Course Title: Implement and monitor care for a person with acute health problems

Part B: Course Detail

Teaching Period: VE 2018

Class Number: 1995

Class Section: NH17

For flexible terms and optional semesters, a Part B course guide may have been published for the entire teaching period, or for the specific class number in which you are enrolled. If there is no Part B course guide published for your specific class number, please refer to the guide for the teaching period in which you are enrolled. Enrolment Online is the definitive source for details regarding your class enrolment.

Course Code: NURS5390C

Course Title: Implement and monitor care for a person with acute health problems

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

Zaw Pedroni

Nursing Program Coordinator

The Northern Health Program

Zaw.pedroni@rmit.edu.au

Nominal Hours: 70

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 contribute to the care of the person with an acute health problem by performing clinical nursing skills and interventions that support the person’s health care needs and assist them to regain optimal function and lifestyle.

 

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:

HLTENN011 Implement and monitor care for a person with acute health problems

Element:

1. Identify impact of acute health problems on a person, family or carer.

Performance Criteria:

1.1 Identify actual and potential health issues of the person presenting with an acute health problem using information from a preliminary health assessment and in discussion with relevant interdisciplinary health care team members. 1.2 Explain to the person, family or carer the potential physical and psychological impacts of acute health problems on daily living activities. 1.3 Identify the pathophysiology of the person's underlying or presenting condition, and confirm with the person, family or carer.

Element:

2. Contribute to planning care for a person with acute health problems.

Performance Criteria:

2.1 Contribute effectively to discussions about the care of the person with registered nurse and other members of the health team. 2.2 Gather information and accurately document and report changes in the person's condition to appropriate interdisciplinary health care team members.

Element:

3. Perform nursing interventions to support health care of a person with acute health problems.

Performance Criteria:

3.1 Assist in providing care for the person with a compromised airway including clearing of airways and interpreting health status using monitoring devices. 3.2 Provide care to the person requiring nutrition administered through a feeding tube or intravenous line. 3.3 Use critical thinking and problem-solving approaches in prioritising and modifying nursing interventions to reflect changes in the person's condition. 3.4 Contribute to the person's understanding of health care provided to assist them to regain optimal function through nursing interventions and health education. 3.5 Observe the person to identify any psychological support and care required due to the impact of acute health problems. 3.6 Ensure nursing interventions for pre- and post-procedure care for the person are in accordance with organisation policy and procedures.

Element:

4. Contribute to pre- and post-operative nursing care of a person.

Performance Criteria:

4.1 Contribute to pre-operative nursing management of the person for specific surgical procedures. 4.2 Ensure pre-operative care takes into account the relationship between pre-operative care and post-operative complications. 4.3 Contribute to post-anaesthetic observation of the person following surgery including identifying deterioration when the person is not regaining consciousness. 4.4 Assist the person recovering from a range of anaesthesia to regain optimal health status, and take appropriate actions to reduce risks associated with immobility. 4.5 Promote the person's post-operative comfort using pain management strategies and nursing care actions.

Element:

5. Contribute to an emergency response in the acute care environment.

Performance Criteria:

5.1 Identify and confirm the roles and responsibilities of members of the emergency response team. 5.2 Prepare and check emergency equipment. 5.3 Identify emergency situations and respond to first aid requests from emergency response team, including accessing and preparing drugs used during advanced cardiopulmonary resuscitation.

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. Identify impact of acute health problems on a person, family or carer.

    1.1 Identify actual and potential health issues of the person presenting with an acute health problem using information from a preliminary health assessment and in discussion with relevant interdisciplinary health care team members.

    1.2 Explain to the person, family or carer the potential physical and psychological impacts of acute health problems on daily living activities.

    1.3 Identify the pathophysiology of the person’s underlying or presenting condition, and confirm with the person, family or carer.

  2. Contribute to planning care for a person with acute health problems.

    2.1 Contribute effectively to discussions about the care of the person with registered nurse and other members of the health team.

    2.2 Gather information and accurately document and report changes in the person’s condition to appropriate interdisciplinary health care team members.

  3. Perform nursing interventions to support health care of a person with acute health problems.

    3.1 Assist in providing care for the person with a compromised airway including clearing of airways and interpreting health status using monitoring devices.

    3.2 Provide care to the person requiring nutrition administered through a feeding tube or intravenous line.

    3.3 Use critical thinking and problem-solving approaches in prioritising and modifying nursing interventions to reflect changes in the person’s condition.

    3.4 Contribute to the person’s understanding of health care provided to assist them to regain optimal function through nursing interventions and health education.

    3.5 Observe the person to identify any psychological support and care required due to the impact of acute health problems.

    3.6 Ensure nursing interventions for pre- and post-procedure care for the person are in accordance with organisation policy and procedures.

  4. Contribute to pre- and post-operative nursing care of a person.

    4.1 Contribute to pre-operative nursing management of the person for specific surgical procedures.

    4.2 Ensure pre-operative care takes into account the relationship between pre-operative care and post-operative complications.

    4.3 Contribute to post-anaesthetic observation of the person following surgery including identifying deterioration when the person is not regaining consciousness.

    4.4 Assist the person recovering from a range of anaesthesia to regain optimal health status, and take appropriate actions to reduce risks associated with immobility.

    4.5 Promote the person’s post-operative comfort using pain management strategies and nursing care actions.

  5. Contribute to an emergency response in the acute care environment.

    5.1 Identify and confirm the roles and responsibilities of members of the emergency response team.

    5.2 Prepare and check emergency equipment.

    5.3 Identify emergency situations and respond to first aid requests from emergency response team, including accessing and preparing drugs used during advanced cardiopulmonary resuscitation.


Details of Learning Activities

Face to Face learning 

Skills sessions in the Nursing Laboratory 

Self Directed Learning

Online resources CANVAS

Clinical Placement


Teaching Schedule

     

Session No  or Week No

 

Topic

(List the key topics to be covered in each session, including self-paced sessions if applicable)

 

Student Learning Activities

 

Assessment tasks

 

Session 01

Week 02

 

  • Unit overview of requirements and policies to achieve success for the course.
  • What is Acute Health?
  • Emergency vs Elective Admission
  • Primary Health Assessment
  • Psychological Effects of Acute Health Problems
  • Roles of Doctors & Allied Health Professionals in Acute Health Care
  • ISOBAR Handover between Health Professionals
  • Review of Medical Terminology

 

 

 

  • Pre-reading is compulsory for the slides on Lesson 1.
  • Students should have reviewed slides to Lesson 1, be prepared to work through the topic/s in class.
  • Face to face tutorial
  • Videos of learning contents
  • Group discussion
  • Potential role play scenarios

 

 

 

Reminder: Students should start to work on the required assessments for the course.

 

 

 

Session 02 Week 02

 

  • Review of medical terminologies
  • Review of different codes
  • Review of patient Acute Condition Vs Chronic condition
  • Understanding patient’s conditions through case reviews

 

 

 

  • Simulated/Practical skill application/s of key topic/s
  • Group discussion
  • Working in pairs
  • Face to face tutorial
  • Different patient case studies with Acute conditions

 

 

 

 

 

 

 

Session 03

Week 04

 

  • Understanding definition, signs & symptoms, nursing assessment, nursing interventions, nursing evaluation and medical treatment/s of;
  • RENAL PROBLEMS
  • Renal Calculi (Kidney Stones)
  •  Acute Renal Failure (ARF)
  • GASTROINTESTINAL PROBLEMS
  • Bowel Obstruction
  • Appendicitis   
  • Acute Cholecystitis (Gallstones)
  • Acute Pancreatitis

 

 

 

  • Pre-reading is compulsory for the slides on Lesson 2.
  • Students should have reviewed slides to Lesson 2, be prepared to work through the topic/s in class.
  • Face to face tutorial
  • Group discussion
  • Potential role play scenarios

 

 

 

 

 

 

Session 04

Week 05

 

  • Review of Hospital codes in general and specific to Northern Hospital
  • Understanding of pre Met, Met and Code Blue
  • Demonstrating knowledge and skills to perform BLS

 

 

 

  • Simulated/Practical skill application/s of key topic/s
  • Group discussion
  • Working in pairs
  • Face to face tutorial
  • Mannequins & AED to practice and demonstrate BLS practices

 

 
 

 

Reminder: Students need to print out the BLS assessment sheet from Canvas and bring it with you to class.

 

You will complete Part A BLS assessment for your Practical assessment task 3.

 

 

 

Session 05

Week 16

 

  • Understanding definition, signs & symptoms, nursing assessment, nursing interventions, nursing evaluation and medical treatment/s of;
  • CARDIOVASCULAR PROBLEMS
  • Acute Myocardial Infarction
  • Shock
  • Deep Vein Thrombosis (DVT)
  • NEUROLOGICAL PROBLEMS
  • Cerebrovascular Accident
  • Transient Ischaemic Attack (TIA)
  • Headache vs Migraine

 

 

  • Pre-reading is compulsory for the slides on Lesson 3.
  • Students should have reviewed slides to Lesson 3, be prepared to work through the topic/s in class.
  • Face to face tutorial
  • Group discussion
  • Potential role play scenarios

 

 

 

 

 

Session 06 & 07

Week 17

 

 

  • Understanding the requirements involve in pre-op, intra-op and post op patient care
  • How to make a theatre bed
  • How to prepare the patient for theatre
  • Required nursing assessment and monitoring post-op
  • Potential Complications
  • UWSD management & potential complications

 

 

 

 

  • Simulated/Practical skill application/s of key topic/s
  • Group discussion
  • Working in pairs
  • Face to face tutorial
  • Scenarios based learning activities

 

 

 

 

 

 

Session 08

Week 18

 

 

  • Understanding definition, signs & symptoms, nursing assessment, nursing interventions, nursing evaluation and medical treatment/s of;
  • RESPIRATORY PROBLEMS
  • Chest infection - Acute Bronchitis vs Pneumonia
  • Pneumothorax
  • IMMUNOLOGICAL PROBLEMS
  • Cellulitis
  • Sepsis

 

 

 

 

 

  • Pre-reading is compulsory for the slides on Lesson 4.
  • Students should have reviewed slides to Lesson 4, be prepared to work through the topic/s in class.
  • Face to face tutorial
  • Group discussion
  • Potential role play scenarios

 

 

 

 

Session 09

Week 18

 

 

  • Understanding definition, signs & symptoms, nursing assessment, nursing interventions, nursing evaluation and medical treatment/s of;
  • TRAUMA ASSESSMENT and MANAGEMENT
  • Introduction to trauma care in Victoria
  • Assessment of Trauma patient
  • Management of Trauma patient - blood, spinal immobilisation
  • Psychological Support
  • TRAUMATIC INJURIES
  • Head Injury
  • Burns
  • Fractures

 

 

  • Pre-reading is compulsory for the slides on Lesson 5.
  • Students should have reviewed slides to Lesson 5, be prepared to work through the topic/s in class.
  • Group discussion
  • Working in pairs
  • Face to face tutorial
  • Scenarios based learning activities

 

 

 

Session 09 & 10

Week 20

 

 

  • PRE-OPERATIVE SURGICAL CARE
  • Pre-operative Assessment
  • Day surgery Unit (DSU) and Day of Surgery Admission (DOSA)
  • Pre-operative cation
  • Surgical Specialities
  • INTRA-OPERATIVE SURGICAL CARE
  • Peri-operative staff
  • Informed Consent
  • Patient Advocacy
  • Types of Anaesthesia

 

  • Assessment Task 2: Group Presentations of Surgical Conditions

 

 

 

 

 

  • Pre-reading is compulsory for the slides on Lesson 6.
  • Students should have reviewed slides to Lesson 6, be prepared to work through the topic/s in class.
  • Group discussion
  • Working in pairs
  • Face to face tutorial
  • Scenarios based learning activities
  • Video activities

 

 

 

Reminder: Assessment Task 2: Peri-op Presentations

 

Students are to present in groups as allocated on assigned surgical cases/conditions.

 

 

Session 11

Week 21

 

 

Assessment Task 1: Written Knowledge Assessment

 

Assessment Task 1: Written Knowledge Assessment

 

Assessment Task 1: Written Knowledge Assessment

 

Session 12 & 13 Week 21

 

 

Assessment Task 3: Simulated/Practical Assessment

 

Assessment Task 3: Simulated/Practical Assessment

 

Assessment Task 3: Simulated/Practical Assessment

 

 

 

Assessment Task 4: Clinical Placement as per the Clinical Placement Coordinator allocation

 

 

Assessment Task 4: Clinical Placement as per the Clinical Placement Coordinator allocation

 

 

Assessment Task 4: Clinical Placement as per the Clinical Placement Coordinator allocation

 



Learning Resources

Prescribed Texts


References


Other Resources

RMIT library online and on campus


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

Written Exam

Assessment 2

Peri-operative Presentation

Assessment  3

Simulated Lab 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   
 ASSESSMENT 1  ASSESSMENT TASK 1: Written Exam 
 ASSESSMENT 2  ASSESSMENT TASK 2: Peri-Operative Presentations
 ASSESSMENT 3  ASSESSMENT TASK 3: Simulated LAB Assessment (Part A & Part B)
 ASSESSMENT 4  ASSESSMENT TASK 4: Clinical Placement 
 


Assessment Matrix

 

Assessment Matrix

 

Element / Performance Criteria Covered

Assessment 1

Assessment 2

Assessment 3

Assessment

4 

1.1

 

 

 

x

1.2

x 

 

 

x

1.3

x 

 

x 

x

2.1

 

 

 

x

2.2

x 

 

x 

x

3.1

 

 

 x

x

3.2

 

 

 

x

3.3

x 

 

 x

x

3.4

x 

 

 

x

3.5

x 

 

 

x

3.6

x 

x 

x 

x

4.1

x 

x 

x 

x

4.2

x 

x 

x 

x

4.3

 

x 

x 

x

4.4

x 

x 

x 

x

4.5

 

x 

x 

x

5.1

 x

 

x 

 

5.2

 

 

x 

 

5.3

 x

 

x 

 

 

                

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.

 

You must be graded satisfactory on all assessment tasks to be deemed competent for this course.

 

Other Information

 You are permitted to have a maximum of 2 resbumissions for this course, however each individual assessment may only be resubmitted once.  Resubmissions are not automatic and will only be approved at the discretion of the program coordinator after consultation with the teacher.   All resubmissions must be completed and submitted no more than 7 days after your 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.

 

Course Overview: Access Course Overview