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.
ELEMENT | PERFORMANCE CRITERIA |
Elements define the essential outcomes | Performance criteria describe the performance needed to demonstrate achievement of the element. |
1. Contribute to the interdisciplinary health care team in caring for a person with cardiovascular condition | 1.1 Contribute information to nursing care plan that reflects the person’s nursing needs, and include nursing actions to maximise cardiovascular function and minimise potential complications 1.2 Identify the role of specialist nursing and medical services in the care of the person with cardiovascular condition, and work within that context 1.3 Collaborate with community service agencies in partnership with the person, family or carer to maintain continuity of care 1.4 Identify factors relevant to the person’s situation, including physical, psychological, social and economic impacts 1.5 Monitor and review data collected about the person and communicate to relevant interdisciplinary health care team members |
2. Perform complex nursing interventions in the cardiovascular healthcare setting | 2.1 Prioritise nursing interventions according to the person’s needs and in consultation with registered nurse 2.2 Undertake appropriate pre-, intra- and post-diagnostic procedures in line with scope of practice and organisation policy and procedures, and in collaboration with the registered nurse 2.3 Participate in risk assessment identification and risk management processes for the person with cardiovascular condition 2.4 Apply complex decision-making processes to modify nursing interventions and use problem-solving approaches in response to changes in the person’s condition 2.5 Identify when the acuity of a person’s cardiovascular health is beyond own skill and knowledge, and refer promptly to registered nurse and relevant interdisciplinary health care team 2.6 Administer prescribed emergency medication based on sound knowledge of principles of drug actions and in accordance with organisation policies and procedures 2.7 Make appropriate proposals for nursing interventions in consultation with registered nurse to promote improved outcomes for the person and their condition |
3. Evaluate effectiveness of nursing interventions and planned care, and support continuing self-care | 3.1 Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in cardiovascular nursing care 3.2 Identify responses of the person, family or carer to nursing interventions and their understanding of ongoing management of the cardiovascular impairment 3.3 Identify opportunities where indicated, to provide the person, family or carer with information on available community resources and how to access them 3.4 Assess, prior to discharge, the person’s understanding of their cardiovascular condition, medications and therapeutic regimes |
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
performed the following nursing care interventions on no fewer than 3 people with a cardiovascular condition in the workplace:
administration of (non-invasive) continuous positive airway pressure (CPAP) and bilevel positive airway pressure (BiPAP)
peripherally inserted central catheter (PICC)/midline management
monitoring of electrocardiograph readings for abnormalities
under water seal drain management
in undertaking the above, used advanced communication skills and medical terminology to communicate effectively with the person, family or carer, and the registered nurse and other health professionals to record or report the person’s outcomes.
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:
the following issues and manifestation, sufficiently in-depth and specialised to make considered judgements and to make professional contributions to cardiovascular nursing care:
physiology and pathophysiology related to cardiovascular issues
emergency care of cardiovascular issues (knowledge and execution)
clinical manifestations of chronic disease states
cardiovascular conditions including:
congestive heart failure
acute pulmonary oedema
pulmonary embolism
arrhythmia:
ventricular tachycardia
ventricular fibrillation
asystole
symptomatic brady and tachycardia
atrial fibrillation
congenital heart defects:
accessory pathways
septal defects
tetralogy of Fallot
dextracardia
ischaemic heart disease - angina and myocardial infarction
heart valve dysfunction
sub-acute bacterial endocarditis
pericarditis
acute chest pain
cardiomyopathy
carotid stenosis
abdominal aortic aneurysm
peripheral vascular disease
deep vein thrombosis
actual and potential problems relating to cardiovascular conditions including:
electrolyte imbalance
fluid overload
hypoxia, hypoxaemia
chest pain
structural heart damage
sepsis
haemorrhage
neurovascular damage including cerebral vascular accident
vessel occlusion
pneumothorax
pacemaker lead displacement
arrhythmia
exercise intolerance
cardiovascular procedures including:
cardiac stents
percutaneous transluminal coronary angioplasty (PTCA) with or without stent
pacemaker (temporary or permanent)
cardiac access vascular graft (CAVG)
mitral valvotomy
electrophysiology studies, with or without ablation
implantable cardioverter defibrillator(ICD)
cardioversion
echocardiogram
exercise stress test
nuclear medicine scans
transoesophageal echocardiogram (TOE)
hyper and hypo tension
pericardiocentesis
abdominal aortic aneurysm (AAA) repair
varicose veins
amputations
actions designed to maximise cardiovascular function and minimise potential complications
reflective practice and evidence-based best practice for cardiovascular nursing.
Skills must have been demonstrated in the workplace with the addition of simulations and scenarios where the full range of contexts and situations cannot be provided in the workplace. The following conditions must be met for this unit:
use of suitable facilities, equipment and resources in line with the Australian Nursing and Midwifery Accreditation Council’s Standards including:
simulated learning environment with simulation manikins suitable for advanced clinical nursing skills
CPAP and BiPAP (non-invasive) devices
PICC lines and CVC lines
underwater seal drains
suctioning equipment
vital sign monitoring equipment
progressive notes of a de-identified person’s medical history
organisation policy and procedures on which the candidate bases the planning
modelling of industry operating conditions including access to real people for simulations and scenarios in enrolled nursing work.
Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors.
In addition, assessors must hold a current registration as a registered nurse with Nursing and Midwifery Board of Australia.