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Unit of study_

NURS6019: High Acuity Nursing

Semester 1, 2020 [Normal day] - Mallett Street, Sydney

This unit of study extends the students understanding of acute illness and introduces them to the complex challenges of caring for critically ill and physiologically unstable patients in high acuity settings. An important component of this unit of study is the understanding of the nursing assessment and management required when caring for patients with rapidly changing clinical conditions. Using a systematic approach to patient assessment students will develop nursing practices and interventions designed to meet the needs of these patients. In this context, specific clinical situations will be identified which include caring for patients with altered circulation, trauma, and severe sepsis. This unit also explores the high acuity environment and the technological monitoring devices that can be used to assist in the management of these acutely ill patients. It builds on knowledge and capabilities developed in NURS 5084 Nursing the Acutely Ill Person

Unit details and rules

Unit code NURS6019
Academic unit Nursing and Midwifery
Credit points 6
Prohibitions
? 
None
Prerequisites
? 
NURS5082 and NURS5084 and (NURS5042 or NURS5083) and (NURS5043 or NURS5086)
Corequisites
? 
None
Available to study abroad and exchange students

No

Teaching staff

Coordinator Michelle Maw, michelle.maw@sydney.edu.au
Tutor(s) Dion Candelaria, dion.candelaria@sydney.edu.au
Felicity Elias, felicity.elias@sydney.edu.au
Dawn Perez, dawn.perez@sydney.edu.au
Type Description Weight Due Length
Placement Off-campus clinical performance
Clinical placement
0% - 80 hours
Outcomes assessed: LO1 LO9 LO8 LO5 LO3 LO2
Final exam Examination
Short and long answer
50% Formal exam period 2 hours
Outcomes assessed: LO1 LO8 LO7 LO6 LO4
Assignment Essay
Essay
50% Week 06
Due date: 05 Apr 2020 at 23:59
2500 words
Outcomes assessed: LO1 LO3 LO4 LO6 LO7 LO8 LO9
Skills-based evaluation Skills simulation stations
Competency assessment
0% Week 12 20 minutes
Outcomes assessed: LO1 LO9 LO8 LO5 LO3 LO2

Assessment summary

  • Essay: case study..
  • Examination: The questions in this exam explore the student’s knowledge, skills, and attitudes related to the conceptual information investigated in high acuity nursing. The material covered through case studies, lectures, tutorials and on-campus clinical laboratory sessions will provide the knowledge base for this assessment.
  • Skills simulation stations: During week 12 students will undertake a practical skill assessment. These will be a consolidation of the skills undertaken during the semester and have as the focus the assessment and management of the deteriorating patient.
  • Off-campus clinical performance: Students are to demonstrate safe, efficient, and effective performance of nursing practice activities associated with nursing seriously or critically ill patients in high acuity settings. The off-campus clinical experience also forms part of the clinical component in the curriculum as approved by the Nurses’ Registration Board of NSW. Students are therefore required to attend and participate in ALL (100%) of the available hours in the clinical weeks.

Detailed information for each assessment can be found on Canvas.

Assessment criteria

The University awards common result grades, set out in the Coursework Policy 2014 (Schedule 1).

As a general guide, a high distinction indicates work of an exceptional standard, a distinction a very high standard, a credit a good standard, and a pass an acceptable standard.

Result name

Mark range

Description

High distinction

85 - 100

 

Distinction

75 - 84

 

Credit

65 - 74

 

Pass

50 - 64

 

Fail

0 - 49

When you don’t meet the learning outcomes of the unit to a satisfactory standard.

For more information see sydney.edu.au/students/guide-to-grades.

For more information see guide to grades.

Late submission

In accordance with University policy, these penalties apply when written work is submitted after 11:59pm on the due date:

  • Deduction of 5% of the maximum mark for each calendar day after the due date.
  • After ten calendar days late, a mark of zero will be awarded.

Academic integrity

The Current Student website  provides information on academic integrity and the resources available to all students. The University expects students and staff to act ethically and honestly and will treat all allegations of academic integrity breaches seriously.  

We use similarity detection software to detect potential instances of plagiarism or other forms of academic integrity breach. If such matches indicate evidence of plagiarism or other forms of academic integrity breaches, your teacher is required to report your work for further investigation.

You may only use artificial intelligence and writing assistance tools in assessment tasks if you are permitted to by your unit coordinator, and if you do use them, you must also acknowledge this in your work, either in a footnote or an acknowledgement section.

Studiosity is permitted for postgraduate units unless otherwise indicated by the unit coordinator. The use of this service must be acknowledged in your submission.

Simple extensions

If you encounter a problem submitting your work on time, you may be able to apply for an extension of five calendar days through a simple extension.  The application process will be different depending on the type of assessment and extensions cannot be granted for some assessment types like exams.

