component 1: scope of practice - queensland health · 2017. 12. 6. · component 1: scope of...

The Allied Health Assistant (AHA) Framework Self-audit Tool is designed to beused by allied health teams to enhance the role and work practices of AHAs withinservices. The self-audit tool comprises a series of questionnaires that map the eightcomponents of the AHA Framework against the current status of AHA servicedelivery in a particular work unit, team, service or Hospital and Health Service(HHS). It is recommended for use in line with the particular HHS's nominatedPerformance Development Plan (PDP) process. Applying the self-audit tool should be considered a collaborative, team-basedactivity with contributions generally required from AHAs, supervising allied healthprofessionals (AHPs) and operational and/or clinical line managers.

All responses are confidential

Introduction

AHA Framework Self-audit Tool


1. What is the name and location of your work unit?

2. What is your role within this work unit?

Allied health assistant

Allied health professional

Operational and/or professional manager

Allied health assistants


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Component 1: Scope of practice

Agree Unsure Disagree Not applicable

I have a role description for my current position

The role description includes a statement aboutscope of practice

The scope of practice is reviewed regularly toensure it remains relevant to service needs

3. Please rate your level of agreement with the following statements:

Component 2: Education, skills and competencies

Allied Health Assistants


4. What qualification/s (if any) do you currently hold?

5. What study (if any) are you currently completing?


I am/have been provided with on-the-job training

The training provided covers the tasks required formy position

Skill assessments are undertaken for the clinicaltasks in which I have been trained

I have undertaken delegation training

Records are kept of the training activities I havecompleted




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Component 3: Role description


I am performing all the functions listed in my roledescription

I am not performing any clinical tasks notincluded within the scope of practice described inmy role description


Component 4: Clinical supervision guidelines Please refer to the following definitions when responding to the questions on this page: Direct clinical supervision occurs when the supervising AHP:- works alongside the AHA- observes and directs the AHA's activities- provides immediate guidance, feedback and intervention as required.

Indirect clinical supervision occurs when the supervising AHP:- works on-site and is easily accessible but not in direct view of the AHA while the activity isbeing performed – the AHA must rely on clear communication from the supervising AHP- is readily available within the same physical area or easily contactable (i.e. by phone or pager)should the need for consultation arise- designates an alternative contact person (should the need arise) if they will be unavailable Remote clinical supervision occurs when the supervising AHP:- is located some distance from the AHA- is contactable and accessible to provide direction, support and guidance as required e.g.telephone or video conferencing.




I have a primary clinical supervisor

I have a formal (written) supervision plan in place

My primary clinical supervisor has provided mewith a clear statement of duties


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9. Please indicate how your supervision is provided? You may select more than one response.

Direct supervision

Indirect supervision

Remote supervision

10. If remote supervision is required for your position (e.g. you do home visits) how is this managed?

Component 5: Delegation guidelines




AHPs document the tasks they delegate to me

I update the medical record after completing thedelegated task or activity

I have received training in 'when to stop' delegatedtasks and/or when to escalate concerns to mysupervisor.


Component 6: Evaluation and sustainability



12. Did you participate in an induction program when you commenced your role?

Yes

No

Unsure

Not applicable


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Component 8: Professional development



I am able to attend professional developmentactivities

I am able to participate in workplace-basedlearning activities such as in-services

I have a performance and development (PDP) orequivalent plan in place

A record is kept of the professional developmentactivities I have attended



Allied Health Professionals



There is a scope of practice statement included inrole descriptions for AHA positions



15. What systems or processes are in place to ensure the AHA works within the specified scope ofpractice?




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All OO4 (or higher) AHA positions require amandatory qualification e.g. minimum Cert IV inAllied Health Assistance or equivalent levelqualification

AHAs are/have been provided with on-the-jobtraining

The training provided covers the tasks detailed inthe role description

The AHA's competence in performing clinicaltasks is regularly assessed and documented

I have undertaken delegation training

Records are kept of the training activities the AHAhas completed






There are generic role descriptions available forOO3 and OO4 AHA positions

The AHA role description clearly documents:scope of practice; accountabilities andresponsibilities; details for professionalsupervision; details of line management and anadequate balance of clinical, administrative andoperational functions.

AHAs are performing all the functions listed in therole description

AHAs are not performing clinical tasks that areinconsistent with the scope of practice in the roledescription


Component 4: Clinical supervision guidelines



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Please refer to the following definitions when responding to the questions on this page: Direct clinical supervision occurs when the supervising AHP:- works alongside the AHA- observes and directs the AHA's activities- provides immediate guidance, feedback and intervention as required.

Indirect clinical supervision occurs when the supervising AHP:- works on-site and is easily accessible but not in direct view of the AHA while the activity isbeing performed – the AHA must rely on clear communication from the supervising AHP- is readily available within the same physical area or easily contactable (i.e. by phone or pager)should the need for consultation arise- designates an alternative contact person (should the need arise) if they will be unavailable

Remote clinical supervision occurs when the supervising AHP:- is located some distance from the AHA- is contactable and accessible to provide direction, support and guidance as required e.g.telephone or video conferencing.


