Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners

HLTEN607B Mapping and Delivery Guide
Practise in the critical care environment

Version 1.0
Issue Date: April 2024


Qualification -
Unit of Competency HLTEN607B - Practise in the critical care environment
Description This unit of competency describes the skills and knowledge required to practise more effectively and efficiently within the critical care environment
Employability Skills This unit contains Employability Skills
Learning Outcomes and Application The knowledge and skills described in this competency unit are to be applied within jurisdictional nursing and midwifery regulatory authority legislative requirementsEnrolled/Division 2 nursing work is to be carried out in consultation/collaboration with registered nurses and under direct or indirect supervisory arrangements in line with jurisdictional regulatory requirements
Duration and Setting X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.
Prerequisites/co-requisites Not Applicable
Competency Field
Development and validation strategy and guide for assessors and learners Student Learning Resources Handouts
Activities 		Slides
PPT 		Assessment 1 Assessment 2 Assessment 3 Assessment 4
Elements of Competency Performance Criteria              
Element: Apply theoretical concepts and principles in development of a nursing care plan
  • Work with an understanding of the pathophysiology of presenting/underlying critical care condition
  • Address common nursing needs associated with clients in the critical care environment
  • Initiate holistic health assessment and collect accurate client information in accordance with health unit policy
  • Evaluate and interpret the client's nursing care needs and communicate to the health care team
  • Use a range of assessment tools relevant to client health care requirements
  • Identify significant alterations in client health status
  • Ascertain possible factor(s) impacting on client health status
  • Clarify the knowledge of client (and/or identified significant other/s) regarding client condition, self management and individual treatment regime
  • Work with an understanding of the psychosocial needs of clients in critical care environment
       
Element: Contribute to multi-disciplinary health care team in caring for clients in the critical care environment
  • Interact appropriately with emergency service personnel, referring agencies and other hospital department staff
  • Work with an understanding of the role of specialist nursing and medical services in the care of clients in the critical care environment
  • Collaborate with multi-disciplinary team in partnership with the client (and identified significant other/s with client consent), to maintain continuity of care
  • Identify factors relevant to client situation, giving consideration to the physical, psychological, social and economic impacts
  • Review data collected and communicate to relevant members of the health care team
       
Element: Plan nursing care in consultation/collaboration with the health care team
  • Ensure nursing care plan reflects specific critical care requirements in accordance with health unit policy
  • Ensure care plan reflects client's current nursing needs and nursing actions designed to maximise their physical function and minimise potential complications
  • Apply understanding of risk management principles in planning client care
  • Ensure planned care and therapeutic interventions aim to assist client/s to achieve optimal health outcomes
  • Identify client requirements for health promotion and education aspects of the nursing care plan in conjunction with client and significant other/s
  • Regularly review plan of care and modify to reflect changes in client condition
       
Element: Perform complex nursing interventions to assist clients in critical care to attain and maintain optimal health
  • Prioritise nursing interventions according to client needs
  • Modify nursing interventions using critical thinking and problem solving approaches, to reflect changes in client condition
  • Perform nursing interventions, including health promotion and/or education, to assist clients and significant other/s to achieve expected outcomes
  • Monitor nursing interventions, review those that fail to address client needs and revise in consultation/collaboration with the health care team
  • Ensure appropriate pre-, intra- and post-diagnostic procedures are undertaken in line with organisation policies and procedures
  • Ensure medication administration is based on sound knowledge of principles of drug actions and side effects in accordance with health unit policies and procedures
  • Recognise the rights and responsibilities of the critical care client
  • Act as an advocate for the client and their family.
  • Respect individual culture and religious practice for the critical care client
       
Element: Evaluate effectiveness of nursing interventions and planned care for clients in critical care
  • Evaluate responses of client and identified significant other/s to nursing interventions, and modify and document in accordance with health unit policy
  • Ensure client, and significant other/s where indicated, are aware of community resources available to them and how to access them
  • Assess client understanding of their condition, medications and therapeutic regimes prior to discharge
  • Evaluate client acceptance of specific health promotion initiatives prior to discharge
  • Assess and review understanding of identified significant other/s in relation to current condition of client and their ongoing management
  • Document responses to planned nursing actions
  • Recognise the legal and ethical issues involved in aged care practice
       


Evidence Required

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.

