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Occupational Qualification Standards: Care Worker, EstQF Level 4

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General Data
Use of Occupational Qualification Standard: An occupational qualification standard is a document which describes the set of skills, knowledge and attitudes, i.e. competence requirements, needed to successfully accomplish duties. Occupational qualification standards are used for compiling curricula and awarding qualifications.
Name in English: ET: Hooldustöötaja, tase 4
EN: Care Worker, EstQF Level 4
Specialisations:
Partial occupational qualifications:
Valid from: 18.12.2019
Valid to: 08.10.2024
Occupational qualification standard version no.: 11
Versions:
Awarding Bodies:
Curricula and Educational institutions
  Educational institution Name of curriculum Code of curriculum Level of curriculum Duration of training programm Date of registration of curriculum Status
1 Haapsalu Kutsehariduskeskus Care Worker 134903 442 Neljanda taseme kutseõppe esmaõpe (vv alates 01.09.2013) 2/0 19.12.2019 Avatud
2 Järvamaa Kutsehariduskeskus Care worker 140959 442 Neljanda taseme kutseõppe esmaõpe (vv alates 01.09.2013) 2/0 11.06.2024 Avatud
3 Lääne-Viru Rakenduskõrgkool (suletud) Care Worker 137457 442 Neljanda taseme kutseõppe esmaõpe (vv alates 01.09.2013) 2/0 10.12.2015 Vastuvõttu ei toimu, õppimine keelatud
4 Pärnumaa Kutsehariduskeskus Care worker 130182 442 Neljanda taseme kutseõppe esmaõpe (vv alates 01.09.2013) 2/0 12.07.2021 Avatud
5 Tallinna Tervishoiu Kõrgkool Care worker 135737 442 Neljanda taseme kutseõppe esmaõpe (vv alates 01.09.2013) 2/0 27.05.2021 Avatud
6 Tartu Tervishoiu Kõrgkool Care Worker 134861 442 Neljanda taseme kutseõppe esmaõpe (vv alates 01.09.2013) 2/0 14.11.2023 Avatud
7 Valgamaa Kutseõppekeskus Care worker 136877 442 Neljanda taseme kutseõppe esmaõpe (vv alates 01.09.2013) 2/0 11.02.2021 Avatud
8 Valgamaa Kutseõppekeskus Care worker 134839 441 Neljanda taseme kutseõppe esmaõpe (kutsekeskharidusõpe) (vv alates 01.09.2013) 3/0 03.01.2020 Avatud
9 Kuressaare Ametikool Care-worker 137557 442 Neljanda taseme kutseõppe esmaõpe (vv alates 01.09.2013) 2/0 26.03.2021 Avatud
10 Kuressaare Ametikool care-worker (trainee in social welfare institutions) 127337 443 Neljanda taseme kutseõppe jätkuõpe (vv alates 01.09.2013) 0/4 03.01.2020 Avatud
A Description of work
A.1 Description of work
A Care Worker is a professional with specialised training who has acquired the knowledge and skills required to care for and instruct a patient based on a plan (e.g. rehabilitation plan or care plan).
A Care Worker works in the welfare and health care sector. Their duties involve supporting and ass...
isting those in need in leading a dignified life and achieving the highest possible quality of life. They help to take care of physical, social and mental needs, providing guidance and support.
Care Worker, Level 4 works with people of different ages and cultures who need help and care due to their living situation or for other reasons.
They base their work on the person as a whole, taking into account their client's needs, resources, ability to cope and beliefs when supporting their independence. A Care Worker follows human rights, work ethics and principles of equal treatment in their work.
They communicate and cooperate with the person in need, their relatives and other professionals in the network. Continuous professional development and lifelong learning are important in the work of a Care Worker.
There is also an occupational qualification standard for Care Worker, Level 3.

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A.2 Work units
The occupational qualification standard for Care Worker, Level 4 consists of the following tasks and areas of work:

A.2.1 Assisting with housing and care activities
1) Creating and, where possible, adapting a safe environment.
2) Planning and carrying out care activities.
3) Raising awareness ...
of healthy eating and monitoring nutrition and food hygiene.
4) Monitoring nutrition.
5) Assessing the suitability and comfort of clothes.
6) Instructing and assisting with hygiene and beauty activities.
7) Supporting activities that boost physical, mental and social activity levels.
8) Providing support and guidance regarding sexual behaviour.
9) Carrying out care activities.
10) Procuring medicines.
11) Assisting nurses with nursing jobs.
12) Organising rehabilitative, social and health services that support daily management.
13) Caring for a dying person or supporting and mentoring relatives on how to care for a dying person.

A.2.2 Arranging household duties
1) Providing laundry and cleaning services.
2) Organising household work.

A.2.3 Working with children
1) Noting problems that children and their families are having.
2) Noting problems that children and their families are having.
3) Supporting children and their families in shaping values.
4) Supporting the activation of a social network.

A.2.4 Working with the elderly
1) Evaluating the effect of physical, mental and social changes.
2) Supporting and guiding in coping with daily activities.
3) Noting health problems.

A.2.5 Working with people with special needs
1) Evaluating problems and finding solutions.
2) Motivating.
3) Instructing on how to use assistive devices.
4) Providing support in fulfilling a rehabilitation plan.

A.2.6 Communicating
1) Dealing with problems and finding solutions.
2) Assessing ability to interact with a social network.
3) Noting conflict and finding solutions.
4) Choosing appropriate modes of communication.
5) Communicating with people from different backgrounds and cultures and with different views on life.
6) Preventing conflict.
7) Resolving problems.

A.2.7 Providing first aid
1) Determining health status.
2) Providing first aid in the event of illnesses, accidents or trauma.
3) Performing resuscitation.

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Elective areas of work
A.2.8 Managing teamwork and providing supervision
1) Managing teamwork.
2) Supporting colleagues.
3) Delegating work.
A.3 Work environment and specific nature of work
A Care Worker works in the community or in welfare and health care institutions. Work can be scheduled, including weekends and nights. Work is emotionally intense and physically demanding and involves working both individually and in a team.
A.4 Tools
A Care Worker uses appropriate aids, protection, care and cleaning tools, household equipment and, where appropriate, a variety of information technology and communication tools.
A.5 Personal qualities required for work: abilities and characteristics
A Care Worker is empathetic, responsible, caring, trustworthy and honest. It is important for them to be conscientious in their work. They are cooperative and have good communication skills. The work of a Care Worker requires a highly moral attitude, people-centred values and stress and general tole...rance. In addition, assertiveness, analytical thinking skills, perseverance and consistency are also important.
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A.6 Professional preparation
Care Worker, Level 4 has usually completed a care work degree at the vocational or secondary vocational education level or has acquired practical skills during work and completed professional training.
A.7 Most common occupational titles
Care worker, carer, social carer.
A.8 Regulations governing profession
Working as a Care Worker is governed by the Social Welfare Act.
B Competency Requirements
B.1 Structure of occupation
Competency Requirements:
The occupational qualification standard for Care Worker, Level 4 consists of the following tasks and areas of work: Mandatory competences B.2.1-B.2.7 and recurring competence B.2.9 must be certified during the application process for the qualification of Care Worker, Level 4. In addition, elective c...ompetence B.2.8 may also be certified.
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B.2 Competences
Mandatory competences
    Competence EstQF Level
B.2.1 Assisting with housing and care activities 4

