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 PART 1 GENERAL CARE 1.1 Hand hygiene 1.2 Bedmaking Relevant HTP Unit of competency Relevant elements for HTP unit of competency HLTIN301 HLTWHS300 HKTEN503 HLTEN504 HLTEN505 HLTEN506 HLTEN507 HLTEN511 HLTEN512 HLTEN513 HLTEN515 1,2 3 1, 3 1,2 2,3,4,5,6 1, 3 1,2,3,4,5,6 1,2,3,4 1,3 3,4,5,6,7 3,4 4 HLTEN504 2,5 Essential Clinical Skills contents Relevant HTP Unit of competency HLTEN504 HLTEN512 HLTEN513 HLTEN515 Relevant elements for HTP unit of competency 1.4 Assisting with eating and drinking HLTEN504 HLTEN505 HLTEN512 HLTEN513 HLTEN515 2,5 1, 3 3 3 2 1.5 Assisting the patient to maintain personal hygiene – bed bath or assisted shower, undressing/dressing, oral hygiene, eye and nasal care, shaving, hair and nail care HLTEN504 2,5 HLTEN505 HLTEN512 1, 3 3 HLTEN513 3 HLTEN515 2 HLTEN504 HLTEN505 2,5 1, 3 HLTEN512 3 HLTEN513 3 HLTEN515 2 1.7 Patient comfort – pain management (nonpharmacological interventions – heat and cold) HLTEN504 2, 5 HLTEN513 3 1.8 Positioning of a dependent patient HLTEN504 HLTEN512 HLTEN513 2,3,5 3 3 1.9 Preventing and managing pressure injuries HLTEN504 HLTEN505 HLTEN506 HLTEN512 HLTEN513 2,3,5,6 1 1 3 3 1.10 Range of motion exercises HLTEN504 HLTEN513 1.3 Assisting the patient to ambulate 1.6 Assisting the patient with elimination (including urinalysis and urine specimen collection, perineal care, ostomy care and stool assessment) PART 2 DOCUMENTATION 2.1 Documentation HLTEN502 2,3 3,6 3 1 4,5 Essential Clinical Skills contents Relevant HTP Unit of competency HLTEN503 HLTEN504 HLTEN505 HLTEN506 HLTEN507 HLTEN509 HLTEN510 HLTEN512 HLTEN513 HLTIN301 HLTWHS300 Relevant elements for HTP unit of competency 2.2 Clinical handover HLTEN502 HLTEN503 HLTEN504 HLTEN505 HLTEN502 HLTEN509 HLTEN512 HLTEN513 HLTEN515 1, 2 1,2,3 6,8 3 1,2 1,4,5 3,6 2,5 3 2.3 Admissions and discharge HLTEN503 HLTEN504 HLTEN512 HLTEN513 1,2,3,4,5 7 1,2 1,2 2.4 Health teaching HLTEN502 HLTEN503 HLTEN504 HLTEN505 HLTEN506 HLTEN507 HLTEN509 HLTEN510 HLTEN512 HLTEN513 HLTEN515 1,2 5 1,4,7 2 2,3,5 3,4 4,5 3,4 1,2,5,6 1,2,3 1,2,3 HLTEN401 HLTEN501 HLTEN503 HLTEN504 HLTEN512 1,2,3 1,2,3 1,2,3 6 2,5 PART 3 ASSESSMENT 3.1 Basic assessment 1,2,3,4,5 4,5.6,7,8 1,3 1,2,3,4,5,6 1,4,5 2 3,5 2,3,5,6 2,3,5 2 1, 2, 3 ,4 ,5 Essential Clinical Skills contents Relevant HTP Unit of competency HLTEN513 Relevant elements for HTP unit of competency 3.2 Temperature, pulse and respiration (TPR) measurement HLTEN503 HLTEN504 HLTEN512 HLTEN513 1,2,3,4 4,6 2, 5, 6, 7 1,2,4 3.3 Blood pressure