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

HLTEN618C Mapping and Delivery Guide
Practise in contemporary rural-remote health care

Version 1.0
Issue Date: May 2024


Qualification -
Unit of Competency HLTEN618C - Practise in contemporary rural-remote health care
Description This competency unit describes the skills and knowledge required by Enrolled/Division 2 nurses to perform nursing interventions to assist clients of rural health care services to maintain or regain optimal function and lifestyle
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 Pre-requisite unitsThis unit must be assessed after successful achievement of pre-requisites:HLTAP501C Analyse health informationHLTEN507C Administer and monitor medication in the work environmentHLTEN509B Apply legal and ethical parameters to nursing practiceHLTEN512B Contribute to nursing care for clients with acute health problemsHLTEN513B Contribute to nursing care for clients with chronic health problemsHLTEN606B Assess clients and manage client care
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: Work as part of the rural multidisciplinary health care team
  • Contribute appropriately to support the role of the rural multidisciplinary health care team in managing the care of clients
  • Contribute to achieving effective team work and supportive group dynamics when working with health care colleagues
  • Establish appropriate professional relationships with other members of the health care team
  • Recognise the contributions of community services outside the health team in supporting health care clients
  • Recognise the contributions of emergency service personnel, referring agencies, hospital and community team staff to the care needs of the rural client
       
Element: Clarify the impact of the rural client's treatment and rehabilitation on the client and/or their family
  • Perform a holistic assessment of the client in consultation/collaboration with the registered nurse
  • Incorporate an understanding of anatomy and physiology into nursing practice
  • Work with a knowledge of the various manifestations of client's areas of dysfunction and associated pathophysiology of each clinical manifestation
  • Work with a knowledge of the impact of distance from specialist services and equipment
  • Support clients involved in telemedicine consultations
  • Discuss with the client the psychosocial impact of their health problems on their activities of daily living
  • Identify and discuss with the client and/or their family common problems and complications for rural clients
  • Communicate effectively with clients, family and health team members locally and in metropolitan treatment centres
  • Clarify the care needs of the rural client in terms of the phases of care required
       
Element: Address the health care needs of clients in the Australian rural environment
  • Work with an understanding of the effects of distance and small community size on the health care services in rural environments
  • Work with an understanding of the significance of local culture and tradition on the health care requirements of rural clients
  • Work with an understanding of the significance of privacy and confidentiality in rural environments
  • Apply an understanding of funding arrangements for rural health service environments
  • Address documentation requirements to assist the funding that impacts on rural health care provision
  • In consultation/collaboration with the health care team, develop and implement health promotion activities for the local community
  • Provide a physically and psychologically safe environment for the rural client receiving inpatient or outpatient care
       
Element: Perform nursing interventions that support rural client health care needs
  • Base nursing interventions on predetermined plans of care
  • Ensure nursing interventions reflect client's physical, psychological and social needs and individuality and are performed with dignity, privacy and respect for the client
  • Consider cultural, religious, gender and age issues in performing nursing interventions
  • Encourage the client and/or their family to assist with nursing interventions as appropriate
  • Use nursing interventions to assist the client to meet their activities of daily living
  • Identify and prioritise nursing interventions according to client needs
  • Ensure medication administration is based on sound knowledge of principles of drug actions and side effects in accordance with health unit policies and procedures
  • Implement nursing interventions in accordance with legal, professional, ethical and organisation requirements
  • Contribute to and support health teaching plans for the client in the rural health care environment
       
Element: Assist in the provision of emergency care
  • Use contemporary assessment tools accurately
  • Ensure appropriate pre-, intra- and post-diagnostic procedures are undertaken in line with organisation policies and procedures
  • In consultation/collaboration with the registered nurse provide nursing care in response to trauma and emergency medical conditions
  • Assist in the preparation of clients for transport by air or road ambulance
  • Report and document first aid/emergency treatment and client response to the treatment
  • Recognise and act upon emergency situations according to organisation policy and procedure and within legal and professional requirements
       
