Application
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 |
Prerequisites
Elements and Performance Criteria
ELEMENT Elements define the essential outcomes of a unit of competency | PERFORMANCE CRITERIA The Performance Criteria specify the level of performance required to demonstrate achievement of the Element. |
1. Perform nursing interventions to assist client with complex needs | 1.1 Perform nursing interventions based on a predetermined care plan to address identified client needs 1.2 Reflect the individuality of the client in nursing interventions 1.3 Undertake nursing interventions with respect for client's dignity 1.4 Accommodate cultural, spiritual and religious issues in the performance of nursing interventions 1.5 Encourage the client to assist in the performance of nursing interventions if able 1.6 Consider physical, emotional and psychosocial needs in the performance of nursing interventions 1.7 Perform nursing interventions according to professional, legal and health care environment requirements 1.8 Document effective and non-effective responses and report to the registered nurse or most appropriate person in line with policy |
2. Advocate for clients in health and/or community settings | 2.1 Support and encourage clients to exercise their rights and personal choices 2.2 Assess client's ability to advocate for self 2.3 Identify issues that uphold the rights of the client and support their reasonable expectations 2.4 Identify and address potential conflicts of interests 2.5 Develop, initiate and implement strategies to address clients in consultation/collaboration with appropriate personnel |
3. Contribute to the nursing care of clients with common disorders/conditions | 3.1 Provide nursing care appropriate to the management of specific disorders/conditions 3.2 Monitor the client's response/reaction to medication provided to address specific disorders/conditions 3.3 Observe, report and document client reactions and/or responses to management and medication provided 3.4 Promptly refer to the registered nurse any reactions, responses or variations to normal or expected outcomes |
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: Activities of daily living at a complex level Deviations from the normal anatomy and physiology of: gastrointestinal system nervous system special senses endocrine system urinary system reproductive system fluid/electrolyte balance musculoskeletal system Demonstrated knowledge of: common disorders/conditions basic associated diagnostic tests common drugs and nursing management of disorders relating to: gastrointestinal nervous eye and ear endocrine urinary and reproductive systems musculoskeletal respiratory cardiovascular skin Ethical guidelines including confidentiality, duty of care Mediation/negation/conflict resolution Medical terminology Microbiology and infection control Non-judgmental attitude Nursing procedures associated with these disorders Organisation policy and procedure Pathophysiology Referral options and resources available in community/health care setting Social justice principles Occupational health and safety (OHS) 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 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 problem solving skills, including use of tools and techniques to solve problems, analyse information and make decisions that require discretion and confidentiality Participate as a member of a health care team Perform clinical nursing interventions Use interpersonal skills, including working with others, empathising with clients, family and colleagues, using sensitivity when dealing with people and relating to persons from differing cultural, spiritual, social and religious backgrounds Use oral communication skills (language competence) required to fulfil job roles as specified by the health environment. Advanced oral communication skills include interviewing techniques, asking questions, active listening, asking for clarification from client or other persons, negotiating solutions, acknowledging and responding to a range of views Use written communication skills (literacy competence) required to fulfil job roles as specified by health environment. The level of skill may range from reading and understanding client reports and documentation to completion of written reports Use nursing interventions/procedures specific to complex client care such as: aseptic technique basic life support blood specimen collection (venepuncture) insertion of a naso-gastric tube insertion of indwelling catheter isolation and barrier nursing nasogastric and gastrostomy feeding ostomy care oxygen administration recording of 12 lead electrocardiogram removal of staples and sutures tracheostomy care wound management |
