NURSING 1011 - Health Assessment and Clinical Nursing II

North Terrace Campus - Semester 2 - 2024

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

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Course Details

Course Code	NURSING 1011
Course	Health Assessment and Clinical Nursing II
Coordinating Unit	Adelaide Nursing School
Term	Semester 2
Level	Undergraduate
Location/s	North Terrace Campus
Units	3
Contact	Up to 4 hours per week
Available for Study Abroad and Exchange	N
Prerequisites	NURSING 1007
Restrictions	Bachelor of Nursing
Assessment	Clinical record, health numeracy RSD level 1, assessment of a person with pain, OSCE

Course Staff

Course Coordinator: Ms Janet Smith

Janet Smith

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

Level 4, Adelaide Health & Medical Sciences Building

Cnr North Terrace & George Street

ADELAIDE SA 5005

T: +61 8 8313 1168 | E: janet.smith@adelaide.edu.au

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

School Office
Phone: +61 8 8313 3654
Email: nursing@adelaide.edu.auÂ

Course Timetable

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

Course Learning Outcomes

1	Further, develop nursing skills and patient assessment utilising evidenced based practice
2	Develop critical thinking skills utilising the clinical reasoning cycle
3	Learn about how to establish and monitor intravenous therapy
4	Learn about the management & treatment of diabetes and the skill of obtaining a blood glucose level
5	Gain an understanding of the administration of medication and the six rights
6	Learn about the application and management of patients who require oxygen therapy
7	Develop the skills to recognise and manage emergencies such as syncope, bleeding and seizures
8	Learn the importance of pain assessment and management
9	Discuss the patient admission and discharge process in the hospital setting
10	Develop the skills to care for older people in both the acute care and aged care sectors.

University Graduate Attributes

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

University Graduate Attribute	Course Learning Outcome(s)
Attribute 1: Deep discipline knowledge and intellectual breadth Graduates have comprehensive knowledge and understanding of their subject area, the ability to engage with different traditions of thought, and the ability to apply their knowledge in practice including in multi-disciplinary or multi-professional contexts.	1,2
Attribute 2: Creative and critical thinking, and problem solving Graduates are effective problems-solvers, able to apply critical, creative and evidence-based thinking to conceive innovative responses to future challenges.	3,4
Attribute 3: Teamwork and communication skills Graduates convey ideas and information effectively to a range of audiences for a variety of purposes and contribute in a positive and collaborative manner to achieving common goals.	2,4,7
Attribute 4: Professionalism and leadership readiness Graduates engage in professional behaviour and have the potential to be entrepreneurial and take leadership roles in their chosen occupations or careers and communities.	7, 8, 10
Attribute 5: Intercultural and ethical competency Graduates are responsible and effective global citizens whose personal values and practices are consistent with their roles as responsible members of society.	8
Attribute 6: Australian Aboriginal and Torres Strait Islander cultural competency Graduates have an understanding of, and respect for, Australian Aboriginal and Torres Strait Islander values, culture and knowledge.	8
Attribute 7: Digital capabilities Graduates are well prepared for living, learning and working in a digital society.	5
Attribute 8: Self-awareness and emotional intelligence Graduates are self-aware and reflective; they are flexible and resilient and have the capacity to accept and give constructive feedback; they act with integrity and take responsibility for their actions.	5,6,9

Learning Resources

Required Resources

Crisp, J, Taylor, C. Douglas C & Ribeiro, G 2018, Potter & Perry’s Fundamentals of Nursing, 5th edn, Elsevier, Chatswood, NSW.

Lewis, P & Foley, D 2020, Weber & Kelley’s Health assessment in nursing, 3rd edn, Lippincott Williams & Wilkins, Australia.

Tollefson, J & Hillman, E 2019, Clinical psychomotor skills: Assessment Skills for Nurses, 7th edn, Cengage Learning, South Melbourne, VIC, Australia.

Intellilearn, Medication Management for Health Professionals An interactive course to develop and assess skills in medication management. Australia. This online resource is provided to all students free of charge.

McKenna, L & Mirkov, S 2021, Mckenna’s drug handbook for nursing and midwifery, 8th edn, Lippincott Williams & Wilkins, Sydney, NSW.

Recommended Resources

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

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

Stein- Padbury, J 2018, Patient and Person: Interpersonal Skills in Nursing, 6th ed. Elsevier, Sydney.

Harvard’s Nursing Guide to Drugs (10th ed.).2017, The Lamp, vol. 71, New South Wales Nurses Association, no. 5.

Online Learning

Some material will be presented online via MyUni. Details of this will be found in the link to this course on MyUni.

Learning & Teaching Modes

Online lectures – All lectures will be delivered ONLINE, these lectures will be available at the beginning of the Semester 2. Much of the content for this course is supported by textbooks with a web page and e-learning supports.

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

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

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

Workload

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

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

Non-contact hours for assessment and tutorial preparation will be 4 hours per week.

Learning Activities Summary

The tables below indicate the lecture, tutorial and SLE workshop outlines for Health Assessment and Clinical Nursing 2. The order of lectures may change according to timetabling issues and guest lecturer availability. Other tutorials may be provided as required.

Health Assessment and Clinical Nursing II

Lecture series

1. Management of emergency episodes of bleeding, seizures and syncope

2. Alterations in metabolic state requiring intravenous therapy

3. Oxygen therapy

4. Asepsis – maintenance of a sterile field

5. Basic assessment of pain

6. Care of the patient with pain

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

8. Blood Glucose levels and nursing management

9. Nursing assessment

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

11. Wound dressing and drain management

12. Medication Management. Oral and S/C

13. Normal findings of a physical and psychosocial health assessment

14. Documenting and describing normal findings

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

16. Normal findings of basic diagnostic tests

Tutorial series

1. Management of Syncope, Bleeding & Seizures

2. Intravenous therapy management and drug calculation

3. Blood Glucose Management

4. Application and management of oxygen therapy and respiratory management

5. Administration of medication – oral, S/C and IM injections

8. Asepsis and drain management

Specific Course Requirements

Students are expected to attend all lectures, tutorials, and Practical skills sessions. The clinical skills sessions are compulsory, with 10% attached for attendance.

Clinical placement is allocated in blocks, dates, and times to be confirmed at the beginning of the semester. Successful completion of clinical placement is a requirement of this course.

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

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

Assessment Summary

Assessment Task	Assessment Type	Weighting	Learning Outcome(s) being addressed
Drug calculation test	Formative	NGP	2, 3, 5, 8
Final Drug calculation test	Summative	10%	2, 3, 5, 8
Practical session quizzes x 4	Summative	40%	1-10
Lesson plan and teaching video	Summative	50%	1, 2
SCA (Structured Clinical Assessment)	Summative	Pass/Fail (Hurdle)	1-8
NCAS & Employer Competency Doc.	Summative	NGP	1 -10

Assessment Related Requirements

Marking guides will be provided with each assignment and available in the Study Guides.

Assessment Detail

ASSESSMENT 1: Drug calculation test
Students will complete 4 practice drug calculation test throughout this semester using the Intellilearn online resource. At the end of the semester, a formal test will be facilitated in class. No calculators are allowed for this in-class test. (Compulsory attendance is required by all students for this test) Failure to pass this test will mean that students will be unable to administer medication to patients in Year 2. A subsequent test in Year two will have to be passed with 100% to be permitted to administer medication to patients.

ASSESSMENT 2: NCAS / Clinical summative assessment form
At the completion of each clinical placement, students are to obtain a completed NCAS (National Competency Assessment Schedule).
This document will contain a written reflection of the student’s clinical experience and a performance assessment written by the supervising Registered Nurse. This is to be signed by the University Clinical Lecturer and submitted to Turnitin in this course. Failure to complete this assessment will result in failure of this course.

In addition to the NCAS form, each student will complete an Employer Competency.
There are several EC's to be completed each semester for the remainder of the 3 Year nursing program

ASSESSMENT 3: Patient teaching video and briefing paper
This assessment is designed to develop students' skills in teaching a patient and preparing a brief plan for this teaching session.

Through the experience of creating a briefing paper and a teaching video presentation, students will develop a deeper understanding of the specific clinical skill of their choice and enhance their ability to demonstrate a clinical skill that we have covered this semester. This assessment is designed to guide the student to build on their knowledge and to develop skills in organising their thoughts and presenting their understanding clearly and concisely.

ASSESSMENT 4: Practical Session Quizzes x 4
Each quiz is to be completed after each practical skills session to reinforce the concepts and skills covered in both the lectures and practical sessions.

ASSESSMENT 5: Objective Structured Clinical Examination
Objective Structured Clinical Examination - students will attend a 20 min OSCE in which they will demonstrate a range of nursing interventions especially in relation to skills taken from the course objectives. Along with skills demonstrations, students will provide a rationale for the tasks. The oral and practical exam is of 20 minutes duration and uses a structured approach to the assessment of clinical skills using the online B-line system.

The OSCE is a HURDLE this exam must be passed to enable students to progress into HACN III.

Submission

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

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

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

Course Grading

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

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

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

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

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

Student Feedback

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

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

2017 SELTS: The international students said they often struggled to understand nursing terminology. This has been addressed by additional tutorials held each week where a case is discussed revisiting the terminology learned in the lecture, clarifying topics and concepts. Students work in small groups and are able to learn from their peers. This often assists students who are struggling with English as a second language.

2018 SELTS: Students worried about being poorly prepared for the OSCE exam. This has been addressed in the tutorials where the psychomotor skills are revised and concepts more fully explored and discussed. Course revision was provided for this exam.

2019 SELTS: This course is highly valued by students as it directly relates to clinical practice, this is reflected in the SELT feedback.
• The course has both theoretical and practical components making it enjoyable and flexible for students.
Student Support
Policies & Guidelines
This section contains links to relevant assessment-related policies and guidelines - all university policies.
Fraud Awareness

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

The University of Adelaide is committed to regular reviews of the courses and programs it offers to students. The University of Adelaide therefore reserves the right to discontinue or vary programs and courses without notice. Please read the important information contained in the disclaimer.

Authorised by:	Deputy Vice-Chancellor and Vice-President (Academic)
Maintained by:	Course Outlines Administrator