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Elements and Performance Criteria

  1. Determine the health status and nursing needs of client(s) in consultation/ collaboration with a registered nurse
  2. Participate in management of the plan of care for client/group of clients
  3. Contribute to the multidisciplinary approach to health care
  4. Implement best practice nursing interventions for client/s in consultation/ collaboration with a registered nurse
  5. Evaluate client responses to nursing interventions in consultation/collaboration with a registered nurse

Required Skills

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

Age and gender issues for nursing practice

Contemporary health and illness issues

Cultural and religious considerations for nursing practice

Ethical guidelines including confidentiality duty of care and public liability

Factors influencing lifestyle choices personal coping mechanisms primary health care principles

Factors that affect health

Healthy lifestyle strategies

Indepth understanding of the structure and functioning of anatomy and physiology and pathophysiology of the human body

Knowledge of best practice philosophyvisionmission statements

Organisation policies and procedures and protocols

Patterns of nursing care including functional team client assignment and primary nursing

Risk factors to health

Role of evidence based practice

Social and personal wellbeing

Socioeconomic physiological emotional and physical variables

Statutory requirements for data collection and documentation in relation to research

Understand the role of the health care team members

Understanding of the scope of practice of the EnrolledDivision nurse at this level and the relationship with the registered nurse

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 interpersonal skills including working with others using sensitivity when dealing with people and relating to persons from differing cultural social and religious backgrounds

Apply professional standards of practice

ANMC code of conduct

ANMC code of ethics

ANMC national EnrolledDivision nurse competency standards

stateterritory Nurse Regulatory Nurses Act

stateterritory Nursing and Midwifery Regulatory Authority standards of practice

scope of nursing practice decision making framework

Apply clinical nursing skills including

assessment of physical reflexes

assessment observation and documentation of

body Mass Index

glucose monitoring

height and weight

hydration

neurovascular observations

nutritional status

oxygen saturation

pain scale or analogue observations

respiratory function

chest pain assessmentampmanagement

complex nursing interventions

cough CPR and precordial thump

emergency medications

fundamental nursing interventions

medication administration

neurological function

physical assessment skills

specimen collection

Apply additional clinical nursing skills appropriate to role including

lead ECG monitoring of invasive equipment and readings

Arterial line Management

Central Venous Catheter Management

CPAP and BiPAP noninvasive

Modified advanced life support

PICCMidline Management

Under Water Seal Drain Management

continued

Essential skills

Conduct physical examination of client

Demonstrate a professional approach to health education knowledge of health systems and disease processes

Demonstrate accountability for personal outputs and broad client group outcomes

Use appropriate communication skillsnonverbal openness sensitivity nonjudgemental attitudes

Use oral communication skills language competence required to fulfil job roles as specified by the organisationservice Oral communication skills include interviewing techniques asking questions active listening asking for clarification

Use written communication skills literacy competence required to fulfil job roles as specified by organisationservice The level of skill may range from reading and understanding client documentation to completion of written reports

Evidence Required

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 workplace

Written assignmentsprojects

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

Questioning verbal or written

Role playsimulation

Access and equity considerations

Workers should have an understanding of Aboriginal andor Torres Strait Islander culture and history and an ability to work with Aboriginal andor Torres Strait Islander clients and communities

Assessors and trainers must have a knowledge of and take into account the influence of cultural and historic factors relating to health for those working with Aboriginal andor Torres Strait Islander clients and communities

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 andor Torres Strait Islander clients and communities


Range Statement

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.

Clients may include:

Child

Adolescent

Adult and Older adult

Acutely or Chronically ill client

Respite client

Complex client monitoring devices

Respirators

ECG machines

Health care settings may include:

Aged care and Respite centres

Short and long stay centre

Community setting

Medical clinic

Hospitals

Client based information includes:

Demographic data:

name

next of kin/significant others

known allergies

Religious and cultural practices and beliefs

Psychosocial needs

Previous medical and surgical history

Medications

Performance of activities of daily living and deficits to performing activities of daily living

Preliminary health assessment

Understanding of client needs including:

cultural, age and gender specific

stage of development

physical, emotional, psychosocial, health problem specific

Client based observations may include:

Temperature, pulse, respirations, blood pressure

Urinalysis

Height and weight, Body Mass Index

Oximetry and oxygen saturation

Specimen collection

Neurological observations

Neurovascular observations

Blood glucose monitoring

Pain scale or analogue observations

12 lead ECG, monitoring of invasive equipment and readings.