Mapping Skills Are Mapped Against Unit Elements Where the Completion of the Skill Can Be

Mapping – skills are mapped against unit elements where the completion of the skill can be part of the implemented skills. Mapping does not show elements from Diploma of Nursing units that may underpin skill completion (i.e. Legal issues, WHS and infection control skills are not mapped against all skills, but will be part of all implemented skills.)

Mapping of Essential Skills to HLT51612: Diploma of Nursing (Enrolled-Division 2 nursing)

Skills in the ‘Essential Clinical Skills: enrolled-division 2 nurses’ have been mapped against unit elements from core units in HLT51612. The mapping proposes where implementation of nursing care actions could include completion of the skill. These units identified more frequently are those focused on nursing care. The mapping does not show elements from core units in HLT51612 that may underpin skill completion.

There are some elements from core HLT51612 units that do underpin the majority of skills. These include: HLTIR403 – elements 1,2 3 HLTIR404 – elements 3,4 HLTEN401 – elements 1,2,3,7 HLTWHS – elements 1,2 HLTIN301 – elements 1,2,3,4,5,6 HLTEN502 – elements 1,2,3,4,5,8 HLTEN508 – elements 2,3,4 HLTEN509 – elements 1,2,3,4,5

Elective units HLTEN519 (Administer and monitor intravenous medication in the nursing environment) and HLTEN511 (Provide nursing care for clients requiring palliative care) have been included in some parts of the mapping where the skill may be specific to or relevant to this elective unit.

Essential Clinical Skills contents Relevant HTP Unit Relevant elements for HTP unit of of competency competency PART 1 GENERAL CARE 1.1 Hand hygiene HLTIN301 1,2 3 HLTWHS300 1, 3 HKTEN503 1,2 HLTEN504 2,3,4,5,6 HLTEN505 1, 3 HLTEN506 1,2,3,4,5,6 HLTEN507 1,2,3,4 HLTEN511 1,3 HLTEN512 3,4,5,6,7 HLTEN513 3,4 HLTEN515 4

1.2 Bedmaking HLTEN504 2,5

1.3 Assisting the patient to ambulate HLTEN504 2,3 HLTEN512 3,6 HLTEN513 3 HLTEN515 1 Essential Clinical Skills contents Relevant HTP Unit Relevant elements for HTP unit of of competency competency

1.4 Assisting with eating and drinking HLTEN504 2,5 HLTEN505 1, 3 HLTEN512 3 HLTEN513 3 HLTEN515 2

1.5 Assisting the patient to maintain personal hygiene HLTEN504 2,5 – bed bath or assisted shower, undressing/dressing, HLTEN505 1, 3 oral hygiene, eye and nasal care, shaving, hair and nail care HLTEN512 3 HLTEN513 3

HLTEN515 2

1.6 Assisting the patient with elimination HLTEN504 2,5 (including urinalysis and urine specimen collection, HLTEN505 1, 3 perineal care, ostomy care and stool assessment) HLTEN512 3 HLTEN513 3 HLTEN515 2

1.7 Patient comfort – pain management (non- HLTEN504 2, 5 pharmacological interventions – heat and cold) HLTEN513 3

1.8 Positioning of a dependent patient HLTEN504 2,3,5 HLTEN512 3 HLTEN513 3

1.9 Preventing and managing pressure injuries HLTEN504 2,3,5,6 HLTEN505 1 HLTEN506 1 HLTEN512 3 HLTEN513 3

1.10 Range of motion exercises HLTEN504 HLTEN513

PART 2 DOCUMENTATION 2.1 Documentation HLTEN502 4,5 HLTEN503 1,2,3,4,5 HLTEN504 4,5.6,7,8 HLTEN505 1,3 HLTEN506 1,2,3,4,5,6 HLTEN507 1,4,5 HLTEN509 2 HLTEN510 3,5 HLTEN512 2,3,5,6 HLTEN513 2,3,5 HLTIN301 2 Essential Clinical Skills contents Relevant HTP Unit Relevant elements for HTP unit of of competency competency HLTWHS300 1, 2, 3 ,4 ,5

2.2 Clinical handover HLTEN502 1, 2 HLTEN503 1,2,3 HLTEN504 6,8 HLTEN505 3 HLTEN502 1,2 HLTEN509 1,4,5 HLTEN512 3,6 HLTEN513 2,5 HLTEN515 3

