Unit of competency Outline
Date retreived
23/07/2026 2:51 PM AWST
23/07/2026 2:51 PM AWST
Whilst all efforts are made to provide accurate and timely information from the relevant source/documentation, please be aware that the information supplied may not be the most current version. The accuracy of the detail has not been confirmed by the Department and therefore should not be relied upon without first confirming the contents.
Practise in the domiciliary health care environment
Practise in the domiciliary health care environment
Unit of competency
National Code
HLTEN608B
HLTEN608B
State Code
D8233
D8233
TGA Status
Replaced
Replaced
DTWD Status
Replaced
Replaced
State Implementation and Classification
Approved Date
24/08/2012
Field of Education
060301 - General Nursing
Original Release Date
24/08/2012
Nominal Hours
60
Description
DescriptorThis competency unit describes the skills and knowledge required by Enrolled/Division 2 nurses to perform nursing interventions to assist clients in a domiciliary environment
Notes
Elements and Performance Criteria
1. Work as part of the multi-disciplinary health care team in the domiciliary health care environment
- 1.1 Contribute appropriately to support the role of the multi-disciplinary health care team in managing care needs of clients in the domiciliary health care environment
- 1.2 Contribute to achieving effective team work and supportive group dynamics when working with health care colleagues
- 1.3 Establish appropriate relationships with other members of the health care team
- 1.4 Incorporate into practice the philosophical framework for managing care for the client in the domiciliary health care environment
- 1.5 Recognise the role of emergency service personnel, referring agencies and other hospital department staff as contributors to the initial/emergency care needs of the client in the domiciliary health care environment
2. Recognise the impact of a health problem on the client in the domiciliary health care environment
- 2.1 Recognise the clinical manifestations of health problems affecting the client requiring domiciliary health care
- 2.2 Discuss information gained from assessment of the client with the appropriate members of the health care team
- 2.3 With client consent, discuss the physical, psychological and social impacts of a health problem on the activities of daily living for the client requiring domiciliary health care with the client and/or their family
- 2.4 Identify actual or potential problems of the client requiring domiciliary health care in consultation/ collaboration with the registered nurse
- 2.5 In consultation/collaboration with the registered nurse, use a problem solving approach to assess the impact of health problems on client requiring domiciliary health care in achieving activities of daily living
3. Contribute to planning care for the client requiring domiciliary health care
- 3.1 Gather and record clinical data according to organisation policy for inclusion in a plan of care
- 3.2 Contribute information and data on the activities of daily living for the client requiring domiciliary health care
- 3.3 Accurately gather, document and report change in client condition to the appropriate health care team members
- 3.4 Contribute to and support health teaching plans for the client in the domiciliary health care environment
4. Perform nursing interventions that support client health care needs
- 4.1 Base nursing interventions on predetermined plans of care
- 4.2 Ensure nursing interventions reflect client needs and individuality
- 4.3 Ensure nursing interventions are performed with dignity, privacy and respect for the client
- 4.4 Reflect consideration of cultural and religious issues in performing nursing interventions
- 4.5 Encourage the client and/or their family to assist with nursing interventions as appropriate
- 4.6 Consider the physical, psychological and social needs in performing nursing interventions
- 4.7 Use nursing interventions to assist the client to meet their activities of daily living
- 4.8 Identify and prioritise nursing interventions according to client needs
- 4.9 Consider gender and age issues in performing nursing interventions
- 4.10 Implement nursing interventions in accordance with legal, professional, ethical and organisation requirements
- 4.11 Recognise and act upon emergency situations according to organisation policy and procedure and within legal and professional requirements
- 4.12 Contribute to and support health teaching plans for the client in the domiciliary health care environment
5. Assist to evaluate the outcomes of planned domiciliary health care
- 5.1 Monitor client response to nursing interventions and progress toward planned goals, and document and report to the appropriate members of the health care team
- 5.2 Initiate appropriate first aid/emergency treatment in response to adverse reactions or complications
- 5.3 Report and document first aid/emergency treatment and client response to the treatment
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. Add any 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.
Multi-disciplinary health care team members could include:
Client and their significant others
Medical staff
Nursing staff
Social workers
Physiotherapists
Occupational therapists
Speech pathologists
Dietitian
Prosthetists
Podiatrists
Drug and alcohol services
Emergency Services including - Ambulance, Royal Flying Doctor Service, Care Flight
Community services
Transitional rehabilitation services
Domiciliary health care settings could include:
Day clinic
Long stay centres
Short stay centres
Medical clinic
Attached to residential aged care facilities
Respite centres
Community centres
Schools
Client's home or workplace
Supported Residential Services (SRS)
Plans of care could include:
Nursing care plans
Discharge plans
Medical notes
Treatment plans
Manual and electronic storage systems
Evaluation of planned care includes
Level of independence in performance of activities of daily living
Access and use of community support services
Participation in rehabilitation programs
Monitoring of clients response to procedures
Clarification of clients understanding of health teaching, discharge planning or return appointment schedule
Clients understanding of health care needs and treatment regimes
Specific nursing interventions/clinical skills include:
Wound care
Skin care including - assessment and management of skin care
Health teaching in relation to client care needs
Pain management
Removal of sutures/staples (as ordered)
Manual handling
Use of mobility aids
Assistance with meeting activities of daily living
Co ordination of clinical care
Rehabilitative care practices
Emergency resuscitation skills
The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any 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.
Multi-disciplinary health care team members could include:
Client and their significant others
Medical staff
Nursing staff
Social workers
Physiotherapists
Occupational therapists
Speech pathologists
Dietitian
Prosthetists
Podiatrists
Drug and alcohol services
Emergency Services including - Ambulance, Royal Flying Doctor Service, Care Flight
Community services
Transitional rehabilitation services
Domiciliary health care settings could include:
Day clinic
Long stay centres
Short stay centres
Medical clinic
Attached to residential aged care facilities
Respite centres
Community centres
Schools
Client's home or workplace
Supported Residential Services (SRS)
Plans of care could include:
Nursing care plans
Discharge plans
Medical notes
Treatment plans
Manual and electronic storage systems
Evaluation of planned care includes
Level of independence in performance of activities of daily living
Access and use of community support services
Participation in rehabilitation programs
Monitoring of clients response to procedures
Clarification of clients understanding of health teaching, discharge planning or return appointment schedule
Clients understanding of health care needs and treatment regimes
Specific nursing interventions/clinical skills include:
Wound care
Skin care including - assessment and management of skin care
Health teaching in relation to client care needs
Pain management
Removal of sutures/staples (as ordered)
Manual handling
Use of mobility aids
Assistance with meeting activities of daily living
Co ordination of clinical care
Rehabilitative care practices
Emergency resuscitation skills
EVIDENCE GUIDE
The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package.
Critical aspects for assessment and evidence required to demonstrate this competency unit:
The individual being assessed must provide evidence of specified essential knowledge as well as skills
Observation of performance in a work context is essential for assessment of this unit
Consistency of performance should be demonstrated over the required range of workplace situations and should occur on more than one occasion and be assessed by a registered nurse
Context of and specific resources for assessment:
This unit is most appropriately assessed in the clinical workplace or in a simulated clinical work environment and under the normal range of clinical environment conditions prior to assessment in the workplace
Where, for reasons of safety, access to equipment and resources and space, assessment takes place away from the workplace, simulations should be used to represent workplace conditions as closely as possible
Method of assessment
Observation in the work place
Written assignments/projects
Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice
Questioning - verbal and writing
Role play/simulation
Access and equity considerations:
All workers in the health industry should be aware of access and equity issues in relation to their own area of work
All workers should develop their ability to work in a culturally diverse environment
In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities, workers should be aware of cultural, historical and current issues impacting on health of Aboriginal and Torres Strait Islander people
Assessors and trainers must take into account relevant access and equity issues, in particular relating to factors impacting on health of Aboriginal and/or Torres Strait Islander clients and communities
The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package.
Critical aspects for assessment and evidence required to demonstrate this competency unit:
The individual being assessed must provide evidence of specified essential knowledge as well as skills
Observation of performance in a work context is essential for assessment of this unit
Consistency of performance should be demonstrated over the required range of workplace situations and should occur on more than one occasion and be assessed by a registered nurse
Context of and specific resources for assessment:
This unit is most appropriately assessed in the clinical workplace or in a simulated clinical work environment and under the normal range of clinical environment conditions prior to assessment in the workplace
Where, for reasons of safety, access to equipment and resources and space, assessment takes place away from the workplace, simulations should be used to represent workplace conditions as closely as possible
Method of assessment
Observation in the work place
Written assignments/projects
Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice
Questioning - verbal and writing
Role play/simulation
Access and equity considerations:
All workers in the health industry should be aware of access and equity issues in relation to their own area of work
All workers should develop their ability to work in a culturally diverse environment
In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities, workers should be aware of cultural, historical and current issues impacting on health of Aboriginal and Torres Strait Islander people
Assessors and trainers must take into account relevant access and equity issues, in particular relating to factors impacting on health of Aboriginal and/or Torres Strait Islander clients and communities
Replaces
| State Code | National Code | Title | Type |
|---|---|---|---|
| C9239 | HLTEN608A | Practise in the domiciliary health care environment | Unit of competency |
Replaced By
| State Code | National Code | Title | Type |
|---|---|---|---|
| AWA02 | HLTENN015 | Apply nursing practice in the primary health care setting | Unit of competency |
| State Code | National Code | Title | Type |
|---|---|---|---|
| D111 | HLT61107 | Advanced Diploma of Nursing (Enrolled/Division 2 nursing) | Qualification |
| J108 | HLT51612 | Diploma of Nursing (Enrolled-Division 2 nursing) | Qualification |