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 Page 11 of 42 CRICOS Provider Code 02934D RTO Number 121952 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 RTO Number 121952 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: HLT54121 Diploma of Nursing PPE Booklet – Sub-Acute Care: Version 1.0 May 2022 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!! HLT54121 Diploma of Nursing PPE Booklet – Sub-Acute Care: Version 1.0 May 2022 Page 15 of 42 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 ● ● ● ● ● ● HLT54121 Diploma of Nursing PPE Booklet – Sub-Acute Care: Version 1.0 May 2022 Page 16 of 42 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 HLT54121 Diploma of Nursing PPE Booklet – Sub-Acute Care: Version 1.0 May 2022 Page 17 of 42 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 HLT54121 Diploma of Nursing PPE Booklet – Sub-Acute Care: Version 1.0 May 2022 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 HLT54121 Diploma of Nursing PPE Booklet – Sub-Acute Care: Version 1.0 May 2022 Page 21 of 42 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 PPE Booklet – Sub-Acute Care: Version 1.0 May 2022 3 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 Page 23 of 42 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 HLT54121 Diploma of Nursing PPE Booklet – Sub-Acute Care: Version 1.0 May 2022 Page 26 of 42 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 Page 27 of 42 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 : HLT54121 Diploma of Nursing PPE Booklet – Sub-Acute Care: Version 1.0 May 2022 Page 30 of 42 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 Page 31 of 42 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