Course Title: Perform clinical assessment and contribute to planning nursing care
Part B: Course Detail
Teaching Period: Term2 2018
Course Code: NURS5376C
Course Title: Perform clinical assessment and contribute to planning nursing care
School: 174T School of VE Engineering, Health & Science
Campus: Bundoora Campus
Program: C5365 - Diploma of Nursing
Course Contact: Jaye Keating
Course Contact Phone: +61 3 9925 4845
Course Contact Email: jaye.keating@rmit.edu.au
Name and Contact Details of All Other Relevant Staff
Teacher -Eleisha Petdro
Eleisha.petdro@rmit.edu.au
Nominal Hours: 50
Regardless of the mode of delivery, represent a guide to the relative teaching time and student effort required to successfully achieve a particular competency/module. This may include not only scheduled classes or workplace visits but also the amount of effort required to undertake, evaluate and complete all assessment requirements, including any non-classroom activities.
Pre-requisites and Co-requisites
There are no pre-requisites for this unit of competency.
Course Description
This course of competency describes the skills and knowledge required, within the scope of practice, to perform preliminary and ongoing physical health assessments of all body systems, gathering data that contributes to a person’s individualised health care plan.
This course applies to enrolled nursing work carried out in consultation and collaboration with registered nurses, and under supervisory arrangements aligned to the Nursing and Midwifery Board of Australia regulatory authority legislative requirements.
This course includes a Work Integrated Learning experience in which your knowledge and skills will be applied and assessed in a real or simulated workplace context and where feedback from industry and/or community is integral to your experience.
This course includes clinical placement.
National Codes, Titles, Elements and Performance Criteria
National Element Code & Title: |
HLTENN003 Perform clinical assessment and contribute to planning nursing care |
Element: |
1. Collect and interpret health data |
Performance Criteria: |
1.1 Introduce self and explain processes before commencing nursing assessment activities. 1.2 Gather information from the person, or their family or carer if the person is unable to communicate, using culturally appropriate strategies. 1.3 Document the person's gender, age and cultural, religious or spiritual data when undertaking the preliminary health assessment. 1.4 Measure the person's vital signs using appropriate biomedical equipment according to the acuity of care and the person's physical characteristics. 1.5 Perform clinical measurements and assessments when undertaking the clinical nursing assessment, identifying the person's developmental state. 1.6 Record objectively the person's lifestyle patterns, health history, current health practices, coping mechanisms, issues and needs. 1.7 Clarify the emotional and physical needs of the family or carer in supporting the person. 1.8 Use critical thinking to interpret objective and subjective data from the assessment, and determine if the data is or is not within normal range. 1.9 Communicate immediately all deterioration concerns about the person to registered nurse. |
Element: |
2.Undertake admission and discharge procedures |
Performance Criteria: |
2.1 Collect data from the person for admission and discharge planning as required by organisation policy and procedures. 2.2 Contribute to nursing assessment by documenting the person's values and attitudes regarding health care, and any issues they may be experiencing that may impact on a timely discharge. 2.3 Identify community support services and resources to assist in planning for discharge. 2.4 Ensure the person has all discharge planning requirements including General Practitioner appointment and any medications and referrals. |
Element: |
3. Contribute to planning the nursing care of a person |
Performance Criteria: |
3.1 Analyse a person's health history and clinical assessment to identify risks and likely impacts on activities of daily living, and the health care that is required. 3.2 Outline a plan of care using a problem-solving approach and ensuring strategic care planning appropriate to the person's needs. 3.3 Clarify and reflect the person's interests and physical, emotional and psychosocial needs in care planning and documentation. |
Element: |
4. Contribute to ongoing development of individual nursing care plans. |
Performance Criteria: |
4.1 Analyse, using critical thinking, the rationale for specific decisions and the course of action taken in the person's nursing care plan. 4.2 Confirm with the person, family or carer that planned nursing care provided reflects the person's needs including their uniqueness, culture, religious beliefs and management of stress. 4.3 Ensure nursing care plan is based on principles of best practice and risk assessment. 4.4 Raise with the registered nurse or interdisciplinary health care team any conflicts between the nursing care plan and an already prescribed plan of care for the person. |
Learning Outcomes
The critical learning for this course takes place in clinical placement within the health sector and within simulations in RMIT laboratories.
You will be instructed in skills through demonstration, modelling and role-play. Skills development is supported by lectures on theory and underpinning knowledge, classroom discussions, group work, research and reflective practice.
On completion of this course you should be able to:
- Collect and interpret health data.
