Course Title: Contribute to the complex nursing care of clients

Part B: Course Detail

Teaching Period: Term2 2013

Course Code: NURS5324C

Course Title: Contribute to the complex nursing care of clients

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

Name and Contact Details of All Other Relevant Staff

City Campus:

  • Simone Allison
  • Email:
  • Phone: 03 9925 4809

Bundoora Campus:

  • Erica Keen
  • Email:
  • Phone: 03 9925 6649

Nominal Hours: 90

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-requisites:

  • HLTIN301C Comply with infection control policies and procedures
  • HLTEN507C Administer and monitor medication in the work environment


Course Description

This competency unit describes the knowledge, skills and attitudes required to providing nursing care for clients with complex needs

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:

HLTEN505C Contribute to the complex nursing care of clients


1. Perform nursing interventions to assist client with complex needs

Performance Criteria:

1.1 Perform nursing interventions based on a predetermined care plan to address identified client needs
1.2 Reflect the individuality of the client in nursing interventions
1.3 Undertake nursing interventions with respect for client's dignity
1.4 Accommodate cultural, spiritual and religious issues in the performance of nursing interventions
1.5 Encourage the client to assist in the performance of nursing interventions if able
1.6 Consider physical, emotional and psychosocial needs in the performance of nursing interventions
1.7 Perform nursing interventions according to professional, legal and health care environment requirements
1.8 Document effective and non-effective responses and report to the registered nurse or most appropriate person in line with policy


2. Advocate for clients in health and/or community settings

Performance Criteria:

2.1 Support and encourage clients to exercise their rights and personal choices
2.2 Assess client's ability to advocate for self
2.3 Identify issues that uphold the rights of the client and support their reasonable expectations
2.4 Identify and address potential conflicts of interests
2.5 Develop, initiate and implement strategies to address clients in consultation/collaboration with appropriate personnel


3. Contribute to the nursing care of clients with common disorders/conditions

Performance Criteria:

3.1 Provide nursing care appropriate to the management of specific disorders/conditions
3.2 Monitor the client's response/reaction to medication provided to address specific disorders/conditions
3.3 Observe, report and document client reactions and/or responses to management and medication provided
3.4 Promptly refer to the registered nurse any reactions, responses or variations to normal or expected outcomes

Learning Outcomes

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

• Perform nursing interventions to assist client with complex needs
• Advocate for clients in health and community settings
• Contribute to the nursing care of clients with common disorders/conditions.

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 Introduction & Diagnostic Tests

Identify the principles behind Documentation, Communication, patient advocate , potential conflict, collaboration
Identify and discuss the importance of time management
Identify and explain common Diagnostic Tests

Lesson 2 Gastrointestinal

Crohns Disease
Inflammatory bowel disease
Bowel obstruction
Anal fissures
Peptic ulcer

Lesson 3 Neurological Disorders

Seizures, Identify the signs and symptoms of a seizure & the nursing care of a patient having a seizure
Discuss raised intracranial pressure, brain tumors, different types of neurological infections
Discuss nursing care of a patient with head injuries & spinal cord injuries

Lesson 4 Lab Theory

Nasogastric tube insertion & Tracheostomy care

Lesson 5 Cardiac Disorders

Cardiac Assessment & Chest Pain Protocols

Lesson 6 LabTheory


Lesson 7 Respiratory Disorders

Pleural effusion,
Pulmonary oedema
Cystic Fibrosis
Pulmonary emboli

Lesson 8 Sepsis

 Sepsis, IDC, sepetic Shoock

Lesson 9 Consolidation

 Case studies of concepts covered to this point

Lesson 10 Lab Theory

 Stoma Care & Venepuncture

Lesson 11 Burns

Types of burns and burn classification ratio’s
Superficial, partial and full thickness burns and the management of burns
Identify complications that can arise following a patient receiving a burn

Lesson 12 Reproduction

Nursing interventions associated with the Reproductive systems including, drug therapy
Hormone Replacement Therapy (HRT)
Antifungal drugs and antibiotics
The male & female reproduction.
Describe the nursing care for clients following a hysterectomy (Vaginal & abdominal), mastectomy.
Prostatectomy (radical & simple).
Describe the different types of surgery.

Lesson 13 Anaphylaxis

Define anaphylaxis, the signs and symptoms of anaphylaxis & the emergency management of mild and severe anaphylaxis
Discuss home management and preventive measures

Lesson 14 Special Senses

Describe the Patho- physiology of common conditions affecting the ear & eye.
Examples consist of:

  • Impairment
  • Meniere’s Disease
  • otitis media
  • Myopia
  • Impairment
  • Cataracts
  • glaucoma

Lesson 15 Bleeding Disorders

Anaemia - Iron, vit B12, sickle cells,thalassaemia,aplastic,haemolytic
HaemophilliaDisseminated Intravascular Coagulation
Idiopathic Thrombocytopenic Purpura
Lymophoma - hodgkins, non-hodgkins

Lesson 16 Skin & Headaches

Herpes Simplex Virus

Lesson 17 Consolidation

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.


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 Examination / Written Assessment
  • Practical Assessment
  • Online module completion
  • Clinical Placement

Assessment Tasks

Laboratory Assessment 20%

Blood Safe LEarning Document 20%

Clinical Placement Assessment 20%

Written Examination 40%

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

Please refer to student Timetable for dates and times of classes.

Course Overview: Access Course Overview