Implement basic nursing care

Formats and tools

Unit Description
Reconstruct the unit from the xml and display it as an HTML page.
Assessment Tool
an assessor resource that builds a framework for writing an assessment tool
Assessment Template
generate a spreadsheet for marking this unit in a classroom environment. Put student names in the top row and check them off as they demonstrate competenece for each of the unit's elements and performance criteria.
Assessment Matrix
a slightly different format than the assessment template. A spreadsheet with unit names, elements and performance criteria in separate columns. Put assessment names in column headings to track which performance criteria each one covers. Good for ensuring that you've covered every one of the performance criteria with your assessment instrument (all assessement tools together).
Wiki Markup
mark up the unit in a wiki markup codes, ready to copy and paste into a wiki page. The output will work in most wikis but is designed to work particularly well as a Wikiversity learning project.
Evidence Guide
create an evidence guide for workplace assessment and RPL applicants
Competency Mapping Template
Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners. A template for developing assessments for a unit, which will help you to create valid, fair and reliable assessments for the unit, ready to give to trainers and students
Observation Checklist
create an observation checklist for workplace assessment and RPL applicants. This is similar to the evidence guide above, but a little shorter and friendlier on your printer. You will also need to create a seperate Assessor Marking Guide for guidelines on gathering evidence and a list of key points for each activity observed using the unit's range statement, required skills and evidence required (see the unit's html page for details)

Self Assessment Survey
A form for students to assess thier current skill levels against each of the unit's performance criteria. Cut and paste into a web document or print and distribute in hard copy.
Moodle Outcomes
Create a csv file of the unit's performance criteria to import into a moodle course as outcomes, ready to associate with each of your assignments. Here's a quick 'how to' for importing these into moodle 2.x
Registered Training Organisations
Trying to find someone to train or assess you? This link lists all the RTOs that are currently registered to deliver HLTEN405B, 'Implement basic nursing care'.
Google Links
links to google searches, with filtering in place to maximise the usefulness of the returned results
Books
Reference books for 'Implement basic nursing care' on fishpond.com.au. This online store has a huge range of books, pretty reasonable prices, free delivery in Australia *and* they give a small commission to ntisthis.com for every purchase, so go nuts :)


Elements and Performance Criteria

ELEMENT

PERFORMANCE CRITERIA

1. Establish and maintain therapeutic relationships with clients

1.1 Provide appropriate introductions and explanations prior to all nursing interventions

1.2 Identify and use appropriate language and interpersonal skills to ensure that the diverse needs of clients and health care settings

1.3 Conduct the client advocate role within the Enrolled/Division 2 nurse's scope of practice

1.4 Work effectively with clients from a range of cultural, spiritual and religious backgrounds, taking action to address cultural factors that may impact on nursing practice

1.5 Demonstrate responsibility and accountability for implementing nursing care within the Enrolled/Division 2 Nurse scope of practice

2. Identify client needs relating to individualised nursing care

2.1 Identify actual and potential nursing care needs in consultation/collaboration with the client

2.2 Identify situations of risk or potential risk and implement risk prevention/minimisation strategies and refer to registered nurse as appropriate

2.3 Identify client needs for health education and implement education within scope of nursing practice and in consultation/collaboration with registered nurse

2.4 Identify client nutritional needs in consultation/ collaboration with client and their significant others

3. Assist clients in activities of daily living

3.1 Explain to client the importance of hygiene and grooming to achieving health outcomes

3.2 Assist clients to address hygiene, dressing and grooming needs

3.3 Describe conditions which affect the oral cavity and demonstrate effective oral hygiene to client

3.4 Assist clients with their diet and fluid intake and ensure client's nutritional needs are met in consultation/collaboration with registered nurse

3.5 Apply strategies to assist clients with diet and fluid intake

3.6 Recognise and manage emergency situations associated with diet and fluid intake

3.7 Assist clients with key aspects of elimination

3.8 Explain and demonstrate to clients key factors associated with fluid balance and bowel charts

3.9 Assist with respiratory function especially deep breathing and coughing exercises

3.10 Use appropriate measures to promote comfort, rest and sleep

4. Assist with movement of clients

4.1 Apply the principles and techniques of safe manual handling when assisting clients with movement

4.2 Actively encourage clients to contribute to their own mobility

4.3 Implement the principles of 'no-lift' policy when assisting clients with movement

4.4 Assist clients to safely transfer using appropriate mobility procedures with reference to safety of self, client and others involved

4.5 Identify and describe to clients factors contributing to the formation of decubitus ulcers

4.6 Apply practices to avoid breakdown of pressure areas

4.7 Identify common pressure area sites with reference to the needs of each individual client

4.8 Use and explain appropriate strategies to prevent and manage decubitus ulcers

5. Prepare clients for procedures

5.1 Provide each client with a full explanation regarding preparation for specific procedures

5.2 Incorporate health teaching into practice within role responsibility

5.3 Maintain privacy and dignity of client throughout

5.4 Complete documentation as per organisation policy and procedures

5.5 Observe validity of consent and report any concerns to the registered nurse, as appropriate

6. Contribute to nursing care in consultation/ collaboration with registered nurse

6.1 Participate in the implementation of a plan of nursing care in line with duty of care and Occupational Health and Safety policies and procedures

6.2 Identify and apply safe work place procedures as per OH&S policies and organisation policies and procedures

6.3 Identify and apply infection control principles in all work activities

6.4 Prioritise work activities to meet acuity of client needs in consultation/collaboration with a registered nurse

6.5 Work in a manner that maintains the client's privacy and dignity and demonstrates best practice based on a full range of relevant information including scientific rationale

6.6 Undertake nursing procedures as delegated within the nursing team and scope of practice in consultation/collaboration with a registered nurse

6.7 Apply strategies to promote comfort, rest and sleep

6.8 Assist with the implementation of appropriate nursing actions to prevent and manage decubitus ulcers in consultation/collaboration with a registered nurse

6.9 Implement appropriate action to address urgent needs in consultation/collaboration with a registered nurse and document and report as appropriate

6.10 Maintain documentation and reporting requirements as per organisation policies and procedures

7. Monitor and evaluate clients during care

7.1 Maintain ongoing observation and assessment during nursing care

7.2 Observe and document changes in client independence or pain tolerance within scope of Enrolled/Division 2 Nurse practice

7.3 Record and report changes in condition/baseline data/behaviour to the registered nurse, as appropriate

7.4 Document evidence of client outcomes in nursing care plan

7.5 Respond to and report situations of risk to registered nurse

7.6 Identify and respond appropriately to signs and symptoms of common emergency situations

7.7 Demonstrate respect for the client's attitudes and values in regard to resuscitation

7.8 Use emergency codes correctly

7.9 Initiate CPR according to organisation procedures

8. Evaluate own contribution to nursing care

8.1 Evaluate nursing care in consultation/collaboration with the client and the multidisciplinary team

8.2 Evaluate nursing care in light of client outcomes

8.3 Document and report all aspects of client care provided by self


Qualifications and Skillsets

HLTEN405B appears in the following qualifications:

  • HLT43407 - Certificate IV in Nursing (Enrolled/Division 2 nursing)