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Evidence Guide: HLTENN026 - Apply nursing practice in the perioperative 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

 

HLTENN026 - Apply nursing practice in the perioperative 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 as part of an interdisciplinary health care team in the perioperative environment

  1. Work within scope of practice to support the interdisciplinary health care team in managing the care needs of the person in the perioperative environment
  2. Contribute to effective team work and positive group dynamics of the interdisciplinary health care team
  3. Maintain professional communication with all members of the perioperative team
  4. Reflect the philosophical framework for managing perioperative care in own nursing practice
Work within scope of practice to support the interdisciplinary health care team in managing the care needs of the person in the perioperative environment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Contribute to effective team work and positive group dynamics of the interdisciplinary health care team

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Maintain professional communication with all members of the perioperative team

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Reflect the philosophical framework for managing perioperative care in own nursing practice

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Contribute to preparation of a person for surgical intervention

  1. Provide holistic person-centred care taking into account the person’s physical, emotional, spiritual and cultural needs
  2. Use contemporary perioperative assessment tools accurately and document any physiological and psychological variables in assessment and report to registered nurse and interdisciplinary team
Provide holistic person-centred care taking into account the person’s physical, emotional, spiritual and cultural needs

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use contemporary perioperative assessment tools accurately and document any physiological and psychological variables in assessment and report to registered nurse and interdisciplinary team

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Perform clinical nursing actions appropriate to care of a perioperative person

  1. Use critical thinking and problem-solving approaches to prioritise and adapt nursing interventions to reflect changes in the person’s condition, in consultation with registered nurse
  2. Perform nursing interventions to assist the surgical team during surgical procedure
  3. Recognise actual and potential manual handling and environmental hazards and take a pro-active approach in reducing risk and promoting safety
  4. Check equipment according to manufacturers’ instructions and ensure proper functioning, taking corrective action and reporting when faulty equipment or environmental hazards are detected
  5. Apply principles of infection control to all activities and at all times in the perioperative environment in line with applicable standards and organisation policies and procedures
  6. Identify when the acuity of a person is beyond own skills and knowledge and promptly consult with registered nurse and relevant interdisciplinary health car team members
Use critical thinking and problem-solving approaches to prioritise and adapt nursing interventions to reflect changes in the person’s condition, in consultation with registered nurse

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Perform nursing interventions to assist the surgical team during surgical procedure

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Recognise actual and potential manual handling and environmental hazards and take a pro-active approach in reducing risk and promoting safety

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Check equipment according to manufacturers’ instructions and ensure proper functioning, taking corrective action and reporting when faulty equipment or environmental hazards are detected

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Apply principles of infection control to all activities and at all times in the perioperative environment in line with applicable standards and organisation policies and procedures

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 car team members

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Actively promote improvement and advancement of perioperative nursing care

  1. Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in perioperative nursing
  2. Seek out opportunities and participate in professional development, acquiring knowledge to guide own practice and acting as a resource for colleagues
Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in perioperative 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 as part of an interdisciplinary health care team in the perioperative environment

1.1 Work within scope of practice to support the interdisciplinary health care team in managing the care needs of the person in the perioperative environment

1.2 Contribute to effective team work and positive group dynamics of the interdisciplinary health care team

1.3 Maintain professional communication with all members of the perioperative team

1.4 Reflect the philosophical framework for managing perioperative care in own nursing practice

2. Contribute to preparation of a person for surgical intervention

2.1 Provide holistic person-centred care taking into account the person’s physical, emotional, spiritual and cultural needs

2.2 Use contemporary perioperative assessment tools accurately and document any physiological and psychological variables in assessment and report to registered nurse and interdisciplinary team

3. Perform clinical nursing actions appropriate to care of a perioperative person

3.1 Use critical thinking and problem-solving approaches to prioritise and adapt nursing interventions to reflect changes in the person’s condition, in consultation with registered nurse

3.2 Perform nursing interventions to assist the surgical team during surgical procedure

3.3 Recognise actual and potential manual handling and environmental hazards and take a pro-active approach in reducing risk and promoting safety

3.4 Check equipment according to manufacturers’ instructions and ensure proper functioning, taking corrective action and reporting when faulty equipment or environmental hazards are detected

3.5 Apply principles of infection control to all activities and at all times in the perioperative environment in line with applicable standards and organisation policies and procedures

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

4. Actively promote improvement and advancement of perioperative nursing care

4.1 Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in perioperative nursing

4.2 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 as part of an interdisciplinary health care team in the perioperative environment

1.1 Work within scope of practice to support the interdisciplinary health care team in managing the care needs of the person in the perioperative environment

1.2 Contribute to effective team work and positive group dynamics of the interdisciplinary health care team

1.3 Maintain professional communication with all members of the perioperative team

1.4 Reflect the philosophical framework for managing perioperative care in own nursing practice

2. Contribute to preparation of a person for surgical intervention

2.1 Provide holistic person-centred care taking into account the person’s physical, emotional, spiritual and cultural needs

2.2 Use contemporary perioperative assessment tools accurately and document any physiological and psychological variables in assessment and report to registered nurse and interdisciplinary team

3. Perform clinical nursing actions appropriate to care of a perioperative person

3.1 Use critical thinking and problem-solving approaches to prioritise and adapt nursing interventions to reflect changes in the person’s condition, in consultation with registered nurse

3.2 Perform nursing interventions to assist the surgical team during surgical procedure

3.3 Recognise actual and potential manual handling and environmental hazards and take a pro-active approach in reducing risk and promoting safety

3.4 Check equipment according to manufacturers’ instructions and ensure proper functioning, taking corrective action and reporting when faulty equipment or environmental hazards are detected

3.5 Apply principles of infection control to all activities and at all times in the perioperative environment in line with applicable standards and organisation policies and procedures

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

4. Actively promote improvement and advancement of perioperative nursing care

4.1 Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in perioperative nursing

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

applied specialised clinical nursing skills for 3 people during anaesthesia, surgery and recovery in perioperative nursing environment, including:

preparing and positioning the person for a surgical procedure

performing intra-operative observations and supporting scrub nurse with monitoring materials

maintaining the person’s airway before and after surgery

using oral suctioning techniques intra-operatively

collecting specimens for pathology.

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:

Australian College of Operating Room Nurses (ACORN) Standards for Perioperative Nursing

Australian Standards relating to hazards in the perioperative environment including electrical hazards, radiation hazards and sharps disposal

complications of surgical procedures and their management, including how to provide emergency and first aid treatment

complications associated with anaesthesia, including emergency treatment, infection control practices and organisation policies and procedures specific to perioperative environment

legal and ethical considerations (national, State/Territory, local) relevant to the nursing profession and how these are applied in nursing practice

policy statements, literature and guidelines from professional bodies associated with perioperative care and management, including ACORN

medical terminology associated with perioperative care

risk of falls post-surgery

philosophical framework for perioperative nursing

anaesthetic pharmacology

positioning of a person for specific surgical procedures, including potential for post-operative pressure injury from incorrect position during surgery

use of complex technologies including:

anaesthetic machines

lasers

cavitron ultrasonic surgical aspirator (CUSA)

endoscopic equipment

actual and potential problems relating to perioperative care including:

electrolyte imbalance

fluid overload

reduced carbon dioxide

hypoxia/hypoxaemia

sepsis

haemorrhage

neurovascular damage

cerebral vascular accident

arrhythmia.