10763nat Certificate Iv In Nutrition Scope Of Practice

NUTRITIONCOUNCILAUSTRALIAPART 2:QUALIFICATION CONTEXT, FRAMEWORK &FOUNDATIONSQUALIFICATION REQUIREMENTS – KNOWLEDGE AND SKILLSOBTAINEDThe Vocational Education and Training (VET) qualification that is required for an individual to callthemselves a ‘Nutritional Advisor’ or ‘Nationally Recognised Nutritionist (NRN)’ is the 10763NAT Certificate IV in Nutrition. This is the only qualification below a university degree that provides theappropriate ‘Nationally Recognised’ education and training for this specific vocational role, representedwithin the health, wellness and fitness Industry.The role may be an informally held position or may fall within a broader scope of duties in anexisting position; however, in all instances, it describes a member who has completed and beenawarded the Certificate IV in Nutrition by an approved Registered Training Organisation (RTO).QUALIFICATION OUTCOMES AND GRADUATE ROLESThe 10763NAT - Certificate IV in Nutrition accredited course reflects the role of individuals who providedietary advice and nutritional information to clients. Upon completion of this course, graduates have asubstantial depth of knowledge to evaluate clients’ dietary requirements against personal goals, and toprovide advice, support and nutritional plans to assist in achieving these goals.Nutritional Advisors and NRNs may work independently or within a broader health and fitnessenvironment such as a gym; however, they must work within the defined Scope of Practice outlinedwithin this document.Graduates also complement specialists such as Dietitians, General Practice Physicians and otherAllied Health Professionals, through the provision of frontline nutritional advice to otherwise healthyindividuals. Nutritional Advisors/NRNs do not diagnose medical conditions or ailments, and will at alltimes seek to refer clients to medical practitioners if a potential health condition is identified duringstandard screening risk stratification or monitoring procedures.The qualification does not provide the skills and knowledge for a Nutritional Advisor/NRN toprovide advice to ‘high risk’ clients, other than to refer the client to an appropriate medical orAllied Health Professional.This qualification provides a pathway to work in a diverse range of roles within the health and fitnessindustry. Potential roles include sales positions within vitamin, health and supplements stores; Health/Wellness Coach, Sports Nutrition coach, and fitness advisory roles such as Personal Trainers or FitnessProfessionals.NCA: 10763NAT CERTIFICATE IV IN NUTRITION (SCOPE OF PRACTICE)VERSION 2: September 20206

NUTRITIONCOUNCILAUSTRALIANUTRITIONAL ADVISOR SPECIALISATION AREASDepending on the specialisation chosen by the individual, Nutritional Advisors/NRNs can choose toselect one (or both) of the following awards: Certificate IV in Nutrition (Sports Nutrition Advisor) * Certificate IV in Nutrition (Health and Wellness Coach) ***CERTIFICATE IV IN NUTRITION (SPORTS NUTRITION ADVISOR)In addition to the performance outcomes within each ‘core unit’ of the 10763NAT - Certificate IV inNutrition, if the award for the 10763NAT - Certificate IV in Nutrition (Sports Nutrition Advisor) is chosen,this enables its graduates to: Provide nutritional information to athletes. Design an athlete’s diet. Support athletes to adopt principles of sports psychology.**CERTIFICATE IV IN NUTRITION (HEALTH AND WELLNESS COACH)In addition to the performance outcomes within each ‘core unit’ of the 10763NAT - Certificate IV inNutrition, if the award for the 10763NAT - Certificate IV in Nutrition (Health and Wellness Coach) ischosen, this enables its graduates to: Assess and promote a client’s social, emotional and physical wellbeing. Establish, confirm and support counselling clients in decision-making processes relevant to aNutritional Advisor.NCA: 10763NAT CERTIFICATE IV IN NUTRITION (SCOPE OF PRACTICE)VERSION 2: September 20207

