Course Title: Implement and evaluate a plan of nursing care

Part B: Course Detail

Teaching Period: Term2 2015

Course Code: NURS5321C

Course Title: Implement and evaluate a plan of nursing care

School: 155T Vocational Health and Sciences

Campus: City Campus

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

Course Contact: Leeanne Mond

Course Contact Phone: +61 3 9925 4837

Course Contact Email:

Name and Contact Details of All Other Relevant Staff

Program Coordinator:  Pam Maher

Phone:  9925 4299


Nominal Hours: 100

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

This unit must be assessed after successful achievement of pre-requisite:

  • HLTAP401B Confirm physical health status (NURS5236C/5268C)

This unit of competency is clustered with HLTEN506B Apply principles of wound management in the clinical environment (NURS5277C/5278C)

Course Description

This competency unit describes the knowledge and skills required to implement nursing care plans for individual clients and evaluate the care provided in a range of health environments

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:

HLTEN504C Implement and evaluate a plan of nursing care


1. Establish and maintain therapeutic relationships with clients

Performance Criteria:

1.1 Identify actual and potential nursing care needs in consultation/collaboration with the client
1.2 Identify client needs for health education and implement education within scope of nursing practice and in consultation/collaboration with registered nurse
1.3 Introduce and explain all nursing interventions, using appropriate language and interpersonal skills to address the diverse needs of clients and health care settings
1.4 Establish and maintain a safe environment through effective communication with clients, family and carers
1.5 Advocate for clients within the Enrolled/Division 2 nurse scope of practice
1.6 Work effectively with clients from a range of cultural, spiritual and religious backgrounds, taking action to address cultural factors that may impact on nursing practice
1.7 Incorporate health teaching into practice within role responsibility
1.8 Demonstrate responsibility and accountability for implementing nursing care within the Enrolled/Divisio


2. Assist client in activities of daily living

Performance Criteria:

2.1 Explain to client the importance of hygiene and grooming to achieving health outcomes
2.2 Assist clients to address hygiene, dressing and grooming needs
2.3 Describe conditions which affect the oral cavity and demonstrate effective oral hygiene to client
2.4 Identify client nutritional needs in consultation/ collaboration with client and their significant others
2.5 Assist clients with their diet and fluid intake and ensure client's nutritional needs are met in consultation/collaboration with registered nurse
2.6 Apply strategies to assist clients with diet and fluid intake
2.7 Recognise and manage emergency situations associated with diet and fluid intake
2.8 Assist clients with key aspects of elimination
2.9 Explain and demonstrate to clients key factors associated with fluid balance and bowel charts
2.10 Assist with respiratory function especially deep breathing and coughing exercises
2.11 Use appropriate measures to promote comfort, rest and sleep


3. Assist with movement of clients

Performance Criteria:

3.1 Apply the principles and techniques of safe manual handling and principles of 'no-lift' policy when assisting clients with movement
3.2 Identify situations of risk or potential risk and implement risk prevention/minimisation strategies and refer to registered nurse as appropriate
3.3 Actively encourage clients to contribute to their own mobility
3.4 Assist clients to safely transfer using appropriate mobility procedures with reference to safety of self, client and others involved
3.5 Identify common pressure area sites with reference to the needs of each individual client and implement appropriate strategies to prevent and manage decubitus ulcers
3.6 Identify and describe to clients factors contributing to the formation of decubitus ulcers and practice


4. Prepare clients for procedures

Performance Criteria:

4.1 Provide each client with a full explanation regarding preparation for specific procedures
4.2 Maintain privacy and dignity of client throughout
4.3 Complete documentation as per organisation policy and procedures
4.4 Observe validity of consent and report any concerns to the registered nurse, as appropriate


5. Provide nursing care to meet identified needs

Performance Criteria:

5.1 Participate in the implementation of a plan of nursing care in line with duty of care and WHS policies and procedures
5.2 Monitor the application of safe workplace procedures as per WHS policies and organisation policies and procedures
5.3 Monitor the application of infection control principles in all work activities
5.4 Prioritise work activities to meet acuity of client needs and maintain a balanced approach to own workload
5.5 Work in a manner that maintains the client's privacy and dignity and demonstrates best practice based on a full range of relevant information including scientific rationale
5.6 Undertake nursing procedures as delegated within the nursing team and scope of practice
5.7 Apply strategies to promote comfort, rest and sleep
5.8 Implement appropriate nursing actions to prevent and manage decubitus ulcers in consultation/ collaboration with a registered nurse
5.9 Implement appropriate immediate action to address urgent needs and document and report as appropriate
5.10 Implement risk prevention strategies appropriate to delivery of nursing care
5.11 Maintain accurate documentation and adhere to reporting requirements to support saf


