The document outlines the clinical competency areas and standards for nursing assessment of a client/patient. It includes 27 items describing the skills and knowledge required to effectively complete a nursing assessment, including initial contact, gathering health history, physical assessment, developing a care plan, ensuring comfort and privacy, and appropriate documentation. The competencies align with the National Competency Standards for the Registered Nurse.
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Appndix 10
1. lnitial *nd Q*a*l*s ,l$reins A*s*sEjr,rrg4fl a*e C,l?,,,5*Fa6ent
Glini*al eanrp*tsncy Ares
G*r*p*t**ey sx*ffinl*r: @-g nursir':g acs*ss.nsnt *f * clientfp*tienl
(should include first eontact)
Demar*traiirn af: Tffibifry:CIE*e*tiv*ly and saf*ly as*e** t*a reeds c? a *ingl*
client/Batient.
?:*r!* fwa n ** F.ritgrig
{Ptea*e inserl t-ltial i* lle apprry*Se rc}-mn}
The*rdang 16W
ir.dles*x ih* Ai.tM*
hldio*al
Camtet**ey
S*andar*s fcr f :e
Ragisler* l{use
(*?,ll*C ?CIGA;
@
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3
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,
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6
."o5,
*"
1 mniifr*s spccltie i*ge*:icns for e**taet I *ommunie*ti*=t I
eetian **iittr t** cii*nfpaliert {i,e. ur':* ir:itial infarru':ali** 1e
arailabls. if ar:v?].
a.j* 1.2,2,*,
4,2_ 9.5
7d
@ a=y uvriaten infa:malion emc*rning
t3i* *lienUpalie#"
1,1, 1.2, 1.3.
2.2,2.$,3.2,
*.5. 1*.E f4
tEffietAr*:fiE pa:iert doct*r*entalial I histary I inl*rmaiia* I
rredi*atiei: eha{ f *cmruRie*1ian{s} lrcm rnern}ers sl e
rau*ti*isei+li|'t*:v t**m ard cU:*rs far:':ilyll*a64!q e'!q),
1.:. '1.2, :,3,
2.5,9"$
flt
=.
rev+lt **a tn a tirrely rnan*crrc*sh*e *a*d*' 1"7,7.1,*.5 "VL
6. Effier"tl ry equlpm*ttfa a*sesema:i {1f
a3propriate).
91, 3"3,5.e,
5.3, 7.1,7.3,
8.1.3.3
-flt
a l*aes & greets th* cli*nllpati*nl & "iaires ir:Yass=sgcs a
range *f cues {vi*:al, auditary
=**
olfa*tcry} al the p*ini ol
.sntact
2.1,2.3,*.2"
5.1, 5.2,3.2.
7.3.7-4. S.:.3,? re
:. nc*p*n*s pramF*y and appropriat*ly sho*tld it 3e
nece*sarv to do so:
8.3,2.3,3.2,
5-3,7.2,7.3,7.4 Tlh
& f*aXa* the cli*r':tl3atieal'f*al at e*3e, a:':* i**n3lie tia
ctrienVp*ti*nf* abitity tc etlg*g* vi*u*lly / ver***ly I
fn{=itive}v a::d ohvsieallv ii.*. thej. r*c:qr raspalse)'
1.2"2,3,7..*,
5.?, ?.1, C.1,
4.3-
-rt
(r=g,ril
,$F
s<
e*JZ
<l{trJ
=(}ils
*=:lL
otr
trfiz,s
>, ra
d. {n
.t lil
XBv<
*" *ar:'i*s c* a ecmpretr*n*ive a-d syatem*ti* "h*ad !* l*e"
ass**anie*t wEth J *f th* clieatiTati=-t.
i. l!ot*#'*en*es imFreesian;
ii. Gathers a .cng* e? sid*r:ceirsn **i*nl and 'farnily';
a;a. Utilises aptr*priate as*easm*nl aqui3rnenl and
iv. Arp:apriet* ass**sm*nl t33ls;
v. Aet* wttlr alprapriat* ,"jr*en*y sh*ul* ihe ne*d b*
evidstt *uling *e *ur*i=g a**'et*xent;
vi. *tlrer: Pleas* *P**ify:
t.t, {.2,
2.1 ,2.2,
?.v,2.*,
2.3,5.1,
5.2,3.3-
8.1, 5.2, s.5
X{*y **! be
rrGqssgary
!.
frt
i. 7l'
:11.
tu
iv.
