Course Title: Undertake basic wound care

Part B: Course Detail

Teaching Period: Term1 2011

Course Code: NURS5131C

Course Title: Undertake basic wound care

School: 155T Vocational Health and Sciences

Campus: City Campus

Program: C4203 - Certificate IV in Nursing (Enrolled/Division 2 nursing)

Course Contact: City: Carylin Lenehan/ Bundoora: Erica Keen

Course Contact Phone: 9925 4837 / 9925 6649

Course Contact Email:

Name and Contact Details of All Other Relevant Staff

Nominal Hours: 30

Regardless of the mode of delivery, represent a guide to the relative teaching time and student effort required to successfully achieve a particular competency/module. This may include not only scheduled classes or workplace visits but also the amount of effort required to undertake, evaluate and complete all assessment requirements, including any non-classroom activities.

Pre-requisites and Co-requisites

HLTEN405A Implement basic nursing care
HLTIN301A Comply with infection control policies and procedures in health work
HLTAP401 Confirm physical health status

Course Description

Enrolled/Division 2 nurses apply contemporary wound management principles to the care of clients with varying types of wounds

National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

HLTEN406A Undertake basic wound care


HLTEN406A /01 Undertake wound assessment
HLTEN406A /02 Contribute to planning appropriate care for the client with a wound
HLTEN406A /03 Implement wound care strategies in conjunction with wound management team
HLTEN406A /04 Assist in evaluating the outcomes of nursing actions

Performance Criteria:

1.1 Demonstrate understanding of common ways disease is spread and infection is developed throughout wound assessment and care
1.2 Seek client co-operation and consent
1.3 Maintain client privacy and dignity
1.4 Utilise strategies to minimise cross-infection during assessment and implementation
1.5 Identify and document level of improvement in wound healing
1.6 Record data in line with organisation protocols, guidelines and procedures
1.7 Observe orders relating to non-disturbance of dressings
2.1 Discuss wound care with the client in conjunction with the registered nurse
2.2 Take into account the sequencing, timing and client needs when planning care
2.3 Take into account primary health care principles and holistic approach when planning care
2.4 Utilise knowledge of physiological processes associated with normal wound healing in planning and delivering treatments
2.5 Identify client comfort needs (eg. pain relief) before undertaking wound care
2.6 Consult with the registered nurse regarding analgesic administration within an optimal time frame of procedure if required
2.7 Be aware of the potential impact of wound on client and/or family

3.1 Collect all requirements for the procedure
3.2 Maintain client privacy and dignity throughout all aspects of the procedure
3.3 Observe aseptic technique for clean surgical wound
3.4 Use clean techniques where appropriate for clean wounds
3.5 Undertake appropriate hand washing
3.6 Remove sutures, clips and drains as directed by a registered nurse
3.7 Collect specimens required for microbiology/ cytology as per organisation protocol
3.8 Dispose of all articles including hazardous waste in line with organisation policies and procedures
3.9 Complete documentation and make the client comfortable

4.1 Involve client in the evaluation process
4.2 Ensure documentation records ongoing progress
4.3 Report progress to and discuss with a registered nurse

Learning Outcomes

Details of Learning Activities

As well as classroom lectures and prac. labs learners will handle a range of dressing materials and practice wound care decision making processes.

Teaching Schedule

The 30 nominal hours will include 18 hours of classroom and practicum delivery, 6 hours of directed learning and six hours of practical placement experience,

Learning Resources

Prescribed Texts

Funnell, R., Koutoukidis, G., Lawrence, K. 2009, Tabner’s Nursing Care: Theory and Practice, 5th Ed., Australia : Churchill Livingstone: Elsevier


• Crisp, J. & Taylor, C. 2007, 2nd ed., Potter & Perry’s Fundamentals of Nursing, Australia: Harcourt, Mosby.

Other Resources

Product promotion websites.

Overview of Assessment

Assessment may include:
Observation in the workplace.
Written Assignments/projects, case study and scenario as a basis for discussion of issues and strategies to contribute to best practice.
Questioning: written or verbal

Assessment Tasks

Practical skills are assessed both in simulation and the clinical setting.
Otherwise a clinical case study will be handed in and assessed before week 51 of the timetable.  The clinical case study will comprise 100% of the mark for this course.

Assessment Matrix

Course Overview: Access Course Overview