HLTEN614B
Practise in the paediatric nursing environment

This unit addresses the principles of paediatric nursing care, building upon existing skills to enable the Enrolled/Division 2 nurse to provide holistic nursing care to a group of paediatric clients

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. Work as part of the multi-disciplinary health care team for the client in the paediatric environment

1.1 Contribute appropriately to support the role of the multi-disciplinary health care team in managing care needs of paediatric clients

1.2 Contribute to achieving effective team work and supportive group dynamics when working with health care colleagues

1.3 Establish appropriate relationships with other members of the health care team

1.4 Incorporate the philosophical framework for managing care for the paediatric client into own nursing practice

1.5 Recognise the contributions of emergency service personnel, referring agencies and other hospital department staff to the initial/emergency care needs of the paediatric client

2. Address the special health requirements of the paediatric client

2.1 Perform a holistic assessment of the paediatric client in consultation/collaboration with the client and/or parent or guardian, and registered nurse

2.2 Communicate effectively with clients, family and health team members

2.3 Provide holistic client centred care in the paediatric environment

3. Contribute to the plan of care for the paediatric client

3.1 Accurately use contemporary paediatric assessment tools

3.2 Establish a database of paediatric resource personnel to assist in decision making for the client within the paediatric environment

3.3 Use a problem solving framework to plan appropriate paediatric care in consultation/ collaboration with the registered nurse

3.4 Develop an individualised plan of care for the paediatric client in consultation/collaboration with the client, registered nurse and/or the health care team

3.5 Ensure care planning addresses physical changes and developmental and psychosocial needs of the paediatric client

3.6 Consider the effect of drugs and medicines on the paediatric client in planning nursing care and interventions

3.7 Incorporate health teaching and discharge planning in consultation/collaboration with registered nurse

4. Perform clinical nursing actions appropriate to the care of the paediatric client

4.1 Practise contemporary nursing interventions for the paediatric client in consultation/collaboration with the registered nurse

4.2 Implement individualised plan of care for paediatric client in consultation/collaboration with registered nurse

5. Assist in evaluating outcomes of planned nursing actions for the paediatric client

5.1 Monitor client response to nursing interventions and progress toward planned goals, and document and report to the appropriate members of the health care team

5.2 Initiate appropriate first aid/emergency treatment in response to adverse reactions or complications

5.3 Report and document first aid/emergency treatment and the client response

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

This includes knowledge of:

Childhood perceptions of health status

Cognitive and psychosocial development from birth to adolescence

Critical thinking and problem solving

Cultural and spiritual beliefs and practices

Culturally appropriate health promotion activities for children of all backgrounds

Factors influencing growth and development

Factors influencing self esteem

Legal standards for practice

Medical terminology

Occupational health and safety legislation

Organisation policy and procedure

Parent and child interactions

Participating as a member of the health care team

Principles of growth and development

Principles of health assessment

Reflective practice

Specialised in-depth knowledge of anatomy and physiology and pathophysiology of the paediatric client

Specialised knowledge of clinical manifestations of paediatric clients conditions

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

This includes the ability to:

Apply clinical nursing skills, including:

Facilitation of activities of daily living

Fundamental nursing interventions

Complex nursing interventions

Emergency care of paediatric clients

Physical assessment skills

Neurological and psychosocial functions

Assistance with meeting activities of daily living

Medication administration

Assessment of physical reflexes

Observations of behaviour characteristics

Feeding/suckling techniques

Assessment, observation and documentation of:

nutritional status

hydration

urological function

bowel function

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

Use communication skills for:

effective communication

interviewing

counselling

Undertake health teaching to address specific needs of client and significant others

Use language, literacy and numeracy competence required to communicate effectively with client, group, colleagues and to record or report client outcomes

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 work place

Written assignments/projects

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

Questioning - verbal or written

Role play/simulation

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.

Multidisciplinary health care team members could include:

Client and their parents/guardian

Medical staff

Nursing staff

Social workers

Physiotherapists

Occupational therapists

Speech pathologists

Dietitian

Prosthetists

Podiatrists

Drug and alcohol services

Emergency Services including - Air Ambulance, Royal Flying Doctor Service, Care Flight

Community Services

Special health requirements include:

Sleep disorders

Nutritional disorders

Feeding alternatives

Health perceptions

Separation from parents/family

Congenital conditions

Psychomotor dysfunction

Alcohol/drug induced disorders/injuries

Physical/psychological abuse

Near drowning

Bed wetting

Outcomes of planned nursing actions include:

Progression through milestones

Achievement of nursing interventions

Participation in health education activities

Awareness of health maintenance activities


Sectors

Not Applicable


Employability Skills

This unit contains Employability Skills


Licensing Information

Not Applicable