NUTRITIONCOUNCILAUSTRALIAFOUNDATION AND IMPLEMENTATION OF QUALITATIVERESEARCH AND NATIONAL STANDARDSThe 10763NAT - Certificate IV in Nutrition has been created using an abundance of governmentproduced resources, alongside a plethora of high-quality, evidenced-based research from onlyreputable and reliable sources.The following governing sites and resources, amongst an array of other references, have beenutilised extensively in the production of the 10763NAT - Certificate IV in Nutrition: National Health and Medical Research Council (NHMRC) World Health Organisation (WHO) Nutrient Reference Values for Australia and New Zealand (NHMRC) The Australian Institute of Health and Welfare (AIHW) Australian Sports Commission Australian Institute of Sport (AIS) Australian Government: Department of Health Eat for Health Australian Dietary Guidelines (Eat for Health)THE AUSTRALIAN DIETARY GUIDELINES – NOT A SOLE RESOURCE FOR ANUTRITIONAL ADVISORNutritional Advisors/NRNs are taught and encouraged to search for, compare, and make use ofhigh quality, evidenced-based research from reputable sources (which coincides directly with theknowledge and skill required to meet the Australian Qualifications Framework [AQF] Level 4 Criteria).Making use of high-quality research enables graduates to base recommendations and educationon up-to-date nutritional information, as opposed to relying solely on outdated information such asthe Australian Dietary Guidelines (ADGs), which were created with the ‘one size fits all’ generalisedapproach.The ADGs were last updated in 2013, and therefore do not take into account the nutrition researchand updates which have come to fruition since this time. As it can take decades for guidelines to beupdated, and with the continuous emergence of relevant nutritional information, it is best practice toutilise updated research in addition to the ADGs.RELEVANCE FOR THE NATIONAL HEALTH AND MEDICAL RESEARCHCOUNCIL (NHMRC)For the role of the Nutritional Advisor/NRN, individualised nutritional requirements for their clientsare calculated using the Nutrient Reference Values (NRVs) for Australia and New Zealand, aspublished by the NHMRC (NHMRC, 2006). This is a government-run nutritional resource, whichis also available to the public. NRVs assist Health Professionals and the public to calculate anddetermine individual requirements for energy, macronutrients, vitamins, minerals and trace elements.NRVs are utilised extensively throughout the 10763NAT - Certificate IV in Nutrition Qualification, asopposed to solely relying on the ADGs, as they are a set of recommendations for nutritional intakebased on current available scientific evidence.NCA: 10763NAT CERTIFICATE IV IN NUTRITION (SCOPE OF PRACTICE)VERSION 2: September 20208

NUTRITIONCOUNCILAUSTRALIAThe standard ADGs have numerous limiting factors, some of which have been outlined below:The ADGs and Eat for Health Program do not provide current or up-to-date information, nor do theydeviate from their recommendations, even if new research is backed by scientific evidence, industryprofessionals and peak governing bodies. The ADGs only provide basic advice for individuals to follow set food groups and types of food aswell as set serving amounts - A limiting factor due to its generalised approach for a ‘healthy diet’. Asa consequence, this does not allow for customisation of healthy foods and only enables a ‘one-sizefits all’ approach to nutrition, rather than catering to nutritional requirements at an individual level. By following the guidelines in the Australian Guide to Healthy Eating, this is limiting in its nature (asmentioned above) also due to the inability of Health Professionals to ‘implement’ a tailored plan orapproach for an individual to improve their health. The ADGs only provide ‘general’ or ‘basic’ nutrition advice for weight management. In a societythat has an increasing obesity epidemic, this is not taking proactive measures to combat excessiveweight-gain, nor can it be beneficial for individuals. The ADGs make inappropriate suggestions for meals and snacks as they focus only on catering to abroad/generalised population and not a person’s individual needs or health requirements. The ADGs do not encourage Health Professionals to learn, research or adapt new findings inresearch backed by scientific evidence or industry professionals such as Dietitians and peak industrybodies. The ADG’s do not ensure or encourage a holistic approach to health and wellbeing in order toimprove an individual’s health The ADGs do not encourage Health Professionals to adapt critical or lateral thinking in order to caterto the individual needs of their clients. Given the above limitations of the ADGs, as well as the wide availability of high-quality researchaccessible to the public, this is one of many reasons as to why the 10763NAT - Certificate IV inNutrition supports the notion of using a combination of resources and references, in order to createhigh-quality, evidenced-based, health-benefiting nutritional recommendations to adequately educateits graduates.“Education and information is essential to achieving effectiveparticipation and the empowerment of people and communities”.(WHO, 1997)NCA: 10763NAT CERTIFICATE IV IN NUTRITION (SCOPE OF PRACTICE)VERSION 2: September 20209

