92438 Medical Surgical Nursing
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particular session, location and mode of offering is the authoritative source
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Subject handbook information prior to 2025 is available in the Archives.
Credit points: 6 cp
Subject level:
Undergraduate
Result type: Grade and marksRequisite(s): ((42 credit points of completed study in spk(s): STM90330 Standard entry (BN) OR 42 credit points of completed study in spk(s): STM91040 Standard Program) AND 92433 Assessment and Therapeutics in Health Care 2)
These requisites may not apply to students in certain courses. See access conditions.
Description
This subject builds on previous clinical subjects. Students develop their understanding and application of nursing processes with increasing emphasis on effective critical reasoning and sound judgement. The focus of learning is on the nursing management of adults admitted to acute care facilities with medical–surgical conditions. Students analyse and apply their knowledge and problem-solving skills in clinical case scenarios based on commonly encountered medical–surgical problems. Nursing competencies previously achieved are reinforced and relevant nursing skills strengthened and extended including: vital signs and neurological observations; infection control; administration of parenteral medications; person-centred nursing care; suture/staple removal; pain assessment and management; and fluid and electrolyte replacement. Students are exposed to simulated and scenario-based emergency situations, and guided to develop appropriate evidence-based, patient-focused responses. All learning experiences focus on providing safe and effective care to individuals and families drawing on the National Safety and Quality Health Service Standards (ACSQHC 2011) and the Essentials of Care Program (NSW Health: Nursing and Midwifery Office 2014).
Subject learning objectives (SLOs)
| A. | Incorporate pathophysiology, symptomatology and interdisciplinary management into clinical judgements about the care of individuals experiencing acute and chronic conditions (RN Standards for Practice 1, 2 & 5). |
|---|---|
| B. | Apply information technologies knowledge to the application of skills in assessment, planning, implementation and evaluation of nursing care (RN Standards for Practice 1, 2, 5). |
| C. | Develop person centred, evidence based plans of care in adherence with relevant policies and clinical practice guidelines (RN Standards for Practice 1, 2, 3, 5, 7). |
| D. | Discuss socio-cultural issues, health promotion and disease prevention in medical-surgical nursing contexts (RN Standards for Practice 1, 2). |
| E. | Identify, appraise and apply research evidence to inform clinical nursing practice (RN Standards for Practice 1, 3, 6). |
| F. | Demonstrate a capability to translate academic learning and clinical judgement to nursing actions that can meet identified patient outcomes (RN Standards for Practice 1, 3, 4, 5, 6, 7). |
| G. | Critically reflect on clinical experience and performance and identify strategies to improve future professional practice (RN Standards for Practice 1, 3). |
| H. | Demonstrate appropriate nursing practice in accordance with the Registered Nurse Standards for Practice including the ability to communicate in English with patients and staff in the clinical environment (RN Standards for Practice 1 - 7). |
Course intended learning outcomes (CILOs)
This subject also contributes specifically to the following graduate attributes:
- Embody a professional disposition committed to excellence, equity and sustainability (1.0)
- Demonstrate a professional identity which acknowledges the value of the nurse as a therapeutic agent (1.1)
- Demonstrate the characteristics and skills required for professional engagement and effective lifelong learning (1.2)
- Engage in person-centred care that is appropriately sensitive to the needs of individuals, families and communities (2.0)
- Practise person-centred, holistic care in which all aspects of the patient's wellbeing are considered (2.1)
- Communicate and collaborate effectively and respectfully with diverse groups (3.0)
- Inquire critically to assess a body of evidence to inform practice (4.0)
- Competently apply knowledge and skills to ensure safe and effective nursing practice (5.0)
- Demonstrate competence in clinical judgment, technical abilities and the skills expected of a new graduate nurse and meet or exceed the requirements of the Australian Health Practitioner Regulation Agency for registration as a nurse (5.1)
- Use contemporary clinical information technologies to manage patient information and optimise the provision of safe and high-quality care (5.3)
- Demonstrate respect and value for world view differences and in particular Australian Indigenous ways of knowing, being and doing (6.1)
Teaching and learning strategies
In this subject, you will participate in a range of teaching and learning strategies that are designed to encourage you to engage with the nursing care of patients admitted to acute care facilities with acute medical-surgical conditions.
