Practise in first line emergency nursing Evidence Guide

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Evidence Guide: HLTEN620B - Practise in first line emergency nursing

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

HLTEN620B - Practise in first line emergency nursing

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

Work as part of the emergency health care team

Contribute appropriately to support the role of the health care team in managing the care of clients
Contribute to effective team work and supportive group dynamics with health care colleagues
Establish appropriate professional relationships with other members of the health care team
Recognise the contributions of emergency service personnel, referring agencies, hospital and community team staff to the care needs of client

Contribute appropriately to support the role of the health care team in managing the care of clients

Completed
Date:

Teacher:

Evidence:

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

Completed
Date:

Teacher:

Evidence:

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

Completed
Date:

Teacher:

Evidence:

Recognise the contributions of emergency service personnel, referring agencies, hospital and community team staff to the care needs of client

Completed
Date:

Teacher:

Evidence:

Assist the registered nurse in the provision of emergency care

Perform a holistic assessment of the client
Incorporate an understanding of anatomy and physiology into nursing practice
Identify and discuss problems and complications with client and/or significant others as appropriate
Communicate effectively with clients, significant others and health team members
Clarify the emergency needs of the client
Use contemporary assessment tools accurately
Ensure appropriate pre-, intra- and post-diagnostic procedures are undertaken in line with organisation policies and within scope of practice
Provide nursing care in response to trauma and emergency conditions
Assist in the preparation of clients for transport by air or road ambulance or by other means such as private car to another health care facility
Report and document first aid/emergency treatment and client response to the treatment
Recognise and act upon emergency situations according to organisation policy and procedure and within legal and professional requirements

Perform a holistic assessment of the client

Completed
Date:

Teacher:

Evidence:

Incorporate an understanding of anatomy and physiology into nursing practice

Completed
Date:

Teacher:

Evidence:

Identify and discuss problems and complications with client and/or significant others as appropriate

Completed
Date:

Teacher:

Evidence:

Communicate effectively with clients, significant others and health team members

Completed
Date:

Teacher:

Evidence:

Clarify the emergency needs of the client

Completed
Date:

Teacher:

Evidence:

Use contemporary assessment tools accurately

Completed
Date:

Teacher:

Evidence:

Ensure appropriate pre-, intra- and post-diagnostic procedures are undertaken in line with organisation policies and within scope of practice

Completed
Date:

Teacher:

Evidence:

Provide nursing care in response to trauma and emergency conditions

Completed
Date:

Teacher:

Evidence:

Assist in the preparation of clients for transport by air or road ambulance or by other means such as private car to another health care facility

Completed
Date:

Teacher:

Evidence:

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

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 the quality and safety of emergency nursing care in consultation/ collaboration with the registered nurse

In consultation/collaboration with the registered nurse, use a problem solving framework to plan appropriate nursing management strategies
Modify nursing interventions using critical thinking and problem solving approaches, to reflect changes in client's condition
Assist with processes to evaluate the quality of nursing actions
Demonstrate ability to rapidly re-prioritise care activities in temporarily changed circumstances
Participate in organisation risk identification and risk management processes

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

Completed
Date:

Teacher:

Evidence:

Modify nursing interventions using critical thinking and problem solving approaches, to reflect changes in client's condition

Completed
Date:

Teacher:

Evidence:

Assist with processes to evaluate the quality of nursing actions

Completed
Date:

Teacher:

Evidence:

Demonstrate ability to rapidly re-prioritise care activities in temporarily changed circumstances

Completed
Date:

Teacher:

Evidence:

Participate in organisation risk identification and risk management processes

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 preferred 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 and have an ability to work with Aboriginal and/or Torres Strait Islander clients and communities 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 Workers should be familiar with their organisation's diversity plans and work in such a manner so as to ensure cultural understanding and inclusion All actions must be consistent with State and Territory anti-discrimination legislation

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:

Anatomy, physiology and pathophysiology of injuries, poisonings, and emergency medical conditions

Clinical manifestations of chronic disease states

Critical thinking and problem solving

Culturally appropriate health practices

Diagnostic tests and their meaning

Emergency and first aid principles

Evidence based practice

Legislation related to health care practice, including Workplace health and safety legislation

Medical terminology

Organisation policy and procedure

Participating as a member of the emergency care team

Principles of health assessment

Privacy issues including the Medical Records privacy Act, the patients Privacy Act and Local codes of conduct, procedures etc.

Reflective practice

Specialised knowledge relating the immobilisation and care of fractures and spinal injuries

Specialised knowledge relating to care of children and infants

Specialised knowledge relating to care of older clients

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:

basic nursing interventions

chest pain assessment

physical assessment skills including neurological function

specimen collection

Admission and transfer to acute care facilities

Apply professional standards of practice:

ANMC code of conduct

ANMC code of ethics

ANMC national Enrolled/Division 2 nurse competency standards

privacy requirements

Demonstrate accountability for personal practice

Discharge to home environment

Undertake observation and documentation of:

blood glucose monitoring

hydration

neurovascular observations

nutritional status

pain scale observations

respiratory function

skin integrity

Use appropriate communication skills (non-verbal, openness, sensitivity, non-judgemental attitudes)

Use oral communication skills (language competence) required to fulfil job roles as specified by the organisation/service including:

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 at a level of skill that includes reading and understanding client documentation

Use interpersonal skills including working with others, using sensitivity when dealing with people and an ability to relate to persons from different cultural, social and religious backgrounds

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.

Emergency health care team members could include:	Client and their significant others General Practitioners Nurses Retrieval teams

Client may include:	Neonate Infant Child Adult Aged person

Legal and ethical issues include:	Rights of clients Consent Power of attorney Medical Power of attorney Advocacy Restraint Advanced health directives Ethical principles Privacy

Specific nursing interventions/ clinical skills include:	Basic nursing interventions Wound care Skin care Pain management Manual handling

Emergency nursing may include:	Assisting with: resuscitation control of bleeding alleviation of respiratory distress alleviation of cardiac distress control of pain reduction of swelling poisoning symptoms dehydration, diabetic crises eye injury

Diagnostic procedures may include:	ECG and cardiac monitoring BGL Specimen collection Peak flow meters Oxygen saturation levels

NTISthis.com

Evidence Guide: HLTEN620B - Practise in first line emergency nursing

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

HLTEN620B - Practise in first line emergency nursing

Work as part of the emergency health care team

Assist the registered nurse in the provision of emergency care

Contribute to the quality and safety of emergency nursing care in consultation/ collaboration with the registered nurse

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

Instructions to Assessors

Teacher: ___________________________ Date: _