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Unit of competency details

HLTENN062 - Implement and monitor care for a person with a stoma (Release 2)

Summary

Usage recommendation:
Current
Mapping:
MappingNotesDate
Supersedes and is equivalent to HLTENN030 - Implement and monitor care for a person with a stomaThis 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

Release Status:
Current
Releases:
ReleaseRelease date
2 (this release) 02/Jul/2021
(View details for release 1) 30/Apr/2021


Classifications

SchemeCodeClassification value
ASCED Module/Unit of Competency Field of Education Identifier 060301 General Nursing  

Classification history

SchemeCodeClassification valueStart dateEnd date
ASCED Module/Unit of Competency Field of Education Identifier 060301 General Nursing  30/Apr/2021 
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Unit of competency

Modification History

Release 

Comments 

Release 2

Release 2 HLTENN062 Implement and monitor care for a person with a stoma supersedes and is equivalent to Release 1 HLTENN062 Implement and monitor care for a person with a stoma.

Updated:

Mapping details and minor corrections.

Release 1

HLTENN062 Implement and monitor care for a person with a stoma supersedes and is equivalent to HLTENN030 Implement and monitor care for a person with a stoma.

Application

This unit describes the performance outcomes, skills and knowledge required to plan, implement and evaluate comprehensive care for the person with a stoma, applying the principles of contemporary stoma management.

Enrolled nurses working in stoma care nursing hold and apply specialised in-depth knowledge, integrate theory and practice, and make reliable clinical assessments and judgements.

This unit applies to enrolled nurses, registered with the Nursing and Midwifery Board of Australia (NMBA), seeking specialisation in enrolled nurse work that is carried out in consultation and collaboration with registered nurses, and under direct or indirect supervisory arrangements aligned to the NMBA regulatory authority legislative requirements.

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

No occupational licensing, certification or specific legislative requirements apply to this unit at the time of publication.

Pre-requisite Unit

Nil

Competency Field

Enrolled Nursing

Unit Sector

Nursing

Elements and Performance Criteria

ELEMENTS 

PERFORMANCE CRITERIA 

Elements describe the essential outcomes

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

1. Contribute to ostomy care.

1.1. Work within scope of practice to provide and support ostomy and stoma care.

1.2. Identify specialist care services and community agencies that provide and support ostomy and stoma care, and the possible role in long-term ostomy care.

1.3. Discuss and evaluate ongoing nursing care and management plan with the supervising registered nurse and the multidisciplinary health care team.

1.4. Provide continuity of nursing care in partnership with service providers and agencies.

2. Assess health care needs of a person with a stoma.

2.1. Perform health assessment using assessment tools relevant to current situation and needs.

2.2. Collect information in accordance with organisational policies and procedures.

2.3. Identify physiological, pathological and congenital conditions leading to the stoma creation.

2.4. Determine own knowledge of the condition, therapies and self-management requirements, and impacts on care planning and provision.

2.5. Identify family and carer’s knowledge of and involvement in the ostomy and stoma care.

2.6. Identify possible psychological factors impacting person with a stoma, families and carers.

3. Perform nursing interventions to assist a person with a stoma.

3.1. Follow nursing plan of care to reflect care needs specific to stoma care requirements.

3.2. Identify and apply principles of contemporary stoma management according to organisational policies and procedures when providing nursing care.

3.3. Identify opportunities to provide health education and promote health and self-management of the stoma.

3.4. Provide education to promote health and self-management of the stoma.

3.5. Identify responses to nursing interventions and person’s understanding of ongoing management of condition, including strategies for self-management.

3.6. Escalate findings and care that are outside normal parameters to treating team.

3.7. Identify where acuity of a person exceeds own knowledge, skill and assessed competence and consult with multidisciplinary health care team.

4. Evaluate progress toward expected outcomes of care.

4.1. Review the nursing plan of care and modify according to progress toward planned outcomes.

4.2. Evaluate and document understanding of person’s stoma condition, medications, therapeutic regimes and self-management.

4.3. Identify outcomes against evidence-based best practice in stoma nursing care when evaluating nursing interventions provided.

4.4. Document outcomes of care and communicate findings to multidisciplinary health care team in accordance with organisational policies and procedures.

Foundation Skills

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

Unit Mapping Information

HLTENN062 Implement and monitor care for a person with a stoma supersedes and is equivalent to HLTENN030 Implement and monitor care for a person with a stoma.

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 2

Release 2 HLTENN062 Implement and monitor care for a person with a stoma supersedes and is equivalent to Release 1 HLTENN062 Implement and monitor care for a person with a stoma.

Updated:

Mapping details and minor corrections.

Release 1

HLTENN062 Implement and monitor care for a person with a stoma supersedes and is equivalent to HLTENN030 Implement and monitor care for a person with a stoma.

Performance Evidence

Evidence of the ability to complete tasks outlined in elements and performance criteria of this unit in the context of the job role, and:

  • assess three people using different assessment tools to identify physiological, pathological or congenital conditions leading to stoma creation
  • apply principles of stoma management to provide nursing care to two people with a stoma in the workplace including:
  • replacing stoma drainage bag
  • assessing stoma for signs of obstruction, prolapse, necrosis and impaired integrity

The tasks must be undertaken in accordance with the Nursing and Midwifery Board of Australia (NMBA) professional practice standards, codes and guidelines.

Knowledge Evidence

Demonstrate knowledge required to complete tasks outlined in elements and performance criteria of this unit:

  • principles of contemporary stoma management
  • health promotion activities for a person with a stoma and associated issues
  • terminology and issues associated with stoma management:
  • ostomy
  • colostomy
  • ileostomy
  • urostomy
  • stricture
  • obstruction
  • prolapse
  • retraction
  • parastomal hernia
  • necrosis
  • altered fluid and electrolyte states
  • nutrition and hydration
  • body image and sexuality
  • psychological and psycho-social
  • peritonitis
  • impaired stomal integrity
  • anatomy, physiology and pathophysiology related to stoma issues
  • processes for stoma management:
  • pre-operative and pre-procedure bowel preparation
  • wound care specific to stoma operation
  • bridge site care
  • appliance and product selection and management
  • management of skin and peristomal skin conditions
  • skin care and products to assist in managing incontinence
  • management of constipation, diarrhoea and flatus
  • care of high output stomas
  • odour control
  • community services and resources for stoma care
  • organisational processes for evaluation of nursing interventions for improvement.

Assessment Conditions

To be eligible to apply for registration as an enrolled nurse and to practice in Australia, each applicant must complete a Diploma of Nursing program accredited by the Australian Nursing and Midwifery Accreditation Council (ANMAC) and approved as ‘an approved program of study’ by the Nursing and Midwifery Board of Australia (NMBA) in accordance with the Enrolled Nurse Accreditation Standards.

For more detail visit https://www.ahpra.gov.au.

Skills must be demonstrated in the workplace or in a simulated environment as specified in the performance evidence that model 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’ requirements for assessors.

Assessors must also hold current registration as a registered nurse with the Nursing and Midwifery Board of Australia (NMBA).

Links

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