UTS Canvas Learning Modules and MSN workbook
To assist students with study time management they will complete the pre-class activities outlined in the learning modules available on UTS Canvas. Access to websites, online videos and professional literature contribute to this learning strategy.
A MSN lab workbook will be utilised by students to complete their lab activities. Students express that they prefer a workbook as it becomes a useful rescource for their learning.
Case Scenarios
Cases are used to help students explore health related scenarios. Students will participate in tutorial sessions using scenarios that depict patients and their families in clinical situations. Students use these scenarios to learn concepts, interpret information, form clinical judgements and develop appropriate person-centred solutions. Critical thinking is developed through analysis, interpretation of and reflection on issues or situations. Students will be provided with feedback from their tutors and peers throughout the scenarios.
Clinical skills, communication and simulation
Students participate in clinical laboratory sessions that focus on integration of key concepts and skills. In these sessions, students are introduced to and practice a range of nursing skills, including assessment and interventions and simulation activities. Simulation activities are practical collaborative learning experiences designed to give students exposure to a comprehensive range of scenarios that may be encountered in practice. Activities include the use of audio-visual aids, interactive-computer programs and clinical equipment set-ups with mannequins, teaching staff or students as pretend patients. Students learn and practice clinical and interpersonal skills with case scenarios in the laboratories. These practice scenarios incorporate the development of effective communication skills including professional, interprofessional and therapeutic communication, which are required for safe nursing practice. The needs of students for whom English is an additional language will be taken into account. Students’ development of clinical skills is assessed through the subject assessment items in preparation for clinical placement.
Clinical Placement
Students who commenced prior to 2018 complete 80 clinical placement hours; Students commenced from 2018 complete 120 clinical placement hours.
Placements are provided in a range of acute care hospitals in mostly metropolitan locations. Students provide nursing care within interprofessional teams to develop and consolidate their knowledge, skills and attributes relevant to the clinical field.
Information Technologies
Information technologies will be used by students to access relevant evidence based literature to inform clinical practice.
Content (topics)
Person-centred care: Content included - critical thinking in health assessment and care planning; clinical reasoning;
cultural competence; quality use of medicines; therapeutic communication; inter-professional communication;
teamwork and patient safety.
Care of the person requiring medical, and surgical care: Content included - fluid management and electrolyte imbalance; acute pain; diabetes; respiratory conditions; acute coronary syndromes; neurological injury; recognition and management of 'the deteriorating patient’.
Clinical-based laboratories and simulation: Content included - quality use of medications (oral, parenteral and inhalers); establishment and management of intravenous (IV) therapy including peripheral cannula care; patient assessment using the A-G algorithm; oxygen therapy and management; basic airway management and suctioning; nursing management of chest pain; basic cardiac rhythm recognition; basic life support; neurological assessment; infection control including additional precautions and wound swabbing; introduction to interpretation of pathology results; pain assessment and management; planning care for 2 or more patients; discharge planning.
Skills addressed in the subject
Clinical communication and documentation:
- Clinical handover
- Recording vital signs
- Recording fluid intake/output
- Using and maintaining patient records
- Interprofessional communication
- Negotiating care with patient/client and families
Clinical assessment and monitoring:
- A - G physical assessment
- Pain assessment
- Respiratory assessment
- Cardiovascular assessment
- Basic cardiac rhythm recognition
- Cardiac monitoring: lead attachment and performing an ECG
- Neurological assessment
- Assessment of fluid balance
- Blood glucose monitoring
- Haematological results
- Recognition and responding to the deteriorating patient
Clinical interventions and management:
- Basic life support
- Wound care: care of drains
- Wound care: swabbing for culture
- Removal of clips and sutures
- Oxygen therapy
- Airway management: suctioning
Privacy and dignity:
- Respectful care
- Confidentiality
- Cultural and transcultural care
Risk and safety:
- Hand hygiene
- Infection control
Medications, intravenous therapy:
- Safe checking, administration, documentation and disposal of medications
- Medication calculations
- Oral medication administration
