Practise in the rehabilitation nursing environment Evidence Guide

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Evidence Guide: HLTEN602B - Practise in the rehabilitation nursing environment

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

HLTEN602B - Practise in the rehabilitation nursing environment

What evidence can you provide to prove your understanding of each of the following citeria?

Work as part of the multidisciplinary health care team for the client requiring rehabilitation

Contribute appropriately to support the role of the multidisciplinary health care team in the managing care of the client requiring rehabilitation
Contribute to achieving effective team work and supportive group dynamics when working with health care colleagues
Establish appropriate relationships with other members of the health care team
Incorporate the philosophical framework for managing care for the client requiring rehabilitation into own nursing practice
Recognise the contributions of emergency service personnel, referring agencies and other hospital department staff to the initial/emergency care needs of the client requiring rehabilitation
Recognise specialist nursing and medical services as essential to the long term management and planning strategies for the client requiring rehabilitation

Contribute appropriately to support the role of the multidisciplinary health care team in the managing care of the client requiring rehabilitation

Completed
Date:

Teacher:

Evidence:

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

Completed
Date:

Teacher:

Evidence:

Establish appropriate relationships with other members of the health care team

Completed
Date:

Teacher:

Evidence:

Incorporate the philosophical framework for managing care for the client requiring rehabilitation into own nursing practice

Completed
Date:

Teacher:

Evidence:

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

Completed
Date:

Teacher:

Evidence:

Recognise specialist nursing and medical services as essential to the long term management and planning strategies for the client requiring rehabilitation

Completed
Date:

Teacher:

Evidence:

Clarify the impact of client's rehabilitation on the client and/or their family

Perform a holistic assessment of the client in consultation/collaboration with the registered nurse
Incorporate an understanding of anatomy and physiology into nursing practice
Work with a knowledge of the various manifestations of client's areas of dysfunction and associated pathophysiology of each clinical manifestation
Discuss with the client the psychosocial impact of dysfunction on their activities of daily living.
Identify and discuss with the client and/or their family common problems and complications for the client with a dysfunction
Communicate effectively with clients, family and health team members
Clarify the care needs of the client with a dysfunction in terms of the phases of care required

Perform a holistic assessment of the client in consultation/collaboration with the registered nurse

Completed
Date:

Teacher:

Evidence:

Incorporate an understanding of anatomy and physiology into nursing practice

Completed
Date:

Teacher:

Evidence:

Work with a knowledge of the various manifestations of client's areas of dysfunction and associated pathophysiology of each clinical manifestation

Completed
Date:

Teacher:

Evidence:

Discuss with the client the psychosocial impact of dysfunction on their activities of daily living.

Completed
Date:

Teacher:

Evidence:

Identify and discuss with the client and/or their family common problems and complications for the client with a dysfunction

Completed
Date:

Teacher:

Evidence:

Communicate effectively with clients, family and health team members

Completed
Date:

Teacher:

Evidence:

Clarify the care needs of the client with a dysfunction in terms of the phases of care required

Completed
Date:

Teacher:

Evidence:

Contribute to planning appropriate care for the client with a dysfunction

Use contemporary assessment tools accurately.
Establish a database of resource personnel to assist in decision making for the client with a dysfunction
In consultation/collaboration with the registered nurse, use a problem solving framework to plan appropriate nursing management strategies
Develop an individualised plan of care for the client with a dysfunction in consultation/collaboration with the client and the health care team
In consultation/collaboration with the registered nurse, incorporate into own practice health teaching and discharge planning for the client with a dysfunction
In consultation/collaboration with the registered nurse, incorporate referral to community services into discharge planning strategies

Use contemporary assessment tools accurately.

Completed
Date:

Teacher:

Evidence:

Establish a database of resource personnel to assist in decision making for the client with a dysfunction

Completed
Date:

Teacher:

Evidence:

In consultation/collaboration with the registered nurse, use a problem solving framework to plan appropriate nursing management strategies

Completed
Date:

Teacher:

Evidence:

Develop an individualised plan of care for the client with a dysfunction in consultation/collaboration with the client and the health care team

Completed
Date:

Teacher:

Evidence:

In consultation/collaboration with the registered nurse, incorporate into own practice health teaching and discharge planning for the client with a dysfunction

Completed
Date:

Teacher:

Evidence:

In consultation/collaboration with the registered nurse, incorporate referral to community services into discharge planning strategies

Completed
Date:

Teacher:

Evidence:

Implement care plan for the client with a dysfunction

Ensure rehabilitation principles appropriately underpin nursing interventions for the client with a dysfunction
Practise contemporary nursing interventions for the client with a dysfunction
Act as a resource for staff and clients
Implement an individualised plan of care for the client with a dysfunction

Ensure rehabilitation principles appropriately underpin nursing interventions for the client with a dysfunction

Completed
Date:

Teacher:

Evidence:

Practise contemporary nursing interventions for the client with a dysfunction

Completed
Date:

Teacher:

Evidence:

