NRS547 Applied Emergency Nursing in the Rural and Remote Setting

NRS547 Applied Emergency Nursing in the Rural and Remote Setting

Upon successful completion of this subject, students should:
be able to apply the principles of triage and undertake advanced nursing assessments on patients with complex physical and mental health presentations and initiate time critical interventions
be able to demonstrate effective problem solving strategies and apply nursing interventions to stabilise the patient and manage pain
be able to identify diagnostic interventions and interpret test results
be able to plan for the organisation of a referral and evacuation or end of life care of the patient where it is appropriate
be able to practice in a culturally competent manner to seek, retrieve and evaluate evidence and recognise bereavement in Indigenous peoples
be able to apply a sound understanding of pathophysiology and pharmacology underpinning presentations to the emergency department
be able to explain how psychological, social and cultural factors as well as the features of the rural and remote environment, impact on individuals presenting to the emergency department
be able to reflect on traumatic events and access supportive interventions and resources for personal wellbeing
be able to utilise highly developed communication skills to communicate with family/carer; to expertly access, present, interpret, and document information including the use of technology
be able to apply legal and ethical principles, national clinical guidelines, local policies and protocols related to providing evidence-based practice in the emergency setting
be able to initiate and maintain collaborative relationships with other members of the health care team to improve health outcomes
Syllabus

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The subject will cover the following topics:
Assessment: Primary and secondary assessment including a history and physical and mental health examination; advanced communication skills; assessment to provide culturally competent care; documentation, observations and monitoring .
Emergency Presentations: Principles of care; clinical reasoning and diagnostic decision making; utilising clinical guidelines such as Remote Area Nursing Emergency Guidelines and the Primary Clinical Care Manual, management protocols that support evidence-based advanced nursing practice; legal and ethical aspects of care.
Emergency Interventions: Airway management; basic and advanced life support; ECG monitoring; arrhythmia detection; intravenous access and fluid administration; monitoring and interpretation of vital signs; diagnostic tests and interpretation of results; management of the unconscious patient and mental health patient; pharmacological interventions including pain relief, intraosseous infusion, oxygen administration, splinting of fractures and spinal immobilization; referral and evacuation; end of life care; collaboration with other members of the health care team.
Reflective Practice: Reflect on traumatic events experienced by the nurse and discuss interventions and resources available for support; reflect on learning and clinical experiences to facilitate a link between theory and practice, in particular factors in the rural and remote environment that impact on individuals and families.
Advanced Clinical Competencies: Taught and assessed in the simulated clinical laboratory at residential school and developed during mentored professional experience.