^

 
 

Unit of competency details

HLTENN011 - Implement and monitor care for a person with acute health problems (Release 1)

Summary

Usage recommendation:
Superseded
Mapping:
MappingNotesDate
Supersedes HLTEN512B - Implement and monitor nursing care for clients with acute health problemsThis version was released in HLT Health Training Package release 3.0 and meets the requirements of the 2012 Standards for Training Packages. Significant changes to the elements and performance criteria. New evidence requirements for assessment, including volume and frequency requirements. Significant change to knowledge evidence. 07/Dec/2015
Is superseded by HLTENN043 - Implement and monitor care for a person with acute health conditionsThis version was released in HLT Health Training Package Release 6.0 and meets the requirements of the 2015 Standards for Training Packages. Mapping information updated. Updated to reflect current industry practices and terminology. 29/Apr/2021

Releases:
ReleaseRelease date
1 1 (this release) 08/Dec/2015


Classifications

SchemeCodeClassification value
ASCED Module/Unit of Competency Field of Education Identifier 060309 Critical Care Nursing  

Classification history

SchemeCodeClassification valueStart dateEnd date
ASCED Module/Unit of Competency Field of Education Identifier 060309 Critical Care Nursing  29/Apr/2016 
The content being displayed has been produced by a third party, while all attempts have been made to make this content as accessible as possible it cannot be guaranteed. If you are encountering issues following the content on this page please consider downloading the content in its original form

Unit Of competency

Modification History

Release 

Comments 

Release 1

This version was released in HLT Health Training Package release 3.0 and meets the requirements of the 2012 Standards for Training Packages.

Significant changes to the elements and performance criteria. New evidence requirements for assessment, including volume and frequency requirements. Significant change to knowledge evidence.

Supersedes HLTEN512B

Application

This unit describes the skills and knowledge required to contribute to the care of the person with an acute health problem by performing clinical nursing skills and interventions that support the person’s health care needs and assist them to regain optimal function and lifestyle.

This unit applies to enrolled nursing work carried out in consultation and collaboration with registered nurses, and under supervisory arrangements aligned to the Nursing and Midwifery Board of Australia regulatory authority legislative requirements.

The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian/New Zealand standards and industry codes of practice.

Elements and Performance Criteria

ELEMENT 

PERFORMANCE CRITERIA 

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Identify impact of acute health problems on a person, family or carer.

1.1 Identify actual and potential health issues of the person presenting with an acute health problem using information from a preliminary health assessment and in discussion with relevant interdisciplinary health care team members.

1.2 Explain to the person, family or carer the potential physical and psychological impacts of acute health problems on daily living activities.

1.3 Identify the pathophysiology of the person’s underlying or presenting condition, and confirm with the person, family or carer.

2. Contribute to planning care for a person with acute health problems.

2.1 Contribute effectively to discussions about the care of the person with registered nurse and other members of the health team.

2.2 Gather information and accurately document and report changes in the person’s condition to appropriate interdisciplinary health care team members.

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

3.1 Assist in providing care for the person with a compromised airway including clearing of airways and interpreting health status using monitoring devices.

3.2 Provide care to the person requiring nutrition administered through a feeding tube or intravenous line.

3.3 Use critical thinking and problem-solving approaches in prioritising and modifying nursing interventions to reflect changes in the person’s condition.

3.4 Contribute to the person’s understanding of health care provided to assist them to regain optimal function through nursing interventions and health education.

3.5 Observe the person to identify any psychological support and care required due to the impact of acute health problems.

3.6 Ensure nursing interventions for pre- and post-procedure care for the person are in accordance with organisation policy and procedures.

4. Contribute to pre- and post-operative nursing care of a person.

4.1 Contribute to pre-operative nursing management of the person for specific surgical procedures.

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

4.3 Contribute to post-anaesthetic observation of the person following surgery including identifying deterioration when the person is not regaining consciousness.

4.4 Assist the person recovering from a range of anaesthesia to regain optimal health status, and take appropriate actions to reduce risks associated with immobility.

