ELEMENT

PERFORMANCE CRITERIA

1. Work as part of the multi-disciplinary health care team in the perioperative environment

1.1 Contribute appropriately to support the role of the multi-disciplinary health care team in managing care needs of clients in the perioperative environment

1.2 Contribute to achieving effective team work and supportive group dynamics when working with health care colleagues

1.3 Establish appropriate relationships with other members of the health care team

1.4 Incorporate into practice the philosophical framework for managing care for the client in the perioperative environment

1.5 Recognise the role of emergency service personnel, referring agencies and other hospital department staff as contributors to the initial/emergency care needs of the client in the perioperative environment

1.6 Maintain professional communication with all members of the perioperative team

2. Contribute to assessment of client undergoing surgical intervention

2.1 Perform a holistic assessment of the client within the perioperative environment in conjunction with registered nurse/midwife, taking into account the client's physical, emotional, spiritual and cultural needs

2.2 Recognise significant findings in physiological and/or psychological variables promptly and report to appropriate health team members

2.3 Use contemporary perioperative assessment tools accurately

2.4 Communicate effectively with clients, their significant others and other health team members

2.5 Provide holistic client centred care in the perioperative environment

2.6 Document perioperative assessment including any special needs identified for the client

3. Contribute to planning care for perioperative client

3.1 Develop an individualised plan of care for client in the perioperative environment in conjunction with registered nurse/midwife and in consultation/collaboration with the client and the health care team

3.2 Participate with registered nurse/midwife to ensure nursing care plan reflects specific nursing care requirements in accordance with health unit policy

3.3 Participate with registered nurse/ midwife to ensure care plan reflects client's current nursing needs and nursing actions designed to maximise physical function and minimise potential complications

3.4 Demonstrate understanding of risk management principles in planning client care

3.5 Confirm that planned care and therapeutic interventions aim to assist client/s to achieve optimal health outcomes

3.6 Identify requirements of client (and identified significant other/s) for health promotion and education to enhance implementation of nursing care plan

3.7 Carry out regular review of plan of care and, in conjunction with registered nurse/ midwife, modify to reflect changes in client condition

3.8 Identify and report any potential for adverse client outcome, using information gained through perioperative assessment

3.9 In consultation/collaboration with the registered nurse, ensure health teaching and discharge planning is incorporated into practice, in line with established policies and procedures for discharge/transfer

4. Perform clinical nursing actions appropriate to care of perioperative clients

4.1 Prioritise nursing interventions according to client needs, in conjunction with registered nurse/ midwife

4.2 Modify nursing interventions using critical thinking and problem solving approaches, to reflect changes in client condition

4.3 Perform nursing interventions to assist client (and significant other/s) to meet expected outcomes of nursing care plan, including health promotion and/or education

4.4 Maintain a safe environment appropriate for the age specific population

4.5 Monitor nursing interventions, identify any that fail to address client needs and revise them in consultation/collaboration with the health care team

4.6 Perform contemporary nursing interventions for the client within the perioperative environment as part of the health care team

4.7 In conjunction with registered nurse/ midwife, implement an individualised plan of care for the client within the perioperative environment

4.8 Recognise environmental hazards and take advantage of every opportunity to reduce risk and promote safety

4.9 Check equipment according to manufacturer recommendations, ensure proper functioning and take corrective action and report when faulty equipment and/or environmental hazards are detected

4.10 Apply the principles of infection control to all activities within the perioperative environment, applying a surgical conscience at all times in line with ACORN standards

4.11 Ensure appropriate perioperative diagnostic procedures are undertaken in line with organisation policies and procedures

4.12 Implement appropriate perioperative surgical procedures in line with organisation policies and procedures

4.13 Ensure medication administration is based on sound knowledge of principles of drug actions and side effects in accordance with health unit policies and procedures

5. Evaluate effectiveness of nursing interventions and planned care in the perioperative environment

5.1 Evaluate responses of client/s and identified significant other/s to nursing interventions, and modify and document in accordance with health unit policy and in conjunction with registered nurse/ midwife

5.2 Assess client understanding of their condition, medications and therapeutic regimes prior to discharge/transfer

5.3 Evaluate client acceptance of specific health promotion initiatives prior to discharge/transfer

5.4 Assess and review understanding of identified significant other/s in relation to current condition of client and their ongoing management

5.5 Monitor client's response to nursing interventions and progress toward planned goals, and document and report to the appropriate members of the health care team

5.6 Identify appropriate emergency response to adverse reactions or perioperative complications and initiate as required

5.7 Report and document any emergency treatment and the client's response to the treatment