The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!
From the Wiki University
What evidence can you provide to prove your understanding of each of the following citeria?
Collect data that contributes to client health care plan
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Ensure appropriate introductions and explanations precede all nursing assessment and interventions Completed |
Evidence:
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Measure vital signs of the client using appropriate biomedical equipment according to the acuity of care and physical characteristics of the client Completed |
Evidence:
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Perform other clinical measurements/assessments such as activities of daily living Completed |
Evidence:
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Record lifestyle patterns and coping mechanisms in documentation Completed |
Evidence:
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Document current client health practices, issues and needs Completed |
Evidence:
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Document gender, age, cultural, religious and/or spiritual data in preliminary health assessment Completed |
Evidence:
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Identify the likely impact of specific health care on the client's health Completed |
Evidence:
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Involve client in the process of data collection wherever possible Completed |
Evidence:
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Access client information from appropriate family member or carer (if client is unable) Completed |
Evidence:
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Identify the emotional and physical needs of family and significant others in supporting the client Completed |
Evidence:
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Document and report variations from normal on a regular basis Completed |
Evidence:
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Validate extraordinary findings immediately, document and report abnormalities to the registered nurse Completed |
Evidence:
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Undertake ongoing client assessment Completed |
Evidence:
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Undertake client assessment for admission and discharge
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Collect client-based data for admission and /or discharge planning Completed |
Evidence:
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Communicate effectively with clients, family and health team members within jurisdictional scope of practice Completed |
Evidence:
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Contribute to nursing assessment documentation relating to physical, psychosocial and contextual client factors Completed |
Evidence:
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Follow organisation policies and procedures relating to client participation Completed |
Evidence:
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Undertake client admission with understanding of processes involved and key issues to be addressed Completed |
Evidence:
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Take into account individual's values and attitudes regarding health care and any issues the client may be experiencing and report to the registered nurse, as appropriate Completed |
Evidence:
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Document client information, such as community resources, to assist in planning for discharge Completed |
Evidence:
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Accurately record and report admission and discharge information Completed |
Evidence:
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Analyse client health assessment data and observations
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Accurately interpret information gained from health assessments and observations as being within normal range and/or refer to appropriate health care colleague for interpretation Completed |
Evidence:
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Report change in client health status in a timely manner to the appropriate health care colleague Completed |
Evidence:
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Identify the likely cause of any significant variation(s) from normal in relation to providing care Completed |
Evidence:
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Reflect consideration for age and developmental state of client in performance of clinical nursing assessment Completed |
Evidence:
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Analyse physiological aspects of human growth and its impact on client health Completed |
Evidence:
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Reflect the client's interests, physical, emotional and psychosocial needs in documentation Completed |
Evidence:
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Respect cultural, spiritual and religious wishes during nursing assessment Completed |
Evidence:
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Use client health history as part of planning care in line with health organisation requirements Completed |
Evidence:
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Contribute to the development of individual care plans for clients
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Conduct a holistic health assessment reflecting the nursing philosophy or theory of the organisation in consultation/collaboration with a registered nurse Completed |
Evidence:
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Use appropriate health assessment tools and appropriate terminology in documentation as well as a variety of sources and clinical situations Completed |
Evidence:
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Use a problem solving approach in the development of care plans for clients Completed |
Evidence:
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Discuss care requirements with the client and/or their family or significant other to ensure information is accurate Completed |
Evidence:
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Verify client based information to ensure client's uniqueness and individuality is reflected in the care plan Completed |
Evidence:
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Develop, implement and evaluate contingency plans and care plans in consultation/collaboration with the registered nurse Completed |
Evidence:
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Record age and gender issues in the development of individualised care plans Completed |
Evidence:
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Incorporate cultural, spiritual and religious beliefs in the development of individualised care plans Completed |
Evidence:
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Ensure documentation reflect the client's needs: physical, emotional, spiritual and psychosocial Completed |
Evidence:
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Ensure nursing care plan addresses principles of best practice and risk assessment and identifies stress management techniques for clients Completed |
Evidence:
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Prepare for client discharge
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Identify appropriate community support services to the client Completed |
Evidence:
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Promote client awareness and understanding through health education within the Enrolled/Division 2 nurse scope of practice Completed |
Evidence:
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Ensure client has all requirements for discharge: next GP's appointment; medications; and any referrals Completed |
Evidence:
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Ensure documentation is completed as per policy and procedure Completed |
Evidence:
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