Commissioner's Information Bulletin 645

Health Services - Traineeships

Health Services

Date of effect: 29 February 2016

Bulletin Information

This Commissioner's Information Bulletin includes information on the revised HTLv3.0 Health Training Package.

The following Vocation has been repealed and related traineeship pathway deleted:

  • Health Services - Prosthetic/Orthotic Technology

The following Vocation has been established and related traineeship pathways added:

  • Health Services - Population Health

The following Vocations have been varied to update national qualification codes:

  • Health Services - Dental Assisting
  • Health Services - Health Support Services
  • Health Services - Non-Emergency Patient Transport
  • Health Services - Indigenous Environmental Health Care

All other Vocational Training Orders remain unchanged.

Superseded Bulletin

This Commissioner's Information Bulletin supersedes Bulletin 636.

Qualifications, structure and packaging

Transition Arrangements

Industrial arrangements

Competency based completion

School based traineeships

Immunisation

Working with Children Check, the Aged Care Check and the National Criminal Record Check

Licensing and regulatory arrangements

Registered training organisations

Funding arrangements

Inspecting Vocational Training Orders

Enquiries


Job Descriptions

Certificate II trainees will learn to undertake a range of tasks under direct supervision to support the provision of health care services to Aboriginal and/or Torres Strait Islander clients. They may learn the job roles of:

  • trainee health worker
  • assistant in a rural or urban environment
  • delivering limited health care services to clients living in communities that are isolated from mainstream health services

Certificate III trainees will learn to provide health care services to Aboriginal and/or Torres Strait Islander clients, usually as part of a team with ongoing supervision and guidance. Occupational titles may include:

  • Aboriginal health worker
  • Torres Strait Island health worker

Certificate IV trainees will learn to provide a range of primary health care services to Aboriginal and/or Torres Strait Islander clients, including specific health care programs, advice and assistance with medication. These trainees can be expected to flexibly assume a variety of job roles and undertake a broad range of tasks. Occupational titles may include:

  • Aboriginal health worker community health
  • Aboriginal health worker
  • Senior Aboriginal health worker
  • Community health worker
  • Aboriginal hospital liaison officer
  • Torres Strait Island health worker community health
  • Senior Torres Strait Islander health worker
  • Aboriginal health education officer

Certificate III reflects the role of administrative workers in the health industry. These workers follow known routines and procedures, taking responsibility for their own work under general supervision. They combine communication, customer service and technical skills, and use discretion and judgment to adapt and transfer their skills to different situations.

Certificate IV reflects the role of individuals who work in a senior operational or team learning role in the health industry.

Certificate III reflects the role of allied health assistants who provide assistance to allied health professionals under predetermined guidelines. Depending on the setting, work may include following treatment plans for therapeutic interventions and/or conducting programs under the regular direct, indirect or remote supervision of an allied health professional.

To achieve this qualification, the candidate must have completed at least 80 hours of work as detailed in the Assessment Requirements of the units of competency.

Certificate IV reflects the role of workers who provide therapeutic and program related support to allied health professionals. The worker is required to conduct therapeutic and program related activities under the guidance of an allied health professional. Supervision may be direct, indirect or remote and must occur within organisation requirements. The worker is required to identify client circumstances that need additional input from the allied health professional. The worker may be engaged to work in a specialty area or work generically across the organisation in delivery of allied health assistance services. The worker, in conjunction with the allied health professional, may have responsibility for supervising other allied health assistance workers.

Certificate IV reflects the role of audiometrists who conduct hearing assessments to identify hearing impairment and take action based on test results. They refer clients for further audiological or medical assessment and may be involved in care management and education programs. Workers at this level do not prescribe or dispense hearing aids and are not qualified to work as independent practitioners. Audiometrists may work in medical or industrial contexts.

Certificate III trainees will learn the knowledge and skills needed to assist dentist, dental hygienist or dental therapist during all health care procedures, to help maintain high standards of infection control and to assist with practice administration.

Certificate IV trainees will learn the knowledge and skills necessary to provide an advanced level of chairside assistance to the operator, including contributing to the quality of dental care provided through well-developed communication skills; providing an oral health education program that promotes good oral health as part of general good health; as well as implementing and monitoring infection control policy and procedures. This qualification allows the dental assistant to select electives to address specific workplace needs in line with jurisdictional Dental Acts and Regulations.

Trainees will learn the knowledge and skills required to assist in a dental laboratory in accordance with state/territory legislation. It covers workers who will be pouring impressions, producing custom-made trays, manufacturing occlusal registration rims, transferring oral records and articulating models for a range of prostheses as well as constructing mouthguards.

Certificate III reflects the role of a variety of workers who use a range of factual, technical and procedural knowledge to provide assistance to health professional staff for the care of clients. Health services assistance involves the worker in direct client contact under supervision.

Certificate II level trainees will learn to provide support for the effective functioning of health services. These workers do not provide direct care assistance functions such as assisting other staff with the care of clients. Occupational titles may include:

  • Administration support
  • Cleaner
  • Domestic assistant
  • Food service assistant
  • Grounds maintenance worker
  • Kitchen hand
  • Maintenance assistant
  • Pathology courier
  • Stores assistant
  • Clerk
  • Driver
  • Housekeeping assistant
  • Laundry worker
  • Orderly Porter
  • Support services worker
  • Ward assistant

Certificate III level trainees will learn to provide support for the effective functioning of health services, requirement discretion and judgement. These functions are carried out under supervision. Trainees may also provide a team leadership, workplace training or leading hand function. Health Support Services do not involve direct care assistance tasks such as assisting other staff with care of clients. Occupational titles may include:

  • Laundry leading hand
  • Senior kitchen hand
  • Food safety supervisor
  • Maintenance supervisor
  • Senior cleaner

Certificate III reflects the role of pharmacy technicians and assistants who provide a range of assistance to pharmacists in hospital and community health settings. This may include pharmacies that are located outside of health services but supply medicines and products to hospitals and other health services.

Certificate IV reflects the role of skilled pharmacy technicians who work under the supervision of a pharmacist in a hospital or community setting. This may include pharmacies that are located outside of health services but supply medicines and products to hospitals and other health services.

Certificate II trainees will learn to provide the basic support in Population Health work specifically relating to Indigenous Environmental Health. Workers at this qualification level apply competencies within a limited scope of operation and highly defined range of contexts, where the choice of actions required is clear. These workers implement directives of superiors and work under routine guidance with intermittent checking. Occupational titles may include:

  • Indigenous environmental health worker
  • Environmental health worker
  • Healthy housing worker

Certificate III trainees will learn the skills and knowledge to work in a range of Population Health project/programs particularly relating to Indigenous Environmental Health. Trainees will learn to apply competencies normally used within established routines, methods and procedures in the fulfilment of work likely to be allocated by a Population Health professional. These workers contribute to the work of others through teamwork and coordination. Occupational titles may include:

  • Indigenous environmental health worker
  • Healthy housing worker
  • Environmental health field support officer - Aboriginal communities
  • Environmental health officer
  • Environmental health worker
  • Indigenous public health officer

Certificate IV reflects the role of massage therapists who provide general health maintenance treatments. It does not reflect the role of a remedial massage therapist. Practioners may be self-employed or work within larger health service.

Code of Conduct

The Public Health (General) Amendment Regulation 2008 prescribes a Code of Conduct for registered and unregistered health practitioners. Trainees are expected to comply with the Code of Conduct, available at: http://www.health.nsw.gov.au/resources/aboutus/legal/pdf/code_poster.pdf.

The regulation specifically provides that a complaint may be made against a health practitioner in relation to an alleged breach of the Code of Conduct.

Professional Indemnity

Trainees may need to have professional indemnity insurance, when they are 'practising' their skills in environments other than:

  • the registered training organisation (RTO) clinical environment that replicates a real massage therapy practice work environment
  • other clinical environment, practice centre or workplace environment agreed to and coordinated by the RTO for the purpose of skill development towards completion of the qualification

This insurance may be provided either by the employer or trainee in their own right. There are insurers who have trainee or student policies. Go to the Australian Association of Massage Therapy website for details.

This critical factor of insurance should be addressed when the traineeship is being established.

Certificate IV reflects the role of medical practice assistants whose work includes a broad range of administrative functions combined with tasks to support medical practitioners in the delivery to care to clients. These tasks are completed under direct supervision of a health care professional other than a medical practitioner, but this should only occur where:

  • The health care professional is in the same practice as the medical practitioner; and
  • The medical practitioner has agreed to the other health care professional providing the supervision.

A registered nurse must accept or refuse responsibility for supervision of an activity of a medical practice assistant, according to the Nursing Midwifery Board of Australia (NMBA) Decision-making framework. An enrolled nurse cannot provide supervision.

This qualification covers workers who provide non-emergency transport and care of clients. Transport services of this kind are usually pre-arranged/booked and time of response is not given a high priority in comparison to emergency transport. Clients are those requiring transport and/or client care for non-acute or chronic illness or disability. Occupational titles may include:

  • Ambulance transport officer
  • Patient transport attendant
  • Patient transport officer

Trainees will learn to:

  • communicate with clients and colleagues to support their health care needs
  • transport non-emergency clients under operational conditions
  • apply advanced first aid
  • use basic medical terminology
  • contribute to effective workplace relationships
  • communicate and work effectively in health
  • comply with infection control policies and procedures in health work

Certificate IV reflects the role of optical dispensers who dispense and supply appliances as prescribed by optometrists and/or ophthalmologists in accordance with Australian standards. Optical dispensers practice in range of environments including optical dispensaries, optometric practices and laboratories. They may be self-employed or employed by another optical dispenser, an optometrist, a major optical dispensing company or other retailers.

Certificate III reflects the role of pathology assistants and specimen reception staff in laboratories. Workers in this role follow known routines and procedures, taking responsibility for their own work under general supervision.

Certificate III reflects the role of pathology collectors. Workers in this role follow known routines and procedures, taking responsibility for their own work under general supervision. They combine communication, customer service and technical skills, and use direction and judgement to adapt and transfer their skills to different situations.

Certificate II may be used as a pathway for trainees' entry into population health work. At this level, trainees work under direct and regular supervision within clearly defined guidelines.

Certificate III reflects the role of entry-level population health worker. At this level, trainees work under the direction of others and supervision may be direct or indirect. These trainees contribute to the work of others through teamwork and coordination.

Diploma level reflects the role of business or practice managers who manage the operations of small to medium sized health practices.

Diploma level reflects the role of remedial massage therapists who work with clients presenting with soft tissue dysfunctions, musculoskeletal imbalance or restrictions in range of motion (ROM). Practitioners may be self-employed or work within a larger health services.

Certificate III reflects the role of individuals working in instrument sterilising roles in a sterilising service or reprocessing area.

Certificate IV reflects the role of a team leader or senior technician in a sterilisation or reprocessing area. This worker is responsible for maintenance of quality requirements and monitoring of technical sterilisation functions.


Health Services - Aboriginal and Torres Strait Islander Health Care - Traineeship

Vocational Training Order

Date of effect 21 June 2013
Updated 21 February 2014
Qualifications
Terms of traineeships Full time:
  • HLT20113 Certificate II in Aboriginal and/or Torres Strait Islander Primary Health Care
    • 12 months or until the relevant competencies are achieved
  • HLT30113 Certificate III in Aboriginal and/or Torres Strait Islander Primary Health Care
    • 12 months or until the relevant competencies are achieved
  • HLT40113 Certificate IV in Aboriginal and/or Torres Strait Islander Primary Health Care
    • 24 months or until the relevant competencies are achieved
  • HLT40213 Certificate IV in Aboriginal and/or Torres Strait Islander Primary Health Care Practice
    • 24 months or until the relevant competencies are achieved

Part-time:
See part-time apprenticeships and traineeships

School based

HLT20113 Certificate II in Aboriginal and/or Torres Strait Islander Primary Health Care

The term for a school based traineeship will be calculated in months from the date of commencement to 31 December of the HSC year. During this period the school-based trainee must undertake a minimum of 100 days of on-the-job training.
Probationary period 2 months

Health Services - Administration - Traineeship

Vocational Training Order

Date of effect 24 October 2008
Updated 6 October 2015
Qualifications
Terms of traineeships Full time:
  • HLT37315 Certificate III in Health Administration
    • 12 months or until the relevant competencies are achieved
  • HLT47315 Certificate IV in Health Administration
    • 18 months or until the relevant competencies are achieved
Part-time:
See part-time apprenticeships and traineeships
Probationary period 2 months

