Course Title: Implement and monitor nursing care for clients with acute health problems

Part B: Course Detail

Teaching Period: Term1 2015

Course Code: NURS5285C

Course Title: Implement and monitor nursing care for clients with acute health problems

School: 155T Vocational Health and Sciences

Campus: City Campus

Program: C5313 - Diploma of Nursing (Enrolled-Division 2 Nursing)

Course Contact: Jaye Keating

Course Contact Phone: +61 3 9925 4845

Course Contact Email:

Name and Contact Details of All Other Relevant Staff

Program Coordinator:     Pam Maher

Ph:  9925 4299


Nominal Hours: 70

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


Course Description

This unit of competency describes the skills and knowledge required of Enrolled/Division 2 nurses to contribute to the care of the person with an acute health problem by performing nursing interventions that support their health care needs and assist them to regain optimal function and lifestyle

The knowledge and skills described in this competency unit are to be applied within jurisdictional nursing and midwifery regulatory authority legislative requirements. Enrolled/Division 2 nursing work is to be carried out in consultation/collaboration with registered nurses and under direct or indirect supervisory arrangements in line with jurisdictional regulatory requirements

National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

HLTEN512B Implement and monitor nursing care for clients with acute health problems


1. Identify the impact of acute health problems on the client and their family

Performance Criteria:

1.1 Clarify the clinical manifestations of acute health problems on body systems
1.2 Clarify the physical and/or psychological impacts of acute health problems on activities of daily living through discussion with the client and/or family (with client consent)
1.3 Confirm understanding of the pathophysiology of the client's underlying/presenting condition
1.4 Identify actual and potential health issues of a client presenting with an acute health problem through discussion of information gained from a preliminary health assessment with the appropriate members of the health care team
1.5 Use a problem solving approach to assess the impact of the acute health problem on the client and their family and the achievement of activities of daily living
1.6 Discuss available resources and support services with client/s and significant others where appropriate with the consent of the client
1.7 Maintain confidentiality in line with facility policy and procedures


2. Contribute to planning care for the client with acute health problems

Performance Criteria:

2.1 Gather and record admission data for the client with an acute health problem, for inclusion in a care plan according to organisation policy
2.2 Assess health status of clients with an acute episode
2.3 Gather and record ongoing clinical data for inclusion in the client's care plan in line with organisation policy
2.4 Contribute information and data on the activities of daily living for the client with an acute illness for inclusion in a discharge plan
2.5 Contribute effectively to discussions on the care of the client with registered nurse and other members of the health team
2.6 Explain the rationale for the planned care and therapeutic interventions in assisting the client achieve optimal health outcomes
2.7 Implement client discharge procedure in line with organisation policy and procedures
2.8 Accurately gather, document and report changes in client condition to appropriate health care team members
2.9 Advocate for clients in health and/or community settings


3. Perform nursing interventions to support health care of clients with acute health problems

Performance Criteria:

3.1 Undertake nursing interventions based on predetermined plans of care
3.2 Ensure nursing interventions reflect client needs and individuality
3.3 Perform nursing interventions with respect for the dignity of the client
3.4 Reflect consideration of cultural and religious issues in the performance of nursing interventions
3.5 Encourage the client and/or their significant others to assist in the performance of nursing interventions if able
3.6 Consider physical, psychological and social needs in the performance of nursing interventions
3.7 Carry out nursing interventions in accordance with professional, legal, ethical and organisation requirements
3.8 Use critical thinking and problem solving approaches in undertaking client/s care
3.9 Administer medications safely and based on knowledge of principles of drug actions and side effects in accordance with organisation policies and procedures
3.10 Assist clients to meet their activities of daily living
3.11 Address gender and age issues in the performance of nursing interventions
3.12 Identify emergency situations and respond according to organisation policy and procedure and within legal and professional requirements
3.13 Contribute to and support health teaching plans for the client with an acute health problem
3.14 Identify appropriate psychological support and care for individual clients
3.15 Report and document emergency situations according to policy and procedure
3.16 Identify and prioritise nursing interventions according to client needs
3.17 Reflect pre- and post-procedure care in nursing interventions