Act as a resource for staff and clients

Completed
Date:

Teacher:

Evidence:

Implement an individualised plan of care for the client with a dysfunction

Completed
Date:

Teacher:

Evidence:

Assist to evaluate the outcomes of planned nursing actions for the client with a dysfunction

Monitor client's response to planned nursing interventions and progress toward planned goals and interventions, and document and report to the appropriate members of the health care team
Initiate appropriate first aid/emergency treatment in response to adverse reactions or complications
Report and document first aid/emergency treatment and the client's response to the treatment

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

Completed
Date:

Teacher:

Evidence:

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

Completed
Date:

Teacher:

Evidence:

Report and document first aid/emergency treatment and the client's response to the treatment

Completed
Date:

Teacher:

Evidence:

Assessed

Teacher: ___________________________ Date: _

Signature: ________________________________________________

Comments:

Instructions to Assessors

Evidence Guide



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 prior to assessment in the workplace 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 and writing 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

Required Skills and Knowledge

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:

Admission and discharge process

Age specific requirements

Age specific requirements eg older adult, young adult, paediatric client

Anatomy and physiology

Client rights and responsibilities

Community and In hospital Services available for clients requiring rehabilitation

Critical thinking and problem solving

Diagnostic tests and their meanings

Emergency and first aid management of complications of condition/injury

Emergency and first aid management of condition/injuries

Health - illness continuum

Legal and ethical issues related to practice

Medical terminology

Occupational health and safety legislation

Organisation policy and procedure

Participating as a member of the health care team

Performance of activities of daily living

Phases of care for clients requiring rehabilitation

Philosophy underpinning rehabilitative management

Principles of health assessment

Reflective practice

Specialised in-depth knowledge of anatomy and physiology and pathophysiology of conditions requiring rehabilitation

Specialised knowledge of clinical manifestation of conditions requiring rehabilitation

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 to address:

acute care and intensive care needs of client requiring rehabilitation

pain management needs

pressure area care needs

rehabilitative care needs of client

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

Apply principles of documentation to document planned nursing interventions

Apply principles of rehabilitation

Ensure maintenance of skin integrity

Maintain effective symptom management

Maintain evidence based practice in line with current literature and work of professional bodies associated with medical condition

Manage administration of medications as per jurisdictional and legal requirements

Recognise and address appropriately religious and cultural needs of client and significant others

Recognise and address needs of client and significant others in relation to grief and loss

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

Use communication skills for:

counselling

interviewing

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.

Client groups may include:	Children Adolescent Adult Older adult Family

Multidisciplinary health care team members could include:	Client and their significant others Medical staff Nursing staff Social workers Physiotherapists Occupational therapists Speech pathologists Dietitian Prosthetists Podiatrists Drug and alcohol services Emergency services including - ambulance, Royal Flying Doctor Service, Care Flight Community services Transitional rehabilitation services

Health care settings may include:	Hospital - private or public Day clinic Long stay centres Short stay centres Medical clinic Aged care Respite centres Community Paediatric environments

Dysfunction includes:	Cardiac disorders Respiratory disorders Endocrine disorders Musculoskeletal disorders Renal disorders Pain Long term unconscious client Substance abuse Genito-urinary disorders Neurological disorders Immunological disorders Vascular disorders Haematological disorders Sensory system disorders Gastrointestinal disorders Reproductive disorders Integumentary disorders Acute confusional states Acute aggression Dehydration

Assessment of impact of dysfunction includes:	Performance of activities of daily living Loss or limitation to physical function Accompanying trauma and injuries Impact on sexuality, relationships, self image, body image Grief and loss Loss of vocation Coping mechanisms Personal and community support mechanisms Level of communication Maintenance/improvement of quality of life Maintenance/improvement of lifestyle Impact of secondary disease processes

Plans of care could include:	Nursing care plans Clinical pathways Treatment plans Medical notes Rehabilitation Community referrals Health teaching Discharge plans Rehabilitation plans

Specific nursing interventions/clinical skills could include:	Management of elimination (urinary and bowel) needs including - insertion of indwelling catheters, irrigation of indwelling catheters Wound care Skin care including - assessment and management of skin care Health teaching in relation to client care needs Pain management Manual handling Co ordination of clinical care Application of specific prosthetic devices Rehabilitative care practices Emergency resuscitation skills

Evaluation of planned care includes:	Level of independence in performance of activities of daily living Access and use of community support services Participation in rehabilitation programs Self management of symptoms

NTISthis.com

Evidence Guide: HLTEN602B - Practise in the rehabilitation nursing environment

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

HLTEN602B - Practise in the rehabilitation nursing environment

Work as part of the multidisciplinary health care team for the client requiring rehabilitation

Clarify the impact of client's rehabilitation on the client and/or their family

Contribute to planning appropriate care for the client with a dysfunction

Implement care plan for the client with a dysfunction

Assist to evaluate the outcomes of planned nursing actions for the client with a dysfunction

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

Instructions to Assessors

Teacher: ___________________________ Date: _