Assessment Requirements for HLTRNL003 Contribute to the nursing care of a person with renal impairment

Release: 2

Assessment Requirements for HLTRNL003 Contribute to the nursing care of a person with renal impairment

Modification History

Release	Comments
Release 2	Release 2 HLTRNL003 Contribute to the nursing care of a person with renal impairment supersedes and is equivalent to Release 1 HLTRNL003 Contribute to the nursing care of a person with renal impairment. Updated: Mapping details and minor corrections.
Release 1	HLTRNL003 Contribute to the nursing care of a person with renal impairment supersedes and is not equivalent to HLTRNL001 Support a person with chronic kidney disease.

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:

implement nursing care plans for three people with renal impairment

provide follow-up care of three people with renal impairment in the workplace

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:

anatomy and physiology of the renal system and clinical manifestations and associated pathophysiology of the stages of renal impairment

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

renal impairment conditions and risk factors:

diabetic nephropathy

glomerulonephritis

hypertensive nephropathy

polycystic kidney disease

reflux nephropathy

kidney stones

kidney transplant

clinical manifestations:

hypertension

anaemia

bone disease

cardiovascular disease

impaired immunity

electrolyte imbalance

fluid imbalance

complications and impact of renal impairment:

uraemic breath

unusual and metallic taste

anorexia

nausea and vomiting

lethargy

change in urination

confusion

pain

increase in depression

stages of grief and loss

sexual dysfunction

general malaise

cardiovascular events

infections

uraemic frost

pruritus

restless leg syndrome

screening and prevention

immunity and the importance of vaccinations

changing educational needs

assessment of renal function and diagnostic procedures:

common pathology tests to diagnose and evaluate

interventional and investigational procedures used in the diagnosis and management

management:

factors that can slow the progression and changes across the continuum of renal disease

principles for clinical manifestations and associated co-morbidities

evaluation of health check results

common medicines, mechanism of action, precautions, contraindications and side effects in renal impairment

nutritional considerations

theory, terminology, procedures, risks and benefits of treatment options including renal replacement therapies:

peritoneal dialysis and haemodialysis

psychosocial impacts

social needs:

disability support

family support

transport to appointments

accommodation

organisations associated with palliative care and advance care planning.

self-management strategies:

healthy lifestyle

exercise

renal diet

fluid requirements

medication regime

care of dialysis access

recognising progressive symptoms

vaccination regime

diabetes care

cardiovascular disease care

dental care

optometry and ophthalmic care

skin care.

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