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ACT HealthGuideline Essential EducationContents

Contents....................................................................................................................................1

Overview...................................................................................................................................2

Purpose.....................................................................................................................................2

Essential Education Training Requirements..............................................................................2

Determining Essential Education Training Requirements.........................................................3

Essential Education Training Requirements For Employees Working In ACT Health.................5

Essential Education For Contractors, Locums, Agency Staff, Visiting Medical Officers, Junior Medical Officers On Rotation From Other Hospitals, Students And Volunteers.......................6

Essential Education Training Module Information....................................................................8

Child Protection Training.........................................................................................................13

Fire, Emergency and Security Training....................................................................................14

Basic Life Support Training......................................................................................................15

Life Support Training...............................................................................................................16

Manual Tasks.......................................................................................................................... 18

Aseptic Technique...................................................................................................................19

Recognising The Deteriorating Patient....................................................................................20

Blood And Blood Products (Blood Management)...................................................................22

Essential Education Training Groups within the Learning Management System, Capabiliti. . .23

Orientation and Induction Process..........................................................................................25

Recognition of Prior Learning (RPL).........................................................................................31

Education Activity Register (EAR)............................................................................................33

ACT Health’s Learning Management System, Capabiliti..........................................................33

Search Terms.......................................................................................................................... 33

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Overview

This Essential Education Guideline applies to all staff, contractors, agency staff, visiting medical officers, junior medical officers on rotation from other hospitals, locums, students and volunteers in ACT Health.

The essential education training is divided into groups, each group contains training assigned to that group.

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Purpose

This Essential Education Guideline provides information to all staff, contractors, agency staff, visiting medical officers, junior medical officers on rotation from other hospitals, locums, students and volunteers on essential education training requirements.

This Guideline is to be read in conjunction with the Essential Education Policy.

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Essential Education Training Requirements

Essential Education training is broken into six groups, each group has training assigned to that group.

Initially, Staff Development Unit will allocate essential education groups to an individual’s position, based on their job/position role. It is the responsibility of Managers/Supervisors to ensure the essential education group is appropriately allocated to the staff members individual’s position, based on their job/position role, if the individuals essential education group requires amendment / update they are to follow the Instructions for managers on how to assign essential education, detailed in pages 23-25 of this guideline).

The training for each group is divided into ‘must complete’ and ‘highly recommended’. All staff members are required to complete the ‘must complete’ training assigned to their job role.

Training specified in the ‘highly recommended’ groups is designed so that a staff member and their manager discuss the listed training and if this training is applicable to their job role. Any training that is applicable to an individuals job role is to be noted into their Performance Plan.

The training groups are:

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Group 1 – All ACT Health Employees Group 2 – Managers / Supervisors Group 3 – Basic Life Support Group 4 – Aseptic Technique Group 5 – Infection Prevention and Control Group 6 – Clinical Manual Tasks

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Determining Essential Education Training Requirements

All ACT Health employees are required to complete the ‘must complete’, Group 1 training requirements. All staff training (Group 1) is automatically assigned to each staff member. A staff member will need to log onto Capabiliti to complete this training. Capabiliti will have automatically allocated this training to each individual.

Training in Groups 2, 3, 4, 5 and 6 is assigned by a staff member’s manager following a risk assessment using the relevant risk matrices outlined in this document.

Instructions for managers on how to assign essential education (for detailed information refer to pages 23-25 of this guideline).

Note: Training groups are assigned to individuals by their manager/supervisor and relevant Executive Director based on their job/position role, not for their profession.

For example: Some clinical professions eg. social workers will not be required to complete basic life support as they would not be required to perform this procedure in the workplace. However, the staff member can still attend this training and completion will appear on their Capabiliti record, but it will not be essential and will not appear in the essential education reports.

For any education listed as ‘highly recommended’ the requirement to complete this training is determined by:

The manager/supervisor deciding on what is appropriate for staff to complete. This should be identified in the staff member’s performance plan with approval of the areas Director, and/or;

The Executive Director deciding that certain staff in an area are required to complete specified training and will need to convey this to managers / supervisors in their Division / Branch.

