Assessor Resource

HLTEN615B
Practise in the contemporary aged care environment

Assessment tool

Version 1.0
Issue Date: May 2024


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

This competency unit describes the skills and knowledge required to implement principles of aged care nursing, enabling the Enrolled/Division 2 nurse to provide holistic nursing care to aged clients at an advanced level

You may want to include more information here about the target group and the purpose of the assessments (eg formative, summative, recognition)

Prerequisites

Not Applicable

Employability Skills

This unit contains Employability Skills



Evidence Required

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.

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 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 writing

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

Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assingnment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)

Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

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:

Admission and transfer to acute care environments

Client rights and responsibilities

Critical thinking and problem solving

Cultural and spiritual beliefs and practices

Culturally appropriate health promotion activities for clients with respiratory problems

Diagnostic tests and their meanings

Emergency and first aid management

Evidence based practice

Factors influencing growth and development

Factors influencing self esteem

Health - illness continuum

Legislation related to aged care and extended care practice, including:

Aged Care Act and criteria for admission to aged care facilities

occupational health and safety legislation

Legal standards for practice

Medical terminology

Organisation policy and procedure

Participating as a member of the health care team

Participating as a member of the health care team

Philosophy of loss and grief

Philosophy underpinning aged care and extended care management

Principles of health assessment

Reflective practice

Research strategies and methodologies

Specialised in-depth knowledge of anatomy, physiology and pathophysiology of chronic disease

Specialised knowledge and execution relating to emergency care of older clients

Specialised knowledge of clinical manifestations of chronic disease states

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 clinical nursing skills, including:

acute care of aged care client

addressing pain management needs

addressing pressure area care needs

chest pain assessment and management

emergency medications

fundamental and complex nursing interventions

medication administration as per jurisdictional and legal requirements

neurological function

physical assessment

specimen collection

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

Assessment, observation and documentation of

blood glucose monitoring

neurovascular observations

nutritional status and hydration

pain scale or analogue observations

respiratory function

skin integrity

Apply principles of documentation to document planned nursing interventions

Apply principles of rehabilitation

Demonstrate accountability for personal outputs and broad client group outcomes

Maintain effective symptom management

Maintain evidence based practice in line with current literature and work of professional bodies associated with aged care clients

Recognise and address

needs of client and significant others in relation to grief and loss

religious and cultural needs of client and significant others

continued ...

Essential skills (contd):

Use appropriate communication skills (non-verbal, openness, sensitivity, non-judgmental attitudes):

oral communication skills (language competence) required to fulfil job roles as specified by the organisation/service, including interviewing techniques, asking questions, active listening, asking for clarification

written communication skills (literacy competence) required to fulfil job roles as specified by organisation/service, ranging from reading and understanding client documentation to completion of written reports

Use interpersonal skills to work with others, use sensitivity when dealing with people and relate to persons from differing cultural, social and religious backgrounds

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.

Multidisciplinary health care team members could include:

Aged care client and their significant others

Medical and nursing staff

Social workers

Physiotherapists

Occupational therapists

Speech pathologists

Dietitian

Podiatrists

Community services

Transitional rehabilitation services

Health care settings could include:

Residential aged care facilities

Extended care settings

Hospital - private or public

Short stay centres

Respite centres

Community

Day Centres

Assessment of impact of ageing process may include:

Performance of activities of daily living

Loss or limitation to physical function

Impact on sexuality, relationships, self image, body image

Grief and loss

Coping mechanisms

Personal and community support mechanisms

Level of communication

Maintenance/improvement of quality of life

Maintenance/improvement of lifestyle

Impact of secondary disease processes

Age related adjustments and transitions could include:

Role changes

Retirement

Multiple losses

Loneliness

Depression and suicide

Fear of death

Changes in body image

Disease processes include:

Alterations in sensory function

Alterations in cardiac function

Alterations in respiratory function

Alterations in neurological function

Alterations in musculoskeletal function

Alteration in genitourinary function

Alteration in endocrine Function

Alteration in renal function

Oncological disorders

Pressure ulcers

Plans of care may include:

Nursing care plans

Clinical pathways

Treatment plans

Medical notes

Community referrals

Admission and transfer

Rehabilitation plans

Legal and ethical issues include:

Rights and responsibilities of older person

Consent

Power of attorney

Medical Power of attorney

Advocacy

Elder abuse

Restraint

Advanced health directives

Ethical principles

Legislation affecting older person

Research and the older person

Specific nursing interventions/clinical skills could include:

Foundation nursing interventions

Complex nursing interventions

Management of elimination (urinary and bowel) needs including - insertion of indwelling catheters, irrigation of indwelling catheters

Management of permanent and temporary mechanical ventilation including suctioning and bagging

Wound care

Skin care including - assessment and management of skin care

Health teaching in relation to client care needs

Pain management

Manual handling

Co ordination of clinical care

Assessment of oxygen saturation levels

Rehabilitative care practices

Evaluation of planned care includes:

Level of independence in performance of activities of daily living

Participation in rehabilitation programs

Self management of symptoms

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice Yes No Comments/feedback
Work with an understanding of the physical and psychological effects of aging on the human body 
Work with an understanding of the significance of physical and psychosocial assessment in evaluating the health of older clients 
Apply an understanding of funding arrangements for aged care and extended care environment 
Address documentation requirements to assist the funding that impacts on aged care provision 
Recognise crisis situations and implement emergency management as required 
Provide a physically and psychologically safe environment for the older client 
Communicate effectively with older person experiencing sensory loss 
Perform a holistic assessment of the client in consultation/collaboration with the registered nurse 
Incorporate an in-depth understanding of anatomy, physiology and pathophysiology into nursing practice as applied to the various manifestations of the ageing process and clinical manifestations of ageing 
Discuss with the client the physical and psychosocial impact of ageing on their activities of daily living 
Identify common problems and complications the client may encounter 
Communicate effectively with clients, family and health team members 
Use contemporary assessment tools accurately 
Establish a database of resource personnel to assist in decision making for the older client 
Use a problem-solving framework to plan appropriate nursing management strategies in consultation/collaboration with the registered nurse 
Develop an individualised plan of care for the older client in consultation/collaboration with the client and the health care team 
Ensure care plan reflects client's current nursing needs and nursing actions designed to maximise the older client's function and minimise potential complications 
Apply an understanding of risk management principles in planning client care 
Ensure planned care and therapeutic interventions aim to assist client/s to achieve optimal health outcomes 
Regularly review plan of care and modify to reflect changes in condition of older client 
Identify aged care client needs requiring research to improve nursing practice 
Implement evidence based practice to care of older clients 
Prioritise nursing interventions according to client needs 
Modify nursing interventions using critical thinking and problem solving approaches, to reflect changes in client's condition 
Update nursing interventions to assist client, and identified significant others to meet expected outcomes, including health promotion and/or education 
Monitor nursing interventions, review those that fail to address client needs and revise in consultation/collaboration with health care team 
Ensure appropriate pre-, intra- and post-diagnostic procedures are undertaken in line with organisation policies and procedures 
Ensure medication administration is based on sound knowledge of principles of drug actions and side effects in accordance with health unit policies and procedures 
Ensure rehabilitation principles underpin appropriate nursing interventions for the older client as required 
Work with an understanding of the effects of grief on the physical, emotional, cognitive, behavioural, social and spiritual domains of a person's experience 
Review client knowledge of their condition, self management and therapies 
Recognise determinants impacting or potentially impacting on the client's experience of grief and on identified significant other/s 
Recognise the potential or actual manifestation of a complicated grief reaction 
Review the significant other's knowledge of the client's condition, management and therapies 
Use counselling skills to encourage clients and/or significant other/s to verbalise grief experience 
Support client and/or significant others experiencing loss and grief 
Use effective communication skills to break adverse news or assist a health care team member to break adverse news to a client and/or significant other/s 
Recognise the symptoms of stress and professional carer burnout in peers and colleagues 
Implement appropriate support and safety and welfare measures for peers and colleagues 

Forms

Assessment Cover Sheet

HLTEN615B - Practise in the contemporary aged care environment
Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

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Result: Competent Not yet competent

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Assessment Record Sheet

HLTEN615B - Practise in the contemporary aged care environment

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

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Overall assessment result: Competent Not yet competent

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