Clinical Practice Framework

Transcription

1 Clinical Practice Framework A Framework for Clinical Learning for Practice has been adopted in the new curriculum for USC nursing students. It has been developed based on the work of Felton & Royal (2015) and informed by the NMBA Registered Nurse Standards for Practice (2016). The framework provides a conceptual approach to the organisation of clinical practice learning, which moves away from specific tasks, to consider elements of clinical practice in an integrated way. The major themes of the framework include: Professional values Patient centred/ethical Critical thinking/problem solving Effectiveness Cost drivers of health care Cost effective care Political and organisational awareness Communication and Partnership Patient centred care Clinical handover and inter-professional communication Client education/teaching a colleague Health promotion Assessment Initial and ongoing assessment Recognition of the deteriorating patient Diagnostics Care Planning and Management Planning and management ADL s Care coordination/coordination of complex care Safeguarding and quality Patient identification and procedure matching Manual handling Infection prevention and control Safe medication practice Wound care Intravascular access Clinical documentation and handover Leadership Leadership teams/supervision/delegation Quality improvement Check In/Check Out (CICO) Process Checking in and checking out (briefing and debriefing) are integral components of the learning process and support students to think through clinical challenges and identify future learning needs. Checking in requires students to prepare for their clinical practice experience and checking out assists students to reflect on their experience, gain feedback and rate their confidence at the end of the clinical encounter. The Check In/Check Out process has been designed to promote student engagement and accountability for learning.

2 Full Time Enrolment Pattern for Bachelor of Nursing Science Students- Semester One Commencement 1 COR103 Communication and HLT100 Anatomy and Physiology NUR117 Nursing Practice 1 Thought LFS103 Introductory Bioscience NUR116 Preparation for Practice 1 NUR111 Practice Foundations NUR104 Contexts of Practice: The Older Person and Family NUR121 Health, Culture and Society NUR212 Contexts of Practice: Child, Youth and Family 2 NUR231 Drug Therapy NUR227 Nursing Practice 2 NUR222 Health, Law & Ethics NUR286 Nursing Practice 3 NUR241 Contexts of Practice: Health Alteration NUR131 Research Foundations for Health Practice NUR226 Preparation for Practice 2 NUR331 Contexts of Practice: Complex Care NUR286 Preparation for Practice 3 3 PAR311 Leadership in Clinical Practice HLT301 Contexts of Practice: Mental Health Care NUR311 Preparation and Nursing Practice 4 Choose 2 of: NUR312 Life Crisis NUR322 The Child Client NUR272 Palliative, Rehabilitation and Continuing Care NUR300 Nursing Internship NUR332 Aboriginal and Torres Strait Islander Health and Cultural Safety

3 Learning Activities Note: the requirements for a course are fully outlined in each course outline. Please refer to the course outline for particular details. Therapeutic communication Semester 1 (NUR111) Introduction to critical reflection and critical thinking YEAR ONE INTRODUCTORY Semester 2 (NUR116/NUR141) Introduction to patient assessment and care planning Writing progress notes (SOAP format) Assessment of the integumentary system Wound dressing/wound field/wound packing/bandaging Introduction to nursing regulation and legislative frameworks: issues of accountability and responsibility NMBA Standards for Practice Professional and ethical practices Vital signs assessment and clinical documentation Principles of infection prevention and control Hand hygiene PPE in practice Principles of hygiene and skin integrity Nutrition and elimination in practice Musculoskeletal assessment Manual handling/mobility aids Preventing falls Introduction to safe medication administration: Topical and oral medication Medications via nebuliser Medications via PEG tube Respiratory assessment Oxygen therapy/suctioning Cardiovascular assessment ECG Vital signs including BGL Neurological assessment Cognitive and behavioural assessment Neurological observations Assessment of fluid balance, hydration and elimination Fluid balance charts Urinalysis/MSU Stoma care Assessing nutrition and gastro-intestinal assessment PEG/NG feeding

4 Semester 1 (NUR 226) Assessment and care planning for patients with changing health status Handover using SBAR Vital signs and documentation Therapeutic communication and health education Adult, young person and paediatric YEAR TWO DEVELOPING Semester 2 (NUR286) Assessment and prioritising care Introduction to primary and secondary survey Skill development in neurological assessment Neurological diagnostic testing and care planning Communication and handovers including documentation, safe medication, parenteral therapies Health education for patient and family Assessment, planning and therapeutic intervention for patients with respiratory conditions including the child and family Safe medication practice including paediatric medications and parenteral therapies Communication and handovers including clinical documentation Preparation and health education for patient and family for operative procedures including discharge planning Pain management PCA management Safe medication administration and parenteral therapies including: Schedule 8 medication Subcut/ IM injections/ IV medication burette, pump, bolus Reconstitution of medications Establishment and maintenance of IV therapy & removal of IVC Administration of blood and blood products Sterile dressings and procedures Wound care Insertion and removal of IDC Perioperative procedures Insertion and maintenance of naso-gastric tube Skill development in adult cardiac assessment procedures including diagnostic testing and care planning Communication and handovers, including documentation Preparation and health education for patient and family Aseptic and non-touch techniques of acute and complex wounds including therapeutic communication and health education, infection control and prevention Transmission based precautions Assessment, planning and treatment of patients with altered perfusion including safe medication practices; parenteral therapies, blood transfusion, infection control and prevention. Prioritising care, communication and leadership. Patient in complex health contexts requiring transitional health services Critical thinking,problem solving, patient centred care approach, communication and teamwork. Prioritising care and demonstrating leadership Communication between health care settings Interdisciplinary communication and care planning Using and communicating falls prevention as per National Standards set by the Australian Commission on Safety and Quality in Health Care

5 Semester 1 (NUR311) YEAR THREE TRANSITIONING Semester 2 (NUR300) Safe medication practice Capable for administering all medications at graduate level Comprehensive scenarios/ learning experiences/revision Planning, prioritising, delivering and evaluating comprehensive nursing care Assessment of patients using the ABC framework and secondary survey Holistic management of patients with epidurals Administration and management of blood transfusions Management of patients requiring enteral support Pre and post-operative care Nursing the acute medical patient Incident reporting Managing DKA Insulin infusion rates Effective teamwork and communication including leadership, delegation and supervision. Time management and prioritisation of care Managing sepsis Deteriorating patients Interpretation of pathology Application of pathophysiology to presenting conditions Communication SBAR handover Clinical documentation Preparation for practice Master skills/interventions Clinical bedside handover, rounding, principles of delegation to EN/AIN, prioritisation of care, ISBAR, clinical documentation Professional practice Indemnity insurance Time management and prioritisation of care Critical thinking and problem solving Preparing to manage the care of multiple patients Leadership Delegation