Modification History
Not Applicable
Unit Descriptor
Unit Descriptor |
This unit describes the advanced skills and knowledge required to provide health care to clients that is specific to continuous ambulatory peritoneal dialysis or home haemodialysis being undertaken in the community setting |
Application of the Unit
Application |
This unit is intended to address additional skills and knowledge required by those working with Aboriginal or Torres Strait Islander communities to deliver specific health care services and is available only within the context of qualifications in Aboriginal and/or Torres Strait Islander health |
Licensing/Regulatory Information
Not Applicable
Pre-Requisites
Pre-requisites |
This unit must be assessed after successful achievement of pre-requisites:
|
Employability Skills Information
Employability Skills |
This unit contains Employability Skills |
Elements and Performance Criteria Pre-Content
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. Terms in italics are elaborated in the Range Statement. |
Elements and Performance Criteria
ELEMENT |
PERFORMANCE CRITERIA |
|
1. Assess peritoneal catheter exit site and client dressing technique |
1.1 Identify signs of exit site infection 1.2 Elicit signs of catheter tunnel infection 1.3 Obtain exit site swab and send for microbiological analysis 1.4 Appraise client technique for dressing exit site 1.5 Instruct client on appropriate exit site care 1.6 Document condition of exit site and refer problems in accordance with organisation policies and procedures |
|
2. Assess patency of arteriovenous fistula |
2.1 Obtain history of pain, swelling or trauma around A-V fistula 2.2 Elicit history of haemodialysis needling problems or abnormal 'A' and 'V' pressure readings 2.3 Palpate fistula for thrill and auscultate for bruit 2.4 Identify signs suggesting fistula stenosis or infection 2.5 Promptly report potential fistula problems to medical staff for assessment 2.6 Document findings of assessment in client notes |
|
3. Identify common or serious dialysis problems |
3.1 Identify clinical features suggestive of dialysis -related peritonitis and promptly refer clients 3.2 Consider causes of peritoneal fluid failing to drain 3.3 Recognise clinical features of uraemia 3.4 Anticipate hazards associated with haemodialysis after a number of missed dialysis sessions 3.5 Refer identified dialysis problems to senior health staff according to organisation procedures and clinical guidelines |
|
4. Broker supply of dialysis consumables and support use |
4.1 Obtain information on client's requirements for dialysis consumable 4.2 Order stock from supplier in accordance with client needs and organisational procedures 4.3 Support and monitor appropriate storage arrangements for dialysis consumables 4.4 identify, document, report and resolve problems with supply or storage of dialysis consumables 4.5 Facilitate client use of their dialysis treatment protocol |
|
Required Skills and Knowledge
REQUIRED SKILLS AND KNOWLEDGE |
This describes the essential skills and knowledge and their level required for this unit. |
Essential knowledge : The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role This includes knowledge of:
|
Essential skills : It is critical that the candidate demonstrate the ability to:
In addition, the candidate must be able to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role This includes the ability to apply skills in:
|
Evidence Guide
EVIDENCE GUIDE |
|
The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package. |
|
Critical aspects of assessment : |
|
Conditions of assessment : |
This unit includes skills and knowledge specific to Aboriginal and/or Torres Strait Islander culture Assessment must therefore be undertaken by a workplace assessor who has expertise in the unit of competency or who has the current qualification being assessed and who is:
or:
|
Context of assessment : |
Competence should be demonstrated working individually, under supervision or as part of a primary health care team working with Aboriginal and/or Torres Strait Islander clients Assessment should replicate workplace conditions as far as possible |
Related unit : |
This unit should be assessed in conjunction with the related unit:
|
Range Statement
RANGE STATEMENT |
|
The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts. |
|
Cultural respect |
This competency standard supports the recognition, protection and continued advancement of the inherent rights, cultures and traditions of Aboriginal and Torres Strait Islander peoples It recognises that the improvement of the health status of Aboriginal and Torres Strait Islander people must include attention to physical, spiritual, cultural, emotional and social wellbeing, community capacity and governance Its application must be culturally sensitive and supportive of traditional healing and health, knowledge and practices |
Community control |
Community participation and control in decision-making is essential to all aspects of health work, and the role of the health worker is to support the community in this process |
Supervision |
Supervision must be conducted in accordance with prevailing state/territory and organisation legislative and regulatory requirements References to supervision may include either direct or indirect supervision of work by more experienced workers, supervisors, managers or other health professionals A person at this level should only be required to make decisions about clients within the organisation's standard treatment protocols and associated guidelines |
Legislative requirements |
Federal, state or territory legislation may impact on workers' practices and responsibilities. Implementation of the competency standards should reflect the legislative framework in which a health worker operates. It is recognised that this may sometimes reduce the application of the Range of Variables in practice. However, assessment in the workplace or through simulation should address all essential skills and knowledge across the Range of Variables Aboriginal and/or Torres Strait Islander Health Workers may be required to operate in situations that do not constitute 'usual practice' due to lack of resources, remote locations and community needs. As a result, they may need to possess more competencies than described by 'usual practice circumstances' Under all circumstances, the employer must enable the worker to function within the prevailing legislative framework |
Renal replacement therapy includes : |
|
Physical signs of fluid overload include : |
|
Signs of exit site infection include : |
|
Signs of catheter tunnel infection include : |
|
Appropriate exit site care includes : |
|
Signs suggesting fistula stenosis or infection include : |
|
Routine pathology testing for dialysis clients include |
|
Medicines commonly used in dialysis care include : |
|
Clinical features suggestive of dialysis -related peritonitis include : |
|
Causes of peritoneal fluid failing to drain include : |
|
Clinical features of uraemia include : |
|
Hazards associated with haemodialysis after a number of missed dialysis sessions include : |
|
Dialysis consumables include |
|
Appropriate storage arrangements for dialysis consumables include : |
|
Information provided to client may include : |
|
Specific reference for work in this area : |
|
Unit Sector(s)
Not Applicable