Course Title: Apply principles of wound management in the clinical environment

Part B: Course Detail

Teaching Period: Term2 2019

Course Code: NURS5381C

Course Title: Apply principles of wound management in the clinical environment

School: 174T School of VE Engineering, Health & Science

Campus: City Campus

Program: C5365 - Diploma of 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

Lee Vaessen

Emaillee.vaessen@rmit.edu.au

Lynette Smedley

Email: lynette.smedley@rmit.edu.au

 

Nominal Hours: 45

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

There are no pre-requisites for this unit of competency.

Course Description

This course describes the skills and knowledge required to apply contemporary wound management principles to the care of various types of wounds. It involves working with the interdisciplinary health care team to contribute to assessment, treatment and ongoing management of a person’s wounds.

 

This course applies to enrolled nursing work carried out in consultation and collaboration with registered nurses, and under supervisory arrangements aligned to the Nursing and Midwifery Board of Australia regulatory authority legislative requirements.

 

This course includes a Work Integrated Learning experience in which your knowledge and skills will be applied and assessed in a real or simulated workplace context and where feedback from industry and/or community is integral to your experience.


This course includes clinical placement.


National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

HLTENN006 Apply principles of wound management in the clinical environment

Element:

1. Apply protocols for wound assessment.

Performance Criteria:

1.1 Use appropriate medical terminology when assessing, reporting and recording data on wounds. 1.2 Use strategies to minimise cross-infection during assessment and implementation of wound management strategies. 1.3 Observe orders and instructions relating to non-disturbance of dressings.

Element:

2. Assess impact of wound on a person, family or carer.

Performance Criteria:

2.1 Assist in performing holistic assessment of the person with a wound. 2.2 Apply knowledge of the physiological and biochemical processes associated with normal wound healing when assessing the person's wound. 2.3 Consider factors that impact on wound healing, including psychosocial impact of a wound on the person's daily living activities. 2.4 Consider common problems and complications of wounds when assessing the person's wound. 2.5 Discuss modes of transmission of infection and infection development with the person, family or carer.

Element:

3. Contribute to planning care for a person with a wound.

Performance Criteria:

3.1 Consider primary health care principles and holistic approaches when planning care for the person with a wound. 3.2 Access wound care experts to assist in decision-making for wound care management. 3.3 Maintain current knowledge and use an evidence-based and problem-solving approach in contributing to analysis and planning of appropriate wound care management strategies. 3.4 Contribute to an individual wound management plan for the person in consultation and collaboration with the person, registered nurse and the interdisciplinary health care team. 3.5 Discuss preventative wound care strategies with the person, family or carer. 3.6 Identify the person's comfort needs such as pain relief in consultation with registered nurse before undertaking wound care.

Element:

4. Undertake clinical nursing care in implementing wound care strategies.

Performance Criteria:

4.1 Use contemporary assessment tools accurately. 4.2 Implement wound care strategies, taking into account legislation and organisation policy and procedures. 4.3 In consultation and collaboration with the interdisciplinary health care team, identify wound management products and techniques appropriate to the identified phase of wound healing, and collect all resources required for the procedure. 4.4 Collect specimens required for microbiology and cytology according to organisation policy and procedures. 4.5 Dispose of all articles including hazardous waste appropriately according to organisation policy and procedures. 4.6 Make the person comfortable, and complete required documentation.

Element:

5. Apply contemporary wound management strategies to complex or challenging wounds.

Performance Criteria:

5.1 Apply knowledge of wound complexity and the pathological processes of wound healing for complex or challenging wounds 5.2 Identify common problems and complications of complex and challenging wounds. 5.3 Follow aseptic technique for a clean surgical wound and use infection prevention techniques appropriate to the type of wound. 5.4 Remove sutures, clips and drains from a person and replace wound drainage bag as directed by a registered nurse. 5.5 Implement appropriate contemporary wound management strategies to manage the person's complex or challenging wounds. 5.6 Participate with the interdisciplinary health care team in making an assessment of the person with a complex or challenging wound within an holistic framework. 5.7 Create and review individualised plans of care for the person with a complex or challenging wound.

Element:

6. Assist in evaluating outcomes of nursing actions.

Performance Criteria:

6.1 Ensure involvement of the person in the evaluation process. 6.2 Monitor the person's response to wound management strategies, and their progress towards planned wound management goals. 6.3 Evaluate, document and communicate progress of wound healing and wound care strategy outcomes to the appropriate members of the interdisciplinary health care team using contemporary terminology. 6.4 Assist in assessing effectiveness of the person's wound management strategies and products used. 6.5 Modify wound management strategies, procedures and goals for the individual person. 6.6 Work within a cost effective framework. 6.7 Identify and plan health education and promotion strategies for the person in consultation and collaboration with the registered nurse.