4
Y,
@
vt.
-if. EffiAidea;,*e sl *dev*iopiag rapp**ar:* a ther=leutic
relalion*lrlp in the i*teract*r with ihe *ienUpati=at;
1"2,9.f , g.?,
9.3, 9.4 tu
11" Us** a t*nGe *l qr.*e*tioning s*]ea an* dem*n*lra!**
app:apri*l* li*t*nir*g alills;
7.1,e3,2.4,9.4,
9.2 ru
12-ffirr':sa?$a e*mmunipa*on elyl* lhai is t:r*a*!rg{u} &
profe**l***l in daneanar illi.rstratlng a #tlse of carlng;
2"1,2.*,2.4r
9.1,9.2 fr
I mpie n*ert*ti* R, *yal u *ti*= e*d Ean ch rr ar-in g *f t1 e pre-r*g i*tr-alior:
aeie*a:nert *ebedula {HCA$} f*r uge afra$* Ac*trall*n an*veraltiee'
::u r*in g c*mpa1e:reie*
2'
2. ?e$* rzna* e e *-rl!e !-da
iFlea* iffiert i*iiial in tle epprppriale xlar:n)
Tf* fdllg *ls#
il*lcdE* the Ai*li6C
Naiisnal
Scmpele*:cy
Slandard* fs t?te
Regi*trerd *ur*=
(A:rfitta ta06]
o
E
OE
CL
o
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g
{l
e!
ia
a3
tr
a
3<
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ct
E=rD=
{E
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e!tr
EtrI
lli*
G}
et
13. Exffar,e*, thraugh th* us* of aE apprrp**3 ffam*arcrk,
dima*siaae fur gatheri*g a health hi=**ry
i. Sa*ial:
,*. EnGi**al;
iii. -*ysteal *nd d*rdaprnerrtal;
iv. l*t*E*dual
v. Spirt*# and
vi. C*n*iders H*alil'r *dr,*a*a= a*d H*al& pr*moti*r:
cpps*uilitie*.
?.1"2,3,
2.4, *,*,8.2
: 'til
ll, ill
::i. vZL
lY-
7r-
V.
Yii
7q
fl{
14. Aek*osddgaa and value* data ftsn a var!*ty sd s$uree6
bringing '*ecni*g't* th* {in*iags *l tla nursing
e*ses*rnent:
2.2,2.3,2.4,2.$
-,A
?5, Daa.*n':*rts a pla* c{ ear* in *gr**me*i wEth the
elie*Vptienl and sig*if*aat *lhera that u$es the frarna,rk
utilissd *l,+re f*,r, Acti:iE*s a'f tivinsi
1.2,2.1,2.*,
2.5, ,1, e"2,
*"3. a.1. 8"2.9.5
'tr4
tG. Sviden** cI * **v*lapir:g therape*tic rd*llonship wit* tle
clien#padent; e.g. giva* dien?paliant a der *xplandi*+s
r**ardi:rq tl'*a r*u=ina a**ss**nt.
2.j,2.3,9.1 4.2,
*.3
ft(
17. Maiat#n* dig*i$ al alliia':*s, provid** 3rivaey ald e*rni**
masrres - diglay* problem salvi-g abilitis paili**arly
related tc;
i. lhe rn*inle.a*ce *6 a3prupi*t= p*:ser:=i spe=;
ii- the man*g+r*ent of bouS:dary issues a*
iii.. any other; $pecifically: ,.. ,alt-^.'o^ c-s
J--':-r.-'r& -r.-ffi
1.2,2.7,
*.1,9"3,
*.3,9.S
*|ry*al&.
,t&*3*rr*,
frl
I:,
-rr(
t,l.
f{t
18. Mt*itcrs *e p*tidrt a*c*rding to l*cal pli*y f Frace*i.r* J/
ksterid*ne*.
