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PRINT CLEARLY - Please fill out the following using Black or Blue non- erasable Ink only.QualificationHLT54115 Diploma of NursingUnit Name & CodeHLTENN015 Apply Nursing Practice in Primary Health Care SettingAssessmentAT2 – Scenario Based Role PlayStudent number0000003452Student namePuja DahalStudent email[email protected]Assessor nameAssessment due dateAttempt 1 Date:Attempt 2 Date:Attempt 3 at trainer’s discretionSubmission dateAttempt 1 Date:Attempt 2 Date:Attempt 3 at trainer’s discretionSTUDENT DECLARATIONI declare that:This assessment is my own work, based on my own study and research and no part of it hasbeen copied from any other source, except where due acknowledgement/reference has beenmade. (Plagiarism is not permitted in any form)If this assessment was based on teamwork, as authorised by the trainer, I have not submittedthe same final version of any assessment material as another student.I have not previously submitted this assessment or any part of this assessment for this or anyother course/unit unless required to do so in a resubmission.I have kepta copy of my assessment.I give permission for my assessment to be reproduced, communicated, compared andarchived for the purposes of detecting plagiarism or collusion and to full AIBT College’srequirements as an RTO.Any assessment deemed unsatisfactory will require me to undergo reassessment which maybe different to the one originally submitted.I am aware that if I disagree with the assessment outcome I have the right to appeal thatresult. I will follow the complaints and appeals process in the AIBT College StudentHandbook.I take full responsibility for the correct submission of this assessment in the appropriateplace with the correct cover sheetStudent Signature: Date:HLTENN015-AT2 Scenario Based Role PlayVersion 1-July 2019Page 1of 12
erikaFOR ASSESSORAttempt 1.ResultSATISFACTORY NOT SATISFACTORYFeedback(Includeresubmissiondate ifapplicable)AssessorSignatureDate:StudentCommentStudentSignatureDateAttempt 2.ResultSATISFACTORY NOT SATISFACTORYFeedback(Includeresubmissiondate ifapplicable)AssessorSignatureDate:StudentCommentStudentSignatureDateDetail any reasonable adjustment that has been deemed HLTENN015-AT2 Scenario Based Role PlayVersion 1-July 2019Page 2of 12
appropriate for this studentDateSignatureIs this assessment subject to an appeal process☐Yes ☐NoDate appeal submitted Outcome of appealDateSignatureAssessment instructions to students:Context of assessment:This presentation forms part of a number of assessments that will be undertaken for thisunit of studyAll students MUST write their name, student number and sign where requested on the assessment paperwork.