CARE OF THE NEONATE WITH COMPLEX NEEDS

MID3NCN

2016

Credit points: 15

Subject outline

In this subject students will examine the beginnings of life from conception through to the first 28 days following birth and builds on the earlier clinical and theoretical exposure to the normal newborn. The subject is designed to encourage the student to develop further understanding of the conditions associated with the 'at risk' infant. The student will have the opportunity to acquire and develop the necessary knowledge and skills to identify and give appropriate care for the 'at risk', sick or premature infant. They will explore issues relation to parenting for health infants and infants who have complex needs due to pathology. Students build upon interpersonal skills when examining concepts of attachment, grief and loss. The relationships between maternal conditions and the effects on the infant, the impact to the health industry, local community and society surrounding the birth of a premature or abnormal infant are also considered.

SchoolSchool of Nursing & Midwifery

Credit points15

Subject Co-ordinatorJacqueline McGregor

Available to Study Abroad StudentsNo

Subject year levelYear Level 3 - UG

Exchange StudentsNo

Subject particulars

Subject rules

Prerequisites MID2PC, MID2PNC (previous curriculum)

Co-requisitesN/A

Incompatible subjectsN/A

Equivalent subjectsN/A

Special conditions The subject has been developed in accordance with the Checklist for an Inclusive Curriculum and the Cultural and Inclusive Practice Toolkit. Students will have opportunities to draw on their own cultural experiences and practices to inform their assessment tasks and the readings/resources/case materials have been selected with a diversity of perspectives in mind. Learning opportunities are available in classroom, online, in groups and in clinical practice unit offering varied methods for learner preference in learning styles. Students can access CLU out of class for extra practice and support.

Learning resources

Readings

Resource TypeTitleResource RequirementAuthor and YearPublisher
ReadingsMerenstein and Gardner's handbook of neonatal intensive careRecommendedGardner,S L, Carter, B, Enzman-Hines, M I and Hernandez, J A, eds, 20117TH EDN, MOSBY
ReadingsNeonatology at a glanceRecommendedLissauer, T and Fanaroff, A A, eds, 20112nd EDN WILEY-BLACKWELL

Graduate capabilities & intended learning outcomes

01. On successful completion of the subject the student is expected to be able to: Support and educate families whose infants require specialised neonatal care a. explore and discuss the issues of attachment and parenting when infants require admission to the special care nursery b. develop a discharge plan based on the needs of the infant c. provide the family with information about available community support.

Activities:
Face to face teaching and discussion Online learning package Further self directed reading, investigation and learning. Interprets evidence as a basis to inform practice and decision making Students will be on a clinical placement for 3 weeks (120 hours) within a special care nursery setting
Related graduate capabilities and elements:
Literacies and Communication Skills (Writing,Speaking)
Literacies and Communication Skills (Writing,Speaking)
Inquiry and Analytical Skills (Critical Thinking,Creative Problem-solving)
Inquiry and Analytical Skills (Critical Thinking,Creative Problem-solving)
Personal and Professional Skills (Autonomy and independence,Ethical behaviour,Adaptability Skills)
Personal and Professional Skills (Autonomy and independence,Ethical behaviour,Adaptability Skills)
Personal and Professional Skills (Autonomy and independence,Ethical behaviour,Adaptability Skills)
Discipline -Specific Knowledge and Skills (Discipline-Specific Knowledge and Skills)

02. Anticipate and identify infants who are at risk of complications in the neonatal period a. describe the normal developmental changes of the fetus from conception through to birth b. describe the normal neonatal physiological adaptations that occur following birth c. identify normal variations and minor anomalies in the normal newborn infant d. explain the differences between the physiological and neurodevelopmental characteristics of a normal newborn infant and a premature, sick or #at-risk# infant e. recognise infants who are #at risk# of complications as newborns based on the presenting pathophysiology

Activities:
Face to face teaching and discussion Online learning package Further self directed reading, investigation and learning. Students will be on a clinical placement for 3 weeks (120 hours) within a special care nursery setting. Skills assessment during clinical placement Interprets evidence as a basis to inform practice and decision making
Related graduate capabilities and elements:
Inquiry and Analytical Skills (Critical Thinking,Creative Problem-solving)
Inquiry and Analytical Skills (Critical Thinking,Creative Problem-solving)
Personal and Professional Skills (Autonomy and independence,Ethical behaviour,Adaptability Skills)
Personal and Professional Skills (Autonomy and independence,Ethical behaviour,Adaptability Skills)
Personal and Professional Skills (Autonomy and independence,Ethical behaviour,Adaptability Skills)
Discipline -Specific Knowledge and Skills (Discipline-Specific Knowledge and Skills)

03. Provide safe and effective care in the clinical setting for newborns who are premature, sick or at risk a. describe the scope of practice of the midwife in providing care to the premature, sick or at-risk newborn b. undertake and record a comprehensive assessment of the premature, sick or at risk newborn c. develop a plan of care for the premature, sick or at-risk newborn based on current evidence and best practice guidelines d. discuss the role of specialised health support equipment with parents of infants with special needs e. use specialised equipment to support the infant with special needs .

Activities:
Students will be on a clinical placement for 3 weeks (120 hours) within a special care nursery setting. Students will be working alongside registered nurses/midwives. It is expected that they will work toward completing their clinical requirements, consolidate learning, and work toward independant practice in the provision of neonatal care in the Special Care Nursery Recognise the role of assessment of the neonatal with complex needs Skills assessment during clinical placement
Related graduate capabilities and elements:
Inquiry and Analytical Skills (Critical Thinking,Creative Problem-solving)
Inquiry and Analytical Skills (Critical Thinking,Creative Problem-solving)
Personal and Professional Skills (Autonomy and independence,Ethical behaviour,Adaptability Skills)
Personal and Professional Skills (Autonomy and independence,Ethical behaviour,Adaptability Skills)
Personal and Professional Skills (Autonomy and independence,Ethical behaviour,Adaptability Skills)
Discipline -Specific Knowledge and Skills (Discipline-Specific Knowledge and Skills)

04. Consult and refer newborns who are premature, sick or at-risk to other health professionals as needed a. discuss the relationship between the role of the midwife and that of other health professionals in caring for sick, premature or at-risk newborns b. identify complications or challenges to the newborn infant that require specialist neonatal care

Activities:
Students will be on a clinical placement for 3 weeks (120 hours) within a special care nursery setting. Students will be working alongside registered nurses/midwives. It is expected that they will work toward completing their clinical requirements, consolidate learning, and work toward independent practice in the provision of neonatal care in the Special Care Nursery Students will be expected to submit a written reflection of their placement. These reflections are to be critical and function as a learning tool as a means of analysing practice as a midwife.
Related graduate capabilities and elements:
Literacies and Communication Skills (Writing,Speaking)
Literacies and Communication Skills (Writing,Speaking)
Inquiry and Analytical Skills (Critical Thinking,Creative Problem-solving)
Inquiry and Analytical Skills (Critical Thinking,Creative Problem-solving)
Personal and Professional Skills (Autonomy and independence,Ethical behaviour,Adaptability Skills)
Personal and Professional Skills (Autonomy and independence,Ethical behaviour,Adaptability Skills)
Personal and Professional Skills (Autonomy and independence,Ethical behaviour,Adaptability Skills)
Discipline -Specific Knowledge and Skills (Discipline-Specific Knowledge and Skills)

05. Provide care to families with a sick, premature or at-risk newborn a. discuss the psychosocial aspects of parenting a sick, premature or #at-risk# newborn b. discuss the role of the midwife assisting parents of a neonate who is sick, premature or at risk c. explore the role of the midwife in caring for families experiencing grief or loss d. communicate sensitively with family members about the care of their infant

Activities:
Students will be on a clinical placement for 3 weeks (120 hours) within a special care nursery setting. Skills assessment during clinical placement Face to face teaching and discussion Further self directed reading, investigation and learning. Avocates to protect the rights of neonate and their families in realtion to specaial care nursery Addresses the impact of personal beliefs and experiences on the provision of neonatal care in the Special Care Nursery
Related graduate capabilities and elements:
Literacies and Communication Skills (Writing,Speaking)
Inquiry and Analytical Skills (Critical Thinking,Creative Problem-solving)
Inquiry and Analytical Skills (Critical Thinking,Creative Problem-solving)
Personal and Professional Skills (Autonomy and independence,Ethical behaviour,Adaptability Skills)
Personal and Professional Skills (Autonomy and independence,Ethical behaviour,Adaptability Skills)
Personal and Professional Skills (Autonomy and independence,Ethical behaviour,Adaptability Skills)
Discipline -Specific Knowledge and Skills (Discipline-Specific Knowledge and Skills)

Subject options

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Start date between: and    Key dates

Melbourne, 2016, Semester 1, Day

Overview

Online enrolmentYes

Maximum enrolment sizeN/A

Enrolment information

Subject Instance Co-ordinatorJacqueline McGregor

Class requirements

Lecture Week: 11 - 13
Three 6.0 hours lecture per study period on weekdays during the day from week 11 to week 13 and delivered via face-to-face.
"Students complete a total of 22 hours of a combination of face-to-face learning with online modules."

Problem Based Learning Week: 11 - 13
One 1.0 hours problem based learning per study period on weekdays during the day from week 11 to week 13 and delivered via blended.
"Students complete an additional 10-hours of independent investigation"

Placement - Off Site Week: 11 - 22
One 15.0 days placement - off site per study period from week 11 to week 22 and delivered via blended.
"Students complete 120-hours of clinical practicum."

Lecture/Workshop Week: 11 - 13
One 4.0 hours lecture/workshop per study period on weekdays during the day from week 11 to week 13 and delivered via face-to-face.
"Students complete a total of 22 hours of a combination of face-to-face learning with online modules"

Assessments

Assessment elementComments% ILO*
One 1500 word written assessment (formative) Students will be required to write on a current topic30 01, 02, 04
One 2 hour examination (summative) The examination will cover key content from this subject at theClinical assessment of problem-solving, psychomotor and communication skills and professional development in line with the ANMC competencies.40 01, 02, 04
Clinical Assessment Students will be assessed using the Victorian Standard Clinical Assessment Too30% of the assessment workload for this subject is allocated to assessments that are conducted on clinical placement. These assessments are ungraded. It is essential to pass the clinical placement in order to pass the subject (i.e. it is a #hurdle# for the successful completion of the subject). The overall grade for this subject is calculated from the remaining theoretical assessment pieces. 30 03, 05