1.1 Introduce self and explain processes before commencing nursing assessment activities.
1.2 Gather information from the person, or their family or carer if the person is unable to communicate, using culturally appropriate strategies.
1.3 Document the person’s gender, age and cultural, religious or spiritual data when undertaking the preliminary health assessment.
1.4 Measure the person’s vital signs using appropriate biomedical equipment according to the acuity of care and the person’s physical characteristics.
1.5 Perform clinical measurements and assessments when undertaking the clinical nursing assessment, identifying the person’s developmental state.
1.6 Record objectively the person’s lifestyle patterns, health history, current health practices, coping mechanisms, issues and needs.
1.7 Clarify the emotional and physical needs of the family or carer in supporting the person.
1.8 Use critical thinking to interpret objective and subjective data from the assessment, and determine if the data is or is not within normal range.
1.9 Communicate immediately all deterioration concerns about the person to registered nurse.
- Undertake admission and discharge procedures for a person.
2.1 Collect data from the person for admission and discharge planning as required by organisation policy and procedures.
2.2 Contribute to nursing assessment by documenting the person’s values and attitudes regarding health care, and any issues they may be experiencing that may impact on a timely discharge.
2.3 Identify community support services and resources to assist in planning for discharge.
2.4 Ensure the person has all discharge planning requirements including General Practitioner appointment and any medications and referrals.
- Contribute to planning the nursing care of a person.
3.1 Analyse a person’s health history and clinical assessment to identify risks and likely impacts on activities of daily living, and the health care that is required.
3.2 Outline a plan of care using a problem-solving approach and ensuring strategic care planning appropriate to the person’s needs.
3.3 Clarify and reflect the person’s interests and physical, emotional and psychosocial needs in care planning and documentation.
- Contribute to ongoing development of individual nursing care plans
4.1 Analyse, using critical thinking, the rationale for specific decisions and the course of action taken in the person’s nursing care plan.
4.2 Confirm with the person, family or carer that planned nursing care provided reflects the person’s needs including their uniqueness, culture, religious beliefs and management of stress.
4.3 Ensure nursing care plan is based on principles of best practice and risk assessment.
4.4 Raise with the registered nurse or interdisciplinary health care team any conflicts between the nursing care plan and an already prescribed plan of care for the person.
Details of Learning Activities
Learning Activities
All learning activities you will undertake within the course are designed to provide you with the skills, knowledge and attitudes required to perform to the standard expected in the health industry.
Learning activities include:
Face to face Tutorials – introduce you to the key concepts within the course
Practical workshops – provide an opportunity to practise your skills in a simulated work environment
Online Activities – provide you with formative feedback and facilitate your learning as you progress through your learning.
Clinical placement – provides you with practical experience in a nursing workplace.
Teaching Schedule
Training Schedule
Week |
Content |
Assessment |
Lab Sessions |
WK 7 |
Lesson 1: Introduction Assessments Lifespan and growth Genetics and environment |
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WK 8 |
Lesson 2: Gender centred care impact of infertility care of a person with a disability |
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WK 9 |
Clinical Placement (CP1) |
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WK 10 |
Clinical Placement (CP1) |
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WK 11 |
Lesson 3: Clinical observations, part 1 |
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WK 12 |
Lesson 4: Clinical observation, part 2 |
AT1: Life Stages Assignment is due online via Turnitin |
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WK 13 |
Lesson 5: Primary and secondary nursing assessment |
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WK 14 |
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Lab Session 1: Vital signs demonstration and practice |
WK 15 |
Lab Session 2: Admission and discharge BGL demo and practice FWT demo and practice |
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WK 16 |
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WK 17 |
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End of Semester 1 2018 | |||
Beginning of Semester 2 2019 | |||
WK 1 |
Lesson 6: Nursing assessment Systems assessment |
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WK 2 |
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Lab Session 3 |
WK 3 |
Lesson 7: Admission and discharge process |
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WK 4 |
Lesson 8: Recognising a deteriorating patient |
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WK 5 |
AT4: Clinical placement CP2 |
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WK 6 |
AT4: Clinical placement CP2 | ||
WK 7 |
AT4: Clinical placement CP2 | ||
WK 8 |
AT4: Clinical placement CP2 | ||
WK 9 |
Lab Session 4 |
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WK 10
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Lesson 9: Interpretation and analysis of person health related information |
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WK 11
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Lab session 5 | ||
WK 12 | AT2: Pactical skills assessment: clinical assessment | ||
WK 13 | |||
WK 14 | AT 3: Health assessment and nursing care plan | ||
End of Semester 2 2019 |
Timetable Subject to change: Placement times may vary
Learning Resources
Prescribed Texts
References
Other Resources
Textbooks are not compulsory and can be accessed via the library website
Recommended texts for this subject are:
- Nursing Diagnosis Handbook An Evidence-based Guide to Planning Care, 11th edition, (2017) Ackley, B., Ladwig, G., & Flynn Makic, M. (1st and 2nd year)
- Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems, 4th edition, (2014) Brown, D., Edwards, H., Seaton, L., & Buckley, T. (1st and 2nd year)
- Tabbner's Nursing Care: Theory and Practice, 7th edition, (2016), Koutoukidis, G., Stainton,K., & Hughson, J. (1st and 2nd year)
- Jarvis's Physical Examination and Health Assessment, 2nd edition, (2015), Forbes, H., & Watt, E. (1st and 2nd year)
Overview of Assessment
This assessment will incorporate a variety of methods including written, oral, practical tasks and activities.
You will be asked to personally demonstrate to your teacher/assessor the practical skills gained during this course to the relevant industry standards. Assessment activities will occur throughout this course and feedback will be provided at regular intervals
Students must pass each of the following assessment tasks to demonstrate competent.
Assessment tasks
To be deemed competent you must demonstrate an understanding of all aspects required of the competency. Assessment methods have been designed to measure your achievement of each competency in a flexible manner over multiple tasks.
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Assessment Tasks
Assessment Tasks
AT1. Life stages research assignment
Due date: WK 12 semester 1
This research assignment will allow you to consolidate knowledge about human development, genetics and environment, impact on infertility and holistic care of a patient and their family
AT2. Practical skills assessment
Due date: post lab 5, semester 2
This is a practical assessment where the student will be given a "patient" and case scenario in a simulated environment where the student will complete an admission, a full set of vital signs, blood glucose level, urinalysis, neurological observations and associated documentation. Students will have 45 minutes to complete the assessment
AT3. Health assessment and nursing care plan
Due date: 2 weeks post AT2, semester 2
Using information gathered from AT2, students will be given any additional information in order to complete and admission and discharge tool, health care assessment, identify actual and potential nursing problems and develop a nursing care plan.
AT4. Clinical placement
Due date: Clinical logbook due 2 weeks post completion of placement
Clinical placement allows students to put their new knowledge into practical use, to experience time in the field to learn from peers and the true challenges of nursing.
You need to graded satisfactory on each assessment task to be deemed competent for this course.
Assessment Matrix
Performance Criteria |
Related Assessment Task |
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AT 1 |
AT 2 |
AT 3 |
AT 4 |
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1.1 |
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x |
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x |
1.2 |
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X |
x |
1.3 |
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x |
x |
x |
1.4 |
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x |
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x |
1.5 |
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x |
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x |
1.6 |
x |
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x |
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1.7 |
x |
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x |
1.8 |
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x |
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x |
1.9 |
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x |
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x |
2.1 |
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x |
x |
2.2 |
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x |
x |
2.3 |
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x |
x |
2.4 |
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x |
x |
3.1 |
x |
x |
x |
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3.2 |
x |
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x |
x |
3.3 |
x |
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x |
x |
4.1 |
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x |
x |
4.2 |
x |
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x |
x |
4.3 |
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x |
x |
4.4 |
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x |
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x |
Other Information
Other Information
Please refer to the RMIT Student Page for extensive information about study support, assessments, extensions, appeals and a range of other matters: http://www1.rmit.edu.au/students
Re-submissions:
You are permitted to have a maximum of 2 res-submissions for this course, however each individual assessment may only be resubmitted once. Re-submissions are not automatic and will only be approved at the discretion of the program coordinator after consultation with the teacher.
All re-submissions must be completed and submitted no more than 7 days after your work has been assessed. Please note an opportunity to repeat clinical placement is not guaranteed and will be at the discretion of the Clinical Coordinator/Program Manager.Attendance
It is a requirement that you attend all sessions in order to engage in the required learning activities, ensure the maximum opportunity to gain competency.
Special Consideration
Use the special consideration process if your circumstances are such that you cannot fulfil assessment requirements. For example, if you are unable to complete any piece of assessment by a due date, you will need to apply for an extension.
Academic Integrity and Plagiarism
RMIT has a strict policy on plagiarism and academic integrity. Please refer to: http://www1.rmit.edu.au/students/academic-integrity for more information.
Working with Children Check and Police Check
This course requires a Working with Children Check and Police Check
Course Overview: Access Course Overview