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NRS308 Clinical Nursing Practice 2 (8)

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

Duration: One sesssion

Abstract:

This course accompanies the second of two theoretical courses that prepare students to care for people experiencing health challenges in secondary health care settings. Students will undertake 160 hour 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: NRS308

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

Assumed Knowledge:

NRS303 and NRS304

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 (including appropriate nursing skills) for people experiencing health challenges and recovery with simple and complex issues.

2.       be able to demonstrate the ability to nurse 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 Code of Professional Conduct and 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, with direction, knowledge, skills and principles for clinical reasoning in nursing practice.

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

10.     be able to apply, under direction, 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, under supervision, 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 genres.

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.              Nursing interventions and care of people with vascular dysfunction:

          (a)      assessment skills (eg. peripheral pulses and perfusion, leg/foot ulcers)
          (b)      diagnostic tests (eg. angiography, dopplers)
          (c)      peri-operative care
          (d)      compression bandaging
          (e)      stump bandaging
          (f)      rehabilitation (eg. mobility aids, limb prostheses)

2.              Nursing interventions and care of people with haematological dysfunction:

          (a)            assessment skills
          (b)           diagnostic tests (eg. FBC, coagulation)
          (c)           blood product transfusion
          (d)           rehabilitation

3.       Nursing interventions and care of people with upper gastrointestinal dysfunction:

          (a)     assessment skills (eg. height, weight, anthropometry)

          (b)     diagnostic tests (eg. electrolytes, cholesterol, triglycerides, liver function tests, abdominal ultrasound, barium meals, endoscopy)

          (c)     peri-operative care
(d)      oral hygiene
(e)      nasogastric tube insertion/removal
(f)       enteral feeding
(g)      care of feeding tube sites (nose, mouth, abdomen)
(h)      intravenous therapy
(i)       total parenteral nutrition
(j)       maintenance Sengstaken-Blakemore/Minnesota tubes
(k)      rehabilitation

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

          (a)      assessment skills (eg. faecal analysis)
          (b)      diagnostic tests (eg. abdominal ultrasound, barium enemas, colonoscopy)
          (c)      peri-operative care
          (d)      administration of suppositories and enemas
          (e)      maintaining and changing faecal drainage systems
          (f)       incontinence aids
          (g)      rehabilitation

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

          (a)      assessment skills (eg. blood glucose sugar level)
          (b)      diagnostic tests (eg. thyroid function tests)
          (c)      peri-operative care
          (d)      administration of insulin
          (e)      rehabilitation

6.       Nursing interventions and care of people with renal/urinary dysfunction:

          (a)      assessment skills (eg. urinalysis, straining urine)
          (b)      diagnostic tests (eg. creatinine, urea, renal ultrasound, intravenous pyelogram)
          (c)      peri-operative care
          (d)      insertion/removal indwelling catheter
          (e)      maintaining and changing urine drainage systems (urethral/suprapubic)
          (f)       incontinence aids
          (g)      peritoneal dialysis and haemodialysis
          (h)      rehabilitation

7.       Nursing interventions and care of people with immune dysfunction:

          (a)      assessment skills (eg. infections)
          (b)      diagnostic tests (eg. serology)
          (c)      standard and transmission based precautions
          (d)      manage anaphylactic responses
          (e)      basic and advanced life support
          (f)       rehabilitation

8.       Nursing interventions and care of people with reproductive dysfunction and secondary prevention:

         (a)      assessment skills

(b)      secondary prevention (screening, eg. breast self-examination, testicular self-examination)

          (c)     diagnostic tests (eg. pap smear)
          (d)     peri-operative care
          (e)     rehabilitation

9.       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

10.     Clinical quality and safety:

          (a)     clinical governance: concepts and practice

          (b)     assessment of environment, role and interdisciplinary team in maintaining clinical quality and safety

          (c)     identify actual and potential risks to minimise error in clinical practice

          (d)     the application of methods to identify, measure and analyse problems with care delivery

          (e)     act upon information to improve both the individual and systemic aspects of care delivery

Residential School

This subject contains a compulsory 4 day residential school.

For students studying by distance education the subject has a compulsory 4 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.