|
|
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. |
| |
Therapeutic relationships include: | Nurse/clientNurse/significant otherClient/clientNurse/nurseNurse/multidisciplinary health care team |
| |
Actual and potential nursing care that clients may need assistance with includes: | Hygiene and toiletingElimination/incontinencePhysical comfortSleep disturbancesHealth educationOral/dental careImmobilityRespiration and circulationFluid and nutritional deficitsPainWounds - acute and chronicStressUnderlying medical conditionSocial emotional and financial issuesSensory deficitsCognitive deficits |
| |
Risks or potential risks due to hospitalisation/medical treatment may include: | Adverse reactionsShock/haemorrhageDeep vein thrombosis/pulmonary embolismNosocomial infectionSkin tears/pressure ulcer formationConstipationLoss of muscle toneSlips and fallsSocial isolationSleep deprivationChallenging behaviourRefusal of treatment |
| |
Risk prevention strategies: | Recording of allergiesMonitoring of client vital signOther monitoring as required eg. fluid balance, blood sugar levelsPressure area careAnti-emboli stockings/DVT prophylaxisAseptic technique/universal precautionsPassive and active exercisesBed railsAssistance with transferring |
| |
The broad principles of manual handling may include: | Body mechanicsOrganisation policy and proceduresRisk minimisation and 'no-lift' policiesBack careErgonomicsState/Territory Work Health and Safety (WHS) ActSafe operation of equipment |
| |
Manual handling techniques must include: | Transferring a client from bed to chair and vice versaAssisting a client to ambulateMoving a client in the bedClient falls |
| |
Factors contributing to mobility may include: | Client health statusActive and passive exercisesEquipment availabilityCultureEnvironment |
| |
Transfer/mobility devices/equipment may include: | HoistWheelchairsWalking framesSlide sheetsWalking aids |
| |
Purpose of hygiene and grooming may include: | CleanlinessAssessment of skinSelf esteemSocial aspects |
| |
Hygiene may include: | Showing and showering trolleyBed bath/spongeBath |
| |
Grooming may include: | Brushing hairFacial shavingsNail careCleaning and applying glassesCleaning and inserting hearing aidApplication of make up and jewelleryApplication of prostheses and orthoses |
| |
Conditions of the oral cavity may include: | Dry mouth, gums and tongueHalitosisPale or bleeding mucosa and gums including tongueCandida albicans (thrush)Herpes Simplex/cold soresUlcers of the mucosa, gums and tongueIll fitting denturesDeviations of tongue alignmentStomatitis/GingivitisCleft palate/lipDental caries |
| |
Oral hygiene may include: | Brushing teethMouth wash/GargleMouth toiletApplication of lip emollient |
| |
Assisting a client with diet and fluid intake may include ensuring: | ComfortHygiene and elimination needs metServiette provided/presentation of mealMeal size and food preferencePlacement of meal to facilitate appetiteSuitable utensils and condiments offeredRate of eating and fluids offeredEncourage independenceMeal completion, hygiene and comfort needs metVisual and hearing impairment consideredSwallowing impairmentCognitive and physical impairmentFasting and restricted fluids |
| |
Strategies to assist may include: | Position and environment |
| |
Key aspects of elimination may include: | Bedpan/Urinal/CommodeEnemas/SuppositoriesPerineal careContinence aidsPrivacy and dignityPositioning and hygieneDisposal of wasteOdour control |
| |
Key aspects associated with fluid balance and bowel charts may include: | Intake and output measurements in millilitres, totalled with positive/negative balance calculated on fluid balance chartDiet intake chartAccurate and continuous documentationDescription of stool on bowel chartReport variances as per environmental policies |
| |
Factors contributing to formation of decubitus ulcers may include: | IntrinsicExtrinsic |
| |
Strategies for prevention and management of decubitus ulcers may include: | Pressure risk assessment scalesUse of pressure relieving devicesRegular observation of skin condition\Repositioning |
| |
Rest may include: | Power naps/meditation/relaxation techniques |
| |
Factors that promote and impede comfort, rest and sleep may include: | Routine and positionEnvironment/equipmentEmotional state/pain physical stateMedicationNursing interventionsVisitors/other clients |
| |
Bed making may include: | OccupiedUnoccupied |
| |
Admission and discharge may include: | Admission documentation/application of client identificationCollection of dataCare of valuables/Identification of belongingsOrientation to unitDiet and fluids need identifiedIdentify and storage of current medication/sCommence discharge planReturn belongings and medicationsDocumentation of time of dischargeAppointments for follow upEnsure transport organised |
| |
Risk minimisation strategies or nurses may include: | Hazard assessment/reporting/risk minimisationImplementation of 'No-Lift' policyMaintenance of regular contact with members of the care team/nurse supervisorReferral of self appropriately for debriefing/counsellingAttention to own health and rest requirements |
| |
Recording and reporting requirements includes: | Admission and discharge documentationClient progress notesFluid balance chartsConscious/neurological observationsSpecific charting as requiredVerbal handovers/case meetingsCritical incident reporting to senior staffIncident reportsUnderstanding of work roles of other health team membersWork Health and Safety (WHS) hazard reporting |
| |
Safe work practices must include: | Personal Protective EquipmentDuty of CareNeedle stick injuryCleaning, decontamination and storage of equipmentFire and evacuation proceduresStandard precautionsCritical incidentWorkplace harassment/Aggression and ViolenceManual Handling |
| |
Principles of Infection Control must include: | Hand washingStandard precautionsHandling of specimens |
| |
Body systems include: | Cardiovascular systemGastrointestinal tractUrinary tractMusculoskeletal systemNervous systemEndocrine systemIntegumentary systemReproductive system |
| |
Emergency situations may include: | Choking and aspirationBurn/scaldAllergic reactionCardiac arrest |
| |
Family structure may include: | NuclearExtended and blendedSingle parentSame gender parentsCommunalCohabitativeFoster/Adoptive |
| |
Cultural factors that influence nursing care may include: | Gender of carer/health professionalsDress codeDietary preferencesSpiritual practicesStrict hygiene practicesRefusal of treatment and drugsTaboosConcept of personal spacePersonal possessionsTraditional care of the people eg. elderly/children/disabled |
| |
Strategies to incorporate spiritual beliefs into nursing practice may include: | Accommodation of prayer timesFastingChapelQuiet roomsPastoral care |