Written Assessment

Medication Safety Assessment

Students will sit an invigilated medication safety exam on the first day of their residential school. Students may be assessed on any level of medication safety that they have previously covered in the Bachelor of Nursing program at CQUniversity. Students are required to achieve a 100% PASS for this assessment. Students may have 3 attempts to PASS this assessment. The 2nd attempt will follow immediately after the 1st attempt and the 3rd attempt will be conducted on the afternoon of Day 3 of the residential school.

If students FAIL the 3rd attempt, you will not be allowed to proceed to clinical placement and will receive a FAIL for the unit.

Clinical Simulation Assessment

Students will attend a compulsory 3-day on-campus residential school prior to attending clinical placement, where they will consolidate their clinical practice skills. During the 3-day residential school, students will have skills demonstrated to them by clinical academic staff. Students will have the opportunity to refine and practice clinical skills within the clinical learning space.

Immersive simulation using simulated patients will be a major part of the residential school. The simulated patient is an actor, recruited from the community to portray a patient, realistically and consistently within a safe learning environment, and without harming real patients. The actors (or SPs) are volunteers for the university who attend coaching and information sessions prior to their simulated patient activities.

The benefits of SPs include, repetition of a scenario, equity for student learning and the ability to provide training in specialized and sensitive areas before students are in a real-life situation. SPs are a supportive group of colleagues whose commitment can greatly improve student interpersonal communication skills, for better long term outcomes for all patients.

On Day 3 of the residential school, students will undergo a clinical simulation assessment within an immersive simulation environment for a total of 4 hours. Students will be assigned a SP to manage on a 4 hour shift on a ward. The simulation scenarios have been developed by the Unit Coordinator for enactment by the SPs.

Students will be divided in to 2 main groups. These 2 groups will be sub divided into groups of 4-6 students and each of these groups will be colour coded. Half of the group will be in the immersive simulation while the other half of the group will observe their peers and complete a 10 question observation sheet. At 30 minute intervals the teams will swap so that all students will rotate through the simulation. Clinical academics will facilitate the immersive simulation and the observational simulation.

On some campuses, the simulation modality may be a mixture of SPs and role play or just role play. In this instance you will be instructed by the campus academic on how the simulation will be conducted.

The clinical scenarios are all based on patients who have a deteriorating event and the students will be expected to use the R.A.P.I.D response acronym to manage their patient:

Recognise the deteriorating event

Assess the patient appropriately using a Primary Survey during the deteriorating event

Plan – use clinical decision making and critical thinking skills to plan the management of the deteriorating event

Intervention – choose the most appropriate intervention for the patient who is deteriorating using Evidence Based Practice

Discharge – Decide on the most appropriate discharge plan for a patient following a deteriorating event.

Written Assessment:

Students will sit an invigilated medication safety exam on the first day of their residential school. Students may be assessed on any level of medication safety that they have previously covered in the Bachelor of Nursing program at CQUniversity. Students are required to achieve a 100% PASS for this assessment. Students may have 3 attempts to PASS this assessment. The 2nd attempt will follow immediately after the 1st attempt and the 3rd attempt will be conducted on the afternoon of Day 3 of the residential school.

If students FAIL the 3rd attempt, you will not be allowed to proceed to clinical placement and will receive a FAIL for the unit.

Practical Assessment:

The clinical scenarios are all based on patients who have a deteriorating event and the students will be expected to use the R.A.P.I.D response acronym to manage their patient:

Recognise the deteriorating event

Assess the patient appropriately using a Primary Survey during the deteriorating event

Plan – use clinical decision making and critical thinking skills to plan the management of the deteriorating event

Intervention – choose the most appropriate intervention for the patient who is deteriorating using Evidence Based Practice

Discharge – Decide on the most appropriate discharge plan for a patient following a deteriorating event.

Students will be asked to complete a peer assessment simulation observational sheet when they are in the simulation observational area and give this feedback to their peers during a debriefing session to be held immediately after the clinical simulation assessment on Day 3

The Clinical Competency Performance Assessment Tool requires the completion of clinical components. A total of 240 hours of clinical placement is required for this unit where you will demonstrate your ability to perform the nursing role within your scope of practice as measured against the NMBA Registered Nurse Standards for Practice. You must meet both academic and professional requirements at all times while undertaking nursing studies. If your progress is deemed to be unsatisfactory at any time during this clinical placement unit as per the Assessment Policy and Procedure (Higher Education Coursework) and Work Integrated Learning Student Placement Policy and Procedure, you will not be eligible for a supplementary assessment and may receive a fail grade for NURS13136 Clinical Nursing Practice 5.

The Clinical Competency Performance Assessment Tool has been designed to enable you to demonstrate the development of professional attributes required by the registered nurse. The criteria in the Clinical Competency Performance Assessment Tool are based on the NMBA Registered Nurse Standards for Practice. These criteria will be used to evaluate your ability to perform your nursing role within your scope of practice and to determine your ability to meet the NMBA Registered Nurse Standards for Practice as per your current year level. For example, as you are a year-3 student it is expected that you will perform within the scope of practice of a year-3 nursing student and demonstrate critical thinking, problem-solving and clinical skills applicable to a year-3 nursing student.

Assessment criteria and performance standards for the Clinical Competency Performance Assessment Tool includes:

· Successful completion of the required hours of clinical placement as set out in the unit profile and Bachelor of Nursing Handbook;

· A self-assessment of your own clinical performance against the NMBA Registered Nurse Standards for Practice at both formative and summative stages of the clinical placement; and

· Assessment and recording of your performance by the identified preceptor/clinical facilitator at both formative and summative stages of the clinical placement.

Further information on the assessment criteria is outlined in the 'Clinical Competency Performance Assessment Tool' available on the Clinical Moodle site.

If you are identified as not achieving the required standards or competency for your year level you may be required to complete further learning as outlined in an individual support plan. The unit coordinator in consultation with the student and clinical facilitator/preceptor will prepare the individual support plan. If you are still not able to achieve the required standards or competency level with the assistance and direction of the support plan a fail grade will be awarded.

Please see the CQUniversity Suitability for Clinical Placement policy on the Clinical Placement Moodle site for further information.

Students who fail to meet the Student Code of Conduct as outlined in the Clinical Competency Performance Assessment Tool document may be withdrawn from the clinical setting and a fail grade awarded

IMPORTANT: It is important you refer to the Clinical Competency Performance Assessment Tool prior to and throughout your clinical placement.

This reflection is part of your ongoing clinical learning that extends to include the consolidation of your clinical practice skills as a student nurse and develops you as a beginner practitioner required of a registered nurse according to the NMBA.

During clinical placement, you will be required to write a reflection on a patient who has experienced a deteriorating event while in your care. The word limit for this assessment is 2000 words. A +/- 10% allocation to the word limit including in-text referencing, will be allocated to this assessment.

You are reminded to maintain confidentiality of the patient, staff and the facility where you are on clinical placement throughout your assessment.

During clinical placement, the student will select a patient in their care who has had a deteriorating event. The student will discuss the case with their clinical facilitator to ensure the appropriateness of the deteriorating event.

The student will write a reflective essay using the acronym R.A.P.I.D. under the following headings:

Throughout the Bachelor of Nursing program at CQUniversity, students have been asked to maintain currency of a professional portfolio. Students are to submit their final portfolio for assessment 3. This assessment is intended to assist students in developing a professional curriculum vitae and receive academic feedback prior to providing the portfolio to prospective employers

The following sections of the portfolio MUST BE completed