CHCCS411A Work effectively in the community sector

Learning objectives/elements 1.Work ethically 2.Communicate effectively in a community work or service delivery setting. 3.Work effectively within the community services 4.Demonstrate commitment to relevant values and philosophy underpinning work in the sector 5.Maintain professional standards 6.Take responsibility for personal skill development 7.Reflect on own practice

Element1: Work ethically Follow ethical guidelines Duty of care and legal responsibilities in all work undertaken Maintaining confidentiality Respect rights and responsibilities of others Reflect current working knowledge Conflict of interest

Role of the Aged Care Worker Provision of holistic care Assisting with personal care, hygiene, eating and drinking, mobility and toileting Supporting social and recreational needs Providing palliative care Offering information to services available to assist ‘ageing in place’ Coordinating services in low care, or home care services

Working ethically The role and boundaries of the aged care worker are defined by: Ethics Laws Professional standards Codes of conduct Organisational polices & procedures Rights & responsibilities

Work ethically Moral principles, rules of conduct and standards judged to be right or wrong. Values and morals influence an individuals perception of ethics i.e. Religion/ freedom/ human rights/gender/families and parenting/education

Consider the following.... An elderly resident says they are in great pain and ask you to give them some medication. You are an unqualified staff member. There is no one else about and you have watched the qualified staff give it out. You know what to do. You area student on a placement. A staff member has called in sick at short notice. There is no one available and you are asked to take charge of the group. You feel quite competent as you only have 2 weeks until your course of study is finished. You know this is against your course policy What are the ethical dilemmas here?

Responsibilities Current & competent Comply with duty of care Safety Comply with the policies and procedure Participate in performance appraisal Attend mandatory training Work within your level of training – scope of practice

undertake basic nursing skills Scope of an AIN undertake basic nursing skills hygiene/ PAC/toileting/feeding/assisting with mobility; Observations – BP, T,P,R, BSL, U/A, neuro obs, basic dressings, catheter care Documentation- progress notes/ care plans and Tx updates. STUDENTS ARE NOT PERMITTED TO ADMINISTER OR ASSIST WITH THE MEDICATION ROUND ON CLINICAL PLACEMENT STUDENTS ARE TO WORK SUPERVISED AT ALL TIMES WITH AN EDUCATOR OR NURSING STAFF MEMBER

Legal responsibilities Organisations have a legal & ethical responsibility to provide services according to regulations.

Policy and Procedure Procedures Policies reflect the policies of the facility theory of how to do it Policies are formal statements that guide the decisions of staff theory of what to do

Set of rules that guide individuals behaviour Punctuality Honesty Doing your best Being accountable Recognising limits Attire, presentation and manner Confidentiality Code of conduct

Rights of workers Safe work environment Free from harassment and discrimination Work conditions and wages in accordance with IR laws EEO

Duty of Care The obligation a person has to act in a way that would not cause harm. Duty of risk refers to allowing a person to make informed choices and take risks. A community worker abides by duty of care when they deliver safe care coupled with dignity of risk.

Advocacy The act of speaking up for oneself, another person or a group of people Listen Identify Determine Clarify Discuss Provide Refer

Client confidentiality Privacy refers to a persons ability to control access of others to themselves, space, possessions and including information about themselves. Confidentiality is about data and information not people, refers to managing access to private information Privacy & confidentiality laws are governed at a State/ Territory level as well as national such as the Commonwealth 1988 Privacy Act.

Confidentiality includes how information is: Collected Stored and for how long Destroyed when no longer needed Accessed and released to other parties Di Seddon

Confidentiality refers to both written & verbal information: Written data includes: Case notes Medical information Contact details of clients Incident reports Meeting minutes Letters, emails & faxes re client Individual plans, goals or client reviews Application for funding, packages or programs Referrals Verbal information includes: Telephone calls Meetings Consultations Case conferences Informal discussions

Can you think of any examples of a breach in confidentiality? Privacy & confidentiality in practice Critical to the work environment How would you feel about someone having access to information about your health/ medical status; sexuality/ incidents/ drug & alcohol use/ infectious diseases; financial situation/ IQ? The way a worker manages confidential information has a massive impact on a persons- dignity/ rights & choices/ opportunity & access; self concept, self esteem & well being. Can you think of any examples of a breach in confidentiality?

Impact of Breaches Breaches in confidentiality, duty of care, ethics and organisational procedures may: Put client at risk Interfere with or compromise pt. Rights Undermine a clients dignity Disempowering a person from making choices Discredit the organisation Contravene funding agreements and jeopardise the organisation.

Reporting a breach Follow the policy & procedure of the organisation in regards to managing a breach. You may need to intervene in a situation, report to supervisor or mandatory reporting body or complete an incident form.

Recognising and avoiding a conflict of interest A conflict in interest occurs when a worker has a personal interest in an outcome or situation at work (arising from their work) beyond their professional role. Can you think of any examples?