4.5 Promote the person’s post-operative comfort using pain management strategies and nursing care actions.

5. Contribute to an emergency response in the acute care environment.

5.1 Identify and confirm the roles and responsibilities of members of the emergency response team.

5.2 Prepare and check emergency equipment.

5.3 Identify emergency situations and respond to first aid requests from emergency response team, including accessing and preparing drugs used during advanced cardiopulmonary resuscitation.

Foundation Skills

The Foundation Skills describe those required skills (language, literacy, numeracy and employment skills) that are essential to performance.

Foundation skills essential to performance are explicit in the performance criteria of this unit of competency.

Unit Mapping Information

No equivalent unit.

Links

Companion Volume implementation guides are found in VETNet - https://vetnet.gov.au/Pages/TrainingDocs.aspx?q=ced1390f-48d9-4ab0-bd50-b015e5485705

 

Assessment requirements

Modification History

Release 

Comments 

Release 1

This version was released in HLT Health Training Package release 3.0 and meets the requirements of the 2012 Standards for Training Packages.

Significant changes to the elements and performance criteria. New evidence requirements for assessment, including volume and frequency requirements. Significant change to knowledge evidence.

Supersedes HLTEN512B

Performance Evidence

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
  • analysed health information and the clinical presentation of 1 person in the workplace or simulated environment to reach an accurate conclusion on possible health care planning and nursing interventions related to their acute health condition, in consultation with a registered nurse
  • performed nursing interventions for 1 person undergoing a surgical procedure in the workplace, including pre-operative preparation and post-operative care
  • implemented nursing interventions in the workplace or in a simulated environment specific to care of 1 person with acute health problems. 

Knowledge Evidence

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:

  • acute health problems including:
  • acute renal disorders
  • acute gastrointestinal disorders
  • acute neurological disorder
  • acute pain
  • acute respiratory disorders
  • acute unconscious state
  • angina
  • burns
  • cellulitis
  • deep vein thrombosis, venous thromboembolism
  • dehydration
  • fractures
  • haemorrhage
  • head injury
  • myocardial infarction
  • renal calculi
  • sepsis
  • shock
  • holistic approach to care in the acute care environment including nursing interventions and outcomes
  • clinical manifestations of acute disease states and illnesses requiring complex nursing interventions
  • emergency management protocols for first aid procedures and cardiac and respiratory arrest
  • pre- and post-operative nursing management
  • equipment used in acute care environments
  • post-operative pain management strategies
  • post-anaesthetic and post-operative observations, which may include:
  • level of consciousness and awareness of deterioration when the person is not regaining consciousness
  • fluid intake - intravenous (IV), central venous catheter (CVC), total parenteral nutrition (TPN), oral, nasogastric (NG)
  • complications of acute bed rest
  • risk assessment of patient’s stability on their feet
  • how to perform complex interventions including:
  • tracheostomy suctioning
  • underwater seal drainage (UWSD) tube management
  • intercostal catheter care
  • how to monitor a person with medical devices including:
  • continuous positive airway pressure (CPAP) and Bilevel positive airway pressure (BiPAP)
  • peripherally inserted central catheter (PICC)/midline management
  • principles of surgical nursing and associated surgical procedures and related terminology including:
  • elective/emergency surgery
  • general, local, epidural and spinal anaesthetic and peripheral nerve block
  • amputation
  • open reduction
  • hip replacement
  • craniotomy
  • tonsillectomy
  • appendectomy
  • laparotomy
  • hysterectomy
  • prostatectomy
  • cataract extraction
  • internal bleeding due to trauma.

Assessment Conditions

Skills must have been demonstrated in the workplace or in a simulated environment as specified in the performance evidence. The following conditions must be met for this unit:

  • use of suitable facilities, equipment and resources in line with the Australian Nursing and Midwifery Accreditation Council’s Standards including:
  • monitoring device for oxygen therapy measurements
  • wound drains suction equipment
  • dressing packs
  • personal protective equipment
  • organisation policy and procedures on which the candidate bases the planning
  • modelling of industry operating conditions including access to real people for simulations and scenarios in enrolled nursing work.

Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors.

In addition, assessors must hold current registration as a Registered Nurse with Nursing and Midwifery Board of Australia.

Links

Companion Volume implementation guides are found in VETNet - https://vetnet.gov.au/Pages/TrainingDocs.aspx?q=ced1390f-48d9-4ab0-bd50-b015e5485705