Recognition of Prior Learning (RPL) Self-Evaluation HLT33115
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Homework Assignment
AI Summary
This document is a self-evaluation tool designed for students pursuing the HLT33115 Certificate III in Health Services Assistance, specifically those seeking Recognition of Prior Learning (RPL). The document is structured around key skill sets, including Work Health and Safety (WHS) and infection control, communication and personal development, client services, and acute care. Each section presents a series of questions and prompts the student to provide evidence of their skills and knowledge through yes/no responses and detailed explanations. The evaluation covers topics such as workplace safety procedures, hazard identification, communication with diverse populations, client care, and adherence to legal and ethical standards. The student is encouraged to reflect on their experiences and provide specific examples to demonstrate their competence in each area. The document aims to provide a comprehensive assessment of the student's existing skills and knowledge, allowing them to gain recognition for their prior learning and potentially accelerate their progress in the program.

RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
RECOGNITION OF PRIOR LEARNING
Self-Evaluation Document – Students that have completed the first year of BN
HLT33115
CERTIFICATE III in HEALTH SERVICES ASSISTANCE
(Assisting in nursing work in acute care)
Name:
Phone:
Email:
University attending and position in qualification:
2019 AIN Self-Evaluation tool RN students Page 1 of 29
RECOGNITION OF PRIOR LEARNING
Self-Evaluation Document – Students that have completed the first year of BN
HLT33115
CERTIFICATE III in HEALTH SERVICES ASSISTANCE
(Assisting in nursing work in acute care)
Name:
Phone:
Email:
University attending and position in qualification:
2019 AIN Self-Evaluation tool RN students Page 1 of 29
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RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
Skill Set 1: Work Safely
This section relates to your knowledge, skills, and experience working effectively using work health and safety and infection control processes to maintain your
duty of care to yourself, clients and co-workers.
EVIDENCE
YES
NO
What evidence can you provide?
Q1. Can you show evidence of contributions to WHS
processes in the workplace? □
I have been able to create plans that have helped in promoting the safety and
health of workplace. I have also investigated accidents and trained
employees on how to prevent hazards.
Q2. Can you use an itemised checklist to identify hazards and
risks? □
I have been able to use checklist to identify hazards so as to evaluate the
overall health and safety of employees at the workplace. I have also used the
checklist to gather valuable information that has been used to assess the
valuable controls and corrective measures.
Q3. Can you demonstrate that you follow procedures for
managing risks associated with a specific hazard? □
I have used procedures for managing risks associated with a specific hazard
so as to reduce illnesses, associated costs, as well as the number and the
severity of the hazards within the workplace environment.
Q4. Can you demonstrate safe manual handling principles? □ I have been able to adhere to the principles of safe manual handling and this
has earned me an internal manual handling certificate. I have also attended
seminars regarding safe manual handling principles and this has improved
2019 AIN Self-Evaluation tool RN students Page 2 of 29
Skill Set 1: Work Safely
This section relates to your knowledge, skills, and experience working effectively using work health and safety and infection control processes to maintain your
duty of care to yourself, clients and co-workers.
EVIDENCE
YES
NO
What evidence can you provide?
Q1. Can you show evidence of contributions to WHS
processes in the workplace? □
I have been able to create plans that have helped in promoting the safety and
health of workplace. I have also investigated accidents and trained
employees on how to prevent hazards.
Q2. Can you use an itemised checklist to identify hazards and
risks? □
I have been able to use checklist to identify hazards so as to evaluate the
overall health and safety of employees at the workplace. I have also used the
checklist to gather valuable information that has been used to assess the
valuable controls and corrective measures.
Q3. Can you demonstrate that you follow procedures for
managing risks associated with a specific hazard? □
I have used procedures for managing risks associated with a specific hazard
so as to reduce illnesses, associated costs, as well as the number and the
severity of the hazards within the workplace environment.
Q4. Can you demonstrate safe manual handling principles? □ I have been able to adhere to the principles of safe manual handling and this
has earned me an internal manual handling certificate. I have also attended
seminars regarding safe manual handling principles and this has improved
2019 AIN Self-Evaluation tool RN students Page 2 of 29

RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
my abilities to apply these principles while at workplace.
Q5. Can you communicate respectfully and with sensitivity to
varying cultural beliefs and their practices? □ I communicate respectfully to varying cultural beliefs so as to avoid being
offensive as well as show my appreciation to the distinctive cultures.
Q6. Can you show evidence that you complete, either
electronically or written, documentation according to legal and
organisational standards?
□
I have completed the written documentation according to the legal and
organizational standards so as to give substance to the activities I undertook
at the organization.
Q7. Can you demonstrate that you implement safe work
practices?
□
I implemented safe work practises by adhering to the emergency evacuation
procedures, creating a communication plan as well as creating a training plan
so as to identify who needs the training. I also implemented safe work
practises by setting up workstations to reduce injuries of posture and
stretches.
Q8. Can you demonstrate that you contribute to safe work
practices in the work place?
conducted a workplace risk assessment and recorded the
results
contributed to a WHS meeting or inspection in workplace
consistently applied workplace safety procedures in the
day-to-day work activities required by the job role
followed workplace procedures for reporting hazards
followed workplace procedures for a simulated
emergency situation
□
I have contributed to the safe work practises in the work place by conducting
surveys, reviewing records and the inspection reports, creating a plan to help
prevent future hazards as well as evaluating the changes. I have also been
able to train employees about the possible hazards they may be exposed to
and also supported the culture of safety.
2019 AIN Self-Evaluation tool RN students Page 3 of 29
my abilities to apply these principles while at workplace.
Q5. Can you communicate respectfully and with sensitivity to
varying cultural beliefs and their practices? □ I communicate respectfully to varying cultural beliefs so as to avoid being
offensive as well as show my appreciation to the distinctive cultures.
Q6. Can you show evidence that you complete, either
electronically or written, documentation according to legal and
organisational standards?
□
I have completed the written documentation according to the legal and
organizational standards so as to give substance to the activities I undertook
at the organization.
Q7. Can you demonstrate that you implement safe work
practices?
□
I implemented safe work practises by adhering to the emergency evacuation
procedures, creating a communication plan as well as creating a training plan
so as to identify who needs the training. I also implemented safe work
practises by setting up workstations to reduce injuries of posture and
stretches.
Q8. Can you demonstrate that you contribute to safe work
practices in the work place?
conducted a workplace risk assessment and recorded the
results
contributed to a WHS meeting or inspection in workplace
consistently applied workplace safety procedures in the
day-to-day work activities required by the job role
followed workplace procedures for reporting hazards
followed workplace procedures for a simulated
emergency situation
□
I have contributed to the safe work practises in the work place by conducting
surveys, reviewing records and the inspection reports, creating a plan to help
prevent future hazards as well as evaluating the changes. I have also been
able to train employees about the possible hazards they may be exposed to
and also supported the culture of safety.
2019 AIN Self-Evaluation tool RN students Page 3 of 29

RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
Q9. Can you demonstrate safe manual handling principles?
□
I have demonstrated safe manual handling by adopting stable positions,
thinking before lifting or handling equipment, gripping firmly and having the
weight close to the centre of gravity. I also ensure to assess the tasks, load,
environment and me as an individual before lifting, pushing, pulling or
lowering weights.
Q10. Can you Follow standard and additional precautions,
policies and procedures for infection prevention and control
including hand hygiene, PPE, respiratory hygiene, cough
etiquette, environmental cleaning, linen and contaminated waste? □
I have followed the standard and additional precautions, policies and
procedures for infection prevention and control including hand hygiene,
PPE, respiratory hygiene, cough etiquette, environmental cleaning, linen and
contaminated waste by wearing gloves, gowns, washing equipment and
disposing wastes properly so as to prevent the spread of infections.
Q11. Can you Follow procedures for handling and cleaning
client equipment that prevents skin and mucous membrane
exposures, contamination of clothing, and transfer of pathogens □
I have followed the procedures for handling and cleaning client equipment
that prevents skin and mucous membrane exposures, contamination of
clothing, and transfer of pathogens by protecting my eyes, using clean
running water, isolating areas and soaking in bleach so as to prevent
contamination.
Q12. Can you Identify infection hazards and assess risks
□
I have identified infection hazards and assessed the risks by find out the
infectious diseases which are at risk in my section, determining who can be
exposed to hazard, carrying out inspections and evaluating the current
precautions in place.
2019 AIN Self-Evaluation tool RN students Page 4 of 29
Q9. Can you demonstrate safe manual handling principles?
□
I have demonstrated safe manual handling by adopting stable positions,
thinking before lifting or handling equipment, gripping firmly and having the
weight close to the centre of gravity. I also ensure to assess the tasks, load,
environment and me as an individual before lifting, pushing, pulling or
lowering weights.
Q10. Can you Follow standard and additional precautions,
policies and procedures for infection prevention and control
including hand hygiene, PPE, respiratory hygiene, cough
etiquette, environmental cleaning, linen and contaminated waste? □
I have followed the standard and additional precautions, policies and
procedures for infection prevention and control including hand hygiene,
PPE, respiratory hygiene, cough etiquette, environmental cleaning, linen and
contaminated waste by wearing gloves, gowns, washing equipment and
disposing wastes properly so as to prevent the spread of infections.
Q11. Can you Follow procedures for handling and cleaning
client equipment that prevents skin and mucous membrane
exposures, contamination of clothing, and transfer of pathogens □
I have followed the procedures for handling and cleaning client equipment
that prevents skin and mucous membrane exposures, contamination of
clothing, and transfer of pathogens by protecting my eyes, using clean
running water, isolating areas and soaking in bleach so as to prevent
contamination.
Q12. Can you Identify infection hazards and assess risks
□
I have identified infection hazards and assessed the risks by find out the
infectious diseases which are at risk in my section, determining who can be
exposed to hazard, carrying out inspections and evaluating the current
precautions in place.
2019 AIN Self-Evaluation tool RN students Page 4 of 29
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RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
Q13. Can you Follow procedures for managing risks associated
with specific hazards, such as care after exposure to blood or
other body fluids as required, Remove spills and Minimise
contamination of materials, equipment and instruments by
aerosols and splatter.
□
I would clean body fluids by first wearing disposable gloves and wiping
the fluid with disposable materials. I would then pour a bleaching solution
in the contaminated areas and wait for at least 20minutes and then wipe up
the remaining bleaching solution. After that, I will dispose of the gloves in
the respective bins.
Q14. Can you Confine records, materials and medicaments to a
well-designated clean zone □
Confining records, materials and medicaments to a well-designated clean
zone helps limit contamination and also makes it easier to remember
anything entering the zone.
Q15. Can you Confine contaminated instruments and equipment
to a well-designated contaminated zone □
I have you Confined contaminated instruments and equipment to a well-
designated contaminated zone so as to reduce the risks of possible
contamination of processed items.
Q16. Can you demonstrate sharps handling and disposal
techniques □
Sharp objects should disposed in sharps disposable containers
immediately after being used so as to reduce the risk of needle
cuts, sticks and punctures. This should follow guidelines according
to the health department. Sharp disposal boxes should be labeled
so as to be easily identified.
Q17. Can you surface clean? □ I have cleaned surfaces to disinfect them so as to avoid the spread of germs
that may cause illnesses. Surface cleaning has also helps get rid of dirt.
2019 AIN Self-Evaluation tool RN students Page 5 of 29
Q13. Can you Follow procedures for managing risks associated
with specific hazards, such as care after exposure to blood or
other body fluids as required, Remove spills and Minimise
contamination of materials, equipment and instruments by
aerosols and splatter.
□
I would clean body fluids by first wearing disposable gloves and wiping
the fluid with disposable materials. I would then pour a bleaching solution
in the contaminated areas and wait for at least 20minutes and then wipe up
the remaining bleaching solution. After that, I will dispose of the gloves in
the respective bins.
Q14. Can you Confine records, materials and medicaments to a
well-designated clean zone □
Confining records, materials and medicaments to a well-designated clean
zone helps limit contamination and also makes it easier to remember
anything entering the zone.
Q15. Can you Confine contaminated instruments and equipment
to a well-designated contaminated zone □
I have you Confined contaminated instruments and equipment to a well-
designated contaminated zone so as to reduce the risks of possible
contamination of processed items.
Q16. Can you demonstrate sharps handling and disposal
techniques □
Sharp objects should disposed in sharps disposable containers
immediately after being used so as to reduce the risk of needle
cuts, sticks and punctures. This should follow guidelines according
to the health department. Sharp disposal boxes should be labeled
so as to be easily identified.
Q17. Can you surface clean? □ I have cleaned surfaces to disinfect them so as to avoid the spread of germs
that may cause illnesses. Surface cleaning has also helps get rid of dirt.
2019 AIN Self-Evaluation tool RN students Page 5 of 29

RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
Q18. Can you demonstrate knowledge of state/territory
legislation and how it impacts on workplace regulations, codes of
practice and industry standards, including:
state/territory WHS authorities
rights and responsibilities of employers and workers,
including duty of care
hazardous manual tasks
infection control
□
I have learned of state/territory legislation and how it impacts on workplace
regulations, codes of practice and industry standards so a s to be able to
know the authorities involved, my rights and responsibilities as an employee,
the hazardous manual tasks I may encounter as well as how to control
infection. This has helped me to work in a well organized manner.
Q19. Can you demonstrate knowledge of safety signs and their
meanings, including signs for:
dangerous goods classifications
emergency equipment
personal protective equipment (PPE)
specific hazards such as sharps, radiation
□
I have learnt several safety signs and their meanings so as to prevent injury
as well as the possible danger. I have learnt the dangerous goods
classification, emergency equipment like fire extinguishers, personal
protective equipment like gloves and aprons, specific hazards such as sharp
and how to effectively dispose them off.
Q20. Can you demonstrate knowledge of hazard identification,
including:
definition of a hazard
common workplace hazards relevant to the industry
setting
workplace procedures for hazard identification
□
A hazard is any potential source of harm, accident or injuries that may affect
an individual’s health. Common workplace hazards include biological
chemical, physical, ergonomic, and work organization hazards. To identify
hazards, one carries out risk assessments, determines how the employees
may at risk, evaluates the risks and records the hazard.
Q21. Can you demonstrate knowledge of workplace emergency
procedures
□ Work place emergency procedures include evacuation, reporting the
emergency, performing first aid or even turning off the power.
2019 AIN Self-Evaluation tool RN students Page 6 of 29
Q18. Can you demonstrate knowledge of state/territory
legislation and how it impacts on workplace regulations, codes of
practice and industry standards, including:
state/territory WHS authorities
rights and responsibilities of employers and workers,
including duty of care
hazardous manual tasks
infection control
□
I have learned of state/territory legislation and how it impacts on workplace
regulations, codes of practice and industry standards so a s to be able to
know the authorities involved, my rights and responsibilities as an employee,
the hazardous manual tasks I may encounter as well as how to control
infection. This has helped me to work in a well organized manner.
Q19. Can you demonstrate knowledge of safety signs and their
meanings, including signs for:
dangerous goods classifications
emergency equipment
personal protective equipment (PPE)
specific hazards such as sharps, radiation
□
I have learnt several safety signs and their meanings so as to prevent injury
as well as the possible danger. I have learnt the dangerous goods
classification, emergency equipment like fire extinguishers, personal
protective equipment like gloves and aprons, specific hazards such as sharp
and how to effectively dispose them off.
Q20. Can you demonstrate knowledge of hazard identification,
including:
definition of a hazard
common workplace hazards relevant to the industry
setting
workplace procedures for hazard identification
□
A hazard is any potential source of harm, accident or injuries that may affect
an individual’s health. Common workplace hazards include biological
chemical, physical, ergonomic, and work organization hazards. To identify
hazards, one carries out risk assessments, determines how the employees
may at risk, evaluates the risks and records the hazard.
Q21. Can you demonstrate knowledge of workplace emergency
procedures
□ Work place emergency procedures include evacuation, reporting the
emergency, performing first aid or even turning off the power.
2019 AIN Self-Evaluation tool RN students Page 6 of 29

RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
Q22. Can you demonstrate knowledge of workplace policies and
procedures for WHS □
The workplace policies and procedures for WHS defines the day to day rules
and regulations that should be considered to avoid hazards.
Student comments
2019 AIN Self-Evaluation tool RN students Page 7 of 29
Q22. Can you demonstrate knowledge of workplace policies and
procedures for WHS □
The workplace policies and procedures for WHS defines the day to day rules
and regulations that should be considered to avoid hazards.
Student comments
2019 AIN Self-Evaluation tool RN students Page 7 of 29
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RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
Skill Set 2: Communication
This section relates to your knowledge, skills, and experience communicating with clients and dealing with dealing with diversity in health and community
services.
Q1. Can you demonstrate that you communicate effectively
with people? □ I effectively communicate with people by listening carefully, giving feedback
when necessary, non verbal cues and thinking before I speak.
Q2. Can you demonstrate the ability to apply oral, written and
interpersonal communication skills? □
I am able to apply oral communication by expressing my ideas through verbal
and non verbal cues of communication. I have also demonstrated written
communication by sending emails and creating plans to achieve certain goals.
Q3. Can you demonstrate that you collaborate with colleagues
□
My belief that a huge percentage of organizational success is as a result of team
work has highly contributed to my collaborative skills. This is because
collaboration comes with diverse skills and ideas that helps complete assigned
tasks with ease.
Q4. Can you demonstrate the use of effective strategies to
address and eliminate discrimination and bias in the workplace? □
To eliminate discrimination and bias, I have been able to hold inclusive
meetings, questioning myself and others as well as creating a supportive
dialogue. I have also taken action to ensure social stereotyping does not exist at
the workplace.
Q5. Can you communicate respectfully and with sensitivity to
varying cultural beliefs and their practices? □ I have been able to communicate respectfully by respecting diversity and being
tolerant of the differences, keeping constructive criticism, and also taking
responsibility for my words and actions. I also listen carefully to other people so
2019 AIN Self-Evaluation tool RN students Page 8 of 29
Skill Set 2: Communication
This section relates to your knowledge, skills, and experience communicating with clients and dealing with dealing with diversity in health and community
services.
Q1. Can you demonstrate that you communicate effectively
with people? □ I effectively communicate with people by listening carefully, giving feedback
when necessary, non verbal cues and thinking before I speak.
Q2. Can you demonstrate the ability to apply oral, written and
interpersonal communication skills? □
I am able to apply oral communication by expressing my ideas through verbal
and non verbal cues of communication. I have also demonstrated written
communication by sending emails and creating plans to achieve certain goals.
Q3. Can you demonstrate that you collaborate with colleagues
□
My belief that a huge percentage of organizational success is as a result of team
work has highly contributed to my collaborative skills. This is because
collaboration comes with diverse skills and ideas that helps complete assigned
tasks with ease.
Q4. Can you demonstrate the use of effective strategies to
address and eliminate discrimination and bias in the workplace? □
To eliminate discrimination and bias, I have been able to hold inclusive
meetings, questioning myself and others as well as creating a supportive
dialogue. I have also taken action to ensure social stereotyping does not exist at
the workplace.
Q5. Can you communicate respectfully and with sensitivity to
varying cultural beliefs and their practices? □ I have been able to communicate respectfully by respecting diversity and being
tolerant of the differences, keeping constructive criticism, and also taking
responsibility for my words and actions. I also listen carefully to other people so
2019 AIN Self-Evaluation tool RN students Page 8 of 29

RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
as to understand their perspectives.
Q6. Can you demonstrate that you report problems such as
legal and ethical issues, adverse events, unresolved conflict,
breaches or non-adherence to standards to your supervisor?
□
I report problems such as legal and ethical issues, adverse events, unresolved
conflict, breaches or non-adherence to standards to my supervisor so as to ensure
I am not disadvantaged for raising my concerns.
Q7. Can you demonstrate that you contribute to continuous
improvement? □
I have contributed to improvement by identifying opportunities and planning for
change, using data to analyse the results for change, as well as implementing
change on small scale so as to identify the loopholes.
Q8. Can you demonstrate that you appreciate the benefits of
diversity and inclusiveness? □
I appreciate the benefits of diversity and inclusiveness by acknowledging the
holidays and celebrations of all cultures, mixing up teams, communicating the
essence of managing bias as well as creating awareness on diversity.
Q9. Can you demonstrate that you communicate with people
from diverse backgrounds and situations? □
I communicate with people from diverse backgrounds and situations by keeping
an open mind, practising active listening, watching my non-verbal cues as well
as keeping a personal touch. I also do background checks so as to avoid using
provocative words.
Q10. Can you demonstrate that you follow standard and
additional precautions for infection prevention and control
□
I have followed the standard and additional precautions for infection prevention
and control so as to reduce the risk of transmission of bloodborne and other
pathogens from both the known and unknown surfaces by using personal
protective equipment, observing hand hygiene and cleaning surfaces and
equipment.
2019 AIN Self-Evaluation tool RN students Page 9 of 29
as to understand their perspectives.
Q6. Can you demonstrate that you report problems such as
legal and ethical issues, adverse events, unresolved conflict,
breaches or non-adherence to standards to your supervisor?
□
I report problems such as legal and ethical issues, adverse events, unresolved
conflict, breaches or non-adherence to standards to my supervisor so as to ensure
I am not disadvantaged for raising my concerns.
Q7. Can you demonstrate that you contribute to continuous
improvement? □
I have contributed to improvement by identifying opportunities and planning for
change, using data to analyse the results for change, as well as implementing
change on small scale so as to identify the loopholes.
Q8. Can you demonstrate that you appreciate the benefits of
diversity and inclusiveness? □
I appreciate the benefits of diversity and inclusiveness by acknowledging the
holidays and celebrations of all cultures, mixing up teams, communicating the
essence of managing bias as well as creating awareness on diversity.
Q9. Can you demonstrate that you communicate with people
from diverse backgrounds and situations? □
I communicate with people from diverse backgrounds and situations by keeping
an open mind, practising active listening, watching my non-verbal cues as well
as keeping a personal touch. I also do background checks so as to avoid using
provocative words.
Q10. Can you demonstrate that you follow standard and
additional precautions for infection prevention and control
□
I have followed the standard and additional precautions for infection prevention
and control so as to reduce the risk of transmission of bloodborne and other
pathogens from both the known and unknown surfaces by using personal
protective equipment, observing hand hygiene and cleaning surfaces and
equipment.
2019 AIN Self-Evaluation tool RN students Page 9 of 29

RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
Q11. Can you demonstrate an understanding of the culture and
history, including relevant legislation and policies, of local
Aboriginal and/or Torres Strait Islander communities?
□
I have been able to understand the culture and history of aboriginals by
acknowledging their country, using their preferred local names, seeking more
than one opinion as well as creating a relationship of trust.
Q12. Can you demonstrate that you have, according to
organisational policy, identified behaviours of concern and
planned a response to deal with them?
□ I have used the organizational policies to identify behaviours of concern and
planned a response plan to address them
Q13. Can you demonstrate that you have dealt with behaviours
of concern according to organisational policy and procedure? □
I have dealt with behaviours of concern like violence and discrimination by
backing off whenever possible, keeping calm, removing other people from the
scene of these behaviours, calling for help as well as recognizing the body
language and tone used in such behaviour.
Q14 Can you demonstrate that you have reported and reviewed
incidents associated with behaviours of concern in line with
organisational policy and procedure? □
I have reported and reviewed incidents associated with behaviours of concern in
line with organisational policy and procedure by discussing with the appropriate
staff, offering solutions, seeking advice as well as taking part in debriefing
mechanisms.
Q15. Can you organise and complete own work schedule,
Monitor own work performance, Co-ordinate personal skill
development and learning, □
I have been able to organise and complete my own work schedule, monitor my
own work performance, Co-ordinate personal skill development and learning by
carrying out self assessments, requesting for feedback and creating plans and
following them.
2019 AIN Self-Evaluation tool RN students Page 10 of 29
Q11. Can you demonstrate an understanding of the culture and
history, including relevant legislation and policies, of local
Aboriginal and/or Torres Strait Islander communities?
□
I have been able to understand the culture and history of aboriginals by
acknowledging their country, using their preferred local names, seeking more
than one opinion as well as creating a relationship of trust.
Q12. Can you demonstrate that you have, according to
organisational policy, identified behaviours of concern and
planned a response to deal with them?
□ I have used the organizational policies to identify behaviours of concern and
planned a response plan to address them
Q13. Can you demonstrate that you have dealt with behaviours
of concern according to organisational policy and procedure? □
I have dealt with behaviours of concern like violence and discrimination by
backing off whenever possible, keeping calm, removing other people from the
scene of these behaviours, calling for help as well as recognizing the body
language and tone used in such behaviour.
Q14 Can you demonstrate that you have reported and reviewed
incidents associated with behaviours of concern in line with
organisational policy and procedure? □
I have reported and reviewed incidents associated with behaviours of concern in
line with organisational policy and procedure by discussing with the appropriate
staff, offering solutions, seeking advice as well as taking part in debriefing
mechanisms.
Q15. Can you organise and complete own work schedule,
Monitor own work performance, Co-ordinate personal skill
development and learning, □
I have been able to organise and complete my own work schedule, monitor my
own work performance, Co-ordinate personal skill development and learning by
carrying out self assessments, requesting for feedback and creating plans and
following them.
2019 AIN Self-Evaluation tool RN students Page 10 of 29
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RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
Q16. Can you demonstrate that you have demonstrated effective
communication skills in 3 different work situations
□ I have demonstrated effective communication skills by carefully listening, using
non verbal cues, giving feedback as well as creating a positive rapport.
Q17. Can you demonstrate that you have clarified workplace
instructions and negotiated timeframes with 2 colleagues
□
I have been able to clarify workplace instructions and negotiated timeframes
with two colleagues by identifying the lines of communication between us,
correctly using the terminologies of the organisation, and applying the
communication protocols of the organization. This has enabled me to effectively
collaborate with my colleagues.
Q18. Can you demonstrate that you have responded
appropriately to 3 different situations where communication
constraints were present □
I have responded appropriately to 3 different situations where communication
constraints were present by identifying the warning signs of difficult situations,
determining the actual problems as well as using the communication skills to
effectively manage the constraints.
Q19. Can you demonstrate that you have completed 2 written or
electronic workplace documents to organisation standards □
I have completed 2 written or electronic workplace documents to organisation
standards by following the organisation’s communication policies, using simple
and clear language while carrying out documentation as well as completing
written and electronic documents.
Student comments
2019 AIN Self-Evaluation tool RN students Page 11 of 29
Q16. Can you demonstrate that you have demonstrated effective
communication skills in 3 different work situations
□ I have demonstrated effective communication skills by carefully listening, using
non verbal cues, giving feedback as well as creating a positive rapport.
Q17. Can you demonstrate that you have clarified workplace
instructions and negotiated timeframes with 2 colleagues
□
I have been able to clarify workplace instructions and negotiated timeframes
with two colleagues by identifying the lines of communication between us,
correctly using the terminologies of the organisation, and applying the
communication protocols of the organization. This has enabled me to effectively
collaborate with my colleagues.
Q18. Can you demonstrate that you have responded
appropriately to 3 different situations where communication
constraints were present □
I have responded appropriately to 3 different situations where communication
constraints were present by identifying the warning signs of difficult situations,
determining the actual problems as well as using the communication skills to
effectively manage the constraints.
Q19. Can you demonstrate that you have completed 2 written or
electronic workplace documents to organisation standards □
I have completed 2 written or electronic workplace documents to organisation
standards by following the organisation’s communication policies, using simple
and clear language while carrying out documentation as well as completing
written and electronic documents.
Student comments
2019 AIN Self-Evaluation tool RN students Page 11 of 29

RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
Skill Set 3: Client Services
This section relates to your knowledge, skills and experience in bed making
EVIDENCE
YES
NO
What evidence can you provide?
Q1. Can you demonstrate that you prepare an area for bed
making;
clearing the area of equipment,
adjusting the bed height,
checking bed linen for displaced personal items?
□
Clearing the area of equipment is important to ease the flow of the materials
and prevent falls. Adjusting the bed height is necessary to enable unlimited
mobility and occupancy. Checking bed linen for displaced personal items is
also essential to help prevent injuries that may be caused by sharp objects or
dirt.
Q2 When making an occupied bed can you demonstrate that
you:
maintain the person’s dignity
remove clinical waste and soiled linen and place in
appropriate containers
place clean linen on the bed in accordance with
organisational procedures?
□
When making an occupied bed, I was able to maintain a person’s dignity by
politely explaining my intentions, removing clinical waste and solid line and
placing them in appropriate containers to avoid injury as well as placing clean
linen on the bed in accordance with the organizational procedures so as to
promote cleanliness and hygiene.
Q3. When making a discharge bed can you demonstrate that
you clean it and make it ready for occupancy according to
organisational procedures? □
When making a discharge bed, I cleaned it and made it ready for occupancy
according to organisational procedures by changing the bedding, reporting
damaged beds, keeping bed aids accessible as well as adjusting the height of
the bed.
Student comments
2019 AIN Self-Evaluation tool RN students Page 12 of 29
Skill Set 3: Client Services
This section relates to your knowledge, skills and experience in bed making
EVIDENCE
YES
NO
What evidence can you provide?
Q1. Can you demonstrate that you prepare an area for bed
making;
clearing the area of equipment,
adjusting the bed height,
checking bed linen for displaced personal items?
□
Clearing the area of equipment is important to ease the flow of the materials
and prevent falls. Adjusting the bed height is necessary to enable unlimited
mobility and occupancy. Checking bed linen for displaced personal items is
also essential to help prevent injuries that may be caused by sharp objects or
dirt.
Q2 When making an occupied bed can you demonstrate that
you:
maintain the person’s dignity
remove clinical waste and soiled linen and place in
appropriate containers
place clean linen on the bed in accordance with
organisational procedures?
□
When making an occupied bed, I was able to maintain a person’s dignity by
politely explaining my intentions, removing clinical waste and solid line and
placing them in appropriate containers to avoid injury as well as placing clean
linen on the bed in accordance with the organizational procedures so as to
promote cleanliness and hygiene.
Q3. When making a discharge bed can you demonstrate that
you clean it and make it ready for occupancy according to
organisational procedures? □
When making a discharge bed, I cleaned it and made it ready for occupancy
according to organisational procedures by changing the bedding, reporting
damaged beds, keeping bed aids accessible as well as adjusting the height of
the bed.
Student comments
2019 AIN Self-Evaluation tool RN students Page 12 of 29

RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
2019 AIN Self-Evaluation tool RN students Page 13 of 29
2019 AIN Self-Evaluation tool RN students Page 13 of 29
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RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
Skill set 3: Client Services
This section relates to your knowledge, skills, and experience providing services to clients.
EVIDENCE
YES
NO
What evidence can you provide?
Q1 Can you demonstrate that you have identified the
requirements to assist a person with movement:
select, prepare and used appropriate equipment to assist
with movement
prepared the environment
explained the procedure and gained the persons consent
carried out safe working procedures in preparation for
client movement?
□
I have learnt different equipment that are used for movement and how to select
appropriate equipment for different clients, prepare the environment for
movement, explain the procedures involved to the patient as well as carry out
safe work procedures so as to prevent falls.
Q2 Can you demonstrate that you have safely and
appropriately assisted a person/client with movement?
□ I have safely and appropriately assisted clients with movement by using the
desired procedures for each and every equipment being used by the client.
Q3 Can you demonstrate that you have dealt appropriately
with equipment on completion of assisting a client with
movement?
□ I have used wheelchairs, stretchers, slings, transfer boards, transfer sheets and
fixed wall hoists to helps patients with their movement.
Provide written evidence of moving a person in at least 6 of the
following situations
assisting a person up off the floor
□
When assisting a person off the floor, I firmly laced my feet on the floor,
blocked the person’s knees with mine and placed my arm around the person’s
waist. I then requested the person to lean forward and kept my shoulder and
width apart to maintain balance.
2019 AIN Self-Evaluation tool RN students Page 14 of 29
Skill set 3: Client Services
This section relates to your knowledge, skills, and experience providing services to clients.
EVIDENCE
YES
NO
What evidence can you provide?
Q1 Can you demonstrate that you have identified the
requirements to assist a person with movement:
select, prepare and used appropriate equipment to assist
with movement
prepared the environment
explained the procedure and gained the persons consent
carried out safe working procedures in preparation for
client movement?
□
I have learnt different equipment that are used for movement and how to select
appropriate equipment for different clients, prepare the environment for
movement, explain the procedures involved to the patient as well as carry out
safe work procedures so as to prevent falls.
Q2 Can you demonstrate that you have safely and
appropriately assisted a person/client with movement?
□ I have safely and appropriately assisted clients with movement by using the
desired procedures for each and every equipment being used by the client.
Q3 Can you demonstrate that you have dealt appropriately
with equipment on completion of assisting a client with
movement?
□ I have used wheelchairs, stretchers, slings, transfer boards, transfer sheets and
fixed wall hoists to helps patients with their movement.
Provide written evidence of moving a person in at least 6 of the
following situations
assisting a person up off the floor
□
When assisting a person off the floor, I firmly laced my feet on the floor,
blocked the person’s knees with mine and placed my arm around the person’s
waist. I then requested the person to lean forward and kept my shoulder and
width apart to maintain balance.
2019 AIN Self-Evaluation tool RN students Page 14 of 29

RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
assisting a person to be weighed on chair weighing scales □ □
assisting a person to change position in bed
□
When assisting a patient to change the bed position, i raised the bed to the
waist height, crossed the patient’s arm over their chest and bent their legs
towards me. I then gently pushed the patient across the hip and their shoulder
so that they may roll away from me.
assisting a person to use crutches or other walking aids □ □
assisting a person or co-worker to use a hoist or
mechanical lifter for transfers □ □
moving a person to a seated position
□
To move a person to a seated position, i lowered the bed to ensure that the
brakes are applied, stood next to the waist of the patient and assisted the patient
to move closer to the edge of the bed. I then placed one hand behind the
patients shoulder to support their neck and bent my knees to keep the back
straight and neutral. I then gently raised the patient to a sitting position and
assessed them for orthostatic vertigo.
moving a person by wheelchair or trolley □ □
moving a person between wheelchair or trolley and bed □ When moving a patient between wheelchair and bed, people should position
and lock the wheelchair close to the bed, put an arm around the patient’s neck
so as to support the shoulder blade and one arm under the knees so as to swing
2019 AIN Self-Evaluation tool RN students Page 15 of 29
assisting a person to be weighed on chair weighing scales □ □
assisting a person to change position in bed
□
When assisting a patient to change the bed position, i raised the bed to the
waist height, crossed the patient’s arm over their chest and bent their legs
towards me. I then gently pushed the patient across the hip and their shoulder
so that they may roll away from me.
assisting a person to use crutches or other walking aids □ □
assisting a person or co-worker to use a hoist or
mechanical lifter for transfers □ □
moving a person to a seated position
□
To move a person to a seated position, i lowered the bed to ensure that the
brakes are applied, stood next to the waist of the patient and assisted the patient
to move closer to the edge of the bed. I then placed one hand behind the
patients shoulder to support their neck and bent my knees to keep the back
straight and neutral. I then gently raised the patient to a sitting position and
assessed them for orthostatic vertigo.
moving a person by wheelchair or trolley □ □
moving a person between wheelchair or trolley and bed □ When moving a patient between wheelchair and bed, people should position
and lock the wheelchair close to the bed, put an arm around the patient’s neck
so as to support the shoulder blade and one arm under the knees so as to swing
2019 AIN Self-Evaluation tool RN students Page 15 of 29

RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
the patient’s feet under the edge.
moving a person to a standing position □ □
transfers from wheelchair to shower chair and toilet
□
When transferring the patient from wheelchair to toilet or shower, I positioned
the wheelchair next to the surface and locked the brakes. I then moved the
footrests and armrests out of the way and moved the patient’s bottom to the
front of the surface.
assisting a person who is falling
□
To assist a person who is falling, people should use their bodies to prevent the
fall while protecting their own backs by keeping their feet wide apart and their
knees bent. People should ensure that the patients do not hit their heads on any
surfaces.
Q4 Can you demonstrate that you have transport a client to a
designated location safely ensuring their comfort? □
I have transported a client safely to a designated location by using the
appropriate equipment and procedures so as to minimize falls. I have also
explained the processes involved to the patients thus cooperation.
Q5 On transporting a client to a specific location you can
demonstrate that you have informed relevant personnel of their
arrival and needs and cleaned and returned appropriately the
equipment used during transport?
□
On transporting a client to a specific location, i have informed relevant
personnel of their arrival and needs and cleaned and returned appropriately the
equipment used during transport so as to make necessary adjustments by
following the organisation’s communication procedures.
Q6 Can you demonstrate that you have established and
maintained an appropriate relationship with people accessing
□ I have established and maintained appropriate relationship with people
accessing the services by effectively communicating with them and keeping it
2019 AIN Self-Evaluation tool RN students Page 16 of 29
the patient’s feet under the edge.
moving a person to a standing position □ □
transfers from wheelchair to shower chair and toilet
□
When transferring the patient from wheelchair to toilet or shower, I positioned
the wheelchair next to the surface and locked the brakes. I then moved the
footrests and armrests out of the way and moved the patient’s bottom to the
front of the surface.
assisting a person who is falling
□
To assist a person who is falling, people should use their bodies to prevent the
fall while protecting their own backs by keeping their feet wide apart and their
knees bent. People should ensure that the patients do not hit their heads on any
surfaces.
Q4 Can you demonstrate that you have transport a client to a
designated location safely ensuring their comfort? □
I have transported a client safely to a designated location by using the
appropriate equipment and procedures so as to minimize falls. I have also
explained the processes involved to the patients thus cooperation.
Q5 On transporting a client to a specific location you can
demonstrate that you have informed relevant personnel of their
arrival and needs and cleaned and returned appropriately the
equipment used during transport?
□
On transporting a client to a specific location, i have informed relevant
personnel of their arrival and needs and cleaned and returned appropriately the
equipment used during transport so as to make necessary adjustments by
following the organisation’s communication procedures.
Q6 Can you demonstrate that you have established and
maintained an appropriate relationship with people accessing
□ I have established and maintained appropriate relationship with people
accessing the services by effectively communicating with them and keeping it
2019 AIN Self-Evaluation tool RN students Page 16 of 29
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RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
service? professional. I have also exercised empathy and offered education and
available resources to the clients.
Q7 Can you demonstrate that you act in a respectful manner
at all times □
I act in a respectful manner at all times by treating everyone equally, avoiding
being judgmental, being sensitive during communication as well as following
the organization’s policies on being respectful.
Q8 Can you demonstrated that you evaluate own work to
maintain a high standard of service □
I have evaluated my own work to maintain a high standard of service by being
respectful all the time, creating appropriate relationship with the client, seeking
and receiving advice from other people.
Q9. Can you Identify behaviours of concern in line with work
role and organisation policies and procedures, identify
appropriate responses, utilize all appropriate staff and resources
when using the planned response and give priority to safety of
self and others. □
I have been able to identify the behaviours of concern in line with work role
and the organization policies by gathering relevant data and carrying out
assessments. I have also identified appropriate responses by reviewing the
available responses as well as evaluating the likely risks that can be caused by
the response. I have also utilized all appropriate staff and resources when using
the planned response and giving priority to safety of self and others by
selecting appropriate strategies and seeking assistance.
Student comments
2019 AIN Self-Evaluation tool RN students Page 17 of 29
service? professional. I have also exercised empathy and offered education and
available resources to the clients.
Q7 Can you demonstrate that you act in a respectful manner
at all times □
I act in a respectful manner at all times by treating everyone equally, avoiding
being judgmental, being sensitive during communication as well as following
the organization’s policies on being respectful.
Q8 Can you demonstrated that you evaluate own work to
maintain a high standard of service □
I have evaluated my own work to maintain a high standard of service by being
respectful all the time, creating appropriate relationship with the client, seeking
and receiving advice from other people.
Q9. Can you Identify behaviours of concern in line with work
role and organisation policies and procedures, identify
appropriate responses, utilize all appropriate staff and resources
when using the planned response and give priority to safety of
self and others. □
I have been able to identify the behaviours of concern in line with work role
and the organization policies by gathering relevant data and carrying out
assessments. I have also identified appropriate responses by reviewing the
available responses as well as evaluating the likely risks that can be caused by
the response. I have also utilized all appropriate staff and resources when using
the planned response and giving priority to safety of self and others by
selecting appropriate strategies and seeking assistance.
Student comments
2019 AIN Self-Evaluation tool RN students Page 17 of 29

RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
2019 AIN Self-Evaluation tool RN students Page 18 of 29
2019 AIN Self-Evaluation tool RN students Page 18 of 29

RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
Skill Set 4: Body Systems and Terminology
EVIDENCE
YES
NO
What evidence can you provide?
Q1. Can you demonstrate that you can correctly use and interpret
health terminology that describes the normal structure, function and
location of the major body systems? □
I have been able to correctly use and interpret health terminology that
describes the normal structure, function and location of the major body
systems by working with the available information concerning these
major body systems so as to understand them better.
Q2 Can you demonstrate that you can recognise and promote ways
to support healthy functioning of the body? □
I have recognised and promoted ways to support healthy functioning of
the body by reviewing the factors that contribute to its maintenance,
evaluating how the body systems support each others’ functioning as
well as enhancing the quality of activities by sharing information.
Q3. Can you demonstrate that you respond appropriately to
instructions which contain medical terminology? □
I have responded appropriately to instructions which contain medical
terminology by interpreting and documenting the oral and written
instructions using the medical terminologies, using checklists where
appropriate as well as seeking clarifications.
Q4. Can you demonstrate carry out routine tasks using medical
terminology appropriately? □
I have carried out routine tasks using medical terminology
appropriately by seeking assistance as well as completing the routine
tasks assigned.
Q5. Can you demonstrate that you use appropriate medical
terminology in oral and written communication
□ I have used appropriate medical terminology in oral and written
2019 AIN Self-Evaluation tool RN students Page 19 of 29
This section relates to your knowledge and skills in relation to knowledge and function of the human body and the use of medical terminology in verbal and
written communication.
Skill Set 4: Body Systems and Terminology
EVIDENCE
YES
NO
What evidence can you provide?
Q1. Can you demonstrate that you can correctly use and interpret
health terminology that describes the normal structure, function and
location of the major body systems? □
I have been able to correctly use and interpret health terminology that
describes the normal structure, function and location of the major body
systems by working with the available information concerning these
major body systems so as to understand them better.
Q2 Can you demonstrate that you can recognise and promote ways
to support healthy functioning of the body? □
I have recognised and promoted ways to support healthy functioning of
the body by reviewing the factors that contribute to its maintenance,
evaluating how the body systems support each others’ functioning as
well as enhancing the quality of activities by sharing information.
Q3. Can you demonstrate that you respond appropriately to
instructions which contain medical terminology? □
I have responded appropriately to instructions which contain medical
terminology by interpreting and documenting the oral and written
instructions using the medical terminologies, using checklists where
appropriate as well as seeking clarifications.
Q4. Can you demonstrate carry out routine tasks using medical
terminology appropriately? □
I have carried out routine tasks using medical terminology
appropriately by seeking assistance as well as completing the routine
tasks assigned.
Q5. Can you demonstrate that you use appropriate medical
terminology in oral and written communication
□ I have used appropriate medical terminology in oral and written
2019 AIN Self-Evaluation tool RN students Page 19 of 29
This section relates to your knowledge and skills in relation to knowledge and function of the human body and the use of medical terminology in verbal and
written communication.
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RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
communication by pronouncing and using the terms correctly, using
the appropriate terminologies to present written and oral
communication with patients and fellow employees.
Student comments
2019 AIN Self-Evaluation tool RN students Page 20 of 29
communication by pronouncing and using the terms correctly, using
the appropriate terminologies to present written and oral
communication with patients and fellow employees.
Student comments
2019 AIN Self-Evaluation tool RN students Page 20 of 29

RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
Skill Set 5: Acute Care
EVIDENCE
YES
NO
What evidence can you provide?
1. Can you demonstrate the knowledge of fundamental anatomy and
physiology required for scope of role □
I have used the fundamental anatomy and physiology required for
scope of role to complete the tasks outlined, maintaining
confidentiality, privacy and dignity.
2. Can you demonstrate the knowledge of relevant policies,
protocols and practices of the organisation and care programs
and plans which may include:
purpose of continence programs and knowledge of continence
aids
causes of loss of skin integrity, implications for the client and
processes to maintain skin integrity
personal care
infection control procedures
working effectively and following instructions
□
I have used the relevant policies, protocols and practices of the
organisation and care programs and plans by managing tasks and
contingencies in the work role.
2019 AIN Self-Evaluation tool RN students Page 21 of 29
This section relates to your knowledge and skills in relation to Assisting with nursing care in an acute acre environment and providing non-contact support in an
acute care environment.
Skill Set 5: Acute Care
EVIDENCE
YES
NO
What evidence can you provide?
1. Can you demonstrate the knowledge of fundamental anatomy and
physiology required for scope of role □
I have used the fundamental anatomy and physiology required for
scope of role to complete the tasks outlined, maintaining
confidentiality, privacy and dignity.
2. Can you demonstrate the knowledge of relevant policies,
protocols and practices of the organisation and care programs
and plans which may include:
purpose of continence programs and knowledge of continence
aids
causes of loss of skin integrity, implications for the client and
processes to maintain skin integrity
personal care
infection control procedures
working effectively and following instructions
□
I have used the relevant policies, protocols and practices of the
organisation and care programs and plans by managing tasks and
contingencies in the work role.
2019 AIN Self-Evaluation tool RN students Page 21 of 29
This section relates to your knowledge and skills in relation to Assisting with nursing care in an acute acre environment and providing non-contact support in an
acute care environment.

RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
2. Can you demonstrate the knowledge of legal and ethical
considerations:
codes of conduct
dignity of risk
duty of care
human rights
privacy, confidentiality and disclosure
work role boundaries – responsibilities and limitations
work health and safety (WHS), including manual handling
□
I have used the legal and ethical considerations when dealing with
conflicts, communicating in a non discriminatory way, as well as
establishing and maintaining relationships.
3. Can you demonstrate the knowledge of procedures and
requirements for the collection of clinical data from clients □
I have used procedures and requirements for the collection of clinical
data from clients by maintaining confidentiality, working with
colleagues, using the correct equipment to collect data.
2. Can you demonstrate the knowledge of common equipment and
aids utilised in the delivery of personal care □
I have used common equipment and aids utilised in the delivery of
personal care by determining the exact equipment and aid as well as
the benefit of such equipment to the patient so as to improve personal
care needs.
3. Can you demonstrate the knowledge of the application of
prostheses □
Prostheses can be used to rehabilitate an individual whose arm or
extremity has been amputated. I can provide artificial limbs so as to
improve mobility as well as an individual’s ability to manage daily
activities and stay independent. Prior to application of protheeses, I
will inform the patient of its benefits and seek their consent.
2. Can you demonstrate the knowledge of principles and practices
associated with supporting and assisting clients to meet personal
□ I have used the principles and practices associated with supporting and
2019 AIN Self-Evaluation tool RN students Page 22 of 29
2. Can you demonstrate the knowledge of legal and ethical
considerations:
codes of conduct
dignity of risk
duty of care
human rights
privacy, confidentiality and disclosure
work role boundaries – responsibilities and limitations
work health and safety (WHS), including manual handling
□
I have used the legal and ethical considerations when dealing with
conflicts, communicating in a non discriminatory way, as well as
establishing and maintaining relationships.
3. Can you demonstrate the knowledge of procedures and
requirements for the collection of clinical data from clients □
I have used procedures and requirements for the collection of clinical
data from clients by maintaining confidentiality, working with
colleagues, using the correct equipment to collect data.
2. Can you demonstrate the knowledge of common equipment and
aids utilised in the delivery of personal care □
I have used common equipment and aids utilised in the delivery of
personal care by determining the exact equipment and aid as well as
the benefit of such equipment to the patient so as to improve personal
care needs.
3. Can you demonstrate the knowledge of the application of
prostheses □
Prostheses can be used to rehabilitate an individual whose arm or
extremity has been amputated. I can provide artificial limbs so as to
improve mobility as well as an individual’s ability to manage daily
activities and stay independent. Prior to application of protheeses, I
will inform the patient of its benefits and seek their consent.
2. Can you demonstrate the knowledge of principles and practices
associated with supporting and assisting clients to meet personal
□ I have used the principles and practices associated with supporting and
2019 AIN Self-Evaluation tool RN students Page 22 of 29
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RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
care needs assisting clients to meet personal care needs by providing assistance
according to the care plans, providing technical care, maintaining
confidentiality and using the appropriate equipment to provide
assistance and support.
3. Can you demonstrate that you have assisted in nursing care for a
minimum of 3 clients according to the care plan and direction of
a registered nurse? To include for each client;
working in a manner that respects the dignity of clients
providing support in the following activities of daily living,
including:
washing
showering
dressing/undressing
oral health
grooming and hair
eye and nail care
toileting
eating and drinking
□
I have assisted in nursing care for a minimum of 3 clients according to
the care plan and direction of a registered nurse by carrying out
instructions within the given time frame, seeking clarifications as well
as providing information to clients. I have also provided support in
daily living activities by following the organization’s policies and
procedures so as to help clients meet their personal needs care.
using relevant equipment and following procedures for collecting
client clinical data which must include:
taking and recording temperature
taking and recording pulse rate
taking and recording respiratory rate
taking and recording blood pressure
taking and recording blood glucose level
recording intake and output on fluid balance chart and/or food
chart
measuring and recording weight
□ I have used the glass thermometer to take and record temperature and
the first and second fingertips to take and record pulse rate. To take
and record the respiratory rate, i have counted the number of breathes
for one minute. I have used aneroid monitor to take and record the
blood pressure levels and a glucose meter to take and record blood
glucose level. I have used a mechanical balance to measure and record
weight, and fluid balance chart to record intake and output on fluid
2019 AIN Self-Evaluation tool RN students Page 23 of 29
care needs assisting clients to meet personal care needs by providing assistance
according to the care plans, providing technical care, maintaining
confidentiality and using the appropriate equipment to provide
assistance and support.
3. Can you demonstrate that you have assisted in nursing care for a
minimum of 3 clients according to the care plan and direction of
a registered nurse? To include for each client;
working in a manner that respects the dignity of clients
providing support in the following activities of daily living,
including:
washing
showering
dressing/undressing
oral health
grooming and hair
eye and nail care
toileting
eating and drinking
□
I have assisted in nursing care for a minimum of 3 clients according to
the care plan and direction of a registered nurse by carrying out
instructions within the given time frame, seeking clarifications as well
as providing information to clients. I have also provided support in
daily living activities by following the organization’s policies and
procedures so as to help clients meet their personal needs care.
using relevant equipment and following procedures for collecting
client clinical data which must include:
taking and recording temperature
taking and recording pulse rate
taking and recording respiratory rate
taking and recording blood pressure
taking and recording blood glucose level
recording intake and output on fluid balance chart and/or food
chart
measuring and recording weight
□ I have used the glass thermometer to take and record temperature and
the first and second fingertips to take and record pulse rate. To take
and record the respiratory rate, i have counted the number of breathes
for one minute. I have used aneroid monitor to take and record the
blood pressure levels and a glucose meter to take and record blood
glucose level. I have used a mechanical balance to measure and record
weight, and fluid balance chart to record intake and output on fluid
2019 AIN Self-Evaluation tool RN students Page 23 of 29

RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
collecting urine, sputum or faecal specimen
recognising changes in consciousness
balance chart.
using simple technical skills to perform the following activities at
least 3 times, which can be in a simulated environment or in the
workplace:
shallow wound care that requires cleansing but does not require
packing
catheter care, not including insertion or removal of tubes
application of anti-thrombosis stockings
assistance with breathing devices, under the direct supervision of
a health professional
□
I have performed shallow wound care that requires cleansing but does
not require packing can be in a simulated environment or at the
workplace as it does not require complex clinical procedures.
4. Can you demonstrate knowledge of;
record keeping, filing systems and security procedures for the acute
care environment
the organisation’s business and structure
organisation policies and procedures related to:
collecting and processing information
infection control
Legal and ethical considerations for working in an acute
environment, including:
privacy, confidentiality and disclosure
work role boundaries – responsibilities and limitations
work health and safety (WHS)
equipment requirements of an acute care environment, including:
positioning aids and patient movement equipment
medical gases/cylinders (fixed and portable) and their accessories
suction units and their accessories
□ I have been able to keep records, used the right equipment as per the
protocols of the organization so as to achieve the intended goals.
2019 AIN Self-Evaluation tool RN students Page 24 of 29
collecting urine, sputum or faecal specimen
recognising changes in consciousness
balance chart.
using simple technical skills to perform the following activities at
least 3 times, which can be in a simulated environment or in the
workplace:
shallow wound care that requires cleansing but does not require
packing
catheter care, not including insertion or removal of tubes
application of anti-thrombosis stockings
assistance with breathing devices, under the direct supervision of
a health professional
□
I have performed shallow wound care that requires cleansing but does
not require packing can be in a simulated environment or at the
workplace as it does not require complex clinical procedures.
4. Can you demonstrate knowledge of;
record keeping, filing systems and security procedures for the acute
care environment
the organisation’s business and structure
organisation policies and procedures related to:
collecting and processing information
infection control
Legal and ethical considerations for working in an acute
environment, including:
privacy, confidentiality and disclosure
work role boundaries – responsibilities and limitations
work health and safety (WHS)
equipment requirements of an acute care environment, including:
positioning aids and patient movement equipment
medical gases/cylinders (fixed and portable) and their accessories
suction units and their accessories
□ I have been able to keep records, used the right equipment as per the
protocols of the organization so as to achieve the intended goals.
2019 AIN Self-Evaluation tool RN students Page 24 of 29

RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
vital signs equipment
emergency equipment
5. Can you demonstrate or provide evidence of;
provided non-client contact support to at least 1 nursing team in an
acute setting:
accurately completing workplace forms, client health records and
other documents required by the nursing team on at least 6
occasions
selecting, cleaning and storing at least 3 different types of
equipment relevant to the needs of the nursing team
□
I have provided non-client contact support to at least 1 nursing team in
an acute setting by modifying, updating and filing client health records,
storing information and health records according to the guidelines and
protocols of the organization.
Student comments
2019 AIN Self-Evaluation tool RN students Page 25 of 29
vital signs equipment
emergency equipment
5. Can you demonstrate or provide evidence of;
provided non-client contact support to at least 1 nursing team in an
acute setting:
accurately completing workplace forms, client health records and
other documents required by the nursing team on at least 6
occasions
selecting, cleaning and storing at least 3 different types of
equipment relevant to the needs of the nursing team
□
I have provided non-client contact support to at least 1 nursing team in
an acute setting by modifying, updating and filing client health records,
storing information and health records according to the guidelines and
protocols of the organization.
Student comments
2019 AIN Self-Evaluation tool RN students Page 25 of 29
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RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
Skill Set 5: Individualised support
EVIDENCE
YES
NO
What evidence can you provide?
Q1. Can you demonstrate that you can determine support needs,
provide support needs and monitor support activities □
To determine support needs, provide support needs and monitor
support activities, one needs to conduct an assessment so as to
establish the areas of potential risks and the correct measures to be
taken.
Q2 Can you demonstrate Knowledge of rationale and processes
underpinning individualised support planning and delivery:
basic principles of person-centred practice, strengths-based
practice and active support
documentation and reporting requirements □
The processes underpinning individualised support planning and
delivery should follow the basic principles of person centred practise
so as to meet the client’s needs and preferences.
The documentation and reporting requirements must be accurate as it
will be used for future reference.
2019 AIN Self-Evaluation tool RN students Page 26 of 29
This section relates to your knowledge and skills in relation to organise, provide and monitor support services within the limits established by an individualised
plan
Skill Set 5: Individualised support
EVIDENCE
YES
NO
What evidence can you provide?
Q1. Can you demonstrate that you can determine support needs,
provide support needs and monitor support activities □
To determine support needs, provide support needs and monitor
support activities, one needs to conduct an assessment so as to
establish the areas of potential risks and the correct measures to be
taken.
Q2 Can you demonstrate Knowledge of rationale and processes
underpinning individualised support planning and delivery:
basic principles of person-centred practice, strengths-based
practice and active support
documentation and reporting requirements □
The processes underpinning individualised support planning and
delivery should follow the basic principles of person centred practise
so as to meet the client’s needs and preferences.
The documentation and reporting requirements must be accurate as it
will be used for future reference.
2019 AIN Self-Evaluation tool RN students Page 26 of 29
This section relates to your knowledge and skills in relation to organise, provide and monitor support services within the limits established by an individualised
plan

RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
Q3. Can you demonstrate Knowledge of roles and responsibilities of
different people and the communication between them:
carers and family
person being supported
health professionals
individual workers
supervisors
□
Carers and families are responsible for assisting patients with personal
care as well as reporting on their progress and noticeable changes.
Communication between families and caregivers should be effective so
as to create mutual trust. The person being supported is responsible for
honouring the terms and conditions of receiving the support. Health
professionals are responsible for offering patient centred care and
advising on the correct diagnosis. Individual workers are responsible
for taking care of their own health and safety to avoid harm.
Supervisors are responsible for setting goals, ensuring smooth work
flow and monitoring employee productivity (Australian Government).
The communication between these people should be effective so as to
ensure that each and every person fulfils their duties without
difficulties.
Q4. Can you demonstrate Knowledge of service delivery models in the
relevant sector □
Service delivery models are approaches used to deliver services in
accordance with the specific circumstances and expectations of the
people being served.
2019 AIN Self-Evaluation tool RN students Page 27 of 29
Q3. Can you demonstrate Knowledge of roles and responsibilities of
different people and the communication between them:
carers and family
person being supported
health professionals
individual workers
supervisors
□
Carers and families are responsible for assisting patients with personal
care as well as reporting on their progress and noticeable changes.
Communication between families and caregivers should be effective so
as to create mutual trust. The person being supported is responsible for
honouring the terms and conditions of receiving the support. Health
professionals are responsible for offering patient centred care and
advising on the correct diagnosis. Individual workers are responsible
for taking care of their own health and safety to avoid harm.
Supervisors are responsible for setting goals, ensuring smooth work
flow and monitoring employee productivity (Australian Government).
The communication between these people should be effective so as to
ensure that each and every person fulfils their duties without
difficulties.
Q4. Can you demonstrate Knowledge of service delivery models in the
relevant sector □
Service delivery models are approaches used to deliver services in
accordance with the specific circumstances and expectations of the
people being served.
2019 AIN Self-Evaluation tool RN students Page 27 of 29

RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
Q5.Can you demonstrate Knowledge of legal and ethical requirements
and how these are applied in an organisation and individual practice,
including:
privacy, confidentiality and disclosure
duty of care
dignity of risk
human rights
discrimination
mandatory reporting
work role boundaries – responsibilities and limitations □
Individuals and organizations are entitled to keeping secret their
personal information. They should also keep confident information that
has been entrusted to them by other people or organizations.
Individuals and organizations also have obligations to avoid acts that
can injure other people thus the duty of care. It is also important to
note that individuals and organizations can take risks which are
essential for their dignity and self esteem. Individuals and
organizations should also adhere to the basic human rights and
freedom and also avoid discrimination regardless of age, gender, sex,
race, ethnicity, religion or any other status (Crevacore, Duffield, &
Twigg, 2018). Individuals and organizations should also ensure
mandatory reporting of suspected cases of abuse to the relevant
authorities. Also, individuals and organizations have the responsibility
to keep work boundaries so as not to disenfranchise others.
Q6. Can you demonstrate Knowledge of factors that affect people
requiring support
□ The factors that affect people requiring support include cost,
accessibility and availability of the support.
Q7. Can you demonstrate Knowledge of practices that support skill
maintenance and development □
The practises that support skill maintenance and development include
using recognized assessment and planning tools to assess a person’s
skills.
2019 AIN Self-Evaluation tool RN students Page 28 of 29
Q5.Can you demonstrate Knowledge of legal and ethical requirements
and how these are applied in an organisation and individual practice,
including:
privacy, confidentiality and disclosure
duty of care
dignity of risk
human rights
discrimination
mandatory reporting
work role boundaries – responsibilities and limitations □
Individuals and organizations are entitled to keeping secret their
personal information. They should also keep confident information that
has been entrusted to them by other people or organizations.
Individuals and organizations also have obligations to avoid acts that
can injure other people thus the duty of care. It is also important to
note that individuals and organizations can take risks which are
essential for their dignity and self esteem. Individuals and
organizations should also adhere to the basic human rights and
freedom and also avoid discrimination regardless of age, gender, sex,
race, ethnicity, religion or any other status (Crevacore, Duffield, &
Twigg, 2018). Individuals and organizations should also ensure
mandatory reporting of suspected cases of abuse to the relevant
authorities. Also, individuals and organizations have the responsibility
to keep work boundaries so as not to disenfranchise others.
Q6. Can you demonstrate Knowledge of factors that affect people
requiring support
□ The factors that affect people requiring support include cost,
accessibility and availability of the support.
Q7. Can you demonstrate Knowledge of practices that support skill
maintenance and development □
The practises that support skill maintenance and development include
using recognized assessment and planning tools to assess a person’s
skills.
2019 AIN Self-Evaluation tool RN students Page 28 of 29
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RPL HLT33115 Certificate III Health Services Assistance – Assisting in nursing work in acute care
Q8. Can you demonstrate Knowledge of indicators of unmet needs and
ways of responding □
Indicators of unmet needs include behaviour, language barrier, dislike
of doctors and responsibilities. To respond to unmet needs, services
should be made available, accessible and cost friendly.
Q9. Can you demonstrate Knowledge of risk management
considerations and ways to respond to identified risks
□
Risk management considerations include if a hazard has been
identified, if a change may introduce a hazard, if the change has been
implemented before as well as risk concerns raised by the employees.
To respond to identified risks, one should assess the risk, control the
risk and finally implement the additional risk controls.
Q10. Can you demonstrate that you have used individualised plans as
the basis for the support of 3 individuals □
I have used individualised plans to care for an aged person, a disabled
person as well as a community organization.
Student comments
References
Australian Government. Department of Education, Employment and Workplace Practises. training.go.au
Crevacore, C. A., Duffield, C. M., & Twigg, D. E. (2018). Undergraduate registered nursing students working as assistants in nursing within the acute care
environment: Program development and discussion. Collegian.
2019 AIN Self-Evaluation tool RN students Page 29 of 29
Q8. Can you demonstrate Knowledge of indicators of unmet needs and
ways of responding □
Indicators of unmet needs include behaviour, language barrier, dislike
of doctors and responsibilities. To respond to unmet needs, services
should be made available, accessible and cost friendly.
Q9. Can you demonstrate Knowledge of risk management
considerations and ways to respond to identified risks
□
Risk management considerations include if a hazard has been
identified, if a change may introduce a hazard, if the change has been
implemented before as well as risk concerns raised by the employees.
To respond to identified risks, one should assess the risk, control the
risk and finally implement the additional risk controls.
Q10. Can you demonstrate that you have used individualised plans as
the basis for the support of 3 individuals □
I have used individualised plans to care for an aged person, a disabled
person as well as a community organization.
Student comments
References
Australian Government. Department of Education, Employment and Workplace Practises. training.go.au
Crevacore, C. A., Duffield, C. M., & Twigg, D. E. (2018). Undergraduate registered nursing students working as assistants in nursing within the acute care
environment: Program development and discussion. Collegian.
2019 AIN Self-Evaluation tool RN students Page 29 of 29
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