GOA - Government Organization Act

GOA – Government Organization Act
Identifies the restricted activities in Alberta, restricted activities

are health services, which may only be performed in accordance with
regulations. Restricted activities are listed in schedule 7.1 to the GOA.
Restricted activities can be assigned to HCAs only under very specific

circumstances:
 The restricted activity or task is considered part of the routine activities

of daily living for an individual client.
 The HCA is specifically permitted by legislation or regulation to carry
out the restricted activity.
 The HCA has the consent and supervision of a regulated nurse.
 Regulation is in place indicating how regulated members supervise
unregulated workers, such as HCAs, while performing the restricted
activity.
 The HCA has received instruction and demonstrates competency in
performing the task for a particular client.
 The client will not be at risk if the procedure is performed by an
unregulated care provider.
 The client’s needs are stable, and the restricted procedure is an
established part of the client’s care.
 The outcomes of the restricted procedure are predictable.
 The client and/or the client’s family have been involved in the
development of the care plan and in the assignment if a restricted
procedure to an unregulated care provider.
 The client has been assessed by a regulated health professional, who
will continue to be responsible for the evaluation and the outcomes of
the care provided on an ongoing basis.
 If healthy and able, the client would perform the restricted activity for
himself or herself, such as self- catheterization.
HIA – Health Information Act
Sets out rules that govern the collection, use, and disclosure of
health information. These rules apply to all health care providers operating in
the public health system. Health care providers are allowed to share client
information with other health care workers without the client’s consent of the
information is needed for client care or treatment.
The client’s health information ( but usually not the client’s name ) will be
used to:
 Provide the client with the appropriate health services and permit the
agency to do its job.
 Educate and train staff and physicians.
 Evaluate agency services so that the agency can make improvements to
service.
 Conduct research (approved by the ethics committee ).
 Monitor community health.
 Manage health systems to coordinate services and set priorities.
 Respond to concerns and review work of staff members and physicians.
FOIP – Freedom of Information and Protection of Privacy
Basic principles of the Act
 People have a right to know their own personal information.

 People have a right to privacy. Only those people who need to see an
individual’s personal information are allowed to do so.
 Individuals have a right to request that corrections be made to the
information about them that is in the custody or control of a public
body.
 Individuals and organizations have the right to request an independent
review of any decision made by a public body under the FOIP Act.
The public has the right to access the records held by public bodies unless
otherwise indicated by FOIP.
PD – Personal Directive
The personal directives act became a law in Alberta on Dec. 1, 1997. A

personal directive is a document that gives instructions and/or names an
agent to make decisions in the event the person becomes incapable of making
his or her own decisions. It can be handwritten, typed or printed on a
computer printer. It must be signed, witnessed, and dated. Making a personal
directive is optional and voluntary in the province of Alberta.
Instructions in a personal directive can include all personal matters, except

financial matters.
A personal directive deals with:
 Medical treatment that an individual wants or does not want

 Accommodation ( living arrangement )
 Who the individual wants to live with
 Choices about personal activities, such as those involving recreation,
employment, and education
 Any other personal and legal decisions (not financial )
PPICA – Protection for Persons in Care Act
Alberta passed the PPICA in 1998 to ensure the safety of people who receive
care in Alberta health care facilities. The Act promotes the prevention and
reporting of abuse of adult Albertans who receive publicly-funded care or
support services. This include people who receive services from hospitals,
nursing homes, lodges, group homes, facilities and other health care agencies
funded to provide support and care in the province of Alberta. The act was
updated in 2010 and now includes mental health facilities and care homes.
CCRF – Canadian Charter or Rights and Freedom
Is federal legislation that applies to all Canadians regardless of where they

live. The Charter is part of the Canadian Constitution and is a constitutional
document. It applies at the federal level, and all provincial and territorial laws
must be consistent with its rules. The Charter lists the basic rights and
freedoms to which all Canadians are entitled. They include:
o Freedom of conscience and religion.

o Freedom of thought, belief, opinion, and expression.
o Freedom of peaceful assembly and association.
o The right to vote.
o The right to enter, stay in, or leave Canada.
o The right to life, liberty, and security.
o The right to equality before and under the law, without discrimination
based in race, ethnic origin, colour, religion, gender, age, or mental or
physical ability.
OH&S – Occupational Health & Safety
All provinces and territories have occupational health and safety legislation.
This legislation outlines the rights and responsibilities of workers, employers,
and supervisors in creating and maintaining a safe work environment.
Legislation however, is not enforceable in a home care environment and does
not protect support workers in home care.
HPAA – Health Professions Act of Alberta
The HPAA is the legislation that regulates health professionals in this

province. The act gives each group of health professionals the responsibility of
setting their own standards and regulations to be self-govenrning.
Note: HCA’s are unregulated workers, not covered by the HPAA.

Need to know:
1. if injured on the job, it is the responsibility of the HCA to notify the

supervisor immediately in order to have the claim filled out.
2. a way to prevent the spread of viruses and bacteria to your loved ones is to
change out of work clothing and shoes as soon as possible after the shift
finishes. Work clothes should never be worn to run errands before or after
work, such as to the grocery store.
3. fatigue----- decreased ability to notice changes to client’s health.
4. time management------ daily planning and scheduling are important to

meeting goals.
5. skills you need to make decisions------focus – requires concentration,

involvement, and commitment. Focus on the client and the task at hand to
make the right decisions. This involves asking questions and listening actively.
6. decision making in different health care setting------ sometimes, you have

to decide which person’s needs are to be met first.
7. by planning personal time management stress levels are decreased by the

HCA.
8. physiotherapist (PT) works with clients to improve and maintain physical

mobility and independence, manage pain, and improve overall fitness and
health.
9. occupational therapist (OT) trained in physical and mental health to help

clients to recover from illness or injury and return to regular living activities
such as work, caring for oneself, or enjoying leisure activities.
10. palliative care teams – these teams include specially trained health
professionals who help to manage disease symptoms, prevent and relieve
suffering , and improve the client’s quality of life.
Key considerations are pain management and counseling to help the client
and family deal with issues related to death.
11. the care planning process in facilities---- its purpose is to meet the client’s
need for care and support. The care planning process in facilities has the
following steps:
1. assessment, 2. Nursing diagnosis, 3. Planning, 4. Implementation, 5.
Evaluation.
12. positive behaviors when working with clients and families------- listen to
the client’s and family’s concerns.
13. workplace problems in facility and community settings-----regardless of

the setting or the issue, the HCA must be professional, address issues in a
positive and effective manner, or refer the issue to the regulated health care
professional to be addressed. Promoting and participating in positive
teamwork is everyone’s responsibility.
14. community setting--------- depending in the issue, it may only need to be

documented in the client chart, or it may be something that requires
contacting the supervisor by phone for immediate assistance.
15. the health information act ensures that – if the client does not wish to
have any health information disclosed, this will be respected.
16. dimentions of health---- Physical, emotional, social, intellectual, spiritual,

cognitive health.
17. health is a continuum. On one end is optimal(complete) health or wellness,

and on the other end is extreme ill health. A person’s place on the continuum
shifts, depending on life’s circumstances. Remember that health is not
constant throughout life. Everyone experiences physical illness and emotional
stress during their lives, and therefore, most people can be said to have only
average health.
18. the World Health Organization defines environmental health as all the
physical, person and all the related factors impacting behaviors. It includes
the assessment and control of those environmental factors that can potentially
affect health.
19. maslow’s hierarchy of needs, pyramid from bottom to top. Physical, Safety,
Love and belonging, Self-esteem, self-actualization.
20. the four principles of health care ethics---Autonomy, Justice, Beneficence,
Nonmalificence.
ICARE Model
C – compassionate caring involves respect for client’s cultural, religious
and health beliefs, and honours the role family plays in this client’s life.
Promoting participation and independence must always be a goal.
A – accurate observations – how is this client adjusting to care?
R – report and record – always report your observation to your supervisor.
E – ensure client comfort and safety – always work within your scope of
Practice.
21. types of Micro-Organisms

