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NRS381 Clinical Nursing Practice 3 (8)

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 will undertake 160 hours clinical practice in community or residential aged care settings and in mental health community or institution in a supernumerary capacity under the supervision of a registered nurse.

+ Subject Availability Modes and Location

Session 1
InternalAlbury-Wodonga Campus
InternalBathurst Campus
InternalDubbo Campus
InternalWagga Wagga Campus
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: NRS381
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
Prerequisite(s)Incompatible subject(s)
(NRS291 and NRS293 and NRS292 and NRS294)NRS243 NRS352 NRS353

Learning Outcomes

Upon successful completion of this subject, students should:
1. be able to practice with minimal supervision at beginning Registered Nurse level, 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 children, adolescents and adults who need mental health care.
5. be able to demonstrate the ability to perform applicable nursing skills children, adolescents and adults.
6. be able to deliver care that is consistent with the ANMC Code of Professional Conduct, ANMC Code 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 children, adolescents and adults.
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 children, adolescents and adults.
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, NSW, 2007: (a) Informal, Involuntary and Forensic Patients (b) Community Treatment Orders (CTOs) (c) Community Counselling Orders (CGOs) (d) Rights and responsibilities (e) Seclusion and restraint (f) Mental Health Tribunal or Magistrate Hearings (g) Official visitors 7. Assessment of children, adolescents and adults with potential or actual mental health deficits during triage, admission, review and/or discharge using appropriate tools/protocols: (a) Mental Health Outcomes and Assessment Tools (MH-OAT) (b) Diagnostics Statistics Manual IV (DSM-IV) diagnostic criteria (c) Mini Mental Status Examination (MMSE) (d) Suicide risk (e) Drug and alcohol 8. Assessment of adolescents and adults with co-morbidities related to drug and alcohol abuse 9. Creating/maintaining therapeutic environments 10. Therapeutic communication skills for children, adolescents and adults 11. Counselling skills for children, adolescents and adults 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) Aboriginal 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. Recovery model of care. 18. Electroconvulsive Therapy (ECT) 19. Administering anti-psychotic drugs and other drug therapies 20. Administering Clozapine therapy 21. Case conferences 22. Multidisciplinary mental health teams (eg. with psychiatrists, psychologists, geriatricians and case managers, drug and alcohol workers) 23. Clinical Quality and Safety (a) Clinical governance: concepts and practice (b) Assessment of environment, role and interdiciplinary 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. Relevant lectures, tutorials, practical classes and/or assessment 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.