All AHAs have a primary clinical supervisor

All AHAs have a formal (written) supervision planin place

All AHAs have been provided with a clearstatement of duties

The frequency of supervision I provide to AHAs isdetermined by: the nature of the delegated task;complexity of caseload, my supervisoryexperience; developmental level of the AHA andpractice setting

I have undertaken training in providing clinicalsupervision to AHAs

Clinical supervision is delivered appropriate to thepractice setting i.e. direct, indirect and/or remote


19. How do you provide remote supervision (if appropriate)?



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I consider three risk areas at the point ofdelegation i.e. patient complexity and stability;task setting and context; and AHA competence inthat task

I follow the principles of effective delegation

I document all tasks delegated to AHAs

AHAs update the patient's medical record aftercompleting the delegated task or activity

All AHAs have received training in 'when to stop'delegated tasks and/or escalate concerns to theirsupervisor






Audits of delegation practices; clinical taskinstructions (or equivalent) and supervision andtraining requirements are regularly performed

I help develop performance development (PDP)or equivalent plans for new and existing AHA staff

AHAs participate in an induction program whencommencing a new role

There is a formal process in place for monitoringand evaluating AHA roles


Component 7: Integrating AHAs into allied health teams



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This work unit has protocols and guidelines inplace to govern clinical-decision making for AHAs

AHAs follow the duties outlined in the QueenslandHealth Operational Services Manual

There are AHA roles (within this work unit) thathave responsibility for providing support,guidance, direction and or operationalmanagement to other AHA staff or trainees.






AHAs participate in workplace-based learningactivities such as in-services

AHAs use their PDP to plan PD activities

Records are kept of PD activities completed byAHAs



Allied Health Managers [Team Leader, Clinical Lead, Director of Allied Health or equivalent]



There is a scope of practice statement included inrole descriptions for AHA positions



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25. What systems or processes are in place to ensure that all AHAs work within their specified scope ofpractice?


Allied Health Managers[Team Leader, Clinical Lead, Director of Allied Health or equivalent]



All OO4 (or higher) AHA positions require amandatory qualification e.g. minimum Cert IV inAllied Health Assistance or equivalent levelqualification

AHAs are encouraged to undertake further study

Qualifications attained outside Australia areassessed for equivalency

AHAs are/have been provided with on-the-jobtraining

The training provided covers the tasks detailed inthe role description

The AHA's competence in performing clinicaltasks is regularly assessed and documented

Team members are available who can deliver orcoordinate delegation training

Trained Calderdale Framework Facilitators areavailable within the HHS

All AHPs and AHAs have undertaken training indelegation practices where relevant

Records are kept of the training activities the AHAhas completed





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There are generic role descriptions available forOO3 and OO4 AHA positions

The AHA role description clearly documents:scope of practice; accountabilities andresponsibilities; details for professionalsupervision; details of line management and anadequate balance of clinical, administrative andoperational functions.

AHAs are performing all the functions listed in therole description

AHAs are not performing clinical tasks that areinconsistent with the scope of practice in the roledescription


Component 4: Clinical supervision guidelines

Please refer to the following definitions when responding to the question on this page:

Direct clinical supervision occurs when the supervising AHP:- works alongside the AHA- observes and directs the AHA's activities- provides immediate guidance, feedback and intervention as required.

Indirect clinical supervision occurs when the supervising AHP:- works on-site and is easily accessible but not in direct view of the AHA while the activity isbeing performed – the AHA must rely on clear communication from the supervising AHP- is readily available within the same physical area or easily contactable (i.e. by phone or pager)should the need for consultation arise- designates an alternative contact person (should the need arise) if they will be unavailable

Remote clinical supervision occurs when the supervising AHP:- is located some distance from the AHA- is contactable and accessible to provide direction, support and guidance as required e.g.telephone or video conferencing.



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All AHAs have a primary clinical supervisor

All AHAs have a formal (written) supervision planin place

All AHAs have been provided with a clearstatement of duties

The frequency of supervision provided to AHAs isdetermined by: the nature of the delegated task;complexity of caseload, supervisory experience(AHP); developmental level (AHA) and practicesetting

Where relevant, all AHPs have undertakentraining in providing clinical supervision to AHAs

Clinical supervision is delivered appropriate to thepractice setting i.e. direct, indirect and/or remote






All AHAs have received training in 'when to stop'delegated tasks and/or escalate concerns to theirsupervisor

29. Please rate your level of agreement with the following statement:




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Audits of delegation practices; clinical taskinstructions (or equivalent) and supervision andtraining requirements are regularly performed

Operational and/or clinical managers helpdevelop performance development (PDP) orequivalent plans for new and existing AHA staff

AHAs participate in an induction program whencommencing a new role

There is a formal process in place for monitoringand evaluating AHA roles


Component 7: Integrating AHAs into allied health teams




This work unit has protocols and guidelines inplace to govern clinical-decision making for AHAs

AHAs follow the duties outlined in the QueenslandHealth Operational Services Manual

There are AHA roles (within this work unit) thathave responsibility for providing support,guidance, direction and or operationalmanagement to other AHA staff or trainees.





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AHAs participate in workplace-based learningactivities such as in-services

AHAs use their PDP to plan PD activities

Records are kept of PD activities completed byAHAs


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component 1: scope of practice - queensland health · 2017. 12. 6. · component 1: scope of...

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