Course Title: Implement and evaluate a plan of nursing care

Part B: Course Detail

Teaching Period: Term1 2017

Course Code: NURS5321C

Course Title: Implement and evaluate a plan of nursing care

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

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

Bianca Rohlje

+61 3 9925 4809

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/Division 2 Nurse scope of practice



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 practices to avoid breakdown of pressure areas



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 comfortrest 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 safe practice as per organisation policies and procedures


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

Learning activities include:

Classroom Teacher delivery
Group work
Self directed learning
Practical sessions
Clinical placement

Teaching Schedule

1 Pressure ulcers
2 Communication
3 Documentation
4 Care planning
5 Prioritising emergency care
6 Mobility
7 Manual handling
8 Hygiene
9 Nutrition
10 Elimination
11 Sleep and rest
12 Legal framework of wound care
13 Evaluation and evidence based practice
14 Discharge planning


Learning Resources

Prescribed Texts

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

Marieb, E. N. (2014) Essentials of Human Anatomy & Physiology (10th ed.) Pearson, UK


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

Overview of Assessment

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

  • Written 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. Workbook

2. 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 two (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 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