For NDIS providers whose support workers deliver, or are preparing to deliver, a participant's High Intensity Supports. IHA provides the Registered Nurse clinical and competency pathway around those workers: participant-specific RN assessment, clinical planning, worker education, individual competency assessment, RN sign-off where demonstrated and ongoing clinical oversight.
Looking for a provider to deliver a participant's High Intensity Supports directly? That's a different service. See High Intensity Supports →
Five steps, from participant clinical review through worker training, individual competency assessment and ongoing support.
Understand the participant and their High Intensity support requirements.
Translate the participant's clinical requirements into a clear pathway for the support team.
Prepare workers to safely implement the participant's High Intensity support.
Individually assess knowledge and practical skills and document the RN outcome.
Document outcomes and provide reassessment or further RN clinical support where required.
IHA reviews the referral, relevant clinical information, current support/care plans, practitioner instructions, equipment, routines, risks and support environment.
A Registered Nurse assesses the participant-specific clinical requirements and identifies what is required for safe implementation by the support team. Where required and within scope, IHA can develop or update participant-specific clinical documentation.
IHA prepares the participant-specific clinical and education pathway based on the participant's current clinical needs, relevant treating-practitioner plans and instructions, identified risks and escalation requirements, the relevant NDIS High Intensity Support Skills Descriptor, and current evidence and accepted safe clinical practice.
Workers may receive participant-specific pre-reading and education resources before the training/competency session, covering the participant's:
Workers receive participant-specific training and clinical education from a Registered Nurse, based on the participant's current support requirements, clinical plan, procedures, equipment, identified risks and emergency/escalation requirements.
Where appropriate, training may include:
Training and education prepare the worker for assessment. Attendance at training does not itself establish competency.
Each worker is individually assessed to determine whether they can demonstrate the knowledge and practical skills required to safely provide the participant's High Intensity support.
Competency is assessed with reference to the relevant NDIS Practice Standards, applicable High Intensity Support Skills Descriptor and participant-specific clinical requirements.
Assessment uses an appropriate combination of knowledge questioning and practical assessment, which may include observation, demonstration, simulation and participant-specific scenarios depending on the support being assessed.
Where the worker demonstrates the required participant-specific knowledge and practical skills, IHA documents the RN competency outcome/sign-off. Where competency is not yet demonstrated, IHA identifies the areas requiring further education, supervised practice or reassessment.
Following the assessment process, IHA provides appropriate participant-specific clinical and competency documentation for the engagement. Depending on scope, this may include:
IHA can remain involved where required, but ongoing involvement is not mandatory for every engagement. Providers may engage IHA for a defined assessment/training engagement, episodically when circumstances change, or for ongoing participant-specific RN clinical support.
An outcome relates to the individual worker, identified participant and clinical support assessed. It is not a general qualification or automatic competency to provide the same support to another participant.
Attendance or payment does not guarantee a competency outcome.
Depending on the participant's needs and agreed scope, IHA may provide:
IHA works alongside your existing support team to establish the participant-specific clinical, training and competency pathway required for High Intensity support delivery. Your organisation retains responsibility for its workforce, service delivery and provider obligations, while IHA provides the agreed Registered Nurse clinical expertise.
Clinical education and competency assessment are based on the individual participant's needs, plans, risks and support requirements.
Clinical review, worker education and competency assessment are delivered or overseen by a Registered Nurse within the agreed scope.
Clinical education resources are developed with reference to current evidence, accepted safe clinical practice, relevant clinical guidance and the applicable High Intensity Support Skills Descriptor.
Worker competency outcomes and relevant clinical records are documented to support the provider's participant-specific records.
Complex bowel care • Enteral feeding & management • Severe dysphagia • Tracheostomy management • Urinary catheter management • Ventilator management • Subcutaneous injections • Complex wound management
Beyond HIDPA: Epilepsy and seizure support, medication administration, diabetes support, and general health monitoring remain available under Community Nursing & Disability-Related Health Supports, but are not HIDPA categories in their own right. See Community Nursing & Disability-Related Health Supports →