Element: Contribute to the quality and safety of rural health care
  • In consultation/collaboration with the registered nurse, use a problem solving framework to plan appropriate nursing management strategies
  • Modify nursing interventions using critical thinking and problem solving approaches, to reflect changes in client's condition
  • Assist with processes to evaluate the quality of nursing actions
  • Demonstrate ability to rapidly re-prioritise care activities in temporarily changed circumstances
  • Participate in organisation risk identification and risk management processes
       


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 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 assignments/projects

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

Questioning - verbal and writing

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:

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 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

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 (non-verbal, openness, sensitivity, non-judgmental attitudes):

oral communication skills (language competence) required to fulfil job roles as specified by the organisation/service, including interviewing techniques, asking questions, active listening, asking for clarification

written communication skills (literacy competence) required to fulfil job roles as specified by organisation/service, ranging from reading and understanding client documentation to completion of written reports

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

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
Contribute appropriately to support the role of the rural multidisciplinary health care team in managing the care of clients 
Contribute to achieving effective team work and supportive group dynamics when working with health care colleagues 
Establish appropriate professional relationships with other members of the health care team 
Recognise the contributions of community services outside the health team in supporting health care clients 
Recognise the contributions of emergency service personnel, referring agencies, hospital and community team staff to the care needs of the rural client 
Perform a holistic assessment of the client in consultation/collaboration with the registered nurse 
Incorporate an understanding of anatomy and physiology into nursing practice 
Work with a knowledge of the various manifestations of client's areas of dysfunction and associated pathophysiology of each clinical manifestation 
Work with a knowledge of the impact of distance from specialist services and equipment 
Support clients involved in telemedicine consultations 
Discuss with the client the psychosocial impact of their health problems on their activities of daily living 
Identify and discuss with the client and/or their family common problems and complications for rural clients 
Communicate effectively with clients, family and health team members locally and in metropolitan treatment centres 
Clarify the care needs of the rural client in terms of the phases of care required 
Work with an understanding of the effects of distance and small community size on the health care services in rural environments 
Work with an understanding of the significance of local culture and tradition on the health care requirements of rural clients 
Work with an understanding of the significance of privacy and confidentiality in rural environments 
Apply an understanding of funding arrangements for rural health service environments 
Address documentation requirements to assist the funding that impacts on rural health care provision 
In consultation/collaboration with the health care team, develop and implement health promotion activities for the local community 
Provide a physically and psychologically safe environment for the rural client receiving inpatient or outpatient care 
Base nursing interventions on predetermined plans of care 
Ensure nursing interventions reflect client's physical, psychological and social needs and individuality and are performed with dignity, privacy and respect for the client 
Consider cultural, religious, gender and age issues in performing nursing interventions 
Encourage the client and/or their family to assist with nursing interventions as appropriate 
Use nursing interventions to assist the client to meet their activities of daily living 
Identify and prioritise nursing interventions according to client needs 
Ensure medication administration is based on sound knowledge of principles of drug actions and side effects in accordance with health unit policies and procedures 
Implement nursing interventions in accordance with legal, professional, ethical and organisation requirements 
Contribute to and support health teaching plans for the client in the rural health care environment 
Use contemporary assessment tools accurately 
Ensure appropriate pre-, intra- and post-diagnostic procedures are undertaken in line with organisation policies and procedures 
In consultation/collaboration with the registered nurse provide nursing care in response to trauma and emergency medical conditions 
Assist in the preparation of clients for transport by air or road ambulance 
Report and document first aid/emergency treatment and client response to the treatment 
Recognise and act upon emergency situations according to organisation policy and procedure and within legal and professional requirements 
In consultation/collaboration with the registered nurse, use a problem solving framework to plan appropriate nursing management strategies 
Modify nursing interventions using critical thinking and problem solving approaches, to reflect changes in client's condition 
Assist with processes to evaluate the quality of nursing actions 
Demonstrate ability to rapidly re-prioritise care activities in temporarily changed circumstances 
Participate in organisation risk identification and risk management processes 

Forms

Assessment Cover Sheet

HLTEN618C - Practise in contemporary rural-remote health care
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I declare that the assessment tasks submitted for this unit are my own work.

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Assessment Record Sheet

HLTEN618C - Practise in contemporary rural-remote health care

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

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