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NUR250 Assessment 1 Pre-submission Checklist S1 2017
Put a X next to the assignment criteria you have not satisfied
and contact Academic Language and
Learning Success for guidance
Put a ? next to the assignment criteria you do not understand
and
requirements, and/or
Learning Success for guidance:
Email: [email protected]
Text organization (Academic literacy)
Body
and in the order
presented on the assignment information?
grammatically correct
sentences?
Content (Critical analysis, application to practice, clinical
reasoning)
Response to
the question
to nursing practice?
use clinical reasoning
processes to make and defend your clinical decisions?
Analysis
Does your assignment focus on the questions and tasks in the
assignment? Have you
required?
care or response?
support your ideas?
Quality of evidence (Academic integrity)
Research
teria stated in the Assessment
1 information?
that meet stated criteria?
Referencing
-text references for all your thoughts and ideas?
nd accurate?
th
format?
adequately paraphrased?
acknowledged?
bmitted your assignment to SafeAssign via the
Draft Checking menu on
NUR250 Learnline to check for inadvertent breaches of
academic integrity?
Presentation and submission (Academic literacy)
Word
processing
ignment template?
required line-spacing?
guidelines?
Assignment
conventions
(student ID)?
word count?
spelling errors?
Sentence
Fluency
provide cohesion?
Style
each task?
nursing/health terminology?
(except for care plan),
tables, diagrams etc?
Submission
al copy of your assignment
on your computer or
storage device that you will be submitting?
for your assignment on
Learnline?
mailto:[email protected]
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NUR250 – Medical Surgical 1 Semester 2, 2017: Assessment 1
Marking Criteria
NUR250 Medical Surgical 1: Assessment 1 Marking Criteria, S2
2017
1
Criteria Unsatisfactory Limited Satisfactory Good Excellent
Task 2: Nursing care plan: Ability to
interpret & address task (40)
Ability to develop an individualised,
patient focused, evidence-based nursing
care plan for the case scenario
addressing fundamental care needs.
Identifies and explains:
Indicators the plan is working
Demonstrates critical thinking to make
sound clinical decisions throughout the
care plan. Demonstrates an
understanding of the role and scope of
the registered nurse.
0-9 Marks
Poor interpretation of Task 2.
Little if any ability to develop an
individualised, evidence-based
nursing care plan. Nursing
problems are not stated or not
relevant to the scenario. Nursing
interventions are limited or do not
meet the registered nurse scope of
practice. Unsatisfactory rationales
or explanations for nursing care
and/or limited ability to explain or
justify nursing actions. No or little
ability to evaluate outcomes of
care.
10-19 Marks
Demonstrates limited ability to
develop an individualised,
evidence-based nursing care
plan. Nursing interventions may
or may not meet the registered
nurse scope of practice. Most, if
not all, rationales demonstrate
limited ability to explain or justify
identified nursing actions.
Limited ability to evaluate
outcomes of care.
20-29 Marks
Demonstrates basic ability to
develop an individualised,
evidence-based nursing care plan.
Nursing interventions are within
the registered nurse scope of
practice. Most, if not all, rationales
demonstrate satisfactory ability to
explain or justify identified nursing
actions. Basic ability to evaluate
outcomes of care.
30-35 Marks
Demonstrates good ability to
develop an individualised,
evidence-based nursing care
plan. Nursing interventions
demonstrate a good
understanding of the role and
scope of the registered nurse.
All rationales demonstrate a
developing ability to explain or
justify identified nursing
actions. Developing ability to
evaluate realistic and
achievable outcomes for
planned care.
35-40 Marks
Demonstrates high level ability
to develop an individualised,
evidence-based nursing care
plan. Nursing interventions
demonstrate a good
understanding of the role and
scope of the registered nurse.
All are appropriately stated and
relevant to scenario. All
rationales demonstrate high
level ability to explain or justify
identified nursing actions. High
level ability to evaluate
appropriate expected outcomes
for planned care.
Ability to interpret & address other
tasks (40)
Demonstrated ability to identify
assessments, discuss medication
management responsibilities, identify
and discuss the deteriorating patient and
develop a succinct, comprehensive
handover using the ISBAR format
Task 1: (10) Task 3: (10): Task 4: (10)
Task 5: (10)]
0-9 Marks
Poor interpretation of most if not
all, of the other assessment tasks.
Does not demonstrate safe
practice knowledge for
documentation, medication
management, patient deterioration
and handover.
10-19 Marks
Limited interpretation of most, if
not all, of the other assessment
tasks. Demonstrates limited
safe practice knowledge for
documentation, medication
management, patient
deterioration and handover.
20-29 Marks
Basic interpretation of the other
assessment tasks. Identifies basic
nursing actions and interventions.
Demonstrates satisfactory safe
practice knowledge for
documentation, medication
management, patient deterioration
and handover.
30-35 Marks
Good interpretation of the
other assessment tasks.
Demonstrates safe practice
knowledge for
documentation, medication
management, patient
deterioration and handover.
35-40 Marks
Excellent interpretation of the
other assessment tasks.
Demonstrates excellent safe
practice knowledge for
documentation, medication
management, patient
deterioration and handover.
Academic Integrity 1:
Evidence for practice (5)
Demonstrated engagement with current,
reliable evidence for practice. Minimum
of 8 relevant journal articles cited that
meet stated criteria. No more than 1
current edition textbook and 1 Australian
Medicines textbook or eBooks used as a
reference. Any other resources are
current, appropriate and reliable.
0-1 Mark
Demonstrates little if any
engagement with current, reliable
evidence for practice.
0 – 3 journal articles that meet
stated criteria that may or may not
be relevant. Numerous textbooks
and/or inappropriate resources in
reference list
2 Marks
Demonstrates limited
engagement with current,
reliable evidence for practice. 4 -
7 journal articles that meet
stated criteria that may or may
not be relevant. Textbooks are
not current edition and/or 3 or
more textbooks, Some
inappropriate resources used in
assignment
3 Marks
Demonstrates a developing
engagement with current, reliable
evidence for practice. 8 or more
journal articles that may or may
not meet stated criteria or be
reliable and/or relevant. No more
than 2 current textbooks cited as a
reference, occasional
inappropriate resources in
reference list.
4 Marks
Demonstrates good
engagement with current,
reliable evidence for practice.
8 or more reliable and relevant
journal articles that meet
stated criteria. No more than
2 current edition textbooks
cited as a reference, no
inappropriate resources in
reference list
5 Marks
Demonstrates high level
engagement with current,
reliable evidence for practice. 8
or more highly reliable and
relevant journal articles that
meet stated criteria. No more
than 2 current edition textbook
cited as a reference, no
inappropriate resources in
reference list.
NUR250 – Medical Surgical 1 Semester 2, 2017: Assessment 1
Marking Criteria
NUR250 Medical Surgical 1: Assessment 1 Marking Criteria, S2
2017
2
Academic Integrity 2 (5)
Demonstrated ability to adhere to
academic and professional policies and
standards when using the work of
others.
Thoughts and ideas well supported by
correct and accurate in-text citations and
complete and accurate reference list in
CDU APA 6
th
format. Direct quotes
appropriately acknowledged
0-1 mark
Demonstrates little if any ability to
adhere to academic integrity
policies and standards. No or
limited in-text citations and/or
missing or incomplete reference
list and/or referencing details
and/or referencing does not follow
a consistent format. Numerous
direct quotes poorly or not
acknowledged. Academic integrity
standards not met. May be
investigated for breach of
academic integrity or plagiarism
2 marks
Demonstrates a limited ability to
acknowledge the work of others.
Some-text citations and/or
incomplete reference list and/or
inaccurate and/or incomplete
referencing details and/or
inconsistent referencing format.
Some direct quotes poorly or not
acknowledged. Academic
integrity standards not met. May
be counselled or investigated for
breach of academic integrity or
plagiarism.
3 marks
Demonstrates a developing ability
to acknowledge the work of others.
Most ideas supported with
appropriate in-text citations and
there is a complete reference list.
Some inconsistency, inaccuracy
and/or incomplete details in CDU
APA 6
th
format. Most direct quotes
appropriately acknowledged.
Academic integrity policies and
standards met at a basic level.
4 marks
Demonstrates a good ability to
acknowledge the work of
others. All ideas supported
with in-text citations and there
is a complete reference list.
Occasional errors in CDU APA
6
th
format. All direct quotes
appropriately acknowledged.
Academic integrity standards
met.
5 marks
Demonstrates high level ability
to acknowledge the work of
others. All ideas supported with
appropriate and accurate in-text
citations and there is a complete
and accurate reference list. No
errors detected in CDU APA 6
th
format. Academic integrity
standards met at a high level.
Academic Literacy 1 -
Written communication (5)
Demonstrates appropriate level of
written communication for nursing
practice. Content flows logically,
demonstrates appropriate professional
language with no spelling or grammatical
errors and no acronyms, abbreviations,
nursing jargon, or diagrams as per
assignment guidelines.
0-1 marks
Does not demonstrate an
appropriate level of written
communication for nursing
practice. Thoughts and ideas
disorganized, content does not
flow in a coherent manner.
Frequent spelling and grammatical
errors and/or may or may not
contain lists, abbreviations,
diagrams, acronyms and/or
nursing jargon.
Requires significant development
of academic literacy skills
2 marks
Demonstrates a developing
ability in written communication
for nursing practice. Thoughts
and ideas sometimes
disorganized, content does not
always flow in a coherent
manner. Some grammatical and
spelling errors and/or may or
may not contain lists,
abbreviations, diagrams,
acronyms and/or nursing jargon.
Requires some development of
academic literacy skills
3 marks
Demonstrates an appropriate level
of written communication for
nursing practice. Thoughts and
ideas are generally organized with
coherent flow. Contains some
grammatical and spelling errors
and/or occasional lists,
abbreviations, diagrams,
acronyms and/or nursing jargon.
Would benefit from some advice to
further develop academic literacy
skills
4 marks
Demonstrates a developing
sophistication of expression
and writing that meets written
communication standards for
nursing practice and academic
literacy. Content is well
organised with coherent flow.
Few if any grammatical and/or
spelling errors and there are
no lists, abbreviations,
diagrams, acronyms and/or
nursing jargon.
5 marks
Meets written communication
standards for nursing practice
and academic literacy at a high
level. Content is well organized
with coherent flow. Assignment
is free from grammatical and/or
spelling errors and there are no
lists, abbreviations, diagrams
acronyms and/or nursing jargon
Academic Literacy 2 -
Presentation (5)
Submitted on required template as a
word document. Font is either Arial,
Times New Roman or Calibri size 11 or
12. Line spacing is 1.5.
Within the stated word count.
Dot points and table format only used for
task 2.
0-1 marks
Assignment is not on required
template and/or is more than 20%
under of over stated word count.
Inconsistent or incorrect font or
font size.
Dot points and tables used where
not appropriate.
