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

HLTENN017 Mapping and Delivery Guide
Apply nursing practice in the orthopaedic care setting

Version 1.0
Issue Date: April 2024


Qualification -
Unit of Competency HLTENN017 - Apply nursing practice in the orthopaedic care setting
Description
Employability Skills
Learning Outcomes and Application This unit describes the skills and knowledge required to assist people with an orthopaedic conditions to regain optimal function and lifestyle.Enrolled nurses providing orthopaedic nursing care need to hold and apply specialised in-depth knowledge, effectively integrate theory and practice, and make reliable clinical assessments and judgements.This unit applies to enrolled nurses, registered with the Nursing and Midwifery Board of Australia, seeking specialisation in enrolled nurse work that is carried out in consultation and collaboration with registered nurses, and under direct or indirect supervisory arrangements aligned to the Nursing and Midwifery Board of Australia regulatory authority legislative requirements.The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian/New Zealand standards and industry codes of practice.
Duration and Setting X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.

Skills must have been demonstrated in the workplace with the addition of simulations and scenarios where the full range of contexts and situations cannot be provided in the workplace. The following conditions must be met for this unit:

use of suitable facilities, equipment and resources in line with the Australian Nursing and Midwifery Accreditation Council’s Standards including:

splints

bandages for casting

prosthetics

progressive notes of a de-identified person’s medical history

organisation policy and procedures on which the candidate bases the planning

modelling of industry operating conditions including access to real people for simulations and scenarios in enrolled nursing work.

Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors.

In addition, assessors must hold current registration as a Registered Nurse with Nursing and Midwifery Board of Australia.

Prerequisites/co-requisites
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: Elements define the essential outcomes
       
Element: Work in interdisciplinary health care team caring for a person with an orthopaedic condition
  • Provide nursing care that supports the interdisciplinary health care team in caring for the person with an orthopaedic condition
  • Work effectively in the interdisciplinary health care team to foster positive group dynamics with other health care professionals
  • 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
  • Use critical thinking and problem-solving approaches to propose actions and implement nursing interventions, in consultation with registered nurse and relevant interdisciplinary health care team
       
Element: Clarify the impact of the orthopaedic condition on the person, family and carer
  • Maintain current knowledge of orthopaedic conditions and associated pathophysiology as they apply to each clinical manifestation
  • 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
  • Contribute to long-term management and planning of the recovery phase of care required for the person with an orthopaedic condition
       
Element: Actively promote improvement and advancement of orthopaedic nursing
  • 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 orthopaedic nursing
  • Seek out opportunities and participate in professional development, acquiring knowledge to guide own practice and acting as a resource for colleagues
       


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.

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Work in interdisciplinary health care team caring for a person with an orthopaedic condition

1.1 Provide nursing care that supports the interdisciplinary health care team in caring for the person with an orthopaedic condition

1.2 Work effectively in the interdisciplinary health care team to foster positive group dynamics with other health care professionals

1.3 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

1.4 Use critical thinking and problem-solving approaches to propose actions and implement nursing interventions, in consultation with registered nurse and relevant interdisciplinary health care team

2. Clarify the impact of the orthopaedic condition on the person, family and carer

2.1 Maintain current knowledge of orthopaedic conditions and associated pathophysiology as they apply to each clinical manifestation

2.2 Identify the psychosocial impact and potential complications for the person and clarify their needs

2.3 Discuss impacts and complications of the person’s condition with the person, and their family or carer, as appropriate within scope of practice

2.4 Contribute to long-term management and planning of the recovery phase of care required for the person with an orthopaedic condition

3. Actively promote improvement and advancement of orthopaedic nursing

3.1 Monitor and evaluate own nursing care provided to the person to assist with organisation continuous improvement

3.2 Evaluate nursing interventions provided and consider outcomes against evidence-based best practice in orthopaedic nursing

3.3 Seek out opportunities and participate in professional development, acquiring knowledge to guide own practice and acting as a resource for colleagues

