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Elements and Performance Criteria

  1. Provide diabetes care within the context of the Australian health care environment
  2. Assess the needs of clients with diabetes
  3. Plan diabetes care in consultation/collaboration with the health care team
  4. Perform complex nursing interventions to assist clients in achieving and maintaining optimal diabetes health
  5. Evaluate the plan of care for clients with acute and/or chronic presentation diabetes

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

Critical thinking and problem solving

Cultural and spiritual beliefs and practices

Culturally appropriate health promotion activities for clients with diabetic issues

Factors influencing growth and development

Factors influencing self esteem

Issues relating to diabetes care delivery including

impact of cultural diversity in models of health care in relation to effective diabetes care delivery

political and economic issues impacting on diabetes care delivery within Australia

clientspecific diabetes issues across the lifespan relating to their individual physical psychological social spiritual and economic needs

Legislative requirements for practice

Medical terminology relating to diabetes

Organisation policy and procedure

Participating as a member of the health care team

Principles of health assessment

Reflective practice

Specialised indepth knowledge in anatomy physiology and pathophysiology related to diabetes

Specialised knowledge and execution relating to emergency care of diabetic clients

Specialised knowledge in the clinical manifestations of diabetes

Workplace health and safety legislation

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 relevant admission and discharge tools according to organisation policy

Apply relevant health unit assessment tools according to organisation policy

Apply cognitive processes to reflect problem solving and analysis in the planning implementation and evaluation of care to clients

Apply organisation policy and procedure relating to diabetes management

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

Demonstrate accountability for personal outputs and broad client group outcomes

Undertake nursing interventions which may include

administration of IM or SC glucagon

administration of SC insulin and oral hypoglycaemic agents

assessment observation and documentation of clinical actions relating to the nursing management of diabetes interventions and emergencies

assistance with meeting activities of daily living

blood glucose monitoring

client education

emergency medications

fundamental nursing interventions

interpretation of blood and urine results

medication administration and management

monitoring of ketone levels

pre and post procedure care

venepuncture

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

Use advanced communication skills

Use education and teaching strategies relating to health promotion and practical task applications for diabetic conditions

Use information technology systems

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

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 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

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:

Adult

Older adult

Significant others

Child

Adolescent

Family

Health care setting may include:

Acute care facilities

Respite or rehabilitation facilities

Medical clinics or practices

Community health clinics or centres

Aged care settings

Schools

Multidisciplinary health care team members could include:

Nurses

Doctors

Allied health professionals

Community or volunteer staff

Administration staff from a variety of organisations

Clients and their families

Diabetic conditions may include:

Type 1 Diabetes Mellitus

Type 2 Diabetes Mellitus

Gestational diabetes mellitus

Actual and potential problems may include:

Hypoglycaemia

Hyperglycaemia

Ketoacidosis

Hyper osmolar non-ketonic coma

Retinopathy

Urinary and sexual health

Infection

Psychosocial issues

Nephropathy

Neuropathy

Peripheral vascular disease

Macrovascular disease

Health promotion goals / outcomes may include:

Exercise

Nutrition

Weight loss

Smoking cessation

Foot and eye care

Body mass index or Waist to Hip Ratio, reduction or maintenance

Health screening for early detection of complications