4.2,2.2,7..3,2.*,
5.1,5.?, 5.2,7.1,
r"5. 7.8,4.5.10.2 7A
18. Ensur* pa:isrt i* pociti*n*d ap3raprEaidy and comfo*ally
& Brepard fir ar:y inteventiCIn ir* 1*i* pe{*d {=aying
parti**lar a**nii*rt ta A3C*5);
{e.c- eirvrav. brealhina. ci:sul#l*rl e!*}
7"2,2,3,2.5,
g":, *.2, *.3
W
?f. Frepares *ny i*terventi*#m*dlc*?iol end ecrepl*1ea ll*rn
aanrsrriatelv a*d in a lim*ly. saf* *ld a?fec{iv*mann*-
*.?, $.3,7.a,
*.3, ?.5 7^
?t. If n*ccsss,y us+s safe medicin* a*xini=trati*n *nd
ar:ploys aaf* pra*ti**= dcrirq any irrt*rverii*nr wttlr the
cli*n#rali**l dl**r:* ths a.c$esssent
=*riod:
1.:, :.2, 1.3,2.a,
2.$,3,2,4.2,8.1,
5.2.*.1*5 -''{e
2?. lf nmes*arF at*iete the p*ti*nt ta t*k* ih* m*dieatial ar
dcal vutth the i*eruentlcn:
1.2, 7.1, 9.5
rv
23. [m plerc*nta ap3lapriate 3egia *i ng d**eharge 3l=rnicg,
haglfi *ducati*n *r** pror*oon and ieaching l*
cli*affBaii*nt erri
=rerl*}:
7,7
n4
*.>
p:=
g: i,'
org
g
?4. Goneludes tle nxrsl*g ass**sment p*rio* wlth ihe
cli**tlpatiant by e*a=id*rat*1y *neltdir:g the the=peltie
rslali*r:ehici
1,2,*.a, S.3,9.5
ru
35. Fa*ilitai*s dieritlpali*nt repmit*cnirg ta maiatain pr*vary
diqrlly, en$..re3 comio:t *s far as resible a! tl":al *aint:
1.2,2.3,2.5_7.1
Vl
?*. Cf**ilsltidies sea; disp**s of any waste *pprap*=tely
ar:d as 600r: *s i* pred**ahl*; r*tn*v3s glaves & stler
PPf {as ne*e*sarv}:
1.-, 1,2.1-X,
9.5, 1S.1
ft77.
=places,
*I*E*1s aldl*r dispose* of equipm*nt
a*nrs*ri=telv
1.1, 1.2, *.5,
10.1 '-rA
lmplerr*=tatir** eyalusti*n and h*;r*hx*rlcing of the pte-regi**ratie n
a*ssssm*nl sc*edul* {t'l*AS} ler .se asr*s* Arstra}ia* uriysrsilier.
::u:*ing *cm3ete*cis*
Z1
3. (P*ea$s ar*ti l3!i*l i* th aflnFtiate e.lu,:tn]
Tl*Eadi*g kl#,
indicra thsANMe
N*tanal
ecr:pete*cy
gteadar*fsrih*
Regi*ta*d Hrre
{A}IMC:**6}
a
"tt
@
a,
6
E
,,,
ob
a
o
E.
crrt
o
{,
{l
6
=
6
-gr
E
=
a
*7
e
3
G'
I
5^s'E .a
jrs
oeE
=
TEr}c}
zeEaea*ng ar.rd ***mdirrg *i rd*van* inf*nn#ior::
i. Fiadiags for:: *sse**!fie*t and Fs*ible nur*ing
diag*o*e*;
ii. l"luraing Car*;
iii" Medieatiril *L*rt
iv. ot?:er if alprsFnate {*.*. particulsr aas*isrnent *h=$
Specify i.e. plan
1.a, 1.?,
1.3, ?.S,
9.2,1C"2
*fayrol !a
fi*e*sirafy
t.
tu
i,.
Ttt
:f.
frt
aY.
E}
o=
atLalo
3-.
E*L
r1l o
ffiiJi*ttett *n t*e aeikity and !* li::k
theory to Practice
l, **lates ta ***lsions r-ade,
ii. evidence utilissd a*d
iii" l*tplie*ti**af$r ****ssilrg & plan*i*g ol dient/9a1i*r:i
tare,
1.2,2.1,
2.3, 3.'1,
3.?,4.'1,
4.?, r.7,
5.3- 7.{,3.1
1
TrU
ti
vr,
alt
'/l*
S*rm*n, Aei at2B1C l{**ipr* lf*isfr{r#,4r:t#gra#lp**t{#rt{g, ':s
=d.{Aust),
Pearsan,.Aadralia
B#t;K, t*, i**a ,e re* i* cri:Ti** +rl=rricr:', J.*{ffgl+J&frr{F:rr*
e*ui*i**,,vcl. 22i*], PP. 3?*-*81
ffiFn* iayi*r, * 5S** *{:}##rgrl{s refis**r*tf6{54ft,{s,+S, 3d Edii:on,
=lsevier.