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

worked as part of the interdisciplinary health care team in the workplace providing orthopaedic nursing interventions for each of the following conditions:

fracture with external fixation

fracture with internal fixation

fracture requiring non-surgical management

musculoskeletal injury where the person requires continuous passive motion therapy (CPM)

amputation where the person requires assistance with a prosthetic aid or device

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

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:

the impact orthopaedic conditions may have on the person, including:

limitations in ability to perform daily living activities

loss or limitation of physical function

reduction in musculoskeletal function

accompanying trauma, injuries or impact of secondary disease processes

impact on sexuality, relationships, self-image, body image

grief and loss

need for support with personal coping mechanisms and community support mechanisms

need for support with maintenance, improvement of quality of life

anatomy, physiology and pathophysiology of clinical manifestations of orthopaedic conditions, with sufficiently in-depth knowledge to make considered judgements and to contribute professionally to the orthopaedic care team

musculoskeletal conditions, such as:

gout

systemic lupus erythematosus

osteomyelitis

bursitis

epicondylitis

hallux valgus

avascular necrosis

compartment syndrome

thromboembolism

disseminated intravascular coagulation

delayed union

fat embolism

contractures

congenital musculoskeletal conditions, such as:

torticollis

spina bifida

traumatic musculoskeletal conditions, such as:

dislocations

sprains

fractures

traumatic amputations

degenerative musculoskeletal conditions, such as:

arthritis

back pain

muscle spasm

disc prolapse

osteoarthritis

osteitis deformans

osteomalacia

surgical interventions for musculoskeletal conditions, such as:

internal and external fixtures for fractures, applications of surgical braces

removal of bunions

elective surgical procedures (joint replacement surgery)

laminectomy

surgical amputation

bone tumours, such as:

metastatic bone carcinoma

multiple myeloma

bone tuberculosis

osteosarcoma

chondrosarcoma

specialised in-depth knowledge of orthopaedic equipment and devices used on the person including:

traction devices

castings

community and in-hospital rehabilitation services available for the person with orthopaedic conditions

diagnostic tests associated with orthopaedics and their meanings including:

X-rays

Computerised Tomography (CT) scans

Magnetic Resonance Imaging (MRI) scans

ultrasounds

bone scans

biopsies

specialised medical and surgical nursing management of the person with orthopaedic condition including emergency management of complications

phases of recovery and how these impact nursing care for the person with orthopaedic condition

reflective practice and evidence-based practice in line with current literature and work of professional bodies associated with medical conditions.

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.

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Work in interdisciplinary health care team caring for a person with an orthopaedic condition

1.1 Provide nursing care that supports the interdisciplinary health care team in caring for the person with an orthopaedic condition

1.2 Work effectively in the interdisciplinary health care team to foster positive group dynamics with other health care professionals

1.3 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

1.4 Use critical thinking and problem-solving approaches to propose actions and implement nursing interventions, in consultation with registered nurse and relevant interdisciplinary health care team

2. Clarify the impact of the orthopaedic condition on the person, family and carer

2.1 Maintain current knowledge of orthopaedic conditions and associated pathophysiology as they apply to each clinical manifestation

2.2 Identify the psychosocial impact and potential complications for the person and clarify their needs

2.3 Discuss impacts and complications of the person’s condition with the person, and their family or carer, as appropriate within scope of practice

2.4 Contribute to long-term management and planning of the recovery phase of care required for the person with an orthopaedic condition

3. Actively promote improvement and advancement of orthopaedic nursing

3.1 Monitor and evaluate own nursing care provided to the person to assist with organisation continuous improvement

3.2 Evaluate nursing interventions provided and consider outcomes against evidence-based best practice in orthopaedic nursing

3.3 Seek out opportunities and participate in professional development, acquiring knowledge to guide own practice and acting as a resource for colleagues

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
 
Provide nursing care that supports the interdisciplinary health care team in caring for the person with an orthopaedic condition 
Work effectively in the interdisciplinary health care team to foster positive group dynamics with other health care professionals 
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 
Use critical thinking and problem-solving approaches to propose actions and implement nursing interventions, in consultation with registered nurse and relevant interdisciplinary health care team 
Maintain current knowledge of orthopaedic conditions and associated pathophysiology as they apply to each clinical manifestation 
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 
Contribute to long-term management and planning of the recovery phase of care required for the person with an orthopaedic condition 
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 orthopaedic nursing 
Seek out opportunities and participate in professional development, acquiring knowledge to guide own practice and acting as a resource for colleagues 

Forms

Assessment Cover Sheet

HLTENN017 - Apply nursing practice in the orthopaedic care setting
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

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Assessor name:

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Assessment Record Sheet

HLTENN017 - Apply nursing practice in the orthopaedic care setting

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

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