Assessment Requirements for HLTRNL001 Support a person with chronic kidney disease

Release: 1

Assessment Requirements for HLTRNL001 Support a person with chronic kidney disease

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. Removed pre-requisites. Significant changes to the elements and performance criteria. New evidence requirements for assessment, including volume and frequency requirements. Minimal change to knowledge evidence. Supersedes HLTRNL601C

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:

implemented nursing care plans for 3 people with chronic kidney disease (CKD) in consultation and collaboration with interdisciplinary team in the workplace

provided follow-up care or 3 people with CKD, evaluating their health status and providing relevant health information to meet individual needs in consultation and collaboration with interdisciplinary team in the workplace or in a simulated environment.

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:

applied anatomy and physiology of the renal system and clinical manifestations and associated pathophysiology of acute kidney injury (AKI) and Stages 1 to 5 of CKD

underlying environmental and social factors contributing to CKD in the general population in Australia and to the higher rates experienced within Aboriginal and/or Torres Strait Islander communities

CKD conditions including risk factors:

diabetic nephropathy

glomerulonephritis

hypertensive nephropathy

polycystic kidney disease

reflux nephropathy

kidney stones

clinical manifestations of CKD including:

hypertension

anaemia

bone disease

cardiovascular disease

impaired immunity

electrolyte imbalance

fluid imbalance

complications and impact of CKD including:

uraemic breath

unusual or metallic taste

anorexia

nausea and vomiting

lethargy

change in urination

confusion

pain

increase in depression

stages in grief and loss

sexual dysfunction

general malaise

cardiovascular events

infections

uraemic frost

pruritus

restless leg syndrome

screening and prevention of CKD

immunity and the importance of vaccinations

changing educational needs of the person as CKD progresses

assessment of renal function and diagnostic procedures including:

common pathology tests to diagnose and monitor CKD and their interpretation

interventional and investigational procedures used in the diagnosis and the management of CKD

management of CKD including:

factors that can slow the progression and changes across the continuum of CKD

management principles for various clinical manifestations of CKD and associated co-morbidities

meaning and interpretation of health check results for a person with CKD

medicines in common use in health management of a person with CKD including basic mechanism of action, precautions, contraindications and side effects

nutritional considerations for a person with CKD

treatment options (including theory, terminology, procedures, risks and benefits) for a person with CKD including renal replacement therapies such as peritoneal dialysis (PD) and haemodialysis (HD)

psychosocial impacts

social needs:

disability support

family support

transport to appointments

accommodation

relevant organisations associated with palliative care and advance care planning

self-management strategies for a person with CKD, including knowledge the person requires and ways to foster a lifelong commitment to:

healthy life style

exercise

renal diet

fluid requirements

medication regime

care of dialysis access

recognising progressive symptoms of CKD

vaccination regime

diabetes care

cardiovascular disease care

dental care

optometry and ophthalmic care

skin care.

Assessment Conditions

Skills must have been demonstrated in the workplace or in a simulated environment that reflects workplace conditions. Where simulation is used, it must reflect real working conditions by modelling industry operating conditions and contingencies, as well as, using suitable facilities, equipment and resources.

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