HLTRNL003Contribute to the nursing care of a person with renal impairment

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What an assessment for HLTRNL003 must cover

95 assessable components: 4 elements (20 performance criteria), 3 performance evidence and 71 knowledge evidence requirements, plus 1 foundation skills. 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 Identify a person’s knowledge of the impact of renal impairment.

  • 1.1Assess knowledge of renal impairment and impact on lifestyle, social context and emotional and spiritual choices.
  • 1.2Confirm understanding of the pathophysiology of renal impairment.
  • 1.3Identify common problems and complications associated with renal impairment and contributing factors that impact on health and lifestyle.
  • 1.4Identify psychosocial impacts of renal impairment on activities of daily living.
  • 1.5Provide support in a culturally safe and open manner.
  • 1.6Confirm spiritual and cultural issues related to the impacts of renal impairment.

2 Contribute to health status in renal impairment.

  • 2.1Perform primary health care assessment.
  • 2.2Monitor health status to identify renal impairment and its progression, and document and report.
  • 2.3Identify psychosocial impacts of renal impairment and refer for counselling and assistance.
  • 2.4Consult with the multidisciplinary health care team to contribute to care planning.

3 Contribute to provision of patient education in renal impairment.

  • 3.1Identify knowledge deficits of the renal impairment.
  • 3.2Provide information and resources on the aetiology and pathophysiology of the stages of renal impairment.
  • 3.3Apply contemporary information to assist optimal health status and slowing renal impairment progression.
  • 3.4Clarify educational requirements for the stages of renal impairment and apply to nursing plan of care and self-management.
  • 3.5Provide education and support to establish and maintain optimal nutrition and dietary choices in renal impairment.
  • 3.6Contribute to health education, resources on renal impairment and renal replacement therapy.
  • 3.7Communicate information about referral to multidisciplinary health care team for alternative care options as renal impairment progresses, including end of life care.
  • 3.8Contribute documentation to identify and meet advance care planning and directives.

4 Contribute to self-management strategies for renal impairment.

  • 4.1Identify opportunities for self-management of clinical manifestations and common complications associated with renal impairment.
  • 4.2Provide information and access to resources for self-care management strategies to maintain optimal health status.

Performance evidence

  • implement nursing care plans for three people with renal impairment
  • provide follow-up care of three people with renal impairment in the workplace
  • The tasks must be undertaken in accordance with the Nursing and Midwifery Board of Australia (NMBA) professional practice standards, codes and guidelines.

Knowledge evidence

  • anatomy and physiology of the renal system and clinical manifestations and associated pathophysiology of the stages of renal impairment
  • underlying environmental and social factors contributing to renal impairment in the general population in Australia and the higher rates experienced within Aboriginal and Torres Strait Islander communities
  • renal impairment conditions and risk factors:
  • diabetic nephropathy
  • glomerulonephritis
  • hypertensive nephropathy
  • polycystic kidney disease
  • reflux nephropathy
  • kidney stones
  • kidney transplant
  • clinical manifestations:
  • hypertension
  • anaemia
  • bone disease
  • cardiovascular disease
  • impaired immunity
  • electrolyte imbalance
  • fluid imbalance
  • complications and impact of renal impairment:
  • uraemic breath
  • unusual and metallic taste
  • anorexia
  • nausea and vomiting
  • lethargy
  • change in urination
  • confusion
  • pain
  • increase in depression
  • stages of grief and loss
  • sexual dysfunction
  • general malaise
  • cardiovascular events
  • infections
  • uraemic frost
  • pruritus
  • restless leg syndrome
  • screening and prevention
  • immunity and the importance of vaccinations
  • changing educational needs
  • assessment of renal function and diagnostic procedures:
  • common pathology tests to diagnose and evaluate
  • interventional and investigational procedures used in the diagnosis and management
  • management:
  • factors that can slow the progression and changes across the continuum of renal disease
  • principles for clinical manifestations and associated co-morbidities
  • evaluation of health check results
  • common medicines, mechanism of action, precautions, contraindications and side effects in renal impairment
  • nutritional considerations
  • theory, terminology, procedures, risks and benefits of treatment options including renal replacement therapies:
  • peritoneal dialysis and haemodialysis
  • psychosocial impacts
  • social needs:
  • disability support
  • family support
  • transport to appointments
  • accommodation
  • organisations associated with palliative care and advance care planning.
  • self-management strategies:
  • healthy lifestyle
  • exercise
  • renal diet
  • fluid requirements
  • medication regime
  • care of dialysis access
  • recognising progressive symptoms
  • vaccination regime
  • diabetes care
  • cardiovascular disease care
  • dental care
  • optometry and ophthalmic care
  • skin care.

Foundation skills

  • Foundation skills: Foundation skills essential to performance are explicit in the performance criteria of this unit of competency.

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 HLTRNL003

What does an assessment tool for HLTRNL003 need to cover?

To satisfy the Principles of Assessment and Rules of Evidence, an assessment for HLTRNL003 needs to address all 95 unit components: 4 elements with 20 performance criteria, 3 performance evidence requirements, 71 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 HLTRNL003?

Auditori pulls the current release of HLTRNL003 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 HLTRNL003 — with no card and no subscription required. After that it's pay-as-you-go per unit.

Can I check my existing HLTRNL003 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 HLTRNL003, showing exactly what's covered and what's missing. Mapping costs a quarter of a credit.

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