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NRS293 Clinical Nursing Practice 1 (8)

Abstract

This subject accompanies the first of two theoretical subjects that prepare students to care for people during health challenges in secondary health care settings for children and adults. Students undertaking this subject will undertake 160 hours clinical practice in a secondary health care setting in a supernumerary capacity under the supervision of a registered nurse.

+ Subject Availability Modes and Location

Continuing students should consult the SAL for current offering details prior to contacting their course coordinator: NRS293
Where differences exist between the handbook and the SAL, the SAL should be taken as containing the correct subject offering details.

Subject information

Duration Grading System School:
One sessionSY/USSchool of Nursing, Midwifery and Indigenous Health

Enrolment restrictions

Bachelor of Nursing
Bachelor of Nursing/Bachelor of Early Childhood Teaching (Birth to 5 Years)
Bachelor of Nursing/Bachelor of Clinical Practice (Paramedic)
Prerequisite(s)Incompatible subject(s)
(NRS192 and BMS192) or (NRS116 or NRS175 and BMS192)NRS240

Learning Outcomes

Upon successful completion of this subject, students should:
1. be able to assess, plan, deliver and evaluate care for children and adults experiencing health challenges and recovery with simple and complex issues;
2. be able to demonstrate the ability to care for children and adults undergoing investigations; medical, pharmacological, surgical, psychosocial 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 ANMC Nursing Competencies and is consistent with the ANMC Code of Professional Conduct, ANMC Code of Ethics and relevant legal requirements;
5. be able to demonstrate 100% mastery of prerequisite mathematical calculations for medication administration in supervised settings to children and adults;
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 for children and adults;
8. be able to integrate and apply knowledge, skills and principles for clinical reasoning in nursing practice for children and adults;
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 for children and adults;
11. be able to apply developing oral presentation skills within the context of clinical group discussions; and
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.

Syllabus

The subject will cover the following topics:
1. Administration of prescribed intravenous fluids and blood products for children and adults:
(a) assist with peripheral cannula insertion
(b) maintain cannula patency
(c) remove peripheral cannula
(d) maintain integrity of peripheral intravenous infusions and equipment
(e) calculate peripheral infusion rates (eg. drops/min, ml/h)

2. Administration of medications for children and adults:
(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 for children and adults 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) perioperative care
(e) rehabilitation (eg. mobility aids, assistive devices)

4. Nursing interventions and care of for children and adults with integumentary dysfunction:
(a) assessment skills (eg. skin, wounds, burns)
(b) diagnostic tests (eg. skin biopsy)
(c) perioperative care
(d) wound assessment and management (burns and other complex wounds)
(e) rehabilitation

5. Nursing interventions and care of for children and adults 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) perioperative 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 for children and adults 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)
(c) perioperative care
(d) rehabilitation

7. Nursing interventions and care of for children and adults with cardiac dysfunction:
(a) assessment skills (eg. pulse and blood pressure, electrocardiogram, heart sounds, JVP, CVP, chest pain, activity)
(b) diagnostic tests (eg. exercise tests, cardiac enzymes, echocardiogram, cardiac angiography)
(c) basic and advanced life support
(d) perioperative care
(e) rehabilitation

6. Nursing interventions and care of children and adults with vascular dysfunction:
(a) assessment skills (eg. peripheral pulses and perfusion, leg/foot ulcers)
(b) diagnostic tests (eg. angiography, dopplers)
(c) perioperative care
(d) compression bandaging
(e) stump bandaging
(f) rehabilitation (eg. mobility aids, limb prostheses)

9. Nursing interventions and care of children and adults with haematological dysfunction:
(a) assessment skills
(b) diagnostic tests (eg. FBC, coagulation)
(c) blood product transfusion
(d) rehabilitation

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 3 day residential school. Relevant lectures, tutorials, practical classes and/or assessment related activities.

Work Place Learning

This subject contains a Workplace Learning component. Please contact the subject coordinator for further information.

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The information contained in the 2015 CSU Handbook was accurate at the date of publication: 01 October 2015. The University reserves the right to vary the information at any time without notice.