成人大片

Course Coordinator contact details :
Sindy Millington
School of Nursing
The 成人大片
Australia
Phone:          +61 8 83132996
Email:           sindy.millington@adelaide.edu.au

 School of Nursing Office:
Student Liaison Office: Ph - +61 8313 3595; Email - nursing.studentliaison@adelaide.edu.au

1	Appraise the rationale and effectiveness of nursing assessment and interventions applied to seriously ill patients in the acute care setting.
2	Demonstrates advanced and focused physical assessment in clinical practice in an acute care scenario with recognition of clinical deterioration in a timely manner
3	Retrieves, critically evaluates and prioritises appropriate and timely interventions using best available evidence
4	Expresses critical thinking skills through critical evaluation and nursing reflection on practice and the effectiveness of interventions.
5	Demonstrates leadership through safe practice in accordance with legislation, professional codes and specialty competencies and guidelines in relation to current skills, knowledge and attitudes
6	Demonstrates Integration of clinical skills and rigorous academic knowledge to practice in an acute care scenario
7	Demonstrates advanced patient care within the multidisciplinary team using a culturally sensitive approach in an acute care scenario

Texts
McCance, KL & Heuther, SE 2010, Pathophysiology: The Biologic Basis for Disease in Adults and Children, 6th edn, Mosby Elsevier, Missouri.

Sole, ML Klein, DG & Moseley, MJ 2012, Introduction to Critical Care Nursing,6th edn, Saunders Elsevier, St Lois, Missouri.

The prescribed texts are integral to the course and may be purchased from all or some of the following outlets:

Unibooks
The 成人大片, Adelaide SA 5005
Phone:    +61 8 8125 5160
Email:    adelaide@unibooks.com.au
Website:    

Ramsay – Medical books and more
Located at Unibooks, Adelaide Store, Gate 10 (off Victoria Drive), Union Building,Adelaide SA 5000
Phone:  +61 8 8125 5195 or 1300 796 106
Fax:  +61 8 8231 2069
Email:  sales@ramsaybooks.com.au
Website: 

Encompass Bookshop
Shop 20, Renaissance Arcade,128 Rundle Mal, lAdelaide SA 5000
Phone:   08 8224 0886
Fax:   08 8223 3570
Email:  adelaide@encompassbooks.com.au
Website: www.encompassbooks.com.au


Online Classroom technology
To connect to the online classroom you will require:
•    a computer – either a PC-based or a Macintosh-based machine
•    Internet access – there seems to be little difference between broadband and dial-up connections other than the speed of the initial connection
•    minimum of a 56K modem
•    a multimedia headset – it must have both earphones and microphone (These are available in computer variety stores).

The readings for this course are available electronically via MyUni.

Please note: it is your responsibility to organise printing should you prefer a hard copy of the readings.

Online Classroom
The online classroom (OC) technology will be used for lectures and tutorial discussions on a weekly basis each Thursday from 10:30-12:30 during this semester.

MyUni
All students enrolled in a postgraduate coursework nursing program have access to the School of Nursing – Postgraduate Coursework Student Centre on MyUni. If you would like the opportunity to network with other students, you can use the Communication features in the site. This site will also feature information about the latest news and events at the School of Nursing.

Unified
http://unified.adelaide.edu.au/
UNIFIED is your one-stop shop for email, calendar, MyUni and Access Adelaide. It even allows you to search the Library.
UNIFIED is available to all active students; with a single login you can access your student systems and personal information through a central website. Login with your Student ID ("a1234567") and Password.

For more information, including easy to follow instructions visit https://unified.adelaide.edu.au/web/mycampus/home.

Library Resources
Help for Nursing Students
The 成人大片 Library has a website to help nursing students use the library and its resource (www.library.adelaide.edu.au/guide/med/nursing).

Remote student library service
The 成人大片 Library provides a document delivery and loans service to non-metropolitan students who do not visit a 成人大片 campus to attend classes (www.adelaide.edu.au/library/docdel/external.html).

This course will be delivered through the Flexible Delivery Mode with Online Classroom Lectures.
Students will participate in synchronous online collaborative learning for 2 hours each week and will be provided with course materials.

You are provided with key points for each of the topics in the course and you are required to address these topics through readings and required activities. On-line learning using ‘On-line Classroom’ (OC) and ‘MyUni’ are used in the delivery of this course. There is also a workshop associated with this course on Thursday 9^th June – Friday 10^th June (in conjunction with the course Acute Care Nursing 1 students).

It is expected that you will need to invest about 12 hours per week of study to successfully complete this course. It is recommended that you plan your time commitment to the course at the beginning of the semester. This includes all study activities, attendance at workshops, readings and assessment. Thus some weeks it will be more and others less. It is recommended that you plan your time commitment to the course at the beginning of the semester.

Online Classroom
The online classroom (OC) technology will be used for lectures and tutorial discussions on a weekly basis each Thursday from 10:30-12:30 during this semester. On-line learning using ‘On-line Classroom’ (OC) and ‘MyUni’ are used in the delivery of this course. There is also a 2 day workshop associated with this course. Student participation and discussion will be expected in all sessions.

Readings
A reading list has been compiled for this course and will be made available through MyUni. Lecture and readings have been carefully chosen. All of these are required and recommended readings have been selected to optimise your knowledge on the topic and so that they will continue to be of use after you graduate.

This specialist course builds upon your existing knowledge of acute disease and the appropriate management strategies and nursing skills employed to treat acute conditions. This course offers a wide variety of topics that impact the activities of acute care nurses in their practice context. Obviously everything cannot be covered in such a short time frame so issues that are common and of current relevance will be explored. Participation in the tutorials is vital in making this course a constructive and enjoyable learning experience.

The course content will include but not be limited to the following:

1. Identification of the deteriorating patient – criteria for a medical emergency team

2. ARC – guidelines

3. Post-resuscitation considerations

4. Airway assessment

5. Oxygen therapy

6. Adjunct airways

7. Intubation - Drugs for intubation

8. Emergency airway management

9. Respiratory assessment

10. Respiratory monitoring

11. Arterial blood gas analysis

12. Management of a respiratory emergency

13. Cardiovascular assessment

14. Cardiac monitoring

15. Arrhythmia interpretation

16. Management of a cardiovascular emergency

17. Haemodynamic monitoring

18. Vascular access devices

19. Principles of blood pressure regulation

20. Hypertension

21. Neurological assessment

22. Mechanisms of injury

23. Emergency neurological management

24. Mental health assessment

25. Detention

26. Restraint - physical and chemical

On-line learning using ‘On-line Classroom’ (OC) and ‘MyUni’ are used in the delivery of this course and you are required to attend a minimum of 80% of these classroom sessions. There is also a 2 day workshop associated with this course during week 13 (dates to be confirmed) in conjunction with Acute Care Nursing 1 students.

Assessment Task	Assessment Type	Weighting	Learning Outcome(s) being addressed
Online Quiz	Formative	NGP	5
Clinical Assessment Sheets(CAS) x 2	Summative	Total 55% i.e. • 25% for CAS1 • 30 % for CAS 2	1, 2, 4, 6
Crtitique of Practice	Summative	Total 45% i.e. • 15% Discussion Board participation. • 30% for written assignment	3, 5, 7
Online Participation		Pass/Fail	1-4

Online Quiz    NGP
The formative online Quiz will be available on the MyUni website in first three weeks with the content focussed on respiratory nursing assessment in recognition and response to the clinical deterioration of an acute care patient.

Students must successfully pass all components of the course in order to progress and complete the course.

Clinical Assessment Sheets (2500 words) – 55%
Due Date  –
CAS A : Week 4 : (1000 words)                    
CAS B:  Week 11: 1500 words)
•    The student will complete 2 clinical assessment sheets.
•    They will identify and describe a patient that has evidence of clinical deterioration and describe clinical features and indicators of deterioration, following a template provided in their study material.
•    Each case will focus on specific learning objectives surrounding early recognition and appropriate intervention of unexpected patient deterioration in the areas of:
   - Respiratory and /or  Cardiovascular deterioration
   -  Neurological deterioration

The assessment sheets are designed so that students directly relate the theory gained within the course to clinical practice in the acute care environment. Students will be required to answer the CAS in relation to patients they care for. A high academic standard is expected. Students are permitted to be creative in how they answer each CAS, using flow charts, concept maps or other to provide their answers.The first assessment will receive feedback prior to week 6 as per University policy.

Confidentiality
Patient’s anonymity must be maintained. The use of a pseudonym is required. The pseudonym must also be clearly identified in text. (For example: “Fred (pseudonym) was a 51 year male admitted with an acute exacerbation of chronic obstructive airways disease”). Do not include any other information that may potentially identify the patient or institution, including places, dates, times or events.

Critique of Practice – (1250 words)    45%
Due Date – 
Discussion Board: Week 8, 
Critique of Practice: Week 12. 
In this assignment the students’ will Choose an appropriate patient story related to the course topics and clinical environment with a focus on the nurses’ role. Students will be required to complete a Critique of Practice utilising a Discussion Board via MyUni with pre-allocated group members in order to select and individually critique ONE episode of unexpected clinical deterioration. Using the Discussion Board students are required to discuss their individual experiences of unexpected clinical deterioration, including interventions and outcomes, and then come to a consensus about which ONE incident from those discussed by the group will be formally critiqued and submitted via individual written assignment.

It is expected that each student will gain from working collaboratively on the initial discussion surrounding this assignment. Each student will bring his or her clinical experience and expertise from the discussion board collaboration to this assignment, and share their research findings, past experiences and knowledge of current guidelines to:
a.    Discuss individual experiences of unexpected patient deterioration
b.    Come to joint consensus on which single incident provides the best opportunity to gain further knowledge on recognition and response to clinical deterioration
c.    Thoroughly explore all circumstances surrounding the agreed incident, providing evidence of insight and understanding through questions asked
d.    Develop a systematic outline of specific patient deterioration, actual interventions and recommended interventions based on best practise.
(NB: sections a to c should be limited to ≤ 250 words in order to meet word requirements for this assignment)

Combined, these assessments will distinguish the students’ ability to apply a rigorous academic knowledge of the sciences that inform nursing practice in the specialty of acute care nursing.  They will also assess the students’ ability to apply critical thinking skills to problem solving and to evaluate nursing care according to professional standards of practice.    

Assessments, unless otherwise stated in your Study guide, are to be submitted electronically via Assignments in MyUni on the due date identified in this Study guide. Instructions for assignment submission are available for all students under Tutorials at www.adelaide.edu.au/myuni/.
An assessment submitted via MyUni must be submitted as a .doc, .docx or .rtf file. If submitting a PowerPoint presentation for marking, the .ppt or .pptx must be submitted as .pdf file. It is also important to submit your file under your name, such as surname.firstname. MyUni stamps all the other details against your filename once you submit your assessment.

An Assignment Coversheet must be submitted with each assessment. The coversheet should be the first page of your assessment. A word version of the Assignment Coversheet is available to download at www.health.adelaide.edu.au/nursing/students/resources. The Plagiarism Statement must be signed and dated for your assessment to be marked (please note the details stated on the Assignment Coversheet). More information on avoiding Plagiarism is available at www.adelaide.edu.au/clpd/plagiarism/.

If you have difficulty submitting your assignment, you can call the MyUni helpdesk from 8am to 6pm 08 8303 3335.

Word limit
You are advised to comply with word limits. You are, of course, not expected to achieve exactly the required length and a 10% leeway on either side is acceptable. However, a penalty of 5% of available marks will apply for word limit in excess of the 10% leeway.

Presentation
Your written work must comply with the formatting and referencing indicated in the Student handbook and style guide. Marks will be lost for failing to do so. 


MARKING GUIDES

Clinical Assessment Sheets

Structure and Content    50%
•    provides concise relevant and accurate patient history
•    all components of the questions are addressed and covered appropriately
•    demonstrates application of theory to clinical practice
•    demonstrates a depth of understanding of the topic and associated significant issues
•    demonstrates critical thought and insight by providing justification and rationale for answers.

Writing Style, Presentation and Confidentiality    30%
Writing Style
•    the clinical assessment sheet answers are written with clear sentence structure, clarity of argument, precision of expression and the spelling and grammar are correct.
Presentation
•    the CAS answers are clearly identified
•    presentation complies with the School’s Student Handbook and Style Guide.
Confidentiality
•    patient anonymity is maintained at all times
•    the use of a pseudonym must be clearly identified
•    all identifying features including patient admission dates, URN / hospital id, treating hospital have been excluded.

Referencing    20%
•    the referencing style used throughout the paper is congruent with the School’s Student Handbook and Style Guide
•    the reference list is accurate (i.e. no missing page numbers, volumes, correct title etc), complete (i.e. no references in the body of the paper are missing from the reference list) and consistent with the School’s Student Handbook and Style Guide
•    the references cited are contemporary (i.e. less than 10 years old unless seminal papers)
•    primary references are used predominantly (i.e. the original reference has been cited rather than a secondary source)
•    there is evidence in the paper that the student has searched widely for information related to the topic/issue
•    the student has acknowledged all sources of information
•    direct quotations are only used to make crucial points or to support the discussion/argument.



Discussion Board Participation

Category	High Distinction	Distinction	Credit	Pass	Fail (1)
Contributions (10%)	Posted at least 4 useful ideas when participating in the online group discussion.	Posted at least 3 useful ideas when participating in the online group discussion.	Posted at least 2 useful ideas when participating in the online group discussion	Posted at least 1 useful idea when participating in the online group discussion	No postings of useful ideas when participating in the online group discussion
Quality of work (20%)	Posts/uploads work of the highest quality, integrating a number of current and appropriate references to support inclusions	Posts/uploads high quality work using at least three appropriate referecne to support comments	Posts /uploads work that is satisfactory with at least tow approporatie references included to support comments	Posts/uploads work that is barely satisfactory with at least one appropriate reference to support comments	Posts/uploads work that is unsatisfactory with inappropriate or no use of appropriate references
Level of interaction & responsiveness (30%)	Added new comments or responses to most questions; excellent knowledge of issues and/or guided others to resolve problems. Exceptional contribution to the social presence of the group. Responses are focussed and relevant.	Added new comments or responses to most questions; showed good knowledge of issues and/or guided others to resolve problems. Significant contribution to the social presence of the group. Responses are mostly relevant.	Added new comments or responses to most questions; showed some knowledge of issues and/or guided others to resolve problems. Minimal  contribution to the social presence of the group. Responses are sometimes relevant.	Added new comments or responses only to one question Contributes minimally to the social presence of the group Responses are generally relevant but little elaboration may be offered	No interaction No contribution to the social presence of the group Responses undeveloped or unclear
Critical thinking (30%)	Demonstrates excellence in analysing, synthesising and evaluating information and ideas from multiple perspectives. Consistently demonstrates the ability to solve problems and argue logically.	Demonstrates very good proficiency in analysing, synthesising and evaluating information and ideas from multiple perspectives. Mostly demonstrates the ability to solve problems and argue logically.	Demonstrates  proficiency in analysing, synthesising and evaluating information and ideas from multiple perspectives. Usually  demonstrates the ability to solve problems and argue logically.	Demonstrates  adequacy in analysing, synthesising and evaluating information and ideas from multiple perspectives. Usually  demonstrates the ability to solve problems and argue logically.	Demonstrates  deficiency in analysing, synthesising and evaluating information and ideas from multiple perspectives. Rarely demonstrates the ability to solve problems and argue logically.
Clarity of expression & appropriateness (10%)	Ideas are clearly organised and developed. Language is appropriate for the setting and free of bias. Examples are interesting and relevant.	Ideas are mostly organised and developed. Language is appropriate for the setting and free of bias. Examples are mostly interesting and relevant.	Ideas organised. Language is appropriate for the setting. Examples are sometimes interesting and relevant.	Ideas may not always flow smoothly. Lanugage is not disrespectful or offensive.	Ideas not focussed or developed. Language is questionable or inappropriate.

Critique of Practice

Structure and writing style 25%
Structure (15%)
•    introduces the patient structure of the study including the occurrence of unexpected clinical deterioration
•    clearly describes the way in which the critique of practice will proceed
•    the critique of practice is structured logically with headings used to indicate the sections
•    the critique of practice summaries the case details and recommendations are made for enhancement of care.
Writing Style (10%)
•    the critique of practice is written with clear sentence structure, clarity of argument, precision of expression and the spelling and grammar are correct.

Content  / Critique 60%
Content (30%)
•    the critique of practice has been presented logically
•    content clearly reveals student knowledge of current guidelines and policies
•    demonstrates a depth of understanding of the topic and associated significant issues
Critique (30%)
•    the critique of practice demonstrates a high degree of critical thought and insight into the patient's condition and nursing care provided by:
•    providing a justification/rationale for the argument/discussion (or analysis) pertaining to nursing care
•    demonstrating they have reflected on the complex issues surrounding the nursing care
•    discussing the nursing care from differing perspectives, thereby providing a balanced argument/discussion.

Referencing 15%
•    the referencing style used throughout the assignment is congruent with the School’s Student Handbook and Style Guide
•    the reference list is accurate (i.e. no missing page numbers, volumes, correct title etc), complete (i.e. no references in the body of the paper are missing from the reference list) and consistent with the School’s Student Handbook and Style Guide
•    the references cited are contemporary (i.e. less than 10 years old unless seminal papers)
•    Primary references are used predominantly (i.e. the original reference has been cited rather than a secondary source)
•    there is evidence in the summary paper that the student has searched widely for information related to the topic/issue
•    the student has acknowledged all sources of information
•    direct quotations are only used to make crucial points or to support the discussion/argument.

Plagiarism
The 成人大片 Academic Honesty and Assessment Obligations for Coursework Students Policy & Coursework Students: Academic Dishonesty Procedures policy is available at www.adelaide.edu.au/policies/230/.  Students are reminded that plagiarism and other forms of academic dishonesty constitute a serious offence and can result in disciplinary procedures. Students are advised to read the policy on plagiarism found at

The following processes should be observed:

Referencing: providing a full bibliographic reference to the source of the citation (in a style as determined by the School).
Quotation: placing an excerpt from an original source into a paper using either quotation marks or indentation, with the source cited, using an approved referencing system in order to give credit to the original author.
Paraphrasing: repeating a section of text using different words which retain the original meaning.
Please note that changing just a few words does not constitute paraphrasing.