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Evidence Guide: HLTENN005 - Contribute to nursing care of a person with complex needs

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

 

HLTENN005 - Contribute to nursing care of a person with complex needs

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

Elements define the essential outcomes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Perform nursing interventions to assist a person with complex needs.

  1. Perform nursing interventions based on the person’s predetermined plan of care.
  2. Undertake nursing interventions demonstrating respect for the person’s dignity and cultural diversity.
  3. Encourage the person to assist by undertaking aspects of their own care during care interventions.
  4. Consider the person’s physical, emotional and psychosocial needs when performing nursing interventions.
Perform nursing interventions based on the person’s predetermined plan of care.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Undertake nursing interventions demonstrating respect for the person’s dignity and cultural diversity.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Encourage the person to assist by undertaking aspects of their own care during care interventions.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Consider the person’s physical, emotional and psychosocial needs when performing nursing interventions.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Contribute to the nursing care of people with common disorders and conditions

  1. Provide nursing care to the person appropriate to the management of complex conditions.
  2. Observe, report and document the person’s reactions and responses to the provided care management and medication.
  3. Refer promptly to the registered nurse any reactions, responses or variations from the normal or unexpected outcomes, including concern for the deteriorating person.
Provide nursing care to the person appropriate to the management of complex conditions.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Observe, report and document the person’s reactions and responses to the provided care management and medication.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Refer promptly to the registered nurse any reactions, responses or variations from the normal or unexpected outcomes, including concern for the deteriorating person.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use critical thinking to improve care quality.

  1. Monitor own thinking constantly in relation to own clarity, precision, accuracy, consistency, logic and significance of care, in order to correct oneself when appropriate in the context of caring for a person.
  2. Identify possible nursing interventions for a person with complex needs, based on health information and clinical presentation.
  3. Raise the issue with the registered nurse where the nursing interventions are at odds with an already prescribed course of action by multidisciplinary team.
  4. Explain clearly the reasoning behind specific decisions and actions being taken in the context of the health care of the person.
  5. Identify areas for quality improvement including to organisation processes in the care of a person with complex needs.
Monitor own thinking constantly in relation to own clarity, precision, accuracy, consistency, logic and significance of care, in order to correct oneself when appropriate in the context of caring for a person.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify possible nursing interventions for a person with complex needs, based on health information and clinical presentation.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Raise the issue with the registered nurse where the nursing interventions are at odds with an already prescribed course of action by multidisciplinary team.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Explain clearly the reasoning behind specific decisions and actions being taken in the context of the health care of the person.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify areas for quality improvement including to organisation processes in the care of a person with complex needs.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Perform nursing interventions to assist a person with complex needs.

1.1 Perform nursing interventions based on the person’s predetermined plan of care.

1.2 Undertake nursing interventions demonstrating respect for the person’s dignity and cultural diversity.

1.3 Encourage the person to assist by undertaking aspects of their own care during care interventions.

1.4 Consider the person’s physical, emotional and psychosocial needs when performing nursing interventions.

2. Contribute to the nursing care of people with common disorders and conditions

2.1 Provide nursing care to the person appropriate to the management of complex conditions.

2.2 Observe, report and document the person’s reactions and responses to the provided care management and medication.

2.3 Refer promptly to the registered nurse any reactions, responses or variations from the normal or unexpected outcomes, including concern for the deteriorating person.

3. Use critical thinking to improve care quality.

3.1 Monitor own thinking constantly in relation to own clarity, precision, accuracy, consistency, logic and significance of care, in order to correct oneself when appropriate in the context of caring for a person.

3.2 Identify possible nursing interventions for a person with complex needs, based on health information and clinical presentation.

3.3 Raise the issue with the registered nurse where the nursing interventions are at odds with an already prescribed course of action by multidisciplinary team.

3.4 Explain clearly the reasoning behind specific decisions and actions being taken in the context of the health care of the person.

3.5 Identify areas for quality improvement including to organisation processes in the care of a person with complex needs.

Required Skills and Knowledge

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Perform nursing interventions to assist a person with complex needs.

1.1 Perform nursing interventions based on the person’s predetermined plan of care.

1.2 Undertake nursing interventions demonstrating respect for the person’s dignity and cultural diversity.

1.3 Encourage the person to assist by undertaking aspects of their own care during care interventions.

1.4 Consider the person’s physical, emotional and psychosocial needs when performing nursing interventions.

2. Contribute to the nursing care of people with common disorders and conditions

2.1 Provide nursing care to the person appropriate to the management of complex conditions.

2.2 Observe, report and document the person’s reactions and responses to the provided care management and medication.

2.3 Refer promptly to the registered nurse any reactions, responses or variations from the normal or unexpected outcomes, including concern for the deteriorating person.

3. Use critical thinking to improve care quality.

3.1 Monitor own thinking constantly in relation to own clarity, precision, accuracy, consistency, logic and significance of care, in order to correct oneself when appropriate in the context of caring for a person.

3.2 Identify possible nursing interventions for a person with complex needs, based on health information and clinical presentation.

3.3 Raise the issue with the registered nurse where the nursing interventions are at odds with an already prescribed course of action by multidisciplinary team.

3.4 Explain clearly the reasoning behind specific decisions and actions being taken in the context of the health care of the person.

3.5 Identify areas for quality improvement including to organisation processes in the care of a person with complex needs.

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

undertaken nursing work in accordance with Nursing and Midwifery Board of Australia professional standards of practice, codes and guidelines

analysed, planned and evaluated the health care of 3 people using health information and clinical presentation to determine possible nursing interventions, in consultation with a registered nurse in the workplace

performed interventions in the workplace or in a simulated environment, specific to care of a person with complex needs including:

monitoring of neurological observations to recognise a deteriorating person

recording of 12 lead electrocardiogram (ECG)

removal of indwelling catheter

performing blood specimen collection (venepuncture)

emptied and changed 1 urinary drainage bag in the workplace.

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

common disorders and conditions, and the correct terminology for:

musculoskeletal disorders and conditions

skin disorders and conditions

cardiovascular disorders and conditions

respiratory system disorders and conditions

gastrointestinal disorders and conditions

ear disorders and conditions

eye disorders and conditions

nervous system disorder

endocrine disorders and conditions

urinary system disorders and conditions

reproductive system disorders and conditions

diagnostic tests for diagnosis of common conditions and disorders of body systems including:

incentive spirometry and peak flow

recording a 12 lead electrocardiogram (ECG)

monitoring oxygen saturation levels

collecting specimens, including blood

how to perform the following nursing interventions:

assisting a person to don anti-embolic stockings

caring for drainage tube systems associated with tubes and drains inserted into the body

emptying and changing ostomy bag

emptying and changing a urinary drainage bag

providing care of suprapubic catheter

inserting and removing indwelling catheters (IDC) including insertion for male and female genitourinary anatomy

applying isolation nursing practices

inserting and removing nasogastric tubes (NG)

feeding through nasogastric tubes (NG) and percutaneous feeding tube

performing blood specimen collection (venepuncture)

mediation, negotiation and conflict resolution as associated with nursing intervention principles for recognising a deteriorating person

referral options and resources available in community and health care settings

critical thinking, including its characteristics and the differences between critical thinking, creative thinking and problem-solving

resources for the Core Standards for nurses who support people with a disability (NSW Family and Community Services)

Working with People with Chronic and Complex Health Care Needs

nursing interventions associated with reproductive and urinary system disorders and conditions including conditions which require a bladder washout.