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

HLTENN018 Mapping and Delivery Guide
Apply nursing practice in the rehabilitation care setting

Version 1.0
Issue Date: April 2024


Qualification -
Unit of Competency HLTENN018 - Apply nursing practice in the rehabilitation care setting
Description
Employability Skills
Learning Outcomes and Application This unit describes the skills and knowledge required to assist people with disability or chronic illness who require rehabilitation to attain and maintain optimum function and lifestyle. Enrolled nurses working in rehabilitation environments 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:

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 requiring rehabilitation
  • Apply the specialised knowledge and clinical skills necessary to provide nursing care for the person with physical disability and chronic illness
  • Provide nursing care that supports the interdisciplinary health care team to achieve cost effective health care outcomes
  • Work effectively in the rehabilitation care team to foster positive group dynamics with other health care professionals
  • Contribute to long-term management and planning for the person requiring rehabilitative care to maintain their optimum function and lifestyle
  • Identify opportunities for the person to self-manage own rehabilitative care needs
       
Element: Contribute to a person’s rehabilitation
  • Contribute to a safe and therapeutic environment and support activities that promote the person’s return of function
  • Apply knowledge of the various manifestations of the person’s areas of dysfunction and the associated pathophysiology of each clinical manifestation
  • Use critical thinking and problem-solving approaches to propose actions and implement nursing interventions to reflect changes in the person’s level of dysfunction, in consultation with registered nurse
  • Discuss with the person, family or carer the psychosocial impact of the person’s dysfunction on daily living activities
  • Communicate effectively with person, family or carer and interdisciplinary health team members
  • Identify and apply strategies to prevent complications or chronic illness in consultation with the registered nurse
  • Clarify the care needs of the person with a dysfunction across the phases of care required
       
Element: Promote improvement of nursing care and advancement of rehabilitation nursing
  • Critically review the care plan and modify according to the person’s progress toward planned outcomes in consultation and collaboration with registered nurse
  • Monitor and evaluate own nursing care provided to the person to assist with organisation continuous improvement
  • Evaluate nursing interventions and consider outcomes against evidence-based best practice in rehabilitation nursing care
  • Seek out opportunities and participate in professional development, acquiring knowledge to guide own practice and acting as a resource for colleagues
       
Element: Contribute to a person’s rehabilitation
  • Contribute to a safe and therapeutic environment and support activities that promote the person’s return of function
  • Apply knowledge of the various manifestations of the person’s areas of dysfunction and the associated pathophysiology of each clinical manifestation
  • Use critical thinking and problem-solving approaches to propose actions and implement nursing interventions to reflect changes in the person’s level of dysfunction, in consultation with registered nurse
  • Discuss with the person, family or carer the psychosocial impact of the person’s dysfunction on daily living activities
  • Communicate effectively with person, family or carer and interdisciplinary health team members
  • Identify and apply strategies to prevent complications or chronic illness in consultation with the registered nurse
  • Clarify the care needs of the person with a dysfunction across the phases of care required
       


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 requiring rehabilitation

1.1 Apply the specialised knowledge and clinical skills necessary to provide nursing care for the person with physical disability and chronic illness

1.2 Provide nursing care that supports the interdisciplinary health care team to achieve cost effective health care outcomes

1.3 Work effectively in the rehabilitation care team to foster positive group dynamics with other health care professionals

1.4 Contribute to long-term management and planning for the person requiring rehabilitative care to maintain their optimum function and lifestyle

1.5 Identify opportunities for the person to self-manage own rehabilitative care needs

2.Contribute to a person’s rehabilitation

2.1 Contribute to a safe and therapeutic environment and support activities that promote the person’s return of function

2.2 Apply knowledge of the various manifestations of the person’s areas of dysfunction and the associated pathophysiology of each clinical manifestation

2.3 Use critical thinking and problem-solving approaches to propose actions and implement nursing interventions to reflect changes in the person’s level of dysfunction, in consultation with registered nurse

2.4 Discuss with the person, family or carer the psychosocial impact of the person’s dysfunction on daily living activities

2.5 Communicate effectively with person, family or carer and interdisciplinary health team members

2.6 Identify and apply strategies to prevent complications or chronic illness in consultation with the registered nurse

2.7 Clarify the care needs of the person with a dysfunction across the phases of care required

3. Promote improvement of nursing care and advancement of rehabilitation nursing

3.1 Critically review the care plan and modify according to the person’s progress toward planned outcomes in consultation and collaboration with registered nurse

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

3.3 Evaluate nursing interventions and consider outcomes against evidence-based best practice in rehabilitation nursing care

