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National Guidelines & Legislation |
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National Guidelines
* Infection control guidelines for the prevention of transmission of infectious diseases in the health care setting
Australian / New Zealand Standards
* Australian/New Zealand Standard AS/NZS 4815-2001
Office-based health care facilities not involved in complex patient procedures and processes-Cleaning, disinfecting and sterilising reusable medical and surgical instruments and equipment, and maintenance of the associated environment. (AS/NZS 4815:2001).
Available from Standards Australia: www.standards.org.au.
* Australian/New Zealand Standard AS/NZS 4187-2003
Cleaning, Disinfecting and Sterilising reusable medical and surgical instruments and maintenance of associated environments in health care facilities (AS/NZS 4187:2003).
Available from Standards Australia: www.standards.org.au.
National Aged Care Standards
| Health and Personal Care | ||
| 2.1 |
Continuous improvement | The organisation actively pursues continuous improvement |
| 2.2 |
Regulatory compliance | The organisation's management has systems in place to identify and ensure compliance with all relevant legislation, regulatory requirements, professional standards, and guidelines, about health and personal care |
| 2.3 |
Education and staff development | Management and staff have appropriate knowledge and skills to perform their roles effectively |
| 2.4 |
Clinical care | Residents have appropriate clinical care |
| 2.5 |
Specialised nursing care needs | Residents' specialised nursing care needs are identified and met by appropriately qualified nursing staff |
| 2.6 |
Other health and related services | Residents are referred to appropriate health specialists in accordance with the resident's need and preferences |
2.8 |
Pain management | All residents are free as possible from pain |
2.10 |
Nutrition and hydration | Residents receive adequate nourishment and hydration |
2.11 |
Skin care | Residents' skin integrity is consistent with their general health |
2.14 |
Mobility, dexterity and rehabilitation | Optimum levels of mobility and detexerity are achieved for all residents |
| Resident Lifestyle | ||
3.5 |
Independence | Residents are assisted to achieve maximum independence, maintain friendships and participate in the life of the community within and outside the residential care service |
3.6 |
Privacy and dignity | Each resident's right to privacy, dignity and confidentiality is recognised and respected |
| Physical Environment
and Safe Systems |
||
4.5 |
Occupational health and safety | Management is actively working to provide a safer working environment that meets regulatory requirements. |
4.7 |
Infection Control | An effective infection control program |
Relevant training packages, qualifications and competencies.
All information in the section can be found at:
National Training Information Service
Community Services and Health Industry Skills Council
Training Packages
(HLT02) Health
(CHC99) Community Services (Superseded by CHC02)
The Health training package is currently undergoing review. A “podiatry assistant” type qualification is being developed. This is a different concept to that of basic foot care being provided by nurses in aged care facilities, but it will be interesting to watch this qualification develop.
Perhaps some specific basic foot care competencies (eg basic foot care, maintaining equipment, basic foot assessment etc) will be developed that can then be used in other health qualifications.
There is a “pedicare” related competency that is more specific to the beauty therapy as opposed to a personal hygiene service.
Qualifications / Courses
The following qualifications are those in which basic foot care could be considered a normal duty.
HLT31702 Certificate III in Health Service Assistance (Allied Health Assistance)
HLT31102 Certificate III in Health Service Assistance (Sterilisation Services)
CHC20199 Certificate II in Community Services (Aged Care Work)
CHC30199 Certificate III in Community Services (Aged Care Work)
CHC40199 Certificate IV in Community Services (Aged Care Work)
CHC50199 Diploma of Community Services (Aged Care Work)
CHC60199 Advanced Diploma of Community Services (Aged Care Work)
CHC20599 Certificate II in Community Services (Disability Work)
CHC30799 Certificate III in Community Services (Disability Work)
CHC40799 Certificate IV in Community Services (Disability Work)
CHC50799 Diploma of Community Services (Disability Work)
CHC60799 Advanced Diploma of Community Services (Disability Work)21527VIC Certificate III in Foot and Hand Care
Competencies
If you are interested in researching competencies that may help with the provision of basic foot care, look up the qualifications above. There are many competencies that would provide background information on basic foot care. As mentioned earlier, there are no competencies directly covering basic foot care as a personal hygiene service. However, (WRBBS201B) Provide manicure and pedicure services is a competency of the beauty field.
There are also some interesting footwear related
competencies from the retail and textiles, clothing and footwear
sections.
Residential Classification Scale
Question 4 Personal Hygiene (extract from the Classification Principles)
1.Does the care recipient require assistance from staff for any aspect of personal hygiene, including washing, bathing, showering, hand washing, dressing, undressing, shaving, oral hygiene, applying makeup, hair care, nail care, applying moisturisers for dry skin?
