22210VIC
Course in Personal Carer Training Using
Non-Invasive Ventilation
1 January 2013 – 31 December 2017
Version 1
This course has been accredited under Parts 4.4 and 4.6 of the Education and Training Reform Act
2006. It has been entered on the State Register of Accredited Courses and Recognised
Qualifications and the National Register: training.gov.au.
Accredited for the period: 1 January 2013 to 31 December 2017
© State of Victoria (Department of Education and Early Childhood Development) 2012.
Copyright of this material is reserved to the Crown in the right of the State of Victoria. This work is
licensed under a Creative Commons Attribution-NoDerivs 3.0 Australia licence
(http://creativecommons.org/licenses/by-nd/3.0/au/). You are free to use copy and distribute to anyone in
its original form as long as you attribute Higher Education & Skills Group, Department of Education and
Early Childhood Development as the author, and you license any derivative work you make available
under the same licence.
Disclaimer
In compiling the information contained in and accessed through this resource, the Department of
Education and Early Childhood Development (DEECD) has used its best endeavours to ensure that the
information is correct and current at the time of publication but takes no responsibility for any error,
omission or defect therein.
To the extent permitted by law DEECD, its employees, agents and consultants exclude all liability for any
loss or damage (including indirect, special or consequential loss or damage) arising from the use of, or
reliance on the information contained herein, whether caused or not by any negligent act or omission. If
any law prohibits the exclusion of such liability, DEECD limits its liability to the extent permitted by law, for
the resupply of the information.
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condition or content of these sites or resources as they are not under its control.
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TABLE OF CONTENTS
SECTION A: COPYRIGHT AND COURSE CLASSIFICATION INFORMATION....................1
1.
Copyright owner of the course .................................................................................................... 1
2.
Address........................................................................................................................................ 1
3.
Type of submission ..................................................................................................................... 1
4.
Copyright acknowledgement....................................................................................................... 1
5.
Licensing and franchise............................................................................................................... 1
6.
Course accrediting body .............................................................................................................. 2
7.
AVETMISS information ............................................................................................................. 2
8.
Period of accreditation................................................................................................................. 2
SECTION B: COURSE INFORMATION ..........................................................................................1
1.
Nomenclature .............................................................................................................................. 1
2.
Vocational or educational outcomes of the course ...................................................................... 1
3.
Development of the course .......................................................................................................... 1
4.
Course outcomes ......................................................................................................................... 3
5.
Course rules................................................................................................................................. 3
6.
Assessment .................................................................................................................................. 5
7.
Delivery ....................................................................................................................................... 6
8.
Pathways and articulation............................................................................................................ 7
9.
Ongoing monitoring and evaluation ............................................................................................ 8
SECTION C: UNITS OF COMPETENCY .........................................................................................1
VU20908
Operate a non-invasive ventilator in the home, or residential care facility ............... 12
Section A: Copyright and course classification information
Section A: Copyright and course classification information
1. Copyright owner of the
course
Copyright of this document is held by the Department of Education
and Early Childhood Development, Victoria © State of Victoria.
Day to day contact :
Curriculum Maintenance Manager - Arts/Entertainment and
Recreation
CMM ID. 5131
Swinburne University
PO Box 218
Hawthorn, Vic 3122
Email : cmmhs@swin.edu.au
Telephone : 03 9214 5034
Facsimile : 03 9214 5026
2. Address
Department of Education and Early Childhood Development
Higher Education and Skills Group
Executive Director
Sector Operations
PO Box 266
Melbourne, Vic. 3001
Email : vocationaltraining@edumail.vic.gov.au
Ph : (03) 9651 9999
3. Type of submission
Accreditation of a new course
4. Copyright
acknowledgement
Published by the Department of Education and Early Childhood
Development, Victoria
© State of Victoria
Email: vocationaltraining@edumail.vic.gov.au
Telephone: (03) 9651 9999
Copyright of this material is reserved to the Crown in the right of
the State of Victoria. © State of Victoria (Department of
Education and Early Childhood Development) 2012
This work is licensed under a Creative Commons AttributionNoDerivs 3.0 Australia licence
(http://creativecommons.org/licenses/by-nd/3.0/au/).
5. Licensing and franchise
Copyright of this material is reserved to the Crown in the right of
the State of Victoria. © State of Victoria (Department of
Education and Early Childhood Development) 2012
This work is licensed under a Creative Commons AttributionNoDerivs 3.0 Australia licence
(http://creativecommons.org/licenses/by-nd/3.0/au/). You are free
to use, copy and distribute to anyone in its original form, as long as
22210VIC Course in Personal Carer Training Using Non-Invasive Ventilation
1
Section A: Copyright and course classification information
you attribute Higher Education and Skills Group, Department of
Education and Early Childhood Development as the author and you
license any derivative work you make available under the same
licence.
Copies can also be purchased from the Curriculum Maintenance
Manager – Human Services.
6. Course accrediting body
7. AVETMISS
information
8. Period of accreditation
Victorian Registration and Qualifications Authority (VRQA)
Level 6, 35 Spring Street
Melbourne
Victoria 3000
Tel: (03) 9651 3204
www.vrqa.vic.gov.au
ANZSCO [Australian and New Zealand
Standard Classification of Occupations]
423313 Personal
Care Assistant
ANSZIC code
(Australia and New Zealand Standard
Industrial Classification – industry type)
8722 – Residential
Care Services nec
ASCED Code – 4 digit
(Field of Education)
0699– Other Health
National course code
22210VIC
1 January 2013 – 31 December 2017
22210VIC Course in Personal Carer Training Using Non-Invasive Ventilation
2
Section A: Copyright and course classification information
Section B: Course information
1. Nomenclature
Standard 1 for Accredited Courses
1.1 Name of the qualification
Course in Personal Care Training Using Non-Invasive
Ventilation
1.2 Nominal duration of the
course
15 hours
2. Vocational or educational
outcomes of the course
Standard 1 for Accredited Courses
Successful completion of the Course in Personal Care
Training Using Non-Invasive Ventilation will enable
Personal Carers to operate a non invasive ventilator in the
home, or residential care facility.
3. Development of the course
3.1 Industry /enterprise/
community needs
Standards 1and 2 for Accredited Courses
Higher Education and Skills Group (HESG) has funded a
project to accredit the Course in Personal Care Training
Using Non-Invasive Ventilation. This was in response to a
series of meetings held in 2011 between the CMM-Human
Services, Austin Hospital and other stakeholders that
identified an urgent training need.
Many people have decreased lung capacity because of
muscle weakness or lung disease caused by a range of
diseases, such as:
Poliomyelitis
Motor Neuron Disease
Emphysema
Any activity that requires increased respiratory effort will
have an abnormal effect on a person with lung weakness.
Respiratory muscle weakness usually develops gradually, but
can occur suddenly.
Increasingly, many people with respiratory muscle weakness
are choosing to use non-invasive breathing support, known as
non-invasive ventilation (NIV). NIV gives breathing support
without the need for the insertion of a tube into the windpipe.
It provides relief from symptoms such as fatigue,
breathlessness and disturbed sleep patterns, but does not
prevent progressive weakening of the respiratory muscles.
NIV involves wearing a mask which is connected to a small
pump that provides the correct airflow to support the user’s
breathing. This does not extend to continuous positive
airway pressure machines (CPAP).
22210VIC Course in Personal Carer Training Using Non-Invasive Ventilation
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Section A: Copyright and course classification information
The NIV machine is usually used at night, but as the
respiratory muscles weaken, might be used at times during
the day as well. Some people living with respiratory muscle
weakness may become reliant on NIV 24 hours per day.
Currently:
there is no formal training in certificated courses on
non-invasive or invasive ventilation for personal care
workers
there is no practice standard requiring training for
care workers
training is provided to the carer, usually a family
member by the Victoria Respiration Support Service
(VRSS) at the time of commencement of ventilation
using a 'train the trainer' model, ie the family
member then trains the personal care workers.
Although VRSS and others have delivered informal training
in the use of NIV. However, unless the successful
completion of the training becomes a requirement before
personal care workers can work with someone using NIV,
there is no guarantee that agencies employing personal care
workers will ensure that their staff have received the
appropriate training.
Personal Carers may be professional care workers, family
members or friends, so the course targets them all.
Therefore, a need exists to develop a formal training program
for personal care workers to be delivered at regular intervals
throughout the year.
The 22210VIC Course in Personal Carer Training Using
Non-Invasive Ventilation
does not duplicate, by title or coverage, the outcomes
of an endorsed training package qualification
is not a subset of a single training package
qualification that could be recognised through one or
more Statements of Attainment or a Skill Set
does not include units of competency additional to
those in a training package qualification that could
be recognised through Statements of Attainment in
addition to the qualification
does not comprise modules that duplicate units of
competency of a training package qualification
22210VIC Course in Personal Carer Training Using Non-Invasive Ventilation
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Section A: Copyright and course classification information
Course content has been determined and endorsed by the
Steering Committee. The membership of the Steering
Committee included:
Anne Duncan (Chair)
Sally Boal
Helen Montgomery
VRSS, Austin Hospital
Motor Neurone Disease (MND)
Victoria
Motor Neurone Disease (MND)
Victoria
Royal District Nursing Service
Yooralla
DASSI
Community Services & Health
Industry Training Board
Premium Health
In attendance:
John Dunton
Theresa Nicolussi
Sam McCurdy
CMM –Human Services
CMM –Human Services
Dewhurst Consultancy Pty Ltd
Julie McConnell
Simone Best
Amanda Best
Craig Bowe
Andrew Fleming
Supporting documentation includes:
Minutes of the PSC meetings (Appendix 1)
3.2 Review for re-accreditation
Standards 1 and 2 for Accredited Courses
Not applicable
4. Course outcomes
Standards 1, 2 and 3 for Accredited Courses
4.1 Qualification level
The 22210VIC Course in Personal Carer Training Using
Non-Invasive Ventilation does not align to any specific level
of the Australian Qualifications Framework (AQF).
4.2 Employability skills
Standard 4 for Accredited Courses
Not applicable.
4.3 Recognition given to the
course
Standard 5 for Accredited Courses
Not applicable
4.4 Licensing/ regulatory
requirements
Standard 5 for Accredited Courses
Not applicable
5. Course rules
5.1 Course structure
Standards 2, 6 and 7 for Accredited Courses
To gain the award of a Statement of Attainment for
22210VIC Course in Personal Carer Training Using NonInvasive Ventilation, participants must complete the
following unit of competency.
