NSB010 Introduction to Clinical Practice
To view more information for this unit, select Unit Outline from the list below. Please note the teaching period for which the Unit Outline is relevant.
| Unit code: | NSB010 |
|---|---|
| Credit points: | 12 |
| Timetable | Details in HiQ, if available |
| Availabilities |
|
| CSP student contribution | $835 |
| Domestic tuition unit fee | $3,468 |
| International unit fee | $4,128 |
Unit Outline: Semester 1 2020, Kelvin Grove, Internal
| Unit code: | NSB010 |
|---|---|
| Credit points: | 12 |
| Coordinators: | Linda Schnitker | linda.schnitker@qut.edu.au |
Overview
This unit is at the beginning stage of study in nursing and is a work integrated learning unit. It develops students' knowledge and skills in a range of assessment techniques, including interviewing, observations, and physical examination. It focuses on the development of foundational knowledge and skills in the on-campus setting in preparation for the scope of practice needed to undertake practice in health care contexts. Students complete 80 hours of clinical practice. An understanding of the NMBA Registered Nurse Standards for Practice, National Health Priorities, and National Safety and Quality Health Service Standards is essential to nursing practice. The unit encourages critically analyse, reflect on and modify through your off-campus experiences. Course themes emphasised in this unit are evidence-based practice, scientific foundations of practice, person-centred care, health technology and health informatics, and interprofessional collaboration.
This is a designated unit which is essential to your course progression. Designated units include professional experience units, units requiring the development of particular skills, and units requiring demonstration of certain personal qualities. If you fail to achieve a satisfactory level of performance in a designated unit, you may be excluded from enrolment or will be put on academic probation. If you fail a designated unit twice within your course, you may be excluded. Supplementary assessment is not available on designated units.
Learning Outcomes
On successful completion of this unit you will be able to:
- Critique a health assessment, recognising normal health parameters and identifying actual and potential health problems and accurately document findings
- Apply knowledge of the key NMBA Registered Nurse Standards for Nursing Practice, National Safety and Quality Health Service Standards, and National Health Priorities for effective and appropriate decision making, planning and action
- Apply the underpinning knowledge of anatomy, physiology and pathophysiology to support evidence-based decisions for planning and action
- Demonstrate evidence-based practice, clinical reasoning and decision-making to provide culturally safe, quality, person-centred care consistent with the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards
- Safely and accurately perform calculations to inform safe administration of medicines
- Demonstrate the ability to reflect on practice for the purpose of professional and/or personal development
Content
Module 1: Pathophysiology and management of National Health Priorities
- Arthritis and musculoskeletal conditions
- Communication in relation to people with dementia (National Health Priority)
- Gastrointestinal system conditions.
Module 2: Health assessment framework and fundamental care
Focussed and comprehensive systematic health assessment including:
- Health history, components of a physical examination, frameworks for assessment (clinical decision making, e.g. assessment, planning, implementation, evaluation (APIE))
- Health assessment: physical assessment, psychosocial and environmental assessment; health assessment skills and physical examination practices; obtaining a multi-dimensional/bio-psychosocial health history; vital signs; modifications to suit developmental lifespan factors and implications; context factors and implications
- Nutrition, hydration, elimination and stoma care, fluid balance charts
- Activities of daily living, including skin integrity; assistance with activities of daily living, including hygiene, positioning, deep breathing and coughing, fluid balance, and elimination.
- Joint diseases-osteoarthritis/rheumatoid arthritis/back pain and problems (National Health Priority)
- Fundamental care as applied in an aged care setting.
Module 3: Techniques
- Data collection techniques-digital patient information management
- Vital signs-including neurological (GCS), neurovascular observation, and pain and symptom assessment
- Blood glucose level
- Primary survey-ABCDE (airway management, breathing and ventilation, circulation with haemorrhage control, disability/neurological assessment, exposure and environmental control)
- Mini mental status examination (MMSE).
