Department of Education and Training
Western Australia
RPL Assessment Tool Kit
HLT51607
Diploma of Nursing
(Enrolled/Division 2 Nursing)
First published 2009
ISBN 978-1-74205-394-3
© Department of Education and Training
All rights reserved.
Western Australian Department of Education and Training materials, regardless of format, are
protected by copyright law.
Permission, however, is granted to Trainers, Assessors, and Registered Training Organisations
to use, reproduce and adapt the material (third party material excluded) for their Recognition of
Prior Learning (RPL) assessment activities.
This permission is subject to the inclusion of an acknowledgement of the source. Permission
does not extend to the making of copies for hire or sale to third parties, and provided it is not
used for commercial use or sale. Reproduction for purposes other than those indicated above
requires the prior written permission of the Western Australian Department of Education and
Training.
Published by and available from
WestOne Services
1 Prospect Place
WEST PERTH WA 6005
Tel: (08) 9229 5200 Fax: (08) 9227 8393
Email: sales.westone@det.wa.edu.au
Website: www.westone.wa.gov.au
Acknowledgements
This work has been produced with the assistance of funding provided by the Council of
Australian Governments (COAG) National Reform Initiative (NRI).
This resource contains ‘Units of Competencies’ from HLT07: Health Training Package –
HLT51607 Diploma of Nursing (Enrolled/Division 2 nursing), © Commonwealth of Australia
2007 Department of Education Science and Training (DEST), used under the AEShareNet-FfE
licence
Disclaimer
Whilst every effort has been made to ensure the accuracy of the information contained in this
RPL Assessment Tool Kit, no guarantee can be given that all errors and omissions have been
excluded. No responsibility for loss occasioned to any person acting or refraining from action as
a result of the material in this RPL Assessment Tool Kit can be accepted by the Western
Australian Department of Education and Training.
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
RPL Assessment Tool Kit
Contents
Section 1 – Assessor’s information
5
Introduction
7
Units of competency covered by this assessment tool
9
Section 2 – Self-evaluation information
11
Self-evaluation checklist – Skill Set 1
14
Self-evaluation checklist – Skill Set 2
15
Self-evaluation checklist – Skill Set 3
16
Self-evaluation checklist – Skill Set 4
Self-evaluation checklist – Skill Set 5
18
19
Self-evaluation checklist – Skill Set 6
20
Section 3 – Interview question bank and recording sheets
23
Topic A – Aged care
25
Topic B – Chronic care
27
Topic C – Acute care
29
Topic D – Medical care
31
Topic E – Medications
Topic F – Mental health care
33
35
Topic G – Cultural care in nursing
37
Topic H – Communication in nursing
39
Topic I – Infection control
41
Demonstration/observation/practical
43
Third party evidence report
47
Candidate’s contact information
49
Record of initial interview
Other information that will assist with the assessment process
51
53
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© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
RPL Assessment Tool Kit
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Version 1, August 2009
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HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 1 – Assessor’s information
Section 1
Assessor’s information
Page 5 of 54
© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 1 – Assessor’s information
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Version 1, August 2009
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HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 1 – Assessor’s information
Introduction
This document contains the assessment tools for the Diploma of Nursing. These tools have
been developed to support a ‘whole-of-trade’ assessment, to reflect the work undertaken in
industry. This approach focuses on clustering the units of competency from the qualification into
a number of skill sets. These are as follows:

Skill Set 1 – Delivery of care

Skill Set 2 – First aid

Skill Set 3 – Implementing nursing care

Skill Set 4 – Infection control and wound management

Skill Set 5 – Complex nursing care

Skill Set 6 – Medications.
Skill Set 1 – Delivery of care
Unit Code
Unit Title
HLTEN502A
Apply effective communication skills in nursing practice
HLTHIR403B
Work effectively with culturally diverse clients and co-workers
HLTEN504A
Implement and evaluate a plan of nursing action
HLTHIR404B
Work effectively with Aboriginal and/or Torres Strait Islander people
HLTOHS300A
Contribute to OHS processes
Skill Set 2 – First aid
Unit Code
Unit Title
HLTFA301B
Apply first aid
Skill Set 3 – Implementing nursing care
Unit Code
Unit Title
HLTAP401A
Confirm physical health status
HLTAP501A
Analyse health information
HLTEN509A
Apply legal and ethical parameters to nursing practice
HLTEN515A
Implement and monitor nursing care for older clients
HLTEN508A
Apply reflective practice, critical thinking and analysis in health
HLTEN503A
Contribute to client assessment and developing nursing care plans
HLTEN516A
Apply understanding of the Australian health care system
HLTEN401A
Work in the nursing profession
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© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 1 – Assessor’s information
Skill Set 4 – Infection control and wound management
Unit Code
Unit Title
HLTIN301A
Comply with infection control policies and procedures in health work
HLTEN506A
Apply principles of wound management in the clinical environment
Skill Set 5 – Complex nursing care
Unit Code
Unit Title
HLTEN505A
Contribute to the complex nursing care of clients
HLTEN512A
Implement and monitor nursing care for clients with acute health
problems
HLTEN510A
Implement and monitor nursing care for consumers with mental
health conditions
HLTEN513A
Implement and monitor nursing care for clients with chronic health
problems
Skill Set 6 – Medications
Unit Code
Unit Title
HLTEN507A
Administer and monitor medications in the work environment
The assessment tools contained in this document and developed to support the assessment of
these six skill sets include:

a self-assessment checklist

interview questions and recording documents

practical observation tasks and recording documents

third party evidence question bank.
These tools have been mapped to all of the core units of the HLT5106 Diploma of Nursing.
The following Topics are suggested and may cover more than one Skill Set
A Topic 1 Aged care
B Topic 2 Chronic care
C Topic 3 Acute care
D Topic 4 Medical care
E Topic 5 Medications
F Topic 6 Mental healthcare
G Topic 7 Cultural care in nursing
H Topic 8 Communication in nursing
I
Topic 9 Infection control
© Department of Education and Training 2009
Version 1, August 2009
Page 8 of 54
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 1 – Assessor’s information
Units of competency covered by this assessment tool
Unit code
Unit title
HLTEN502A
Apply effective communication skills in nursing practice

HLTHIR403B
Work effectively with culturally diverse clients and
co-workers

HLTEN504A
Implement and evaluate a plan of nursing action

HLTHIR404B
Work effectively with Aboriginal and/or Torres Strait
Islander people

HLTOHS300A
Contribute to OHS processes

HLTFA301B
Apply first aid

HLTAP401A
Confirm physical health status

HLTAP501A
Analyse health information

HLTEN509A
Apply legal and ethical parameters to nursing practice

HLTEN515A
Implement and monitor nursing care for older adults

HLTEN508A
Apply reflective practice, critical thinking and analysis in
health

HLTEN503A
Contribute to client assessment and developing nursing
care plans

HLTEN516A
Apply understanding of the Australian health care
system

HLTEN401A
Work in the nursing profession

HLTIN301A
Comply with infection control policies and procedures in
health work

HLTEN506A
Apply principles of wound management in the clinical
environment

HLTEN505A
Contribute to the complex nursing care of clients

HLTEN512A
Implement and monitor nursing care for clients with
acute health problems

HLTEN510A
Implement and monitor nursing care with mental health
conditions

HLTEN513A
Implement and monitor nursing care for clients with
chronic health problems

Administer and monitor medications in the work
environment

HLTEN507A
Core
Page 9 of 54
Elective
© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 1 – Assessor’s information
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© Department of Education and Training 2009
Version 1, August 2009
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HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 2 – Self-evaluation information
Section 2
Self-evaluation information
Page 11 of 54
© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 2 – Self-evaluation information
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Version 1, August 2009
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HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 2 – Self-evaluation information
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Note to the candidate
The purpose of this self-evaluation is to enable you to identify if you already have the required skills and knowledge as to be judged competent to
receive the above qualification.
To complete this form, answer all the following self-evaluation questions by placing a  in the column (Yes/No) that best reflects your current level of
skills and knowledge.
As you answer each question, make a note of any evidence you have that could be used to verify your skills. For example, if you claim to be able to
have undertaken a nursing assessment, you need to be able to provide examples of this.
Examples of different types of evidence that you could provide include:

résumé describing where you have worked

job descriptions

records of formal or informal training you may have done on the job

references

discussing work you have done and where you have done the work with an assessor

demonstrating the task to an assessor (either in your workplace or at a training facility)

performance appraisals.
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© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 2 – Self-evaluation information
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Self-evaluation checklist – Skill Set 1
Delivery of care
The following questions relate to your knowledge, skills and experience of effective communication, working effectively with Aboriginal and Torres
Strait Islander and culturally diverse people, OHS processes in the health industry and implementing and evaluating a plan of nursing care.
Questions relating to Skill Set 1
Yes
No
Q1
Can you demonstrate the use of information technology to support nursing
practice?


Q2
Can you demonstrate an understanding of medical terminology?


Q3
Can you demonstrate the ability to apply oral, written and interpersonal
communication skills in nursing practice?


Q4
Can you demonstrate the use of effective strategies to address and eliminate
discrimination and bias in the workplace?


Q5
Can you communicate respectfully and with sensitivity to varying cultural
beliefs and their practices?


Q6
Can you show evidence of contributions to OHS processes in the workplace?


Q7
Can you use an itemised checklist to identify hazards and risks?


Q8
Can you demonstrate the ability to apply nursing interventions/procedures to
the medically unstable patient?


Q9
Can you demonstrate safe manual handling principles?




Q10 Can you demonstrate an understanding of the culture and history, including
relevant legislation and policies, of local Aboriginal and/or Torres Strait
Islander communities?
© Department of Education and Training 2009
Version 1, August 2009
Page 14 of 54
What evidence can you provide?
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 2 – Self-evaluation information
Self-evaluation checklist – Skill Set 2
First aid
Questions relating to Skill Set 2
Q1
Do you have a current first aid certificate?
Page 15 of 54
Yes
No


What evidence can you provide?
© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 2 – Self-evaluation information
Self-evaluation checklist – Skill Set 3
Implementing nursing care
The following questions relate to your knowledge, skills and experience of physical health status, health information, legal and ethical parameters,
nursing care for older adults, reflective practice, critical thinking, client assessment and development of nursing care plans, the Australian health care
system and working in the nursing profession.
Questions relating to Skill Set 3
Yes
No
Q1
Can you demonstrate a detailed level of knowledge of anatomy and
physiology required to confirm physical health status?


Q2
Can you identify the potential impact of internal and external factors in relation
to the body systems?


Q3
Do you know how to recognise common clinical conditions?


Q4
Can you demonstrate the underpinning knowledge relation to pathophysiology
and diseases?


Q5
Can you read and interpret the legal requirements of nursing documentation?


Q6
Are you able to demonstrate knowledge of the legislation related to nursing
practice, duty of care and scope of practice of the enrolled nurse?


Q7
Have you undertaken a nursing assessment of the older person in both acute
and residential aged care environments?


Q8
Have you cared for the older person and communicated with older people,
family and carers in both acute care and residential aged care facility?


Q9
Can you demonstrate knowledge of critical thinking and analysis?




Q10 Can you demonstrate knowledge of problem-solving using logic, analysis and
sound argument?
© Department of Education and Training 2009
Version 1, August 2009
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What evidence can you provide?
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 2 – Self-evaluation information
Questions relating to Skill Set 3
Yes
No
Q11 Have you contributed to the admissions and discharge process in the health
care setting?


Q12 Can you identify a range of physical assessment techniques to be carried out
on an unstable patient?


Q13 Can you describe the overall structure of the Australian health care system?


Q14 Can you identify common complementary therapies of health care?


Q15 Can you describe the scope of practice nursing decision making framework?


Q16 Can you meet objectives and prioritise your work load?


Page 17 of 54
What evidence can you provide?
© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 2 – Self-evaluation information
Self-evaluation checklist – Skill Set 4
Infection control and wound management
The following questions relate to your knowledge, skills and experience of infection control and wound management.
Questions relating to Skill Set 4
Yes
No
Q1
Can you demonstrate knowledge of the basic microbiology required to follow
clean and sterile procedures?


Q2
Can you identify the transmission paths of various infections?


Q3
Can you clarify the concept of susceptible hosts?


Q4
Can you name methods of breaking the chain of infection in an acute health
care setting?


Q5
In what circumstances have you used PPE?


Q6
Have you undertaken any infection control risk assessment?


Q7
Have you collected any specimens for microbial testing?


Q8
Can you describe different types of wounds?


Q9
In what ways have you practised aseptic techniques?




Q10 What types of wound care have you carried out?
© Department of Education and Training 2009
Version 1, August 2009
Page 18 of 54
What evidence can you provide?
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 2 – Self-evaluation information
Self-evaluation checklist – Skill Set 5
Complex nursing care
The following questions relate to your knowledge, skills and experience of complex nursing care of clients with acute, chronic and mental health
problems.
Questions relating to Skill Set 5
Yes
No
Q1
Can you demonstrate a detailed level of knowledge of the nursing
management of common disorders and conditions associated with the body
systems?


Q2
Can you demonstrate a detailed level of knowledge of common diagnostic
tests?


Q3
Can you demonstrate how to implement acute care nursing interventions and
outcomes?


Q4
Are you able to demonstrate the underpinning knowledge related to
pre-operative and post-operative care?


Q5
Can you demonstrate the underpinning knowledge related to emergency
management?


Q6
Can you demonstrate the roles and responsibilities within the mental health
environment?


Q7
Are you able to demonstrate the documentation and risk assessment in the
mental health setting?


Q8
Have you undertaken medical interventions and contributed to outcomes?


Q9
Can you demonstrate the underpinning knowledge related to clinical
manifestations of chronic disease states?


Page 19 of 54
What evidence can you provide?
© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 2 – Self-evaluation information
Self-evaluation checklist – Skill Set 6
Medications
The following questions relate to your knowledge, skills and experience of administering and monitoring medications in the work environment.
Questions relating to Skill Set 6
Q1
Yes
No






Can you demonstrate the appropriate language, literacy and numeracy skills
required for:

drug calculation, administration and documentation

estimation

SI abbreviations

comparison of metric measurements?
Q2
Can you apply infection control principles – hand washing, handling of
medications, standard precautions?
Q3
Can you use formulae to calculate appropriate drug doses to 100% accuracy
for:

adults

older clients

paediatric clients

intravenous therapy?
Q4
Can you demonstrate preparation, administration and recording of
medications via all routes as per state and territory legislation, including the
use of pump and delivery devices?


Q5
Can you identify resources to assist in the recognition of drug
incompatibilities, side effects, contraindications, allergies and precautions
associated with specific medications?


© Department of Education and Training 2009
Version 1, August 2009
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What evidence can you provide?
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 2 – Self-evaluation information
Questions relating to Skill Set 6
Yes
No
Q6
Can you explain the emergency management for clients experiencing an
adverse medication reaction and outline your own role in such a situation?


Q7
Can you observe and monitor peripheral intravenous therapy?


Q8
Can you demonstrate strategies for the effective assessment and
management of a client’s pain?


Q9
Can you demonstrate an awareness of traditional medicine in the context of
the health of Aboriginal and/or Torres Strait Islander people?


Q10 Can you demonstrate professional conduct, skills and knowledge, including
the application of the NBWA scope of nursing practice decision making
framework?


Q11 Can you outline medication terminology and approved medication
abbreviations?


Q12 Can you demonstrate an awareness of the role of complementary therapies in
client care?


Q13 Can you demonstrate knowledge of the legal requirements for practice
parameters of the enrolled nurse relating to the administration of medications,
including legal requirements of each route of administration?


Page 21 of 54
What evidence can you provide?
© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 2 – Self-evaluation information
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© Department of Education and Training 2009
Version 1, August 2009
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HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Section 3
Interview Question Bank
and
Recording Sheets
This section contains questions the Assessor may ask the candidate while documenting
their conversation during the RPL interview.
Assessor’s Instructions
It is not intended that every question for each competency be asked or discussed during the
conversation. Only questions related to those competencies that the initial documentary review
has failed to fully address are required.
Each question provides key points to look for in the candidate’s responses. You may wish to
use these key points to formulate questions of your own, contextualise, or rephrase the
suggested questions to suit the candidate’s particular work situation.
On the Recording Sheets, place a tick next to each key point as it is addressed by the candidate
during the conversation. By doing this, you are recording what you have heard the candidate
say during the interview.
Use the Assessor’s Comments section next to each question to provide further details about the
context of the discussion or other key points and examples the candidate has discussed that
may be relevant in confirming competence.
It is important to remember that the notes taken during the questioning interview are important
evidence and should be retained as part of the candidate’s assessment records.
Page 23 of 54
© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
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© Department of Education and Training 2009
Version 1, August 2009
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HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Interview question bank and recording documents – Topic A
Aged care
Note to the assessor
It is not mandatory for you to ask the candidate all the questions in this question bank. The candidate may have provided sufficient information to
demonstrate competence based on their self-evaluation and documentary evidence. You will need to use your professional judgement as to which
questions you focus on at this stage of the evaluation. You may choose to discuss a work task topic rather than ask a series of direct questions.
Record of interview
Candidate’s name
Assessor’s name

At an RTO’s premises

Demonstration/theory assessment 
In the workplace

Interview only
How/where interview was
conducted
Page 25 of 54
Name: _______________________________
Name: _______________________________
© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Interview question bank and recording documents – Topic A
Aged care
The assessor is to ask leading questions.
The following topics are suggested and may cover more than one skill set:

Topic A – Aged care

Topic B – Chronic care

Topic C – Acute care

Topic D – Medical care

Topic E – Medications

Topic F – Mental health care

Topic G – Cultural care in nursing

Topic H – Communication in nursing

Topic I – Infection control.
Did the candidate satisfactorily answer questions on the following topics?
Yes
No

identification and application of ADLs

mobility

skin integrity/pressure care

nutrition

elimination

client comfort

ACFI














© Department of Education and Training 2009
Version 1, August 2009
Page 26 of 54
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Interview question bank and recording documents – Topic B
Chronic care
Note to the assessor
It is not mandatory for you to ask the candidate all the questions in this question bank. The candidate may have provided sufficient information to
demonstrate competence based on their self-evaluation and documentary evidence. You will need to use your professional judgement as to which
questions you focus on at this stage of the evaluation. You may choose to discuss a work task topic rather than ask a series of direct questions.
Record of interview
Candidate’s name
Assessor’s name

At an RTO’s premises

Demonstration/theory assessment 
In the workplace

Interview only
How/where interview was
conducted
Page 27 of 54
Name: _______________________________
Name: _______________________________
© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Interview question bank and recording documents – Topic B
Chronic care
The assessor is to ask leading questions.
Did the candidate satisfactorily answer questions on the following topics?
Yes
No

identification of conditions, eg diabetes, paralysis, respiratory and/or blood disorders



pain management



rehabilitation


© Department of Education and Training 2009
Version 1, August 2009
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HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Interview question bank and recording documents – Topic C
Acute care
Note to the assessor
It is not mandatory for you to ask the candidate all the questions in this question bank. The candidate may have provided sufficient information to
demonstrate competence based on their self-evaluation and documentary evidence. You will need to use your professional judgement as to which
questions you focus on at this stage of the evaluation. You may choose to discuss a work task topic rather than ask a series of direct questions.
Record of interview
Candidate’s name
Assessor’s name

At an RTO’s premises

Demonstration/theory assessment 
In the workplace

Interview only
How/where interview was
conducted
Page 29 of 54
Name: _______________________________
Name: _______________________________
© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Interview question bank and recording documents – Topic C
Acute care
The assessor is to ask leading questions.
Did the candidate satisfactorily answer questions on the following topics?
Yes
No

pre-operative and post-operative care



wound management, eg drains, tracheostomies and other ostomies



catheter care



IV care



medications



pain relief and management



infection control



admissions and discharges



public hospital system versus private hospital system


© Department of Education and Training 2009
Version 1, August 2009
Page 30 of 54
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Interview question bank and recording documents – Topic D
Medical care
Note to the assessor
It is not mandatory for you to ask the candidate all the questions in this question bank. The candidate may have provided sufficient information to
demonstrate competence based on their self-evaluation and documentary evidence. You will need to use your professional judgement as to which
questions you focus on at this stage of the evaluation. You may choose to discuss a work task topic rather than ask a series of direct questions.
Record of interview
Candidate’s name
Assessor’s name

