Course Title: Implement and evaluate a plan of nursing care

Part B: Course Detail

Teaching Period: Term2 2013

Course Code: NURS5322C

Course Title: Implement and evaluate a plan of nursing care

School: 155T Life & Physical 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

 
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: 100

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 unit must be assessed after successful achievement of pre-requisite:

  • HLTAP401B Confirm physical health status

Course Description

This competency unit describes the knowledge and skills required to implement nursing care plans for individual clients and evaluate the care provided in a range of health environments

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:

HLTEN504C Implement and evaluate a plan of nursing care

Element:

1. Establish and maintain therapeutic relationships with clients

Performance Criteria:

1.1 Identify actual and potential nursing care needs in consultation/collaboration with the client
1.2 Identify client needs for health education and implement education within scope of nursing practice and in consultation/collaboration with registered nurse
1.3 Introduce and explain all nursing interventions, using appropriate language and interpersonal skills to address the diverse needs of clients and health care settings
1.4 Establish and maintain a safe environment through effective communication with clients, family and carers
1.5 Advocate for clients within the Enrolled/Division 2 nurse scope of practice
1.6 Work effectively with clients from a range of cultural, spiritual and religious backgrounds, taking action to address cultural factors that may impact on nursing practice
1.7 Incorporate health teaching into practice within role responsibility
1.8 Demonstrate responsibility and accountability for implementing nursing care within the Enrolled/Division 2 Nurse scope of practice

Element:

2. Assist client in activities of daily living

Performance Criteria:

2.1 Explain to client the importance of hygiene and grooming to achieving health outcomes
2.2 Assist clients to address hygiene, dressing and grooming needs
2.3 Describe conditions which affect the oral cavity and demonstrate effective oral hygiene to client
2.4 Identify client nutritional needs in consultation/ collaboration with client and their significant others
2.5 Assist clients with their diet and fluid intake and ensure client’s nutritional needs are met in consultation/collaboration with registered nurse
2.6 Apply strategies to assist clients with diet and fluid intake
2.7 Recognise and manage emergency situations associated with diet and fluid intake
2.8 Assist clients with key aspects of elimination
2.9 Explain and demonstrate to clients key factors associated with fluid balance and bowel charts
2.10 Assist with respiratory function especially deep breathing and coughing exercises
2.11 Use appropriate measures to promote comfort, rest and sleep

Element:

3. Assist with movement of clients

Performance Criteria:

3.1 Apply the principles and techniques of safe manual handling and principles of ’no-lift’ policy when assisting clients with movement
3.2 Identify situations of risk or potential risk and implement risk prevention/minimisation strategies and refer to registered nurse as appropriate
3.3 Actively encourage clients to contribute to their own mobility
3.4 Assist clients to safely transfer using appropriate mobility procedures with reference to safety of self, client and others involved
3.5 Identify common pressure area sites with reference to the needs of each individual client and implement appropriate strategies to prevent and manage decubitus ulcers
3.6 Identify and describe to clients factors contributing to the formation of decubitus ulcers and practices to avoid breakdown of pressure areas

Element:

4. Prepare clients for procedures

Performance Criteria:

4.1 Provide each client with a full explanation regarding preparation for specific procedures
4.2 Maintain privacy and dignity of client throughout
4.3 Complete documentation as per organisation policy and procedures
4.4 Observe validity of consent and report any concerns to the registered nurse, as appropriate
 

Element:

5. Provide nursing care to meet identified needs

Performance Criteria:

5.1 Participate in the implementation of a plan of nursing care in line with duty of care and WHS policies and procedures
5.2 Monitor the application of safe workplace procedures as per WHS policies and organisation policies and procedures
5.3 Monitor the application of infection control principles in all work activities
5.4 Prioritise work activities to meet acuity of client needs and maintain a balanced approach to own workload
5.5 Work in a manner that maintains the client's privacy and dignity and demonstrates best practice based on a full range of relevant information including scientific rationale
5.6 Undertake nursing procedures as delegated within the nursing team and scope of practice
5.7 Apply strategies to promote comfort, rest and sleep
5.8 Implement appropriate nursing actions to prevent and manage decubitus ulcers in consultation/ collaboration with a registered nurse
5.9 Implement appropriate immediate action to address urgent needs and document and report as appropriate
5.10 Implement risk prevention strategies appropriate to delivery of nursing care
5.11 Maintain accurate documentation and adhere to reporting requirements to support safe practice as per organisation policies and procedures
 

Element:

6. Monitor and evaluate clients during care

Performance Criteria:

6.1 Maintain ongoing observation and assessment during nursing care
6.2 Monitor the use of diagnostic tools and document results
6.3 Monitor and evaluate client progress and changes implemented within the nursing role
6.4 Assess and document changes in client independence or pain tolerance within scope of Enrolled/Division 2 Nurse practice
6.5 Record and report changes in condition/baseline data/behaviour to the registered nurse, as appropriate
6.6 Document evidence of client outcomes in nursing care plan
6.7 Respond to and report situations of risk to registered nurse
6.8 Identify and respond appropriately to signs and symptoms of common emergency situations
6.9 Demonstrate respect for the client's attitudes and values in regard to resuscitation
6.10 Use emergency codes correctly
6.11 Initiate CPR according to organisation procedures
 

Element:

7. Prepare the client for discharge in consultation/ collaboration with registered nurse

Performance Criteria:

7.1 Clarify client needs for community support services on discharge and identify appropriate community support services to the client
7.2 Promote client awareness and understanding through health education within the Enrolled/Division 2 nurse scope of practice
7.3 Ensure client has all requirements for discharge: next GP's appointment: medications; and any referrals
7.4 Complete documentation as per policy and procedure
 

Element:

8. Evaluate nursing care provided

Performance Criteria:

8.1 Evaluate own contribution to nursing care in consultation/collaboration with the client and registered nurse
8.2 Evaluate implementation of plan of nursing care in consultation/collaboration with the multidisciplinary team and/or registered nurse
8.3 Evaluate nursing care in light of potential and actual client outcomes
8.4 Evaluate risk prevention and management strategies applied in delivery of nursing care
8.5 Demonstrate an understanding of implications and risks related to alterations in normal physiological functioning and hospitalisation, and may relate to problems of the body systems
8.6 Document and report all aspects of evaluation of nursing care provided
 

Learning Outcomes


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

  • Establish and maintain therapeutic relationships with clients
  • Assist clients with activities of daily living
  • Assist with movement of clients
  • Prepare clients for procedures
  • Provide nursing care to meet identified needs
  • Monitor and evaluate clients during care
  • Prepare the client for discharge in consultation/collaboration with registered nurse


Details of Learning Activities

Refer to the latest timetable on Blackboard for actual days.
 

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  No Lift

Understand the priciples and policies surrounding manual handling in the workplace.

 Louise O’shea No Lift Manual Handling program,

Maintaining posture and body mechanics, falls and risk prevention.

Lesson 2 Hygiene

Assisting with and performing client personal hygiene, dressing & grooming needs

Assissting with and performing client oral hygiene requirements 

Lesson 3 Pressure Area Care, Ulcers & Bed Making

Performing classification, prevention and management of skin tear techniques

Performing falls risk assessments within hospital environments

Anatomy and physiology of the skin review, including ageing related changes

Performing wounds classifications

Performing classification , prevention & management of decubitis ulcer techniques

Lesson 4 Communication

Development of therapeutic relationships, including the use of -

Interpersonal skills

Appropriate language

Establishment & maintenance of safe environment

Identification of nursing care needs for health education

Lesson 5 Nutrition & Elimination

Identify & describe the processes of digestion, absorption, metabolism & elimination.

Understand the function of macro & micronutrients, nutritional deficiencies and associated risk factors

Identify & describe the clinical indicators for therapeutic and speciality diets

Identify & describe the roles & responsibilities of the EN, speech pathologist & dietician  in assisting care recipients to meet their nutritional needs

strategies to manage emergency situations with diet & fluid intake
 

Lesson 6 Documentation

Demonstrate and discuss the important concepts, rationales & elements of documentation within health care settings

Identify & describe the Admission & discharge process & the key issues to be addressed including -

 Organisational policies and procedures
Assessments
Information for clients, families/carers & colleagues
Community resources
Documentation

Identify & describe the roles & responsibilities of healthcare team members in the admission & Discharge process
 

Lesson 7 Specimen Collection

Discuss and demonstrate the important legal aspects around procedures such as privacy, confidentiality .

Describe the procedures for ward testing of blood, urine and faecal specimens, and the sending of specimens for laboratory analysis

Perform Blood glucose Level Testing

Lesson 8 Mobility & Procedure Preparation

Describe the principles of good body alignment and posture and complications associated with immobility

Assess client activity and exercise needs

State appropriate nursing diagnoses for impaired mobility

Develop interventions & nursing care plans for clients with impaired mobility to maintain body alignment

Lesson 9 Risks associated with Health Care Industry

Implement strategies & perform risk assessment and prevention programs for safe nursing practice and client care

Lesson 10 Sleep & Rest

Defining Sleep and sleep patterns, the characteristics of sleep & rest, the mechanisms to regulate sleep.

Understanding normal sleep pattern & the functions of sleep 

Implementing nursing interventions to promote sleep 

Lesson 11 Care Planning

Understand the process of applying nursing care plans to case studies and providing the opportunity to develop nursing care plans 

Lesson 12 Nursing Diagnosis

Diseminating data from case studies to determin actual and potential problems to develop the nursing process.

Lesson 13 Emergencies & Prioritisation of Care

Identify high risk patients for emergency intervention

Demonstrate and explain plan of care related to emergency management 

Initial patient assessment

Explore Airway Breathing Circulation management and Discuss the Anatomy & Physiology behind the importance of Emergency concepts

Identify the common emergency problems 
 

Lesson 14 Evaluation of Care & Evidence Based Practice

Transformation of knowledge from care to evidence

Clinical decision making based on evidence

Enabling critical analysis of performance in providing care

Lesson 15 Consolidation of Practice

Revision and practice of all skills and knowledge to this point


Learning Resources

Prescribed Texts

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


References


Other Resources

All powerpoints are posted on student blackboard


Overview of Assessment

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

  • Written Assessment
  • Online Quizz/Assessment
  • Practical Lab Assessment
  • Clinical Placement


Assessment Tasks


 Laboratory Assessment - 20%

Written Assessment - 60%

Clinical 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


 <45% student must re- enrol into course
 

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

Classroom attendance of 80% requirement
 

Course Overview: Access Course Overview