Unit of competency Outline

Date retreived
22/07/2026 3:37 PM AWST

Whilst all efforts are made to provide accurate and timely information from the relevant source/documentation, please be aware that the information supplied may not be the most current version. The accuracy of the detail has not been confirmed by the Department and therefore should not be relied upon without first confirming the contents.

Practise in the rehabilitation nursing environment

Practise in the rehabilitation nursing environment

Unit of competency
National Code
HLTEN602B
State Code
D8227
TGA Status
Replaced
DTWD Status
Replaced
Current Release Number
1.00
Current Release Date
25/03/2011
State Implementation and Classification
Approved Date
21/07/2011
Field of Education
061799 - Rehabilitation Therapies, N.e.c.
Original Release Date
21/07/2011
Nominal Hours
60
Description
DescriptorThis competency unit describes the skills and knowledge required by Enrolled/Division 2 Nurses to perform nursing interventions to assist the person requiring rehabilitation to regain optimal function and lifestyle
Notes
Elements and Performance Criteria
1. Work as part of the multidisciplinary health care team for the client requiring rehabilitation
  • 1.1 Contribute appropriately to support the role of the multidisciplinary health care team in the managing care of the client requiring rehabilitation
  • 1.2 Contribute to achieving effective team work and supportive group dynamics when working with health care colleagues
  • 1.3 Establish appropriate relationships with other members of the health care team
  • 1.4 Incorporate the philosophical framework for managing care for the client requiring rehabilitation into own nursing practice
  • 1.5 Recognise the contributions of emergency service personnel, referring agencies and other hospital department staff to the initial/emergency care needs of the client requiring rehabilitation
  • 1.6 Recognise specialist nursing and medical services as essential to the long term management and planning strategies for the client requiring rehabilitation
2. Clarify the impact of client's rehabilitation on the client and/or their family
  • 2.1 Perform a holistic assessment of the client in consultation/collaboration with the registered nurse
  • 2.2 Incorporate an understanding of anatomy and physiology into nursing practice
  • 2.3 Work with a knowledge of the various manifestations of client's areas of dysfunction and associated pathophysiology of each clinical manifestation
  • 2.4 Discuss with the client the psychosocial impact of dysfunction on their activities of daily living.
  • 2.5 Identify and discuss with the client and/or their family common problems and complications for the client with a dysfunction
  • 2.6 Communicate effectively with clients, family and health team members
  • 2.7 Clarify the care needs of the client with a dysfunction in terms of the phases of care required
3. Contribute to planning appropriate care for the client with a dysfunction
  • 3.1 Use contemporary assessment tools accurately.
  • 3.2 Establish a database of resource personnel to assist in decision making for the client with a dysfunction
  • 3.3 In consultation/collaboration with the registered nurse, use a problem solving framework to plan appropriate nursing management strategies
  • 3.4 Develop an individualised plan of care for the client with a dysfunction in consultation/collaboration with the client and the health care team
  • 3.5 In consultation/collaboration with the registered nurse, incorporate into own practice health teaching and discharge planning for the client with a dysfunction
  • 3.6 In consultation/collaboration with the registered nurse, incorporate referral to community services into discharge planning strategies
4. Implement care plan for the client with a dysfunction
  • 4.1 Ensure rehabilitation principles appropriately underpin nursing interventions for the client with a dysfunction
  • 4.2 Practise contemporary nursing interventions for the client with a dysfunction
  • 4.3 Act as a resource for staff and clients
  • 4.4 Implement an individualised plan of care for the client with a dysfunction
5. Assist to evaluate the outcomes of planned nursing actions for the client with a dysfunction
  • 5.1 Monitor client's response to planned nursing interventions and progress toward planned goals and interventions, and document and report to the appropriate members of the health care team
  • 5.2 Initiate appropriate first aid/emergency treatment in response to adverse reactions or complications
  • 5.3 Report and document first aid/emergency treatment and the client's response to the treatment
RANGE STATEMENT

The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.


Client groups may include:
Children
Adolescent
Adult
Older adult
Family


Multidisciplinary health care team members could include:
Client and their significant others
Medical staff
Nursing staff
Social workers
Physiotherapists
Occupational therapists
Speech pathologists
Dietitian
Prosthetists
Podiatrists
Drug and alcohol services
Emergency services including - ambulance, Royal Flying Doctor Service, Care Flight
Community services
Transitional rehabilitation services


Health care settings may include:
Hospital - private or public
Day clinic
Long stay centres
Short stay centres
Medical clinic
Aged care
Respite centres
Community
Paediatric environments


Dysfunction includes:
Cardiac disorders
Respiratory disorders
Endocrine disorders
Musculoskeletal disorders
Renal disorders
Pain
Long term unconscious client
Substance abuse
Genito-urinary disorders
Neurological disorders
Immunological disorders
Vascular disorders
Haematological disorders
Sensory system disorders
Gastrointestinal disorders
Reproductive disorders
Integumentary disorders
Acute confusional states
Acute aggression
Dehydration


Assessment of impact of dysfunction includes:
Performance of activities of daily living
Loss or limitation to physical function
Accompanying trauma and injuries
Impact on sexuality, relationships, self image, body image
Grief and loss
Loss of vocation
Coping mechanisms
Personal and community support mechanisms
Level of communication
Maintenance/improvement of quality of life
Maintenance/improvement of lifestyle
Impact of secondary disease processes


Plans of care could include:
Nursing care plans
Clinical pathways
Treatment plans
Medical notes
Rehabilitation
Community referrals
Health teaching
Discharge plans
Rehabilitation plans


Specific nursing interventions/clinical skills could include:
Management of elimination (urinary and bowel) needs including - insertion of indwelling catheters, irrigation of indwelling catheters
Wound care
Skin care including - assessment and management of skin care
Health teaching in relation to client care needs
Pain management
Manual handling
Co ordination of clinical care
Application of specific prosthetic devices
Rehabilitative care practices
Emergency resuscitation skills


Evaluation of planned care includes:
Level of independence in performance of activities of daily living
Access and use of community support services
Participation in rehabilitation programs
Self management of symptoms
EVIDENCE GUIDE

The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package.

Critical aspects for assessment and evidence required to demonstrate this competency unit:
The individual being assessed must provide evidence of specified essential knowledge as well as skills
Observation of performance in a work context is essential for assessment of this unit
Consistency of performance should be demonstrated over the required range of workplace situations and should occur on more than one occasion and be assessed by a registered nurse


Context of and specific resources for assessment:
This unit is most appropriately assessed in the clinical workplace or in a simulated clinical work environment and under the normal range of clinical environment conditions prior to assessment in the workplace
Where, for reasons of safety, access to equipment and resources and space, assessment takes place away from the workplace, simulations should be used to represent workplace conditions as closely as possible


Method of assessment
Observation in the work place
Written assignments/projects
Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice.
Questioning - verbal and writing
Role play/simulation


Access and equity considerations:
All workers in the health industry should be aware of access and equity issues in relation to their own area of work
All workers should develop their ability to work in a culturally diverse environment
In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities, workers should be aware of cultural, historical and current issues impacting on health of Aboriginal and Torres Strait Islander people
Assessors and trainers must take into account relevant access and equity issues, in particular relating to factors impacting on health of Aboriginal and/or Torres Strait Islander clients and communities
Replaced By
State Code National Code Title Type
AVZ99 HLTENN018 Apply nursing practice in the rehabilitation care setting Unit of competency
State Code National Code Title Type
D111 HLT61107 Advanced Diploma of Nursing (Enrolled/Division 2 nursing) Qualification