Course Title: Apply principles of diabetic nursing care

Part B: Course Detail

Teaching Period: Term1 2016

Course Code: NURS5303C

Course Title: Apply principles of diabetic nursing care

School: 155T Vocational Health and Sciences

Campus: Bundoora Campus

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

Course Contact: Leeanne Mond

Course Contact Phone: +61 3 9925 4837

Course Contact Email: leeanne.mond@rmit.edu.au


Name and Contact Details of All Other Relevant Staff

 

Bianca Rohlje

+61 3 9925 4809

bianca.rohlje@rmit.edu.au

Nominal Hours: 80

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

This course is not delivered as part of the Diploma of Nursing (Division 2 - Enrolled nurse) program but can be delivered as a short course if sufficient interest - NIL PRE REQUISITES OR CO REQUISITES

Course Description

This competency unit describes the skills and knowledge required to apply the principles of diabetic nursing care, building upon existing skills to enable the Enrolled/Division 2 nurse to provide holistic nursing care and maintain optimal health

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:

HLTEN611B Apply principles of diabetic nursing care

Element:

1. Provide diabetes care within the context of the Australian health care environment

Element:

2. Assess the needs of clients with diabetes

Element:

3. Plan diabetes care in consultation/collaboration with the health care team

Element:

4. Perform complex nursing interventions to assist clients in achieving and maintaining optimal diabetes health

Element:

5. Evaluate the plan of care for clients with acute and/or chronic presentation diabetes

Element:

1. Provide diabetes care within the context of the Australian health care environment

2. Assess the needs of clients with diabetes

3. Plan diabetes care in consultation/collaboration with the health care team

4. Perform complex nursing interventions to assist clients in achieving and maintaining optimal diabetes health

5. Evaluate the plan of care for clients with acute and/or chronic presentation diabetes

Performance Criteria:

1.1       Work with an understanding of levels of diabetes care provided in the Australian health care system

1.2       Apply an awareness of sources of funding for diabetes related services

1.3       Apply an awareness of implications of demographic changes in Australian society as they impact on diabetes related health issues across the lifespan

1.4       Recognise complementary roles of organisations and individuals involved in the support and delivery of diabetes care

1.5       Interact effectively with referring agencies and community organisations in providing diabetes care

1.6       Work with an understanding of the role of specialist services in long-term client care to achieve identified outcomes

1.7       Contribute to the multi-disciplinary health care team in the holistic management of client care

1.8  Work with an understanding of legal, ethical and health policy issues related to diabetes care delivery

2.1       Apply an understanding of the pathophysiology of diabetes

2.2       Address common nursing needs of clients with diabetes

2.3       Use a range of contemporary assessment tools, resources and strategies relevant to client care needs, accurately and in accordance with the health unit policy

2.4       Initiate holistic nursing assessment, incorporating review of previous history, current situation and treatment regimes

2.5       Determine client understanding of their condition, self management and medications

2.6       Identify possible factor/s or significant alterations impacting on client health

2.7  Identify level of knowledge and understanding of identified significant other/s and their involvement in client's diabetes care

3.1       Ensure nursing care plan reflects specific diabetic care requirements in accordance with health unit policy

3.2       Ensure care plan reflects client's current nursing needs and nursing actions designed to maximise client's function and minimise potential complications

3.3       Ensure planned care and therapeutic interventions aim to assist client/s to achieve optimal health outcomes

3.4       Discuss the plan of care with client and/or identified significant other/s, and other members of the health care team

3.5       Identify health promotion and client education sessions on the nursing care plan

3.6  Undertake ongoing case management or discharge planning in accordance with health unit policy and in consultation/collaboration with the health care team 

4.1       Prioritise interventions for clients according to their needs

4.2       Reorganise priorities as required to reflect changes in nursing workload

4.3       Promote the partnership between the client and the nurse in implementing health teaching and self management

4.4       Administer medications safely based on sound knowledge of the principles of drug actions and side effects in accordance with health unit policies and procedures

4.5       Evaluate, interpret and communicate the client's blood and urine results relating to diabetes function to the health care team

4.6  Liaise with Registered Nurses and other members of the health care team about alterations in conditions and ongoing client support

5.1       Critically review the care plan and modify according to client progress toward planned outcomes in consultation/collaboration with health care team

5.2       Evaluate client understanding of their condition, ongoing management and therapies either prior to discharge or in accordance with health unit policy depending on the clinical environment responsible for care delivery

