HLTEN509B
Apply legal and ethical parameters to nursing practice

This unit of competency describes the skills and knowledge required for an Enrolled/Division 2 nurse to perform within the legal and ethical parameters of professional practice, supporting client rights and meeting duty of care requirements

Application

The knowledge and skills described in this competency unit are to be applied within jurisdictional nursing and midwifery regulatory authority legislative requirements

Enrolled/Division 2 nursing work is to be carried out in consultation/collaboration with registered nurses and under direct or indirect supervisory arrangements in line with jurisdictional regulatory requirements


Prerequisites

Not Applicable


Elements and Performance Criteria

ELEMENT

PERFORMANCE CRITERIA

1. Perform within legal and ethical parameters of professional nursing practice

1.1 Apply a clear understanding of legal and regulatory acts/guidelines as they impact on nursing practice

1.2 Address the implications of current legislation as incorporated into nursing practice

1.3 Apply codes of ethics, code of conduct and Enrolled/Division 2 nursing competency standards in nursing practice

1.4 Function within the scope of jurisdictional Enrolled/Division 2 nurse practice

1.5 Handle client complaints sensitively and in line with organisation policies and procedures

1.6 Refer all requests for client information to a registered nurse as per state/territory legislation and organisation policies and procedures

2. Apply an understanding of the legal framework

2.1 Work with an understanding of how the law operates in relation to nursing practice with regard to legal processes, principle and penalties

2.2 Accurately apply concepts of negligence, duty of care and vicarious liability to professional practice as an Enrolled/Division 2 nurse

2.3 Apply a clear understanding of the requirement to obtain consent to treatment

2.4 Apply principles of restraint appropriately, with a clear understanding of their intent and use

2.5 Use common legal terms associated with nursing practice with a clear understanding of their meaning and implications for nursing practice

2.6 Apply the legal requirements and expectations in relation to report writing in nursing practice

2.7 Apply mandatory reporting processes in line with jurisdictional requirements

2.8 Apply client privacy and confidentiality practices in line with legislative requirements and organisation policies and procedures

2.9 When referral or request for test is received, ensure nature and requirements of test are correctly identified

3. Apply ethical concepts to clinical practice

3.1 Work with a clear understanding of the concept of ethics and its place in nursing practice

3.2 Demonstrate ethical practice in all interactions with clients, relatives and carers and colleagues

3.3 Identify, document and report any potential ethical issues as and if they arise

3.4 Maintain an awareness of contemporary ethical issues that may impact on nursing practice

3.5 Develop and implement strategies to resolve ethical issues within practice

3.6 Take responsibility for addressing ethical issues and legal requirements in line with own nursing role

3.7 Complete all documentation in accordance with state/territory legislation and organisation policies and procedures

3.8 Monitor compliance with legal obligations and requirements

4. Support the rights, interests and needs of clients and their families

4.1 Comply with legal responsibilities and duty of care in all care activities and interactions with clients and their families and carers

4.2 Support client rights, interests and decisions

4.3 Encourage the client to exercise their rights to make informed decisions regarding their care

4.4 Demonstrate respect and support for the dignity of clients and their families

4.5 Act as an advocate for client and family in line with jurisdictional Enrolled/Division 2 nurse scope of practice

5. Apply open disclosure processes

5.1 Work with an understanding of the principles and processes of open disclosure in a health care environment

5.2 Work with an understanding of the role of open disclosure within own role as an Enrolled/Division 2 Nurse

5.3 Work with an understanding of the roles of other health care workers in relation to open disclosure

Required Skills

This describes the essential skills and knowledge and their level required for this unit.

Essential knowledge:

The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role

These include knowledge of:

Application of legislation to Enrolled/Division 2 nurse practice

Application of ethical principles to Enrolled/Division 2 nurse practice

definitions of ethics, bioethics and nursing ethics

theoretical concepts informing ethical conduct

A moral decision making model

Contemporary ethical issues:

Autonomy

non-maleficence

beneficence

justice

rights

Law:

civil law

common law

court system

precedent

sources

statute law

types

Law of torts:

negligence

trespass

assault and battery

types of consent

valid consent

legal and intellectual capacity

false imprisonment

defamation

The coroner, including:

coronial inquests

functions of the coroner

giving evidence to the coroner

Models of documentation

Principles of confidentiality and privacy responsibilities

Essential skills:

It is critical that the candidate demonstrate the ability to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role

These include the ability to:

Address legal requirements of nursing documentation

Apply knowledge of:

legislation related to nursing practice

duty of care

scope of practice of the Enrolled/Division 2 nurse

legal requirements of nursing documentation

Apply professional standards of practice:

ANMC code of conduct

ANMC code of ethics

ANMC national Enrolled/Division 2 nurse competency standards

state/territory Nurse Regulatory Nurses Act

state/territory Nursing and Midwifery Regulatory Authority standards of practice

scope of nursing practice decision making framework

Support rights of clients and their family.