At an RTO’s premises

Demonstration/theory assessment 
In the workplace

Interview only
How/where interview was
conducted
Page 31 of 54
Name: _______________________________
Name: _______________________________
© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Interview question bank and recording documents – Topic D
Medical care
The assessor is to ask leading questions.
Did the candidate satisfactorily answer questions on the following topics?
Yes
No

vital signs



neurological observations



medical conditions and care related to the conditions: CVA, MI, CAL, CCF



fluid balance



medications


© Department of Education and Training 2009
Version 1, August 2009
Page 32 of 54
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Interview question bank and recording documents – Topic E
Medications
Note to the assessor
It is not mandatory for you to ask the candidate all the questions in this question bank. The candidate may have provided sufficient information to
demonstrate competence based on their self-evaluation and documentary evidence. You will need to use your professional judgement as to which
questions you focus on at this stage of the evaluation. You may choose to discuss a work task topic rather than ask a series of direct questions.
Record of interview
Candidate’s name
Assessor’s name

At an RTO’s premises

Demonstration/theory assessment 
In the workplace

Interview only
How/where interview was
conducted
Page 33 of 54
Name: _______________________________
Name: _______________________________
© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Interview question bank and recording documents – Topic E
Medications
The assessor is to ask leading questions.
Did the candidate satisfactorily answer questions on the following topics?
Yes
No

common drugs for common disorders



abbreviations and terminology



legal issues



schedule 4 to 8

prescriptions

5 Rs

adverse reactions to medications



side effects from medications



intravenous therapy medications



calculations test (100% required)


© Department of Education and Training 2009
Version 1, August 2009
Page 34 of 54
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Interview question bank and recording documents – Topic F
Mental health care
Note to the assessor
It is not mandatory for you to ask the candidate all the questions in this question bank. The candidate may have provided sufficient information to
demonstrate competence based on their self-evaluation and documentary evidence. You will need to use your professional judgement as to which
questions you focus on at this stage of the evaluation. You may choose to discuss a work task topic rather than ask a series of direct questions.
Record of interview
Candidate’s name
Assessor’s name

At an RTO’s premises

Demonstration/theory assessment 
In the workplace

Interview only
How/where interview was
conducted
Page 35 of 54
Name: _______________________________
Name: _______________________________
© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Interview question bank and recording documents – Topic F
Mental health care
The assessor is to ask leading questions.
Did the candidate satisfactorily answer questions on the following topics?
Yes
No

Mental Health Act



major mental health disorders



types of therapy



medications



community services


© Department of Education and Training 2009
Version 1, August 2009
Page 36 of 54
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Interview question bank and recording documents – Topic G
Cultural care in nursing
Note to the assessor
It is not mandatory for you to ask the candidate all the questions in this question bank. The candidate may have provided sufficient information to
demonstrate competence based on their self-evaluation and documentary evidence. You will need to use your professional judgement as to which
questions you focus on at this stage of the evaluation. You may choose to discuss a work task topic rather than ask a series of direct questions.
Record of interview
Candidate’s name
Assessor’s name

At an RTO’s premises

Demonstration/theory assessment 
In the workplace

Interview only
How/where interview was
conducted
Page 37 of 54
Name: _______________________________
Name: _______________________________
© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Interview question bank and recording documents – Topic G
Cultural care in nursing
The assessor is to ask leading questions.
Did the candidate satisfactorily answer questions on the following topics?
Yes
No

cultural communication techniques



death and dying



cultural diets



cultural beliefs and pastoral care



culture as it relates to Aboriginal and Torres Strait Islander people


© Department of Education and Training 2009
Version 1, August 2009
Page 38 of 54
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Interview question bank and recording documents – Topic H
Communication in nursing
Note to the assessor
It is not mandatory for you to ask the candidate all the questions in this question bank. The candidate may have provided sufficient information to
demonstrate competence based on their self-evaluation and documentary evidence. You will need to use your professional judgement as to which
questions you focus on at this stage of the evaluation. You may choose to discuss a work task topic rather than ask a series of direct questions.
Record of interview
Candidate’s name
Assessor’s name

