Are you looking for ways to tackle your HLTENN037 Perform Clinical Assessment and Contribute to Planning Nursing Care Assignment? Here, you will find an overview of the assessment process, tips on how to effectively evaluate a patient and contribute to their care planning, as well as guidance on how to compile your portfolio.
What is HLTENN037?
HLTENN037 Perform Clinical Assessment and Contribute to Planning Nursing Care is a competency-based course that assesses your knowledge and skills surrounding the clinical assessment process and contributing to the planning of patient care. You will have the opportunity to apply your learning in a simulated clinical environment, learn best practices for conducting clinical assessments, and incorporate evidence-based practice into nursing care plans.
HLTENN037 describes the performance outcomes, skills and knowledge required, within the scope of practice, to perform preliminary and ongoing physical health assessments of all body systems, gathering data that contributes to an individualised health plan of care.
HLTENN037 applies to enrolled nursing work carried out in consultation and collaboration with registered nurses, and under supervisory arrangements aligned to the Nursing and Midwifery Board of Australia (NMBA) regulatory authority legislative requirements.
The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian Standards and industry codes of practice.
No occupational licensing, certification or specific legislative requirements apply to this unit at the time of publication.
Elements and Performance Criteria to Complete HLTENN037 Assignment
In order to pass HLTENN037 assignment, you need to demonstrate the following elements and performance criteria. The first element is Task-1 which covers Key Points related to Goal Development, Client Assessment & Planning Nursing Care. The second element is Task-2 which addresses Consideration of Health Care Environment and its Impact on Planning & Delivery of Nurse Care. Lastly, you will also need to present your own reflection about the Learner’s experience in completing this assignment.
1. 𝑷𝒆𝒓𝒇𝒐𝒓𝒎 𝒂𝒅𝒎𝒊𝒔𝒔𝒊𝒐𝒏 𝒂𝒔𝒔𝒆𝒔𝒔𝒎𝒆𝒏𝒕.
1.1. Introduce self and explain processes before commencing nursing assessment activities.
1.2. Collect and record admission information including gender, age, cultural, religious and spiritual information in accordance with organisational policies and procedures, and practice standards.
1.3. Perform baseline clinical assessment and document findings including vital signs.1.4. Interpret and analyse objective and subjective assessment data against normal range.
1.5. Record lifestyle patterns, health history and current health practices.
1.6. Clarify emotional and physical needs of the families and carers.
1.7. Document and communicate alterations and deteriorations of health status.
2. 𝑪𝒐𝒏𝒕𝒓𝒊𝒃𝒖𝒕𝒆 𝒕𝒐 𝒑𝒍𝒂𝒏 𝒐𝒇 𝒏𝒖𝒓𝒔𝒊𝒏𝒈 𝒄𝒂𝒓𝒆.
2.1. Analyse health history and health assessment to identify risks, likely impacts on daily living activities and care needs.
2.2. Use a problem-solving approach to assist comprehensive nursing care planning.
2.3. Clarify and reflect the person’s interests and physical, emotional and psychosocial needs in nursing care planning and documentation.
3 𝑬𝒗𝒂𝒍𝒖𝒂𝒕𝒆 𝒂𝒏𝒅 𝒎𝒐𝒅𝒊𝒇𝒚 𝒑𝒍𝒂𝒏 𝒐𝒇 𝒏𝒖𝒓𝒔𝒊𝒏𝒈 𝒄𝒂𝒓𝒆.
3.1. Analyse, evaluate and review nursing care planning decisions with registered nurse and multidisciplinary health care team.
3.2. Confirm with the person, families or carers that planned nursing care reflects their needs including their uniqueness, culture, religious beliefs and management of stress.
3.3. Ensure plan of nursing care is based on principles of contemporary, evidence-based practice and incorporates risk assessment.
3.4. Review and evaluate plan of nursing care to ensure care needs are met.
4. 𝑷𝒆𝒓𝒇𝒐𝒓𝒎 𝒅𝒊𝒔𝒄𝒉𝒂𝒓𝒈𝒆 𝒑𝒓𝒐𝒄𝒆𝒅𝒖𝒓𝒆𝒔.
4.1. Collect discharge planning data.
4.2. Contribute to nursing assessment and document issues to facilitate discharge.
4.3. Identify community support services and resources to assist in discharge planning.
4.4. Check to ensure discharge requirements are planned and updated including follow up requirements, discharge prescriptions, My Healthcare Record, referrals and reports for ongoing treatment to health practitioners.
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