Elements and Performance Criteria
- Determine the health status and nursing needs of client(s) in consultation/ collaboration with a registered nurse
- Undertake holistic assessment of a client/group of clients in consultation/collaboration with a registered nurse
- Use a range of assessment tools relevant to the clinical environment to gather information
- Assess the client's current knowledge and understanding of their condition, management and treatment therapies
- Review, where relevant, the significant other's knowledge of the client's condition management and treatment therapies
- Assess, where appropriate, the response of significant others to the client's current condition
- Discuss assessment data with the registered nurse, and other members of the health care team as required to support best practice in nursing care delivery
- Clearly and accurately explain the pathophysiology of the presenting complaint experienced by the client to support client understanding
- Identify health promotion and client education needs
- Participate in management of the plan of care for client/group of clients
- Analyse client information to reflect individualised care requirements in accordance with health unit policy
- Formulate a care plan utilising research-based practice to reflect individual case-management in consultation/collaboration with a registered nurse
- Demonstrate an understanding of risk management principles in planning care for client
- Identify health promotion and client education needs within the care plan
- Discuss the care plan with the registered nurse and other members of the health care team to ensure common understanding for implementation
- Following client consent, discuss the care plan with significant other(s)
- Commence discharge planning in accordance with health unit policy
- Manage the care of clients including the delegation of aspects of nursing work following consultation/ collaboration with the registered nurse and the clinical supervision of others providing aspects of nursing work
- Contribute to the multidisciplinary approach to health care
- Liaise with service providers and utilise appropriate resources in providing care to client(s)
- Liaise with registered nurses and other members of the health care team about alterations in conditions of client(s)
- Assist client(s) in discharge preparation on commencement of treatment/care and assessment of individual needs in consultation/collaboration with a registered nurse
- Manage ongoing education and support for client(s) and significant others where appropriate
- Provide comprehensive hand-over to nurses on other shifts
- Implement best practice nursing interventions for client/s in consultation/ collaboration with a registered nurse
- Prioritise and manage nursing interventions for client(s) according to the individual's needs and re-prioritise as required to address changes in nursing workload in consultation/collaboration with a registered nurse
- Modify nursing interventions to reflect changes in the client's condition in consultation/collaboration with a registered nurse
- Perform nursing interventions, including the use of complex client monitoring devices utilising research-based evidence
- Perform nursing interventions within professional, legal, ethical and organisation policy and procedure guidelines/boundaries in consultation/ collaboration with a registered nurse
- Recognise alterations in psychological and/or physiological status promptly, manage and report to appropriate health care staff
- Administer medications safely, based on knowledge of principles of drug actions and side effects, in accordance with health unit policies and procedures and legislation
- Promote partnership between nurse and client in the implementation of health promotion and self management in relation to research-based evidence
- Consistently maintain occupational health, safety and welfare policies and procedures relating to nursing practice
- Evaluate client responses to nursing interventions in consultation/collaboration with a registered nurse
- Evaluate each client's response to nursing interventions and modify interventions accordingly in consultation/collaboration with a registered nurse, and in line with organisation policies/procedures and research-based evidence
- Evaluate each client's response to health promotion/education and address issues accordingly in consultation/collaboration with a registered nurse, and in line with organisation policies/procedures and research-based evidence
- Undertake assessment of the clients' progress toward planned outcomes in relation to nursing care provided in consultation/collaboration with a registered nurse
- Document all aspects of evaluation in line with organisation policies/procedures