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

National Element Code & Title:

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

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
 

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
 

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
 

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
 

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
 

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
 

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
 

Kozier and Erb's (20140 Fundamental of Nursing (3rd ed.) Pearson :Australia