that should be done to minimise the risk of this spreading to other people?
4. Why is this a risk for workers – even though the client is in her own home?

QUESTION 6

List three things you can do to remain up to date with safe work practices.

Safe practice 1:
Safe practice 2:
Safe practice 3:

QUESTION 7

Fill out the table after each scenario.

1. Omar works in Home and Community Care in a rural location. His job is to visit clients in their homes. Due to the large area he services, Omar spends many hours of the day driving to different properties to see his clients.

List two risks (at least one risk must include damage to musculoskeletal system)

List a control measure for each risk

2. Kellie works transporting disabled clients to appointments or to the shops and other locations.

List two risks

List a control measure for each risk

QUESTION 8

Source: http://www.thesafeness.com/manual-material-handling.php

Look at the diagram above.

Why does this method of lifting produce less strain on the musculoskeletal system than bending at the waist?

QUESTION 9

Jenny was injured at work when using a portable hoist to transfer a client with a disability.

The injury occurred because Jenny was not given any training in how to use the equipment.

Jenny’s supervisor had told her to follow the instructions in the manual – Jenny couldn’t find the manual so she decided to figure it out herself.

1. Did the employer show a duty of care to Jenny? Explain your answer.
2. Did Jenny fulfil her duty of care? Explain your answer.
3. Jenny works in Victoria. She would like to find out more about her WHS responsibilities. What is the name of the WHS authority that Jenny should contact?

ASSESSMENT TASK 2: CASE STUDIES

TASK SUMMARY:

You are to read each case study and complete the questions that follow.

WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT?

• Access to textbooks and other learning materials
• Access to a computer and the Internet (if you prefer to type your responses).

WHEN DO I DO THIS TASK?

• You will do this task in the classroom or as homework – your assessor will advise.
• Write in your due date as advised by your assessor:

WHAT DO I NEED TO DO IF I GET SOMETHING WRONG?

If your assessor marks any of your answers as incorrect, they will talk to you about resubmission. You will need to do one of the following:

• Answer the questions that were incorrect in writing.
• Answer the questions that were incorrect verbally.

CASE STUDY 1: INFECTIOUS PATIENT

You are working in a residential aged care facility. One of the residents, Frances, recently had surgery on her leg. Unfortunately she has returned from hospital with a methicillin-resistant staphylococcus aureus (MRSA) infection. You are one of the workers who care for Frances. You and your colleagues must work within the infection control procedures to prevent the spread of MRSA to other residents or staff.

1. What is MRSA’s mode of transmission?
2. Where will you find the procedures for working with a client who has an MRSA infection?
3. Should standard or additional precautions be used?
4. When working with Frances, when should you wash your hands?
5. What PPE should you wear when working with Frances?
6. When should you remove your PPE?
7. What should Frances and her visitors do in terms of hand hygiene?
8. Explain how Frances’s room should be cleaned.
9. What needs to be reported in this situation?
10. What personal risks are involved when working with Frances?
11. What further steps can be put in place to protect workers?
12. What is your duty of care when working with Frances?

CASE STUDY 2: BEHAVIOURAL ISSUE

Richard is an 82-year-old person with onset of dementia. He lives at home with his wife. You are required to visit Richard in his home to assist with his care. He has recently cut himself and his dressings need to be changed. When you arrive his wife tells you that he hasn’t been himself today and is quite angry. You find this unusual – he is usually a gentle person. You go inside and say hello to Richard. You explain who you are and that you are there to change his dressings. Richard tells you to go away because he doesn’t want any milk today. You explain again that you are there to change his dressings. You get prepared to do this. Richard becomes very angry and throws all your equipment on the ground. He yells at you to not touch him.

1. How will you report this incident?
2. How will the recording of your observations assist in Richard’s future care?
3. What were the warning signs that all was not well with Richard on this day?
4. What was the risk to yourself in this incident? What was the level of risk?
5. How does the service setting (that is, the person’s home) contribute to the risk involved?
6. What risk controls do you think could be put in place to reduce the risk of future visits to Richard’s house?
7. What could you do to address your levels of stress following this incident?

CASE STUDY3: HOME SAFETY

Hilda is a single mother of an 18-month-old girl, Charlie. Hilda is blind. She lives at home and has done a good job of caring for her daughter since Charlie’s birth. She is, however, concerned that Charlie is now mobile and running around. Last week she found her playing in the toilet bowl with her toys. Hilda is also concerned about fire safety now there is a toddler running around. Hilda needs help to care for her daughter. Hilda’s home is on one level. Furniture has been arranged so it is easy for Hilda to get around. ▪ Hilda uses a cane. In the past, Hilda has been able to confine Charlie to one area for play activities. Now there are toys all over the place. Hilda is capable of providing meals for herself and Charlie. All cupboards have child safety locks. There are safety protectors on all power points. There is one smoke alarm in the kitchen – the battery was last changed 12 months ago. Charlie has learnt that if she is very quiet, Hilda can’t tell what she is doing –this is how she was able to play in the toilet without detection. Charlie is a big child. She likes to be picked up a lot. Today you are visiting Hilda to do a safety assessment of her home. Complete the form using the risk rating table provided.