If a staff member is acting in a position for three (3) months or more. The staff members Essential Education group must be changed to reflect the job/position role they are acting in.To determine the appropriate essential education group requirements for all staff, contractors, agency staff, junior medical officers on rotation from other hospitals, visiting

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medical officers, residents, locums, students and volunteers, please refer to the following documents:

Essential Education training requirements for employees working in ACT Health. Essential education training requirements for contractors, agency staff, visiting medical

officers, junior medical officers on rotation from other hospitals, locums, students and volunteers.

Essential education training module information.

Some essential education programs have varying levels of requirement based on a position/ role. Refer to the following matrices to determine essential education requirements based on positions/ roles:

Child Protection training. Fire, Emergency and Security training. Basic Life Support training (including life support training for specialties, medical staff,

visiting medical officers and staff specialists). Manual Tasks training. Aseptic Technique training. Recognising the deteriorating patient training. Blood and blood products (blood safe). Orientation and induction process.

There is documentation that supports essential education training which is contained in this guideline:

Recognition of Prior Learning. Education Activity Register. ACT Health’s Learning Management System, Capabiliti.

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Essential Education Training Requirements For Employees Working In ACT Health

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Essential Education For Contractors, Locums, Agency Staff, Visiting Medical Officers, Junior Medical Officers On Rotation From Other Hospitals, Students And Volunteers

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Essential Education Training Module Information

GROUP 1 - ALL STAFF – Must complete

All ACT Health Employees MUST complete Mode of program delivery Time to complete ConditionsOrientation* ACT Health

Corporate Orientation*

Dependant on individual and training program selected

Must be completed within first month of commencement in organisation.

* Staff who have been employed for more than two (2) years (as of 1 January 2015) will not be required to attend the ACT Health Corporate Orientation. However, in order for this to be recognised on the Training Management System, Capabiliti, staff members must apply for exemption via the Recognition of Prior Learning process (refer to pages 31-32 within this guideline).

Child Protection Training (select relevant course/s)

Refer to Child Protection Training Dependant on type of course, as determined in matrix

Job appropriate course must be completed within first month of commencement in organisation.

Refer to matrix to determine appropriate training module and if a refresher course is to be completed.

Fire, Emergency and Security Refer to Fire, Emergency and Security Dependant on type of course, as determined in matrix

Job appropriate course must be completed within first month of commencement in organisation.

Refer to matrix to determine appropriate training module and if a refresher course is to be completed.

Workplace Induction Pathway

AND / OR

Dependant on mode of delivery, individual and supervisor / manager

Must be completed within first week / month of commencement in organisation.

Working with Aboriginal and Torres Strait Islander Patients and Clients

Approximately 45 minutes - Dependant on individual

Only required to be completed once.

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ESSENTIAL EDUCATION TRAINING MODULE INFORMATIONGROUP 1 - ALL STAFF – Highly Recommended

All ACT Health Employees Highly Recommended Mode of program delivery Time to complete ConditionsConsent Approximately 30 minutes -

Dependant on individualOnly required to be completed once.

Cultural Competence

OR

For eLearning approximately 45 minutes - Dependant on individual.For face-to-face – 1.5 hours

Only required to be completed once.

Ethics, Integrity and Fraud Prevention

Approximately 45 minutes - Dependant on individual

Only required to be completed once.

Incident Notification (RiskMan) Approximately 30 minutes - Dependant on individual

Only required to be completed once.

Risk Management Approximately 30 minutes - Dependant on individual

Only required to be completed once.

Privacy and Confidentiality Approximately 30 minutes - Dependant on individual

Only required to be completed once.

Partnering with Consumers

Partnering with Consumers – Patient Experience Program

2 hours (each session) Only required to be completed once.

Involving Consumers in Quality Improvement

Records Management Approximately 30 minutes - Dependant on individual

Only required to be completed once.

Respect at Work (select relevant course for job role)

All Staff Members (excluding Managers and Supervisors) - 3 hours

Managers and Supervisors - 2 hours

Only required to be completed once.

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GROUP 2 - Manager / Supervisors – Must complete

Manager / Supervisors MUST complete Mode of program delivery Time to complete ConditionsManagers Orientation 7 hours (1 day course) Only required to be completed

once.

