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| 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. |
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Health care settings may include: | Hospitals Residential aged care facilitiesRespite centresShort/long stay centresCommunity settingRural and remote settings |
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Plans of care could include: | Nursing care plansClinical pathwaysTreatment plansMedical notesClient notesManual and electronic storage systemsResident classification records |
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Acute health problems include the following: | Acute renal disordersAcute gastrointestinal disordersAcute neurological disorderAcute painAcute respiratory disordersAcute unconscious stateAnginaBurnsCellulitisDeep Vein thrombosisDehydrationElective cosmetic surgeryFracturesHaemorrhageHead injuryMyocardial infarctionPlastic/reconstructive surgeryRenal calculiSepsisShockTropical diseasesWounds |
Acute clinical nursing interventions may include: | Achievement of activities of daily livingAcute admission procedureAcute wound managementAirway managementApplication of anti embolism stockingsAssessment and management of acute painAssessment/observation of level of consciousnessAssessment/observation of respiratory functionCare of client with chest painCare of client with drainage tubes/systemsCare of client with nausea and vomitingCare of client with a castCare of client with traction devicesCirculation observationsComplications of acute bed restDischarge of clientFirst aidFluid balance recordingIncentive spirometry and peak flow measurementsMonitoring blood transfusionMonitoring of intravenous therapyNeurovascular observationsPost operative observations, exercises and carePre operative observations, exercises and carePreparation for medical procedurePreparation for surgical procedurePulse oximetryRemoval of sutures/staplesReview of cardio-pulmonary resuscitationStabilising of client with retrieval teamTracheostomy care (established stoma)Transfer of client - intra facilityTransfer/evacuation of client to another facilityVascular observations |
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Common terminology associated with surgery may include: | Elective/emergencyGeneral/local/epidural/spinal anaestheticCaudal/peripheral nerve blockDebridementSkin graftAmputationOpen reductionHip replacementCraniotomyTonsillectomyAppendicectomyLaparotomyHysterectomyProstatectomyCataract extractionHaemorrhageDeep vein thrombosis |
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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 attributes, active listening, using culturally appropriate communication methods, non-verbal behaviour to indicate understanding of what is being said, responses that are culturally appropriatePotential resources required such as equipment, appropriate documentation, occupational health and safety guidelines |
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Vital signs may include, but are not limited to: | Respiratory status assessment (ie. rate, rhythm, depth and sound)Perfusion status assessment (ie. pulse, blood pressure)Temperature status assessmentOxygen saturation (ie. triflow, peak flow, oxygen therapy)Pain tolerance assessmentUrinalysisFaecal assessmentBlood sugar level |
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Client history may include: | Pre-existing conditionsAllergiesCurrent historyDiagnostic procedures/investigationsAllied health team recommendationsCurrent medicationContinence statusSkin integrityMuscle/skeletal activityBehavioural characteristicsNutritional statusHydration statusPsychological needsPsychosocial needsNext of kin |
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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: | FastingIdentification bandSkin preparationAppropriate dress for surgical procedureRemoval of jewellery and safe storageAdministration of prescribed pre-medicationsDenture removal (if necessary)ID band/allergy ID |
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Drugs commonly used pre-operatively may include: | Sedatives/hypnoticsAnticholinergicsMuscle relaxantsNarcotic analgesiaTopical analgesia |
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Post-operative pain management strategies may include: | Patient controlled analgesia (PCA)Narcotic infusionEpidural analgesiaTopical analgesiaOral analgesicsSubcutaneous/intramuscular injection analgesia |
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Post anaesthetic and post-operative observations may include: | Level of consciousnessVital signsDrain tubes/dressingsIntravenous therapyIndwelling cathetersNeurovascular observationsSkin colourIntercostal catheterUnderwater seal drainageFluid intake - intravenous (IV), central venous catheter (CVC), total parenteral nutrition (TPN), oral, nasogastricFluid output - urinary, wound drainage, suction, vomitus |
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Drugs commonly used post-operatively may include: | AnalgesiaAntiemeticAntibioticAnti-inflammatory/Anti-coagulants |
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Potential complications of blood transfusion may include: | Pain at intravenous site and armLoin painUrticaria (hives)Nausea and/or vomitingHeadacheFlushing, chills and/or feverAnxietyTachycardiaWheezing, progressing to cyanosisHaematuriaAnaphylactic reaction/shockCardiac arrestDeath |
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