6. Monitor and evaluate clients during care

Performance Criteria:

6.1 Maintain ongoing observation and assessment during nursing care
6.2 Monitor the use of diagnostic tools and document results
6.3 Monitor and evaluate client progress and changes implemented within the nursing role
6.4 Assess and document changes in client independence or pain tolerance within scope of Enrolled/Division 2 Nurse practice
6.5 Record and report changes in condition/baseline data/behaviour to the registered nurse, as appropriate
6.6 Document evidence of client outcomes in nursing care plan
6.7 Respond to and report situations of risk to registered nurse
6.8 Identify and respond appropriately to signs and symptoms of common emergency situations
6.9 Demonstrate respect for the client's attitudes and values in regard to resuscitation
6.10 Use emergency codes correctly
6.11 Initiate CPR according to organisation procedures


7. Prepare the client for discharge in consultation/ collaboration with registered nurse

Performance Criteria:

7.1 Clarify client needs for community support services on discharge and identify appropriate community support services to the client
7.2 Promote client awareness and understanding through health education within the Enrolled/Division 2 nurse scope of practice
7.3 Ensure client has all requirements for discharge: next GP's appointment: medications; and any referrals
7.4 Complete documentation as per policy and procedure


8. Evaluate nursing care provided

Performance Criteria:

8.1 Evaluate own contribution to nursing care in consultation/collaboration with the client and registered nurse
8.2 Evaluate implementation of plan of nursing care in consultation/collaboration with the multidisciplinary team and/or registered nurse
8.3 Evaluate nursing care in light of potential and actual client outcomes
8.4 Evaluate risk prevention and management strategies applied in delivery of nursing care
8.5 Demonstrate an understanding of implications and risks related to alterations in normal physiological functioning and hospitalisation, and may relate to problems of the body systems
8.6 Document and report all aspects of evaluation of nursing care provided

Learning Outcomes

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

  • Establish and maintain therapeutic relationships with clients
  • Assist clients with activities of daily living
  • Assist with movement of clients
  • Prepare clients for procedures
  • Provide nursing care to meet identified needs
  • Monitor and evaluate clients during care
  • Prepare the client for discharge in consultation/collaboration with registered nurse

Details of Learning Activities

Class room Power points


Class activities

On line work - Blackboard

Teaching Schedule

As per student Timetable located on blackboard

 L1. Infection

L2.  Wound assessment

L3. Chronic Wounds

L4.  Pressure Ulcers

L5.  Communication

L6. Documentation

L7.  Care Planning

L8. Prioritising/Emergency care

L9.  Specimen Collection

L10. Acute Wounds

L11. Complex Wounds

L12. Wound dressings

L13. Mobility

L14. Manual handling

L15. Hygiene

L16. Nutrition

L17. Elimination

L18. Sleep & rest

L19. Legal Framework

L 20. Evaluation

L 21. Discharge

This subject is delivered with HLTEN506B

Learning Resources

Prescribed Texts

Kozier and Erb's, Fundamentals of Nursing. (2014) 3rd edition. Pearson:Australia (3 book set)


Other Resources



Power Points



Overview of Assessment

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

  • Written Assessment
  • Clinical Placement

Assessment Tasks

Assessment 1. Wounds workbook via Blackboard

Assessment 2. Case Study

Assessment 3. Lab Practical

Assessment 4. Clinical Placement


Assessed in conjunction with HLTEN506B.  All assessments must achieve a Satisfactory to gain an overall Competent.

Student must pass Clinical Placement in order to pass overall subject.

Assessment Matrix

See assessment matrix on Blackboard


Other Information


Assessment Information

Please refer to RMIT assessment policy for, Special Consideration, extensions of time, equitable assessment arrangements and future assessment adjustments.

Additional Information

Re-submission of written work, or other assessments, (once only, Excluding exams) can be granted on recommendation from the teacher and approval 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:http://rmit.edy\


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