Elements and Performance Criteria
- Establish and maintain therapeutic relationships with clients
- Provide appropriate introductions and explanations prior to all nursing interventions
- Identify and use appropriate language and interpersonal skills to ensure that the diverse needs of clients and health care settings
- Conduct the client advocate role within the Enrolled/Division 2 nurse's scope of practice
- Work effectively with clients from a range of cultural, spiritual and religious backgrounds, taking action to address cultural factors that may impact on nursing practice
- Demonstrate responsibility and accountability for implementing nursing care within the Enrolled/Division 2 Nurse scope of practice
- Identify client needs relating to individualised nursing care
- Identify actual and potential nursing care needs in consultation/collaboration with the client
- Identify situations of risk or potential risk and implement risk prevention/minimisation strategies and refer to registered nurse as appropriate
- Identify client needs for health education and implement education within scope of nursing practice and in consultation/collaboration with registered nurse
- Identify client nutritional needs in consultation/ collaboration with client and their significant others
- Assist clients in activities of daily living
- Explain to client the importance of hygiene and grooming to achieving health outcomes
- Assist clients to address hygiene, dressing and grooming needs
- Describe conditions which affect the oral cavity and demonstrate effective oral hygiene to client
- Assist clients with their diet and fluid intake and ensure client's nutritional needs are met in consultation/collaboration with registered nurse
- Apply strategies to assist clients with diet and fluid intake
- Recognise and manage emergency situations associated with diet and fluid intake
- Assist clients with key aspects of elimination
- Explain and demonstrate to clients key factors associated with fluid balance and bowel charts
- Assist with respiratory function especially deep breathing and coughing exercises
- Use appropriate measures to promote comfort, rest and sleep
- Assist with movement of clients
- Apply the principles and techniques of safe manual handling when assisting clients with movement
- Actively encourage clients to contribute to their own mobility
- Implement the principles of 'no-lift' policy when assisting clients with movement
- Assist clients to safely transfer using appropriate mobility procedures with reference to safety of self, client and others involved
- Identify and describe to clients factors contributing to the formation of decubitus ulcers
- Apply practices to avoid breakdown of pressure areas
- Identify common pressure area sites with reference to the needs of each individual client
- Use and explain appropriate strategies to prevent and manage decubitus ulcers
- Prepare clients for procedures
- Provide each client with a full explanation regarding preparation for specific procedures
- Incorporate health teaching into practice within role responsibility
- Maintain privacy and dignity of client throughout
- Complete documentation as per organisation policy and procedures
- Observe validity of consent and report any concerns to the registered nurse, as appropriate
- Contribute to nursing care in consultation/ collaboration with registered nurse
- Participate in the implementation of a plan of nursing care in line with duty of care and Occupational Health and Safety policies and procedures
- Identify and apply safe work place procedures as per OH&S policies and organisation policies and procedures
- Identify and apply infection control principles in all work activities
- Prioritise work activities to meet acuity of client needs in consultation/collaboration with a registered nurse
- Work in a manner that maintains the client's privacy and dignity and demonstrates best practice based on a full range of relevant information including scientific rationale
- Undertake nursing procedures as delegated within the nursing team and scope of practice in consultation/collaboration with a registered nurse
- Apply strategies to promote comfort, rest and sleep
- Assist with the implementation of appropriate nursing actions to prevent and manage decubitus ulcers in consultation/collaboration with a registered nurse
- Implement appropriate action to address urgent needs in consultation/collaboration with a registered nurse and document and report as appropriate
- Maintain documentation and reporting requirements as per organisation policies and procedures
- Monitor and evaluate clients during care
- Maintain ongoing observation and assessment during nursing care
- Observe and document changes in client independence or pain tolerance within scope of Enrolled/Division 2 Nurse practice
- Record and report changes in condition/baseline data/behaviour to the registered nurse, as appropriate
- Document evidence of client outcomes in nursing care plan
- Respond to and report situations of risk to registered nurse
- Identify and respond appropriately to signs and symptoms of common emergency situations
- Demonstrate respect for the client's attitudes and values in regard to resuscitation
- Use emergency codes correctly
- Initiate CPR according to organisation procedures
- Evaluate own contribution to nursing care