Assessor Resource

HLTEN601B
Practise in the orthopaedic nursing environment

Assessment tool

Version 1.0
Issue Date: May 2024


The knowledge and skills described in this competency unit are to be applied within jurisdictional nursing and midwifery regulatory authority legislative requirements

Enrolled/Division 2 nursing work is to be carried out in consultation/collaboration with registered nurses and under direct or indirect supervisory arrangements in line with jurisdictional regulatory requirements

This competency unit describes the skills and knowledge required by Enrolled/Division 2 Nurses to perform nursing interventions to assist the person with an orthopaedic condition to regain optimal function and lifestyle

You may want to include more information here about the target group and the purpose of the assessments (eg formative, summative, recognition)

Prerequisites

Not Applicable

Employability Skills

This unit contains Employability Skills



Evidence Required

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.

The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package.

Critical aspects for assessment and evidence required to demonstrate this competency unit:

The individual being assessed must provide evidence of specified essential knowledge as well as skills

Observation of performance in a work context is essential for assessment of this unit

Consistency of performance should be demonstrated over the required range of workplace situations and should occur on more than one occasion and be assessed by a registered nurse

Context of and specific resources for assessment:

This unit is most appropriately assessed in the clinical workplace or in a simulated clinical work environment and under the normal range of clinical environment conditions prior to assessment in the workplace

Where, for reasons of safety, access to equipment and resources and space, assessment takes place away from the workplace, simulations should be used to represent workplace conditions as closely as possible

Method of assessment

Observation in the work place

Written assignments/projects

Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice.

Questioning - verbal and writing

Role play/simulation

Access and equity considerations:

All workers in the health industry should be aware of access and equity issues in relation to their own area of work

All workers should develop their ability to work in a culturally diverse environment

In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities, workers should be aware of cultural, historical and current issues impacting on health of Aboriginal and Torres Strait Islander people

Assessors and trainers must take into account relevant access and equity issues, in particular relating to factors impacting on health of Aboriginal and/or Torres Strait Islander clients and communities

Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assingnment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)

Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

This describes the essential skills and knowledge and their level required for this unit.

Essential knowledge:

The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role

This includes knowledge of:

Admission and discharge process

Age specific requirements eg older adult, young adult, paediatric client

Anatomy and physiology

Client rights and responsibilities

Clinical manifestations of orthopaedic conditions

Community and in-hospital services available for medical condition clients

Critical thinking and problem solving

Diagnostic tests and their meanings

Emergency and first aid management of complications of orthopaedic condition/injury

Emergency and first aid management of orthopaedic condition/injuries

Health - illness continuum

Legal and ethical issues related to practice

Medical terminology

Nursing management of the client with a fracture

Nursing management of the medical orthopaedic client

Nursing management of the surgical orthopaedic client

Occupational health and safety legislation

Organisation policy and procedure

Participating as a member of the health care team

Pathophysiology of clinical manifestations of orthopaedic conditions

Phases of care for orthopaedic condition clients

Philosophy underpinning orthopaedic nursing

Reflective practice

Specialised in-depth knowledge of anatomy and physiology and pathophysiology of clinical manifestations of orthopaedic conditions

Essential Skills

It is critical that the candidate demonstrate the ability to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role

This includes the ability to:

Apply clinical nursing skills to address:

acute care and intensive care needs of orthopaedic condition client

pain management needs

pressure area care needs

rehabilitative care needs of orthopaedic condition client

Apply principles of:

bandaging

health assessment

plaster of paris management

rehabilitation

traction

Apply professional standards of practice:

ANMC code of conduct

ANMC code of ethics

ANMC national Enrolled/Division 2 nurse competency standards

state/territory Nurse Regulatory Nurses Act

state/territory Nursing and Midwifery Regulatory Authority standards of practice

scope of nursing practice decision making framework

Apply principles of documentation to document planned nursing interventions

Ensure maintenance of skin integrity

Facilitate activities of daily living

Maintain effective symptom management

Maintain evidence based practice in line with current literature and work of professional bodies associated with medical condition

Manage administration of medications as per jurisdictional and legal requirements

Recognise and address appropriately religious and cultural needs of client and significant others

Recognise and address needs of client and significant others in relation to grief and loss

Undertake health teaching to address specific needs of client and significant others

Undertake nursing management of the client with an amputation

Use language, literacy and numeracy competence required to communicate effectively with client, group, colleagues and to record or report client outcomes

Use prosthetic aids and devices appropriately

Use communication skills for:

counselling

interviewing

The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.