4. Contribute to an emergency response

Performance Criteria:

4.1 Confirm the roles and responsibilities of members of the emergency response team
4.2 Prepare and/or check the equipment on the emergency trolley
4.3 Access, in response to request from emergency response team, drugs commonly used during emergency resuscitation (including drugs for anaphylaxis)
4.4 Participate in performing emergency resuscitation techniques


5. Contribute to pre-operative nursing care of a client

Performance Criteria:

5.1 Contribute to collection of pre-operative client health assessment data, addressing all relevant factors
5.2 Assist in preparation for specific surgical procedures
5.3 Contribute to the nursing management of a pre-operative client
5.4 Monitor and report on actions and side effects of drugs commonly used pre-operatively
5.5 Respond appropriately to clients recovering from a range of anaesthesia used for general, local and epidural/spinal procedures
5.6 Ensure pre-operative care takes into account the relationship between pre-operative care and post-operative complications


6. Contribute to post-operative nursing care of a client

Performance Criteria:

6.1 Contribute to post-anaesthetic observation of a client following surgery
6.2 Apply appropriate post-operative discomfort and pain management strategies as per care plan
6.3 Provide nursing management for post-operative clients
6.4 Apply knowledge of available drugs commonly used post-operatively for the relief of pain and nausea
6.5 Apply appropriate nursing actions to promote client comfort


7. Contribute to nursing care of the client receiving a blood transfusion

Performance Criteria:

7.1 Confirm the rationale for performing a blood transfusion
7.2 Contribute to observations of the client undergoing blood transfusion
7.3 Work with an awareness of potential complications of blood transfusion
7.4 Take appropriate precautions relating to bodily fluids

Learning Outcomes

At the end of this unit students should be able to:

  • Identify the impact of acute health problems on the client and their family
  • Contribute to planning care for the client with acute health problems
  • Perform planned nursing interventions for acute care clients
  • Contribute to an emergency response
  • Contribute to the pre-operative and post-operative nursing care of clients

Details of Learning Activities

Classroom Teacher delivery

Class group Work

Class activities

Teaching Schedule

Class  1   Introduction

Class  2   Peri Op nursing

Class 3   Neurological

Class 4   Cardiac

Class 5   Respiratory

Class 6   Blood Transfusion

Class 7  Reactions to transfusions

Class 8   Burns

Class 9   Shock

Class 10  Musculoskeletal

Class 11  Infectious Diseases

Class 12  Renal

Lab 1   Emergency/CPR

Lab  2   Blood transfusion Pop Quiz

Lab  3   Blood transfusion Prac

Learning Resources

Prescribed Texts

Kozier and Erb's (2014) Fundamentals of Nursing. 3rd Ed. Pearson:Australia


Other Resources



Overview of Assessment

Underpinning knowledge for this unit of competency will be assessed via the follwoing methods:

  • Written Assessment
  • Practical Assessment
  • Clinical Placement

Assessment Tasks

Assignment  Based on Case Scenario

Lab assessment   CPR/Emergency nursing

Assessment Matrix

See matrix via Blackboard

Other Information

Assessment Information

Please refer to the RMIT assessment policies for, special consideration, extensions of time, equitable assessment arrangements and future assessment adjustments.


Re-submission of assessment

One further opportunity to demonstrate Clinical Lab competence, will be provided to students if not deemed Satisfactory at the time of clinical assessment.

Re-submission of Written work, or other assessments , (once only. Excluding Exams) can be granted on recommendation from the teacher and approval by Program Coordinator.


Plagiarism is a form of cheating in assessment and may occur in oral, written or visual presentations. It is the presentation of the work, idea or creation of another person, without appropriate referencing, as though it is your own:


Is an online service, in to which teachers and students submit student assignments into a large database, via Blackboard, refer Turnitin website


Course Overview: Access Course Overview