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

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 assignments/projects

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

Questioning - verbal or written

Role play/simulation

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 and/or Torres Strait Islander clients and communities

Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assignment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)

Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

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:

Basic and advanced life support post cardiac or respiratory arrest

Cardiac rehabilitation

Critical thinking and problem solving

Cultural and spiritual beliefs and practices

Culturally appropriate health promotion activities for clients

Documentation principles

Factors influencing growth and development

Factors influencing self esteem

Infection control

Legislative requirements for practice

Medical terminology

Nursing procedures relevant to caring for clients with life-threatening or potentially life threatening conditions

Organisation policy and procedure

Participating as a member of the health care team

Principles of health assessment

Reflective practice

Specialised in-depth knowledge of anatomy, physiology and pathophysiology related to critical care issues

Specialised knowledge and execution relating to emergency care of clients in critical care issues

Specialised knowledge in the clinical manifestations of disease states

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 relevant admission and discharge tools according to organisation policy

Appropriately undertake nursing interventions that may include:

arterial line management

assessment and evaluation of alteration to body system functions

assistance with meeting activities of daily living

blood glucose monitoring

care of client

Central Venous Catheter Management

chest pain assessment&management

cough CPR&pre-cordial thump

CPAP and BiPAP (non-invasive)

emergency medications

fundamental nursing interventions

medication administration and management

modified advanced life support

oxygen therapy - pulse oximetry, hand ventilation, suction

pain management strategies

PICC/Midline Management

recording of a 12 lead ECG

under water seal drain management

Apply clinical nursing skills relating to the nursing management of critical care nursing interventions and emergencies, including:

assessment

documentation

observation

Apply professional standards of practice:

ANMC code of conduct

ANMC code of ethics

ANMC national Enrolled/Division 2 nurse competency standards

state/territory Nurse Regulatory Nurses Act

state/territory Nursing and Midwifery Regulatory Authority standards of practice

scope of nursing practice decision making framework

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

Use advanced communication skills

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:

Medical staff

Nursing staff

Social workers

Physiotherapists

Occupational therapists

Speech pathologists

Dietitian

Prosthetists

Clients may include:

Adult

Older adult

Significant others

Child

Adolescent

Actual and potential problems may include:

Respiratory failure

Increased intracranial pressure

Altered state of consciousness

Hypercapnia

Inability to clear secretions

Inability to cough

Aspiration

Shortness of breath

Electrolyte imbalance

Fluid overload

Reduced CO2

Hypoxia/Hypoxaemia

Chest pain

Cerebral Vascular Accident

Vessel occlusion

Pneumothorax

Pacemaker lead displacement

Arrhythmia

Allergy

Nursing interventions may include:

Physical assessment - Chest auscultation, Pulse oximetry, respiratory rate, pulse rate, blood pressure, sedation score, past medical history, accessory muscles

Changing invasive drains

Assisting with the insertion of invasive drains

Administration of medication

Take blood from an arterial line for blood gas analysis

Instruction in and encouragement of deep breathing and coughing exercises including passive and active exercises

Pain assessment and management

Spirometry

Administration of non-invasive ventilation - CPAP and BiPAP

Oxygen administration

Tracheal suction via an ETT or Tracheostomy

Management of a client with a tracheostomy - tracheostomy dressing, client assessment

Management of elimination (urinary and bowel) needs including - insertion of indwelling catheters, irrigation of indwelling catheters

Management of permanent and temporary mechanical ventilation including suctioning and bagging

Disease processes may include:

Alterations in sensory function

Alterations in cardiac function

Alterations in respiratory function

Alterations in neurological function

Alterations in musculoskeletal function

Alteration in genitourinary function

Alteration in skin integumentary function

Alteration in endocrine Function

Alteration in renal function

Health promotion goals / outcomes may include:

Exercise

Nutrition

Weight Loss

Diabetes Management

Smoking Cessation

Hypertension Control

Stress Management

Post Menopausal

Alcohol&Drugs

Plans of care may include:

Nursing care plans

Clinical pathways

Treatment plans

Medical notes

Rehabilitation

Community referrals

Health teaching

Discharge plans

Rehabilitation plans

Legal and ethical issues include:

Rights and responsibilities

Consent

Power of attorney

Advanced care directives

Advocacy

Restraint

Ethical principles

Legislation affecting critical care clients

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice Yes No Comments/feedback
Work with an understanding of the pathophysiology of presenting/underlying critical care condition 
Address common nursing needs associated with clients in the critical care environment 
Initiate holistic health assessment and collect accurate client information in accordance with health unit policy 
Evaluate and interpret the client's nursing care needs and communicate to the health care team 
Use a range of assessment tools relevant to client health care requirements 
Identify significant alterations in client health status 
Ascertain possible factor(s) impacting on client health status 
Clarify the knowledge of client (and/or identified significant other/s) regarding client condition, self management and individual treatment regime 
Work with an understanding of the psychosocial needs of clients in critical care environment 
Interact appropriately with emergency service personnel, referring agencies and other hospital department staff 
Work with an understanding of the role of specialist nursing and medical services in the care of clients in the critical care environment 
Collaborate with multi-disciplinary team in partnership with the client (and identified significant other/s with client consent), to maintain continuity of care 
Identify factors relevant to client situation, giving consideration to the physical, psychological, social and economic impacts 
Review data collected and communicate to relevant members of the health care team 
Ensure nursing care plan reflects specific critical care requirements in accordance with health unit policy 
Ensure care plan reflects client's current nursing needs and nursing actions designed to maximise their physical function and minimise potential complications 
Apply understanding of risk management principles in planning client care 
Ensure planned care and therapeutic interventions aim to assist client/s to achieve optimal health outcomes 
Identify client requirements for health promotion and education aspects of the nursing care plan in conjunction with client and significant other/s 
Regularly review plan of care and modify to reflect changes in client condition 
Prioritise nursing interventions according to client needs 
Modify nursing interventions using critical thinking and problem solving approaches, to reflect changes in client condition 
Perform nursing interventions, including health promotion and/or education, to assist clients and significant other/s to achieve expected outcomes 
Monitor nursing interventions, review those that fail to address client needs and revise in consultation/collaboration with the health care team 
Ensure appropriate pre-, intra- and post-diagnostic procedures are undertaken in line with organisation policies and procedures 
Ensure medication administration is based on sound knowledge of principles of drug actions and side effects in accordance with health unit policies and procedures 
Recognise the rights and responsibilities of the critical care client 
Act as an advocate for the client and their family. 
Respect individual culture and religious practice for the critical care client 
Evaluate responses of client and identified significant other/s to nursing interventions, and modify and document in accordance with health unit policy 
Ensure client, and significant other/s where indicated, are aware of community resources available to them and how to access them 
Assess client understanding of their condition, medications and therapeutic regimes prior to discharge 
Evaluate client acceptance of specific health promotion initiatives prior to discharge 
Assess and review understanding of identified significant other/s in relation to current condition of client and their ongoing management 
Document responses to planned nursing actions 
Recognise the legal and ethical issues involved in aged care practice 

Forms

Assessment Cover Sheet

HLTEN607B - Practise in the critical care environment
Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

Student signature:

Result: Competent Not yet competent

Feedback to student

 

 

 

 

 

 

 

 

Assessor name:

Signature:

Date:

Assessment Record Sheet

HLTEN607B - Practise in the critical care environment

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

Feedback to student:

 

 

 

 

 

 

 

 

Overall assessment result: Competent Not yet competent

Assessor name:

Signature:

Date:

Student signature:

Date: