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Elements and Performance Criteria

1. Elements define the essential outcomes
2. Identify and discuss sexual and reproductive health problems
   • Support the person in accessing relevant screening programs and in using contemporary assessment tools to identify health issues
   • Interpret observations and pathology results indicating variations from normal sexual and reproductive health status
   • Provide information at a primary health care level on the risk factors, indicators and interventions for sexually transmissible infections (STIs) and blood-borne infections (BBIs)
   • Use a safe place for discussing with the person contact tracing, disclosure of information and requirements in reporting notifiable STIs or BBIs, in consultation with registered nurse
   • Use appropriate health information and resources to the level of the person’s own understanding of their sexual development and health condition
   • Make appropriate referrals in consultation with an interdisciplinary team to promote healthy sexual and lifestyle practices
3. Clarify the impact of sexual and reproductive health condition on the person, family or carer
   • Maintain current knowledge of sexual and reproductive health conditions and associated pathophysiology and apply this knowledge to female and male clinical manifestations
   • Identify the psychosocial impact and potential complications for the person and clarify their needs
   • Discuss impacts and complications of the person’s condition with the person, and their family or carer as appropriate, within scope of practice
4. Contribute to team planning and nursing interventions for sexual or reproductive health care
   • Identify specific effects of culture, ageing, disability and illness on sexuality and sexual behaviour for the person
   • Identify nursing interventions to incorporate contemporary sexual and reproductive health strategies into practice
   • Provide advice related to maintaining sexual and reproductive health in line with community needs and organisation policy and procedures
   • Liaise with health team and use appropriate resources and service providers to educate the person, family or carer on sexual health and reproductive health strategies
   • Identify the acuity of a person is beyond own skills and knowledge and promptly consult with relevant interdisciplinary health care team
   • Critically review the care plan and modify according to the person’s progress toward planned outcomes in consultation and collaboration with registered nurse
5. Actively promote improvements in sexual and reproductive health
   • Monitor and evaluate own nursing care provided to the person to assist with organisation continuous improvement
   • Evaluate nursing interventions provided and consider outcomes against evidence-based best practice in sexual and reproductive health
   • Seek out opportunities and participate in professional development, acquiring knowledge to guide own practice and acting as a resource for colleagues
6. Address contemporary issues in sexual and reproductive health
   • Maintain current knowledge on influences that shape sexuality in current and historical contexts
   • Identify and discuss contraception and provide support and health education to the person on their choice of contraception methods
   • Identify and discuss pregnancy choices and options for unplanned pregnancies
   • Provide education on risk-taking behaviours and promote safe sex practices

Performance Evidence

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

undertaken nursing work in accordance with Nursing and Midwifery Board of Australia professional practice standards, codes and guidelines

performed a sexual health assessment on 1 female and 1 male person in the workplace

conducted 2 specific activities in the workplace or simulated environment to support quality and promote innovations in sexual and reproductive health for an interdisciplinary team based on knowledge acquired through own professional development and learning.

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Knowledge Evidence

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

historical development of sexual and reproductive health strategies to support women’s and men’s health and wellbeing

health prevention screening options for early identification of women’s and men’s health issues

conditions and factors affecting women’s health and wellbeing, and their impact and treatment, such as:

breast screening

cervical screening

family violence

sexual assault

menopause

vaginal prolapse and continence issues

sexual physiology and the human sexual response

philosophy underpinning sexual and reproductive health management

medical and surgical procedures associated with sexual and reproductive health

anatomy and physiology and pathophysiology of sexual and reproductive health and clinical manifestation of sexual and reproductive conditions – sufficiently in-depth knowledge to make considered judgements and contribute professionally to nursing care

sexual and reproductive health-related matters including:

contraception

health problems affecting sexuality such as

spinal cord injuries

diabetes mellitus

hypertension

infertility

menopause

pregnancy options

puberty

risk taking behaviours

sexual abuse

sexual dysfunction

sexual orientation

healthy sexual behaviours and attitudes and practices such as safer sex practices, and barriers to use of safer sex practices

factors that may interfere with sexual health and emotional wellbeing including influence of alcohol and other drug use on sexual behaviours

sexually transmissible infections (STIs), including:

description, definition, statistics, signs and symptoms, universal precautions

common STIs and blood-borne infections (BBIs)

notifiable STIs and BBIs

transmission, testing and complications related to STIs

contact tracing and partner notification

ways to prevent, manage and treat STIs

risk factors for contracting STIs and BBIs, including:

relationship between STIs and increased risk of contracting BBIs

unprotected anal, vaginal and oral sex

receptive and insertive partners

mother to baby

blood to blood

unsafe drug injection

age- and gender-specific issues related to sexual health for the older adult, young adult, adolescent

community resources or services for sexual and reproductive health promotion and education.

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