5.3       Assess client acceptance of health teaching and management of ongoing care needs

5.4       Assess and review understanding by identified significant other/s of the client's current condition and ongoing management

5.5  Ensure client and identified significant other/s are aware of available community resources and how to access them


Learning Outcomes


The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role
This includes knowledge of:
• Critical thinking and problem solving
• Cultural and spiritual beliefs and practices
• Culturally appropriate health promotion activities for clients with diabetic issues
• Factors influencing growth and development
• Factors influencing self esteem
• Issues relating to diabetes care delivery, including:
• impact of cultural diversity in models of health care in relation to effective diabetes care delivery
• political and economic issues impacting on diabetes care delivery within Australia
• client-specific diabetes issues across the lifespan relating to their individual physical, psychological, social, spiritual and economic needs
• Legislative requirements for practice
• Medical terminology relating to diabetes
• Organisation policy and procedure
• Participating as a member of the health care team
• Principles of health assessment
• Reflective practice
• Specialised in-depth knowledge in anatomy, physiology and pathophysiology related to diabetes
• Specialised knowledge and execution relating to emergency care of diabetic clients
• Specialised knowledge in the clinical manifestations of diabetes
• Workplace health and safety legislation
 

It is critical that the candidate demonstrate the ability to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role
This includes the ability to:
• Apply relevant admission and discharge tools according to organisation policy
• Apply relevant health unit assessment tools according to organisation policy
• Apply cognitive processes to reflect problem solving and analysis in the planning implementation and evaluation of care to clients
• Apply organisation policy and procedure relating to diabetes management.
• Apply professional standards of practice:
• ANMC code of conduct
• ANMC code of ethics
• ANMC national Enrolled/Division 2 nurse competency standards
• state/territory Nurse Regulatory Nurses Act
• state/territory Nursing and Midwifery Regulatory Authority standards of practice
• scope of nursing practice decision making framework
• Demonstrate accountability for personal outputs and broad client group outcomes
• Undertake nursing interventions which may include:
• administration of I/M or S/C glucagon
• administration of S/C insulin and oral hypoglycaemic agents
• assessment, observation and documentation of clinical actions relating to the nursing management of diabetes interventions and emergencies
• assistance with meeting activities of daily living
• blood glucose monitoring
• client education
• emergency medications
• fundamental nursing interventions
• interpretation of blood and urine results
• medication administration and management
• monitoring of ketone levels
• pre and post procedure care
• venepuncture
• Use language, literacy and numeracy competence required to communicate effectively with client, group, colleagues and to record or report client outcomes
• Use advanced communication skills
• Use education and teaching strategies relating to health promotion and practical task applications for diabetic conditions
• Use information technology systems


Details of Learning Activities

 

Learning activities include:

  • Classroom Teacher delivery
  • Group work
  • Self directed learning
  • Research
  • Practical sessions
  • Clinical placement


Teaching Schedule

 

LESSONTOPIC
1Introduction
2Understanding diabetes
3Acute conditions
4Chronic conditions
5Diabetes across the lifespan
6Diabetic health promotion
7Medication management
8Revision and reflection


Learning Resources

Prescribed Texts


References


Other Resources

 

The assessment resources for this unit is the recommended text:

Brown, D. and Edwards, H., (Ed) (2014) Lewis’s medical surgical nursing; assessment and management of clinical problems (4th ed.) Elsevier Australia.

Kozier, B,and Erbs, G., (2014) Fundamentals of Nursing (3rd ed.) Pearson, Australia. (Volumes 1 - 3)

Marieb, E.N., (2014) Essentials of Human Anatomy & Physiology (11th ed.) Benjamin Cummings, San Francisco

 

Tiziani, A., ( 2013) Harvard Nursing Guide to Drugs ( 9th ed.) Mosby, Elsevier.

    Blackboard videos

     


    Overview of Assessment

    This course is not delivered as part of the Diploma of Nursing (Division 2 - Enrolled nurse) program but can be delivered as a short course if sufficient interest
     


    Assessment Tasks

     

    This unit is part of an integrated program.
    You must demonstrate Performance and Knowledge Evidence of the unit in order to be deemed competent.
    Assessment methods have been designed to measure achievement of each competency in a flexible manner over a range of assessment tasks.

    The skills and knowledge to be assessed within this unit are as follows:

    1. Diabetic conference

    2. Practical skills assessments

    3. Clinical placement

    Competency based training requires you to be in attendance in order for assessment to be undertaken.