3.4 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 nursing 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 nursing interventions for each of the following conditions:

person who has suffered a cerebral injury

person with a spinal cord injury

person suffering from a progressive or degenerative condition

person with dementia showing signs of confusion and acute aggression

conducted 2 specific activities in the workplace or simulated environment to support quality and promote safe innovations in rehabilitation 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:

community and in-hospital services available for people requiring rehabilitation

critical thinking and problem-solving related to the nursing care of a person undergoing rehabilitation

diagnostic tests used to determine appropriate rehabilitative therapy

phases of care for a person requiring rehabilitation

philosophy underpinning rehabilitative management

principles of health assessment

anatomy and physiology and pathophysiology of conditions requiring rehabilitation – sufficiently in-depth knowledge to make considered judgements and to contribute professionally to the orthopaedic care team, including:

cardiac disorders

respiratory disorders

endocrine disorders

musculoskeletal disorders

renal disorders

pain

long term unconsciousness

substance abuse

genitourinary disorders

neurological disorders

immunological disorders

vascular disorders

haematological disorders

sensory system disorders

gastrointestinal disorders

reproductive disorders

integumentary disorders

acute confusional states

acute aggression

dehydration

factors included in the assessment of the impact of dysfunction, including:

performance of daily living activities

loss or limitations to physical function

accompanying trauma and injuries

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

grief and loss

loss of vocation

coping mechanisms

personal and community support mechanisms

level of communication

maintenance and improvement of quality of life

maintenance and improvement of lifestyle

impact of secondary disease processes.

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 requiring rehabilitation

1.1 Apply the specialised knowledge and clinical skills necessary to provide nursing care for the person with physical disability and chronic illness

1.2 Provide nursing care that supports the interdisciplinary health care team to achieve cost effective health care outcomes

1.3 Work effectively in the rehabilitation care team to foster positive group dynamics with other health care professionals

1.4 Contribute to long-term management and planning for the person requiring rehabilitative care to maintain their optimum function and lifestyle

1.5 Identify opportunities for the person to self-manage own rehabilitative care needs

2.Contribute to a person’s rehabilitation

2.1 Contribute to a safe and therapeutic environment and support activities that promote the person’s return of function

2.2 Apply knowledge of the various manifestations of the person’s areas of dysfunction and the associated pathophysiology of each clinical manifestation

2.3 Use critical thinking and problem-solving approaches to propose actions and implement nursing interventions to reflect changes in the person’s level of dysfunction, in consultation with registered nurse

2.4 Discuss with the person, family or carer the psychosocial impact of the person’s dysfunction on daily living activities

2.5 Communicate effectively with person, family or carer and interdisciplinary health team members

2.6 Identify and apply strategies to prevent complications or chronic illness in consultation with the registered nurse

2.7 Clarify the care needs of the person with a dysfunction across the phases of care required

3. Promote improvement of nursing care and advancement of rehabilitation nursing

3.1 Critically review the care plan and modify according to the person’s progress toward planned outcomes in consultation and collaboration with registered nurse

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

3.3 Evaluate nursing interventions and consider outcomes against evidence-based best practice in rehabilitation nursing care

3.4 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
 
Apply the specialised knowledge and clinical skills necessary to provide nursing care for the person with physical disability and chronic illness 
Provide nursing care that supports the interdisciplinary health care team to achieve cost effective health care outcomes 
Work effectively in the rehabilitation care team to foster positive group dynamics with other health care professionals 
Contribute to long-term management and planning for the person requiring rehabilitative care to maintain their optimum function and lifestyle 
Identify opportunities for the person to self-manage own rehabilitative care needs 
Contribute to a safe and therapeutic environment and support activities that promote the person’s return of function 
Apply knowledge of the various manifestations of the person’s areas of dysfunction and the associated pathophysiology of each clinical manifestation 
Use critical thinking and problem-solving approaches to propose actions and implement nursing interventions to reflect changes in the person’s level of dysfunction, in consultation with registered nurse 
Discuss with the person, family or carer the psychosocial impact of the person’s dysfunction on daily living activities 
Communicate effectively with person, family or carer and interdisciplinary health team members 
Identify and apply strategies to prevent complications or chronic illness in consultation with the registered nurse 
Clarify the care needs of the person with a dysfunction across the phases of care required 
Critically review the care plan and modify according to the person’s progress toward planned outcomes in consultation and collaboration with registered nurse 
Monitor and evaluate own nursing care provided to the person to assist with organisation continuous improvement 
Evaluate nursing interventions and consider outcomes against evidence-based best practice in rehabilitation nursing care 
Seek out opportunities and participate in professional development, acquiring knowledge to guide own practice and acting as a resource for colleagues 
Contribute to a safe and therapeutic environment and support activities that promote the person’s return of function 
Apply knowledge of the various manifestations of the person’s areas of dysfunction and the associated pathophysiology of each clinical manifestation 
Use critical thinking and problem-solving approaches to propose actions and implement nursing interventions to reflect changes in the person’s level of dysfunction, in consultation with registered nurse 
Discuss with the person, family or carer the psychosocial impact of the person’s dysfunction on daily living activities 
Communicate effectively with person, family or carer and interdisciplinary health team members 
Identify and apply strategies to prevent complications or chronic illness in consultation with the registered nurse 
Clarify the care needs of the person with a dysfunction across the phases of care required 

Forms

Assessment Cover Sheet

HLTENN018 - Apply nursing practice in the rehabilitation 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

Feedback to student

 

 

 

 

 

 

 

 

Assessor name:

Signature:

Date:

Assessment Record Sheet

HLTENN018 - Apply nursing practice in the rehabilitation 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

Assessor name:

Signature:

Date:

Student signature:

Date: