HLTINF006 Apply basic principles and practices ofProvider

CRICOS infection
Code 02934D
RTO Number 121952
prevention and control
Student Assessment

Student Assessment Task 4:

Professional Practice Experience

HLTINF006
Apply basic principles and practices
of infection prevention and control

CHC30121 Certificate III in Early Childhood

Education and Care

HLTINF006 Apply basic principles and practices of infection prevention

CRICOS Provider Code 02934D
and control Page 1 of 4 RTO Number 121952
Student Assessment - Version 1.0 April 2023
 HLTINF006 Apply basic principles and practices of infection
prevention and control
Student Assessment

ASSESSMENT TASK 4 – PROFESSIONAL PRACTICE

EXPERIENCE
Student Details

☐ I have read and understand unit information and assessment instruction

Student ID Click here to enter text. Date Click here to enter text.

Student Name Click here to enter text.

Conditions of For this assessment, the student will have access to the relevant learning
Assessment resources, listed under the learning resource of this document.  

Student Instructions ● This assessment task requires you to undertake 160- hour industry work
for completion placement.
● You are required to be directly observed by your trainer and assessor in
performing the practical skills listed below.
● You must have been graded successful in your assessments for all units of
competency prior to commencing work placement
● The SCEI work placement coordinator will arrange your work placement to
ensure it is undertaken in a SCEI approved industry regulated Early Childhood
Education Centre.

Due Date All evidence relevant to this work placement experience:

 Work Placement Booklet
 MUST be uploaded to Moodle within five working days after students return
from the Work placement experience.

Student Instructions

Prior to attending work placement, you will be issued with a work placement booklet. This will outline:
● the roles and responsibilities of you (the student), the SCEI workplace supervisor and host organisation
● the skills you will be observed and assessed performing
● assessment tasks to complete prior to work placement and during work placement.

It is expected during the industry work placement the student will consistently demonstrate achievement of
the required skills and knowledge as set out below.  Please refer to the work placement booklet for further
details of the work placement and the assessment requirements.

You are required to complete the following tasks to reflect your ability on:
o Hand hygiene (using soap and water and alcohol rub)
o Infection control – standard and transmission-based precautions

HLTINF006 Apply basic principles and practices of infection prevention

CRICOS Provider Code 02934D
and control Page 2 of 4 RTO Number 121952
Student Assessment - Version 1.0 April 2023
 HLTINF006 Apply basic principles and practices of infection
prevention and control
Student Assessment

WP OBSERVATION CHECKLIST– Infection control – standard and transmission-based

precautions (HLTINF006 Assessment Task 4)
Student Name Click or tap here to enter text. Student ID Click or tap here to enter text.
1st 2ns 3rd Assessors
Did the student demonstrate the required level of occasion occasion occasion Comments
competence for each of the following points?
S NYS S NYS S NYS
1. Identifies indication Click or tap here to
☐ ☐ ☐ ☐ ☐ ☐
enter text.
2. Identifies safety considerations Click or tap here to
☐ ☐ ☐ ☐ ☐ ☐
enter text.
3. Choose and use of appropriate personal Click or tap here to
protective equipment following enter text.
organisational procedure on at least three
(3) occasions including: PC 1.3, PE 2.2
☐ ☐ ☐ ☐ ☐ ☐
 Use gloves
 Wear a surgical mask
 Wear safety goggles
 PPE
4. Evidence of effective communication with Click or tap here to
the client / patient, e.g. gives a clear ☐ ☐ ☐ ☐ ☐ ☐ enter text.
explanation of procedure
5. Performs hand hygiene Click or tap here to
☐ ☐ ☐ ☐ ☐ ☐
enter text.
6. Carries out appropriate care of the patient; Click or tap here to
transmission-based precautions followed, enter text.
including
 Hand hygiene, 5 moments for hand hygiene
 Use of appropriate personal protective
equipment
 Safe use of and disposal of sharps
 Routine environmental cleaning
☐ ☐ ☐ ☐ ☐ ☐
 Reprocessing of reusable medical equipment
and instruments
 Respiratory hygiene and cough etiquette
 Aseptic technique
 waste management
 appropriate handling of linen
 management of exposure to blood or body
fluids
7. Cleans, replaces and disposes of Click or tap here to
equipment appropriately ☐ ☐ ☐ ☐ ☐ ☐
enter text.
8. Documents and reports relevant Click or tap here to
information ☐ ☐ ☐ ☐ ☐ ☐
enter text.
9. Demonstrates ability to link theory to Click or tap here to
practice ☐ ☐ ☐ ☐ ☐ ☐
enter text.
Assessor initials and date of assessment Click or Click or Click or Click or tap here to
tap here tap here tap here enter text.
to enter to enter to enter
text. text. text.
Date Assessor Name Assessor Signature Assessment Task Outcome

HLTINF006 Apply basic principles and practices of infection prevention

CRICOS Provider Code 02934D
and control Page 3 of 4 RTO Number 121952
Student Assessment - Version 1.0 April 2023
 HLTINF006 Apply basic principles and practices of infection
prevention and control
Student Assessment

WP OBSERVATION CHECKLIST– Infection control – standard and transmission-based

precautions (HLTINF006 Assessment Task 4)
Click or tap Click or tap here Click or tap here to S
here to to enter text. enter text. (Satisfactory) NYS
(Not Yet Satisfactory)
enter text.

Assessment Task Outcome

Result 
Submission No. 
S = Satisfactory Date Assessed  Assessor Name 
NS = Not Satisfactory 
 Click or tap here to  Click or tap here to enter
☐First submission  ☐S      ☐ NS 
enter text. text.
 Click or tap here to  Click or tap here to enter
☐Re-submission 1  ☐ S     ☐ NS 
enter text. text.
 Click or tap here to  Click or tap here to enter
☐Re-submission 2  ☐ S     ☐ NS 
enter text. text.
The evidence presented is: 

☐ Valid               ☐ Sufficient               ☐ Authentic               ☐ Current 

Reasonable Adjustment

Was reasonable adjustment applied to any aspects of this assessment task? (please tick)
☐ Yes       ☐ No 
 
 
IF YES provide a description of the adjustment applied and why it was applied.
Click or tap here to enter text.
 
 
 

Name of assessor: Click or tap here to enter text. Date: Click or tap here to enter text.

HLTINF006 Apply basic principles and practices of infection prevention

CRICOS Provider Code 02934D
and control Page 4 of 4 RTO Number 121952
Student Assessment - Version 1.0 April 2023