Health Services - Allied Health Assistance - Traineeship

Vocational Training Order

Date of effect 21 December 2007
Updated 6 October 2015

Qualifications

Terms of traineeships Full time:
  • HLT33015 Certificate III in Allied Health Assistance
    • 12 months or until the relevant competencies are achieved
  • HLT43015 Certificate IV in Allied Health Assistance
    • 24 months or until the relevant competencies are achieved

Part-time:
See part-time apprenticeships and traineeships

School based

HLT33015 Certificate III in Allied Health Assistance

The term for a school based traineeship will be calculated in months from the date of commencement to 31 December of the HSC year. During this period the school-based trainee must undertake a minimum of 100 days of on-the-job training.

Probationary period 2 months

Health Services - Audiometry - Traineeship

Vocational Training Order

Date of effect 6 October 2015
Qualification HLT47415 Certificate IV in Audiometry
Terms of traineeship Full time:
  • 18 months or until the relevant competencies are achieved

Part-time:
See part-time apprenticeships and traineeships

Probationary period 2 months

Health Services - Dental Assisting - Traineeship

Vocational Training Order

Date of effect 14 December 2007
Updated 29 February 2016
Qualifications
Terms of traineeships Full time:
  • HLT35015 Certificate III in Dental Assisting
    • 12 months or until the relevant competencies are achieved
  • HLT45015 Certificate IV in Dental Assisting
    • 24 months or until the relevant competencies are achieved

Part-time:

See part-time apprenticeships and traineeships

School Based

HLT35015 Certificate III in Dental Assisting

The term for a school based traineeship will be calculated in months from the date of commencement to 31 December of the HSC year. During this period the school-based trainee must undertake a minimum of 100 days of on-the-job training.

Probationary periods 2 months

Health Services - Dental Laboratory Assisting - Traineeship

Vocational Training Order

Date of effect 28 October 2011
Updated 29 February 2016
Qualification HLT35115 Certificate III in Dental Laboratory Assisting
Terms of traineeship Full time:
  • 12 months or until the relevant competencies are achieved

Part-time:
See part-time apprenticeships and traineeships

School based

HLT35115 Certificate III in Dental Laboratory Assisting

The term for a school based traineeship will be calculated in months from the date of commencement to 31 December of the HSC year. During this period the school-based trainee must undertake a minimum of 100 days of on-the-job training.

Probationary period 2 months

Health Services - Health Services Assistance - Traineeship

Vocational Training Order

Date of effect 15 October 2010
Updated 6 October 2015
Qualification HLT33115 Certificate III in Health Services Assistance
Terms of traineeship

Full time:

  • 12 months or until the relevant competencies are achieved

Part-time:

See part-time apprenticeships and traineeships

School based

HLT33115 Certificate III in Health Services Assistance

The term for a school based traineeship will be calculated in months from the date of commencement to 31 December of the HSC year. During this period the school-based trainee must undertake a minimum of 100 days of on-the-job training.

Probationary period 2 months

Health Services - Health Support Services - Traineeship

Vocational Training Order

Date of effect 3 December 2007
Updated 29 February 2016
Qualifications
Terms of traineeships Full time:
  • HLT23215 Certificate II in Health Support Services
    • 12 months or until the relevant competencies are achieved
  • HLT33215 Certificate III in Health Support Services
    • 24 months or until the relevant competencies are achieved

Part-time:

See part-time apprenticeships and traineeships

Probationary period 2 months

Health Services - Hospital/Health Services Pharmacy Support - Traineeship

Vocational Training Order

Date of effect 24 October 2008
Updated 6 October 2015
Qualifications
Terms of traineeships Full time:
  • HLT37115 Certificate III in Hospital/Health Services Pharmacy Support
    • 12 months or until the relevant competencies are achieved
  • HLT47115 Certificate IV in Hospital/Health Services Pharmacy Support
    • 18 months or until the relevant competencies are achieved

Part-time:
See part-time apprenticeships and traineeships

Probationary period 2 months

Health Services - Indigenous Environmental Health - Traineeship

Vocational Training Order

Date of effect 8 February 2008
Updated 29 February 2016
Qualifications
Terms of traineeships Full time:
  • HLT26115 Certificate II in Indigenous Environmental Health
    • 12 months or until the relevant competencies are achieved
  • HLT36115 Certificate III in Indigenous Environmental Health
    • 24 months or until the relevant competencies are achieved

