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Evidence Guide: HLTENN011 - Implement and monitor care for a person with acute health problems

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

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

 

HLTENN011 - Implement and monitor care for a person with acute health problems

What evidence can you provide to prove your understanding of each of the following citeria?

Elements define the essential outcomes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify impact of acute health problems on a person, family or carer.

  1. Identify actual and potential health issues of the person presenting with an acute health problem using information from a preliminary health assessment and in discussion with relevant interdisciplinary health care team members.
  2. Explain to the person, family or carer the potential physical and psychological impacts of acute health problems on daily living activities.
  3. Identify the pathophysiology of the person’s underlying or presenting condition, and confirm with the person, family or carer.
Identify actual and potential health issues of the person presenting with an acute health problem using information from a preliminary health assessment and in discussion with relevant interdisciplinary health care team members.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Explain to the person, family or carer the potential physical and psychological impacts of acute health problems on daily living activities.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify the pathophysiology of the person’s underlying or presenting condition, and confirm with the person, family or carer.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Contribute to planning care for a person with acute health problems.

  1. Contribute effectively to discussions about the care of the person with registered nurse and other members of the health team.
  2. Gather information and accurately document and report changes in the person’s condition to appropriate interdisciplinary health care team members.
Contribute effectively to discussions about the care of the person with registered nurse and other members of the health team.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Gather information and accurately document and report changes in the person’s condition to appropriate interdisciplinary health care team members.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Perform nursing interventions to support health care of a person with acute health problems.

  1. Assist in providing care for the person with a compromised airway including clearing of airways and interpreting health status using monitoring devices.
  2. Provide care to the person requiring nutrition administered through a feeding tube or intravenous line.
  3. Use critical thinking and problem-solving approaches in prioritising and modifying nursing interventions to reflect changes in the person’s condition.
  4. Contribute to the person’s understanding of health care provided to assist them to regain optimal function through nursing interventions and health education.
  5. Observe the person to identify any psychological support and care required due to the impact of acute health problems.
  6. Ensure nursing interventions for pre- and post-procedure care for the person are in accordance with organisation policy and procedures.
Assist in providing care for the person with a compromised airway including clearing of airways and interpreting health status using monitoring devices.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide care to the person requiring nutrition administered through a feeding tube or intravenous line.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use critical thinking and problem-solving approaches in prioritising and modifying nursing interventions to reflect changes in the person’s condition.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Contribute to the person’s understanding of health care provided to assist them to regain optimal function through nursing interventions and health education.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Observe the person to identify any psychological support and care required due to the impact of acute health problems.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure nursing interventions for pre- and post-procedure care for the person are in accordance with organisation policy and procedures.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Contribute to pre- and post-operative nursing care of a person.

  1. Contribute to pre-operative nursing management of the person for specific surgical procedures.
  2. Ensure pre-operative care takes into account the relationship between pre-operative care and post-operative complications.
  3. Contribute to post-anaesthetic observation of the person following surgery including identifying deterioration when the person is not regaining consciousness.
  4. Assist the person recovering from a range of anaesthesia to regain optimal health status, and take appropriate actions to reduce risks associated with immobility.
  5. Promote the person’s post-operative comfort using pain management strategies and nursing care actions.
Contribute to pre-operative nursing management of the person for specific surgical procedures.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure pre-operative care takes into account the relationship between pre-operative care and post-operative complications.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Contribute to post-anaesthetic observation of the person following surgery including identifying deterioration when the person is not regaining consciousness.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist the person recovering from a range of anaesthesia to regain optimal health status, and take appropriate actions to reduce risks associated with immobility.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Promote the person’s post-operative comfort using pain management strategies and nursing care actions.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Contribute to an emergency response in the acute care environment.

  1. Identify and confirm the roles and responsibilities of members of the emergency response team.
  2. Prepare and check emergency equipment.
  3. Identify emergency situations and respond to first aid requests from emergency response team, including accessing and preparing drugs used during advanced cardiopulmonary resuscitation.
Identify and confirm the roles and responsibilities of members of the emergency response team.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare and check emergency equipment.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify emergency situations and respond to first aid requests from emergency response team, including accessing and preparing drugs used during advanced cardiopulmonary resuscitation.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Identify impact of acute health problems on a person, family or carer.

1.1 Identify actual and potential health issues of the person presenting with an acute health problem using information from a preliminary health assessment and in discussion with relevant interdisciplinary health care team members.

1.2 Explain to the person, family or carer the potential physical and psychological impacts of acute health problems on daily living activities.

1.3 Identify the pathophysiology of the person’s underlying or presenting condition, and confirm with the person, family or carer.

2. Contribute to planning care for a person with acute health problems.

2.1 Contribute effectively to discussions about the care of the person with registered nurse and other members of the health team.

2.2 Gather information and accurately document and report changes in the person’s condition to appropriate interdisciplinary health care team members.

3. Perform nursing interventions to support health care of a person with acute health problems.

3.1 Assist in providing care for the person with a compromised airway including clearing of airways and interpreting health status using monitoring devices.

3.2 Provide care to the person requiring nutrition administered through a feeding tube or intravenous line.

3.3 Use critical thinking and problem-solving approaches in prioritising and modifying nursing interventions to reflect changes in the person’s condition.

3.4 Contribute to the person’s understanding of health care provided to assist them to regain optimal function through nursing interventions and health education.

3.5 Observe the person to identify any psychological support and care required due to the impact of acute health problems.

3.6 Ensure nursing interventions for pre- and post-procedure care for the person are in accordance with organisation policy and procedures.

4. Contribute to pre- and post-operative nursing care of a person.

4.1 Contribute to pre-operative nursing management of the person for specific surgical procedures.

4.2 Ensure pre-operative care takes into account the relationship between pre-operative care and post-operative complications.

4.3 Contribute to post-anaesthetic observation of the person following surgery including identifying deterioration when the person is not regaining consciousness.

4.4 Assist the person recovering from a range of anaesthesia to regain optimal health status, and take appropriate actions to reduce risks associated with immobility.

4.5 Promote the person’s post-operative comfort using pain management strategies and nursing care actions.

5. Contribute to an emergency response in the acute care environment.

5.1 Identify and confirm the roles and responsibilities of members of the emergency response team.

5.2 Prepare and check emergency equipment.

5.3 Identify emergency situations and respond to first aid requests from emergency response team, including accessing and preparing drugs used during advanced cardiopulmonary resuscitation.

Required Skills and Knowledge

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Identify impact of acute health problems on a person, family or carer.

1.1 Identify actual and potential health issues of the person presenting with an acute health problem using information from a preliminary health assessment and in discussion with relevant interdisciplinary health care team members.

1.2 Explain to the person, family or carer the potential physical and psychological impacts of acute health problems on daily living activities.

1.3 Identify the pathophysiology of the person’s underlying or presenting condition, and confirm with the person, family or carer.

2. Contribute to planning care for a person with acute health problems.

2.1 Contribute effectively to discussions about the care of the person with registered nurse and other members of the health team.

2.2 Gather information and accurately document and report changes in the person’s condition to appropriate interdisciplinary health care team members.

3. Perform nursing interventions to support health care of a person with acute health problems.

3.1 Assist in providing care for the person with a compromised airway including clearing of airways and interpreting health status using monitoring devices.

3.2 Provide care to the person requiring nutrition administered through a feeding tube or intravenous line.

3.3 Use critical thinking and problem-solving approaches in prioritising and modifying nursing interventions to reflect changes in the person’s condition.

3.4 Contribute to the person’s understanding of health care provided to assist them to regain optimal function through nursing interventions and health education.

3.5 Observe the person to identify any psychological support and care required due to the impact of acute health problems.

3.6 Ensure nursing interventions for pre- and post-procedure care for the person are in accordance with organisation policy and procedures.

4. Contribute to pre- and post-operative nursing care of a person.

4.1 Contribute to pre-operative nursing management of the person for specific surgical procedures.

4.2 Ensure pre-operative care takes into account the relationship between pre-operative care and post-operative complications.

4.3 Contribute to post-anaesthetic observation of the person following surgery including identifying deterioration when the person is not regaining consciousness.

4.4 Assist the person recovering from a range of anaesthesia to regain optimal health status, and take appropriate actions to reduce risks associated with immobility.

4.5 Promote the person’s post-operative comfort using pain management strategies and nursing care actions.

5. Contribute to an emergency response in the acute care environment.

5.1 Identify and confirm the roles and responsibilities of members of the emergency response team.

5.2 Prepare and check emergency equipment.

5.3 Identify emergency situations and respond to first aid requests from emergency response team, including accessing and preparing drugs used during advanced cardiopulmonary resuscitation.

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

undertaken nursing work in accordance with Nursing and Midwifery Board of Australia professional practice standards, codes and guidelines

analysed health information and the clinical presentation of 1 person in the workplace or simulated environment to reach an accurate conclusion on possible health care planning and nursing interventions related to their acute health condition, in consultation with a registered nurse

performed nursing interventions for 1 person undergoing a surgical procedure in the workplace, including pre-operative preparation and post-operative care

implemented nursing interventions in the workplace or in a simulated environment specific to care of 1 person with acute health problems.

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

acute health problems including:

acute renal disorders

acute gastrointestinal disorders

acute neurological disorder

acute pain

acute respiratory disorders

acute unconscious state

angina

burns

cellulitis

deep vein thrombosis, venous thromboembolism

dehydration

fractures

haemorrhage

head injury

myocardial infarction

renal calculi

sepsis

shock

holistic approach to care in the acute care environment including nursing interventions and outcomes

clinical manifestations of acute disease states and illnesses requiring complex nursing interventions

emergency management protocols for first aid procedures and cardiac and respiratory arrest

pre- and post-operative nursing management

equipment used in acute care environments

post-operative pain management strategies

post-anaesthetic and post-operative observations, which may include:

level of consciousness and awareness of deterioration when the person is not regaining consciousness

fluid intake - intravenous (IV), central venous catheter (CVC), total parenteral nutrition (TPN), oral, nasogastric (NG)

complications of acute bed rest

risk assessment of patient’s stability on their feet

how to perform complex interventions including:

tracheostomy suctioning

underwater seal drainage (UWSD) tube management

intercostal catheter care

how to monitor a person with medical devices including:

continuous positive airway pressure (CPAP) and Bilevel positive airway pressure (BiPAP)

peripherally inserted central catheter (PICC)/midline management

principles of surgical nursing and associated surgical procedures and related terminology including:

elective/emergency surgery

general, local, epidural and spinal anaesthetic and peripheral nerve block

amputation

open reduction

hip replacement

craniotomy

tonsillectomy

appendectomy

laparotomy

hysterectomy

prostatectomy

cataract extraction

internal bleeding due to trauma.