22210VIC Course in Personal Carer Training Using Non-Invasive Ventilation
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Section A: Copyright and course classification information
Table 1:
Unit of
competency/
module code
VU20908
Field of
Educati
on code
069999
Unit of competency title
Operate a non-invasive ventilator in the home, or
residential care facility
Prerequisi
te
Nomi
nal
hours
None
15
Total nominal duration
5.2 Entry requirements
15
Standard 9 for Accredited Courses
The 22210VIC Course in Personal Carer Training Using
Non-Invasive Ventilation is designed for Personal Carers
and/or family members, who will be required to operate
non-invasive ventilators in a home environment, or a
residential care facility.
As a minimum, entrants to the course should have literary
and numeracy competencies equivalent to the Australian
Core Skills Framework Level 2. (Refer to web site:)
http://www.deewr.gov.au/skills/programs/litandnum/acsf/P
ages/default.aspx
This requires that they are able to:
Learning
Demonstrate some awareness of learning strengths and
areas of need, and begin to plan and manage the learning
process
Reading
Identify and interpret relevant information and ideas from
texts on familiar topics
Writing
Convey intended meaning on familiar topics for a limited
range of purposes and audiences
Oral communication
Use everyday language to provide information or maintain
a conversation in familiar spoken contexts
Numeracy
Use informal and some formal oral and written
mathematical language and representation to communicate
mathematically
22210VIC Course in Personal Carer Training Using Non-Invasive Ventilation
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Section A: Copyright and course classification information
6. Assessment
6.1 Assessment strategy
Standard 10 for Accredited Courses
All assessment must be consistent with the requirements of
Element 1.5 of Standard 1 of the AQTF: Essential
Conditions and Standards for Continuing Registration.
Assessment strategies should be based on the principles of
consistency, fairness, validity and reliability. Assessment
strategies should be designed
to:
cover a range of skills and knowledge required to
demonstrate the achievement of the course aims
collect evidence on a number of occasions and in a
variety of contexts and situations
be appropriate to the knowledge, skills, methods of
delivery and needs/characteristics of the learners
assist assessors to interpret evidence consistently
recognise prior learning
be equitable to all groups of learners
Assessments should be undertaken in a real or simulated
home or residential care facility environment, with access
to real or simulated clients.
The individual needs of the learner and/or characteristics of
the workplace should be reflected in assessment methods
that are chosen in relation to the performance criteria
indicated in the unit of competency.
The assessment methods must include the practical
application and demonstration of skills and may also
include:
Verbal/written questions
Assignments
The opportunity for learners to negotiate the form of
assessment is also possible in many cases, e.g. alternative
assessments for learners with special needs.
6.2 Assessor competencies
Standard 12 for Accredited Courses
The requirements for staff involved in assessment are stated
in Element 1.4 of Standard 1 of the AQTF: Essential
Conditions and Standards for Continuing Registration
Assessment must be conducted by persons who have:
the following competencies from the Training and
Education Training Package – TAE10, or
demonstrated equivalent competencies:
(i) TAEASS401B Plan assessment activities and
processes
22210VIC Course in Personal Carer Training Using Non-Invasive Ventilation
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Section A: Copyright and course classification information
(ii) TAEASS402B Assess competence
(iii) TAEASS404B Participate in assessment
validation
and
relevant vocational competencies, at least to the
level being assessed.
However, if a person does not meet all the
requirements to conduct assessment, one person
with the competencies listed above and one or more
persons who have the relevant vocational
competencies may work together to conduct
assessment.
7. Delivery
7.1 Delivery modes
Standard 11 for Accredited Courses
The 22210VIC Course in Personal Carer Training Using
Non-Invasive Ventilation can be delivered using a variety of
delivery modes or combination of modes including:
flexible delivery
classroom delivery
home or residential care environment
mentoring
There are no restrictions on offering the program on either a
full-time or part-time basis
Participants should be exposed to real or simulated home
environments and examples/case studies. Strategies should
be selected to reflect the nature of the elements and
performance criteria of the unit of competency and the
needs of the participants. It is recommended that
employers provide mentoring support on-the-job
subsequent to the training.
Some areas of content may be common to more than one
element and therefore integration may be appropriate. An
appropriate mix of knowledge and skills development that
reflects the requirements of the unit of competency is
important.
The unit of competency may be contextualised to meet the
needs of different groups of students. Generally this
means:
Elements and associated performance criteria must
not be altered in any way;
The Range Statement may be expanded as long as
it does not increase the complexity of the unit
The Evidence Guide may be expanded as long as it
retains the integrity of the unit and does not
jeopardise the student’s potential to achieve the
competency.
22210VIC Course in Personal Carer Training Using Non-Invasive Ventilation
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Section A: Copyright and course classification information
Learning and assessment resources may be tailored
to the specific needs of the target group, while
maintaining their validity
7.2 Resources
Standard 12 for Accredited Courses
All specialised facilities, equipment and other resources
required to deliver the 22210VIC Course in Personal Carer
Training Using Non-Invasive Ventilation are detailed
below:
training facilities and equipment
related texts, references and audio/visual material
a range of ventilation masks
a range non-invasive ventilator models
access to real or simulated clients
an environment appropriate to the assessment task,
that is either on-the-job, or simulated home
environment.
Qualifications of Trainers
The requirements for qualifications for those involved in
training delivery are stated in Element 1.4 of Standard 1 of
the AQTF: Essential Conditions and Standards for
Continuing Registration
A trainer must:
hold the Certificate IV in Training and Assessment
– TAE40110 from the Training and Education
Training Package (TAE10), or be able to
demonstrate equivalent competencies; or
be under the direct supervision of a person who
holds the TAE40110 - Certificate IV in Training
and Assessment qualification, or its equivalent; and
be able to demonstrate vocational competencies, at
least to the level of those being delivered.
In addition to the above it is recommended that trainers
have a comprehensive current knowledge of the Personal
Carer job or role. They should also have appropriate
interpersonal and communication skills.
8. Pathways and articulation
Standard 8 for accredited courses
No formal articulation and credit transfer arrangements
have been negotiated with TAFE Institutes, Registered
Training Organisations or universities.
Participants may seek Recognition of Prior Learning (RPL)
for any previous training or work experience relevant to the
course content.
22210VIC Course in Personal Carer Training Using Non-Invasive Ventilation
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Section A: Copyright and course classification information
9. Ongoing monitoring and
evaluation
Standard 13 for accredited courses
The 22210VIC Course in Personal Carer Training Using
Non-Invasive Ventilation is maintained and monitored by
the Curriculum Maintenance Manager – Human Services.
A review of the course will take place at the mid-point of
the accreditation period. Feedback will be sought from
those providers offering the course as part of the review
process.
The following methods will be used to monitor the course
to provide data to the course advisory group:
student surveys industry
surveys trainer/assessor
feedback
The CMM-Human Services will:
review the implementation of the program;
provide advice on changing program requirements,
as required;
monitor and evaluate course standards, outcomes,
and the delivery and assessment strategies;
determine whether the course should be replaced
by an endorsed Training Package qualification
Recommendations for any significant changes will be
reported to the Victorian Registration and Qualification
Authority (VRQA).
Examples of changes that will be reported to the VRQA
include changes to:
the nominal duration of the course and the unit
copyright ownership
articulation and/or credit transfer arrangements
22210VIC Course in Personal Carer Training Using Non-Invasive Ventilation
8
Section A: Copyright and course classification information
Section C: Units of competency
22210VIC Course in Personal Carer Training Using Non-Invasive Ventilation
9
VU20908 – Operate a non-invasive ventilator in the home, or residential care facility
VU20908
Unit Descriptor
Operate a non-invasive ventilator in the home, or
residential care facility
This provides the knowledge and skills to enable a Personal Carer, or family
member, to operate and maintain a non-invasive ventilator safely and
effectively within a home environment.
No licensing, legislative, regulatory or certification requirements apply to this
unit at the time of publication.
Employability Skills
Not applicable
Application of the Unit
This unit would be applied by Personal Carers who are required to provide
respiratory assistance using a non-invasive ventilator (NIV) system.
The unit would be applied by the Personal Carer in the client’s home, as
required and with minimal supervision.
ELEMENT
PERFORMANCE CRITERIA
Elements describe the essential outcomes of
a unit of competency. Elements describe
actions or outcomes that are demonstrable
and assessable.
Performance criteria describe the required performance needed to demonstrate achievement of
the element – they identify the standard for the element. Where bold/italicised text is used,
further information or explanation is detailed in the required skills and knowledge and/or the
range statement¹. Assessment of performance is to be consistent with the evidence guide.
1. Confirm the client’s need to use
1.1 Observe the client for signs of fatigue, drowsiness or respiratory distress
NIV support
1.2 Negotiate with the client and/or family, the need to apply NIV support
1.3 Organise the client’s environment to facilitate NIV use
1.4 Establish a suitable NIV station for regular use, as required
2. Set up the NIV equipment for
operation
2.1 Refer to the circuit diagram in discharge document folder for the specific
NIV model.
2.2 Connect the components of the NIV equipment, in accordance with the
manufacturer’s instructions.
2.3 Ensure that the humidifier and breathing unit are placed on stable and
secure bases for use
2.4 Assemble and apply the prescribed breathing mask(s), as per the
manufacturer’s instructions
22210VIC Course in Personal Carer Training Using Non-Invasive Ventilation
12
VU20908 – Operate a non-invasive ventilator in the home, or residential care facility
3. Operate the NIV equipment
3.1 Follow the instructions on the Ventilator Information Discharge
Education sheet provided
3.2 Fill the humidifier chamber with clean water to the level indicated and fit
it to the humidifier unit.
3.3 Set the required temperature on the humidifier, as required by the client
3.4 Apply the selected breathing mask ensuring a comfortable fit for the
client by adjusting its’ position to minimise leaks, as required
3.5 Confirm that the client is comfortable with the mask fitting and the NIV
arrangement
3.6 Start the ventilator and monitor the client’s breathing to confirm the NIV
effectiveness
3.7 Apply appropriate personal hygiene and infection control procedures for
NIV use
3.8 Troubleshoot common problems with NIV use and propose corrective
options, or seek support from health professional
4. Maintain the NIV equipment
4.1 Confirm the regular routine maintenance requirements of the NIV
equipment from the manufacturer’s instructions
4.2 Conduct daily maintenance in accordance with manufacturer’s
instructions
4.3 Conduct weekly maintenance in accordance with manufacturer’s
instructions
4.4 Conduct monthly maintenance in accordance with manufacturer’s
instructions
4.5 Conduct quarterly maintenance in accordance with manufacturer’s
instructions
REQUIRED SKILLS AND KNOWLEDGE
This describes the essential skills and knowledge and their level required for this unit.
Skills
Communicate effectively with the client and family
Assist client’s with respiratory problems
Recognise signs of fatigue, drowsiness or shortness of breath
Connect the components of NIV equipment in accordance with manufacturer’s instructions
Operate NIV equipment effectively
22210VIC Course in Personal Carer Training Using Non-Invasive Ventilation
13
VU20908 – Operate a non-invasive ventilator in the home, or residential care facility
Maintain NIV equipment in accordance with manufacturer’s instructions
Apply personal hygiene and infection control procedures
Troubleshoot common problems encountered with the operation of NIV equipment
Seek appropriate advice and/or support
Knowledge
Basic anatomy of the human respiratory system
Musculoskeletal problems associated with human respiration
Other conditions resulting in respiratory failure
Components of the NIV equipment
Volume and bi-level NIV equipment
Range of breathing masks
Infection control
Routine maintenance requirements of NIV equipment
RANGE STATEMENT
The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may
affect performance. Bold / italicised wording in the Performance Criteria is detailed below.
Respiratory distress may be
indicated by:
Increased breathing rate, gasping for air
Wheezing
A bluish colour seen around the mouth, on the inside of the lips
Grunting
Sweating
NIV model includes, but is not
limited to:
Volume devices
Bi-level devices
Negative pressure ventilators (not currently used in Victoria)
Components include:
Ventilator
Circuit, the tubing that carries the air
Mask
Humidifier
Alternative power source (Back-up battery)
Humidifier refers to:
A device that maintains the moisture content of the air entering the lungs
at a suitable level
Breathing mask may be:
Full-face
22210VIC Course in Personal Carer Training Using Non-Invasive Ventilation
14
VU20908 – Operate a non-invasive ventilator in the home, or residential care facility
Nasal
Intra-nasal
22210VIC Course in Personal Carer Training Using Non-Invasive Ventilation
15
VU20908 – Operate a non-invasive ventilator in the home, or residential care facility
Personal hygiene involves:
Cleanliness
Secretion management
Oral care
Pressure care
Infection control includes:
Daily cleaning of equipment
Regular changing of air filters
Food decontamination
Oral care
Common problems may
include:
Wrong humidifier temperature
Unsatisfactory fit of the breathing mask
Power failure and need for alternative power source
Secretion management
Regular routine maintenance
involves:
Maintaining alternative power back-up
Daily maintenance
Weekly maintenance
Monthly maintenance
Quarterly maintenance
Daily maintenance involves:
Washing mask and breathing equipment in pure soap, such as Velvet
Wiping with a damp cloth and drying with a towel
Emptying water from the humidifier, rinsing with clean water and drying
Filling the humidifier to required level with clean water before use
Weekly maintenance
involves:
Removing any dust from equipment
Cleaning equipment with warm soapy water
Washing the humidifier chamber and drying
Rinsing breathing tubes with clean water and hanging to dry
Dismantling the components of the face mask, washing with soapy
water, rinsing in clean water and leaving to dry
Monthly maintenance
involves:
All of the above maintenance
Charge back-up battery
Replacing the Sure Guard filter on the Humidifier
Quarterly maintenance
involves:
All of the above maintenance
Replacing the dust filter on the ventilator unit
22210VIC Course in Personal Carer Training Using Non-Invasive Ventilation
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VU20908 – Operate a non-invasive ventilator in the home, or residential care facility
EVIDENCE GUIDE
The evidence guide provides advice on assessment and must be read in conjunction with the Elements, Performance Criteria, Required
Skills and Knowledge, the Range Statement and the Assessment section in Section B of the Accreditation Submission.
Critical aspects for assessment
and evidence required to
demonstrate competency in this
unit
To be considered competent in this unit, participants must achieve all of
the elements of competence to the level defined by the performance
criteria using the required skills and knowledge.
Specifically they must be able to:
- Recognise the need to use NIV equipment in consultation with the
client
- Set up the NIV equipment for effective use
- Operate the equipment in accordance with instructions
- Conduct regular maintenance of the NIV equipment while adhering to
relevant personal hygiene and infection control procedures
Context of and specific resources
for assessment
Assessment should be conducted in a simulated or real home or residential
care facility environment
Assessment will require access to:
- A range of NIV models and equipment
- Real or simulated clients requiring NIV support
- Relevant instruction manuals
- VRSS Outreach DVD – Ventilator use at home (Current version)
Method(s) of assessment
Assessment must include demonstration of practical skills with real or
simulated human clients. It may also include:
- Verbal/written questions
- Case study analysis
- Assignments
- 3rd Party report
22210VIC Course in Personal Carer Training Using Non-Invasive Ventilation
17
Appendix A: Minutes of Steering Committee Meetings
Course in Personal Carer Training
Using Non-Invasive Ventilation Project
Steering Committee (PSC) Minutes
Meeting 1 @ VCOSS,
Level 8, 128 Exhibition Street, Melbourne
Wednesday 9 May 10.00am – 12.00pm
Present
Organisation/Profession
Email
Anne Duncan (AD)
VRSS Austin Hospital
Anne.Duncan@austin.org.au
Sally Boal (SB)
MND Victoria
sboal@mnd.asn.au
Simone Best
Royal District Nursing Service
sbest@rdns.com.au
Amanda Best (AB)
Yooralla
Amanda.best@yooralla.com.au
Craig Bowe
DASSI
Craig.bowe@dassi.com.au
John Dunton (JD)
Curriculum Maintenance Manager
(CMM) – Human Services, Arts, Design
& Entertainment, Sport & Recreation,
Museum, Library & Information
Services
jdunton@swin.edu.au
Andrew Fleming
CS&HITB
Andrew.Fleming@vcoss.org.au
Julie McConnell
MND Victoria
jmcconnell@mnd.asn.au
Helen Montgomery
Premium Health
helen@premiumhealth.com.au
Sam McCurdy (SM)
Curriculum Writer and Accreditation
Advisor
sam@dewhurstconsultancy.com
Theresa Nicolussi (TN)
CMM Administrator (Minutes)
cmmhs@swin.edu.au
Apologies
In attendance
1
Welcome & Introductions
Action
1.1
It was reported that John Dunton was currently in hospital and the Project Steering
Committee (PSC) members were welcomed on his behalf by SM to the 1st meeting
for the accreditation of the Course in Personal Carer Training (Using Non-Invasive
Ventilation). PSC members introduced themselves and apologies were noted.
