NURS3102: Clinical Practice 3A

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    Appendix 3: Assessment 3 Clinical Assessment: Professional task

    Purpose/background Students require a comprehensive knowledge base to support critical thinking and clinical decision-making in nursing practice. During undergraduate education, nursing students are taught theoretical foundations and given opportunities to practice skills in the university simulated environments before undertaking professional experience placements. This assessment is a measure of student’s progress towards achieving the level of competence required to function safely and effectively as a registered nurse.

    Pre-registration nursing students in Australia must undertake a minimum of 800 professional experience placement hours to meet Australian Health Practitioners regulation agency (AHPRA) requirements as part of their undergraduate nursing education.

    It has 3 components:

    1. Clinical venue orientation and UON Scope of Practice document
    2. Progressive clinical performance ANSAT -. (Australian Nursing Standards Assessment Tool)
    • Timesheets reporting completed clinical hours signed by allocated RN.

    Learning Outcomes

    1. Demonstrate capability to practice according to the Nursing and Midwifery Board of Australia Registered Nurse Standards for Practice.
    2. Demonstrate effective clinical reasoning skills and analyses nursing practice.
    3. Reflect on and learn from clinical practice experiences.
    4. Describe the importance of quality improvement, clinical audits, and risk management activities.
    5. Identify and use appropriate personal strategies and support networks to manage the stress inherent in professional practice.
    6. Engage in therapeutic and professional communication and contribute effectively as a member of the interdisciplinary health care team.

    Clinical venue orientation and UON Scope of Practice

    Students are required to complete an orientation checklist during the first day of clinical placement. This document specifies that students must always work within their scope of practice. Note: The Orientation Checklist and UON Scope of Practice documents are available in the CANVAS learning management system. Once Orientation checklist completed, orientation documents must be retained by students and be produced upon request

    Progressive Clinical Assessment- ANSAT- Clinical Performance (Australian Nursing Standards Assessment Tool):

    The Australian Nursing Standards Assessment Tool (ANSAT) is a practical assessment tool used to assess university students incorporating the NMBA Code of Conduct for Nurses (2018).

    The ANSAT is completed for every 40hours of the students’ placement by the Professional Experience Facilitator (PEF) or delegated Registered Nurse (RN).

    Progressive Clinical Assessment – The progressive assessment enables the clinical facilitator and the student to meet and discuss weekly progression through placement and offers an ideal opportunity to give formal feedback, highlighting the students’ strengths and challenges, giving them guidance towards specific goals, and providing learning plans to support ongoing professional and personal development.

    Potential performance ratings are on a numeric scale from 1 — 5 where the higher number indicates a higher standard of performance or N/A for not assessed. Please read the detailed explanatory notes and behavioural cues which are provided for the ANSAT. These strategies are put in place with a positive outcome anticipated. Strategies should always be discussed and documented and signed with student in a transparent and supportive manner, the student should always be aware of their clinical deficits and the likelihood of receiving 2’s in their ANSAT.

    The ANSAT form and completed time sheet is to be submitted for every 40 hours of the placement by uploading to SONIA. The submission of these documents is the responsibility of the student.

    Final Grading of Clinical Performance:

    The final grading of performance is the responsibility of the Professional Experience Facilitator (PEF) and the NURS3201 Course Coordinator. This decision will be based on all the information received relating to the student’s performance.

    Student’s performance in the clinical environment will be observed weekly for approximately 60minutes by the Professional Experience Facilitator (PEF). Then in consultation with the mentor/educator the ANSAT will be completed by the PEF and feedback given to the student.

    Students’ whose performance on placement has been identified as being unsafe or not meeting the expected standard (ANSAT levels 1 & 2) for their level of enrolment are at risk of failing the course.  A risk of component fail email will be sent by the course coordinator.

    Important Note: The University may terminate a Professional Experience Placement if a student: does not remediate their progress following feedback; poses an unacceptable risk to a facility, its clients, staff, public, other students, or themselves or has found to breach the student conduct rule.

    Termination of placement will result in a component fail for the course and no make-up placement will be provided.

    The facility may choose to terminate a clinical placement experience at their discretion at any time. If the termination of placement is due to unsafe practice and/or behaviours which have posed an unacceptable risk to a facility, its clients, staff, public, other students and/or themselves, a component fail for the course will be awarded and no make-up placement will be provided.

    ANSAT scores of 1 and/or 2

    ANSAT scores of 1 or 2 in any area should be viewed by students as an opportunity to develop further learning strategies for improvement. Students who receive scores of 1 or 2 will be referred to the Course Co-ordinator who will collaborate with their Professional Experience Facilitator and mentor to develop strategies to address areas needing improvement.

    Learning pathways/plans and remediation will be given.

    A Risk of component Failure email will be sent each time an ANSAT score is below 2 in a summative week. Weeks 1,2,3 and 4 of placement are considered formative. Week 5 is considered summative. Two ANSATS with scores below 2 in a summative week constitutes a component fail for professional experience placement. An at risk of component fail email will be sent after the first unsatisfactory score.

    ANSAT unsatisfactory

    A student who receives an unsatisfactory within the first 4 weeks of placement (formative) will be referred to the course coordinator. The Professional Experience Facilitator will develop strategies in collaboration with the student, mentor, and course coordinator to address areas needing improvement.

    Learning pathways and remediation will be given to support professional experience learning. A professional development plan will be instigated for all ANSAT formatives that score below 3. Failure to improve scores following the implementation of a learning plan will result in a component failure for the Professional Experience Placement (PEP).

    The same ANSAT requirements apply in both private and public facilities. Hardcopy ANSATs are required for all site facilitated and private facilities

    Professional Development Plans

    In the event of a student not responding to feedback and/or there is evidence of significant concerns/repeated behaviours, that contravenes UON Code of Conduct or NMBA Code of Conduct for Nurses (2018), ICN Code of Ethics and NMBA Standards of Practice (2016). The Course coordinator will be informed, and a professional development plan will commence.

    The purpose of the professional development process is to:

    1. Maintain an objective standard in the event of situations when behaviour is unsafe or unprofessional
    2. Identify unprofessional, unsafe, and unsatisfactory behaviours warranting intervention
    3. Identify in detail the procedures to be followed in the event of an unsatisfactory ANSAT being issued
    4. Observe if the student is thinking critically to an appropriate level, rather than relying on the RN to lead and guide
    5. Ensure the student has knowledge of their patient’s history, condition, diagnosis, and management e.g. Know what their diagnosis is, what co morbidities they have and what care is required

    A Professional Development Plan

    – Addresses the individual student’s learning goals previously identified through ANSAT document/s

    – Provides a targeted action learning management plan with specific time frames, S.M.A.R.T goals. (Specific, Measurable, Achievable, Realistic, Timely)

    – Refers/Targets to specific professional standards/domains

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