- Other non-parenteral medications
- Intramuscular injections
- Subcutaneous injections
- Intravenous therapy calculations
- Intravenous therapy
Assessment
Assessment task 1: Medication calculations quiz
| Intent: | The purpose of this assessment item is to provide students with the opportunity to demonstrate their understanding of medication calculations including oral, subcutaneous and IV fluids. |
|---|---|
| Objective(s): | This assessment task addresses subject learning objective(s): A, B, C, E, G and H This assessment task contributes to the development of graduate attribute(s): 1.0, 3.0, 4.0 and 5.0 |
| Weight: | 20% |
| Length: | 40 minutes |
Assessment task 2: In-Class Concept Map
| Intent: | The purpose of this assessment item is to provide students with the opportunity to demonstrate their development of critical thinking, clinical judgment and clinical decision-making skills. |
|---|---|
| Objective(s): | This assessment task addresses subject learning objective(s): A, B, C, F and H This assessment task contributes to the development of graduate attribute(s): 1.0, 2.0, 3.0, 4.0 and 5.0 |
| Weight: | 30% |
| Length: | 1 x page and to be completed in 60 minutes |
Assessment task 3: In class test
| Intent: | This assessment will provide students with the opportunity to demonstrate their ability to use the Clinical Reasoning Cycle to assess, plan, implement and evaluate appropriate nursing care of a patient; recognise and respond to the deteriorating patient and organise care underpinned by therapeutic communication. |
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| Objective(s): | This assessment task addresses subject learning objective(s): A, C, D and E This assessment task contributes to the development of graduate attribute(s): 1.0, 3.0, 4.0 and 5.0 |
| Weight: | 50% |
| Length: | 90 minutes |
Assessment task 4: Clinical placement
| Objective(s): | This assessment task addresses subject learning objective(s): A, B, C, D, E, F, G and H This assessment task contributes to the development of graduate attribute(s): 1.0, 1.1, 1.2, 2.1, 5.1, 5.3 and 6.1 |
|---|---|
| Weight: | Mandatory task that does not contribute to subject mark |
| Length: |
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Required texts
Berman, A., Snyder, S., Levett-Jones, T., Burton, P., & Harvey, N. (2020). Skills in clinical nursing. Pearson Australia.
LeMone, P., Bauldoff, G., Gubrud-Howe, P., Carno, M., & Levett-Jones, T. (2019). LeMone and Burke's medical-surgical nursing: Critical thinking for person-centred care (4th ed.). Pearson Australia.
Levett-Jones, T. (ed.) (2018). Clinical reasoning: learning to think like a nurse. (2nd ed). Pearson Australia.
Reid-Searle, K., Dwyer. T., Moxham, L. & Reid-Speirs, J. (2022). Nursing student's maths & medication survival guide (2nd ed.). Pearson Education Australia.
Recommended texts
Tiziani, A. (2017). Havard’s nursing guide to drugs. (10th ed). Elsevier Australia.
References
Refer to UTS Canvas for access to up to date references for this subject.
Links to references are provided on UTS Canvas.
Other resources
UTS Student Centre
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For other resources/ information refer to the Faculty of Health website (www.uts.edu.au/about/faculty-health) and Canvas at: https://canvas.uts.edu.au/.
UTS Library
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Improve your academic and English language skills
Marks for all assessment tasks such as assignments and examinations are given not only for what you write but also for how you write. If you would like the opportunity to improve your academic and English language skills, make an appointment with the HELPS (Higher Education Language & Presentation Support) Service in Student Services.
HELPS (Higher Education Language & Presentation Support)
HELPS provides assistance with English language proficiency and academic language. Students who need to develop their written and/or spoken English should make use of the free services offered by HELPS, including academic language workshops, vacation intensive courses, drop-in consultations, individual appointments and Conversations@UTS (www.ssu.uts.edu.au/helps). HELPS staff are also available for drop-in consultations at the UTS Library. Phone (02) 9514 9733.
Please see www.uts.edu.au for additional information on other resources provided to students by UTS.
The Accessibility and Financial Assistance Service
The Accessibility Service can support students with disabilities, medical or mental health conditions, including temporary injuries (e.g., broken limbs). The Accessibility Service works with Academic Liaison Officers in each Faculty to provide ‘reasonable adjustments’ such as exam provisions, assistive technology, requests and strategies for managing your studies alongside your health condition. If you’re unsure whether you need assistance, we recommend getting in touch early and we can provide advice on how our service can assist you. Make an appointment with an Accessibility Consultant (AC) on +61 2 9514 1177 or Accessibility@uts.edu.au.
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