|
|
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. |
| |
Health care settings may include: | Hospitals Residential aged care facilitiesRespite centresShort/long stay centresCommunity settingRural and remote settings |
| |
Plans of care could include: | Nursing care plansClinical pathwaysTreatment plansMedical notesClient notesManual and electronic storage systemsResident classification records |
| |
Acute health problems may include the following: | Acute renal disordersAcute abdomenAcute neurological disorderAcute painAcute respiratory disordersAcute unconscious stateAnginaBurnsCellulitisDeep Vein thrombosisDehydrationElective/emergency surgery (post operative phase)FracturesHaemorrhageHead injuryMyocardial infarctionRenal calculiSepsisShockTropical diseasesWounds |
Acute clinical nursing interventions could include: | Assist achievement of activities of daily livingAcute admission procedureAcute wound managementAirway managementApplication of anti embolism stockingsObservation and reporting of acute pain Assessment/observation of level of consciousnessAssessment/observation of respiratory functionComplications of acute bed restDischarge of clientFirst aidFluid balance recordingIncentive spirometry and peak flow measurementsNeurovascular observationsPre operative observations, exercises and carePost operative observations, exercises and carePreparation for medical procedurePreparation for surgical procedurePulse oximetryTracheostomy care (established stoma)Transfer of client - intra-facilityTransfer/evacuation of client to another facility |
| |
Common terminology associated with surgery may include: | Elective/emergencyGeneral/local/epidural/spinal anaestheticCaudal/peripheral nerve blockDebridementSkin graftAmputationOpen reductionHip replacementCraniotomyTonsillectomyAppendicectomyLaparotomyHysterectomyProstatectomyCataract extractionHaemorrhageDeep vein thrombosis |
| |
When communicating/caring for a client, the following may need to be considered: | Any physical or mental problems which may hinder communication (such as deafness or dementia, or disease processes)Individual consideration of the following socio-economic, physiological variables will be addressed (social, gender, emotional, intellectual, language, culture)All verbal and non-verbal interactions with client and colleagues in a range of appropriate interpersonal contextEffective communication skills include non judgemental attitude, active listening and use of culturally appropriate communication methods (verbal and non-verbal) Potential resources required such as equipment, appropriate documentation, occupational health and safety guidelines |
| |
Observations may include, but are not limited to: | Respiratory status assessment (ie. Rate, rhythm, depth and sound)Cardiovascular status assessment ( ie. Pulse, blood pressure)Temperature status assessmentOxygen saturation (ie. Triflow, peak flow, oxygen therapy)UrinalysisFaecal assessmentBlood sugar level |
| |
Client history may include: | Pre-existing medical conditionsAllergiesCurrent historyDiagnostic procedures/investigationsAllied health team recommendationsCurrent medicationContinence statusSkin integrityMobilityNutritional statusHydration statusPsychosocial needsNext of kinPrevious surgery |
| |
Pre-operative assessment data may include: | Vital signsAllergiesAge, height, weightUrinalysisHydration/nutritional statusMedical/surgical history (including family history)Prescribe and non-prescribed medicationsPatterns of drug use/smoking/alcohol |
Specific preparation may include: | FastingSkin preparationAppropriate dress for surgical procedureRemoval of jewellery and safe storageAdministration of prescribed pre-medicationsDenture removal (if necessary)ID band/allergy IDCheck documentation is complete, including signed consentRemoval of sensory aids eg. hearing aid, glasses if required |
| |
Drugs commonly used pre-operatively may include: | Sedatives/hypnoticsAnticholinergicsTopical analgesiaAnti-angina medication Bronchodilators |
| |
Post operative pain management strategies may include: | Patient controlled analgesia (PCA)Narcotic infusionEpidural analgesiaTopical analgesiaOral analgesicsSubcutaneous/intramuscular injection analgesia |
| |
Post anaesthetic and post-operative observations may include: | Level of consciousnessVital signsIntravenous therapyIndwelling cathetersNeurovascular observationsSkin colourFluid output - urinary, wound drainage, suction, vomitusIndwelling catheter position Urine output |
| |