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

HLTENN030 Mapping and Delivery Guide
Implement and monitor care for a person with a stoma

Version 1.0
Issue Date: April 2024


Qualification -
Unit of Competency HLTENN030 - Implement and monitor care for a person with a stoma
Description
Employability Skills
Learning Outcomes and Application This unit describes the skills and knowledge required to plan, implement and evaluate holistic care for the person with a stoma, applying the principles of contemporary stoma management.Enrolled nurses working in stoma care 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/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

adult simulation manikin with stoma

stoma drainage bags

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 of a unit of competency.
       
Element: The Performance Criteria specify the level of performance required to demonstrate achievement of the Element.
       
Element: Contribute to interdisciplinary health care team in caring for the person with a stoma
  • Work within scope of practice to support the interdisciplinary health care team in managing the person’s stoma care needs and the needs of their family or carer
  • Identify specialist nursing and medical services and community agencies that support and deliver stoma care, and their possible role in long-term management of the person’s stoma condition
  • Discuss nursing care management plan regularly with the registered nurse and other members of the interdisciplinary health care team
  • Work in partnership with the person and appropriate service providers and agencies to maintain continuity of care
       
Element: Assess health care needs of a person with a stoma
  • Perform holistic health assessment of the person using a range of assessment tools relevant to person’s care requirements
  • Collect accurate information in accordance with organisation policy and procedures
  • Identify physiological, pathological and congenital conditions leading to the person’s stoma creation
  • Determine the person’s own knowledge of their condition, therapies and self-management requirements, and how this might impact their care planning and provision
  • Identify family or carer’s knowledge of and involvement in the person’s stoma care condition, management and therapies
  • Identify possible psychological factors impacting the person with a stoma and their family or carer
       
Element: Perform complex nursing interventions to assist a person with a stoma
  • Prepare the person’s nursing care plan to ensure it reflects the care needs specific to stoma care requirements
  • Prioritise nursing interventions for the person according to their identified needs, including emergency care of stoma
  • Identify principles of contemporary stoma management and apply these within organisation policy and procedures when providing nursing care for the person
  • Identify opportunities to provide health education to the person, and promote health and self-management of the stoma
  • Provide the person with education to promote health and self-management of the stoma
  • Identify responses of the person, family or carer to nursing interventions and their understanding of ongoing management of the person’s condition, including strategies for self-management
  • Communicate outcomes and proposed actions to the registered nurse and use a collaborative approach for follow up with interdisciplinary team
  • 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 members
       
Element: Evaluate progress toward expected outcomes of care
  • Critically review the nursing care plan and modify according to the person’s progress toward planned outcomes, in consultation and collaboration with the registered nurse and health care team
  • Evaluate the person’s understanding of their stoma condition, medications, therapeutic regimes and self-management, and document their uptake of health promotion initiatives
  • Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in stoma nursing care
  • Document outcomes of care and communicate findings to other members of the interdisciplinary health care team in accordance with organisation policy
       


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 of a unit of competency.

The Performance Criteria specify the level of performance required to demonstrate achievement of the Element.

1. Contribute to interdisciplinary health care team in caring for the person with a stoma

1.1 Work within scope of practice to support the interdisciplinary health care team in managing the person’s stoma care needs and the needs of their family or carer

1.2 Identify specialist nursing and medical services and community agencies that support and deliver stoma care, and their possible role in long-term management of the person’s stoma condition

1.3 Discuss nursing care management plan regularly with the registered nurse and other members of the interdisciplinary health care team

1.4 Work in partnership with the person and appropriate service providers and agencies to maintain continuity of care

2. Assess health care needs of a person with a stoma

2.1 Perform holistic health assessment of the person using a range of assessment tools relevant to person’s care requirements

2.2 Collect accurate information in accordance with organisation policy and procedures

2.3 Identify physiological, pathological and congenital conditions leading to the person’s stoma creation

2.4 Determine the person’s own knowledge of their condition, therapies and self-management requirements, and how this might impact their care planning and provision

2.5 Identify family or carer’s knowledge of and involvement in the person’s stoma care condition, management and therapies

2.6 Identify possible psychological factors impacting the person with a stoma and their family or carer

3. Perform complex nursing interventions to assist a person with a stoma

3.1 Prepare the person’s nursing care plan to ensure it reflects the care needs specific to stoma care requirements

3.2 Prioritise nursing interventions for the person according to their identified needs, including emergency care of stoma

3.3 Identify principles of contemporary stoma management and apply these within organisation policy and procedures when providing nursing care for the person

3.4 Identify opportunities to provide health education to the person, and promote health and self-management of the stoma

3.5 Provide the person with education to promote health and self-management of the stoma

3.6 Identify responses of the person, family or carer to nursing interventions and their understanding of ongoing management of the person’s condition, including strategies for self-management

3.7 Communicate outcomes and proposed actions to the registered nurse and use a collaborative approach for follow up with interdisciplinary team

3.8 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 members

4. Evaluate progress toward expected outcomes of care

4.1 Critically review the nursing care plan and modify according to the person’s progress toward planned outcomes, in consultation and collaboration with the registered nurse and health care team

4.2 Evaluate the person’s understanding of their stoma condition, medications, therapeutic regimes and self-management, and document their uptake of health promotion initiatives

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

4.4 Document outcomes of care and communicate findings to other members of the interdisciplinary health care team in accordance with organisation policy

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

undertaken holistic assessment of at least 3 people using a range of assessment tools to identify the physiological, pathological or congenital conditions leading to stoma creation

provided nursing care applying the principles of stoma management to 2 people with a stoma in the workplace including:

replacing a stoma drainage bag

assessing the stoma for signs of obstruction, prolapse, necrosis and impaired integrity.

