Unit of competency Outline

Date retreived
22/07/2026 1:06 PM AWST

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Assess clients and manage client care

Assess clients and manage client care

Unit of competency
National Code
HLTEN606B
State Code
D8231
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
060301 - General Nursing
Original Release Date
21/07/2011
Nominal Hours
60
Description
DescriptorThis competency unit describes the skills and knowledge required for the Enrolled/Division 2 Nurse to address the principles of best practice in nursing care delivery, client service and health care teamwork in order to provide holistic nursing care to clients at an advanced level in a variety of health care settings
Notes
Elements and Performance Criteria
1. Determine the health status and nursing needs of client(s) in consultation/ collaboration with a registered nurse
  • 1.1 Undertake holistic assessment of a client/group of clients in consultation/collaboration with a registered nurse
  • 1.2 Use a range of assessment tools relevant to the clinical environment to gather information
  • 1.3 Assess the client's current knowledge and understanding of their condition, management and treatment therapies
  • 1.4 Review, where relevant, the significant other's knowledge of the client's condition management and treatment therapies
  • 1.5 Assess, where appropriate, the response of significant others to the client's current condition
  • 1.6 Discuss assessment data with the registered nurse, and other members of the health care team as required to support best practice in nursing care delivery
  • 1.7 Clearly and accurately explain the pathophysiology of the presenting complaint experienced by the client to support client understanding
  • 1.8 Identify health promotion and client education needs
2. Participate in management of the plan of care for client/group of clients
  • 2.1 Analyse client information to reflect individualised care requirements in accordance with health unit policy
  • 2.2 Formulate a care plan utilising research-based practice to reflect individual case-management in consultation/collaboration with a registered nurse
  • 2.3 Demonstrate an understanding of risk management principles in planning care for client
  • 2.4 Identify health promotion and client education needs within the care plan
  • 2.5 Discuss the care plan with the registered nurse and other members of the health care team to ensure common understanding for implementation
  • 2.6 Following client consent, discuss the care plan with significant other(s)
  • 2.7 Commence discharge planning in accordance with health unit policy
  • 2.8 Manage the care of clients including the delegation of aspects of nursing work following consultation/ collaboration with the registered nurse and the clinical supervision of others providing aspects of nursing work
3. Contribute to the multidisciplinary approach to health care
  • 3.1 Liaise with service providers and utilise appropriate resources in providing care to client(s)
  • 3.2 Liaise with registered nurses and other members of the health care team about alterations in conditions of client(s)
  • 3.3 Assist client(s) in discharge preparation on commencement of treatment/care and assessment of individual needs in consultation/collaboration with a registered nurse
  • 3.4 Manage ongoing education and support for client(s) and significant others where appropriate
  • 3.5 Provide comprehensive hand-over to nurses on other shifts
4. Implement best practice nursing interventions for client/s in consultation/ collaboration with a registered nurse
  • 4.1 Prioritise and manage nursing interventions for client(s) according to the individual's needs and re-prioritise as required to address changes in nursing workload in consultation/collaboration with a registered nurse
  • 4.2 Modify nursing interventions to reflect changes in the client's condition in consultation/collaboration with a registered nurse
  • 4.3 Perform nursing interventions, including the use of complex client monitoring devices utilising research-based evidence
  • 4.4 Perform nursing interventions within professional, legal, ethical and organisation policy and procedure guidelines/boundaries in consultation/ collaboration with a registered nurse
  • 4.5 Recognise alterations in psychological and/or physiological status promptly, manage and report to appropriate health care staff
  • 4.6 Administer medications safely, based on knowledge of principles of drug actions and side effects, in accordance with health unit policies and procedures and legislation
  • 4.7 Promote partnership between nurse and client in the implementation of health promotion and self management in relation to research-based evidence
  • 4.8 Consistently maintain occupational health, safety and welfare policies and procedures relating to nursing practice
5. Evaluate client responses to nursing interventions in consultation/collaboration with a registered nurse
  • 5.1 Evaluate each client's response to nursing interventions and modify interventions accordingly in consultation/collaboration with a registered nurse, and in line with organisation policies/procedures and research-based evidence
  • 5.2 Evaluate each client's response to health promotion/education and address issues accordingly in consultation/collaboration with a registered nurse, and in line with organisation policies/procedures and research-based evidence
  • 5.3 Undertake assessment of the clients' progress toward planned outcomes in relation to nursing care provided in consultation/collaboration with a registered nurse
  • 5.4 Document all aspects of evaluation in line with organisation policies/procedures
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.


Clients may include:
Child
Adolescent
Adult and Older adult
Acutely or Chronically ill client
Respite client


Complex client monitoring devices
Respirators
ECG machines


Health care settings may include:
Aged care and Respite centres
Short and long stay centre
Community setting
Medical clinic
Hospitals


Client based information includes:
Demographic data:
name
next of kin/significant others
known allergies
Religious and cultural practices and beliefs
Psychosocial needs
Previous medical and surgical history
Medications
Performance of activities of daily living and deficits to performing activities of daily living
Preliminary health assessment
Understanding of client needs including:
cultural, age and gender specific
stage of development
physical, emotional, psychosocial, health problem specific


Client based observations may include:
Temperature, pulse, respirations, blood pressure
Urinalysis
Height and weight, Body Mass Index
Oximetry and oxygen saturation
Specimen collection
Neurological observations
Neurovascular observations
Blood glucose monitoring
Pain scale or analogue observations
12 lead ECG, monitoring of invasive equipment and readings.
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 workplace
Written assignments/projects
Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice
Questioning - verbal or written
Role play/simulation


Access and equity considerations:
Workers should have an understanding of Aboriginal and/or Torres Strait Islander culture and history and an ability to work with Aboriginal and/or Torres Strait Islander clients and communities
Assessors and trainers must have a knowledge of and take into account the influence of cultural and historic factors relating to health for those working with Aboriginal and/or Torres Strait Islander clients and communities


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
Replaces
State Code National Code Title Type
C9237 HLTEN606A Assess clients and manage client care Unit of competency
Replaced By
State Code National Code Title Type
AVZ97 HLTENN020 Conduct clinical assessments Unit of competency
State Code National Code Title Type
D111 HLT61107 Advanced Diploma of Nursing (Enrolled/Division 2 nursing) Qualification