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NRS294 Clinical Nursing Practice 2 (8)

Abstract

This subject accompanies the second of two theoretical subjects that prepare students to care for children and adults 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 a registered nurse.

+ Subject Availability Modes and Location

Session 1
Distance*Bathurst Campus
*This subject offering contains a residential school. Please view following information for further details.
Continuing students should consult the SAL for current offering details: NRS294
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 Early Childhood Teaching (Birth to 5 Years)/Bachelor of Nursing
Bachelor of Nursing/Bachelor of Clinical Practice (Paramedic)
Prerequisite(s)Incompatible subject(s)
(NRS291 and NRS293) or NRS240NRS250

Learning Outcomes

Upon successful completion of this subject, students should:
1. be able to assess, plan, deliver and evaluate care (including appropriate nursing skills) for children and adults experiencing health challenges and recovery with simple and complex issues;
2. be able to demonstrate the ability to nurse children and adults 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 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 for 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, with direction, knowledge, skills and principles for clinical reasoning in nursing practice for children and adults;
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 for children and adults;
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 genre; and
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 for children and adults 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)
(c) seizure management
(d) perioperative care
(e) rehabilitation

2. Nursing interventions and care of children and adults 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) perioperative 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

3. Nursing interventions and care of children and adults with gastrointestinal dysfunction:
(a) assessment skills (eg. faecanalysis)
(b) diagnostic tests (eg. abdominal ultrasound, barium enemas, colonoscopy)
(c) perioperative care
(d) administration of suppositories and enemas
(e) maintaining and changing faecal drainage systems
(f) incontinence aids
(g) rehabilitation

4. Nursing interventions and care of children and adults with endocrine dysfunction:
(a) assessment skills (eg. blood sugar level)
(b) diagnostic tests (eg. thyroid function tests)
(c) perioperative care
(d) administration of insulin
(e) rehabilitation

5. Nursing interventions and care of children and adults with renal/urinary dysfunction:
(a) assessment skills (eg. urinalysis, straining urine)
(b) diagnostic tests (eg. creatinine, urea, renal ultrasound, intravenous pyelogram)
(c) perioperative 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

6. Nursing interventions and care of children and adults 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

7. Nursing interventions and care of adolescents and adults 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) perioperative care
(e) rehabilitation

8. Administration of medications 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

9. Administration of prescribed intravenous fluids and blood products for children and adults:
(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)

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.