Appendix 18

Molritorinq and Resoondins te Changes i,n a Gfiiqnt-Pati?nt bndition

lmplementation, svaluation and benchmarking of the pre-registration nursing competenciesassessment sehedule (NCASI for use across Australian universities. $@zlBMs+.@,@E

Emolover Colno-QtencH (Skills Areasl

Clinical ComoetencY AreaCompetencyexemplar:

Monitoring and responding to changes in a clienUpatient condition

Demonstration of: The ability to effectively and safely monitor and respond to changes in aclienUpatient condition

Pefiomrance Crtfe,ria

(Please lnltial in the appropriate column)

ltEesdbg belsflhdbahsrheANMCN€tionalCsttpeleneyStandads for tieR€istered Nurse(2os)

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Obtains comprehensive handarer {tape reorderlbEdside)to identify specific indications for contact/communietion oraction with the group of client$patients {i.e. are there anysneeifin orders)

1-2,2.5,4.2,9.5

h2. Re\ri€ft,vs the group of cllents/patients pfogress notes/

previous medical filedmedication charUnursing care plans/any other documentations from mernbers of themultidisciplinary team to verify the validity of any writtenorders

1.1,1.2,1.3,2.5, 9.5 0

3. Maintains hand hygiene (alcoholgeUhand wash) effectivelyand in a timelv manner

7.1, 9.5 ($

4. Gathers the necessary equipment for assessment (i,appropriate)

3.1,3.3,5.2,5.3,7.1,7.3,8.1.9.5

fr5. Canis out a comprehensive assessment with/of the group

of clientSpalients2.3,2.5,5.2,5.3,8.2,9.5

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6. Monitors healih $atus of the group of dienHpaUents (i.e.vital signsffiuid balancdrnentd statuq etc)

1.2,1.3,2.2,2.5,2.6,5.1,5.2.5,3

07. Undertakes assessment of each situatioMnteraction

identifying any changes in a dienUpdient condition that isreouired to reoond

3.1,3.3,5.2,5.3, 8.1 I

8. Maintains dignig at all times, prorides privacy and cunfortmesures - displays problem solving abilities

5.1, s.2,5.3,6.1,7.1,9.3,s.6

fr9. Cgnsiders the Acttvities of living in which the client/patient

has any deflcits and will therefore require assistance1.2,2.3,2.5,7.1,9.5 fr

10. Ensure the group oi ctients/patients is comfortable andpreoared for anv intervention in the time smn

1.2,2.3,2.5,9.1.9.2.9.3 ,0

1 1. Gathers necessary equipment and checks clinicalsuidelines for any interventionlmedication

5.2,5.3,7.1,9.3, 9.5

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12. lnformsthe shift coordinatorlon call medical fficerregarding the changes in a clientlpatient condition

1.2,2.5,5.2,10.1, 10.2, 10.3

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Pertomtance Criteria

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13. Concludes the period of du$ with the individual dientdpatients by considerately concluding the therapeuticrelationshin

1.2,9.1,9.3,9.5 p

14" Cleans/tidies area; disposes of any waste appropriatelyand as soon as is practicable; removes glwes and otherPPE (as necessary).

015. Ensures the group of elientslpatients dignity, privacy ard

comfort at the end of a soan of dutv/seriod of care1.2,2.3,2.5,7.1 *

16. Replaces, eleans andor dispses of equipment accordingto oroanisational quidelines

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17. Reports and Records of relevant information:i. Observation chart and fluid balance chartii. Nurcing care planiii. Clientslpatients progress notesiv. Medication chart

Other documentation(s) if appropriate {i-e particularassessrnent chart and/or anticoagulant therapy chart)Sprcifyi.e.

1.1,1.?,1.3,2.6,9.2,1A_2

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18. Demonstrates ability to reflect on the activig and to linktheory to practicei. Relatesto decisionsmadeii. Evidence utilised andiii. lmdications for planning of care for the group of

clients/patients

1.2,2.1,2.3,3.1,3-2.4.1.4^2,5-2,5.3. 7.1.8.1

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Bondy. K, M. 1983, 'Criterion-referenced definitionsfor rating sbales in diniml evalualion', Jaumal ol Nurci$oEducation, vol.22(9), pp. 376-381Crisp ind Taylor2lAg Pofrer and Penfs Ftmdanre,rhls ol Nurcing,3d Edition, flsevier, AustraliaTollefson, J 2010 cttnicat wo'o,r$htti: ffientMut*s,4e Edition, Thomson, Australia

lndependent (l) Referc to being safe & knotrrledgeable; proficient & coordinated and appropriately confident andtimdv. Does not require suDDortinq cues.

Supervised: {S}Refets to being safe & knodedgeable; efficient & coordinated; displays some confidence andundertakes activities within a reamnablv timelv manner. Reouires occasional suooortino cues.

Assisted: (AlRefee to being safe and knowledgmble most of the time; skilful in parts hoaaner is inefficientwith some skill areas; takes longer than rryuuld be ocpected to complete the task. Rquiresfrequent verbal and some physical cues.

ifiarginal: {M}Refers to bdng safev*hen clmely supervised and supported; unskilled and inefficien{ usesexcess eneEy and takes a prolonqed time period- Continuousverbal and physical eues.

Dependent (D)Refers to concerns about beirg unsafe and treing unaHe to demonstrate hhariour or articulateintention; lacking in confidehce, c,oordination and ef6cieney. Continuous verbal and physicalcue$interventions necessarv

lmplementation, evaluation and benchmarking bf the pre-registration nursing competenciesassessmsnt schedule (NCAS) for use across Australian universities. twa!*i**esp 37

COmpUlSOry RefleCtiOn by StUdent: (please refer to Levett-Jones and Burgeois text Ihe Clinical Placement pp9$102 -model for reflection)

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StudentName: @teaseprint)i(Ap,-r t Sii(LgirrA sign: {.b"#l p"1"' 2'? ir:"rf l{

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Clinical facititator(RN):6reaseprinq .'" ' ; iti.i "'tSign: ..:"'-'r' ': /!'; Date' i' 1 '' * '',/

lmplementation, evaluation and benchmarking of the pre-registration nursing competenciesassessment schedule (NCAS) for use across Australian universities. t**ffis@p@ 38

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