Unit of competency details

Release  

TP Version  

Comments  

2

ACM10v3

Reference to OHS legislation replaced with generic terminology

1

ACM10v1

Initial release. Supersedes and is equivalent to RUV5602A

Elements describe the essential outcomes of a Unit of Competency.

Performance criteria describe the performance needed to demonstrate achievement of the element. Where bold italicised text is used, further information is detailed in the required skills and knowledge section and the range statement. Assessment of performance is to be consistent with the evidence guide.

ELEMENT 

PERFORMANCE CRITERIA 

1. Maintain patient fluid requirements

1.1. Intravenous catheters  are placed and maintained  in accordance with clinic policies.

1.2. Patient fluid output  is monitored in accordance with workplace health and safety  and clinic policies and procedures.

1.3. Intravenous fluid therapy is maintained  in accordance with clinic policies.

2. Maintain patient nutritional requirements

2.1. Specific nutritional requirements  are met according to individual patient needs.

2.2. Energy requirements  are calculated according to individual patient needs.

2.3. Assisted feeding  procedures are carried out in accordance with clinic policies.

3. Monitor wound or surgical site post-operatively

3.1. Dressings and bandages are managed post-operatively in accordance with clinic policies.

3.2. Indwelling surgical drains  are managed in accordance with clinic policies.

3.3. Open wounds are managed post-operatively in accordance with clinic policies.

4. Monitor recumbent patients post-operatively

4.1. Housing and bedding  are selected in accordance with specific patient needs.

4.2. Specific nursing techniques are used to prevent and treat complications associated with recumbent patients .

4.3. Positioning aids and techniques are used in accordance with surgical procedure, disease process and individual patient needs.

5. Monitor patients post-operatively

5.1. Vital signs and observations  are recorded and abnormalities are reported to the surgeon.

5.2. Patient care plans are prepared and implemented in consultation with the surgeon.

5.3. Recognised physical therapy techniques  are applied according to patient needs.

6. Discharge patients into the care of clients

6.1. Specific home -nursing requirements  are communicated to clients in accordance with surgeons' instructions.

6.2. Instructions on patients' physiotherapy and exercise are communicated to clients as required in accordance with veterinarians' instructions.

6.3. Follow up appointments are organised as required.

This section describes the skills and knowledge required for this Unit.

Required skills

Ability to: 

• calculate patient nutritional requirements
• complete relevant work-related documentation
• employ safe and environmentally responsible organisational systems and procedures when working with and handling animals
• maintain the highest standards of hygiene and infection control at all times to reduce the risk of infection and cross-infection
• observe accurately and report animal condition and vital signs
• recognise, respond to and assist with emergencies
• use literacy skills to read, select and implement policies and procedures, including workplace health and safety, infection control and other clinic policies and procedures; coordinate patient admission and discharge; implement sequenced written and oral instructions; and record patient details accurately and legibly
• use interpersonal skills to relate to people from a range of social, cultural and ethnic backgrounds and with a range of physical and mental abilities
• use oral communication skills/language required to fulfil the job role as specified by the clinic, including negotiating and questioning techniques, active listening, asking for clarification from veterinarian, and acknowledging and responding to a range of views
• use numeracy skills to monitor patients' vital signs and surgical equipment
• use problem-solving skills to use available resources, prioritise tasks and anticipate surgeon and patient requirements
• use safe manual handling techniques and/or equipment
• use safe waste handling and disposal procedures.

Required knowledge

Knowledge of: 

• anaesthesia, fluid therapy and radiographic and imaging routines relating to specialised surgical routines
• animal anatomy and physiology related to post-operative nursing routines
• fluid therapy
• nutritional requirements after specialised surgical procedures
• pain management techniques
• principles of animal welfare and ethics
• recognition of emergencies
• relevant state or territory legislation and regulations relating to the practice of veterinary science, workplace health and safety and animal welfare
• relevant state or territory legislation covering the use of therapeutic and controlled substances
• safe work practices
• specialised surgical procedures, including thoracotomy, enterotomy, gastrotomy, cystotomy, spinal surgery, orthopaedic surgery and ophthalmic surgery
• therapy strategies for recovering patients
• use and recording of chemicals and medicines in the clinic according to relevant legislative requirements
• workplace hygiene standards, disinfectants and sterilisation, cleaning agents, cleaning techniques and cleaning equipment and materials.

EVIDENCE GUIDE 

The Evidence Guide provides advice on assessment and must be read in conjunction with the performance criteria, required skills and knowledge, range statement and the Assessment Guidelines for the Training Package.

Overview of assessment 

Critical aspects for assessment and evidence required to demonstrate competency in this Unit

The evidence required to demonstrate competence in this Unit must be relevant to workplace operations and satisfy all of the requirements of the performance criteria, required skills and knowledge and the range statement of this Unit. Assessors should ensure that candidates can:

• apply an advanced working knowledge of animal anatomy and physiology whilst managing wounds or surgical sites post-surgery
• communicate effectively with the surgeon on all aspects of patient care
• provide clear and concise directions to clinic personnel
• maintain patient fluid and nutritional requirements post-surgery in accordance with patient care plans
• nurse animals with care and empathy and in accordance with individual patient requirements
• implement a physical therapy program for recovering patients
• observe and report on animals' condition and vital signs in an accurate manner
• record and complete patient records accurately
• recognise, respond to and assist with emergencies
• communicate with clients on patients' progress and home-nursing requirements.

Context of and specific resources for assessment

Assessment of this Unit is to be practical in nature and must be assessed in a clinic or hospital where registered specialists are performing specialised surgical procedures.

There must be access to the appropriate equipment and/or resources relevant to the specialised surgical procedures taking place in the clinic and the postoperative nursing requirements to enable one to demonstrate competence.

Method of assessment

To ensure consistency of performance, competency should be demonstrated by carrying out postoperative nursing routines for an extensive range of patients recovering from specialised surgical procedures on a regular basis over a period of time.

The assessment strategy must include practical skills assessment. Suggested strategies for this Unit are:

• written and/or oral assessment of candidate's required knowledge
• observed, documented and first-hand testimonial evidence of candidate's application of practical tasks
• simulation exercises that reproduce normal work conditions
• case study analysis
• third-party evidence
• workplace documentation
• portfolio.

This Unit may be assessed in a holistic way with other Units of Competency relevant to the industry sector, workplace and job role.

Guidance information for assessment

Assessment methods should reflect workplace demands (e.g. literacy and numeracy demands) and the needs of particular target groups (e.g. people with disabilities, Aboriginal and Torres Strait Islander people, women, people with a language background other than English, youth and people from low socioeconomic backgrounds).

RANGE STATEMENT 

The range statement relates to the Unit of Competency as a whole. It allows for different work environments and situations that may affect performance. Bold italicised wording, if used in the performance criteria, is detailed below. Essential operating conditions that may be present with training and assessment (depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts) may also be included.

Specialised surgical procedures  may include:

• cystotomy
• enterotomy
• gastrotomy
• orthopaedic surgery
• ophthalmic surgery
• spinal surgery
• thoracotomy.

Maintenance of intravenous catheter  sites may include:

• changing dressings
• flushing wounds with heparinised saline
• maintaining catheter asepsis
• monitoring the insertion site of a peripheral or central catheter for signs of:

• cellulitis
• discharge
• phlebitis
• thrombosis.

Patient fluid output  may include:

• faeces
• fluid from thoracic, abdominal or wound drainage
• saliva
• urine
• vomitus.

Workplace health and safety  risks when working with animals may include:

• animal bites, kicks, scratches and crush injuries
• biological hazardous waste and sharps disposal
• handling of chemicals and medicines
• gas leakage
• inhalation of aerosol particles
• intraocular contamination
• manual handling, including carrying, lifting and shifting
• needle pricks and cuts from other sharps
• release of infective agents (animal and human)
• slippery or uneven work surfaces
• zoonoses.

Equipment to maintain intravenous fluid therapy  may include:

• drip rate flow regulators
• fluid administration sets and extension tubing
• fluid pumps
• syringe drivers.

Specific nutritional requirements  may include:

• diets for:

• growth
• hepatic, renal, pancreatic or cardiac disease
• intestinal or urinary tract disorders
• weight loss
• optimum healing.

Calculating energy requirements  may include:

• multiplying the basal energy requirement by the illness factor taking into account the calorific content of the food.

Assisted feeding  may include:

• hand feeding
• preparation of suitable diets
• tube feeding.

Indwelling surgical drain  may include:

• abdominal
• intrathoracic
• wound.

Housing and bedding  may include:

• housing:

• cots
• heated kennels
• incubators
• kennels
• runs

• bedding:

• blankets
• dry bedding
• heated waterbeds
• padded beds
• towels.

Complications associated with recumbent patients  may include:

• decubitus ulcers
• depression
• hypostatic pneumonia
• urine and faecal scalding.

Vital signs and observations  may include:

• assessment of temperament
• capillary refill time
• evaluation of pain
• fluid and food intake
• heart rate
• mucous membrane colour
• pulse rate and quality
• rectal temperature
• respiratory rate and effort
• urine, faecal and fluid output.

Physical therapy techniques  may include:

• active assisted exercise:

• assisted standing
• assisted walking
• hydrotherapy

• massage:

• effleurage (stroking)
• petrissage (squeezing)
• friction (circular movements)
• the application of warm and cold compresses to the affected area

• passive exercise therapy:

• manipulation and movement of joints and limbs by the nurse through a range of motions.

Home -nursing advice  may include:

• specialised surgical operations may have life-threatening consequences even during the home recovery period
• client advice on discharge:

• specific home-nursing requirements detailed by the surgeon
• administration of prescribed medications
• bladder and bowel movements
• management of surgical wounds and drains
• cast management
• diet and/or exercise and physiotherapy.

• advice and contact numbers for potential emergency situations and follow-up appointments.