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Membership Tier

High Intensity Support (Tier 3B)

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Please confirm you have:

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Yearly Membership: $250

Per competency.

Initial Assessment: $600

One time payment per competency

Renewal: $400

Every 6 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 3B)

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 3B requirements
Intensive Clinical Training (per competency):

- PEG: 12-hour accredited course + 10 supervised feeding administrations + written reference from supervising RN

- Tracheostomy: 16-hour accredited course + simulation training + 10 supervised care episodes + emergency response certification

- Oxygen: 8-hour accredited course + 10 supervised administrations + equipment competency sign-off

Approved Competencies

1. PEG/NG Feeding Administration

- Gravity feeding via established PEG or NG tube (NOT insertion, NOT replacement)

- Pre-feed checks (tube placement verification using pH testing or measurement)

- Feeding pump operation (if applicable)

- Tube flushing and site care

- Recognition of complications (blockage, displacement, infection, aspiration)

2. Tracheostomy Care (Observation & Emergency Response)

- Inner cannula cleaning and replacement

- Stoma site care and dressing changes

- Suctioning (oral/nasal; tracheal suctioning ONLY if specifically delegated and trained)

- Humidification management

- Emergency tracheostomy replacement (if trained and emergency kit available)

- Recognition of respiratory distress

3. Oxygen Therapy Management

- Oxygen administration via nasal prongs or mask per care plan

- Flow rate adjustment within prescribed range

- Pulse oximetry monitoring and interpretation

- Equipment troubleshooting (tank empty, tubing disconnection, humidifier issues)

- Recognition of hypoxia signs

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 2)
- Can describe when to escalate to health professional

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

- Can follow a basic support plan

Real Participant Care (Tier 3B)

- Minimum 3 observed care episodes per competency (with participant consent)

- Full process observed: setup, safety checks, task completion, documentation

- RN must observe worker identify and respond to at least 1 simulated complication (e.g., PEG tube blockage, tracheostomy occlusion)

Emergency Response Simulation (Tier 3B)

- PEG: Aspiration response simulation (positioning, stopping feed, calling 000)

- Tracheostomy: Decannulation or occlusion emergency (replacement or manual ventilation, calling 000)

- Oxygen: Severe hypoxia response (increasing O2 per protocol, recognising when to call 000)

Professional Boundaries & Clinical Judgment Interview

This interview with a Registered Nurse assesses the applicant’s ability to work safely within their role, apply professional judgement, and recognise when matters must be escalated.

It focuses on the worker’s understanding of scope of practice, safe support delivery, observation and reporting responsibilities, and their ability to identify situations that require clinical oversight or further action.

This component helps confirm that the applicant can make safe, appropriate decisions in real support environments while maintaining professional boundaries and participant safety.

Registered Nurse Assessment Process

- Mandatory: Minimum 3 direct observations (real participant care) + emergency simulation assessment + clinical documentation review (10 feeding logs, suction logs, or O2 administration records)

- Assessing RN must be experienced in the specific technical task (e.g., stomal therapy nurse for PEG, respiratory nurse for tracheostomy/oxygen)
- Cannot assess workers from their own organisation

- Workers must achieve competence in specific technical task (Tier 3B competencies are individually credentialed, not bundled)