NRS547 Applied Emergency Nursing in the Rural and Remote Setting (8)

This subject will focus on advancing the professional knowledge, skills and clinical competence of nurses working in the emergency setting in a rural or remote environment. Students will develop advanced clinical assessment and decision making skills to manage patients in the emergency setting. The theoretical knowledge and skills for advancing emergency nursing practice will be applied in the clinical setting and are based on the position statement of the Australian College of Emergency Nursing. Students undertaking this subject will be working in a clinical practice area where they will negotiate mentoring from a suitably qualified health professional to practice advanced nursing competencies. There will be a two day residential school in this subject.

Subject Outlines
Current CSU students can view Subject Outlines for recent sessions. Please note that Subject Outlines and assessment tasks are updated each session.

No offerings have been identified for this subject in 2018.

Where differences exist between the Handbook and the SAL, the SAL should be taken as containing the correct subject offering details.

Subject Information

Grading System



One session


School of Nursing, Midwifery and Indigenous Health

Enrolment Restrictions


Master of Clinical Nursing (Nurse Practitioner). Not available to international students.

Assumed Knowledge

Undergraduate health assessment and professional nursing experience at an advanced level.

Learning Outcomes

Upon successful completion of this subject, students should:
  • be able to apply the principles of triage and undertake advanced nursing assessments on patients with complex physical and mental health presentations and initiate time critical interventions
  • be able to demonstrate effective problem solving strategies and apply nursing interventions to stabilise the patient and manage pain
  • be able to identify diagnostic interventions and interpret test results
  • be able to plan for the organisation of a referral and evacuation or end of life care of the patient where it is appropriate
  • be able to practice in a culturally competent manner to seek, retrieve and evaluate evidence and recognise bereavement in Indigenous peoples
  • be able to apply a sound understanding of pathophysiology and pharmacology underpinning presentations to the emergency department
  • be able to explain how psychological, social and cultural factors as well as the features of the rural and remote environment, impact on individuals presenting to the emergency department
  • be able to reflect on traumatic events and access supportive interventions and resources for personal wellbeing
  • be able to utilise highly developed communication skills to communicate with family/carer; to expertly access, present, interpret, and document information including the use of technology
  • be able to apply legal and ethical principles, national clinical guidelines, local policies and protocols related to providing evidence-based practice in the emergency setting
  • be able to initiate and maintain collaborative relationships with other members of the health care team to improve health outcomes


This subject will cover the following topics:
  • Assessment: Primary and secondary assessment including a history and physical and mental health examination; advanced communication skills; assessment to provide culturally competent care; documentation, observations and monitoring .
  • Emergency Presentations: Principles of care; clinical reasoning and diagnostic decision making; utilising clinical guidelines such as Remote Area Nursing Emergency Guidelines and the Primary Clinical Care Manual, management protocols that support evidence-based advanced nursing practice; legal and ethical aspects of care.
  • Emergency Interventions: Airway management; basic and advanced life support; ECG monitoring; arrhythmia detection; intravenous access and fluid administration; monitoring and interpretation of vital signs; diagnostic tests and interpretation of results; management of the unconscious patient and mental health patient; pharmacological interventions including pain relief, intraosseous infusion, oxygen administration, splinting of fractures and spinal immobilization; referral and evacuation; end of life care; collaboration with other members of the health care team.
  • Reflective Practice: Reflect on traumatic events experienced by the nurse and discuss interventions and resources available for support; reflect on learning and clinical experiences to facilitate a link between theory and practice, in particular factors in the rural and remote environment that impact on individuals and families.
  • Advanced Clinical Competencies: Taught and assessed in the simulated clinical laboratory at residential school and developed during mentored professional experience.

Workplace Learning

This subject contains a 5 days Compulsory Workplace Learning component.

Students will be mentored in their clinical practice for 40 hours (5 days) by an experienced advanced practice nurse and/or physician. They will be required to develop a collaborative competency based learning contract. A two day residential school will support their learning process.

Residential School

This subject contains a 2 day Compulsory Residential School.

Case-based learning and student presentations will occur at the residential school. High fidelity simulated learning will be used to teach advanced emergency nursing skills including differential diagnosis and clinical reasoning.

Students will satisfactorily undertake simulated patient encounters at residential school. Attainment of advanced clinical competencies in the clinical laboratory will be demonstrated by verification on the advanced clinical competencies assessment form used by the lecturer.

Special Resources

Students will be required to attend a two day Residential School for this subject.


Current Students

For any enquiries about subject selection or course structure please contact Student Central or or phone on 1800 275 278.

Prospective Students

For further information about Charles Sturt University, or this course offering, please contact info.csu on 1800 275 278 (free call within Australia) or enquire online.

The information contained in the 2018 CSU Handbook was accurate at the date of publication: August 2018. The University reserves the right to vary the information at any time without notice.