2 marks
Assignment is not on required
template and/or is between 10-
20% under or over stated word
count.
May have inconsistent or
incorrect font or font size.
May have dot points and tables
where not appropriate.
3 marks
Assignment is on required
template and is within stated word
count.
May have inconsistent or incorrect
font or font size.
May have dot points and tables
where not appropriate.
4 marks
Assignment is on required
template and is within stated
word count.
Correct font and font size.
May have occasional dot
points in tasks 1, 3, 4, or 5
5 marks
Assignment is on required
template and is within stated
word count.
Correct font and font size is
consistent throughout
assignment.
No dot points or tables where
not appropriate.
NUR250 Assessment 1 S2 2017 Assignment template
It is recommended you do not delete the heading and the
information below.
Please note: As indicated in Assessment 1 information, a cover
sheet, title and contents pages are not required
Before you begin take a minute to fill in your details in the
footer to ensure your document is identifiable. To access the
footer, double click on the grey writing “Last name….” at the
bottom of the page above. Once you have done that, double
click here to come back to this page.
Information about the required line spacing and font size and
type is in the Assessment 1 information document in the
Assessment 1 folder on NUR250 Learnline. Take a minute to
check that this document meets those requirements.
To avoid or minimise problems with formatting, it is
recommended you
· Use the headings provided
· Don’t copy from another document onto this template
· Don’t delete the section breaks on the document
Submission of your assignment means you have read and
understood the
· University policies and procedures related to academic
integrity
· Assessment 1 presentation guidelines
Start to write your assignment here. Word count is calculated
from this point.
Task 1: Patient assessment
4
Double click here to fill in this footer
Last name__ _student number_NUR250 S2 2017 Assessment 1
Task 2: Care planning
Nursing Care Plan: Rosie
Note: Dot points recommended in care plan. Click and type in
each cell, click enter in a cell to make it longer
A reminder that all information must be referenced
Nursing problem:
Underlying cause or reason:
Goal of care
Nursing interventions/actions
Rationale
Indicators your plan is working
Nursing problem:
Underlying cause or reason:
Goal of care
Nursing interventions/actions
Rationale
Indicators your plan is working
Nursing problem:
Underlying cause or reason:
Goal of care
Nursing interventions/actions
Rationale
Indicators your plan is working
longer
Nursing problem:
Underlying cause or reason:
Goal of care
Nursing interventions/actions
Rationale
Indicators your plan is working
Nursing problem:
Underlying cause or reason:
Goal of care
Nursing interventions/actions
Rationale
Indicators your plan is working
Task 3: Medication management
Task 4: Patient teaching
Task 5: Clinical judgement and handover
NUR250 Medical Surgical Nursing 1
S2 2017
NUR250 Medical Surgical Nursing 1: Assessment 1 S2 2017
Before you begin NUR250 Assessment 1
It is strongly recommended that students revisit and ensure they
understand the University and
Unit policies and guidelines related to academic integrity,
plagiarism, submission, extension, late
submission and resubmission.
The Unit Coordinator cannot be held responsible for
information about Assessment 1 that
students’ access outside of the NUR250 Learnline site.
This includes information students may access from other
students, whether enrolled in the unit or
not, using social media tools such as Facebook and/or friends
and/or colleagues they may discuss
their assignment with.
The Unit Coordinator is the person to contact if you have any
questions or queries about
Assessment 1
NUR250 Assessment 1
Topic: Nursing care of a patient in a medical surgical setting
Due date: By 1500 (3pm) Monday 4
th
September (Semester Break Week)
Length: 2000 words + 150 for words on template
Contribution to overall grade: 40%
Assessment purpose Learning objectives
Assessment 1 is the only written academic assignment in
NUR250 for
students to demonstrate they:
synthesize and apply nursing knowledge from NUR250 to a
relevant nursing practice scenario in medical surgical settings
reasoning
and sound clinical decision making processes and strategies
essential for safe, evidence-based and competent nursing
practice in medical surgical settings
patient as the key concern of nursing practice in medical
surgical settings
decisions
veloping understanding of the role and scope of
practice of the registered nurse in the Australian health care
context
communication required for nursing practice in Australia
onstrating ethical and professional practice by
adhering
to the University’s academic integrity standards and plagiarism
policy
This assessment addresses
the unit learning outcomes;
1, 2, 3, 4 and 5
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and
Tasks S2 2017
2
Preparation
participation or review of online collaborate sessions
and pre-recorded lectures.
Presentation
the Assessment 1
folder on NUR250 Learnline
size 11 or 12
progression towards the standard for written
communication for professional nursing practice in Australia
NOT required
bbreviations
and/or nursing jargon
and topic paragraphs are required. Dot points
only accepted in the nursing care plan
o Note: Headings, any task information copied in and in-text
citations are included in the word count.
150 words have added to the word count to account for the
headings within the nursing care plan
template
ric terms or
names are to be used when referring to
specific medications or other prescribed treatments or resources
that may be used in nursing practice
Referencing
Students are reminded of their academic responsibilities and
professional nursing practice requirements when using
the work of others in assignments.
Reminder marks are allocated for academic integrity. See the
marking criteria for Assessment 1 for full details.
Breaches of academic integrity will be lodged on the University
system and may have serious consequences for
students.
original words demonstrating your ability to
interpret, understand and paraphrase material from your sources
tyle is to be used for both in-text
citations and end of assessment references.
ensure they can be accessed via CDU
databases or freely available by internet search.
UR250 assignments should be from
quality, reliable and reputable journals relevant to
nursing practice and the Australian healthcare industry or
reputable, reliable, professional websites.
must be at least 8 peer-reviewed journal articles and/or
evidence based practice guidelines cited in
your assignment.
or procedures
nd 1 current
Australian medical surgical nursing textbook to
be referenced (Lemone set of 3 textbooks will be counted as 1
textbook).
Please complete the assessment task on the next page.
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and
Tasks S2 2017
3
Assessment 1: Nursing care of a person in a medical surgical
setting
Source: sciencesource.com
Meet Rosie
You will be caring for her today
Shift handover:
Rosie, a 76 year old female, is being admitted to your ward
from emergency department with acopia and falls for
investigation following a fall at home.
Vital signs on admission: blood pressure 150/95, heart rate 110
beats per minute, respirations 20 breaths per
minute, SpO2 90% on room air.
On examination in emergency department Rosie was found to
have haematomas to her left eye and bilaterally on
her knees and a small superficial laceration to her left eye that
was sutured in emergency department. A CT of her
head and x-rays shows no apparent fractures or abnormalities.
Prior to admission Rosie has been having an increasing number
of falls at home over the past few months. She
denies dizziness, pain or loss of consciousness contributing to
the falls. She states she “just goes weak and falls
down”. She reports she sometimes feels quite anxious and
breathless post fall.
Rosie has a medical history of hypertension and
hypercholesteremia. Rosie, however, is a poor historian
claiming
“my memory is not quite as good as it once was”.
Rosie lives with her supportive husband, Joe who assists her as
needed. Joe states “we have always looked after
each other” since coming to Australia from Poland forty years
ago. They have never had children and have very few
friends or social supports preferring to rely on each other. They
try to cook healthy meals a few times a week but are
increasingly relying on heating frozen meals or snack foods for
convenience.
Joe states he has to assist Rosie a bit more than usual as she
seems to be “slowing down” and is becoming
increasingly tired and fatigued. He is finding it especially
difficult when she falls and is having to rely on the
ambulance service to assist to get her up.
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and
Tasks S2 2017
4
Assessment 1:
Based on the handover you received at the beginning of your
shift today, other information included below and
current reliable evidence for practice, address the following 5
tasks.
Do not make up or assume information in relation to or about
Rosie. Only use what you know from the information
you received today.
_____________________________________________________
__________________________________________
Task 1: Patient assessment
Assessment is one of the major roles of the registered nurse and
is the first step in the nursing process to assist in
planning and to facilitate mutually established goals and
evaluate outcomes. In reality the nurse is continually
assessing and re-assessing the patient throughout the continuity
of care.
In grammatically correct sentences and topic paragraphs and
using current, reliable evidence for practice
conduct as a priority for Rosie’s nursing care that you
will undertake on Rosie’s admission to your ward.
AND
For each assessment you have identified explain:
completed accurately?
(300 words, 10 marks)
Task 2: Care planning
You recognise that Rosie may require assistance addressing her
fundamental care needs.
Based solely on the handover you have received and using the
template provided, select five (5) fundamentals of
care from Week 1 learning materials and develop a plan of care
for each one identifying:
related to
de nursing interventions you will do
Notes for Task 2 only
Appropriate resources students might find
useful for the care plan ONLY is information on the JBI
database
(900 words, 40 marks)
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and
Tasks S2 2017
5
Task 3: Medication management
Three important aspects of medication management by
registered nurses is for the nurse to understand why a
patient has been prescribed specific medications, understanding
the nursing responsibilities and how to monitor the
patient to ensure they are responding to prescribed medications
as they should.
In grammatically correct sentences and topic paragraphs and
using current, reliable evidence for practice,
y explain why Rosie has been prescribed:
o Atorvastatin 20mg daily
o Ramipril 10mg daily
o Aspirin 100mg daily
AND
o The specific nursing responsibilities associated with
administering each medication
o How you will monitor Rosie for expected, side and adverse
effects of each medication.
(300 words, 10 marks)
Task 4: Patient teaching
Nurses are in a prime role to support and encourage healthy
lifestyle changes and educate patients on healthy living
to reduce the risk of morbidity and mortality of hypertension
and hypercholesteremia.
You recognise part of your nursing role is to provide Rosie with
education on the modifiable risk factors for
hypertension and hypercholesteremia during her hospital stay.
Select one (1) of the diagnoses above and, in grammatically
correct sentences and topic paragraphs,
Rosie about the topic
AND
o Why the topic is an important aspect of Rosie’s care
o How you will ensure that Rosie knows and understands why it
is important and, if appropriate to the
topic, what she needs to do
(200 words, 10 marks)
NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and
Tasks S2 2017
6
Task 5: Clinical judgement and handover
There are two (2) parts to Task 5.
Part A:
When removing Rosie’s breakfast tray this morning you notice
she has not eaten and ask her why. She states she
slept badly overnight as she could not get comfortable lying
down and she is feeling anxious about Joe being on his
own. As a result she is now feeling nauseous and unwell. She
denies pain apart from slight indigestion which she
often gets lately but it usually goes away on its own. She is
feeling irritable so you leave her to rest.
On your return you find Rosie extremely agitated and trying to
get out of bed stating she has to call Joe. Visually
assessing Rosie as you assist her back into bed you notice
Rosie’s skin appears very pale and slightly bluish grey. She
appears dyspnoeic and slightly breathless with shallow, rapid
respirations. Her skin feels cool and moist and her
ankles appear swollen.
On further assessment you find:
- 32 breaths/minute
saturations are 84% on room air
detect clear margins.
In grammatically correct sentences and topic paragraphs,
o What you think is happening
o Your immediate nursing actions and interventions
o The reason for your actions and interventions
Part B:
An important legal requirement of nursing practice is to
effectively and succinctly communicate relevant
information, actions and outcomes related to patient care and
provide an accurate reflection of the health status of
the patient, their responses to care and the patient’s perspective.
Once Rosie’s condition has been stabilised, the doctors arrange
to transfer Rosie to the Coronary Care Unit for closer
monitoring and management.
Using the ISBAR format, information from the handover you
initially received and the additional information above:
ver that clearly and succinctly outlines
the important information the coronary care
unit needs to know about Rosie
Your handover must:
-centred care
documentation
(Part A and B: 300 words, 10 marks)

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  • 2. Content (Critical analysis, application to practice, clinical reasoning) Response to the question to nursing practice? use clinical reasoning processes to make and defend your clinical decisions? Analysis Does your assignment focus on the questions and tasks in the assignment? Have you required? care or response? support your ideas?
  • 3. Quality of evidence (Academic integrity) Research teria stated in the Assessment 1 information? that meet stated criteria? Referencing -text references for all your thoughts and ideas? nd accurate? th format? adequately paraphrased? acknowledged? bmitted your assignment to SafeAssign via the Draft Checking menu on NUR250 Learnline to check for inadvertent breaches of academic integrity? Presentation and submission (Academic literacy) Word processing
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  • 5. each task? nursing/health terminology? (except for care plan), tables, diagrams etc? Submission al copy of your assignment on your computer or storage device that you will be submitting? for your assignment on Learnline? mailto:[email protected] Scanned by CamScanner Scanned by CamScanner
  • 6. Scanned by CamScanner Scanned by CamScanner Scanned by CamScanner Scanned by CamScanner Scanned by CamScanner Scanned by CamScanner Scanned by CamScanner NUR250 – Medical Surgical 1 Semester 2, 2017: Assessment 1 Marking Criteria NUR250 Medical Surgical 1: Assessment 1 Marking Criteria, S2 2017
  • 7. 1 Criteria Unsatisfactory Limited Satisfactory Good Excellent Task 2: Nursing care plan: Ability to interpret & address task (40) Ability to develop an individualised, patient focused, evidence-based nursing care plan for the case scenario addressing fundamental care needs. Identifies and explains: Indicators the plan is working Demonstrates critical thinking to make sound clinical decisions throughout the care plan. Demonstrates an understanding of the role and scope of the registered nurse. 0-9 Marks Poor interpretation of Task 2. Little if any ability to develop an
  • 8. individualised, evidence-based nursing care plan. Nursing problems are not stated or not relevant to the scenario. Nursing interventions are limited or do not meet the registered nurse scope of practice. Unsatisfactory rationales or explanations for nursing care and/or limited ability to explain or justify nursing actions. No or little ability to evaluate outcomes of care. 10-19 Marks Demonstrates limited ability to develop an individualised, evidence-based nursing care plan. Nursing interventions may or may not meet the registered nurse scope of practice. Most, if not all, rationales demonstrate limited ability to explain or justify identified nursing actions. Limited ability to evaluate outcomes of care. 20-29 Marks Demonstrates basic ability to develop an individualised, evidence-based nursing care plan. Nursing interventions are within the registered nurse scope of
  • 9. practice. Most, if not all, rationales demonstrate satisfactory ability to explain or justify identified nursing actions. Basic ability to evaluate outcomes of care. 30-35 Marks Demonstrates good ability to develop an individualised, evidence-based nursing care plan. Nursing interventions demonstrate a good understanding of the role and scope of the registered nurse. All rationales demonstrate a developing ability to explain or justify identified nursing actions. Developing ability to evaluate realistic and achievable outcomes for planned care. 35-40 Marks Demonstrates high level ability to develop an individualised, evidence-based nursing care plan. Nursing interventions demonstrate a good understanding of the role and scope of the registered nurse. All are appropriately stated and relevant to scenario. All
  • 10. rationales demonstrate high level ability to explain or justify identified nursing actions. High level ability to evaluate appropriate expected outcomes for planned care. Ability to interpret & address other tasks (40) Demonstrated ability to identify assessments, discuss medication management responsibilities, identify and discuss the deteriorating patient and develop a succinct, comprehensive handover using the ISBAR format Task 1: (10) Task 3: (10): Task 4: (10) Task 5: (10)] 0-9 Marks Poor interpretation of most if not all, of the other assessment tasks. Does not demonstrate safe
  • 11. practice knowledge for documentation, medication management, patient deterioration and handover. 10-19 Marks Limited interpretation of most, if not all, of the other assessment tasks. Demonstrates limited safe practice knowledge for documentation, medication management, patient deterioration and handover. 20-29 Marks Basic interpretation of the other assessment tasks. Identifies basic nursing actions and interventions. Demonstrates satisfactory safe practice knowledge for documentation, medication management, patient deterioration and handover. 30-35 Marks Good interpretation of the other assessment tasks. Demonstrates safe practice knowledge for documentation, medication
  • 12. management, patient deterioration and handover. 35-40 Marks Excellent interpretation of the other assessment tasks. Demonstrates excellent safe practice knowledge for documentation, medication management, patient deterioration and handover. Academic Integrity 1: Evidence for practice (5) Demonstrated engagement with current, reliable evidence for practice. Minimum of 8 relevant journal articles cited that meet stated criteria. No more than 1 current edition textbook and 1 Australian Medicines textbook or eBooks used as a reference. Any other resources are current, appropriate and reliable. 0-1 Mark Demonstrates little if any engagement with current, reliable evidence for practice. 0 – 3 journal articles that meet stated criteria that may or may not be relevant. Numerous textbooks and/or inappropriate resources in reference list 2 Marks
  • 13. Demonstrates limited engagement with current, reliable evidence for practice. 4 - 7 journal articles that meet stated criteria that may or may not be relevant. Textbooks are not current edition and/or 3 or more textbooks, Some inappropriate resources used in assignment 3 Marks Demonstrates a developing engagement with current, reliable evidence for practice. 8 or more journal articles that may or may not meet stated criteria or be reliable and/or relevant. No more than 2 current textbooks cited as a reference, occasional inappropriate resources in reference list. 4 Marks Demonstrates good engagement with current, reliable evidence for practice. 8 or more reliable and relevant journal articles that meet stated criteria. No more than 2 current edition textbooks cited as a reference, no inappropriate resources in reference list
  • 14. 5 Marks Demonstrates high level engagement with current, reliable evidence for practice. 8 or more highly reliable and relevant journal articles that meet stated criteria. No more than 2 current edition textbook cited as a reference, no inappropriate resources in reference list. NUR250 – Medical Surgical 1 Semester 2, 2017: Assessment 1 Marking Criteria NUR250 Medical Surgical 1: Assessment 1 Marking Criteria, S2 2017 2 Academic Integrity 2 (5) Demonstrated ability to adhere to academic and professional policies and standards when using the work of others. Thoughts and ideas well supported by correct and accurate in-text citations and complete and accurate reference list in CDU APA 6
  • 15. th format. Direct quotes appropriately acknowledged 0-1 mark Demonstrates little if any ability to adhere to academic integrity policies and standards. No or limited in-text citations and/or missing or incomplete reference list and/or referencing details and/or referencing does not follow a consistent format. Numerous direct quotes poorly or not acknowledged. Academic integrity standards not met. May be investigated for breach of academic integrity or plagiarism 2 marks Demonstrates a limited ability to acknowledge the work of others. Some-text citations and/or incomplete reference list and/or inaccurate and/or incomplete referencing details and/or inconsistent referencing format. Some direct quotes poorly or not acknowledged. Academic integrity standards not met. May be counselled or investigated for breach of academic integrity or plagiarism.
  • 16. 3 marks Demonstrates a developing ability to acknowledge the work of others. Most ideas supported with appropriate in-text citations and there is a complete reference list. Some inconsistency, inaccuracy and/or incomplete details in CDU APA 6 th format. Most direct quotes appropriately acknowledged. Academic integrity policies and standards met at a basic level. 4 marks Demonstrates a good ability to acknowledge the work of others. All ideas supported with in-text citations and there is a complete reference list. Occasional errors in CDU APA 6 th format. All direct quotes appropriately acknowledged. Academic integrity standards met. 5 marks Demonstrates high level ability
  • 17. to acknowledge the work of others. All ideas supported with appropriate and accurate in-text citations and there is a complete and accurate reference list. No errors detected in CDU APA 6 th format. Academic integrity standards met at a high level. Academic Literacy 1 - Written communication (5) Demonstrates appropriate level of written communication for nursing practice. Content flows logically, demonstrates appropriate professional language with no spelling or grammatical errors and no acronyms, abbreviations, nursing jargon, or diagrams as per assignment guidelines. 0-1 marks Does not demonstrate an appropriate level of written communication for nursing practice. Thoughts and ideas disorganized, content does not flow in a coherent manner. Frequent spelling and grammatical errors and/or may or may not contain lists, abbreviations,
  • 18. diagrams, acronyms and/or nursing jargon. Requires significant development of academic literacy skills 2 marks Demonstrates a developing ability in written communication for nursing practice. Thoughts and ideas sometimes disorganized, content does not always flow in a coherent manner. Some grammatical and spelling errors and/or may or may not contain lists, abbreviations, diagrams, acronyms and/or nursing jargon. Requires some development of academic literacy skills 3 marks Demonstrates an appropriate level of written communication for nursing practice. Thoughts and ideas are generally organized with coherent flow. Contains some grammatical and spelling errors and/or occasional lists, abbreviations, diagrams, acronyms and/or nursing jargon. Would benefit from some advice to further develop academic literacy skills 4 marks
  • 19. Demonstrates a developing sophistication of expression and writing that meets written communication standards for nursing practice and academic literacy. Content is well organised with coherent flow. Few if any grammatical and/or spelling errors and there are no lists, abbreviations, diagrams, acronyms and/or nursing jargon. 5 marks Meets written communication standards for nursing practice and academic literacy at a high level. Content is well organized with coherent flow. Assignment is free from grammatical and/or spelling errors and there are no lists, abbreviations, diagrams acronyms and/or nursing jargon Academic Literacy 2 - Presentation (5) Submitted on required template as a word document. Font is either Arial, Times New Roman or Calibri size 11 or 12. Line spacing is 1.5. Within the stated word count. Dot points and table format only used for task 2. 0-1 marks
  • 20. Assignment is not on required template and/or is more than 20% under of over stated word count. Inconsistent or incorrect font or font size. Dot points and tables used where not appropriate. 2 marks Assignment is not on required template and/or is between 10- 20% under or over stated word count. May have inconsistent or incorrect font or font size. May have dot points and tables where not appropriate. 3 marks Assignment is on required template and is within stated word count. May have inconsistent or incorrect font or font size. May have dot points and tables where not appropriate. 4 marks Assignment is on required
  • 21. template and is within stated word count. Correct font and font size. May have occasional dot points in tasks 1, 3, 4, or 5 5 marks Assignment is on required template and is within stated word count. Correct font and font size is consistent throughout assignment. No dot points or tables where not appropriate. NUR250 Assessment 1 S2 2017 Assignment template It is recommended you do not delete the heading and the information below. Please note: As indicated in Assessment 1 information, a cover sheet, title and contents pages are not required Before you begin take a minute to fill in your details in the footer to ensure your document is identifiable. To access the footer, double click on the grey writing “Last name….” at the bottom of the page above. Once you have done that, double click here to come back to this page.
  • 22. Information about the required line spacing and font size and type is in the Assessment 1 information document in the Assessment 1 folder on NUR250 Learnline. Take a minute to check that this document meets those requirements. To avoid or minimise problems with formatting, it is recommended you · Use the headings provided · Don’t copy from another document onto this template · Don’t delete the section breaks on the document Submission of your assignment means you have read and understood the · University policies and procedures related to academic integrity · Assessment 1 presentation guidelines Start to write your assignment here. Word count is calculated from this point. Task 1: Patient assessment 4 Double click here to fill in this footer
  • 23. Last name__ _student number_NUR250 S2 2017 Assessment 1 Task 2: Care planning Nursing Care Plan: Rosie Note: Dot points recommended in care plan. Click and type in each cell, click enter in a cell to make it longer A reminder that all information must be referenced Nursing problem: Underlying cause or reason: Goal of care Nursing interventions/actions Rationale Indicators your plan is working Nursing problem: Underlying cause or reason: Goal of care Nursing interventions/actions Rationale Indicators your plan is working
  • 24. Nursing problem: Underlying cause or reason: Goal of care Nursing interventions/actions Rationale Indicators your plan is working longer Nursing problem: Underlying cause or reason: Goal of care Nursing interventions/actions Rationale Indicators your plan is working Nursing problem: Underlying cause or reason: Goal of care
  • 25. Nursing interventions/actions Rationale Indicators your plan is working Task 3: Medication management Task 4: Patient teaching Task 5: Clinical judgement and handover
  • 26. NUR250 Medical Surgical Nursing 1 S2 2017 NUR250 Medical Surgical Nursing 1: Assessment 1 S2 2017 Before you begin NUR250 Assessment 1 It is strongly recommended that students revisit and ensure they understand the University and Unit policies and guidelines related to academic integrity, plagiarism, submission, extension, late submission and resubmission. The Unit Coordinator cannot be held responsible for information about Assessment 1 that students’ access outside of the NUR250 Learnline site. This includes information students may access from other students, whether enrolled in the unit or not, using social media tools such as Facebook and/or friends and/or colleagues they may discuss
  • 27. their assignment with. The Unit Coordinator is the person to contact if you have any questions or queries about Assessment 1 NUR250 Assessment 1 Topic: Nursing care of a patient in a medical surgical setting Due date: By 1500 (3pm) Monday 4 th September (Semester Break Week) Length: 2000 words + 150 for words on template Contribution to overall grade: 40% Assessment purpose Learning objectives Assessment 1 is the only written academic assignment in NUR250 for students to demonstrate they: synthesize and apply nursing knowledge from NUR250 to a relevant nursing practice scenario in medical surgical settings
  • 28. reasoning and sound clinical decision making processes and strategies essential for safe, evidence-based and competent nursing practice in medical surgical settings patient as the key concern of nursing practice in medical surgical settings decisions veloping understanding of the role and scope of practice of the registered nurse in the Australian health care context communication required for nursing practice in Australia onstrating ethical and professional practice by adhering to the University’s academic integrity standards and plagiarism policy
  • 29. This assessment addresses the unit learning outcomes; 1, 2, 3, 4 and 5 NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S2 2017 2 Preparation participation or review of online collaborate sessions and pre-recorded lectures. Presentation the Assessment 1 folder on NUR250 Learnline size 11 or 12 progression towards the standard for written communication for professional nursing practice in Australia
  • 30. NOT required bbreviations and/or nursing jargon and topic paragraphs are required. Dot points only accepted in the nursing care plan o Note: Headings, any task information copied in and in-text citations are included in the word count. 150 words have added to the word count to account for the headings within the nursing care plan template ric terms or names are to be used when referring to specific medications or other prescribed treatments or resources that may be used in nursing practice Referencing Students are reminded of their academic responsibilities and professional nursing practice requirements when using the work of others in assignments. Reminder marks are allocated for academic integrity. See the marking criteria for Assessment 1 for full details. Breaches of academic integrity will be lodged on the University system and may have serious consequences for students.
  • 31. original words demonstrating your ability to interpret, understand and paraphrase material from your sources tyle is to be used for both in-text citations and end of assessment references. ensure they can be accessed via CDU databases or freely available by internet search. UR250 assignments should be from quality, reliable and reputable journals relevant to nursing practice and the Australian healthcare industry or reputable, reliable, professional websites. must be at least 8 peer-reviewed journal articles and/or evidence based practice guidelines cited in your assignment. or procedures nd 1 current Australian medical surgical nursing textbook to be referenced (Lemone set of 3 textbooks will be counted as 1 textbook). Please complete the assessment task on the next page.
  • 32. NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S2 2017 3 Assessment 1: Nursing care of a person in a medical surgical setting Source: sciencesource.com Meet Rosie You will be caring for her today Shift handover: Rosie, a 76 year old female, is being admitted to your ward from emergency department with acopia and falls for investigation following a fall at home.
  • 33. Vital signs on admission: blood pressure 150/95, heart rate 110 beats per minute, respirations 20 breaths per minute, SpO2 90% on room air. On examination in emergency department Rosie was found to have haematomas to her left eye and bilaterally on her knees and a small superficial laceration to her left eye that was sutured in emergency department. A CT of her head and x-rays shows no apparent fractures or abnormalities. Prior to admission Rosie has been having an increasing number of falls at home over the past few months. She denies dizziness, pain or loss of consciousness contributing to the falls. She states she “just goes weak and falls down”. She reports she sometimes feels quite anxious and breathless post fall. Rosie has a medical history of hypertension and hypercholesteremia. Rosie, however, is a poor historian claiming “my memory is not quite as good as it once was”. Rosie lives with her supportive husband, Joe who assists her as needed. Joe states “we have always looked after each other” since coming to Australia from Poland forty years ago. They have never had children and have very few friends or social supports preferring to rely on each other. They try to cook healthy meals a few times a week but are increasingly relying on heating frozen meals or snack foods for convenience. Joe states he has to assist Rosie a bit more than usual as she seems to be “slowing down” and is becoming increasingly tired and fatigued. He is finding it especially difficult when she falls and is having to rely on the ambulance service to assist to get her up.
  • 34. NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S2 2017 4 Assessment 1: Based on the handover you received at the beginning of your shift today, other information included below and current reliable evidence for practice, address the following 5 tasks. Do not make up or assume information in relation to or about Rosie. Only use what you know from the information you received today. _____________________________________________________ __________________________________________ Task 1: Patient assessment Assessment is one of the major roles of the registered nurse and is the first step in the nursing process to assist in planning and to facilitate mutually established goals and evaluate outcomes. In reality the nurse is continually assessing and re-assessing the patient throughout the continuity of care. In grammatically correct sentences and topic paragraphs and using current, reliable evidence for practice
  • 35. conduct as a priority for Rosie’s nursing care that you will undertake on Rosie’s admission to your ward. AND For each assessment you have identified explain: completed accurately? (300 words, 10 marks) Task 2: Care planning You recognise that Rosie may require assistance addressing her fundamental care needs. Based solely on the handover you have received and using the template provided, select five (5) fundamentals of care from Week 1 learning materials and develop a plan of care for each one identifying: related to
  • 36. de nursing interventions you will do Notes for Task 2 only Appropriate resources students might find useful for the care plan ONLY is information on the JBI database (900 words, 40 marks) NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S2 2017 5 Task 3: Medication management
  • 37. Three important aspects of medication management by registered nurses is for the nurse to understand why a patient has been prescribed specific medications, understanding the nursing responsibilities and how to monitor the patient to ensure they are responding to prescribed medications as they should. In grammatically correct sentences and topic paragraphs and using current, reliable evidence for practice, y explain why Rosie has been prescribed: o Atorvastatin 20mg daily o Ramipril 10mg daily o Aspirin 100mg daily AND o The specific nursing responsibilities associated with administering each medication o How you will monitor Rosie for expected, side and adverse effects of each medication. (300 words, 10 marks) Task 4: Patient teaching Nurses are in a prime role to support and encourage healthy lifestyle changes and educate patients on healthy living
  • 38. to reduce the risk of morbidity and mortality of hypertension and hypercholesteremia. You recognise part of your nursing role is to provide Rosie with education on the modifiable risk factors for hypertension and hypercholesteremia during her hospital stay. Select one (1) of the diagnoses above and, in grammatically correct sentences and topic paragraphs, Rosie about the topic AND o Why the topic is an important aspect of Rosie’s care o How you will ensure that Rosie knows and understands why it is important and, if appropriate to the topic, what she needs to do (200 words, 10 marks)
  • 39. NUR250 Medical Surgical Nursing 1: Assessment 1 Topic and Tasks S2 2017 6 Task 5: Clinical judgement and handover There are two (2) parts to Task 5. Part A: When removing Rosie’s breakfast tray this morning you notice she has not eaten and ask her why. She states she slept badly overnight as she could not get comfortable lying down and she is feeling anxious about Joe being on his own. As a result she is now feeling nauseous and unwell. She denies pain apart from slight indigestion which she often gets lately but it usually goes away on its own. She is feeling irritable so you leave her to rest. On your return you find Rosie extremely agitated and trying to get out of bed stating she has to call Joe. Visually assessing Rosie as you assist her back into bed you notice Rosie’s skin appears very pale and slightly bluish grey. She appears dyspnoeic and slightly breathless with shallow, rapid respirations. Her skin feels cool and moist and her ankles appear swollen. On further assessment you find: - 32 breaths/minute saturations are 84% on room air
  • 40. detect clear margins. In grammatically correct sentences and topic paragraphs, o What you think is happening o Your immediate nursing actions and interventions o The reason for your actions and interventions Part B: An important legal requirement of nursing practice is to effectively and succinctly communicate relevant information, actions and outcomes related to patient care and provide an accurate reflection of the health status of the patient, their responses to care and the patient’s perspective. Once Rosie’s condition has been stabilised, the doctors arrange to transfer Rosie to the Coronary Care Unit for closer monitoring and management. Using the ISBAR format, information from the handover you initially received and the additional information above: ver that clearly and succinctly outlines the important information the coronary care unit needs to know about Rosie Your handover must:
  • 41. -centred care documentation (Part A and B: 300 words, 10 marks)