LTSE About LTSE Policies & Frameworks Inherent Requirements Bachelor of Nursing Science, Bachelor of Midwifery

Bachelor of Nursing Science, Bachelor of Midwifery

JCU Inherent Requirements for Bachelor of Nursing Science, Bachelor of Midwifery (103210)

Persons wishing to enrol in the Bachelor of Nursing Science, Bachelor of Midwifery course should read these requirements in conjunction with the course handbook.

Students should carefully consider the inherent requirements statement below as a guide to their learning during the course, and as a way to identify early possible challenges they may have in meeting these requirements.

Prospective students who remain interested or engaged in the course should discuss their concerns with College staff, such as the Course Coordinator, as soon as possible. If the challenges are related to a disability or health condition, students should contact AccessAbility Services to discuss possible strategies and reasonable adjustments.

If the inherent requirements cannot be met with reasonable adjustments, JCU staff may provide guidance regarding other study options.

Reasonable adjustments

Reasonable adjustments must:

Be consistent with legislative and regulatory requirements, and not compromise codes, guidelines and policies
Not result in unethical or unprofessional behaviour
Meet the necessary standards of timeliness, accuracy and functional effectiveness to ensure that self and patient care, treatment or safety is not compromised
Address the need to perform the full range of tasks involved in clinical practice, including undertaking learning activities in mixed gender environments, which reflect the Australian context, and
Ensure that performance is consistent and sustained over a given period.

Inherent Requirement	Compliance with Australian Law and professional regulations.
Rationale	Knowledge, understanding, and compliance with legislative and regulatory requirements are necessary in order to reduce the risk of harm to self and others in clinical and related settings; compliance with these professional regulations and the Australian Law ensures students are both responsible and accountable for their practice.
Examples	Respond to the requirements for student registration with the Australian Health Practitioner Regulation Agency (AHPRA) Comply with relevant legislation including child protection and safety, work health and safety, and anti-discrimination legislation. For examples of applicable Australian Federal legislations visit https://www.comlaw.gov.au/

Inherent Requirement	Ethical and professional behaviour in academic and clinical/professional environments
Rationale	Compliance with standards, codes, guidelines and policies that facilitates safe, competent interactions and relationships for students and the people they engage with in the many environments of practice is required for the physical, psychological, emotional and spiritual well being of all.
Examples	Comply with academic and non-academic conduct codes and policies and professional standards Identify and enact relevant applications of these codes and standards, including those relating to plagiarism, informed consent, privacy, confidentiality, and equitable and respectful behaviour in academic and clinical settings.

Inherent Requirement	Compliance with safe practice sufficient to meet patient care needs, including considerations of current scope of practice, workplace health and safety and infection control.
Rationale	Compliance with current scope of practice, workplace health and safety, infection control considerations and effective and timely response to alarm systems are required to provide safe environments for students, staff and others.
Examples	Limit task performance to current scope of practice Comply with relevant workplace health an safety policies for equipment use and storage Remain up to date with first-aid and CPR knowledge and practice Work safely with clients with infectious diseases and with reduced immunity Be able to respond to alarm systems to maintain safety and/or effective health management for self and patients

Knowledge and cognitive skills

Inherent Requirement	Knowledge acquisition, utilisation and retention spanning and drawing together all coursework subjects. Cognitive skills for focus, memory, attention to detail, theoretical deliberation, and practical functioning sufficient to meet patient care needs.
Rationale	Understanding and retention of coursework information and the effective processing of this information is required for appropriate, safe and effective delivery of care/practice.
Examples	Make safe and appropriate patient care decisions from retained knowledge Assess the application of policy and procedures in the context of clinical situations Source, research and use an evidence based framework to make sound decisions between clinical management options Assess level and analyse causes of a patient's pain Notice and respond effectively to critical changes in instructions, measurements or observable symptoms, e.g. assess appropriate course of action when patient’s temperature is elevated

