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

Part B: Course Detail

Teaching Period: Term1 2017

Course Code: NURS5285C

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

School: 174T School of VE Engineering, Health & Science

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

Gabrielle young


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

Group work

Self directed learning

Practical skills laboratory sessions

Teaching Schedule



Lesson 1 & 2 - Introduction, Eye, Ear and ENT

Lesson 3,4,5 & 6 - Cardiovascular System

Lesson 7,8,9 & 10 - Respiratory System

Lab sessions 1 & 2 - ECG and Oxygen Therapy

Lesson 11 & 12 - Integumentary & Endocrine Systems

Lesson 13,14,15 & 16 - Neurological/Nervous  System

Lesson 17 & 18 - Perioperative care and Tropical Diseases

Lesson 19 & 20 - Sepsis & Shock

Lesson 21,22,23 & 24 - Renal & Reproductive Systems

Lab session 3 & 4 - IDC & FBC

Lesson 25 & 26 - GIT

Lesson 27 & 28 - Musculoskeletal System 

Lesson 29 & 30 - Blood Dyscrasias and Blood Transfusion

Lesson 31 & 32 - Review

Lesson 33 & 34 - Review

Lab sessions 5,6 Venepuncture

Lab Sessions -7&8 - Assessment for Practical skills

This unit of competency is co-delivered with HLTEN513B Implement and monitor nursing care for clients with chronic health problems; and HLTEN505C Contribute to the complex nursing care of clients

Learning Resources

Prescribed Texts

  Berman, A., Snyder, S., Kozier, B. & Erb, G., (2012). Kozier & Erb’s Fundamentals of Nursing: Volumes 1 & 2, 3,(9th ed.). Pearson, Australia


Other Resources

The assessment resources for this unit is the recommended text:

Brown, D. and Edwards, H., (Ed) (2014) Lewis’s medical surgical nursing; assessment and management of clinical problems (4th ed.) Elsevier Australia.

Kozier, B,and Erbs, G., (2014) Fundamentals of Nursing (3rd ed.) Pearson, Australia. (Volumes 1 - 3)

Marieb, E.N., (2014) Essentials of Human Anatomy & Physiology (11th ed.) Benjamin Cummings, San Francisco

Tollefson, J., (2014) Clinical psychomotor skills: assessment tools for nursing students (5th ed.) South Melbourne: Cengage Learning. 

Blackboard videos - Online eLearning -  Clinical Transfusion Practice


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

             Overview of Assessment Tasks

This unit is part of an integrated program.
You must demonstrate Performance and Knowledge Evidence of the unit in order to be deemed competent.
Assessment methods have been designed to measure achievement of each competency in a flexible manner over a range of assessment tasks.

The skills and knowledge to be assessed within this unit are as follows:

1. Online Quizzes x 2

2. Workbook Part A & B

3. Online eLearning - Clinical Transfusion practice

4. Practical skills  - safe demonstration of nominated practical skills (formative assessments)

5. Clinical Placement

Competency based training requires you to be in attendance in order for assessment to be undertaken.

Feedback will be provided throughout the semester in class and/or online discussions, through individual and group feedback on practical exercises and by individual consultation.

All Assessment tasks should be performed or submitted by their due dates.

If due to illness or other unforeseen circumstance, you are unable to attend on the due date of an assessment (e.g. test, examination, oral, etc.) OR you do attend, but your performance has been affected, you may submit an APPLICATION FOR SPECIAL CONSIDERATION within 2 working days of the due date. If Special Consideration is granted, you will be given the opportunity to complete/repeat the assessment task at a later date. For advice on this application please visit or speak to your Program Coordinator.

If due to illness or other unforeseen circumstance, you are unable to submit by the due date (e.g. assignment, report, project etc.):
• you may submit an APPLICATION FOR EXTENSION OF TIME FOR SUBMISSION OF ASSESSABLE WORK for an extension of time of up to seven (7) calendar days or less. This must be lodged with the Program Coordinator one (1) working day before the original due date. If granted, you will have the opportunity to submit up to seven (7) days later than the original due date. For advice on this application please visit or speak to your Program Coordinator.
• you may submit an APPLICATION FOR SPECIAL CONSIDERATION within two (2) working days of the due date. If Special Consideration is granted, you will be given the opportunity to submit the assessment task more than seven (7) days after the original due date. For advice on this application please visit or speak to your Program Coordinator.

You are expected to prepare all assignments and other written work in a professional manner. More information on general academic study and writing skills can be found on the “Learning Lab” . All work submitted for assessment must be submitted electronically unless otherwise advised.

Students must keep a copy of all submitted assessments including electronic copies.
Harvard style is used for all referencing and for bibliography.
RMIT University has a strict policy on academic integrity and plagiarism and. Please refer to the website for more information on this policy.
 If you have a long term medical condition and/or disability it may be possible to negotiate to vary aspects of the learning or assessment methods. You can contact the program coordinator or the Disability Liaison Unit if you would like to find out more.
Your rights and responsibilities as a student can be found at  
This course assessment conforms to RMIT assessment principles, regulations, policies and procedures which are described and referenced at

Credit transfer and RPL

Credit transfer is available to students who have already completed the same or similar courses. Recognition of prior learning is available to students who have relevant prior skills or experience. Please refer to;ID=8u7jborsx9dy (unresolved)

Assessment Matrix


The assessment mapping demonstrates alignment of assessment tasks with the relevant unit of competency and with the performance evidence, knowledge evidence and assessment conditions for each unit.

The Assessment Matrix is available on Blackboard.

Other Information


Each assessment will be marked as either Satisfactory or Not Satisfactory.

In order to be assessed as Competent for this unit you must achieve a Satisfactory result for each assessment task.

The Student must demonstrate safe and satisfactory practise in all practical skills, if unsafe the student is to reflect on their own practice and will be directed to the Course Coordinator.

This unit is delivered in conjunction with HLTEN513B & HLTEN505C

The student is expected to attend classes, Lab sessions and Clinical Placement where applicable.

Re-submission or Re-assessment of an Assessment Task:

There are no re-submissions of assessments which are Not Satisfactory. However individual consideration may be given in consultation with the Teacher and the Program Coordinator.

Reassessment of students who have attempted to undertake a practical assessment in the Clinical Lab (resulted as Not Satisfactory), and have attended all Lab sessions will be given one (1) further opportunity to demonstrate a Satisfactory result.

Course Overview: Access Course Overview