Multidisciplinary health care team members may include:

Client and their significant others

Medical staff

Nursing staff

Social workers

Physiotherapists

Occupational therapists

Speech pathologists

Dietitian

Prosthetists

Podiatrists

Drug and alcohol services

Emergency services including - ambulance, Royal Flying Doctor Service, Care Flight

Community services

Transitional rehabilitation services

Health care settings may include:

Hospital - private or public

Day clinic

Long stay centres

Short stay centres

Medical clinic

Aged care

Respite centres

Community

Paediatric environments

Orthopaedic conditions include (but are not limited to):

Musculoskeletal conditions e.g. gout, systemic lupus erythematosus, osteomyelitis, bursitis, epicondylitis, hallux valgus, avascular necrosis, compartment syndrome, thromboembolism, disseminated intravascular coagulation, delayed union, fat embolism, contractures

Congenital musculoskeletal conditions e.g. torticolis, spina bifida

Traumatic musculoskeletal conditions including - dislocations, sprains, fractures, traumatic amputations

Degenerative musculoskeletal conditions e.g. arthritis, back pain, muscle spasm, disc prolapse, osteoarthritis, osteitis deformans, osteomalacia

Surgical interventions for musculoskeletal conditions e.g. internal and external fixtures for fractures, applications of surgical braces, removal of bunions, elective surgical procedures (joint replacement surgery), laminectomy, surgical amputation

Bone tumours e.g. metastatic bone carcinoma, multiple myeloma, bone tuberculosis, osteosarcoma, chondrosarcoma

Assessment of impact of orthopaedic condition include:

Performance of activities of daily living

Loss or limitation to physical function

Assessment of musculoskeletal function

Accompanying trauma and injuries

Impact on sexuality, relationships, self image, body image

Grief and loss

Loss of vocation

Coping mechanisms

Personal and community support mechanisms

Level of communication

Maintenance/improvement of quality of life

Maintenance/improvement of lifestyle

Impact of secondary disease processes

Plans of care may include:

Nursing care plans

Clinical pathways

Treatment plans

Medical notes

Rehabilitation

Community referrals

Health teaching

Discharge plans

Rehabilitation plans

Specific nursing interventions/ clinical skills include:

Management of elimination (urinary and bowel) needs including - insertion of indwelling catheters, irrigation of indwelling catheters

Wound care

Skin care including - assessment and management of skin care

Health teaching in relation to client care needs

Pain management

Manual handling

Co ordination of clinical care

Application of specific prosthetic devices

Assessment of oxygen saturation levels

Peak flow

Electrocardiography

Management of intravenous therapy

Management of blood product infusions

Rehabilitative care practices

Emergency resuscitation skills

Evaluation of planned care includes:

Level of independence in performance of activities of daily living

Access and use of community support services

Participation in rehabilitation programs

Self management of symptoms of musculoskeletal injury including muscle spasm, pressure care, elimination management

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice Yes No Comments/feedback
Contribute appropriately to support the role of the multidisciplinary health care team in the managing care of the client with an orthopaedic condition 
Contribute to achieving effective team work and supportive group dynamics when working with health care colleagues 
Establish appropriate relationships with other members of the health care team 
Incorporate the philosophical framework for managing care for the client with an orthopaedic condition into own nursing practice 
Recognise the contributions of emergency service personnel, referring agencies and other hospital department staff to the initial/emergency care needs of the client with an orthopaedic condition 
Recognise specialist nursing and medical services as essential to the long term management and planning strategies for the client with an orthopaedic condition 
Perform a holistic assessment of the client in consultation/collaboration with the registered nurse 
Incorporate an understanding of anatomy and physiology into nursing practice 
Work with a knowledge of the various manifestations of orthopaedic conditions and associated pathophysiology of each clinical manifestation 
Discuss with the client the psychosocial impact of an orthopaedic condition on their activities of daily living 
Identify and discuss with the client and/or their family common problems and complications for the client with an orthopaedic condition 
Communicate effectively with clients, family and health team members 
Clarify the care needs of the client with an orthopaedic condition in terms of the phases of care required 
Use contemporary assessment tools accurately 
Establish a database of resource personnel to assist in decision making for the client with an orthopaedic condition 
In consultation/collaboration with the registered nurse, use a problem solving framework to plan appropriate nursing management strategies 
Develop an individualised plan of care for the client with an orthopaedic condition in consultation/collaboration with the client and the health care team 
In consultation/collaboration with the registered nurse, incorporate into own practice health teaching and discharge planning for the client with an orthopaedic condition 
In consultation/collaboration with the registered nurse, incorporate referral to community services into discharge planning strategies 
Ensure rehabilitation principles appropriately underpin nursing interventions for the client with an orthopaedic condition 
Practise contemporary nursing interventions for the client with an orthopaedic condition 
Act as a resource for staff and clients 
Implement an individualised plan of care for the client with an orthopaedic condition 
Monitor client's response to planned nursing interventions and progress toward planned goals and interventions, and document and report to the appropriate members of the health care team 
Initiate appropriate first aid/emergency treatment in response to adverse reactions or orthopaedic condition complications 
Report and document first aid/emergency treatment and the client's response to the treatment 

Forms

Assessment Cover Sheet

HLTEN601B - Practise in the orthopaedic nursing environment
Assessment task 1: [title]

Student name:

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I declare that the assessment tasks submitted for this unit are my own work.

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Result: Competent Not yet competent

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Assessment Record Sheet

HLTEN601B - Practise in the orthopaedic nursing environment

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Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

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Overall assessment result: Competent Not yet competent

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