Module 4: Patient safety and Professional Practice
- Professional practice in the health workplace: understanding the health workplace, including basic structure, roles, expectations, personal health and safety and documentation standards
- Safety and quality in health care: safety concepts and principles, including how mistakes can be made; risk identification and management, the Australian Quality and Safety Framework for Health Care
- Safe practices for client care: infection control: chain of infection, standard and additional precautions, five moments for hand hygiene; medication administration and safety (oral/topical); falls prevention, and safe patient handling and transfer
- Documentation in health care and digital health records
- Communication module: communication within nurse-client interactions, including basic interviewing strategies, and verbal and non-verbal communication; and professional context of communication
Learning Approaches
This unit will use a blend of online and face to face activities, including clinical laboratory sessions, real world simulations, and work integrated learning, within health care contexts. These activities will begin to develop your health assessment skills and your ability to engage with structured and evidence-based approaches to practice. You will also begin to develop your reflective practitioner skills through activities including online modules and ePortfolio. You will experience collaborative health settings by working in groups to develop and practice physical examination skills and communication skills, including key therapeutic communication skills. The use of e-health records and other documentation such as clinical investigation reports will also begin to develop your digital literacy skills. The unit coordinator and tutors are available for consultation throughout the semester in on-campus and online contexts.
Experiential learning is a significant component of this unit; you will attend for a continuous period of time in the off campus health care environment. Clinical contexts will have a focus on aged care, however, may include clinics, home-based, community, and acute care facilities. You will prepare for this off-campus experience through simulated clinical situations and through small group clinical skills and practice activities incorporating the use of a range of healthcare technologies, including digital health records.
You are also expected to be self-directed to maximise your personal and professional learning outcomes in this unit.
This unit requires attendance at an off-campus clinical placement. Placement opportunities are negotiated by QUT with hospitals and health care facilities, and are finite in number. Students cannot organise their own placements. Students must be available for shift-work rostering which enables patient care to be delivered 24 hours a day, seven days a week, and some clinical placements may occur during semester breaks. Any absence from an off campus clinical placement will reduce the opportunity for competence development, student performance may not be assessed and a grade of 'Unsatisfactory' may be awarded.
Where absence is due to special or unforeseeable circumstances independently supported by documentation (e.g. medical certificate), every effort will be made to accommodate the student in an alternate placement within the same semester. If due to the nature of the student's special circumstances and/or limited placement availability an alternate placement cannot be negotiated, the student will be advised to seek withdrawal from the unit without academic or financial penalty. Standard course progression cannot be guaranteed following an Unsuccessful grade or withdrawal from a clinical placement unit.
Students will receive further additional information and explanation consistent with this statement in the first lecture and information will be added to unit Blackboard sites.
Feedback on Learning and Assessment
As part of the on-campus learning activities for this unit, you will be assessed informally, on your ability to perform clinical skills relevant to the learning outcomes of this unit. Feedback on your performance will be provided during the Clinical Practice sessions and clinical learning simulated experience.
Further formative learning opportunities and feedback will be provided through:
Assessment
Overview
There is one summative and two formative assessments to be completed in this unit, a written critique, the medication calculation examination and clinical assessment tool. All assessment are mandatory and the formative assessments must be completed successfully in order to achieve an overall Pass grade for this unit.
All performance requirements must be completed to a satisfactory standard to achieve an overall satisfactory grade for the unit.
Unit Grading Scheme
S (Satisfactory) / U (Unsatisfactory)
Assessment Tasks
Assessment: Medication calculation
Prior to the workplace component of this unit you will successfully complete a medical calculation exam with 10 questions focusing medication calculations.
Students must achieve 100% to pass.
Assessment: Case study
Clinical judgement and decision-making in nursing, a case study
You will appraise a health assessment vignette and make critical observations on the situation. Drawing on the given consumer health assessment data, you will discern normal and abnormal data; make connections between these data and specifics of the situation, and develop an initial plan that includes priorities for action using SBAR. You will receive written feedback about your academic writing.
Graded: Satisfactory/Unsatisfactory
Assessment: Placement performance
Placement performance - 2 weeks / 80 hours of clinical placement.
In your assigned clinical placement, you will be assessed on the demonstration of a range of skills in relation to the provision of safe, quality, person-centred care. Assessment performance is determined in line with the NMBA Registered Nurse Standards for Practice and the clinical assessment tool (ANSATCAT). You are required to demonstrate satisfactory achievement of the seven standards (and related criteria) for this level. Each criteria must be achieved satisfactorily and 100% attendance is required at off campus clinical placement. Clinical placement for NSB010 must be satisfactorily completed before progressing to clinical placement for NSB232.
Graded: Satisfactory/Unsatisfactory
Academic Integrity
Academic integrity is a commitment to undertaking academic work and assessment in a manner that is ethical, fair, honest, respectful and accountable.
The Academic Integrity Policy sets out the range of conduct that can be a failure to maintain the standards of academic integrity. This includes, cheating in exams, plagiarism, self-plagiarism, collusion and contract cheating. It also includes providing fraudulent or altered documentation in support of an academic concession application, for example an assignment extension or a deferred exam.
You are encouraged to make use of QUT’s learning support services, resources and tools to assure the academic integrity of your assessment. This includes the use of text matching software that may be available to assist with self-assessing your academic integrity as part of the assessment submission process.
Breaching QUT’s Academic Integrity Policy or engaging in conduct that may defeat or compromise the purpose of assessment can lead to a finding of student misconduct (Code of Conduct – Student) and result in the imposition of penalties under the Management of Student Misconduct Policy, ranging from a grade reduction to exclusion from QUT.
Requirements to Study
Blue Card
A blue card is required to complete this unit. A blue card confirms that you have passed a screening of your criminal history (the Working with Children Check) and have been approved to work with children and young people. For more information on the blue card and how to apply please visit the QUT website.
Resources
Required texts
Crisp, J., Taylor, C., Douglas, C., & Rebeiro, G. (5e) (2017). Potter & Perry's fundamentals of nursing (5th eds.). Mosby, Elsevier: Sydney.
Rebeiro, G., Jack. L, Scully, N., & Wilson, D. (3e) (2017). Fundamentals of nursing clinical skills workbook (2nd ed.). Mosby, Elsevier: Sydney.
Brown, D., Edwards, H., Seaton, L. & Buckley, T. (4e). (2015). Lewis's medical-surgical nursing: Assessment and management of clinical problems (4th eds.). Marrickville: Mosby. (sem 2, 1st year)
Recommended
Medication calculation resource of the students' choice
Estes, M., Calleja, P., Theobald, K. & Harvey, T. (2016). Health assessment and physical examination. (2nd ed.). Melbourne: Cengage Learning Australia.
Levett-Jones, T. (2016) Clinical reasoning: learning to think like a nurse. Melbourne: Pearson
Levett-Jones, T., Reid-Searl K. & Bourgeois S. (2018) The clinical placement (4th ed.). Elsevier.
In preparation for, and during clinical practice you should access an Australian drug reference resource of your choice.
Risk Assessment Statement
During the learning activities associated with this unit, you will be exposed to situations in the Clinical Simulation Centre (CSC) that are deemed to be low risk. It is essential that, in relation to the following situations, you:
On campus Clinical Simulation Centre (CSC):
- Act in accordance with supervisor instruction during the designated clinical practice sessions
- Act in accordance with the guidelines provided for student practice in the Clinical Simulation Centre (CSC) including the usage of equipment
- Undertake required theoretical preparation prior to practice sessions in the Clinical Simulation Centre (CSC).
During clinical work experience, you are exposed to a range of risks and hazards that are normally encountered by nurses practising in a variety of health care settings. When undertaking clinical work experience you are automatically subject to the workplace health and safety policies, procedures and regulations of the healthcare facility. You are required by law to comply with these policies and procedures at all times. In order to minimise risks in this unit, it is essential that you:
- Participate in the health care facility orientation session
- Act in accordance with organisational workplace health, and safety policies
- Are appropriately supervised by a registered nurse at all times
- Undertake the required theoretical and practical preparation prior to commencement of the placement
- Are aware of specific risks and hazards associated with the particular clinical area to which you have been assigned
- Act within your scope of practice and the requirements of this unit
- Maintain your personal health and immunisation status.
Unit Outline: Semester 2 2020, Kelvin Grove, Internal
| Unit code: | NSB010 |
|---|---|
| Credit points: | 12 |
| Coordinators: | Linda Schnitker | linda.schnitker@qut.edu.au Mary-Claire Balnaves | mary.balnaves@qut.edu.au |
Overview
This unit is at the beginning stage of study in nursing and is a work integrated learning unit. It develops students' knowledge and skills in a range of assessment techniques, including interviewing, observations, and physical examination. It focuses on the development of foundational knowledge and skills in the on-campus setting in preparation for the scope of practice needed to undertake practice in health care contexts. Students complete 80 hours of clinical practice. An understanding of the NMBA Registered Nurse Standards for Practice, National Health Priorities, and National Safety and Quality Health Service Standards is essential to nursing practice. The unit encourages critically analyse, reflect on and modify through your off-campus experiences. Course themes emphasised in this unit are evidence-based practice, scientific foundations of practice, person-centred care, health technology and health informatics, and interprofessional collaboration.
This is a designated unit which is essential to your course progression. Designated units include professional experience units, units requiring the development of particular skills, and units requiring demonstration of certain personal qualities. If you fail to achieve a satisfactory level of performance in a designated unit, you may be excluded from enrolment or will be put on academic probation. If you fail a designated unit twice within your course, you may be excluded. Supplementary assessment is not available on designated units.
Learning Outcomes
On successful completion of this unit you will be able to:
- Critique a health assessment, recognising normal health parameters and identifying actual and potential health problems and accurately document findings
- Apply knowledge of the key NMBA Registered Nurse Standards for Nursing Practice, National Safety and Quality Health Service Standards, and National Health Priorities for effective and appropriate decision making, planning and action
- Apply the underpinning knowledge of anatomy, physiology and pathophysiology to support evidence-based decisions for planning and action
- Demonstrate evidence-based practice, clinical reasoning and decision-making to provide culturally safe, quality, person-centred care consistent with the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards
- Safely and accurately perform calculations to inform safe administration of medicines
- Demonstrate the ability to reflect on practice for the purpose of professional and/or personal development
Content
Module 1: Pathophysiology and management of National Health Priorities
- Arthritis and musculoskeletal conditions
- Communication in relation to people with dementia (National Health Priority)
- Gastrointestinal system conditions.
Module 2: Health assessment framework and fundamental care
Focussed and comprehensive systematic health assessment including:
- Health history, components of a physical examination, frameworks for assessment (clinical decision making, e.g. assessment, planning, implementation, evaluation (APIE))
- Health assessment: physical assessment, psychosocial and environmental assessment; health assessment skills and physical examination practices; obtaining a multi-dimensional/bio-psychosocial health history; vital signs; modifications to suit developmental lifespan factors and implications; context factors and implications
- Nutrition, hydration, elimination and stoma care, fluid balance charts
- Activities of daily living, including skin integrity; assistance with activities of daily living, including hygiene, positioning, deep breathing and coughing, fluid balance, and elimination.
- Joint diseases-osteoarthritis/rheumatoid arthritis/back pain and problems (National Health Priority)
- Fundamental care as applied in an aged care setting.
Module 3: Techniques
- Data collection techniques-digital patient information management
- Vital signs-including neurological (GCS), neurovascular observation, and pain and symptom assessment
- Blood glucose level
- Primary survey-ABCDE (airway management, breathing and ventilation, circulation with haemorrhage control, disability/neurological assessment, exposure and environmental control)
- Mini mental status examination (MMSE).