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 Assessment should replicate workplace conditions as far as possible Simulations may be used to represent workplace conditions as closely as possible 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 written 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 |
Related units: | This unit is recommended to be assessed in conjunction with the following related competency units: HLTAP501B Analyse health information HLTEN509B Apply legal and ethical parameters to nursing practice HLTEN502B Apply effective communication skills in nursing practice |
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. | |
Common disorders/conditions may include: | Musculoskeletal disorders/conditions Skin disorders/conditions Cardiovascular disorders/conditions Respiratory system disorder/condition Gastrointestinal disorder/condition Ear disorder/condition Eye disorder/condition Nervous system disorder Endocrine disorder/condition Urinary system disorder/condition Reproductive system disorder/condition |
Common gastrointestinal disorders/conditions may include: | Adhesions/appendicitis/paralytic ileus/peritonitis Bowel obstruction Carcinoma Cholelithiasis/cholecystitis Cirrhosis/hepatitis Constipation Dietary intolerance disorders Diarrhoea Diverticulitis Fistula/haemorrhoids/anal fissure Gastritis/gastroenteritis/peptic ulcer Hernia Inflammatory bowel diseases/irritable bowel syndrome Pancreatitis Stoma (long term ostomy sites) Stomatitis |
Common terminology associated with gastrointestinal disorders/conditions may include: | Dyspepsia Malaena/diarrhoea Impaction/constipation Nausea/vomiting Nasogastric tube/percutaneous endoscopic gastrostomy tube (PEG) Intravenous therapy/parenteral nutrition Barium studies/biopsy Endoscopy/gastroscopy Colonoscopy/sigmoidoscopy Liver function test (LFT) X-ray, ultrasound and scan Cholangiogram |
Specific nursing interventions associated with gastrointestinal disorders /conditions may include: | PEG tube feeding Nasogastric tube feeding Removal of nasogastric tube Application of colostomy/ileostomy appliance Faeces specimen collection |
Drugs commonly used for gastrointestinal disorders/conditions may include: | Antacids/antiemetics/anti-ulcer drugs Absorbents/antiflatulents Digestive enzymes Antidiarrheals Laxatives/aperients |
Common musculoskeletal disorders/conditions may include: | Osteoarthritis Septic arthritis/rheumatoid arthritis Back pain Bursitis Fracture Gout Soft tissue injury/trauma Osteomyelitis/osteoporosis |
Terminology associated with common musculoskeletal disorders/conditions may include: | Amputation Ankylosis Carpal tunnel syndrome Casts Degenerative Fixation - internal/external Inflammatory Prosthesis/splints Strains/sprains Tendinitis Traction Fractures |
Common skin conditions and terminology may include: | Acne Bacterial skin infections Basal cell carcinoma/squamous cell carcinoma Burns Carbuncle/furuncle Cysts Dermatitis/eczema/psoriasis Excoriation/abrasion Keloid Malignant melanoma Neoplasm - malignant and benign Papules/pustules/vesicles Parasitic infections/infestations Pruritis Scabies Ulcer Urticaria |
Common cardiovascular disorders may include: | Angina pectoris Atherosclerosis/arteriosclerosis Aneurysm Coronary artery disease/congestive cardiac failure (CCF) Hypertension Myocardial infarction Peripheral vascular disease (PVD) Pulmonary oedema Deep vein thrombosis |
Terminology associated with common cardiovascular disorders/conditions may include: | Cardiac arrhythmias Embolus/thrombus Ischaemia/infarction Phlebitis Stenosis Hypertensive/hypertensive Bypass Cardiac Doppler/cardiac function stress test/stress testing Cardiac echogram/ECG Scan/Ultrasound/x-ray Angioplasty Cardiac catheterisation/Cardiac artery bypass Varicose veins Infarction Grafts Serum enzymes Oedema Daily weight |
The role of the Enrolled/Division 2 Nurse in Cardiopulmonary resuscitation may include: | Identification of cardiac arrest Call for help Commence CPR Assist medical aid as directed Contribute to documentation Emotional and physical support of other clients Seek debriefing |
Common medications may include: | Antihypertensives Anticoagulants Anti arrhythmic Vasodilators Calcium channel blockers Digoxin Narcotic analgesics Quinine sulphate |