At an RTO’s premises

Demonstration/theory assessment 
In the workplace

Interview only
How/where interview was
conducted
Page 39 of 54
Name: _______________________________
Name: _______________________________
© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Interview question bank and recording documents – Topic H
Communication in nursing
The assessor is to ask leading questions.
Did the candidate satisfactorily answer questions on the following topics?
Yes
No

professionalism/employability skills



communication across the age range



written and oral communication



legal documentation



cultural diversity



medical terminology



informed consent



privacy/confidentiality



admissions and discharges



equal opportunity – freedom of information


© Department of Education and Training 2009
Version 1, August 2009
Page 40 of 54
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Interview question bank and recording documents – Topic I
Infection control
Note to the assessor
It is not mandatory for you to ask the candidate all the questions in this question bank. The candidate may have provided sufficient information to
demonstrate competence based on their self-evaluation and documentary evidence. You will need to use your professional judgement as to which
questions you focus on at this stage of the evaluation. You may choose to discuss a work task topic rather than ask a series of direct questions.
Record of interview
Candidate’s name
Assessor’s name

At an RTO’s premises

Demonstration/theory assessment 
In the workplace

Interview only
How/where interview was
conducted
Page 41 of 54
Name: _______________________________
Name: _______________________________
© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Interview question bank and recording documents – Topic I
Infection control
The assessor is to ask leading questions.
Did the candidate satisfactorily answer questions on the following topics?
Yes
No

sterile techniques



asepsis



use of sterile equipment



MRSA and VRE



microbiology



immunisation



standard and additional precautions



duty of care



legislation



risk management and identification



emergency procedures


© Department of Education and Training 2009
Version 1, August 2009
Page 42 of 54
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Demonstration/observation/practical
Reporting and recording document
Workplace observation checklist
Candidate’s name
Assessor’s name
Work activity
Unit(s) of competency
(Assessor to insert relevant units.)
Workplace/simulated workplace
Instructions
The candidate is required to:
During the demonstration or observation of skills, did the candidate:
Yes
No

maintain appropriate safety procedures and requirements?



follow nursing care plans?



use appropriate equipment to perform the task?


Page 43 of 54
Feedback to candidate
© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
During the demonstration or observation of skills, did the candidate:
Yes
No

perform the task in a logical sequence?



adequately describe processes and demonstrate application of
underpinning knowledge?



perform tasks to nursing standards?



demonstrate appropriate communication and interpersonal skills with a
range of people?



perform defined work tasks as directed?



demonstrate the required underpinning knowledge to support
performance of task skills?


Feedback to candidate
Dimensions of competency
During demonstration of the skill, did the candidate show evidence of the
following?
Yes
No
Task skills – perform the task to the required standard as described in the unit of
competency


Task management skills – manage a number of different tasks within the job


Contingency management skills – respond to problems, breakdowns and
changes in routine


Job/role environment skills – fulfil the responsibilities and expectations of a
workplace


Transferability – apply skills that are generic across workplaces


Yes 
The candidate’s overall performance met the standard.
© Department of Education and Training 2009
Version 1, August 2009
Page 44 of 54
Comment
No 
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Comments/Observations
Assessor’s name
Assessor’s signature
Candidate’s signature
Outcome
S
(Please circle)
(Satisfactory)
NYS
(Not Yet
Satisfactory)
Date
Page 45 of 54
© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
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© Department of Education and Training 2009
Version 1, August 2009
Page 46 of 54
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Third party evidence report
Course name and number: _______________________________________________________
Note for the assessor
A sample format is provided below on some skill areas, eg communication and team skills. Third party evidence relating to other competencies should
follow a similar format.
Candidate’s name
Third party evidence provided by
Relationship to candidate
Unit(s) of competency
(Assessor to insert relevant units.)
interview at the workplace
Evidence collected
interview on the telephone


Interview conducted by
Instructions
As part of the assessment for the unit(s) of competency listed above, evidence is sought to support a judgement about the candidate’s
competence. As part of the process of gathering evidence of competence, reports are sought from the supervisor and other people who work
closely with the candidate.
Does the candidate consistently:
Yes
No

contribute to the flow of relevant work information and ideas?



contribute to the maintenance and improvement of work communication?



deal with work issues, problems and conflicts?


Page 47 of 54
© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Does the candidate consistently:
Yes
No

respond quickly and remain calm in contingency situations in accordance with enterprise standards?



support others in the workplace?



work well within the team environment?



operate to the level of an enrolled nurse by:



reading standard working instructions and nursing care plans?

independently planning the method and order of progressing a job?

taking measurements and readings using measuring instruments of appropriate accuracy?

preparing environment and equipment for procedures?

checking and/or comparing own work in relation to the relevant standards?

demonstrating 100% accuracy when dispensing medications?

completing tasks in a safe and timely manner?

operate safely in the workplace?



undertake tasks following a logical sequence of events?



understand and follow the organisation’s quality control processes?


