Units

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Sample subject outline - Semester 1 2013

Note: Subject outlines often change before the semester begins. Below is a sample outline.

Rationale

Practice as a new graduate registered nurse requires the application of knowledge from nursing and related sciences to client care, a range of practice-based skills which include problem solving, evidence-based decision making, multi-modal communication and care co-ordination, and professional attributes regarding the delivery of high quality nursing care in the health workplace. This fourth clinical unit focuses on the development of knowledge and skills that are needed to continue your clinical development journey within the context of real world practice.

Aims

The aims of this clinical unit are to enable you to further advance the development of clinical knowledge, skills and attributes necessary for the delivery of safe nursing care in a variety of contexts and professional and workplace capabilities that inform your future practice role as a registered nurse in a health workplace.

Objectives

To complete this unit successfully, it is expected that you are able to:

1. Apply concepts and principles from nursing and related sciences to the development of holistic, evidence-based plans of nursing care for assigned patients;



2. Carry out assigned patient care in a manner that is consistent with principles of safety and quality in health care;



3. Demonstrate the application of key ethical, legal, cultural and professional practice concepts and principles to the care of assigned patients;



4. Demonstrate sound oral and written communication skills in the health workplace;



5. Apply principles of teamwork and self-management to assigned patient care; and



6. Demonstrate the ability to reflect on practice for the purpose of professional and/or personal development.

Content

There are two main areas of content in this unit:

• Health assessment and basic intervention in the mental health context; and



• Intervening safely, employing clinical skills in the context of complex fluid/drug administration and management.

Concepts addressed within these areas incorporate the application of problem solving processes and evidence to support clinical decisions within patient care.

Key areas of knowledge and skill development in this unit include:

• Advanced health assessment: nutrition enteral and parental support;



• Acute alcohol withdrawal syndrome



• Suicide risk assessment



• Intervening safely: nutrition support, enteral feeding, medication safety (Insulin, Heparin), complex wound assessment and management; and



• Insertion of urinary catheters and blood product administration.

Approaches to Teaching and Learning

You will be expected to engage in a variety of active learning experiences in order to meet the outcomes of this unit. These will include lectures, skills development workshops in the clinical simulation centre and simulated nursing situations which provide you with real world practice in relation to the key concepts and principles being developed. Self-directed learning will be facilitated through access to online resources and exercises that can be completed individually or with a group of your peers.

Clinical simulation experiences undertaken in this unit will be focused on recognising clinical problems and intervening safely to assist the client. To undertake this experience, you will be working with a small group of students and supervised by a Simulation Facilitator. Pre-briefing and de-briefing will be included as fundamental components of the learning experience.

The ePortfolio tool will be used as a key means of facilitating your reflection on, and demonstration of evidence, with regard to your achievement of the course learning outcomes. In addition, it is expected that you will be self-directed in your learning in order to maximise your personal and professional learning outcomes in this unit.

Assessment

There are two summative assessments to be completed in this unit. It is essential to be aware that all assessments must be completed successfully in order to achieve an overall Pass Grade for this unit.As part of the on-campus learning activities for this unit, you will be assessed informally, on your ability to perform clinical skills relevant to the learning outcomes of this unit. General feedback on your performance will be provided during the Clinical Practice sessions (CPS).

Further formative learning opportunities and feedback will be provided through:

1. Your participation in simulated clinical learning experience which will be undertaken in a small group. Following the simulation activity you will write a brief reflection on the key areas of learning you have derived from the experience; and



2. Your completion of a workbook containing case-based scenarios and questions focusing on the development of knowledge and skills associated with the planning of nursing care.

Assessment name: Medication Quiz
Description: Prior to the workplace component of this unit you are required to successfully complete an on-line quiz with questions focusing on the development of knowledge and skills associated with medication administration.
Weight: Satisfactory / Unsatisfactory
Relates to objectives: 1 & 2.
Internal or external: Internal
Group or individual: Individual
Due date: Prior to placement

Assessment name: Placement Performance
Description: The clinical practicum is structured in two x 2 weeks off-campus clinical placement (each placement is 80 hours, for a total of 160 hours). During each 2 weeks / 80 hours of clinical practicum you will be required to demonstrate a range of skills that are commensurate with the unit learning outcomes and the National Competency Standards for the Registered Nurse. You will receive formative verbal and written feedback on your progress during the practicum. A structured assessment tool, which is consistent with the National Competency Standards for the Registered Nurse, will be used for your final summative assessment. You are required to demonstrate satisfactory achievement on each criterion on the assessment tool and satisfy the 100% attendance requirement for both scheduled off-campus clinical practicum.
Weight: Satisfactory / Unsatisfactory
Relates to objectives: 1-4.
Internal or external: Internal
Group or individual: Individual
Due date: End of placement

Academic Honesty

QUT is committed to maintaining high academic standards to protect the value of its qualifications. To assist you in assuring the academic integrity of your assessment you are encouraged to make use of the support materials and services available to help you consider and check your assessment items. Important information about the university's approach to academic integrity of assessment is on your unit Blackboard site.

A breach of academic integrity is regarded as Student Misconduct and can lead to the imposition of penalties.

Resource materials

Required texts
Tollefson, J. (2012). Clinical psychomotor skills: Assessment tools for nursing students (5th ed.). Melbourne: Cengage Learning.

Australian Nursing & Midwifery Council (2008). National competency standards for the registered nurse. Available at www.anmc.org.au

Recommended
Brotto, V., & Rafferty, K. (2012). Clinical dosage calculations for Australia and New Zealand. Cengage Learning: Australia.

Brown, D., & Edwards, H. (2012). Lewis's medical-surgical nursing: Assessment and management of clinical problems (3rd ed.). Elsevier, NSW.

Bryant, B., & Knight, K. (2007). Pharmacology for health professionals (2nd ed.). Marrickville: Mosby Elsevier.

Chabner, D.E. (2007). The language of medicine. Australian and New Zealand edition. (ANZ ed.). Sydney, Saunders, Elsevier.

Happell, B., Cowin, L., Roper, C., Foster, K., & McMaster, R. (2008). Introducing mental health nursing: A consumer-oriented approach. Singapore, Allen & Unwin.

Lewis, P.A., & Foley, D. (Eds.). (2011). Weber and Kelley's health assessment in nursing (Australasian version) e1. Broadway, NSW: Lippincott Williams and Wilkins.

The Society of Hospital Pharmacists, Australia. (2011). Australian injectable drug handbook (5th ed.). Health Communications Network Limited, St Leonards, NSW.

In preparation for, and during clinical practice you should access an Australian drug reference resource of your choice.

Risk assessment statement

During the learning activities associated with this unit, you will be exposed to situations in the Clinical Simulation Centre (CSC) that are deemed to be low risk. You will also be required to participate in period of clinical practice in a health care facility. During clinical placement, students are exposed to a range of risks and hazards that are normally encountered by nurses practising in hospital settings. When undertaking clinical placement you are automatically subject to the Workplace Health and Safety Policies, Procedures and Regulations of the health care facility. You are required by law to comply with these policies and procedures at all times. In order to minimise risks during the on/off-campus components of this unit it is essential that you:

On-campus Clinical Simulation Centre (CSC):

• Act in accordance with supervisor instruction during the designated clinical practice sessions;


• Act in accordance with the guidelines provided for student practice in the Clinical Simulation Centre (CSC) including the usage of equipment; and


• Undertake required theoretical preparation prior to practice sessions in the Clinical Simulation Centre (CSC).

Workplace Practicum:

• Participate in the health care facility orientation session;


• Act in accordance with organisational Workplace Health and Safety policies;


• Are appropriately supervised by a registered nurse at all times;


• Undertake the required theoretical and practical preparation prior to commencement of the placement;


• Are aware of specific risks and hazards associated with the particular clinical area to which you have been assigned;


• Act within your scope of practice and the requirements of this unit; and


• Maintain your personal health and immunisation status.

Disclaimer - Offer of some units is subject to viability, and information in these Unit Outlines is subject to change prior to commencement of semester.

Last modified: 29-Nov-2012