Common respiratory system disorders/conditions may include: | Asthma Bronchitis Carcinoma Chronic Obstructive Airways Disease/Chronic Obstructive Pulmonary Disease/Chronic Airways Limitation Emphysema Haemothorax/pneumothorax Legionnaires Pneumonia/pleurisy Pulmonary embolus/embolism Tuberculosis Upper respiratory tract infection Viral influenza |
Blood dyscrasias may include: | Anaemias Leukaemia Bleeding disorders Thalassaemia |
Terms associated with respiratory conditions: | Blood gases/pulse oximetry/oxygen saturation levels Bronchoscopy/tracheostomy Continuous Positive Airways Pressure (CPAP) Cyanosis Intercostal catheters/underwater seal drainage Mechanical ventilation Naso and oropharyngeal airway Pulmonary function test/peak flow/spirometry Scans/chest x-rays Sputum/expectoration |
Oxygen and aerosol therapies may include: | Oral and/or nasal suctioning Nebuliser therapy Metered dose inhalers Spacers Oxygen therapy Nasal cannula/nasal catheter Hudson mask/Venturi mask Head box Deep breathing and coughing Postural drainage |
Medications may include: | Bronchodilators Expectorants Cough suppressants Steroids Antibiotics Anti-mucolytics Topical anaesthetics Oxygen |
Common nervous system disorders/conditions may include: | Alzheimer's disease Epilepsy/Peripheral neuropathy Head injury/Meningitis/Encephalitis Parkinson's disease Cerebral palsy Multiple sclerosis Herpes zoster Cerebrovascular accident Transient ischaemia attack Motor neuron disease/Guilliane-Barre syndrome |
Common terminology associated with nervous system disorders/conditions may include: | Ataxia Aura Concussion/headache Dyskinesia Irritability/seizure Intracranial pressure Neuralgia Confusion/orientation Glasgow coma scale/neurological observations Muscle tone Hyperextension/reflex/atonic Grand mal (clonic- tonic)/Petit mal Electro encephalograph (EEG) Sensory deficit/motor deficit Photophobia Spasm Lumbar puncture/epidural/echoencephalography Vestibular function test/myelogram Cerebral atrophy Dementia Computerised Tomography (CT Scan) Magnetic Resonance Imaging (MRI) Paraplegia/quadriplegia/tetraplegia Paraesthesia/phantom pain/referred pain |
Specific nursing interventions associated with nervous system disorders /conditions must include: | Measure, record and monitor neurological observations |
Drugs commonly used for nervous system disorders/conditions may include: | Analgesics/antipyretics Non steroidal anti-inflammatory drugs Anticonvulsants/antiparkinsonians Cholinergics/anticholinergics Steroids Adrenergics/adrenergic blockers Neuromuscular blockers/anaesthetics |
Common eye disorders/conditions/terminology may include: | Blepharitis/corneal ulcer Cataracts/glaucoma Colour blindness Conjunctivitis/iritis Ectropion/entropion Flash burns Foreign body to eye Intraocular lens implant Jaundice Macular degeneration Myopia/hyperopia/presbyopia/hemianopia Ophthalmology Refractive examination/ophthalmoscopic examination Retinal detachment/retinal neuropathy Strabismus/nystagmus Tonometry/optical Trachoma Trauma to eye Visual acuity/visual field |
Specific nursing interventions associated with eye disorders /conditions may include: | Eye toilet Application of eye pad Administration of eye drops |
Drugs commonly used for eye disorders/conditions may include: | Miotics/mydriatics Beta blockers Carbonic anhydrase inhibitors Antibiotics Ophthalmic vasoconstrictors/artificial tears Diuretics |
Specific nursing interventions associated with endocrine disorders /conditions must include: | Blood glucose level monitoring Subcutaneous administration of insulin Administration of oral glycaemics |
Specific nursing interventions associated with reproductive/urinary system disorders /conditions must include: | Mid-stream specimen of urine 24-hour urine collection/bladder washout Removal of indwelling urethral catheter Contraceptives Catheter specimen of urine |
Drugs commonly used for reproductive system disorders/conditions may include: | Hormone replacement Antibiotics Antifungal drugs Neoplastic drugs |
Advocacy skills include: | Freedom of informed choice Access to services Personal safety and security Rights and needs relating to culture Freedom from discrimination Rights and needs related to holistic care practices Appropriate terminology |
Advocacy on behalf of client may be to: | Management Other staff Other agencies Family/carer/community Other health services/professionals/government departments |
Advocacy may include: | Meeting the needs in the context of organisation requirements Awareness of potential conflict between client's needs and organisation requirements. |
Sectors
Not Applicable
Employability Skills
This unit contains Employability Skills |
Licensing Information
Not Applicable