NUTRITIONCOUNCILAUSTRALIAPART 3:SCOPE OF PRACTICE FOR NUTRITIONAL ADVISORSAND NATIONALLY RECOGNISED NUTRITIONISTSThis section, aims to outline the Scope of Practice and provide clarity for the roles andresponsibilities of a Nutritional Advisor/Nationally Recognised Nutritionist who holds a current10763NAT - Certificate IV in Nutrition qualification.The health, wellness and fitness industry in Australia is becoming increasingly recognisedamongst the wider community, education services, sporting communities and the delivery ofvaried health services. Therefore, this document will also provide direction for a collective practiceapproach with qualified industry professionals across broader health and community services.WITHIN SCOPE OF PRACTICEThis qualification provides a pathway to work in a diverse range of roles within the health, wellnessand fitness industry.Potential roles include, but are not limited to: NCA approved Nationally Recognised Nutritionist* Nutritional Advisor Health and/or Wellness Coach Sports Nutritional Coach or Sports Nutrition Advisor Sales positions within vitamin, health and supplements stores Nutritional Advisor within gyms or other fitness facilities to assist Personal Trainers/FitnessProfessionals*Please refer to NCA for explicit requirements to utilise the term Nationally Recognised Nutritionist (NRN) on page 5.CLIENTELE (WITHIN SCOPE OF PRACTICE)Nutritional Advisors/NRNs have a substantial depth of knowledge to review, evaluate, plan and modifya client’s individual dietary requirements against their personal goals and/or nutritional requirements.The qualification provides the skills and knowledge for a Nutritional Advisor/NRNs to provide adviceonly to healthy clients who are deemed to be ‘no risk’ or who have been cleared of any current orpotential health conditions or chronic diseases by a GP.Before a Nutritional Advisor/NRNs can begin to work with a client, the client must be deemed ‘healthy’through an extensive Risk-Stratification Screening Tool (RSST), endorsed by NCA (2018).Within this RSST, the client’s current health status is analysed to identify any chronic health conditions.‘At Risk Markers’ are also used within the screening process to provide guidance on when a client maybe outside a Nutritional Advisor/NRNs Scope of Practice.If a client does not flag any ‘at risk’ markers or have a chronic medical condition, and no referral/clearance is required, Nutritional Advisors can then begin the appropriate measures and work withsuch clients to cater for their individual goals.NCA: 10763NAT CERTIFICATE IV IN NUTRITION (SCOPE OF PRACTICE)VERSION 2: September 202010

