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

HLTENN023 Mapping and Delivery Guide
Apply nursing practice in the respiratory care setting

Version 1.0
Issue Date: December 2018


Qualification -
Unit of Competency HLTENN023 - Apply nursing practice in the respiratory care setting
Description
Employability Skills
Learning Outcomes and Application This unit describes the skills and knowledge required to provide nursing care to a person with respiratory impairment in settings such as hospitals, community settings, hospices and long term care facilities. Enrolled nurses providing respiratory 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:

simulated learning environment with simulation manikins suitable for advanced clinical nursing skills

arterial lines

CPAP and BiPAP (non-invasive) devices

oxygen therapy equipment

pleural drains

suctioning equipment

vital sign monitoring equipment

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: Contribute to the interdisciplinary health care team in caring a person with respiratory impairment
  • Work with the health care team, consulting with the registered nurse and team members in providing nursing care to the person with respiratory impairment
  • Evaluate, interpret and communicate person’s respiratory function to relevant members of the health care team
  • Identify physical, psychological, social and economic factors relevant to the person’s health care status, and the outcomes of planned care
       
Element: Assist a person in maintaining optimal respiratory health
  • Identify factors impacting a person’s respiratory status and re-prioritise care activities for the person rapidly when circumstances change
  • Participate in risk assessment identification and risk management processes for the person with complex respiratory impairment
  • Support the person, and family or carer as required, during pre-, intra- and post-diagnostic procedures, providing accurate information on the procedures
  • Identify responses of the person, family or carer to nursing interventions and their understanding of how to manage the respiratory impairment after discharge
  • Provide the person, family or carer with information about available community resources, and how to access them
  • 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
       
Element: Actively promote improvement and advancement of respiratory nursing care
  • Make appropriate proposals for nursing interventions in consultation with registered nurse to promote improved outcomes for the person and their condition
  • Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in respiratory care nursing
  • Evaluate responses of the person, family or carer to health promotion and education resources, and continuously improve promotions and resources based on feedback
  • 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. Contribute to the interdisciplinary health care team in caring a person with respiratory impairment

1.1 Work with the health care team, consulting with the registered nurse and team members in providing nursing care to the person with respiratory impairment

1.2 Evaluate, interpret and communicate person’s respiratory function to relevant members of the health care team

1.3 Identify physical, psychological, social and economic factors relevant to the person’s health care status, and the outcomes of planned care

2. Assist a person in maintaining optimal respiratory health

2.1 Identify factors impacting a person’s respiratory status and re-prioritise care activities for the person rapidly when circumstances change

2.2 Participate in risk assessment identification and risk management processes for the person with complex respiratory impairment

2.3 Support the person, and family or carer as required, during pre-, intra- and post-diagnostic procedures, providing accurate information on the procedures

2.4 Identify responses of the person, family or carer to nursing interventions and their understanding of how to manage the respiratory impairment after discharge

2.5 Provide the person, family or carer with information about available community resources, and how to access them

2.6 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

3. Actively promote improvement and advancement of respiratory nursing care

3.1 Make appropriate proposals for nursing interventions in consultation with registered nurse to promote improved outcomes for the person and their condition

3.2 Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in respiratory care nursing

3.3 Evaluate responses of the person, family or carer to health promotion and education resources, and continuously improve promotions and resources based on feedback

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

performed the following nursing care interventions on no fewer than 3 people in a respiratory care setting in the workplace:

care of an arterial line

positive airway pressure (CPAP) and bilevel positive airway pressure (BiPAP)

care of permanent and temporary mechanical ventilation including suctioning and bagging

tracheal suction via an endotracheal tube (ETT)

assisted with the insertion or removal of pleural and intercostal drains

administered oxygen based on interpretation of oximetry readings or blood gas analysis in consultation with registered nurse

in undertaking the above, use advanced communication skills and medical terminology to communicate effectively with the person, family or carer, and the registered nurse and other health professionals to record or report the person’s outcomes.