N/A
22210VIC Course in Personal Carer Training Using Non-Invasive Ventilation
12
2
Appointment of Project Steering Committee Chairperson
Action
2.1
SM advised that VRQA guidelines required that an industry representative needed to
be appointed to chair the meeting. Anne Duncan volunteered to take up the role and
this was accepted by the PSC.
N/A
3
Role of Project Steering Committee
Action
3.1
VRQA “Role of the Steering Committee” document was circulated to PSC and SM
explained the role of the PSC as outlined in the VRQA document including:
N/A
Emphasis that the consultation on the curriculum document is to go beyond the
PSC.
Materials reviewed by the PSC should be circulated to professional colleagues and
industry associates for broader consultation and feedback.
Recommending further consultation (either by suggesting additional PSC members
or identifying external people for consultation)
Risk Assessment - the PSC need to consider any risks associated with the use of
NIV equipment and how they are addressed within the training document.
4
Course Contents Endorsement Form to be signed by all PSC members at
completion of project.
Project Overview and Update
Action
4.1
AD summarised the background to the project, which resulted from meetings held in
2011 with John Dunton-CMM Human Services and other stakeholders. The Austin
Hospital has been running workshops on the use of Non-invasive Ventilation (NIV)
equipment for some time. Training has also been provided to relevant family members
on the use of the equipment, as it has been issued to patients. However, there is
currently no accredited training or practice standard for the use of NIV by personal care
workers.
The meeting in 2011 confirmed that there are currently no endorsed units of
competency in Training Packages that address this training need. Therefore, it was
recognised that there was an urgent need to develop and accredited course.
N/A
4.2
SM also provided a project overview that included the following information:
The VRQA
Flow
diagram is to
be circulated
with the
minutes of
the meeting –
SM/TN
Funding has now been provided by Higher Education and Skills Group to enable
the development and accreditation of the course to commence.
A flow diagram was tabled outlining the VRQA’s 5-step course accreditation
process.
A paper was distributed that had been produced by Motor Neurone Disease (MND)
Victoria identifying the training need, titled “Non-invasive ventilation – training
need”
4.3
Once the proposed course is accredited, the unit(s) making up the course may be
incorporated within the Health (HLT07) Training Package eventually. However,
this could take a significant period of time.
SM provided an overview of the VRQA accreditation process for the Course in
Personal Carer Training (Using Non-Invasive Ventilation):
N/A
We are currently at Step 3 of the 5-Step accreditation process i.e. Course
development
3 x PSC Meetings held at approximately 5/6 week intervals.
22210VIC Course in Personal Carer Training Using Non-Invasive Ventilation
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Draft documents will be distributed electronically for comment and then normally
reviewed at the 2nd PSC meeting.
The 3rd PSC meeting should be the final validation of the documents, at which each
member will be required to sign a Course Contents Endorsement form. (Note: An
extra meeting may be convened if further development or work is required.)
Following signoff from the PSC; the curriculum document is reviewed by two
independent VRQA approved Accreditation Advisers, who will provide a written
report on the submission’s compliance with the national standards for
accreditation.
If acceptable, the submission then goes before an Accreditation Panel made up of
the two Accreditation Advisers and 1 PSC member (ideally Chair/Industry
Representative) to represent the PSC, in addition to SM (Curriculum Writer) and
JD (CMM and course proponent).
Project Timeline: Completed curriculum document be posted to the Training
Support Network website by 31 December 2012.
5
5.1
The course will be accredited for delivery from 1 January 2013 for a five year
period.
Draft Skills/Knowledge Profile – Identified by PSC
Action
Discussion took place about the job role of a Personal Carer using non-invasive
ventilation. The PSC were asked to provide input into skills / knowledge profile which
will be factored into the development of the course. PSC comments were provided as
follows:
People who require training in using the non-invasive ventilation may be family
members, personal care workers, nurses, etc
Nursing staff may not have experience with the machines. Nursing homes may be
reluctant to take people on with ventilators because their staff may not be trained in
the use of the equipment.
Course entry requirements should be basic literacy and numeracy (the same entry
requirements as for the basic first aid course). People with MND may struggle to
communicate with people coming into the house without basic numeracy and
literacy.
