HEALTH CARE SERVICES NC II

HEALTH, SOCIAL, AND OTHER COMMUNITY

DEVELOPMENT SERVICES SECTOR

Technical Education and Skills Development Authority

East Service Road, South Superhighway, Taguig, Metro Manila

TR Institutional Health Care (Health Care Services) NC II -1-

Technical Education and Skills Development Act of 1994
(Republic Act No. 7796)

Section 22, “Establishment and Administration of the National

Trade Skills Standards” of the RA 7796 known as the TESDA Act
mandates TESDA to establish national occupational skill
standards. The Authority shall develop and implement a
certification and accreditation program in which private industry
group and trade associations are accredited to conduct approved
trade tests, and the local government units to promote such trade
testing activities in their respective areas in accordance with the
guidelines to be set by the Authority.
The Training Regulations (TR) serve as basis for the:

1. Competency assessment and certification;

2. Registration and delivery of training programs; and
3. Development of curriculum and assessment instruments.

Each training regulations has four sections:

Section 1 Definition of Qualification - refers to the group of

competencies that describes the different
functions of the qualification.

Section 2 Competency Standards - gives the

specifications of competencies required for
effective work performance.

Section 3 Training Standards - contains information and

requirements in designing training program for certain
Qualification. It includes curriculum design, training
delivery; trainee entry requirements; tools and
requirements; tools and equipment; training facilities
and trainer’s qualification.

Section 4 National Assessment and Certification Arrangement -

describes the policies governing assessment and
certification procedure
 TABLE OF CONTENTS
HEALTH, SOCIAL, AND OTHER COMMUNITY
DEVELOPMENT SERVICES SECTOR
HEALTH CARE SERVICES NC II

Page No.

SECTION 1 HEALTH CARE SERVICES NC II 1

SECTION 2 COMPETENCY STANDARD

 Basic Competencies 2-13
 Common Competencies 14-29
 Core Competencies 30-50

SECTION 3 TRAINING STANDARDS

3.1 Curriculum Design
 Basic Competencies 51
 Common Competencies 52
 Core Competencies 53
3.2 Training Delivery 54
3.3 Trainee Entry Requirements 55
3.4 List of Tools, Equipment and Materials 55
3.5 Training Facilities 56
3.6 Trainers' Qualifications 56

SECTION 4 NATIONAL ASSESSMENT AND

CERTIFICATION ARRANGEMENTS 57

COMPETENCY MAP 58

DEFINITION OF TERMS 59

ACKNOWLEDGEMENTS
 TRAINING REGULATIONS FOR
HEALTH CARE SERVICES NC II

SECTION 1 HEALTH CARE SERVICES NC II QUALIFICATION

The HEALTH CARE SERVICES NC II Qualification consists of competencies that a

person must achieve to prepare and maintain beds, collect and maintain linen
stocks at end-user locations, assist with patient mobility, assist in transporting patients,
assist with bio-psychosocial support care of patients and handle waste in a health care
environment.

The Units of Competency comprising this Qualification include the following:

UNIT CODE BASIC COMPETENCIES

500311105 Participate in workplace
communication 500311106 Work in a team
environment 500311107 Practice career
professionalism
500311108 Practice occupational health and safety procedures

UNIT CODE COMMON COMPETENCIES

HCS323201 Implement and monitor infection control policies and
procedures HCS323202 Respond effectively to difficult/challenging
behavior HCS323203 Apply basic first aid
HCS323204 Maintain high standard of patient services

UNIT CODE CORE COMPETENCIES

HCS323314 Prepare and maintain beds
HCS323315 Collect and maintain linen stocks at end-users
location HCS323316 Assist in patient mobility
HCS323317 Assist in transporting patients
HCS323318 Assist in bio-psychosocial support care of
patients HCS323319 Handle waste in a health care
environment

A person who has achieved this Qualification is competent to be:

 Nursing Attendant
 Nursing Aide
 Hospital Assistant
 Health Aide

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SECTION 2 COMPETENCY STANDARDS

This section gives the details of the contents of the basic, common and core
units of competency required in HEALTH CARE SERVICES NC II.

BASIC COMPETENCIES

UNIT OF COMPETENCY : PARTICIPATE IN WORKPLACE COMMUNICATION

UNIT CODE : 500311105
UNIT DESCRIPTOR : This unit covers the knowledge, skills and attitudes
required to
gather, interpret and convey information in response
to workplace requirements.

PERFORMANCE CRITERIA
ELEMENT Italicized terms are elaborated in the Range of
Variables
1. Obtain and 1.1 Specific and relevant information is accessed from
convey workplace appropriate sources
information 1.2 Effective questioning , active listening and speaking
skills are used to gather and convey information
1.3 Appropriate medium is used to transfer information and
ideas
1.4 Appropriate non- verbal communication is used
1.5 Appropriate lines of communication with
supervisors and colleagues are identified and
followed
1.6 Defined workplace procedures for the location and
storage of information are used
1.7 Personal interaction is carried out clearly and concisely
2. Participate in 2.1 Team meetings are attended on time
workplace 2.2 Own opinions are clearly expressed and those of
meetings and others are listened to without interruption
discussions 2.3 Meeting inputs are consistent with the meeting
purpose and established protocols
2.4 Workplace interactions are conducted in a
courteous manner
2.5 Questions about simple routine workplace
procedures and matters concerning working
conditions of employment are asked and responded
to
2.6 Meetings outcomes are interpreted and implemented
3. Complete 3.1 Range of forms relating to conditions of
relevant work employment are completed accurately and legibly
related 3.2 Workplace data is recorded on standard workplace
documents forms and documents
3.3 Basic mathematical processes are used for
routine calculations
3.4 Errors in recording information on forms/
documents are identified and properly acted upon
3.5 Reporting requirements to supervisor are
completed according to organizational
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 guidelines

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RANGE OF VARIABLES

VARIABLE RANGE
1. Appropriate 1.1 Team members
sources
1.2 Suppliers
1.3 Trade personnel
1.4 Local government
1.5 Industry bodies
2. Medium 2.1 Memorandum
2.2 Circular
2.3 Notice
2.4 Information discussion
2.5 Follow-up or verbal instructions
2.6 Face to face communication
3. Storage 3.1 Manual filing system
3.2 Computer-based filing system
4. Forms 4.1 Personnel forms, telephone message forms, safety
reports
5. Workplace 5.1 Face to face situation
interactions
5.2 Telephone
5.3 Electronic and two way radio communication
5.4 Written including electronic ware memos,
instruction and forms, non-verbal including
gestures, signals, signs and diagrams
6. Protocols 6.1 Observing meeting
6.2 Compliance with meeting decisions
6.3 Obeying meeting instructions

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EVIDENCE GUIDE

1. Critical aspects of Assessment requires evidence that the candidate:

competency 1.1 Prepared written communication following standard
format of the organization
1.2 Accessed information using communication equipment
1.3 Made use of relevant terms as an aid to transfer
information effectively
1.4 Conveyed information effectively adopting the
formal or informal communication
2. Underpinning 2.1 Effective communication
knowledge 2.2 Different modes of communication
2.3 Written communication
2.4 Organizational policies
2.5 Communication procedures and systems
2.6 Technology relevant to the enterprise and the
individual’s work responsibilities
3. Underpinning skills 3.1 Follow simple spoken language
3.2 Perform routine workplace duties following simple
written notices
3.3 Participate in workplace meetings and discussions
3.4 Complete work related documents
3.5 Estimate, calculate and record routine workplace
measures
3.6 Basic mathematical processes of addition,
subtraction, division and multiplication
3.7 Ability to relate to people of social range in the
workplace
3.8 Gather and provide information in response to
workplace requirements
4. Resource The following resources MUST be provided:
implications 4.1 Fax machine
4.2 Telephone
4.3 Writing materials
4.4 Internet
5. Method of Competency may be assessed through:
assessment 5.1 Direct Observation
5.2 Oral interview and written test
6. Context of 6.1 Competency may be assessed individually in the
assessment actual workplace or through accredited
institution

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UNIT OF COMPETENCY : WORK IN TEAM ENVIRONMENT
UNIT CODE : 500311106
UNIT DESCRIPTOR : This unit covers the skills, knowledge and attitudes to
identify role
and responsibility as a member of a team.

PERFORMANCE CRITERIA
ELEMENT Italicized terms are elaborated in the Range of
Variables
1. Describe team 1.1 The role and objective of the team is identified
role and scope from available sources of information
1.2 Team parameters, reporting relationships and
responsibilities are identified from team discussions
and appropriate external sources
2. Identify own role 2.1 Individual role and responsibilities within the
and responsibility team environment are identified
within team
2.2 Roles and responsibility of other team members are
identified and recognized
2.3 Reporting relationships within team and external to
team are identified
3. Work as a team 3.1 Effective and appropriate forms of communications
member used and interactions undertaken with team members
who contribute to known team activities and objectives
3.2 Effective and appropriate contributions made to
complement team activities and objectives, based on
individual skills and competencies and workplace
context
3.3 Observed protocols in reporting using standard
operating procedures
3.4 Contribute to the development of team work plans
based on an understanding of team’s role and
objectives and individual competencies of the
members.

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RANGE OF VARIABLES

VARIABLE RANGE
1. Role and objective 1.1 Work activities in a team environment with
of team enterprise or specific sector
1.2 Limited discretion, initiative and judgement
maybe demonstrated on the job, either
individually or in a team environment
2. Sources of 2.1 Standard operating and/or other workplace procedures
information
2.2 Job procedures
2.3 Machine/equipment manufacturer’s
specifications and instructions
2.4 Organizational or external personnel
2.5 Client/supplier instructions
2.6 Quality standards
2.7 Occupational Health and Safety (OHS) and
environmental standards
3. Workplace context 3.1 Work procedures and practices
3.2 Conditions of work environments
3.3 Legislation and industrial agreements
3.4 Standard work practice including the storage, safe
handling and disposal of chemicals
3.5 Safety, environmental, housekeeping and quality
guidelines

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EVIDENCE GUIDE

1. Critical aspects of Assessment requires evidence that the candidate:

competency
1.1 Operated in a team to complete workplace activity
1.2 Worked effectively with others
1.3 Conveyed information in written or oral form
1.4 Selected and used appropriate workplace language
1.5 Followed designated work plan for the job
1.6 Reported outcomes
2. Underpinning 2.1 Communication process
knowledge
2.2 Team structure
2.3 Team roles
2.4 Group planning and decision making
3. Underpinning skills 3.1 Communicate appropriately, consistent with the
culture of the workplace
4. Resource The following resources MUST be provided:
implications
4.1 Access to relevant workplace or appropriately
simulated environment where assessment can
take place
4.2 Materials relevant to the proposed activity or tasks
5. Method of Competency may be assessed through:
assessment
5.1 Observation of the individual member in relation to
the work activities of the group
5.2 Observation of simulation and or role play
involving the participation of individual member
to the attainment of organizational goal
5.3 Case studies and scenarios as a basis for
discussion of issues and strategies in teamwork
6. Context of 6.1 Competency may be assessed in workplace or in a
assessment simulated workplace setting
6.2 Assessment shall be observed while task are
being undertaken whether individually or in
group

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UNIT OF COMPETENCY : PRACTICE CAREER PROFESSIONALISM

UNIT CODE : 500311107

UNIT DESCRIPTOR : This unit covers the knowledge, skills and attitudes in
promoting career growth and advancement.

