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Course profile

Clinical Nursing Practice 2 (NURS1105)

Study period
Sem 2 2024
Location
St Lucia
Attendance mode
In Person

Course overview

Study period
Semester 2, 2024 (22/07/2024 - 16/11/2024)
Study level
Undergraduate
Location
St Lucia
Attendance mode
In Person
Units
2
Administrative campus
St Lucia
Coordinating unit
Nursing, Midwifery & Social Wk

Students will undertake 80 hours of supervised clinical experience in an integrated or block placement model. There is an equal emphasis on practice elements and theoretical understanding, therefore the scheduling of learning activities enables clinical placement shifts to be interspersed with on campus classes including simulated clinical skills development; workshops and lectures. In this course, students are exposed to increasingly complex professional practice concepts which are initially learnt in a controlled environment of the classroom and then translated under direct Registered Nurse supervision in the clinical practice setting. Students will apply a person-centred and evidence informed approach to interventions including medication administration; cardiovascular and respiratory health assessment; wound care principles and practice; documentation and legal and ethical practices in healthcare delivery. Clinical Practice 2 further develops the beginning level clinical decision making knowledge and skills introduced in previous courses. Students will extend the existing scope of practice informed by the Nursing and Midwifery Board of Australia (NMBA) Registered Nurse Standards for Practice.

Clinical Practice 2 (NURS1105) is the second of six clinical courses in the BN program. Students undertaking this course are required to attend 6 x 2-hour mandatory Clinical Based Learning sessions (CBL's) in a simulated environment. There is a focus on clinical assessment, communication, professional responsibilities, clinical decision making, and knowledge and skills introduced in previous courses. During clinical placement students will build on their existing scope of practice (refer to the Nursing & Midwifery Practice Education [Clinical Practice] site on Blackboard). Students will be required to submit evidence of placement progress whilst on placement as outlined in Section 6 - Assessment.


Students must recognise that their conduct during clinical placements reflects the professionalism of the School of Nursing, Midwifery & Social Work at The University of Queensland. Therefore, maintaining professional presentation, communication, and behaviour, including adherence to uniform guidelines specified by NMSW placement protocols, is essential throughout the course. Students are required to familiarise themselves with the Clinical Placement Guidelines located on the Nursing & Midwifery Practice Education [Clinical Practice] site on Blackboard.

Course requirements

Assumed background

It is assumed that students taking this course have successfully completed all pre-requisite courses in year one or have been granted credit for these courses. Students will be required to be competent in the skills learned in prerequisite courses in order to advance their practice.

Mandatory Preparation is the responsibility of the student and must be completed prior to commencing Clinical Placement according to the due date /anniversary renewal date.

Prerequisites

You'll need to complete the following courses before enrolling in this one:

NURS1103

Incompatible

You can't enrol in this course if you've already completed the following:

NURS1008

Restrictions

BN

Course contact

Course staff

Lecturer

Tutor

Timetable

The timetable for this course is available on the UQ Public Timetable.

Additional timetable information

Students are strongly advised to attend theᅠlectures for this course. These sessions will provide valuable opportunity to discuss the course requirements and assessment items as well as assist in developing your critical reasoning skills and employability.

Aims and outcomes

The aim of this course is to provide an opportunity to apply the professional practice concepts, clinical decision making and foundational nursing knowledge and skills on learning in the context of nursing, health and healthcare delivery.

Learning outcomes

After successfully completing this course you should be able to:

LO1.

Demonstrate at beginning practitioner level, competent nursing care that is evidence informed, safe and compassionate.

LO2.

Conduct and document accurate health assessment and evaluate findings at beginning practitioner level including but not limited to: respiratory, cardiac and neurological assessment; wound assessment; fluid balance; and medication response.

LO3.

Undertake safe use of medications through applying legal and professional nursing requirements associated with administration, storage and handling.

LO4.

Explain the principles of pharmacology, therapeutic drug administration and monitoring for individuals in your care.

LO5.

Analyse problems associated with drug administration, including drug interactions and their impact.

LO6.

Implement and reflect on culturally responsive nursing care for individuals and families.

LO7.

Apply infection control principles consistently and effectively to ensure safe practice including wound care.

