Course Title: Contribute to client assessment and developing nursing care plans

Part B: Course Detail

Teaching Period: Term2 2013

Course Code: NURS5273C

Course Title: Contribute to client assessment and developing nursing care plans

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

City Campus:

Bundoora Campus:

Nominal Hours: 50

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 of competency is co delivered with HLTAP501C Analyse Health Information. This co delivered unit has the prerequisite attached HLTAP401B Confirmed Physical Health Status which must be successfully completed prior to the commencement of this unit.

Course Description

This unit of competency describes the skills and knowledge required of an Enrolled/Division 2 Nurse in contributing to the development of individualised health care plans by collection of data captured during a client’s preliminary and ongoing health assessments. Assessment is based on a lifespan approach

The knowledge and skills described in thiscompetency unit are to be applied withinjurisdictional nursing and midwifery regulatory authority legislative requirements. Enrolled/Division 2 nursing work is to be carried out in consultation/collaboration with registered nurse and under direct or indirect supervisory arrangements in line with jurisdictional regulatory requirements


National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

HLTEN503B Contribute to client assessment and developing nursing care plans

Element:

1. Collect data that contributes to client health care plan

Element:

2. Undertake client assessment for admission and discharge

Element:

3. Analyse client health assessment data and observations

Element:

4. Contribute to the development of individual care plans for clients

Element:

5. Prepare for client discharge

Element:

1. Collect data that contributes to client health care plan
2. Undertake client assessment for admission and discharge
3. Analyse client health assessment data and observations
4. Contribute to the development of individual care plans for clients
5. Prepare for client discharge
 

Performance Criteria:

1.1 Clarify the clinical manifestations of chronic health problems on body systems
1.2 Clarify the physical and/or psychological impacts of a chronic health problem on activities of daily living through discussion with the client and/or family (with client consent)
1.3 Confirm the client's understanding of their underlying/presenting condition
1.4 Identify actual and potential health issues of a client presenting with a chronic health problem through discussion of information gained from a preliminary health assessment with the appropriate members of the health care team
1.5 Use a problem solving approach to assess the impact of chronic disease processes on the client and/or their family and the achievement of activities of daily living
1.6 Discuss available resources and support services with client/s and significant others where appropriate with the consent of the client
 

2.1 Gather and record admission data for the client with a chronic health problem, for inclusion in a care plan according to organisation policy
2.2 Gather and record ongoing clinical data for inclusion in the client's care plan in line with organisation policy
2.3 Contribute information and data on the activities of daily living for the client with chronic health problem for inclusion in discharge plans
2.4 Implement client discharge procedures in line with organisation policy and procedures
2.5 Accurately gather, document and report changes in client condition to the appropriate health care team members
2.6 Contribute to planning the nursing care of a client requiring extended care, including restorative/ rehabilitation care
2.7 Identify community based care services for a client with a need for restorative/rehabilitation care
2.8 Contribute to planning the nursing care of a client with cancer and/or a life-limiting illness
2.9 Advocate for clients in health and/or community settings
 

3.1 Identify and prioritise nursing interventions according to client needs as documented in predetermined care plan
3.2 Base nursing interventions on client needs and individuality and perform with respect for client's dignity and privacy
3.3 Reflect consideration of cultural and religious issues in the performance of nursing interventions
3.4 Encourage the client and/or their family to assist in the performance of nursing interventions as able
3.5 Consider physical, psychological and social needs in the performance of nursing interventions
3.6 Carry out nursing interventions in accordance within professional, legal, ethical and organisation requirements
3.7 Assist the client to meet their activities of daily living
3.8 Address gender and age issues in the performance of nursing interventions
3.9 Recognise emergency situations and respond according to organisation policy and procedures and within legal and professional requirements
3.10 Reflect on pre and post procedure care in nursing interventions and improve practices appropriately
3.11 Contribute to and support health-teaching plans for the client with a chronic health problem
 

4.1 Confirm the roles and responsibilities of members of the emergency response team
4.2 Prepare and/or check the equipment on the emergency trolley
4.3 Access in response to request from emergency response team, drugs commonly used during emergency resuscitation (including drugs for anaphylaxis)
4.4 Participate in performing emergency resuscitation techniques
 

5.1 Report client response to nursing interventions to the registered nurse or other appropriate health care colleague
5.2 Document client response to nursing interventions according to organisation policy and legal and professional requirements
 

Learning Outcomes


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


• Collect data that contributes to client health care plan
• Undertake client assessment for admission and discharge
• Analyse client health assessment data and observations
• Contribute to the development of individual care plans for clients
• Prepare for client discharge
 


Details of Learning Activities

Refer to the latest timetable on Blackboard for actual days.


Learning Strategies will be in the form of
o Lecture
o Student discussion & Group Work
o Road Maps
 


Teaching Schedule

Lesson 1: Introduction to Unit
• Describe the course content
• Assignments & Acceptation
• Clinical Skills
• Presrcibed text
• Identify what students believe nursing involves & means.


Lesson 2:Growth and Development
On completion of this lecture & with further reading, discussion & practice the learner will be able to:
- Identify different growth & development stages of the various age groups
- Identify different health care needs of the various age groups
- Understand the expectations of the Division 2 role meeting all legal & professional criteria
- Discuss Freud’s, Erikson’s and Piaget’s theories of development
- Describe the developmental stages for each phase of the lifespan
- Discuss health care needs across the lifespan


Lesson 3: Holistic Assessment
- Identify & discuss the potential impact of health practices on health
- Define & discuss the concepts of a holistic health assessment, including –
- How to obtain a health history
- How to conduct a physical head to toe examination
- Documentation of lifestyle patterns, health practices, coping mechanisms, age, gender, cultural & spiritual data
- The importance of involving the client where possible in the health assessment
 

Lesson 4: Holistic Assessment
- Discuss Coping mechanisms with hospital admission & HAS
- Discuss gender, cultural, religious, spiritual consideration & barriers
- Discuss how you would obtain accurate & appropriate information from the family about clients health if patient was unable to communicate
- Discuss the emotional and physical needs of families and significant others to support the patients
- Identify what referrals nurses could implement to support families


Lesson 5: Admission
o Identify & describe the processes of patient admission & the key issues to be addressed including –
o organisational policies and procedures
o assessments
o documentation
• Identify & describe the roles & responsibilities of healthcare team members in the admission process
 

Lesson 6: Discharge
o Identify & describe the discharge process & the key issues to be addressed including –
- Organisational policies and procedures
- Assessments
- Documentation
- Describe/demonstrate how to document discharge information for clients, families/carers & colleagues
- Identify & describe community resources, which assist in discharge planning


Lesson 7: Mobility
o On completion of this lecture & with further reading, discussion & practice the learner will be able to –
o Describe the principles of good body alignment and posture
o Describe the complications associated with immobility
o Use the nursing process to assess clients activity and exercise needs
o State appropriate nursing diagnoses for impaired mobility
o Develop nursing care plans for clients with impaired mobility
o Describe interventions to maintain body alignment
o Identify various nursing positions


Lesson 8: Documentation
- Identify elements of documentation
- Discuss rationales behind documentation
- Identify the Do’s and Don’ts
- Demonstrate and dicuss the important concepts of documentation with health care setting
- Discuss the different methods of documentation
 

 Lesson 9: Laboratory and Lecture consolidation

Lesson 10: Nursing care Plans
• To Identify and describe appropriate terminology
• To provide examples of relevant terminology
• To describe the process of applying nursing care plans to case studies
• To provide students with the opportunity to develop their own nursing care plan using template provided


Laboratory 1:
Station 1: Hand hygiene
Station 2: Collecting specimens
Station 3: FWT


Laboratory 2:
o Holistic System Assessment


Laboratory 3: Admission and discharge of a patient
• Demonstrate how to accurately admit and discharge a patient
• Provide students with case studies to consildate the process
Height & weight
Documentation
 

Laboratory 4:
Station 1: Observations
• Neurovascular Observation
• Neurological Observations

Station 2: Elimination
• Bed Pans
• Bottles


Laboratory 5: Hurdle Assessment
o Perform Pain assessment
o Neurological Observation
o Holistic System Assessment
o Obtain a specimen correctly


Learning Resources

Prescribed Texts

Kozier and Erbs ‘ Fundamentals of Nursing’. (2010). 1st edition. Pearson: Australia. (3 book set / shrink wrapped )


References

Recommended reading:
o Crisp, J Taylor, C 2009 Potter and Perry’s fundamentals of nursing 3e, Chatswood
o Flinders University, Come into my World
o Funnell, R Koutoukidis, G and Lawrence, K 2009 Tabbner’s nursing care 5e, Chatswood
 


Other Resources

All classroom powerpoints posted on student Blackboard


Overview of Assessment

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

  • Written Examination / Written Assessment
  • Practical Assessment
  • Clinical Placement


Assessment Tasks

All assessment tasks will be presented at first lesson of this course

Assessment expectations and requirements will be discussed at first lesson

All asessment tasks in this course must hae a competencu grade to be deemed competent in this course

Classroom attendance 80% requirement

Clinical Placement 100% requirement

Course must have a competent grade awarded to be able to move to the next phase of the program


Assessment Matrix

All assessments must have a competency grade awarded to be deemed competent in this course

All assessments to be deemed competent must be awarded 60% or above

Assessment Matrix:

  • 60 -69      - CAG
  • 70 -79      -CC
  • 80 - 89     - CDI
  • 90 -100    - CHD

Other Information

Delivery: Nominal Hours 50


• Classroom – 33 hours
• Laboratory – 13 hours
• Clinical with logbook assessment – 4 hours
 

Course Overview: Access Course Overview