PERFORMANCE CRITERIA
ELEMENT Italicized terms are elaborated in the Range of
Variables
1. Integrate personal 1.1 Personal growth and work plans are pursued
objectives with towards improving the qualifications set for the
organizational goals profession
1.2 Intra and interpersonal relationships are
maintained in the course of managing oneself
based on performance evaluation
1.3 Commitment to the organization and its goal is
demonstrated
in the performance of duties
2. Set and meet work 2.1 Competing demands are prioritized to achieve
priorities personal, team and organizational goals and
objectives.
2.2 Resources are utilized efficiently and effectively to
manage work priorities and commitments
2.3 Practices along economic use and maintenance of
equipment
and facilities are followed as per established
procedures
3. Maintain 3.1 Trainings and career opportunities are identified
professional growth and availed of based on job requirements
and development 3.2 Recognitions are sought/received and
demonstrated as proof of career advancement
3.3 Licenses and/or certifications relevant to job and career
are
obtained and renewed

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RANGE OF VARIABLES

VARIABLE RANGE
1. Evaluation 1.1 Performance Appraisal
1.2 Psychological Profile
1.3 Aptitude Tests
2. Resources 2.1 Human
2.2 Financial
2.3 Technology
2.3.1 Hardware
2.3.2 Software
3. Trainings and career 3.1 Participation in training programs
opportunities 3.1.1 Technical
3.1.2 Supervisory
3.1.3 Managerial
3.1.4 Continuing Education
3.2 Serving as Resource Persons in conferences and
workshops
4. Recognitions 4.1 Recommendations
4.2 Citations
4.3 Certificate of Appreciations
4.4 Commendations
4.5 Awards
4.6 Tangible and Intangible Rewards
5. Licenses and/or 5.1 National Certificates
certifications 5.2 Certificate of Competency
5.3 Support Level Licenses
5.4 Professional Licenses

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EVIDENCE GUIDE

1. Critical aspects of Assessment requires evidence that the candidate:

competency 1.1 Attained job targets within key result areas (KRAs)
1.2 Maintained intra - and interpersonal relationship in the
course of managing oneself based on performance
evaluation
1.3 Completed training and career opportunities which are
based on the requirements of the industries
1.4 Acquired and maintained licenses and/or certifications
according to the requirement of the qualification
2. Underpinning 2.1 Work values and ethics (Code of Conduct, Code of
knowledge Ethics, etc.)
2.2 Company policies
2.3 Company operations, procedures and standards
2.4 Fundamental rights at work including gender sensitivity
2.5 Personal hygiene practices
3. Underpinning skills 3.1 Appropriate practice of personal hygiene
3.2 Intra and Interpersonal skills
3.3 Communication skills
4. Resource The following resources MUST be provided:
implications 4.1 Workplace or assessment location
4.2 Case studies/scenarios
5. Method of Competency may be assessed through:
assessment 5.1 Portfolio Assessment
5.2 Interview
5.3 Simulation/Role-plays
5.4 Observation
5.5 Third Party Reports
5.6 Exams and Tests
6. Context of 6.1 Competency may be assessed in the work place
assessment or in a simulated work place setting

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UNIT OF COMPETENCY : PRACTICE OCCUPATIONAL HEALTH AND SAFETY
PROCEDURES

UNIT CODE : 500311108

UNIT DESCRIPTOR :
This unit covers the outcomes required to comply with
regulatory
and organizational requirements for occupational health and safety.

PERFORMANCE CRITERIA
ELEMENT Italicized terms are elaborated in the Range of
Variables
1. Identify hazards and 1.1 Safety regulations and workplace safety and hazard
risks control practices and procedures are clarified and
explained based on organization procedures
1.2 Hazards/risks in the workplace and their
corresponding indicators are identified to minimize
or eliminate risk to co- workers, workplace and
environment in accordance with organization
procedures
1.3 Contingency measures during workplace accidents, fire
and
other emergencies are recognized and
established in accordance with organization
procedures
2. Evaluate hazards 2.1 Terms of maximum tolerable limits which when
and risks exceeded will result in harm or damage are identified
based on threshold limit values (TLV)
2.2 Effects of the hazards are determined
2.3 OHS issues and/or concerns and identified safety
hazards are reported to designated personnel in
accordance with
workplace requirements and relevant workplace
OHS legislation
3. Control hazards and 3.1 Occupational Health and Safety (OHS)
risks procedures for controlling hazards/risks in
workplace are consistently followed
3.2 Procedures for dealing with workplace accidents,
fire and emergencies are followed in accordance
with organization OHS policies
3.3 Personal protective equipment (PPE) is correctly used in
accordance with organization OHS procedures and
practices
3.4 Appropriate assistance is provided in the event of a
workplace emergency in accordance with established
organization protocol
4. Maintain OHS 4.1 Emergency-related drills and trainings are participated
awareness in as per established organization guidelines and
procedures

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 4.2 OHS personal records are completed and
updated in accordance with workplace
requirements

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RANGE OF VARIABLES

VARIABLE RANGE
1. Safety regulations May include but are not limited to:
1.1 Clean Air Act
1.2 Building code
1.3 National Electrical and Fire Safety Codes
1.4 Waste management statutes and rules
1.5 Philippine Occupational Safety and Health Standards
1.6 DOLE regulations on safety legal requirements
1.7 ECC regulations
2. Hazards/Risks May include but are not limited to:
2.1 Physical hazards – impact, illumination, pressure,
noise, vibration, temperature, radiation
2.2 Biological hazards- bacteria, viruses, plants,
parasites, mites, molds, fungi, insects
2.3 Chemical hazards – dusts, fibers, mists, fumes,
smoke, gasses, vapors
2.4 Ergonomics
 Psychological factors – over exertion/ excessive
force, awkward/static positions, fatigue, direct
pressure, varying metabolic cycles
 Physiological factors – monotony, personal
relationship, work out cycle
3. Contingency May include but are not limited to:
measures 3.1 Evacuation
3.2 Isolation
3.3 Decontamination
3.4 (Calling designed) emergency personnel
4. Personal Protective May include but are not limited to:
Equipment (PPE) 4.1 Mask
4.2 Gloves
4.3 Goggles
4.4 Hair Net/cap/bonnet
4.5 Face mask/shield
4.6 Ear muffs
4.7 Apron/Gown/coverall/jump suit
4.8 Anti-static suits
5. Emergency- 5.1 Fire drill
related drills and 5.2 Earthquake drill
training 5.3 Basic life support/CPR
5.4 First aid
5.5 Spillage control
5.6 Decontamination of chemical and toxic
5.7 Disaster preparedness/management
6. OHS personal 6.1 Medical/Health records
records 6.2 Incident reports
6.3 Accident reports
6.4 OHS-related training completed

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EVIDENCE GUIDE

1. Critical aspects of Assessment requires evidence that the candidate:

competency 1.1 Explained clearly established workplace safety and
hazard control practices and procedures
1.2 Identified hazards/risks in the workplace and its
corresponding indicators in accordance with company
procedures
1.3 Recognized contingency measures during
workplace accidents, fire and other
emergencies
1.4 Identified terms of maximum tolerable limits
based on threshold limit value (TLV)
1.5 Followed Occupational Health and Safety (OHS)
procedures for controlling hazards/risks in workplace
1.6 Used Personal Protective Equipment (PPE) in
accordance with company OHS procedures and
practices
1.7 Completed and updated OHS personal records in
accordance with workplace requirements
2. Underpinning 2.1 OHS procedures and practices and regulations
knowledge 2.2 PPE types and uses
2.3 Personal hygiene practices
2.4 Hazards/risks identification and control
2.5 Threshold limit value (TLV)
2.6 OHS indicators
2.7 Organization safety and health protocol
2.8 Safety consciousness
2.9 Health consciousness
3. Underpinning skills 3.1 Practice of personal hygiene
3.2 Hazards/risks identification and control skills
3.3 Interpersonal skills
3.4 Communication skills
4. Resource The following resources MUST be provided:
implications 4.1 Workplace or assessment location
4.2 OHS personal records
4.3 PPE
4.4 Health records
5. Method of Competency may be assessed through:
assessment 5.1 Portfolio Assessment
5.2 Interview
5.3 Case Study/Situation
6. Context of 6.1 Competency may be assessed in the work place
assessment or in a simulated work place setting

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 COMMON COMPETENCIES

UNIT OF COMPETENCY : IMPLEMENT AND MONITOR INFECTION CONTROL POLICIES

AND PROCEDURES
UNIT CODE : HCS323201
UNIT DESCRIPTOR : This unit is concerned with infection control
responsibilities of
employees with supervisory accountability to implement
and monitor infection control policy and procedures in a
specific work unit or team within an organization. This unit
does not apply to a role with organization-wide
responsibilities for infection control policy and procedure
development, implementation or monitoring.

PERFORMANCE CRITERIA
ELEMENT Italicized terms are elaborated in the Range of
Variables
1. Provide 1.1 Relevant information about the organization's infection
information to the control policy and procedures, and applicable industry
work group about codes of practice are accurately and clearly explained
the organization's to the work group
infection control
1.2 Information about identified hazards and the outcomes
policies and
of infection risk assessments is regularly provided to the
procedures.
work group
1.3 Opportunity is provided for the work group to seek
further information on workplace infection control
issues and
practices
2. Integrate the 2.1 Infection control policy and procedures are
organization's implemented by supervisor and members of the work
infection control group.
policy and 2.2 Liaison is maintained with person responsible for
procedure into organization- wide infection control.
work practices
2.3 The Supervisor's coaching support ensures that
individuals/teams are able to implement infection
control practices
2.4 Work procedures are adopted to reflect appropriate
infection control practice
2.5 Issues raised through consultation are dealt with and
resolved promptly or referred to the appropriate
personnel for resolution
2.6 Workplace procedures for dealing with infection
control risks and hazardous events are implemented
whenever necessary
2.7 Employees are encouraged to report infection risks
and to improve infection control procedures

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3. Monitor infection 3.1 Infection control hazardous events are investigated
control promptly to identify their cause in accordance with
performance and organization policy and procedures
implement 3.2 Work procedures to control infection risks are
improvements in monitored to ensure compliance
practices
3.3 Work procedures are regularly reviewed and
adjusted to ensure improvements in infection
control practice
PERFORMANCE CRITERIA
ELEMENT Italicized terms are elaborated in the Range of
Variables
3.4 Supervisor provides feedback to team and individuals
on compliance issues, changes in work procedures and
infection control outcomes
3.5 Training in work procedures is provided as required to
ensure maintenance of infection control standards
3.6 Inadequacies in work procedures and infection control
measures are identified, corrected or reported to
designated personnel
3.7 Records of infection control risks and incidents are
accurately maintained as required
3.8 Aggregate infection control information reports are
used to identify hazards, to monitor and improve risk
control Method and to indicate training needs

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RANGE OF VARIABLES

VARIABLE RANGE
1. Infection Control This may include but not limited to:
Policies and 1.1 Cleaning procedures and schedules
Procedures 1.2 Cleaning agents
1.3 Cleaning equipment
1.4 Handling, storage and disposal of all types of waste
1.5 Food handling and food safety
1.6 Hygiene procedures
1.7 Infection control risk management
1.8 Infection control incident and hazard reporting
1.9 Sterilizing
1.10 Linen production and handling
1.11 Maintenance procedures
1.12 Storage requirements
1.13 Personal protective clothing
1.14 Work flows
1.15 Management of blood and body fluid spills
1.16 Single use of disposable
1.17 Aseptic techniques
1.18 Skin preparation procedures
1.19 Immunization
1.20 Needle stick injuries
1.21 Personal contact with infectious patients
1.22 Standard and additional precautions
1.23 Confidentiality
1.24 Employee training
1.25 Contractors
2. Industry Codes of 2.1 National Health and Medical Research Council
Practice Guidelines for infection control
2.2 Local & National Government Guidelines and Standards
2.3 Manufacturer's recommendations and operating
manuals
3. Identified hazards 3.1 Sharps
and the outcomes 3.2 Glass
of infection risk 3.3 Waste
assessments 3.4 Human waste and human tissues
3.5 Personal contact with infectious patients
3.6 Animals, insects and vermin
3.7 Stock, including food, which has passed "used-by"
dates.
3.8 Incorrect concentration of disinfectants and chemicals
3.9 Cleaning procedures
3.10 Linen handling procedures
3.11 Work flows
3.12 Use of personal protective clothing
3.13 Food safety
3.14 Personal hygiene