Assessment

Assessment summary

Category Assessment task Weight Due date
Quiz Clinical Placement Preparation
  • Hurdle
  • Online
Pass/Fail

23/07/2024 1:00 pm

Placement Clinical Placement Completion
  • Hurdle
Pass/Fail

Students are to submit their signed Formative ANSAT, Summative ANSAT and timesheet via ePad.

Due dates are dependent on the allocated placement.

Examination, Role play/ Simulation Objective Structured Clinical Assessment (OSCA)
  • Hurdle
Pass/Fail

The OSCAs will be held during the Semester 2, 2024 End of Semester Examination period. The course coordinator will provide the schedule closer to the date of this assessment. Please note that this is a school-based exam, and therefore the actual date may differ from the one published by the university which refers only to the beginning of the potential OSCA exam dates: Please refer to the NURS1105 Blackboard site for more information.

 

A hurdle is an assessment requirement that must be satisfied in order to receive a specific grade for the course. Check the assessment details for more information about hurdle requirements.

Assessment details

Clinical Placement Preparation

  • Hurdle
  • Online
Mode
Written
Category
Quiz
Weight
Pass/Fail
Due date

23/07/2024 1:00 pm

Learning outcomes
L01, L02, L03, L04, L05, L06, L07

Task description

This assessment consists of two online medication quizzes which will examine and extend your preparedness for clinical placement.

Medication Safety exams - This part will examine your knowledge regarding medication safety which includes medication calculations and the “rights” of medication administration. The link to the medication safety exams will be available in the companion course site:

  • Medication Rights: Customised assessment #1
  • Medication Calculations: Customised assessment #1
  • Download the certificate at the end of each quiz and upload certificates via assessment link in Blackboard

Students are required to achieve 100% accuracy for the nominated medication safety exams. While there is the opportunity for ongoing repeat attempts at the exams, 100% accuracy must be achieved.

Any students unable to achieve 100% accuracy by the due date will not proceed to clinical placement. Students unsuccessful in the assessment attempt will be informed via their UQ email of the requirements and due date of the second attempt. Students are to refer to the course Blackboard site Assessment tab for additional details.  

Students must undertake and be successful in their medication safety exam. This must be completed prior to undertaking medication administration.

Medication administration under direct RN supervision is an expected scope of practice for all undergraduate students.

Hurdle requirements

Successful completion of this assessment is required in order to pass the course.

Submission guidelines

Students to upload the completed Medication safety certificate via the Blackboard assessment link.

Deferral or extension

You cannot defer or apply for an extension for this assessment.

Late submission

You will receive a mark of 0 if this assessment is submitted late.

Please note that for pass/fail assessments there is no daily loss of marks. Assessment that is submitted late is given zero marks.


Clinical Placement Completion

  • Hurdle
Mode
Activity/ Performance
Category
Placement
Weight
Pass/Fail
Due date

Students are to submit their signed Formative ANSAT, Summative ANSAT and timesheet via ePad.

Due dates are dependent on the allocated placement.

Other conditions
Work integrated learning.

See the conditions definitions

Learning outcomes
L01, L02, L03, L04, L05, L06, L07

Task description

Work-based assessment 

The Clinical Placement Completion is composed of the completion of 80 hours of clinical placement as well as satisfactorily meeting the Nursing and Midwifery Board of Australia (NMBA) Registered Nurse Standards for Practice while practicing under the scope of a first year, second semester Bachelor of Nursing student. Students' clinical placement performance will be evaluated against the ANSAT. Below are the three elements needed to be submitted to evidence Clinical Placement Completion: 

 

1.    Mid-point (Formative) ANSAT Assessment 

Demonstrated capability in clinical practice commensurate with the NURS1105 Course Learning Objectives evidenced by successful completion of the Formative Australian Nursing Standards Assessment Tool (ANSAT) and submission to the MyProgress ePortfolio. 

  • The Formative (mid-point) ANSAT MUST be completed by your Practice Educator OR Buddy RN 
  • All sections must be completed 
  • Completion due date is mid placement (approx 40 hours of placement) 
  • You must receive a score of 3 or above on every criteria (failure to do so will result in a learning plan being implemented) 

 

2.    End Point (Summative) ANSAT 

 Demonstrated capability in clinical practice commensurate with the NURS1105 Course Learning Objectives evidenced by successful completion of the Summative Australian Nursing Standards Assessment Tool (ANSAT) and submission to the MyProgress ePortfolio. 

  • The Summative (end-point) ANSAT MUST be completed by your Practice Educator OR Buddy RN in the last or second-to-last shift 
  • All sections must be completed 
  • You must receive a score of 3 or above on every criteria (failure to do so will result in a fail grade for this course) 
  • You must show evidence/reflection of achieving your learning goals OR evidence of amended learning goals 

 

3.    Completed Timesheet 

The completed timesheet must demonstrate all required hours of clinical placement (80 hours), undertaken within the rostered timeframe as advised by the Clinical Placement Unit. The Clinical Practicum Timesheet must be signed off by the student's Registered Nurse Preceptor / UQ Practice Educator, every shift via a declaration in MyProgress ePAD.

Instructions for ePAD 

  • From your MyProgress home page, you can click ‘Timesheet’ 
  • The timesheet appears for you to complete; placement, location, activity type, date, duration and enter a name into ‘approved by’ 
  • Students must ensure they choose the correct location and type of shifts from the dropdown boxes 
  • Once you have completed the form, hand your device to your Registered Nurse Preceptor / UQ Practice Educator, for their official verification, by choosing the ‘Approved by’ section, entering their name and work email address 
  • Once completed, click submit 


Students are to refer to the "Assessment" tab located within the NURS1105 Blackboard site for further details and specifications of the assessment item.


 Please note falsification of any information pertaining to placement attendance or performance will be considered a breach of the UQ Student Code of Conduct Policy 3.60.01 (https://ppl.app.uq.edu.au/content/3.60.01-student-code-conduct).

Hurdle requirements

Students who do not meet the standards required to pass clinical placement will receive a fail grade for the course.

Submission guidelines

Students are to submit their signed Formative ANSAT, Summative ANSAT and timesheet via ePad.

Deferral or extension

You cannot defer or apply for an extension for this assessment.

Late submission

You will receive a mark of 0 if this assessment is submitted late.

Objective Structured Clinical Assessment (OSCA)

  • Hurdle
Mode
Activity/ Performance
Category
Examination, Role play/ Simulation
Weight
Pass/Fail
Due date

The OSCAs will be held during the Semester 2, 2024 End of Semester Examination period. The course coordinator will provide the schedule closer to the date of this assessment. Please note that this is a school-based exam, and therefore the actual date may differ from the one published by the university which refers only to the beginning of the potential OSCA exam dates: Please refer to the NURS1105 Blackboard site for more information.

 

Learning outcomes
L03, L04, L05

Task description

The Objective Structured Clinical Assessment (OSCA) of performing parenteral medication administration will assess the application of:

  • Pharmacological knowledge
  • Medication Safety (legal and professional nursing requirements when undertaking medication administration)
  • Patient safety

Hurdle requirements

It is compulsory to pass this assessment in order to pass the course.

Exam details

Planning time 5 minutes
Duration 10 minutes
Calculator options

No calculators permitted

Open/closed book Closed Book examination - no written materials permitted
Exam platform Other
Invigilation

Invigilated in person

Submission guidelines

The OSCA is assessed within the CBL simulation space. Students must attend their allocated OSCA and present in accordance with the UQ NMSW uniform policy to be permitted to undertake the OSCA.

Deferral or extension

You may be able to defer this exam.

Students who need to defer the OSCA will sit the deferred OSCA during the Semester 2 Deferred and Supplementary Examination Period in December.

You can request a deferred OSCA if you can provide evidence of unavoidable circumstances that prevented you from sitting your original OSCA at its scheduled date and time. Your application must include supporting evidence. Your application will be assessed based on the evidence you provide when you apply.

Deferred OSCAs will be formally scheduled at a set date and time, and applicants will need to ensure that they are available to attend at the assigned date and time.

There are no provisions to defer a deferred exam. You need to be available to sit your deferred OSCA.

Late submission

You will receive a mark of 0 if this assessment is submitted late.

Course grading

Full criteria for each grade is available in the Assessment Procedure.

Pass/Fails Description
P

Course grade description: Students must complete, submit and pass each item of assessment in order to successfully complete the course. Students must achieve a minimum score of 3 in every assessment criteria in the Summative ANSAT to successfully complete the course. All assessment items in this course are NGP (non- graded pass). 80 hours of clinical placement must be attended within the rostered placement period allocated and the student must demonstrate competence in applying knowledge in nursing practice.

F

Course grade description: Unable to demonstrate competence in applying knowledge in nursing practice at the expected level. Does not adhere to expected scope of practice. Undertakes medication preparation, dispensing or administration without direct supervision of a Registered Nurse. Does not complete the clinical hours required in this course within the designated, rostered period. Failure to comply with the NMSW social media policy. Does not complete, submit and pass all items of assessment in this course.

Additional course grading information

Students are required to gain a pass for all of the assessment items in order to achieve a pass grade for this course.

Supplementary assessment

Supplementary assessment is not available for some items in this course.

If a student receives an unsuccessful grade on the OSCA assessment and is the only assessment that they have failed in the course, the student will be eligible to apply for a supplementary assessment, which will be in the form of an OSCA.

Additional assessment information

Applying for an extension

Extension requests are submitted online via my.UQ. Extension requests received in any other way will not be approved.

Information about applying for an extension can be found on my.UQ.

Extension guidelines

  • Extension requests should be submitted prior to the assessment deadline.
  • Extension requests must state the due date and the due time of the assessment.
  • Requests for extensions received after the assessment item submission due date may not be approved. Late requests must include evidence of the reasons for the late request. 
  • The extension granted should be in proportion to the period of illness or disruption caused by the exceptional circumstances and will typically be no more than 2 weeks in duration.
  • Students on a Student Access Plan (SAP) with a clause on extension requests must still adhere to the extensions request policy outlined. Students need to attach the SAP and a note outlining their current situation with the online extension application. A maximum of 7 days will be granted for applications on the basis of an SAP. An extension request beyond 7 days will require additional supporting information as this request will not be considered on the basis of the SAP, but rather additional events (whether they relate to the circumstances of the SAP or not).

Outcome of application

  • Extension requests are generally processed within 2 working days. Students can see the outcome of their application by logging in to my.UQ.
  • Appeals against a refusal of an extension should be lodged through the Student Grievance Resolution process outlined on my.UQ.

Penalties for late submission

  • Assessments submitted late will have 10% of the mark available deducted per day (including weekends and public holidays).
  • Work submitted more than 7 days after the due date without an approved extension will not receive a mark.
  • Please note for pass/fail assessment there is no daily loss of marks. Assessment that is submitted late is given zero marks.

Learning resources

You'll need the following resources to successfully complete the course. We've indicated below if you need a personal copy of the reading materials or your own item.

Library resources

Find the required and recommended resources for this course on the UQ Library website.

Additional learning resources information

Students should refer to the learning modules on Blackboard and complete these according to the recommended schedule (this can be found in the Learning Resources tab).

Learning activities

The learning activities for this course are outlined below. Learn more about the learning outcomes that apply to this course.

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Learning period Activity type Topic
Multiple weeks

From Week 1 To Week 13
(22 Jul - 27 Oct)

Practical

Clinical Placement

Students will be allocated and required to undertake clinical placement in any of a range of clinical settings. Details of placement dates and times will vary depending on the clinical setting and scheduled learning activities within the BN program. Students will either be allocated to an integrated placement during semester or a block placement outside of the semester dates. Students should refer to InPlace to ensure that they meet compliance requirements by the due date.

Learning outcomes: L01, L02, L03, L04, L05, L06, L07

Lecture

Lectures

The first lecture is an introductory lecture to Clinical Nursing Practice 2. Expectations for assessment requirements for this course will be discussed. Safe handling and administration of medications will also be covered which will assist in completing the mandatory online medication safety quizzes and employability skills will be introduced. The second lecture will include information on the OSCA assessment as well as other clinical topics including the clinical reasoning cycle and self-care skills for nursing students and what to expect in the following Clinical Nursing Practice 3. Please ensure you check the timetable for these lecture times and places.

Learning outcomes: L01, L02, L03, L04, L05

Multiple weeks

From Week 2 To Week 12
(29 Jul - 20 Oct)

Practical

Clinical Based Learning (CBL)

Clinical Based Learning (CBL) sessions will be conducted at the Whitty Building, Mater Hospital, South Brisbane Campus. There are essential preparatory activities for students to engage with prior to these simulation sessions which will be provided through the NURS1105 Blackboard site. The CBL sessions are scheduled on Tuesday and Wednesday in Weeks 2, 4, 6, 8, 10 and 12 of the semester. Due to the EKKA Public Holiday falling on a Wednesday all CBL sessions will be run on the Tuesday on week 4.

Attendance to all CBLs is mandatory and students must actively participate in the sessions.

Learning outcomes: L01, L02, L03, L04, L05, L06

Additional learning activity information

Clinical Placement

Students are expected to complete 100% of their allocated placement hours to meet the course learning outcomes and be eligible for a pass.

Clinical placements must complete within the rostered timeframe advised by the Practice Education Team. Clinical placements may occur during public holidays as well as during the Mid-Semester Break (please refer to your allocated roster from the Practice Education Team). 

Students will be required to participate in hospital/corporate mandatory credentialling and other relevant learning opportunities including online modules. Some clinical placement sites will also require student attendance at orientation sessions. Please refer to the Nursing & Midwifery Practice Education (Clinical Placements) Blackboard site.

It is an inherent requirement of the Bachelor of Nursing degree to complete supernumerary professional placements in a range of clinical areas over the duration of the degree. Inherent requirements are the essential components of a course that demonstrate the capabilities, knowledge and skills to achieve the core learning outcomes. The Inherent Requirements Student Placement Declaration form must be completed on enrolment to the course when preferencing or completing attendance placement documentation in Inplace. Should a student’s circumstances change throughout the course of the semester please contact the course convenor to discuss the implications of these changes for your clinical placement.


Compliance Statement

It is expected that students have successfully completed all requirements for NURS1103 in Semester 1. Students are responsible fo rmeeting all pre-placement mandatory requirements before the start of Semester 2 (July 19th, 2024). Failure to comply with these requirements will result in no clinical placement allocation. Students who receive written notification of failure to comply with pre-placement and mandatory requirements will be required to address these by the end of week 4 of semester 2. If students do not meet the final compliance deadlines by the end of week 4, they will no longer be eligible to undertaken clinical placement and no further clinical placement allocation will occur. In these instances students are advised to withdraw from the course before the census date.


Absenteeism from Clinical Placement

Clinical placement shifts are compulsory components of the Bachelor of Nursing program. On the occasion that you are unable to attend clinical placements due to exceptional circumstances, you must follow the instructions outlined in the Attendance and absence procedure and InPlace guide - please see the document in Nursing & Midwifery Practice Education (Clinical Placements) Blackboard site. You must also ensure you notify your ward, Practice Educator and Clinical Course Coordinator of your absence. 


Please note:

  • Students are not authorised to arrange their own shifts
  • Deferred clinical placements may be scheduled out of semester. A deferred clinical placement, like a deferred examination, is the final offering for student to completed clinical placement requirements to meet the course outcomes and be eligible to pass.
  • Students are not able to defer, a deferred placement offering.
  • If there is a clash with a scheduled clinical placement shift and an exam, students are to contact the Practice Education Team and the relevant subject coordinator immediately to discuss arrangements.


Unsafe practice during clinical placement: A decision of unsafe clinical performance is made when a student's performance places a patient/client, a patient’s/clients’ family, staff members, themselves, or fellow students at risk. If students practice in a way that is deemed unsafe or breaches the relevant scope of practice during their clinical placement they will be asked to leave the placement and a fail grade will be awarded for the course.


Professional manner during professional placement:

Students must always conduct themselves professionally during professional placement. Unprofessional behaviour may lead to a learning support plan, immediate removal from the clinical placement, or termination of the placement. This could result in non-academic misconduct and a failing grade in the associated subject.


