Course Title: Apply nursing practice in the primary health care setting

Part B: Course Detail

Teaching Period: Term2 2019

Course Code: NURS5396C

Course Title: Apply nursing practice in the primary health care setting

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

Campus: Bundoora 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

Course Coordinator Jaye Keating

Teacher City : Dianne Winters

             Bundoora: Kate Lamble

 

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

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

Course Description

This course describes the nursing skills and knowledge required to work in a primary health care environment including community-based, educational, occupational and informal settings, and in general practice.

 

Primary health care involves a person-centred and holistic approach to health care. It is made accessible to people by being located as close as possible to where they live, and supporting their full participation in a spirit of self-reliance and self-determination.

 

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:

HLTENN015 Apply nursing practice in the primary health care setting

Element:

1. Work as part of an interdisciplinary health care team in a primary health care environment

Performance Criteria:

1.1 Apply principles of primary health care and work within the philosophical framework supporting primary health care system 1.2 Identify the primary health care service model and the roles and professional expertise of various members of the interdisciplinary health care team 1.3 Undertake effective decision-making and initiate action based on results of clinical assessment and in collaboration with various members of the interdisciplinary health care team

Element:

2. Recognise impact of a health problem on a person in the primary health care environment

Performance Criteria:

2.1 Define health issues for the community or target group of the primary health care service, and reflect this knowledge in own work 2.2 Recognise clinical manifestations of health conditions affecting the health status of the person requiring primary health care 2.3 Review the person's records to determine priorities and potential areas of risk for implementation of primary health care 2.4 Discuss information gained from assessment of the person with appropriate members of the interdisciplinary health care team 2.5 Discuss the physical, psychological and social impacts of a health problem on daily living activities with the person and, with the person's consent, with family or carer 2.6 Identify actual or potential environmental health issues impacting the person requiring primary health care in consultation and collaboration with the registered nurse

Element:

3. Provide health education and health promotion for illness prevention

Performance Criteria:

3.1 Identify health literacy issues that potentially inhibit the person's capacity to access, understand, evaluate and communicate information to maintain and improve their health 3.2 Adopt strategies to support the person's capacity to gain and understand information 3.3 Support the person to engage in illness prevention through health promotion programs to meet the person's needs 3.4 Contribute to health policy in the primary health care environment and participate in health education programs for the person and community groups

Element:

4. Perform nursing interventions that support a person's health care needs

Performance Criteria:

4.1 Ensure nursing interventions reflect the person's needs and individuality including considering cultural, religious, age and gender issues and the person's physical, psychological and social needs 4.2 Implement nursing interventions using respectful practices that also support the person's dignity and privacy 4.3 Encourage the person, family or carer to assist with the person's self-care care as appropriate 4.4 Plan and adjust nursing interventions to assist the person to meet their daily living activities 4.5 Identify and prioritise nursing interventions according to the person's needs 4.6 Initiate appropriate first aid and other emergency treatment according to organisation policy and procedure

Element:

5. Evaluate outcomes of planned primary health care and promote suitable resources

Performance Criteria:

5.1 Monitor, evaluate and document the person's response to nursing interventions and their progress toward primary health goals, and report findings to relevant interdisciplinary health care team 5.2 Identify community and other resources to match the person's needs, and provide the person, family or carer with information on available resources and how to access them


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. Work as part of an interdisciplinary health care team in a primary health care environment

    1.1 Apply principles of primary health care and work within the philosophical framework supporting primary health care system

    1.2 Identify the primary health care service model and the roles and professional expertise of various members of the interdisciplinary health care team

    1.3 Undertake effective decision-making and initiate action based on results of clinical assessment and in collaboration with various members of the interdisciplinary health care team

  2.  Recognise impact of a health problem on a person in the primary health care environment.

    2.1 Define health issues for the community or target group of the primary health care service, and reflect this knowledge in own work

    2.2 Recognise clinical manifestations of health conditions affecting the health status of the person requiring primary health care

