Student ID: 12203605 – NURS20171- Assessment 2- Artefact 2

PORTFOLIUM – ARTEFACT 1 & 2

GENERALIST NURSE WORKPLACE ASSESSMENT

GUIDE

Name: Date:
Sarah Harwood 06/05/22

Student Number: Area of practice:

12203605 Internal Medicine / Renal

ASSESSMENT GUIDE

Please refer to the information on the assessment guide and portfolios that has been provided
online before commencing this activity.

This checklist addresses Generalist nursing practice. Where a procedure is not applicable to your
area, tick N/A.

1. This checklist must be used in conjunction with your professional portfolio (Portfolium)
development. It underpins your clinical learning during this unit of study. Please check the
instructions provided for this activity on Moodle.
2. As part of your learning plan, you need to identify the competencies and skills that you
need in your specialty area, then rate yourself on each of them. Remember, a low score
merely means that you need more work on your skills and knowledge, so please be honest
with yourself. Use this assessment to plan your learning for the term.
3. You need to complete this assessment twice during this term.
a. The first time is in Week 2 to determine where you are in regard to your clinical and
professional skills development.
b. The second time is to reflect with your nurse educator/mentor on what you have
learned during the term (to be completed in Week 9).
4. Submit both self-assessments in Moodle, in the tab provided.
5. After it has been reviewed ensure both the Week 2 and Week 9 self-assessments have
been added to your Portfolium by Week 11.

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Student ID: 12203605 – NURS20171- Assessment 2- Artefact 2

NURS20175 Advanced Practice for Registered Nurses 1 2

Student ID: 12203605 – NURS20171- Assessment 2- Artefact 2

NOTE:
If the procedure or skill is not applicable to your area, tick not applicable (N/A).
You may also add locally required activities to this list.
Activity 1 2 3 4 5 N/A
COMPLIANCE WITH NURSING AND MIDWIFERY BOARD PRACTICE
STANDARDS
Standard 1: Uses a variety of thinking strategies and the best available X
evidence in making decisions and providing safe, quality nursing practice
within person-centred and evidence-based frameworks.

Standard 2: Practice is based on purposefully engaging in effective X

therapeutic and professional relationships. This includes collegial
generosity in the context of mutual trust and respect in professional
relationships.

Standard 3: Is responsible and accountable for ensuring they are safe and X
have the capability for practice.

Standard 4: Accurately conducts comprehensive and systematic X

assessments. They analyse information and data and communicate
outcomes as the basis for practice.

Standard 5: Is responsible for the planning and communication of nursing X

practice. Agreed plans are developed in partnership. They are based on the
RNs appraisal of comprehensive, relevant information, and evidence that is
documented and communicated.

Standard 6: Provides and may delegate, quality and ethical goal-directed X

actions. These are based on comprehensive and systematic assessment,
and the best available evidence to achieve planned and agreed outcomes.

Standard 7: Takes responsibility for the evaluation of practice based on X

agreed priorities, goals, plans and outcomes and revises practice
accordingly.

CARDIOVASCULAR SYSTEM
Managing telemetry X
Monitoring cardiac patients – identifying abnormal observations X
Identifying common arrhythmias X
Use and care of the ECG machine X
Undertaking a 12 lead ECG and undertake a general interpretation of it X
Recognising deterioration X
Cardioversion and defibrillation X
Managing hypovolemic and cardiogenic shock X
Care of the patient with pulmonary oedema X
Interpreting blood gasses – identifying acid-base change X
Caring of the cardiac patient requiring respiratory support in the general X
ward area (e.g. BIPAP and CPAP)
Assist with peripheral, central line insertions X
Haemodynamic monitoring and care X
 Peripheral lines

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Student ID: 12203605 – NURS20171- Assessment 2- Artefact 2

Activity 1 2 3 4 5 N/A
 Central lines
Use and care of pacemakers X
 Managing external/transcutaneous pacemakers
 Managing temporary pacemakers (single and dual
chamber/sequential)
 Managing permanent pacemakers
Care of the patient with a pacemaker X
Care of the patient with acute myocardial infarction X
 Stemi/non-stemi
 Atypical
Care of the patient with angina X
Care of the patient with valvular disease X
Care of patients following post-operative vascular surgery X
 Percutaneous transluminal coronary angioplasty
 Angioplasty
 Cardiac transplant
Use and administration of:
Amioderone X
Atropine X
Digitalis X
Dobutamine X
Dopamine X
Heparin X
Epinephirine X
Isuprel X
Insulin X
Lignocaine X
Nitroproside X
Nitroglycerine X
Verapamil X
Thrombolytics X
Management of pain X
Epidurals X

PULMONARY
Assessment of respiratory function – normal breath sounds X
Assessment of respiratory function – abnormal breath sounds X
Monitoring respiratory function including X
 Oxygen saturation
 Respiratory
 Pulmonary
Assisting with chest drain insertion X
 Emergency
 Routine
Care of chest drains X
Administration of oxygen X
 Mask
 Nasal cannula
Emergency equipment – knowledge and management X
Care of the patients with:

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Student ID: 12203605 – NURS20171- Assessment 2- Artefact 2

Activity 1 2 3 4 5 N/A
Pulmonary emboli X
Tracheostomy X
COPD X
ARDS X
CHF X
Other respiratory diseases (e.g. TB, cystic fibrosis etc) X

GASTROINTESTINAL
Assessment of bowel sounds X
Identification of abnormalities in bowel sounds X
Stool tests X
Insert/maintain feeding tubes
 NG X
 Gastrostomy X
Fluid balance X
Managing Total Parental Nutrition X
Care of ostomy patients X
Management and care of GI Bleeding X
 Emergency
 Routine
Management of abdominal wounds X
Infections X
Dehiscence X
Pre/Post op GI surgery X
Bariatric patients X

GENITOURINARY/RENAL
Insertion and care of urinary catheters (M&F) X
Insertion and care of suprapubic catheters (M&F) X
Care of urostomy X
Care of patients with:
 Acute renal failure X
 Chronic renal failure X
 End stage renal failure X
 Post-surgery X
Assist with care of Vascaths X
Management of haemodialysis patients
 Acute X
 Chronic X

ENDOCRINE
Care of the patient with pituitary dysfunction X
Care of the diabetic patient
 Differences between type 1 & 2 and management thereof X
 Diabetic ketoacidosis X
 Hypoglycaemia X
 Management of insulin/potassium infusions X
 Sliding scales X
Management of patients with thyroid dysfunction
 Hyper X

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Student ID: 12203605 – NURS20171- Assessment 2- Artefact 2

Activity 1 2 3 4 5 N/A
 Hypo X
Management of patients with adrenal dysfunction X

MUSCULOSKELETAL
Traction X
Casts X
Collars X
Slings X
Splints X
Use of T.E.N.S. unit X
Beds X
Crutches and walkers X
Management of a patient with total knee replacement X
Management of a patient with total hip replacement X
Management of a patient with trauma X
Arthroscopy X
Management of patients with joint and bone disorders X
Amputation X
External fixators X

NEUROLOGICAL
Management of a patient with head injury X
Management of a patient following stroke X
Management of a patient following neurosurgery X
Management of a patient following spinal injury/surgery X
Management of a patient with neurovascular X
Management of a patient with Parkinson’s X
Management of a patient with dementia, delirium or confusion X

MISCELLANEOUS
IV therapy X
Managing hypothermia X
Preparing for cut downs/intraosseous X
Managing central lines X
Managing arterial lines X
Use of blood warmers X
Managing blood products X
Blood diagnostics – understanding the normal and analysing the abnormal X
X-rays – reading what’s normal X

ADDITIONAL ACTIVITIES (add according to your service needs)

Assessment and management of labile blood pressure in renal patients X
Renal education for the patient and family X
Intra-peritoneal medication administration via the dialysis bag X
Major contamination procedure for Tenckhoff X
Performing APD and CAPD with Baxter and Fresenius X
Wound care X

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Student ID: 12203605 – NURS20171- Assessment 2- Artefact 2

Activity 1 2 3 4 5 N/A
Preceptorship of new graduates X
Total Score 0 0 0 9 62

In Week 9 - Summarise the improvements/developments that you have made in the last seven
weeks and document your plan for the future in 200 words or less after review with your nurse
educator or mentor.

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