NSB335 Integrated Nursing Practice 5

Unit Outline: Semester 2 2019, Kelvin Grove, Internal

Unit code:	NSB335
Credit points:	24
Pre-requisite:	NSB334
Coordinators:	Ibi Patane | i.patane@qut.edu.au

Overview

Clinical decision making and clinical practice skills are consolidated and at completion of this unit (240 hours of Clinical Practice) students are required to demonstrate levels of safe and effective nursing care consistent with the NMBA Registered Nurse Standards of Practice. All Nursing and Midwifery Board of Australia (NMBA) and National Safety and Quality Health Service (NSQHS) standards, as they apply to nursing practice are further explored in this unit. This unit complements other third year units and consolidates learning to date. The course themes emphasised in this unit are evidence-based practice, scientific foundations of practice, global health, person-centred care, cultural safety, 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:

1. Provide nursing care that is consistent with the principles of the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards
2. Safely and accurately perform calculations to inform safe administration of medicines
3. Demonstrate advanced critical thinking, clinical reasoning and decision making in diverse and complex healthcaresettings and in line with the provision of safe, quality person-centred care across the lifespan
4. Coordinate and lead the provision of care for consumers, families and the broader community

Content

Learning Approaches

This unit is a work integrated learning unit with students learning predominantly off campus within health care contexts. Experiential learning is at the forefront of this unit with students attending an extended period of time in the off-campus healthcare environment. Health care environments may include clinics and home-based, community, and acute care facilities. Within these contexts, students will be expected to take on advanced responsibilities with respect to the coordination and leadership of care for consumers, families, and the wider community.

Preparation for this unit involves review of theoretical concepts explored in previous units to facilitate their application in practice. You will undertake an online simulation and complete learning modules which will require you to apply problem solving and clinical decision making skills. Students will also be directed to revisit concepts relating to safe and quality use of medicines and the administration of same.

A peer learning community of practice will be used to encourage active collaboration and provide additional support and social engagement during placement off campus. Clinical supervisors will facilitate transfer of prior knowledge and skills to the real world context, to enable you to demonstrate satisfactorily achievement of criteria in the clinical assessment tool at the level of a beginning registered nurse. This facilitation will include strategies to promote implementation of evidence-based practice, critical inquiry, development of health informatics and health technology competencies, and interprofessional collaboration.

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

Feedback on your performance in assessment tasks will be provided on an individual basis as required for each assessment.

Assessment

Overview

You are required to achieve a satisfactory grade in each of the three assessment items in order to receive an overall satisfactory grade for the unit. Assessments comprise: (i) a medication calculation quiz; (ii) an off campus placement clinical assessment; and (iii) online modules and related learning activities
If you do not achieve a satisfactory grade for Assessment Item 3, and your achieved mark/grade is within 10% (or 1 grade) of the pass level for the assessment item, you will be eligible to make one resubmission of this work. You are advised to seek feedback on your work from the unit coordinator prior to resubmission.
Assessment Item 2 requires 100% attendance at an off-campus clinical placement and a satisfactory pass on the clinical placement assessment tool, to pass the unit. Resubmission is not available for an unsatisfactory result for Assessment Item 1 (medication calculation) or 2 (placement performance).

Unit Grading Scheme

S (Satisfactory) / U (Unsatisfactory)

Assessment Tasks

Assessment: Medication Calculation

Online test prior to clinical placement to assess your ability to safely and accurately perform calculations and administer medication. This draws on the knowledge from on-campus units.
Prior to the off campus clinical work experience component of this unit, you are required to successfully complete an on-line medication calculation and administration test; test questions focus on the development of knowledge and skills associated with medication administration. This assessment item requires a 100% pass rate. Students who fail two attempts at this assessment are referred to maths support at QUT STIMulate for assistance.
This assessment must be completed within the timeframes specified on the unit Blackboard site. Failure to undertake or attempt this assessment within the specified timeframes will result in a fail grade in this unit and withdrawal of your off-campus clinical work experience.

Graded: Satisfactory/Unsatisfactory

Relates to learning outcomes
1 and 2.

Due (indicative): Prior placement

Assessment: Clin Placement Assessment

Clinical Placement Assessment (ANSAT)
Placement performance - 6 weeks/240 hours of clinical placement.
In your assigned clinical placement, your 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. NMBA National Registered Nurse Standards of Practice (including codes and guidelines) are assessed by the ANSAT, with students demonstrating competence of the seven standards (and related criteria) of the NMBA for this level. Each criteria of the clinical assessment tool must be achieved satisfactorily and 100% attendance is required at off-campus clinical placement.

Graded: Satisfactory/Unsatisfactory

Relates to learning outcomes
1, 2 and 4.

Due (indicative): End placement

Assessment: Online Healthcare Modules

You are expected to complete modules to demonstrate critical thinking and decision making in diverse and complex healthcare situations across the lifespan. You will need to analyse a range of given situations and undertake a holistic assessment of these situations drawing on prior knowledge and skills. In an associated learning activity you will be expected to demonstrate integrated knowledge and skills, including communication, collaboration, leadership, ethical and culturally safe approaches to healthcare, and interprofessional collaboration. The role of health technologies and health informatics will also be a key theme in this assessment. You will work through five/four online modules and complete the relevant case based scenarios, noting the regular feedback prompts to guide your learning.

Graded: Satisfactory/Unsatisfactory

Relates to learning outcomes
3.

Due (indicative): End semester

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.

Resources

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. You will also participate in period of clinical work experience in a health care facility. During clinical work experience, students are exposed to a range of risks and hazards that are normally encountered by nurses practising in hospital 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 during the on and off-campus components of this unit, 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).

Off campus work integrated learning:
Participate in the healthcare 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 2019, Non-QUT location, Internal

Unit code:	NSB335
Credit points:	24
Pre-requisite:	NSB334

Overview

Clinical decision making and clinical practice skills are consolidated and at completion of this unit (240 hours of Clinical Practice) students are required to demonstrate levels of safe and effective nursing care consistent with the NMBA Registered Nurse Standards of Practice. All Nursing and Midwifery Board of Australia (NMBA) and National Safety and Quality Health Service (NSQHS) standards, as they apply to nursing practice are further explored in this unit. This unit complements other third year units and consolidates learning to date. The course themes emphasised in this unit are evidence-based practice, scientific foundations of practice, global health, person-centred care, cultural safety, 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:

1. Provide nursing care that is consistent with the principles of the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards
2. Safely and accurately perform calculations to inform safe administration of medicines
3. Demonstrate advanced critical thinking, clinical reasoning and decision making in diverse and complex healthcaresettings and in line with the provision of safe, quality person-centred care across the lifespan
4. Coordinate and lead the provision of care for consumers, families and the broader community

Content

Learning Approaches

This unit is a work integrated learning unit with students learning predominantly off campus within health care contexts. Experiential learning is at the forefront of this unit with students attending an extended period of time in the off-campus healthcare environment. Health care environments may include clinics and home-based, community, and acute care facilities. Within these contexts, students will be expected to take on advanced responsibilities with respect to the coordination and leadership of care for consumers, families, and the wider community.

Preparation for this unit involves review of theoretical concepts explored in previous units to facilitate their application in practice. You will undertake an online simulation and complete learning modules which will require you to apply problem solving and clinical decision making skills. Students will also be directed to revisit concepts relating to safe and quality use of medicines and the administration of same.

A peer learning community of practice will be used to encourage active collaboration and provide additional support and social engagement during placement off campus. Clinical supervisors will facilitate transfer of prior knowledge and skills to the real world context, to enable you to demonstrate satisfactorily achievement of criteria in the clinical assessment tool at the level of a beginning registered nurse. This facilitation will include strategies to promote implementation of evidence-based practice, critical inquiry, development of health informatics and health technology competencies, and interprofessional collaboration.

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

Feedback on your performance in assessment tasks will be provided on an individual basis as required for each assessment.

Assessment

Overview

You are required to achieve a satisfactory grade in each of the three assessment items in order to receive an overall satisfactory grade for the unit. Assessments comprise: (i) a medication calculation quiz; (ii) an off campus placement clinical assessment; and (iii) online modules and related learning activities
If you do not achieve a satisfactory grade for Assessment Item 3, and your achieved mark/grade is within 10% (or 1 grade) of the pass level for the assessment item, you will be eligible to make one resubmission of this work. You are advised to seek feedback on your work from the unit coordinator prior to resubmission.
Assessment Item 2 requires 100% attendance at an off-campus clinical placement and a satisfactory pass on the clinical placement assessment tool, to pass the unit. Resubmission is not available for an unsatisfactory result for Assessment Item 1 (medication calculation) or 2 (placement performance).

Unit Grading Scheme

S (Satisfactory) / U (Unsatisfactory)

Assessment Tasks

Assessment: Medication Calculation

Online test prior to clinical placement to assess your ability to safely and accurately perform calculations and administer medication. This draws on the knowledge from on-campus units.
Prior to the off campus clinical work experience component of this unit, you are required to successfully complete an on-line medication calculation and administration test; test questions focus on the development of knowledge and skills associated with medication administration. This assessment item requires a 100% pass rate. Students who fail two attempts at this assessment are referred to maths support at QUT STIMulate for assistance.
This assessment must be completed within the timeframes specified on the unit Blackboard site. Failure to undertake or attempt this assessment within the specified timeframes will result in a fail grade in this unit and withdrawal of your off-campus clinical work experience.

Graded: Satisfactory/Unsatisfactory

Relates to learning outcomes
1 and 2.

Due (indicative): Prior placement

Assessment: Clin Placement Assessment

Clinical Placement Assessment (ANSAT)
Placement performance - 6 weeks/240 hours of clinical placement.
In your assigned clinical placement, your 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. NMBA National Registered Nurse Standards of Practice (including codes and guidelines) are assessed by the ANSAT, with students demonstrating competence of the seven standards (and related criteria) of the NMBA for this level. Each criteria of the clinical assessment tool must be achieved satisfactorily and 100% attendance is required at off-campus clinical placement.

Graded: Satisfactory/Unsatisfactory

Relates to learning outcomes
1, 2 and 4.

Due (indicative): End placement

Assessment: Online Healthcare Modules

You are expected to complete modules to demonstrate critical thinking and decision making in diverse and complex healthcare situations across the lifespan. You will need to analyse a range of given situations and undertake a holistic assessment of these situations drawing on prior knowledge and skills. In an associated learning activity you will be expected to demonstrate integrated knowledge and skills, including communication, collaboration, leadership, ethical and culturally safe approaches to healthcare, and interprofessional collaboration. The role of health technologies and health informatics will also be a key theme in this assessment. You will work through five/four online modules and complete the relevant case based scenarios, noting the regular feedback prompts to guide your learning.

Graded: Satisfactory/Unsatisfactory

Relates to learning outcomes
3.

Due (indicative): End semester

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.

Resources

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. You will also participate in period of clinical work experience in a health care facility. During clinical work experience, students are exposed to a range of risks and hazards that are normally encountered by nurses practising in hospital 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 during the on and off-campus components of this unit, 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).

Off campus work integrated learning:
Participate in the healthcare 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: Summer 2019, Kelvin Grove, Internal (Start Date: 18 Nov 2019)

Unit code:	NSB335
Credit points:	24
Pre-requisite:	NSB334
Coordinators:	Vicki Simpson | vicki.simpson@qut.edu.au Helen Donovan | h.donovan@qut.edu.au Ibi Patane | i.patane@qut.edu.au

Overview

Clinical decision making and clinical practice skills are consolidated and at completion of this unit (240 hours of Clinical Practice) students are required to demonstrate levels of safe and effective nursing care consistent with the NMBA Registered Nurse Standards of Practice. All Nursing and Midwifery Board of Australia (NMBA) and National Safety and Quality Health Service (NSQHS) standards, as they apply to nursing practice are further explored in this unit. This unit complements other third year units and consolidates learning to date. The course themes emphasised in this unit are evidence-based practice, scientific foundations of practice, global health, person-centred care, cultural safety, 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:

1. Provide nursing care that is consistent with the principles of the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards
2. Safely and accurately perform calculations to inform safe administration of medicines
3. Demonstrate advanced critical thinking, clinical reasoning and decision making in diverse and complex healthcaresettings and in line with the provision of safe, quality person-centred care across the lifespan
4. Coordinate and lead the provision of care for consumers, families and the broader community

Content

Learning Approaches

This unit is a work integrated learning unit with students learning predominantly off campus within health care contexts. Experiential learning is at the forefront of this unit with students attending an extended period of time in the off-campus healthcare environment. Health care environments may include clinics and home-based, community, and acute care facilities. Within these contexts, students will be expected to take on advanced responsibilities with respect to the coordination and leadership of care for consumers, families, and the wider community.

Preparation for this unit involves review of theoretical concepts explored in previous units to facilitate their application in practice. You will undertake an online simulation and complete learning modules which will require you to apply problem solving and clinical decision making skills. Students will also be directed to revisit concepts relating to safe and quality use of medicines and the administration of same.

A peer learning community of practice will be used to encourage active collaboration and provide additional support and social engagement during placement off campus. Clinical supervisors will facilitate transfer of prior knowledge and skills to the real world context, to enable you to demonstrate satisfactorily achievement of criteria in the clinical assessment tool at the level of a beginning registered nurse. This facilitation will include strategies to promote implementation of evidence-based practice, critical inquiry, development of health informatics and health technology competencies, and interprofessional collaboration.

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

Feedback on your performance in assessment tasks will be provided on an individual basis as required for each assessment.

Assessment

Overview

You are required to achieve a satisfactory grade in each of the three assessment items in order to receive an overall satisfactory grade for the unit. Assessments comprise: (i) a medication calculation quiz; (ii) an off campus placement clinical assessment; and (iii) online modules and related learning activities
If you do not achieve a satisfactory grade for Assessment Item 3, and your achieved mark/grade is within 10% (or 1 grade) of the pass level for the assessment item, you will be eligible to make one resubmission of this work. You are advised to seek feedback on your work from the unit coordinator prior to resubmission.
Assessment Item 2 requires 100% attendance at an off-campus clinical placement and a satisfactory pass on the clinical placement assessment tool, to pass the unit. Resubmission is not available for an unsatisfactory result for Assessment Item 1 (medication calculation) or 2 (placement performance).

Unit Grading Scheme

S (Satisfactory) / U (Unsatisfactory)

Assessment Tasks

Assessment: Medication Calculation

Online test prior to clinical placement to assess your ability to safely and accurately perform calculations and administer medication. This draws on the knowledge from on-campus units.
Prior to the off campus clinical work experience component of this unit, you are required to successfully complete an on-line medication calculation and administration test; test questions focus on the development of knowledge and skills associated with medication administration. This assessment item requires a 100% pass rate. Students who fail two attempts at this assessment are referred to maths support at QUT STIMulate for assistance.
This assessment must be completed within the timeframes specified on the unit Blackboard site. Failure to undertake or attempt this assessment within the specified timeframes will result in a fail grade in this unit and withdrawal of your off-campus clinical work experience.

Graded: Satisfactory/Unsatisfactory

Relates to learning outcomes
1 and 2.

Due (indicative): Prior placement

Assessment: Clin Placement Assessment

Clinical Placement Assessment (ANSAT)
Placement performance - 6 weeks/240 hours of clinical placement.
In your assigned clinical placement, your 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. NMBA National Registered Nurse Standards of Practice (including codes and guidelines) are assessed by the ANSAT, with students demonstrating competence of the seven standards (and related criteria) of the NMBA for this level. Each criteria of the clinical assessment tool must be achieved satisfactorily and 100% attendance is required at off-campus clinical placement.

Graded: Satisfactory/Unsatisfactory

Relates to learning outcomes
1, 2 and 4.

Due (indicative): End placement

Assessment: Online Healthcare Modules

You are expected to complete modules to demonstrate critical thinking and decision making in diverse and complex healthcare situations across the lifespan. You will need to analyse a range of given situations and undertake a holistic assessment of these situations drawing on prior knowledge and skills. In an associated learning activity you will be expected to demonstrate integrated knowledge and skills, including communication, collaboration, leadership, ethical and culturally safe approaches to healthcare, and interprofessional collaboration. The role of health technologies and health informatics will also be a key theme in this assessment. You will work through five/four online modules and complete the relevant case based scenarios, noting the regular feedback prompts to guide your learning.

Graded: Satisfactory/Unsatisfactory

Relates to learning outcomes
3.

Due (indicative): End semester

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.

Resources

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. You will also participate in period of clinical work experience in a health care facility. During clinical work experience, students are exposed to a range of risks and hazards that are normally encountered by nurses practising in hospital 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 during the on and off-campus components of this unit, 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).

Off campus work integrated learning:
Participate in the healthcare 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 1 2020, Kelvin Grove, Internal

Unit code:	NSB335
Credit points:	24
Pre-requisite:	NSB334
Coordinators:	Naomi Tutticci | naomi.tutticci@qut.edu.au Karen Wynne | karen.wynne@qut.edu.au

Overview

Clinical decision making and clinical practice skills are consolidated and at completion of this unit (240 hours of Clinical Practice) students are required to demonstrate levels of safe and effective nursing care consistent with the NMBA Registered Nurse Standards of Practice. All Nursing and Midwifery Board of Australia (NMBA) and National Safety and Quality Health Service (NSQHS) standards, as they apply to nursing practice are further explored in this unit. This unit complements other third year units and consolidates learning to date. The course themes emphasised in this unit are evidence-based practice, scientific foundations of practice, global health, person-centred care, cultural safety, 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:

1. Provide nursing care that is consistent with the principles of the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards
2. Safely and accurately perform calculations to inform safe administration of medicines
3. Demonstrate advanced critical thinking, clinical reasoning and decision making in diverse and complex healthcaresettings and in line with the provision of safe, quality person-centred care across the lifespan
4. Coordinate and lead the provision of care for consumers, families and the broader community

Content

Learning Approaches

This unit is a work integrated learning unit with students learning predominantly off campus within health care contexts. Experiential learning is at the forefront of this unit with students attending an extended period of time in the off-campus healthcare environment. Health care environments may include clinics and home-based, community, and acute care facilities. Within these contexts, students will be expected to take on advanced responsibilities with respect to the coordination and leadership of care for consumers, families, and the wider community.

Preparation for this unit involves review of theoretical concepts explored in previous units to facilitate their application in practice. You will undertake an online simulation and complete learning modules which will require you to apply problem solving and clinical decision making skills. Students will also be directed to revisit concepts relating to safe and quality use of medicines and the administration of same.

A peer learning community of practice will be used to encourage active collaboration and provide additional support and social engagement during placement off campus. Clinical supervisors will facilitate transfer of prior knowledge and skills to the real world context, to enable you to demonstrate satisfactorily achievement of criteria in the clinical assessment tool at the level of a beginning registered nurse. This facilitation will include strategies to promote implementation of evidence-based practice, critical inquiry, development of health informatics and health technology competencies, and interprofessional collaboration.

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

Feedback on your performance in assessment tasks will be provided on an individual basis as required for each assessment.

Assessment

Overview

You are required to achieve a satisfactory grade in each of the three assessment items in order to receive an overall satisfactory grade for the unit. Assessments comprise: (i) a medication calculation quiz; (ii) an off campus placement clinical assessment; and (iii) online modules and related learning activities
If you do not achieve a satisfactory grade for Assessment Item 3, and your achieved mark/grade is within 10% (or 1 grade) of the pass level for the assessment item, you will be eligible to make one resubmission of this work. You are advised to seek feedback on your work from the unit coordinator prior to resubmission.
Assessment Item 2 requires 100% attendance at an off-campus clinical placement and a satisfactory pass on the clinical placement assessment tool, to pass the unit. Resubmission is not available for an unsatisfactory result for Assessment Item 1 (medication calculation) or 2 (placement performance).

Unit Grading Scheme

S (Satisfactory) / U (Unsatisfactory)

Assessment Tasks

Assessment: Medication Calculation

Online test prior to clinical placement to assess your ability to safely and accurately perform calculations and administer medication. This draws on the knowledge from on-campus units.
Prior to the off campus clinical work experience component of this unit, you are required to successfully complete an on-line medication calculation and administration test; test questions focus on the development of knowledge and skills associated with medication administration. This assessment item requires a 100% pass rate. Students who fail two attempts at this assessment are referred to maths support at QUT STIMulate for assistance.
This assessment must be completed within the timeframes specified on the unit Blackboard site. Failure to undertake or attempt this assessment within the specified timeframes will result in a fail grade in this unit and withdrawal of your off-campus clinical work experience.

Graded: Satisfactory/Unsatisfactory

Due (indicative): Prior placement

Assessment: Clin Placement Assessment

Clinical Placement Assessment (ANSAT)
Placement performance - 6 weeks/240 hours of clinical placement.
In your assigned clinical placement, your 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. NMBA National Registered Nurse Standards of Practice (including codes and guidelines) are assessed by the ANSAT, with students demonstrating competence of the seven standards (and related criteria) of the NMBA for this level. Each criteria of the clinical assessment tool must be achieved satisfactorily and 100% attendance is required at off-campus clinical placement.

Graded: Satisfactory/Unsatisfactory

Due (indicative): End placement

Assessment: Online Healthcare Modules

You are expected to complete modules to demonstrate critical thinking and decision making in diverse and complex healthcare situations across the lifespan. You will need to analyse a range of given situations and undertake a holistic assessment of these situations drawing on prior knowledge and skills. In an associated learning activity you will be expected to demonstrate integrated knowledge and skills, including communication, collaboration, leadership, ethical and culturally safe approaches to healthcare, and interprofessional collaboration. The role of health technologies and health informatics will also be a key theme in this assessment. You will work through five/four online modules and complete the relevant case based scenarios, noting the regular feedback prompts to guide your learning.

Graded: Satisfactory/Unsatisfactory

Due (indicative): End semester

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.

Resources

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. You will also participate in period of clinical work experience in a health care facility. During clinical work experience, students are exposed to a range of risks and hazards that are normally encountered by nurses practising in hospital 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 during the on and off-campus components of this unit, 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).

Off campus work integrated learning:
Participate in the healthcare 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:	NSB335
Credit points:	24
Pre-requisite:	NSB334
Coordinators:	Ibi Patane | i.patane@qut.edu.au Jessica Ingleman | j.ingleman@qut.edu.au Vicki Simpson | vicki.simpson@qut.edu.au

Overview

Clinical decision making and clinical practice skills are consolidated and at completion of this unit (240 hours of Clinical Practice) students are required to demonstrate levels of safe and effective nursing care consistent with the NMBA Registered Nurse Standards of Practice. All Nursing and Midwifery Board of Australia (NMBA) and National Safety and Quality Health Service (NSQHS) standards, as they apply to nursing practice are further explored in this unit. This unit complements other third year units and consolidates learning to date. The course themes emphasised in this unit are evidence-based practice, scientific foundations of practice, global health, person-centred care, cultural safety, 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:

1. Provide nursing care that is consistent with the principles of the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards
2. Safely and accurately perform calculations to inform safe administration of medicines
3. Demonstrate advanced critical thinking, clinical reasoning and decision making in diverse and complex healthcaresettings and in line with the provision of safe, quality person-centred care across the lifespan
4. Coordinate and lead the provision of care for consumers, families and the broader community

Content

Learning Approaches

This unit is a work integrated learning unit with students learning predominantly off campus within health care contexts. Experiential learning is at the forefront of this unit with students attending an extended period of time in the off-campus healthcare environment. Health care environments may include clinics and home-based, community, and acute care facilities. Within these contexts, students will be expected to take on advanced responsibilities with respect to the coordination and leadership of care for consumers, families, and the wider community.

Preparation for this unit involves review of theoretical concepts explored in previous units to facilitate their application in practice. You will undertake an online simulation and complete learning modules which will require you to apply problem solving and clinical decision making skills. Students will also be directed to revisit concepts relating to safe and quality use of medicines and the administration of same.

A peer learning community of practice will be used to encourage active collaboration and provide additional support and social engagement during placement off campus. Clinical supervisors will facilitate transfer of prior knowledge and skills to the real world context, to enable you to demonstrate satisfactorily achievement of criteria in the clinical assessment tool at the level of a beginning registered nurse. This facilitation will include strategies to promote implementation of evidence-based practice, critical inquiry, development of health informatics and health technology competencies, and interprofessional collaboration.

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

Feedback on your performance in assessment tasks will be provided on an individual basis as required for each assessment.

Assessment

Overview

You are required to achieve a satisfactory grade in each of the three assessment items in order to receive an overall satisfactory grade for the unit. Assessments comprise: (i) a medication calculation quiz; (ii) an off campus placement clinical assessment; and (iii) online modules and related learning activities
If you do not achieve a satisfactory grade for Assessment Item 3, and your achieved mark/grade is within 10% (or 1 grade) of the pass level for the assessment item, you will be eligible to make one resubmission of this work. You are advised to seek feedback on your work from the unit coordinator prior to resubmission.
Assessment Item 2 requires 100% attendance at an off-campus clinical placement and a satisfactory pass on the clinical placement assessment tool, to pass the unit. Resubmission is not available for an unsatisfactory result for Assessment Item 1 (medication calculation) or 2 (placement performance).

Unit Grading Scheme

S (Satisfactory) / U (Unsatisfactory)

Assessment Tasks

Assessment: Medication Calculation

Online test prior to clinical placement to assess your ability to safely and accurately perform calculations and administer medication. This draws on the knowledge from on-campus units.
Prior to the off campus clinical work experience component of this unit, you are required to successfully complete an on-line medication calculation and administration test; test questions focus on the development of knowledge and skills associated with medication administration. This assessment item requires a 100% pass rate. Students who fail two attempts at this assessment are referred to maths support at QUT STIMulate for assistance.
This assessment must be completed within the timeframes specified on the unit Blackboard site. Failure to undertake or attempt this assessment within the specified timeframes will result in a fail grade in this unit and withdrawal of your off-campus clinical work experience.

Graded: Satisfactory/Unsatisfactory

Due (indicative): Prior placement

Assessment: Clin Placement Assessment

Clinical Placement Assessment (ANSAT)
Placement performance - 6 weeks/240 hours of clinical placement.
In your assigned clinical placement, your 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. NMBA National Registered Nurse Standards of Practice (including codes and guidelines) are assessed by the ANSAT, with students demonstrating competence of the seven standards (and related criteria) of the NMBA for this level. Each criteria of the clinical assessment tool must be achieved satisfactorily and 100% attendance is required at off-campus clinical placement.

Graded: Satisfactory/Unsatisfactory

Due (indicative): End placement

Assessment: Online Healthcare Modules

You are expected to complete modules to demonstrate critical thinking and decision making in diverse and complex healthcare situations across the lifespan. You will need to analyse a range of given situations and undertake a holistic assessment of these situations drawing on prior knowledge and skills. In an associated learning activity you will be expected to demonstrate integrated knowledge and skills, including communication, collaboration, leadership, ethical and culturally safe approaches to healthcare, and interprofessional collaboration. The role of health technologies and health informatics will also be a key theme in this assessment. You will work through five/four online modules and complete the relevant case based scenarios, noting the regular feedback prompts to guide your learning.

Graded: Satisfactory/Unsatisfactory

Due (indicative): End semester

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.

Resources

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. You will also participate in period of clinical work experience in a health care facility. During clinical work experience, students are exposed to a range of risks and hazards that are normally encountered by nurses practising in hospital 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 during the on and off-campus components of this unit, 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).

Off campus work integrated learning:
Participate in the healthcare 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: Summer 2020, Kelvin Grove, Internal (Start Date: 18 Nov 2019)

Unit code:	NSB335
Credit points:	24
Pre-requisite:	NSB334
Coordinators:	Vicki Simpson | vicki.simpson@qut.edu.au Ibi Patane | i.patane@qut.edu.au

Overview

Clinical decision making and clinical practice skills are consolidated and at completion of this unit (240 hours of Clinical Practice) students are required to demonstrate levels of safe and effective nursing care consistent with the NMBA Registered Nurse Standards of Practice. All Nursing and Midwifery Board of Australia (NMBA) and National Safety and Quality Health Service (NSQHS) standards, as they apply to nursing practice are further explored in this unit. This unit complements other third year units and consolidates learning to date. The course themes emphasised in this unit are evidence-based practice, scientific foundations of practice, global health, person-centred care, cultural safety, 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:

1. Provide nursing care that is consistent with the principles of the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards
2. Safely and accurately perform calculations to inform safe administration of medicines
3. Demonstrate advanced critical thinking, clinical reasoning and decision making in diverse and complex healthcaresettings and in line with the provision of safe, quality person-centred care across the lifespan
4. Coordinate and lead the provision of care for consumers, families and the broader community

Content

Learning Approaches

This unit is a work integrated learning unit with students learning predominantly off campus within health care contexts. Experiential learning is at the forefront of this unit with students attending an extended period of time in the off-campus healthcare environment. Health care environments may include clinics and home-based, community, and acute care facilities. Within these contexts, students will be expected to take on advanced responsibilities with respect to the coordination and leadership of care for consumers, families, and the wider community.

Preparation for this unit involves review of theoretical concepts explored in previous units to facilitate their application in practice. You will undertake an online simulation and complete learning modules which will require you to apply problem solving and clinical decision making skills. Students will also be directed to revisit concepts relating to safe and quality use of medicines and the administration of same.

A peer learning community of practice will be used to encourage active collaboration and provide additional support and social engagement during placement off campus. Clinical supervisors will facilitate transfer of prior knowledge and skills to the real world context, to enable you to demonstrate satisfactorily achievement of criteria in the clinical assessment tool at the level of a beginning registered nurse. This facilitation will include strategies to promote implementation of evidence-based practice, critical inquiry, development of health informatics and health technology competencies, and interprofessional collaboration.

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

Feedback on your performance in assessment tasks will be provided on an individual basis as required for each assessment.

Assessment

Overview

You are required to achieve a satisfactory grade in each of the three assessment items in order to receive an overall satisfactory grade for the unit. Assessments comprise: (i) a medication calculation quiz; (ii) an off campus placement clinical assessment; and (iii) online modules and related learning activities
If you do not achieve a satisfactory grade for Assessment Item 3, and your achieved mark/grade is within 10% (or 1 grade) of the pass level for the assessment item, you will be eligible to make one resubmission of this work. You are advised to seek feedback on your work from the unit coordinator prior to resubmission.
Assessment Item 2 requires 100% attendance at an off-campus clinical placement and a satisfactory pass on the clinical placement assessment tool, to pass the unit. Resubmission is not available for an unsatisfactory result for Assessment Item 1 (medication calculation) or 2 (placement performance).

Unit Grading Scheme

S (Satisfactory) / U (Unsatisfactory)

Assessment Tasks

Assessment: Medication Calculation

Online test prior to clinical placement to assess your ability to safely and accurately perform calculations and administer medication. This draws on the knowledge from on-campus units.
Prior to the off campus clinical work experience component of this unit, you are required to successfully complete an on-line medication calculation and administration test; test questions focus on the development of knowledge and skills associated with medication administration. This assessment item requires a 100% pass rate. Students who fail two attempts at this assessment are referred to maths support at QUT STIMulate for assistance.
This assessment must be completed within the timeframes specified on the unit Blackboard site. Failure to undertake or attempt this assessment within the specified timeframes will result in a fail grade in this unit and withdrawal of your off-campus clinical work experience.

Graded: Satisfactory/Unsatisfactory

Threshold Assessment:

You are required to achieve a satisfactory grade in each of the three assessment items to receive an overall satisfactory grade for the unit. Assessments comprise: (i) Medical calculation ; (ii) clinical placement assessment; and (iii) Online Healthcare Modules. 

The medical calculation assessment must be completed within the timeframes specified on the unit Blackboard site. Failure to undertake or attempt this assessment within the specified timeframes will result in a fail grade in this unit and withdrawal of your off-campus clinical work experience.

Assessment Item 2 requires 100% attendance at an off-campus clinical placement and a satisfactory pass on the clinical placement assessment tool, to pass the unit. Re-submission is not available for an unsatisfactory result for Assessment Item 2 (clinical placement assessment).

If you do not achieve a satisfactory grade for Assessment Item 3, and your achieved mark is within 10% (or 1 grade) of the pass level for the assessment item, you will be eligible to make one re-submission of this work. Failure to reach an initial satisfactory (4 - pass) grade in both assessments will result in an unsatisfactory grade for the unit. You are advised to review feedback on your work  prior to re-submission.

Due (indicative): Prior placement

Assessment: Clin Placement Assessment

Clinical Placement Assessment (ANSAT)
Placement performance - 6 weeks/240 hours of clinical placement.
In your assigned clinical placement, your 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. NMBA National Registered Nurse Standards of Practice (including codes and guidelines) are assessed by the ANSAT, with students demonstrating competence of the seven standards (and related criteria) of the NMBA for this level. Each criteria of the clinical assessment tool must be achieved satisfactorily and 100% attendance is required at off-campus clinical placement.

Graded: Satisfactory/Unsatisfactory

Threshold Assessment:

You are required to achieve a satisfactory grade in each of the three assessment items to receive an overall satisfactory grade for the unit. Assessments comprise: (i) Medical calculation ; (ii) clinical placement assessment; and (iii) Online Healthcare Modules. 

The medical calculation assessment must be completed within the timeframes specified on the unit Blackboard site. Failure to undertake or attempt this assessment within the specified timeframes will result in a fail grade in this unit and withdrawal of your off-campus clinical work experience.

Assessment Item 2 requires 100% attendance at an off-campus clinical placement and a satisfactory pass on the clinical placement assessment tool, to pass the unit. Re-submission is not available for an unsatisfactory result for Assessment Item 2 (clinical placement assessment).

If you do not achieve a satisfactory grade for Assessment Item 3, and your achieved mark is within 10% (or 1 grade) of the pass level for the assessment item, you will be eligible to make one re-submission of this work. Failure to reach an initial satisfactory (4 - pass) grade in both assessments will result in an unsatisfactory grade for the unit. You are advised to review feedback on your work  prior to re-submission.

Due (indicative): End placement

Assessment: Online Healthcare Modules

You are expected to complete modules to demonstrate critical thinking and decision making in diverse and complex healthcare situations across the lifespan. You will need to analyse a range of given situations and undertake a holistic assessment of these situations drawing on prior knowledge and skills. In an associated learning activity you will be expected to demonstrate integrated knowledge and skills, including communication, collaboration, leadership, ethical and culturally safe approaches to healthcare, and interprofessional collaboration. The role of health technologies and health informatics will also be a key theme in this assessment. You will work through five/four online modules and complete the relevant case based scenarios, noting the regular feedback prompts to guide your learning.

Graded: Satisfactory/Unsatisfactory

Threshold Assessment:

You are required to achieve a satisfactory grade in each of the three assessment items to receive an overall satisfactory grade for the unit. Assessments comprise: (i) Medical calculation ; (ii) clinical placement assessment; and (iii) Online Healthcare Modules. 

The medical calculation assessment must be completed within the timeframes specified on the unit Blackboard site. Failure to undertake or attempt this assessment within the specified timeframes will result in a fail grade in this unit and withdrawal of your off-campus clinical work experience.

Assessment Item 2 requires 100% attendance at an off-campus clinical placement and a satisfactory pass on the clinical placement assessment tool, to pass the unit. Re-submission is not available for an unsatisfactory result for Assessment Item 2 (clinical placement assessment).

If you do not achieve a satisfactory grade for Assessment Item 3, and your achieved mark is within 10% (or 1 grade) of the pass level for the assessment item, you will be eligible to make one re-submission of this work. Failure to reach an initial satisfactory (4 - pass) grade in both assessments will result in an unsatisfactory grade for the unit. You are advised to review feedback on your work  prior to re-submission.

Due (indicative): End semester

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

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. You will also participate in period of clinical work experience in a health care facility. During clinical work experience, students are exposed to a range of risks and hazards that are normally encountered by nurses practising in hospital 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 during the on and off-campus components of this unit, 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).

Off campus work integrated learning:
Participate in the healthcare 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 1 2021, Kelvin Grove, Internal

Unit code:	NSB335
Credit points:	24
Pre-requisite:	NSB334
Coordinators:	Naomi Tutticci | naomi.tutticci@qut.edu.au Kerrie Rodger | kerrie.rodger@qut.edu.au

Overview

Clinical decision making and clinical practice skills are consolidated and at completion of this unit (240 hours of Clinical Practice) students are required to demonstrate levels of safe and effective nursing care consistent with the NMBA Registered Nurse Standards of Practice. All Nursing and Midwifery Board of Australia (NMBA) and National Safety and Quality Health Service (NSQHS) standards, as they apply to nursing practice are further explored in this unit. This unit complements other third year units and consolidates learning to date. The course themes emphasised in this unit are evidence-based practice, scientific foundations of practice, global health, person-centred care, cultural safety, 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:

1. Provide nursing care that is consistent with the principles of the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards
2. Safely and accurately perform calculations to inform safe administration of medicines
3. Demonstrate advanced critical thinking, clinical reasoning and decision making in diverse and complex healthcaresettings and in line with the provision of safe, quality person-centred care across the lifespan
4. Coordinate and lead the provision of care for consumers, families and the broader community

Content

Learning Approaches

This unit is a work integrated learning unit with students learning predominantly off campus within health care contexts. Experiential learning is at the forefront of this unit with students attending an extended period of time in the off-campus healthcare environment. Health care environments may include clinics and home-based, community, and acute care facilities. Within these contexts, students will be expected to take on advanced responsibilities with respect to the coordination and leadership of care for consumers, families, and the wider community.

Preparation for this unit involves review of theoretical concepts explored in previous units to facilitate their application in practice. You will undertake an online simulation and complete learning modules which will require you to apply problem solving and clinical decision making skills. Students will also be directed to revisit concepts relating to safe and quality use of medicines and the administration of same.

A peer learning community of practice will be used to encourage active collaboration and provide additional support and social engagement during placement off campus. Clinical supervisors will facilitate transfer of prior knowledge and skills to the real world context, to enable you to demonstrate satisfactorily achievement of criteria in the clinical assessment tool at the level of a beginning registered nurse. This facilitation will include strategies to promote implementation of evidence-based practice, critical inquiry, development of health informatics and health technology competencies, and interprofessional collaboration.

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

Feedback on your performance in assessment tasks will be provided on an individual basis as required for each assessment.

Assessment

Overview

You are required to achieve a satisfactory grade in each of the three assessment items in order to receive an overall satisfactory grade for the unit. Assessments comprise: (i) a medication calculation quiz; (ii) an off campus placement clinical assessment; and (iii) online modules and related learning activities. 
If you do not achieve a satisfactory grade for Assessment Item 3, and your achieved mark/grade is within 10% (or 1 grade) of the pass level for the assessment item, you will be eligible to make one resubmission of this work. You are advised to seek feedback on your work from the unit coordinator prior to resubmission.
Assessment Item 2 requires 100% attendance at an off-campus clinical placement and a satisfactory pass on the clinical placement assessment tool, to pass the unit. Resubmission is not available for an unsatisfactory result for Assessment Item 1 (medication calculation) or 2 (placement performance).

Unit Grading Scheme

S (Satisfactory) / U (Unsatisfactory)

Assessment Tasks

Assessment: Medication Calculation

Online test prior to clinical placement to assess your ability to safely and accurately perform calculations and administer medication. This draws on the knowledge from on-campus units.
Prior to the off campus clinical work experience component of this unit, you are required to successfully complete an on-line medication calculation and administration test; test questions focus on the development of knowledge and skills associated with medication administration. This assessment item requires a 100% pass rate. Students will have three (3) attempts to pass this assessment. Students who fail one attempt at this assessment are referred to maths support at QUT Student Success Group for assistance.
This assessment must be completed within the timeframes specified on the unit Blackboard site. Failure to undertake or attempt this assessment within the specified timeframes will result in a fail grade in this unit and withdrawal of your off-campus clinical work experience.

Graded: Satisfactory/Unsatisfactory

Threshold Assessment:

You are required to achieve a satisfactory grade in each of the three assessment items to receive an overall satisfactory grade for the unit. Assessments comprise: (i) Medical calculation; (ii) clinical placement assessment; and (iii) Online Healthcare Modules and Workbook. 

The medical calculation assessment must be completed within the timeframes specified on the unit Blackboard site. Failure to undertake or attempt this assessment within the specified timeframes will result in a fail grade in this unit and withdrawal of your off-campus clinical work experience.

Assessment Item 2 requires 100% attendance at an off-campus clinical placement and a satisfactory pass on the clinical placement assessment tool, to pass the unit. Re-submission is not available for an unsatisfactory result for Assessment Item 2 (clinical placement assessment).

If you do not achieve a satisfactory grade for Assessment Item 3, and your achieved mark is within 10% (or 1 grade) of the pass level for the assessment item, you will be eligible to make one re-submission of this work. Failure to reach an initial satisfactory (4 - pass) grade in both assessments will result in an unsatisfactory grade for the unit. You are advised to review feedback on your work prior to re-submission.

Due (indicative): Prior placement

Assessment: Clin Placement Assessment

Clinical Placement Assessment (ANSAT)
Placement performance - 6 weeks/240 hours of clinical placement.
In your assigned clinical placement, your 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. NMBA National Registered Nurse Standards of Practice (including codes and guidelines) are assessed by the ANSAT, with students demonstrating competence of the seven standards (and related criteria) of the NMBA for this level. Each criteria of the clinical assessment tool must be achieved satisfactorily and 100% attendance is required at off-campus clinical placement.

Graded: Satisfactory/Unsatisfactory

Threshold Assessment:

You are required to achieve a satisfactory grade in each of the three assessment items to receive an overall satisfactory grade for the unit. Assessments comprise: (i) Medical calculation ; (ii) clinical placement assessment; and (iii) Online Healthcare Modules. 

The medical calculation assessment must be completed within the timeframes specified on the unit Blackboard site. Failure to undertake or attempt this assessment within the specified timeframes will result in a fail grade in this unit and withdrawal of your off-campus clinical work experience.

Assessment Item 2 requires 100% attendance at an off-campus clinical placement and a satisfactory pass on the clinical placement assessment tool, to pass the unit. Re-submission is not available for an unsatisfactory result for Assessment Item 2 (clinical placement assessment).

If you do not achieve a satisfactory grade for Assessment Item 3, and your achieved mark is within 10% (or 1 grade) of the pass level for the assessment item, you will be eligible to make one re-submission of this work. Failure to reach an initial satisfactory (4 - pass) grade in both assessments will result in an unsatisfactory grade for the unit. You are advised to review feedback on your work  prior to re-submission.

Due (indicative): End placement

Assessment: Online Healthcare Modules

You are expected to complete modules to demonstrate critical thinking and decision making in diverse and complex healthcare situations across the lifespan. You will need to analyse a range of given situations and undertake a holistic assessment of these situations drawing on prior knowledge and skills. In an associated learning activity you will be expected to demonstrate integrated knowledge and skills, including communication, collaboration, leadership, ethical and culturally safe approaches to healthcare, and interprofessional collaboration. The role of health technologies and health informatics will also be a key theme in this assessment. You will work through five/four online modules and complete the relevant case based scenarios, noting the regular feedback prompts to guide your learning.

Graded: Satisfactory/Unsatisfactory

Threshold Assessment:

You are required to achieve a satisfactory grade in each of the three assessment items to receive an overall satisfactory grade for the unit. Assessments comprise: (i) Medical calculation ; (ii) clinical placement assessment; and (iii) Online Healthcare Modules. 

The medical calculation assessment must be completed within the timeframes specified on the unit Blackboard site. Failure to undertake or attempt this assessment within the specified timeframes will result in a fail grade in this unit and withdrawal of your off-campus clinical work experience.

Assessment Item 2 requires 100% attendance at an off-campus clinical placement and a satisfactory pass on the clinical placement assessment tool, to pass the unit. Re-submission is not available for an unsatisfactory result for Assessment Item 2 (clinical placement assessment).

If you do not achieve a satisfactory grade for Assessment Item 3, and your achieved mark is within 10% (or 1 grade) of the pass level for the assessment item, you will be eligible to make one re-submission of this work. Failure to reach an initial satisfactory (4 - pass) grade in both assessments will result in an unsatisfactory grade for the unit. You are advised to review feedback on your work  prior to re-submission.

Due (indicative): Mid semester

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

Resource Materials

Prescribed text(s)

Brown, D., Edwards, H., Seaton, L. & Buckley, T. (Eds.). (2017). Lewis's medical-surgical nursing: Assessment and management of clinical problems (5th ed.). Mosby: Marrickville.

Crisp, J., Taylor, C., Douglas, C., & Rebeiro, G. (2020). Potter & Perry's fundamentals of nursing (6th ed.). Mosby, Elsevier: Sydney.

Rebeiro, G., Jack. L, Scully, N., & Wilson, D. (2020). Fundamentals of nursing clinical skills workbook (4th ed.). Mosby, Elsevier: Sydney

Recommended text(s)

Estes, M., Calleja, P., Theobald, K. & Harvey, T. (2020). (3rd ed.). Health assessment and physical examination Cengage: South Melbourne.

Fraser, J., Brown, D., Forster, E. & Brown, N. (2017). Paediatric Nursing in Australia: Principles for practice (2nd ed.). Cambridge University Press: Melbourne.

Levett- Jones, T. (2018) Clinical reasoning: learning to think like a nurse (2nd ed.). Pearson: Melbourne

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. You will also participate in period of clinical work experience in a health care facility. During clinical work experience, students are exposed to a range of risks and hazards that are normally encountered by nurses practising in hospital 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 during the on and off-campus components of this unit, 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).

Off campus work integrated learning:
Participate in the healthcare 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 2021, Kelvin Grove, Internal

Unit code:	NSB335
Credit points:	24
Pre-requisite:	NSB334
Coordinators:	Jessica Ingleman | j.ingleman@qut.edu.au Olivia Hollingdrake | olivia.hollingdrake@qut.edu.au

Overview

Clinical decision making and clinical practice skills are consolidated and at completion of this unit (240 hours of Clinical Practice) students are required to demonstrate levels of safe and effective nursing care consistent with the NMBA Registered Nurse Standards of Practice. All Nursing and Midwifery Board of Australia (NMBA) and National Safety and Quality Health Service (NSQHS) standards, as they apply to nursing practice are further explored in this unit. This unit complements other third year units and consolidates learning to date. The course themes emphasised in this unit are evidence-based practice, scientific foundations of practice, global health, person-centred care, cultural safety, 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:

1. Provide nursing care that is consistent with the principles of the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards
2. Safely and accurately perform calculations to inform safe administration of medicines
3. Demonstrate advanced critical thinking, clinical reasoning and decision making in diverse and complex healthcaresettings and in line with the provision of safe, quality person-centred care across the lifespan
4. Coordinate and lead the provision of care for consumers, families and the broader community

Content

Learning Approaches

This unit is a work integrated learning unit with students learning predominantly off campus within health care contexts. Experiential learning is at the forefront of this unit with students attending an extended period of time in the off-campus healthcare environment. Health care environments may include clinics and home-based, community, and acute care facilities. Within these contexts, students will be expected to take on advanced responsibilities with respect to the coordination and leadership of care for consumers, families, and the wider community.

Preparation for this unit involves review of theoretical concepts explored in previous units to facilitate their application in practice. You will undertake an online simulation and complete learning modules which will require you to apply problem solving and clinical decision making skills. Students will also be directed to revisit concepts relating to safe and quality use of medicines and the administration of same.

A peer learning community of practice will be used to encourage active collaboration and provide additional support and social engagement during placement off campus. Clinical supervisors will facilitate transfer of prior knowledge and skills to the real world context, to enable you to demonstrate satisfactorily achievement of criteria in the clinical assessment tool at the level of a beginning registered nurse. This facilitation will include strategies to promote implementation of evidence-based practice, critical inquiry, development of health informatics and health technology competencies, and interprofessional collaboration.

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

Feedback on your performance in assessment tasks will be provided on an individual basis as required for each assessment.

Assessment

Overview

You are required to achieve a satisfactory grade in each of the three assessment items in order to receive an overall satisfactory grade for the unit. Assessments comprise: (i) a medication calculation quiz; (ii) an off campus placement clinical assessment; and (iii) online modules and related learning activities. 
If you do not achieve a satisfactory grade for Assessment Item 3, and your achieved mark/grade is within 10% (or 1 grade) of the pass level for the assessment item, you will be eligible to make one resubmission of this work. You are advised to seek feedback on your work from the unit coordinator prior to resubmission.
Assessment Item 2 requires 100% attendance at an off-campus clinical placement and a satisfactory pass on the clinical placement assessment tool, to pass the unit. Resubmission is not available for an unsatisfactory result for Assessment Item 1 (medication calculation) or 2 (placement performance).

Unit Grading Scheme

S (Satisfactory) / U (Unsatisfactory)

Assessment Tasks

Assessment: Medication Calculation

Online test prior to clinical placement to assess your ability to safely and accurately perform calculations and administer medication. This draws on the knowledge from on-campus units.
Prior to the off campus clinical work experience component of this unit, you are required to successfully complete an on-line medication calculation and administration test; test questions focus on the development of knowledge and skills associated with medication administration. This assessment item requires a 100% pass rate. Students will have three (3) attempts to pass this assessment. Students who fail one attempt at this assessment are referred to maths support at QUT Student Success Group for assistance.
This assessment must be completed within the timeframes specified on the unit Blackboard site. Failure to undertake or attempt this assessment within the specified timeframes will result in a fail grade in this unit and withdrawal of your off-campus clinical work experience.

Graded: Satisfactory/Unsatisfactory

Threshold Assessment:

You are required to achieve a satisfactory grade in each of the three assessment items to receive an overall satisfactory grade for the unit. Assessments comprise: (i) Medical calculation; (ii) clinical placement assessment; and (iii) Online Healthcare Modules and Workbook. 

The medical calculation assessment must be completed within the timeframes specified on the unit Blackboard site. Failure to undertake or attempt this assessment within the specified timeframes will result in a fail grade in this unit and withdrawal of your off-campus clinical work experience.

Assessment Item 2 requires 100% attendance at an off-campus clinical placement and a satisfactory pass on the clinical placement assessment tool, to pass the unit. Re-submission is not available for an unsatisfactory result for Assessment Item 2 (clinical placement assessment).

If you do not achieve a satisfactory grade for Assessment Item 3, and your achieved mark is within 10% (or 1 grade) of the pass level for the assessment item, you will be eligible to make one re-submission of this work. Failure to reach an initial satisfactory (4 - pass) grade in both assessments will result in an unsatisfactory grade for the unit. You are advised to review feedback on your work prior to re-submission.

Due (indicative): Prior placement

Assessment: Clin Placement Assessment

Clinical Placement Assessment (ANSAT)
Placement performance - 6 weeks/240 hours of clinical placement.
In your assigned clinical placement, your 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. NMBA National Registered Nurse Standards of Practice (including codes and guidelines) are assessed by the ANSAT, with students demonstrating competence of the seven standards (and related criteria) of the NMBA for this level. Each criteria of the clinical assessment tool must be achieved satisfactorily and 100% attendance is required at off-campus clinical placement.

Graded: Satisfactory/Unsatisfactory

Threshold Assessment:

You are required to achieve a satisfactory grade in each of the three assessment items to receive an overall satisfactory grade for the unit. Assessments comprise: (i) Medical calculation ; (ii) clinical placement assessment; and (iii) Online Healthcare Modules. 

The medical calculation assessment must be completed within the timeframes specified on the unit Blackboard site. Failure to undertake or attempt this assessment within the specified timeframes will result in a fail grade in this unit and withdrawal of your off-campus clinical work experience.

Assessment Item 2 requires 100% attendance at an off-campus clinical placement and a satisfactory pass on the clinical placement assessment tool, to pass the unit. Re-submission is not available for an unsatisfactory result for Assessment Item 2 (clinical placement assessment).

If you do not achieve a satisfactory grade for Assessment Item 3, and your achieved mark is within 10% (or 1 grade) of the pass level for the assessment item, you will be eligible to make one re-submission of this work. Failure to reach an initial satisfactory (4 - pass) grade in both assessments will result in an unsatisfactory grade for the unit. You are advised to review feedback on your work  prior to re-submission.