Module 4: Patient safety and Professional Practice
- Professional practice in the health workplace: understanding the health workplace, including basic structure, roles, expectations, personal health and safety and documentation standards
- Safety and quality in health care: safety concepts and principles, including how mistakes can be made; risk identification and management, the Australian Quality and Safety Framework for Health Care
- Safe practices for client care: infection control: chain of infection, standard and additional precautions, five moments for hand hygiene; medication administration and safety (oral/topical); falls prevention, and safe patient handling and transfer
- Documentation in health care and digital health records
- Communication module: communication within nurse-client interactions, including basic interviewing strategies, and verbal and non-verbal communication; and professional context of communication
Learning Approaches
This unit will use a blend of online and face to face activities, including clinical laboratory sessions, real world simulations, and work integrated learning, within health care contexts. These activities will begin to develop your health assessment skills and your ability to engage with structured and evidence-based approaches to practice. You will also begin to develop your reflective practitioner skills through activities including online modules and ePortfolio. You will experience collaborative health settings by working in groups to develop and practice physical examination skills and communication skills, including key therapeutic communication skills. The use of e-health records and other documentation such as clinical investigation reports will also begin to develop your digital literacy skills. The unit coordinator and tutors are available for consultation throughout the semester in on-campus and online contexts.
Experiential learning is a significant component of this unit; you will attend for a continuous period of time in the off campus health care environment. Clinical contexts will have a focus on aged care, however, may include clinics, home-based, community, and acute care facilities. You will prepare for this off-campus experience through simulated clinical situations and through small group clinical skills and practice activities incorporating the use of a range of healthcare technologies, including digital health records.
You are also expected to be self-directed to maximise your personal and professional learning outcomes in this unit.
This unit requires attendance at an off-campus clinical placement. Placement opportunities are negotiated by QUT with hospitals and health care facilities, and are finite in number. Students cannot organise their own placements. Students must be available for shift-work rostering which enables patient care to be delivered 24 hours a day, seven days a week, and some clinical placements may occur during semester breaks. Any absence from an off campus clinical placement will reduce the opportunity for competence development, student performance may not be assessed and a grade of 'Unsatisfactory' may be awarded.
Where absence is due to special or unforeseeable circumstances independently supported by documentation (e.g. medical certificate), every effort will be made to accommodate the student in an alternate placement within the same semester. If due to the nature of the student's special circumstances and/or limited placement availability an alternate placement cannot be negotiated, the student will be advised to seek withdrawal from the unit without academic or financial penalty. Standard course progression cannot be guaranteed following an Unsuccessful grade or withdrawal from a clinical placement unit.
Students will receive further additional information and explanation consistent with this statement in the first lecture and information will be added to unit Blackboard sites.
Feedback on Learning and Assessment
As part of the on-campus learning activities for this unit, you will be assessed informally, on your ability to perform clinical skills relevant to the learning outcomes of this unit. Feedback on your performance will be provided during the Clinical Practice sessions and clinical learning simulated experience.
Further formative learning opportunities and feedback will be provided through:
Assessment
Overview
There is one summative and two formative assessments to be completed in this unit, a written critique, the medication calculation examination and clinical assessment tool. All assessment are mandatory and the formative assessments must be completed successfully in order to achieve an overall Pass grade for this unit.
All performance requirements must be completed to a satisfactory standard to achieve an overall satisfactory grade for the unit.
Unit Grading Scheme
S (Satisfactory) / U (Unsatisfactory)
Assessment Tasks
Assessment: Medication calculation
Prior to the workplace component of this unit you will successfully complete a medical calculation exam with 10 questions focusing medication calculations.
Students must achieve 100% to pass.
Assessment: Case study
Clinical judgement and decision-making in nursing, a case study
You will appraise a health assessment vignette and make critical observations on the situation. Drawing on the given consumer health assessment data, you will discern normal and abnormal data; make connections between these data and specifics of the situation, and develop an initial plan that includes priorities for action using SBAR. You will receive written feedback about your academic writing.
Graded: Satisfactory/Unsatisfactory
Assessment: Placement performance
Placement performance - 2 weeks / 80 hours of clinical placement.
In your assigned clinical placement, you will be assessed on the demonstration of a range of skills in relation to the provision of safe, quality, person-centred care. Assessment performance is determined in line with the NMBA Registered Nurse Standards for Practice and the clinical assessment tool (ANSATCAT). You are required to demonstrate satisfactory achievement of the seven standards (and related criteria) for this level. Each criteria must be achieved satisfactorily and 100% attendance is required at off campus clinical placement. Clinical placement for NSB010 must be satisfactorily completed before progressing to clinical placement for NSB232.
Graded: Satisfactory/Unsatisfactory
Academic Integrity
Academic integrity is a commitment to undertaking academic work and assessment in a manner that is ethical, fair, honest, respectful and accountable.
The Academic Integrity Policy sets out the range of conduct that can be a failure to maintain the standards of academic integrity. This includes, cheating in exams, plagiarism, self-plagiarism, collusion and contract cheating. It also includes providing fraudulent or altered documentation in support of an academic concession application, for example an assignment extension or a deferred exam.
You are encouraged to make use of QUT’s learning support services, resources and tools to assure the academic integrity of your assessment. This includes the use of text matching software that may be available to assist with self-assessing your academic integrity as part of the assessment submission process.
Breaching QUT’s Academic Integrity Policy or engaging in conduct that may defeat or compromise the purpose of assessment can lead to a finding of student misconduct (Code of Conduct – Student) and result in the imposition of penalties under the Management of Student Misconduct Policy, ranging from a grade reduction to exclusion from QUT.
Requirements to Study
Blue Card
A blue card is required to complete this unit. A blue card confirms that you have passed a screening of your criminal history (the Working with Children Check) and have been approved to work with children and young people. For more information on the blue card and how to apply please visit the QUT website.
Resources
Required texts
Crisp, J., Taylor, C., Douglas, C., & Rebeiro, G. (5e) (2017). Potter & Perry's fundamentals of nursing (5th eds.). Mosby, Elsevier: Sydney.
Rebeiro, G., Jack. L, Scully, N., & Wilson, D. (3e) (2017). Fundamentals of nursing clinical skills workbook (2nd ed.). Mosby, Elsevier: Sydney.
Brown, D., Edwards, H., Seaton, L. & Buckley, T. (4e). (2015). Lewis's medical-surgical nursing: Assessment and management of clinical problems (4th eds.). Marrickville: Mosby. (sem 2, 1st year)
Recommended
Medication calculation resource of the students' choice
Estes, M., Calleja, P., Theobald, K. & Harvey, T. (2016). Health assessment and physical examination. (2nd ed.). Melbourne: Cengage Learning Australia.
Levett-Jones, T. (2016) Clinical reasoning: learning to think like a nurse. Melbourne: Pearson
Levett-Jones, T., Reid-Searl K. & Bourgeois S. (2018) The clinical placement (4th ed.). Elsevier.
In preparation for, and during clinical practice you should access an Australian drug reference resource of your choice.
Risk Assessment Statement
During the learning activities associated with this unit, you will be exposed to situations in the Clinical Simulation Centre (CSC) that are deemed to be low risk. It is essential that, in relation to the following situations, you:
On campus Clinical Simulation Centre (CSC):
- Act in accordance with supervisor instruction during the designated clinical practice sessions
- Act in accordance with the guidelines provided for student practice in the Clinical Simulation Centre (CSC) including the usage of equipment
- Undertake required theoretical preparation prior to practice sessions in the Clinical Simulation Centre (CSC).
During clinical work experience, you are exposed to a range of risks and hazards that are normally encountered by nurses practising in a variety of health care settings. When undertaking clinical work experience you are automatically subject to the workplace health and safety policies, procedures and regulations of the healthcare facility. You are required by law to comply with these policies and procedures at all times. In order to minimise risks in this unit, it is essential that you:
- Participate in the health care facility orientation session
- Act in accordance with organisational workplace health, and safety policies
- Are appropriately supervised by a registered nurse at all times
- Undertake the required theoretical and practical preparation prior to commencement of the placement
- Are aware of specific risks and hazards associated with the particular clinical area to which you have been assigned
- Act within your scope of practice and the requirements of this unit
- Maintain your personal health and immunisation status.