ELEMENT

PERFORMANCE CRITERIA

1. Identify the impact of acute health problems on the client and their family.

1.1 Identify the clinical manifestations of presenting acute health problem(s)

1.2 Identify actual and potential health issues of a client presenting with an acute health problem through discussion of information gained from a preliminary health assessment with the appropriate members of the health care team

1.3 Use a problem solving approach to assess the impact of the acute health problem on the client and their family and the achievement of activities of daily living

1.4 Discuss available resources and support services with client/s and significant others where appropriate with the consent of the client

1.5 Maintain confidentiality in line with facility policy and procedures

2. Contribute to planning care for the client with acute health problems

2.1 Gather and record admission data for the client with an acute health problem, for inclusion in a care plan according to organisation policy

2.2 Gather and record ongoing clinical data for inclusion in the client's care plan in line with organisation policy

2.3 Accurately gather, document and report changes in client condition to appropriate health care team members

2.4 Document information gathered from client and family to assist in development of the care plan

2.5 Contribute information and data on the activities of daily living for the client with an acute illness for inclusion in a discharge plan

2.6 Contribute effectively to discussions on the care of the client with registered nurse and other members of the health team

2.7 Implement client discharge procedure in line with organisation policy and procedures

2.8 Advocate for clients in health and/or community settings

3. Perform nursing interventions to support health care of clients with acute health problems

3.1 Undertake nursing interventions based on predetermined plans of care

3.2 Ensure nursing interventions reflect client needs and individuality

3.3 Perform nursing interventions with respect for the dignity of the client

3.4 Reflect consideration of cultural and religious issues in the performance of nursing interventions

3.5 Encourage the client and/or their significant others to assist in the performance of nursing interventions if able

3.6 Consider physical, psychological and social needs in the performance of nursing interventions

3.7 Carry out nursing interventions in accordance with professional, legal, ethical and organisation requirements

3.8 Assist clients to meet their activities of daily living

3.9 Address gender and age issues in the performance of nursing interventions

3.10 Identify emergency situations and respond according to organisation policy and procedure and within legal and professional requirements

3.11 Contribute to and support health teaching plans for the client with an acute health problem

3.12 Identify appropriate psychological support and care for individual clients

3.13 Report and document emergency situations according to policy and procedure

3.14 Identify and prioritise own nursing interventions according to client needs

3.15 Reflect pre- and post-procedure care in nursing interventions

4. Contribute to an emergency response

4.1 Confirm the roles and responsibilities of members of the emergency response team

4.2 Participate in performing emergency resuscitation techniques

5. Contribute to pre-operative nursing care of a client

5.1 Contribute to collection of pre-operative client health assessment data, addressing all relevant factors

5.2 Assist in preparation for specific surgical procedures

5.3 Contribute to the nursing care of a pre-operative client

5.4 Ensure pre-operative care takes into account the relationship between pre-operative care and post-operative complications

5.5 Identify and report delivery of anaesthesia; observe validity of consent and report any concerns to the registered nurse or appropriate supervisor

6. Contribute to post-operative nursing care of a client

6.1 Contribute to post-anaesthetic observation of a client following surgery and report any abnormal findings to Registered Nurse

6.2 Accurately gather, document and report changes in client condition to appropriate health care team member

6.3 Provide nursing care for post-operative clients

6.4 Contribute to observations of the client undergoing blood transfusion

6.5 Work with an awareness of available drugs commonly used post-operatively for the relief of pain and nausea

6.6 Apply appropriate nursing actions to promote client comfort, reporting any moderate to severe pain experienced by the client to Registered Nurse

6.7 Respond appropriately to clients recovering from a range of anaesthesia used for general, local and epidural/spinal procedures

6.8 Ensure client is attending to post operative exercises