Assessment Item One:

Math Quiz

This quiz will be made available on Monday 9th March Week 1 through moodle. You will be required to complete this by Friday 27th March, Week 3. You can have multiple attempts but you must obtain 100% pass rate.

The math quiz contains 30 multi-choice questions and your grade out of 30 will be available after each attempt at the quiz.  

This math quiz is Pass/ Fail Non-Graded compulsory assessment item.

The Math Quiz is available within Moodle. You can attempt the quiz as many times as needed to achieve 100%. When you have achieved the required grade you will receive feedback that states "Congratulations, you have passed."

NURS11160 Fundamentals of Clinical Nursing T1 2020

Assignment Two - Written Assessment

This assessment addresses unit learning outcomes one, two and five.

Learning Outcomes

1. Explain and demonstrate nursing skills associated with health assessment and risk screening, and alterations in activities of daily living.

2. Demonstrate effective communication skills in therapeutic and professional nursing relationships.

5. Apply the Nursing Midwifery Board of Australia (NMBA) registered nurse standards for practice and National Safety and Quality Health Service Standards to nursing practice.

Details: The following written assignment is based on a scenario of Mrs Molly Mooney. The videos of the scenario are available on the Moodle site and are called Mrs Mooney and you as a first-year nursing student. (The video is presented in 3 parts specific to your assignment). You cannot complete this assignment without referring to the videos.

Please note:

You are required to write this assignment using academic essay format, remaining in third person unless otherwise indicated (ISBAR handover). It is expected you will use headings and quality resources/references to support your discussion following the APA format of referencing.

In preparation for the assignment, you will need to download the following documents:

· Fluid balance chart

· QADDS vital signs chart

· Nursing progress notes.

These are available in the assignment section on the Moodle site. You are then to read the assignment task set out below and watch the videos. This assignment has a focus on patient assessment, fluid balance charts, vital signs and professional communication.

Each of these are linked to several the National Safety and Quality Health Service Standards (NSQHSS) and align with Unit Learning Outcomes. The relevant standards should be considered when developing your discussion.

Setting the scene for your assignment

You are a first-year nursing student on your first clinical placement. You are on the Medical ward at CQUniversity Hospital. It is the morning shift and you have been assigned the responsibility of looking after Mrs Mooney under the supervision of the Registered Nurse.

Who is mask-ed character?

The following are demographic details taken from the patient chart. This is important information that you will need when completing patient charts for your assignment.

Name: Mrs Molly Mooney

DOB: 17 March 1944

Address: 12 The Park Resort, Bundaberg

Weight: 62kg

Height: 165 cm

UR: 633184

ISBAR clinical handover for shift change

It is 0700hrs on the 4^th May, and you have just started your shift. Clinical handover has begun. You receive the following information at the patient’s bedside from the nurse who is about to go off duty. The nurse refers to the patient’s care plan in delivering the information to you.

Introduction: This is Mrs Molly Mooney, who was admitted to the medical ward from the emergency department (ED) two days ago for monitoring and assessment after a fall at home.

Situation: Molly had slipped and fell in her bathroom at home and sustained lacerations to her right lower leg and her right arm, dressings insitu. She also has a large bruise above her right eye. Molly’s vital signs are as recorded, QADDS is 1 due to slightly increased respiratory rate but otherwise appears to have slept well with no complaints.

Background: Following presentation to ED after the fall, Molly had bloods, X-rays and a head CT that were all cleared prior to admission to the ward. Molly has a history of COPD, Non-Insulin dependent Diabetic (Non-Insulin dependent) Type 2, hypertension, Osteoporosis, CA Cervix and anxiety. Molly has a total abdominal hysterectomy 10 years ago. Medications currently include tiotropium daily, salbutamol PRN, atenolol twice daily, metformin daily, aldendronate once per week. Molly lives independently in an aged care facility but with no assistance. Molly reports not eating or drinking well recently due to the cost of groceries. She states she has not been using the air conditioner or fans, again, due to the cost.

Assessment: On examination Mrs Mooney is sitting up in bed, she is alert, but reports feeling tired. She has a large bruise above her right eye, and dressings on her right forearm and right shin area. Ooze is visible on the dressings. Mrs Mooney normally mobilises independently; however, she does not feel like moving much at the present time. There is nil intake or output recorded on FBC at time of report.

The vital signs were recorded at 0630am as follows:

RR: 22

Oxygen Saturation: 95% on R/A

BP: 130/80 Default systolic BP 120mmHg

HR: 98

Temp: 37.9 ⁰C

Pain at rest: 3/10. With movement: 5/10

Recommendations: Continue to monitor vital signs and pain score 4/24; Registered Nurse to monitor neurological observations. (Please note: neurological observations are covered in a later unit – you are not required to consider them in this assessment). Molly’s wound dressings must be monitored for any signs of infection. Standard precautions must be implemented. Assist and encourage mobilisation as tolerated by the patient. Encourage diet and fluids, referral to dietician is needed. Monitor input and output on the fluid balance chart. The medical team, under Dr James, will review this morning at around 1030hrs. The nursing discharge planner is assisting with plans for Molly to go home when she is medically cleared.

Your responsibilities in looking after Mrs Mooney whilst under the supervision of the registered nurse include:

• Monitor vital signs. Minimum 4/24

• RN to monitor neurological observations

• Check the dressings on the skin tears for ooze and signs of infection

• Assisting with hygiene and toileting needs as required

• Maintain and record input and output on FBC

• Assist with meals as required

• Assist patient to mobilise safely

• Prevent pressure injury and further falls

What do you need to do next?

Download and use the template provided for this assignment.

Title page and general instructions

Create a title page for the assignment and include all relevant information including student name, number, unit name and number, assignment number and word count.

Ensure you use 12-point font and double line spacing.

Please also ensure you include a contents page as the use of headings is encouraged.

The first part of your assignment

Open your assignment with an introduction then move into the required tasks as per instructions (allow 200 words).

The second part of the assignment – Clinical Handover

This section has two parts. Please watch the “Handover Video” on Moodle:

First, you are to explain what clinical handover is and critique the handover you observe in the video. Please consider each element of ISBAR.

Secondly, describe the potential consequences for the patient and the nurse caring for the patient in the videos when an ineffective handover may have occurred from a previous shift.

Ensure you refer to the appropriate NSQHS Standard 2^nd ed, when developing your discussion.

You should allow 500 words for this part. (*Guide to word count only)

Please back up your information with credible references.

The third part of this assignment – Infection Control

This section has multiple parts:

You are aware, based on the clinical handover, that Mrs Mooney is on standard precautions and adhering to the five moments of hand hygiene form part of your responsibilities when caring for Mrs Mooney.

Complete the “Hand Hygiene Student Health Practitioners Online Learning Module” available through the Australian Commission on Safety and Quality in Health Care site:

31T31TUUhttps://www.safetyandquality.gov.au/our-work/infection-prevention-and-control/national-hand-hygiene-initiativeUU31T

The instructions for completing this module and generating your certificate are in your study guide under Module 3.

Once completed you will need to print off the certificate. You will need to submit this in Appendix A of your assignment.

In the body of your assignment:

Firstly, explain what standard precautions are and how they differ from transmission-based precautions. Identify from the “Handover Video” on Moodle whether standard precautions are appropriate for Mrs Mooney and how you will implement these in caring for the patient.

Secondly, after watching the “Handover Video,” you are to identify any breaches in precautions when the nurse is providing care for Mrs Mooney. Provide an overview of the breaches in the written part of the assignment.

Ensure you also refer to the appropriate NSQHS Standard 2^nd ed, when developing your discussion.

You should allow a minimum of 400 words for this. (*Guide to word count only).

Please back up your information with credible references.

The fourth part of the assignment - QADDS

Watch the video on Moodle “The patient reports pain”. At 0955hrs you go into Mrs Mooney’s room and she states she has “a nasty headache and I feel hot.”

You then take Mrs Mooney’s vital signs. It is 1000hrs and your findings are as follows.

Respiration: 24

Oxygen saturation: 94% on room air

Blood pressure actual: 108/80. Use the default systolic BP to determine a score for actual BP.

Pulse: 105

Temperature: 38.5 ⁰C

Conscious state: Alert

Pain score: 6/10. Functional Activity Score: 7/10

No modifications in use at the present time.

Document the vital signs on the Adult QADDS chart you downloaded from the Moodle site.

Include all points of identification on the chart. You are to add the score and complete the documentation on the QADDS chart. You will need to submit the QADDS as Appendix B (ensure you document the 1100hrs and 1200hrs vital signs from the seventh part of your assignment).

In the written section of your assignment you then need to explain,

· what action/intervention should be taken based on the score you calculated at 1000hrs,

· what nursing action you would take regarding Mrs Mooney’s QADDS and complaints of pain.

You should allow 200 words for this.

The fifth part of your assignment

Based on the above scenario you have sought the assistance of the registered nurse. It is 1010hrs when you report Mrs Mooney’s current situation to the registered nurse.

The RN requests that you inform the medical officer on-call.

In the written part of your paper you are to include the communication you gave to the medical officer under the ISBAR framework – you may write in first person for this section only.

You should allow 300 words for this.

The medical officer, Dr James, advises the following over the phone.

· Increase vital signs to hourly

· RN to administer analgesia for comfort

· Increase oral fluids as tolerated

· Dr James will review the patient’s dressings and order any other investigations when he attends. He will be there within half an hour.

The sixth part of the assignment - dressings

When Dr James reviewed Mrs Mooney, he removed the dressings to review her lacerations. Dr James advised Molly has signs of a localised infection and orders a wound swab, re-application of dressings and prescribes antibiotics.

