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HLT54121 PPE Booklet (Sub Acute Care) V1.0 - May 2022

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Student Professional
Practice Handbook
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care
Page 1 of 38
CRICOS Provider Code 02934D
RTO Number 121952
Version 1.0: May 2022
Professional Practice Record Book – Sub-Acute Care
Student Information
Name
Student ID
Phone No:
Mobile
RTO Information
Name of RTO
Southern Cross Education Institute
Melbourne Campus Contact Details
Course Coordinator
Natasha Carfi
Phone No.
03 9602 4110 Mon-Fri 9:00 – 17:00
Mobile No.
Email
0405 748 895 emergencies and support after hours including
weekends
natasha.carfi@scei.edu.au
Clinical Placement Officer
Phone No.
Janis Shoesmith
8290 6358 Mon - Fri 9:00 – 17:00
Mobile No.
Email
janis.shoesmith@scei.edu.au
Adelaide Campus Contact Details
Course Coordinator
Yvette Williams
Phone No.
08 8212 8745 Mon-Fri 9:00 – 17:00
Mobile No.
Email
0405 786 097 emergencies and support after hours including
weekends
yvette.williams@scei.edu.au
Clinical Placement Officer
Lana Jagla
Phone No.
0410 518 411 / Mon - Fri 9:00 – 17:00
Mobile No.
Email
lana.jagla@scei.edu.au
Host Employer – Professional Practice Experience Venue
Host Employer name
Contact person
Contact person title
Address
Phone No.
Email
Professional Practice Experience Dates
Start date
End date
Minimum Hours required
80 hours
Contents
Page 1 of 42
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
Introduction
2
Enrolled Nurse Professional Codes of Practice
3
Pre-Professional Practice Checklist
4
Professional Practice– Confidentiality Undertaking
5
Fitness for Professional Practice
6
General Information
7
Attendance Record
7
Professional Practice Objectives
7
NMBA Enrolled Nurse Standards for Practice
7
Clinical Skills Logbook
7
Student’s Responsibilities
8
Scope of Practice
8
Clinical Facilitator’s Responsibilities
9
SCEI’s Responsibility
9
Professional Practice Assessment
10
Clinical Skills Assessments
10
Professional Practice Assessment Rating Scale (PPAR)
11
Professional Practice Meetings
12
Subacute Care Professional Practice - Orientation Checklist
13
Expected Nursing Interventions aligned to Subacute Care placement
14
Clinical Skills aligned to Subacute Care placement
15
HLT54121 Units of Competency/Documentation linked to Subacute Care Placement
16
Professional Practice – Subacute Care Student Learning Objectives
20
Performance Feedback Questionnaire
21
Reflective writing
23
Domain – Professional and Collaborative Practice
24
Domain – Provision of care
27
Domain – Reflective and analytical practice
31
Formative Assessment Meeting Record Sheet
34
Summative Assessment Meeting Record Sheet
35
Professional Practice Learning Objectives - Subacute Care
36
HLT54121 Units of Competency Performance Evidence Record – Subacute care Placement
37
Register of Clinical Facilitators
41
Works Cited
41
Introduction
The evaluation of a student’s clinical performance is an integral component of the assessment for
HLT54121 Diploma of Nursing. The purpose of this Professional Practice (PP) Record Book is to
provide you and the Clinical Educator with performance criteria for a standard of Indicator that would
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Page 2 of 42
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
be expected of an Enrolled Nurse at the completion of each Professional Practice (Subacute Care,
Mental Health, Community, Sub-Acute Care and Acute Care). The performance criteria articulate to
the expected knowledge, skills and attitudes required of an Enrolled Nurse and aligns to the domains
of practice in the Enrolled nurse standard for practice.
This record book is to be used in conjunction with the Student Professional Practice Handbook and
Clinical Skills Logbook.
The units of Indicator addressed in this record book are:
•
•
•
•
•
•
•
•
•
•
HLTENN035 Practice nursing within the Australian health care system
HLTENN036 Apply communication skills in nursing practice
HLTENN037 Perform clinical assessment and contribute to planning nursing care
HLTENN038 Implement, monitor and evaluate nursing care
HLTENN040 Administer and monitor medicines and intravenous therapy (Part 1)
HLTENN041 Apply legal and ethical parameters to nursing practice
HLTENN044 Implement and monitor care for a person with chronic health conditions
HLTAAP003 Analyse and respond to client health information
CHCPRP003 Reflect on and improve own professional practice
BSBPEF402 Develop personal work priorities
Enrolled Nurse Professional Codes of Practice
Professional standards define the practice and behaviour of nurses and midwives and include:
Enrolled nurse standards for practice (NMBA 2016)
Code of conduct for nurses 2018
International Council of Nurses Code of ethics for nurses 2018
Decision-making framework for nursing and midwifery 2020
Guidelines for mandatory notifications 2020
Please review the all of the above-mentioned documents before you commence your Professional
Practice.
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Page 3 of 42
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
Pre-Professional Practice Checklist
Before you attend Professional Practice (PP) there are some important matters that you must
complete. Please complete the checklist below and provide certified copies of all documents to the
Nursing Course Coordinator.
Item
Completed
Yes No
Read the Student Professional Practice Handbook
Read, signed and dated the Confidentiality Undertaking
Read, signed and dated the Fitness for Professional Practice Experience
Read and signed the Student Code of Conduct
Read, signed and dated Professional Practice Agreement
Completed HLTAID003 Provide first aid (including basic life support/CPR)
Completed the pre-Professional Practice (Sub-Acute Care) clinical skills
Hold a current Working with Children’s Check
Hold a National Police Certificate (issue date within 6 months of commencing PP)
Have a current SCEI student identification card – to be worn at all times on PP
Have the correct uniform as specified in the Student Professional Practice Handbook
DECLARATION
I, (student full name) _______________________________________Student ID____________
have completed all the listed requirements prior to commencing Professional Practice. I understand
that the Professional Practice may be cancelled if I do not have all items completed and documents
available at least two weeks prior to commencement of my Professional Practice.
I understand that I must take the original copies of documents with me on the first day of PP as the
host organisation may request to sight them.
I declare that all the statements selected on this form are true to the best of my knowledge. I consent
that the SCEI nursing course coordinator may inform the host organisation of any condition that may
potentially impact client safety.
Student signature______________________________________
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Page 4 of 42
Dated ___________________
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
Professional Practice– Confidentiality Undertaking
I ________________________________________________ (student full name) agree to protect
confidential information which may be disclosed to me in relation to the Professional Practice and
agree to the following conditions.
1. I understand that during my Professional Practice at_______________________________
(host organisation name), I may have access to confidential and private information for the
purpose of carrying out my duties.
2. I accept the importance of confidentiality in the workplace and undertake to regard any
information obtained from confidential documents, or orally, as strictly confidential. I will not
discuss such information with, or mention to, anyone else except on an official work basis.
3. I understand that maintaining confidentiality is an essential part of my Professional Practice
and that a breach of that condition may, if sufficiently serious, entitle ________________
____________________________________ (host organisation name) to suspend my
Professional Practice immediately and/or initiate formal action.
Student full name____________________________________________________________
Student signature______________________________________
Dated _____________
In the presence of:
Course Coordinator or Trainer name_______________________________________________
Course Coordinator or Trainer signature____________________
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Page 5 of 42
Dated ______________
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
Fitness for Professional Practice
You are required to ensure you are fit for Professional Practice– without physical or mental
impairments which could affect your own safety or the safety of the public for whom you will be
providing health care. The Australian Health Practitioner Regulation Agency (AHPRA) defines
impairment as:
“Impairment is defined as a physical or mental impairment, disability, condition
or disorder (including substance abuse or dependence), that detrimentally
affects or is likely to detrimentally affect a:
•
•
Registered health practitioner’s capacity to safely practice the profession;
Student’s capacity to undertake clinical training.”
(http://www.ahpra.gov.au/Notifications-and-Outcomes/Conduct-Health-and-Performance.aspx)
FITNESS FOR PROFESSIONAL PRACTICE DECLARATION
I, (student full name) _______________________________________Student ID____________
have read and understood the information on Fitness for Professional Practice requirements in the
Student Professional Practice Handbook and the implications of these requirements for me as a
student in the HLT54121 Diploma of Nursing course.
I am aware of and understand my obligation to report any physical, psychological or psychiatric
condition that may affect my ability to undertake Professional Practice.
I declare, to the best of my knowledge, that I do not have any physical, psychological or psychiatric
condition which would prevent me from participating in Professional Practice and meeting the
inherent requirements of an Enrolled Nursing student.
Should I develop a physical, psychological or psychiatric condition, or should an existing condition
change that may affect my ability to undertake or complete Professional Practice at any time after
making this declaration, I will inform the Nursing Course Coordinator at the earliest possible time.
I understand that I am required to provide documentation from a registered practitioner that states I
am fit for practice, such as a medical clearance, if I have been previously unfit for practice but are
now fit for practice to the Nursing Course Coordinator.
Student signature___________________________________
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Page 6 of 42
Dated _____________
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
General Information
Attendance Record
You will need to maintain an accurate record of your attendance whilst on Professional Practice. This
record provides verification you have completed the required 80 hours. The Clinical Educator /
workplace representative must sign the attendance record at the end of each shift. It is a requirement
you attend 100% of the Professional Practice placement so you have been regularly informed that
you must organise your life to accommodate clinical placement.
Also, in this document you will find the Orientation Checklist which covers orientation aspects of your
host organisation. It is expected that you will complete this checklist by the end of your first shift. SCEI
facilitator will contact you to ensure this has been completed.
In preparation for Clinical Placement you will have:
●
●
●
●
●
●
met pre-clinical requirements (outlined in the Student Professional Practice Handbook).
ensure that you have spare student nurse uniform (neat, clean and ironed at all times)
read all the supporting material (i.e. codes of practice, clinical placement orientation
documentation)
arranged leave from work, childcare, transport etc. to allow for attendance
completed all assessments (written and lab) required for attendance and been deemed
satisfactory (or repeated any that needed to be re-assessed)
Identified Two (2) Learning Objectives prior to placement
Professional Practice Objectives
The Professional Practice objectives provide you with a framework for Professional Practice in a subacute care setting. They are representative of the units of the NMBA enrolled nurse practice standards
that are mapped to this Professional Practice. They are to be read in conjunction with the NMBA Enrolled
nurse standards for practice .
NMBA Enrolled Nurse Standards for Practice
The overall assessment tool used is the Enrolled nurse standards for practice (2016). These Standards
comprise THREE (3) core areas or domains of practice upon which you will be assessed and provides
the framework which the Enrolled Nurse is expected to practice.
You are required to identify and record examples of addressing the NMBA Enrolled nurse standards for
practice. For further information, see below link.
https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professionalstandards/enrolled-nurse-standards-for-practice.aspx
Clinical Skills Logbook
During the Professional Practice you are to be observed performing those clinical skills aligned to
Subacute Care placement from your Clinical Skills Logbook, that you have been assessed in at the SCEI
Nursing Laboratory. A summary of these skills can be found in the Clinical Skills aligned to Subacute
Care Professional Practice section in this document. The Clinical Skills Logbook lists all clinical skills
and their Essential Skills Competency Checklists that are required by the course of HLT54121 Diploma
of Nursing units and the NMBA Standards of Practice for Enrolled Nurses (Nursing and Midwifery Board
of Australia, 2016). The Logbook is used to assess and record your performance on performing those
clinical skills.
IT IS ESSENTIAL THAT YOU BRING YOUR CLINICAL SKILLS LOGBOOK TO PLACEMENT
EVERY DAY TO ENSURE THAT YOU CAN BE ASSESSED AND YOUR ASSESSMENT IS
DOCUMENTED.
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Page 7 of 42
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
Student’s Responsibilities
Scope of Practice
From the start of your course you are registered with AHPRA as a student enrolled nurse and therefore
regulated by NMBA Codes and Standards. Throughout your course you are asked to understand and
work according to your current Scope of Practice.
You must ALWAYS work within your Scope of Practice
According to the Nursing and Midwifery Board of Australia (NMBA) Scope of Practice is defined
in the Enrolled Nurse Standards for Practice as:
“Scope of practice: Is that in which nurses are educated, competent to perform and permitted by law.
The actual scope of practice of individual practitioners is influenced by the settings in which they practice,
the health needs of people, the level of competence and confidence of the nurse and the policy
requirements of the service provider.”
(NMBA, 2016)
Applying this to your Placement
When you are on Clinical Placement the staff may not be familiar with your scope of practice.
IF YOU HAVE ANY DOUBTS PLEASE ASK!!!
Remember safety is your main priority and working beyond your Scope of Practice is dangerous and
unprofessional.
In addition to working safely within your scope of practice you are expected to:
• Develop your Professional Practice Student Learning Objectives prior to your Professional
Practice in consultation with your educator / course coordinator. The Clinical Educator will
review and discuss your objectives on day 1 of the Professional Practice placement.
•
Complete minimum of 80 hours in the Sub-Acute Care Sector and maintain an accurate
record of your attendance using the Professional Practice Attendance Record and have the
Clinical Educator to verify attendance on each shift.
•
Contribute to the care of residents/clients/patients as a student EN and a member of a
multidisciplinary team
•
•
•
Adhere to the principles of confidentiality, privacy and respectful practice
•
•
Have an appropriate, professional and positive attitude and professionalism at all times
Have your relevant skills and practices signed off by your Clinical Educator. The Professional
Practice Learning Objectives and Professional Practice Clinical Skills section in this
document outlines the clinical skills you may have the opportunity to practice. Bear in mind that
due to host organisations policies you that you may not get the opportunity to practice all the
skills outlined in the Professional Practice Learning Objectives, however, you may be in a
position to observe the nursing staff perform these procedures.
Address the relevant NMBA Standards for Practice: Enrolled Nurses (2016) during your
Sub-Acute Care Professional Practice.
Meet with the Clinical Educator during Professional Practice in order for them to assess your
application of skills and knowledge in the clinical area. You will have a formal review mid-way
through and upon completion of the Professional Practice placement. You are expected to have
two assessments during your Sub-Acute Care Professional Practice:
o
Formative Assessment Meeting with your Clinical Educator halfway through your
Professional Practice. Prior to this meeting you are expected to complete the reflection
regarding your perception of your performance during the Professional Practice
experience as well as identify strategies to enhance your performance.
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Page 8 of 42
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
o
●
Summative Assessment Meeting with your Clinical Educator on completion of your
Professional Practice. Prior to this meeting you are expected to complete the reflection
regarding your perception of your performance during the Professional Practice
experience.
Return this completed Professional Practice record book to the SCEI Nursing Course
Coordinator within five (5) working days of completion of the Professional Practice
placement.
Clinical Facilitator’s Responsibilities
The Clinical Educator is required to support your learning throughout the Professional Practice. As adult
learners you are expected to ensure that appropriate arrangements/time to enables the facilitator to:
•
Address and discuss your Professional Practice Learning Objectives and facilitate the
opportunity to achieve these.
•
Accurately verify your attendance on the Professional Practice Attendance Record.
•
Sign off any relevant skills practiced during the Professional Practice in the Clinical Skills
Logbook. It is recognised that due to host organisations policies you that you may not get the
opportunity to practice all the skills outlined in the Professional Practice Learning Objectives,
however, you may be in a position to observe the nursing staff perform these procedures.
•
•
Assess your performance and rate it using the assessment rating scale and conduct two formal
reviews: (1) formative review midway through and (2) summative review upon completion of
Professional Practice placement. They will collaborate with clinical staff to gather evidence on
your performance and substantiate their feedback with specific examples.
Liaise with SCEI Nursing Coordinator is any issues arise with the student or if the student is
assessed as M (Marginal) or D (Dependent) for any relevant NMBA Standards for Practice:
Enrolled Nurses (2016).
SCEI’s Responsibility
●
●
●
To be available to the student and the facility contacts throughout the placement to
ensure a safe and positive experience
To work with student to develop their Professional Practice Learning Objectives
To collect and assess the Professional Practice Record book against relevant unit
of competency outcomes.
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Page 9 of 42
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
Professional Practice Assessment
Clinical Skills Assessments
The clinical skills are assessed in the SCEI Nursing Lab and then on related placement(s). You have up
to three (3) attempts to be deemed Satisfactory outcome in the lab skills assessments. You must have
been graded Satisfactory in all of your theoretical and simulated practical lab skills assessments prior to
commencing placement.
The Essential Skills Competency Checklists located in your clinical skills logbook list the key
performance criteria for each skill. They are used to assess and record your performance on performing
the clinical skills in the Lab skills assessments and the relevant placement assessments, using the PPAR
Scale (please see the table below for an example of Essential Skills Competency Checklists). This is
where you will be deemed Satisfactory for the Clinical Skill after you have demonstrated all aspects of it
satisfactorily on Clinical Placement.
Criteria for
skills
performance
Nursing
Lab
Make sure
you read
these before
your
assessment…
there are no
secrets
regarding
what you are
being
assessed on!!
You
educator
will write
your
PPAR
from
clinical
skills lab
Clinical Placement
AC
Your
PPAR at
Aged
Care
Placement
Educator/Facilitator Initial &
Date
Satisfactory: YES / NO
Anecdotal Narrative
MH/C
Your PPAR
at Mental
Health/
Community
placement
e.g.
MB
22/07/19
Date:
SA
A
Your
PPAR at
Subacute
placement
Your
PPAR at
Subacute
/Acute
placement
e.g.
TH
18/10/19
Comments to assist
in meeting a
satisfactory result
Your
educator/facilitator
will write here why
they gave you your
PPAR if it is below
the minimum
competency rating
This is where each
educator initials when
they witness you do
the task and have
rated each aspect
Signature:
In lab skills assessments, the levels of ‘I: Independent, S: Supervised, A: Assisted’ are considered
as the Satisfactory Pass outcome.
Please Note: In order to be deemed safe enough to go out to Professional practice and be
assessed in a skill you must not have more than three (3) ratings of A – Assisted for any skill. If
you do, then you cannot consider this skill to be in your Scope of Practice.
You should scan and upload your skills logbook frequently during your professional practice
experience so that if you lose it you still have evidence that you have completed the skills.
If you lose your Clinical Skills Logbook and have not scanned and uploaded your completed
skills, you must repeat these to be deemed Satisfactory…and you may have to go back to a
clinical placement (which can be very expensive) to re-do the skills.
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Page 10 of 42
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
Professional Practice Assessment Rating Scale (PPAR)
The Bondy Scale is a common tool for evaluation of nursing student clinical performance. It is used to
assess each performance criterion of a clinical skill. There are five levels in the Scale: Independent (I),
Supervised (S), Assisted (A), Marginal (M) and Dependent (D). Each level is defined by the description
of characteristics in three areas: Professional standard, Quality of performance and Assistance
required (please see the table below for the detailed description of five levels).
Scale
Professional
Quality of Performance
Assistance
Standard
Required
I–
Independent
S–
Supervised
A–
Assisted
M–
Marginal
DDependent
Student always
achieves
appropriate,
accurate and
safe actions
each time
Student always
achieves
appropriate,
accurate and
safe actions
each time
Student mostly
achieves
appropriate and
accurate actions
safely
• Nursing
practice may
be unsafe
when alone
Nurse rarely
achieves
appropriate and
accurate actions
unless
supported
• Nursing practice
is unsafe
• Student does
not achieve
appropriate
and accurate
actions unless
constantly
supported
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Proficient
Coordinated
Confident
Performs expediently within a safe time
frame
Initiates actions independently or in
collaboration with RN to deliver safe
nursing care
Applies theory to practice
Efficient
Coordinated
Confident
Performs appropriately within a
reasonable timeframe
Initiates actions in collaboration with RN
to deliver safe nursing care
Applies theory to practice
Lacks coordination at times
Confident in some aspects
Performs within delayed timeframe
Often expends excess energy
Sometimes initiates actions in
collaboration with RN to deliver safe
nursing care
Limited application of theory to practice
Lacks coordination
Lacks confidence
Performs within prolonged time frame
Uses considerable excess energy
Rarely initiates actions
Inconsistently applies theory to practice
or has a superficial knowledge base
• Uncoordinated
• Very low level of confidence
• Performs within unduly prolonged time
frame
• Uses considerable excess energy
• Does not initiate actions
• Does not or is unable to apply theory to
No prompts
required
Occasionally
requires
supportive
verbal prompt
Frequently
requires
directive
verbal and
occasional
physical
prompts
Requires
continuous
verbal and
frequent
physical
prompts
Requires
continuous
verbal and
physical
prompts
practice
(Bondy, 1983) (Tolhurst, 2000)
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
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CRICOS Provider Code 02934D
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Professional Practice Record Book – Sub-Acute Care
To successfully complete Professional Practice, you must achieve the required levels as described
below.
Scale
Performance Standard
I - Independent
Expected behaviours and practices performed at an exceptional level
Professional Practice Meetings
To:
(1)
Evaluate the extent to which the student’s performance meets the expected standards
(2)
Encourage student reflection on Professional Practice
(3)
Facilitate communication between the student and the Clinical Facilitator to provide meaningful
clinical practice and structured feedback on clinical performance
Two types of assessment meetings would be scheduled to facilitate the assessment process:
 at midway through the placement (formative assessment meeting) and
 at the end of placement (summative assessment meeting).
The meetings are to be held in private and free from disturbances. All meetings are to be recorded on
the Formative/Summative Meeting Record Sheets in this document.
Formative assessment meeting







The formative assessment meeting takes place mid-way through placement.
A 100% attendance record is required.
Formative assessment is designed to provide you with feedback about your progress but does
not contribute toward the final assessment outcome. The purpose of formative assessment is
to improve your learning by providing information on your clinical practice (strengths and areas
for improvement) and strategies to facilitate improvement.
The Clinical Facilitator should ensure they have sufficient evidence e.g. specific examples of
your level of performance. They may need to collaborate with clinical staff.
Your progress toward meeting the practice standards is discussed and evaluated, and rating is
recorded in the NMBA Enrolled nurse standards for practice table of the Formative Assessment
Meeting Record Sheet.
If you are not progressing towards satisfactory completion (I – Independent or S – Supervised)
in any of the practice standards, a clinical review will be implemented. The purpose of a clinical
review is to ensure strategies are put in place to assist you to improve your clinical performance,
meet the minimum clinical requirements for the summative assessment.
A record of the meeting is documented in the comments section of the Formative Assessment
Meeting Record Sheet and signed and dated by both you and the Clinical Facilitator.
Summative assessment meeting








The summative assessment meeting takes place at the end of the placement.
A 100% attendance record is required.
It is designed to provide a final outcome of your level of performance and provide evidence for
meeting the Professional Practice requirements of the course.
It focuses on your holistic performance and the extent to which you have met each criteria and
learning objective of the Professional Practice.
Your performance is discussed and evaluated, and a rating is recorded in the NMBA Enrolled
nurse standards for practice table of the Summative Assessment Meeting Record Sheet.
The Clinical Facilitator will be required to provide specific examples to substantiate the ratings
and feedback.
A record of the meeting is documented in the comments section of the Summative Assessment
Meeting Record Sheet.
The Clinical Facilitator completes the summary of completion section of the Summative
Assessment Meeting Record Sheet and is signed and dated by both you and the Clinical
Facilitator. If you are deemed unsatisfactory upon completion of the placement, you will be
deemed to have failed the Professional Practice component of the course.
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Page 12 of 42
CRICOS Provider Code 02934D
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Professional Practice Record Book – Sub-Acute Care
Subacute Care Professional Practice - Orientation Checklist
Instructions: The following orientation checklist is provided as a guide to assist you in becoming familiar
with the policies, procedures, equipment and layout of the placement venue. Place a ✔ in the appropriate
box to indicate when you have been oriented to each category. Use the notes space to record, as required,
specific useful information relevant to each category.
🗹Category
Personnel
I have been introduced to:
□ Unit Manager
□ Staff on ward
□ Clinical Educator
Organisational policies
and procedures I have
located and/or read:
□ Policy And Procedure
Manual
□ Occupational Health &
Safety Policy
□ Infection Control
Policies
□ Manual Handling
Policies
□ Needle Stick Policy
□ Incident Reporting
Procedure
□ Privacy And
Confidentiality Policy
□ MIMs
Operational
items/procedures
I have located/been advised
of:
□ Telephone numbers
□ Paging system
□ Key numbers to leave
the ward/area
□ Shift times
□ Ward/practical
placement routines
Emergency procedures
I have been advised of:
□ emergency evacuation
procedures
□ emergency telephone
numbers/codes
□ responsibilities in the
event of an emergency
□ procedure for personal
threat/duress alarms
I have located:
□ Fire exits
□ Fire extinguishers / fire
blankets
□ Fire hose
□ Break glass alarm/s
□ Assembly points
(evacuation)
Facilities
I have undertaken a tour and can
locate:
□ General layout of wards
□ Staff tea room
□ Staff lockers
□ Staff toilets
□ Patient/client/client kitchen
□ Equipment (clean utility) room
□ Patient/client/client toilets &
showers
□ Pan (dirty utility) room
□ Linen storage and linen skips
Instruments/Equipment
I have located and been provided
instructions for use for the
following:
□ Resuscitation trolley
□ Emergency equipment
□ Oxygen cylinders
□ Dressing trolley/supplies
□ Linen trolley/skips
□ Mechanical lifting equipment
□ Shower chairs
□ Vital signs monitor
□ BGL equipment
□ Documentation procedures and
charts
Clinical Supervision
I have consulted with the Clinical Educator to establish
procedures for:
◻ Allocating my tasks/responsibilities
◻ Supervising my performance
◻ Monitoring/evaluating my performance
◻ Debriefing sessions
◻ Verifying timesheets on daily basis
◻ Recording nursing performance
◻ Conducting performance review meetings
◻ Completing accompanying documentation
Clinical Educator Name:
Signature:
Date:
Student Name:
Signature:
Date:
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Page 13 of 42
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
Expected Nursing Interventions aligned to Subacute Care placement
Clinical skills / nursing interventions include but not limited to the following list
Students must demonstrate ability to manage, monitor and evaluate care of the client through
the following support:
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
Apply professional standards of practice
under supervision of the Registered
Nurse
Perform within legal and ethical
parameters of professional nursing
practice
Support the rights, interests and needs of
clients and their families
Follow organisation policies and
procedures
Contribute as a member of a
multidisciplinary team
Comply with open disclosure processes
and principles of informed consent
Communicate and work effectively with
clients, carers and colleagues
Use effective interpersonal skills when
relating to clients and colleagues
Deliver complex information in a manner
that is clearly understood by clients,
carers, colleagues and others
Maintain confidentiality and privacy of
client and workplace information
Document clinical information using
appropriate health terminology and with
consideration to legal requirements
Use computers and related information
technology to support nursing practice
Use safe manual handling procedures
when providing care to clients
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
Page 14 of 42
Demonstrate and comply with infection
control policies and procedures
Contribute to the provision of a safe
environment for client, colleagues, self
and others
Collect data that contributes to client
health care plan
Undertake client assessment for
admission and discharge
Analyse health information and plan
action(s) to address identified health
status
Contribute to the development of
individual care plans for clients
Provide care in accordance with care
plan/service delivery plan
Report clearly and accurately, changes
in client’s health status
Prepare for client discharge
Demonstrate an ability to assess and
prioritise care and effectively manage
time
Perform handover of allocated clients
to oncoming staff
Participate in professional review and
development
Use critical thinking and analysis
effectively
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
Clinical Skills aligned to Subacute Care placement
Clinical skills include but not limited to the following list
These skills are aligned to your Sub-acute placement and it is essential that you take your
clinical skills logbook to placement everyday so you can get them signed off whilst on
placement where possible:
□ A2.1 Head-to-toe assessment
□ M5.3 Medication administration – injections
□ A2.2 Risk Assessment and risk
□ M5.4 Medication administration – inhaled
management
□
□
□
□
□
□
□
□
medication (metered dose inhalers and
nebulisers)
A2.3 TPR measurement
□
□
□
□
□
□
□
A2.4 BP measurement
A2.5 Pulse oximetery
A2.6 Blood glucose measurement
A2.7 Neurological observation
A2.8 Neurovascular observation
A2.9 Pain Assessment
A2.11 Weight, height and BMI
measurement
D7.1. Documentation
D7.2 Nursing Care plan
D7.3 Clinical Handover
D7.4 Admissions/Discharge
D7.5 Health teaching
D7.6 Nursing informatics
SNC8.1: Oxygen therapy (includes peak
flow meter)
□ SNC8.13: Infection control – standard and
□ ADL3.13 Preventing and managing
transmission-based precautions
pressure injuries
□ M5.1 Medication administration – oral,
sublingual, buccal, topical and rectal
□ M5.2 Medication administration – eye
drops or ointment, and eye toilet
Don’t forget to scan and upload the skills when you get them completed
(just in case you leave your Clinical Skills Logbook on the bus...
that would be a DISASTER if you haven’t recorded the evidence of your hard work!!
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PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
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CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
HLT54121 Units of Competency/Documentation linked to Subacute Care Placement
Documentation Guidelines
Two (2)
Learning
Objectives
(using the
following
templateProfessional
Practice –
Subacute Care
Student
Learning
Objectives)
Unit
Alignment
Students learning objectives must
be realistic and relevant to Subacute Care placement
appropriately reflect your current Scope of Practice
demonstrate ‘SMART’ goals to facilitate meeting objectives
identify the strategies for how you will achieve these objectives
identify the links of your objectives to broader organisational goals and objectives (e.g., for your team, section or department
be objective and honest reflection on the process of meeting learning objective including factors that influenced meeting (or
not) learning objectives
● reflect a commitment to ongoing learning and professional development through research/ CPD activities to support
evidence based nursing practice
CHCPRP003
BSBPEF402
One (1) Shift
work schedule
(Time
management
plans)
(using the Time
Management
Plan template
provided in
Clinical Skills
Logbook)
Shift work schedule must:
 be legible and reflect any changes that may have occurred over the shift (e.g. changes in patient status, appointments,
meetings etc.)
 cover all activities required in a shift, using the organisation’s protocols
 identify work priorities across the shift according to their urgency and importance
BSBPEF402
One (1)
Performance
Feedback
Questionnaire
(using the
following
template Performance
Feedback
Questionnaire)
Performance Feedback Questionnaire is used to collect the feedback on your work priorities and performance from:
 yourself
 supervising clinical facilitator or RN
 peers
 patient
BSBPEF402
●
●
●
●
●
●
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CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
Seventeen (17)
Reflective
Journals
Reflective writing must include:
HLTENN035
HLTENN036
HLTENN037
HLTENN038
HLTENN040
(Part 1)
HLTENN041
HLTENN044
HLTAAP003
CHCPRP003
BSBPEF402
CHCPRP003

Ten (10) situations where you met each of ten (10) NMBA Enrolled Nurse Standards for Practice

One (1) situation where you recognised the limitations of your Scope of Practice, how personal development plan and
feedback you received affected your nursing practice/role and what learning activities/research with realistic goals that
can improve your practice

One (1) situation where you recognised the limitations of your time management and work priority, how feedback you
received from your supervisors, clients and peers on your work priority within a scheduled shift affected your nursing
practice/role and what learning activities/research with realistic goals that can improve your practice.
BSBPEF402

One (1) situation where polypharmacy was recognized as a potential issue discussing the health teaching required to
ensure that maximum efficacy of all medications, including any new medications related to current admission
HLTENN040
(Part 1)

One (1) entry relating locating and summarizing the process of reporting a near miss/actual incident related to a
medication administration error reflecting on the documentation and open disclosure responsibilities of the enrolled nurse
HLTENN040
(Part 1)

One (1) situation where you recognised that the condition of the client requires appropriate pain management
(pharmacological and non-pharmacological interventions)
HLTENN038
HLTENN040
(PART 1)
HLTENN044

One (1) situation where you recognised that health teaching about a chronic condition (Diabetes) was required to ensure
better management of the clients self-care and lifestyle choices
HLTENN044

One (1) entry relating to your understanding of current Scope of Practice and that they are able to work in the context of
professional nursing practice addressing legal/ethical situations that occurred and how they were addressed.
HLTENN041
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CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care

Two (2)
Nursing Care
Plans
(using Nursing
Care Plan
template
provided in
Clinical Skills
Logbook)
Four (4) ISBAR
handovers
(using ISBAR
template
provided in
Clinical Skills
Logbook)
Two (2)
Admissions,
discharge
plans or
patient transfer
(using
Admission and
Discharge
planning
templates
provided in

HLTENN037
HLTENN038
HLTENN044
HLTAAP003
Two (2) Nursing Care Plans are used to plan, implement and evaluate the possible nursing interventions for two clients
with different diagnoses of chronic health problems
Each nursing care plan must have 4 nursing diagnosis including addressing:
 Social, psychological, cognitive and physical factors associated with healthcare needs
 Health teaching (e.g. related to medications, symptom control)
 Addressing any interventions to manage Risk assessment as per policies and procedures of facility
 Any issues of non-compliance of medications
 Any self-care issues (e.g. hygiene, dietary)
 Any referrals as per policies and procedures related to ongoing care
Each handover must:
Demonstrate professional, objective language adhering to privacy and confidentiality responsibilities
Demonstrate the use of appropriate medical terminology (including correct spelling)
Demonstrate appropriate understanding of the patients pathophysiologies and subsequent medical and nursing interventions
Refer to any relevant tests (ECG, pathology etc.)
Explain nursing care and interventions (e.g. observations, wound care, change in status, altered emotional/cognitive abilities
etc.) and revised nursing care with consultation with RN
● Demonstrate critical thinking when documenting potential/actual interventions
● Reflect nursing care within current Scope of Practice
● Refer to consultation with, other healthcare professionals (especially the relevant RN) and reference to/participation in
multidisciplinary team approach to patient care
● Demonstrate holistic nursing by appropriate reference to relevant pyscho-social, cultural etc. aspects of the patient’s care
including health education
● Two (2) Admissions, discharge plans or patient transfer to be completed for two clients with different diagnosis:
● One (1) client must have a condition that requires appropriate pain management interventions
● One (1) client must have at least one chronic disease
●
●
●
●
●
●
Each Admissions, discharge or patient transfer must:
● Demonstrate professional, objective language adhering to privacy and confidentiality responsibilities
● Demonstrate the use of appropriate medical terminology (including correct spelling)
● Demonstrate appropriate understanding of the patients pathophysiologies and subsequent medical and nursing
interventions
● Refer to any relevant tests (ECG, pathology etc.)
● Explain nursing care and interventions (e.g. observations, change in status, altered emotional/cognitive abilities etc.)
and revised nursing care with consultation with RN
● Demonstrate critical thinking when documenting potential/actual interventions
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Page 18 of 42
HLTENN035
HLTENN036
HLTENN037
HLTENN038
HLTENN040
(Part 1)
HLTENN041
HLTENN044
HLTAAP003
HLTENN035
HLTENN036
HLTENN037
HLTENN038
HLTENN040
(Part 1)
HLTENN041
HLTENN044
HLTAAP003
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
Clinical Skills
Logbook)
●
●
●
Reflect nursing care within current Scope of Practice
Refer to consultation with, other healthcare professionals (especially the relevant RN) and reference to/participation in
multidisciplinary team approach to patient care
Demonstrate holistic nursing by appropriate reference to relevant pyscho-social, cultural etc. aspects of the patients
care including health education
One (1)
The record sheet must be completed by:
CHCPRP003
Formative
BSBPEF402
 Yourself
assessment
HLTENN035
 Clinical educator/staff
meeting record
HLTENN036
sheet (using
HLTENN037
the template
HLTENN038
below)
HLTENN040
(Part 1)
One (1)
The record sheet must be completed by:
HLTENN041
summative
 Yourself
HLTENN044
assessment
 Clinical educator/staff
HLTAAP003
meeting record
 Two peers
sheet (using
the template
below)
N.B.
 Templates for Time management plans, ISBAR handovers, Admission/Discharge, Nursing Care plans are available in your Skills Logbook. Make sure you
have access to enough copies of each whilst on placement. Submissions must be typed or written in clear legible handwriting and uploaded to Moodle.
 You must read the detailed requirements of each PPE task in the corresponding units’ assessments.
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Page 19 of 42
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
Professional Practice – Subacute Care Student Learning Objectives
Prior to the commencement of the Professional Practice you are required to identify and record 2 learning objectives. The Clinical Facilitator will review and discuss
your objectives on day 1 of the Professional Practice placement and strategies for how you will achieve these objectives.
Sub-acute Care Clinical Placement Learning Objectives
Student Name
Student ID Number
Identified learning objective (1)
Action plan/ ‘SMART’ Goals to achieve learning
objectives
Description of learning activities including
researching and accessing resources,
meetings/CPD activities etc.
Reflection on the process of meeting learning
objective including factors that influenced meeting
(or not) learning objective
Educator Feedback
Student Signature
Date:
Educator/Facilitator initials
Date:
Educator/Facilitator initials
Identified learning objective (2)
Action plan/ ‘SMART’ Goals to achieve learning
objectives
Description of learning activities including
researching and accessing resources,
meetings/CPD activities etc.
Reflection on the process of meeting learning
objective including factors that influenced meeting
(or not) learning objective
Educator Feedback
Student Signature
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Page 20 of 42
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
Performance Feedback Questionnaire
Rate your response to the questions from disagree to agree by circling the appropriate number (where 1
indicates disagree, and 3 = agree).
Rating Scale
Questions
Self- assessment
You have
fulfilled your
responsibilities
during the
scheduled
shift
You have
complete all
tasks required
in the
scheduled
shift
You have
prioritised your
work tasks
during the
scheduled
shift
You have
identified and
responded to
the urgent and
important
circumstances
You have
concentrated
on the most
crucial tasks
You have
communicated
and worked
effectively with
clients, carers
and
colleagues
You have
maintained a
safe
environment
for client,
colleagues,
self and others
You have
maintained
confidentiality
Patient
Supervising clinical
facilitator or RN
Disagree
Neutral
Agree
Disagree
Neutral
Agree
Disagree
Neutral
Agree
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
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CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
and privacy of
client and
workplace
information
You have
supported the
rights,
interests and
needs of
clients and
their families
1
2
3
1
2
Clinical Educator/RN
1
2
3
Patient
Name
Name
Date
Date
Signature
Signature
HLT54121 Diploma of Nursing
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Page 22 of 42
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
Reflective writing
When completing your reflective writing you must address, in context with the Enrolled Nurses
Standards for Practice, the following:
Reflective writing must include:
● Ten (10) situations where you met each of ten (10) NMBA Enrolled Nurse Standards for Practice
● One (1) situation where you recognised the limitations of your Scope of Practice, how personal
development plan and feedback you received affected your nursing practice/role and what
learning activities/research with realistic goals that can improve your practice
● One (1) situation where you recognised the limitations of your time management and work priority,
how feedback you received from your supervisors, clients and peers on your work priority within a
scheduled shift affected your nursing practice/role and what learning activities/research with
realistic goals that can improve your practice.
● One (1) situation where polypharmacy was recognized as a potential issue discussing the health
teaching required to ensure that maximum efficacy of all medications, including any new
medications related to current admission
● One (1) entry relating locating and summarizing the process of reporting a near miss/actual
incident related to a medication administration error reflecting on the documentation and open
disclosure responsibilities of the enrolled nurse
● One (1) situation where you recognised that the condition of the client requires appropriate pain
management (pharmacological and non-pharmacological interventions)
● One (1) situation where you recognised that health teaching about a chronic condition (Diabetes)
was required to ensure better management of the clients self-care and lifestyle choices
● One (1) entry relating to your understanding of current Scope of Practice and that they are able to
work in the context of professional nursing practice addressing legal/ethical situations that
occurred and how they were addressed.
Your reflective writing must adhere to the basic principles of safe and professional nursing
care by:
● demonstrating objective language adhering to privacy and confidentiality responsibilities
● demonstrating the use of appropriate medical terminology (including correct spelling)
● demonstrating critical thinking when documenting potential/actual interventions, interactions,
reactions.
● Reflective of nursing within current Scope of Practice
● Referring to consultation with other healthcare professionals (especially the relevant RN) and
reference to support mechanisms required/sought to improve your experience on placement.
● Reference to opportunities of researching policies, procedures, legislation, regulation to support
your practice.
AT THE END OF THIS PLACEMENT YOU MUST SCAN AND UPLOAD YOUR PPE LOGBOOK
TO BE ASSESSED
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
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CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
Domain – Professional and Collaborative Practice
NMBA Standards
STANDARD 1: Function in accordance with policies and procedures affecting EN practice
Indicators
1.1. Demonstrates knowledge and understanding of commonwealth, state and /or territory legislation and common law pertinent to nursing practice.
1.2. Fulfils the duty of care in the undertaking of EN practice.
1.3. Demonstrates knowledge of and implications for the NMBA standards, codes and guidelines, workplace policies and procedural guidelines applicable to enrolled
nursing practice.
1.4. Provides nursing care according to the agreed plan of care, professional standards, workplace policies and procedural guidelines.
1.5. Identifies and clarifies EN responsibilities for aspects of delegated care working in collaboration with the RN and multidisciplinary health care team.
1.6. Recognises own limitations in practice and competence and seeks guidance from the RN and help as necessary.
1.7. Refrains from undertaking activities where competence has not been demonstrated and appropriate education, training and experience has not been
undertaken.
1.8. Acts to ensure safe outcomes for others by recognising the need to protect people and reporting the risk of potential for harm.
1.9. When incidents of unsafe practice occur, reports immediately to the RN and other persons in authority and, where appropriate, explores ways to prevent
recurrence.
1.10. Liaises and negotiates with the RN and other appropriate personnel to ensure that needs and rights of people in receipt of care are addressed and upheld.
Reflect on your practice as an Enrolled Nursing student in the Sub-acute Care setting and identify using examples how you have met this standard:
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Page 24 of 42
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
NMBA Standards
STANDARD 2: Practices nursing in a way that ensures the rights, confidentiality, dignity and respect of people are upheld
Indicators
2.1. Places the people receiving care at the centre of care and supports them to make informed choices.
2.2. Practices in accordance with the NMBA standards codes and guidelines.
2.3. Demonstrates respect for others to whom care is provided regardless of ethnicity, culture, religion, age, gender, sexual preference, physical or mental state,
differing values and beliefs.
2.4. Practices culturally safe care for (i) Aboriginal and Torres Strait Islander peoples; and (ii) people from all other cultures.
2.5. Forms therapeutic relationships with people receiving care and others recognising professional boundaries.
2.6. Maintains equitable care when addressing people’s differing values and beliefs.
2.7. Ensures privacy, dignity and confidentiality when providing care.
2.8. Clarifies with the RN and relevant members of the multidisciplinary healthcare team when interventions or treatments appear unclear or inappropriate
2.9. Reports incidents of unethical behaviour immediately to the person in authority and, where appropriate, explores ways to prevent recurrence.
2.10. Acknowledges and accommodates, wherever possible, preferences of people receiving nursing care
Reflect on your practice as an Enrolled Nursing student in the Sub-acute Care setting and identify using examples how you have met this standard :
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Page 25 of 42
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
NMBA Standards
STANDARD 3: Accepts accountability and responsibility for own actions
Indicators
3.1. Practices within the EN scope of practice relevant to the context of practice, legislation, own educational preparation and experience.
3.2. Demonstrates responsibility and accountability for nursing care provided.
3.3. Recognises the RN1 as the person responsible to assist EN decision-making and provision of nursing care.
3.4. Collaborates with the RN to ensure delegated responsibilities are commensurate with own scope of practice.
3.5. Clarifies own role and responsibilities with supervising RN in the context of the healthcare setting within which they practice.
3.6. Consults with the RN and other members of the multidisciplinary healthcare team to facilitate the provision of accurate information, and enable informed decisions
by others.
3.7. Provides care within scope of practice as part of multidisciplinary healthcare team, and with supervision of a RN.
3.8. Provides support and supervision to assistants in nursing (however titled) and to others providing care, such as EN students, to ensure care is provided as outlined
within the plan of care and according to institutional policies, protocols and guidelines.
3.9. Promotes the safety of self and others in all aspects of nursing practice.
Reflect on your practice as an Enrolled Nursing student in the Sub-acute Care setting and identify using examples how you have met this standard :
1
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CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
Domain – Provision of care
NMBA Standards
STANDARD 4: : Interprets information from a range of sources in order to contribute to planning appropriate care
Indicators
4.1. Uses a range of skills and data gathering techniques including observation, interview, physical examination and measurement.
4.2. Accurately collects, interprets, utilises, monitors and reports information regarding the health and functional status of people receiving care to achieve identified
health and care outcomes.
4.3. Develops, monitors and maintains a plan of care in collaboration with the RN, multidisciplinary team and others.
4.4. Uses healthcare technology appropriately according to workplace guidelines
4.5 Where an enrolled nurse is working in maternity services setting it is expected that they will be supervised by a midwife
Reflect on your practice as an Enrolled Nursing student in the Sub-acute Care setting and identify using examples how you have met this standard :
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
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CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
NMBA Standards
STANDARD 5: Collaborates with the RN, the person receiving care and the healthcare team when developing plans of care
Indicators
5.1. Develops and promotes positive professional working relationships with members of the multidisciplinary team.
5.2. Collaborates with members of the multidisciplinary healthcare team in the provision of nursing care.
5.3. Contributes to the development of care plans in conjunction with the multidisciplinary healthcare team, the person receiving care and appropriate other.
5.4. Manages and prioritises workload in accordance with people’s care plans.
5.5. Clarifies orders for nursing care with the RN when unclear.
5.6. Contributes to and collaborates in decision-making through participation in multidisciplinary healthcare team meetings and case conferences
Reflect on your practice as an Enrolled Nursing student in the Sub-acute setting and identify using examples how you have met this standard :
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Page 28 of 42
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
NMBA Standards
STANDARD 6: Provides skilled and timely care to people whilst promoting their independence and involvement in care decision–making
Indicators
6.1. Provides care to people who are unable to meet their own physical and/or mental health needs.
6.2. Participates with the RN in evaluation of the person’s progress toward expected outcomes and the reformulation of plans of care.
6.3. Promotes active engagement and the independence of people receiving care within the health care setting by involving them as active participants in care, where
appropriate.
6.4. Demonstrates currency and competency in the safe use of healthcare technology.
6.5. Exercises time management and workload prioritisation.
6.6. Recognises when the physical or mental health of a person receiving care is deteriorating, reports, documents and seeks appropriate assistance.
Reflect on your practice as an Enrolled Nursing student in the Sub-acute Care setting and identify using examples how you have met this standard :
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Page 29 of 42
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
NMBA Standards
STANDARD 7: Communicates and uses documentation to inform and report care
Indicators
7.1. Collects data, reviews and documents the health and functional status of the person receiving care accurately and clearly.
7.2. Interprets and reports the health and functional status of people receiving care to the RN and appropriate members of the multidisciplinary healthcare team as
soon as practicable.
7.3. Uses a variety of communication methods to engage appropriately with others and documents accordingly.
7.4. Prepares and delivers written and verbal care reports such as clinical handover, as a part of the multidisciplinary healthcare team.
7.5. Provides accurate and appropriate information to enable informed decision making by others
7.6 Appropriate others include those in direct association with the person receiving care (with his/her consent) such as family, unpaid and paid carers, volunteers and
clergy
Reflect on your practice as an Enrolled Nursing student in the Sub-acute Care setting and identify using examples how you have met this standard :
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CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
Domain – Reflective and analytical practice
NMBA Standards
STANDARD 8: Provides nursing care that is informed by research evidence
Indicators
8.1. Refers to the RN to guide decision-making.
8.2. Seeks additional knowledge/information when presented with unfamiliar situations.
8.3. Incorporates evidence for best practice as guided by the RN or other appropriate health professionals.
8.4. Uses problem-solving incorporating logic, analysis and a sound argument when planning and providing care.
8.5. Demonstrates analytical skills through accessing and evaluating healthcare information and quality improvement activities.
8.6. Consults with the RN and other relevant health professionals and resources to improve current practice.
Reflect on your practice as an Enrolled Nursing student in the Sub-acute Care setting and identify using examples how you have met this standard :
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
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CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
NMBA Standards
STANDARD 9: Practises within safety and quality improvement guidelines and standards
Indicators
9.1. Participates in quality improvement programs and accreditation standards activities as relevant to the context of practice.
9.2. Within the multidisciplinary team, contributes and consults in analysing risk and implementing strategies to minimise risk.
9.3. Reports and documents safety breaches and hazards according to legislative requirements and institutional policies and procedures.
9.4. Practises safely within legislative requirements, safety policies, protocols and guidelines.
Reflect on your practice as an Enrolled Nursing student in the Sub-acute setting and identify using examples how you have met this standard :
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Page 32 of 42
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
NMBA Standards
STANDARD 10: Engages in ongoing development of self as a professional
Indicators
10.1. Uses EN standards for practice to assess own performance
10.2. Recognises the need for, and participates in, continuing professional and skills development in accordance with the NMBA’s Continuous professional
development registration standard.
10.3. Identifies learning needs through critical reflection and consideration of evidence-based practice in consultation with the RNs and the multidisciplinary healthcare
team.
10.4. Contributes to and supports the professional development of others.
10.5. Uses professional supports and resources such as clinical supervision that facilitate professional
development and personal wellbeing.
10.6. Promotes a positive professional image
Reflect on your practice as an Enrolled Nursing student in the Sub-acute setting and identify using examples how you have met this standard :
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Page 33 of 42
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
Formative Assessment Meeting Record Sheet
Formative assessment is to be completed in collaboration with the Clinical Facilitator and the student at
the halfway point of the Professional Practice. Progression towards achievement of the learning
objectives, clinical skills and Enrolled nurse standards for practice are discussed and recorded.
NMBA Enrolled nurse standards for practice
Formative Assessment
I: Independent; S:
Supervised;
A: Assisted; M: Marginal;
D: Dependent
Domain – Professional and collaborative practice
STANDARD 1: Functions in accordance with the law, policies and
procedures affecting EN practice
STANDARD 2: Practises nursing in a way that ensures the rights,
confidentiality, dignity and respect of people are upheld
STANDARD 3: Accepts accountability and responsibility for own actions
Domain – Provision of care
STANDARD 4: Interprets information from a range of sources in order to
contribute to planning appropriate care
STANDARD 5: Collaborates with the RN, the person receiving care and the
healthcare team when developing plans of care
STANDARD 6: Provides skilled and timely care to people whilst promoting
their independence and involvement in care decision–making
STANDARD 7: Communicates and uses documentation to inform and report
care
Domain – Reflective and analytical practice
STANDARD 8: Provides nursing care that is informed by research evidence
STANDARD 9: Practices within safety and quality improvement guidelines
and standards
STANDARD 10: Engages in ongoing development of self as a professional
FORMATIVE ASSESSMENT Professional Practice (Subacute Care) – Comments
Student comments: This space is provided for the student to make comment on their perception of their
performance during this Professional Practice and to identify strategies they will adopt to enhance their
performance.
Clinical Educator comments: This space is provided for the Clinical Educator to make additional
comments on the student’s work performance during this review period and to document any actions which
are to be taken by the student in relation to the student’s performance.
During the meeting the following was discussed:
• Progression towards achievement of the learning objectives
• Demonstration of nursing skills outlined in this record book
• Progress towards achievement of NMBA Enrolled nurse standards for practice
Where appropriate strategies for enhancing clinical performance were discussed and documented
above
Date of the
Clinical Educator
Student
meeting
Signature
Signature
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Page 34 of 42
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
Summative Assessment Meeting Record Sheet
Summative assessment is to be completed by the Clinical Facilitator in collaboration with the student
upon completion of the Professional Practice.
NMBA Enrolled nurse standards for practice
Summative Assessment
I: Independent; S:
Supervised;
A: Assisted; M: Marginal;
D: Dependent
Domain – Professional and collaborative practice
STANDARD 1: Functions in accordance with the law, policies and procedures
affecting EN practice
STANDARD 2: Practises nursing in a way that ensures the rights, confidentiality,
dignity and respect of people are upheld
STANDARD 3: Accepts accountability and responsibility for own actions
Domain – Provision of care
STANDARD 4: Interprets information from a range of sources in order to
contribute to planning appropriate care
STANDARD 5: Collaborates with the RN, the person receiving care and the
healthcare team when developing plans of care
STANDARD 6: Provides skilled and timely care to people whilst promoting their
independence and involvement in care decision–making
STANDARD 7: Communicates and uses documentation to inform and report care
Domain – Reflective and analytical practice
STANDARD 8: Provides nursing care that is informed by research evidence
STANDARD 9: Practices within safety and quality improvement guidelines and
standards
STANDARD 10: Engages in ongoing development of self as a professional
Summative Assessment Professional Practice (Subacute Care) – Comments
During the meeting the following was discussed:
• Achievement of the learning objectives
• Demonstration of nursing skills outlined in this record book
• Achievement of NMBA Enrolled nurse standards for practice
A rating of A – Assisted, S – Supervised OR I – Independent is required in all criteria statements for
satisfactory completion of the Professional Practice.
Student comments: This space is provided for the student to make comment on their perception of their
performance during this Professional Practice and to identify strategies they will adopt to enhance their
performance.
Clinical Educator comments: This space is provided for the Clinical Educator to make additional
comments on the student’s work performance during this review period and to document any actions which
are to be taken by the student in relation to the student’s performance
Date of the
meeting
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Clinical
Educator
Signature
Student
Signature
Page 35 of 42
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
Professional Practice Learning Objectives - Subacute Care
On the completion of this Professional Practice, you should have demonstrated achievement of the objectives listed
Professional Practice Learning Objectives
Achieved
Yes / No
Apply professional standards of practice under supervision of the Registered Nurse
Perform within legal and ethical parameters of professional nursing practice
Support the rights, interests and needs of clients and their families
Follow organisation policies and procedures
Contribute effectively as a member of a multidisciplinary team
Comply with open disclosure processes and principles of informed consent
Communicate and work effectively with clients, careers and colleagues
Use effective interpersonal skills when relating to clients and colleagues
Deliver complex information in a manner that is clearly understood by clients, carers, colleagues
and others
Use computers and related information technology to support nursing practice
Demonstrate safe practice and contribute to the provision of a safe environment
Contribute to the provision of a safe environment for client, colleagues, self and others
Demonstrate and comply with infection control policies and procedures
Use safe manual handling procedures when providing care to clients
Demonstrate awareness of emergency policies and procedures including location of equipment
and evacuation procedures
Maintain confidentiality and privacy of client and workplace information
Apply problem solving skills, to solve problems, analyse information and make decisions that
require discretion and confidentiality
Document clinical information using appropriate health terminology and with consideration to
legal requirements
Analyse health information and plan action(s) to address identified health status
Perform nursing interventions to assist client with complex needs
Contribute to the nursing care of clients with common disorders/conditions
Identify the impact of chronic health problems on the client and their family
Contribute to planning care for the client with chronic health problems
Perform nursing interventions to support health care of clients with chronic health problems
Assist in evaluating the outcomes of planned nursing actions
Report clearly and accurately, changes in client’s health status
Minimise risk to the safe administration of oral, subcutaneous, intramuscular medications
Document medication administration correctly and in a timely manner
Promote client independence whilst assisting with activities of daily living
Contribute to an emergency response
Demonstrate an ability to assess and prioritise care and effectively manage time
Perform handover of allocated clients to oncoming staff
Participate in professional review and development
Use critical thinking and analysis effectively
Date:
Clinical Educator Name
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Clinical Educator
Signature
Page 36 of 42
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
HLT54121 Units of Competency Performance Evidence Record – Subacute care Placement
Evidence
Learning
Objectives
Shift work
schedule
(Time
management
plan)
Performance
Feedback
Questionnaire
Reflective
Journals
UoC
Alignment
CHCPRP003
BSBPEF402
Guidelines
Satisfactory or Not
Satisfactory
Completed Learning Objective (1)
󠆞S
󠆞NS
Completed Learning Objective (2)
󠆞S
󠆞NS
Completed Shift Work Schedule/ Time Management
Plan (1)
󠆞S
󠆞NS
BSBPEF402
Completed Performance Feedback Questionnaire
(1)
󠆞S
󠆞NS
HLTENN035
HLTENN036
HLTENN037
HLTENN038
HLTENN040
(Part 1)
HLTENN041
HLTENN044
HLTAAP003
CHCPRP003
BSBPEF402
Completed Reflective Journal (1) - STANDARD 1
󠆞S
󠆞NS
Reflective Journal (2) - STANDARD 2
󠆞S
󠆞NS
Reflective Journal (3) - STANDARD 3
󠆞S
󠆞NS
Reflective Journal (4) - STANDARD 4
󠆞S
󠆞NS
Reflective Journal (5) - STANDARD 5
󠆞S
󠆞NS
Reflective Journal (6) - STANDARD 6
󠆞S
󠆞NS
Reflective Journal (7) - STANDARD 7
󠆞S
󠆞NS
Reflective Journal (8) - STANDARD 8
󠆞S
󠆞NS
Reflective Journal (9) - STANDARD 9
󠆞S
󠆞NS
Reflective Journal (10) - STANDARD 10
󠆞S
󠆞NS
BSBPEF402
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Page 37 of 42
Assessor
Signature
Date Resulted
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
CHCPRP003
Reflective Journal (11) - One (1) limitations of
Scope of Practice
󠆞S
󠆞NS
BSBPEF402
Reflective Journal (12) - One (1) limitations of
time management and work priority
󠆞S
󠆞NS
HLTENN040
(Part 1)
HLTENN040
(Part 1)
HLTENN038
HLTENN040
(PART 1)
HLTENN044
HLTENN044
Reflective Journal (13) - One (1) health teaching of
polypharmacy
Reflective Journal (14) - One (1) a medication
administration error
󠆞S
󠆞NS
󠆞S
󠆞NS
󠆞S
󠆞NS
Reflective Journal (16) - One (1) health teaching of
a chronic condition (Diabetes)
Reflective Journal (17) - One (1) legal and ethical
parameters to nursing practice
󠆞S
󠆞NS
󠆞S
󠆞NS
ISBAR Handover (1)
󠆞S
󠆞NS
ISBAR Handover (2)
󠆞S
󠆞NS
ISBAR Handover (3)
󠆞S
󠆞NS
ISBAR Handover (4)
󠆞S
󠆞NS
Complete an Admission, discharge/transfer
process (1) - client has a condition that requires
appropriate pain management interventions
󠆞S
󠆞NS
Complete an Admission, discharge/transfer
process (2) - client has at least one chronic
disease
󠆞S
󠆞NS
HLTENN041
ISBAR
handovers
Admissions,
discharge and
patient
transfer
HLTENN035
HLTENN036
HLTENN037
HLTENN038
HLTENN040
(Part 1)
HLTENN041
HLTENN044
HLTAAP003
HLTENN035
HLTENN036
HLTENN037
HLTENN038
HLTENN040
(Part 1)
HLTENN041
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Reflective Journal (15) - One (1) appropriate pain
management (pharmacological and nonpharmacological interventions)
Page 38 of 42
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
HLTENN044
HLTAAP003
Nursing Care
Plans
Formative and
Summative
Assessment
Meeting
Record Sheets
Clinical Skills
Logbook
HLTENN037
HLTENN038
HLTENN044
HLTAAP003
HLTENN035
HLTENN036
HLTENN037
HLTENN038
HLTENN040
HLTENN041
HLTENN044
HLTAAP003
CHCPRP003
BSBPEF402
HLTENN036
HLTENN037
HLTENN038
HLTENN040
(Part 1)
HLTENN044
HLTAAP003
Developed nursing care plan (1)
󠆞S
󠆞NS
Developed nursing care plan (2)
󠆞S
󠆞NS
Formative assessment meeting record sheet
󠆞S
󠆞NS
Summative assessment meeting record sheet
󠆞S
󠆞NS
Checked clinical skills / nursing interventions
relevant to Subacute Care professional practice
experience
󠆞S
󠆞NS
Student Name:
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Signature:
Page 39 of 42
Date:
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
Sub-Acute Care Clinical Placement Attendance
Clinical Placement Attendance Sheet to be completed each day – Sub-Acute Care Placement Facility Name:
Day
DAY
DATE
START
TIME
TOTAL DAILY
HOURS
SIGNATURE OF CLINICAL FACILITATOR
Educator/Facilitator Signature:
Date
FINISH
TIME
1
2
3
4
5
6
7
8
9
10
TOTAL HOURS STUDENT ATTENDED FOR SUB-ACUTE CARE
PLACEMENT
Educator/Facilitator Name:
Clinical Placement Satisfactorily Completed: YES / NO
Office Use only - Checked by SCEI Educator/ Placement Coordinator:
This student has completed the Su-Acute Care clinical placement as evidenced by all aspects of this logbook completed, attendance of 80 hours signed and the
student deemed Satisfactory YES /NO
Number hours absent from placement (if any) ______________________ Notification of absence(s) followed protocol (circle):
Medical Certificate provided (circle):
Yes
/
Yes
/
No
No
Name:_______________________________________Signature______________________________Date:___________
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Page 40 of 42
CRICOS Provider Code 02934D
RTO Number 121952
Professional Practice Record Book – Sub-Acute Care
Register of Clinical Facilitators
Name
(Example) Mary
Smith
Designation
RN
AHPRA registration
Number
NMW0001055422
Placement type
Metal Health Care
Facility
Name
Potter s House
Initials
Signature
MS
ENSURE THAT YOU SUBMIT THIS PPE BOOKLET TO YOUR EDUCATOR AND ASSESSOR WITHIN SEVEN DAYS OF COMPLETING YOUR PROFESSIONAL
PRACTICE. THIS WILL ENABLE YOUR RESULTS TO BE FINALISED
Works Cited
Bondy, K. (1983). Clinical evaluation of student performance: The effects of criterion accuracy and reliability. Research in Nursing and Health, 7(1), 25-33.
NMBA. (2016). Enrolled Nurse Standards for Practice. Nursing and Midwifery Board of Australia.
Tolhurst, G. &. (2000). Development of clinical assessment criteria for postgraduate nursing students. Collegian, 7(2), 20-25.
HLT54121 Diploma of Nursing
PPE Booklet – Sub-Acute Care: Version 1.0 May 2022
Page 41 of 42
CRICOS Provider Code 02934D
RTO Number 121952
Page 42 of 38
End of Document
CRICOS Provider Code 02934D
RTO Number 121952
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