Metacognition

Inherent Requirement	Awareness of own thinking, and skills to reflect, evaluate, adapt and implement new cognitive strategies for improved learning and patient care.
Rationale	Understanding and ongoing learning about oneself as an instrument in patient care is required for safe and effective delivery of practice.
Examples	Review the outcome of treatment for a patient's particular symptom presentation and then adapt own knowledge for future clinical decisions Review and reflect on personal responses and cultural paradigms around patient care challenges, and develop safe, effective and professional care approaches Manage and proactively learn from academic and clinical set-backs by self-evaluation Reflect on the options, ethical implications, and impact for all the stakeholders in patient care decisions Be aware of, and take responsibility for, own personal role in the patient care process

Inherent Requirement	English literacy skills that allow the creation and interpretation of clear meaning for patient care through a range of symbols and English language text.
Rationale	Patient care information can be delivered by many different modes and competent literacy skills for these are essential to provide appropriate, safe and effective delivery of care/practice.
Examples	Comprehend, summarise and reference a range of literature in accordance with appropriate academic conventions in written assignments Interpret written and spoken language to enact verbal directions or documented patient care plans Produce accurate, concise and clear nursing documentation which meets legal requirements

Inherent Requirement	Accurate processing and reasoning with numbers and numerical concepts for patient care decisions.
Rationale	Competent reasoning and reliable accuracy with numerical concepts are essential for safe and effective care/practice.
Examples	Calculate and correct intravenous drip rate and drug dosages in a time- constrained environment Calculate patient’s fluid balance status from observation and records

Verbal communication

Inherent Requirement	Verbal communication in English to a standard that allows fluid, clear, and comprehensible two-way discussions for patient care, tailored to the local English-speaking audiences.
Rationale	Effective verbal communication, in English, with patients and university and clinical staff is required for effective learning and to provide safe and effective delivery of care/practice.
Examples	Convey spoken messages accurately and effectively in a professional/clinical situation Understand and respond to verbal communication accurately and appropriately in a time-constrained environment when a patient provides vital bedside information Build rapport with a patient to encourage full disclosure of symptoms Present information to, and engage in developing discussions with, a wide audience, including academic and professional/clinical presentations

Non-verbal communication

Inherent Requirement	Non-verbal communication skills that enable respectful communication with others to meet patient care needs.
Rationale	The ability to recognise, interpret and respond to non-verbal cues, to communicate with congruent and respectful non-verbal behaviour, and to be sensitive to individual and/or cultural variations in non-verbal communication is essential for safe and effective care.
Examples	Recognise cues in a patient’s facial expression, appearance, behaviour, posture, or movement Deliver information to a distressed patient incorporating non-verbal behaviour that matches the nature of the information Recognise and adjust to differing touch preferences of patients

Written communication

Inherent Requirement	Ability to produce English text to a standard that provides clear and professional-level communication for patient care, with language usage and style tailored to the targeted recipients.
Rationale	Effective communication in English text is required to demonstrate applied skills in academic writing conventions and in sustained and organised academic argument and provide safe and effective delivery of care/practice.
Examples	Communicate complex academic and clinical perspectives in writing Summarise and appropriately reference a range of literature in written assignments Use precise and appropriate language to contribute to both handwritten and electronic medical records in a time-constrained environment Construct nursing reports and patient care plans that meet professional standards

Visual

Inherent Requirement	Ability to interact with visual inputs sufficiently to manage learning environments and to meet patient care needs.
Rationale	Elements in the working and learning environment are delivered by visual means, and the ability to learn from or respond to these inputs is required to provide safe and effective practice.
Examples	Observe and detect subtle changes in a patient’s response to therapeutic procedures e.g. skin colour and/or appearance Inspect wounds for tension on stitches and signs of inflammation and/or infection Read medication labels and syringe graduations Process visual information from monitoring equipment and medical technologies, e.g. ECG traces, x-rays, oxygen flow meters

Auditory

Inherent Requirement

Ability to interact with auditory inputs sufficiently to manage learning environments and to meet patient care needs.