Use interpersonal skills including working with others, using sensitivity when dealing with people and relating to persons from differing cultural, social and religious backgrounds

Use oral communication skills (language competence) required to fulfil job roles as specified by the organisation/service. Oral communication skills include interviewing techniques, asking questions, active listening, asking for clarification

Use written communication skills (literacy competence) required to fulfil job roles as specified by organisation/service - reading, writing and understanding client documentation in relation to legal requirements

Evidence Required

The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package.

Critical aspects for assessment and evidence required to demonstrate this competency unit:

The individual being assessed must provide evidence of specified essential knowledge as well as skills

Observation of performance in a work context is essential for assessment of this unit

Consistency of performance should be demonstrated over the required range of workplace situations and should occur on more than one occasion and be assessed by a registered nurse

Context of and specific resources for assessment:

This unit is most appropriately assessed in the clinical workplace or in a simulated clinical work environment and under the normal range of clinical environment conditions

Where, for reasons of safety, access to equipment and resources and space, assessment takes place away from the workplace, simulations should be used to represent workplace conditions as closely as possible

Method of assessment

Observation in the workplace

Written assignments/projects

Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice

Questioning verbal and written

Role play

Simulation - access to simulation clinical setting/environment (laboratory)

Access and equity considerations:

All workers in the health industry should be aware of access and equity issues in relation to their own area of work

All workers should develop their ability to work in a culturally diverse environment

In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities, workers should be aware of cultural, historical and current issues impacting on health of Aboriginal and Torres Strait Islander people

Assessors and trainers must take into account relevant access and equity issues, in particular relating to factors impacting on health of Aboriginal and/or Torres Strait Islander clients and communities


Range Statement

The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.

Clients may include:

Child

Adolescent

Adult

Older adult

Professional colleagues

Visitors

Health practice settings may include but is not limited to:

Aged care

Respite centres

Short stay centre

Long stay centre

Community setting

Medical clinic

Acute hospitals

Private hospitals

Public hospitals

Rural/remote settings

Legal and regulatory frameworks which may include:

National/state Acts of Parliament with impact on nursing practice e.g.. Nurses Acts, Mental Health Act, Drugs and Poisons Act/s.

Privacy legislation

Equal employment legislation

Occupational health and safety Act/Regulations

Statutory nurse regulatory authorities regulations

Freedom of information Act

Disability Services Act

Antidiscrimination legislation

Criminal Acts

Regulatory bodies may include:

Australian Nursing and Midwifery Council (ANMC)

State or territory nurse regulatory authority

Professional standards of practice include:

ANMC code of conduct

ANMC code of ethics

ANMC national Enrolled/Division 2 nurse competency standards

State/territory Nurse Regulatory Nurses Act

State/territory Nursing and Midwifery Regulatory Authority standards of practice

Scope of nursing practice decision making framework

Residential Aged Care Service Standards

Management of client information includes:

Legal documentation

Computerised records

Freedom of Information legislation

Privacy Act

Confidentiality

Common legal terms associated with nursing practice must include:

Common law

Statute law

Civil law

Negligence

Duty of care

Vicarious liability

Consent

Restraint

Confidentiality

Assault and battery

Defendant

Plaintiff

Doctrine of precedent

Legislation

Regulation

Harassment

Expert witness

Negligence and duty of care must include:

Damages

Foreseeability

Breach of duty of care

Omissions

Acts

Reasonable

Standard

Issues of life and death may include:

Refusal and withdrawal of treatment

Power of attorney

Guardianship

Living wills and advanced directives

Not for resuscitation orders

Clients rights in health care may include:

Access to healthcare

Confidentiality

Dignity

Respect

Discussion of ethical issues may include but not be limited to:

Abortion

Tissue transplantation

Reproductive technology

Organ donation

Euthanasia and assisted suicide

Restraint

Open disclosure

Mandatory reporting

Quality of life

Conscientious objection

Child abuse

Consent

Artificially prolonging life

Refusal of treatment

Stem cell research

"Not for resuscitation" orders

Cultural and religious issues

Documentation and report writing requirements may include:

Legible/date/time and sign (print name)

Written in black or blue ink

Approved abbreviations

Concise, accurate, relevant, contemporary

Correct spelling and chronological

Errors line through not erased, write error and initial

No spaces between entries

Objective data not subjective data

Confidentiality

Models of documentation


Sectors

Not Applicable


Employability Skills

This unit contains Employability Skills


Licensing Information

Not Applicable