Download Grampians Region Nurse Preceptor Guide

Grampians Region Nurse Preceptor Information
2012
The following information is provided as a guide to nurse preceptors of Australian Catholic University and
University of Ballarat students who are undertaking professional experience placements in a Health
Service within the Grampians Region. The guide is a companion document to the Clinical Competency
Assessment Tool (ACU) and the Clinical Placement Appraisal Tool (UB) that nursing students will bring
to each placement.
The guide provides a summary of the skills that students are expected to apply during each of their
semester placements over the three years of training. Preceptors will be able to review the skill sections
for their student’s previous semester’s placements as well as note the skills to be applied in the current
placement. Please note that there are separate sections for each university.
If there are any queries or problems whilst students are on placement please refer to the contact details
for each university’s clinical staff at the rear of each section.
Preceptor information 2012
The Bachelor of Nursing course aims to develop a caring professional nurse, who is proactive and
adaptable, a competent, safe and ethical clinical, a creative and critical thinker, an informed consumer of
practice evidence, and an independent lifelong learner. Graduates will be eligible to apply for registration
as a nurse.
The course is designed with an Inquiry Based Learning (IBL) teaching/learning strategy and incorporates
inter professional learning, nursing theory as well as clinical practice.
The clinical units are where students begin the clinical experience and where they will be initiated into
health care environment. Please refer to the last page of the ACU notes for a list of the clinical units.
FIRST YEAR
Skills that students can practice whilst on clinical placement
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Basic Life Support
Standard and additional precautions
Mobility
Basic Handover
Mini Mental Exam
Manual handling
Admission history taking
Basic physical examination and health assessment
Vital signs
Pre-operative preparation
Basic documentation
Oral medications under direct supervision
Patient admission
Mouth/toilet hygiene
NG insertion and care
PEG feeds
Wound assessment
Principles of asepsis
Eye toilet/hygiene
Topical medications under direct supervision
Please Note:
First year students cannot practice
 Subcutaneous injections
 Intramuscular injections
 Enteral medication administration
 Intravenous fluid administration
 Intravenous mediation administration
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Australian Catholic University
SECOND YEAR
Skills that students can practice whilst on clinical placement
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Health values and spiritual beliefs
Self-perception-self-concept
Tissue Perfusion
Oxygen therapy
Nebuliser therapy
Suctioning
CPR revision
Wound care – Suture and staple removal, drainage tube management
IV therapy
Patient-controlled analgesia
Airway clearance
Circulation
12 lead ECG recording
Documentation / discharge planning
Please Note:
Any medications administered by a second year student must be under the direct supervision of their RN
preceptor. It is important to note that individual agencies may have policies and procedures related to the
administration of medications and student nurses – please refer to your health care facility guidelines.
THIRD YEAR
Skills that students can practice whilst on clinical placement
Skills acquisition in the context of holistic framework - testing of all skills that have been undertaken
across the course.
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Advanced CPR
Complex wound dressings
Management of intercostals and pleural drains
Complex wound dressings
Revision of advanced CPR
Respiratory/cardiac arrest procedures
Medication administration via all routes, across the life span
Basic management of CVAD
Tracheotomy care
Revision of catheterisation, naso-gastric tube insertion, management of drains, tubes and IV
therapy
Patient/family education
Advanced skills to meet speciality needs
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Australian Catholic University
STUDENTS ‘AT RISK’ OF FAILING UNIT
It is not uncommon for some students to experience difficulties in meeting the requirements of a clinical
placement. There are many reasons students may be identified as ‘at risk’ of not successfully
completing the clinical placement that broadly include either unsafe or unprofessional practice. Please
refer to ACU’s Handbook for further advice on how to manage a student “at risk”.
In all instances please contact:
Jenny D’Antonio,
Clinical Lecturer in Charge
Aquinas Campus Ballarat
Australian Catholic University
Email: [email protected]
Phone: 03 5366 5365 or 0487 498 765
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Australian Catholic University
Appendix 1: ACU 2012 Bachelor of Nursing Clinical Unit Outline
2012 Bachelor of Nursing Clinical Unit Outline
SEMESTER UNIT CODE & NAME
DETAILS
COMPETENCY ASSESSMENT
Semester 1
HLSC110: Beginning
Professional Practice
4 hour
Hospital
Observation
al Visit
NIL
Semester 2
NRSG137:
Introduction to
Nursing Practice
3 Weeks
MedicalSurgical
Competency Assessment*
Interviewing & Health History
Documentation of Care
Semester 3
Semester 4
NRSG262: Clinical
Integration: Mental
Health
NRSG261: Clinical
Integration: Acute
Care
3 Weeks
Competency Assessment*
Mental
Health
Mental Status Exam
3 Weeks
Competency Assessment*
Episodes of Care
Episodes of Care (inc.)
 Aseptic Procedure
 Pain Management
IV Therapy
Semester 5
NRSG354:
Clinical Integration:
Complex Care
Semester 6
NRSG3XX:
Clinical Elective
2 weeks
Competency Assessment*
Community/
1. Complex Wound Management
2 weeks
(complete ONE only):
Medicalsurgical
a. Drain, Clip, Staple Removal
b. Wound Irrigation
4 weeks
c. Packing a Wound
Medicalsurgical
2. Ongoing patient assessment
3 weeks
Clinical
elective
Competency Assessment*
TBA
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Semester 6
NRSG355:
Clinical Integration:
Towards professional
practice
5 weeks
Preceptored
Competency Assessment*
Assessment of groups of patients
Preceptor Information
The Bachelor of Nursing offers student a broad range of clinical experiences over a three year period.
The aims of the clinical component of the Bachelor of Nursing are to graduate students at a safe
beginning level registered nurse. Clinical education forms an integral part of the Bachelor of Nursing
program with students undertaking clinical practice in laboratory settings and in health care agencies
throughout Victoria, specifically the Grampians region.
Common skills among all years
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Integration of the Australian Nursing and Midwifery Council standards and competencies into
professional practice
Demonstrate an understanding of the scope of nursing practice
Demonstrate an understanding of Occupational Health and Safety issues in professional practice
Be able to undertake reflective practice, understand the need for professional growth and
development and social responsibility
Competently undertake and document vital signs and observations
Use appropriate interviewing and interpersonal skills that are culturally sensitive for health
assessment
Demonstrate and use standard precautions
Develop core nursing skills including oral and written communication
Acquire and apply knowledge in relation to fundamentals of nursing care
Describe various nursing activities undertaken in clinical practice, self –evaluate these
experiences and examine their individual learning needs
Demonstrate a satisfactory performance in practice
Develop a therapeutic relationships and empathy with patients/clients/family
Be able to plan care in conjunction with patient/client/family
FIRST YEAR
Skills that students can practice whilst on clinical placement
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Demonstrate beginning level competence in drug calculations
Hand washing and basic infection control principles
Responding to patients and families emotional, spiritual and cultural needs
Maintaining a safe working environment
Changing and making beds
Assist with activities of daily living including hygiene.
Beginning level systems assessment
Positioning and pressure area care for patients (including a basic skin assessment)
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Assisting with mobility of patients
Oral feeding of patient
Monitoring and recording vital signs and basic interpretation of them
Basic principles of manual handling
Basic dressings and aseptic technique
Correct documentation, handover and beginning time management skills
University of Ballarat
Please Note:
First year students cannot practice
 Subcutaneous injections
 Intramuscular injections
 Enteral medication administration
 Intravenous fluid administration
 Intravenous mediation administration
SECOND YEAR
Skills that students can practice whilst on clinical placement
First Semester
Second year students are able to perform any clinical skills outlined above. At a second year level of
practice we would expect to see further development and connection between theory and practice.
Students at this level should be able to perform first year skills without direct supervision. By the end of
first semester of the second year we would expect students to be to complete the following range of
skills:
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Incorporate knowledge around pathophysiology of disease and injury into appropriate nursing
care
Beginner understanding and application of the use of medications and the management of
medications
Developing a sense of professional responsibility and accountability
Basic Life support
Basic ECG skills – including placement of leads and basic interpretation including assessment of
cardiac pain
Medication administration – subcutaneous, IM, and oral medications only
Oxygen therapy and care for the patient with oxygen therapy
UWSD and tracheostomy care
Specimen collection – sputum, MSU, venepuncture
Introduction to blood transfusions
IVT – calculating drip rates, priming lines and imeds
Supra pubic catheter care and female only catheterisation
Admission and discharge of a patient including appropriate documentation
Clinical handover
Clinical Handover
Detailed Fluid Balance charts
Assessment of wound and basic wound care
Use standard and additional precautions
Appropriate documentation for medication administration
Basic pain assessment and documentation
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University of Ballarat
Second Semester
By the end of second semester of their second year we would expect students to be to complete the following
range of skills:
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IM injections and intradermal injections
Inhalation and nebulised medication administration
Topical medication administration
Enteral medication administration
IV bolus injection
Removal of a cannula
Administration of medication via a burette or flask
Advanced aseptic technique – including surgical scrub, sterile gloving and gowning
Pre and Post-Operative assessment and management
Blood Glucose Monitoring and assessment of the diabetic patient
NGT insertion and management
PEG care
Jejunostomy tube care
Enteral feeding
Colostomy care – stoma care and application of appliances
Rectal tube care and PR medication administration
Chest auscultation
Mental Status Examination
Signs and symptoms of major mental health problems and potential treatment options.
Please Note:
Any medications administered by a second year student must be under the direct supervision of their RN
preceptor. It is important to note that individual agencies may have policies and procedures related to the
administration of medications and student nurses – please refer to your health care facility guidelines.
THIRD YEAR
Skills that students can practice whilst on clinical placement
Third year nursing students will complete a 4 week block placement in semester 1 and an 8 week block
placement in semester 2. Those students who are undertaking the flexi-model of delivery will be
undertaking 2 shifts per week over the whole semester.
Third year students will be expected to perform any of the clinical skills in the lists above.
The focus in third year is:
 Consolidation
 Problem solving
 Planning
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Implementation
Negotiation
Prioritisation
Extension and evaluation of nursing care.
University of Ballarat
Students are expected to undertake all skills relevant to the specific clinical area both under direct and
indirect supervision by the preceptor. This will be limited in relation to legal issues around medication
administration and agency policies and procedures.
Students are expected at all times to have with them the UB Clinical Placement Guidelines and UB
Clinical Placement Appraisal Tool.
STUDENTS ‘AT RISK’ OF FAILING UNIT
It is not uncommon for some students to experience difficulties in meeting the requirements of a clinical
placement. There are many reasons students may be identified as ‘at risk’ of not successfully
completing the clinical placement that broadly include either unsafe or unprofessional practice. Please
refer to UB’s Clinical Placement Guidelines for further advice on how to manage a student “at risk”.
In all instances please contact:
The Clinical Administration Officer
Mt Helen Campus
University of Ballarat
(Monday to Friday 0900-1700)
Phone: 03 5327 9635.
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The idea for this guide was taken from a similar document developed by the University of Tasmania
www.utas.edu.au/data/assets/pdf_file/0004/99031/Information-For-Preceptors.pdf
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