Performance indicators:
1) creates and, if possible, adapts a safe environment to the person in need based on their condition and needs, taking into account the care plan; introduces assistive devices and possibilities to obtain these, providing guidance on usage;
2) plans and carries out necessary care activities based on the care plan and condition of the person being cared for;
3) informs the person in need of healthy eating and food hygiene in accordance with the basic principles of nutrition education, taking into account the nutritional needs and characteristics of the person; determines if food is past its best and monitors food hygiene, taking into account health protection requirements; considers the needs and wishes of the person in need and, where possible, value for money, when acquiring food;
4) monitors the eating habits of the client based on their condition, instructs and feeds the client if necessary; takes into account cultural and religious differences in dietary practices and care;
5) assesses the suitability and comfort of clothing based on the client's health, special needs, weather, room and body temperature; assists and guides the person in need on how to dress and, if necessary, dresses the person using appropriate aids;
6) guides, assists and, if necessary, carries out hygiene procedures using appropriate aids; arranges beauty services (e.g. manicure, pedicure and hairdresser) if needed;
7) stimulates the physical, mental and social activities of the person;
8) guides and supports the person in need in expressing their sexuality;
9) performs various care duties according to the instructions (e.g. measuring body temperature, heart and breathing rate, blood sugar and blood pressure; care of pressure sores and skin; bandaging; etc.) taking into account the health status and by using appropriate tools; documents care duties;
10) acquires medications based on the instructions from the doctor, the basics of pharmacology and the condition of the person in need; observes and assists the person with administering medicines; if necessary, administers them according to the instructions given;
11) assists with nursing duties according to the instructions;
12) organises rehabilitative, social and health services that support daily management together with other specialists in the network, based on the list of services provided by legislation;
13) cares for the dying person if needed or supports and mentors relatives about how to care for the dying person; takes part in caring for the body after death, respecting professional ethics and cultural traditions.
B.2.2 Arranging household duties 3

Performance indicators:
1) plans and performs housekeeping, cleaning and tidying up, taking into account modern cleaning principles and requirements for the use of household chemicals in accordance with the manufacturer's instructions on the product label; motivates the person in need to participate in these activities considering their needs and abilities; uses personal protective equipment;
2) arranges household chores, minor repairs and home appliance repairs.
B.2.3 Working with children 4

Performance indicators:
1) notes the problems children and their families are having, evaluates their need for help and supports them with onward referral to a specialist, as needed, relying on the requirements of child protection legislation;
2) supports the daily or financial coping of a family with children by providing guidance on family budgeting;
3) supports the child and family in shaping values and getting involved and orienting in society;
4) supports the involvement of a social network in alleviating or resolving the child's or family's problems.
B.2.4 Working with the elderly 4

Performance indicators:
1) assesses the effects of physical, psychological and social changes that occur with aging on daily coping based on abilities and environment;
2) supports and assists the elderly in their daily activities, maintaining their independence and self-control as much as possible;
3) notes health problems based on the fundamentals of geriatrics, helps the elderly in coping with health problems.
B.2.5 Working with people with special needs 4

Performance indicators:
1) notes problems related to special needs and looks for services and support to alleviate them; informs the required specialist based on the system and proceeds according to the instructions received;
2) motivates and supports the person in setting goals and making decisions (choosing a place to work and live, continuing education, maintaining relationships, taking care of their health, etc.) taking into account their age, disability, daily coping and environment;
3) introduces opportunities to obtain assistive devices, helps with the procedure, motivates and instructs the person with special needs and their family members on how to use the device; notes the need to adapt the living environment of the person and makes necessary proposals, involving other specialists if needed;
4) supports the person in the fulfilment of their rehabilitation plan.
B.2.6 Communicating 4

Performance indicators:
1) dealing with the problems of the person in need and being oriented towards solving them, following the legal basis of welfare work;
2) assesses the social network and supports the person in need when interacting with the network, if needed;
3) notes conflict situations and finds suitable solutions for the person in need using appropriate means of communication (incl. alternative communication possibilities and sign language);
4) selects a communication method according to the target group; uses appropriate forms and means of communication to establish a relationship of trust with the client, their family members, caregivers and others;
5) communicates effectively with people from different backgrounds and cultures and with different views on life;
6) prevents conflicts using a suitable method derived from communication psychology;
7) solves problems within the limits of their competence by listening actively and emphatically to the person in need.
B.2.7 Providing first aid 4