Human Rights Approximately 45 minutes - Dependant on individual

Only required to be completed once.

GROUP 2 - Manager / Supervisors – Highly Recommended

Manager / Supervisors Highly Recommended Mode of program delivery Time to complete ConditionsWork Safety Legislation Approximately 45 minutes -

Dependant on individualOnly required to be completed once.

Work Safety for Managers 8 hours (1 day course) Only required to be completed once.

Staff Selection 3 hours Only required to be completed once.

Probation Training for Managers 1 hour and 30 minutes Only required to be completed once.

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ESSENTIAL EDUCATION TRAINING MODULE INFORMATION

Training for staff who are required to perform certain functions, based on their job role:

GROUP 3Basic Life Support

MUST complete Mode of program delivery Time to complete ConditionsBasic Life Support Refer to Life Support - Dependant on individual and

delivery modeRefer to matrix to determine appropriate training module.

GROUP 4Aseptic Technique

MUST complete Mode of program delivery Time to complete ConditionsAseptic Technique - Dependant on individual Only required to be completed

once.

GROUP 5Infection Prevention and Control

MUST complete Mode of program delivery Time to complete ConditionsPreventing and Controlling Healthcare Associated Infections - Infection Prevention and Control Occupational Medicine and Waste Management

- Dependant on individual Only required to be completed once.

GROUP 6Clinical Manual Tasks

MUST complete Mode of program delivery Time to complete ConditionsClinical Manual Tasks

- Dependant on delivery mode Refer to matrix to determine appropriate training module.

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Highly Recommended training for staff who are required to perform certain functions, based on their job role:

Highly Recommended Mode of program delivery Time to complete ConditionsBlood and Blood Products - Blood Safe

- Dependant on individual Refer to matrix to determine appropriate training module.

Clinical Handover - Dependant on individual Only required to be completed once.

Donate Life - Dependant on individual Only required to be completed once.

Life Support (for specialties)

AND / OR

- Dependant on individual and delivery mode

Refer to matrix to determine appropriate training module.

Medication Safety - Medication Legislation and Processes

Approximately 45 minutes - Dependant on individual

To be completed on an annual basis.

Patient Identification and Procedure Matching

- Dependant on individual Only required to be completed once.

Preventing and Managing Pressure Injuries

- Dependant on individual Only required to be completed once.

Preventing Falls and Harm from Falls

Approximately 30 minutes - Dependant on individual

Only required to be completed once.

Recognising and Responding to Clinical Deterioration in Acute Health Care - COMPASS (select relevant course)

Refer to Recognising and Responding to Clinical Deterioration in Acute Health Care - COMPASS Training Algorithm

Dependant on type of course as determined in matrix

Refer to matrix to determine appropriate training module.

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Child Protection Training

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Fire, Emergency and Security Training

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Basic Life Support Training

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Life Support Training

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LIFE SUPPORT TRAINING

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Manual Tasks

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Aseptic Technique

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Recognising The Deteriorating Patient

RECOGNISING THE DETERIORATING PATIENT CONTINUEDDoc Number Version Issued Review Date Area Responsible Page

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Blood And Blood Products (Blood Management)

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Essential Education Training Groups within the Learning Management System, Capabiliti

Also refer to page 2 of this guideline.

When a staff member accesses the Learning Management System (Capabiliti) their Essential Education requirements will be identified to them, as determined by their manager.

If a staff member / supervisor / manager identifies that essential education requirements are incorrect, please refer to the following process to amend a staff members Essential Education training group.

To add / remove a staff members essential education training requirementsOn rare occasions staff members may have certain essential education training requirements incorrectly assigned to them. Nominated Managers / Supervisors can remove and add these training requirements by following the below instructions.

1. Log onto Capabiliti > Click on ‘My Team’ > ‘Learning frameworks’

2. Click on ‘View team progress’

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3. In this section you can select the learning framework / training module/s you wish to remove / add for your staff by clicking onto the drop-down feature for the ‘All learning framework areas’

4. When you have selected the course / framework (noting that the ‘All Staff’ component is unable to be removed – as these courses must be completed) click onto ‘manage team member assignments’

5. Here you can either add or remove the training framework from your allocated team member/s. You do this simply by clicking onto +Add, if you want to add the learning framework or remove, if you want to remove the learning framework.