Rationale

Elements in the learning and working environments are delivered by auditory means, and the ability to learn from or respond to these inputs is required to provide safe and effective practice.

Examples

Detect and discriminate changes in blood pressure sounds, pain sounds and breathing sounds;

Accurately undertake blood pressure measurements by auscultation
Detect and discriminate alarms, emergency calls over PA systems, and urgent verbal information for patient care
Detect the non-verbal sounds made by a woman in labour which may indicate birthing was in process
Follow developing discussions with colleagues for patient care decisions

Tactile

Inherent Requirement	Ability to respond to tactile input and provide tactile interaction sufficient to meet patient care needs.
Rationale	Elements in the learning and working environment are detected and measured by tactile means, and the ability to learn from or respond to these inputs is required to provide safe and effective practice. The appropriate use of touch as a part of effective patient care is also required.
Examples	Detect changes in circulation, e.g. temperature of extremities, palpable pulses Conduct a physical assessment and detect any anatomical or physiological abnormalities Apply appropriate technique when performing venepuncture Conduct abdominal palpation during pregnancy or labour and detect deviations from normal (e.g. breech presentation) Provide patient care through appropriate and reassuring touch.

Gross motor ability

Inherent Requirement	Strength, range of motion, coordination and mobility sufficient to meet patient care needs.
Rationale	A wide range of physical patient care actions in a time-constrained environment is required to provide safe and effective practice.
Examples	Instigate and contribute to emergency life support Move readily around patients, between work areas and patients, and around varying surfaces and levels, to complete tasks within timeframes Access around bedside equipment, across and patients, across sterile areas without contaminating surfaces Maintain balance and safely assist patient transfers and walking Effectively ascertain patient information from percussion or palpation of a patient's body parts

Fine motor ability

Inherent Requirement	Manual dexterity and fine motor skills sufficient to meet patient care needs.
Rationale	A wide range of fine-motor manual tasks in a time-constrained environment are required to provide safe and effective practice.
Examples	Adjust intravenous flow rates Draw up medication into a syringe Open sterile packaging without contaminating contents Remove stiches from a wound and perform the insertion of a urinary catheter Contribute to both handwritten and electronic medical records

Inherent Requirement	Sustained physical, cognitive and psychosocial performance sufficient to provide safe and complete patient care in a time-constrained environment.
Rationale	A range of complex, multi-component or extended patient care tasks carried out over a period of time and in a time-constrained environments is required to provide safe and effective practice.
Examples	Sustain study practices and clinical performance to sufficiently engage with the learning workload for a study period, and for the degree, within a constrained timeframe Sustain a working posture, associated manual tasks, cognitive engagement, performance level and emotional control for the full duration of a patient care process, e.g. lumbar puncture on a child; initial assessment of a multiple-trauma burn patient; successive and extended patient assessments with minimal breaks Sustain performance for durations that are manageable within overall shift-planning for patient care

Inherent Requirement	Behaviour that adapts to changing situations sufficiently to maintain safe and complete patient care, and instigates self-care consistent with professional expectations.
Rationale	Behavioural adaptation is required to manage personal emotional responses as an individual and within teams in changing and unpredictable environments, including emergency situations and times of human distress. Students will also be required to adapt their behaviour appropriately during times of additional stressors in their own lives, whether this adaptation involves ways of continuing to engage with their role or withdrawing for self-care for a period.
Examples	Adjust ways of working within teams of varied personal and professional backgrounds and clinical opinions to facilitate effective patient decisions Cope with own emotions and behaviour effectively when dealing with changing responses of individuals and families in the clinical setting Be receptive and respond appropriately to constructive feedback Maintain respectful communication practices in times of increased stressors or workloads Adjust to changing circumstances in a way that allows self-care while maintaining a professional-level focus on the patient