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Membership Tier

High Intensity Support (Tier 3A)

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Yearly Membership: $180

Per competency.

Initial Assessment: $400

One time payment per competency

Renewal: $250

Every 12 months per competency

Registration Process

Step 2 of 6 - Prepare Documents

1. Select Tier

2. Prepare Documents

3. Payment

4. Upload Documents

5. RN Assessment

6. Outcome

For High Intensity Support (Tier 3A)

Scope of work

All Tier 1 and Tier 2 activities PLUS health monitoring for participants with stable chronic conditions. Includes observation, documentation, and escalation of health concerns. Does NOT include clinical intervention or treatment.

Qualifications & Training Evidence*

Upload in the Client Portal (after payment)

Tier 1 requirements
- Certificate III in Individual Support (or equivalent) OR 2+ years documented work experience in disability support

- First Aid (HLTAID011) current.

- Manual handling training (last 2 years)

Tier 2 requirements
- Personal care module completion (minimum 6-hour accredited course covering dignity, privacy, infection control in personal care contexts)

- Continence care training (minimum 3-hour accredited course)

- Advanced manual handling (transfers, hoisting, positioning — minimum 4-hour accredited course)

- Medication assistance training (prompting and observation — minimum 2-hour accredited course, must clarify legal limits of non-- clinical medication support)

Tier 3 requirements
Competency-Specific Training (Minimum Requirements per Competency)

- Diabetes: 8-hour accredited course (theory) + 5 supervised shifts with diabetic participants

- Epilepsy: 8-hour accredited course (theory) + seizure first aid certification + 5 supervised shifts

- Wound observation: 6-hour accredited course (pressure injury staging, skin assessment) + 5 supervised shifts

- Continence/catheter care: 6-hour accredited course + 5 supervised catheter care tasks

Approved Competencies

1. Diabetes Monitoring & Hypo/Hyper Response

- Blood glucose monitoring (use of glucometer, interpretation, recording)

- Recognition of hypoglycaemia and hyperglycaemia signs

- Emergency response (provision of quick carbs, glucagon administration if trained and delegated, calling 000)

- Documentation for clinical handover

- Communication with participant's diabetes management team

2. Epilepsy Support & Seizure Response

- Seizure observation and timing

- Safe positioning during seizure

- Post-ictal care and monitoring

- Recognition of status epilepticus (seizure >5 minutes or repeated seizures)

- Emergency medication administration (buccal midazolam if prescribed and delegated)

- Detailed seizure documentation

3. Wound Observation & Skin Integrity Monitoring

- Pressure injury identification (staging: suspected deep tissue injury, Stage 1-4)

- Skin tear assessment and basic first aid (clean, cover, elevate)

- Wound measurement and photography for clinical records

- Recognition of infection signs (redness, warmth, odour, discharge)

- Documentation and escalation to wound care nurse/GP

- NOT wound dressing changes (unless simple non-stick dressing on minor skin tear)

4. Continence Care with Skin Integrity Assessment

- Advanced continence management (indwelling catheter care — bag emptying and monitoring output, NOT insertion or removal)

- Moisture-associated skin damage (MASD) identification

- Barrier cream application and skin protection strategies

- Bowel care observation (Bristol Stool Chart documentation, constipation recognition)

Demonstrated Competency

RN Observation Required

Core Support (Tier 1)
- Safe mobility assistance (walking with participant, wheelchair use)

- Communication with participants (verbal and non-verbal)

- Domestic assistance (meal preparation, light cleaning, laundry)

- Community access support (transport accompaniment, activity participation)

- Incident recognition and reporting

Health Literacy (Tier 1)
- Can describe when to escalate to health professional

- Understands basic infection control (hand hygiene, PPE use)

- Can follow a basic support plan

Medication Assistance (Tier 2)

- Showering assistance (setup, privacy maintenance, infection control, safe technique)

- Toileting support (transfers, dignity preservation, continence product use)
- Dressing assistance (appropriate technique, participant choice, skin integrity awareness)

- Continence care (pad changes, skin care, documentation)

- Bed-to-chair transfers (safe technique, equipment use)

- Hoist operation (if applicable to participant needs)

- Repositioning in bed or chair (pressure injury prevention awareness)

- Medication prompting ("It's time for your medication")

- Observing participant self-administer (confirming medication taken)

- Documentation of assistance provided (NOT clinical recording)

- Recognition of when to escalate (participant refuses, unable to swallow, adverse reaction observed)

Clinical Skills (Tier 3A)

- Diabetes: Perform full BGL monitoring cycle (setup, finger prick, reading interpretation, recording, hypo response simulation)

- Epilepsy: Seizure response simulation (positioning, timing, post-ictal care, documentation)

- Wound: Assess 3 different wound types (pressure injury, skin tear, surgical wound) with RN present, document staging and escalation plan

- Continence: Empty catheter bag, measure output, assess urine characteristics (colour, odour, clarity), document

RN Interview Assessment

This interview with a Registered Nurse assesses the applicant’s ability to apply clinical reasoning, exercise sound judgement, and respond appropriately to changes in participant condition.

The assessment focuses on the worker’s ability to:
- recognise signs of deterioration or clinical concern

- distinguish between routine support needs and urgent situations

- apply appropriate escalation and emergency response actions

- understand and operate within their scope of practice

- prioritise participant safety in dynamic, real-world scenarios

- communicate observations clearly and effectively to health professionals

This component ensures the applicant can interpret situations as they arise, make safe decisions under pressure, and escalate concerns appropriately without stepping outside their role.

Registered Nurse Assessment Process

- Mandatory: Minimum 2 direct observations with participants (covering health monitoring tasks) + simulation assessment (diabetes hypo, seizure response) + clinical documentation review

- Assessing RN must have clinical experience in the specific competency area (e.g., diabetes educator for diabetes monitoring assessment, neuroscience nurse for epilepsy assessment)

- Cannot be assessed by RN from worker's current employer

- Must demonstrate competence in at least 2 of the 4 Tier 3A competencies to achieve credential (workers select which competencies they pursue)