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

TR Health Care Services NC II -1-

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 convey 1.1 Specific and relevant information is accessed from
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 meetings 2.2 Own opinions are clearly expressed and those of others are
and discussions listened to without interruption
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 relevant 3.1 Range of forms relating to conditions of employment are
work related completed accurately and legibly
documents 3.2 Workplace data is recorded on standard workplace 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 guidelines

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RANGE OF VARIABLES

VARIABLE RANGE
1. Appropriate sources 1.1 Team members
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 actual
assessment 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 role 1.1 The role and objective of the team is identified from
and scope 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 and 2.1 Individual role and responsibilities within the team
responsibility within environment are identified
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 used and
member 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 of 1.1 Work activities in a team environment with enterprise or
team 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 simulated
assessment 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 towards
objectives with improving the qualifications set for the profession
organizational goals 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 personal, team
priorities 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 professional 3.1 Trainings and career opportunities are identified and
growth and availed of based on job requirements
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

TR Health Care Services NC II -8-

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 Ethics,
knowledge 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 or in a
assessment 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 control
risks 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 and 2.1 Terms of maximum tolerable limits which when exceeded will
risks 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) procedures for
risks 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 in
awareness as per established organization guidelines and procedures
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-related 5.1 Fire drill
drills and training 5.2 Earthquake drill
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 or in a
assessment 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 information 1.1 Relevant information about the organization's infection control
to the work group policy and procedures, and applicable industry codes of
about the practice are accurately and clearly explained to the work
organization's group
infection control 1.2 Information about identified hazards and the outcomes of
policies and infection risk assessments is regularly provided to the work
procedures. 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 implemented by
organization's supervisor and members of the work group.
infection control 2.2 Liaison is maintained with person responsible for organization-
policy and procedure wide infection control.
into 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
3. Monitor infection 3.1 Infection control hazardous events are investigated promptly
control performance to identify their cause in accordance with organization policy
and implement and procedures
improvements in 3.2 Work procedures to control infection risks are monitored to
practices
ensure compliance
3.3 Work procedures are regularly reviewed and adjusted to
ensure improvements in infection control practice

TR Health Care Services NC II -14-

 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

TR Health Care Services NC II -15-

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 Guidelines for
Practice 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 of 3.2 Glass
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
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
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 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 simulated
assessment 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 policies and
incidents 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 dealing 3.1 Diversional activities
with challenging 3.2 Referring to appropriate personnel e.g. supervisor, security
behaviors officer
3.3 Following established emergency response procedures
4. Selection of 4.1 The nature of the incident
strategies for dealing 4.2 Potential effect on different parties, patient, staff and others
with challenging
behaviors 4.3 Established procedures and guidelines

5. Institutional policies 5.1 Incident reporting and documentation

and procedures 5.2 Operational guidelines for handling incidents and/or cases
involving difficult and challenging behavior
5.3 Debriefing of staff involved in the incident

TR Health Care Services NC II -20-

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 behavior
knowledge 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 simulated
assessment workplace setting.

TR Health Care Services NC II -21-

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 with
techniques 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 details 3.1 Appropriate medical assistance is requested using relevant
of the 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

TR Health Care Services NC II -22-

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 Condition Casualty’s condition may include but not limited to the ff:
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
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
TR Health Care Services NC II -23-
 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

TR Health Care Services NC II -24-

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 simulated work
assessment area setting.

TR Health Care Services NC II -25-

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 outcomes
patients 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 appropriate to
maintain good and in the best interests of patients
interpersonal 2.2 Effective listening skills are used to ensure a high level of
relationship with effective communication and quality of service
patients
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 and
manner at all times 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
4. Evaluate own work to 4.1 Advice and assistance is received or sought from appropriate
maintain a high sources on own performance
standard of patient 4.2 Own work is adjusted, incorporating recommendations that
service address performance issues, to maintain the agreed standard
of patient support

TR Health Care Services NC II -26-

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 required 2.2 Service units or departments
in regard to patient
services 2.3 Family members, carers and friends of patients
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
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

TR Health Care Services NC II -27-

 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

TR Health Care Services NC II -28-

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 within the
knowledge 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 setting
assessment

TR Health Care Services NC II -29-

 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 bed 1.1 Personal protective equipment is used, according to
making 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 left
activities 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.

TR Health Care Services NC II -30-

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

TR Health Care Services NC II -31-

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 or in a
assessment simulated work setting.

TR Health Care Services NC II -32-

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 linen 2.1 Clean linen is transported as scheduled to end- user 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 linen
levels 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

TR Health Care Services NC II -33-

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 stock
procedures 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 past and
levels 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

TR Health Care Services NC II -34-

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
5. Method of Competency may be assessed through at least two of the following
assessment 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 workplace or in
assessment a simulated workplace setting.

TR Health Care Services NC II -35-

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 with 1.1 Requirements for assisting with patient mobility are confirmed
patient mobility with concerned health personnel and care 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 health
mobility assistance 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

TR Health Care Services NC II -36-

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

TR Health Care Services NC II -37-

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 assessment
implications 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 simulated
assessment workplace setting.

TR Health Care Services NC II -38-

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 appropriate
transport 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 accordance
transport 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 established
transport 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.