RISK ASSESSMENT CONTROL FORM – HAPPYVILLE HOME CARE SERVICE
Site supervisor/manager								Date
Name of person completing risk assessment
Hazard identification and initial risk rating						Control measures and actions
Hazard	Potential harm	Likelihood of harm occurring	Consequence level		Risk level rating	Current control measures & effectiveness	Further action/controls required
Charlie leaving things where Hilda can trip over them
Charlie accessing dangerous objects (for example, knives, poisons)
Electrical power points
	RISK ASSESSMENT CONTROL FORM – HAPPYVILLE HOME CARE SERVICE
Fire
Charlie’s quietness – Hilda cannot tell what she is doing
Picking up Charlie (risk to worker)
Charlie’s attraction to playing in the toilet with her toys

RISK ASSESSMENT RATING MATRIX

Use this table to determine the current risk for each identified hazard.

			LIKELIHOOD
	Rare The event will only occur in exceptional circumstances	Unlikely The event is not likely to occur in a year	Possible The event may occur within a year	Likely The event is likely to occur within a year	Almost certain The event is almost certain to occur within a year
Severe/Catastrophic (Accidental death/ serious injury)	MEDIUM	HIGH	EXTREME	EXTREME	EXTREME
Major (serious injury)	MEDIUM	MEDIUM	HIGH	EXTREME	EXTREME
Moderate (Lost time due to workplace injury)	LOW	MEDIUM	HIGH	HIGH	HIGH
Minor (Minor workplace injury – no lost time)	LOW	LOW	MEDIUM	MEDIUM	MEDIUM
Minimal (no injury)	LOW	LOW	LOW	LOW	LOW

RISK LEVELS

Resolution at each level involves reducing the risk level to a lower level of risk

• Extreme – requires immediate assessment with management consideration. A detailed plan, regular monitoring and reporting is required with a target resolution within 1 month timeframe
• High – requires immediate assessment with senior staff consideration, planning and reporting. Target resolution should ideally be within 3 months
• Medium – reviewing of existing controls and planning required. Resolution timeframe should be within 1 year

Low – the risk may be tolerable and controlled if managed with high quality process and procedure

ASSESSMENT TASK 3: PROJECT – WHS INSPECTION

TASK SUMMARY:

You are required to complete a work health and safety check using the risk assessment form provided.

WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT?

• Hazard inspection policies and procedures (from your work placement service) ▪ Hazard Inspection checklist (from your work placement service).

WHEN DO I DO THIS ASSESSMENT?

• You will do this task during your work placement.
• Write in your due date as advised by your assessor:

WHAT DO I NEED TO DO IF I GET SOMETHING WRONG?

If your assessor sees that you have not completed the form correctly, they will give you some feedback and you will need to do the task again.

INSTRUCTIONS:

Select a work area from your work placement service that you are familiar with. For example, you might like to choose a client’s room, the common area, toilets/bathroom facilities etc.

Ask your work placement supervisor for a copy of their WHS checklist for that area and conduct a workplace inspection.

Once you have completed your checklist you must answer the following questions.

1. Did you find any things during the inspection that were not compliant? What were they?

(If you did not find any non-compliances, think of one thing that could have been non-compliant.)

2. What did you do about the non-compliant items?

(If you did not find any non-compliances in your safety check, refer to the item you identified above.)

3. How often is this area required to be inspected?

ASSESSMENT TASK 4: PROJECT – RISK ASSESSMENT

TASK SUMMARY:

You are required to complete a WHS risk assessment using the forms provided.

WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT?

• Your work placement service’s hazard identification and risk assessment policies and procedures ▪ Supporting documents (included in this assessment):
  • Risk Assessment Control Form
  • Risk Assessment Matrix – Consequence Table
  • Hierarchy of Control Table.

WHEN DO I DO THIS TASK?

• You will do this task in your work placement service.
• Write in your due date as advised by your assessor:

WHAT DO I NEED TO DO IF I GET SOMETHING WRONG?

If your assessor identifies that you did not complete all parts of each form correctly, you will be asked to fix the parts that are wrong and resubmit.

INSTRUCTIONS:

Read your work placement service’s hazard identification and risk assessment policies and procedures to prepare for this task.

Choose a task you are familiar with at your work placement service. For example, you may choose the task of transferring a client to the dining room; providing a personal care activity; providing a client with a hot beverage or assisting people in wheelchairs.

You will need to do a hazard identification and risk assessment for this task.

1. Use the risk assessment control form and identify at least 5 potential hazards for your chosen work activity or task.
2. Now use the risk assessment rating matrix and the consequence table to:
   • consider the consequences of the hazard
   • consider the likelihood of those consequences occurring ▪ calculate the risk rating.
3. Enter your risk assessment data in the Risk Assessment Control form and the Hierarchy of Control table.

Think about the following questions when completing the documents:

• What type of harm or injury could the hazard potentially cause?
• What is the likelihood of that harm occurring?
• Are there current controls in place?
• How effective are these controls?
• Are workplace procedures being followed?
• What further controls might be required?
• How would you put these controls in place?

4. Now add each of your recommendations into the Hierarchy of Control table. You may double up on some of the hierarchy levels. An example has been completed for you as a guide.

RISK ASSESSMENT CONTROL FORM
Workplace
Site supervisor/manager			Date
Name of person completing risk assessment
Description of activity:
Hazard identification and initial risk rating		Control measures and actions

	Hierarchy of Control table
Summary of control requirements	Control/further action	Hazards	Action by	Due date:
Elimination
Substitution/Isolation
Engineering (example)	Recommence regular maintenance schedule and ensure maintenance occurs at scheduled times	Poor maintenance of wheelchair	HSR Maintenance Manager	15/10/2015
Engineering
Administration
Personal Protective Equipment				1

RISK ASSESSMENT RATING MATRIX

			LIKELIHOOD
	Rare The event will only occur in exceptional circumstances	Unlikely The event is not likely to occur in a year	Possible The event may occur within a year	Likely The event is likely to occur within a year	Almost certain The event is almost certain to occur within a year
Severe/Catastrophic (Accidental death/ serious injury)	MEDIUM	HIGH	EXTREME	EXTREME	EXTREME
Major (serious injury)	MEDIUM	MEDIUM	HIGH	EXTREME	EXTREME
Moderate (Lost time due to workplace injury)	LOW	MEDIUM	HIGH	HIGH	HIGH
Minor (Minor workplace injury – no lost time)	LOW	LOW	MEDIUM	MEDIUM	MEDIUM
Minimal (no injury)	LOW	LOW	LOW	LOW	LOW

Use this table to determine the current risk for each identified hazard.

RISK LEVELS

Resolution at each level involves reducing the risk level to a lower level of risk

• Extreme – requires immediate assessment with management consideration. A detailed plan, regular monitoring and reporting is required with a target resolution within 1 month timeframe
• High – requires immediate assessment with senior staff consideration, planning and reporting. Target resolution should ideally be within 3 months
• Medium – reviewing of existing controls and planning required. Resolution timeframe should be within 1 year

Low – the risk may be tolerable and controlled if managed with high quality process and procedures

	DESCRIPTION
Consequence	Injury	Illness	Environment	Financial cost
Catastrophic	Fatality or permanent disability	Fatality or permanent disability	Disastrous and/or widespread environmental impact	Huge (greater than $500,000)
Major	Lost time injury (greater than 2 weeks)	Lost time injury (greater than 2 weeks)	Serious environmental impact	Major ($50,000– $500,000)
Moderate	Lost time injury (less than 2 weeks)	Lost time injury (less than 2 weeks)	Substantial environmental impact	High ($20,000– $50,000)
Minor	Requires basic medical treatment	Requires medical treatment, for example, for skin rashes	Small and / or localised impact	Medium ($5,000– $20,000)
Minimal	Minor	Minor, for example headache/nausea	Little or no environmental impact	Low (less than $5,000)

ASSESSMENT TASK 5: WORKPLACE OBSERVATIONS

TASK SUMMARY:

This task is broken up into three parts:

• Part A: You are to locate and discuss your work placement service’s policies and procedures with your assessor.
• Part B: You are to apply emergency response policies and procedures in a simulated emergency situation.
• Part C: You are to apply infection control policies and procedures to clean up a ‘blood spill’.

PART A – WORKPLACE POLICIES, PROCEDURES AND SIGNAGE

WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT?

• Access to your work placement service
• Access to your work placement service’s policies and procedures (infection control, emergency management, manual handling and incident reporting)
• Access to WHS manual handling codes of practice
• Access to National Infection Control Guidelines.

WHEN DO I DO THIS TASK?

• You will do this task in your work placement service.
• Write in the date of your assessor’s work placement visit:

WHAT DO I NEED TO DO IF I GET SOMETHING WRONG?

If your assessor identifies that you did not complete all requirements of this task correctly, they will give you some feedback and you will need to redo the incorrect part/s again.

INSTRUCTIONS:

During your assessor’s work placement visit, you are required to do the following:

1. Locate the following policies and procedures:
   • Infection control – this must include standard and additional precautions, clean/contaminated areas, hand washing, hygiene and personal protective clothing
   • Emergency management
   • Manual handling
   • Incident reporting.
2. Discuss each of the policies and procedures with your assessor, explaining the main points of each and relevant legislation and standards.

Your assessor will ask you for examples of how each policy and/or procedure is relevant to the work you have been doing or observing, and what legislation is involved in relation to safety and infection control.

3. Your assessor will ask you to show them a number of different workplace safety signs. Take your assessor to each sign that they ask to see. Tell them what the sign means.

Your assessor will be looking to see that you: Locate relevant workplace policies and procedures Including infection control; emergency management; manual handling and incident reporting Read and understand those workplace policies and procedures Explain how standard precautions are used to avoid the spread of infection Understand when additional infection control precautions are required Understand when and how to report incidents and injuries Understand manual handling procedures and how to avoid injury to self when lifting and moving Understand what to do in the event of an emergency situation (that is, fire) Understand relevant legislation, codes of practice and standards Including manual handling, infection control, emergency management and incident reporting Identify and interpret safety signs Including those related to fires/emergencies; sharps disposal; poisons; radiation; hand washing; PPE

PART B – EMERGENCY PROCEDURES AND MANUAL HANDLING

WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT?

• Access to their work placement service
• A chair
• A wheelchair
• A person to play the role of the client (assessor or a colleague at the work placement service).

WHEN DO I DO THIS TASK?

• You will do this task in your work placement service.
• Write in the date of your assessor’s work placement visit:

WHAT DO I NEED TO DO IF I GET SOMETHING WRONG?

If your assessor identifies that you did not demonstrate the correct skills and knowledge when evacuating the building, they will give you some feedback and you will need to redo the task again.

INSTRUCTIONS:

Your assessor will talk to you about an emergency scenario. You will be required to:

1. Correctly respond to the emergency situation by following workplace instructions, policies and procedures.
2. Take responsibility for transferring one client to the emergency evacuation area. (Your assessor will provide you with details about this.)
3. Debrief with your assessor after the scenario is complete.
4. Answer two verbal questions.

Your assessor will be looking to see that you: Read and interpret emergency evacuation policies and procedures Correctly follow emergency evacuation policies and procedures in a simulated emergency Correct use manual handling techniques for minimising manual handling risk For example, when moving the client from the chair to the wheelchair, when pushing and pulling the wheelchair, etc Participate in a debriefing session to address the emergency situation Consider your own levels of stress and fatigue after an emergency situation.

PART C – CLEAN-UP OF BLOOD SPILL AND INFECTION CONTROL REQUIREMENTS

WHAT DO I NEED IN ORDER TO COMPLETE THIS ASSESSMENT?

• Access to their work placement service
• Access to National Infection Control Guidelines
• An area in which they can demonstrate the blood spill clean-up ▪ A blood spill kit.

WHEN DO I DO THIS TASK?

• You will do this task in your work placement service.
• Write in the date of your assessor’s work placement visit:

WHAT DO I NEED TO DO IF I GET SOMETHING WRONG?

If your assessor identifies that you did not demonstrate the correct skills and knowledge when cleaning up the spill, they will give you some feedback and you will need to redo the task again.

INSTRUCTIONS:

For this task your assessor will use water to simulate the blood spill.

1. You are to clean up a blood spill that has occurred in a dry area. The spill is approximately 13 cm in diameter.
2. Using your work placement service’s policies and procedures, clean up the spill and wash the area.
3. Once you have cleaned up properly, correctly dispose of the contaminated materials.
4. As you work you are to explain to your assessor what you are doing. Remember to communicate professionally and appropriately with your assessor during this time.

Your assessor will ask you a number of verbal questions after you have completed the task.

Note: If it is not possible to do this task in your work placement service, your assessor will ask you to complete it in the classroom environment.

Your assessor will be looking to see that you can: Read, understand and follow procedures and guidelines to safety clean up a blood spill Read, understand and follow procedures and guidelines to safely dispose of contaminated waste Identify any risks to clients and report and record these Report and record these risks Raise safety issues as per organisational procedure Contribute to the development of safe workplace procedures to minimise risk.