Special consideration

If exceptional circumstances mean you can’t complete an assessment, you need consideration for a longer period of time, or if you have essential commitments which impact your performance in an assessment, you may be eligible for special consideration or special arrangements.

Special consideration applications will not be affected by a simple extension application.

Using AI responsibly

Co-created with students, AI in Education includes lots of helpful examples of how students use generative AI tools to support their learning. It explains how generative AI works, the different tools available and how to use them responsibly and productively.

WK Topic Learning activity Learning outcomes
Week 01 1. Introduction to the unit of study; 2. Advanced airway management Lecture (2 hr)  
Revision patient case study Practical (2 hr) LO1 LO3 LO8
Week 02 lecture 2 Lecture (2 hr) LO1 LO2 LO3 LO5 LO7 LO8
Arrhythmias and cardiac assessment Tutorial (2 hr)  
Nursing practices associated with airway management Practical (2 hr) LO1 LO2 LO5 LO9
Week 03 lecture 3 Lecture (2 hr) LO1 LO2 LO3 LO4 LO7 LO8 LO9
Case study Tutorial (2 hr)  
Central lines and access ports blood Practical (2 hr) LO1 LO2 LO3 LO4 LO6 LO8 LO9
Week 04 Assessment and management of the patient following trauma Lecture (2 hr)  
Case study Triage case studies Tutorial (2 hr)  
Advanced CPR and resuscitation equipment Practical (2 hr)  
Week 05 1. Sepsis; 2. Deteriorating patient Lecture (2 hr)  
1. Case study Tutorial (2 hr)  
Haemodynamic monitoring Practical (2 hr)  
Week 06 Nursing management of the person with an acute brain injury Lecture (2 hr)  
1. Case study Tutorial (2 hr) LO1 LO2 LO4 LO6 LO7 LO8
Critical decision making and prioritising management for the deteriorating patient Practical (2 hr)  
Week 07 Off –campus clinical Clinical practice (40 hr) LO1 LO2 LO3 LO5 LO8 LO9
off campus clinical Clinical practice (40 hr) LO1 LO2 LO3 LO5 LO8 LO9
Week 08 Off –campus clinical Clinical practice (40 hr) LO1 LO2 LO3 LO5 LO8 LO9
Week 09 Off –campus clinical Clinical practice (40 hr) LO1 LO2 LO3 LO5 LO8 LO9
Week 10 NURS 6018 focus on family care Clinical practice (20 hr)  
Week 11 Acute on chronic cardiac failure Lecture (2 hr)  
Week 12 Summary and exam preparation Lecture (2 hr)  
Case study Tutorial (2 hr) LO1 LO2 LO3 LO4
Simulation exercise Practical (2 hr)  
Week 13 Repeat simulation Practical (2 hr) LO1 LO2 LO3 LO4 LO7 LO9

Attendance and class requirements

  • Attendance: Meeting the attendance requirements is compulsory and students who are absent without good cause may not be eligible to achieve a minimum grade of PASS. The Sydney Nursing School Resolutions specifically outlines attendance requirements.
    Resolution 7.2 states that if students are absent without leave for more than 10% of classes in a particular unit of study in any one semester, the Head of School may call upon them to show cause why they should not be deemed to have failed that unit of study. 
  • Referencing guide: The Sydney Nursing School has adopted the American Psychological Association (APA) Referencing style, 6th Edition, 2010 as its official referencing style.  This is an author-date style of referencing.

Study commitment

Typically, there is a minimum expectation of 1.5-2 hours of student effort per week per credit point for units of study offered over a full semester. For a 6 credit point unit, this equates to roughly 120-150 hours of student effort in total.

Required readings

will be on the e-reserve site

Learning outcomes are what students know, understand and are able to do on completion of a unit of study. They are aligned with the University's graduate qualities and are assessed as part of the curriculum.

At the completion of this unit, you should be able to:

  • LO1. explore and apply clinical underpinnings that guide nursing assessment and intervention within high acuity settings
  • LO2. perform routine observation and assessment skills in a safe, efficient and effective manner for patients who are clinically unstable
  • LO3. perform safe, efficient, and effective nursing practice activities associated with a variety of common high acuity presentations in simulated and clinical settings
  • LO4. articulate the reasoning for the performance of such activities including an understanding of the responses to high acuity presentations of acute disruptions to health affecting individuals and families
  • LO5. perform more complex interventions necessary for managing patients in high acuity settings, for example, advanced cardiopulmonary resuscitation, haemodynamic monitoring, advanced airway management, blood transfusions, management of multiple intravenous access lines and infusions, tracheostomy suction
  • LO6. analyse and apply the use of the research evidence to inform nursing practice and decision making in high acuity settings
  • LO7. discuss the role of technology as it relates to patient monitoring and management in the high acuity environment, and consider issues associated with the use of healthcare data and information within this context
  • LO8. critically examine and apply the key questions from the Framework for Practice Thinking (What could be done? What should be done? So what?) with respect to the high acuity environment
  • LO9. discuss and further appreciate ethical and professional responses and conduct applicable to high acuity settings.