measurement HLTEN503 HLTEN504 HLTEN512 HLTEN513 1,2,3,4 4,6 2, 5, 6, 7 1,2,4 3.4 Pulse oximetry HLTEN503 HLTEN504 HLTEN512 HLTEN513 1,2,3,4 4,6 2, 5, 6, 7 1,2,4 3.5 Blood glucose measurement HLTEN503 HLTEN504 HLTEN512 HLTEN513 1,2,3,4 4,6 2, 5, 6, 7 1,2,4 3.6 Neurological observation HLTEN503 HLTEN504 HLTEN 512 HLTEN 513 1, 2, 3, 6 2,5,6 1,2 3.7 Neurovascular observation HLTEN503 HLTEN504 HLTEN 512 HLTEN 513 1, 2, 3, 6 2,5,6 1,2 3.8 Pain assessment HLTEN503 HLTEN504 HLTEN506 HLTEN507 HLTEN512 HLTEN513 HLTEN515 1,2,3 6 3 4,6 2,5,6 1,2 2 3.9 12-Lead ECG recording HLTEN504 HLTEN505 HLTEN512 4 1 5 PART 4 MEDICATION 1,2 Essential Clinical Skills contents Relevant HTP Unit of competency HLTEN503 HLTEN504 HLTEN505 HLTEN507 HLTEN510 HLTEN512 HLTEN513 HLTAP401 Relevant elements for HTP unit of competency 4.2 Medication administration – eye drops or ointment, and eye toilet HLTEN503 HLTEN504 HLTEN505 HLTEN507 HLTEN510 HLTEN512 HLTEN513 HLTAP401 1,3,4 1,4,5,6,8 1,2,3 1,2,3,4,6 4 1,2,3 1,2,3,5 1,2,3 4.3 Medication administration – injections HLTEN503 HLTEN504 HLTEN505 HLTEN507 HLTEN510 HLTEN512 HLTEN513 HLTAP401 1,3,4 1,4,5,6,8 1,2,3 1,2,3,4,6 4 1,2,3 1,2,3,5 1,2,3 HLTEN504 HLTEN505 HLTEN506 HLTEN512 HLTEN513 HLTAP501 1,3,4,5,6,8 1,5 1,2,3,4,6 2,3,6,7 3 3 5.2 Dry dressing HLTEN504 HLTEN505 HLTEN506 HLTEN512 HLTEN513 HLTAP501 1,3,4,5,6,8 1,5 1,2,3,4,5,6 2,3,6 3 3 5.3 Wound irrigation, wound swabs HLTEN504 HLTEN505 HLTEN506 1,3,4,5,6,8 1,5 1,2,3,4,5,6 4.1 Medication administration – – oral, sublingual, buccal, topical and suppositories PART 5 ASEPSIS 5.1 Aseptic technique 1,3,4 1,4,5,6 1,2,3 1,2,3,4,6 4 1,2,3 1,2,3,5 1,2,3 Essential Clinical Skills contents Relevant HTP Unit of competency HLTEN512 HLTEN513 HLTAP501 Relevant elements for HTP unit of competency 5.4 Packing a wound HLTEN504 HLTEN505 HLTEN506 HLTEN512 HLTEN513 HLTAP501 1,3,4,5,6,8 1,5 1,2,3,4,5,6 2,3,6 3 3 5.5 Suture, clip and staple removal HLTEN504 HLTEN505 HLTEN506 HLTEN512 HLTEN513 HLTAP501 1,3,4,5,6,8 1,5 1,2,3,4,5,6 2,3,6 3 3 5.6 Drain removal and shortening HLTEN504 HLTEN505 HLTEN506 HLTEN512 HLTEN513 HLTAP501 1,3,4,5,6,8 1,5 1,2,3,4,5,6 2,3,6 3 3 HLTEN504 HLTEN505 HLTEN512 HLTEN513 HLTAP501 2,4,5,6 1,3 3, 6 3 3 6.2 Nasogastric tube insertion and feeding, gastric drainage and gastric tube feeding HLTEN504 HLTEN505 HLTEN512 HLTEN513 HLTAP501 2,4, 5,6 1,3 3, 6 3 3 6.3 Oxygen therapy via nasal cannula or various masks; and the use of nebulisers, metered dose inhalers and peak flow meters HLTEN504 HLTEN505 HLTEN507 HLTEN512 HLTEN513 HLTAP501 2,4, 5,6 1,3 1,2,3,4 1,3, 4,6 3,4, 5 3 PART 6 ACUTE CARE 6.1 Catheterisation (urinary) 2,3,6 3 3 Essential Clinical Skills contents Relevant HTP Unit of competency HLTEN505 HLTEN503 HLTEN504 HLTEN512 HLTAP501 Relevant elements for HTP unit of competency 6.5 Post-operative care HLTEN505 HLTEN503 HLTEN504 HLTEN507 HLTEN512 HLTAP501 1,3 1,2,3,4,5 1,2,3,5,6,7 5,6 1,2,3,6,7 3 6.6 Post anaesthetic care unit care and handover HLTEN505 HLTEN503 HLTEN504 HLTEN507 HLTEN512 HLTAP501 1,2,3 1,3 1 5,6 5,6 1,2,3,6,7 3 6.7 Suctioning of oral cavity HLTEN503 HLTEN504 HLTEN505 HLTEN512 HLTEN513 1,3, 4 1,2,4 5,6 1,3 1,2,3,4,6 3,4 6.8 Tracheostomy care HLTEN503 HLTEN504 HLTEN505 HLTEN512 HLTEN513 3, 4 1,2, 4 5,6,8 1,3 3 2, 3 PART 7 INTRAVENOUS CARE 7.1 Venipuncture HLTEN505 1 7.2 Peripheral Intravenous therapy– assisting with establishment HLTEN504 HLTEN507 7.3 Peripheral Intravenous therapy management HLTEN 505 HLTEN 507 HLTEN512 HLTEN519 4 5 ea 1,2 5 3, 6 1,4 6.4 Pre-operative care 1,3 1,2,3,4,5 1,4,5 1,3,6 3 Essential Clinical Skills contents Relevant HTP Unit of competency HLTEN 519 Relevant elements for HTP unit of competency 7.5 Intravenous medication administration – adding medication to a burette HLTEN 519 1,2,3,4 7.6 Intravenous medication administration – bolus HLTEN 519 1,2,3,4 7.7 Blood transfusion management HLTEN512 7 HLT 301 HLTEN505 1, 2, 4 1, 3 8.2 Gowning and gloving (open and closed) HLTEN505 HLTEN506 HLTEN519 1 4, 6 3 8.3 Surgical scrub HLTEN505 HLTEN506 HLTEN519 1 4, 6 3 8.4 Chest tubes and underwater seal drainage management HLTEN512 3 8.5 Care of the unconscious patient HLTEN502 HLTEN503 HLTEN505 HLTEN504 HLTEN511 HLTEN512 1 1, 4 1, 3 5 2 1, 3 8.6 Palliative care and end-of-life care HLTEN511 HLTEN512 HLTEN513 1,2,3,4,5 4 2, 3 HLTEN504 HLTEN510 HLTEN515 1, 6 2,3,4,5,6 6,7 7.4 Intravenous medication administration – adding medication to PIVC fluid container/bag PART 8 SPECIFIC SKILLS 8.1 Isolation nursing PART 9 MENTAL HEALTH CARE 9.1 Mental state assessment* 1,2,3,4 Essential Clinical Skills contents Relevant HTP Unit of competency HLTEN504 HLTEN510 Relevant elements for HTP unit of competency 9.3 Management of a patient with challenging behaviour (aggressive or violent) HLTEN502 HLTEN510 HLTEN515 3 1,3,4,5,6 7 9.4 Assist with the management of a patient in seclusion HLTEN510 1,3,4,5,6 9.5 Electro-convulsive therapy (ECT) – patient care pre and post treatment HLTEN510 1,4,5 9.2 Establishing a ‘therapeutic relationship’ in the mental health setting 1, 6 2,3,4,5,6 * 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.