NURSING 3005 - Nursing in Complex Settings (Perioperative)

North Terrace Campus - Semester 1 - 2020

This course describes the professional and legal issues associated with the role of the Registered Nurse in the perioperative setting. Careful preoperative assessment and patient identification are essential skills within the course. The post operative care phase is examined in respect of pain management, wound and drain care and a focus on the clinical signs and symptoms that suggest a patient condition is deteriorating. Students will need to use contemporary best practice guidelines to support their descriptions of perioperative nursing care across all ages.

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Course Details

Course Code	NURSING 3005
Course	Nursing in Complex Settings (Perioperative)
Coordinating Unit	Adelaide Nursing School
Term	Semester 1
Level	Undergraduate
Location/s	North Terrace Campus
Units	3
Contact	Up to 6 hours per week
Available for Study Abroad and Exchange	N
Prerequisites	NURSING 2011
Restrictions	Available to B.Nurs students only
Assessment	PBL attendance, assessment of clinical skills, drug calculation test, preoperative assessment of the surgical patient, exam

Course Staff

Course Coordinator: Mrs Jo Perry

Jo Perry
jo.perry@adelaide.edu.au
+618 8313 2010

Email contact is best due to this lecturer being part time.

Adelaide Nursing School
Level 4, AHMS Building
最新糖心Vlog of Adelaide North Terrace Campus
Phone: +61 8313 3595
Email: nursing@adelaide.edu.au

Course Timetable

The full timetable of all activities for this course can be accessed from .

Course Learning Outcomes

1. Identify and describe NMBA competencies that relate to the perioperative environment

2.    Describe roles and functions of staff in the perioperative environment. Define medico-legal aspects of perioperative nursing practice

3.    Demonstrate understanding of patient identification and procedure matching

4.    Identify and practice physical assessment skills required for the perioperative setting.

5.    Develop comprehensive skills for postoperative assessment and epidural pain management

6.    Understand and relate anatomy and physiology, pathophysiology and pharmacology to care of patients in the perioperative setting.

7. Integrate perioperative considerations for special populations and across the lifespan

8. Discharge planning – general admission and postoperative discharge. Distinguish and manage post–operative and other complex wounds

9. Discuss general principles for interpreting x-rays and the intra hospital transfer of patients

10. Examine health informatics and systems involving electronic health records (EPAS)

最新糖心Vlog Graduate Attribute	Course Learning Outcome(s)
Deep discipline knowledge informed and infused by cutting edge research, scaffolded throughout their program of studies acquired from personal interaction with research active educators, from year 1 accredited or validated against national or international standards (for relevant programs)	1,2,3,4
Critical thinking and problem solving steeped in research methods and rigor based on empirical evidence and the scientific approach to knowledge development demonstrated through appropriate and relevant assessment	3,4,5,10
Teamwork and communication skills developed from, with, and via the SGDE honed through assessment and practice throughout the program of studies encouraged and valued in all aspects of learning	2,8,9,10
Career and leadership readiness technology savvy professional and, where relevant, fully accredited forward thinking and well informed tested and validated by work based experiences	1,2,3,6,10
Intercultural and ethical competency adept at operating in other cultures comfortable with different nationalities and social contexts able to determine and contribute to desirable social outcomes demonstrated by study abroad or with an understanding of indigenous knowledges	1,2,3
Self-awareness and emotional intelligence a capacity for self-reflection and a willingness to engage in self-appraisal open to objective and constructive feedback from supervisors and peers able to negotiate difficult social situations, defuse conflict and engage positively in purposeful debate	1-10

Learning & Teaching Modes

Each week there will be an online lecture and a face to face tutorial session. Attendance is recommended at all sessions in order to optimise learning. There is also a small group session each week on Problem Based Learning (PBL). Attendance is compulsory at these sessions and forms part of the assessment for this course. Throughout the course are skills sessions which also form part of the assessment.

Workload

The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

The student will be expected to spend between 4-6 hours engaging with the activities of this course each week during the semester on campus. Off campus work will include 3-4 hours of reading as well as viewing online lectures and viewing materials. Preparation of assignments is on top of this time commitment. Students are encouraged to plan well, since this course has a lot of content and requires extensive reading and preparation for sessions.

Learning Activities Summary

Online Lecture/Face to face tutorial weekly topics

1	Course Introduction and Preoperative Care
2	Laboratory Interpretation
3	Perioperative Care
4	Complex Wound Care
5	Drains/Perioperative standards of care
6	Anaesthetics and Recovery
7	Professional issues in Perioperative care
8	Wider perspectives of Perioperative nursing

Online lectures (prerecorded)

- Preoperative Care Portfolio requirements and examples

Clinical skill activities

- Preoperative interview techniques
- Venipuncture/Labaratory interpretation
- ANTT/Surgical ANTT/Complex Wound Care
- Scrubbing, gowning, gloving
- Anaesthetics and special patient populations
- Hand hygeine and nursing informatics
- Situational awareness
- PACU/Xray/UWSD

PBL sessions

- Perioperative Case studies, incorporating aspects of care across the lifespan.

Specific Course Requirements

Clinical placement is complementary to this course, and it is expected that the students will be able to apply knowledge from the theory course to their clinical site.

Small Group Discovery Experience

Problem Based Learning (PBL) occurs in small groups and is based around case scenarios. Attendance is compulsory. Each PBL case runs over several sessions, containing "stop points" for reflection and learning, and students will be expected to use their knowledge to analyse and critically plan care for the patient in each scenario. At the end of each PBL case, an evaluation of nursing care will occur.

The 最新糖心Vlog's policy on Assessment for Coursework Programs is based on the following four principles:

Assessment must encourage and reinforce learning.
Assessment must enable robust and fair judgements about student performance.
Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
Assessment must maintain academic standards.

Assessment Summary

Item Number	Item	Weighting	Learning Outcomes
1	Scrubbing, Gowning, Gloving	Formative	1, 2
2	Drug Calculation Test (HURDLE)	NGP/NGF	1
3	insulin Administration Quiz	NGP/NGF	1,2
4	Problem Based Learning	10%	1, 2, 3, 4, 5, 6, 7, 8, 9, 10
5	Clinical Skills	50%	1, 2, 3, 4, 5, 6, 7, 8, 9, 10
6	Examination	40%	1, 2, 3, 4, 5, 6, 7, 8, 9, 10

Assessment Related Requirements

The drug calculation test is a hurdle. That means that this piece of assessment must be passed before the student can pass the course.

Students will be allocated to groups for skills sessions. Due to limited spacing it is very difficult to change people around between groups. Any switches must be approved by the course coordinator ahead of the session time.

Assessment Detail

Formative Assessment – SGG Skill
This is a one hour clinical skills session where you learn and undertake the principles of scrubbing, gowning and gloving as per ACORN standards.

Drug Calculation Test
This is a Hurdle requirement of the course and students will be awarded either a Non Graded Pass or Fail for this aspect of the course. If you fail the hurdle, you will not be able to pass the course. Please note, failure to meet 100% accuracy will preclude students from administering medication in the clinical environment and will necessitate the implementation of an ‘Early Intervention Strategy’ for remedial work in drug calculations.
This Drug Calculation Test is conducted under examination conditions, meaning that if you do not attend, you will need to apply for a supplementary assessment, and meet criteria for a supplementary assessment.

Practical Skills Worksheets
Each Skills session has a worksheet to complete and submit by the following week to capture the main points of learning attained.

PBL Worksheets
Each PBL session has a worksheet to complete and submit the following week to capture the main points of learning attained.

Preoperative Assessment Portfolio
You will be expected to follow the nursing process for this assignment. This includes aspects of assessment and intervention which you will perform to prepare the provided patient scenario for their surgery. You are to describe your nursing care from the encounter with the patient to completion of preoperative preparation. This includes all aspects of interaction, intervention and assessment you will perform.

Examination
The topics to be covered are those contained in the lectures and tutorials. Also, readings and skill information will be covered. Any covered topics from this semester may be included in the exam. Specific theme groups include:
• Roles of nurses in surgery
• Perioperative stages
• Perioperative medications
• Perioperative nursing interventions
• Care of different types of surgical patients
• Deterioration of the surgical patient
Format
• Multiple choice
• Short answer
• Case study – response set

Submission

Unless otherwise indicated all submission of assignments is to be through the assignments portal of MyUni. TurnItin will be used to check student assignments. Students MUST keep an electronic copy of all assignments submitted.

To apply for an Assessment Extension, a student must submit an application for extension form prior to the assessment deadline.

See the Modified Arrangements for Coursework Assessment Policy http://www.adelaide.edu.au/policies/3303/

Course Grading

Grades for your performance in this course will be awarded in accordance with the following scheme:

M10 (Coursework Mark Scheme)
Grade	Mark	Description
FNS		Fail No Submission
F	1-49	Fail
P	50-64	Pass
C	65-74	Credit
D	75-84	Distinction
HD	85-100	High Distinction
CN		Continuing
NFE		No Formal Examination
RP		Result Pending

Further details of the grades/results can be obtained from Examinations.

Grade Descriptors are available which provide a general guide to the standard of work that is expected at each grade level. More information at Assessment for Coursework Programs.

The final grade for this course will be a culmination of the 6 activities. Each activity must be assessed as a pass before a pass for the whole course will be given. Please note, just submitting written work and not performing other requirements such as PBL or skills will result in a fail grade for this course.

Grading of written work will be guided by a rubric which you will have access to prior to submitting your assignment. Review of the originality report prior to submission is also highly recommended.

Final results for this course will be made available through .

Student Feedback

The 最新糖心Vlog places a high priority on approaches to learning and teaching that enhance the student experience. Feedback is sought from students in a variety of ways including on-going engagement with staff, the use of online discussion boards and the use of Student Experience of Learning and Teaching (SELT) surveys as well as GOS surveys and Program reviews.

SELTs are an important source of information to inform individual teaching practice, decisions about teaching duties, and course and program curriculum design. They enable the 最新糖心Vlog to assess how effectively its learning environments and teaching practices facilitate student engagement and learning outcomes. Under the current SELT Policy (http://www.adelaide.edu.au/policies/101/) course SELTs are mandated and must be conducted at the conclusion of each term/semester/trimester for every course offering. Feedback on issues raised through course SELT surveys is made available to enrolled students through various resources (e.g. MyUni). In addition aggregated course SELT data is available.

Time and space are often issues when trying to fit clinical placement and theoretical learning in. In 2020, online lectures will be prerecorded so that students can view at their convenience. Tutorials to reinforce the lecture content will be utilised.

Skills sessions worked best when there was interation and "hands on" activity. This will continue with suggested refinements in 2020.

Students liked the smaller group work in the skills sessions, and also enjoyed having the opportunity to feedback in a timely fashion as to positive and negative aspects of the course.

Students wanted more definitive guidance on the preoperative assessment portfolio as well. This assignment has been completely redesigned in order to address the format concerns that students raised. It will also be due earlier in the semester to create a 'break space' between this piece and the exam.

Positive feedback included the use of the Intellilearn software for the drug calculation test, and this process has been refined.

PBL was a popular aspect of this course, and will be restructured for flow reasons in 2020.
Student Support
Policies & Guidelines
This section contains links to relevant assessment-related policies and guidelines - all university policies.
Fraud Awareness

Students are reminded that in order to maintain the academic integrity of all programs and courses, the university has a zero-tolerance approach to students offering money or significant value goods or services to any staff member who is involved in their teaching or assessment. Students offering lecturers or tutors or professional staff anything more than a small token of appreciation is totally unacceptable, in any circumstances. Staff members are obliged to report all such incidents to their supervisor/manager, who will refer them for action under the university's student鈥檚 disciplinary procedures.

The 最新糖心Vlog of Adelaide is committed to regular reviews of the courses and programs it offers to students. The 最新糖心Vlog of Adelaide therefore reserves the right to discontinue or vary programs and courses without notice. Please read the important information contained in the disclaimer.

Authorised by:	Deputy Vice-Chancellor and Vice-President (Academic)
Maintained by:	Course Outlines Administrator

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