By the end of the course, participants should be able to:
-
Apply the mask
-
Turn the machine on
-
Troubleshoot any problems (if the unit is not working properly)
-
Undertake maintenance of the machine (daily, weekly and monthly)
-
Provide personal care in the use of the machine, including hygiene and
infection control;
-
Assist clients (a number of these may not be able to communicate). For
example, they may need to ask “is this what the problem is?”
The course should include:
-
Basic anatomy and physiology relating to respiration and different reasons why
a ventilator is used (ie musculo-skeletal problems etc.)
-
Instruction on how to operate the two main types of machines, i.e. bi level
22210VIC Course in Personal Carer Training Using Non-Invasive Ventilation
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devices and volume devices. Each of these broad types performs differently.
-
A variety of masks (nasal, intranasal and full face). Eg VRSS use 32 different
brands of mask.
-
Basic understanding of hygiene such as skin care and mouth care (for
participants from non-nursing backgrounds)
-
Opportunities for participants to practice on each other. This also provides the
opportunity to feel what it’s like to have the mask on and feel what it’s like if
the air is flowing or not flowing.
-
Opportunities for networking and support after the course, as most people are
isolated in doing their role
The course should be:
-
Process oriented, not disease oriented
-
About 15 hours duration (maybe over 2 days) with time for hands-on
experience
-
Competency based, including assessment and measurable outcomes. Students
can be assessed using the equipment, possibly using a mannequin. Assessment
should be in the workplace, but people and machines may be simulated.
Input for the course content to come from:
5.2
-
3 hour workshop for personal carers in the home environment offered by
VRSS Outreach (The Victorian Respiratory Support Service) at the Austin.
-
Training provided to families at the Austin which includes a booklet and
generic information in a DVD.
-
Training provided at Yooralla
-
People with MND who use NIV
Required Knowledge and Skills
From the information to be provided by AD, AB and SB, SM will produce a
skills/knowledge profile that will serve as the framework for the course. This will be
circulated to the members for comment and amendment, where necessary, and the final
version will be used to develop a draft unit for consideration at the next PSC meeting
in June.
AD to send
SM
workshop
document,
DVD and
discharge
documents
SB to get
input from
users
Skills/
knowledge
profile to be
prepared.
Draft unit to
be developed
based on the
profile - SM
6
Other business
Action
6.1
Timeline:
N/A
Draft course structure and draft skills/knowledge to be circulated to PSC for
comments to be fed back prior to next meeting – 2 weeks to provide PSC feedback.
7
Next PSC meeting
Action
7.1
Meeting to include review of draft document:
Next meeting is Wednesday 13th June 10.00am to 12.00pm.
Venue to be confirmed.
CMM to
circulate
papers
Agenda items and Minutes to be circulated beforehand.
22210VIC Course in Personal Carer Training Using Non-Invasive Ventilation
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Course in Personal Carer Training
Using Non-Invasive Ventilation Project
Steering Committee (PSC) Minutes
Meeting 2 @ VCOSS,
Level 8, 128 Exhibition Street, Melbourne
Wednesday 13 June 10.00am – 12.00pm
Present
Organisation/Profession
Email
Anne Duncan (AD)
VRSS Austin Hospital
Anne.Duncan@austin.org.au
Simone Best
Royal District Nursing Service
sbest@rdns.com.au
Sally Boal (SB)
MND Victoria
sboal@mnd.asn.au
Craig Bowe
DASSI
Craig.bowe@dassi.com.au
Andrew Fleming
CS&HITB
Andrew.Fleming@vcoss.org.au
Julie McConnell
MND Victoria
jmcconnell@mnd.asn.au
Helen Montgomery
Premium Health
helen@premiumhealth.com.au
Amanda Best (AB)
Yooralla
Amanda.best@yooralla.com.au
John Dunton (JD)
Curriculum Maintenance Manager
(CMM) – Human Services, Arts, Design
& Entertainment, Sport & Recreation,
Museum, Library & Information
Services
jdunton@swin.edu.au
Sam McCurdy (SM)
Curriculum Writer and Accreditation
Advisor
sam@dewhurstconsultancy.com
Theresa Nicolussi (TN)
CMM Administrator (Minutes)
cmmhs@swin.edu.au
Apologies
In attendance
1
Welcome & Introductions
Action
1.1
Members were welcomed to the 2nd meeting for the accreditation of the Course in
Personal Carer Training (Using Non-Invasive Ventilation). PSC members introduced
themselves and apologies were noted.
N/A
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2
Acceptance of Minutes from 1st Project Steering Committee meeting (9/05/12)
Action
2.1
The minutes of the previous meeting were accepted as being accurate.
N/A
3
Business Arising
Action
3.1
SM developed the draft unit from material received from AD, AB and SB. The draft unit
was sent to AD and AB for review before circulating the complete draft accreditation
submission to the PSC members.
N/A
4
Project Overview and Update
Action
4.1
The PSC worked through each section of the draft accreditation submission and provided
comments and suggested changes as follows:
N/A
Section B:
Discussion took place on the suggested nominal hours of 20 hours for the course.
The PSC decided that the course would best fit into 2 full days which was long
enough to fit everything in including demonstrations (time spent on these depends on
class size) and assessments. The PSC agreed that the nominal hours for the course
should be changed from 20 hours to 15 hours.
The first line of paragraph 5 in Section 3.1 was changed to read,
o “NIV involves wearing a mask which is connected to a small pump that
provides the correct air flow to support the user’s breathing. This does not
extend to continuous positive airway pressure machines (CPAP).”
