Welcome to Assessment 1 – Registered Nurse scenario

Learning outcomes assessed:

1. Construct and adapt an evidence-informed and culturally safe nursing care plan based on patient assessment data with consideration of people from Aboriginal, Torres Strait Islander and other culturally or linguistically diverse backgrounds

2. Communicate effectively with patients, families and healthcare teams, while adhering to legal and professional standards

3. Evaluate medications used in Australia and their uses in different client groups

4. Prioritise and plan the safe administration of medications to a variety of clients

Due date: Week 4, Thursday 2nd April 2020, 5pm

Length: 2000 words (+/- 10%)

The word count is considered from the first word of the introduction to the last word of the conclusion. It excludes the reference list, but includes in-text references and direct quotations.

Grade: Pass/ Fail

In order to be successful, you are required to achieve a pass grade for each assessment criteria.

Additionally, you must achieve a pass for this assessment in order to progress to residential school/ clinical placement.

If you are yet to achieve a pass grade on your first submission, you may be eligible for a re submit assessment opportunity

This assessment consists of four parts. Each part is reflective of the learning outcomes for this unit (please see the marking rubric).

Background

For the purpose of this assessment, you are asked to assume that you are a Registered Nurse commencing a morning shift (0700 start) within an Australian acute care facility.

In Australia, the commencement of your shift will typically include an ISBAR handover for the patients allocated to your care. Once the handover is completed, Registered Nurses are expected to review all the data available (for example, observation and medication charts) in order to appropriately assess, plan and prioritse the care they plan to provide or omit.

Please take some time to listen to the ISBAR handover by clicking on the link below and review the assessment data/ documentation attached.

https://cloudstor.aarnet.edu.au/plus/s/96FBKwx6C6BOaB4 Password uoRN8n+3x9Np

Once you have listened to the handover and reviewed the documentation provided, please complete the four parts below.

Part 1

Based on the ISBAR handover and the assessment data/ documentation provided, identify the first priority of care for your patient.

Justify your response by applying the appropriate steps of the clinical reasoning cycle to this scenario and provide evidence-based rationales for the care that you choose to provide or omit.

Part 2

In order to promote patient understanding, compliance and best practice in health care provision, patient education is a key component of the Registered Nurse role in Australia.

Considering the information you have received regarding your patients diagnosis and treatment, please describe the education that you would need to provide to your patient and care giver if they were preparing for discharge.

Also discuss any specific considerations and/ or communication strategies you would use in this context.

Part 3

In Australia, the administration of paediatric medication is subject to additional safety checks, i.e., all paediatric medication is check by the administering RN and an additional appropriately qualified nurse (countersigning nurse).

Discuss why these additional safety checks are necessary for the safe administration of all paediatric medications.

Inclusive of the 6 rights of medication administration (6R’s), please list the required steps to be taken by the administering RN, and the countersigning nurse, for the administration of all paediatric medications.

Part 4

Choose 3 of the medications prescribed for your patient and, in your own words using appropriate referencing, discuss each medication ensuring that you have answered all of the questions below (for all 3 medications chosen).

Ø What is the medication’s generic name and what is the class of medication?

Ø How does this medication work in reference to human anatomy and physiology? (Mode of action)

Ø Why has the medication been prescribed for the patient? Please include clear links to patients current, and/or past medical condition as appropriate. (Indication)

Ø Even though you have a valid order, is there any circumstance when you would query or withhold the medication? (Contraindication)

Ø Are there any side effects you should particularly observe for/ educate your patient about? (Side effects)

Ø Does the route and dose range align with evidence based recommendations? What is/ would be your course of action if they do not?

Assessment 3 – Residential School

Length: 5 days

Due Date: End of week 12

Grade: Pass/ Fail

Learning Outcomes Assessed:

1. Construct an evidence informed, and culturally safe nursing care plan based on patient assessment data

4. Prioritise and plan the safe administration of medications to a variety of clients

Task:

You are required to attend a 5 day, on campus residential school, which will occur during week 12 of term.

This assessment consists of the following 4 components:

1. Attendance

100% attendance is required, i.e., full 5 days. An attendance sheet will be provided for you to sign each day.

2. Continuous Professional Development (CPD) portfolio (inclusive of a medication calculations test)

a. During your residential school/ clinical learning days you are required to present your CPD portfolio to an appropriate CQU staff member. This needs to contain all the required CPD certificates and be presented in a professional manner, such as in a folder (hardcopy) or electronically (in a file on your computer). Please see moodle for more information in regards to the specific CPD certificates required.

b. Additionally, during Residential School (external students)/ clinical learning days (internal students), as part of demonstrating your continuous professional development, you will undertake an online medication calculation test. This test will be done under examination conditions using the online Medsafe program.

Please see further details within your learning materials regarding access to this site. All students are encouraged to access Medsafe and begin practicing as soon as you are able.

You may bring any mathematical formulae that you feel you may require, however, the test will be completed under exam conditions. Students will be provided with a calculator and blank paper for the purpose of the test.

You will have one hour to complete the test and you must achieve 100%.

You may have up to 3 attempts in total to achieve 100%.

When you achieve 100%, you will need to download a pdf copy of your certificate of achievement. This will then become part of your CPD portfolio.

You will need to upload this certificate, together with the certificates within your CPD portfolio, into the relevant assessment portal in moodle, within three working days after your final day of residential school.

3. Reflective practice

During your residential school (external)/ clinical learning days (internal), you are required to reflect on your practice daily. However, as part of the formative (mid way) and summative (final) assessment process, you will be required to formally reflect upon your practice via the Nursing and Midwifery Board of Australia (NMBA) Registered Nurse Standards of Practice as per the Residential School Observation Tool (please see below).

4. Residential School Observation Tool

During residential school (external)/ clinical learning days (internal), your clinical practice will be assessed under the NMBA Standards for the Registered Nurse via the Residential School Observation Tool (see below).

Assessment via the Residential School Observation Tool will occur at a formative (mid way) and summative (final) assessment point.

You will also need to upload your completed Residential Observation Tool into moodle, under the relevant assessment portal, within three working days after your final clinical learning day/ final day of residential.

Length: NURS20162 - 160 clinical hours (4 weeks)

Due Date: At the end of your Work Integrated Learning (clinical practice) placement

Learning Outcomes Assessed:

2. Communicate with patients, families and healthcare teams, adhering to legal and professional standards.

5. Apply the Nursing and Midwifery Board of Australia’s Registered Nurse Standards for Practice in the safe and effective care of individuals, families and the community whilst in the industry based learning environment.

Task:

After the successful completion of your residential school (external students), you will be ready to commence your Work Integrated Learning (clinical practice) placement.

This is a 160 hour clinical placement, undertaken in one clinical setting.

Please note: students are expected to attend placement for 40 hours per week and work any shift allocated by the facility, i.e., be available to complete shifts comprising of mornings, lates and night duty, across 7 days (inclusive of public holidays as applicable).

Assessment

1. Attendance record and signed letter of introduction

You are required present your signed letter of introduction to an appropriate staff member on the first day of your placement. This staff member is required to sign the letter also.

You are always required to record your clinical hours at the end of each shift. This needs to be verified/ countersigned each shift by the Preceptor/ Supervisor you have worked with.

Your signed letter of introduction and attendance record need to be uploaded into the appropriate assessment portal within moodle at the end of your placement.

2. Reflective practice

Whilst you are encouraged to reflect on your practice daily, you are required to submit formal reflections at the formative and summative assessment points in alignment with the CQU Australian Nursing Standards Assessment Tool (ANSAT) assessment points (please see the below).

3. CQU Australian Nursing Standards Assessment Tool (ANSAT)

Throughout the placement, your clinical practice will be assessed under the NMBA Standards for the Registered Nurse via the CQU ANSAT. Access to this assessment tool accessed online via the CQU SONIA app.

Assessment via the CQU ANSAT will occur at a formative (mid way) and summative (final) assessment point.

You will receive an email from the Work Integrated Learning (WIL) team on the Tuesday of week 2 (formative) and week 4 (summative) of your placement. Please open this email and follow the instructions to access your formative and summative reflection points and the CQU ANSAT.

Scoring Key

*Note: students must achieve a 3 across all areas to be considered for progression at the end of placement. A rating 1 or 2 indicates that the descriptor statement is yet to be achieved, i.e., the student is yet to present as ready for progression*