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Elements and Performance Criteria

  1. Work as part of the rural multidisciplinary health care team
  2. Clarify the impact of the rural client's treatment and rehabilitation on the client and/or their family
  3. Address the health care needs of clients in the Australian rural environment
  4. Perform nursing interventions that support rural client health care needs
  5. Assist in the provision of emergency care
  6. Contribute to the quality and safety of rural 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

Admission and transfer to metropolitan acute care and aged and extended care facilities

Client rights and responsibilities

Critical thinking and problem solving

Cultural and spiritual beliefs and practices

Culturally appropriate health promotion activities

Diagnostic tests and their meanings

Emergency and first aid management

Evidence based practice

Factors influencing growth and development

Factors influencing self esteem

Health illness continuum

Legislation related to rural health care practice including

Aged Care Act and criteria for admission to aged care facilities

work health and safety WHS legislation

Legal standards for practice

Medical terminology

Organisation policy and procedure

Participating as a member of the health care team

Philosophy of loss and grief

Philosophy underpinning aged care and extended care management

Principles of health assessment

Reflective practice

Research strategies and methodologies

Specialised knowledge and depth of anatomy physiology and pathophysiology of injuries poisonings and emergency medical conditions

Specialised knowledge and execution relating to care of older clients

Specialised knowledge in the clinical manifestations of chronic disease states

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 clinical nursing skills including

fundamental and complex nursing interventions

acute care of aged care client

physical assessment

neurological function

specimen collection

medication administration including emergency medications as per jurisdictional and legal requirements

chest pain assessment and management

addressing pressure area care needs

addressing pain management needs

Assessment observation and documentation of

neurovascular observations

blood glucose monitoring

pain scale or analogue observations

nutritional status

hydration

respiratory function

skin integrity

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

Apply principles of documentation to document planned nursing interventions

Apply principles of rehabilitation

Demonstrate accountability for personal outputs and broad client group outcomes

Maintain effective symptom management

Maintain evidence based practice in line with current literature and work of professional bodies associated with rural clients

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

Recognise and address religious and cultural needs of client and significant others

continued

Essential skills contd

Use interpersonal skills to work with others use sensitivity when dealing with people and relate to persons from differing cultural social and religious backgrounds

Use appropriate communication skills nonverbal openness sensitivity nonjudgmental attitudes

oral communication skills language competence required to fulfil job roles as specified by the organisationservice including interviewing techniques asking questions active listening asking for clarification

written communication skills literacy competence required to fulfil job roles as specified by organisationservice ranging from reading and understanding client documentation to completion of written reports

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.

Multidisciplinary health care team members could include:

Rural client and their significant others

General Practitioners

Nurses

Social workers

Physiotherapists

Dieticians

Community services

Health care settings could include:

Residential aged care facilities

Extended care settings

Hospital - private or public

Short stay centres

Respite centres

Community centres

Day Centres

Plans of care may include:

Nursing care plans

Clinical pathways

Treatment plans

Medical notes

Community referrals

Admission and transfer

Rehabilitation plans

Legal and ethical issues include:

Rights and responsibilities of clients

Consent

Power of attorney

Medical Power of attorney

Advocacy

Elder abuse

Restraint

Advanced health directives

Ethical principles

Specific nursing interventions/clinical skills could include:

Foundation nursing interventions

Complex nursing interventions

Management of permanent and temporary mechanical ventilation including suctioning and bagging

Wound care

Skin care including - assessment and management of skin care

Health teaching in relation to client care needs

Pain management

Manual handling

Co ordination of clinical care

Assessment of oxygen saturation levels

Rehabilitative care practices

Evaluation of planned care includes:

Level of independence in performance of activities of daily living

Participation in rehabilitation programs

Self management of symptoms