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STAFF NAMESTAFF NAMESTAFF NAMESTAFF NAME

STAFF NAME

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Make sure to save your changes

You have successfully removed / added a learning framework to your team member/s.Back to Table of Contents

Orientation and Induction Process

OrientationPart of the essential education training all ACT Health employees ‘must complete’ the ACT Health Corporate Orientation program and the Workplace Induction Pathway.

Staff who have been employed for more than two (2) years (as of 1 January 2015) will not be required to attend the ACT Health Corporate Orientation. However, in order for this to be recognised on the Training Management System, Capabiliti, staff members must apply for exemption via the Recognition of Prior Learning process (refer to pages 28-30 within this guideline).

Below is a matrix on the content that is covered in the Corporate Orientation program and the Managers Orientation program.

Please note that Managers / Supervisors must complete both orientation programs (i.e. ACT Health Corporate Orientation and the Managers Orientation program).

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Induction

Within the essential education training requirements all ACT Health employees ‘must complete’ the Workplace Induction Pathway. There are two delivery modes for the Workplace Induction Pathway (each employee only requires to complete one of these delivery modes, however an individual can still choose to complete both):

1. Workplace Induction Pathway form (template on pages 28-30) – the form is designed for a staff member to complete with their manager/supervisor when they first commence in the organisation. Once the form is complete, each individual is required to forward a copy of the completed form onto to Staff Development Unit so they can record this completion onto their Capabiliti profile.

2. Workplace Induction Pathway eLearning program – the eLearning program has been designed so that a staff member can access similar information contained in the form at their own convenience. At the end of the eLearning training module, the participant must successfully complete a quiz to satisfy the requirements of the eLearning training module.

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DGDXX/XXX (number will be allocated by Policy Register Manager after final endorsement

ACT HEALTH CORPORATE AND MANAGERS ORIENTATION CONTENT

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WORKPLACE INDUCTION PATHWAY FORM

ACT Health – Workplace Induction Pathway

NAME: ________________________________________________MANAGER / SUPERVISOR: ________________________________________________WORK DESIGNATION ________________________________________________COMMENCEMENT DATE: ________________________________________________DATE ATTENDED CORPORATE ORIENTATION (if applicable): _______________________

The Workplace Induction Pathway has been developed to assist you in learning and understanding the organisation, your department, area and your role and responsibilities in your work area.

1. Please ensure you make an appointment with your Manager / Supervisor to discuss this Workplace Induction Pathway with you and confirm that action items have been completed.

2. The Workplace Induction Pathway has been divided into two groups; Fundamentals ; which is to be completed within your first week of commencement. Then Organisational Context which is to be completed within the first four weeks of commencement.

3. On completion of this form, you and your manager will jointly sign the checklist:

The original is to be kept on file by your manager;One copy is to be kept by you as evidence;and another copy (paper copy, or, preferably faxed or scanned copy) is to be forwarded by your manager to the Staff Development Unit ( Staff.Development@act.gov.au ).

The Workplace Induction Pathway must be completed within your first four weeks of commencing in the organisation. Compliance in completion of the workplace induction pathway is reported on a fortnightly basis, via the performance information portal.

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FUNDAMENTALS – to be completed within the first week of commencement

