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

Application of infection control principles to the management of clients who undergo renal replacement therapies including

importance of good hygiene and adequate nutrition in prevention of infection

maintaining cleanliness of exit site or fistula arm

monitoring and maintaining integrity of skin to prevent infection

no touch technique

Common pathology tests to diagnose and monitor CKD and their interpretation

Fluid electrolyte and acid base balance

Health status monitoring

Immunity and the importance of vaccinations

Knowledge of disinfection procedures for dialysis equipment and machine according to organisation policies and procedures and infection control guidelines

Management principles for different types of renal replacement therapy including

haemodialysis

kidney transplant

peritoneal dialysis

Medicines in common use in management of clients with Stage CKD including basic mechanism of action precautions and side effects

Organisation policies procedures and protocols relating to renal replacement therapy

Pathophysiology of Stage CKD

Primary health care assessment and its interpretation

Reportable limits for patients vital signs and biochemical and haematological results for clients undergoing renal replacement therapy

Resources available to support the client

Selfcare principles and commitment required and the potential impact of Stage CKD and renal replacement therapy has on quality of life and selfesteem

Signs and symptoms of actual and potential problems of renal replacement therapy and the appropriate response

Structure and function of the urinary cardiovascular lymphatic and immune systems

Understanding of own role and responsibilities and those of other health care team members in the delivery of care to clients with CKD

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 interpersonal skills including working with others using sensitivity when dealing with people and relating to persons from differing cultural social and religious backgrounds

Assess patency of vascular access

Deliver effective education

Demonstrate accountability for personal outputs and client group outcomes

Demonstrate an understanding of selfcare principles education resources and long term commitment required to support the client to achieve selfcare

In consultation with the health care team contribute to effective plans of care to meet the needs of the client undergoing renal replacement therapy

Monitor the client in the preparation of dialysis equipment

Monitor the clients ability to assess the effectiveness of their current renal replacement therapy

Perform a health status assessment within scope of practice to monitor the health status of the client undergoing renal replacement therapy

Recognise actual and potential problems of renal replacement therapy and respond appropriately

Take into account opportunities to address waste minimisation environmental responsibility and sustainable practice issues including appropriate practices to ensure efficient use of resources

Use appropriate communication skills nonverbal openness sensitivity nonjudgemental attitudes

Use 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

Use written communication skills literacy competence required to fulfil job roles as specified by organisationservice at a level of skill that may range from reading and understanding client documentation to completion of written reports

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 competency in this unit

Candidates must demonstrate their ability to apply essential knowledge identified for this unit of competency before undertaking workplace application

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

Consistency of performance should be demonstrated over the required range of workplace situations and should occur on more than one occasion

Context of and specific resources for assessment

This unit of competency is most appropriately assessed in the clinical workplace and under the normal range of clinical environment conditions

Method of assessment

Observation in the workplace

Written assignmentsprojects

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

Questioning verbal and written

Role play

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 andor Torres Strait Islander communities workers should be aware of cultural historical and current issues impacting on health of Aboriginal andor 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

Clients are limited to:

Significant others may include:

Assessment of health status mayinclude:

Members of the health care team may include:

Scope of work role refers to:

Pathology resultsmay include:

Renal replacement therapy includes:

Actual and potential problemsmay include:

Self-care principles include:

Provide effective education include:

Management ofdialysis equipment and consumables may include:

Documentation may include: