Clinical Nursing Clause Samples

Clinical Nursing. 4.2.1 Contributes to the formulation of care plans/clinical pathways in collaboration with the registered nurse. ∙ Accurately collects and reports data regarding the health and functional status of patients. ∙ Participates with the registered nurse, patient and family/carers in identifying expected health care outcomes and patient needs. ∙ Participates with the registered nurse in evaluation of progress of patients toward expected outcomes and reformulation of care plans/clinical pathway.

Clinical Nursing. 4.2.1 Carries out comprehensive and accurate nursing assessment of patients, plan and implement care and evaluate the achievement of identified outcomes: ∙ Uses a structured approach in the process of assessment and collection of data regarding the health and functional status of the patient. ∙ Analyses and interprets the data accurately. ∙ Collaborates with the patient and family/carers/significant other in identifying expected health care outcomes and patient needs. ∙ Formulates a patient’s plan of care, outcomes including timeframes for achievement and continuity in collaboration with other health professionals and the patient (includes significant other when appropriate). ∙ Evaluates progress toward expected outcomes and reviews and revises plan of care, in accordance with evaluation data (variance identification). Subject: 4.2.2 Manages effectively nursing care of patients within scope of competence : ∙ Organises workload to facilitate planned nursing care. ∙ Delegates to others activities commensurate with their abilities and standards for practice. ∙ Responds effectively in unexpected or rapidly changing situations ie. The deteriorating patient. ∙ Escalates issues of deteriorating patients to Unit Manager / After Hours Nurse Manager and Medical Officer ∙ Ensures all observations are undertaken and charted as per policy on MADDs chart.

Clinical Nursing. 4.2.1 Carries out comprehensive and accurate nursing assessment of patients, plan and implement care and evaluate the achievement of identified outcomes: ∙ Uses a structured approach in the process of assessment and collection of data regarding the health and functional status of the patient. ∙ Analyses and interprets the data accurately. ∙ Collaborates with the patient and family/carers/significant other in identifying expected health care outcomes and patient needs. ∙ Formulates a patient’s plan of care, outcomes including timeframes for achievement and continuity in collaboration with other health professionals and the patient (includes significant other when appropriate). Subject: ∙ Evaluates progress toward expected outcomes and reviews and revises plan of care, in accordance with evaluation data (variance identification).

Clinical Nursing. Contribute to the formation of care plans/clinical pathways in collaboration with the Registered Nurse; – Accurately collect and report data regarding the health and functional status of patients; – Participate with the registered nurse, patient and family/carers in identifying expected health care outcomes and patient needs; – Participate with the registered nurse in evaluation of progress of patients toward expected outcomes and reformulation of care plans/clinical pathway; – Manage nursing care of patients within the scope of enrolled nursing practice; – Implement planned nursing care to achieve identified outcomes; – Recognise and report changes in the health and functional status of patients to the registered nurse; – Ensure communication, reporting and documentation are timely and accurate; – Organise workload to facilitate planned nursing care for patients and reprioritise when appropriate with the registered nurse; – Provide support and care to patients within the scope of enrolled nursing; – Provide for the comfort needs of patients experiencing illness or dependence; – Ensure patient values, customs and spiritual beliefs are respected; – Contribute to the health education of patients to maintain and promote health; − Communicate with patients in an appropriate manner and environment to enable therapeutic outcomes. – Enrolled Nurses with medication endorsement may when delegated by the Registered Nurse and in accordance with procedure administer S4 medications; – Enrolled nurses who have completed Medication Endorsement EN (Med) + S8 Competent may administer controlled S8 drugs under the direct supervision of a Registered Nurse or a Doctor under the strict guidelines and criteria as per the Organisational Policy – Enrolled nurses who have completed Medication Endorsement EN (Med) + IV Medication Competent may administer designated IV medications under the indirect supervision of a Registered Nurse or Doctor under the strict guidelines and criteria as per the organisational policy.

Clinical Nursing. Carries out comprehensive and accurate nursing assessment of patients, plan and implement care and evaluate the achievement of identified outcomes: - Uses a structured approach in the process of assessment, collect data regarding the health and functional status of the patient; - Analyses and interprets the data accurately; - Collaborates with the patient and family/carers/significant other in identifying expected health care outcomes and patient needs; - Formulates a patient’s plan of care, outcomes including timeframes for achievement and continuity in collaboration with other health professionals and the patient (includes significant other when appropriate); - Evaluates progress toward expected outcomes and reviews and revises plan of care, in accordance with evaluation data (variance identification); - Effectively manages nursing care of patients within scope of competence; - Organises workload to facilitate planned nursing care; - Delegate s to others activities commensurate with their abilities and scope of practice; - Responds effectively in unexpected or rapidly changing situations. – Ensures that clinical activities within the ▇▇▇▇ and associated services remain within the hospital’s delineated role, and comply with the Clinical Guidelines under the Private Health Facilities Act; – Applies sound clinical practice which is evidenced based to ensure optimal health of the patient; and – Assess and respond to clinical and nursing problems within the scope of practice.

Clinical Nursing. 4.2.1 Carries out comprehensive and accurate nursing assessment of patients, plan and implement care and evaluate the achievement of identified outcomes: ∙ Uses a structured approach in the process of assessment and collection of data regarding the health and functional status of the patient. ∙ Analyses and interprets the data accurately. ∙ Collaborates with the patient and family/carers/significant other in identifying expected health care outcomes and patient needs. ∙ Formulates a patient’s plan of care, outcomes including timeframes for achievement and continuity in

Clinical Nursing. − Assist in the care of patients within the scope of Assistant in Nursing practice; − Implement planned care to achieve identified outcomes; − Recognise and report changes in the health and functional status of patients to the Registered Nurse; − Ensure communication, reporting and documentation are timely and accurate; − Organise workload and reprioritise when appropriate with the Registered Nurse; − Provide support and care to patients within the scope of Assistant in Nursing practice; − Provide for the comfort needs of patients experiencing illness or dependence; − Ensure patient values, customs and spiritual beliefs are respected; − Collaborate with the Registered nurse and members of the health care team in the provision of care; − Communicate with patients in an appropriate manner and environment to enable therapeutic outcomes; – Following demonstrated competence the Assistant in Nursing is able to perform the following: • Daily Hygiene Needs • Nutrition – Oral feeding • ▇▇▇▇▇ ▇▇▇▇▇ Measurement and reporting to Registered Nurse • Position, Mobilising and Weighing of Patients, • Escorting patients to Theatre following appropriate clinical handover , • Apply ▇▇▇ stockings, • Ensuring Infection Control practices are followed, and • Fluid Balance of Charting and reporting to Registered Nurse. • Risk management practices and safe systems of work • Monitoring and control of environmental factors in the workplace

Clinical Nursing.  Carries out comprehensive and accurate nursing assessment of patients, plan and implement care and evaluate the achievement of identified outcomes  Uses a structured approach in the process of assessment and collection of data regarding the health and functional status of the patient.  Analyses and interprets the data accurately.  Collaborates with the patient and family/carers/significant other in identifying expected health care outcomes and patient needs.  Formulates a patient’s plan of care, outcomes including timeframes for achievement and continuity in collaboration with other health professionals and the patient (includes significant other when appropriate).  Evaluates progress toward expected outcomes and reviews and revises plan of care, in accordance with evaluation data (variance identification).  Manages effectively nursing care of patients within scope of competence;  Organises workload to facilitate planned nursing care.  Delegates to others activities commensurate with their abilities and standards for practice.  Responds effectively in unexpected or rapidly changing situations ie. The deteriorating patient. Escalates issues of deteriorating patients to Unit Manager / After Hours Nurse Manager and Medical Officer  Ensures all observations are undertaken and charted as per policy on MADDs chart.  Ensures that clinical activities within the ▇▇▇▇ and associated services remain within the hospital’s delineated role, and comply with the Clinical Guidelines under the Private Health Facilities Act.  Applies competent clinical practice which is evidenced based to ensure optimal health of the patient.  Assess and respond to clinical and nursing problems within the scope of practice.  Ensures contemporaneous documentation occurs. The entries are signed with printing of name and designation is applied after the entry.