NZQA registered unit standard
28993 version 1
Page 1 of 4
Title
Respond to changes and perform routine clinical tasks and/or
observations in a health or wellbeing setting
Level
4
Purpose
Credits
5
This unit standard is for experienced people providing services
in a health or wellbeing setting.
People credited with this unit standard are able to demonstrate
the following under the direction and delegation provided by a
health professional: observing and responding to changes
and/or symptoms and performing routine clinical observations
and/or tasks.
Classification
Health, Disability, and Aged Support > Health and Disability
Principles in Practice
Available grade
Achieved
Explanatory notes
1
Legislation and standards relevant to this unit standard include:
Health and Disability Commissioner (Code of Health and Disability Services
Consumers’ Rights) Regulations 1996 (the Code of Rights);
Health and Disability Services (Safety) Act 2001;
Human Rights Act 1993;
Privacy Act 1993;
NZS 8134.0:2008 Health and disability services Standards – Health and disability
services (general) Standard;
NZS 8134.1:2008 Health and disability services Standards – Health and disability
services (core) Standards;
NZS 8158:2012 Home and Community Support Sector Standard; available at
http://www.standards.co.nz/.
2
Candidates’ practice must reflect appropriate values, processes, and protocols in
relation to working with Māori and Pacific peoples and/or people from other cultures,
in a range of settings and environments.
3
Definitions
Condition – a state relating to a person’s health and functional status usually related
to a specific illness, disease or disability. Examples include but are not limited to asthma, depression, diabetes, hypertension, congestive heart failure and/or other
heart conditions, respiratory disease, epilepsy, Parkinson’s disease, multiple
sclerosis, obesity, stroke, COPD, chronic wounds, other complex, terminal and/or life
limiting condition.
COPD - chronic obstructive pulmonary disease.
Community Support Services ITO Limited
SSB Code 101814
 New Zealand Qualifications Authority 2016
NZQA registered unit standard
28993 version 1
Page 2 of 4
Health or wellbeing setting includes but is not limited to – the aged care, acute care,
community support, disability, mental health, social services and youth development
sectors.
Health professional refers to a person who is registered with an authority (which is
appointed by or under the Health Practitioners Competence Assurance Act 2003) as
a practitioner of a particular health profession to deliver health services in
accordance with a defined scope of practice.
Organisational policies and procedures – policies, procedures and methodologies of
an organisation. They include legislative and regulatory requirements which may
apply across a company, a specific site, or a workplace. Requirements are
documented in the company’s health and safety plans, contract work programmes,
quality assurance programmes, policies and procedural documents and codes of
ethics.
Person – a person accessing services. Other terms used for the person may include
client, consumer, customer, patient, individual, resident, service user, tūroro, or
tangata whai ora.
Personal plan – a generic term that covers the individual or group plans (which may
also be referred to by other names) that are developed for people receiving support
(and may include their family/whānau as appropriate).
Outcomes and evidence requirements
Outcome 1
Observe and respond to changes and/or symptoms under the direction and delegation of a
health professional in a health or wellbeing setting.
Range
evidence is required for supporting two different people.
Evidence requirements
1.1
Changes in the person’s condition and/or symptoms are observed, recorded
and reported in accordance with organisational policies and procedures.
1.2
Strategies used to respond to changes in the person’s condition and/or
symptoms are in accordance with their personal plan and organisational policies
and procedures.
Range
may include but is not limited to – risk management, communication,
information provision.
Outcome 2
Perform routine observations and/or clinical tasks under the direction and delegation of a
health professional in a health or wellbeing setting.
Range
evidence is required for supporting two different people.
Evidence requirements
Community Support Services ITO Limited
SSB Code 101814
 New Zealand Qualifications Authority 2016
NZQA registered unit standard
2.1
Routine observations and/or clinical tasks are performed in accordance with the
candidate’s role and responsibilities in a multidisciplinary team and in
accordance with organisational policies and procedures.
observations may include but are not limited to – systolic and
diastolic blood pressure, blood glucose, temperature, oxygen
status, heart rate, weight management, special observations;
clinical tasks may include but are not limited to – wound
management, bowel management, administering medication,
catheter care, nebuliser use, oxygen administration;
evidence is required of four observations and/or clinical tasks for
each person being supported.
Range
2.2
28993 version 1
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Information about routine observations and/or clinical tasks is provided to the
person being supported in accordance with the candidate’s role and
responsibilities and organisational policies and procedures.
Planned review date
31 December 2020
Status information and last date for assessment for superseded versions
Process
Version Date
Last Date for Assessment
Registration
1
18 June 2015
N/A
Consent and Moderation Requirements (CMR) reference
0024
This CMR can be accessed at http://www.nzqa.govt.nz/framework/search/index.do.
Please note
Providers must be granted consent to assess against standards (accredited) by NZQA,
before they can report credits from assessment against unit standards or deliver courses
of study leading to that assessment.
Industry Training Organisations must be granted consent to assess against standards by
NZQA before they can register credits from assessment against unit standards.
Providers and Industry Training Organisations, which have been granted consent and
which are assessing against unit standards must engage with the moderation system that
applies to those standards.
Requirements for consent to assess and an outline of the moderation system that applies
to this standard are outlined in the Consent and Moderation Requirements (CMRs). The
CMR also includes useful information about special requirements for organisations wishing
to develop education and training programmes, such as minimum qualifications for tutors
and assessors, and special resource requirements.
Community Support Services ITO Limited
SSB Code 101814
 New Zealand Qualifications Authority 2016
NZQA registered unit standard
28993 version 1
Page 4 of 4
Comments on this unit standard
Please contact the Community Support Services Industry Training Organisation Limited
info@careerforce.org.nz if you wish to suggest changes to the content of this unit
standard.
Community Support Services ITO Limited
SSB Code 101814
 New Zealand Qualifications Authority 2016