HLTENN053Apply nursing practice in the critical care setting

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What an assessment for HLTENN053 must cover

54 assessable components: 4 elements (16 performance criteria), 13 performance evidence and 25 knowledge evidence requirements. An audit-defensible tool maps every question and task back to these — that mapping is the coverage matrix Auditori generates alongside the assessment.

Elements & performance criteria

1 Apply theoretical concepts and principles in providing critical care nursing.

  • 1.1Identify current health status and limitations of medications and therapeutic regimes in the critical care setting.
  • 1.2Identify factors impacting the health status and report significant alterations.
  • 1.3Identify and respond to psychosocial needs in the critical care setting.
  • 1.4Identify and apply a systems approach to nursing care.

2 Contribute to caring in the critical care setting.

  • 2.1Identify role of specialist nursing and medical services in the critical care setting and work effectively with others.
  • 2.2Identify factors relevant to the situation giving consideration to physical, psychological, social and economic impacts.
  • 2.3Evaluate, document and revise plan of care using data collected and communicate to multidisciplinary health care team.
  • 2.4Identify care options, discuss advance care planning and advocate for optimal care outcomes.

3 Perform advanced enrolled nursing interventions to attain and maintain optimal health.

  • 3.1Manage nursing workload according to needs and re-prioritise care activities rapidly when circumstances change.
  • 3.2Undertake pre-, intra- and post diagnostic procedures in line with organisational policies and procedures and within scope of practice.
  • 3.3Assess and prioritise emergency care activities rapidly in provision of emergency nursing care.
  • 3.4Identify and escalate nursing care where the person’s acuity exceeds own knowledge, skill and assessed competence and consult with registered nurse and treating multidisciplinary health care team.

4 Develop own practice in the critical care nursing environment.

  • 4.1Make proposal for nursing interventions in consultation with registered nurse to promote improved outcomes.
  • 4.2Evaluate nursing interventions provided and outcomes against evidence-based best practice in critical care nursing.
  • 4.3Identify symptoms of stress and professional burnout in self, peers and colleagues, and refer to services within organisational policies and procedures and scope of practice.
  • 4.4Seek opportunities and participate in professional development to guide own practice and act as a resource for colleagues.

Performance evidence

  • Evidence of the ability to complete tasks outlined in elements and performance criteria of this unit in the context of the job role, and:
  • perform nursing care interventions on three people in a critical care setting in the workplace by:
  • care of an arterial line
  • care of central venous access device
  • assessment of chest pain
  • recording and monitoring of electrocardiograph readings for abnormalities
  • use of continuous cardiac monitoring equipment
  • administration of non-invasive continuous positive airway pressure (CPAP) and bilevel positive airway pressure (BiPAP)
  • care of permanent and temporary mechanical ventilation including suctioning and bagging
  • use of peripherally inserted central catheter (PICC) and midline care
  • use of underwater seal drain (UWSD) management.
  • The tasks must include use of advanced communication and medical terminology to communicate effectively with the person, families and carers, and the registered nurse and other health professionals to record or report the outcomes.
  • The tasks must be undertaken in accordance with the Nursing and Midwifery Board of Australia (NMBA) professional practice standards, codes and guidelines.

Knowledge evidence

  • advanced life support including advanced cardiopulmonary resuscitation
  • nursing procedures relevant to a critical care setting including infusion pumps and patient-controlled analgesia pumps and syringe drivers
  • anatomy, physiology and pathophysiology related to critical care issues sufficiently in-depth and specialised to make judgements and to make a professional contribution in the critical care setting
  • priority of care in an emergency situation in the critical care setting
  • actual and potential problems in critical care:
  • respiratory failure
  • increased intracranial pressure
  • deteriorating person and levels of consciousness
  • haemorrhage
  • hypercapnia
  • inability to clear secretions
  • inability to cough
  • aspiration
  • shortness of breath
  • electrolyte imbalance
  • fluid overload
  • hypoxia and hypoxaemia
  • chest pain
  • stroke
  • vessel occlusion
  • pneumothorax
  • pacemaker lead displacement
  • arrhythmia
  • allergic reaction
  • shock.

Unit content sourced from training.gov.au — © Commonwealth of Australia, licensed under CC BY 4.0. Auditori is not affiliated with the Department of Employment and Workplace Relations.

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Questions about assessing HLTENN053

What does an assessment tool for HLTENN053 need to cover?

To satisfy the Principles of Assessment and Rules of Evidence, an assessment for HLTENN053 needs to address all 54 unit components: 4 elements with 16 performance criteria, 13 performance evidence requirements, 25 knowledge evidence requirements, and the foundation skills. A coverage matrix mapping each question and task to these components is what an auditor looks for.

How does Auditori generate an assessment tool for HLTENN053?

Auditori pulls the current release of HLTENN053 from training.gov.au and generates a complete package: candidate assessment, assessor guide with model answers and observation criteria, and a coverage matrix mapping every component. A suitably qualified person then reviews and approves the draft in a built-in workflow — consistent with ASQA's guidance on AI use in VET — before export as branded PDF and editable Word.

Is the first assessment tool really free?

Yes. Every new account includes one free credit — enough to generate the complete assessment tool for HLTENN053 — with no card and no subscription required. After that it's pay-as-you-go per unit.

Can I check my existing HLTENN053 assessment instead of generating a new one?

Yes — upload your existing assessment or learner guide and Auditori maps it against every element, performance criterion, PE and KE of HLTENN053, showing exactly what's covered and what's missing. Mapping costs a quarter of a credit.

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