Aretra*ia
iori#*n, j zai* arar*si #rrt*s,4r'l Editiwl, T*cr*eo*, Au*t=lia
lnd*p*r:d+r* {l}
**3erv*aed: t3)
ffi=$6eir:E 3at* 3 krxvledgaable; dfleiet & casrdltra*G: g,6pt=ys saEl* tonnc?*e-.
and und*hh* **ivitiec w*l}:ia"a raason=bly tir:n*ly r*anr:*r. Require* sccasiena! s*fp*i*g
eueS. _ -.4,!#
Asai*t**: {A}
effi:o *ei*$ safe
=nd
ltr1sl,Ytedgea*le m*st *l if:* Cme; *l(11u} *n ra$ 3o:fifi*Yet rs
ing:i*ien: *tt*-5ame *kili areas; tikes lorg*r than would be *xps*td to e*mpiet* the :ask'
Rer;:irs fieqil*fi varbal a:rd *onre phy,aqel qu9q *. -* *-
ldargin**: {l$}
ffi=:o }elr1g raf*d.*n =l*sely
sup*rvis*d and *lfpsrted; arn3ilileq a*o l*at:lele.q u53i'
*n"* s':eraiand t**es a prclci':se* tlme pedg4l-',fqitir!e;:*Ysr'}3{-eild.e1fqig*lS19t,
frep**d*rt: {E}
ffi eo6*er:1i a*ut b*ing lrr*afe and being ul:*tfe:* {effi*ngtate nsnaYlslr t.
aiii**ate intenti*:r; 1ae*ng i* J*nii*e*ee, eoadiiaii** ar:* *fE*ieney. eairtl*u*us verbal a*d
lhvsira*eee#inl#Ver*ig*e necessary. ,
-
**rnpul**ry *efee,tion *Y $tudent:
mdel fer r*l*i+c]
{fi*ase r*{*r tq Leyet*Jsn*$ a:r4 Surgeai* textr Tls *1iri*al Pta*ame# pp*?192 -
;Litc.t-o? -1- wu.a ab
a$r"issu,^ 4 ^c*
g ar.nc,.y,e& )^i'w,W
%rtth*eZi a c*par*te sfieel il
ilcr*waul* you r*l* y*ur *v*rall p*rfara*lee whilet u*derlaki*g-tlris di*ieal actlvity? {Pkaee hti*=}
U:t*atief**tar:, ilJ satief*ctary llll cc*a ffi Ex*el*rt I
lnr:pl***rt*tlo*, *valuatisn an* is*ehmarki*g cf t*e.p:e-regl=t11tn*n sur*139 ecmpeleneie*
o,.i.***ort q*hsdr:le tl{CAAI f6r {*s atat*i AiJ3tttliS* ariver*ltieg. 71
4. Ao**-"
Gontinue or? a separafe sheef rf
HorE, t ra*ld you r*t* *e *v*rgll perf*rmaa*g *? *lls atud*=t uring thls cliliel *=1iv*F {pba3e }t,&i} :
U**alis{a*t*ry il $ati*fae}ery I Gct{ fJ *x*ell**zW
o-?a -,tA*^. - .e^.o,L ao,,..
=
,
-,^ 4... , . ,n, l-=J , -u, l^-. Cra lq4
J t-*u -
tkrd*r1ilam*: {p,ea*++r*:#
(ar^ju Shrac}l*5igr: W ***, lYlry)'t't
Clirie*l fteilibt*r {Rl*}: rp*asep** il. nera*; "
Siga:
lmp***:*=ta*isnn err*lu*ti*a and trer*hm*rlsing al !ile gre*r*gi*tration nurcirg cor:3*t+*ci*s
*ts*5*i?ttnl r*t:+dul* {NCASI lor *ae across Au*tr*lien univ*rsilie=. .r,ks":.ire*ed.***-ee, 23