NURSING 1011 - Health Assessment and Clinical Nursing II

North Terrace Campus - Semester 2 - 2019

The course will consider a range of acute care nursing skills with further integration of knowledge and attitudes required for practice. Introduction to more complex skills required for safe and therapeutic nursing care will be provided. Students have an opportunity to develop research skills in the form of a health numeracy project. Students will have the opportunity to begin to learn how to practice in accordance with the NMBA National Nursing Competency Standards for the Registered Nurse. Learning will be facilitated through lectures, tutorials, SLE (simulated learning environments) and clinical placements.

  • General Course Information
    Course Details
    Course Code NURSING 1011
    Course Health Assessment and Clinical Nursing II
    Coordinating Unit School of Nursing
    Term Semester 2
    Level Undergraduate
    Location/s North Terrace Campus
    Units 3
    Contact Up to 4 hours per week
    Available for Study Abroad and Exchange N
    Prerequisites NURSING 1007
    Restrictions Available to B.Nurs Students only
    Course Description The course will consider a range of acute care nursing skills with further integration of knowledge and attitudes required for practice. Introduction to more complex skills required for safe and therapeutic nursing care will be provided. Students have an opportunity to develop research skills in the form of a health numeracy project. Students will have the opportunity to begin to learn how to practice in accordance with the NMBA National Nursing Competency Standards for the Registered Nurse. Learning will be facilitated through lectures, tutorials, SLE (simulated learning environments) and clinical placements.
    Course Staff

    Course Coordinator: Ms Jan Alderman

    Jan Alderman

    Course Coordinator, Lecturer | Adelaide Nursing School | Faculty of Health and Medical Sciences

    Level 4, Adelaide Health & Medical Sciences Building

    Cnr North Terrace & George Street

    ADELAIDE SA 5005

    T: +61 8 8313 1168 | E: jan.alderman@adelaide.edu.au

    http://health.adelaide.edu.au/
    https://www.facebook.com/uoanursing

    School Office
    Phone: +61 8 8313 3595
    Email: nursing@adelaide.edu.au

    Course Timetable

    The full timetable of all activities for this course can be accessed from Course Planner.

  • Learning Outcomes
    Course Learning Outcomes
    1 Further develop nursing skills consistent with evidenced based practice
    2 Consider clinical learning episodes and implement patient care
    3 Identify clinical situations which require application of problem solving and the nursing process
    4 Establish a learning environment with the clinical tutor and permanent health care staff
    5 Identify contemporary health related equipment and demonstrate its safe use.
    Proficiently use online resources
    6 Understand and adopt adult learning strategies
    7 Recognise sound leadership skills within clinical placement
    8 Interpret cultural differences, act in a culturally safe manner and interpret the ethical complexities of health care.
    9 Demonstrate and recognise the importance of policies on plagiarism and collusion whilst adhering to the principles of ethical & professional behaviour.
    10 Students will have an understanding of the impact of the nursing shortage and the ageing population.
    University Graduate Attributes

    This course will provide students with an opportunity to develop the Graduate Attribute(s) specified below:

    University Graduate Attribute Course Learning Outcome(s)
    Deep discipline knowledge
    • informed and infused by cutting edge research, scaffolded throughout their program of studies
    • acquired from personal interaction with research active educators, from year 1
    • accredited or validated against national or international standards (for relevant programs)
    1,2
    Critical thinking and problem solving
    • steeped in research methods and rigor
    • based on empirical evidence and the scientific approach to knowledge development
    • demonstrated through appropriate and relevant assessment
    3,4
    Teamwork and communication skills
    • developed from, with, and via the SGDE
    • honed through assessment and practice throughout the program of studies
    • encouraged and valued in all aspects of learning
    2,4,7
    Career and leadership readiness
    • technology savvy
    • professional and, where relevant, fully accredited
    • forward thinking and well informed
    • tested and validated by work based experiences
    7, 8, 10
    Intercultural and ethical competency
    • adept at operating in other cultures
    • comfortable with different nationalities and social contexts
    • Able to determine and contribute to desirable social outcomes
    • demonstrated by study abroad or with an understanding of indigenous knowledges
    8
    Self-awareness and emotional intelligence
    • a capacity for self-reflection and a willingness to engage in self-appraisal
    • open to objective and constructive feedback from supervisors and peers
    • able to negotiate difficult social situations, defuse conflict and engage positively in purposeful debate
    5,6,9
  • Learning Resources
    Required Resources
    Crisp, J, Taylor, C. Douglas, C. Ribeiro, G. 2017 Potter & Perry’s Fundamentals of Nursing. 5th Edition, Elsevier, Chatswood, NSW

    Lewis, P & Foley, D 2014, Weber & Kelly's Health Assessment in Nursing, 2nd Australian edition, Wolters Kluwer Health | Lippincott Williams & Wilkins, North Ryde.