NUTRITIONCOUNCILAUSTRALIAOUTSIDE OF SCOPENutritional Advisors and NRNs do not diagnose medical conditions or ailments and will at all timesseek to refer clients to Allied Health or Medical Professionals if a potential health condition is identifiedduring a standard RSST check or during monitoring procedures.Risk-Stratification procedures are strongly enforced by Nutrition Council Australia and are an integralpart of the role as a Nutritional Advisor/NRN. Conducting these screening measures safeguards boththe client and the Nutritional Advisor/NRN, and establishes a professional relationship between theparties.*RISK-STRATIFICATION SCREENING TOOL (RSST)Prior to conducting any initial consultation with a potential client, Nutritional Advisors and NRNs mustscreen potential clients to deem whether or not they fall within their Scope of Practice. This is achievedby conducting a ‘Risk-Stratification Screening Tool’.The RSST is created and endorsed by Nutrition Council Australia (NCA, 2018) and its use is imperativeso that Nutritional Advisors/NRNs can ethically and legally provide customised nutritional information toclients within their scope of practice.*There is the potential for significant consequences in the event that a Nutritional Advisor/NRNfails to accurately identify those who do not fall within their Scope of PracticePART B) IDENTIFYING ‘AT RISK FACTORS’NUTRITIONAL ADVISORPART A) IDENTIFYING CURRENT MEDICAL CONDITIONSRISK-STRATIFICATIONSCREENING TOOL (RSST)OBJECTIVE: To identify if an individual permits with any known diseases, or signs or symptomsof disease, who may be classified as a higher risk of an adverse event under the guidance of aNutritional Advisor.The potential client should answer yes or no to the following questions:This risk-stratification screening tool does not substitute advice from an appropriately qualifiedMedical or Allied Health Professional. This risk-stratification screening tool does not promiseor warrant against injury or death and no guarantee of protection should result from the use ofthis risk-stratification tool. No liability or responsibility in any shape or form can be acceptedby Nutrition Council Australia (NCA), for any injury, loss, harm or damage that may emerge orbecome apparent from any person acting on the instruction of (or any statement or information)this risk-stratification screening tool.1Are you pregnant or a breastfeeding mother?2Are you under the age of 16 years old (0-15 years old)?4CLIENT DETAILS:5CLIENT NAME:DOB:Ph:MALE:Email:FEMALE:The potential client should answer yes or no to the following questions:1NoThe following questions refer specifically to ‘chronic health conditions’(an illness persisting for a long time or constantly recurring).3DATE:YesCONTACT DETAILS:SECTION 1: IDENTIFY THE CLIENT’S CURRENT HEALTH STATUSHave you been diagnosed with cancer?Have you been diagnosed with Irritable Bowel Syndrome (IBS)?8Have you been diagnosed with Inflammatory Bowel Disease (IBD)?9Have you been diagnosed with renal disease?10Do you have any chemical sensitivities?11Have you been diagnosed with infertility?13Due to the increased risk and challenges that medical conditions can have on client care, it iscritical that clients are identified who fall outside the scope of practice for a Nutritional Advisor.Section one of the Industry endorsed RSST focuses on identifying the client’s current healthstatus and the need for referral.3Have you been diagnosed with Crohn’s Disease?7122Have you been medically diagnosed with any eating disorder(Anorexia Bulimia, Anorexia Nervosa)?Have you been diagnosed with Diabetes?(Pre-Diabetes, Type 1, Type 2 & Gestational Diabetes)6SECTION 2: IDENTIFY POSSIBLE FOOD INTOLERANCES/ALLERGIESOBJECTIVE: To identify if an individual presents with any risk factors in which a Nutritional Advisorwould need to refer the individual to a GP for a more detailed assessment and gain medicalclearance prior to working with the individual.NoThe potential client should answer yes or no to the following questions:Is your BMI below 18 ( 18) or above 40 ( 40)?BMI kg/m2. Weight (height x height)If yes, please indicate your BMI belowIs your blood pressure below 90/60 ( 90/60) or above 120/80 ( 120/80)?3Do you have high blood glucose levels?5Are you currently taking a prescribed medication(s)?If yes, please list the medication(s) below and provide a reason for taking themedication(s):YesNoDo you believe you suffer from excessive flatulence?Do you experience irregular bowel motions (e.g. diarrhoea, constipation, sore topass, abnormal colours, faecal urgency)?If yes, please provide details below on the number of eliminations per day, stool colour, stoolabnormalities and stool formation where possible.(Glucose (random) 7.7mmol/L, Glucose (fasting) 5.4mmol/L or HbA1C 6%)4Do you believe you suffer from low energy levels?(If ‘yes’, please provide more information below. Unexplained low energy levels may indicate poornutritional absorption).Family health history: Has a member of your family ever had any history ofthe chronic health conditions outlined in Section 1: A?If yes, please list the medical condition(s) belowIf the individual answers ‘YES’ to two (2) or more of the above 4 questions, it is‘recommended’, however, not mandatory that a referral be made to an AccreditedIf the individual answers ‘YES’ to any of these 6 questions, a referral must be made to a GPfor a more detailed assessment and a medical clearance. *It is only after a clearance and the ‘allIf the individual answers ‘NO’ to all of the 13 questions, the Nutritional Advisorcan move onto Section 1: B of the Risk-Stratification Screening Tool.NUTRITION COUNCIL AUSTRALIA (V:1. 2018) RISK STRATIFICATION SCREENING TOOL (RSST)(Note: There is no normal amount, but just asking if a patient experiences more flatulence thanwhat they consider normal, and if the smell is “offensive” provides an initial indication of concern).Do you have high cholesterol?If the individual answers ‘NO’ to 1 or less of the above 4 questions, the Nutritional Advisorcan proceed to the following questions (5 and 6)clear’ has been made by the GP that a Nutritional Advisor can work with the individual.NUTRITION COUNCIL AUSTRALIA (V:1. 2018) RISK STRATIFICATION SCREENING TOOL (RSST)Do you experience bloating regularly?Practising Dietitian (APD). *It is to the discretion of both the individual and the Nutritional Advisorwhether or not nutritional support and guidance will continue under the supervision of the Nutritional Advisor or ifthe client will be referred to an AHP. If the client is happy to receive support under the guidance of the NutritionalAdvisor, then the Nutritional Advisor can continue to work with the client.If the individual answers ‘YES’ to any of these 13 questions, a referral must be made to anAccredited Practicing Dietitian (APD) for nutritional advice and support.*A Nutritional Advisor must not work with or take the individual on as a client.There are two cmomponents within Section 1 of the RSST that collect vital information about theclient, these include:PART A) Identify any current medical conditions.PART B) Identify ‘at risk’ factors.12(Total cholesterol 5.5mmol/L and/or Triglycerides 150mmol/L)46Have you had recent Gastric Bypass Surgery?(Recent refers to in the past 2 years)Do you have chronic Gastrointestinal Tract issues such as Ulcerative Colitis,Diverticulitis, Bowel Obstructions and Bowel Resections?YesOBJECTIVE: This section identifies possible food intolerances or allergies that an individual mayhave. This is an important factor in the screening process to identify if an individual may suffer fromfood intolerances and/or allergies as this may require a more detailed level of assessment by aqualified APD.If the individual answers ‘NO’ to all 4 questions, the Nutritional Advisor can move ontoSection 2 of the Risk-Stratification Screening Tool.NUTRITION COUNCIL AUSTRALIA (V:1. 2018) RISK STRATIFICATION SCREENING TOOL (RSST)2NUTRITION COUNCIL AUSTRALIA (V:1. 2018) RISK STRATIFICATION SCREENING TOOL (RSST)431The qualification does not provide the skills and knowledge for a Nutritional Advisor/NRNs to provideadvice to ‘high risk’ clients, other than to refer the client to an app

Nutrition, if the award for the 10763NAT - Certificate IV in Nutrition (Sports Nutrition Advisor) is chosen, this enables its graduates to: Provide nutritional information to athletes. Design an athlete's diet. Support athletes to adopt principles of sports psychology. **CERTIFICATE IV IN NUTRITION (HEALTH AND WELLNESS COACH)