Performance indicators:
1) determines the health status of the person in need by assessing their consciousness, breathing and heart rate, and taking into account their special needs;
2) provides first aid in cases of illnesses, accidents and trauma taking into account the medical condition and/or the extent of the trauma and, if necessary, calls for assistance; uses first aid techniques and equipment as appropriate;
3) resuscitates the person in a state of clinical death considering their medical condition, calls for assistance.
Optional Competences
In addition, elective competence B.2.8 may also be certified.
    Competence EstQF Level
B.2.8 Managing teamwork and providing supervision 4

Performance indicators:
1) plans and organises teamwork, taking into account the specific nature of their organisation and the needs of their clients; supervises the working group in accordance with the assigned tasks and work allocation and cooperates with representatives of related supportive fields, using appropriate methods;
2) supports colleagues in identifying and assessing problems that may arise in their work and in selecting appropriate measures to address them; behaves in a self-confident manner, considering the foundations of communication psychology;
3) delegates work in an appropriate and fair manner, with regard to the competence of their staff; motivates colleagues.
Recurring competences
    Competence EstQF Level
B.2.9 Recurring competences of Care Worker, Level 4 4

Performance indicators:
1) uses Estonian in their work at the B1 level, understands and speaks Russian at the A2 level (see Annex 1 for language skills level descriptions);
2) uses the following domains of digital skills: information management, online communication, content creation and safety (see Annex 2 for digital skills); is able to use professional hardware and software;
3) applies the principles of equality and diversity in their work; respects those in need, their life experience, choices and preferences; adheres to the values underpinning quality care: dignity, respect, privacy and confidentiality; acts in accordance with ethical principles;
4) takes responsibility for their actions and continuous professional development, adheres to work agreements; notes situations where their knowledge, skills and competence are insufficient and calls for help when needed;
5) monitors related legislation; handles client-related data in accordance with data protection rules, meets confidentiality requirements;
6) adheres to occupational health and safety rules and the requirements of safety equipment;
7) uses ergonomic techniques when performing care duties;
8) sets clear objectives; selects the means and resources for performing their duties; uses time efficiently; adheres to deadlines and the work timetable;
9) uses resources appropriately and economically, acts in accordance with the available resources and environment.

Assessment method(s):
Recurring competences are evaluated as part of the assessment of the other competences listed in the occupational qualification standard.
C General information and Annexes
Designation of occupational qualification standard in register: 25-18122019-02/11k
Field of occupational activity: Social Care
Occupational Qualification Council: Social Care
No. of decision of Occupational Qualification Council: 15
Date of decision of Occupational Qualification Council: 18.12.2019
EstQF level: 4
Reference to European Qualifications Framework (EQF): 4
Field: HEALTH AND WELFARE
Subfield: Social Care
Occupation: Care worker
International Standard Classification of Occupations: 5 Services and Sales Workers
53 Personal Care Workers
532 Personal Care Workers in Health Services
5321 Health Care Assistants
ISCED Fields of Education and Training (ISCED-F 2013): 09 Health and welfare
092 Welfare
0923 Social work and counselling
Statistical Classification of Economic Activities in the European Community (NACE): Q HUMAN HEALTH AND SOCIAL WORK ACTIVITIES
88 Social work activities without accommodation
Annexes
Annex 1 Language skills level descriptions
Annex 2 Digital Skills
Occupational qualification standard compiled by
Name Organisation
Terje Kraanvelt Eesti Sotsiaalasutuste Juhtide Nõukoda, Iru Hooldekodu
Kersti Kask Sotsiaalkindlustusamet
Merike Kravets Tallinna Tervishoiu Kõrgkool
Maarika Kärp Eesti Sotsiaaltöö Assotsiatsioon
Jaanika Luus Koduhoolduskeskus Certis, Mustamäe Päevakeskus
Iris Meristo Kristiine Tegevuskeskus
Erika Pärnala Eesti Õdede Liit hooldustöötajate seltsing

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