Pass/Fail Unit

This assessment addresses the following Unit Learning Outcomes:

        1. Demonstrate advanced clinical skills within a health context

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

         3. Role model professional attributes

Task description

This practical assessment is based on your clinical skill development throughout the term. The assessment provides an indication of your practice performance against the set criteria. You will be assessed by a nurse educator or clinical nurse in your clinical area using the criteria in the Assessment 1 rubric. This assessment is to be undertaken at your local health service.

Task Instructions

Step 1. Download the Assessment 1 rubric (Practical Assessment).

Step 2. Negotiate with your Nurse Educator/ Clinical Nurse to assess your clinical skill development.

Step 3. Demonstrate evidence of planning for clinical skills assessment by regular documentation in your workbook of planning, consultation with colleagues, and reference to the literature on planning for the assessment.

Step 4. Demonstrate evidence of reflection on clinical skills development by regular documentation in your workbook of reflection on skill development including reflection with colleagues.

Step 5. Demonstrates professional skills in communication, hygiene, asepsis, health education and documentation during skill performance assessment.

Students must pass each area of assessment to be successful in Assessment 1

Pass/ Fail Unit

This assessment addresses the following Unit Learning Outcomes:

        1. Demonstrate advanced clinical skills within a health context

        2. Provide education to patients to promote health maintenance

        3. Discuss clinical evaluation and interventions in clinical settings

        4. Manage technologies used to treat acute and sub-acute health conditions

        5. Use evidence based practices to improve patient outcomes

        6. Analyse professional issues relevant to current and future nursing practice

        7. Provide confident role modelling in nursing practice

        8. Reflect on practice to ensure person centred care and the necessity of self-care

Task Description

This Portfolio Learning Contract is a record of the development and mastery of clinical nursing skills throughout your first term of study. This assessment is to be undertaken at your local health service.

Task Instructions

Step 1. Download the portfolio learning contract rubric. The objectives specifically identified in the contract are derived from a range of clinical resources in order to advance your expertise in clinical skill development.

Step 2. Negotiate with your Graduate Nurse Educator/Health Service Educator to practice the clinical skill. As your proficiency increases, your confidence and expertise at performing a particular skill develops.

Step 3. Negotiate with your Graduate Nurse Educator/ Health Service Educator to assess your ability to complete the clinical skill. The objectives of this contract need to be achieved at either your place of employment or at a designated clinical study day. Study days will be convened at your local health service. If you are unable to successfully complete the requirements of this contract at your place of employment YOU MUST discuss this early with your local contact or the Course Coordinator to arrange alternative clinical assessment.

Step 4. Ensure that your portfolio is updated at the completion of the assessment and you are verified by your assessor as being competent in this clinical skill.

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.

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