    Mosby’s Dictionary of Medicine, Nursing & Health Professions, 10th Edition. 2016. Mosby, Missouri.

    Tollefson, J., Hillman, E, 2019 Clinical psychomotor skills: assessment tools for nursing 7th ed. Cengage Learning Australia.

    Intellilearn, 2019. Medication Management for Health Professionals. An interactive course to develop and assess skills in medication management. Australia. This resources is provided to all students free of charge by the University.
    Recommended Resources
    McKenna, L., Sanja, M., McKenna’s drug handbook for Nursing and Midwifery, 7th Edn.,2014 Wolters Kluwer. Sydney

    Levett-Jones, T., Bourgeois, S., The Clinical Placement, An essential guide for nursing students, 3rd Edn.,Elsevier Chatswood, Sydney.

    Daly, J Speedy, S & Jackson, D. 2017 Contexts of Nursing, 5th Ed. Sydney, Churchill Livingstone.

    Stein- Padbury, J 2018, Patient and Person: Interpersonal Skills in Nursing, 6th ed. Elsevier, Sydney.
    Online Learning
    Some material will be presented online via MyUni. Details of this will be found in the link to this course on MyUni.
  • Learning & Teaching Activities
    Learning & Teaching Modes
    Face to face lectures – this course benefits from the real-time delivery of content. Face to face lectures offer synchronous learning opportunities and enable students to quickly clarify complex descriptions and terminology. Much of the content for this course is supported by textbooks with a web page and e-learning supports.

    Tutorial sessions – tutorial sessions enable small group discussion and peer interaction around the content. Each tutorial session will focus on the lecture content for the week. 

    Simulated Learning Environments (SLE) – the simulated learning environment provides students with an opportunity to practice a range of communication and psychomotor skills prior to attending clinical placement. Importantly the SLE also enables clearly constructed, well considered clinical scenarios which nurture and challenge student development. The Skills Laboratory within the Faculty of Health and Medical Sciences provides a state of the art clinical training venue with dedicated nursing lecturers with expertise in low fidelity simulation. Students will learn to set up with intravenous fluids, apply and manage oxygen therapy and consolidate vital signs into a more comprehensive nursing assessment. The provision of an emergency scenario in a SLE will enable students to experience some of the challenges of responding to life threatening situations. Establishing effective communication exchanges using ISBAR and principles of Team Stepps will be very relevant for student’s clinical placement. 

    Clinical placement (aka professional experience) - This course provides skills and knowledge that enable students to participate at a level commensurate with their progression. Students work closely with university Lecturer A staff and clinicians to reinforce learning and ensure consistency of course objectives. The objective of the professional experience associated with this course is to extend students skills in the fundamentals of care to an understanding of fluid and electrolytes and oxygen therapy, recognise and respond to emergency situations, observe the nurses role in the administration of medications, perform a nursing assessment and consider a range of diagnostic tests.
    Workload

    The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

    The workload for this course requires attendance at:
    1 x 2 hour lecture / week
    1 x 2 hour tutorial / week
    1 x 3 hour SLE / Per fortnight

    Non-contact hours for assessment and tutorial preparation will be 4 hours per week.
    Learning Activities Summary
    The tables below indicate the lecture, tutorial and SLE workshop outlines for Health Assessment and Clinical Nursing 2. The order of lectures may change according to timetabling issues and guest lecturer availability. Other tutorials may be provided as required.

    Health Assessment and Clinical Nursing II
    Lecture series
    1. Management of emergency episodes of bleeding, seizures and syncope

    2. Alterations in metabolic state requiring intravenous therapy

    3. Oxygen therapy

    4. Asepsis – maintenance of a sterile field

    5. Basic assessment of pain

    6. Care of the patient with pain

    7. Hospital procedures – admission, discharge, last offices, Coroner’s Act.

    8. Blood Glucose levels and nursing management

    9. Nursing assessment

    10. Complex nursing care for patients with activity, exercise or hygiene status deficits.

    11. Wound dressing and drain management

    12. Medication Management. Oral and S/C

    13. Normal findings of a physical and psychosocial health assessment

    14. Documenting and describing normal findings

    15. Cultural, gender and age related diversity in normal assessment

    16. Normal findings of basic diagnostic tests
    Tutorial series
    1. Management of Syncope, Bleeding & Seizures

    2. Intravenous therapy management and drug calculation

    3. Blood Glucose Management

    4. Application and management of oxygen therapy and respiratory management

    5. Administration of medication – oral, S/C, PV, PR (NSQHS – Standard 4)

    8. Asepsis and drain management
     
    Specific Course Requirements
    Students are expected to attend all Lectures and tutorials and Practical skills sessions. The clinical skills sessions are compulsory with 10% attached for attendance.

    Clinical placement is allocated in blocks of 4 weeks, First year students will be allocated 1 / 4 week block per year.
    Small Group Discovery Experience
    The Small Group Discovery (SGDE) takes place in the Tutorials and the SLE (Simmulated Learning Environment) where students work in small groups in learning enquiry activities.
  • Assessment

    The University's policy on Assessment for Coursework Programs is based on the following four principles:

    1. Assessment must encourage and reinforce learning.
    2. Assessment must enable robust and fair judgements about student performance.
    3. Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
    4. Assessment must maintain academic standards.

    Assessment Summary
    Assessment Task Assessment Type Weighting Learning Outcome(s) being addressed
    Drug calculation test Formative NGP 2, 3, 5, 8
    Employer Competency, NCAS, Clinical Summative Assessment. Summative NGP 2-4, 7-8
    Portfolio Worksheets and peer assessment handover Summative  10% 1-10
    RSD Case Study Fundamentals of nursing care plan Summative  50% 1, 2
    Employer Competency Teaching a Colleague Summative 40% 1-3, 7-10
    SCA (Structured Clinical Assessment) Summative Pass/Fail (hurdle) 1-8
    Assessment Related Requirements
    Marking guides will be provided with each assignment and available in the Study Guides.
    Assessment Detail
    ASSESSMENT 1: Drug calculation test. 

    Students will complete a number of practice drug calculation test throughout this semester using the Intellilearn online resource. At the end of the semester a formal test will be facilitated in class. No calculators are allowed for this in class test. (Compulsory attendance is required by all students for this test) Failure to pass this test will mean that students will be unable to administer medication to patients in Year 2. A subsequent test in Year two will have to be passed with 100% to be permitted to administer medication to patients.

    ASSESSMENT 2:  NCAS CLINICAL SUMMATIVE ASSESSMENT


    In the first semester there is a requirement for all students to complete the mandatory competencies such as Basic Life Support and Manual Handling. A certificate will be provided at completion of the training and assessment. In addition to this compulsory attendance is required for all Practical Skills sessions (SLE) as these will provide students with the skills required for clinical practice. A skills text is prescribed for this course and students are encouraged to purchase this as the OSCE (Oral Exam) at the end of each semester will be based on the theoretical and practical components in this text. This text is also useful to refer to when attempting a skill on clinical placement as it identifies a range of competencies as required by the National competency standards for the registered nurse 2018.

    At the completion of each clinical placement students are to obtain a completed NCAS (National Competency Assessment Schedule).
    This document will contain a written reflection of the student’s clinical experience and a performance assessment written by the supervising Registered Nurse. This is to be signed by the University Clinical Lecturer and submitted to Turnitin in this course. Failure to complete this assessment will result in failure of this course.

    In addition to the NCAS form each student will complete an Employer Competency. There are several EC's to be completed each semester for the remainder of the 3 Year nurisng program
    The Employer competency in Year 1 Semester 2 will be done as an assignment. Details of this assignment are seen below in Assessment 4.

    ASSESSMENT 3: Research Skill Development, Case Study/fundamentals of nursing care plan.

    This assessment is designed to develop your research skills and apply these to a case study. Each student will develop a nursing care plan to address the clinical presentation of an acute care patient. The student will be expected to identify the fundamentals of care required for this patient and to describe the nursing care that would meet those needs. In addition to this research will be conducted into the medication required for this patient identifying the action and the specific nursing responsibilities that relate to the administration. The final part of this assignment will be to develop a teaching strategy to assist this patient with his ongoing self-care.

    ASSESSMENT 4: Employer Competency: Teaching a colleague

    This assignment fulfils one of 8 of the Employer Competencies that you will complete over the course of 3 years. This assignment will require you to develop a teaching plan which you will then use to teach a colleague a clinical skill chosen from this semester. You will video this teaching and submit the video along with your plan and a reflection on your teaching strategy and implementation.

    ASSESSMENT 5: Clinical Skills protfolio, handover & completion of worksheets

    This assessment is to be completed during the clinical skills sessions. Each week will follow a case study where different levels of care and new procedures will be taught connected to the onging case. Students will collect the relevant case notes and data to be used to perform a handover at the end of the semester to a peer. This assessment will be peer reviewd. In additon to this students will submit the completed worksheets from each week.

    ASSESSMENT 7: Objective Structured Clinical Examination

    Objective Structured Clinical Examination - students will attend a 30 min OSCE in which they will demonstrate a range of nursing interventions especially in relation to skills taken from the course objectives. Along with skills demonstrations, students will provide a rationale for the tasks. The oral and practical exam is of 30 minutes duration and uses a structured approach to the assessment of clinical skills using the online B-line system.
    The OSCE is a HURDLE this exam must be passed to enable you to progress into HACN III.
    Submission

    Unless otherwise indicated all assignments are to be submitted through MyUni. TurnItin will be used to check student assignments. TurnItin will be used to check student assignments. Students MUST keep an electronic copy of all assignments submitted.

    Extensions are generally awarded for no more than 10 working days unless there are exceptional circumstances.
    To apply for an Assessment Extension, a student must submit an application for extension form prior to the assessment deadline. You will find this on the School of Nursing Website or use the link provided here.

    See the Modified Arrangements for Coursework Assessment Policy http://www.adelaide.edu.au/policies/3303/
    Course Grading

    Grades for your performance in this course will be awarded in accordance with the following scheme:

    M10 (Coursework Mark Scheme)
    Grade Mark Description
    FNS   Fail No Submission
    F 1-49 Fail
    P 50-64 Pass
    C 65-74 Credit
    D 75-84 Distinction
    HD 85-100 High Distinction
    CN   Continuing
    NFE   No Formal Examination
    RP   Result Pending

    Further details of the grades/results can be obtained from Examinations.

    Grade Descriptors are available which provide a general guide to the standard of work that is expected at each grade level. More information at Assessment for Coursework Programs.

    Final results for this course will be made available through Access Adelaide.

  • Student Feedback

    The University places a high priority on approaches to learning and teaching that enhance the student experience. Feedback is sought from students in a variety of ways including on-going engagement with staff, the use of online discussion boards and the use of Student Experience of Learning and Teaching (SELT) surveys as well as GOS surveys and Program reviews.

    SELTs are an important source of information to inform individual teaching practice, decisions about teaching duties, and course and program curriculum design. They enable the University to assess how effectively its learning environments and teaching practices facilitate student engagement and learning outcomes. Under the current SELT Policy (http://www.adelaide.edu.au/policies/101/) course SELTs are mandated and must be conducted at the conclusion of each term/semester/trimester for every course offering. Feedback on issues raised through course SELT surveys is made available to enrolled students through various resources (e.g. MyUni). In addition aggregated course SELT data is available.

    2018 - I didn't mind that we use Joyce as our continued example throughout the semester, I just would have preferred if her situation wasn't changing back and forth from tute, to prac, to assignment, to OSCE. However, i understand that due to timing, and progressing our learning it was necessary.

    As this was the first year we used an ongoing case study we were aware of this issue during the semester. This has been rectified for 2019 and hope that students find the more consistent approach useful for their learning.

    2018 - There needs to be more prac sessions. 4 x2 hour sessions over an entire semester is not very much at all. I do not feel prepared to go on placement due to the lack of skills lab time.

    Our skills facility is in high demand from Medicine, Nursing Schools so increasing our time in this area is currently not negotiable. We did facilitate tutorials to discuss and revise the skills during the semester. this will be developed further this year. More opportunities to practice skills will be provided in the tutorials and the University is re opening the skills facility at Frome road, which may assist.
  • Student Support
  • Policies & Guidelines
  • Fraud Awareness

    Students are reminded that in order to maintain the academic integrity of all programs and courses, the university has a zero-tolerance approach to students offering money or significant value goods or services to any staff member who is involved in their teaching or assessment. Students offering lecturers or tutors or professional staff anything more than a small token of appreciation is totally unacceptable, in any circumstances. Staff members are obliged to report all such incidents to their supervisor/manager, who will refer them for action under the university's student’s disciplinary procedures.

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