Clinical Task Instructions
Clinical task instructions (CTIs) describe the best practice process for undertaking delegated or skill-shared tasks.
CTIs are used for training and competency assessment and also for monitoring and governance of the delegated or skill-shared task.
The CTIs on this page have been developed using the Guidelines for developing and writing clinical task instructions, trialled by allied health teams, and reviewed for educational and clinical validity by allied health professional networks in Queensland Health.
CTIs should only be implemented in a local work unit that possesses a delegation or skill sharing framework.
The local framework should include safety, governance, evaluation and monitoring systems that will support the delegation/skill sharing model in the team or organisation. Components include training, competency assessment and review, delegation or workload allocation, communication, collaborative practice and supervision mechanisms, and description of the responsibilities and accountabilities of employees and the organisation.
CTIs can only be safely implemented if the healthcare provider implementing the CTI has training, competency assessment and ongoing supervision and support provided by a practitioner who is competent to deliver the clinical task.
Resources are available for developing safe and effective delegation or skill sharing models. For Queensland Health staff, further information is available on the OCAHO QHEPS site.
Clinical Task Instructions - Delegation
Note: The link to the Delegation Framework in the version control information in each document is being updated. This CTI must be used under a delegation framework implemented at the work unit level. Access the Delegation Framework.
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- D-CP02: Administer a screening / assessment tool - Standardised Mini Mental State Examination (SMMSE) (PDF 1769 kB)
- D-CP03: Administer a screening / assessment tool - Montreal Cognitive Assessment (MoCA) (PDF 1686 kB)
- D-CP04: Administer a screening / assessment tool - Rowland Universal Dementia Assessment Scale (RUDAS) (PDF 1721 kB)
- D-CP05: Administer a screening / assessment tool - Westmead Post-Traumatic Amnesia Scale (WPTAS) (PDF 2150 kB)
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- D-DN01: Height, Weight and BMI (PDF 1893 kB)
- D-DN02: Malnutrition Screening Tool (PDF 1418 kB)
- D-DN03: Provide nutrition education materials to a client with cancer (archived)
- D-DN04: Administer the Subjective Global Assessment (SGA) (PDF 154 kB)
- D-DN05: Provide education on risk management strategies for a client with, or at risk of, malnutrition (PDF 1819 kB)
- D-DN06: Support implementation of a prescribed therapeutic diet or meal plan (in-patient) (PDF 525 kB)
- D-DN07: Provide education on dietary fluid management (PDF 640 kB)
- D-DN08: Monitor weight gain during pregnancy and provide nutritional education materials (PDF 2506 kB)
- D-DN09: Support Home Enteral Nutrition System (HENS) registration, product trial and dispensing (PDF 1663 kB)
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- D-MT01: Standing balance retraining program (PDF 1996 kB)
- D-MT02: Functional retraining program for standing transfers and walking (PDF 2934 kB)
- D-MT03: Support transfer and walking assessment via telehealth (PDF 1725 kB)
- D-MT04: Step test (PDF 124 kB)
- D-MT05: Timed up and go (TUG) Test (PDF 144 kB)
- D-MT06: 10 metre Walk Test (10mWT) (PDF 134 kB)
- D-MT07: Six Minute Walk Test (6MWT) (PDF 141 kB)
- D-MT08: Supply, train and review walking aids +/- stairs (PDF 225 kB)
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- D-NM01: Application of functional electronic stimulation for prevention of shoulder subluxation (client with hemiplegia) (archived)
- D-NM02: Measure range of motion of the wrist using a goniometer (PDF 1909 kB)
- D-NM03: Wrist range of motion exercises (PDF 2639 kB)
- D-NM04: Measure active range of motion of the shoulder using a goniometer (PDF 184 kB)
- D-NM05: Measure active range of motion of the hip and knee using a goniometer (PDF 167 kB)
- D-NM06: Apply electrical stimulation for functional rehabilitation (PDF 691 kB)
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- D-SP01: Provision of financial assistance information to a client (PDF 172 kB)
- D-SP02: Provision of community transport information to a client (PDF 191 kB)
- D-SP03: Administer a screening/assessment tool – Caregiver Strain Index (PDF 1875 kB)
- D-SP04: Support residential aged care facility application (PDF 2135 kB)
- D-SP05: Support access to housing (PDF 1999 kB)
- D-SP06: Support the review of activities that contribute to the care plan and recovery goals (PDF 230 kB)
- D-SP07: Support a graded exposure program for anxiety – activities of daily living (PDF 200 kB)
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- D-SO01: Mealtime review (PDF 2211 kB)
- D-SO02: Dysphagia - postural compensatory strategies (PDF 785 kB)
- D-SO03: Dysphagia - rehabilitation exercises (PDF 699 kB)
- D-SO04: Feeding assistance during instrumental swallow assessment (PDF 135 kB)
- D-SO05: Thickened fluids and texture modified diet preparation and education
(PDF 2267 kB)
Clinical Task Instructions - Skill Sharing
Note: The link to the Calderdale Framework in the version control information in each document is no longer in use and being updated. This CTI must be used under a skill-sharing framework implemented at the work unit level. Access the Skill-sharing Framework.