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:

principles of contemporary stoma management

health promotion activities appropriate for the person with a stoma and associated issues

medical terminology associated with stoma management, including:

ostomy

colostomy

ileostomy

urostomy

stricture

obstruction

prolapse

retraction

parastomal hernia

nursing management of the person with a stoma who is undergoing surgery

anatomy, physiology and pathophysiology related to stoma issues, sufficiently in-depth and specialised to make considered judgements and to make a professional contribution to the health care team

processes for the emergency care of stomas and stoma management including:

pre-operative and pre-procedure bowel preparation

wound care specific to stoma operation perineal wounds:

jejunostomy

gastrotomy

caecostomy

gastrointestinal and genito-urinary fistula

supporting bridge site care

appliance and product selection and management

how to manage skin and peristomal skin conditions

how to manage feeding and drainage tubes

how to manage urinary incontinence

faecal incontinence – its types, causes, assessment and management

skin care and products to assist in managing incontinence

how to make long bags

how to manage constipation, diarrhoea, constipation and flatus

care of high output stomas

odour control

community services and resources for stoma care

issues relating to stoma care including:

altered fluid and electrolyte states

nutrition, hydration

body image and sexuality

psychological and psycho-social considerations

stomal obstruction

peritonitis

necrosis

impaired stomal integrity

prolapse.

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 of a unit of competency.

The Performance Criteria specify the level of performance required to demonstrate achievement of the Element.

1. Contribute to interdisciplinary health care team in caring for the person with a stoma

1.1 Work within scope of practice to support the interdisciplinary health care team in managing the person’s stoma care needs and the needs of their family or carer

1.2 Identify specialist nursing and medical services and community agencies that support and deliver stoma care, and their possible role in long-term management of the person’s stoma condition

1.3 Discuss nursing care management plan regularly with the registered nurse and other members of the interdisciplinary health care team

1.4 Work in partnership with the person and appropriate service providers and agencies to maintain continuity of care

2. Assess health care needs of a person with a stoma

2.1 Perform holistic health assessment of the person using a range of assessment tools relevant to person’s care requirements

2.2 Collect accurate information in accordance with organisation policy and procedures

2.3 Identify physiological, pathological and congenital conditions leading to the person’s stoma creation

2.4 Determine the person’s own knowledge of their condition, therapies and self-management requirements, and how this might impact their care planning and provision

2.5 Identify family or carer’s knowledge of and involvement in the person’s stoma care condition, management and therapies

2.6 Identify possible psychological factors impacting the person with a stoma and their family or carer

3. Perform complex nursing interventions to assist a person with a stoma

3.1 Prepare the person’s nursing care plan to ensure it reflects the care needs specific to stoma care requirements

3.2 Prioritise nursing interventions for the person according to their identified needs, including emergency care of stoma

3.3 Identify principles of contemporary stoma management and apply these within organisation policy and procedures when providing nursing care for the person

3.4 Identify opportunities to provide health education to the person, and promote health and self-management of the stoma

3.5 Provide the person with education to promote health and self-management of the stoma

3.6 Identify responses of the person, family or carer to nursing interventions and their understanding of ongoing management of the person’s condition, including strategies for self-management

3.7 Communicate outcomes and proposed actions to the registered nurse and use a collaborative approach for follow up with interdisciplinary team

3.8 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 members

4. Evaluate progress toward expected outcomes of care

4.1 Critically review the nursing care plan and modify according to the person’s progress toward planned outcomes, in consultation and collaboration with the registered nurse and health care team

4.2 Evaluate the person’s understanding of their stoma condition, medications, therapeutic regimes and self-management, and document their uptake of health promotion initiatives

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

4.4 Document outcomes of care and communicate findings to other members of the interdisciplinary health care team in accordance with organisation policy

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 person’s stoma care needs and the needs of their family or carer 
Identify specialist nursing and medical services and community agencies that support and deliver stoma care, and their possible role in long-term management of the person’s stoma condition 
Discuss nursing care management plan regularly with the registered nurse and other members of the interdisciplinary health care team 
Work in partnership with the person and appropriate service providers and agencies to maintain continuity of care 
Perform holistic health assessment of the person using a range of assessment tools relevant to person’s care requirements 
Collect accurate information in accordance with organisation policy and procedures 
Identify physiological, pathological and congenital conditions leading to the person’s stoma creation 
Determine the person’s own knowledge of their condition, therapies and self-management requirements, and how this might impact their care planning and provision 
Identify family or carer’s knowledge of and involvement in the person’s stoma care condition, management and therapies 
Identify possible psychological factors impacting the person with a stoma and their family or carer 
Prepare the person’s nursing care plan to ensure it reflects the care needs specific to stoma care requirements 
Prioritise nursing interventions for the person according to their identified needs, including emergency care of stoma 
Identify principles of contemporary stoma management and apply these within organisation policy and procedures when providing nursing care for the person 
Identify opportunities to provide health education to the person, and promote health and self-management of the stoma 
Provide the person with education to promote health and self-management of the stoma 
Identify responses of the person, family or carer to nursing interventions and their understanding of ongoing management of the person’s condition, including strategies for self-management 
Communicate outcomes and proposed actions to the registered nurse and use a collaborative approach for follow up with interdisciplinary team 
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 members 
Critically review the nursing care plan and modify according to the person’s progress toward planned outcomes, in consultation and collaboration with the registered nurse and health care team 
Evaluate the person’s understanding of their stoma condition, medications, therapeutic regimes and self-management, and document their uptake of health promotion initiatives 
Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in stoma nursing care 
Document outcomes of care and communicate findings to other members of the interdisciplinary health care team in accordance with organisation policy 

Forms

Assessment Cover Sheet

HLTENN030 - Implement and monitor care for a person with a stoma
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

HLTENN030 - Implement and monitor care for a person with a stoma

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: