| Effective Term: | 2025/08 |
| Institute / School : | Institute of Health and Wellbeing |
| Unit Title: | Nursing Practice 6: Management of Deteriorating Patient |
| Unit ID: | NURBN3030 |
| Credit Points: | 30.00 |
| Prerequisite(s): | (At least 210 credit points from program HL5 or HN5) |
| Co-requisite(s): | Nil |
| Exclusion(s): | Nil |
| ASCED: | 060301 |
| Other Change: | |
| Brief description of the Unit |
This unit continues to develop the ability of the student to conduct a comprehensive and systematic person-centred assessment with a particular focus on recognising and responding to clinical deterioration in line with the current Australian Commission on Safety and Quality in Health Care Standards. Recognising that patient deterioration occurs in a variety of clinical environments students will develop skills and confidence in working collaboratively with their peers and other members of the multi-disciplinary team to develop plans of care as well as mechanisms of comprehensive assessment, prioritisation, coordination, evaluation and monitoring of patient progress towards the expected goals and outcomes for various contexts. Using a systematic and therapeutic approach to advanced patient assessment students will apply their skills and knowledge in an extended period of clinical placement with a focus on increased clinical acuity with an emphasis on managing acute conditions, acute exacerbations in chronic conditions, deteriorating patients and life-limiting illnesses, and palliation This unit contains 160 hours of clinical placement |
| Grade Scheme: | Graded (HD, D, C, P, MF, F, XF) |
| Work Experience Indicator: |
| No work experience |
| Placement Component: | Yes - days |
| Supplementary Assessment:Yes |
| Where supplementary assessment is available a student must have failed overall in the Unit but gained a final mark of 45 per cent or above, has completed all major assessment tasks (including all sub-components where a task has multiple parts) as specified in the Unit Description and is not eligible for any other form of supplementary assessment |
| Course Level: |
| Level of Unit in Course | AQF Level(s) of Course | | 5 | 6 | 7 | 8 | 9 | 10 | | Introductory | | | | | | | | Intermediate | | | | | | | | Advanced | | |  | | | |
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| Learning Outcomes: |
| Knowledge: |
| K1. | Demonstrate in-depth knowledge of a range of complex health problems experienced by patients throughout the lifespan in stages of clinical deterioration. |
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| K2. | Explore and evaluate the clinical application of nursing research and theoretical literature to the care of patients with complex health issues |
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| K3. | Critically analyse the nursing application of diagnostic, therapeutic and preventative techniques associated with caring for a patient with complex health needs. |
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| Skills: |
| S1. | Undertake a systematic approach to person-centered assessment and plan effective strategies in prioritising and managing patients’ needs from the interpretation of the data |
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| S2. | Demonstrate comprehensive, safe, clinical evidence-based practice with consideration of current theoretical knowledge and be able to recognise report and provide timely care to patients whose condition is deteriorating |
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| S3. | Demonstrate collaborative and therapeutic practice as part of the multidisciplinary team in the provision of quality patient care and employ clinical and critical decision making skills to identify, analyse and resolve problems in various environments |
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| Application of knowledge and skills: |
| A1. | Develop and implement holistic person-centred health-care plans for patient deteriorating states and critical health situations that developed in partnership with peers and members of multi-disciplinary team |
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| A2. | Utilise therapeutic communication and interaction principles in the assessment and care of acutely ill patients and their carers |
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| A3. | Practice in accordance with the current NMBA Registered Nurse Practice Standards, NMBA code of ethics, and NMBA code of conduct for Registered Nurses |
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| Unit Content: |
The current NMBA Registered Nurse Standards for Practice, NMBA Code of Conduct for Nurses, Code of Ethics for Nurses, National Safety and Quality Health Service Standards, Aged Care Quality Standards, National Health Priority Areas and where applicable the NMBA National Competency Standards for the Midwives, NMBA Code of Conduct for Midwives, ICM/NMBA Code of Ethics for Midwives have informed the content development of this unit. Recognising and Responding to Patient Deterioration Systematic assessment techniques including primary, focused and secondary survey approaches to assist in the early detection of subtle indicators in deteriorating patients Recognising deterioration of mental wellness Escalation and reporting lines for patients in deteriorating states Person-centred care of people experiencing an acute health conditions and delirium such as; cardiac and renal failure, cardiac and respiratory emergencies, neurological and burn injuries and shock states Monitoring, management and evaluation of person-centred care for deteriorating patient states End of life care in the acute and sub-acute setting Introduction to advanced life support The role of the Registered Nurse as a leader in the healthcare team for the provision of safe and, quality practice to achieve positive person-centred outcomes for patients in deteriorating and complex health states Undertake clinical placement in order to consolidate the current NMBA Registered Nurse Practice Standards and in so doing develop confidence and competence in providing a comprehensive assessment that is able to identify and respond to episodes of patient deterioration Understanding the nursing role within this context and the roles of other health professionals to care for patient effectively |
| Graduate Attributes: |
| | Learning Outcomes Assessed | Assessment Tasks | Assessment Type | Weighting | | 1. | K1, K2, K3, S1, S2, S3, A1, A2, A3 | Attendance at Active Learning Sessions | 80% Attendance at Active Learning Sessions | S/U Hurdle | | 2. | K1, K2, K3, S1, S2, S3, A1, A2, A3 | Attendance at clinical laboratories | 100% attendance at clinical laboratories | S/U Hurdle | | 3. | K1, K2, K3, S1, S2, S3, A1, A2, A3 | ANSAT and written reflection | Clinical Placement | S/U Hurdle | | 4. | K1, K2, K3, S1, S2, A1 | Clinical reasonsing of a clinically deteriorating patient scenario. | Synchronous Oral Presentation | 20-40% | | 5. | K1, K2, K3, S1, S2, A1 | Explore a critical health situation in regards to pathophysiology and nursing care in the form of a mind map. | Mind map | 20-40% | | 6. | K1, K2, K3, S1, S2, S3, A1, A2, A3 | ANSAT and written reflection | Clinical Placement | 30-50% |
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