Supervisor’s signature
Date
Assessor’s signature
Date
© Department of Education and Training 2009
Version 1, August 2009
Page 48 of 54
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Candidate’s contact information
Note for the assessor
This form is not mandatory but may assist in the gathering of information.
Candidate’s name
Candidate’s address
Telephone number
Fax number
Mobile number
Email address
Candidate’s employer
(if applicable)
Name of candidate’s supervisor
(if applicable)
Qualification and trade details
HLT51067 Diploma of Nursing 
Page 49 of 54
© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Page intentionally blank
© Department of Education and Training 2009
Version 1, August 2009
Page 50 of 54
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Record of initial interview
Note for the assessor
This is to be conducted after the candidate has completed the self-evaluation checklist.
Qualification
Candidate’s name
HLT51067 Diploma of Nursing 
Assessor’s name
Description of candidate’s tasks at work
The evidence the candidate is able to collect
(The assessor is to complete this section during the interview, with a summary
of the candidate’s work history.)
(The assessor is to complete this section during the interview, with the
evidence the assessor and candidate have agreed could be collected by the
candidate, eg
job description, training records, references).
Candidate to answer questions (yes/no)

Have the purpose and the consequences of the assessment been explained?
yes

Have you received copies of the standards that will be assessed? (optional)
yes

Do you understand what evidence is to be collected?
yes

Have your rights and the appeal system been fully explained?
yes

Have you discussed any special needs to be considered during assessment?
___________________________
yes
Assessor’s signature
Candidate’s signature
Page 51 of 54





no
no
no
no
no




If yes, provide details:
Date
© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Page intentionally blank
© Department of Education and Training 2009
Version 1, August 2009
Page 52 of 54
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Other information that will assist with the assessment process
Section 1 – Personal details
What is your first language?
________________________________
Which language do you speak at home?
________________________________
Do you speak English?
Yes

No


How well? Fluent

Basic
Do you need an interpreter to help you with an interview? Yes

No

Do you have a disability?
Yes

No

Will you need special aids?
Yes

No

Provide details so we can assist you:
____________________________________________________________________________________
____________________________________________________________________________________
Section 2 – Previous applications
Have you previously applied to have your nursing skills assessed?
No
Yes
 (Go to Section 3.)
 (Give details.)
Name of qualification:
_____________________________________________
Name of Authority to which you applied:
_____________________________________________
Date of application:
_____________________________________________
Was your application successful?
Yes

No

Section 3 – Formal vocational education training
Have you ever done any formal vocational training or technical courses relevant to this application?
No
Yes
 (Go to Section 4.)
 (Give details.)
Name of course:
_____________________________________________
Name and address of college /institution
you attended:
_____________________________________________
_____________________________________________
_____________________________________________
Dates you commenced and completed the training:
commenced: ______________________
completed: _______________________
Name of qualification obtained:
_____________________________________________
Page 53 of 54
© Department of Education and Training 2009
Version 1, August 2009
HLT51607 Diploma of Nursing (Enrolled/Division 2 Nursing)
Section 3 – Interview Question Bank and Recording Sheets
Section 4 – Current employment details
 (Go to Section 5.)Yes  (Give details. If self-employed, provide evidence.)
Are you employed?
No
Company/Employer:
________________________________________________________________
Address:
________________________________________________________________
________________________________________________________________
Phone:
_____________________________ Fax: _____________________________
Date you commenced:
________________________________________________________________
Occupation:
________________________________________________________________
Section 5 – Employment history
Give details of any previous employment relevant to this application. You may attach a résumé rather
than complete this section. If you do not have a résumé, document your work history here.
Start with your present or most recent employer. Attach other pages if necessary.
Attach copies of references from employers. The references should list the main duties you performed
and other relevant information. Include evidence of any periods of self-employment.
Company name and
address
Period of employment
Occupation/Duties
From
To
Is employer
reference
attached?
I certify that the information contained in this application is a true and accurate record of my employment
and training.
Signature:
© Department of Education and Training 2009
Version 1, August 2009
Date:
Page 54 of 54