    2.3 Review the person’s records to determine priorities and potential areas of risk for implementation of primary health care

    2.4 Discuss information gained from assessment of the person with appropriate members of the interdisciplinary health care team

    2.5 Discuss the physical, psychological and social impacts of a health problem on daily living activities with the person and, with the person’s consent, with family or carer

    2.6 Identify actual or potential environmental health issues impacting the person requiring primary health care in consultation and collaboration with the registered nurse

    3. Provide health education and health promotion for illness prevention. 

    3.1 Identify health literacy issues that potentially inhibit the person’s capacity to access, understand, evaluate and communicate information to maintain and improve their health

    3.2 Adopt strategies to support the person’s capacity to gain and understand information

    3.3 Support the person to engage in illness prevention through health promotion programs to meet the person’s needs

    3.4 Contribute to health policy in the primary health care environment and participate in health education programs for the person and community groups.

    4. Perform nursing interventions that support a person’s health care needs.

    4.1 Ensure nursing interventions reflect the person’s needs and individuality including considering cultural, religious, age and gender issues and the person’s physical, psychological and social needs

    4.2 Implement nursing interventions using respectful practices that also support the person’s dignity and privacy

    4.3 Encourage the person, family or carer to assist with the person’s self-care care as appropriate

    4.4 Plan and adjust nursing interventions to assist the person to meet their daily living activities

    4.5 Identify and prioritise nursing interventions according to the person’s needs

    4.6 Initiate appropriate first aid and other emergency treatment according to organisation policy and procedure.

    5. Evaluate outcomes of planned primary health care and promote suitable resources.

    5.1 Monitor, evaluate and document the person’s response to nursing interventions and their progress toward primary health goals, and report findings to relevant interdisciplinary health care team

    5.2 Identify community and other resources to match the person’s needs, and provide the person, family or carer with information on available resources and how to access them


Details of Learning Activities

Learning activities will include face to face delivery as well as practical labs with a clinical placement component.  You will be expected to utilise the worldwide web, focusing on Australian primary health care providers and support, to enhance your learning and complete assessments.  

This course includes a clinical placement which for many students is one of their favourite times during the course. More than 80% of students will be allocated a rural placement is a primary health centre / GP clinic. This is an opportunity to visit a rural centre and for our international students, see more of Australia. 

You will be able to develop and practice first aid skills suitable for you to use as a nurse in primary health. This is not a first aid certificate course.


Teaching Schedule

 Week Number Topic

Assessments 

Week 1

Lesson 1

 Primary Health Introduction

WHO and the world perspective

Australian Primary Health Care: National Health Care Strategic framework.

Introduction and resources for assessment tasks 1 & 2 

Assessment Task 1: Case Study 

Assessment Task 2: Resources Review to be introduced and groups to be allocated

 

Week 2

lesson 2

Nursing in Primary Health Care in Australia 

Types of primary care: health promotion, prevention and screening

First Aid principles

 

Week 3

lesson 3 &

lab session 1

Challenges to address and targets to meet in the health/illness continuum

Lab 1 Practical first aid skills, part 1

 

 

Week 4

 

No class Assessment Task 1 is due 03/08/2019

Week 5

lesson 4

 Social determinants of health 

Week 6

lesson 5

 Presentations of Resource Review-Group presentations

Assessment Task 2: Resource review presentations due

16/08/2019

Week 7

lesson 6

 Presentations of Resource Review-Group presentations

Closing date for individual submission 23/08/2019

 

Week 8

No class 

  

 Week 9

lesson 7

 First Aid theory Introduction to Assessment Task 3: Peer assessed first aid

Week 10

lesson 8 &

Lab session 2

First aid theory

First Aid skills (part 2)

 

Week 11

Lab 3

 

WEEK 15

First Aid peer assessment

Assessment Task 3

 

Assessment task 3: Second attempt if required

Assessment Task 3: Simulated first aid scenarios

09/10/2019 

 

Simulated first aid scenarios 2nd attempt if required


Learning Resources

Prescribed Texts


References


Other Resources

Recommended texts are available at Carlton Library and include: 

McMurray, Anne & Clendon, Jill. Community health and wellness: primary health care in practice. 5th edition

Chang, Esther & Johnson, Amanda. Living with chronic illness and disability: principles for nursing practice. 3rd edition


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

Case Study

Assessment 2

Resources Review

Assessment 3

First Aid management and care 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: Case Study 

Guidelines will be provided for this case study.

You will analyse the health information and clinical presentation of 1 person in the simulated workplace to reach decisions about possible nursing interventions related to their primary health care needs.

 

Assessment Task 2 : Resources Review

You need to search for resources that will enable you to recognise the impact of a health problem on a person in the primary health care environment including health promotion and education in consultation with your teacher. This is a groupwork assessment task and your group findings will be presented to the remainder of the class.  A groupwork agreement must be signed before commencement of the task. Use the library services to access 4 evidence based articles (one each) that are relevant to your review and include them in the presentation. Write a brief summary of these findings and submit on canvas on the day of your presentation.

 

Assessment Task 3: First Aid management and Practical Assessment

In the laboratory, you will need to demonstrate practical first aid skills that will be observed and assessed by your peers.

 

Assessment Task 4: Clinical Placement 

You be required to complete 1 week of primary health care placement.  

During placement, you will  review and update a care plan for a patient to address their specific primary health care needs in consultation with a registered Nurse. 

 

 


Assessment Matrix

 

Competency assessment map

Unit Code

HLTENN015

 

Unit Title

Apply nursing practice in the primary health care setting

 

Date Competency Assessment Map completed/revised

25/01/19

Name (s) of the person/s who mapped assessments to the unit

Dianne Winters

Description

This Competency Assessment Map is a key document for assessors and must be completed for all units delivered and assessed. This document confirms that that all aspects of the unit of competency and assessment requirements have been addressed. This document is part of your assessment tool and once completed, must be filed with the other assessment documents. 

 

National Qualification Title

Diploma of Nursing 

National Qualification Code

HLT54115

Elective unit or Core unit

Core

 

Assessment task number and title

Method of assessment

 

        1. Case study

WT

        1. Presentation

PPR

        1. First Aid

PDE

        1. Clinical placement

OTH Clinical Placement

 

Assessment Methods

Written - Test or Short Answer Questions

WT

Practical - demonstration

PDE

Written - Essay

WES

Practical - presentation

PPR

Third Party Report

TPR

Role - play

ROL

Portfolio

POR

Other - state which…

OTH

 

Assessment

Task 1: Case study

Assessment

Task 2: Presentation

Assessment

Task 3: First Aid

Assessment

Task 4:  Clinical Placement

Element

Performance criteria

 

 

 

 

 

 

Map to assessment criteria

 

Map to assessment criteria

 

Map to assessment criteria

 

Map to assessment criteria

 

Element 1

Work as part of an interdisciplinary health care team in a primary health care environment

1.1 Apply principles of primary health care and work within the philosophical framework supporting primary health care system

 

 

1.2 Identify the primary health care service model and the roles and professional expertise of various members of the interdisciplinary health care team

 

1.3 Undertake effective decision-making and initiate action based on results of clinical assessment and in collaboration with various members of the interdisciplinary health care team

 

Element 2

Recognise impact of a health problem on a person in the primary health care environment

2.1 Define health issues for the community or target group of the primary health care service, and reflect this knowledge in own work

 

2.2 Recognise clinical manifestations of health conditions affecting the health status of the person requiring primary health care

2.3 Review the person s records to determine priorities and potential areas of risk for implementation of primary health care

 

 

2.4 Discuss information gained from assessment of the person with appropriate members of the interdisciplinary health care team

 

 

 

2.5 Discuss the physical, psychological and social impacts of a health problem on daily living activities with the person and, with the person s consent, with family or carer