Scope of Practice

Students must adhere to the NURS1105 Scope of Practice at all times while on clinical placement. This requirement addresses patient safety and students will be removed from placement or risk failing the course if working outside their scope. Please refer to the guidelines in the Nursing & Midwifery Practice Education (Clinical Placements) Blackboard site.


Clinical Based Learning (CBL) Participation

CBL (Case-Based Learning) allows for the development of clinical skills and evidence-based practice.

  • Preparation for each session is required so students understand the clinical theory and principles that support the practical components of clinical practice. Prior to attending CBL, students should complete the assigned readings, engage in course learning activities, including self-directed modules, and reflect on clinical practice.
  • Each session is structured to support student learning and master of clinical skills required to provide care in the clinical settings. Students must actively participate in skills practice, discussions, and identification of learning needs, while receiving feedback from CBL Lecturers and peers.
  • Attendance is mandatory for all CBL sessions.


Absenteeism from CBL

Students who miss CBL sessions due to exceptional circumstances, such as illness, injury, or participation in elite athlete programs, will be unable to achieve the required scope of practice and may fail the course. In the event of multiple absences from CBL classes, missing 20% or more of CBL sessions (2 or more CBLs) will result in an inability to meet the course objectives and the safe scope of practice required for clinical placement. Such students will receive a failing grade for the course. We strongly encourage students enrolling in this course to consider their ability to meet the requirements. If unable to do so, it is advisable to seek academic advice and consider withdrawing from the course before the census date. Students who miss a CBL session must notify the Course Coordinator as soon as possible. Students must follow-up by emailing a completed Absenteeism Form (available on NURS1105 Blackboard site) and supporting evidence, i.e. medical certificate / statutory declaration, within 48 hours of the missed CBL class. Please refer to my.UQ for a list of the acceptable reasons for absence from class. If the absence is approved you will be notified by the Course Coordinator of a time and location for your make-up CBL.


Makeup for absence from CBL

Absence from a CBL session will require the student to attend a makeup CBL session. Upon receipt of the appropriate documentation you will be notified by the CBL Co-ordinator of a time and location for your make-up CBL. 


Face to Face Lecture series

It is an expectation of the course that students will attempt to attend all lecture sessions. However, when students are unable to attend lectures, they are recorded for student reference. Lecture sessions provide the opportunity for students to engage with fellow students and engage in the lecture series.


Social Media:

Students are prohibited from posting any images of patients, clinical venues, or clinical documentation on social media. Students should also refrain from making comments related to clinical placement, UQ, or clinical venues that may violate University or institutional policies or guidelines or bring UQ into disrepute. Failure to comply with this policy will result in removal of the student(s) from placement, and a failing grade for this course.

Policies and procedures

University policies and procedures apply to all aspects of student life. As a UQ student, you must comply with University-wide and program-specific requirements, including the:

Learn more about UQ policies on my.UQ and the Policy and Procedure Library.

You'll also need to be aware of the following policies and procedures while completing this course:

  • Placement
  • Working with Children
  • Fitness to Practise
  • Immunisation
  • Work Integrated Learning and Work Experience

Course guidelines

School of Nursing, Midwifery and Social Work Assessment Guidelines

Assessment and Assignment Writing Guide

Please visit the School of Nursing, Midwifery and Social Work website for information about assessment.

Link to my.UQ, Examinations and Assessment: https://my.uq.edu.au/services/exams-and-assessment.


It is essential that students complete pre-placement Mandatory Requirements as outlined on the following web page: https://habs.uq.edu.au/prepare-your-nursing-and-midwifery-placement

Students must complete these in order to be eligible to attend placement.

Students must also comply with the 2024 Clinical Placement Guidelines and Inplace guide, mandatory preparation requirements and Scope of Practice Documents. Refer to the Nursing & Midwifery Practice Education (Clinical Placements) Blackboard site for details.

Attendance at all rostered clinical placement shifts is compulsory. If you are unable to attend, it is the student's responsibility to inform the Practice Educator / Clinical Facilitator and staff at the clinical placement site as soon as possible. Refer to the 2024 Clinical Placement Guidelines and Attendance and Absence Procedure for instructions if you are unable to attend placement.