Learning Outcomes


The critical learning for this course takes place in clinical placement within the health sector and within simulations in RMIT laboratories.

You will be instructed in skills through demonstration, modelling and role-play. Skills development is supported by lectures on theory and underpinning knowledge, classroom discussions, group work, research and reflective practice.

  

On completion of this course you should be able to:

  1. Apply protocols for wound assessment.

    1.1 Use appropriate medical terminology when assessing, reporting and recording data on wounds.

    1.2 Use strategies to minimise cross-infection during assessment and implementation of wound management strategies.

    1.3 Observe orders and instructions relating to non-disturbance of dressings.

  2. Assess impact of wound on a person, family or carer.

    2.1 Assist in performing holistic assessment of the person with a wound.

    2.2 Apply knowledge of the physiological and biochemical processes associated with normal wound healing when assessing the person’s wound.

    2.3 Consider factors that impact on wound healing, including psychosocial impact of a wound on the person’s daily living activities.

    2.4 Consider common problems and complications of wounds when assessing the person’s wound.

    2.5 Discuss modes of transmission of infection and infection development with the person, family or carer.

  3. Contribute to planning care for a person with a wound.

    3.1 Consider primary health care principles and holistic approaches when planning care for the person with a wound.

    3.2 Access wound care experts to assist in decision-making for wound care management.

    3.3 Maintain current knowledge and use an evidence-based and problem-solving approach in contributing to analysis and planning of appropriate wound care management strategies.

    3.4 Contribute to an individual wound management plan for the person in consultation and collaboration with the person, registered nurse and the interdisciplinary health care team.

    3.5 Discuss preventative wound care strategies with the person, family or carer.

    3.6 Identify the person’s comfort needs such as pain relief in consultation with registered nurse before undertaking wound care.

  4. Undertake clinical nursing care in implementing wound care strategies.

    4.1 Use contemporary assessment tools accurately.

    4.2 Implement wound care strategies, taking into account legislation and organisation policy and procedures.

    4.3 In consultation and collaboration with the interdisciplinary health care team, identify wound management products and techniques appropriate to the identified phase of wound healing, and collect all resources required for the procedure.

    4.4 Collect specimens required for microbiology and cytology according to organisation policy and procedures.

    4.5 Dispose of all articles including hazardous waste appropriately according to organisation policy and procedures.

    4.6 Make the person comfortable, and complete required documentation.

  5. Apply contemporary wound management strategies to complex or challenging wounds.

    5.1 Apply knowledge of wound complexity and the pathological processes of wound healing for complex or challenging wounds

    5.2 Identify common problems and complications of complex and challenging wounds.

    5.3 Follow aseptic technique for a clean surgical wound and use infection prevention techniques appropriate to the type of wound.

    5.4 Remove sutures, clips and drains from a person and replace wound drainage bag as directed by a registered nurse.

    5.5 Implement appropriate contemporary wound management strategies to manage the person’s complex or challenging wounds.

    5.6 Participate with the interdisciplinary health care team in making an assessment of the person with a complex or challenging wound within an holistic framework.

    5.7 Create and review individualised plans of care for the person with a complex or challenging wound.

  6. Assist in evaluating outcomes of nursing actions.

    6.1 Ensure involvement of the person in the evaluation process.

    6.2 Monitor the person’s response to wound management strategies, and their progress towards planned wound management goals.

    6.3 Evaluate, document and communicate progress of wound healing and wound care strategy outcomes to the appropriate members of the interdisciplinary health care team using contemporary terminology.

    6.4 Assist in assessing effectiveness of the person’s wound management strategies and products used.

    6.5 Modify wound management strategies, procedures and goals for the individual person.

    6.6 Work within a cost effective framework.

    6.7 Identify and plan health education and promotion strategies for the person in consultation and collaboration with the registered nurse.


Details of Learning Activities

There are four lectures that are three hours each in length. These lectures cover the learning criteria related to the care of Wounds in the clinical environment. In addition to the lectures there are three clinical labs in a simulated environment in which the focus is to learn how to perform wounds dressings using a ANTT (Aseptic Non touch Technique).

Learning and assessment also take place on clinical placement.

 


Teaching Schedule

 

Week begining

C18M

26th Aug

Lesson 1

2nd Sept 

Mid semester break

9th Sept 

Lesson 2 and Lab 1

16th Sept

Lesson 3 and 4

23rd Sept

Lab 2 

30th Sept

 Wounds Exam and Lab 3

7th Oct

Lab  Assessment

  


Learning Resources

Prescribed Texts


References


Other Resources

There are videos for learning on CANVAS that students are encouraged to watch


Overview of Assessment

This assessment will incorporate a variety of methods including written, oral, practical tasks and activities.

 

You will be asked to personally demonstrate to your teacher/assessor the practical skills gained during this course to the relevant industry standards. Assessment activities will occur throughout this course and feedback will be provided at regular intervals

 

Students must pass each of the following assessment tasks to demonstrate competent.

Assessment tasks

 

Assessment

Assessment 1

Theory assessment

Assessment 2

Case study 

Assessment 3

Practical Assessment

Assessment 4

Clinical Placement

 

To be deemed competent you must demonstrate an understanding of all aspects required of the competency. Assessment methods have been designed to measure your achievement of each competency in a flexible manner over multiple tasks.

 

 

 

                       

 

 


Assessment Tasks

Assessment Task 1: Theory assessment

  • The case study is excellent preparation for the exam so it is to be completed prior to the exam date.
  • The written exam will consist of both multiple choice and short answer exam questions.
  • A 60% pass mark is required in order to be assessed as competent.

Assessment Task 2: Case Study

  • 20 QUESTIONS - Multiple choice and short answer worth 1 mark each
  • Online via CANVAS (questions are shuffled for each student to randomise the case study)
  • 45 minute time limit
  • Maximum three (3) attempts\
  • When all multiple choice questions correct the teacher will grade the short answers
  • 100% is required to be Satisfactory for this assessment task
  • Teacher will reopen portal for one (1) further attempt if resubmission is granted

 

Assessment Task 3

  • You are required to undertake a Practical Lab Assessment demonstrating competence in wound care, documentation and ability to linking theory to practice. You will have 30 minutes to demonstrate the aseptic non touch technique (ANNT) by performing a sterile wound dressing. This is a skill that you will have had 9hrs of lab time to practise under the direction or your educators.
  • Assessment times will be allocated to you 1 week prior to the assessment but refer to the table below for the dates.
  • You will only be required to attend for 30 minutes but it may be allocated during any of the follow days or times

Assessment Task 4

  • The expectation is that you will perform wound care management, including wound assessment, health education and evaluation of the person’s wound care in the workplace on 3 wounds, of which at least 1 must involve a simple wound dressing and at least 1 must involve a complex wound dressing.
  • Refer to the clinical logbook for more information


Assessment Matrix

National Program Code and Name

C5365 Diploma of Nursing

Code & Name of Unit of Competency

HLTENN006 Apply principles of wound management in the clinical environment

Instructions to complete this mapping document

Give all the content of the unit of competency and the assessment requirements a numerical code.The marked up copy of the unit of competency & assessment requirements is part of your planning for assessment instruments and should be kept as evidence of your mapping.

No

Name of Assessment Task

Method of Assessment

Elements

Performance Criteria

Foundation Skills

Performance Evidence

Knowledge Evidence

Assessment Conditions

1.

Written Exam

Written Questions

 

 

 

 

 

 

 

2.

Case Study

Written Questions

 

 

 

 

 

 

 

3.

Practical wounds assessment

Practical skill assessment

E1 1.1, 1.2,

E2 2.1, 2.4

E3 3.4, 3.6

E4 4.1, 4.3, 4.5, 4.6

E5 5.3,

E6 6.3, 6.6

 

 

 

KE2, KE5, KE8, KE9, KE10, KE11KE12, KE13

AC1

4.

Clinical placement 4 &/or CP 5

Workplace assessment

E1 1.1 - 1.3

E2 2.1 - 2.5

E3 3.1 – 3.6

E4 4.1 – 4.6

E5 5.1 – 5.7

E6 6.1 – 6.7

 

PE1

PE2

KE1, KE2, KE5, KE6, KE7, KE8, KE9, KE10, KE11KE12, KE13

AC1

AC2

 

 

Other Information

Other Information

Please refer to the RMIT Student Page for extensive information about study support, assessments, extensions, appeals and a range of other matters:http://www1.rmit.edu.au/students

Placement

Please note an opportunity to repeat clinical placement is not guaranteed and will be at the discretion of the Clinical Coordinator/Program Manager.

 

Special Consideration

Use the special consideration process if your circumstances are such that you cannot fulfil assessment requirements. For example, if you are unable to complete any piece of assessment by a due date, you will need to apply for an extension.

Re submissions

You are permitted to have a maximum of 2 re-submissions for this course, however each individual assessment may only be resubmitted once.  Re submissions are not automatic and will only be approved at the discretion of the program coordinator after consultation with the teacher.

  All re submissions must be completed and submitted no more than 7 days after your work has been assessed.

 

Academic Integrity and Plagiarism

RMIT has a strict policy on plagiarism and academic integrity. Please refer to: http://www1.rmit.edu.au/students/academic-integrity for more information.

Working with Children Check and Police Check

This course requires a Working with Children Check and Police Check

 

Attendance

You are required to attend all sessions in order to engage in the required learning activities and ensure the maximum opportunity to gain competency.

 

Course Overview: Access Course Overview