1. CHCCS411A Work effectively in the community sector

2. 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

3. 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

4. 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

5. 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

6. 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

8. 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?

9. 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

10. 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

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

12. 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

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

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

15. 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.

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

17. 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.

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

19. Confidentiality refers to both written & verbal information:
Written data includes:
Case notes
Medical information
Contact details of clients
Incident reports
Meeting minutes
Letters, s & 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

20. 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?

21. 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.

22. 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.

23. 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?