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Evidence Guide: HLTENN030 - Implement and monitor care for a person with a stoma

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

 

HLTENN030 - Implement and monitor care for a person with a stoma

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

Elements define the essential outcomes of a unit of competency.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

The Performance Criteria specify the level of performance required to demonstrate achievement of the Element.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Contribute to interdisciplinary health care team in caring for the person with a stoma

  1. Work within scope of practice to support the interdisciplinary health care team in managing the person’s stoma care needs and the needs of their family or carer
  2. Identify specialist nursing and medical services and community agencies that support and deliver stoma care, and their possible role in long-term management of the person’s stoma condition
  3. Discuss nursing care management plan regularly with the registered nurse and other members of the interdisciplinary health care team
  4. Work in partnership with the person and appropriate service providers and agencies to maintain continuity of care
Work within scope of practice to support the interdisciplinary health care team in managing the person’s stoma care needs and the needs of their family or carer

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify specialist nursing and medical services and community agencies that support and deliver stoma care, and their possible role in long-term management of the person’s stoma condition

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Discuss nursing care management plan regularly with the registered nurse and other members of the interdisciplinary health care team

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Work in partnership with the person and appropriate service providers and agencies to maintain continuity of care

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assess health care needs of a person with a stoma

  1. Perform holistic health assessment of the person using a range of assessment tools relevant to person’s care requirements
  2. Collect accurate information in accordance with organisation policy and procedures
  3. Identify physiological, pathological and congenital conditions leading to the person’s stoma creation
  4. Determine the person’s own knowledge of their condition, therapies and self-management requirements, and how this might impact their care planning and provision
  5. Identify family or carer’s knowledge of and involvement in the person’s stoma care condition, management and therapies
  6. Identify possible psychological factors impacting the person with a stoma and their family or carer
Perform holistic health assessment of the person using a range of assessment tools relevant to person’s care requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Collect accurate information in accordance with organisation policy and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify physiological, pathological and congenital conditions leading to the person’s stoma creation

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Determine the person’s own knowledge of their condition, therapies and self-management requirements, and how this might impact their care planning and provision

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify family or carer’s knowledge of and involvement in the person’s stoma care condition, management and therapies

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify possible psychological factors impacting the person with a stoma and their family or carer

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Perform complex nursing interventions to assist a person with a stoma

  1. Prepare the person’s nursing care plan to ensure it reflects the care needs specific to stoma care requirements
  2. Prioritise nursing interventions for the person according to their identified needs, including emergency care of stoma
  3. Identify principles of contemporary stoma management and apply these within organisation policy and procedures when providing nursing care for the person
  4. Identify opportunities to provide health education to the person, and promote health and self-management of the stoma
  5. Provide the person with education to promote health and self-management of the stoma
  6. Identify responses of the person, family or carer to nursing interventions and their understanding of ongoing management of the person’s condition, including strategies for self-management
  7. Communicate outcomes and proposed actions to the registered nurse and use a collaborative approach for follow up with interdisciplinary team
  8. 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 members
Prepare the person’s nursing care plan to ensure it reflects the care needs specific to stoma care requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prioritise nursing interventions for the person according to their identified needs, including emergency care of stoma

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify principles of contemporary stoma management and apply these within organisation policy and procedures when providing nursing care for the person

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify opportunities to provide health education to the person, and promote health and self-management of the stoma

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide the person with education to promote health and self-management of the stoma

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify responses of the person, family or carer to nursing interventions and their understanding of ongoing management of the person’s condition, including strategies for self-management

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Communicate outcomes and proposed actions to the registered nurse and use a collaborative approach for follow up with interdisciplinary team

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 members

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Evaluate progress toward expected outcomes of care

  1. Critically review the nursing care plan and modify according to the person’s progress toward planned outcomes, in consultation and collaboration with the registered nurse and health care team
  2. Evaluate the person’s understanding of their stoma condition, medications, therapeutic regimes and self-management, and document their uptake of health promotion initiatives
  3. Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in stoma nursing care
  4. Document outcomes of care and communicate findings to other members of the interdisciplinary health care team in accordance with organisation policy
Critically review the nursing care plan and modify according to the person’s progress toward planned outcomes, in consultation and collaboration with the registered nurse and health care team

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Evaluate the person’s understanding of their stoma condition, medications, therapeutic regimes and self-management, and document their uptake of health promotion initiatives

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in stoma nursing care

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Document outcomes of care and communicate findings to other members of the interdisciplinary health care team in accordance with organisation policy

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes of a unit of competency.

The Performance Criteria specify the level of performance required to demonstrate achievement of the Element.

1. Contribute to interdisciplinary health care team in caring for the person with a stoma

1.1 Work within scope of practice to support the interdisciplinary health care team in managing the person’s stoma care needs and the needs of their family or carer

1.2 Identify specialist nursing and medical services and community agencies that support and deliver stoma care, and their possible role in long-term management of the person’s stoma condition

1.3 Discuss nursing care management plan regularly with the registered nurse and other members of the interdisciplinary health care team

1.4 Work in partnership with the person and appropriate service providers and agencies to maintain continuity of care

2. Assess health care needs of a person with a stoma

2.1 Perform holistic health assessment of the person using a range of assessment tools relevant to person’s care requirements

2.2 Collect accurate information in accordance with organisation policy and procedures

2.3 Identify physiological, pathological and congenital conditions leading to the person’s stoma creation

2.4 Determine the person’s own knowledge of their condition, therapies and self-management requirements, and how this might impact their care planning and provision

2.5 Identify family or carer’s knowledge of and involvement in the person’s stoma care condition, management and therapies

2.6 Identify possible psychological factors impacting the person with a stoma and their family or carer

3. Perform complex nursing interventions to assist a person with a stoma

3.1 Prepare the person’s nursing care plan to ensure it reflects the care needs specific to stoma care requirements

3.2 Prioritise nursing interventions for the person according to their identified needs, including emergency care of stoma

3.3 Identify principles of contemporary stoma management and apply these within organisation policy and procedures when providing nursing care for the person

3.4 Identify opportunities to provide health education to the person, and promote health and self-management of the stoma

3.5 Provide the person with education to promote health and self-management of the stoma

3.6 Identify responses of the person, family or carer to nursing interventions and their understanding of ongoing management of the person’s condition, including strategies for self-management

3.7 Communicate outcomes and proposed actions to the registered nurse and use a collaborative approach for follow up with interdisciplinary team

3.8 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 members

4. Evaluate progress toward expected outcomes of care

4.1 Critically review the nursing care plan and modify according to the person’s progress toward planned outcomes, in consultation and collaboration with the registered nurse and health care team

4.2 Evaluate the person’s understanding of their stoma condition, medications, therapeutic regimes and self-management, and document their uptake of health promotion initiatives

4.3 Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in stoma nursing care

4.4 Document outcomes of care and communicate findings to other members of the interdisciplinary health care team in accordance with organisation policy

Required Skills and Knowledge

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes of a unit of competency.

The Performance Criteria specify the level of performance required to demonstrate achievement of the Element.

1. Contribute to interdisciplinary health care team in caring for the person with a stoma

1.1 Work within scope of practice to support the interdisciplinary health care team in managing the person’s stoma care needs and the needs of their family or carer

1.2 Identify specialist nursing and medical services and community agencies that support and deliver stoma care, and their possible role in long-term management of the person’s stoma condition

1.3 Discuss nursing care management plan regularly with the registered nurse and other members of the interdisciplinary health care team

1.4 Work in partnership with the person and appropriate service providers and agencies to maintain continuity of care

2. Assess health care needs of a person with a stoma

2.1 Perform holistic health assessment of the person using a range of assessment tools relevant to person’s care requirements

2.2 Collect accurate information in accordance with organisation policy and procedures

2.3 Identify physiological, pathological and congenital conditions leading to the person’s stoma creation

2.4 Determine the person’s own knowledge of their condition, therapies and self-management requirements, and how this might impact their care planning and provision

2.5 Identify family or carer’s knowledge of and involvement in the person’s stoma care condition, management and therapies

2.6 Identify possible psychological factors impacting the person with a stoma and their family or carer

3. Perform complex nursing interventions to assist a person with a stoma

3.1 Prepare the person’s nursing care plan to ensure it reflects the care needs specific to stoma care requirements

3.2 Prioritise nursing interventions for the person according to their identified needs, including emergency care of stoma

3.3 Identify principles of contemporary stoma management and apply these within organisation policy and procedures when providing nursing care for the person

3.4 Identify opportunities to provide health education to the person, and promote health and self-management of the stoma

3.5 Provide the person with education to promote health and self-management of the stoma

3.6 Identify responses of the person, family or carer to nursing interventions and their understanding of ongoing management of the person’s condition, including strategies for self-management

3.7 Communicate outcomes and proposed actions to the registered nurse and use a collaborative approach for follow up with interdisciplinary team

3.8 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 members

4. Evaluate progress toward expected outcomes of care

4.1 Critically review the nursing care plan and modify according to the person’s progress toward planned outcomes, in consultation and collaboration with the registered nurse and health care team

4.2 Evaluate the person’s understanding of their stoma condition, medications, therapeutic regimes and self-management, and document their uptake of health promotion initiatives

4.3 Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in stoma nursing care

4.4 Document outcomes of care and communicate findings to other members of the interdisciplinary health care team in accordance with organisation policy

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

undertaken holistic assessment of at least 3 people using a range of assessment tools to identify the physiological, pathological or congenital conditions leading to stoma creation

provided nursing care applying the principles of stoma management to 2 people with a stoma in the workplace including:

replacing a stoma drainage bag

assessing the stoma for signs of obstruction, prolapse, necrosis and impaired integrity.

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:

principles of contemporary stoma management

health promotion activities appropriate for the person with a stoma and associated issues

medical terminology associated with stoma management, including:

ostomy

colostomy

ileostomy

urostomy

stricture

obstruction

prolapse

retraction

parastomal hernia

nursing management of the person with a stoma who is undergoing surgery

anatomy, physiology and pathophysiology related to stoma issues, sufficiently in-depth and specialised to make considered judgements and to make a professional contribution to the health care team

processes for the emergency care of stomas and stoma management including:

pre-operative and pre-procedure bowel preparation

wound care specific to stoma operation perineal wounds:

jejunostomy

gastrotomy

caecostomy

gastrointestinal and genito-urinary fistula

supporting bridge site care

appliance and product selection and management

how to manage skin and peristomal skin conditions

how to manage feeding and drainage tubes

how to manage urinary incontinence

faecal incontinence – its types, causes, assessment and management

skin care and products to assist in managing incontinence

how to make long bags

how to manage constipation, diarrhoea, constipation and flatus

care of high output stomas

odour control

community services and resources for stoma care

issues relating to stoma care including:

altered fluid and electrolyte states

nutrition, hydration

body image and sexuality

psychological and psycho-social considerations

stomal obstruction

peritonitis

necrosis

impaired stomal integrity

prolapse.