Elements and Performance Criteria
- Elements define the essential outcomes of a unit of competency.
- The Performance Criteria specify the level of performance required to demonstrate achievement of the Element.
- Contribute to interdisciplinary health care team in caring for the person with a stoma
- Work within scope of practice to support the interdisciplinary health care team in managing the person’s stoma care needs and the needs of their family or carer
- Identify specialist nursing and medical services and community agencies that support and deliver stoma care, and their possible role in long-term management of the person’s stoma condition
- Discuss nursing care management plan regularly with the registered nurse and other members of the interdisciplinary health care team
- Work in partnership with the person and appropriate service providers and agencies to maintain continuity of care
- Assess health care needs of a person with a stoma
- Perform holistic health assessment of the person using a range of assessment tools relevant to person’s care requirements
- Collect accurate information in accordance with organisation policy and procedures
- Identify physiological, pathological and congenital conditions leading to the person’s stoma creation
- Determine the person’s own knowledge of their condition, therapies and self-management requirements, and how this might impact their care planning and provision
- Identify family or carer’s knowledge of and involvement in the person’s stoma care condition, management and therapies
- Identify possible psychological factors impacting the person with a stoma and their family or carer
- Perform complex nursing interventions to assist a person with a stoma
- Prepare the person’s nursing care plan to ensure it reflects the care needs specific to stoma care requirements
- Prioritise nursing interventions for the person according to their identified needs, including emergency care of stoma
- Identify principles of contemporary stoma management and apply these within organisation policy and procedures when providing nursing care for the person
- Identify opportunities to provide health education to the person, and promote health and self-management of the stoma
- Provide the person with education to promote health and self-management of the stoma
- Identify responses of the person, family or carer to nursing interventions and their understanding of ongoing management of the person’s condition, including strategies for self-management
- Communicate outcomes and proposed actions to the registered nurse and use a collaborative approach for follow up with interdisciplinary team
- Identify when the acuity of a person is beyond own skills and knowledge and promptly consult with registered nurse and relevant interdisciplinary health care team members
- Evaluate progress toward expected outcomes of care
- Critically review the nursing care plan and modify according to the person’s progress toward planned outcomes, in consultation and collaboration with the registered nurse and health care team
- Evaluate the person’s understanding of their stoma condition, medications, therapeutic regimes and self-management, and document their uptake of health promotion initiatives
- Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in stoma nursing care
- Document outcomes of care and communicate findings to other members of the interdisciplinary health care team in accordance with organisation policy