NRS382 Clinical Nursing Practice 4 (8)

Abstract

This subject accompanies two subjects that prepare students to nurse people when they need support to optimise their health in settings where tertiary health care is provided. Students undertaking this subject will undertake 320 hours clinical practice in primary, secondary and tertiary health care settings in a supernumerary capacity under the supervision of a registered nurse.

+ Subject Availability Modes and Location

Session 1
Distance*	Bathurst Campus
Session 2
Internal	Albury-Wodonga Campus
Internal	Bathurst Campus
Internal	Dubbo Campus
Internal	Wagga 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: NRS382
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 session	SY/US	School of Nursing, Midwifery and Indigenous Health

Enrolment restrictions

Bachelor of Nursing

Prerequisite(s)	Incompatible subject(s)
(NRS293 and NRS294 and NRS381 and NRS375 and NRS376 and BMS292) or (NRS346 and NRS352 and NRS353 and BMS292)	NRS365 NRS372

Learning Outcomes

Upon successful completion of this subject, students should:
1. be able to practice at a competent beginning Registered Nurse level, delivering reflective, evidence based, culturally safe primary health care nursing in all settings.
2. be able to meet the ANMC competencies for Registered Nurses.
3. be able to deliver care that is consistent with the ANMC Code of Professional Conduct, ANMC Code of Ethics and relevant legal requirements.
4. be able to demonstrate and maintain (100%) mastery of prerequisite mathematical calculations for medication administration
5. be able to competently assess, plan, deliver and evaluate nursing care for people with chronic and complex health problems.
6. be able to competently assess, plan, deliver and evaluate nursing care for families, children or adolescents.
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 people with disabilities and/or chronic illness in various health care settings (eg. mental health, community health, rehabilitation, palliative care, special schools):
(a) cognitive function
(b) mental health (eg. MH-OAT, DSM-IV diagnostic criteria, MMSE)
(c) social situation and support network
(d) physical ability
(e) special senses (eg. hearing and vision)
(f) capacity to perform activities of daily living
(g) functional health
(h) nutrition
(i) chronic pain
(j) wounds
(k) continence
(l) suicide risk
(m) drug and alcohol
(n) need for education
(o) need for adaptive aids and/or environmental modifications to promote normalisation
(p) need for additional services (eg. palliative care, HACC, advocacy services, community transport.

2. Habilitation, rehabilitation and/or palliation in various health care settings (eg. mental health, community health, rehabilitation, palliative care, special schools):
(a) education (eg. health status and treatment, medications, self-care, assistive devices)
(b) normalisation
(c) psychological support
(d) emotional support
(e) spiritual support
(f) recreational support.

3. Technical procedures for people with disabilities or chronic illness when they are unable to perform such procedures for themselves:
(a) wound care
(b) elimination (eg. catheterisation, colostomy care, incontinence aids)
(c) eating and drinking (eg. meal assistance, enteral feeding)
(d) mobilisation (eg. canes, crutches, walking frames, wheel chairs)
(e) pressure area prevention
(f) hygiene (eg. oral hygiene, showering)
(g) medication administration.

4. Referral to government and non-government funded services:
(a) diabetic educators
(b) asthma educators
(c) Centrelink
(d) palliative care
(e) mental health services.

5. Multidisciplinary health care teams (eg. with nurses, allied health care providers, medical officers, psychologists, special school teachers).

6. Demonstrate ability to nurse childbearing women, neonates and/or children:
(a) Assessment of nurse childbearing women, neonates and/or children (eg. DRABC, APGAR, postnatal check, body weights)
(b) Diagnostic tests for nurse childbearing women, neonates and/or children (eg. CTGs, neonatal screening, hearing tests, glycaemic assessment, refer to applicable diagnostic tests specified for NRS293 and NRS294)
(c) Basic and advanced life support
(d) Educating parents to bath a child/neonate
(e) Assisting with breastfeeding
(f) Assisting parents to prepare artificial feeds
(g) Assisting with enteral feeding of a neonate/child
(h) Nursing a neonate who is undergoing phototherapy
(i) Assisting with discharge of mother/child (eg. midwives collection data, blue book)
(j) Assisting with administration of IMI and IVI Syntocinon
(k) Working within a multidisciplinary health care team
(l) Provide holistic nursing care
(m) Administering medications and/or transfusions of fluid/blood products
(n) Chart and document patient care
(o) Discharge planning (eg. patient appointments, medications, community support requirements)
(p) Solving clinical problems
(q) Managing workload of a beginning level registered nurse.

7. 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 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.

Handbook 2015