Google Links

Follow the links below to find material targeted to the unit's elements, performance criteria, required skills and knowledge

Elements and Performance Criteria

  1. Work as part of the multi-disciplinary health care team in the domiciliary health care environment
  2. Recognise the impact of a health problem on the client in the domiciliary health care environment
  3. Contribute to planning care for the client requiring domiciliary health care
  4. Perform nursing interventions that support client health care needs
  5. Assist to evaluate the outcomes of planned domiciliary health care

Required Skills

This describes the essential skills and knowledge and their level required for this unit

Essential knowledge

The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit manage the task and manage contingencies in the context of the identified work role

This includes knowledge of

Advocacy

Age specific requirements eg children young adult older adult

Client rights and responsibilities

Clinical manifestations of a diverse range of health conditions

Community and inhospital services available for medical condition clients

Confidentiality and privacy

Critical thinking and problem solving

Diagnostic tests and their meanings

Emergency and first aid management of conditioninjuries

Evidence based practice

Health illness continuum

Infection control

Legal and ethical issues related to practice

Literature and professional bodies associated with domiciliary health care management

Medical terminology

Nursing management of the client with a diverse range of health conditions

Organisation policy and procedure

Participating as a member of the health care team

Philosophy underpinning of domiciliary health care

Principles of documentation

Reflective practice

Specialised indepth knowledge of anatomy and physiology and pathophysiology of clinical manifestations

Workplace Health and Safety legislation

Essential Skills

It is critical that the candidate demonstrate the ability to effectively do the task outlined in elements and performance criteria of this unit manage the task and manage contingencies in the context of the identified work role

This includes the ability to

Apply principles of documentation to document planned nursing interventions

Apply principles of health assessment

Apply clinical nursing skills to address pain management needs

Apply professional standards of practice

ANMC code of conduct

ANMC code of ethics

ANMC national EnrolledDivision nurse competency standards

stateterritory Nurse Regulatory Nurses Act

stateterritory Nursing and Midwifery Regulatory Authority standards of practice

scope of nursing practice decision making framework

Facilitate activities of daily living

Maintain effective symptom management

Manage administration of medications as per jurisdictional and legal requirements

Recognise and address needs of client and significant others in relation to grief and loss

Undertake fundamental and complex clinical nursing interventions

Undertake health teaching and health promotion to address specific needs of client and significant others

Use prosthetic aids and devices appropriately

Use language literacy and numeracy competence required to communicate effectively with client group colleagues and to record or report client outcomes

Use communication skills for

counselling

interviewing

Evidence Required

The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria Required Skills and Knowledge the Range Statement and the Assessment Guidelines for this Training Package

Critical aspects for assessment and evidence required to demonstrate this competency unit


The individual being assessed must provide evidence of specified essential knowledge as well as skills

Observation of performance in a work context is essential for assessment of this unit

Consistency of performance should be demonstrated over the required range of workplace situations and should occur on more than one occasion and be assessed by a registered nurse

Context of and specific resources for assessment


This unit is most appropriately assessed in the clinical workplace or in a simulated clinical work environment and under the normal range of clinical environment conditions prior to assessment in the workplace

Where for reasons of safety access to equipment and resources and space assessment takes place away from the workplace simulations should be used to represent workplace conditions as closely as possible

Method of assessment

Observation in the work place

Written assignmentsprojects

Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice

Questioning verbal and writing

Role playsimulation

Access and equity considerations

All workers in the health industry should be aware of access and equity issues in relation to their own area of work

All workers should develop their ability to work in a culturally diverse environment

In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities workers should be aware of cultural historical and current issues impacting on health of Aboriginal and Torres Strait Islander people

Assessors and trainers must take into account relevant access and equity issues in particular relating to factors impacting on health of Aboriginal andor Torres Strait Islander clients and communities


Range Statement

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.

Multi-disciplinary health care team members could include:

Client and their significant others

Medical staff

Nursing staff

Social workers

Physiotherapists

Occupational therapists

Speech pathologists

Dietitian

Prosthetists

Podiatrists

Drug and alcohol services

Emergency Services including - Ambulance, Royal Flying Doctor Service, Care Flight

Community services

Transitional rehabilitation services

Domiciliary health care settings could include:

Day clinic

Long stay centres

Short stay centres

Medical clinic

Attached to residential aged care facilities

Respite centres

Community centres

Schools

Client's home or workplace

Supported Residential Services (SRS)

Plans of care could include:

Nursing care plans

Discharge plans

Medical notes

Treatment plans

Manual and electronic storage systems

Evaluation of planned care includes

Level of independence in performance of activities of daily living

Access and use of community support services

Participation in rehabilitation programs

Monitoring of clients response to procedures

Clarification of clients understanding of health teaching, discharge planning or return appointment schedule

Clients understanding of health care needs and treatment regimes

Specific nursing interventions/clinical skills include:

Wound care

Skin care including - assessment and management of skin care

Health teaching in relation to client care needs

Pain management

Removal of sutures/staples (as ordered)

Manual handling

Use of mobility aids

Assistance with meeting activities of daily living

Co ordination of clinical care

Rehabilitative care practices

Emergency resuscitation skills