Due (indicative): End placement

Assessment: Online Healthcare Modules

You are expected to complete modules to demonstrate critical thinking and decision making in diverse and complex healthcare situations across the lifespan. You will need to analyse a range of given situations and undertake a holistic assessment of these situations drawing on prior knowledge and skills. In an associated learning activity you will be expected to demonstrate integrated knowledge and skills, including communication, collaboration, leadership, ethical and culturally safe approaches to healthcare, and interprofessional collaboration. The role of health technologies and health informatics will also be a key theme in this assessment. You will work through five/four online modules and complete the relevant case based scenarios, noting the regular feedback prompts to guide your learning.

Graded: Satisfactory/Unsatisfactory

Threshold Assessment:

You are required to achieve a satisfactory grade in each of the three assessment items to receive an overall satisfactory grade for the unit. Assessments comprise: (i) Medical calculation ; (ii) clinical placement assessment; and (iii) Online Healthcare Modules. 

The medical calculation assessment must be completed within the timeframes specified on the unit Blackboard site. Failure to undertake or attempt this assessment within the specified timeframes will result in a fail grade in this unit and withdrawal of your off-campus clinical work experience.

Assessment Item 2 requires 100% attendance at an off-campus clinical placement and a satisfactory pass on the clinical placement assessment tool, to pass the unit. Re-submission is not available for an unsatisfactory result for Assessment Item 2 (clinical placement assessment).

If you do not achieve a satisfactory grade for Assessment Item 3, and your achieved mark is within 10% (or 1 grade) of the pass level for the assessment item, you will be eligible to make one re-submission of this work. Failure to reach an initial satisfactory (4 - pass) grade in both assessments will result in an unsatisfactory grade for the unit. You are advised to review feedback on your work  prior to re-submission.

Due (indicative): Mid semester

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

Resource Materials

Prescribed text(s)

Brown, D., Edwards, H., Seaton, L. & Buckley, T. (Eds.). (2017). Lewis's medical-surgical nursing: Assessment and management of clinical problems (5th ed.). Mosby: Marrickville.

Crisp, J., Taylor, C., Douglas, C., & Rebeiro, G. (2020). Potter & Perry's fundamentals of nursing (6th ed.). Mosby, Elsevier: Sydney.

Rebeiro, G., Jack. L, Scully, N., & Wilson, D. (2020). Fundamentals of nursing clinical skills workbook (4th ed.). Mosby, Elsevier: Sydney

Recommended text(s)

Estes, M., Calleja, P., Theobald, K. & Harvey, T. (2020). (3rd ed.). Health assessment and physical examination Cengage: South Melbourne.

Fraser, J., Brown, D., Forster, E. & Brown, N. (2017). Paediatric Nursing in Australia: Principles for practice (2nd ed.). Cambridge University Press: Melbourne.

Levett- Jones, T. (2018) Clinical reasoning: learning to think like a nurse (2nd ed.). Pearson: Melbourne

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. You will also participate in period of clinical work experience in a health care facility. During clinical work experience, students are exposed to a range of risks and hazards that are normally encountered by nurses practising in hospital 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 during the on and off-campus components of this unit, 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).

Off campus work integrated learning:
Participate in the healthcare 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: Summer 2021, Kelvin Grove, Internal (Start Date: 18 Nov 2019)

Unit code:	NSB335
Credit points:	24
Pre-requisite:	NSB334
Coordinators:	Vicki Simpson | vicki.simpson@qut.edu.au Ibi Patane | i.patane@qut.edu.au

Overview

Clinical decision making and clinical practice skills are consolidated and at completion of this unit (240 hours of Clinical Practice) students are required to demonstrate levels of safe and effective nursing care consistent with the NMBA Registered Nurse Standards of Practice. All Nursing and Midwifery Board of Australia (NMBA) and National Safety and Quality Health Service (NSQHS) standards, as they apply to nursing practice are further explored in this unit. This unit complements other third year units and consolidates learning to date. The course themes emphasised in this unit are evidence-based practice, scientific foundations of practice, global health, person-centred care, cultural safety, 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:

1. Provide nursing care that is consistent with the principles of the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards
2. Safely and accurately perform calculations to inform safe administration of medicines
3. Demonstrate advanced critical thinking, clinical reasoning and decision making in diverse and complex healthcaresettings and in line with the provision of safe, quality person-centred care across the lifespan
4. Coordinate and lead the provision of care for consumers, families and the broader community

Content

Learning Approaches

This unit is a work integrated learning unit with students learning predominantly off campus within health care contexts. Experiential learning is at the forefront of this unit with students attending an extended period of time in the off-campus healthcare environment. Health care environments may include clinics and home-based, community, and acute care facilities. Within these contexts, students will be expected to take on advanced responsibilities with respect to the coordination and leadership of care for consumers, families, and the wider community.

Preparation for this unit involves review of theoretical concepts explored in previous units to facilitate their application in practice. You will undertake an online simulation and complete learning modules which will require you to apply problem solving and clinical decision making skills. Students will also be directed to revisit concepts relating to safe and quality use of medicines and the administration of same.

A peer learning community of practice will be used to encourage active collaboration and provide additional support and social engagement during placement off campus. Clinical supervisors will facilitate transfer of prior knowledge and skills to the real world context, to enable you to demonstrate satisfactorily achievement of criteria in the clinical assessment tool at the level of a beginning registered nurse. This facilitation will include strategies to promote implementation of evidence-based practice, critical inquiry, development of health informatics and health technology competencies, and interprofessional collaboration.

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

Feedback on your performance in assessment tasks will be provided on an individual basis as required for each assessment.

Assessment

Overview

You are required to achieve a satisfactory grade in each of the three assessment items in order to receive an overall satisfactory grade for the unit. Assessments comprise: (i) a medication calculation quiz; (ii) an off campus placement clinical assessment; and (iii) online modules and related learning activities. 
If you do not achieve a satisfactory grade for Assessment Item 3, and your achieved mark/grade is within 10% (or 1 grade) of the pass level for the assessment item, you will be eligible to make one resubmission of this work. You are advised to seek feedback on your work from the unit coordinator prior to resubmission.
Assessment Item 2 requires 100% attendance at an off-campus clinical placement and a satisfactory pass on the clinical placement assessment tool, to pass the unit. Resubmission is not available for an unsatisfactory result for Assessment Item 1 (medication calculation) or 2 (placement performance).

Unit Grading Scheme

S (Satisfactory) / U (Unsatisfactory)

Assessment Tasks

Assessment: Medication Calculation

Online test prior to clinical placement to assess your ability to safely and accurately perform calculations and administer medication. This draws on the knowledge from on-campus units.
Prior to the off campus clinical work experience component of this unit, you are required to successfully complete an on-line medication calculation and administration test; test questions focus on the development of knowledge and skills associated with medication administration. This assessment item requires a 100% pass rate. Students will have three (3) attempts to pass this assessment. Students who fail one attempt at this assessment are referred to maths support at QUT Student Success Group for assistance.
This assessment must be completed within the timeframes specified on the unit Blackboard site. Failure to undertake or attempt this assessment within the specified timeframes will result in a fail grade in this unit and withdrawal of your off-campus clinical work experience.

Graded: Satisfactory/Unsatisfactory

Threshold Assessment:

You are required to achieve a satisfactory grade in each of the three assessment items to receive an overall satisfactory grade for the unit. Assessments comprise: (i) Medical calculation; (ii) clinical placement assessment; and (iii) Online Healthcare Modules and Workbook. 

The medical calculation assessment must be completed within the timeframes specified on the unit Blackboard site. Failure to undertake or attempt this assessment within the specified timeframes will result in a fail grade in this unit and withdrawal of your off-campus clinical work experience.

Assessment Item 2 requires 100% attendance at an off-campus clinical placement and a satisfactory pass on the clinical placement assessment tool, to pass the unit. Re-submission is not available for an unsatisfactory result for Assessment Item 2 (clinical placement assessment).

If you do not achieve a satisfactory grade for Assessment Item 3, and your achieved mark is within 10% (or 1 grade) of the pass level for the assessment item, you will be eligible to make one re-submission of this work. Failure to reach an initial satisfactory (4 - pass) grade in both assessments will result in an unsatisfactory grade for the unit. You are advised to review feedback on your work prior to re-submission.

Due (indicative): Prior placement

Assessment: Clin Placement Assessment

Clinical Placement Assessment (ANSAT)
Placement performance - 6 weeks/240 hours of clinical placement.
In your assigned clinical placement, your 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. NMBA National Registered Nurse Standards of Practice (including codes and guidelines) are assessed by the ANSAT, with students demonstrating competence of the seven standards (and related criteria) of the NMBA for this level. Each criteria of the clinical assessment tool must be achieved satisfactorily and 100% attendance is required at off-campus clinical placement.

Graded: Satisfactory/Unsatisfactory

Threshold Assessment:

You are required to achieve a satisfactory grade in each of the three assessment items to receive an overall satisfactory grade for the unit. Assessments comprise: (i) Medical calculation ; (ii) clinical placement assessment; and (iii) Online Healthcare Modules. 

The medical calculation assessment must be completed within the timeframes specified on the unit Blackboard site. Failure to undertake or attempt this assessment within the specified timeframes will result in a fail grade in this unit and withdrawal of your off-campus clinical work experience.

Assessment Item 2 requires 100% attendance at an off-campus clinical placement and a satisfactory pass on the clinical placement assessment tool, to pass the unit. Re-submission is not available for an unsatisfactory result for Assessment Item 2 (clinical placement assessment).

If you do not achieve a satisfactory grade for Assessment Item 3, and your achieved mark is within 10% (or 1 grade) of the pass level for the assessment item, you will be eligible to make one re-submission of this work. Failure to reach an initial satisfactory (4 - pass) grade in both assessments will result in an unsatisfactory grade for the unit. You are advised to review feedback on your work  prior to re-submission.

Due (indicative): End placement

Assessment: Online Healthcare Modules

You are expected to complete modules to demonstrate critical thinking and decision making in diverse and complex healthcare situations across the lifespan. You will need to analyse a range of given situations and undertake a holistic assessment of these situations drawing on prior knowledge and skills. In an associated learning activity you will be expected to demonstrate integrated knowledge and skills, including communication, collaboration, leadership, ethical and culturally safe approaches to healthcare, and interprofessional collaboration. The role of health technologies and health informatics will also be a key theme in this assessment. You will work through five/four online modules and complete the relevant case based scenarios, noting the regular feedback prompts to guide your learning.

Graded: Satisfactory/Unsatisfactory

This is an assignment for the purposes of an extension.

Threshold Assessment:

You are required to achieve a satisfactory grade in each of the three assessment items to receive an overall satisfactory grade for the unit. Assessments comprise: (i) Medical calculation ; (ii) clinical placement assessment; and (iii) Online Healthcare Modules. 

The medical calculation assessment must be completed within the timeframes specified on the unit Blackboard site. Failure to undertake or attempt this assessment within the specified timeframes will result in a fail grade in this unit and withdrawal of your off-campus clinical work experience.

Assessment Item 2 requires 100% attendance at an off-campus clinical placement and a satisfactory pass on the clinical placement assessment tool, to pass the unit. Re-submission is not available for an unsatisfactory result for Assessment Item 2 (clinical placement assessment).

If you do not achieve a satisfactory grade for Assessment Item 3, and your achieved mark is within 10% (or 1 grade) of the pass level for the assessment item, you will be eligible to make one re-submission of this work. Failure to reach an initial satisfactory (4 - pass) grade in both assessments will result in an unsatisfactory grade for the unit. You are advised to review feedback on your work  prior to re-submission.

Due (indicative): Mid semester

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

Resource Materials

Prescribed text(s)

Brown, D., Edwards, H., Seaton, L. & Buckley, T. (Eds.). (2017). Lewis's medical-surgical nursing: Assessment and management of clinical problems (5th ed.). Mosby: Marrickville.

Crisp, J., Taylor, C., Douglas, C., & Rebeiro, G. (2020). Potter & Perry's fundamentals of nursing (6th ed.). Mosby, Elsevier: Sydney.

Rebeiro, G., Jack. L, Scully, N., & Wilson, D. (2020). Fundamentals of nursing clinical skills workbook (4th ed.). Mosby, Elsevier: Sydney

Recommended text(s)

Estes, M., Calleja, P., Theobald, K. & Harvey, T. (2020). (3rd ed.). Health assessment and physical examination Cengage: South Melbourne.

Fraser, J., Brown, D., Forster, E. & Brown, N. (2017). Paediatric Nursing in Australia: Principles for practice (2nd ed.). Cambridge University Press: Melbourne.

Levett- Jones, T. (2018) Clinical reasoning: learning to think like a nurse (2nd ed.). Pearson: Melbourne

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. You will also participate in period of clinical work experience in a health care facility. During clinical work experience, students are exposed to a range of risks and hazards that are normally encountered by nurses practising in hospital 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 during the on and off-campus components of this unit, 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).

Off campus work integrated learning:
Participate in the healthcare 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 1 2022, Kelvin Grove, Internal

Unit code:	NSB335
Credit points:	24
Pre-requisite:	NSB334
Coordinators:	Ibi Patane | i.patane@qut.edu.au Joanne Cupples | joanne.cupples@qut.edu.au

Overview

Clinical practice and evidence-based theory are integrated and critically applied at the completion of this unit (6 weeks / 240 hours of clinical practice) by demonstration of safe and effective person-centred care consistent with the NMBA Registered Nurse Standards of Practice. All Nursing and Midwifery Board of Australia (NMBA) and National Safety, Aged Care Standards and Quality Health Service (NSQHS) standards, as they apply to nursing practice, are further explored in this unit. This unit complements other third-year units and consolidates learning to date. This unit is a work integrated learning unit with you learning predominantly in off-campus health care contexts.

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:

1. Demonstrate beginner practitioner level nursing care that is consistent with the principles of the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards at a beginner practitioner level.
2. Satisfactorily complete high-fidelity simulation and engage with critical thinking and clinical reasoning in diverse and complex healthcare settings consistent with safe, person-centred care across the lifespan.
3. Safely and accurately perform medication calculations and demonstrate safe administration of medicines in both the simulated environment and the clinical practice setting.
4. Demonstrate critical thinking and clinical reasoning in diverse and complex healthcare settings consistent with the provision of safe, quality person-centred care across the lifespan.
5. Coordinate and lead the provision of care for consumers, families, and the broader community, under supervision.

Content

Learning Approaches

Experiential learning is at the forefront of this unit, with you attending an extended period in the off-campus healthcare environment. Health care environments may include clinics and home-based, community, and acute-care facilities. Within these contexts, you will be expected to take on advanced responsibilities with respect to the coordination and leadership of care for consumers, families, and the wider community.

Preparation for this unit involves review of theoretical concepts explored in previous units to facilitate their application in practice. You will undertake a mandatory simulation activity and complete learning modules which will require you to apply problem-solving and clinical decision-making skills. You will also be directed to revisit concepts relating to safe and quality use of medicines and the administration of same.

A peer learning community of practice will be used to encourage active collaboration and provide additional support and social engagement during placement off campus. Clinical supervisors will facilitate transfer of prior knowledge and skills to the real-world context, to enable you to demonstrate satisfactorily achievement of criteria in the Australian Nursing Standards Assessment Tool (ANSAT). at the level of a beginning registered nurse. Learning experiences will include a focus on promoting implementation of evidence-based, scientific knowledge, communication, critical inquiry, digital literacy, and intra- and interprofessional collaboration as an ethical, socially inclusive, and culturally safe practitioner. 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. You cannot organise your own placements. You must be available for shift-work rostering which enables patient care to be delivered 24 hours a day, 7 days a week. Travel may be involved, and clinical placements can occur during semester breaks. Any absence from an off-campus clinical placement will reduce the opportunity for competence development, your 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 your special circumstances and/or limited placement availability an alternate placement cannot be negotiated, you 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.

You will receive further additional information and explanation consistent with this statement on the unit Blackboard site.

Feedback on Learning and Assessment

You will be provided with feedback and guidance to assist your learning throughout the semester through:

• Formative feedback online and in class interactions throughout semester, individually and/or as a group
• Peer and clinical facilitator feedback on skills acquisition within clinical practice sessions
• Feedback on clinical performance will be provided by the clinical facilitator using the ANSAT tool at an interim timepoint halfway through your clinical placement and formally at the end of clinical placement

Assessment

Overview

There are three assessments to be completed in this unit. You must attend 100% of the clinical practice sessions, achieve 100% in the medication calculations (within Med+Safe) and safe practice questions. You must also satisfactorily complete simulated collaborative practice case scenarios including briefings and debriefings, and achieve all criteria on the clinical performance (ANSAT) assessment tool to achieve an overall pass grade for this unit.

Unit Grading Scheme

S (Satisfactory) / U (Unsatisfactory)

Assessment Tasks

Assessment: Med+Safe and safe practice exam

The exam consists of multiple choice questions regarding safe practice and a MedSafe test. 

Safe Practice Questions: Multiple choice questions focus on the application of principles of safe practice. Evidence of 100% successful completion is required.

MedSafe: Evidence of 100% successful completion of the required test in the Med+Safe application during the invigilated school-based exam time period. Test questions focus on calculations and the development of knowledge and skills associated with medication administration and quality use of medicines.

MedSafe certificates are awarded once you have achieved 100% for the designated test. The MedSafe certificate uploaded must reflect the date and time of your invigilated test, including your name exactly as it appears in the student's enrolment.

You may be eligible for one further opportunity to undertake this assessment if you do not achieve 100%. The same assessment conditions of invigilated exam apply.

Failure to complete this assessment within the specified timeframes and invigilated conditions will result in an unsatisfactory grade in this unit and withdrawal from your off-campus clinical work experience.

Threshold Assessment:

Professional accreditation mandates demonstration of safe practice in both skills performance and medication safety prior to work integrated learning.

Due (indicative): Early in semester This must be 100% successfully completed within the specified conditions prior to placement.

Assessment: Collaborative practice simulation and completion of a learning activity

You will engage in face-to-face clinical simulation scenarios that incorporates teamwork. This will require a collaborative approach in responding to problems and challenges of the given situation. Focus will be on integrating clinical & professional capabilities in the RN role. The scenarios are designed to assist you to integrate concepts and principles that are needed for practice as a beginning-level registered nurse providing person-centred care in various clinical settings. You will critically analyse and address ongoing nursing care provision and implementation and incorporate experiential learning from real-world practice. The scenarios will be focused on complex problems such as a rapidly deteriorating patient and team processes including leadership capabilities. Pre-briefing and de-briefing will be included as fundamental components of the learning experience as well as completion of a learning activity directly related to the simulation.

Threshold Assessment:

For the purpose of professional accreditation and demonstration of safe practice knowledge prior to work integrated learning is required.

Due (indicative): Options throughout semester

Assessment: Practice performance – Clinical placement 6 weeks /240 hours) off-campus clinical work experience

In your assigned clinical placements, 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 Australian Nursing Standards Assessment Tool (ANSAT). You are required to demonstrate satisfactory achievement of the 7 standards (and related criteria) for this level. You will receive formative verbal and written feedback on your progress during the clinical placement. Each standard and criteria of the ANSAT must be achieved satisfactorily and 100% attendance is required for off-campus clinical placement experiences.

Threshold Assessment:

For the purpose of professional accreditation, demonstration of safe practice and performance consistent with the National Minimum Standards for Registration (NMBA) is required.

Due (indicative): Across the semester

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

Resource Materials

Prescribed text(s)

Brown, D., Edwards, H., Buckley, T. C. T., & Aitken, R. L. (2020). Lewis’s medical-surgical nursing : assessment and management of clinical problems (5th Australia and New Zealand Edition.). Elsevier.

Crisp, J., Douglas, C., Rebeiro, G., & Waters, D. (2021). Potter & Perry’s fundamentals of nursing (6th edition ; Australia and New Zealand). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Rebeiro, G., Wilson, D., & Fuller, S. (2021). Fundamentals of nursing : clinical skills workbook (4th edition.). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Software

Medsafe

Risk Assessment Statement

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. To minimise risks in this unit, it is essential that you:

• Participate in the healthcare 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 2022, Kelvin Grove, Internal

Unit code:	NSB335
Credit points:	24
Pre-requisite:	NSB334
Coordinators:	Jessica Ingleman | j.ingleman@qut.edu.au

Overview

Clinical practice and evidence-based theory are integrated and critically applied at the completion of this unit (8 weeks / 320 hours of clinical practice) by demonstration of safe and effective person-centred care consistent with the NMBA Registered Nurse Standards of Practice. All Nursing and Midwifery Board of Australia (NMBA) and National Safety, Aged Care Standards and Quality Health Service (NSQHS) standards, as they apply to nursing practice, are further explored in this unit. This unit complements other third-year units and consolidates learning to date. This unit is a work integrated learning unit with you learning predominantly in off-campus health care contexts.

Mandatory elements may start in Orientation week. Please check the published unit timetable.

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:

1. Demonstrate beginner practitioner level nursing care that is consistent with the principles of the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards at a beginner practitioner level.
2. Satisfactorily complete high-fidelity simulation and engage with critical thinking and clinical reasoning in diverse and complex healthcare settings consistent with safe, person-centred care across the lifespan.
3. Safely and accurately perform medication calculations and demonstrate safe administration of medicines in both the simulated environment and the clinical practice setting.
4. Demonstrate critical thinking and clinical reasoning in diverse and complex healthcare settings consistent with the provision of safe, quality person-centred care across the lifespan.
5. Coordinate and lead the provision of care for consumers, families, and the broader community, under supervision.

Content

Learning Approaches

Experiential learning is at the forefront of this unit, with you attending an extended period in the off-campus healthcare environment. Health care environments may include clinics and home-based, community, and acute-care facilities. Within these contexts, you will be expected to take on advanced responsibilities with respect to the coordination and leadership of care for consumers, families, and the wider community.

Preparation for this unit involves review of theoretical concepts explored in previous units to facilitate their application in practice. You will undertake a mandatory simulation activity and complete learning modules which will require you to apply problem-solving and clinical decision-making skills. You will also be directed to revisit concepts relating to safe and quality use of medicines and the administration of same.

A peer learning community of practice will be used to encourage active collaboration and provide additional support and social engagement during placement off campus. Clinical supervisors will facilitate transfer of prior knowledge and skills to the real-world context, to enable you to demonstrate satisfactorily achievement of criteria in the Australian Nursing Standards Assessment Tool (ANSAT). at the level of a beginning registered nurse. Learning experiences will include a focus on promoting implementation of evidence-based, scientific knowledge, communication, critical inquiry, digital literacy, and intra- and interprofessional collaboration as an ethical, socially inclusive, and culturally safe practitioner. 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. You cannot organise your own placements. You must be available for shift-work rostering which enables patient care to be delivered 24 hours a day, 7 days a week. Travel may be involved, and clinical placements can occur during semester breaks. Any absence from an off-campus clinical placement will reduce the opportunity for competence development, your 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 your special circumstances and/or limited placement availability an alternate placement cannot be negotiated, you 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.

You will receive further additional information and explanation consistent with this statement on the unit Blackboard site.

Feedback on Learning and Assessment

You will be provided with feedback and guidance to assist your learning throughout the semester through:

• Formative feedback online and in class interactions throughout semester, individually and/or as a group
• Peer and clinical facilitator feedback on skills acquisition within clinical practice sessions
• Feedback on clinical performance will be provided by the clinical facilitator using the ANSAT tool at an interim timepoint halfway through your clinical placement and formally at the end of clinical placement

Assessment

Overview

There are three assessments to be completed in this unit. You must attend 100% of the clinical practice sessions, achieve 100% in the medication calculations (within Med+Safe) and safe practice questions. You must also satisfactorily complete simulated collaborative practice case scenarios including briefings and debriefings, and achieve all criteria on the clinical performance (ANSAT) assessment tool to achieve an overall pass grade for this unit.

Unit Grading Scheme

S (Satisfactory) / U (Unsatisfactory)

Assessment Tasks

Assessment: Med+Safe

The exam consists of multiple choice questions regarding safe practice and clinical cases in a MedSafe application. 

MedSafe: Evidence of 100% successful completion of the required test in the Med+Safe application during the invigilated school-based exam time period. Test questions focus on calculations and the development of knowledge and skills associated with medication administration and quality use of medicines.

MedSafe certificates are awarded once you have achieved 100% for the designated test. The MedSafe certificate uploaded must reflect the date and time of your invigilated test, including your name exactly as it appears in the student's enrolment.

You may be eligible for one further opportunity to undertake this assessment if you do not achieve 100%. The same assessment conditions of invigilated exam apply.

Failure to complete this assessment within the specified timeframes and invigilated conditions will result in an unsatisfactory grade in this unit and withdrawal from your off-campus clinical work experience.

Threshold Assessment:

Professional accreditation mandates demonstration of safe practice in both skills performance and medication safety prior to work integrated learning.

Due (indicative): Early in semester This must be 100% successfully completed within the specified conditions prior to placement.

Assessment: Collaborative practice simulation and completion of a learning activity

You will engage in face-to-face clinical scenarios that incorporate teamwork. This will require a collaborative approach in responding to problems and challenges of the given situation. Focus will be on integrating clinical & professional capabilities in the RN role. The scenarios are designed to assist you to integrate concepts and principles that are needed for practice as a beginning-level registered nurse providing person-centred care in various clinical settings. You will critically analyse and address ongoing nursing care provision and implementation and incorporate experiential learning from real-world practice. The scenarios will focus on complex problems such as a inter-professional team case conference and team processes including leadership capabilities. Pre-briefing and de-briefing will be included as fundamental components of the learning experience as well as completion of a learning activity directly related to the simulation.

Threshold Assessment:

For the purpose of professional accreditation and demonstration of safe practice knowledge prior to work integrated learning is required.

Due (indicative): Options throughout semester

Assessment: Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

In your assigned clinical placements, 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 Australian Nursing Standards Assessment Tool (ANSAT). You are required to demonstrate satisfactory achievement of the 7 standards (and related criteria) for this level. You will receive formative verbal and written feedback on your progress during the clinical placement. Each standard and criteria of the ANSAT must be achieved satisfactorily and 100% attendance is required for off-campus clinical placement experiences.

Threshold Assessment:

For the purpose of professional accreditation, demonstration of safe practice and performance consistent with the National Minimum Standards for Registration (NMBA) is required.

Due (indicative): Across the semester

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

Resource Materials

Prescribed text(s)

Brown, D., Edwards, H., Buckley, T. C. T., & Aitken, R. L. (2020). Lewis’s medical-surgical nursing : assessment and management of clinical problems (5th Australia and New Zealand Edition.). Elsevier.

Crisp, J., Douglas, C., Rebeiro, G., & Waters, D. (2021). Potter & Perry’s fundamentals of nursing (6th edition ; Australia and New Zealand). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Rebeiro, G., Wilson, D., & Fuller, S. (2021). Fundamentals of nursing : clinical skills workbook (4th edition.). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Software

Medsafe

Risk Assessment Statement

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. To minimise risks in this unit, it is essential that you:

• Participate in the healthcare 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.

Standards/Competencies

This unit is designed to support your development of the following standards\competencies.

Registered Nurse Standards for Practice

1: Thinks critically and analyses nursing practice.

1. The RN accesses, analyses, and uses the best available evidence, that includes research findings, for safe, quality practice
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN complies with legislation, regulations, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
   Relates to: Med+Safe, Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN uses ethical frameworks when making decisions
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN maintains accurate, comprehensive and timely documentation of assessments, planning, decision-making, actions and evaluations
   Relates to: Med+Safe, Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN contributes to quality improvement and relevant research.
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

2: Engages in therapeutic and professional relationships.

1. The RN establishes, sustains and concludes relationships in a way that differentiates the boundaries between professional and personal relationships
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN recognises that people are the experts in the experience of their life
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN provides support and directs people to resources to optimise health-related decisions
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN advocates on behalf of people in a manner that respects the person’s autonomy and legal capacity
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN uses delegation, supervision, coordination, consultation and referrals in professional relationships to achieve improved health outcomes
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN actively fosters a culture of safety and learning that includes engaging with health professionals and others, to share knowledge and practice that supports person-centred care
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
8. The RN participates in and/or leads collaborative practice
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
9. The RN reports notifiable conduct of health professionals, health workers and others.
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

3: Maintains the capability for practice.

1. The RN considers and responds in a timely manner to the health and wellbeing of self and others in relation to the capability for practice
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN provides the information and education required to enhance people's control over health
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN uses a lifelong learning approach for continuing professional development of self and others
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN accepts accountability for decisions, actions, behaviours and responsibilities inherent in their role, and for the actions of others to whom they have delegated responsibilities
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN seeks and responds to practice review and feedback
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN actively engages with the profession
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN identifies and promotes the integral role of nursing practice and the profession in influencing better health outcomes for people.
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

4: Comprehensively conducts assessments.

1. The RN conducts assessments that are holistic as well as culturally appropriate
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN works in partnership to determine factors that affect, or potentially affect, the health and wellbeing of people and populations to determine priorities for action and/ or for referral
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN assesses the resources available to inform planning.
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

5: Develops a plan for nursing practice.

1. The RN uses assessment data and best available evidence to develop a plan
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN collaboratively constructs nursing practice plans until contingencies, options priorities, goals, actions, outcomes and timeframes are agreed with the relevant persons
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN documents, evaluates and modifies plans accordingly to facilitate the agreed outcomes
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN plans and negotiates how practice will be evaluated and the time frame of engagement
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN coordinates resources effectively and efficiently for planned actions.
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

6: Provides safe, appropriate and responsive quality nursing practice.

1. The RN provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people
   Relates to: Med+Safe, Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN practises within their scope of practice
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN appropriately delegates aspects of practice to enrolled nurses and others, according to enrolled nurse’s scope of practice or others’ clinical or non-clinical roles
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN provides effective timely direction and supervision to ensure that delegated practice is safe and correct
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN practises in accordance with relevant policies, guidelines, standards, regulations and legislation
   Relates to: Med+Safe, Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN uses the appropriate processes to identify and report potential and actual risk related system issues and where practice may be below the expected standards.
   Relates to: Med+Safe, Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

7: Evaluates outcomes to inform nursing practice.

1. The RN evaluates and monitors progress towards the expected goals and outcomes
   Relates to: Med+Safe, Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN revises the plan based on the evaluation
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN determines, documents and communicates further priorities, goals and outcomes with the relevant persons.
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

Course Learning Outcomes

This unit is designed to support your development of the following course/study area learning outcomes.

NS42 Bachelor of Nursing

1. Apply scientific knowledge and skills from nursing and related disciplines to the provision of safe, person-centred, evidence-based nursing care across the lifespan
   Relates to: Med+Safe, Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. Apply critical thinking, clinical reasoning, and digital literacy skills to make evidence- based decisions and evaluate outcomes
   Relates to: Med+Safe, Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. Practice as an ethical, socially inclusive, and culturally safe practitioner, reflective of your professional nursing identity across a range of health service settings.
   Relates to: Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. Enact and sustain effective communication skills, therapeutic relationships, and professional capabilities to practice independently and in inter and intra professional teams, to ensure safe, person-centred care
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. Demonstrate developing socially informed leadership capabilities to achieve positive individual and community outcomes in dynamic healthcare contexts.
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

Unit Outline: Summer 2022, Kelvin Grove, Internal (Start Date: 18 Nov 2019)

Unit code:	NSB335
Credit points:	24
Pre-requisite:	NSB334
Coordinators:	Ibi Patane | i.patane@qut.edu.au

Overview

Clinical practice and evidence-based theory are integrated and critically applied at the completion of this unit (8 weeks / 320 hours of clinical practice) by demonstration of safe and effective person-centred care consistent with the NMBA Registered Nurse Standards of Practice. All Nursing and Midwifery Board of Australia (NMBA) and National Safety, Aged Care Standards and Quality Health Service (NSQHS) standards, as they apply to nursing practice, are further explored in this unit. This unit complements other third-year units and consolidates learning to date. This unit is a work integrated learning unit with you learning predominantly in off-campus health care contexts.

Mandatory elements may start in Orientation week. Please check the published unit timetable.

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:

1. Demonstrate beginner practitioner level nursing care that is consistent with the principles of the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards at a beginner practitioner level.
2. Satisfactorily complete high-fidelity simulation and engage with critical thinking and clinical reasoning in diverse and complex healthcare settings consistent with safe, person-centred care across the lifespan.
3. Safely and accurately perform medication calculations and demonstrate safe administration of medicines in both the simulated environment and the clinical practice setting.
4. Demonstrate critical thinking and clinical reasoning in diverse and complex healthcare settings consistent with the provision of safe, quality person-centred care across the lifespan.
5. Coordinate and lead the provision of care for consumers, families, and the broader community, under supervision.

Content

Learning Approaches

Experiential learning is at the forefront of this unit, with you attending an extended period in the off-campus healthcare environment. Health care environments may include clinics and home-based, community, and acute-care facilities. Within these contexts, you will be expected to take on advanced responsibilities with respect to the coordination and leadership of care for consumers, families, and the wider community.

Preparation for this unit involves review of theoretical concepts explored in previous units to facilitate their application in practice. You will undertake a mandatory simulation activity and complete learning modules which will require you to apply problem-solving and clinical decision-making skills. You will also be directed to revisit concepts relating to safe and quality use of medicines and the administration of same.

A peer learning community of practice will be used to encourage active collaboration and provide additional support and social engagement during placement off campus. Clinical supervisors will facilitate transfer of prior knowledge and skills to the real-world context, to enable you to demonstrate satisfactorily achievement of criteria in the Australian Nursing Standards Assessment Tool (ANSAT). at the level of a beginning registered nurse. Learning experiences will include a focus on promoting implementation of evidence-based, scientific knowledge, communication, critical inquiry, digital literacy, and intra- and interprofessional collaboration as an ethical, socially inclusive, and culturally safe practitioner. 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. You cannot organise your own placements. You must be available for shift-work rostering which enables patient care to be delivered 24 hours a day, 7 days a week. Travel may be involved, and clinical placements can occur during semester breaks. Any absence from an off-campus clinical placement will reduce the opportunity for competence development, your 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 your special circumstances and/or limited placement availability an alternate placement cannot be negotiated, you 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.

You will receive further additional information and explanation consistent with this statement on the unit Blackboard site.

Feedback on Learning and Assessment

You will be provided with feedback and guidance to assist your learning throughout the semester through:

• Formative feedback online and in class interactions throughout semester, individually and/or as a group
• Peer and clinical facilitator feedback on skills acquisition within clinical practice sessions
• Feedback on clinical performance will be provided by the clinical facilitator using the ANSAT tool at an interim timepoint halfway through your clinical placement and formally at the end of clinical placement

Assessment

Overview

There are three assessments to be completed in this unit. You must attend 100% of the clinical practice sessions, achieve 100% in the medication calculations (within Med+Safe) and safe practice questions. You must also satisfactorily complete simulated collaborative practice case scenarios including briefings and debriefings, and achieve all criteria on the clinical performance (ANSAT) assessment tool to achieve an overall pass grade for this unit.

Unit Grading Scheme

S (Satisfactory) / U (Unsatisfactory)

Assessment Tasks

Assessment: Med+Safe

The exam consists of multiple choice questions regarding safe practice and clinical cases in a MedSafe application. 

MedSafe: Evidence of 100% successful completion of the required test in the Med+Safe application during the invigilated school-based exam time period. Test questions focus on calculations and the development of knowledge and skills associated with medication administration and quality use of medicines.

MedSafe certificates are awarded once you have achieved 100% for the designated test. The MedSafe certificate uploaded must reflect the date and time of your invigilated test, including your name exactly as it appears in the student's enrolment.

You may be eligible for one further opportunity to undertake this assessment if you do not achieve 100%. The same assessment conditions of invigilated exam apply.

Failure to complete this assessment within the specified timeframes and invigilated conditions will result in an unsatisfactory grade in this unit and withdrawal from your off-campus clinical work experience.

Threshold Assessment:

Professional accreditation mandates demonstration of safe practice in both skills performance and medication safety prior to work integrated learning.

Due (indicative): Early in semester This must be 100% successfully completed within the specified conditions prior to placement.

Assessment: Collaborative practice simulation and completion of a learning activity

You will engage in face-to-face clinical scenarios that incorporate teamwork. This will require a collaborative approach in responding to problems and challenges of the given situation. Focus will be on integrating clinical & professional capabilities in the RN role. The scenarios are designed to assist you to integrate concepts and principles that are needed for practice as a beginning-level registered nurse providing person-centred care in various clinical settings. You will critically analyse and address ongoing nursing care provision and implementation and incorporate experiential learning from real-world practice. The scenarios will focus on complex problems such as a inter-professional team case conference and team processes including leadership capabilities. Pre-briefing and de-briefing will be included as fundamental components of the learning experience as well as completion of a learning activity directly related to the simulation.

Threshold Assessment:

For the purpose of professional accreditation and demonstration of safe practice knowledge prior to work integrated learning is required.

Due (indicative): Options throughout semester

Assessment: Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

In your assigned clinical placements, 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 Australian Nursing Standards Assessment Tool (ANSAT). You are required to demonstrate satisfactory achievement of the 7 standards (and related criteria) for this level. You will receive formative verbal and written feedback on your progress during the clinical placement. Each standard and criteria of the ANSAT must be achieved satisfactorily and 100% attendance is required for off-campus clinical placement experiences.

Threshold Assessment:

For the purpose of professional accreditation, demonstration of safe practice and performance consistent with the National Minimum Standards for Registration (NMBA) is required.

Due (indicative): Across the semester

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

Resource Materials

Prescribed text(s)

Brown, D., Edwards, H., Buckley, T. C. T., & Aitken, R. L. (2020). Lewis’s medical-surgical nursing : assessment and management of clinical problems (5th Australia and New Zealand Edition.). Elsevier.

Crisp, J., Douglas, C., Rebeiro, G., & Waters, D. (2021). Potter & Perry’s fundamentals of nursing (6th edition ; Australia and New Zealand). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Rebeiro, G., Wilson, D., & Fuller, S. (2021). Fundamentals of nursing : clinical skills workbook (4th edition.). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Software

Medsafe

Risk Assessment Statement

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. To minimise risks in this unit, it is essential that you:

• Participate in the healthcare 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.

Standards/Competencies

This unit is designed to support your development of the following standards\competencies.

Registered Nurse Standards for Practice

1: Thinks critically and analyses nursing practice.

1. The RN accesses, analyses, and uses the best available evidence, that includes research findings, for safe, quality practice
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN complies with legislation, regulations, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
   Relates to: Med+Safe, Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN uses ethical frameworks when making decisions
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN maintains accurate, comprehensive and timely documentation of assessments, planning, decision-making, actions and evaluations
   Relates to: Med+Safe, Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN contributes to quality improvement and relevant research.
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

2: Engages in therapeutic and professional relationships.

1. The RN establishes, sustains and concludes relationships in a way that differentiates the boundaries between professional and personal relationships
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN recognises that people are the experts in the experience of their life
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN provides support and directs people to resources to optimise health-related decisions
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN advocates on behalf of people in a manner that respects the person’s autonomy and legal capacity
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN uses delegation, supervision, coordination, consultation and referrals in professional relationships to achieve improved health outcomes
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN actively fosters a culture of safety and learning that includes engaging with health professionals and others, to share knowledge and practice that supports person-centred care
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
8. The RN participates in and/or leads collaborative practice
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
9. The RN reports notifiable conduct of health professionals, health workers and others.
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

3: Maintains the capability for practice.

1. The RN considers and responds in a timely manner to the health and wellbeing of self and others in relation to the capability for practice
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN provides the information and education required to enhance people's control over health
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN uses a lifelong learning approach for continuing professional development of self and others
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN accepts accountability for decisions, actions, behaviours and responsibilities inherent in their role, and for the actions of others to whom they have delegated responsibilities
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN seeks and responds to practice review and feedback
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN actively engages with the profession
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN identifies and promotes the integral role of nursing practice and the profession in influencing better health outcomes for people.
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

4: Comprehensively conducts assessments.

1. The RN conducts assessments that are holistic as well as culturally appropriate
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN works in partnership to determine factors that affect, or potentially affect, the health and wellbeing of people and populations to determine priorities for action and/ or for referral
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN assesses the resources available to inform planning.
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

5: Develops a plan for nursing practice.

1. The RN uses assessment data and best available evidence to develop a plan
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN collaboratively constructs nursing practice plans until contingencies, options priorities, goals, actions, outcomes and timeframes are agreed with the relevant persons
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN documents, evaluates and modifies plans accordingly to facilitate the agreed outcomes
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN plans and negotiates how practice will be evaluated and the time frame of engagement
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN coordinates resources effectively and efficiently for planned actions.
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

6: Provides safe, appropriate and responsive quality nursing practice.

1. The RN provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people
   Relates to: Med+Safe, Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN practises within their scope of practice
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN appropriately delegates aspects of practice to enrolled nurses and others, according to enrolled nurse’s scope of practice or others’ clinical or non-clinical roles
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN provides effective timely direction and supervision to ensure that delegated practice is safe and correct
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN practises in accordance with relevant policies, guidelines, standards, regulations and legislation
   Relates to: Med+Safe, Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN uses the appropriate processes to identify and report potential and actual risk related system issues and where practice may be below the expected standards.
   Relates to: Med+Safe, Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

7: Evaluates outcomes to inform nursing practice.

1. The RN evaluates and monitors progress towards the expected goals and outcomes
   Relates to: Med+Safe, Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN revises the plan based on the evaluation
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN determines, documents and communicates further priorities, goals and outcomes with the relevant persons.
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

Course Learning Outcomes

This unit is designed to support your development of the following course/study area learning outcomes.

NS42 Bachelor of Nursing

1. Apply scientific knowledge and skills from nursing and related disciplines to the provision of safe, person-centred, evidence-based nursing care across the lifespan
   Relates to: Med+Safe, Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. Apply critical thinking, clinical reasoning, and digital literacy skills to make evidence- based decisions and evaluate outcomes
   Relates to: Med+Safe, Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. Practice as an ethical, socially inclusive, and culturally safe practitioner, reflective of your professional nursing identity across a range of health service settings.
   Relates to: Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. Enact and sustain effective communication skills, therapeutic relationships, and professional capabilities to practice independently and in inter and intra professional teams, to ensure safe, person-centred care
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. Demonstrate developing socially informed leadership capabilities to achieve positive individual and community outcomes in dynamic healthcare contexts.
   Relates to: Collaborative practice simulation and completion of a learning activity , Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

Unit Outline: Semester 1 2023, Kelvin Grove, Internal

Unit code:	NSB335
Credit points:	24
Pre-requisite:	NSB334
Coordinators:	Ibi Patane | i.patane@qut.edu.au Kerrie Rodger | kerrie.rodger@qut.edu.au

Overview

Clinical practice and evidence-based theory are integrated and critically applied at the completion of this unit (8 weeks / 320 hours of clinical practice) by demonstration of safe and effective person-centred care consistent with the NMBA Registered Nurse Standards of Practice. All Nursing and Midwifery Board of Australia (NMBA) and National Safety, Aged Care Standards and Quality Health Service (NSQHS) standards, as they apply to nursing practice, are further explored in this unit. This unit complements other third-year units and consolidates learning to date. This unit is a work integrated learning unit with you learning predominantly in off-campus health care contexts.

Mandatory elements may start in Orientation week. Please check the published unit timetable.

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:

1. Demonstrate beginner practitioner level nursing care that is consistent with the principles of the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards at a beginner practitioner level.
2. Satisfactorily complete high-fidelity simulation and engage with critical thinking and clinical reasoning in diverse and complex healthcare settings consistent with safe, person-centred care across the lifespan.
3. Safely and accurately perform medication calculations and demonstrate safe administration of medicines in both the simulated environment and the clinical practice setting.
4. Demonstrate critical thinking and clinical reasoning in diverse and complex healthcare settings consistent with the provision of safe, quality person-centred care across the lifespan.
5. Coordinate and lead the provision of care for consumers, families, and the broader community, under supervision.

Content

Learning Approaches

Experiential learning is at the forefront of this unit, with you attending an extended period in the off-campus healthcare environment. Health care environments may include clinics and home-based, community, and acute-care facilities. Within these contexts, you will be expected to take on advanced responsibilities with respect to the coordination and leadership of care for consumers, families, and the wider community.

Preparation for this unit involves review of theoretical concepts explored in previous units to facilitate their application in practice. You will undertake a mandatory simulation activity and complete learning modules which will require you to apply problem-solving and clinical decision-making skills. You will also be directed to revisit concepts relating to safe and quality use of medicines and the administration of same.

A peer learning community of practice will be used to encourage active collaboration and provide additional support and social engagement during placement off campus. Clinical supervisors will facilitate transfer of prior knowledge and skills to the real-world context, to enable you to demonstrate satisfactorily achievement of criteria in the Australian Nursing Standards Assessment Tool (ANSAT). at the level of a beginning registered nurse. Learning experiences will include a focus on promoting implementation of evidence-based, scientific knowledge, communication, critical inquiry, digital literacy, and intra- and interprofessional collaboration as an ethical, socially inclusive, and culturally safe practitioner. 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. You cannot organise your own placements. You must be available for shift-work rostering which enables patient care to be delivered 24 hours a day, 7 days a week. Travel may be involved, and clinical placements can occur during semester breaks. Any absence from an off-campus clinical placement will reduce the opportunity for competence development, your 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 your special circumstances and/or limited placement availability an alternate placement cannot be negotiated, you 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.

You will receive further additional information and explanation consistent with this statement on the unit Canvas site.

Feedback on Learning and Assessment

You will be provided with feedback and guidance to assist your learning throughout the semester through:

• Formative feedback online and in class interactions throughout semester, individually and/or as a group
• Peer and clinical facilitator feedback on skills acquisition within clinical practice sessions
• Feedback on clinical performance will be provided by the clinical facilitator using the ANSAT tool at an interim timepoint halfway through your clinical placement and formally at the end of clinical placement

Assessment

Overview

There are three assessments to be completed in this unit. You must attend 100% of the clinical practice sessions, achieve 100% in the medication calculations (within Med+Safe) and safe practice questions. You must also satisfactorily complete simulated collaborative practice case scenarios including briefings and debriefings, and achieve all criteria on the clinical performance (ANSAT) assessment tool to achieve an overall pass grade for this unit.

Unit Grading Scheme

S (Satisfactory) / U (Unsatisfactory)

Assessment Tasks

Assessment: Med+Safe

The exam consists of multiple choice questions regarding safe practice in MedSafe. 

MedSafe: Evidence of 100% successful completion of the required test in the Med+Safe application during the invigilated school-based exam time period. Test questions focus on calculations and the development of knowledge and skills associated with medication administration and quality use of medicines.

MedSafe certificates are awarded once you have achieved 100% for the designated test. The MedSafe certificate uploaded must reflect the date and time of your invigilated test, including your name exactly as it appears in the student's enrolment.

You may be eligible for one further opportunity to undertake this assessment if you do not achieve 100%. The same assessment conditions of invigilated exam apply.

Failure to complete this assessment within the specified timeframes and invigilated conditions will result in an unsatisfactory grade in this unit and withdrawal from your off-campus clinical work experience.

Threshold Assessment:

Professional accreditation mandates demonstration of safe practice in both skills performance and medication safety prior to work integrated learning.

Second attempt / resit: Evidence of 100% successful completion of the required test in the Med+Safe application during the invigilated school-based exam time period is required.

Due (indicative): Early in semester This must be 100% successfully completed within the specified conditions prior to placement.

Assessment: Collaborative practice simulation and completion of a learning activity

You will engage in face-to-face clinical scenarios that incorporates interprofessional teamwork. This will require a collaborative approach in responding to problems and challenges of the given situation. Focus will be on integrating clinical & professional capabilities in the RN role. The scenarios are designed to assist you to integrate concepts and principles that are needed for practice as a beginning-level registered nurse providing person-centred care in various clinical settings. You will critically analyse and address ongoing nursing care provision and implementation and incorporate experiential learning from real-world practice. The scenarios will be focused on complex problems and team processes including leadership capabilities. Pre-briefing and de-briefing will be included as fundamental components of the learning experience as well as completion of a learning activity.

Threshold Assessment:

For the purpose of professional accreditation and demonstration of safe practice knowledge prior to work integrated learning is required. Students self-register into their choice of several workshop options to complete required interprofessional learning. Students who are unwell can contact the unit coordinator and attend another workshop.

Due (indicative): Options throughout semester

Assessment: Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

In your assigned clinical placements, 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 Australian Nursing Standards Assessment Tool (ANSAT). You are required to demonstrate satisfactory achievement of the 7 standards (and related criteria) for this level. You will receive formative verbal and written feedback on your progress during the clinical placement. Each standard and criteria of the ANSAT must be achieved satisfactorily and 100% attendance is required for off-campus clinical placement experiences.

Threshold Assessment:

For the purpose of professional accreditation, demonstration of safe practice and performance consistent with the National Minimum Standards for Registration (NMBA) is required.

Due (indicative): Across the semester

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

Resource Materials

Prescribed text(s)

Brown, D., Edwards, H., Buckley, T. C. T., & Aitken, R. L. (2020). Lewis’s medical-surgical nursing : assessment and management of clinical problems (5th Australia and New Zealand Edition.). Elsevier.

Crisp, J., Douglas, C., Rebeiro, G., & Waters, D. (2021). Potter & Perry’s fundamentals of nursing (6th edition ; Australia and New Zealand). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Rebeiro, G., Wilson, D., & Fuller, S. (2021). Fundamentals of nursing : clinical skills workbook (4th edition.). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Software

Medsafe

Risk Assessment Statement

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. To minimise risks in this unit, it is essential that you:

• Participate in the healthcare 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.

Standards/Competencies

This unit is designed to support your development of the following standards\competencies.

Registered Nurse Standards for Practice

1: Thinks critically and analyses nursing practice.

1. The RN accesses, analyses, and uses the best available evidence, that includes research findings, for safe, quality practice
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN complies with legislation, regulations, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
   Relates to: Med+Safe , Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN uses ethical frameworks when making decisions
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN maintains accurate, comprehensive and timely documentation of assessments, planning, decision-making, actions and evaluations
   Relates to: Med+Safe , Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN contributes to quality improvement and relevant research.
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

2: Engages in therapeutic and professional relationships.

1. The RN establishes, sustains and concludes relationships in a way that differentiates the boundaries between professional and personal relationships
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN recognises that people are the experts in the experience of their life
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN provides support and directs people to resources to optimise health-related decisions
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN advocates on behalf of people in a manner that respects the person’s autonomy and legal capacity
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN uses delegation, supervision, coordination, consultation and referrals in professional relationships to achieve improved health outcomes
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN actively fosters a culture of safety and learning that includes engaging with health professionals and others, to share knowledge and practice that supports person-centred care
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
8. The RN participates in and/or leads collaborative practice
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
9. The RN reports notifiable conduct of health professionals, health workers and others.
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

3: Maintains the capability for practice.

1. The RN considers and responds in a timely manner to the health and wellbeing of self and others in relation to the capability for practice
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN provides the information and education required to enhance people's control over health
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN uses a lifelong learning approach for continuing professional development of self and others
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN accepts accountability for decisions, actions, behaviours and responsibilities inherent in their role, and for the actions of others to whom they have delegated responsibilities
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN seeks and responds to practice review and feedback
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN actively engages with the profession
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN identifies and promotes the integral role of nursing practice and the profession in influencing better health outcomes for people.
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

4: Comprehensively conducts assessments.

1. The RN conducts assessments that are holistic as well as culturally appropriate
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN works in partnership to determine factors that affect, or potentially affect, the health and wellbeing of people and populations to determine priorities for action and/ or for referral
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN assesses the resources available to inform planning.
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

5: Develops a plan for nursing practice.

1. The RN uses assessment data and best available evidence to develop a plan
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN collaboratively constructs nursing practice plans until contingencies, options priorities, goals, actions, outcomes and timeframes are agreed with the relevant persons
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN documents, evaluates and modifies plans accordingly to facilitate the agreed outcomes
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN plans and negotiates how practice will be evaluated and the time frame of engagement
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN coordinates resources effectively and efficiently for planned actions.
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

6: Provides safe, appropriate and responsive quality nursing practice.

1. The RN provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people
   Relates to: Med+Safe , Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN practises within their scope of practice
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN appropriately delegates aspects of practice to enrolled nurses and others, according to enrolled nurse’s scope of practice or others’ clinical or non-clinical roles
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN provides effective timely direction and supervision to ensure that delegated practice is safe and correct
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN practises in accordance with relevant policies, guidelines, standards, regulations and legislation
   Relates to: Med+Safe , Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN uses the appropriate processes to identify and report potential and actual risk related system issues and where practice may be below the expected standards.
   Relates to: Med+Safe , Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

7: Evaluates outcomes to inform nursing practice.

1. The RN evaluates and monitors progress towards the expected goals and outcomes
   Relates to: Med+Safe , Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN revises the plan based on the evaluation
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN determines, documents and communicates further priorities, goals and outcomes with the relevant persons.
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

Course Learning Outcomes

This unit is designed to support your development of the following course/study area learning outcomes.

NS42 Bachelor of Nursing

1. Apply scientific knowledge and skills from nursing and related disciplines to the provision of safe, person-centred, evidence-based nursing care across the lifespan
   Relates to: Med+Safe , Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. Apply critical thinking, clinical reasoning, and digital literacy skills to make evidence- based decisions and evaluate outcomes
   Relates to: Med+Safe , Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. Practice as an ethical, socially inclusive, and culturally safe practitioner, reflective of your professional nursing identity across a range of health service settings.
   Relates to: Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. Enact and sustain effective communication skills, therapeutic relationships, and professional capabilities to practice independently and in inter and intra professional teams, to ensure safe, person-centred care
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. Demonstrate developing socially informed leadership capabilities to achieve positive individual and community outcomes in dynamic healthcare contexts.
   Relates to: Collaborative practice simulation and completion of a learning activity, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

Unit Outline: Semester 2 2023, Kelvin Grove, Internal

Unit code:	NSB335
Credit points:	24
Pre-requisite:	NSB334
Coordinators:	Ibi Patane | i.patane@qut.edu.au

Overview

Clinical practice and evidence-based theory are integrated and critically applied at the completion of this unit (8 weeks / 320 hours of clinical practice) by demonstration of safe and effective person-centred care consistent with the NMBA Registered Nurse Standards of Practice. All Nursing and Midwifery Board of Australia (NMBA) and National Safety, Aged Care Standards and Quality Health Service (NSQHS) standards, as they apply to nursing practice, are further explored in this unit. This unit complements other third-year units and consolidates learning to date. This unit is a work integrated learning unit with you learning predominantly in off-campus health care contexts.

Mandatory elements may start in Orientation week. Please check the published unit timetable.

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:

1. Demonstrate beginner practitioner level nursing care that is consistent with the principles of the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards at a beginner practitioner level.
2. Safely and accurately perform medication calculations and demonstrate safe administration of medicines in both the simulated environment and the clinical practice setting.
3. Demonstrate critical thinking and clinical reasoning in diverse and complex healthcare settings consistent with the provision of safe, quality person-centred care across the lifespan.
4. Coordinate and lead the provision of care for consumers, families, and the broader community, under supervision.

Content

Learning Approaches

Experiential learning is at the forefront of this unit, with you attending an extended period in the off-campus healthcare environment. Health care environments may include clinics and home-based, community, and acute-care facilities. Within these contexts, you will be expected to take on advanced responsibilities with respect to the coordination and leadership of care for consumers, families, and the wider community.

Preparation for this unit involves review of theoretical concepts explored in previous units to facilitate their application in practice. You will undertake a mandatory interprofessional education learning module which will require you to apply problem-solving and clinical decision-making skills. You will also be directed to revisit concepts relating to safe and quality use of medicines and the administration of same.

A peer learning community of practice will be used to encourage active collaboration and provide additional support and social engagement during placement off campus. Clinical supervisors will facilitate transfer of prior knowledge and skills to the real-world context, to enable you to demonstrate satisfactory achievement of criteria in the Australian Nursing Standards Assessment Tool (ANSAT) at the level of a beginning registered nurse. Learning experiences will include a focus on promoting implementation of evidence-based, scientific knowledge, communication, critical inquiry, digital literacy, and intra- and interprofessional collaboration as an ethical, socially inclusive, and culturally safe practitioner. 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. You cannot organise your own placements. You must be available for shift-work rostering which enables patient care to be delivered 24 hours a day, 7 days a week. Travel may be involved, and clinical placements can occur during semester breaks. Any absence from an off-campus clinical placement will reduce the opportunity for competence development, your 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 you in an alternate placement within the same semester. If due to the nature of your special circumstances and/or limited placement availability an alternate placement cannot be negotiated, you 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.

You will receive further additional information and explanation consistent with this statement on the unit Canvas site.

Feedback on Learning and Assessment

You will be provided with feedback and guidance to assist your learning throughout the semester through:

• Formative feedback in class interactions throughout semester, individually and/or as a group
• Peer and clinical facilitator feedback on skills acquisition within clinical practice sessions
• Feedback on clinical performance will be provided by the clinical facilitator using the ANSAT tool at an interim timepoint halfway through your clinical placement and formally at the end of clinical placement

Assessment

Overview

There are three assessments to be completed in this unit. You must attend 100% of the clinical practice sessions, achieve 100% in the medication calculations (within Med+Safe). You must also satisfactorily complete an interprofessional education learning module and achieve all criteria on the clinical performance (ANSAT) assessment tool to achieve an overall pass grade for this unit.

Unit Grading Scheme

S (Satisfactory) / U (Unsatisfactory)

Assessment Tasks

Assessment: Med+Safe

The exam consists of multiple choice questions regarding safe practice in MedSafe. 

MedSafe: Evidence of 100% successful completion of the required test in the Med+Safe application during the invigilated school-based exam time period. Test questions focus on calculations and the development of knowledge and skills associated with medication administration and quality use of medicines.

MedSafe certificates are awarded once you have achieved 100% for the designated test. The MedSafe certificate uploaded must reflect the date and time of your invigilated test, including your name exactly as it appears in the student's enrolment.

You may be eligible for one further opportunity to undertake this assessment if you do not achieve 100%. The same assessment conditions of invigilated exam apply.

Failure to complete this assessment within the specified timeframes and invigilated conditions will result in an unsatisfactory grade in this unit and withdrawal from your off-campus clinical work experience.

Threshold Assessment:

Professional accreditation mandates demonstration of safe practice in both skills performance and medication safety prior to work integrated learning.

Second attempt / resit: Evidence of 100% successful completion of the required test in the Med+Safe application during the invigilated school-based exam time period is required.

Due (indicative):

Assessment: Interprofessional education learning module

You will be provided with a link to the Faculty of Health Interprofessional Education (IPE) Canvas site where you need to undertake Module 3: Interprofessional Conflict and Collaboration, the relevant quiz and generate a certificate of completion.    

This learning activity extends your understanding of effective teamwork, collaboration and conflict resolution within the IPE context. The module uses scenarios and focuses on complex problems and team processes including leadership capabilities.

This assignment is eligible for the 48 hour late submission period and assignment extensions.

Threshold Assessment:

For the purpose of professional accreditation IPE activities need to be completed by the end of semester.

Due (indicative): by end of semester

Assessment: Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

In your assigned clinical placements, 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 Australian Nursing Standards Assessment Tool (ANSAT). You are required to demonstrate satisfactory achievement of the 7 standards (and related criteria) for this level. You will receive formative verbal and written feedback on your progress during the clinical placement. Each standard and criteria of the ANSAT must be achieved satisfactorily and 100% attendance is required for off-campus clinical placement experiences.

Threshold Assessment:

For the purpose of professional accreditation, demonstration of safe practice and performance consistent with the National Minimum Standards for Registration (NMBA) is required.

Due (indicative): Across the semester

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

Resource Materials

Prescribed text(s)

Brown, D., Edwards, H., Buckley, T. C. T., & Aitken, R. L. (2020). Lewis’s medical-surgical nursing : assessment and management of clinical problems (5th Australia and New Zealand Edition.). Elsevier.

Crisp, J., Douglas, C., Rebeiro, G., & Waters, D. (2021). Potter & Perry’s fundamentals of nursing (6th edition ; Australia and New Zealand). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Rebeiro, G., Wilson, D., & Fuller, S. (2021). Fundamentals of nursing : clinical skills workbook (4th edition.). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Software

Medsafe

Risk Assessment Statement

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. To minimise risks in this unit, it is essential that you:

• Participate in the healthcare 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.

Standards/Competencies

This unit is designed to support your development of the following standards\competencies.

Registered Nurse Standards for Practice

1: Thinks critically and analyses nursing practice.

1. The RN accesses, analyses, and uses the best available evidence, that includes research findings, for safe, quality practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN complies with legislation, regulations, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN uses ethical frameworks when making decisions
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN maintains accurate, comprehensive and timely documentation of assessments, planning, decision-making, actions and evaluations
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN contributes to quality improvement and relevant research.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

2: Engages in therapeutic and professional relationships.

1. The RN establishes, sustains and concludes relationships in a way that differentiates the boundaries between professional and personal relationships
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN recognises that people are the experts in the experience of their life
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN provides support and directs people to resources to optimise health-related decisions
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN advocates on behalf of people in a manner that respects the person’s autonomy and legal capacity
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN uses delegation, supervision, coordination, consultation and referrals in professional relationships to achieve improved health outcomes
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN actively fosters a culture of safety and learning that includes engaging with health professionals and others, to share knowledge and practice that supports person-centred care
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
8. The RN participates in and/or leads collaborative practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
9. The RN reports notifiable conduct of health professionals, health workers and others.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

3: Maintains the capability for practice.

1. The RN considers and responds in a timely manner to the health and wellbeing of self and others in relation to the capability for practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN provides the information and education required to enhance people's control over health
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN uses a lifelong learning approach for continuing professional development of self and others
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN accepts accountability for decisions, actions, behaviours and responsibilities inherent in their role, and for the actions of others to whom they have delegated responsibilities
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN seeks and responds to practice review and feedback
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN actively engages with the profession
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN identifies and promotes the integral role of nursing practice and the profession in influencing better health outcomes for people.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

4: Comprehensively conducts assessments.

1. The RN conducts assessments that are holistic as well as culturally appropriate
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN works in partnership to determine factors that affect, or potentially affect, the health and wellbeing of people and populations to determine priorities for action and/ or for referral
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN assesses the resources available to inform planning.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

5: Develops a plan for nursing practice.

1. The RN uses assessment data and best available evidence to develop a plan
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN collaboratively constructs nursing practice plans until contingencies, options priorities, goals, actions, outcomes and timeframes are agreed with the relevant persons
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN documents, evaluates and modifies plans accordingly to facilitate the agreed outcomes
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN plans and negotiates how practice will be evaluated and the time frame of engagement
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN coordinates resources effectively and efficiently for planned actions.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

6: Provides safe, appropriate and responsive quality nursing practice.

1. The RN provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN practises within their scope of practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN appropriately delegates aspects of practice to enrolled nurses and others, according to enrolled nurse’s scope of practice or others’ clinical or non-clinical roles
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN provides effective timely direction and supervision to ensure that delegated practice is safe and correct
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN practises in accordance with relevant policies, guidelines, standards, regulations and legislation
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN uses the appropriate processes to identify and report potential and actual risk related system issues and where practice may be below the expected standards.
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

7: Evaluates outcomes to inform nursing practice.

1. The RN evaluates and monitors progress towards the expected goals and outcomes
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN revises the plan based on the evaluation
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN determines, documents and communicates further priorities, goals and outcomes with the relevant persons.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

Course Learning Outcomes

This unit is designed to support your development of the following course/study area learning outcomes.

NS42 Bachelor of Nursing

1. Apply scientific knowledge and skills from nursing and related disciplines to the provision of safe, person-centred, evidence-based nursing care across the lifespan
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. Apply critical thinking, clinical reasoning, and digital literacy skills to make evidence- based decisions and evaluate outcomes
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. Practice as an ethical, socially inclusive, and culturally safe practitioner, reflective of your professional nursing identity across a range of health service settings.
   Relates to: Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. Enact and sustain effective communication skills, therapeutic relationships, and professional capabilities to practice independently and in inter and intra professional teams, to ensure safe, person-centred care
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. Demonstrate developing socially informed leadership capabilities to achieve positive individual and community outcomes in dynamic healthcare contexts.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

Unit Outline: Summer 2023, Kelvin Grove, Internal

Unit code:	NSB335
Credit points:	24
Pre-requisite:	NSB334
Coordinators:	Hana Skripic | h.skripic@qut.edu.au

Overview

Clinical practice and evidence-based theory are integrated and critically applied at the completion of this unit (8 weeks / 320 hours of clinical practice) by demonstration of safe and effective person-centred care consistent with the NMBA Registered Nurse Standards of Practice. All Nursing and Midwifery Board of Australia (NMBA) and National Safety, Aged Care Standards and Quality Health Service (NSQHS) standards, as they apply to nursing practice, are further explored in this unit. This unit complements other third-year units and consolidates learning to date. This unit is a work integrated learning unit with you learning predominantly in off-campus health care contexts.

Mandatory elements may start in Orientation week. Please check the published unit timetable.

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:

1. Demonstrate beginner practitioner level nursing care that is consistent with the principles of the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards at a beginner practitioner level.
2. Safely and accurately perform medication calculations and demonstrate safe administration of medicines in both the simulated environment and the clinical practice setting.
3. Demonstrate critical thinking and clinical reasoning in diverse and complex healthcare settings consistent with the provision of safe, quality person-centred care across the lifespan.
4. Coordinate and lead the provision of care for consumers, families, and the broader community, under supervision.

Content

Learning Approaches

Experiential learning is at the forefront of this unit, with you attending an extended period in the off-campus healthcare environment. Health care environments may include clinics and home-based, community, and acute-care facilities. Within these contexts, you will be expected to take on advanced responsibilities with respect to the coordination and leadership of care for consumers, families, and the wider community.

Preparation for this unit involves review of theoretical concepts explored in previous units to facilitate their application in practice. You will undertake a mandatory interprofessional education learning module which will require you to apply problem-solving and clinical decision-making skills. You will also be directed to revisit concepts relating to safe and quality use of medicines and the administration of same.

A peer learning community of practice will be used to encourage active collaboration and provide additional support and social engagement during placement off campus. Clinical supervisors will facilitate transfer of prior knowledge and skills to the real-world context, to enable you to demonstrate satisfactory achievement of criteria in the Australian Nursing Standards Assessment Tool (ANSAT) at the level of a beginning registered nurse. Learning experiences will include a focus on promoting implementation of evidence-based, scientific knowledge, communication, critical inquiry, digital literacy, and intra- and interprofessional collaboration as an ethical, socially inclusive, and culturally safe practitioner. 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. You cannot organise your own placements. You must be available for shift-work rostering which enables patient care to be delivered 24 hours a day, 7 days a week. Travel may be involved, and clinical placements can occur during semester breaks. Any absence from an off-campus clinical placement will reduce the opportunity for competence development, your 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 you in an alternate placement within the same semester. If due to the nature of your special circumstances and/or limited placement availability an alternate placement cannot be negotiated, you 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.

You will receive further additional information and explanation consistent with this statement on the unit Canvas site.

Feedback on Learning and Assessment

You will be provided with feedback and guidance to assist your learning throughout the semester through:

• Formative feedback in class interactions throughout semester, individually and/or as a group
• Peer and clinical facilitator feedback on skills acquisition within clinical practice sessions
• Feedback on clinical performance will be provided by the clinical facilitator using the ANSAT tool at an interim timepoint halfway through your clinical placement and formally at the end of clinical placement

Assessment

Overview

There are three assessments to be completed in this unit. You must attend 100% of the clinical practice sessions, achieve 100% in the medication calculations (within Med+Safe). You must also satisfactorily complete an interprofessional education learning module and achieve all criteria on the clinical performance (ANSAT) assessment tool to achieve an overall pass grade for this unit.

Unit Grading Scheme

S (Satisfactory) / U (Unsatisfactory)

Assessment Tasks

Assessment: Med+Safe

The exam consists of multiple choice questions regarding safe practice in MedSafe. 

MedSafe: Evidence of 100% successful completion of the required test in the Med+Safe application during the invigilated school-based exam time period. Test questions focus on calculations and the development of knowledge and skills associated with medication administration and quality use of medicines.

MedSafe certificates are awarded once you have achieved 100% for the designated test. The MedSafe certificate uploaded must reflect the date and time of your invigilated test, including your name exactly as it appears in the student's enrolment.

You may be eligible for one further opportunity to undertake this assessment if you do not achieve 100%. The same assessment conditions of invigilated exam apply.

Failure to complete this assessment within the specified timeframes and invigilated conditions will result in an unsatisfactory grade in this unit and withdrawal from your off-campus clinical work experience.

Threshold Assessment:

Professional accreditation mandates demonstration of safe practice in both skills performance and medication safety prior to work integrated learning.

Second attempt / resit: Evidence of 100% successful completion of the required test in the Med+Safe application during the invigilated school-based exam time period is required.

Due (indicative):

Assessment: Interprofessional education learning module

You will be provided with a link to the Faculty of Health Interprofessional Education (IPE) Canvas site where you need to undertake Module 3: Interprofessional Conflict and Collaboration, the relevant quiz and generate a certificate of completion.    

This learning activity extends your understanding of effective teamwork, collaboration and conflict resolution within the IPE context. The module uses scenarios and focuses on complex problems and team processes including leadership capabilities.

This assignment is eligible for the 48 hour late submission period and assignment extensions.

Threshold Assessment:

For the purpose of professional accreditation IPE activities need to be completed by the end of semester.

Due (indicative): by end of semester

Assessment: Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

In your assigned clinical placements, 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 Australian Nursing Standards Assessment Tool (ANSAT). You are required to demonstrate satisfactory achievement of the 7 standards (and related criteria) for this level. You will receive formative verbal and written feedback on your progress during the clinical placement. Each standard and criteria of the ANSAT must be achieved satisfactorily and 100% attendance is required for off-campus clinical placement experiences.

Threshold Assessment:

For the purpose of professional accreditation, demonstration of safe practice and performance consistent with the National Minimum Standards for Registration (NMBA) is required.

Due (indicative): Across the semester

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

Resource Materials

Prescribed text(s)

Brown, D., Edwards, H., Buckley, T. C. T., & Aitken, R. L. (2020). Lewis’s medical-surgical nursing : assessment and management of clinical problems (5th Australia and New Zealand Edition.). Elsevier.

Crisp, J., Douglas, C., Rebeiro, G., & Waters, D. (2021). Potter & Perry’s fundamentals of nursing (6th edition ; Australia and New Zealand). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Rebeiro, G., Wilson, D., & Fuller, S. (2021). Fundamentals of nursing : clinical skills workbook (4th edition.). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Software

Medsafe

Risk Assessment Statement

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. To minimise risks in this unit, it is essential that you:

• Participate in the healthcare 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.

Standards/Competencies

This unit is designed to support your development of the following standards\competencies.

Registered Nurse Standards for Practice

1: Thinks critically and analyses nursing practice.

1. The RN accesses, analyses, and uses the best available evidence, that includes research findings, for safe, quality practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN complies with legislation, regulations, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN uses ethical frameworks when making decisions
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN maintains accurate, comprehensive and timely documentation of assessments, planning, decision-making, actions and evaluations
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN contributes to quality improvement and relevant research.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

2: Engages in therapeutic and professional relationships.

1. The RN establishes, sustains and concludes relationships in a way that differentiates the boundaries between professional and personal relationships
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN recognises that people are the experts in the experience of their life
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN provides support and directs people to resources to optimise health-related decisions
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN advocates on behalf of people in a manner that respects the person’s autonomy and legal capacity
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN uses delegation, supervision, coordination, consultation and referrals in professional relationships to achieve improved health outcomes
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN actively fosters a culture of safety and learning that includes engaging with health professionals and others, to share knowledge and practice that supports person-centred care
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
8. The RN participates in and/or leads collaborative practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
9. The RN reports notifiable conduct of health professionals, health workers and others.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

3: Maintains the capability for practice.

1. The RN considers and responds in a timely manner to the health and wellbeing of self and others in relation to the capability for practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN provides the information and education required to enhance people's control over health
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN uses a lifelong learning approach for continuing professional development of self and others
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN accepts accountability for decisions, actions, behaviours and responsibilities inherent in their role, and for the actions of others to whom they have delegated responsibilities
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN seeks and responds to practice review and feedback
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN actively engages with the profession
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN identifies and promotes the integral role of nursing practice and the profession in influencing better health outcomes for people.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

4: Comprehensively conducts assessments.

1. The RN conducts assessments that are holistic as well as culturally appropriate
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN works in partnership to determine factors that affect, or potentially affect, the health and wellbeing of people and populations to determine priorities for action and/ or for referral
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN assesses the resources available to inform planning.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

5: Develops a plan for nursing practice.

1. The RN uses assessment data and best available evidence to develop a plan
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN collaboratively constructs nursing practice plans until contingencies, options priorities, goals, actions, outcomes and timeframes are agreed with the relevant persons
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN documents, evaluates and modifies plans accordingly to facilitate the agreed outcomes
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN plans and negotiates how practice will be evaluated and the time frame of engagement
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN coordinates resources effectively and efficiently for planned actions.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

6: Provides safe, appropriate and responsive quality nursing practice.

1. The RN provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN practises within their scope of practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN appropriately delegates aspects of practice to enrolled nurses and others, according to enrolled nurse’s scope of practice or others’ clinical or non-clinical roles
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN provides effective timely direction and supervision to ensure that delegated practice is safe and correct
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN practises in accordance with relevant policies, guidelines, standards, regulations and legislation
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN uses the appropriate processes to identify and report potential and actual risk related system issues and where practice may be below the expected standards.
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

7: Evaluates outcomes to inform nursing practice.

1. The RN evaluates and monitors progress towards the expected goals and outcomes
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN revises the plan based on the evaluation
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN determines, documents and communicates further priorities, goals and outcomes with the relevant persons.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

Course Learning Outcomes

This unit is designed to support your development of the following course/study area learning outcomes.

NS42 Bachelor of Nursing

1. Apply scientific knowledge and skills from nursing and related disciplines to the provision of safe, person-centred, evidence-based nursing care across the lifespan
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. Apply critical thinking, clinical reasoning, and digital literacy skills to make evidence- based decisions and evaluate outcomes
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. Practice as an ethical, socially inclusive, and culturally safe practitioner, reflective of your professional nursing identity across a range of health service settings.
   Relates to: Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. Enact and sustain effective communication skills, therapeutic relationships, and professional capabilities to practice independently and in inter and intra professional teams, to ensure safe, person-centred care
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. Demonstrate developing socially informed leadership capabilities to achieve positive individual and community outcomes in dynamic healthcare contexts.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

Unit Outline: Semester 1 2024, Kelvin Grove, Internal

Unit code:	NSB335
Credit points:	24
Pre-requisite:	NSB334
Coordinators:	Ibi Patane | i.patane@qut.edu.au Joanne Cupples | joanne.cupples@qut.edu.au

Overview

Clinical practice and evidence-based theory are integrated and critically applied at the completion of this unit (8 weeks / 320 hours of clinical practice) by demonstration of safe and effective person-centred care consistent with the NMBA Registered Nurse Standards of Practice. All Nursing and Midwifery Board of Australia (NMBA) and National Safety, Aged Care Standards and Quality Health Service (NSQHS) standards, as they apply to nursing practice, are further explored in this unit. This unit complements other third-year units and consolidates learning to date. This unit is a work integrated learning unit with you learning predominantly in off-campus health care contexts.

Mandatory elements may start in Orientation week. Please check the published unit timetable.

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:

1. Demonstrate beginner practitioner level nursing care that is consistent with the principles of the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards at a beginner practitioner level.
2. Safely and accurately perform medication calculations and demonstrate safe administration of medicines in both the simulated environment and the clinical practice setting.
3. Demonstrate critical thinking and clinical reasoning in diverse and complex healthcare settings consistent with the provision of safe, quality person-centred care across the lifespan.
4. Coordinate and lead the provision of care for consumers, families, and the broader community, under supervision.

Content

Learning Approaches

Experiential learning is at the forefront of this unit, with you attending an extended period in the off-campus healthcare environment. Health care environments may include clinics and home-based, community, and acute-care facilities. Within these contexts, you will be expected to take on advanced responsibilities with respect to the coordination and leadership of care for consumers, families, and the wider community.

Preparation for this unit involves review of theoretical concepts explored in previous units to facilitate their application in practice. You will undertake a mandatory interprofessional education learning module which will require you to apply problem-solving and clinical decision-making skills. You will also be directed to revisit concepts relating to safe and quality use of medicines and the administration of same.

A peer learning community of practice will be used to encourage active collaboration and provide additional support and social engagement during placement off campus. Clinical supervisors will facilitate transfer of prior knowledge and skills to the real-world context, to enable you to demonstrate satisfactory achievement of criteria in the Australian Nursing Standards Assessment Tool (ANSAT) at the level of a beginning registered nurse. Learning experiences will include a focus on promoting implementation of evidence-based, scientific knowledge, communication, critical inquiry, digital literacy, and intra- and interprofessional collaboration as an ethical, socially inclusive, and culturally safe practitioner. 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. You cannot organise your own placements. You must be available for shift-work rostering which enables patient care to be delivered 24 hours a day, 7 days a week. Travel may be involved, and clinical placements can occur during semester breaks. Any absence from an off-campus clinical placement will reduce the opportunity for competence development, your 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 you in an alternate placement within the same semester or clinical completion hours in the future. If due to the nature of your special circumstances and/or limited placement availability an alternate placement cannot be negotiated, you 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.

If a student is absent due to illness during their clinical placement they are required to complete additional hours at a future time to meet the mandatory clinical completion hours for the unit, and cumulatively meet eligibility for graduation.

You will receive further additional information and explanation consistent with this statement on the unit Canvas site.

Feedback on Learning and Assessment

You will be provided with feedback and guidance to assist your learning throughout the semester through:

• Formative feedback in class interactions throughout semester, individually and/or as a group
• Peer and clinical facilitator feedback on skills acquisition within clinical practice sessions
• Feedback on clinical performance will be provided by the clinical facilitator using the ANSAT tool at an interim timepoint halfway through your clinical placement and formally at the end of clinical placement

Assessment

Overview

There are three assessments to be completed in this unit. You must attend 100% of the clinical practice sessions, achieve 100% in the medication calculations (within Med+Safe). You must also satisfactorily complete an interprofessional education learning module and achieve all criteria on the clinical performance (ANSAT) assessment tool to achieve an overall pass grade for this unit.

To receive a satisfactory grade in the unit, all hours that a student is absent from clinical placement require attendance at a clinical completion option. There is no capacity to offer unlimited opportunities for clinical completion hours. Failure to self-select clinical completion hours when invited (through the Work Integrated Learning team) and/or attend agreed clinical completion hours will cause delays to course progression. Failure to complete agreed clinical completion hours will result in the unit grade being finalised as unsatisfactory.

Unit Grading Scheme

S (Satisfactory) / U (Unsatisfactory)

Assessment Tasks

Assessment: Med+Safe

The exam consists of multiple choice questions regarding safe practice in MedSafe. 

MedSafe: Evidence of 100% successful completion of the required test in the Med+Safe application during the invigilated school-based exam time period. Test questions focus on calculations and the development of knowledge and skills associated with medication administration and quality use of medicines.

MedSafe certificates are awarded once you have achieved 100% for the designated test. The MedSafe certificate uploaded must reflect the date and time of your invigilated test, including your name exactly as it appears in the student's enrolment.

You may be eligible for one further opportunity to undertake this assessment if you do not achieve 100%. The same assessment conditions of invigilated exam apply.

Failure to complete this assessment within the specified timeframes and invigilated conditions will result in an unsatisfactory grade in this unit and withdrawal from your off-campus clinical work experience.

Threshold Assessment:

Professional accreditation mandates demonstration of safe practice in both skills performance and medication safety prior to work integrated learning.

Second attempt / resit: Evidence of 100% successful completion of the required test in the Med+Safe application during the invigilated school-based exam time period is required.

Due (indicative):

Assessment: Interprofessional education learning module

You will be provided with a link to the Faculty of Health Interprofessional Education (IPE) Canvas site where you need to undertake Module 3: Interprofessional Conflict and Collaboration, the relevant quiz and generate a certificate of completion.    

This learning activity extends your understanding of effective teamwork, collaboration and conflict resolution within the IPE context. The module uses scenarios and focuses on complex problems and team processes including leadership capabilities.

This assignment is eligible for the 48 hour late submission period and assignment extensions.

Threshold Assessment:

For the purpose of professional accreditation IPE activities need to be completed by the end of semester.

Due (indicative): by end of semester

Assessment: Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

In your assigned clinical placements, 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 Australian Nursing Standards Assessment Tool (ANSAT). You are required to demonstrate satisfactory achievement of the 7 standards (and related criteria) for this level. You will receive formative verbal and written feedback on your progress during the clinical placement. Each standard and criteria of the ANSAT must be achieved satisfactorily and 100% attendance is required for off-campus clinical placement experiences.

Threshold Assessment:

For the purpose of professional accreditation, demonstration of safe practice and performance consistent with the National Minimum Standards for Registration (NMBA) is required.

Due (indicative): Across the semester

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

Resource Materials

Prescribed text(s)

Brown, D., Edwards, H., Buckley, T. C. T., & Aitken, R. L. (2020). Lewis’s medical-surgical nursing : assessment and management of clinical problems (5th Australia and New Zealand Edition.). Elsevier.

Crisp, J., Douglas, C., Rebeiro, G., & Waters, D. (2021). Potter & Perry’s fundamentals of nursing (6th edition ; Australia and New Zealand). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Rebeiro, G., Wilson, D., & Fuller, S. (2021). Fundamentals of nursing : clinical skills workbook (4th edition.). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Software

Medsafe

Risk Assessment Statement

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. To minimise risks in this unit, it is essential that you:

• Participate in the healthcare 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.

Standards/Competencies

This unit is designed to support your development of the following standards\competencies.

Registered Nurse Standards for Practice

1: Thinks critically and analyses nursing practice.

1. The RN accesses, analyses, and uses the best available evidence, that includes research findings, for safe, quality practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN complies with legislation, regulations, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN uses ethical frameworks when making decisions
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN maintains accurate, comprehensive and timely documentation of assessments, planning, decision-making, actions and evaluations
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN contributes to quality improvement and relevant research.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

2: Engages in therapeutic and professional relationships.

1. The RN establishes, sustains and concludes relationships in a way that differentiates the boundaries between professional and personal relationships
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN recognises that people are the experts in the experience of their life
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN provides support and directs people to resources to optimise health-related decisions
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN advocates on behalf of people in a manner that respects the person’s autonomy and legal capacity
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN uses delegation, supervision, coordination, consultation and referrals in professional relationships to achieve improved health outcomes
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN actively fosters a culture of safety and learning that includes engaging with health professionals and others, to share knowledge and practice that supports person-centred care
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
8. The RN participates in and/or leads collaborative practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
9. The RN reports notifiable conduct of health professionals, health workers and others.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

3: Maintains the capability for practice.

1. The RN considers and responds in a timely manner to the health and wellbeing of self and others in relation to the capability for practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN provides the information and education required to enhance people's control over health
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN uses a lifelong learning approach for continuing professional development of self and others
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN accepts accountability for decisions, actions, behaviours and responsibilities inherent in their role, and for the actions of others to whom they have delegated responsibilities
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN seeks and responds to practice review and feedback
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN actively engages with the profession
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN identifies and promotes the integral role of nursing practice and the profession in influencing better health outcomes for people.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

4: Comprehensively conducts assessments.

1. The RN conducts assessments that are holistic as well as culturally appropriate
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN works in partnership to determine factors that affect, or potentially affect, the health and wellbeing of people and populations to determine priorities for action and/ or for referral
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN assesses the resources available to inform planning.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

5: Develops a plan for nursing practice.

1. The RN uses assessment data and best available evidence to develop a plan
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN collaboratively constructs nursing practice plans until contingencies, options priorities, goals, actions, outcomes and timeframes are agreed with the relevant persons
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN documents, evaluates and modifies plans accordingly to facilitate the agreed outcomes
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN plans and negotiates how practice will be evaluated and the time frame of engagement
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN coordinates resources effectively and efficiently for planned actions.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

6: Provides safe, appropriate and responsive quality nursing practice.

1. The RN provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN practises within their scope of practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN appropriately delegates aspects of practice to enrolled nurses and others, according to enrolled nurse’s scope of practice or others’ clinical or non-clinical roles
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN provides effective timely direction and supervision to ensure that delegated practice is safe and correct
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN practises in accordance with relevant policies, guidelines, standards, regulations and legislation
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN uses the appropriate processes to identify and report potential and actual risk related system issues and where practice may be below the expected standards.
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

7: Evaluates outcomes to inform nursing practice.

1. The RN evaluates and monitors progress towards the expected goals and outcomes
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN revises the plan based on the evaluation
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN determines, documents and communicates further priorities, goals and outcomes with the relevant persons.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

Course Learning Outcomes

This unit is designed to support your development of the following course/study area learning outcomes.

NS42 Bachelor of Nursing

1. Apply scientific knowledge and skills from nursing and related disciplines to the provision of safe, person-centred, evidence-based nursing care across the lifespan
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. Apply critical thinking, clinical reasoning, and digital literacy skills to make evidence- based decisions and evaluate outcomes
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. Practice as an ethical, socially inclusive, and culturally safe practitioner, reflective of your professional nursing identity across a range of health service settings.
   Relates to: Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. Enact and sustain effective communication skills, therapeutic relationships, and professional capabilities to practice independently and in inter and intra professional teams, to ensure safe, person-centred care
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. Demonstrate developing socially informed leadership capabilities to achieve positive individual and community outcomes in dynamic healthcare contexts.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

Unit Outline: Semester 2 2024, Kelvin Grove, Internal

Unit code:	NSB335
Credit points:	24
Pre-requisite:	NSB334
Coordinators:	Jack Potter | j3.potter@qut.edu.au Ibi Patane | i.patane@qut.edu.au

Overview

Clinical practice and evidence-based theory are integrated and critically applied at the completion of this unit (8 weeks / 320 hours of clinical practice) by demonstration of safe and effective person-centred care consistent with the NMBA Registered Nurse Standards of Practice. All Nursing and Midwifery Board of Australia (NMBA) and National Safety, Aged Care Standards and Quality Health Service (NSQHS) standards, as they apply to nursing practice, are further explored in this unit. This unit complements other third-year units and consolidates learning to date. This unit is a work integrated learning unit with you learning predominantly in off-campus health care contexts.

Mandatory elements may start in Orientation week. Please check the published unit timetable.

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:

1. Demonstrate beginner practitioner level nursing care that is consistent with the principles of the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards at a beginner practitioner level.
2. Safely and accurately perform medication calculations and demonstrate safe administration of medicines in both the simulated environment and the clinical practice setting.
3. Demonstrate critical thinking and clinical reasoning in diverse and complex healthcare settings consistent with the provision of safe, quality person-centred care across the lifespan.
4. Coordinate and lead the provision of care for consumers, families, and the broader community, under supervision.

Content

Learning Approaches

Experiential learning is at the forefront of this unit, with you attending an extended period in the off-campus healthcare environment. Health care environments may include clinics and home-based, community, and acute-care facilities. Within these contexts, you will be expected to take on advanced responsibilities with respect to the coordination and leadership of care for consumers, families, and the wider community.

Preparation for this unit involves review of theoretical concepts explored in previous units to facilitate their application in practice. You will undertake a mandatory interprofessional education learning module which will require you to apply problem-solving and clinical decision-making skills. You will also be directed to revisit concepts relating to safe and quality use of medicines and the administration of same.

A peer learning community of practice will be used to encourage active collaboration and provide additional support and social engagement during placement off campus. Clinical supervisors will facilitate transfer of prior knowledge and skills to the real-world context, to enable you to demonstrate satisfactory achievement of criteria in the Australian Nursing Standards Assessment Tool (ANSAT) at the level of a beginning registered nurse. Learning experiences will include a focus on promoting implementation of evidence-based, scientific knowledge, communication, critical inquiry, digital literacy, and intra- and interprofessional collaboration as an ethical, socially inclusive, and culturally safe practitioner. 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. You cannot organise your own placements. You must be available for shift-work rostering which enables patient care to be delivered 24 hours a day, 7 days a week. Travel may be involved, and clinical placements can occur during semester breaks. Any absence from an off-campus clinical placement will reduce the opportunity for competence development, your 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 you in an alternate placement within the same semester or clinical completion hours in the future. If due to the nature of your special circumstances and/or limited placement availability an alternate placement cannot be negotiated, you 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.

If a student is absent due to illness during their clinical placement they are required to complete additional hours at a future time to meet the mandatory clinical completion hours for the unit, and cumulatively meet eligibility for graduation.

You will receive further additional information and explanation consistent with this statement on the unit Canvas site.

Feedback on Learning and Assessment

You will be provided with feedback and guidance to assist your learning throughout the semester through:

• Formative feedback in class interactions throughout semester, individually and/or as a group
• Peer and clinical facilitator feedback on skills acquisition within clinical practice sessions
• Feedback on clinical performance will be provided by the clinical facilitator using the ANSAT tool at an interim timepoint halfway through your clinical placement and formally at the end of clinical placement

Assessment

Overview

There are three assessments to be completed in this unit. You must attend 100% of the clinical practice sessions, achieve 100% in the medication calculations (within Med+Safe). You must also satisfactorily complete an interprofessional education learning module and achieve all criteria on the clinical performance (ANSAT) assessment tool to achieve an overall pass grade for this unit.

To receive a satisfactory grade in the unit, all hours that a student is absent from clinical placement require attendance at a clinical completion option. There is no capacity to offer unlimited opportunities for clinical completion hours. Failure to self-select clinical completion hours when invited (through the Work Integrated Learning team) and/or attend agreed clinical completion hours will cause delays to course progression. Failure to complete agreed clinical completion hours will result in the unit grade being finalised as unsatisfactory.

Unit Grading Scheme

S (Satisfactory) / U (Unsatisfactory)

Assessment Tasks

Assessment: Med+Safe

The exam consists of multiple choice questions regarding safe practice in MedSafe. 

MedSafe: Evidence of 100% successful completion of the required test in the Med+Safe application during the invigilated school-based exam time period. Test questions focus on calculations and the development of knowledge and skills associated with medication administration and quality use of medicines.

MedSafe certificates are awarded once you have achieved 100% for the designated test. The MedSafe certificate uploaded must reflect the date and time of your invigilated test, including your name exactly as it appears in the student's enrolment.

You may be eligible for one further opportunity to undertake this assessment if you do not achieve 100%. The same assessment conditions of invigilated exam apply.

Failure to complete this assessment within the specified timeframes and invigilated conditions will result in an unsatisfactory grade in this unit and withdrawal from your off-campus clinical work experience.

Threshold Assessment:

Professional accreditation mandates demonstration of safe practice in both skills performance and medication safety prior to work integrated learning.

Second attempt / resit: Evidence of 100% successful completion of the required test in the Med+Safe application during the invigilated school-based exam time period is required.

Due (indicative):

Assessment: Interprofessional education learning module

You will be provided with a link to the Faculty of Health Interprofessional Education (IPE) Canvas site where you need to undertake Module 3: Interprofessional Conflict and Collaboration, the relevant quiz and generate a certificate of completion.    

This learning activity extends your understanding of effective teamwork, collaboration and conflict resolution within the IPE context. The module uses scenarios and focuses on complex problems and team processes including leadership capabilities.

This assignment is eligible for the 48 hour late submission period and assignment extensions.

Threshold Assessment:

For the purpose of professional accreditation IPE activities need to be completed by the end of semester.

Due (indicative): by end of semester

Assessment: Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

In your assigned clinical placements, 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 Australian Nursing Standards Assessment Tool (ANSAT). You are required to demonstrate satisfactory achievement of the 7 standards (and related criteria) for this level. You will receive formative verbal and written feedback on your progress during the clinical placement. Each standard and criteria of the ANSAT must be achieved satisfactorily and 100% attendance is required for off-campus clinical placement experiences.

Threshold Assessment:

For the purpose of professional accreditation, demonstration of safe practice and performance consistent with the National Minimum Standards for Registration (NMBA) is required.

Due (indicative): Across the semester

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

Resource Materials

Prescribed text(s)

Brown, D., Edwards, H., Buckley, T. C. T., & Aitken, R. L. (2020). Lewis’s medical-surgical nursing : assessment and management of clinical problems (5th Australia and New Zealand Edition.). Elsevier.

Crisp, J., Douglas, C., Rebeiro, G., & Waters, D. (2021). Potter & Perry’s fundamentals of nursing (6th edition ; Australia and New Zealand). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Rebeiro, G., Wilson, D., & Fuller, S. (2021). Fundamentals of nursing : clinical skills workbook (4th edition.). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Software

Medsafe

Risk Assessment Statement

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. To minimise risks in this unit, it is essential that you:

• Participate in the healthcare 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.

Standards/Competencies

This unit is designed to support your development of the following standards\competencies.

Registered Nurse Standards for Practice

1: Thinks critically and analyses nursing practice.

1. The RN accesses, analyses, and uses the best available evidence, that includes research findings, for safe, quality practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN complies with legislation, regulations, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN uses ethical frameworks when making decisions
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN maintains accurate, comprehensive and timely documentation of assessments, planning, decision-making, actions and evaluations
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN contributes to quality improvement and relevant research.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

2: Engages in therapeutic and professional relationships.

1. The RN establishes, sustains and concludes relationships in a way that differentiates the boundaries between professional and personal relationships
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN recognises that people are the experts in the experience of their life
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN provides support and directs people to resources to optimise health-related decisions
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN advocates on behalf of people in a manner that respects the person’s autonomy and legal capacity
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN uses delegation, supervision, coordination, consultation and referrals in professional relationships to achieve improved health outcomes
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN actively fosters a culture of safety and learning that includes engaging with health professionals and others, to share knowledge and practice that supports person-centred care
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
8. The RN participates in and/or leads collaborative practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
9. The RN reports notifiable conduct of health professionals, health workers and others.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

3: Maintains the capability for practice.

1. The RN considers and responds in a timely manner to the health and wellbeing of self and others in relation to the capability for practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN provides the information and education required to enhance people's control over health
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN uses a lifelong learning approach for continuing professional development of self and others
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN accepts accountability for decisions, actions, behaviours and responsibilities inherent in their role, and for the actions of others to whom they have delegated responsibilities
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN seeks and responds to practice review and feedback
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN actively engages with the profession
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN identifies and promotes the integral role of nursing practice and the profession in influencing better health outcomes for people.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

4: Comprehensively conducts assessments.

1. The RN conducts assessments that are holistic as well as culturally appropriate
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN works in partnership to determine factors that affect, or potentially affect, the health and wellbeing of people and populations to determine priorities for action and/ or for referral
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN assesses the resources available to inform planning.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

5: Develops a plan for nursing practice.

1. The RN uses assessment data and best available evidence to develop a plan
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN collaboratively constructs nursing practice plans until contingencies, options priorities, goals, actions, outcomes and timeframes are agreed with the relevant persons
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN documents, evaluates and modifies plans accordingly to facilitate the agreed outcomes
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN plans and negotiates how practice will be evaluated and the time frame of engagement
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN coordinates resources effectively and efficiently for planned actions.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

6: Provides safe, appropriate and responsive quality nursing practice.

1. The RN provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN practises within their scope of practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN appropriately delegates aspects of practice to enrolled nurses and others, according to enrolled nurse’s scope of practice or others’ clinical or non-clinical roles
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN provides effective timely direction and supervision to ensure that delegated practice is safe and correct
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN practises in accordance with relevant policies, guidelines, standards, regulations and legislation
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN uses the appropriate processes to identify and report potential and actual risk related system issues and where practice may be below the expected standards.
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

7: Evaluates outcomes to inform nursing practice.

1. The RN evaluates and monitors progress towards the expected goals and outcomes
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN revises the plan based on the evaluation
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN determines, documents and communicates further priorities, goals and outcomes with the relevant persons.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

Course Learning Outcomes

This unit is designed to support your development of the following course/study area learning outcomes.

NS42 Bachelor of Nursing

1. Apply scientific knowledge and skills from nursing and related disciplines to the provision of safe, person-centred, evidence-based nursing care across the lifespan
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. Apply critical thinking, clinical reasoning, and digital literacy skills to make evidence- based decisions and evaluate outcomes
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. Practice as an ethical, socially inclusive, and culturally safe practitioner, reflective of your professional nursing identity across a range of health service settings.
   Relates to: Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. Enact and sustain effective communication skills, therapeutic relationships, and professional capabilities to practice independently and in inter and intra professional teams, to ensure safe, person-centred care
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. Demonstrate developing socially informed leadership capabilities to achieve positive individual and community outcomes in dynamic healthcare contexts.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

Unit Outline: Semester 1 2025, Kelvin Grove, Internal

Unit code:	NSB335
Credit points:	24
Pre-requisite:	NSB334
Coordinator:	Kerrie Rodger | kerrie.rodger@qut.edu.au

Overview

Clinical practice and evidence-based theory are integrated and critically applied at the completion of this unit (8 weeks / 320 hours of clinical practice) by demonstration of safe and effective person-centred care consistent with the NMBA Registered Nurse Standards of Practice. All Nursing and Midwifery Board of Australia (NMBA) and National Safety, Aged Care Standards and Quality Health Service (NSQHS) standards, as they apply to nursing practice, are further explored in this unit. This unit complements other third-year units and consolidates learning to date. This unit is a work integrated learning unit with you learning predominantly in off-campus health care contexts.

Mandatory assessment (Med+Safe exam) and classes to prepare for your work integrated learning start in Orientation week. Please check the published unit timetable.

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:

1. Demonstrate beginner practitioner level nursing care that is consistent with the principles of the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards at a beginner practitioner level.
2. Safely and accurately perform medication calculations and demonstrate safe administration of medicines in both the simulated environment and the clinical practice setting.
3. Demonstrate critical thinking and clinical reasoning in diverse and complex healthcare settings consistent with the provision of safe, quality person-centred care across the lifespan.
4. Coordinate and lead the provision of care for consumers, families, and the broader community, under supervision.

Content

Learning Approaches

Experiential learning is at the forefront of this unit, with you attending an extended period in the off-campus healthcare environment. Health care environments may include clinics and home-based, community, and acute-care facilities. Within these contexts, you will be expected to take on advanced responsibilities with respect to the coordination and leadership of care for consumers, families, and the wider community.

Preparation for this unit involves review of theoretical concepts explored in previous units to facilitate their application in practice. You will undertake a mandatory interprofessional education learning module which will require you to apply problem-solving and clinical decision-making skills. You will also be directed to revisit concepts relating to safe and quality use of medicines and the administration of same.

A peer learning community of practice will be used to encourage active collaboration and provide additional support and social engagement during placement off campus. Clinical supervisors will facilitate transfer of prior knowledge and skills to the real-world context, to enable you to demonstrate satisfactory achievement of criteria in the Australian Nursing Standards Assessment Tool (ANSAT) at the level of a beginning registered nurse. Learning experiences will include a focus on promoting implementation of evidence-based, scientific knowledge, communication, critical inquiry, digital literacy, and intra- and interprofessional collaboration as an ethical, socially inclusive, and culturally safe practitioner. 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. You cannot organise your own placements. You must be available for shift-work rostering which enables patient care to be delivered 24 hours a day, 7 days a week. Travel may be involved, and clinical placements can occur during semester breaks. Any absence from an off-campus clinical placement will reduce the opportunity for competence development, your performance may not be assessed and a grade of 'Unsatisfactory' may be awarded.

To be eligible for clinical placement you must complete required activities such as apply for a blue card and undertake first-aid training.  You must submit related mandatory documentation into QUT InPlace, before semester census date (end of week 4) or as specified in Canvas.  The Work Integrated Learning (WILS) team support this process and information on your required activities / documents is available in your InPlace home screen. Links are at HiQ InPlace for Health WIL placements.  If you do not complete mandatory activities and upload documentation you may not be able to progress to clinical placement.

Where absence is due to special or unforeseeable circumstances independently supported by documentation (e.g. medical certificate), every effort will be made to accommodate you in an alternate placement within the same semester or clinical completion hours in the future. If due to the nature of your special circumstances and/or limited placement availability an alternate placement cannot be negotiated, you 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.

If a student is absent due to illness during their clinical placement they are required to complete additional hours at a future time to meet the mandatory clinical completion hours for the unit, and cumulatively meet eligibility for graduation.

You will receive further additional information and explanation consistent with this statement on the unit Canvas site.

Feedback on Learning and Assessment

You will be provided with feedback and guidance to assist your learning throughout the semester through:

• Formative feedback in class interactions throughout semester, individually and/or as a group
• Peer and clinical facilitator feedback on skills acquisition within clinical practice sessions
• Feedback on clinical performance will be provided by the clinical facilitator using the ANSAT tool at an interim timepoint halfway through your clinical placement and formally at the end of clinical placement

Assessment

Overview

There are three assessments to be completed in this unit. You must attend 100% of the clinical practice sessions, achieve 100% in the medication calculations (within Med+Safe). You must also satisfactorily complete an interprofessional education learning module and achieve all criteria on the clinical performance (ANSAT) assessment tool to achieve an overall pass grade for this unit.

To receive a satisfactory grade in the unit, all hours that a student is absent from clinical placement require attendance at a clinical completion option. There is no capacity to offer unlimited opportunities for clinical completion hours. Failure to self-select clinical completion hours when invited (through the Work Integrated Learning team) and/or attend agreed clinical completion hours will cause delays to course progression. Failure to complete agreed clinical completion hours will result in the unit grade being finalised as unsatisfactory.

Unit Grading Scheme

S (Satisfactory) / U (Unsatisfactory)

Assessment Tasks

Assessment: Med+Safe

The exam consists of multiple choice questions regarding safe practice in MedSafe. 

MedSafe: Evidence of 100% successful completion of the required test in the Med+Safe application during the invigilated school-based exam time period. Test questions focus on calculations and the development of knowledge and skills associated with medication administration and quality use of medicines.

MedSafe certificates are awarded once you have achieved 100% for the designated test. The MedSafe certificate uploaded must reflect the date and time of your invigilated test, including your name exactly as it appears in the student's enrolment.

You may be eligible for one further opportunity to undertake this assessment if you do not achieve 100%. The same assessment conditions of invigilated exam apply.

Failure to complete this assessment within the specified timeframes and invigilated conditions will result in an unsatisfactory grade in this unit and withdrawal from your off-campus clinical work experience.

Threshold Assessment:

Professional accreditation mandates demonstration of safe practice in both skills performance and medication safety prior to work integrated learning.

Second attempt / resit: Evidence of 100% successful completion of the required test in the Med+Safe application during the invigilated school-based exam time period is required.

Due (indicative):

Assessment: Interprofessional education learning module

You will be provided with a link to the Faculty of Health Interprofessional Education (IPE) Canvas site where you need to undertake Module 3: Interprofessional Conflict and Collaboration, the relevant quiz and generate a certificate of completion.    

This learning activity extends your understanding of effective teamwork, collaboration and conflict resolution within the IPE context. The module uses scenarios and focuses on complex problems and team processes including leadership capabilities.

This assignment is eligible for the 48 hour late submission period and assignment extensions.

Threshold Assessment:

For the purpose of professional accreditation IPE activities need to be completed by the end of semester.

Due (indicative): by end of semester

Assessment: Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

In your assigned clinical placements, 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 Australian Nursing Standards Assessment Tool (ANSAT). You are required to demonstrate satisfactory achievement of the 7 standards (and related criteria) for this level. You will receive formative verbal and written feedback on your progress during the clinical placement. Each standard and criteria of the ANSAT must be achieved satisfactorily and 100% attendance is required for off-campus clinical placement experiences.

Threshold Assessment:

For the purpose of professional accreditation, demonstration of safe practice and performance consistent with the National Minimum Standards for Registration (NMBA) is required.

Due (indicative): Across the semester

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

Resource Materials

Prescribed text(s)

Brown, D., Edwards, H., Buckley, T. C. T., & Aitken, R. L. (2020). Lewis’s medical-surgical nursing : assessment and management of clinical problems (5th Australia and New Zealand Edition.). Elsevier.

Crisp, J., Douglas, C., Rebeiro, G., & Waters, D. (2021). Potter & Perry’s fundamentals of nursing (6th edition ; Australia and New Zealand). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Rebeiro, G., Wilson, D., & Fuller, S. (2021). Fundamentals of nursing : clinical skills workbook (4th edition.). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Software

Medsafe

Risk Assessment Statement

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. To minimise risks in this unit, it is essential that you:

• Participate in the healthcare 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.

Standards/Competencies

This unit is designed to support your development of the following standards\competencies.

Registered Nurse Standards for Practice

1: Thinks critically and analyses nursing practice.

1. The RN accesses, analyses, and uses the best available evidence, that includes research findings, for safe, quality practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN complies with legislation, regulations, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN uses ethical frameworks when making decisions
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN maintains accurate, comprehensive and timely documentation of assessments, planning, decision-making, actions and evaluations
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN contributes to quality improvement and relevant research.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

2: Engages in therapeutic and professional relationships.

1. The RN establishes, sustains and concludes relationships in a way that differentiates the boundaries between professional and personal relationships
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN recognises that people are the experts in the experience of their life
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN provides support and directs people to resources to optimise health-related decisions
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN advocates on behalf of people in a manner that respects the person’s autonomy and legal capacity
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN uses delegation, supervision, coordination, consultation and referrals in professional relationships to achieve improved health outcomes
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN actively fosters a culture of safety and learning that includes engaging with health professionals and others, to share knowledge and practice that supports person-centred care
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
8. The RN participates in and/or leads collaborative practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
9. The RN reports notifiable conduct of health professionals, health workers and others.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

3: Maintains the capability for practice.

1. The RN considers and responds in a timely manner to the health and wellbeing of self and others in relation to the capability for practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN provides the information and education required to enhance people's control over health
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN uses a lifelong learning approach for continuing professional development of self and others
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN accepts accountability for decisions, actions, behaviours and responsibilities inherent in their role, and for the actions of others to whom they have delegated responsibilities
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN seeks and responds to practice review and feedback
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN actively engages with the profession
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN identifies and promotes the integral role of nursing practice and the profession in influencing better health outcomes for people.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

4: Comprehensively conducts assessments.

1. The RN conducts assessments that are holistic as well as culturally appropriate
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN works in partnership to determine factors that affect, or potentially affect, the health and wellbeing of people and populations to determine priorities for action and/ or for referral
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN assesses the resources available to inform planning.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

5: Develops a plan for nursing practice.

1. The RN uses assessment data and best available evidence to develop a plan
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN collaboratively constructs nursing practice plans until contingencies, options priorities, goals, actions, outcomes and timeframes are agreed with the relevant persons
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN documents, evaluates and modifies plans accordingly to facilitate the agreed outcomes
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN plans and negotiates how practice will be evaluated and the time frame of engagement
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN coordinates resources effectively and efficiently for planned actions.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

6: Provides safe, appropriate and responsive quality nursing practice.

1. The RN provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN practises within their scope of practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN appropriately delegates aspects of practice to enrolled nurses and others, according to enrolled nurse’s scope of practice or others’ clinical or non-clinical roles
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN provides effective timely direction and supervision to ensure that delegated practice is safe and correct
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN practises in accordance with relevant policies, guidelines, standards, regulations and legislation
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN uses the appropriate processes to identify and report potential and actual risk related system issues and where practice may be below the expected standards.
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

7: Evaluates outcomes to inform nursing practice.

1. The RN evaluates and monitors progress towards the expected goals and outcomes
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN revises the plan based on the evaluation
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN determines, documents and communicates further priorities, goals and outcomes with the relevant persons.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

Course Learning Outcomes

This unit is designed to support your development of the following course/study area learning outcomes.

NS42 Bachelor of Nursing

1. Apply scientific knowledge and skills from nursing and related disciplines to the provision of safe, person-centred, evidence-based nursing care across the lifespan
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. Apply critical thinking, clinical reasoning, and digital literacy skills to make evidence- based decisions and evaluate outcomes
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. Practice as an ethical, socially inclusive, and culturally safe practitioner, reflective of your professional nursing identity across a range of health service settings.
   Relates to: Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. Enact and sustain effective communication skills, therapeutic relationships, and professional capabilities to practice independently and in inter and intra professional teams, to ensure safe, person-centred care
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. Demonstrate developing socially informed leadership capabilities to achieve positive individual and community outcomes in dynamic healthcare contexts.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

Unit Outline: Semester 2 2025, Kelvin Grove, Internal

Unit code:	NSB335
Credit points:	24
Pre-requisite:	NSB334

Overview

Clinical practice and evidence-based theory are integrated and critically applied at the completion of this unit (8 weeks / 320 hours of clinical practice) by demonstration of safe and effective person-centred care consistent with the NMBA Registered Nurse Standards of Practice. All Nursing and Midwifery Board of Australia (NMBA) and National Safety, Aged Care Standards and Quality Health Service (NSQHS) standards, as they apply to nursing practice, are further explored in this unit. This unit complements other third-year units and consolidates learning to date. This unit is a work integrated learning unit with you learning predominantly in off-campus health care contexts.

Mandatory assessment (Med+Safe exam) and classes to prepare for your work integrated learning start in Orientation week. Please check the published unit timetable.

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:

1. Demonstrate beginner practitioner level nursing care that is consistent with the principles of the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards at a beginner practitioner level.
2. Safely and accurately perform medication calculations and demonstrate safe administration of medicines in both the simulated environment and the clinical practice setting.
3. Demonstrate critical thinking and clinical reasoning in diverse and complex healthcare settings consistent with the provision of safe, quality person-centred care across the lifespan.
4. Coordinate and lead the provision of care for consumers, families, and the broader community, under supervision.

Content

Learning Approaches

Experiential learning is at the forefront of this unit, with you attending an extended period in the off-campus healthcare environment. Health care environments may include clinics and home-based, community, and acute-care facilities. Within these contexts, you will be expected to take on advanced responsibilities with respect to the coordination and leadership of care for consumers, families, and the wider community.

Preparation for this unit involves review of theoretical concepts explored in previous units to facilitate their application in practice. You will undertake a mandatory interprofessional education learning module which will require you to apply problem-solving and clinical decision-making skills. You will also be directed to revisit concepts relating to safe and quality use of medicines and the administration of same.

A peer learning community of practice will be used to encourage active collaboration and provide additional support and social engagement during placement off campus. Clinical supervisors will facilitate transfer of prior knowledge and skills to the real-world context, to enable you to demonstrate satisfactory achievement of criteria in the Australian Nursing Standards Assessment Tool (ANSAT) at the level of a beginning registered nurse. Learning experiences will include a focus on promoting implementation of evidence-based, scientific knowledge, communication, critical inquiry, digital literacy, and intra- and interprofessional collaboration as an ethical, socially inclusive, and culturally safe practitioner. 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. You cannot organise your own placements. You must be available for shift-work rostering which enables patient care to be delivered 24 hours a day, 7 days a week. Travel may be involved, and clinical placements can occur during semester breaks. Any absence from an off-campus clinical placement will reduce the opportunity for competence development, your performance may not be assessed and a grade of 'Unsatisfactory' may be awarded.

To be eligible for clinical placement you must complete required activities such as apply for a blue card and undertake first-aid training.  You must submit related mandatory documentation into QUT InPlace, before semester census date (end of week 4) or as specified in Canvas.  The Work Integrated Learning (WILS) team support this process and information on your required activities / documents is available in your InPlace home screen. Links are at HiQ InPlace for Health WIL placements.  If you do not complete mandatory activities and upload documentation you may not be able to progress to clinical placement.

Where absence is due to special or unforeseeable circumstances independently supported by documentation (e.g. medical certificate), every effort will be made to accommodate you in an alternate placement within the same semester or clinical completion hours in the future. If due to the nature of your special circumstances and/or limited placement availability an alternate placement cannot be negotiated, you 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.

If a student is absent due to illness during their clinical placement they are required to complete additional hours at a future time to meet the mandatory clinical completion hours for the unit, and cumulatively meet eligibility for graduation.

You will receive further additional information and explanation consistent with this statement on the unit Canvas site.

Feedback on Learning and Assessment

You will be provided with feedback and guidance to assist your learning throughout the semester through:

• Formative feedback in class interactions throughout semester, individually and/or as a group
• Peer and clinical facilitator feedback on skills acquisition within clinical practice sessions
• Feedback on clinical performance will be provided by the clinical facilitator using the ANSAT tool at an interim timepoint halfway through your clinical placement and formally at the end of clinical placement

Assessment

Overview

There are three assessments to be completed in this unit. You must attend 100% of the clinical practice sessions, achieve 100% in the medication calculations (within Med+Safe). You must also satisfactorily complete an interprofessional education learning module and achieve all criteria on the clinical performance (ANSAT) assessment tool to achieve an overall pass grade for this unit.

To receive a satisfactory grade in the unit, all hours that a student is absent from clinical placement require attendance at a clinical completion option. There is no capacity to offer unlimited opportunities for clinical completion hours. Failure to self-select clinical completion hours when invited (through the Work Integrated Learning team) and/or attend agreed clinical completion hours will cause delays to course progression. Failure to complete agreed clinical completion hours will result in the unit grade being finalised as unsatisfactory.

Unit Grading Scheme

S (Satisfactory) / U (Unsatisfactory)

Assessment Tasks

Assessment: Med+Safe

The exam consists of multiple choice questions regarding safe practice in MedSafe. 

MedSafe: Evidence of 100% successful completion of the required test in the Med+Safe application during the invigilated school-based exam time period. Test questions focus on calculations and the development of knowledge and skills associated with medication administration and quality use of medicines.

MedSafe certificates are awarded once you have achieved 100% for the designated test. The MedSafe certificate uploaded must reflect the date and time of your invigilated test, including your name exactly as it appears in the student's enrolment.

You may be eligible for one further opportunity to undertake this assessment if you do not achieve 100%. The same assessment conditions of invigilated exam apply.

Failure to complete this assessment within the specified timeframes and invigilated conditions will result in an unsatisfactory grade in this unit and withdrawal from your off-campus clinical work experience.

Threshold Assessment:

Professional accreditation mandates demonstration of safe practice in both skills performance and medication safety prior to work integrated learning.

Second attempt / resit: Evidence of 100% successful completion of the required test in the Med+Safe application during the invigilated school-based exam time period is required.

Due (indicative):

Assessment: Interprofessional education learning module

You will be provided with a link to the Faculty of Health Interprofessional Education (IPE) Canvas site where you need to undertake Module 3: Interprofessional Conflict and Collaboration, the relevant quiz and generate a certificate of completion.    

This learning activity extends your understanding of effective teamwork, collaboration and conflict resolution within the IPE context. The module uses scenarios and focuses on complex problems and team processes including leadership capabilities.

This assignment is eligible for the 48 hour late submission period and assignment extensions.

Threshold Assessment:

For the purpose of professional accreditation IPE activities need to be completed by the end of semester.

Due (indicative): by end of semester

Assessment: Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

In your assigned clinical placements, 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 Australian Nursing Standards Assessment Tool (ANSAT). You are required to demonstrate satisfactory achievement of the 7 standards (and related criteria) for this level. You will receive formative verbal and written feedback on your progress during the clinical placement. Each standard and criteria of the ANSAT must be achieved satisfactorily and 100% attendance is required for off-campus clinical placement experiences.

Threshold Assessment:

For the purpose of professional accreditation, demonstration of safe practice and performance consistent with the National Minimum Standards for Registration (NMBA) is required.

Due (indicative): Across the semester

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

Resource Materials

Prescribed text(s)

Brown, D., Edwards, H., Buckley, T. C. T., & Aitken, R. L. (2020). Lewis’s medical-surgical nursing : assessment and management of clinical problems (5th Australia and New Zealand Edition.). Elsevier.

Crisp, J., Douglas, C., Rebeiro, G., & Waters, D. (2021). Potter & Perry’s fundamentals of nursing (6th edition ; Australia and New Zealand). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Rebeiro, G., Wilson, D., & Fuller, S. (2021). Fundamentals of nursing : clinical skills workbook (4th edition.). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Software

Medsafe

Risk Assessment Statement

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. To minimise risks in this unit, it is essential that you:

• Participate in the healthcare 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.

Standards/Competencies

This unit is designed to support your development of the following standards\competencies.

Registered Nurse Standards for Practice

1: Thinks critically and analyses nursing practice.

1. The RN accesses, analyses, and uses the best available evidence, that includes research findings, for safe, quality practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN complies with legislation, regulations, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN uses ethical frameworks when making decisions
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN maintains accurate, comprehensive and timely documentation of assessments, planning, decision-making, actions and evaluations
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN contributes to quality improvement and relevant research.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

2: Engages in therapeutic and professional relationships.

1. The RN establishes, sustains and concludes relationships in a way that differentiates the boundaries between professional and personal relationships
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN recognises that people are the experts in the experience of their life
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN provides support and directs people to resources to optimise health-related decisions
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN advocates on behalf of people in a manner that respects the person’s autonomy and legal capacity
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN uses delegation, supervision, coordination, consultation and referrals in professional relationships to achieve improved health outcomes
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN actively fosters a culture of safety and learning that includes engaging with health professionals and others, to share knowledge and practice that supports person-centred care
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
8. The RN participates in and/or leads collaborative practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
9. The RN reports notifiable conduct of health professionals, health workers and others.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

3: Maintains the capability for practice.

1. The RN considers and responds in a timely manner to the health and wellbeing of self and others in relation to the capability for practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN provides the information and education required to enhance people's control over health
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN uses a lifelong learning approach for continuing professional development of self and others
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN accepts accountability for decisions, actions, behaviours and responsibilities inherent in their role, and for the actions of others to whom they have delegated responsibilities
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN seeks and responds to practice review and feedback
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN actively engages with the profession
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN identifies and promotes the integral role of nursing practice and the profession in influencing better health outcomes for people.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

4: Comprehensively conducts assessments.

1. The RN conducts assessments that are holistic as well as culturally appropriate
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN works in partnership to determine factors that affect, or potentially affect, the health and wellbeing of people and populations to determine priorities for action and/ or for referral
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN assesses the resources available to inform planning.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

5: Develops a plan for nursing practice.

1. The RN uses assessment data and best available evidence to develop a plan
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN collaboratively constructs nursing practice plans until contingencies, options priorities, goals, actions, outcomes and timeframes are agreed with the relevant persons
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN documents, evaluates and modifies plans accordingly to facilitate the agreed outcomes
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN plans and negotiates how practice will be evaluated and the time frame of engagement
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN coordinates resources effectively and efficiently for planned actions.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

6: Provides safe, appropriate and responsive quality nursing practice.

1. The RN provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN practises within their scope of practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN appropriately delegates aspects of practice to enrolled nurses and others, according to enrolled nurse’s scope of practice or others’ clinical or non-clinical roles
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN provides effective timely direction and supervision to ensure that delegated practice is safe and correct
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN practises in accordance with relevant policies, guidelines, standards, regulations and legislation
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN uses the appropriate processes to identify and report potential and actual risk related system issues and where practice may be below the expected standards.
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

7: Evaluates outcomes to inform nursing practice.

1. The RN evaluates and monitors progress towards the expected goals and outcomes
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN revises the plan based on the evaluation
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN determines, documents and communicates further priorities, goals and outcomes with the relevant persons.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

Course Learning Outcomes

This unit is designed to support your development of the following course/study area learning outcomes.

NS42 Bachelor of Nursing

1. Apply scientific knowledge and skills from nursing and related disciplines to the provision of safe, person-centred, evidence-based nursing care across the lifespan
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. Apply critical thinking, clinical reasoning, and digital literacy skills to make evidence- based decisions and evaluate outcomes
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. Practice as an ethical, socially inclusive, and culturally safe practitioner, reflective of your professional nursing identity across a range of health service settings.
   Relates to: Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. Enact and sustain effective communication skills, therapeutic relationships, and professional capabilities to practice independently and in inter and intra professional teams, to ensure safe, person-centred care
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. Demonstrate developing socially informed leadership capabilities to achieve positive individual and community outcomes in dynamic healthcare contexts.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

Unit Outline: Flexible Period - 10A 2025, Kelvin Grove, Internal (Start Date: 14 Jul 2025)

Unit code:	NSB335
Credit points:	24
Pre-requisite:	NSB334

Overview

Clinical practice and evidence-based theory are integrated and critically applied at the completion of this unit (8 weeks / 320 hours of clinical practice) by demonstration of safe and effective person-centred care consistent with the NMBA Registered Nurse Standards of Practice. All Nursing and Midwifery Board of Australia (NMBA) and National Safety, Aged Care Standards and Quality Health Service (NSQHS) standards, as they apply to nursing practice, are further explored in this unit. This unit complements other third-year units and consolidates learning to date. This unit is a work integrated learning unit with you learning predominantly in off-campus health care contexts.

Mandatory assessment (Med+Safe exam) and classes to prepare for your work integrated learning start in Orientation week. Please check the published unit timetable.

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:

1. Demonstrate beginner practitioner level nursing care that is consistent with the principles of the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards at a beginner practitioner level.
2. Safely and accurately perform medication calculations and demonstrate safe administration of medicines in both the simulated environment and the clinical practice setting.
3. Demonstrate critical thinking and clinical reasoning in diverse and complex healthcare settings consistent with the provision of safe, quality person-centred care across the lifespan.
4. Coordinate and lead the provision of care for consumers, families, and the broader community, under supervision.

Content

Learning Approaches

Experiential learning is at the forefront of this unit, with you attending an extended period in the off-campus healthcare environment. Health care environments may include clinics and home-based, community, and acute-care facilities. Within these contexts, you will be expected to take on advanced responsibilities with respect to the coordination and leadership of care for consumers, families, and the wider community.

Preparation for this unit involves review of theoretical concepts explored in previous units to facilitate their application in practice. You will undertake a mandatory interprofessional education learning module which will require you to apply problem-solving and clinical decision-making skills. You will also be directed to revisit concepts relating to safe and quality use of medicines and the administration of same.

A peer learning community of practice will be used to encourage active collaboration and provide additional support and social engagement during placement off campus. Clinical supervisors will facilitate transfer of prior knowledge and skills to the real-world context, to enable you to demonstrate satisfactory achievement of criteria in the Australian Nursing Standards Assessment Tool (ANSAT) at the level of a beginning registered nurse. Learning experiences will include a focus on promoting implementation of evidence-based, scientific knowledge, communication, critical inquiry, digital literacy, and intra- and interprofessional collaboration as an ethical, socially inclusive, and culturally safe practitioner. 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. You cannot organise your own placements. You must be available for shift-work rostering which enables patient care to be delivered 24 hours a day, 7 days a week. Travel may be involved, and clinical placements can occur during semester breaks. Any absence from an off-campus clinical placement will reduce the opportunity for competence development, your performance may not be assessed and a grade of 'Unsatisfactory' may be awarded.

To be eligible for clinical placement you must complete required activities such as apply for a blue card and undertake first-aid training.  You must submit related mandatory documentation into QUT InPlace, before semester census date (end of week 4) or as specified in Canvas.  The Work Integrated Learning (WILS) team support this process and information on your required activities / documents is available in your InPlace home screen. Links are at HiQ InPlace for Health WIL placements.  If you do not complete mandatory activities and upload documentation you may not be able to progress to clinical placement.

Where absence is due to special or unforeseeable circumstances independently supported by documentation (e.g. medical certificate), every effort will be made to accommodate you in an alternate placement within the same semester or clinical completion hours in the future. If due to the nature of your special circumstances and/or limited placement availability an alternate placement cannot be negotiated, you 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.

If a student is absent due to illness during their clinical placement they are required to complete additional hours at a future time to meet the mandatory clinical completion hours for the unit, and cumulatively meet eligibility for graduation.

You will receive further additional information and explanation consistent with this statement on the unit Canvas site.

Feedback on Learning and Assessment

You will be provided with feedback and guidance to assist your learning throughout the semester through:

• Formative feedback in class interactions throughout semester, individually and/or as a group
• Peer and clinical facilitator feedback on skills acquisition within clinical practice sessions
• Feedback on clinical performance will be provided by the clinical facilitator using the ANSAT tool at an interim timepoint halfway through your clinical placement and formally at the end of clinical placement

Assessment

Overview

There are three assessments to be completed in this unit. You must attend 100% of the clinical practice sessions, achieve 100% in the medication calculations (within Med+Safe). You must also satisfactorily complete an interprofessional education learning module and achieve all criteria on the clinical performance (ANSAT) assessment tool to achieve an overall pass grade for this unit.

To receive a satisfactory grade in the unit, all hours that a student is absent from clinical placement require attendance at a clinical completion option. There is no capacity to offer unlimited opportunities for clinical completion hours. Failure to self-select clinical completion hours when invited (through the Work Integrated Learning team) and/or attend agreed clinical completion hours will cause delays to course progression. Failure to complete agreed clinical completion hours will result in the unit grade being finalised as unsatisfactory.

Unit Grading Scheme

S (Satisfactory) / U (Unsatisfactory)

Assessment Tasks

Assessment: Med+Safe

The exam consists of multiple choice questions regarding safe practice in MedSafe. 

MedSafe: Evidence of 100% successful completion of the required test in the Med+Safe application during the invigilated school-based exam time period. Test questions focus on calculations and the development of knowledge and skills associated with medication administration and quality use of medicines.

MedSafe certificates are awarded once you have achieved 100% for the designated test. The MedSafe certificate uploaded must reflect the date and time of your invigilated test, including your name exactly as it appears in the student's enrolment.

You may be eligible for one further opportunity to undertake this assessment if you do not achieve 100%. The same assessment conditions of invigilated exam apply.

Failure to complete this assessment within the specified timeframes and invigilated conditions will result in an unsatisfactory grade in this unit and withdrawal from your off-campus clinical work experience.

Threshold Assessment:

Professional accreditation mandates demonstration of safe practice in both skills performance and medication safety prior to work integrated learning.

Second attempt / resit: Evidence of 100% successful completion of the required test in the Med+Safe application during the invigilated school-based exam time period is required.

Due (indicative):

Assessment: Interprofessional education learning module

You will be provided with a link to the Faculty of Health Interprofessional Education (IPE) Canvas site where you need to undertake Module 3: Interprofessional Conflict and Collaboration, the relevant quiz and generate a certificate of completion.    

This learning activity extends your understanding of effective teamwork, collaboration and conflict resolution within the IPE context. The module uses scenarios and focuses on complex problems and team processes including leadership capabilities.

This assignment is eligible for the 48 hour late submission period and assignment extensions.

Threshold Assessment:

For the purpose of professional accreditation IPE activities need to be completed by the end of semester.

Due (indicative): by end of semester

Assessment: Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

In your assigned clinical placements, 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 Australian Nursing Standards Assessment Tool (ANSAT). You are required to demonstrate satisfactory achievement of the 7 standards (and related criteria) for this level. You will receive formative verbal and written feedback on your progress during the clinical placement. Each standard and criteria of the ANSAT must be achieved satisfactorily and 100% attendance is required for off-campus clinical placement experiences.

Threshold Assessment:

For the purpose of professional accreditation, demonstration of safe practice and performance consistent with the National Minimum Standards for Registration (NMBA) is required.

Due (indicative): Across the semester

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

Resource Materials

Prescribed text(s)

Brown, D., Edwards, H., Buckley, T. C. T., & Aitken, R. L. (2020). Lewis’s medical-surgical nursing : assessment and management of clinical problems (5th Australia and New Zealand Edition.). Elsevier.

Crisp, J., Douglas, C., Rebeiro, G., & Waters, D. (2021). Potter & Perry’s fundamentals of nursing (6th edition ; Australia and New Zealand). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Rebeiro, G., Wilson, D., & Fuller, S. (2021). Fundamentals of nursing : clinical skills workbook (4th edition.). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Software

Medsafe

Risk Assessment Statement

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. To minimise risks in this unit, it is essential that you:

• Participate in the healthcare 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.

Standards/Competencies

This unit is designed to support your development of the following standards\competencies.

Registered Nurse Standards for Practice

1: Thinks critically and analyses nursing practice.

1. The RN accesses, analyses, and uses the best available evidence, that includes research findings, for safe, quality practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN complies with legislation, regulations, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN uses ethical frameworks when making decisions
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN maintains accurate, comprehensive and timely documentation of assessments, planning, decision-making, actions and evaluations
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN contributes to quality improvement and relevant research.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

2: Engages in therapeutic and professional relationships.

1. The RN establishes, sustains and concludes relationships in a way that differentiates the boundaries between professional and personal relationships
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN recognises that people are the experts in the experience of their life
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN provides support and directs people to resources to optimise health-related decisions
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN advocates on behalf of people in a manner that respects the person’s autonomy and legal capacity
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN uses delegation, supervision, coordination, consultation and referrals in professional relationships to achieve improved health outcomes
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN actively fosters a culture of safety and learning that includes engaging with health professionals and others, to share knowledge and practice that supports person-centred care
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
8. The RN participates in and/or leads collaborative practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
9. The RN reports notifiable conduct of health professionals, health workers and others.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

3: Maintains the capability for practice.

1. The RN considers and responds in a timely manner to the health and wellbeing of self and others in relation to the capability for practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN provides the information and education required to enhance people's control over health
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN uses a lifelong learning approach for continuing professional development of self and others
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN accepts accountability for decisions, actions, behaviours and responsibilities inherent in their role, and for the actions of others to whom they have delegated responsibilities
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN seeks and responds to practice review and feedback
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN actively engages with the profession
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN identifies and promotes the integral role of nursing practice and the profession in influencing better health outcomes for people.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

4: Comprehensively conducts assessments.

1. The RN conducts assessments that are holistic as well as culturally appropriate
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN works in partnership to determine factors that affect, or potentially affect, the health and wellbeing of people and populations to determine priorities for action and/ or for referral
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN assesses the resources available to inform planning.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

5: Develops a plan for nursing practice.

1. The RN uses assessment data and best available evidence to develop a plan
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN collaboratively constructs nursing practice plans until contingencies, options priorities, goals, actions, outcomes and timeframes are agreed with the relevant persons
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN documents, evaluates and modifies plans accordingly to facilitate the agreed outcomes
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN plans and negotiates how practice will be evaluated and the time frame of engagement
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN coordinates resources effectively and efficiently for planned actions.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

6: Provides safe, appropriate and responsive quality nursing practice.

1. The RN provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN practises within their scope of practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN appropriately delegates aspects of practice to enrolled nurses and others, according to enrolled nurse’s scope of practice or others’ clinical or non-clinical roles
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN provides effective timely direction and supervision to ensure that delegated practice is safe and correct
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN practises in accordance with relevant policies, guidelines, standards, regulations and legislation
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN uses the appropriate processes to identify and report potential and actual risk related system issues and where practice may be below the expected standards.
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

7: Evaluates outcomes to inform nursing practice.

1. The RN evaluates and monitors progress towards the expected goals and outcomes
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN revises the plan based on the evaluation
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN determines, documents and communicates further priorities, goals and outcomes with the relevant persons.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

Course Learning Outcomes

This unit is designed to support your development of the following course/study area learning outcomes.

NS42 Bachelor of Nursing

1. Apply scientific knowledge and skills from nursing and related disciplines to the provision of safe, person-centred, evidence-based nursing care across the lifespan
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. Apply critical thinking, clinical reasoning, and digital literacy skills to make evidence- based decisions and evaluate outcomes
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. Practice as an ethical, socially inclusive, and culturally safe practitioner, reflective of your professional nursing identity across a range of health service settings.
   Relates to: Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. Enact and sustain effective communication skills, therapeutic relationships, and professional capabilities to practice independently and in inter and intra professional teams, to ensure safe, person-centred care
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. Demonstrate developing socially informed leadership capabilities to achieve positive individual and community outcomes in dynamic healthcare contexts.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

Unit Outline: Flexible Period - 05A 2026, Kelvin Grove, Internal (Start Date: 16 Feb 2026)

Unit code:	NSB335
Credit points:	24
Pre-requisite:	NSB334

Overview

Clinical practice and evidence-based theory are integrated and critically applied at the completion of this unit (8 weeks / 320 hours of clinical practice) by demonstration of safe and effective person-centred care consistent with the NMBA Registered Nurse Standards of Practice. All Nursing and Midwifery Board of Australia (NMBA) and National Safety, Aged Care Standards and Quality Health Service (NSQHS) standards, as they apply to nursing practice, are further explored in this unit. This unit complements other third-year units and consolidates learning to date. This unit is a work integrated learning unit with you learning predominantly in off-campus health care contexts.

Mandatory assessment (Med+Safe exam) and classes to prepare for your work integrated learning start in Orientation week. Please check the published unit timetable.

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:

1. Demonstrate beginner practitioner level nursing care that is consistent with the principles of the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards at a beginner practitioner level.
2. Safely and accurately perform medication calculations and demonstrate safe administration of medicines in both the simulated environment and the clinical practice setting.
3. Demonstrate critical thinking and clinical reasoning in diverse and complex healthcare settings consistent with the provision of safe, quality person-centred care across the lifespan.
4. Coordinate and lead the provision of care for consumers, families, and the broader community, under supervision.

Content

Learning Approaches

Experiential learning is at the forefront of this unit, with you attending an extended period in the off-campus healthcare environment. Health care environments may include clinics and home-based, community, and acute-care facilities. Within these contexts, you will be expected to take on advanced responsibilities with respect to the coordination and leadership of care for consumers, families, and the wider community.

Preparation for this unit involves review of theoretical concepts explored in previous units to facilitate their application in practice. You will undertake a mandatory interprofessional education learning module which will require you to apply problem-solving and clinical decision-making skills. You will also be directed to revisit concepts relating to safe and quality use of medicines and the administration of same.

A peer learning community of practice will be used to encourage active collaboration and provide additional support and social engagement during placement off campus. Clinical supervisors will facilitate transfer of prior knowledge and skills to the real-world context, to enable you to demonstrate satisfactory achievement of criteria in the Australian Nursing Standards Assessment Tool (ANSAT) at the level of a beginning registered nurse. Learning experiences will include a focus on promoting implementation of evidence-based, scientific knowledge, communication, critical inquiry, digital literacy, and intra- and interprofessional collaboration as an ethical, socially inclusive, and culturally safe practitioner. 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. You cannot organise your own placements. You must be available for shift-work rostering which enables patient care to be delivered 24 hours a day, 7 days a week. Travel may be involved, and clinical placements can occur during semester breaks. Any absence from an off-campus clinical placement will reduce the opportunity for competence development, your performance may not be assessed and a grade of 'Unsatisfactory' may be awarded.

To be eligible for clinical placement you must complete required activities such as apply for a blue card and undertake first-aid training.  You must submit related mandatory documentation into QUT InPlace, before semester census date (end of week 4) or as specified in Canvas.  The Work Integrated Learning (WILS) team support this process and information on your required activities / documents is available in your InPlace home screen. Links are at HiQ InPlace for Health WIL placements.  If you do not complete mandatory activities and upload documentation you may not be able to progress to clinical placement.

Where absence is due to special or unforeseeable circumstances independently supported by documentation (e.g. medical certificate), every effort will be made to accommodate you in an alternate placement within the same semester or clinical completion hours in the future. If due to the nature of your special circumstances and/or limited placement availability an alternate placement cannot be negotiated, you 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.

If a student is absent due to illness during their clinical placement they are required to complete additional hours at a future time to meet the mandatory clinical completion hours for the unit, and cumulatively meet eligibility for graduation.

You will receive further additional information and explanation consistent with this statement on the unit Canvas site.

Feedback on Learning and Assessment

You will be provided with feedback and guidance to assist your learning throughout the semester through:

• Formative feedback in class interactions throughout semester, individually and/or as a group
• Peer and clinical facilitator feedback on skills acquisition within clinical practice sessions
• Feedback on clinical performance will be provided by the clinical facilitator using the ANSAT tool at an interim timepoint halfway through your clinical placement and formally at the end of clinical placement

Assessment

Overview

There are three assessments to be completed in this unit. You must attend 100% of the clinical practice sessions, achieve 100% in the medication calculations (within Med+Safe). You must also satisfactorily complete an interprofessional education learning module and achieve all criteria on the clinical performance (ANSAT) assessment tool to achieve an overall pass grade for this unit.

To receive a satisfactory grade in the unit, all hours that a student is absent from clinical placement require attendance at a clinical completion option. There is no capacity to offer unlimited opportunities for clinical completion hours. Failure to self-select clinical completion hours when invited (through the Work Integrated Learning team) and/or attend agreed clinical completion hours will cause delays to course progression. Failure to complete agreed clinical completion hours will result in the unit grade being finalised as unsatisfactory.

Unit Grading Scheme

S (Satisfactory) / U (Unsatisfactory)

Assessment Tasks

Assessment: Med+Safe

The exam consists of multiple choice questions regarding safe practice in MedSafe. 

MedSafe: Evidence of 100% successful completion of the required test in the Med+Safe application during the invigilated school-based exam time period. Test questions focus on calculations and the development of knowledge and skills associated with medication administration and quality use of medicines.

MedSafe certificates are awarded once you have achieved 100% for the designated test. The MedSafe certificate uploaded must reflect the date and time of your invigilated test, including your name exactly as it appears in the student's enrolment.

You may be eligible for one further opportunity to undertake this assessment if you do not achieve 100%. The same assessment conditions of invigilated exam apply.

Failure to complete this assessment within the specified timeframes and invigilated conditions will result in an unsatisfactory grade in this unit and withdrawal from your off-campus clinical work experience.

Threshold Assessment:

Professional accreditation mandates demonstration of safe practice in both skills performance and medication safety prior to work integrated learning.

Second attempt / resit: Evidence of 100% successful completion of the required test in the Med+Safe application during the invigilated school-based exam time period is required.

Due (indicative):

Assessment: Interprofessional education learning module

You will be provided with a link to the Faculty of Health Interprofessional Education (IPE) Canvas site where you need to undertake Module 3: Interprofessional Conflict and Collaboration, the relevant quiz and generate a certificate of completion.    

This learning activity extends your understanding of effective teamwork, collaboration and conflict resolution within the IPE context. The module uses scenarios and focuses on complex problems and team processes including leadership capabilities.

This assignment is eligible for the 48 hour late submission period and assignment extensions.

Threshold Assessment:

For the purpose of professional accreditation IPE activities need to be completed by the end of semester.

Due (indicative): by end of semester

Assessment: Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

In your assigned clinical placements, 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 Australian Nursing Standards Assessment Tool (ANSAT). You are required to demonstrate satisfactory achievement of the 7 standards (and related criteria) for this level. You will receive formative verbal and written feedback on your progress during the clinical placement. Each standard and criteria of the ANSAT must be achieved satisfactorily and 100% attendance is required for off-campus clinical placement experiences.

Threshold Assessment:

For the purpose of professional accreditation, demonstration of safe practice and performance consistent with the National Minimum Standards for Registration (NMBA) is required.

Due (indicative): Across the semester

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

Resource Materials

Prescribed text(s)

Brown, D., Edwards, H., Buckley, T. C. T., & Aitken, R. L. (2020). Lewis’s medical-surgical nursing : assessment and management of clinical problems (5th Australia and New Zealand Edition.). Elsevier.

Crisp, J., Douglas, C., Rebeiro, G., & Waters, D. (2021). Potter & Perry’s fundamentals of nursing (6th edition ; Australia and New Zealand). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Rebeiro, G., Wilson, D., & Fuller, S. (2021). Fundamentals of nursing : clinical skills workbook (4th edition.). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Software

Medsafe

Risk Assessment Statement

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. To minimise risks in this unit, it is essential that you:

• Participate in the healthcare 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.

Standards/Competencies

This unit is designed to support your development of the following standards\competencies.

Registered Nurse Standards for Practice

1: Thinks critically and analyses nursing practice.

1. The RN accesses, analyses, and uses the best available evidence, that includes research findings, for safe, quality practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN complies with legislation, regulations, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN uses ethical frameworks when making decisions
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN maintains accurate, comprehensive and timely documentation of assessments, planning, decision-making, actions and evaluations
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN contributes to quality improvement and relevant research.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

2: Engages in therapeutic and professional relationships.

1. The RN establishes, sustains and concludes relationships in a way that differentiates the boundaries between professional and personal relationships
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN recognises that people are the experts in the experience of their life
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN provides support and directs people to resources to optimise health-related decisions
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN advocates on behalf of people in a manner that respects the person’s autonomy and legal capacity
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN uses delegation, supervision, coordination, consultation and referrals in professional relationships to achieve improved health outcomes
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN actively fosters a culture of safety and learning that includes engaging with health professionals and others, to share knowledge and practice that supports person-centred care
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
8. The RN participates in and/or leads collaborative practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
9. The RN reports notifiable conduct of health professionals, health workers and others.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

3: Maintains the capability for practice.

1. The RN considers and responds in a timely manner to the health and wellbeing of self and others in relation to the capability for practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN provides the information and education required to enhance people's control over health
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN uses a lifelong learning approach for continuing professional development of self and others
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN accepts accountability for decisions, actions, behaviours and responsibilities inherent in their role, and for the actions of others to whom they have delegated responsibilities
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN seeks and responds to practice review and feedback
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN actively engages with the profession
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN identifies and promotes the integral role of nursing practice and the profession in influencing better health outcomes for people.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

4: Comprehensively conducts assessments.

1. The RN conducts assessments that are holistic as well as culturally appropriate
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN works in partnership to determine factors that affect, or potentially affect, the health and wellbeing of people and populations to determine priorities for action and/ or for referral
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN assesses the resources available to inform planning.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

5: Develops a plan for nursing practice.

1. The RN uses assessment data and best available evidence to develop a plan
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN collaboratively constructs nursing practice plans until contingencies, options priorities, goals, actions, outcomes and timeframes are agreed with the relevant persons
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN documents, evaluates and modifies plans accordingly to facilitate the agreed outcomes
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN plans and negotiates how practice will be evaluated and the time frame of engagement
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN coordinates resources effectively and efficiently for planned actions.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

6: Provides safe, appropriate and responsive quality nursing practice.

1. The RN provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN practises within their scope of practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN appropriately delegates aspects of practice to enrolled nurses and others, according to enrolled nurse’s scope of practice or others’ clinical or non-clinical roles
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN provides effective timely direction and supervision to ensure that delegated practice is safe and correct
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN practises in accordance with relevant policies, guidelines, standards, regulations and legislation
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN uses the appropriate processes to identify and report potential and actual risk related system issues and where practice may be below the expected standards.
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

7: Evaluates outcomes to inform nursing practice.

1. The RN evaluates and monitors progress towards the expected goals and outcomes
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN revises the plan based on the evaluation
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN determines, documents and communicates further priorities, goals and outcomes with the relevant persons.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

Course Learning Outcomes

This unit is designed to support your development of the following course/study area learning outcomes.

NS42 Bachelor of Nursing

1. Apply scientific knowledge and skills from nursing and related disciplines to the provision of safe, person-centred, evidence-based nursing care across the lifespan
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. Apply critical thinking, clinical reasoning, and digital literacy skills to make evidence- based decisions and evaluate outcomes
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. Practice as an ethical, socially inclusive, and culturally safe practitioner, reflective of your professional nursing identity across a range of health service settings.
   Relates to: Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. Enact and sustain effective communication skills, therapeutic relationships, and professional capabilities to practice independently and in inter and intra professional teams, to ensure safe, person-centred care
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. Demonstrate developing socially informed leadership capabilities to achieve positive individual and community outcomes in dynamic healthcare contexts.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

Unit Outline: Flexible Period - 10A 2026, Kelvin Grove, Internal (Start Date: 14 Jul 2025)

Unit code:	NSB335
Credit points:	24
Pre-requisite:	NSB334

Overview

Clinical practice and evidence-based theory are integrated and critically applied at the completion of this unit (8 weeks / 320 hours of clinical practice) by demonstration of safe and effective person-centred care consistent with the NMBA Registered Nurse Standards of Practice. All Nursing and Midwifery Board of Australia (NMBA) and National Safety, Aged Care Standards and Quality Health Service (NSQHS) standards, as they apply to nursing practice, are further explored in this unit. This unit complements other third-year units and consolidates learning to date. This unit is a work integrated learning unit with you learning predominantly in off-campus health care contexts.

Mandatory assessment (Med+Safe exam) and classes to prepare for your work integrated learning start in Orientation week. Please check the published unit timetable.

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:

1. Demonstrate beginner practitioner level nursing care that is consistent with the principles of the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards at a beginner practitioner level.
2. Safely and accurately perform medication calculations and demonstrate safe administration of medicines in both the simulated environment and the clinical practice setting.
3. Demonstrate critical thinking and clinical reasoning in diverse and complex healthcare settings consistent with the provision of safe, quality person-centred care across the lifespan.
4. Coordinate and lead the provision of care for consumers, families, and the broader community, under supervision.

Content

Learning Approaches

Experiential learning is at the forefront of this unit, with you attending an extended period in the off-campus healthcare environment. Health care environments may include clinics and home-based, community, and acute-care facilities. Within these contexts, you will be expected to take on advanced responsibilities with respect to the coordination and leadership of care for consumers, families, and the wider community.

Preparation for this unit involves review of theoretical concepts explored in previous units to facilitate their application in practice. You will undertake a mandatory interprofessional education learning module which will require you to apply problem-solving and clinical decision-making skills. You will also be directed to revisit concepts relating to safe and quality use of medicines and the administration of same.

A peer learning community of practice will be used to encourage active collaboration and provide additional support and social engagement during placement off campus. Clinical supervisors will facilitate transfer of prior knowledge and skills to the real-world context, to enable you to demonstrate satisfactory achievement of criteria in the Australian Nursing Standards Assessment Tool (ANSAT) at the level of a beginning registered nurse. Learning experiences will include a focus on promoting implementation of evidence-based, scientific knowledge, communication, critical inquiry, digital literacy, and intra- and interprofessional collaboration as an ethical, socially inclusive, and culturally safe practitioner. 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. You cannot organise your own placements. You must be available for shift-work rostering which enables patient care to be delivered 24 hours a day, 7 days a week. Travel may be involved, and clinical placements can occur during semester breaks. Any absence from an off-campus clinical placement will reduce the opportunity for competence development, your performance may not be assessed and a grade of 'Unsatisfactory' may be awarded.

To be eligible for clinical placement you must complete required activities such as apply for a blue card and undertake first-aid training.  You must submit related mandatory documentation into QUT InPlace, before semester census date (end of week 4) or as specified in Canvas.  The Work Integrated Learning (WILS) team support this process and information on your required activities / documents is available in your InPlace home screen. Links are at HiQ InPlace for Health WIL placements.  If you do not complete mandatory activities and upload documentation you may not be able to progress to clinical placement.

Where absence is due to special or unforeseeable circumstances independently supported by documentation (e.g. medical certificate), every effort will be made to accommodate you in an alternate placement within the same semester or clinical completion hours in the future. If due to the nature of your special circumstances and/or limited placement availability an alternate placement cannot be negotiated, you 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.

If a student is absent due to illness during their clinical placement they are required to complete additional hours at a future time to meet the mandatory clinical completion hours for the unit, and cumulatively meet eligibility for graduation.

You will receive further additional information and explanation consistent with this statement on the unit Canvas site.

Feedback on Learning and Assessment

You will be provided with feedback and guidance to assist your learning throughout the semester through:

• Formative feedback in class interactions throughout semester, individually and/or as a group
• Peer and clinical facilitator feedback on skills acquisition within clinical practice sessions
• Feedback on clinical performance will be provided by the clinical facilitator using the ANSAT tool at an interim timepoint halfway through your clinical placement and formally at the end of clinical placement

Assessment

Overview

There are three assessments to be completed in this unit. You must attend 100% of the clinical practice sessions, achieve 100% in the medication calculations (within Med+Safe). You must also satisfactorily complete an interprofessional education learning module and achieve all criteria on the clinical performance (ANSAT) assessment tool to achieve an overall pass grade for this unit.

To receive a satisfactory grade in the unit, all hours that a student is absent from clinical placement require attendance at a clinical completion option. There is no capacity to offer unlimited opportunities for clinical completion hours. Failure to self-select clinical completion hours when invited (through the Work Integrated Learning team) and/or attend agreed clinical completion hours will cause delays to course progression. Failure to complete agreed clinical completion hours will result in the unit grade being finalised as unsatisfactory.

Unit Grading Scheme

S (Satisfactory) / U (Unsatisfactory)

Assessment Tasks

Assessment: Med+Safe

The exam consists of multiple choice questions regarding safe practice in MedSafe. 

MedSafe: Evidence of 100% successful completion of the required test in the Med+Safe application during the invigilated school-based exam time period. Test questions focus on calculations and the development of knowledge and skills associated with medication administration and quality use of medicines.

MedSafe certificates are awarded once you have achieved 100% for the designated test. The MedSafe certificate uploaded must reflect the date and time of your invigilated test, including your name exactly as it appears in the student's enrolment.

You may be eligible for one further opportunity to undertake this assessment if you do not achieve 100%. The same assessment conditions of invigilated exam apply.

Failure to complete this assessment within the specified timeframes and invigilated conditions will result in an unsatisfactory grade in this unit and withdrawal from your off-campus clinical work experience.

Threshold Assessment:

Professional accreditation mandates demonstration of safe practice in both skills performance and medication safety prior to work integrated learning.

Second attempt / resit: Evidence of 100% successful completion of the required test in the Med+Safe application during the invigilated school-based exam time period is required.

Due (indicative):

Assessment: Interprofessional education learning module

You will be provided with a link to the Faculty of Health Interprofessional Education (IPE) Canvas site where you need to undertake Module 3: Interprofessional Conflict and Collaboration, the relevant quiz and generate a certificate of completion.    

This learning activity extends your understanding of effective teamwork, collaboration and conflict resolution within the IPE context. The module uses scenarios and focuses on complex problems and team processes including leadership capabilities.

This assignment is eligible for the 48 hour late submission period and assignment extensions.

Threshold Assessment:

For the purpose of professional accreditation IPE activities need to be completed by the end of semester.

Due (indicative): by end of semester

Assessment: Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

In your assigned clinical placements, 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 Australian Nursing Standards Assessment Tool (ANSAT). You are required to demonstrate satisfactory achievement of the 7 standards (and related criteria) for this level. You will receive formative verbal and written feedback on your progress during the clinical placement. Each standard and criteria of the ANSAT must be achieved satisfactorily and 100% attendance is required for off-campus clinical placement experiences.

Threshold Assessment:

For the purpose of professional accreditation, demonstration of safe practice and performance consistent with the National Minimum Standards for Registration (NMBA) is required.

Due (indicative): Across the semester

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

Resource Materials

Prescribed text(s)

Brown, D., Edwards, H., Buckley, T. C. T., & Aitken, R. L. (2020). Lewis’s medical-surgical nursing : assessment and management of clinical problems (5th Australia and New Zealand Edition.). Elsevier.

Crisp, J., Douglas, C., Rebeiro, G., & Waters, D. (2021). Potter & Perry’s fundamentals of nursing (6th edition ; Australia and New Zealand). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Rebeiro, G., Wilson, D., & Fuller, S. (2021). Fundamentals of nursing : clinical skills workbook (4th edition.). Elsevier Australia a division of Reed International Books Australia Pty Ltd.

Software

Medsafe

Risk Assessment Statement

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. To minimise risks in this unit, it is essential that you:

• Participate in the healthcare 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.

Standards/Competencies

This unit is designed to support your development of the following standards\competencies.

Registered Nurse Standards for Practice

1: Thinks critically and analyses nursing practice.

1. The RN accesses, analyses, and uses the best available evidence, that includes research findings, for safe, quality practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN complies with legislation, regulations, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN uses ethical frameworks when making decisions
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN maintains accurate, comprehensive and timely documentation of assessments, planning, decision-making, actions and evaluations
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN contributes to quality improvement and relevant research.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

2: Engages in therapeutic and professional relationships.

1. The RN establishes, sustains and concludes relationships in a way that differentiates the boundaries between professional and personal relationships
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN recognises that people are the experts in the experience of their life
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN provides support and directs people to resources to optimise health-related decisions
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN advocates on behalf of people in a manner that respects the person’s autonomy and legal capacity
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN uses delegation, supervision, coordination, consultation and referrals in professional relationships to achieve improved health outcomes
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN actively fosters a culture of safety and learning that includes engaging with health professionals and others, to share knowledge and practice that supports person-centred care
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
8. The RN participates in and/or leads collaborative practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
9. The RN reports notifiable conduct of health professionals, health workers and others.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

3: Maintains the capability for practice.

1. The RN considers and responds in a timely manner to the health and wellbeing of self and others in relation to the capability for practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN provides the information and education required to enhance people's control over health
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN uses a lifelong learning approach for continuing professional development of self and others
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN accepts accountability for decisions, actions, behaviours and responsibilities inherent in their role, and for the actions of others to whom they have delegated responsibilities
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN seeks and responds to practice review and feedback
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN actively engages with the profession
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
7. The RN identifies and promotes the integral role of nursing practice and the profession in influencing better health outcomes for people.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

4: Comprehensively conducts assessments.

1. The RN conducts assessments that are holistic as well as culturally appropriate
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN works in partnership to determine factors that affect, or potentially affect, the health and wellbeing of people and populations to determine priorities for action and/ or for referral
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN assesses the resources available to inform planning.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

5: Develops a plan for nursing practice.

1. The RN uses assessment data and best available evidence to develop a plan
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN collaboratively constructs nursing practice plans until contingencies, options priorities, goals, actions, outcomes and timeframes are agreed with the relevant persons
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN documents, evaluates and modifies plans accordingly to facilitate the agreed outcomes
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN plans and negotiates how practice will be evaluated and the time frame of engagement
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN coordinates resources effectively and efficiently for planned actions.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

6: Provides safe, appropriate and responsive quality nursing practice.

1. The RN provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN practises within their scope of practice
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN appropriately delegates aspects of practice to enrolled nurses and others, according to enrolled nurse’s scope of practice or others’ clinical or non-clinical roles
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. The RN provides effective timely direction and supervision to ensure that delegated practice is safe and correct
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. The RN practises in accordance with relevant policies, guidelines, standards, regulations and legislation
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
6. The RN uses the appropriate processes to identify and report potential and actual risk related system issues and where practice may be below the expected standards.
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

7: Evaluates outcomes to inform nursing practice.

1. The RN evaluates and monitors progress towards the expected goals and outcomes
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. The RN revises the plan based on the evaluation
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. The RN determines, documents and communicates further priorities, goals and outcomes with the relevant persons.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience

Course Learning Outcomes

This unit is designed to support your development of the following course/study area learning outcomes.

NS42 Bachelor of Nursing

1. Apply scientific knowledge and skills from nursing and related disciplines to the provision of safe, person-centred, evidence-based nursing care across the lifespan
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
2. Apply critical thinking, clinical reasoning, and digital literacy skills to make evidence- based decisions and evaluate outcomes
   Relates to: Med+Safe , Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
3. Practice as an ethical, socially inclusive, and culturally safe practitioner, reflective of your professional nursing identity across a range of health service settings.
   Relates to: Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
4. Enact and sustain effective communication skills, therapeutic relationships, and professional capabilities to practice independently and in inter and intra professional teams, to ensure safe, person-centred care
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience
5. Demonstrate developing socially informed leadership capabilities to achieve positive individual and community outcomes in dynamic healthcare contexts.
   Relates to: Interprofessional education learning module, Practice performance – Clinical placement 8 weeks /320 hours in total) off-campus clinical work experience