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Evidence Guide: HLTEN608B - Practise in the domiciliary health care 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

 

HLTEN608B - Practise in the domiciliary health care environment

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

Work as part of the multi-disciplinary health care team in the domiciliary health care environment

  1. Contribute appropriately to support the role of the multi-disciplinary health care team in managing care needs of clients in the domiciliary health care environment
  2. Contribute to achieving effective team work and supportive group dynamics when working with health care colleagues
  3. Establish appropriate relationships with other members of the health care team
  4. Incorporate into practice the philosophical framework for managing care for the client in the domiciliary health care environment
  5. Recognise the role of emergency service personnel, referring agencies and other hospital department staff as contributors to the initial/emergency care needs of the client in the domiciliary health care environment
Contribute appropriately to support the role of the multi-disciplinary health care team in managing care needs of clients in the domiciliary health care environment

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 into practice the philosophical framework for managing care for the client in the domiciliary health care environment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Recognise the role of emergency service personnel, referring agencies and other hospital department staff as contributors to the initial/emergency care needs of the client in the domiciliary health care environment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Recognise the impact of a health problem on the client in the domiciliary health care environment

  1. Recognise the clinical manifestations of health problems affecting the client requiring domiciliary health care
  2. Discuss information gained from assessment of the client with the appropriate members of the health care team
  3. With client consent, discuss the physical, psychological and social impacts of a health problem on the activities of daily living for the client requiring domiciliary health care with the client and/or their family
  4. Identify actual or potential problems of the client requiring domiciliary health care in consultation/ collaboration with the registered nurse
  5. In consultation/collaboration with the registered nurse, use a problem solving approach to assess the impact of health problems on client requiring domiciliary health care in achieving activities of daily living
Recognise the clinical manifestations of health problems affecting the client requiring domiciliary health care

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Discuss information gained from assessment of the client with the appropriate members of the health care team

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

With client consent, discuss the physical, psychological and social impacts of a health problem on the activities of daily living for the client requiring domiciliary health care with the client and/or their family

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify actual or potential problems of the client requiring domiciliary health care in consultation/ collaboration with the registered nurse

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

In consultation/collaboration with the registered nurse, use a problem solving approach to assess the impact of health problems on client requiring domiciliary health care in achieving activities of daily living

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Contribute to planning care for the client requiring domiciliary health care

  1. Gather and record clinical data according to organisation policy for inclusion in a plan of care
  2. Contribute information and data on the activities of daily living for the client requiring domiciliary health care
  3. Accurately gather, document and report change in client condition to the appropriate health care team members
  4. Contribute to and support health teaching plans for the client in the domiciliary health care environment
Gather and record clinical data according to organisation policy for inclusion in a plan of care

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Contribute information and data on the activities of daily living for the client requiring domiciliary health care

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Accurately gather, document and report change in client condition to the appropriate health care team members

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Contribute to and support health teaching plans for the client in the domiciliary health care environment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Perform nursing interventions that support client health care needs

  1. Base nursing interventions on predetermined plans of care
  2. Ensure nursing interventions reflect client needs and individuality
  3. Ensure nursing interventions are performed with dignity, privacy and respect for the client
  4. Reflect consideration of cultural and religious issues in performing nursing interventions
  5. Encourage the client and/or their family to assist with nursing interventions as appropriate
  6. Consider the physical, psychological and social needs in performing nursing interventions
  7. Use nursing interventions to assist the client to meet their activities of daily living
  8. Identify and prioritise nursing interventions according to client needs
  9. Consider gender and age issues in performing nursing interventions
  10. Implement nursing interventions in accordance with legal, professional, ethical and organisation requirements
  11. Recognise and act upon emergency situations according to organisation policy and procedure and within legal and professional requirements
  12. Contribute to and support health teaching plans for the client in the domiciliary health care environment
Base nursing interventions on predetermined plans of care

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure nursing interventions reflect client needs and individuality

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure nursing interventions are performed with dignity, privacy and respect for the client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Reflect consideration of cultural and religious issues in performing nursing interventions

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Encourage the client and/or their family to assist with nursing interventions as appropriate

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Consider the physical, psychological and social needs in performing nursing interventions

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use nursing interventions to assist the client to meet their activities of daily living

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and prioritise nursing interventions according to client needs

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Consider gender and age issues in performing nursing interventions

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Implement nursing interventions in accordance with legal, professional, ethical and organisation requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Recognise and act upon emergency situations according to organisation policy and procedure and within legal and professional requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Contribute to and support health teaching plans for the client in the domiciliary health care environment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist to evaluate the outcomes of planned domiciliary health care

  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
  2. Initiate appropriate first aid/emergency treatment in response to adverse reactions or complications
  3. Report and document first aid/emergency treatment and client response to the treatment
Monitor client response to nursing interventions and progress toward planned goals, 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 client 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:

Advocacy

Age specific requirements eg children, young adult, older adult.

Client rights and responsibilities

Clinical manifestations of a diverse range of health conditions

Community and in-hospital services available for medical condition clients

Confidentiality and privacy

Critical thinking and problem solving

Diagnostic tests and their meanings

Emergency and first aid management of condition/injuries

Evidence based practice

Health - illness continuum

Infection control

Legal and ethical issues related to practice

Literature and professional bodies associated with domiciliary health care management

Medical terminology

Nursing management of the client with a diverse range of health conditions

Organisation policy and procedure

Participating as a member of the health care team

Philosophy underpinning of domiciliary health care

Principles of documentation

Reflective practice

Specialised in-depth knowledge of anatomy and physiology and pathophysiology of clinical manifestations

Workplace Health and Safety legislation

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 principles of documentation to document planned nursing interventions

Apply principles of health assessment

Apply clinical nursing skills to address pain management needs

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

Facilitate activities of daily living

Maintain effective symptom management

Manage administration of medications as per jurisdictional and legal requirements

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

Undertake fundamental and complex clinical nursing interventions

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

Use prosthetic aids and devices appropriately

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

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.

Multi-disciplinary 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

Domiciliary health care settings could include:

Day clinic

Long stay centres

Short stay centres

Medical clinic

Attached to residential aged care facilities

Respite centres

Community centres

Schools

Client's home or workplace

Supported Residential Services (SRS)

Plans of care could include:

Nursing care plans

Discharge plans

Medical notes

Treatment plans

Manual and electronic storage systems

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

Monitoring of clients response to procedures

Clarification of clients understanding of health teaching, discharge planning or return appointment schedule

Clients understanding of health care needs and treatment regimes

Specific nursing interventions/clinical skills include:

Wound care

Skin care including - assessment and management of skin care

Health teaching in relation to client care needs

Pain management

Removal of sutures/staples (as ordered)

Manual handling

Use of mobility aids

Assistance with meeting activities of daily living

Co ordination of clinical care

Rehabilitative care practices

Emergency resuscitation skills