TR Health Care Services NC II -39-

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

TR Health Care Services NC II -40-

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 simulated
assessment workplace setting

TR Health Care Services NC II -41-

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 appropriate
maintain rapport with time according to the care plan and / or established
the patient 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 information 2.1 Patient information is obtained from the family/significant
regarding the bio- others and concerned health personnel
psychosocial needs 2.2 Patient bio-psychosocial care needs are determined and
of the patient recognized
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 to 3.1 Comfort and safety measures are provided according to the
meet patient needs care plan and direction of the health professional
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

TR Health Care Services NC II -42-

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

TR Health Care Services NC II -43-

 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, spiritual 10.2 Health fund entitlements
and culture 10.3 Welfare entitlements
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

TR Health Care Services NC II -44-

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 target
knowledge 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 simulated
assessment workplace setting.

TR Health Care Services NC II -45-

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 handling
requirements 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 clearly
segregate waste 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
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

TR Health Care Services NC II -46-

 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 placed in
control activities 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 areas 5.1 Waste storage sites and all equipment are cleaned to 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

TR Health Care Services NC II -47-

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 illness of
hazards 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 characteristics Waste characteristics may include but not limited to:
6.1 Waste streams
6.2 Waste types
6.3 Waste generation
6.4 Disposal Method
6.5 Recycling
6.6 Reuse
6.7 Contamination
TR Health Care Services NC II -48-
 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

TR Health Care Services NC II -49-

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 implications The following resources MUST be provided:
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 workplace or in
assessment simulated workplace environment

TR Health Care Services NC II -50-

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 information discussion  Observation
communication 1.2 Complete relevant work  Interaction  Interviews/
related documents questioning
1.3 Participate in workplace
meeting and discussion

2. Work in a team 2.1 Describe and identify team  Discussion  Demonstration

environment role and responsibility in a  Interaction  Observation
team  Interviews/
2.2 Describe work as a team questioning
member

3. Practice career 3.1 Integrate personal objectives  Discussion  Demonstration

professionalism with organizational goals  Interaction  Observation
3.2 Set and meet work priorities  Interviews/
3.3 Maintain professional growth questioning
and development

4. Practice 4.1 Evaluate hazard and risks  Discussion  Observation

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

TR Health Care Services NC II -51-

 COMMON COMPETENCIES
(18 Hours)

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

TR Health Care Services NC II -52-

 CORE COMPETENCIES
(960 Hours)

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

TR Health Care Services NC II -53-

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.

TR Health Care Services NC II -54-

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 betadine case
3 pcs Sputum cap 3 pcs Over bed 3 pcs Rubber sheet
12 pcs Thermometer 3 pcs Foot stool 3 pcs Thermal blanket
12 pcs Mask 3 pcs IV stand 3 pcs Kelly pad
3 pcs Goggles 1 unit Wheelchair 3 rings Rubber ring
12 pcs Cap 1 unit Strecher 6 pcs Patients gown
12 pcs Strap 1 unit Oxygen tank and 6 pcs Draw sheet
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 sets Feeding utensils 1 unit Line hamper 3 pcs Soap dish
1 unit Shelves 3 pcs Urinals
1 pc Pert light 1 pc Ambu man
1 pc Ambu Baby
3 pcs Plaster

TR Health Care Services NC II -55-

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 4X5 20 1 20
Tool Room and S/M storage Area 3X5 15 1 15
Learning Resources Area* 5X7 35 1 35
Wash Area/Comfort Room (male & 2.5 X 4 10 1 10
female)*
Admin and Staff Room 5X5 25 1 25
Circulation Area** 1 30
Total 135
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.

TR Health Care Services NC II -56-

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.

TR Health Care Services NC II -57-

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

Participate in Work in team

workplace environment
communication

TR Health Care Services NC II

BASIC
Practice occupational
Practice career health and safety

COMPETENCIES
professionalism procedures

Implement and Respond effectively to

monitor infection difficult/ challenging Maintain high standard
Apply basic first aid
of patient services

COMMON
control policies and behavior
procedures

COMPETENCIES
Collects and Assist with bio-
Prepare and maintain maintain linen stocks psychosocial support
beds at end-user location care of patients

CORE
Assist in Handle waste in a
Assist with patients

COMPETENCIES
transporting health care
mobility
patients environment

-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 Advisor,  Ms. Erma David
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 Training
 Dr. Ponciano Jerez Center
National Vice President, Philippine Government  Ms. Hiyasmin Lozada, RM, RN
Employees Association New Lucena Polytechnic College
 Dr. Leopoldo Vocalan, Jr.  Mr. Antonio P. Gunay, Jr.
Veterans Memorial Medical Center Organization of Non-Academic Personnel
 Ms. Imelda A. Mangaser, RN, MN of UP (ONAPUP)/Philippine Government
Division of Nursing Education and Training, Employees Association
Philippine General Hospital  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 of
MPHM, DOH Governors of the Philippines
 Ms. Pilar L Singson Malabunga, RN, MAN  Dr. Roberto M. Paterno,
(Lai), Labor/Employees’ Association Philippine Cancer Society
 Atty. Francis Tolentino, League of  Ms. Esperanza Ocampo,
Municipalities of the Philippines Philippine Government Employees
 Mayor Ramon Guico Jr., League of Cities Association
of the Philippines

Administrative Officer:

 Cyrelle J. Ridad

The Participants in the National Validation of this Training Regulations

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

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