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4. Infection Control 4.1 Observations
Monitoring 4.2 Interviews
Procedures 4.3 Surveys and inspections
4.4 Quality assurance activities
4.5 Review of outcomes
4.6 Data analysis
VARIABLE RANGE
5. Designated 5.1 Manager
personnel 5.2 Infection Control Coordinator
5.3 Quality Improvement Coordinator
5.4 Infection Control Committee
5.5 Occupational Health and Safety Committee
6. Aggregate infection 6.1 Records of needle stick injuries
control information 6.2 Hospital-acquired infection rates
6.3 DOH healthcare standards clinical indicators
6.4 HACCP records
6.5 Hazard reports

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EVIDENCE GUIDE

1. Critical aspects of Assessment requires evidence that the candidate

competency 1.1 Communicated with team and individuals on
organizational policy and procedures for infection
control
1.2 Applied infection control policies and procedures which
impact on work processes of the specific work unit
1.3 Applied procedures for adopting appropriate
infection practices within work unit
1.4 Provided appropriate supervision of work group
2. Underpinning 2.1 Working knowledge, consistent with the elements of
knowledge competence, of the organization's applicable infection
control policy and procedures and relevant industry
codes of practice
2.2 The hierarchy risk control measures from most
to least preferred, that is, elimination,
engineering controls, administrative control, and
lastly, personal protective equipment
2.3 Knowledge of infection risks and control measures in
specific work unit and related work processes
2.4 The significance of patient confidentiality in
relation to infection control
2.5 The significance of other management
systems and procedures for infection control
2.6 Literacy levels and communication skills of work group
members and consequent suitable communication
techniques
2.7 Organizational procedures for monitoring, training
2.8 Basic understanding of communicable disease
transmission
3. Underpinning skills 3.1 Effective communicating and interpersonal skills
including:
 language competence
 literacy and reading competence
3.2 Negotiating Skills
3.3 Work planning and management
3.4 Managing change of work processes
3.5 Monitoring compliance with policy and procedures
3.6 Maintaining and interpreting infection control records
4. Resource The following resources MUST be provided:
implications 4.1 Workplace infection control and health and safety
policies and procedures
4.2 Waste management procedures
4.3 Food safety procedures
4.4 Other organizational policies and procedures
4.5 Duties statements and/or job descriptions
5. Method of Competency may be assessed through:
assessment 5.1 Observation
5.2 Interview
5.3 Portfolio
5.4 Demonstration with questioning
6. Context of 6.1 Assessment may be done in the workplace or in a
assessment simulated workplace setting.
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UNIT OF COMPETENCY : RESPOND EFFECTIVELY TO DIFFICULT/ CHALLENGING
BEHAVIOR
UNIT CODE : HCS323202
UNIT DESCRIPTOR :
This unit of competency covers the knowledge, skills and
attitudes
to effectively respond to difficult or challenging behavior of patient.

PERFORMANCE CRITERIA
ELEMENT Italicized terms are elaborated in the Range of
Variables
1. Plan responses 1.1 Responses are planned to instances of difficult or
challenging behavior to maximize the availability
of other appropriate staff and resources
1.2 Specific manifestations of difficult or challenging
behavior are identified and strategies appropriate to
these behaviors are planned as required.
1.3 Safety of self and others is given priority in
responding to difficult or challenging behavior
according to institutional policies and procedures.
2. Apply response 2.1 Difficult or challenging behavior is dealt with
promptly, firmly and diplomatically in accordance
with institutional policy and procedures.
2.2 Communication is used effectively to achieve the
desired outcomes in responding to difficult or
challenging behavior
2.3 Appropriate strategies are selected to suit
particular instances of difficult or challenging
behavior
3. Report and review 3.1 Incidents are reported according to institutional
incidents policies and procedures
3.2 Incidents are reviewed with appropriate staff and
suggestions appropriate to area of responsibility are
made.
3.3 Debriefing mechanisms and other activities are
used and participated in
3.4 Advice and assistance is sought from legitimate sources
when appropriate.

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RANGE OF VARIABLES

VARIABLE RANGE
1. Planned responses 1.1 Own ability and experience
1.2 Established institutional procedures
1.3 Knowledge of individual persons and underlying causes
2. Difficult or 2.1 Aggression/Assaultive behavior
challenging 2.2 Confusion or other cognitive impairment
behaviors
2.3 Noisiness
2.4 Manipulative
2.5 Wandering
2.6 Self-destructive
2.7 Intoxication
2.8 Withdrawn/depressed
2.9 Negativistic
2.10 Intrusive behavior
2.11 Verbal offensiveness
3. Strategies for 3.1 Diversional activities
dealing with 3.2 Referring to appropriate personnel e.g. supervisor,
challenging security officer
behaviors
3.3 Following established emergency response procedures
4. Selection of 4.1 The nature of the incident
strategies for 4.2 Potential effect on different parties, patient, staff and
dealing with others
challenging
4.3 Established procedures and guidelines
behaviors
5. Institutional 5.1 Incident reporting and documentation
policies and 5.2 Operational guidelines for handling incidents and/or
procedures cases involving difficult and challenging behavior
5.3 Debriefing of staff involved in the incident

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EVIDENCE GUIDE

1. Critical aspects of Assessment requires evidence that the candidate:

competency 1.1 Identified specific manifestations of difficult or
challenging behavior and strategies are planned,
selected and applied as required
1.2 Maintained personal safety and the safety of others
1.3 Reported incidents, reviewed and responded
quickly and effectively to contingencies
1.4 Debriefing mechanisms are used
2. Underpinning 2.1 OSH and issues relating to difficult and challenging
knowledge behavior
2.2 Patient issues which need to be referred to an
appropriate health professional
2.3 Ability to interpret and follow the instructions and
guidance of health professionals involved with the
care of patient/client
3. Underpinning skills 3.1 Effectively using techniques for monitoring own
service area including client satisfaction
3.2 Speaking in a firm, diplomatic and culturally
appropriate manner
3.3 Remaining calm and positive in adversity
3.4 Thinking and responding quickly and strategically
3.5 Remaining alert to potential incidents of difficult or
challenging behavior
3.6 Monitoring and/or maintaining security equipment
3.7 Working with others and display empathy with
patient and relatives
4. Resource The following resources MUST be provided:
implications 4.1 Access to relevant workplace or appropriately
simulated environment where assessment can
take place
4.2 Relevant institutional policy, guidelines,
procedures and protocols
4.3 Emergency response procedures and employee
support arrangements
5. Method of Competency may be assessed through:
assessment 5.1 Observation with questioning
5.2 Demonstration with questioning
6. Context of 6.1 Assessment may be done in the workplace or in a
assessment simulated workplace setting.

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UNIT OF COMPETENCY : APPLY BASIC FIRST AID
UNIT CODE : HCS323203
UNIT DESCRIPTOR : This unit covers the knowledge, skills and attitudes required
to
provide an initial response where First Aid is required. In
this unit it is assumed that the First Aider is working under
supervision and / or according to established workplace
First Aid procedures and policies

PERFORMANCE CRITERIA
ELEMENT Italicized terms are elaborated in the Range of
Variables
1. Assess the situation 1.1 Physical hazards to self and casualty’s health and
safety are identified
1.2 Immediate risks to self and casualty’s occupational
health and safety (OSH )are minimized by controlling
the hazard in accordance with OSH requirements
1.3 Casualty’s vital signs and physical condition are
assessed in accordance with workplace procedures
2. Apply basic first aid 2.1 First Aid management is provided in accordance
techniques with established First Aid procedures
2.2 Casualty is reassured in a caring and calm manner and
made comfortable using available resources
2.3 First Aid assistance is sought from others in a timely
manner and as appropriate
2.4 Casualty’s condition is monitored and responded to in
accordance with effective First Aid principles and
workplace procedures
2.5 Details of casualty’s physical condition, changes in
conditions, management and response are accurately
recorded in line with organizational procedures
2.6 Casualty management is finalized according to his/her
needs and First Aid principles
3. Communicate 3.1 Appropriate medical assistance is requested using
details of the relevant
incident communication media and equipment
3.2 Details of casualty’s condition and management
activities are accurately conveyed to emergency
services/relieving personnel
3.3 Reports to supervisors are prepared in a timely manner,
presenting all relevant facts according to established
company
procedures

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RANGE OF VARIABLES

VARIABLE RANGE
1 First Aid This may include but not limited to :
Management 1.1 Workplace policies and procedures
1.2 Industry/site specific regulations, codes
1.3 OSH
1.4 State and territory workplace health and safety
requirements
1.5 Allergies the casualty may have
2 Physical Hazards Physical hazards may include :
2.1 Workplace hazards
2.2 Environmental hazards
2.3 Proximity of other people
2.4 Hazards associated with casualty management
processes
3 Risks Risks may include:
3.1 Worksite equipment, machinery and substances
3.2 Environmental risks
3.3 Bodily fluids
3.4 Risk of further injury to the casualty
3.5 Risk associated with the proximity of the
others and bystanders
4 Casualty’s Casualty’s condition may include but not limited to the ff:
Condition 4.1 Abdominal injuries
4.2 Allergic reactions
4.3 Bleeding
4.4 Burns-thermal, chemical, friction, electrical
4.5 Cardiac conditions
4.6 Chemical contamination
4.7 Cod injuries
4.8 Crush injuries
4.9 Dislocations
4.10 Drowning
4.11 Eye injuries
4.12 Fractures
4.13 Head injuries
4.14 Epilepsy
4.15 Minor skin injuries
4.16 Neck and spinal injuries
4.17 Needle stick injuries
4.18 Poisoning and toxic substances
4.19 Shock
4.20 Smoke inhalation

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5. Equipment and Equipment and other resources may include:
Resources 5.1 Defibrillation units
5.2 Pressure bandages
5.3 Thermometers
5.4 First Aid kit
5.5 Eyewash
5.6 Thermal blankets
5.7 Pocket face masks
5.8 Rubber gloves
5.9 Dressing
5.10 Space device
5.11 Cervical collars
VARIABLE RANGE
6. Communication 6.1 Mobile phone
system 6.2 Satellite phones
6.3 HF/VHF radio
6.4 Flags
6.5 Flares
6.6 Two - way radio
6.7 Email
6.8 Electronic equipment
7. Vital signs 7.1 Breathing
7.2 Circulation
7.3 Consciousness
8. First Aid Principles 8.1 Checking the site for danger to self, casualty’ and
others and minimizing the danger
8.2 Checking and maintaining the casualty’s airways,
breathing
and circulation

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TR Health Care Services -27
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EVIDENCE GUIDE

1. Critical aspects of Assessment requires evidence that the candidate:

competency
1.1 Complied with institutional requirements, OSH laws
infections control and manual handling procedures and
relevant health regulations
1.2 Identified physical hazards of the casualty and
minimized immediate risks
1.3 Assessed and monitored the physical condition of the
casualty
1.4 Responded to emergency using basic life support
measures.
1.5 Provided initial response where First Aid is required
1.6 Dealt with complex casualties or incident
1.7 Prepared reports to concerned personnel in a timely
manner
2. Underpinning 2.1 Basic anatomy and physiology
knowledge 2.2 Company standard operating procedures (sops)
2.3 Dealing with confidentiality
2.4 Knowledge of the First Aiders’ skills limitations
2.5 OSH legislation and regulations
2.6 How to gain access to and interpret material
safety data sheets
3. Underpinning skills 3.1 Resuscitation Skills
3.2 Safe manual handling of casualty
3.3 Consideration of the welfare of the casualty
3.4 Report preparation
3.5 Communication skills
3.6 Interpreting and Using listed documents
4. Resource The following resources MUST be provided:
implications 4.1 Access to relevant work station
4.2 Relevant institutional policies, guidelines
procedure and protocol
4.3 Equipment and materials relevant to the proposed
activities
5. Method of Competency may be assessed through:
assessment 5.1 Demonstration with questioning
5.2 Interview
5.3 Third Party report
5.4 Portfolio
6. Context of 6.1 Assessment may be done in a workplace or
assessment simulated work area setting.