Bacteria – single-celled microbes that naturally occur on living , dead,
or inanimate objects.
Viruses – infectious particles that are much smaller than bacteria and
infect living cells to grow and multiply. They take over the cells’ machinery to
produce new virus particles. Viruses can kill their host cells while producing
new virus particles, or they can incorporate into a host cell and remain
dormant for a certain period.
Fungi – microbes that live only on organic matter such as plants and
animals. Certain types of yeasts and moulds are common fungi that can be
pathogenic.
Parasites – organisms that derive nourishment and protection from
other living organisms, known as hosts. They maybe transmitted from animals
to humans, from humans to humans, or from humans to animals.
22. Norma Flora – are made up of the microbes that naturally live and grow
in certain locations on or in the human body. Certain microbes, for example,
are found on the skin and in the respiratory tract, digestive system, eyes, ears,
and vagina. These microbes are harmless(non-pathogens) and are beneficial
to the body (good bacteria) The normal flora contain organisms (bacteria)
that play a number of essential roles in the health of humans; they aid
digestion, produce some vitamins, and help fight off infections of pathogenic
organisms.
Blood-Borne Pathogens are harmful viruses and include hepatitis B,C and
human immunodeficiency virus (HIV). Exposure to blood-borne pathogens
and body fluids occurs as a result of the following:
 Needle stick injuries
 Cuts from sharp objects contaminated with an infected client’s blood
such as used needles
 Blood or body fluids from an infected person coming into contact with
the mucous membranes of your eyes, nose or mouth
 Contact on open skin with an infected client’s blood
 Sharing items such as needles, utensils, or toothbrushes with an infected
person
 Contact with body fluids such as feces, urine and vomit
 Unprotected sexual contact
R -remove those in immediate danger.

E - ensure doors and windows are closed.
A - activate the alarm.
C - call the fire department.
T - try to extinguish the fire if safe to do so.
P – pull
A – aim
S – squeeze
S – sweep

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GOA – Government Organization Act

Identifies the restricted activities in Alberta, restricted activities

Restricted activities can be assigned to HCAs only under very specific

 The restricted activity or task is considered part of the routine activities

FOIP – Freedom of Information and Protection of Privacy

Basic principles of the Act

 People have a right to know their own personal information.

The personal directives act became a law in Alberta on Dec. 1, 1997. A

Instructions in a personal directive can include all personal matters, except

A personal directive deals with:

 Medical treatment that an individual wants or does not want

PPICA – Protection for Persons in Care Act

Is federal legislation that applies to all Canadians regardless of where they

o Freedom of conscience and religion.

OH&S – Occupational Health & Safety

HPAA – Health Professions Act of Alberta

The HPAA is the legislation that regulates health professionals in this

Note: HCA’s are unregulated workers, not covered by the HPAA.

1. if injured on the job, it is the responsibility of the HCA to notify the

3. fatigue----- decreased ability to notice changes to client’s health.

4. time management------ daily planning and scheduling are important to

5. skills you need to make decisions------focus – requires concentration,

6. decision making in different health care setting------ sometimes, you have

7. by planning personal time management stress levels are decreased by the

8. physiotherapist (PT) works with clients to improve and maintain physical

9. occupational therapist (OT) trained in physical and mental health to help

13. workplace problems in facility and community settings-----regardless of

14. community setting--------- depending in the issue, it may only need to be

16. dimentions of health---- Physical, emotional, social, intellectual, spiritual,

17. health is a continuum. On one end is optimal(complete) health or wellness,

21. types of Micro-Organisms

R -remove those in immediate danger.

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