Ratings Q.4 Personal Hygiene
No assistance
-
Attends to personal hygiene independently
Some assistance -
Requires assistance with some activities
Major assistance -
Requires 1 staff to carry out all activities
Extensive support -
Requires staff to encourage or persuade the care recipient on a 1:1 basis to optimise self care function;
OR
Requires 2 staff to carry out most activities.
Question 18 Technical and Complex Nursing Procedures (extract from the Classification Principles)
List 1 includes:
* maintenance of skin integrity including changing of position of a chairfast or bedfast care recipient; (Massage, silicon socks, booties, elevation for periods, simple paddings)
* simple wound dressings; ( Toes sleeves, paddings for corns/callouses, paddings prominent areas)
* care and fitting of prosthesis; and
* anti-embolic stockings.
List 2 includes:
* complex wound management; For procedures such as dressings, anti-embolic stockings and prosthesis, the putting on (say) at the beginning of the day is 1 procedure and the taking off at (say) the end of the day is 1 procedure.
For an occasion of removal and immediate replacement, this occasion is 1 procedure.
For an occasion of removal and replacement where replacement is not immediate, for example removal before a shower and replacement after a shower, removal is 1 procedure and replacement is 1 procedure.
Ratings Q.18 Technical And Complex Nursing Procedures
No assistance
-
No procedures are provided.
Some assistance -
A procedure or procedures from list 1 totaling 1 to 3 procedures daily.
Major assistance -
A procedure or procedures from list 2 totaling 1 to 3 procedures daily;
OR
A procedure or procedures from list 1 totaling 4 to 6 procedures daily.
Extensive assistance -
A procedure or procedures from list 2 totaling more than 3 procedures daily;
OR
A procedure or procedures from lists 1 and 2 totaling more than 6 procedures daily.
Definitions for Lists 1 and 2 (as outlined in the Principles)
Maintenance of skin integrity
Maintaining the condition of the skin, and thereby preventing ulceration of the skin, for a care recipient who has been assessed as requiring this intervention in addition to those in Question 4-Personal Hygiene.
Simple wound dressing
N on-adherent dressing or antiseptic plus non-adherent dressing
for a small clean wound.
Implementation of pain management or palliative care program
Providing the care recipient with pain relieving treatment which has been ordered for him/her, eg heat packs or massage. (PVD – daily massage)
Care and fitting of prosthesis
Does NOT include dentures, these are covered in
Question 4-Personal Hygiene.
Includes care and fitting of callipers.
Anti-embolic stockings
Specifically prescribed stockings which are designed to prevent circulation problems in the legs, eg. 'tubigrip stockings'.
Complex wound management
A wound which involves monitoring and management by a registered nurse or other appropriate health professional.
Q.20 Other Services (extract from the Classification Principles)
This question relates to services provided to care recipients where the facility provides the service or the facility pays for the service and the service is documented as a care need. These services are services other than those covered in Questions 1 to 19. These include, but are not restricted to, services provided by:
* Psychologist;
* Dietician;
* Podiatrist;
* Social worker;
* Music therapist; or
* Aromatherapist.
Does the care recipient require a service other than those in Questions 1 to 19 and the facility provides or pays for this service?
* Aged care home provides the service or pays for the service provided.
* There must be an assessed need that the care recipient requires the service.
* The service must be provided by the service provider or by staff at the direction of the service provider. These directions must be specific and documented.
There are no directions regarding the specific qualification requirements of the service provider under this question. It is the responsibility of the aged care home paying for the service to ensure that any requirements are met. The provider should also ensure that the appropriate requirements under the Accreditation Standards and Guidelines for Residential Aged Care Services are met.
The service may be provided by a staff member who possesses additional skills and is able to assess, implement and evaluate the specific needs of the care recipient requiring that service.
The service may be provided in a voluntary capacity if the aged care home will continue to provide this service should the volunteer be unavailable. If a variety of services are provided by the aged care home to the care recipient, the frequency of the services provided is determined by adding together the different services.
Ratings Q.20 Other Services
No support
-
No other services required.
Some support -
Other services provided 1 or 2 times a week.
Major support -
Other services provided 3 or more times a week but not daily
Extensive support -
Other services provided daily New South Wales Guidelines
NSW NA Basic Foot care Guidelines
Skin Penetration Guidelines
Skin Penetration Code of Best Practice
Nail Technician’s Tips for Health and Safety
Skin penetration - manicure and pedicure treatments
Legislation
NSW Podiatrist Act 2003
NSW Public Health Act
NSW Public Health Act (Skin Penetration)
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