 

 

2.6 Identify actual or potential environmental health issues impacting the person requiring primary health care in consultation and collaboration with the registered nurse

3. Provide health education and health promotion for illness prevention

3.1 Identify health literacy issues that potentially inhibit the person s capacity to access, understand, evaluate and communicate information to maintain and improve their health

 

 

3.2 Adopt strategies to support the person s capacity to gain and understand information

 

3.3 Support the person to engage in illness prevention through health promotion programs to meet the person s needs

 

 

3.4 Contribute to health policy in the primary health care environment and participate in health education programs for the person and community groups

 

 

 

4. Perform nursing interventions that support a person s health care needs

4.1 Ensure nursing interventions reflect the person s needs and individuality including considering cultural, religious, age and gender issues and the person s physical, psychological and social needs

 

4.2 Implement nursing interventions using respectful practices that also support the person s dignity and privacy

 

4.3 Encourage the person, family or carer to assist with the person s self-care care as appropriate

 

 

4.5 Identify and prioritise nursing interventions according to the person s needs

 

 

 

 

4.6 Initiate appropriate first aid and other emergency treatment according to organisation policy and procedure

 

 

✓ if required

5. Evaluate outcomes of planned primary health care and promote suitable resources

5.1 Monitor, evaluate and document the person s response to nursing interventions and their progress toward primary health goals, and report findings to relevant interdisciplinary health care team

 

 

 

5.2 Identify community and other resources to match the person s needs, and provide the person, family or carer with information on available resources and how to access them

Foundation Skills

Foundation skill

The Foundation Skills describe those required skills (language, literacy, numeracy and employment skills) that are essential to performance.

 

Description

Foundation skills essential to performance are explicit in the performance criteria of this unit of competency.

 

Describe how each foundation skill is demonstrated through the relevant assessment

 

 

Assessment

Task1:  Title

Assessment

Task 2: Title

Assessment

Task 3: Title

Assessment

Task 4: Title

Performance evidence

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

Map to assessment criteria

 

Map to assessment criteria

 

Map to assessment criteria

 

Map to assessment criteria

 

  • undertaken nursing work in accordance with Nursing and Midwifery Board of Australia professional practice standards, codes and guidelines

 

1.1-1.3

1.1-1.3

 

1.1-1.3

  • analysed health information and the clinical presentation of 1 person in the workplace to reach a substantiated conclusion about possible nursing interventions related to their primary health care needs, in consultation with a registered nurse

 

 

 

4.6

1.1-1.3

2.1-2.6

3.1-3.4

4.1-4.6

5.1-5.2

  • reviewed and updated a plan of care for 1 person to address their specific primary health care needs.

 

 

 

 

1.1-1.3

2.1-2.6

3.1-3.4

4.1-4.6

5.1-5.2

Knowledge evidence

 

 

 

 

 

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

Map to assessment criteria

 

Map to assessment criteria

 

Map to assessment criteria

 

Map to assessment criteria

 

  • health challenges facing Australian communities

 

 

2.1-2.6

3.1-3.4

 

 

1.1-1.3

2.1-2.6

3.1-3.4

4.1-4.6

5.1-5.2

  • environmental health issues facing Australian communities

 

 

2.1-2.6

3.1-3.4

 

 

1.1-1.3

2.1-2.6

3.1-3.4

4.1-4.6

5.1-5.2

  • philosophy underpinning primary health care

 

1.2, 1.3

1.2, 1.3

 

1.1-1.3

2.1-2.6

3.1-3.4

4.1-4.6

5.1-5.2

  • care of a confused person

 

2.1-2.6

3.1-3.3

 

 

1.3, 2.1-2.6, 4.1-4.5

5.5,5.2

  • care of a person with dementia

 

2.1-2.6

3.1-3.3

 

 

1.3, 2.1-2.6, 4.1-4.5

5.5,5.2

  • emergency and first aid management of conditions and injuries

 

 

 