I have met with my Director / Manager / Supervisor / Team Members and am aware of their role within ACT Health.I have my ACT Health Staff Identification and building / parking access pass. I have also successfully tested my required access.I have relevant keys for offices, lockers, filing cabinets etc (if applicable).I have a desk allocation, working telephone, and computer (if applicable).I have access to relevant computer drives, ACT Health Intranet and ACT Government personal email account.I have set-up my timesheet / flex sheet or know where to access my roster (if applicable).I know where the toilets, kitchen and fridge within my area are located.I know who my First Aid Officer is, where the first aid box is kept and where the officer is generally located.I know who my Emergency Warden is and where they are generally located.I know who my Health & Safety Representative (HSR) is and where they are generally located.I know where the fire exits, fire extinguisher, fire reel and Automated External Defibrillator in my area are located. I also know where the emergency evacuation meeting point is located.I have been shown specific workplace hazards and know that, prior to entering a new work area, I should attend a safety briefing with the manager for that area. This briefing will discuss workplace safety issues relevant to that work area and any safety instruction such as correct Personal Protective Equipment (PPE), infection control requirements etc).[Ref: Work Health and Safety Management System (WHSMS) Section 17 – Environment and Waste Management]I have been advised of general safety and housekeeping procedures, including correct methods of waste disposal and recycling.[Ref: WHSMS Section 17 – Environment and Waste Management]Personal safety requirements have been explained, including proper work clothing, PPE, smoking and alcohol at work, correct footwear, contact lenses, long hair and jewellery around hazardous machinery.[Ref: WHSMS Sections – 7.6.2; 14.6; 14.7; 16.7; 16.9]

ORGANISATIONAL CONTEXT – to be completed within the first four weeks of commencement

I know who to contact in the event of my absence in the workplace (including any area specific processes on recording this information).My Manager / Supervisor or relevant person has my personal emergency contact details, in case of an urgent issue or incident.I know how to apply for leave eg, personal, annual, long-service (including any area specific processes on recording this information).I know where to find main areas within or near the building (ie. cafe, cafeteria, carparks, other Health campus areas).I understand my responsibilities regarding the ACT Health Essential Education Policy and agree to complete them within the specified timeframe.[Ref: ACT Health Intranet – Policies/Clinical Guidance, WHSMS Section 5 – Training & Competency]

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ORGANISATIONAL CONTEXT continued – to be completed within the first four weeks of commencement

I have been advised of the responsibilities of my position including duties and workplace responsibilities statement.[Ref: WHSMS Section 1 – WHS (Work Health and Safety) Policy, WHSMS Section 4.3 – Responsibility, Accountability and Authority]I have been shown where to find relevant Policies, Procedures, Guidelines and Standard Operating Procedures. Including relevant Workplace Safety policies and procedures.[Ref: ACT Health Intranet, WHSMS Section 1.6 – WHS Policy]I know my role and responsibilities relating to the Privacy Act and will adhere to the Privacy and Confidentiality Policy and Standard Operating Procedure.I know how to book meeting and / or training rooms (if applicable).I know where relevant equipment is located and how to use them (eg. photocopier, fax).I have been allocated a ‘buddy’, preceptor or advised of a person who I can refer to if I have any general questions.I have an understanding of what is required of me relating to Quality Improvement and the National Safety and Quality Health Service Standards.I have made an appointment with my Director / Manager / Supervisor regarding my Performance Plan.I have been trained / shown / know how to report incidents, illnesses, injuries and hazards (ie using RiskMan (electronic recording system) and raising these issues at team meetings).[Ref: WHSMS Section 11 – Incident / Hazard Reporting and Investigation]I am aware of my responsibilities relating to reporting of a notifiable incident (See attachments: ACT Health Intranet: Reporting a Notifiable Incident to WorkSafe ACT. Internet: WorkSafe ACT- Failure to report incidents is an offence, How to Report a Notifiable Incident).I am aware of and will adhere to electrical safety in the workplace (See attachments: ACT Health Intranet: Safety Alerts: New to Service Tags, Reporting Electrical Incidents and Electrical Safety).The procedures I need to follow and the location of the Safety Data Sheets (SDS) for dangerous substances used in my work area have been explained.[Ref: WHSMS Section 7.5.6 – Safety Data Sheet]I have been advised of the procedure for conducting risk assessments relevant to my work, including visual assessment of risk for tasks not covered by a Safe Work Procedure, supervision or other work instruction.[Ref: WHSMS Section 7 – Risk Management]

I _____________________________________________________________________________, EMPLOYEE FIRST NAME AND SURNAMEhave completed the Workplace Induction Pathway with my Supervisor / Manager.

__________________________________ ____/____ /______EMPLOYEE SIGNATURE DAY MONTH YEARI _____________________________________________________________________________, MANAGER / SUPERVISOR FIRST NAME AND SURNAMEhave completed the Workplace Induction Pathway with my Employee.

