This assessment consists of clinical simulation, debrief, and completion of patient progress notes utilising the SOAPIE format.

You are required to attend a three (3) day on-line residential school prior to commencing your clinical placement.

This residential school provides the opportunity for you to refine your theoretical knowledge and clinical skills in the clinical learning space.

During the residential school, you will undertake an online clinical simulation assessment within a simulated environment.

The simulation consists of the following stages:

1. You will be provided with a clinical scenario in your role as a final year student nurse and required to respond. This will be held online with your allocated lecturer.

2. After participating in the clinical scenario you will be provided with an opportunity to debrief and identify areas that require further learning you will also receive confidential feedback on your performance in the simulation.

3. You will document a set of progress noted based on the clinical scenario you participated in. These notes will be from your perspective as the student nurse in the scenario.

You are required to achieve a 100% Pass for the Clinical Assessment. You may have three (3) attempts to pass this assessment should you require it.

The second (2nd) attempt will be negotiated with your lecturer and if required, the third (3rd) attempt will also be negotiated with your lecturer. This will occur during your residential school prior to placement. After each attempt you will be provided with feedback on your performance and assistance in identifying and remediating the deficits that lead to the reason for failure. The Unit Coordinator will be consulted prior to the third and final attempt.

If you are unsuccessful on the third attempt, you will not be able to proceed to clinical placement and will receive a Fail grade for the unit.

Important – Point 4.21 of the CQUniversity Assessment Policy and Procedure (Higher Education Coursework) states: In a pass/fail unit, students who fail a single assessment or who fail a pass/fail component of a graded unit will be deemed to have failed that unit.

The clinical simulation will involve scenarios available online via the Moodle site of patients who have a deteriorating event. In the simulation you will be supervised by a unit coordinator on an individual basis. You are required to respond within your scope of practice and in accordance with the Nursing and Midwifery Board of Australia Registered Nurse Standards for Practice.

The Patient Safety Competency Framework (PSCF) for Nursing Students forms the basis of the marking criteria. You will be required to meet each criteria of these standards. These criteria will be particular to each specific clinical scenario.

While the clinical assessment marking criteria is provided to students prior to their clinical assessment to assist in learning, the marking criteria cannot be taken into the assessment by the student. Once the marking criteria has been completed with confidential feedback given to the student, it is to be signed by the academic staff and student, dated and the student may take a copy of the completed criteria, but the original is to remain with the academic staff.

You are required to participate in both the clinical simulation and the debrief to pass the assessment.

You are required to complete progress notes relating to the clinical simulation scenario you were assessed and passed in. You must complete these notes utilising the SOAPIE format and submit them to the appropriate assessment tab within the Moodle site using TurnItIn.

All assessments in this unit are assessed as per the CQUniversity Assessment Policy and Procedure (Higher Education Coursework).

Further details about the assessment and marking criteria are available on the NURS13136 Clinical Nursing Practice 5 Moodle site.

Marking Criteria for Progress Notes:

The assessment is in the form of a medication safety assessment.

You are required to complete an online invigilated medication safety assessment on the first day of residential school. This will be undertaken through MedSafe IntelliLearn. You may be assessed on any level of medication safety that you have previously covered throughout the Bachelor of Nursing program at CQUniversity.

The written assessment is in the form of a medication safety examination:

1. You are required to achieve 100% in the medication safety examination in order to demonstrate safe nursing practice.
2. You will have three (3) attempts only at undertaking the medication safety examination.

• If you score less than 100% in your first attempt, you will be provided with an additional two (2) opportunities to achieve a Pass.

3. The second attempt, if required, will be conducted on the second day of residential school.

4. The third attempt, if required will be conducted on the third day of residential school.

• If you are not successful on this third attempt, you will not be able to proceed to clinical placement and will be a Fail for the unit.

Important - Point 4.21 of the CQUniversity Assessment Policy and Procedure (Higher Education Coursework) states:
“In a pass/fail unit, students who fail a single assessment or who fail a pass/fail component of a graded unit will be deemed to have failed that unit.”

Important: A maximum of three (3) attempts at completing the medication safety examination and clinical assessment in a simulated environment will be permitted. Should you not achieve the required standard by the third attempt, you will not be eligible to complete the clinical placement component of NURS13136 and the CQUniversity Work-Integrated Learning/Student Placements policy and procedures will be enacted.

You are required to achieve 100% in the medication safety assessment in order to demonstrate safe nursing practice. You are allowed up to a total of three attempts to achieve 100%.

Should you not achieve the required standard by the third attempt, you will not be eligible to complete the clinical placement component of NURS13136 and the CQUniversity Work-Integrated Learning/Student Placement policy and procedures will be enacted. 

Part One: ANSAT Document - Formative

You will be required to complete the ANSAT during your clinical placement – Download a copy of the Term 2 ANSAT document from the WIL Moodle Site.

The ANSAT Document 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 Nursing and Midwifery Board of Australia 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 s supplementary assessment and may receive a fail grade for NURS13136 Clinical Nursing Practice 5.

Please note the following from the Work Integrated Learning Student Placement Policy and Procedure clause 4.51:

“Students who do not formally withdraw or notify their Unit Coordinator and who do not participate in an allocated WIL activity may receive a Fail grade. Students may also be required to pay a WIL activity forfeiture fee as specified in the unit profile or other pre-enrolment course/unit information made available to the student.”

Part Two: ANSAT Document - Summative

You will be required to complete the ANSAT during your clinical placement – Download a copy of the Term 2 ANSAT document from the WIL Moodle Site.

The ANSAT Document 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 Nursing and Midwifery Board of Australia 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 s supplementary assessment and may receive a fail grade for NURS13136 Clinical Nursing Practice 5.

Please note the following from the Work Integrated Learning Student Placement Policy and Procedure clause 4.51:

“Students who do not formally withdraw or notify their Unit Coordinator and who do not participate in an allocated WIL activity may receive a Fail grade. Students may also be required to pay a WIL activity forfeiture fee as specified in the unit profile or other pre-enrolment course/unit information made available to the student.”

Part One: ANSAT Document - Formative

· The ANSAT Document has been designed to enable you to demonstrate the development of professional attributes required by the registered nurse.

· The Criteria in the ANSAT Document are based on the Nursing and Midwifery Board of Australia 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 Nursing and Midwifery Board of Australia Registered Nurse Standards for Practice as per your current year level.

- As you are a final year student it is expected that you will perform within the scope of practice of a final year student and demonstrate critical thinking, problem-solving and clinical skills applicable to a final year student.

- This includes but is not limited to and dependent on clinical area: The student is expected to take on RN patient load, to connect theory to clinical practice through critical thinking exhibited by being able to prioritise and plan care then deliver that care in a timely manner, recognising deterioration and actioning accordingly within scope of practice while maintaining professionalism in all areas of communication, attitude and behaviour with all members of health care team. With minimal to no prompting and direction required from supervising RN or preceptor. To step into autonomous role of RN with ‘safety net’ of supervision of RN/Preceptor.

· Assessment criteria and performance standards for the ANSAT Document includes:

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

- Assessment and recording of your performance by the identified preceptor/clinical facilitator at the formative stage of clinical placement

- A self-assessment of your own clinical performance against the Nursing and Midwifery Board of Australia Registered Nurse Standards for Practice at the formative stage of clinical placement.

- You are required to submit your formative self-assessment and your assessor’s formative assessment at the midway point of clinical placement – within 24 hours of completion.

· Further information on the assessment criteria is outlined on the 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 Clinical Learning Support Plan.

- Should this be the case, the Unit Coordinator in consultation with the student and clinical facilitator/preceptor will prepare the individual Clinical Learning Support Plan.

- You will then implement the Clinical Learning Support Plan in conjunction with support from your Clinical Facilitator/Preceptor

- If you are unable to achieve the required standards or competency level with the assistance and direction of the Clinical Learning 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 meed the Student Code of Conduct as outlined in the ANSAT Document and The Student Charter as outlined in CQUniversity policy and procedure may be withdrawn from the clinical setting and a fail grade awarded.

IMPORTANT: It is important that you refer to the ANSAT Document prior to and throughout your clinical placement.

Part Two: ANSAT Document - Summative

· The ANSAT Document has been designed to enable you to demonstrate the development of professional attributes required by the registered nurse.

· The Criteria in the ANSAT Document are based on the Nursing and Midwifery Board of Australia 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 Nursing and Midwifery Board of Australia Registered Nurse Standards for Practice as per your current year level.

        - As you are a final year student it is expected that you will perform within the scope of practice of a final year student and demonstrate critical thinking, problem-solving and clinical skills applicable to a final year student.

        - This includes but is not limited to and dependent on clinical area: The student is expected to take on RN patient load, to connect theory to clinical practice through critical thinking exhibited by being able to prioritise and plan care then           deliver that care in a timely manner, recognising deterioration and actioning accordingly within scope of practice while maintaining professionalism in all areas of communication, attitude and behaviour with all members of health care                 team. With minimal to no prompting and direction required from supervising RN or preceptor. To step into autonomous role of RN with ‘safety net’ of supervision of RN/Preceptor.

· Assessment criteria and performance standards for the ANSAT Document includes:

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

        - Assessment and recording of your performance by the identified preceptor/clinical facilitator at the summative stage of clinical placement

        - Assessment of your clinical performance against the Nursing and Midwifery Board of Australia Registered Nurse Standards for Practice at the summative stage of clinical placement.

        - You are required to submit your assessor’s summative assessment and the signed record of attendance (timesheet), and if applicable your completed and signed Clinical Learning Support Plan within 3 business days of completion            of placement.

· Further information on the assessment criteria is outlined on the Moodle site.

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

· Students who fail to meed the Student Code of Conduct as outlined in the ANSAT Document and The Student Charter as outlined in CQUniversity policy and procedure may be withdrawn from the clinical setting and a fail grade awarded

IMPORTANT: It is important that you refer to the ANSAT Document prior to and throughout your clinical placement.

Medication safety refers to the safe use of medicines to achieve therapeutic outcomes and improve people’s quality of life, while minimizing risks and responding to errors. Medication safety is dependent upon the nurses’ ability to manage the human and systems factors that have the potential to adversely impact the accuracy of medication prescribing, dispensing and administration, and to educate patients to self-manage medications appropriately.
(Patient Safety Competency Framework for Nursing Students 2017)

Review the Medication Safety Knowledge areas from the Patient Safety Competency Framework for Nursing Students (2017):

1. Outlines key principles of safe medication management
2. Identify factors that have the potential to compromise safe medication practices
3. Define and differentiate between a medication error, adverse drug reaction, drug sensitivity, side effects and drug allergy
4. Describe the roles and responsibilities of members of the medication team responsible for prescribing, dispensing and administering medications
5. Outline legislative and organisational requirements for medication prescription, storage, use and administration
6. Describe how to report medication incidents including drug reactions, medication errors and near misses

Choose one of the above Medication Safety Knowledge areas.

Reflect upon your clinical placement and your direct involvement with medications in light of your above chosen Medication Safety Knowledge area. Ensure that you were directly involved in the chosen situation you chose to reflect upon.

You will now write a reflection using the below Johns Model. Reflect on your involvement in your chosen situation in light of your chosen Medication Safety Knowledge area.

Write to the headings and subheadings answering the questions as prompts to assist you to reflect.

Johns Model Reflection (Modified by Euler, 2019)

Description of the experience
· Describe the experience and significant factors

Reflection
· What was I trying to achieve and what were the consequences?

Influencing Factors
· What factors (internal/external/knowledge) affected my decision making?

Could I have deal with it better?
· What other choices did I have and what were the consequences of those choices?

Learning
· Empirics
- What knowledge did or could have informed me?

· Ethics
- Did I act for the best?
- What factors were influencing me?

· Personal
- Why did I feel the way I did in this situation?

· Aesthetics
- What was I trying to achieve?
- Why did I respond/react as I did?

· Reflexivity
- Does it connect with past experiences?
- How could I handle this situation better?
- What will change because of this experience?
- How did I feel about this experience?
- How has this experience changed my ways of knowing?

Word Limit: 750 words +/-10%

Marking Guide