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22210VIC

Course in Personal Carer Training UsingNon-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 Act2006. It has been entered on the State Register of Accredited Courses and Recognised

Qualifications and the National Register: tr aining.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:// cr e a t i v e c o m m on s .o r g/ l i c en s e s / b y - n d / 3. 0 / a u / ). 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.

DisclaimerIn 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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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

22210VIC Course in Personal Carer Training Using Non-Invasive 1


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 andRecreationCMM ID. 5131Swinburne UniversityPO Box 218Hawthorn, Vic 3122Email : c m m hs @ swin. e du . au Telephone : 03 9214 5034Facsimile : 03 9214 5026

2. Address Department of Education and Early Childhood DevelopmentHigher Education and Skills GroupExecutive Director Sector Operations PO Box 266Melbourne, Vic. 3001Email : v oca t i on a l t r a i n i n g@ edu m a il . v i c. g o v .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 ChildhoodDevelopment, Victoria© State of VictoriaEmail: v oca t i on a l t r a i n i n g @ e du m a il . v i c. g o v . 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 Attribution- NoDerivs 3.0 Australia licence (h t t p : / / c r ea t i v eco m m ons.o r g /li c e ns e s / by - nd / 3.0 / a u / ).

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 Attribution- NoDerivs 3.0 Australia licence (h t t p : / / c r ea t i v eco m m ons.o r g /li c e ns e s / by - nd / 3.0 / a u / ). 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


2

you attribute Higher Education and Skills Group, Department ofEducation and Early Childhood Development as the author and you license any derivative work you make available under the samelicence.

Copies can also be purchased from the Curriculum MaintenanceManager – Human Services.

6. Course accrediting body Victorian Registration and Qualifications Authority (VRQA) Level 6, 35 Spring StreetMelbourneVictoria 3000Tel: (03) 9651 3204 www . v r qa. v i c. g o v .au

7. AVETMISSinformation

ANZSCO [Australian and New ZealandStandard Classification of Occupations]

423313 PersonalCare Assistant

ANSZIC code(Australia and New Zealand Standard

Industrial Classification – industry type)8722 – ResidentialCare Services nec

ASCED Code – 4 digit(Field of Education)

0699– Other Health

National course code 22210VIC

8. Period of accreditation 1 January 2013 – 31 December 2017



1

Section B: Course information

1. Nomenclature Standard 1 for Accredited Courses

1.1 Name of the qualification Course in Personal Care Training Using Non-InvasiveVentilation

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 Standards 1and 2 for Accredited Courses

3.1 Industry /enterprise/community needs

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:

PoliomyelitisMotor Neuron DiseaseEmphysema

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).



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 familymember 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 UsingNon-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



Course content has been determined and endorsed by theSteering Committee. The membership of the SteeringCommittee included:

Anne Duncan (Chair) VRSS, Austin HospitalSally Boal Motor Neurone Disease (MND)

VictoriaJulie McConnell Motor Neurone Disease (MND)

VictoriaSimone Best Royal District Nursing ServiceAmanda Best YoorallaCraig Bowe DASSIAndrew Fleming Community Services & Health

Industry Training BoardHelen Montgomery Premium Health

I n a tt e n da n c e :John Dunton CMM –Human ServicesTheresa Nicolussi CMM –Human ServicesSam McCurdy Dewhurst Consultancy Pty Ltd

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 CoursesNot applicable.

4.3 Recognition given to the course

Standard 5 for Accredited CoursesNot applicable

4.4 Licensing/ regulatory requirements

Standard 5 for Accredited CoursesNot applicable

5. Course rules

5.1 Course structure Standards 2, 6 and 7 for Accredited CoursesTo gain the award of a Statement of Attainment for22210VIC Course in Personal Carer Training Using Non- Invasive Ventilation, participants must complete thefollowing unit of competency.



Table 1:

Unit of competency/ module code

Field of Educati on code

Unit of competency titlePre-

requisi te

Nomi nal

hours

VU20908 069999 Operate a non-invasive ventilator in the home, or residential care facility None 15

Total nominal duration 15

5.2 Entry requirements Standard 9 for Accredited CoursesThe 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:) h tt p : / / www .dee w r . g o v .au / s k ill s / p r o g r a m s / l i t andnu m / a c s f / P a g e s/ d e f a u lt . a s px This requires that they are able to:

LearningDemonstrate some awareness of learning strengths and areas of need, and begin to plan and manage the learning process

ReadingIdentify and interpret relevant information and ideas from texts on familiar topics

WritingConvey intended meaning on familiar topics for a limited range of purposes and audiences

Oral communicationUse everyday language to provide information or maintain a conversation in familiar spoken contexts

NumeracyUse informal and some formal oral and written mathematical language and representation to communicate mathematically



6. Assessment

6.1 Assessment strategy Standard 10 for Accredited CoursesAll 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 designedto:

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 learnersassist assessors to interpret evidence consistently recognise prior learningbe 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 questionsAssignments

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 CoursesThe 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



6

(ii) TAEASS402B Assess competence(iii) TAEASS404B Participate in assessment

validationand

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 CoursesThe 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 deliveryhome 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 thatemployers 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.



7

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 CoursesAll specialised facilities, equipment and other resources required to deliver the 22210VIC Course in Personal Carer Training Using Non-Invasive Ventilation are detailedbelow:

training facilities and equipmentrelated texts, references and audio/visual material a range of ventilation masksa range non-invasive ventilator models access to real or simulated clientsan environment appropriate to the assessment task, that is either on-the-job, or simulated home environment.

Qualifications of TrainersThe 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.



9. Ongoing monitoring and evaluation

Standard 13 for accredited coursesThe 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 VRQAinclude changes to:

the nominal duration of the course and the unit copyright ownershiparticulation and/or credit transfer arrangements



Section C: Units of competency

VU20908 – Operate a non-invasive ventilator in the home, or residential care facility


VU20908 Operate a non-invasive ventilator in the home, or residential care facility

Unit Descriptor 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, asrequired and with minimal supervision.

ELEMENTElements describe the essential outcomes of a unit of competency. Elements describe actions or outcomes that are demonstrable and assessable.

PERFORMANCE CRITERIAPerformance 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

NIV support

1.1 Observe the client for signs of fatigue, drowsiness or respiratory distress

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



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 KNOWLEDGEThis 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



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 supportKnowledge

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 STATEMENTThe 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:

NIV model includes, but is not limited to:

Increased breathing rate, gasping for air

Wheezing

A bluish colour seen around the mouth, on the inside of the lips

Grunting

Sweating

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



Nasal

Intra-nasal



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 maintenanceinvolves:

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 maintenanceinvolves:

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 maintenanceinvolves:

All of the above maintenance

Charge back-up battery

Replacing the Sure Guard filter on the Humidifier

Quarterly maintenanceinvolves:

All of the above maintenance

Replacing the dust filter on the ventilator unit



EVIDENCE GUIDEThe evidence guide provides advice on assessment and must be read in conjunction with the Elements, Performance Criteria, RequiredSkills 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


Appendix A: Minutes of Steering Committee Meetings

Course in Personal Carer TrainingUsing Non-Invasive Ventilation Project

Steering Committee (PSC) Minutes Meeting 1 @ VCOSS,

Level 8, 128 Exhibition Street, MelbourneWednesday 9 May 10.00am – 12.00pm

Present Organisation/Profession Email

Anne Duncan (AD) VRSS Austin Hospital A nne.Duncan @ a u s t i n. o r g .au

Sally Boal (SB) MND Victoria sbo al @ m nd.a s n. a u

Simone Best Royal District Nursing Service sb e s t @ r dns . co m .au

Amanda Best (AB) Yooralla A m anda.be s t @y oo r a l l a. co m .au

Apologies

Craig Bowe DASSI C r a i g .bo w e @ da s s i . c o m .au

John Dunton (JD)