2.3 Admissions and discharge HLTEN503 1,2,3,4,5 HLTEN504 7 HLTEN512 1,2 HLTEN513 1,2

2.4 Health teaching HLTEN502 1,2 HLTEN503 5 HLTEN504 1,4,7 HLTEN505 2 HLTEN506 2,3,5 HLTEN507 3,4 HLTEN509 4,5 HLTEN510 3,4 HLTEN512 1,2,5,6 HLTEN513 1,2,3 HLTEN515 1,2,3

PART 3 ASSESSMENT 3.1 Basic assessment HLTEN401 1,2,3 HLTEN501 1,2,3 HLTEN503 1,2,3 HLTEN504 6 HLTEN512 2,5 HLTEN513 1,2

3.2 Temperature, pulse and respiration (TPR) HLTEN503 1,2,3,4 measurement HLTEN504 4,6 HLTEN512 2, 5, 6, 7 HLTEN513 1,2,4

3.3 Blood pressure measurement HLTEN503 1,2,3,4 HLTEN504 4,6 HLTEN512 2, 5, 6, 7 HLTEN513 1,2,4

3.4 Pulse oximetry HLTEN503 1,2,3,4 HLTEN504 4,6 HLTEN512 2, 5, 6, 7 HLTEN513 1,2,4

3.5 Blood glucose measurement HLTEN503 1,2,3,4 HLTEN504 4,6 HLTEN512 2, 5, 6, 7 Essential Clinical Skills contents Relevant HTP Unit Relevant elements for HTP unit of of competency competency HLTEN513 1,2,4

3.6 Neurological observation HLTEN503 1, 2, 3, HLTEN504 6 HLTEN 512 2,5,6 HLTEN 513 1,2

3.7 Neurovascular observation HLTEN503 1, 2, 3, HLTEN504 6 HLTEN 512 2,5,6 HLTEN 513 1,2

3.8 Pain assessment HLTEN503 1,2,3 HLTEN504 6 HLTEN506 3 HLTEN507 4,6 HLTEN512 2,5,6 HLTEN513 1,2 HLTEN515 2

3.9 12-Lead ECG recording HLTEN504 4 HLTEN505 1 HLTEN512 5

PART 4 MEDICATION 4.1 Medication administration – – oral, sublingual, HLTEN503 1,3,4 buccal, topical and HLTEN504 1,4,5,6 suppositories HLTEN505 1,2,3 HLTEN507 1,2,3,4,6 HLTEN510 4 HLTEN512 1,2,3 HLTEN513 1,2,3,5 HLTAP401 1,2,3

4.2 Medication administration – eye drops or ointment, HLTEN503 1,3,4 and eye toilet HLTEN504 1,4,5,6,8 HLTEN505 1,2,3 HLTEN507 1,2,3,4,6 HLTEN510 4 HLTEN512 1,2,3 HLTEN513 1,2,3,5 HLTAP401 1,2,3

4.3 Medication administration – injections HLTEN503 1,3,4 HLTEN504 1,4,5,6,8 HLTEN505 1,2,3 HLTEN507 1,2,3,4,6 HLTEN510 4 HLTEN512 1,2,3 HLTEN513 1,2,3,5 HLTAP401 1,2,3

PART 5 ASEPSIS 5.1 Aseptic technique HLTEN504 1,3,4,5,6,8 HLTEN505 1,5 Essential Clinical Skills contents Relevant HTP Unit Relevant elements for HTP unit of of competency competency HLTEN506 1,2,3,4,6 HLTEN512 2,3,6,7 HLTEN513 3 HLTAP501 3

5.2 Dry dressing HLTEN504 1,3,4,5,6,8 HLTEN505 1,5 HLTEN506 1,2,3,4,5,6 HLTEN512 2,3,6 HLTEN513 3 HLTAP501 3

5.3 Wound irrigation, wound swabs HLTEN504 1,3,4,5,6,8 HLTEN505 1,5 HLTEN506 1,2,3,4,5,6 HLTEN512 2,3,6 HLTEN513 3 HLTAP501 3

5.4 Packing a wound HLTEN504 1,3,4,5,6,8 HLTEN505 1,5 HLTEN506 1,2,3,4,5,6 HLTEN512 2,3,6 HLTEN513 3 HLTAP501 3

5.5 Suture, clip and staple removal HLTEN504 1,3,4,5,6,8 HLTEN505 1,5 HLTEN506 1,2,3,4,5,6 HLTEN512 2,3,6 HLTEN513 3 HLTAP501 3

5.6 Drain removal and shortening HLTEN504 1,3,4,5,6,8 HLTEN505 1,5 HLTEN506 1,2,3,4,5,6 HLTEN512 2,3,6 HLTEN513 3 HLTAP501 3