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UNIT OF COMPETENCY : MAINTAIN HIGH STANDARDS OF PATIENT SERVICES
UNIT CODE : HCS323204
UNIT DESCRIPTOR : This unit covers the knowledge, skills and attitudes required
in the
maintenance of high standards of patient services.

PERFORMANCE CRITERIA
ELEMENT Italicized terms are elaborated in the Range of
Variables
1. Communicate 1.1 Effective communication strategies and techniques are
appropriately with identified and used to achieve best patient service
patients outcomes
1.2 Complaints are responded to in accordance with
organizational policy to ensure best service to
patients
1.3 Complaints are dealt with in accordance with
established procedures
1.4 Interpreter services are accessed as required
1.5 Action is taken to resolve conflicts either directly,
where a positive outcome can be immediately
achieved, or by referral to the appropriate personnel
1.6 Participation in work team is constructive and
collaborative and demonstrates an understanding of
own role
2. Establish and 2.1 Rapport is established to ensure the service is
maintain good appropriate to and in the best interests of patients
interpersonal 2.2 Effective listening skills are used to ensure a high
relationship with level of effective communication and quality of
patients service
2.3 Patient concerns and needs are correctly
identified and responded to responsibly and
accordingly established procedures and
guidelines
2.4 Effectiveness of interpersonal interaction is
consistently monitored and evaluated to ensure
best patient service outcomes
3. Act in a respectful 3.1 Respect for differences is positively, actively
manner at all times and consistently demonstrated in all work
3.2 Confidentiality and privacy of patients is maintained
3.3 Courtesy is demonstrated in all interactions with
patients, their visitors, careers and family
3.4 Assistance with the care of patients with
challenging behaviors is provided in
accordance with established procedures
3.5 Techniques are used to manage and minimize
aggression

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4. Evaluate own work 4.1 Advice and assistance is received or sought from
to maintain a high appropriate sources on own performance
standard of patient 4.2 Own work is adjusted, incorporating recommendations
service that address performance issues, to maintain the
agreed standard of patient support

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RANGE OF VARIABLES

VARIABLE RANGE
1. Patients This may include but not limited to:
1.1 Patients
1.2 Prospective patients to the service or services
1.3 Patients may be in contact with the institution through
appropriate health care personnel and professionals
or other advocates or agencies
2. Others with whom 2.1 Other staff and team members
interaction is 2.2 Service units or departments
required in regard
2.3 Family members, carers and friends of patients
to patient services
2.4 Professional representatives or agents of patients such
as:
 Medical specialists
 Nurses
 Social workers
 Dietitians
 Therapists
 Allied health professionals
 Volunteers
 Teachers and/or spiritual
 Community
2.5 General public
3. Communication 3.1 English/Tagalog/vernacular
3.2 Sign language
3.3 Through an interpreter
3.4 Community language as required by the service /
organization
4. Modes of 4.1 Continuing interaction with patients and clients
communication: 4.2 Verbal conversations either in person or via telephone
4.3 Written notes by post or electronic media
4.4 Worker, family member friend or professional
interpreter who has relevant languages

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5. Respect for 5.1 Physical
difference 5.2 Cognitive/mental or intellectual issues that may
impact on communication
5.3 Cultural and ethnic
5.4 Religious/spiritual
5.5 Social
5.6 Age
5.7 Language literacy and numeracy abilities
5.8 Sexuality and sexual preference
VARIABLE RANGE
6. Confidentiality and 6.1 Fees
privacy of patients 6.2 Health fund entitlements
6.3 Welfare entitlements
6.4 Payment Method and records
6.5 Public environments
6.6 Legal and ethical requirements
6.7 Writing details ie medical and consent forms
6.8 Conversations on the telephone
6.9 Secure location for written records
6.10 Offering a private location for discussions
6.11 Information disclosed to an appropriate person
consistent with one’s level of responsibility
7. Performance 7.1 Self-monitoring
monitoring 7.2 Supervisor assessment
7.3 Patient feedback

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EVIDENCE GUIDE

1. Critical aspects of Assessment requires evidence that the candidate:

competency 1.1 Communicated appropriately with patients
1.2 Handled complaints and resolved conflict, or referred
matters to supervisors when required
1.3 Complied with relevant policies, protocols,
guidelines and procedures of the organization
1.4 Established and maintained good interpersonal
relationship with patients
1.5 Demonstrated courtesy in all interactions with
patients, their visitors, and family
2. Underpinning 2.1 Roles and responsibilities of self and other workers
knowledge within the organization
2.2 When client/patient issues need to be referred
to an appropriate health professional
2.3 Organizational policies and procedures for privacy
and confidentiality of information provided by
patients and others
2.4 Knowledge of cultures relevant to the particular service
2.5 Institutional policy on patient rights and responsibilities
3. Underpinning skills 3.1 Establishing and maintaining relationships, taking into
account individual differences
3.2 Using effective listening techniques
3.3 Using appropriate verbal and non verbal communication
styles
3.4 Interpreting and following the instructions and
guidance of health professionals involved with the
care of patient/clients
3.5 Oral and written communication
3.6 Problem solving skills required include the ability
to use available resources and prioritise workload
3.7 Dealing with conflict
3.8 Working with others and display empathy with
patient and relatives
4. Resource The following resources MUST be provided:
implications 4.1 Access to relevant workplace or appropriately
simulated environment where assessment can
take place
4.2 Relevant government and organizational policy,
guidelines, procedures and protocols
4.3 Any relevant legislation in relation to service delivery
5. Method of Competency may be assessed through:
assessment 5.1 Demonstration with questioning
5.2 Interview
5.3 Third party report
6. Context of 6.1 Assessment may be done in a simulated workplace
assessment setting

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 CORE COMPETENCIES

UNIT OF COMPETENCY : PREPARE AND MAINTAIN BEDS

UNIT CODE : HCS323314
UNIT DESCRIPTOR : This unit of competency covers the knowledge, skills and
attitudes
required in preparing and making beds and performing
after-care activities.

PERFORMANCE CRITERIA
ELEMENT Italicized terms are elaborated in the Range of
Variables
1. Prepare area for 1.1 Personal protective equipment is used, according
bed making to institutional policy
1.2 Bed height is adjusted as necessary
1.3 Bed surroundings are cleared of medical and other
equipment before bed is stripped, where necessary
1.4 Patient privacy, comfort and safety is provided at all
times
1.5 Bed linen is checked for displaced personal items, aids
and equipment and such aids/equipment are placed in
appropriate
area/container
2. Make bed 2.1 Bed linen is stripped, where necessary
2.2 Clinical waste and soiled linen are removed and
placed in appropriate container
2.3 Bed is cleaned according to established procedures,
where necessary
2.4 Clean bed linen is placed on bed in accordance with
institution procedures
2.5 Existing bed linen is remade, as needed
2.6 Patient is asked whether he/she is comfortable, or if
he/she has any preferred bed needs
2.7 Reusable clean bed linen is handled in
accordance with institution procedures
2.8 Mattresses and pillows are cleaned and
disinfected, in accordance with established
procedures
2.9 Bed height is adjusted for occupancy and brakes are
applied
according to bed type
3. Perform after-care 3.1 Beds and equipment/ aids are kept accessible and bed is
activities left ready for occupancy
3.2 Damaged and/or faulty beds, equipment mattresses,
pillows and linen are reported to appropriate
personnel and documented accordingly.
3.3 Soiled linen and clinical wastes are discarded
according to established protocol
3.4 Cleaning implements are cleaned and returned to
designated
storage areas or disposed of appropriately.

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RANGE OF VARIABLES

VARIABLE RANGE
1. Personal Protective PPE include but not limited to:
Equipment (PPE) 1.1 Gloves
1.2 Mask
1.3 Cap
1.4 Gown
2. Beds 2.1 Electro-mechanical bed
2.2 Maternity delivery bed
2.3 Hospital bed
2.4 Folding bed
2.5 Renal chair
2.6 Balkan frame
2.7 Trolley
2.8 Pediatric bed
2.9 Isolettes
3. Equipment 3.1 Pressure care devices e.g. floatation mattress, egg
carton mattress, foam mattress
3.2 Bedside table
3.3 Over bed table
3.4 Bed end note holder
3.5 Chair lifts
3.6 Walking frames / sticks
3.7 Commodes
3.8 Sling
3.9 Straps
3.10 Splints
3.11 Monkey grips
3.12 Foot stool
3.13 Personal aids such as eye glasses, hearing aids, glass
eyes, false teeth, breast prosthesis, false limbs
4. Bed Linen 4.1 Sheets
4.2 Blankets
4.3 Pillow cases
4.4 Under-blankets
4.5 Mattress protectors
4.6 Personal bed linen

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EVIDENCE GUIDE

1. Critical aspects of Assessment requires evidence that the candidate:

competency 1.1 Prepared area for bed making
1.2 Made bed
1.3 Performed after care
1.4 Used appropriate PPE
1.5 Handled soiled linen safely
1.6 Performed bed cleaning procedures
1.7 Followed instructions according to institutional
policies and guidelines
2. Underpinning 2.1 Types of bed
knowledge 2.2 Types of linen
2.3 OSH policies and procedures
2.4 Hygiene policies and procedures
2.5 Infection control policies and procedures
3. Underpinning skills 3.1 Cleaning different types of beds
3.2 Safe manual handling techniques
3.3 Correct disposing clinical waste
3.4 Correct bed making procedures in hospital corners
3.5 Oral and written communication skills
3.6 Problem solving skills required include the ability
to use available resources and priorities workload
3.7 Working with others and display empathy and courtesy
with
patient and their relatives
4. Resource The following resources MUST be provided;
implications 4.1 Access to relevant workstation
4.2 Relevant institutional policies, guidelines,
procedures and protocol
4.3 Equipment and materials relevant to the proposed
activities
5. Method of Competency may be assessed through:
assessment 5.1 Demonstration with questioning
5.2 Interview
5.3 Third party report
6. Context of 6.1 Competency may be assessed in the workplace
assessment or in a simulated work setting.

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UNIT OF COMPETENCY : COLLECT AND MAINTAIN LINEN STOCKS AT END-USER
LOCATIONS
UNIT CODE : HCS323315
UNIT DESCRIPTOR : This unit of competency covers the knowledge, skills and
attitudes
required to collect soiled linen from end-user locations,
deliver soiled linen to a designated holding area, distribute
clean linen and maintain linen stock levels at end-user
locations.

PERFORMANCE CRITERIA
ELEMENT Italicized terms are elaborated in the Range of
Variables
1. Collect soiled linen 1.1 Soiled linen is collected as scheduled from end
user locations
1.2 Soiled linen bag is replaced in accordance with
institution policies and procedures
1.3 Soiled linen is transported to designated holding area
using appropriate equipment and safe handling
techniques
1.4 Collection of soiled linen is carried out in a manner
that minimizes the risk of cross contamination and
complies with OHS policy and procedures
1.5 Hazards are identified and reported to supervisor
1.6 Appropriate procedures for dealing with accidents,
including sharp injuries are followed correctly
2. Distribute clean 2.1 Clean linen is transported as scheduled to end- user
linen locations using appropriate equipment and safe
handling techniques
2.2 Linen is replaced to ensure adequate supply for users
2.3 Linen stock is rotated and old stock returned for
reprocessing
3. Maintain linen stock 3.1 Optimum stock levels are maintained to ensure
levels linen availability
3.2 Linen is requisitioned to par level quantity
3.3 Linen is stored in linen storage facilities and
maintained according to institution requirements
3.4 Linen stock records are maintained according to
institution requirements
3.5 Linen inventory is done according to institution
policies and procedures

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RANGE OF VARIABLES

VARIABLE RANGE
1. End-User Locations 1.1 Hospital
1.2 Aged care facility
1.3 Residential accommodate
1.4 Operating room
1.5 Out-Patient Services
1.6 Central Supply Room
1.7 Health Clinics
1.8 Community health facilities
2. Institutional policies 2.1 Linen stock delivery, inventory management and
& procedures stock rotation
2.2 Collection locations and procedures
2.3 Standard work practice for safe handling of soiled linen
2.4 Use of protective clothing
2.5 Notification of hazards and accidents
2.6 Data recording (manual or electronic)
2.7 Security and safe storage of clean and soiled linen
3. Equipment 3.1 Linen trolleys of various sizes
3.2 Linen bags
3.3 Baskets
3.4 Bins
4. Hazards 4.1 Exposure to heat
4.2 Sharp objects
4.3 Potentially infectious materials
4.4 Exposure to harmful chemicals
5. Maintenance of 5.1 Review of inventory levels for each linen item
optimum linen stock 5.2 Assessment of user requirements based on
levels past and expected utilization of linen
6. Linen Stock Records 6.1 Patients
6.2 Requisition of forms
6.3 Stock cards
6.4 Inventory forms
6.5 Philippine standards, infection control and quality
standards
7. Linen storage 7.1 Shelves
facilities 7.2 Racks
7.3 Trolleys
7.4 Cabinets
7.5 Linen bags

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EVIDENCE GUIDE

1. Critical aspects of Assessment requires evidence that the candidate:

competency 1.1 Complied with institutional requirements, OSH laws,
infection control and manual handling procedures and
relevant health regulations
1.2 Collected soiled linen
1.3 Distributed clean linen
1.4 Maintained stock levels of linen accurately and in a
timely and safe manner
1.5 Completed work systematically with attention to
details, without injury to patient and self, damage to
goods, equipment or risk to personnel.
1.6 Communicated effectively with user-locations in relation
to
linen utilization, inventory and stock levels.
2. Underpinning 2.1 Types of linen and individual uses
knowledge 2.2 Relevant OSH regulations, laws and infection control
practice, institutional policies and procedures
2.3 Safety and environmental aspects related to
workplace operation and manual handling, including
workplace hazards
2.4 Delivery and collection schedules
2.5 Quality standards
2.6 Inventory procedures and documentation
3. Underpinning skills 3.1 Handling linen products appropriately
3.2 Assessing and maintaining linen requirements
3.3 Selecting and using appropriate equipment
3.4 Meeting patient and institution specifications/
requirements
3.5 Communicating effectively within the workplace
3.6 Applying defined procedures i.e. OSH and infection
control
3.7 Recognizing and adapting to cultural differences
in the workplace, including modes of behavior and
interactions among staff and others
3.8 Basic arithmetic skills
3.9 Oral and written communication skills
4. Resource The following resources MUST be provided:
implications 4.1 Relevant policies and procedures manuals
4.2 Institution mission statement, strategic and business
plan
4.3 Other documents relevant to the work context such as:
- organizational charts
- floor plans
- instructions for the use of equipment and
materials relevant to the proposed activities
- specific instructions for staff
- workstation

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5. Method of Competency may be assessed through at least two of the
assessment following Method:
5.1 Observation of performance
5.2 Interview
5.3 Third party report
5.4 Portfolio
5.5 Demonstration with questioning
6. Context of 6.1 Competency assessment may be done in the
assessment workplace or in a simulated workplace setting.

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UNIT OF COMPETENCY : ASSIST IN PATIENT MOBILITY
UNIT CODE : HCS323316
UNIT DESCRIPTOR : This unit of competency covers the knowledge, skills and
attitudes
required to assist incapacitated patients in basic
physical movements.

PERFORMANCE CRITERIA
ELEMENT Italicized terms are elaborated in the Range of
Variables
1. Prepare to assist 1.1 Requirements for assisting with patient mobility are
with patient confirmed with concerned health personnel and care
mobility plan
1.2 Equipment are selected according to prescribed plan of
care
1.3 Environment is prepared according to established
guidelines
1.4 Procedure is explained to patient as required
using appropriate communication techniques
2. Assist with patient 2.1 Patient mobility is carried out using safe handling Method
mobility and equipment as required
2.2 Appropriate action is taken to ensure patient
comfort and safety throughout positioning or
transfer
2.3 Communication with patients during movement is
undertaken according to established procedures
3. Complete patient 3.1 Patient is moved to prescribed position and concerned
mobility assistance health personnel are informed accordingly
3.2 Equipment is cleaned in accordance with
established procedures
3.3 Equipment’s working condition is reported
immediately in accordance with established
procedures

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RANGE OF VARIABLES

VARIABLE RANGE
1. Equipment Equipment may include but not limited to :
1.1 Wheel chair
1.2 Chairlifts
1.3 Crutches
1.4 Commodes
1.5 Slings
1.6 Splints
1.7 Stretcher
1.8 Cot
1.9 Bed with side rails
1.10 Hoist with mechanical lifter
2. Environment 2.1 Hospital room
2.2 Health care facility
2.3 Home
2.4 Ambulance
3. Communication 3.1 Oral
techniques 3.2 Written
3.3 Sign language
4. Safe handling 4.1 Assisting patient to walk
Method 4.2 Assisting patient to change position
4.3 Placing patient to wheelchair
4.4 Assisting patient to crutches or other walking aids
4.5 Transporting patient by wheelchair or stretcher
4.6 Assisting the patient to use a hoist or mechanical
lifter for transfer

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EVIDENCE GUIDE

1. Critical aspects of Assessment requires evidence that the candidate:

competency 1.1 Performed safe handling Method in assisting with
patient mobility
1.2 Ensured patient privacy at all times
1.3 Implemented comfort and safety measures
according to established procedures
1.4 Utilized appropriate communication techniques in
instructing patients
1.5 Cleaned equipment in accordance with
established procedures
1.6 Reported condition of equipment according to
established procedures
1.7 Observed strict infection control guidelines
2. Underpinning 2.1 Patient confidentiality and privacy requirements
knowledge 2.2 Cleaning policy and procedures for lifting and
transferring equipment
2.3 Patient condition as it relates to patient mobility
2.4 OSH procedures
2.5 Infection control guidelines
2.6 Appropriate communication techniques
2.7 Equipment use and specifications
3. Underpinning skills 3.1 Using appropriate equipment for patient mobility
3.2 Communicating effectively with patients and concerned
health care personnel
3.3 Safe handling skills
3.4 Oral and written communication skills
3.5 Dealing with conflicts
3.6 Working with others and display empathy with
patient and relatives
4. Resource The following resources MUST be provided during
implications assessment except in cases where portfolio or third-party
report will be used:
4.1 Workplace health and safety manual
4.2 Infection control manual
4.3 Standard Operating Procedures manual
4.4 Equipment manufacturer’s instructions
4.5 Equipment as described in the range of variables
5. Method of Competency may be assessed through:
assessment 5.1 Demonstration with questioning
5.2 Portfolio
5.3 Third party report
6. Context of 6.1 Competency assessment may be done in a
assessment simulated workplace setting.

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UNIT OF COMPETENCY : ASSIST IN TRANSPORTING PATIENTS
UNIT CODE : HCS323317
UNIT DESCRIPTOR : This unit of competency covers the knowledge, skills and
attitudes
required to safely and efficiently assist in transporting
patients from one location to another.

PERFORMANCE CRITERIA
ELEMENT Italicized terms are elaborated in the Range of
Variables
1. Prepare patient for 1.1 Transportation requirements are confirmed with
transport appropriate
health care personnel
1.2 Transport procedures are explained to patient as
required
1.3 Preparations are made for the safe and efficient
transport of the patient as per instructions
1.4 Equipment for transportation is readied according to
requirements and checked to ensure that it is clean,
complete and functional
2. Assist in patient 2.1 Patient is transported to designated location in
transport accordance with established procedures
2.2 Equipment is adjusted to ensure patient comfort and
safety with minimal risk to self
2.3 Patient is brought to designated location and
reported to appropriate health care personnel
3. Perform post- 3.1 Equipment is cleaned in accordance with
transport established procedures
procedures
3.2 Equipment is returned according to standard
operating procedures
3.3 Working condition of equipment is reported
immediately in accordance with established
procedures.

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RANGE OF VARIABLES

VARIABLE RANGE
1. Transportation These may include but not limited to:
requirements 1.1 Mode of transport
1.2 Destination
1.3 Information specific to the patient
1.4 Accompanying health professionals e.g. nurse or
medical officer
1.5 Patient clothing requirements
1.6 Documentation requirements
2. Transportation 2.1 Transportation equipment:
equipment  Wheelchair
 Stretcher
 Bed
 Ambulance
2.2 Other equipment
 Oxygen trolley
 IV Stand
 oxygen gauge
 Oxygen tank
 Ambu bag
3.6 Communication equipment
 Cellular phone
 2 way radios
3. Relevant personnel 3.1 Medical officers
3.2 Nursing staff
3.3 Other health personnel

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NC II -
EVIDENCE GUIDE

1. Critical aspects of Assessment requires evidence that the candidate:

competency 1.1 Confirmed the transportation requirements with
appropriate health care personnel
1.2 Explained the transport procedures to the patient
1.3 Checked and reported the condition of the
equipment for transportation
1.4 Adjusted equipment to ensure the patient’s comfort
and safety with minimal risk to self
1.5 Interpreted and followed instructions and guidance of
health professionals with the care of patients
1.6 Transported and delivered patient to correct destination
2. Underpinning 2.1 Patient handling procedures
knowledge 2.2 Procedures for securing a patient
2.3 Infection control procedures
2.4 Patient confidentiality and privacy requirements
2.5 When patient issues need to be referred to an
appropriate health professional
3. Underpinning skills 3.1 Applying safe working practices, including manual
handling techniques
3.2 Interpreting and following the instructions and
guidance of health professionals regarding care of
the patients
3.3 Reading and writing skills
3.4 Oral communications skills
3.5 Working with others and display empathy with
patient and relatives
4. Resource The following resources MUST be provided:
implications 4.1 Access to equipment used for transporting patients
4.2 Relevant policies and procedures manuals
4.3 Organizational charts
4.4 Instructions for the use of equipment
5. Method of Competency may be assessed through:
assessment 5.1 Observation
5.2 Demonstration with questioning
5.3 Portfolio
6. Context of 6.1 Assessment may be done in the workplace or in a
assessment simulated workplace setting

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UNIT OF COMPETENCY : ASSIST IN BIO-PSYCHOSOCIAL SUPPORT CARE OF
PATIENTS
UNIT CODE : HCS323318
UNIT DESCRIPTOR : This unit of competency covers the basic knowledge, skills
and
attitudes which apply to the provision of bio-psychosocial
support care of patients in various healthcare situations.

PERFORMANCE CRITERIA
ELEMENT Italicized terms are elaborated in the Range of
Variables
1. Establish and 1.1 Initial contact is made with patient care and its
maintain rapport appropriate time according to the care plan and / or
with the patient established procedures
1.2 Courtesy is demonstrated in all communication with
patients and staff in the workplace
1.3 Interpersonal exchanges are initiated with
patient as appropriate
1.4 Communication is developed and maintained for
effective relationship with patients
1.5 Trust and confidence of patient is consistently
generated in all of the relevant work activities that are
undertaken
1.6 Confidentiality and privacy of patient is
consistently maintained
1.7 Patient’s rights and roles in decision- making is
respected
2. Obtain 2.1 Patient information is obtained from the
information family/significant others and concerned health
regarding the personnel
bio- psychosocial 2.2 Patient bio-psychosocial care needs are determined
needs of the and recognized
patient 2.3 Scope, nature and frequency of patient support
needs and confirmed with patient and appropriate
health personnel as required
2.4 Patient information is reported as appropriate and
conforms with ethico-moral, legal, professional and
institutional
requirements
3 Provide assistance 3.1 Comfort and safety measures are provided according to
to meet patient the care plan and direction of the health professional
needs as directed 3.2 Assistance and support is provided with minimum
physical and emotional discomfort to patients and with
minimum risk to self
3.3 Assistance is provided in emergency situations according
to
prescribed protocol

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NC II -
RANGE OF VARIABLES

VARIABLE RANGE
1. Patients Patients include:
Individuals with impairment such as :
- Vision impairment
- Hearing impairment
- Physical disability or frailty
- Mental or intellectual disability
- Cognitive impairment
1.1 Frail aged
1.2 Young disabled
1.3 Elderly discharge
1.4 Medical condition or illness
1.5 Other family members
1.6 A range of cultures and language backgrounds
2. Communication Communication may include:
2.1 Oral
2.2 Written
2.3 Sign language
2.4 Vernacular/Filipino/English
3. Communication May be by:
3.1 Telephone
3.2 Cell phone
3.3 Face to Face
3.4 Electronic media
3.5 Fax message
3.6 Letters, notes
4. Confidentiality and 4.1 Written details(medical and consent forms)
Privacy 4.2 Conversation
4.3 Information disclosed to appropriate person
consistent with one’s level of accountability
4.4 Legal and ethical requirements
5. Patient information 5.1 Demographic details
5.2 Lifestyle practice
5.3 Patient care plan
5.4 History (medical and mental)
6. Concerned health 6.1 Nurses
personnel 6.2 Doctors
6.3 Social workers
6.4 Nutritionists
6.5 Therapists
6.6 other members of the health team
7. Bio-psychosocial Bio-psychosocial care needs may include but not limited to:
care needs 7.1 Nutrition
7.2 Responsive to changes: physical, psychological,
financial
7.3 Bio-psychosocial support system
7.4 Activities of daily living
7.5 Adjustment to illness and disability
8. Emergency 8.1 Falls/slipping
situations 8.2 Choking/aspiration/suffocation
8.3 Equipment related accidents
8.4 Burns
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NC II -
 VARIABLE RANGE
8.5 Depression/suicide
8.6 Acute Confusion
8.7 Poisoning
8.8 Fire
8.9 Assault
8.10 Other life threatening situations
9. Comfort and Safety Comfort and safety measures may include but not limited to:
Measures 9.1 Creating a therapeutic environment
9.2 Practicing body mechanics
9.3 Measuring and assessing cardinal signs
9.4 Personal hygiene and grooming
9.5 Cleansing/tepid sponge bath
9.6 Bed shampoo
9.7 Child/adult complete bed bath
9.8 Perineal Care
9.9 Hot and cold applications
9.10 Ensuring intake and output
9.11 Positioning and removing
10.Physical, social, 10.1 Fees
emotional, 10.2 Health fund entitlements
spiritual and 10.3 Welfare entitlements
culture 10.4 Payment Method and records
10.5 Public environment
10.6 Legal and ethical requirements
10.7 Writing details i.e. medical and consent forms
10.8 Conversations on the telephone
10.9 Secure location for written records
10.10 Offering a private location for discussions
10.11 Information disclosed to an appropriate person
consistent with one’s level of responsibility

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NC II -
EVIDENCE GUIDE

1. Critical aspects of Assessment requires evidence that the candidate:

competency 1.1 Established rapport with the patient
1.2 Maintained confidentiality and privacy
1.3 Complied with established policies and procedures
1.4 Communicated effectively with patients and significant
others and concerned health personnel
1.5 Responded effectively to patients lifestyle and
psychosocial care needs
1.6 Provided care with minimum risk to patient, self
and other health personnel
2. Underpinning 2.1 Basic knowledge on common diseases/ ailments of
knowledge target groups i.e. diabetes, Parkinson’s strokes etc
2.2 Basic life support
2.3 Infection control guidelines
2.4 Existing health services / facilities
2.5 Rights and responsibilities of patient and health
personnel
2.6 Literacy and numeracy relative to delivery of patient
care
2.7 Living skills (activities of daily living)
2.8 Occupational Safety and Health
2.9 HACC (home and community care) guidelines
2.10 Basic knowledge on how to handle difficult and
challenging behavior
2.11 Institutional policies and procedures
2.12 Basic knowledge on impact of lifestyle change
2.13 Impact of own values and beliefs on others
3. Underpinning skills 3.1 Oral and written communication skills
3.2 Exercising patience and tolerance
3.3 Using time management strategies to set priorities
3.4 Following institution policies and procedures relating
to work performance
3.5 Basic problem solving skills required include the ability
to use available resources and priority workload
3.6 Dealing with conflict
3.7 Working with others and display empathy with
patient and significant others
4. Resource The following resources MUST be provided:
implications 4.1 Documented patient health information
4.2 Relevant policies and procedures manuals
4.3 Patient care-related forms
4.4 Workstation
5. Method of Competency may be assessed through:
assessment 5.1 Third party report
5.2 Observation of work performance at workstation
5.3 Portfolio
5.4 Interview
6. Context of 6.1 Assessment may be done in a workplace or in a
assessment simulated workplace setting.

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UNIT OF COMPETENCY : HANDLE WASTE IN A HEALTH CARE ENVIRONMENT
UNIT CODE : HCS323319
UNIT DESCRIPTOR : This unit covers the knowledge, skills and attitudes to handle
and
dispose of waste in a safe manner within the
health care environment.

PERFORMANCE CRITERIA
ELEMENT Italicized terms are elaborated in the Range of
Variables
1. Determine job 1.1 Work sheets are reviewed to determine waste
requirements handling requirements
1.2 Appropriate equipment required for waste handling
tasks is selected and obtained to maximize work
effectiveness and efficiency
1.3 Health care sites are organized and set up to ensure
safe, effective and efficient handling of waste in
accordance with workplace requirements and
relevant legislation
1.4 Potential risks and hazards to work are identified and
managed in accordance with workplace requirements,
OSH, infection control and other relevant legislation
1.5 Reporting identified risks are followed in accordance
with
workplace procedures
1.6 Emergency and personal protective equipment are
selected and fitted in accordance with job
requirements, manufactures’ specifications, workplace
requirements and relevant
legislation
2. Identify and 2.1 Hazardous, dangerous and non-conforming waste is
segregate waste clearly identified and handled in accordance with
workplace policies and procedures as well as relevant
legislation
2.2 All waste are accurately identified, labeled and
segregated according to waste types in accordance
with workplace policies and procedures and relevant
legislation
2.3 All sorted waste are carefully placed into correct waste
category containers to prevent litter in work areas and
avoid cross-contamination
2.4 Waste containers are frequently monitored to ensure
adequate available containers and to secure
containment of waste
2.5 Full waste containers are emptied or replaced
promptly to minimize disruption to the workplace in
accordance with policies and procedures and job
requirements

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 2.6 Segregated waste is clearly labeled in accordance with
job requirements, workplace policies and procedures
and relevant
legislation
3. Transport and store 3.1 Appropriate transport equipment is selected for
waste waste transport activities to maximize work
effectiveness and
efficiency and in accordance with workplace policies and
procedures and relevant legislation
PERFORMANCE CRITERIA
ELEMENT Italicized terms are elaborated in the Range of
Variables
3.2 All transport equipment are color-coded and
labeled in accordance with workplace policies and
procedures and relevant legislation
3.3 Transport loads are secured and not overloaded
according to workplace requirements and relevant
legislation
3.4 Waste collection rounds are performed as often as
required to minimize waste overflow hazards.
3.5 Storage areas are enclosed and secured in
accordance with workplace requirement and relevant
legislation
3.6 Waste types are stored in accordance with
relevant legislation and workplace
requirements
4. Conduct quality 4.1 Waste is inspected and checked to ensure that it is
control activities placed in the correct waste receptacle
4.2 Storage areas are inspected and checked to ensure
that they are secured in accordance with workplace
requirements and relevant legislation
4.3 All details of quality control activities are
documented accurately and promptly in
accordance with workplace
requirements and relevant legislation
5. Clean up work 5.1 Waste storage sites and all equipment are cleaned to
areas ensure safe and effective future operation in
accordance with company requirements
5.2 Waste from cleaning activities is disposed of in
accordance with workplace requirements, council
requirements and
relevant legislation

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NC II -
RANGE OF VARIABLES

VARIABLE RANGE
1. Health Care sites 1.1 Hospitals
1.2 Nursing homes
1.3 Clinics
1.4 Community settings
1.5 Home settings
2. Waste categories 2.1 Clinical waste
2.2 Body fluids, blood, suctioned fluids, excretions
2.3 Sharps
2.4 Cytotoxic waste
2.5 Pharmaceutical waste
2.6 Chemical waste
2.7 Radioactive waste
2.8 Organic products
2.9 Liquid waste
2.10 General waste
3. Equipment Equipment include but not limited to:
3.1 Barriers and warning signs
3.2 Spill kits
3.3 Mobile garbage bins and trolleys
3.4 Appropriate waste containers
4. Potential risks and 4.1 Risks and hazards that could lead to injury or
hazards illness of employees, contractors, visitors or the
public
4.2 Damage to plant
4.3 Vehicles or property
4.4 Harm the environment
4.5 Manual handling
4.6 Contamination
4.7 Compaction equipment
4.8 Gases and fumes
4.9 Hazardous waste i.e. sharps
5. Emergency and May include but not limited to:
personal protective 5.1 Gloves
equipment 5.2 Overalls and protective clothing
5.3 Eye protection
5.4 Appropriate footwear
5.5 Fire extinguisher
5.6 First aid Kit
5.7 Spill Kit
5.8 Emergency Procedures Guide
5.9 Material Safety Data Sheet information
5.10 Breathing apparatus
5.11 Face shield or mask
5.12 Hearing protection
6. Waste Waste characteristics may include but not limited to:
characteristics 6.1 Waste streams
6.2 Waste types
6.3 Waste generation
6.4 Disposal Method
6.5 Recycling
6.6 Reuse
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NC II -
 6.7 Contamination
VARIABLE RANGE
7. Cleaning Method 7.1 Shoveling
7.2 Sweeping out
7.3 Vacuuming
7.4 Use of decontamination products
7.5 Water hosing
7.6 Cleaning products/fluids
8. Workplace Workplace procedures may include but not limited to:
procedures 8.1 Cleaning procedures
8.2 Quality activities
8.3 Team meetings
8.4 Incident notification
8.5 Work performance requirements
8.6 Infection control practices

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NC II -
EVIDENCE GUIDE

1. Critical aspects of Assessment requires evidence that the candidate:

competency 1.1 Interpreted job requirements
1.2 Organized work areas and waste containers
1.3 Selected appropriate emergency and personal
protective equipment
1.4 Identified potential risks, hazards to waste handling and
waste
non- conformances
2. Underpinning 2.1 Waste types, streams and characteristics
knowledge 2.2 Site waste management processes
2.3 Workplace waste management plans
2.4 Waste contaminants
2.5 Waste non-conformance procedures
2.6 Potential risks and hazards to waste sorting and
containment
2.7 Sorting and transporting techniques
2.8 Containment Method
2.9 Emergency response procedures
2.10 Workplace requirements
2.11 Occupational health and safety requirements
2.12 Duty of care in provision of waste handling activities
2.13 Relevant industry standards
2.14 Relevant legislation
2.15 Relevant environmental regulations
2.16 Infection control guidelines
3. Underpinning skills 3.1 Communication skills
3.2 Identifying waste streams/types/characteristics
3.3 Reading and interpreting work requirements
3.4 Organizing equipment availability
3.5 Operating Equipment
3.6 Materials handling skills
3.7 Identifying waste types
3.8 Identifying and handling waste non-conformances
3.9 Packaging and containment of waste
3.10 Methodical organization of work
3.11 Safe and efficient work practices
3.12 Using emergency and personal protective equipment
4. Resource The following resources MUST be provided:
implications 4.1 Waste collection requirements
4.2 Waste management plans
4.3 Range of wastes for identification and handling
4.4 Workplace policies and procedures
4.5 OHS requirements
4.6 Personal protective equipment
4.7 Equipment for waste handling
5. Method of Competency may be assessed through:
assessment 5.1 Demonstration with questioning
5.2 Interview
5.3 Portfolio
6. Context of This unit is most appropriately assessed in the
assessment workplace or in simulated workplace environment

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NC II -
SECTION 3 TRAINING STANDARDS

This set of standards provides the Technical and Vocational Education and Training
(TVET) providers with information and other important requirements to consider when
designing training programs for HEALTH CARE SERVICES NC II.

This includes information on curriculum design; training delivery; trainee entry

requirements; tools and equipment; training facilities, trainer’s qualification and
institutional assessment.

3.1 CURRICULUM DESIGN

Course Title: HEALTH CARE SERVICES NC Level: NC II

Nominal Training Duration: 996 Hours

Course Description:

This course is designed to enhance the knowledge, skills and attitudes of Health
Care Services NC II in accordance with industry standards. It covers the basic common
and core competencies in preparing and maintaining beds, collecting and maintaining
linen stocks at end- user locations, assisting with patient mobility, transport and bio-
psychosocial support care of patients and handling waste in a health care environment.

BASIC COMPETENCIES
(18 Hours)

Unit of Assessment
Learning Outcomes Methodology
Competency Approach
1. Participate in 1.1 Obtain and convey  Group  Demonstration
workplace workplace discussio  Observation
communicatio information n  Interviews
n 1.2 Complete relevant  Interaction /
work related questionin
documents g
1.3 Participate in
workplace meeting
and discussion
2. Work in a 2.1 Describe and identify  Discussion  Demonstration
team team role and  Interaction  Observation
environment responsibility in a team  Interviews
2.2 Describe work as a /
team member questionin
g
3. Practice 3.1 Integrate personal  Discussion  Demonstration
career objectives with  Interaction  Observation
professionalis organizational goals  Interviews
m 3.2 Set and meet work /
priorities questionin
3.3 Maintain professional g
growth and development
4. Practice 4.1 Evaluate hazard and risks  Discussion  Observation

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NC II -
 occupational 4.2 Control hazards and risks  Plant tour  Interview
health and 4.3 Maintain occupational  Symposium
safety health and safety
awareness

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NC II -
 COMMON COMPETENCIES
(18 Hours)

Unit of Assessment
Learning Outcomes Methodology
Competency Approach
1. Implement 1.1 Provide information to  Lecturette  Observatio
and monitor the work group about  Brainstorming n and Oral
infection the organization's Questionin
control infection control g
policies and policies and  Grid Question
procedures procedures  Practica
1.2 Integrate the l
organization's infection Exercis
control policy and e
procedure into work
practices
1.3 Monitor infection control
performance and
implement improvements
in practices
2. Respond 2.1 Plan and respond  Lecturette  Observatio
effectively to to emergencies  Brainstorming n and Oral
difficult/challe 2.2 Report and review Questionin
n ging incidents g
behavior  Grid Question
 Practica
l
Exercis
e
3. Apply basic 3.1 Assess the situation  Lecturette  Observatio
first aid 3.2 Apply basic first  Brainstorming n and Oral
aid techniques Questionin
3.3 Communicate details of g
the incident  Grid Question
 Practica
l
Exercis
e
4. Maintain high 4.1 Communicate  Lecturette  Observatio
standard of appropriately with  Brainstorming n and Oral
patient patients Questionin
services 4.2 Establish and maintain g
good interpersonal  Grid Question
relationship with patients  Practica
4.3 Act in a respectful l
manner at all times Exercis
4.4 Evaluate own work to e
maintain a high
standard of
patient service

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NC II -
 CORE COMPETENCIES
(960 Hours)

Unit of Assessment
Learning Outcomes Methodology
Competency Approach
1. Prepare and 1.1 Prepare the area for  Lecturette  Observatio
maintain beds bed making  Brainstorming n and Oral
1.2 Perform bed making Questioning
according to  Grid Question
established  Practica
institution procedures l
1.3 Perform after care Exercis
activities e
of materials and
equipment used
2. Collect and 2.1 Explain the workplace  Lecturette  Interview
maintain linen procedure in collecting  Role Playing  Observation
stocks at end- soiled linen
user location 2.2 Maintain linen stock levels
2.3 Collect soiled linen
2.4 Distribute clean linen
3. Assist with 3.1 Explain the  Simulation  Interview
patient workplace  One-on-  Demonstration
mobility procedures in One  Return
assisting patient Teaching Demonstrati
with mobility  On-the- on
3.2 Prepare to assist with Job
patient mobility Practice
3.3 Assist with patient mobility  Video
3.4 Complete patient Tapes
mobility assistance Lecture
4. Assist in 4.1 Explain the  Lecture  Demonstration
transporting workplace  Simulation  Third
patient procedures in  Role Playing Party
assisting patient Report
transport  Return
4.2 Prepare patient for Demonstrati
transport on
4.3 Assist in patient transport
4.4 Perform post-transport
care
5. Assist with 5.1 Explain the concept of  Active  Interview
bio- bio- psycho-social Listenin  Demonstration
psychosocial support g  Return
care of 5.2 Assist the patient in  Lecture Demonstrati
patient verbalizing his  Simulation on
perceived problems  Role Playing  Third
related to bio- Party
psycho-social Report
concerns
5.3 Perform bio-psycho-social
measures and procedures
implemented in the
institution
5.4 Educate the patient on
alternatives on healthy
bio-
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NC II -
 psycho-social well-being.
6. Handle waste 6.1 Explain the concepts  Lecture  Demonstration
in a health and principles of  Brainstorming  Interview
care waste management  Demonstratio  Return
environment and safe handling n Demonstrati
6.2 Determine job  Experienti on
requirements al  Third
6.3 Identify and segregate Learning Party
waste  Simulation Report
6.4 Transport and store waste  One-to-
6.5 Conduct quality control One
activities on clean up Teaching
work  On-the-
areas Job
Practice

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NC II -
3.2 TRAINING DELIVERY

The delivery of training should adhere to the design of the curriculum. Delivery
should be guided by the 10 basic principles of competency-based TVET.

 The training is based on curriculum developed from the competency standards;

 Learning is modular in its structure;
 Training delivery is individualized and self-paced;
 Training is based on work that must be performed;
 Training materials are directly related to the competency standards and the
curriculum modules;
 Assessment is based in the collection of evidence of the performance of
work to the industry required standard;
 Training is based both on and off-the-job components;
 Allows for recognition of prior learning (RPL) or current competencies;
 Training allows for multiple entry and exit; and
 Approved training programs are nationally accredited.
The competency – based TVET system recognizes various types of delivery
modes, both on and off-the-job as long as the learning is driven by the competency
standards specified by the industry.

The following training modalities may be adopted when designing training

programs:

 The dualized mode of training delivery is preferred and recommended. Thus

programs would contain both in-school and in – industry training or fieldwork
components. Details can be referred to the Dual Training System (DTS)
Implementing Rules and Regulations.
 Modular/self-paced learning is a competency-based training modality wherein
the trainee is allowed to progress at his own pace. The trainer facilitates the
training delivery
 Peer teaching/mentoring is a training modality wherein fast learners are given
the opportunity to assist the slow learners
 Supervised industry training or on-the-job training is an approach in training
designed to enhance the knowledge an skills of the trainee through actual
experience in the workplace to acquire specific competencies prescribed in the
training regulations.
 Distance learning is a formal education process in which majority of the
instruction occurs when the students and instructor are not in the same
place. Distance learning may employ correspondence study, or audio, video or
computer technologies.
 Project-Based Instruction is an authentic instructional model or strategy in which
students plan, implement and evaluate projects that have real world applicants.

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NC II -
3.3 TRAINEE ENTRY REQUIREMENTS:

Trainees or students wishing to enroll in this course qualification should possess

the following requirements:

 16 years old and above

 Must pass the trainability / aptitude test
 Can communicate effectively both orally and in written form
 Physically, emotionally and mentally fit
 Can perform basic mathematical computation

This list does not include specific institutional requirements such as

educational attainment, appropriate work experience, and others that may be
required of the trainees by the school or training center delivering this TVET
program.

3.4 TOOLS, EQUIPMENT AND MATERIALS

HEALTH CARE SERVICES NC II

Recommended list of tools, equipment and materials for the training of a

maximum of 25 trainees

TOOLS EQUIPMENT MATERIALS

Qty. Description Qty. Description Qty. Description
3 pcs Dressing tray 3 units Hospital bed 12 pcs Linen (different
(complete with sizes)
accessories) and 3 pcs Bedside table 6 pcs Pillow and Pillow
alcohol and case
betadine
3 pcs Sputum cap 3 pcs Over bed 3 pcs Rubber sheet
12 Thermometer 3 pcs Foot stool 3 pcs Thermal blanket
pcs
12 Mask 3 pcs IV stand 3 pcs Kelly pad
pcs
3 pcs Goggles 1 unit Wheelchair 3 rings Rubber ring
12 Cap 1 unit Strecher 6 pcs Patients gown
pcs
12 Strap 1 unit Oxygen tank and 6 pcs Draw sheet
pcs accessories
3 pcs Splints 3 sets BP apparatus 6 pcs Towel, hand towel
3 pcs Slings 3 pcs Commode 1 set Waste bins (win,
dry, infectious,
sharp)
3 pcs Bandages 1 set Nebulizer 3 pcs Bed pan
3 pcs Crutches 1 unit Linen trolley 3 pcs Basin
2 Feeding utensils 1 unit Line hamper 3 pcs Soap dish
sets
1 unit Shelves 3 pcs Urinals
1 pc Pert light 1 pc Ambu man
1 pc Ambu Baby
3 pcs Plaster

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NC II -
3.5 TRAINING FACILITIES
HEALTH CARE SERVICES NC II

The Health Care Services Learning Facility must be of concrete structure. Based
on class size of 25 students / trainees, the space requirements for the teaching /
learning and curriculum areas are as follows:

SIZE IN AREA IN SQ. QTY. TOTAL AREA IN

TEACHING / LEARNING AREAS
METERS METERS SQ. METERS
Laboratory Area 4X 2 1 20
5 0
Tool Room and S/M storage 3X 1 1 15
Area 5 5
Learning Resources Area* 5X 3 1 35
7 5
Wash Area/Comfort Room (male 2.5 X 4 1 1 10
& female)* 0
Admin and Staff Room 5X 2 1 25
5 5
Circulation Area** 1 30
Total 13
5
Total Workshop Area 135

3.6 TRAINER’S QUALIFICATION (TQ II)

 Must be a licensed health-service related practitioner

 Must have undergone training on Training Methodology II (TM II)
 Must be physically, emotionally and mentally fit
 Must possess good moral character
 With at least 2 years experience in the health service industry

3.7 INSTITUTIONAL ASSESSMENT

Institutional assessment is undertaken by trainees to determine their

achievement of units of competency. A certificate of achievement is issued
for each unit of competency.

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NC II -
SECTION 4 NATIONAL ASSESSMENT AND CERTIFICATION ARRANGEMENTS

4.1 To attain the National Qualification of Health Care Services, the candidate
must demonstrate competence through project-type assessment covering all
units listed in Section 1. Successful candidates shall be awarded a
National Certificate, NC II signed by the TESDA Director General.

4.2 Assessment shall focus on the core units of competency. The basic and
common units shall be integrated or assessed concurrently with the core
units.

4.3 The following are qualified to apply for assessment and certification:

4.3.1 Graduates of formal, non-formal and informal including

enterprise-based training programs.

4.3.2 Experienced Workers (wage employed or self-employed)

4.4 Reassessment in a unit of competency is allowed only after one month

from the date of assessment. Reassessment for a National Certificate shall
be done only on the task/s that the candidate did not successfully achieve.

4.5 A candidate who fails the assessment for two (2) consecutive times will be
required to go through a refresher course before taking another assessment.

4.6 The guidelines on assessment and certification are discussed in detail in the
Procedures Manual on Assessment and Certification.

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NC II -
NC II
TR Health Care Services

COMPETENCY MAP
INSTITUTIONAL HEALTH CARE (HEALTH CARE ASSISTANT) NC
II

Participate in Work in team

COMPETENCIES
workplace environment
team
communicati
BASIC

on

Practice
Practice occupational health
occupational
career andand
health safety
safety
professionalis procedures
m
COMPETENCIES
COMPETENCIES
COMMON
COMMON

Implement and Respond

Respond effectively
monitor effectively
to difficult/to Apply basic first aid Maintain high
infection control difficult/
challenging aid standard of patient
policies and behavior services
procedures

Collects and Assist with bio-

Prepare and
COMPETENCIES

maintain linen psychosocial

maintain stocks
stocks at at end-
end-user support care of
beds
CORE

location patients

Assist in Handle waste

Assist with
transporti in a health care
patients
ng environment
mobility
patients
58-
-
 DEFINITION OF TERMS

SPECIFIC TERMS:

1) Body Mechanics – refers to using the body in an efficient and careful way
2) Hazardous Waste – refers to the items contaminated with blood, body fluids,
or body substances that maybe harmful to others
3) OSH – refers to Occupational Safety and Health
4) Commodes – refers to movable stand containing a washbowl
5) Chair Lifts – refers to power-driven chair assembly used to transport people
6) Dietitians – refers to specialist in dietetic
7) Immunization – refers to process of increasing the state of immunity
8) First Aid Kit – refers to emergency tools used to administer treatment to injured
or sick person
9) Balkan frames – refers to a device used for orthostatic correction
10) Linen – refers to materials used in draping
11) Ambu bag – refers to (Bag – Valve – mask), a device used to ventilate patients
who are unable to breath
12) Walking frames – refers to orthostatic device used to support body weight
13) Sling – refers to a material or a cloth used to support the upper extremity
14) Splints – refers to a material or a piece of cloth used to immobilize a limb in
the case of fracture, disease of deformity
15) Trolley – refers to a rolling device used to transport materials
16) PPE – refers to personal protective equipment
17) Wheel chair – refers to a device used to transport patient from one place to
another in a sitting position
18) Stretchers – refers to a device used in transferring patients in lying position
19) Pressure Bandage – refers to a piece of material used to cover a wound and
immobilize a part of the body or restrict the movement
20) Thermal blanket – refers to a material used to decrease the body temperature or
keep the patient warm
21) Stressors – refers to an agent or factor that produces stress
22) Choking – refers to a person having difficulty in breathing
23) Aspiration – refers to removal of liquids or gases by means of suction
24) Suffocation – refers to suppression of ones breathing with out access of oxygen
25) Depression –refers to mental condition of gloom or sadness
26) Suicide – refers to the act of intentionally killing oneself
27) Assault – refers to violent physical or verbal attack

TR Health Care Services NC II -59-

 ACKNOWLEDGMENT

The Technical Education and Skills Development Authority (TESDA) wishes to

extend thanks and appreciation to the many representatives of business, industry,
academe and government agencies, non-government organizations including
professional associations who donated their time and expertise to the development
and validation of this Training Regulations.

EXECUTIVE COMMITTEE, Health Care Industry Training Council, Inc.

 Dr. Juan Ma. Pablo R. Nañagas, MPH, MNSA

Chairperson
 Dr. Kenneth Vincent Ronquillo, MPHM
Deputy Chair
 Pilar L. Singson Malabunga, RN, MAN
Secretary
 Dr. Irineo Bernardo, III
Treasurer
 Professor Quintin G. Tan
Board Member

Committee Chairs, Health Care Industry Training Council

 Dr. Rodel Nodora, EMBA

Planning Research, Marketing and Advocacy Committee
 Ma. Rita V. Tamse, RN, MN
Standards and Assessment Development Committee
 Professor Agnes Rosario A. De Leon, RN,
MHA Training and Development Committee

PAQTVET

 Mark Douglas Kilner  Mr. Dexter Merquita

Australian Project Director and Industry
 Ms. Erma David
Advisor, Health Sector
 Ms. Olivia Angel
 Mr. Nicholas Crosling
 Ms. Dazymea Gaan
 Ms. Sonya Casey
 Mr. Charles Del Rosario
 Mr. Patrick Cummings
 Ms. Rabbi Morata
 Mr. Anthony Audley

Committee on Standards and Assessment Development

 Ms. Gwynn Marantan Dacurawat, RN, MAN  Dr. Remigia Lorenzo, RN, DEd
Deputy Chair
Holy Spirit Occupational Skills
 Dr. Ponciano Jerez Training Center
National Vice President, Philippine  Ms. Hiyasmin Lozada, RM, RN
Government Employees Association New Lucena Polytechnic
 Dr. Leopoldo Vocalan, Jr. College
Veterans Memorial Medical Center  Mr. Antonio P. Gunay, Jr.
 Ms. Imelda A. Mangaser, RN, MN Organization of Non-Academic
Division of Nursing Education and Personnel of UP (ONAPUP)/Philippine
Training, Philippine General Hospital Government Employees Association
 Ms. Nanette JC. Masangkay
Philippine General Hospital
Committee on Planning Research, Marketing & Advocacy

 Mr. Hermenegildo Caronan, Jr., MPA,  Ms. Estela A. Quirapas

Deputy Chair
 Ms. Mariquita Macaroyo, RN
 Mrs. Anesia B. Dionisio, RN, MN
 Dr. Jose O. Priela
 Dr. Ruben Caragay
 Ms. Gloria G. Almariego
 Dr. Bernardino Vicente, MHA
 Mr. Danilo Walo
 Dr. Benito F. Arca, MPH
 Dr. Kenneth Vincent Ronquillo, MPHM
 Ms. Evangeline E. Rafael, RN, MPA, MHA
 Mr. Paulino O. Cruz, Jr., Secretariat

Committee on Curriculum and Training Development

 Dr. Jorge M. Concepcion, FPCS,  Mr. Keith Abelar

Deputy Chair
 Ms. Susana P. Magtubo
 Dean Marilyn Coladilla, RN, Ed.D
 Ms. Corazon R. Cruz
 Ms. Elena P. Yu, RN  Mr. Honorio A. Alumno/
 Professor Quintin Tan Mr. Marlo Aranguren
 Mr. Enrico Roceles  Dr. Ramona Luisa Pablo Santos
 Ms. Elizabeth Acuin  Ms. Lorna Bernas, Secretariat
 Mr. Rafael Mapalo

Board of Management:

 Dr. Juan Ma. Pablo R. Nañagas,  Atty. Democrito Mendoza,

MPH,MNSA, Hosp.Admin/Academe
Trade Union Congress of the Philippines
 Dr. Kenneth Vincent Ronquillo, MHA,  Gov. Rodolfo Del Rosario, League
MPHM, DOH
of Governors of the Philippines
 Ms. Pilar L Singson Malabunga, RN,  Dr. Roberto M. Paterno,
MAN (Lai), Labor/Employees’ Association
Philippine Cancer Society
 Atty. Francis Tolentino, League  Ms. Esperanza Ocampo,
of Municipalities of the
Philippine Government
Philippines
Employees Association
 Mayor Ramon Guico Jr., League of
Cities of the Philippines

Administrative Officer:

 Cyrelle J. Ridad

The Participants in the National Validation of this Training Regulations

 Mr. Carlos Co, Cebu Chamber of  Dr. Helen Estrella,

Commerce and Industry
University of Cebu-Banilad
 Mr. Mr. Jose Mari Bigornia, Cebu
 Mr. Jaime L. Tinio, Can-Care
Chamber of Commerce and Industry
Caregiver Training Assessment &
 Ms. Estrella C.Siega, ONAPUP Cebu Devt. Center
 Dr. Romeo Ceniza,  Dr. Dhanna K. B. Rodas,
UP School of Health Sciences University of Baguio
 Dir. Rosario Marilyn S. Benabaye,  Mr. Esteban F. Paredes,
DOH-CHD-CV Holy Spirit OSOC
 Dr. Salvador G. Aquino,  Ms. Guillerna A. Manigbas,
DOH Davao City De La Salle University-HSC
 Dr. Joe Marie Tiguelo, DOH-CHD4  Ms. Ma. Salve K. Sibulo, PGH
 Ms. Lucina T. Esguerra, DOH, CHD4  Ms. Editha C. Mora, PGH
 Dr. Ma. Cristina Giangco,  Mr. Ranil C. Machitar, PGH
Provincial Health Office, Cebu  Mr. Juanito Formoso, PGH
  Dr. Fe Lyn Tampo, AMHOP Cebu  Ma. Theresa P. Palmaira, NLPC Iloilo
 Mrs. Emerlinda Abadiano, National  Ms. Flordeliza C. Gozum, Primacare
Federation of Barangay Health Workers,
 Ms. Normariclaire D. Dallego, Primacare
Cebu
 Ms. Carolina P. Davao,
 Dr. Maria Emmaline B. Yu, Pamantasan ng Lungsod ng Pasig
Cebu Doctors’ College
 Ms. Lorna Caballero,
 Dr. Filomena delos Santos, Pamantasan ng Lungsod ng Pasig
Don Vicente Sotto Medical Center
 Ms. Maria Concepcion Moll Talan-
 Sister Zeta Rivero,
Aslor, Naga College Foundation
Perpetual Succour Hospital
 Ms. Lalaine P. Bajamunde,
 Mr. Constancio Sia, Asian College
Naga College Foundation
of Science and Technology
Foundation  Ms. Jocelyn A. Apalla,
University of Baguio
 Ms. Emily Tabaloc,
Global Link Training Center Inc.  Mr. Venancio B. Andales,
West Visayas College
 Dr. Josefa L. Poblete, PHA Cebu
 Ms. Marina Lourdes Reyes,
 Mr. Butch Omilig, Cebu Caregiving
DMMC – Batangas
Studies and Development Center
 Ms. Josephine Formanes,  Ms. Virginia Dechavez, DMMC –
Batangas
Evergreen International Health Care
 Ms. Elizabeth F. Acuin, Philhealth

The Standards Setting and Systems Development Committee

 Atty. Ranulfo P. Payos – Chairperson  BM Teresita M. Borgoños

 Dr. Alberto Victor P. Fenix, Jr.  BM Rene Luis M. Tagle
 Dr. Nona Saldana Ricafort  Employers Sector Representative
 Dr. Teresita U. Quirino

The Management and Staff of the TESDA

 Office of Apprenticeship (OA)

 SDCO

 Dir. Ernesto Beltran, RD7

 Ms. Madelina Salarda, RO7
 Ms. Arceli A.J. Chavez, PMMS
 Mr. Eduardo B. Alminiana, NITVET
 Mr. Wally Paiton, NITVET
 Mr. Allen Simon, NITVET
 Ms. Merliita L. Dalire
 Mr. Fernando De Jesus
 Ms. Evelyn DC. de Leon
 Ms. Rosalinda Almeria
 List of Published Training Regulations

 Animal Production NC II
 Aquaculture NC II
 Automotive Body Painting/Finishing NC II
 Automotive Body Repair NC II
 Automotive Engine Rebuilding NC II
 Automotive Servicing NC II
 Bartending NC II
 Building Wiring Installation NC II
 Carpentry NC II
 Commercial Cooking NC II
 Computer Hardware Servicing NC II
 Deck Seafaring NC II
 Dressmaking NC II
 Driving NC II
 Engine Seafaring NC II
 Food and Beverage Services NC II
 Footwear Making NC II
 Heavy Equipment Operation NC II
 Horticulture NC II
 Household Services NC II
 Housekeeping NC II
 Health Care Services NC II
 Machining NC II
 Masonry NC II
 Motorcycle and Small Engine Servicing NC II
 Plumbing NC II
 Pyrotechnics NC II
 RAC Servicing NC I
 RAC Servicing NC II
 Security Services NC II
 Tailoring NC II
 Tour Guiding Services NC II
 Transport RAC Servicing NC II
 Travel Services NC II
 Welding NC II

These materials are available in both printed and electronic copies.

For more information please contact:
Technical Education and Skills Development Authority (TESDA)
Telephone Nos.: 893-8303, 893-2139; 817-4076 to 82 loc. 615 to 617
or visit our website: www.tesda.gov.ph