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Evidence Guide: HLTENN017 - Apply nursing practice in the orthopaedic care setting

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

 

HLTENN017 - Apply nursing practice in the orthopaedic care setting

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

Elements define the essential outcomes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Work in interdisciplinary health care team caring for a person with an orthopaedic condition

  1. Provide nursing care that supports the interdisciplinary health care team in caring for the person with an orthopaedic condition
  2. Work effectively in the interdisciplinary health care team to foster positive group dynamics with other health care professionals
  3. Identify when the acuity of a person is beyond own skills and knowledge and promptly consult with registered nurse and relevant interdisciplinary health care team
  4. Use critical thinking and problem-solving approaches to propose actions and implement nursing interventions, in consultation with registered nurse and relevant interdisciplinary health care team
Provide nursing care that supports the interdisciplinary health care team in caring for the person with an orthopaedic condition

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Work effectively in the interdisciplinary health care team to foster positive group dynamics with other health care professionals

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify when the acuity of a person is beyond own skills and knowledge and promptly consult with registered nurse and relevant interdisciplinary health care team

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use critical thinking and problem-solving approaches to propose actions and implement nursing interventions, in consultation with registered nurse and relevant interdisciplinary health care team

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Clarify the impact of the orthopaedic condition on the person, family and carer

  1. Maintain current knowledge of orthopaedic conditions and associated pathophysiology as they apply to each clinical manifestation
  2. Identify the psychosocial impact and potential complications for the person and clarify their needs
  3. Discuss impacts and complications of the person’s condition with the person, and their family or carer, as appropriate within scope of practice
  4. Contribute to long-term management and planning of the recovery phase of care required for the person with an orthopaedic condition
Maintain current knowledge of orthopaedic conditions and associated pathophysiology as they apply to each clinical manifestation

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify the psychosocial impact and potential complications for the person and clarify their needs

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Discuss impacts and complications of the person’s condition with the person, and their family or carer, as appropriate within scope of practice

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Contribute to long-term management and planning of the recovery phase of care required for the person with an orthopaedic condition

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Actively promote improvement and advancement of orthopaedic nursing

  1. Monitor and evaluate own nursing care provided to the person to assist with organisation continuous improvement
  2. Evaluate nursing interventions provided and consider outcomes against evidence-based best practice in orthopaedic nursing
  3. Seek out opportunities and participate in professional development, acquiring knowledge to guide own practice and acting as a resource for colleagues
Monitor and evaluate own nursing care provided to the person to assist with organisation continuous improvement

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Evaluate nursing interventions provided and consider outcomes against evidence-based best practice in orthopaedic nursing

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Seek out opportunities and participate in professional development, acquiring knowledge to guide own practice and acting as a resource for colleagues

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. Work in interdisciplinary health care team caring for a person with an orthopaedic condition

1.1 Provide nursing care that supports the interdisciplinary health care team in caring for the person with an orthopaedic condition

1.2 Work effectively in the interdisciplinary health care team to foster positive group dynamics with other health care professionals

1.3 Identify when the acuity of a person is beyond own skills and knowledge and promptly consult with registered nurse and relevant interdisciplinary health care team

1.4 Use critical thinking and problem-solving approaches to propose actions and implement nursing interventions, in consultation with registered nurse and relevant interdisciplinary health care team

2. Clarify the impact of the orthopaedic condition on the person, family and carer

2.1 Maintain current knowledge of orthopaedic conditions and associated pathophysiology as they apply to each clinical manifestation

2.2 Identify the psychosocial impact and potential complications for the person and clarify their needs

2.3 Discuss impacts and complications of the person’s condition with the person, and their family or carer, as appropriate within scope of practice

2.4 Contribute to long-term management and planning of the recovery phase of care required for the person with an orthopaedic condition

3. Actively promote improvement and advancement of orthopaedic nursing

3.1 Monitor and evaluate own nursing care provided to the person to assist with organisation continuous improvement

3.2 Evaluate nursing interventions provided and consider outcomes against evidence-based best practice in orthopaedic nursing

3.3 Seek out opportunities and participate in professional development, acquiring knowledge to guide own practice and acting as a resource for colleagues

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. Work in interdisciplinary health care team caring for a person with an orthopaedic condition

1.1 Provide nursing care that supports the interdisciplinary health care team in caring for the person with an orthopaedic condition

1.2 Work effectively in the interdisciplinary health care team to foster positive group dynamics with other health care professionals

1.3 Identify when the acuity of a person is beyond own skills and knowledge and promptly consult with registered nurse and relevant interdisciplinary health care team

1.4 Use critical thinking and problem-solving approaches to propose actions and implement nursing interventions, in consultation with registered nurse and relevant interdisciplinary health care team

2. Clarify the impact of the orthopaedic condition on the person, family and carer

2.1 Maintain current knowledge of orthopaedic conditions and associated pathophysiology as they apply to each clinical manifestation

2.2 Identify the psychosocial impact and potential complications for the person and clarify their needs

2.3 Discuss impacts and complications of the person’s condition with the person, and their family or carer, as appropriate within scope of practice

2.4 Contribute to long-term management and planning of the recovery phase of care required for the person with an orthopaedic condition

3. Actively promote improvement and advancement of orthopaedic nursing

3.1 Monitor and evaluate own nursing care provided to the person to assist with organisation continuous improvement

3.2 Evaluate nursing interventions provided and consider outcomes against evidence-based best practice in orthopaedic nursing

3.3 Seek out opportunities and participate in professional development, acquiring knowledge to guide own practice and acting as a resource for colleagues

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

worked as part of the interdisciplinary health care team in the workplace providing orthopaedic nursing interventions for each of the following conditions:

fracture with external fixation

fracture with internal fixation

fracture requiring non-surgical management

musculoskeletal injury where the person requires continuous passive motion therapy (CPM)

amputation where the person requires assistance with a prosthetic aid or device

conducted 2 specific activities in the workplace or simulated environment to support quality and promote safe innovations in orthopaedic nursing for an interdisciplinary team based on knowledge acquired through own professional development and learning.

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:

the impact orthopaedic conditions may have on the person, including:

limitations in ability to perform daily living activities

loss or limitation of physical function

reduction in musculoskeletal function

accompanying trauma, injuries or impact of secondary disease processes

impact on sexuality, relationships, self-image, body image

grief and loss

need for support with personal coping mechanisms and community support mechanisms

need for support with maintenance, improvement of quality of life

anatomy, physiology and pathophysiology of clinical manifestations of orthopaedic conditions, with sufficiently in-depth knowledge to make considered judgements and to contribute professionally to the orthopaedic care team

musculoskeletal conditions, such as:

gout

systemic lupus erythematosus

osteomyelitis

bursitis

epicondylitis

hallux valgus

avascular necrosis

compartment syndrome

thromboembolism

disseminated intravascular coagulation

delayed union

fat embolism

contractures

congenital musculoskeletal conditions, such as:

torticollis

spina bifida

traumatic musculoskeletal conditions, such as:

dislocations

sprains

fractures

traumatic amputations

degenerative musculoskeletal conditions, such as:

arthritis

back pain

muscle spasm

disc prolapse

osteoarthritis

osteitis deformans

osteomalacia

surgical interventions for musculoskeletal conditions, such as:

internal and external fixtures for fractures, applications of surgical braces

removal of bunions

elective surgical procedures (joint replacement surgery)

laminectomy

surgical amputation

bone tumours, such as:

metastatic bone carcinoma

multiple myeloma

bone tuberculosis

osteosarcoma

chondrosarcoma

specialised in-depth knowledge of orthopaedic equipment and devices used on the person including:

traction devices

castings

community and in-hospital rehabilitation services available for the person with orthopaedic conditions

diagnostic tests associated with orthopaedics and their meanings including:

X-rays

Computerised Tomography (CT) scans

Magnetic Resonance Imaging (MRI) scans

ultrasounds

bone scans

biopsies

specialised medical and surgical nursing management of the person with orthopaedic condition including emergency management of complications

phases of recovery and how these impact nursing care for the person with orthopaedic condition

reflective practice and evidence-based practice in line with current literature and work of professional bodies associated with medical conditions.