    Feedback will be provided throughout the semester in class and/or online discussions, through individual and group feedback on practical exercises and by individual consultation.

    All Assessment tasks should be performed or submitted by their due dates.

    If due to illness or other unforeseen circumstance, you are unable to attend on the due date of an assessment (e.g. test, examination, oral, etc.) OR you do attend, but your performance has been affected, you may submit an APPLICATION FOR SPECIAL CONSIDERATION within two (2) working days of the due date. If Special Consideration is granted, you will be given the opportunity to complete/repeat the assessment task at a later date. For advice on this application please visit www.rmit.edu.au/students/specialconsideration or speak to your Program Coordinator.


    If due to illness or other unforeseen circumstance, you are unable to submit by the due date (e.g. assignment, report, project etc.):
    • you may submit an APPLICATION FOR EXTENSION OF TIME FOR SUBMISSION OF ASSESSABLE WORK for an extension of time of up to seven (7) calendar days or less. This must be lodged with the Program Coordinator one (1) working day before the original due date. If granted, you will have the opportunity to submit up to seven (7) days later than the original due date. For advice on this application please visitwww.rmit.edu.au/students/assessment/extension or speak to your Program Coordinator.
    OR:
    • you may submit an APPLICATION FOR SPECIAL CONSIDERATION within two (2) working days of the due date. If Special Consideration is granted, you will be given the opportunity to submit the assessment task more than seven (7) days after the original due date. For advice on this application please visit www.rmit.edu.au/students/specialconsideration or speak to your Program Coordinator.

    You are expected to prepare all assignments and other written work in a professional manner. More information on general academic study and writing skills can be found on the “Learning Lab”http://emedia.rmit.edu.au/learninglab/ . All work submitted for assessment must be submitted electronically unless otherwise advised.

    Students must keep a copy of all submitted assessments including electronic copies.
    Harvard style is used for all referencing and for bibliography.
    RMIT University has a strict policy on academic integrity and plagiarism and. Please refer to the website for more information on this policy. www.rmit.edu.au/students/academic-integrity
    If you have a long term medical condition and/or disability it may be possible to negotiate to vary aspects of the learning or assessment methods. You can contact the program coordinator or the Disability Liaison Unit if you would like to find out more.
    Your rights and responsibilities as a student can be found athttp://www1.rmit.edu.au/students/rights-and-responsibilities  
    This course assessment conforms to RMIT assessment principles, regulations, policies and procedures which are described and referenced at www.rmit.edu.au/students/assessment

    Credit transfer and RPL
     

    Credit transfer is available to students who have already completed the same or similar courses. Recognition of prior learning is available to students who have relevant prior skills or experience. Please refer to http://www.rmit.edu.au/browse;ID=8u7jborsx9dy (unresolved)

     


    Assessment Matrix

     

    The assessment mapping demonstrates alignment of assessment tasks with the relevant unit of competency and with the performance evidence, knowledge evidence and assessment conditions for each unit.

    The Assessment Matrix is available on Blackboard.

    Other Information

     

    The assessment resources for this unit is the recommended text:

    Brown, D. and Edwards, H., (Ed) (2014) Lewis’s medical surgical nursing; assessment and management of clinical problems (4th ed.) Elsevier Australia.

    Kozier, B,and Erbs, G., (2014) Fundamentals of Nursing (3rd ed.) Pearson, Australia. (Volumes 1 - 3)

    Marieb, E.N., (2014) Essentials of Human Anatomy & Physiology (11th ed.) Benjamin Cummings, San Francisco

    Tiziani, A., ( 2013) Harvard Nursing Guide to Drugs ( 9th ed.) Mosby, Elsevier.

       

      Each assessment will be marked as either Satisfactory or Not Satisfactory.

      In order to be assessed as Competent for this unit you must achieve a Satisfactory result for each assessment task.

      The student is expected to attend classes, Lab sessions and Clinical Placement where applicable.

      Resubmission or Reassessment of an Assessment Task:

      There are no resubmissions of assessments which are Not Satisfactory. However individual consideration may be given in consultation with the Teacher and the Program Coordinator.

      Reassessment of students who have attempted to undertake a practical assessment in the Clinical Lab (resulted as Not Satisfactory), and have attended all Lab sessions will be given one (1) further opportunity to demonstrate a Satisfactory result.

       

      Course Overview: Access Course Overview