The word “may” was added to the last line of paragraph 5 in Section 3.1 so it reads
o
“Some people living with respiratory muscle weakness may become reliant
on NIV 24 hours per day.”
Section 4.3 Recognition given to the course – Note this is “not applicable” because
no formal recognition is given.
Section 5.1 – Nominal hours for the unit VUXXXXA Operate a non-invasive
ventilator in the home was changed to 15 hours
Section 5.1 – Total nominal duration was changed to 15 hours
Section 5.2 – the words “or a residential facility” were added to the end of the first
paragraph so it reads
o
“The Course in Personal Carer Training Using Non-Invasive Ventilation is
designed for Personal Carers and/or family members, who will be required
to operate non-invasive ventilators in a home environment, or a residential
facility.”
Section 6.1 Assessment strategy – Discussion took place as to whether supervised or
supported follow up practice or buddy shifts should be included to allow learners
practical experience in the real environment. It was decided that it was not
appropriate to include this in Section 6.1 Assessment Strategy but that a
recommendation should be included in Section 7.1 Delivery modes (see next)
Section 7.1 Delivery modes – A sentence was added to the end of paragraph 3:
o
“It is recommended that employers provide mentoring support on-the-job
subsequent to training.”
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Section 7.1 – “mentoring” was added to the list of delivery modes or combination of
modes in the first paragraph
4.2
Unit: “Operate a non-invasive ventilator in the home, or residential facility
Performance Criteria (PC) 1.1 “Assess” was changed to “Observe” to read:
o
“Observe the client for signs of fatigue drowsiness or respiratory distress
PC 1.4 – “evening” was removed and “if” was changed to “as” to read:
o
“Establish a suitable NIV station for regular use, as required”
PC 3.3 – “stated in the Ventilator Information Discharge Education sheet” was
replaced by “requested by the client” to read:
o
“Set the required temperature on the humidifier, as required by the client”
In the Required Skills and Knowledge: Skills:
o
“and family” was added to the first dot point to read “Communicate
effectively with the client and family”
o
The third dot point was deleted
o
In the fourth dot point, “Assess the client for” was replaced with
“Recognise” and “respiratory distress” was replaced with “shortness of
breath” to read “Recognise signs of fatigue, drowsiness or shortness of
breath”
o
A new dot point was added: “Seek appropriate advice and/or support”
In the Required Skills and Knowledge: Knowledge:
o
In the third dot point “Causes of respiratory failure” was replaced with
“Other conditions resulting in respiratory failure”
o
A new dot point was added: “Infection control”
In the Range Statement:
o
In Components include: - a new dot point was added: “Alternative power
source (Back-up battery)”
o
In Personal hygiene involves: - “Saliva control” was changed to “Secretion
management”
o
In Common problems may include: - In the 3rd dot point “and need for
alternative power source” was added to “Power failure” to read: “Power
failure and need for alternative power source”
o
In Common problems may include: - a new dot point was added: “Secretion
management”
o
In Regular routine maintenance involves: - A new dot point was added:
“Maintaining alternative power back-up”
o
In Monthly maintenance involves: - a new dot point was added: “Charge
back-up battery”
In the Evidence Guide:
o
In the first point of the second critical aspect “clients” was replaced with
“client” to read: “Recognise the need to use NIV equipment in consultation
with the client”
22210VIC Course in Personal Carer Training Using Non-Invasive Ventilation
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o
In the first dot point of the Context of and specific resources for assessment,
“or real” and “or residential facility” were added to read: “Assessment
should be conducted in a simulated or real home or residential facility
environment”
o
In the second dot point “VRSS Outreach DVD – Ventilator use at home
(Current version)” was added to the list
o
In Method(s) of assessment – “and may also include” was changed to “It
may also include”
o
In Method(s) of assessment: - “3rd Party report” was added to the list
5
Future action
Action
5.1
SM will incorporate the suggested changes and circulate the updated copy.
SM / TN
6
Course Contents Endorsement Forms, Letters of Support, Accreditation Advisers
Action
6.1
The updated draft accreditation submission will be sent out to 2 independent
Accreditation Advisers who will check the document and provide a report to the CMM.
SM / TN
Each member of the PSC will need to sign a CCE form to demonstrate their support for
the course.
Letters of support from industry must also be included in the accreditation submission.
Letters of support to be requested from the ITAB (Andrew Fleming), the Austin Hospital
and MND Victoria.
AF, AD
7
Accreditation Panel Representatives
Action
7.1
An Accreditation Advisers Panel meeting will be held to approve the course. The panel
consists of the 2 accreditation advisers, a member of the PSC. The course proponent
(the CMM) is also present to take minutes and answer any questions on the course
development.
TN/JD to set
up panel
meeting
Anne Duncan agreed to be the PSC member on the Accreditation Panel.
8
Other business
Action
8.1
AD thanked everyone on the Committee for their input. She added that the course is long
overdue and will make life much easier for people requiring NIV.
N/A
The remainder of the accreditation process should take about 5 to 6 weeks. The course
should be available in about 2 months for RTOs to apply to add it to their scope of
registration.
AD thanked SM for all his work.
9
Arrangements for another meeting (if necessary)
Action
9.1
As the changes to the draft accreditation submission are minor, all agreed that a further
meeting is not necessary.
N/A
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