1.3, 2.1, 2.2, 2.4, 4.1, 4.4, 4.6

4.6 if appropriate

  • age specific health issues for infants, children, adolescents, adults and older people

 

 

1.1-1.3, 2.1-2.6,3.1-3.4,

 

1.1-1.3

2.1-2.6

3.1-3.4

4.1-4.6

5.1-5.2

  • community and in-hospital resources and services available for medical conditions

 

3.1-3.4

3.1-3.4

 

1.1-1.3

2.1-2.6

3.1-3.4

4.1-4.6

5.1-5.2

  • critical thinking and problem-solving strategies

 

 

2.5, 2.6

4.6

1.1-1.3

2.1-2.6

3.1-3.4

4.1-4.6

5.1-5.2

  • evidence-based practice

 

 

1.1-1.3

 

1.1-1.3

2.1-2.6

3.1-3.4

4.1-4.6

5.1-5.2

  • health, including the illness continuum

 

3.1-3.4

2.1-2.6

 

1.1-1.3

2.1-2.6

3.1-3.4

4.1-4.6

5.1-5.2

  • literature and professional bodies associated with primary health care management

 

3.1-3.4

1.1,1.2

5.2

 

1.1-1.3

2.1-2.6

3.1-3.4

4.1-4.6

5.1-5.2

  • variety of forms of service delivery models including preventative, curative and rehabilitative.

 

 

1.1,1.2, 5.2

 

1.1-1.3

2.1-2.6

3.1-3.4

4.1-4.6

5.1-5.2

 

Assessment conditions

Describe how assessments meet the assessment conditions

Skills must have been demonstrated in the workplace or in a simulated environment as specified in the performance evidence. The following conditions must be met for this unit:

 

 

Use of suitable facilities, equipment and resources in line with the Australian Nursing and Midwifery Accreditation Council s Standards including:

  • clinic room for the purpose of assessment

 

Suitably appointed Nursing Labs and equipment for demonstrating the selected first aid procedures.

  • progressive notes of a person s medical history, de-identified for simulation

 

Case study for AT1, Emergency scenarios for AT3,

Patients’ progress notes for Clinical placement AT4.

  • organisation policy and procedures on which the candidate bases the planning

 

Code of practice and regulation guidelines for Enrolled nurses (NMBA).

RMIT lab procedures including Lab rules and uniform policy for both AT3 & AT4.

Modelling of industry operating conditions including access to real people for simulations and scenarios in enrolled nursing work.

 

Clinical Placement AT4.

Nursing lab including manikins and peers for AT3

Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors.

All assessors are qualified and acceptable to RMIT regarding mandatory competency requirements.

In addition, hold current registration as a Registered Nurse with Nursing and Midwifery Board of Australia.

Annual registration requirements occur in May each year.

 

 

The range statement provides guidance in contextualising the performance criteria and allows for different work environments and situations. If the unit contains a range statement does the assessment take this guidance into account?

No

 

 

      

 

Other Information

Primary Health placement will be allocated anywhere in Victoria.

 

Other Information

Please refer to the RMIT student Page for extensive information about study support, assessments, extensions, appeals and a range of other matters:

https://www.rmit.edu.au/students/contact-and-help/support-services

 

Attendance

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

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 must be competent in all elements to successfully complete the course

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 our work has been assessed.

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

Academic Integrity and Plagiarism

RMIT has a strict policy on plagiarism and academic integrity. Please refer to 

https://www.rmit.edu.au/students/student-essentials/rights-and-responsibilities/academic-integrity

Working with Children Check and Police Check

This course requires a Working with Children Check and Police Check

Recognition of Prior Learning and Credit Transfer

If you think you have some or all of the knowledge and competencies described, please discuss the Recognition of Prior Learning and Credit Transfer options with may be available to you with your Course Coordinator:

For more information go to:

https://www.rmit.edu.au/students/search?q=prior+learning

 

 

   

Course Overview: Access Course Overview