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une On Ao New England University of New England School of Health Professional Entry Nursing Courses CLINICAL RECORD BOOK THIRD YEAR HSNS 364 Professional Practice: Application of Integrated Care STUDENT NAME: [Sustma TANDUEAL | STUDENT CONTACT TELEPHONE: iF 041535 HG 6 Le STUDENT ID NUMBER: oo: 01 93829 | HOSPITAL/HEALTH AGENCY: Sut HERLAND HospiTAy Be croyricar tg 8 _PRECEPTOR CONTACT TELEPHONE: | ()/4 2133 Bao | LOCATION (eg: town name): | CARINGA AH ,SYDNEY WARD/UNIT: YARRAREE PLACEMENT DATES: | FROM 27/07 /29 TO 04/08 / 20 | For more information, additional copies of documents or questions related to your Clinical Record Book please contact the Clinical School staff. LUNE ~ HSNS364 Clinical Record Book ScamedthConSerner _ ee ~ YOUR CLINICAL RECORD BOOK ___-_— a record of Yo h guidance for yoy Clinical Record Your Clinical Record Books have been designed to provide clinical placement experience. This record will provide you wit clinical development. ou are personally responsible for your Book and you are required to follow the following instructions * Show your clinical book to your Clinical Partner/Facilitator wheg you — commence your clinical placement to discuss your requirements for the placements. + Keep this Clinical Record Book with you at all times during your clinical placements, + Keep it clear from food and drinks. i * Do not use white out/ correction fluid or tape under ANY circumstances. * Whilst on Clinical placement if no one is available to complete your clinical placement booklet, contact the Clinical Coordinator and they will negotiate with the agency for a report to be completed and forwarded to this university. l CHECK LIST DO THIS NOW Q_ write your name, contact telephone number and student number on the front cover of this book. Q) Complete your goals for this placement in your Clinical Record Book DO THIS EVERY DAY Q) Complete your Daily Attendance Time Sheet and have your Clinical Partner/Facilitator sign it. DO THIS BEFORE YOU LEAVE THE PLACEMENT Make sure your Clinical Partner/Facilitator has signed your Procedures Check List for procedures performed during this placement. Q Ensure your Clinical Partner/Facilitator has completed and signed your Australian Nursing Standards Assessment Tool (ANSAT). OQ) Review your Personal Goals set for this placement; date those you have achieved, Ask your Clinical Partner/Facilitator to help you identify goals for your next placement (if applicable). AT THE CONCLUSION OF THIS PLACEMENT Q submit your completed clinical record book into the Moodle site. Q You MUST keep your original clinical record book as it may be called on for auditing purposes. LUNE - HSNS364 Clinical Record Book Seamed Cansearne —_—CONTACTINFORMATION. The Clinical Office Clinical Placement Asistants Tania Robb Kellie Lockyer Alisa Kennedy Contact details: Phone: 6773 4388 Email nursingplacements@une.edu.au Clinical Placement Manager: Jillian Fitzgerald Contact details: Phone: 6773 4388 Email fepwil.coord@une.edu.au Students are reminded to contact the Clinical Office Staff via the ASkUNE system. if we are unable to answer your call please leave your name, brief scription of message, contact details and time you called and we will return your call as soon as possible. ical Coordinator - Academic: Zach Byfield Email: fcpnursing_academic@une.edu.au Mobile: 0407 414 577 a UNE - HSNS364 Clinical Record Book SecamednthConScamer ‘yoog pucos fe10HD ¥OE SNSH ANE 206 je21u)p nok no 185 03 MOY JO ajduuexe pod e seu 11 BL-224 *S\USPMis JO} SpINB jehuasse ue ‘uaware|d je>1Ul|> ay “UONIPA PUZ ‘LOZ ‘sloaBsnog y SUO/-ENET - XL 24) OF 1242U (aouapina) {Jeo6 nod panaly>e aney NoA 142 enoud 01 BUIOB NoA ase MOH (ABaiesas) £21 sea] 02 BUIOB NA ase MOH (jeuorme,) £3! urea] 02 UM | OP AUM (1206) guseaj 03 ueM | op YM. Buimoj}oy aya sapisuo> pinoys noA seo jer1ulj> Buidojanap UaYyM, *(UONIPA pz “82-224 ‘| LOZ ‘sloeBsnog *R saUOf-9NA) IUJea] APRaye BABY NOA EY. @qepljosuo> pue uodn pjing |jim Aaya s21sauias yrea pue weiboid ayy YBno1 paer0Id noA se parernsiydos o10W Alanisse4Bosd aworaq |I!M s[eOH ano, -asinu paiaisibe1 wapyuo> pue yuaduio> ‘aANDraya ‘ayes eB awuOrAq NOA diay sjeob Bulwzes) AULA. ansieay a aigenaiury ¥ aiqeinseaw Ww ads s “(uonpa 2 [LOZ ‘Slo@Bunog p sauof>ians} UI pax? ‘8661 ‘43/MO4) LYWWNS 2q PINOYs sjeo6 ay, asuas Aue Ul -UMO snoA dojanap os|e ‘Aeus noA pue 00g IUaUWAreId Je>1UI|9 4NOA UI BAaIY2e 01 PaaU NOA sa}DUaIedWO> ey) se Y>NS) paqudsaid aq Ae s[EO6 [eD1UI|D, “aij sasasequr anoA a1aym pur aoualiedxe je2iul|> InoA Bulinp anaiyre or adoy noA YM SB YoNs YOREUMOJU! 19450 UD ABYL “NY 1O1EI|!9e4 [E>IUN| 10 4oide22id snoA se yans ‘s194j10 0 aye>/UNWWOD 0 pasn aq UeD PUP Seale JUELOdWI SOW! ayy UO Pasnooy NOA daay ‘aoualIadxa Jeoiusjo YBnosy2 s2UePING noA an\6 ue Aay| “BulUeD| ANOA 40J AreJaUNI INO IYBNoY Jom e Se PaMaIA aq LED s[eob [eD1UI|> S1VO9D ONINYVAT TVIINITD Ry Seamed Canseare "yoo plo>ay e>1UI> PSE SNSH ~ 3NN _ paws 1) of at Guero you worboud| Samer PoP “at fanaa ‘pre Ww non stall aut Seywoumnop ha emov viuboul paaynd aug! oul vorhord prayod gat la fyormyrea pewmop of yeas 4 eos’ aD Aynige dora a | Srapowr aad N) oP yd aay 3 “ae sprdaddo rnp He) xy vi vaya Yuorpr y Nyniae 4 + “ore >07pn00 graped wi vaynausing Ye 2148) LAR ump, euivoyt)| arveyto pup ono busnu| # Yey’Poo baypanu7ee au quep At Easy ae ij of. apnod ob ama Kfavep! oy haparmepo woyporpen MI yas SION, fe djay mye va qo vasnredhs my pan vouaysnann® wo yenrpaw Cera 7 abpace ey, veo fo spon fal ahericou “anya ufo Jralojom pre MeymrPe™! © yewyo 0 veya oymysiuwP? vey ropes brramb abpacoul prwnyg furasiunape hg NAS Dwya a ys dopep on] 70 “paged gay Guyruouaapp mt pears Busan, Faowmau poppe ap paar preudsie na] + pra 193810 ‘grauvraing buyanu au barussprod pe Gussiny buraseired up Guana radowd 4 prynyah “pea quaynd wok of MHHIAU | proj qoyod Suri Fa] puetodwo) —aworq ob Was -munyuo a “Toqed yydsey popoyn shyaeraud —prradual 440 ypidsouy gt i 2139) Gurgaon oS|e paw Gnyed aes eee Go oypod qo eds wiyict vent Ajo yn) Ganod \idsou [ses aA Guypuny svopun dojanap ol} yudsoy aur fo wrjshs yiney, out pwPtSiepun OL. Ly mypaff a auam Of jenndelqo Aw panaiyre aney 11242 enosd 03 Bulob | We MOH | a2uapiag {a} urea] 01 Bujo6 | we MoH Abarens a} urea} 01 1UeM | Op AUM jeuoney qusea} 01 eM | op UM reo) CLINICAL PLACEMENT ATTENDANCE RECQ Facilitator/ preceptor Day ban | Sore | cml Taos Name, Signature, and wae wi | Designation Monday 2+]orpo| (a00 | awasl| 8 As Tuesday ’slda) 20 | \2S0.] agoo| & 2) Wednesday |33|03/70| 1230 | aaoo| BS eo Thursday [go)o4/20 | BBO |Aacd| B Se Friday a3 ]o9/70| (SEO | DSOO]_ ag Saturday ed Sundi Monday Monday S Tuesdy lu og}0 280 [aaool 8 | Wednesday [5 /og)20 ||a8o [Qacd Thursday $]08/2 | (B36 |aaod & Friday 708] | BBO|aaod| 4 ‘Saturday Sunday Tuesday Wednesday Thursday. Friday Saturday Sunday Monday: Tuesday Wednesday, Thursday Friday ‘Saturday ‘Sunday Seamed Cansearner 400g p1022y [E>IUI| POESNSH ~ INN quawissasse yyeay (e1UaW quawssasse [e9160)0in N quawissasse (e19/2450)N250W qusuissasse jeuluuopay: quaUISsasse 2eIp1e5 quauissasse Asoresidsoy Og PEAT ZT & esdiaqul pue inpuoy qusussasse snneredoas0g/aid TUSUISSUSSE 95H SITES TUBUSSSSSE Ease OINSSEId | TUBUISSeSse UTED aASUSyaITWOD Suwwue>s Z9ppey— | {quaned Guneiovatep avi Jo uontu60D9)) uoRIpuod Saualted e ul sabuEY> 03 Buipuodsow uoddns Jo WoIsinoud pu uedsoyl| a4p SsOJDe JU|Ned aya Jo UOISsIMIpy Bunjoyuous Seipie> yenunuo> jo Bujjaidiequy/Bu\p10293/Bulssassy 540s04uun245 1sIem PUP YBIaM IYBIOY JO Bunesdiarul/Gu1p10991/BuIssassy $99 Jo Bunsidieiu1/Gup10391/Burssassy 70a Jo Gunaidiaul/6uipioras/Bussassy in J Bunrasdaqu1/6u1pi0>9i/Buissassy 5 wissassy [EI9US5) Soiou iuenied paveiGaiu pue uejd sue) 21Seq e ToId IOI pue WauIndoq) Peo] waned sieudoidde UP Sujeuey, UuonIpuo> xajduoD 40 a1U0Iy> © YMA AUB NEG/AU jo o1e> aif BulGEuEyy quaned/uayp e jo wawssasse Bul ae ‘oamveuB Is NY Buro6uo pue 1 ‘Avoisiy yajeay Jo uon29|10>) quaua2e/d siy2 UOReP!OSUO> 103 5} as Aue jo oped ai ‘Toyod sie ayijeay [eo] UUM AldwOD oy parsadxa aie Suapms a uuinjoo areudosdde atp ut sosnpaoosd aya azep pur Ubjs 03 paysanbas s1 asinN pasersiboy y (eonzeid jo 9d095 sJa4 21) uoNeanpe YeaN2esd 40/pue jeonasoaLp pantaaey sey asinus wapMs aif TeMp SIIP4s a4R SIsH| BuIMO|}O) OY. AYXVWNS LNINIATHIV JANGIIONd Scanned Canseare ey ‘BuIneys "@Ie> HANOI BuIMOTeMS AU siUBRET (934/19) 24m 6u I bio Glnped usUISSeSSe GeMS pUnOM "S85EF "ASD NSH) UaUUDEds ‘SABRIDAL GaROL VON ITTRSY | ‘400g p0294 Je21U POESNSH - 3NN (Woisnju 70 snjoq) snousAeTU| > snoaueymgns, (el ear A? qewepsuen/jesidoy > TWod) PISOBTEUY PATORUOT Spiny STO J WeUBSeURLA BUIOBUS pues (SbuoIg TRSEN/ISEW v5e3) Aderay) UOBAKO Jo WueUBBEueUI BulOBUS pur uO) Ba ee ip np SuMpe) WoRENsyuNupE woReDIPaW TeROpURY TESTS vonesnps waneg Seamed Cansearner Student Name; " cae Name | Cote ee ANDUEAR Student 0:[200493809 | ina Sting / Warde REESE te en oT inca Seti ere: 7 case ST ARETE "SRS placement Dates | ]o1]m Or] 05)22 Pmec rr Soy os Eat - Expected behaviours an ectcesnotperformed {spec bho and brats praesent snd ‘epee behaviors and practices perormed at satstacoy as standard pete betas and paces peromed at proficient standard ted behaviouts ad practices performed at an excellent N/A= not assessed e ean atin **Note: 3 rating 1 &/or 2 indicates that the STANDARD has NOT been achieved 3 ‘Assessment item Circle one number + Thnk tally ond anaes nrsig pte + Complies and practices according to relevant legislation and local policy T[2]3] 4 [Ga + _Uses an ethical framework to guide decision making and practce thats fs la ‘+ Demonstrates respect for individual and cultural (including Aboriginal and Torres Strait Islander) J preference and diferences y "El ieke . ee Ga cece aaa tlolal« ©) na ‘+ _ Maintains the use of clear and accurate documentation [at2ts S| NA | 2_ Engages in therapeutic and professional relationships ‘Communicates effectively to maintain personal and professional boundaries Tz [a4 NA © Collaborates with the healthcare team and others to share knowledge that promotes person~ Is |___centred care ‘th 2 ea tu ‘> _ Participates as an active member of the healthcare team to achieve optimum health outcomes Ta fe ts] 4 [GNA = Demonstrates respect for apersom’s rights and wishes and advocates on their behalf T2134 [GWA 3. Maintains the capability for practice "Demonstrates commitment to life-long learning of self and others a [2 Sa 4 N/A = Reflects on practice and responds to feedback for continuing professional development, 1[2 [3] 4 N/A =7 Berra si nbetdieao enblaeorl tno decisions andtake acvon about |, | >} | I@) Na

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