ASSESSMENT TASK ONE

This assessment addresses learning outcomes:

1. Demonstrate advanced clinical skills within a health context

2. Initiate clinical evaluations and interventions in clinical settings

6. Role model professional attributes

Practical Assessment

This assessment is to be undertaken at your local health service. This is a pass/fail course. However, this assessment contributes to 40% of your overall mark. The assessment is scored out of 100. It is provided to give to an indication of your practice against criteria. This assessment occurs over the term and is undertaken by a nurse educator or a clinical nurse in your clinical area. So there is not a designated day for the assessment. The assessors will be using the criteria below to determine whether you meet the requirements (learning outcomes) for this unit.

Area of assessment	Marking Criteria	Allocation of mark	Marking Criteria Pass or Fail
Planning for skills assessment	Evidence of preparation for skills assessment	Workbook shows planning skill (5)	Pass = Workbook has regular entries over time. Workbook writing discusses consultation with colleagues Evidence of discussion with colleagues is provided Fail = Workbook is sparsely documented. Weekly topics are not addressed. No evidence of discussion with colleagues	/10
		Workbook evidence of collegial collaboration in planning (5)
Reflection and collegial consultation	Evidence of reflection on skills assessment	Workbook evidence of skills reflection (5)	Pass = Evidence of reflection is workbook and follows an evidence-based practice. Evidence of collegial discussions and role model supplied Fail = Writing in workbook is descriptive of tasks only. No reflection evident. No reflective framework identified No evidence supplied indicating collegial discussions took place No evidence of how	/10
		Workbook evidence of collegial consultation regarding skill development (5)
Skill performance	Demonstrates professional skill in communication, hygiene, asepsis, health education and documentation during skill performance	Communication (4)	Pass = Competence is shown in each area of skill development. Discussion of skill development evident. Fail = Not yet competent in any one area. No or little discussion of one’s own skill development	/20
		Hygiene (4)
		Asepsis (4)
		Health education (4)
		Documentation (4)

ASSESSMENT TASK TWO

This assessment addresses learning outcomes:

1. Demonstrate advanced clinical skills within a health context

2. Advocate for patients and families within an inter-professional context

3. Initiate clinical evaluation and interventions in clinical settings

4. Support others in the management of treatment technologies

5. Use evidence-based practices to support improved patient outcomes

6. Role model professional attributes

7. Apply reflection-in-action to ensure person centred care and the necessity for self-care

This assessment takes the form of a Portfolio – with a learning contract.

The format for the portfolio is provided by your Hospital Health Service. This assessment will be facilitated at your local health service. This is a pass/fail course. This assessment contributes to 60% of your overall mark. The assessment is scored out of 100. Scores are provided to give an indication of your progress towards becoming a confident and competent Registered Nurse.

This assessment occurs over the term and is undertaken by a nurse educator or a clinical nurse in your clinical area. So there is not a designated day for the assessment. This assessment incorporates aspects from assessment one. The assessors will be using the criteria below to determine whether you meet the requirements (learning outcomes) for this unit.

This assessment will evaluate you development of advanced nursing skills throughout the term. This will be a fresh look at these skills with the aim of understanding how advanced skills differ from beginning skills.

Learning Contract

This contract is to be used for students enrolled in NURS20172 Nursing Practice 2. The objectives of this contract need to be achieved at either your place of employment as a Registered Nurse or at a designated clinical study day or across both areas.

Assessment 2
Contract Objectives Log	Previously competent / now advanced / yes or no	Marking Criteria P/F	Sign/ Date
1. Demonstrates ability to obtain accurate measurements of a range of patient signs and symptoms using a range of different devices and accurately interpret findings.		Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
2. Is able to identify the pattern of concern for escalation in the vital signs of patients in a range of clinical contexts.		Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
3. Demonstrates ability to auscultate: lung fields, apical pulse, bowel sounds and interpret findings.		Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
4. Demonstrates ability to perform an ECG and identify life-threatening cardiac arrhythmias		Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
5. Is able to identify and meet patient needs for hygiene across the entire body (general areas, body folds, genital areas, hair, eyes, teeth, mouth, ears, nose, feet and hands).		Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
6. Is able to routinely perform the 5 moments of hand hygiene and encourages others to do so.		Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
7. Is able to identify a patient at risk for skin breakdown and implement preventative strategies.		Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
8. Is able to identify evidence-based wound care interventions for simple and complex wounds.		Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
9. Demonstrates a sound understanding of the complexity of medication monitoring and administration and accesses suitable resources to support accuracy.		Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
10. Is able to assess and interpret mobility needs for individual patients who are bed-ridden or mobile.		Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
11. Demonstrates a sound ability to meet nutritional needs for each patient, including assistance with eating and drinking as indicated.		Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
12. Can identify bowel patterns in individual patients and facilitate regularity as appropriate to condition.		Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
13. Demonstrates the ability to identify bowel related dysfunction [constipation/ diarrhoea/bleeding] and escalates or manages as appropriate.		Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
14. Can insert and/or manage tubes used to drain fluid from or insert fluid into the body.		Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
15. Is able to manage single and multiple Intravenous Lines with or without medications added.		Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
16. Demonstrates the ability to identify urinary retention or low urine output and escalates appropriately.		Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
17. Demonstrates the ability to manage a person requiring oxygen or other breathing assistance devices.		Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
18. Demonstrates an understanding of the requirements of pain management and accesses specialised assistance as required.		Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
19. Is able to identify a patient with hypertension and escalates and/or implements appropriate health teaching		Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
20. Is able to identify a patient with very low or very high blood sugar and take appropriate action.		Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
21. Demonstrates the ability to perform procedures related to altered vascular status, such as Doppler and peripheral pulses, and interprets findings		Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
22. Demonstrates ability to calculate and assess BMI and describe significance of the result		Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
23. Demonstrates a sound understanding of mental health issues relevant to the acute care setting.		Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
24. Implements appropriate interventions related to mental health symptoms.		Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.