Student name:

Student number:

Date:

Location:

Attempt no.:

1

2

3

Criteria to pass

Achieved

Not achieved

Demonstrates effective communication skills.

NMBA standards 1, 2

Introduces self and role to patient

Demonstrates the ability to develop a therapeutic relationship while maintaining professional boundaries

Demonstrates effective and professional communication with RN/other health professionals

Communicates clearly and effectively in both written and verbal context throughout residential school

Has punctually attended each day, wearing the appropriate uniform

Has demonstrated appropriate level of theoretical knowledge and understanding

Demonstrates effective application of infection control principles.

NMBA standard 1

Demonstrates five moments of hand hygiene:

• Before touching the patient

• After touching the patient

• Before a procedure

• After a procedure

• After touching the patient's surroundings

Cleans equipment

Uses PPE when risk of body fluid exposure

Safely handles and disposes of waste/linen

Applies appropriate contact precautions:

• Before entering the room – performs hand hygiene, applies gown/apron, applies gloves

• On leaving the room – disposes of gloves, performs hand hygiene, disposes of gown/apron, performs hand hygiene

Applies appropriate droplet precautions:

• Before entering the room – performs hand hygiene, applies a surgical mask

• On leaving the room – disposes of the mask, performs hand hygiene

Applies appropriate airborne precautions:

• Before entering the room – hand hygiene, applies an N95/P2 mask and performs a fit check

• On leaving the room – disposes of the mask, hand hygiene

Demonstrates ability to accurately and timely assess, interpret and respond to patient data.

NMBA standards 1, 4, 5, 6, 7

Uses a systematic and logical process during assessment

Uses appropriate techniques and documentation

Refers to a range of patient data

Differentiates between normal and abnormal data

Analyses, synthesises, and interprets assessment data

Notices deviations from normal and subtle changes in a patient's condition that signal the need for further investigation, immediate clinical review, or rapid response

Uses early warning charts and systems appropriately

Anticipates, recognises, and responds appropriately to clinical deterioration

Identifies and prioritises patient problems

Plans and implements nursing care both autonomously and in consultation with other members of the healthcare team

Evaluates and reassesses appropriately

Critically reflects on and learns from previous experiences to improve clinical reasoning skills

Demonstrates safe preparation and administration of medication.

NMBA standards 1, 2, 3, 4, 5, 6, 7

Reviews medication in MIMS

Asks RN to supervise

5 rights of medication administration

3 medication checks

• Before preparation: checks medication label matches order, checks expiry

• During preparation: checks medication label matches the order

• After preparation: checks medication label matches the order

Prepares medication using an aseptic non-touch technique

3 patient identifiers

Checks allergies

Explains medication action to the patient

Obtains consent

Administers medication correctly

Oral:

• positions patient, offers water, observes patient taking medication

Inhalation:

• Metered-dose inhalers: positions patient, shakes MDI for 3-5 seconds, attaches spacer, places mouthpiece in patient’s mouth and checks for seal. Administers single dose, instructs patient to inhale slowly/deeply, repeat as required, and rinses mouth.

Subcutaneous injection:

• positions patient, selects suitable injection site, cleans site, pinches the skin, injects at 45/90° angle

Intramuscular injection:

• positions patient, selects suitable injection site, cleans site, injects at 90° angle.

Intravenous injection:

• assesses IVC site, cleans injection port, injects medication at the correct rate, flushes IVC with 10ml N/Saline.

Intravenous infusion (IV bag):

• assesses IVC site, cleans injection port of IV bag, attaches primed IV line, checks IV rate is correct.

Intravenous infusion (syringe driver):

• assesses IVC site, cleans injection port, attaches primed IV line, checks infusion rate is correct.

Correct disposal of sharps

Describes a plan to monitor the effect of medication

Medication order signed by student and RN or RN/EN

Manual handling

NMBA standards 1, 6

Positions patient correctly for tasks

Positions self correctly for tasks

Demonstrates effective communication at clinical handover.

NMBA standard 2

Identifies self and patient

Situation

Background

Assessment

Recommendations

Documentation

NMBA standard 1

All sections of the QADDs chart were completed correctly with the correct QADDs score

All documentation is completed correctly

Feedback

NMBA standards 1, 2, 3, 6, 7

Has attended residential school appropriately prepared

Demonstrates ability to reflect upon practice regularly and actively listen to feedback provided from peers and CQU staff.

Feedback from marker:

PASS

RESIT

FAIL

Remediation (if unsuccessful): Yes ☐ No ☐