PART 6 ACUTE CARE 6.1 Catheterisation (urinary) HLTEN504 2,4,5,6 HLTEN505 1,3 HLTEN512 3, 6 HLTEN513 3 HLTAP501 3

6.2 Nasogastric tube insertion and feeding, gastric HLTEN504 2,4, 5,6 drainage and gastric tube feeding HLTEN505 1,3 HLTEN512 3, 6 HLTEN513 3 HLTAP501 3

6.3 Oxygen therapy via nasal cannula or various HLTEN504 2,4, 5,6 masks; and the use of nebulisers, metered dose inhalers HLTEN505 1,3 Essential Clinical Skills contents Relevant HTP Unit Relevant elements for HTP unit of of competency competency and peak flow meters HLTEN507 1,2,3,4 HLTEN512 1,3, 4,6 HLTEN513 3,4, 5 HLTAP501 3

6.4 Pre-operative care HLTEN505 1,3 HLTEN503 1,2,3,4,5 HLTEN504 1,4,5 HLTEN512 1,3,6 HLTAP501 3

6.5 Post-operative care HLTEN505 1,3 HLTEN503 1,2,3,4,5 HLTEN504 1,2,3,5,6,7 HLTEN507 5,6 HLTEN512 1,2,3,6,7 HLTAP501 3

6.6 Post anaesthetic care unit care and handover HLTEN505 1,2,3 HLTEN503 1,3 HLTEN504 1 5,6 HLTEN507 5,6 HLTEN512 1,2,3,6,7 HLTAP501 3

6.7 Suctioning of oral cavity HLTEN503 1,3, 4 HLTEN504 1,2,4 5,6 HLTEN505 1,3 HLTEN512 1,2,3,4,6 HLTEN513 3,4

6.8 Tracheostomy care HLTEN503 3, 4 HLTEN504 1,2, 4 5,6,8 HLTEN505 1,3 HLTEN512 3 HLTEN513 2, 3

PART 7 INTRAVENOUS CARE 7.1 Venipuncture HLTEN505 1

7.2 Peripheral Intravenous therapy– assisting with HLTEN504 4 establishment HLTEN507 5 ea 7.3 Peripheral Intravenous therapy management HLTEN 505 1,2 HLTEN 507 5 HLTEN512 3, 6 HLTEN519 1,4

7.4 Intravenous medication administration – adding HLTEN 519 1,2,3,4 medication to PIVC fluid container/bag

7.5 Intravenous medication administration – adding HLTEN 519 1,2,3,4 medication to a burette

7.6 Intravenous medication administration – bolus HLTEN 519 1,2,3,4 Essential Clinical Skills contents Relevant HTP Unit Relevant elements for HTP unit of of competency competency

7.7 Blood transfusion management HLTEN512 7

PART 8 SPECIFIC SKILLS 8.1 Isolation nursing HLT 301 1, 2, 4 HLTEN505 1, 3

8.2 Gowning and gloving (open and closed) HLTEN505 1 HLTEN506 4, 6 HLTEN519 3

8.3 Surgical scrub HLTEN505 1 HLTEN506 4, 6 HLTEN519 3

8.4 Chest tubes and underwater seal drainage HLTEN512 3 management

8.5 Care of the unconscious patient HLTEN502 1 HLTEN503 1, 4 HLTEN505 1, 3 HLTEN504 5 HLTEN511 2 HLTEN512 1, 3

8.6 Palliative care and end-of-life care HLTEN511 1,2,3,4,5 HLTEN512 4 HLTEN513 2, 3

PART 9 MENTAL HEALTH CARE 9.1 Mental state assessment* HLTEN504 1, 6 HLTEN510 2,3,4,5,6 HLTEN515 6,7

9.2 Establishing a ‘therapeutic relationship’ in the HLTEN504 1, 6 mental health setting HLTEN510 2,3,4,5,6

9.3 Management of a patient with HLTEN502 3 challenging behaviour (aggressive or violent) HLTEN510 1,3,4,5,6 HLTEN515 7

9.4 Assist with the management of a HLTEN510 1,3,4,5,6 patient in seclusion

9.5 Electro-convulsive therapy (ECT) – patient care HLTEN510 1,4,5 pre and post treatment

* The skill ‘Mental state assessment’ could be included as part of all patient assessment and admission processes. However, the described skill is focused on the application of this skill in a mental health setting and may include a higher level of patient assessment than is required for assessing the mental state of patients in a general care setting.