Provision & Coordination of Care

• Approaches and organises assessment in a structured way.
• Uses all available evidence sources, including individuals/groups/significant other, health care team, records, reports, and own knowledge and experience.
• Collects data that relates to physiological, psychological, spiritual, socio-economic and cultural variables on an ongoing basis.
• Understand the role of research-based, and other forms of evidence.
• Confirms data with the individual/group and members of the health care team.
• Uses appropriate assessment tools and strategies to assist the collection of data.
• Frames questions in ways that indicate the use of a theoretical framework/structured approach.
• Ensures practice is sensitive and supportive to cultural issues.

• Uses a range of data gathering techniques, including observation, interview, physical examination and measurement in obtaining a nursing history and assessment.
• Collaboratively identifies actual and potential health problems through accurate interpretation of data.
• Accurately uses health care technologies in accordance with manufacturer’s specification and organisational policy.
• Identifies deviations from normal, or improvements in the individual’s/group’s health status.
• Identifies and incorporates the needs and preferences of individuals/group into a plan of care.

• Recognises that clinical judgments involve consideration of conflicting information and evidence.
• Identifies types and sources of supplementary information for nursing assessment.
• Describes the role of supplementary information in nursing assessment.
• Demonstrates knowledge of qualitative and qualitative data assess individual/group needs.

I fulfil the above competency by using the preset templates setup on our system for inital assessments to assist with collecting the required data that is needed.

Furthermore, during my practice I am accessing the following resources, eMIMS Plus, health direct Australia, The Psych Collective, DSM-5 to provide me with extra information or resources that will assist me to educate clients.

• Incorporates relevant assessment data in developing a plan for care.
• Determines priorities for care, based on nursing assessment of an individual’s/groups needs for intervention, current nursing knowledge and research.
• Considers individual/group preferences when determining priorities for creatively in performance review processes.

• Establishes realistic short –and long-term gals that identify individual/group health outcomes and specify condition for achievement.
• Identifies goals that are measurable, achievable, and congruent with values and beliefs of the individual/group and or significant others.
• Uses resources to support the achievement of outcomes.
• Identifies criteria for evaluation of expected outcomes.

• Ensures that plans of care are based on an ongoing analysis of assessment data.
• Plans care that is consistent with current nursing knowledge and research.
• Documents plans of care clearly.

• Collaboratively supports the therapeutic interventions of other health teams members.
• Information necessary for continuity of the plan of care is maintained and documented.
• Responds to individual/group or carer’s educational needs.
• Provides or facilitates an individual/group or carer’s resources and aids as required.
• Identifies and recommends appropriate agency, government and community resources to ensure continuity of care.
• Initiates necessary contacts and referrals to external agencies.
• Forwards all information needed for continuity of care when an individual/group is transferred to another facility or discharged.

Effectively manages the nursing care of individuals/groups:

• Uses resources effectively and efficiently in providing care.
• Performs actions in a manner consistent with relevant nursing principles.
• Performs procedures confidently and safely.
• Monitors responses of individuals/groups throughout each intervention and adjusts care accordingly.
• Provides education and support to assist development and maintenance of independent living skills.

Provides nursing care according to the documented care of treatment plan:

• Acts consistently with the predetermined plan of care.
• Uses a range of appropriate strategies to facilitate the individual/group’s achievement of short and long term expected goals.

Prioritises workload based on the individual’s group’s needs, acuity and optimal time for intervention:

• Determines priorities for care, based on nursing assessment of an individual/group’s needs for intervention, current nursing knowledge and research.
• Considers the individual/group’s preferences when determining priories for care.

Responds effectively to unexpected or rapidly changing situations:

• Responds effectively to emergencies.
• Maintains self-control in the clinical setting and under stress conditions.
• Implements crisis intervention and emergency routines as necessary.
• Maintains current knowledge of emergency plans and procedures to maximse effectiveness in crisis situations.
• Participates in emergency management practices and drills according to agency policy.

Delegates aspects of care to other s according to their competence and scope of practice:

• Delegates aspects of care according to role functions, capabilities and learning needs.
• Monitors aspects of care delegated to others and provides clarification/assistance as required.
• Recognises own accountabilities and responsibilities when delegating aspects of care to other.
• Delegates to and supervises others consistent with legislation and organisational policy.

Provides effective and timely direction and supervision to ensure that delegated care is provided safely and accurately:

• Supervises and evaluates nursing care provided by others.
• Uses a range of direct and indirect techniques such as instructing, coaching, mentoring and collaborating in the supervision and support of others.
• Provides support with documentation to nurses being supervised or to whom care has been delegated.
• Delegates activities consistent with scope of practice/competence.

Educates individuals/groups to promote independence and control over their health:

• Identifies and documents specific educational requirements and requests of individual/groups.
• Undertakes formal and informal education sessions with individuals/groups as necessary.
• Identifies appropriate educational resources, including other health professionals.

Uses health care resources effectively and efficiently to promote optimal nursing and health care:

• Recognises when nursing resources are insufficient to meet and individual’s group’s needs.
• Demonstrates flexibility in providing care where resources are limited.
• Recognises the responsibility to report to relevant persons when level of resources risks compromising the quality of
• care.

Determines progress of individuals/groups toward planned outcomes:

• Recognises when individual’s/groups progress and expected progress differ and modifies plans and actions accordingly.
• Discusses progress with the individual/group.
• Evaluates individual/group responses to interventions.
• Assess the effectiveness of the plan of care in achieving planned outcomes.

Revises the plan of care and determines further outcomes in accordance with evaluation data:

• Revises expected outcomes, nursing interventions and priorities and any change in an individual’s/group’s condition, needs or situational variations.
• Communicates new information and revisions to members of the health care team as required.