NRS304 Clinical Nursing Practice 1 (8)

CSU Discipline Area: Nursing, Midwifery and Indigenous Health (NRMIH)

Duration: One session

Abstract:

This course accompanies the first of two theoretical courses that prepare students to care for people during health challenges in secondary health care settings. Students undertaking this course will undertake 160 hours clinical practice in a secondary health care setting in a supernumerary capacity under the supervision of an RN.

+ Subject Availability Modes and Locations

No offerings have been identified for this subject in 2013.Continuing students should consult the SAL for current offering details prior to contacting their course coordinator: NRS304

Where differences exist between the handbook and the SAL, the SAL should be taken as containing the correct subject offering details.

Enrolment restrictions:

Enrolment in the Bachelor of Science in Nursing

Objectives:

Upon successful completion of this subject, students should:

1. be able to assess, plan, deliver and evaluate care for people experiencing health challenges and recovery with simple and complex issues.

2. be able to demonstrate the ability to care for people undergoing investigations: medical, pharmacological, surgical, psychological and other treatments.

3. be able to deliver and evaluate evidence-based education for recovery and health maintenance.

4. be able to deliver nursing practice in secondary health care settings that shows evidence of achievement of the CNO Nursing Competencies and is consistent with the CNO Standards of Professional Conduct, CNO Standards of Ethics and relevant legal requirements.

5. be able to demonstrate 100% mastery of prerequisite mathematical calculations for medication administration in supervised settings.

6. be able to apply the skills of critical thinking and reflection within the context of nursing.

7. be able to apply the skills of planning, problem-solving and decision making within the context of nursing.

8. be able to integrate and apply knowledge, skills and principles for clinical reasoning in nursing practice.

9. be able to work collaboratively in a nursing and inter-professional health care team in a secondary setting.

10. be able to apply the principles of interpersonal and therapeutic communication skills in the secondary health care setting.

11. be able to apply developing oral presentation skills within the context of clinical group discussions.

12 be able to apply and demonstrate the principles of safe and accurate documentation in the secondary health care setting, in line with legal and ethical requirements.

13. be able to demonstrate developing application of formal writing skills and evidence of critical thinking, in a variety of genre.

14. be able to demonstrate developing application of technology to aid research and present information in a manner, consistent with organisational requirements.

Syllabus:

The subject will cover the following topics:

1. Administration of prescribed intravenous fluids and blood products:

          (a)     assist with cannula insertion
          (b)     maintain cannula patency
          (c)     remove cannula
          (d)     assist with central venous catheters (inserted centrally/ peripherally) insertion
          (e)     maintain central venous catheters (inserted centrally/peripherally)
          (f)      remove central venous catheters (inserted centrally/peripherally)
          (g)     maintain integrity of intravenous infusions and equipment
          (h)     calculate infusion rates (eg. drops/min, ml/h)

2. Administration of medications:

          (a)     oral
          (b)     sublingual
          (c)     topical
          (d)     ocular
          (e)     aural
          (f)      nasal
          (g)     inhalational
          (h)     rectal
          (i)      vaginal
          (j)      intradermal
          (k)     subcutaneous
          (l)      intramuscular
          (m)    intravenous
          (n)     medication calculations

3. Nursing interventions and care of people with musculoskeletal dysfunction:

(a) assessment skills (eg. neurovascular observations, acute pain, deformity, range of movement, mobility)

          (b)     diagnostic tests (eg. x-ray)
          (c)     immobilisation devices (eg. casts, traction, bandages, slings)
          (d)     peri-operative care
          (e)     rehabilitation (eg. mobility aids, assistive devices)

4. Nursing interventions and care of people with integumentary dysfunction:

          (a)     assessment skills (eg. skin, wounds, burns)
          (b)     diagnostic tests (eg. skin biopsy)
          (c)     peri-operative care
          (d)     wound assessment and management (burns and other complex wounds)
          (e)     rehabilitation

5. Nursing interventions and care of people with respiratory dysfunction:

          (a)     assessment skills (eg. respirations, breath sounds, pulse oximetry, activity)
          (b)     diagnostic tests (eg. spirometry, chest x-ray, blood gases, sputum analysis)
          (c)     peri-operative care

(d) respiratory therapy (eg. positioning, postural drainage, percussion, vibration, incentive spirometry, deep breathing and coughing)

(e) oropharyngeal suctioning

(f) oxygen/nebuliser therapy

(g) chest drain management

(h) rehabilitation

6. Nursing interventions and care of people with neurological dysfunction:

(a) assessment skills (eg. Glasgow coma scale, mini-mental status, cranial nerve assessment, sensation, movement)

(b) diagnostic tests (eg. lumbar puncture, EEG, CT scan)

(d) peri-operative care

(e) rehabilitation

7. Nursing interventions and care of people with special sensory dysfunction:

(a) assessment skills (eg. visual acuity, extraocular muscle function, pupillary responses, visual field, hearing acuity)

(b) diagnostic tests (eg. retinoscopy, fluorescein angiography, otoscopy, audiometry)

(d) rehabilitation

Residential School

This subject contains a compulsory 4 day residential school.

For distance education students this subject will have a four day residential school.

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The information contained in the 2013 CSU Handbook was accurate at the date of publication: 24 April 2013. The University reserves the right to vary the information at any time without notice.