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- S-AD01: Prescribe, train and review use of bathroom grab rails (PDF 331 kB)
- S-AD02: Assess grooming and provide basic/bridging intervention (PDF 257 kB)
- S-AD03: Assess dressing and provide basic/bridging intervention (PDF 1424 kB)
- S-AD04: Assess toileting and provide basic/bridging intervention (PDF 292 kB)
- S-AD05: Prescribe, train and review use of toilet seating equipment (PDF 266 kB)
- S-AD06: Assess showering and provide basic/bridging intervention (PDF 329 kB)
- S-AD07: Prescribe, review and train use of showering seating equipment (PDF 344 kB)
- S-AD08: Assess meal preparation and provide basic/bridging intervention (PDF 938 kB)
- Occupational therapy home visit (PDF 144 kB)
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- S-FC01: Assess the risk of foot complications (PDF 192 kB)
- S-FC02: Doppler ultrasound of the foot and ankle (PDF 115 kB)
- S-FC03: Calculate an Ankle Brachial Pressure Index and Toe Brachial Pressure Index (PDF 230 kB)
- S-FC04: Basic assessment of a foot wound and provide basic/bridging intervention (PDF 199 kB)
- S-FC05: Prescribe, fit, train and review an off-loading device for foot protection (PDF 232 kB)
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- S-MT01: Assess functional walking (PDF 257 kB)
- S-MT02: Prescribe, train and review of walking aids (PDF 333 kB)
- S-MT03: Timed up and go (TUG) test (PDF 202 kB)
- S-MT04: Assess stair walking (PDF 391 kB)
- S-MT05: Assess standing balance (PDF 300 kB)
- S-MT06: Assess outdoor walking (PDF 239 kB)
- S-MT07: Assess standing transfer (PDF 242 kB)
- S-MT08: Assess and manage falls risk and risk reduction strategies for older persons in community settings using the FROP-Com (PDF 287 kB)
- S-MT09: Prescribe, train and review a manual wheelchair for short term use (PDF 277 kB)
- S-MT10: Review and progress a transfer and/or walking training program (PDF 238 kB)
- S-MT11: Prescribe and administer bridging intervention: functional retraining for sit to stand (PDF 274 kB)
- S-MT12: Prescribe and administer bridging intervention: functional retraining for walking (PDF 298 kB)
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- S-SP01: Screen for mood problems using a standardised tool and provide basic/bridging intervention (PDF 276 kB)
- S-SP02: Assess carer strain using the Modified Caregiver Strain Index (MCSI) and provide basic/bridging intervention (PDF 257 kB)
- S-SP03: Provide information on financial assistance, community transport or accommodation as a basic/bridging intervention (PDF 235 kB)
If access to unpublished CTIs is required urgently, please email Allied_Health_Advisory@health.qld.gov.au.