Graduate qualities

The graduate qualities are the qualities and skills that all University of Sydney graduates must demonstrate on successful completion of an award course. As a future Sydney graduate, the set of qualities have been designed to equip you for the contemporary world.

GQ1 Depth of disciplinary expertise

Deep disciplinary expertise is the ability to integrate and rigorously apply knowledge, understanding and skills of a recognised discipline defined by scholarly activity, as well as familiarity with evolving practice of the discipline.

GQ2 Critical thinking and problem solving

Critical thinking and problem solving are the questioning of ideas, evidence and assumptions in order to propose and evaluate hypotheses or alternative arguments before formulating a conclusion or a solution to an identified problem.

GQ3 Oral and written communication

Effective communication, in both oral and written form, is the clear exchange of meaning in a manner that is appropriate to audience and context.

GQ4 Information and digital literacy

Information and digital literacy is the ability to locate, interpret, evaluate, manage, adapt, integrate, create and convey information using appropriate resources, tools and strategies.

GQ5 Inventiveness

Generating novel ideas and solutions.

GQ6 Cultural competence

Cultural Competence is the ability to actively, ethically, respectfully, and successfully engage across and between cultures. In the Australian context, this includes and celebrates Aboriginal and Torres Strait Islander cultures, knowledge systems, and a mature understanding of contemporary issues.

GQ7 Interdisciplinary effectiveness

Interdisciplinary effectiveness is the integration and synthesis of multiple viewpoints and practices, working effectively across disciplinary boundaries.

GQ8 Integrated professional, ethical, and personal identity

An integrated professional, ethical and personal identity is understanding the interaction between one’s personal and professional selves in an ethical context.

GQ9 Influence

Engaging others in a process, idea or vision.

Outcome map

Learning outcomes Graduate qualities
GQ1 GQ2 GQ3 GQ4 GQ5 GQ6 GQ7 GQ8 GQ9

Alignment with Competency standards

Outcomes Competency standards
LO1
Registered Nurses Standards for Practice - NMBA
1.1. Accesses, analyses, and uses the best available evidence, that includes research findings for safe quality practice
1.2. Develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
1.3. Respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures
1.4. Complies with legislation, common law, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
1.5. Uses ethical frameworks when making decisions
2.2. Communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
2.3. Recognises that people are the experts in the experience of their life
2.7. Actively fosters a culture of safety and learning that includes engaging with health professionals and others, to share knowledge and practice that supports person- centered care
3.1. Considers and responds in a timely manner to the health and well being of self and others in relation to the capability for practice
3.2. Provides the information and education required to enhance people’s control over health
3.3. Uses a lifelong learning approach for continuing professional development of self and others
3.4. Accepts accountability for decisions, actions, behaviours and responsibilities inherent in their role, and for the actions of others to whom they have delegated responsibilities
3.5. Seeks and responds to practice review and feedback
3.6. Actively engages with the profession
4.1. Conducts assessments that are holistic as well as culturally appropriate
4.2. Uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice
5.1. Uses assessment data and best available evidence to develop a plan
5.3. Documents, evaluates and modifies plans accordingly to facilitate the agreed outcomes
6.1. Provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people
6.2. Practises within their scope of practice
6.5. Practises in accordance with relevant nursing and health guidelines, standards, regulations and legislation
6.6. Uses the appropriate processes to identify and report potential and actual risk related system issues and where practice may be below the expected standards
7.1. Evaluates and monitors progress towards the expected goals and outcomes
7.2. Revises the plan based on the evaluation
7.3. Determines, documents and communicates further priorities, goals and outcomes with the relevant persons
LO2
Registered Nurses Standards for Practice - NMBA
1.1. Accesses, analyses, and uses the best available evidence, that includes research findings for safe quality practice
1.6. Maintains accurate, comprehensive and timely documentation of assessments, planning, decision- making, actions and evaluations
2.2. Communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
3.1. Considers and responds in a timely manner to the health and well being of self and others in relation to the capability for practice
4.1. Conducts assessments that are holistic as well as culturally appropriate
4.2. Uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice
5.1. Uses assessment data and best available evidence to develop a plan
5.3. Documents, evaluates and modifies plans accordingly to facilitate the agreed outcomes
6.2. Practises within their scope of practice
LO3
Registered Nurses Standards for Practice - NMBA
1.1. Accesses, analyses, and uses the best available evidence, that includes research findings for safe quality practice
1.2. Develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
1.3. Respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures
1.4. Complies with legislation, common law, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
1.6. Maintains accurate, comprehensive and timely documentation of assessments, planning, decision- making, actions and evaluations
2.2. Communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
3.1. Considers and responds in a timely manner to the health and well being of self and others in relation to the capability for practice
3.3. Uses a lifelong learning approach for continuing professional development of self and others
3.4. Accepts accountability for decisions, actions, behaviours and responsibilities inherent in their role, and for the actions of others to whom they have delegated responsibilities
4.1. Conducts assessments that are holistic as well as culturally appropriate
5.1. Uses assessment data and best available evidence to develop a plan
5.3. Documents, evaluates and modifies plans accordingly to facilitate the agreed outcomes
6.1. Provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people
6.2. Practises within their scope of practice
6.5. Practises in accordance with relevant nursing and health guidelines, standards, regulations and legislation
7.1. Evaluates and monitors progress towards the expected goals and outcomes
LO4
Registered Nurses Standards for Practice - NMBA
1.1. Accesses, analyses, and uses the best available evidence, that includes research findings for safe quality practice
1.2. Develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
1.5. Uses ethical frameworks when making decisions
1.7. Contributes to quality improvement and relevant research
2.2. Communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
2.7. Actively fosters a culture of safety and learning that includes engaging with health professionals and others, to share knowledge and practice that supports person- centered care
3.1. Considers and responds in a timely manner to the health and well being of self and others in relation to the capability for practice
3.4. Accepts accountability for decisions, actions, behaviours and responsibilities inherent in their role, and for the actions of others to whom they have delegated responsibilities
4.1. Conducts assessments that are holistic as well as culturally appropriate
4.2. Uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice
5.1. Uses assessment data and best available evidence to develop a plan
6.2. Practises within their scope of practice
7.1. Evaluates and monitors progress towards the expected goals and outcomes
LO5
Registered Nurses Standards for Practice - NMBA
1.1. Accesses, analyses, and uses the best available evidence, that includes research findings for safe quality practice
1.4. Complies with legislation, common law, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
1.6. Maintains accurate, comprehensive and timely documentation of assessments, planning, decision- making, actions and evaluations
3.1. Considers and responds in a timely manner to the health and well being of self and others in relation to the capability for practice
3.4. Accepts accountability for decisions, actions, behaviours and responsibilities inherent in their role, and for the actions of others to whom they have delegated responsibilities
4.1. Conducts assessments that are holistic as well as culturally appropriate
4.2. Uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice
5.1. Uses assessment data and best available evidence to develop a plan
5.3. Documents, evaluates and modifies plans accordingly to facilitate the agreed outcomes
6.1. Provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people
7.1. Evaluates and monitors progress towards the expected goals and outcomes
LO6
Registered Nurses Standards for Practice - NMBA
1.1. Accesses, analyses, and uses the best available evidence, that includes research findings for safe quality practice
2.7. Actively fosters a culture of safety and learning that includes engaging with health professionals and others, to share knowledge and practice that supports person- centered care
LO7
Registered Nurses Standards for Practice - NMBA
1.1. Accesses, analyses, and uses the best available evidence, that includes research findings for safe quality practice
1.3. Respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures
1.4. Complies with legislation, common law, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
1.5. Uses ethical frameworks when making decisions
LO8
Registered Nurses Standards for Practice - NMBA
1.1. Accesses, analyses, and uses the best available evidence, that includes research findings for safe quality practice
1.2. Develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
1.4. Complies with legislation, common law, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
2.7. Actively fosters a culture of safety and learning that includes engaging with health professionals and others, to share knowledge and practice that supports person- centered care
3.4. Accepts accountability for decisions, actions, behaviours and responsibilities inherent in their role, and for the actions of others to whom they have delegated responsibilities
4.1. Conducts assessments that are holistic as well as culturally appropriate
4.2. Uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice
5.1. Uses assessment data and best available evidence to develop a plan
6.1. Provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people
6.5. Practises in accordance with relevant nursing and health guidelines, standards, regulations and legislation
7.1. Evaluates and monitors progress towards the expected goals and outcomes
LO9
Registered Nurses Standards for Practice - NMBA
1.1. Accesses, analyses, and uses the best available evidence, that includes research findings for safe quality practice
1.2. Develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
1.3. Respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures
1.4. Complies with legislation, common law, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
1.5. Uses ethical frameworks when making decisions

This section outlines changes made to this unit following staff and student reviews.

Minor changes to the lab and tutorial content have been made in response to student feedback. All assignments and exam questions have been approved but the acute care team QCC. All markers participate in the comparative marking process. Reading and resources have been updated.

Disclaimer

The University reserves the right to amend units of study or no longer offer certain units, including where there are low enrolment numbers.

To help you understand common terms that we use at the University, we offer an online glossary.