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:

respiratory anatomy, physiology and pathology, sufficiently in-depth and specialised to make considered judgements and to make a professional contribution to respiratory nursing care

respiratory conditions including:

acute respiratory distress syndrome

asthma

bronchitis, bronchiolitis, bronchiectasis (acute and chronic)

chronic obstructive airway disease

cystic fibrosis

emphysema

heamothorax

lung cancer

pulmonary oedema

pneumonia

pulmonary Embolism (PE)

pnuemothorax

sleep Apnoea

tuberculosis (TB)

actual and potential problems from respiratory conditions including:

aspiration

hypoxia

hypercapnia

inability to clear secretions

inability to cough

inability to protect airway

respiratory failure

shortness of breath

potential nursing interventions related to respiratory conditions including:

administration of non-invasive ventilation, CPAP and BiPAP

assisting with insertion and removal of pleural drains

care of an arterial line and interpretation of blood gas analysis

care of a person with a tracheostomy

tracheostomy dressing

tracheal suction via an endotracheal tube (ETT) or tracheostomy

interpreting the results of oximetry readings

respiratory assessment:

chest auscultation

inspection

pulse oximetry

respiratory rate

pulse rate

blood pressure

sedation score

past medical history

accessory muscles in use when breathing

degree of shortness of breath (SOB)

interpreting results of spirometry testing

surgical procedures for respiratory 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. Contribute to the interdisciplinary health care team in caring a person with respiratory impairment

1.1 Work with the health care team, consulting with the registered nurse and team members in providing nursing care to the person with respiratory impairment

1.2 Evaluate, interpret and communicate person’s respiratory function to relevant members of the health care team

1.3 Identify physical, psychological, social and economic factors relevant to the person’s health care status, and the outcomes of planned care

2. Assist a person in maintaining optimal respiratory health

2.1 Identify factors impacting a person’s respiratory status and re-prioritise care activities for the person rapidly when circumstances change

2.2 Participate in risk assessment identification and risk management processes for the person with complex respiratory impairment

2.3 Support the person, and family or carer as required, during pre-, intra- and post-diagnostic procedures, providing accurate information on the procedures

2.4 Identify responses of the person, family or carer to nursing interventions and their understanding of how to manage the respiratory impairment after discharge

2.5 Provide the person, family or carer with information about available community resources, and how to access them

2.6 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

3. Actively promote improvement and advancement of respiratory nursing care

3.1 Make appropriate proposals for nursing interventions in consultation with registered nurse to promote improved outcomes for the person and their condition

3.2 Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in respiratory care nursing

3.3 Evaluate responses of the person, family or carer to health promotion and education resources, and continuously improve promotions and resources based on feedback

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
 
Work with the health care team, consulting with the registered nurse and team members in providing nursing care to the person with respiratory impairment 
Evaluate, interpret and communicate person’s respiratory function to relevant members of the health care team 
Identify physical, psychological, social and economic factors relevant to the person’s health care status, and the outcomes of planned care 
Identify factors impacting a person’s respiratory status and re-prioritise care activities for the person rapidly when circumstances change 
Participate in risk assessment identification and risk management processes for the person with complex respiratory impairment 
Support the person, and family or carer as required, during pre-, intra- and post-diagnostic procedures, providing accurate information on the procedures 
Identify responses of the person, family or carer to nursing interventions and their understanding of how to manage the respiratory impairment after discharge 
Provide the person, family or carer with information about available community resources, and how to access them 
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 
Make appropriate proposals for nursing interventions in consultation with registered nurse to promote improved outcomes for the person and their condition 
Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in respiratory care nursing 
Evaluate responses of the person, family or carer to health promotion and education resources, and continuously improve promotions and resources based on feedback 
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

HLTENN023 - Apply nursing practice in the respiratory 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

HLTENN023 - Apply nursing practice in the respiratory 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: