HLTENN037 - Perform clinical assessment and contribute to planning nursing care
Nominal hours
Location
Sunshine
Werribee
Prerequisites
Co-requisites
(Corequisite units must be studied concurrently with this unit)
Overview
This unit of competency describes the performance outcomes, skills and knowledge required, within the scope of practice, to perform preliminary and ongoing physical health assessments of all body systems, gathering data that contributes to an individualised health plan of care.
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 (NMBA) regulatory authority legislative requirements.
Assessment
For Melbourne campuses
Assessment tasks will be designed to reinforce & extend knowledge and skill competence within set & controlled parameters in accordance with each unit’s learning outcomes & performance criteria requirements, including the setting of work based practical application tasks designed to provide evidence of competence outcomes, within periodic and scheduled timelines.
Students will be expected to demonstrate the following required skills:
• perform nursing admission and discharge as per organisational policies and procedures for:
• one person in the workplace.
• one person in the workplace or in a simulated environment.
• conduct comprehensive clinical health assessment on two different persons including:
• blood glucose monitoring.
• vital signs.
• integumentary assessment.
• urinalysis
• neurological observations.
• neurovascular observations.
• pain assessment.
• develop one plan of nursing care based on the comprehensive clinical health assessment.
The tasks must be undertaken in accordance with the Nursing and Midwifery Board of Australia (NMBA) professional practice standards, codes and guidelines.
Students will also be expected to demonstrate the following knowledge:
• admission and discharge planning procedures and processes and documentation required.
• human growth and developmental stages.
• influences of genetics and environment on development.
• impact of family on a person’s gender-specific health care needs.
• how to use equipment for health assessment and data collection.
• how to assist a person in activities of daily living including aids to assist activities.
• how to perform clinical measurements and assessments for:
• vital signs.
• blood glucose level test.
• height and weight.
• oxygen therapy.
• neurological observation and conscious state.
• neurovascular observation.
• sensory perception, personal aids and devices required for hearing and sight.
• skin assessment.
• urinalysis
• pain assessment
• gastrointestinal and bowel sounds
• techniques for interpretation and analysis of health-related information.
• principles for undertaking a health assessment.
• signs, symptoms and response to a deteriorating person.
• how and when to report person’s deterioration.
• wellness approach to health, including physiology and psychosocial aspects.
• variations in health needs and activities of daily living across a person’s lifespan.
Required reading
The qualified trainer and assessor will provide teaching and learning materials as required in the form of workbooks produced by Victoria University and/or via the Victoria University e-learning system.
As part of a course
This unit is studied as part of the following course(s):