NURSING 3010 - Nursing in Complex Settings (Critical Care)

North Terrace Campus - Semester 2 - 2021

This course describes the professional and legal issues associated with the role of the Registered Nurse in the critical care setting. It introduces the skills necessary for a thorough nursing assessment such as interview, inspection, palpation, percussion and auscultation for patients in the critical care setting. It facilitates the learning of the psychosocial care of patients with particular needs in critical care environments. It is a practical `hands on' oriented course where theory, clinical skills and practice based learning are intertwined.

  • General Course Information
    Course Details
    Course Code NURSING 3010
    Course Nursing in Complex Settings (Critical Care)
    Coordinating Unit Adelaide Nursing School
    Term Semester 2
    Level Undergraduate
    Location/s North Terrace Campus
    Units 3
    Contact Up to 6 hours per week
    Available for Study Abroad and Exchange N
    Prerequisites NURSING 2011
    Restrictions Available to B.Nurs students only
    Course Description This course describes the professional and legal issues associated with the role of the Registered Nurse in the critical care setting. It introduces the skills necessary for a thorough nursing assessment such as interview, inspection, palpation, percussion and auscultation for patients in the critical care setting. It facilitates the learning of the psychosocial care of patients with particular needs in critical care environments. It is a practical `hands on' oriented course where theory, clinical skills and practice based learning are intertwined.
    Course Staff

    Course Coordinator: Elyce Kenny

    Course Coordinator: Elyce Kenny
    Phone: +61831331863
    Location: Level four
    Adelaide Health & Medical Sciences Building

    School contact:
    Phone: +61 8313 6016
    Course Timetable

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

  • Learning Outcomes
    Course Learning Outcomes
    1. Demonstrate nursing skills compliant with the NMBA standards required to provide competent care to critically ill patients 

    2. Articulate legal, ethical and cultural issues surrounding professional nursing practice in critical care environments.

    3. Apply nursing assessment skills to complex presentations including assessments used in trauma related incidents.

    4. Understand and relate anatomy and physiology, pathophysiology and pharmacology to care of critically ill patients 

    5. Describe the nursing and nutritional care needs for the critically ill patient 

    6. Describe the care of a critically ill patient requiring either invasive or non-invasive forms of ventilation

    7. Identify methods for haemodynamic support in critical care 

    8. Identify methods for neurological support and management in trauma related or degenerative neurological disorders

    9. Distinguish methods for dialysis in critical care settings

    10. Distinguish environmental emergencies such as near drowning, poisoning and heat stroke

    11. Describe the nursing management of a critically ill patient presenting with multi-organ failure.

    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)
    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
    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
    Career and leadership readiness
    • technology savvy
    • professional and, where relevant, fully accredited
    • forward thinking and well informed
    • tested and validated by work based experiences
    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
    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
  • Learning Resources
    Required Resources
    Kozier, B., Erb, G., Berman, Synder, S., Levett-Jones, T., Dwyer, T., Hales, M., Harvey, N., Langtree, T., Moxham, L., Parker, B., Reid-Searl, K. & Stanley, D. 2017 Kozier and Erb's Fundamentals of Nursing (Australian Edition). 4th Edn. Frenchs Forest, Pearson Australia.

    Recommended Resources
    Elliott, D., Aitken, L. and Chaboyer, W.  2015  ACCCN's Critical Care Nursing.  3rd Edn. Elsevier, Chatswood.

    Gilbert, J. and Coyne, E. 2018  Acute Care Nursing. Cambridge, Sydney.

    Lewis, P. and Foley, D. 2020 Weber & Kelly's Health Assessment in Nursing. 3rd Australian edn, Broadway, Wolters Kluwer Health | Lippincott Williams & Wilkins.

    Tollefson, J. & Hillman, E. 2018 Clinical Psychomotor Skills: Assessment tools for nursing students 7th edition Cengage Learning South Melbourne.
    Online Learning
    There are quizzes that can be accessed via the online platform for students to undertake as additional learning to classroom learning.
  • Learning & Teaching Activities
    Learning & Teaching Modes
    1. Online lectures  –  Online lectures offer asynchronous learning opportunities that enable students to access material at their leisure. Much of the content for this course is supported by textbooks with web page and e-learning supports. The Adelaide Nursing School supports the audio and video capture of lecture content as an aid to revision
    2. Problem Based Learning sessions – PBL session enable small group discussion and peer interaction around a particular content. The PBL facilitator manages a staged release of information regarding the case at hand of which students need to formulate hypotheses and suggest interventions. The student group drives the direction of the inquiry. The PBL case will run for the entirety of the Semester and are linked to the clinical skills sessions. The facilitator will encourage and develop students to apply critical thinking of the scenario
    3. Clinical Skills sessions - The Simulation Suites provide a state of the art clinical training venue with dedicated nursing lecturers with expertise in simulation. Students will perform skills such as assessment of haemodynamic and ventilation support systems, conduct a primary and secondary survey and relate the fundamentals of care to the critical care nursing environment. Establishing effective communication exchanges using ISBAR and principles of Team Stepps will be very relevant for student’s clinical placement. 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 (Clinical Lecturers), the course co-ordinators and clinicians to reinforce learning and ensure consistency of course objectives. The objective of the professional experience associated with this course is to provide students an opportunity to interact with critical care settings such as intensive care, emergency and coronary care. At this stage of the program students would be expected to assume responsibility (under supervision) for the care of 1-2 people who are critically ill.
    4. Clinical placement - 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 (Clinical Lecturers) 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 advanced assessment of adult populations. Students may get the opportunity of a paediatric critical care placement and a sound understanding of psychosocial development and pathophysiology is expected of students placed within a paediatric setting.

    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 online lecture / week
    · 7 x 2 hour clinical skills sessions / semester
    · 7 x 3 hour PBL tutorials / semester
    Non contact hours for assessment and tutorial preparation will be 5 hours / week
    Learning Activities Summary

    Lectures and Tutorials
    1. An introduction to critical care environments
    2. Legalities and Ethics in Critical Care Areas
    3. Psychosocial and Culturally Competent Care of the Critically Ill Patient
    4. Assessment practices for the critically ill
    5. Primary and secondary survey
    6. Advanced methods of respiratory support – part 1
    7. Advanced methods of respiratory support – part 2
    8. Care of the intubated / unconscious patient
    9. Metabolic and nutritional support in critical illness
    10. An introduction to principles of haemodynamics
    11. Mechanical and pharmacological methods for support of cardiovascular function
    12. Neurological assessment and support systems in critical care
    13. Renal dialysis in critical care
    14. Poisoning
    15. Heat stroke and near drowning
    16. Mechanisms of injury and assessment of the trauma patient
    17. Multi organ failure – sepsis and ARDS
    18. Massive blood transfusion
    19. Organ Donation Workshop

    1. Critically ill patient 1
    2. Critically ill patient 2
    3. Critically ill patient 3

    Clinical skills sessions support clinical practice in preparation for your TPPP graduate year and beyond.

  • 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 No.
    Assessment Task Name
    Assessment Type
    Weighting Learning Outcomes Assessed
    1 Online quiz #1 Formative 0% 3, 4
    2 Drug calculation test - IntelliLearn Summative HURDLE 1
    3 Online quiz #2 Summative 20% 3, 4, 6
    4 Clinical reasoning case study Summative 30% 2-8
    5 Problem Based Learning & Clinical Skills attendance & active participation Summative 10% 2 - 11
    6 Written Examination Summative 40% 1 - 11
    7 Employer Competencies/NCAS summative assessment Summative NGP 1 - 11
    (clinical placement dependent)
    Assessment Related Requirements
    All rubrics and marking guides for each assessment item will be found in the study guide and on MyUni.
    Assessment Detail
    Online Quizzes

    There will be two online quizes throughout the semester in which students will be able to demonstrate their understanding of the some of the key concepts covered. Quiz #1 will be formative and quiz #2 will be worth 20% of the final grade.

    Clinical reasoning case study

    Utilising the clinical reasoning cycle students will work through a case study of an ICU patient and determine a care plan. Students will be required to outline all aspects of the case and care plan in a 1500 word paper.

    Drug calculations

    The drug calculation test is a hurdle requirement. A Drug Calculation Test of 20 items will be undertaken by students in the NICS critical care course tutorial time. Students will be provided with up to three opportunities to achieve 100% accuracy in this tutorial. However, failure to meet 100% accuracy will preclude students from administering medication in the clinical environment and will necessitate the implementation of an ‘Early Intervention Strategy’ for remedial work in drug calculations. Failure to receive 100% accuracy after three attempts will result in a fail grade for the course. Calculators will be permitted to be used in this test.

    Problem-based learning (PBL)

    Attendance at all PBL sessions is compulsory. Students will be required to sign an attendance record for each session. If a session is missed, please be aware that makeup sessions will not be offered.

    Clinical record / NCAS / Clinical Summative Assessment

    Students will have a range of skills records to complete during their clinical placement. The Clinical Record provides evidence that the student has demonstrated the required level of competency standard. Consistent with competency type assessments a non – graded pass is awarded. Some remedial opportunities will be available to those students who fail or are not exposed to certain competencies in the clinical setting. The Clinical Record forms part of the broader portfolio developed across each year of the program and provides a consistent reference for students nursing skill development.

    In addition to the skills record each student is to obtain a completed NCAS (National Competency Assessment Schedule) at the end of each placement. There are a total of 8 competencies to be completed over the 3 year program. A minimum of a satisfactory written Summative Assessment must also be obtained at the end of each placement which will be completed by the supervising Registered Nurse and Clinical Lecturer.

    Written Examination
    Examination – a two (2) hour written examination based on the lectures and tutorials content given in Nursing in Complex Settings 3.
    Using Turnitin
    Assessment submission information This semester we are using Turnitin for assessment submission. Please refer to your study guide for assessment details and the information below about Turnitin. Turnitin is an electronic program that enables students to check that they are referencing correctly. It also enables more efficient feedback as assignments submitted via Turnitin are assessed using an online process. Step-by-step instructions for submitting an assignment using Turnitin are on this webpage: When you submit an assignment to this program, you will receive an "originality report" and an "originality score" - these will let you know if you have accidently used the words of other authors - any areas of your work that are too close to your cited or other resources will be highlighted. To see this report after you have submitted your assignment, go back into the program and click on "view" - this will show you your assignment with any similar text highlighted. Bear in mind that this program is very sensitive - don't worry too much if you seem to have a high originality score as the program includes quotes and references in the count. However, it is important that you check the text that is highlighted, if it is a correctly referenced quote or an item in your reference list that is highlighted then you can ignore it but if the highlighted text that isn't a quote or reference you will need to re-write those sections in your own words. After you have submitted your assignment you will receive an email confirming that your assignment has been submitted correctly. If you do not receive this email then go back and try again. Keep the email you receive, just in case there are any issues with your assignment submission as we may need to view it to confirm your submission date and time. You can submit multiple times to this program - each new submission supersedes the previous, so we will only ever mark the latest version of your assignment! We encourage all students to practice with Turnitin before the final due date to make sure you know what you're doing. A word of warning: although the program permits multiple submissions from a single student, Turnitin has a 24-hour lag between assignment submissions. For example, if you submit an assignment to the program at 10am on Sunday, you may not be able to submit again until 10am Monday! Be very careful to avoid a situation wherein you are unable to submit the final version of your assignment until after the final deadline. Falling into the 24hr lag window will not be grounds to avoid a lateness penalty, so if this happens you will need to use the online extension form. If at any time you are having trouble submitting your assignment, please let us know ASAP so we can make alternate arrangements and please contact the Service Desk on 08 8313 3000 (open 24 hours).
    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 ( 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.

    The 2018 data identified that the aligning of the PBL cases to the Skills sessions was extremely positive and a highlight of the course for many students and the inclusion of end of PBL case worksheets has also allowed changes to occur as the course has progressed to align learning for students even further. Both verbal and written feedback also reflects that PBL and Skills are appreciated and develop their learning needs in preparation for their work as a TPPP RN. Students have asked for smaller groups of students for PBL so for 2020 instead of groups of 8 students this will be decreased to groups of 6 students to ensure that individuals all participate in the group.  SELTS are not yet available but written feedback from the students worksheets has stated:
    "PBL was good spread over two weeks as we were able to pick up where we left off and had time to think about the case outside of PBL .. afternoon. In the skills I liked the small group doing the primary survey letters together".
    "I really like this week’s case and how you set up a real scenario, its important for us to see it this way so we are prepared for when our time comes".
    "I really enjoy the skills sessions particularly the one with the ED trauma example- also everyone needs to hear Andrew explain inotropes: HE WAS EXCELLENT. Thank you!"

    Students again appreciated the Donate Life skills session and also found the workload to be fairly distributed and the large variety of content within the course was very interesting.
  • 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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