__________________________________ ____/____ /______MANAGER / SUPERVISOR SIGNATURE DAY MONTH YEAROriginal is to be kept on file by the Manager / Supervisor, one copy is to be provided to the employee for their records and another copy is to be forwarded to the Staff Development Unit via either:Email: staff.development@act.gov.au Facsimile: 6244 3195 Post: Staff Development Unit, Canberra Hospital, Level 1, Building 5.

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Recognition of Prior Learning (RPL)

Recognition of prior learning (RPL) is a process for giving staff credit for skills, knowledge and experience gained through working and learning. It can be gained through formal and informal learning, through work or other activities.

The requirements for RPL for Essential Education in ACT Health are based on the requirements of a Registered Training Organisation

Responsibilities

Recognition of Prior Learning (RPL) may be awarded to staff for completion of essential education requirements under defined conditions:

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Recognition of Prior Learning Form

Recognition of Prior Learning (RPL) Application Form

Use this form to apply for RPL for any essential education requirements. The application will be signed by your Executive Director or delegate and sent to Staff

Development Unit. If requesting RPL for a group attach a typed list of all staff with their signatures.

Submit the form to: RPL application, Staff Development Unit, level 1, building 5, Canberra Hospital or scan and email to staff.development@act.gov.au

NAME of staff member applying for RPL – MUST be name as it appears on Capabiliti:Work area:

Contact details (email and phone):

Name of program for RPL:

Evidence describing your current competence:

Please attach a copy of evidence to this form and summarise evidence that is attached in this box.

Signature of applicant & manager

By signing this form I verify that: I have discussed the RPL

application Evidence has been provided

of competence

Applicant signature:

Manager signature:

Manager name (please print):

Date: APPROVAL OF RPL BY EXECUTIVE DIRECTOR OR THEIR DELEGATE

By signing this form I acknowledge that: I approve the application for RPL as described above I acknowledge my responsibility for ensuring the staff member knows and applies the

content of this essential education requirementSIGNED:

ED or Delegate Name (please print):

Date:

SDU USE ONLY:RPL actioned and entered on Capabiliti Date: Further information required (reason) and follow up action:

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DGD15-002

Education Activity Register (EAR)

As stated in the Essential Education Policy, trainers and educators of essential education programs are required to maintain the quality of an essential education training program by ensuring it is based on current evidence and adult learning principles. This is recorded within the Education Activity Register (EAR). The program is to be reviewed, updated by program owners and endorsed by relevant executive / delegate, annually.

The EAR is a brief summary of all training programs offered through ACT Health.

The EAR is documented using the online Education Activity Register within the Learning Management System, Capabiliti.

The training program must have an EAR before it is registered within Capabiliti.Back to Table of Contents

ACT Health’s Learning Management System, Capabiliti

ACT Health’s Learning Management System is Capabiliti. It is the electronic learning management system used for managing training course calendars and bookings; and providing data and records of attendances.

For information on how to log onto and use Capabiliti, please refer information contained on the ACT Health Intranet > Business Support > Staff Development Unit.

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Search Terms

Essential, education, essential education, mandatory training, mandated trainingBack to Table of Contents

Doc Number Version Issued Review Date Area Responsible PageDGD15-002 1.0 Jan 2015 01/12/2018 People and

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Do not refer to a paper based copy of this policy document. The most current version can be found on the ACT Health Policy Register

DGD15-002

Disclaimer: This document has been developed by ACT Health specifically for its own use. Use of this document and any reliance on the information contained therein by any third party is at his or her own risk and Health Directorate assumes no responsibility whatsoever.

Policy Team ONLY to complete the following:Date Amended Section Amended Divisional Approval Final Approval 20 July 2018 Transferred to current

template and review date extended

People and Culture People and Culture

This document supersedes the following: Document Number Document Name

Doc Number Version Issued Review Date Area Responsible PageDGD15-002 1.0 Jan 2015 01/12/2018 People and

Culture35 of 35

Do not refer to a paper based copy of this policy document. The most current version can be found on the ACT Health Policy Register