Course Title: Implement and monitor nursing care for clients with acute health problems

Part B: Course Detail

Teaching Period: Term2 2013

Course Code: NURS5286C

Course Title: Implement and monitor nursing care for clients with acute health problems

School: 155T Vocational Health and Sciences

Campus: Bundoora Campus

Program: C5313 - Diploma of Nursing (Enrolled-Division 2 Nursing)

Course Contact: Jaye Keating

Course Contact Phone: +61 3 9925 4845

Course Contact Email: Jaye.keating@rmit.edu.au


Name and Contact Details of All Other Relevant Staff

City Campus:

  • Simone Allison
  • Email: simone.allison@rmit.edu.au
  • Phone: 03 9925 4809

Bundoora Campus:

  • Erica Keen
  • Email: erica.keen@rmit.edu.au
  • Phone: 03 9925 6649
     

Nominal Hours: 70

Regardless of the mode of delivery, represent a guide to the relative teaching time and student effort required to successfully achieve a particular competency/module. This may include not only scheduled classes or workplace visits but also the amount of effort required to undertake, evaluate and complete all assessment requirements, including any non-classroom activities.

Pre-requisites and Co-requisites

NIL PRE REQUISITES OR CO REQUISITES

Course Description

This unit of competency describes the skills and knowledge required of Enrolled/Division 2 nurses to contribute to the care of the person with an acute health problem by performing nursing interventions that support their health care needs and assist them to regain optimal function and lifestyle

The knowledge and skills described in this competency unit are to be applied within jurisdictional nursing and midwifery regulatory authority legislative requirements. Enrolled/Division 2 nursing work is to be carried out in consultation/collaboration with registered nurses and under direct or indirect supervisory arrangements in line with jurisdictional regulatory requirements


National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

HLTEN512B Implement and monitor nursing care for clients with acute health problems

Element:

1. Identify the impact of acute health problems on the client and their family

Performance Criteria:

1.1 Clarify the clinical manifestations of acute health problems on body systems
1.2 Clarify the physical and/or psychological impacts of acute health problems on activities of daily living through discussion with the client and/or family (with client consent)
1.3 Confirm understanding of the pathophysiology of the client’s underlying/presenting condition
1.4 Identify actual and potential health issues of a client presenting with an acute health problem through discussion of information gained from a preliminary health assessment with the appropriate members of the health care team
1.5 Use a problem solving approach to assess the impact of the acute health problem on the client and their family and the achievement of activities of daily living
1.6 Discuss available resources and support services with client/s and significant others where appropriate with the consent of the client
1.7 Maintain confidentiality in line with facility policy and procedures

Element:

2. Contribute to planning care for the client with acute health problems

Performance Criteria:

2.1 Gather and record admission data for the client with an acute health problem, for inclusion in a care plan according to organisation policy
2.2 Assess health status of clients with an acute episode
2.3 Gather and record ongoing clinical data for inclusion in the client’s care plan in line with organisation policy
2.4 Contribute information and data on the activities of daily living for the client with an acute illness for inclusion in a discharge plan
2.5 Contribute effectively to discussions on the care of the client with registered nurse and other members of the health team
2.6 Explain the rationale for the planned care and therapeutic interventions in assisting the client achieve optimal health outcomes
2.7 Implement client discharge procedure in line with organisation policy and procedures
2.8 Accurately gather, document and report changes in client condition to appropriate health care team members
2.9 Advocate for clients in health and/or community settings

Element:

3. Perform nursing interventions to support health care of clients with acute health problems

Performance Criteria:

3.1 Undertake nursing interventions based on predetermined plans of care
3.2 Ensure nursing interventions reflect client needs and individuality
3.3 Perform nursing interventions with respect for the dignity of the client
3.4 Reflect consideration of cultural and religious issues in the performance of nursing interventions
3.5 Encourage the client and/or their significant others to assist in the performance of nursing interventions if able
3.6 Consider physical, psychological and social needs in the performance of nursing interventions
3.7 Carry out nursing interventions in accordance with professional, legal, ethical and organisation requirements
3.8 Use critical thinking and problem solving approaches in undertaking client/s care
3.9 Administer medications safely and based on knowledge of principles of drug actions and side effects in accordance with organisation policies and procedures
3.10 Assist clients to meet their activities of daily living
3.11 Address gender and age issues in the performance of nursing interventions
3.12 Identify emergency situations and respond according to organisation policy and procedure and within legal and professional requirements
3.13 Contribute to and support health teaching plans for the client with an acute health problem
3.14 Identify appropriate psychological support and care for individual clients
3.15 Report and document emergency situations according to policy and procedure
3.16 Identify and prioritise nursing interventions according to client needs
3.17 Reflect pre- and post-procedure care in nursing interventions

Element:

4. Contribute to an emergency response

Performance Criteria:

4.1 Confirm the roles and responsibilities of members of the emergency response team
4.2 Prepare and/or check the equipment on the emergency trolley
4.3 Access, in response to request from emergency response team, drugs commonly used during emergency resuscitation (including drugs for anaphylaxis)
4.4 Participate in performing emergency resuscitation techniques

Element:

5. Contribute to pre-operative nursing care of a client

Performance Criteria:

5.1 Contribute to collection of pre-operative client health assessment data, addressing all relevant factors
5.2 Assist in preparation for specific surgical procedures
5.3 Contribute to the nursing management of a pre-operative client
5.4 Monitor and report on actions and side effects of drugs commonly used pre-operatively
5.5 Respond appropriately to clients recovering from a range of anaesthesia used for general, local and epidural/spinal procedures
5.6 Ensure pre-operative care takes into account the relationship between pre-operative care and post-operative complications

Element:

6. Contribute to post-operative nursing care of a client

Performance Criteria:

6.1 Contribute to post-anaesthetic observation of a client following surgery
6.2 Apply appropriate post-operative discomfort and pain management strategies as per care plan
6.3 Provide nursing management for post-operative clients
6.4 Apply knowledge of available drugs commonly used post-operatively for the relief of pain and nausea
6.5 Apply appropriate nursing actions to promote client comfort

Element:

7. Contribute to nursing care of the client receiving a blood transfusion

Performance Criteria:

7.1 Confirm the rationale for performing a blood transfusion
7.2 Contribute to observations of the client undergoing blood transfusion
7.3 Work with an awareness of potential complications of blood transfusion
7.4 Take appropriate precautions relating to bodily fluids
 

Learning Outcomes


At the end of this unit students should be able to:

  • Identify the impact of acute health problems on the client and their family
  • Contribute to planning care for the client with acute health problems
  • Perform planned nursing interventions for acute care clients
  • Contribute to an emergency response
  • Contribute to the pre-operative and post-operative nursing care of clients


Details of Learning Activities

Learning Strategies will be in the form of:

  • Lecture
  • Small Group Work
  • Facilitated Class Discussion
  • Self-directed learning
  • Presentations
  • Formal Classroom


Teaching Schedule

Lesson 1 Revision

Normal vital signs parameters
Termilogy
Brief A & P revision
Nursing care plans
Critical thinking skills
Basic Life support

Emergency Nursing:
Trauma Care
Primary assessment
Secondary assessment

Lesson 2 Acute neurological conditions

Revision of A & P
Head injuries
Skull fractures
Intracranial, Epidural, subdural Haemorrhage
Raised intracranial pressure
Impact of neurological conditions on the patient and their family
Discharge process with a Neurological focus.

Neurological asessment
Identification of hospital policy
Problem solving & critical thinking ability
Documentation

Lesson 3 Acute Musculo-skeletal Conditions

Revision of A & P
Types and management of different Fractures, and nursing care of casts
Neurovascular observations
Internal / external fixation, traction
Care post hip and knee replacement
Amputation
Development of Nursing care plan with muscularsketetal focus.
Discharge process with a muscularsketetal focus.
Responsibilities of MDT Team


Lesson 4 Management of Gastrointestinal

Common surgical emergencies related to the gastrointestinal tract such as: appendicitis, AAA, peritonitis, intestinal obstruction, bowel obstruction, paralytic ileus, cholelithiasis and pancreatitis.

Lesson 5 Acute Cardiovascular Conditions

AMI: Chest pain
Angina
Arteriosclerosis
Myocardial Infarction
Anerysm
Congestive Cardiac Failure

Lesson 6 Acute Respiratory Conditions:

Acute Asthma Attack
Pneumonia
Acute respiratory Distress Sydrome
Respiratory Assessment
Support services to asthma suffers
Pneumothorax

Lesson 7 Shock

Cardiogenic
Neurogenic
Anaphylactic
Septic
Hypovolaemic


Lesson 8 Trauma

Motor vehicle accidents
Motor bike accidents
Spinal injuries
Drowning
Sport injuries

Lesson 9 Perioperative Nursing Care

Emergency admision vs elective admission
Health assessment, data collection, documentation
Legal & ethical issues
Pre-operative nursing management
Pre-operative Educatiom
Preperation for medical / surgical operations

Lesson 10 Postoperative nursing management

Assessment, reporting and documentation
Potential post operative complications
Anaesthesia recovery and nursing interventions
Post operative care plans & critical pathways
Discharge / transfer of a client
Discharge planning and referral, community support services

Lesson 11 Emergency Management

Respiratory & Cardiac arrest
Emergency Management
Prepare and checking emergency trolley
Members and role of emergency response team

Lesson 12 Blood Transfusion

Purpose of tranfusion
Types of tranfusion
Assessment & management
Legal & ethical issues
Complications
Standard & Universal precautions
Documentation

Lesson 13 Peer Assessment & Critical Thinking


Learning Resources

Prescribed Texts

*  Kozier and Erbs ‘ Fundamentals of Nursing’. (2010). 1st edition. Pearson: Australia.
*  Tollefson,J. (2010). Clinical psychomotor skills: assessment tools for nursing students. (4th edition). South Melbourne: Cengage Learning.


References


Other Resources

All Powerpoints are posted to student blackboard


Overview of Assessment

Underpinning knowledge for this unit of competency will be assessed via the follwoing methods:

  • Written Assessment
  • Practical Assessment
  • Clinical Placement


Assessment Tasks

Written Assessment 60%

Clinical Assessment 20%

Laboratory Assessment 20%


Assessment Matrix

All assessment tasks must have a competent outcome before a grade can be awarded for this course

All written assessment must have a 60% grade to be deemed competent

  • 60 - 69 - CAG
  • 70 - 79 - CC
  • 80 - 89 - CDI
  • 90 - 100 -CHD

Other Information

60% on EACH assessment must be achieved

<45% student must re- enrol into course

45 – 50% a resit of the assessment will be considered
 

Course Overview: Access Course Overview