Curriculum Maintenance Manager(CMM) – Human Services, Arts, Design& Entertainment, Sport & Recreation, Museum, Library & InformationServices

j du n t on @ swin . edu. a u

Andrew Fleming CS&HITB A nd r ew. Fl e m i n g @ v co s s.o r g .au

Julie McConnell MND Victoria j m ccon n e l l @ m nd.a s n .au

Helen Montgomery Premium Health he l en @ p r e m i u m hea lt h. c o m .au

In attendance

Sam McCurdy (SM) Curriculum Writer and AccreditationAdvisor [email protected]

Theresa Nicolussi (TN) CMM Administrator (Minutes) c m m hs @ swin. e du.au

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


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 SMexplained the role of the PSC as outlined in the VRQA document including:

Emphasis that the consultation on the curriculum document is to go beyond thePSC.

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 ofNIV equipment and how they are addressed within the training document.

Course Contents Endorsement Form to be signed by all PSC members atcompletion of project.

N/A

4 Project Overview and Update Action

4.1 AD summarised the background to the project, which resulted from meetings held in2011 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:

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”

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.

The VRQA Flowdiagram is tobe circulated with the minutes ofthe meeting –SM/TN

4.3 SM provided an overview of the VRQA accreditation process for the Course inPersonal Carer Training (Using Non-Invasive Ventilation):

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.

N/A


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 TrainingSupport Network website by 31 December 2012.

The course will be accredited for delivery from 1 January 2013 for a five year period.

5 Draft Skills/Knowledge Profile – Identified by PSC Action

5.1 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


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:- 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

AD to send SM workshop document, DVD and discharge documents

SB to get input from users

5.2 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 meetingin June.

Skills/ knowledge profile to be prepared.

Draft unit to be developed based on the profile - SM

6 Other business Action

6.1 Timeline:

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.

N/A

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.

Agenda items and Minutes to be circulated beforehand.

CMM to circulate papers


Course in Personal Carer TrainingUsing Non-Invasive Ventilation Project

Steering Committee (PSC) Minutes Meeting 2 @ VCOSS,

Level 8, 128 Exhibition Street, MelbourneWednesday 13 June 10.00am – 12.00pm

Present Organisation/Profession Email

Anne Duncan (AD) VRSS Austin Hospital A nne.D u ncan @ a u s t i n. o r g .au

Simone Best Royal District Nursing Service sb e s t @ r dns . co m .au

Sally Boal (SB) MND Victoria sbo al @ m nd.a s n. a u

Craig Bowe DASSI C r a i g .bo w e @ da s s i . c o m . a u

Andrew Fleming CS&HITB A nd r ew. Fl e m i n g @ v co s s.o r g .au

Julie McConnell MND Victoria j m ccon n e l l @ m nd.a s n.au

Helen Montgomery Premium Health he l en @ p r e m i u m hea lt h. c o m .au

Apologies

Amanda Best (AB) Yooralla A m anda.be s t @y oo r a l l a. co m .au

John Dunton (JD)

Curriculum Maintenance Manager(CMM) – Human Services, Arts, Design& Entertainment, Sport & Recreation, Museum, Library & InformationServices

j du n t on @ swin . edu. a u

In attendance

Sam McCurdy (SM) Curriculum Writer and AccreditationAdvisor [email protected]

Theresa Nicolussi (TN) CMM Administrator (Minutes) c m m hs @ swin. e du.au

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


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:

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 readso “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” becauseno 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 firstparagraph 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

N/A


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 deletedo 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: “Chargeback-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”


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 independentAccreditation Advisers who will check the document and provide a report to the CMM.

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.

SM / TN

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.

Anne Duncan agreed to be the PSC member on the Accreditation Panel.

TN/JD to set up panel meeting

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.

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.

N/A

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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