Part-time:
See part-time apprenticeships and traineeships

Probationary period 2 months

Health Services - Massage Therapy - Traineeship

Vocational Training Order

Date of effect 6 October 2015
Qualification HLT42015 Certificate IV in Massage Therapy
Terms of traineeship Full time:
  • 18 months or until the relevant competencies are achieved
Part-time:

See part-time apprenticeships and traineeships

Probationary period 2 months

Health Services - Medical Practice Assisting - Traineeship

Vocational Training Order

Date of effect 21 June 2013
Updated 6 October 2015
Qualification HLT47715 Certificate IV in Medical Practice Assisting
Terms of traineeship Full time:
  • 24 months or until the relevant competencies are achieved

Part-time:
See part-time apprenticeships and traineeships

Probationary period 2 months

Health Services - Non-Emergency Patient Transport - Traineeship

Vocational Training Order

Date of effect 20 November 2009
Updated 29 February 2016
Qualification HLT31115 Certificate III in Non-Emergency Patient Transport
Terms of traineeship Full time:
  • 24 months or until the relevant competencies are achieved

Part-time:
See part-time apprenticeships and traineeships

Probationary period 2 months

Health Services - Optical Dispensing - Traineeship

Vocational Training Order

Date of effect 21 December 2007
Updated 6 October 2015
Qualification HLT47815 Certificate IV in Optical Dispensing
Terms of traineeship Full time:
  • 24 months or until the relevant competencies are achieved

Part-time:
See part-time apprenticeships and traineeships

Probationary period 2 months

Health Services - Pathology Assistance - Traineeship

Vocational Training Order

Date of effect 6 October 2015
Qualification HLT37415 Certificate III in Pathology Assistance
Terms of traineeship Full time:
  • 12 months or until the relevant competencies are achieved

Part-time:
See part-time apprenticeships and traineeships

Probationary period 2 months

Health Services - Pathology Collection - Traineeship

Vocational Training Order

Date of effect 6 October 2015
Qualification HLT37215 Certificate III in Pathology Collection
Terms of traineeship Full time:
  • 12 months or until the relevant competencies are achieved

Part-time:
See part-time apprenticeships and traineeships

Probationary period 2 months

Health Services – Population Health - Traineeship

Vocational Training Order

Date of effect 29 February 2015
Qualifications
Term of traineeships Full time:
  • HLT26015 Certificate II in Population Health by direct entry
    • 12 months or until the relevant competencies are achieved
  • HLT36015 Certificate III in Population Health by direct entry
    • 24 months or until the relevant competencies are achieved
  • HLT36015 Certificate III in Population Health where the trainee holds HLT26015 Certificate II in Population Health
    • 12 months or until the relevant competencies are achieved

Part-time:
See part-time apprenticeships and traineeships

Probationary period 2 months

Vocational Training Order

Date of effect 24 September 2010
Updated 6 October 2015
Qualification HLT57715 Diploma of Practice Management
Term of traineeship Full time:
  • 24 months or until the relevant competencies are achieved

Part-time:
See part-time apprenticeships and traineeships

Probationary period 2 months

Health Services - Remedial Massage - Traineeship

Vocational Training Order

Date of effect 14 December 2012
Updated 6 October 2015
Qualification HLT52015 Diploma of Remedial Massage
Terms of traineeships Full time:
  • HLT52015 Diploma of Remedial Massage by direct entry 24 months or until the relevant competencies are achieved
  • HLT52015 Diploma of Remedial Massage, where the trainee holds HTL42015 Certificate IV in Massage Therapy
    • 18 months or until the relevant competencies are achieved

Part-time:
See part-time apprenticeships and traineeships

Probationary period 2 months

Health Services - Sterilisation - Traineeship

Vocational Training Order

Date of effect 14 December 2007
Updated 6 October 2015
Qualifications
Terms of traineeship Full time:
  • HLT37015 Certificate III in Sterilisation Services
    • 12 months or until the relevant competencies are achieved
  • HLT47015 Certificate IV in Sterilisation Services
    • 12 months or until the relevant competencies are achieved

Part-time:
See part-time apprenticeships and traineeships

Probationary period 2 months
Page last updated: 15 April 2016