In the written part of your assignment you are to describe what you look for when assessing the wound, the steps involved in performing the dressing and where this information should be recorded.

You should allow 400 words for this.

The seventh part of the assignment – Fluid Balance and completion of vital signs on QADDS

During your shift you are aware you need to document input and output on the fluid balance chart. Please watch the videos: “Fluid Balance Chart Part A, and Fluid Balance Chart Part B”.

First, download the fluid balance chart from the Moodle site and document all input and output from 0700hrs until 1500hrs according to what you hear in the videos. This completed fluid balance chart will be Appendix C of your assignment.

In the written part of your assignment you are to briefly consider and explain what a fluid balance chart is, Molly’s current fluid balance and explain why Mrs Mooney would require one.

Ensure you also refer to the appropriate NSQHS Standard 2^nd ed, when developing your discussion.

You should allow 300 words for this. Please back up your information with quality references.

Secondly, complete QADDS documentation.

Please record the vital signs for 1100hrs and 1200hrs on the QADDS tool as follows:

The eighth part of your assignment

You are now required to enter what has occurred in the nursing progress notes using the SOAP format. Enter the situation assuming the time is now 1515hrs and the date is 04/05/2020. Your documentation can begin from the point of Mrs Mooney advising you that she had “a nasty headache and I feel hot.” All events unfolding from that point should be documented on the downloaded nursing progress notes adhering to the principles of professional documentation.

You will submit this as Appendix D with your assignment.

*Please note that the SRN would also document at the end of the shift, however it is not required for this assignment*

Final Part of assignment

Close your assignment with a conclusion.

You should allow 200 words.

Final Part of assignment

Close your assignment with a conclusion.

You should allow 200 words.

Simulation Assessment Activity

Assessment Item Three addresses unit learning outcomes one, two, three and five.

1 - Explain and demonstrate nursing skills associated with health assessment and risk screening, and alterations in activities of daily living.

2 - Demonstrate effective communication skills in therapeutic and professional nursing relationships.

3 - Discuss principles associated with patient education at a beginning level.

5 - Apply the Nursing Midwifery Board of Australia (NMBA) registered nurse standards for practice and National Safety and Quality Health Service Standards to nursing practice.

This is your practical assessment and you will be observed by your lecturer within the clinical learning space who will provide feedback and your result on the day.

The summative quiz has 120 multi-choice questions that you will need to complete in moodle within a two-hour time-frame. The questions come from a large bank of questions that are randomly selected for each student. The quiz covers content from the eight modules of work that you have completed during term.

The quiz will open for students to access on Monday 15 and 16th June. Note: The quiz opens at 2359hrs AEST on Sunday 14th June and closes 2359hrs Tuesday 16th June.

The quiz will be open for a 48 hour period only but once you commence the quiz you will have two hours to complete it. The quiz will open at 2359hrs on Sunday night (so effectively midnight) and close at 2359 on Tuesday night.

You must allow two hours prior to the quiz closing to start the quiz, for example, if you start the quiz at 2300 on Tuesday night you will be locked out at 23:59 regardless of whether you have finished or not. Open, unfinished attempts are submitted automatically.

The following quiz must be completed without assistance from another person and without the use of mobile phones or other devices. Non-adherence to this is considered academic misconduct and cheating. Nursing text books and unit study materials can be sourced.

You will have two hours to complete the quiz. The 2 hour time limit commences from the point you click on the "Attempt the quiz now" button.

Please use internet connection of Chrome or Firefox.

The Summative Quiz addresses the following unit learning outcomes:

3 - Discuss principles associated with patient education at a beginning level.

4 - Demonstrate numeracy proficiency necessary for safe nursing practice.

5 - Apply the Nursing Midwifery Board of Australia (NMBA) registered nurse standards for practice and National Safety and Quality Health Service Standards to nursing practice.

The quiz contains 120 multi-choice questions from the entire 12 weeks of the unit, or 8 modules of work.

Students will receive a mark out of 120 for the quiz once the quiz has closed and will only see their mark out of 120 as would be the case in an exam.

The quiz will be open for students to access on Monday 15 and 16th June. Note: The quiz opens at 2359hrs AEST on Sunday 14th June and closes 2359hrs Tuesday 16th June.

The quiz will be open for a 48 hour period only but once you commence the quiz you will have two hours to complete it. The quiz will open at 2359hrs on Sunday night (so effectively midnight) and close at 2359 on Tuesday night.

You must allow two hours prior to the quiz closing to start the quiz, for example, if you start the quiz at 2300 on Tuesday night you will be locked out at 23:59 regardless of whether you have finished or not. Open, unfinished attempts are submitted automatically.

The following quiz must be completed without assistance from another person and without the use of mobile phones or other devices. Non-adherence to this is considered academic misconduct and cheating. Nursing text books and unit study materials can be sourced.

You will have two hours to complete the quiz. The 2 hour time limit commences from the point you click on the "Attempt the quiz now" button.