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NRS426 Clinical Nursing Practice 3 (8)

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

Duration: One sesssion

Abstract:

This subject accompanies two subjects that prepare students to care for people when they need support to optimise their health in settings where tertiary health care is provided. Students in this course will undertake 160 hours clinical practice in a tertiary health care setting in a supernumerary capacity under the supervision of an RN. Students will undertake 160 hours clinical practice in community or residential aged care settings and in mental health community or institution.

 

+ 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: NRS426

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 and NRS306

Enrolment restrictions:

Enrolment in the Bachelor of Science in Nursing

Objectives:

Upon successful completion of this subject, students should:

  1. be able to practice with minimal supervision at beginning RN, delivering reflective, evidence based, culturally safe primary health care nursing in all settings.
  2. be able to demonstrate and maintain (100%) mastery of prerequisite mathematical calculations for medication administration.
  3. be able to competently assess, plan, deliver and evaluate nursing care for older people.
  4. be able to competently assess, plan, deliver and evaluate nursing care for people who need mental health care.
  5. be able to demonstrate the ability to perform applicable nursing skills.
  6. be able to deliver care that is consistent with the CNO Code of Professional Conduct and Standards of Ethics and relevant legal requirements.
  7. be able to apply and evaluate critical thinking and reflection in the context of nursing.
  8. be able to apply and evaluate planning, problem solving and decision making in the context of nursing.
  9. be able to integrate and independently apply, with direction, knowledge, skills and principles for clinical reasoning in nursing practice.
  10. be able to work collaboratively in a nursing and inter-professional health care team in a variety of settings.
  11. be able to apply, with minimal direction, interpersonal and therapeutic communication skills in a variety of health care settings.
  12. be able to apply the principles of effective oral presentation skills in a variety of formal group settings.
  13. be able to safely complete, with minimal supervision, the nursing documentation required in a variety of health care settings.
  14. be able to demonstrate consistent application of formal writing skills and evidence of critical thinking, in a variety of genres.
  15. be able to use technology expertly to aid research and present information in a professional manner, consistent with organisational requirements.

 

Syllabus:

The subject will cover the following topics:

1.         Assessment of older people (eg. assessments necessary for RCS, functional health assessment, assessment of older people living in the community).

2.         Assisting older people with activities of daily living (eg. eating and drinking, hygiene, elimination, mobility).

3.         Planning and conducting diversional activities.

4.         Participate in family conferences.

5.         Ensure that “Residents’ Rights” are maintained in residential care facilities.

6.         Mental Health Act, RSO. 1990:

            (a)        Ontario Health Care Consent Act
            (b)        Ontario Substitute Decisions Act
            (c)        Ontario Mental Hospitals Act
            (d)        Rights and responsibilities
            (e)        Seclusion and restraint
            (f)         Mental Health Tribunal or Magistrate Hearings
            (g)        Official visitors

7.         Assessment of people with potential or actual mental health deficits during triage, admission, review and/or discharge using appropriate tools/protocols:

            (a)        Diagnostics Statistics Manual IV (DSM-IV) diagnostic criteria
            (b)        Mini Mental Status Examination (MMSE)
            (c)        Suicide risk
            (d)        Drug and alcohol

8.         Assessment of people with co-morbidities related to drug and alcohol abuse.

9.         Creating/maintaining therapeutic environments.

10.        Therapeutic communication skills.

11.        Counselling skills.

12.        Managing altered thought processes and challenging behaviours:

            (a)        Withdrawal
            (b)        Delusion
            (c)        Hostility and aggression (eg. de-escalation techniques)
            (d)        Obsession
            (e)        Compulsion
            (f)         Over-elation
            (g)        Manipulative behaviour
            (h)        Self-harm
            (i)         Suicidal behaviour

13.        Referral to government and non-government funded services:

            (a)        Child and adolescent mental health services
            (b)        Liaison workers
            (c)        Interpreter and ethnic support services
            (d)        Advocacy services
            (e)        Drug and alcohol services
            (f)         Schizophrenia Foundation

14.       Psycho-education.

15.       Individual and group therapy.

16.       Cognitive behavioural therapy.

17.       Electroconvulsive Therapy (ECT).

18.       Administering anti-psychotic drugs and other drug therapies.

19.       Administering Clozapine therapy.

20.       Case conferences.

21.       Multidisciplinary mental health teams (eg. with psychiatrists, psychologists, geriatricians and case managers, drug and alcohol workers).

22.       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 2 day residential school.

For students studying by distance education there is a two day compulsory 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.