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

HLTENN026 Mapping and Delivery Guide
Apply nursing practice in the perioperative setting

Version 1.0
Issue Date: April 2024


Qualification -
Unit of Competency HLTENN026 - Apply nursing practice in the perioperative setting
Description
Employability Skills
Learning Outcomes and Application This unit describes the skills and knowledge required to provide person-centred care for a person during anaesthesia, surgery and recovery in the perioperative nursing environment in operating theatres, post-anaesthesia care units and day surgery centres. Enrolled nurses working in perioperative nursing 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 or in a simulated environment that reflects workplace conditions. 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

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 as part of an interdisciplinary health care team in the perioperative environment
  • Work within scope of practice to support the interdisciplinary health care team in managing the care needs of the person in the perioperative environment
  • Contribute to effective team work and positive group dynamics of the interdisciplinary health care team
  • Maintain professional communication with all members of the perioperative team
  • Reflect the philosophical framework for managing perioperative care in own nursing practice
       
Element: Contribute to preparation of a person for surgical intervention
  • Provide holistic person-centred care taking into account the person’s physical, emotional, spiritual and cultural needs
  • Use contemporary perioperative assessment tools accurately and document any physiological and psychological variables in assessment and report to registered nurse and interdisciplinary team
       
Element: Perform clinical nursing actions appropriate to care of a perioperative person
  • Use critical thinking and problem-solving approaches to prioritise and adapt nursing interventions to reflect changes in the person’s condition, in consultation with registered nurse
  • Perform nursing interventions to assist the surgical team during surgical procedure
  • Recognise actual and potential manual handling and environmental hazards and take a pro-active approach in reducing risk and promoting safety
  • Check equipment according to manufacturers’ instructions and ensure proper functioning, taking corrective action and reporting when faulty equipment or environmental hazards are detected
  • Apply principles of infection control to all activities and at all times in the perioperative environment in line with applicable standards and organisation policies and procedures
  • Identify when the acuity of a person is beyond own skills and knowledge and promptly consult with registered nurse and relevant interdisciplinary health car team members
       
Element: Actively promote improvement and advancement of perioperative nursing care
  • Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in perioperative 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 as part of an interdisciplinary health care team in the perioperative environment

1.1 Work within scope of practice to support the interdisciplinary health care team in managing the care needs of the person in the perioperative environment

1.2 Contribute to effective team work and positive group dynamics of the interdisciplinary health care team

1.3 Maintain professional communication with all members of the perioperative team

1.4 Reflect the philosophical framework for managing perioperative care in own nursing practice

2. Contribute to preparation of a person for surgical intervention

2.1 Provide holistic person-centred care taking into account the person’s physical, emotional, spiritual and cultural needs

2.2 Use contemporary perioperative assessment tools accurately and document any physiological and psychological variables in assessment and report to registered nurse and interdisciplinary team

3. Perform clinical nursing actions appropriate to care of a perioperative person

3.1 Use critical thinking and problem-solving approaches to prioritise and adapt nursing interventions to reflect changes in the person’s condition, in consultation with registered nurse

3.2 Perform nursing interventions to assist the surgical team during surgical procedure

3.3 Recognise actual and potential manual handling and environmental hazards and take a pro-active approach in reducing risk and promoting safety

3.4 Check equipment according to manufacturers’ instructions and ensure proper functioning, taking corrective action and reporting when faulty equipment or environmental hazards are detected

3.5 Apply principles of infection control to all activities and at all times in the perioperative environment in line with applicable standards and organisation policies and procedures

3.6 Identify when the acuity of a person is beyond own skills and knowledge and promptly consult with registered nurse and relevant interdisciplinary health car team members

4. Actively promote improvement and advancement of perioperative nursing care

4.1 Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in perioperative nursing

4.2 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

applied specialised clinical nursing skills for 3 people during anaesthesia, surgery and recovery in perioperative nursing environment, including:

preparing and positioning the person for a surgical procedure

performing intra-operative observations and supporting scrub nurse with monitoring materials

maintaining the person’s airway before and after surgery

using oral suctioning techniques intra-operatively

collecting specimens for pathology.

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:

Australian College of Operating Room Nurses (ACORN) Standards for Perioperative Nursing

Australian Standards relating to hazards in the perioperative environment including electrical hazards, radiation hazards and sharps disposal

complications of surgical procedures and their management, including how to provide emergency and first aid treatment

complications associated with anaesthesia, including emergency treatment, infection control practices and organisation policies and procedures specific to perioperative environment

legal and ethical considerations (national, State/Territory, local) relevant to the nursing profession and how these are applied in nursing practice

policy statements, literature and guidelines from professional bodies associated with perioperative care and management, including ACORN

medical terminology associated with perioperative care

risk of falls post-surgery

philosophical framework for perioperative nursing

anaesthetic pharmacology

positioning of a person for specific surgical procedures, including potential for post-operative pressure injury from incorrect position during surgery

use of complex technologies including:

anaesthetic machines

lasers

cavitron ultrasonic surgical aspirator (CUSA)

endoscopic equipment

actual and potential problems relating to perioperative care including:

electrolyte imbalance

fluid overload

reduced carbon dioxide

hypoxia/hypoxaemia

sepsis

haemorrhage

neurovascular damage

cerebral vascular accident

arrhythmia.

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 as part of an interdisciplinary health care team in the perioperative environment

1.1 Work within scope of practice to support the interdisciplinary health care team in managing the care needs of the person in the perioperative environment

1.2 Contribute to effective team work and positive group dynamics of the interdisciplinary health care team

1.3 Maintain professional communication with all members of the perioperative team

1.4 Reflect the philosophical framework for managing perioperative care in own nursing practice

2. Contribute to preparation of a person for surgical intervention

2.1 Provide holistic person-centred care taking into account the person’s physical, emotional, spiritual and cultural needs

2.2 Use contemporary perioperative assessment tools accurately and document any physiological and psychological variables in assessment and report to registered nurse and interdisciplinary team

3. Perform clinical nursing actions appropriate to care of a perioperative person

3.1 Use critical thinking and problem-solving approaches to prioritise and adapt nursing interventions to reflect changes in the person’s condition, in consultation with registered nurse

3.2 Perform nursing interventions to assist the surgical team during surgical procedure

3.3 Recognise actual and potential manual handling and environmental hazards and take a pro-active approach in reducing risk and promoting safety

3.4 Check equipment according to manufacturers’ instructions and ensure proper functioning, taking corrective action and reporting when faulty equipment or environmental hazards are detected

3.5 Apply principles of infection control to all activities and at all times in the perioperative environment in line with applicable standards and organisation policies and procedures

3.6 Identify when the acuity of a person is beyond own skills and knowledge and promptly consult with registered nurse and relevant interdisciplinary health car team members

4. Actively promote improvement and advancement of perioperative nursing care

4.1 Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in perioperative nursing

4.2 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 within scope of practice to support the interdisciplinary health care team in managing the care needs of the person in the perioperative environment 
Contribute to effective team work and positive group dynamics of the interdisciplinary health care team 
Maintain professional communication with all members of the perioperative team 
Reflect the philosophical framework for managing perioperative care in own nursing practice 
Provide holistic person-centred care taking into account the person’s physical, emotional, spiritual and cultural needs 
Use contemporary perioperative assessment tools accurately and document any physiological and psychological variables in assessment and report to registered nurse and interdisciplinary team 
Use critical thinking and problem-solving approaches to prioritise and adapt nursing interventions to reflect changes in the person’s condition, in consultation with registered nurse 
Perform nursing interventions to assist the surgical team during surgical procedure 
Recognise actual and potential manual handling and environmental hazards and take a pro-active approach in reducing risk and promoting safety 
Check equipment according to manufacturers’ instructions and ensure proper functioning, taking corrective action and reporting when faulty equipment or environmental hazards are detected 
Apply principles of infection control to all activities and at all times in the perioperative environment in line with applicable standards and organisation policies and procedures 
Identify when the acuity of a person is beyond own skills and knowledge and promptly consult with registered nurse and relevant interdisciplinary health car team members 
Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in perioperative 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

HLTENN026 - Apply nursing practice in the perioperative 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

HLTENN026 - Apply nursing practice in the perioperative 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: