NRS283 Clinical Reasoning in Nursing 4 (8)

This subject continues to build on the concepts and skills introduced in clinical reasoning subjects to develop the core knowledge, skills and attitudes necessary to promote safety, healing, caring in practice, and the use of clinical reasoning to aid clinical decision making.  There is a focus on the comprehensive assessment of the gastrointestinal, renal, reproductive, and musculoskeletal systems, along with the planning, prioritisation and implementation of nursing interventions to manage health challenges related to these body systems.

Availability

* Offering has a residential school. Please view following information for further details.

Session 2 (60)
Online *
Bathurst Campus

Continuing students should consult the SAL for current offering details: NRS283. 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

HD/FL

Duration

One session

School

School of Nursing, Midwifery and Indigenous Health

Enrolment Restrictions

Bachelor of Nursing

Prerequisites

( NRS276 and NRS277 ) or NRS211

Learning Outcomes

Upon successful completion of this subject, students should:
  • be able to apply selected techniques and frameworks to assess the gastrointestinal, renal, reproductive and musculoskeletal systems in a simulated environment;
  • be able to identify and demonstrate selected evidence-based nursing interventions to ensure safety in the administration of blood products and management of central venous access devices (CVADS) in a simulated environment;
  • be able to identify and demonstrate selected evidence-based nursing interventions to promote safety, healing and caring in practice in the management of gastrointestinal, urological, reproductive and musculoskeletal health challenges in a simulated environment;
  • be able to apply the Clinical Reasoning Cycle to aid clinical decision-making and problem-solving, including the prioritisation of nursing care in a simulated environment; and
  • be able to apply aspects of mindful communication to promote healing-trusting authentic caring relationships and maintain patient safety.

Syllabus

This subject will cover the following topics:
  • MODULE 1: CENTRAL VENOUS ACCESS DEVICES AND BLOOD PRODUCTS (WEEK 1):
  • CVAD care;
  • dressing;
  • accessing CVADs;
  • Safe administration of blood products;
  • Preparing, checking and commencing blood products,
  • ongoing monitoring; and
  • Documentation.
  • MODULE 2: PAIN ASSESSMENT AND CARE (WEEK 2):
  • Comprehensive pain assessment;
  • Pharmacological pain management including administration of opioid analgesia and Patient Controlled Analgesia (PCA);
  • Non-pharmacological pain management; and
  • Mindful communication with the person experiencing pain, acute and chronic.
  • MODULE 3: GASTROINTESTINAL ASSESSMENT & CARE (WEEK 3):
  • Abdominal assessment and nutritional assessment;
  • Insertion and management of Nasogastric tubes;
  • Nutritional support and enteral feeding;
  • Safe administration of total parenteral nutrition (TPN);
  • Care of the person requiring abdominal surgery, including drain care and removal; and
  • Documentation.
  • MODULE 4: REPRODUCTIVE AND RENAL ASSESSMENT & CARE (WEEKS 4 AND 5):
  • Indwelling catheter insertion, care and removal;
  • Review of urinalysis;
  • Reproductive assessment; and
  • Documentation.
  • MODULE 5: MUSCULOSKELETAL ASSESSMENT & CARE (WEEKS 6 AND 7):
  • Musculoskeletal assessment;
  • Care of the person following musculoskeletal surgery and trauma - neurovascular observations, bandaging, crutches, slings;
  • Care of the person following musculoskeletal trauma - first aid;
  • Review of mobilisation;
  • Inter-professional collaboration, including working with physiotherapists and occupational therapists; and
  • Documentation.
  • MODULE 6: ADVANCED ASSESSMENT & CARE WOUND CARE (WEEK 8):
  • Review of aseptic technique/wound field concept;
  • Complex wounds and dressings - venous/arterial ulcers, pressure ulcers;
  • Mindful communication with the person experiencing chronic illness; and
  • Documentation.
  • MAJOR SIMULATIONS:
  • Major Simulation 1: Care of the person following abdominal surgery - initial assessment, IV fluids and pain management; and
  • Major Simulation 2: Care of the person with compartment syndrome - TAG Patient Safety Simulation.

Residential School

This subject contains a 3 day Compulsory Residential School.

At the compulsory residential school, students will undertake simulation learning experiences in the simulation spaces, which may be permanent nursing labs on each campus and/or other simulation learning spaces that replicate where nurses may work.

Each of the clinical case studies or health-related scenarios used to support the simulation learning experiences will focus on the role as a nurse. While there is at times consideration of the multidisciplinary team in the scenarios, and 'includes a hybrid approach that includes the lecturer/facilitator employing more than one type of simmulation' and 'to complete the scenario' repetitive.

There are many different simulation approaches used in the SNMIH, including peer-to-peer, task trainers, role playing, human patient simulators, actors and computer-based simulation.

Students may find the clinical case study or health-related scenario, used as part of the simulation learning experience, includes a hybrid approach that includes the lecturer / facilitator and employs more than one type of simulation. To complete the whole scenario, students may move from one learning station to the next to finish the scenario.

Special Resources

Students attending compulsory residential schools on Charles Sturt University campuses will incur costs associated with travel, accommodation and required resources. 

 

The information contained in the CSU Handbook was accurate at the date of publication: May 2021. The University reserves the right to vary the information at any time without notice.

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