PMSC20009 - Primary Healthcare Assessment, Pharmacology and Skills
Term 1 - 2017


All details in this unit profile for PMSC20009 have been officially approved by CQUniversity and represent a learning partnership between the University and you (our student). The information will not be changed unless absolutely necessary and any change will be clearly indicated by an approved correction included in the profile.

Overview

This unit provides you with the physical examination skills and knowledge of pharmacology needed for functioning as a paramedic with a primary healthcare focus and the assessment of patients with chronic diseases and non-acute complaints. You will learn advanced physical examination techniques, clinical treatments and procedural skills for the diagnosis and continual management of patient's medical care. Critical thinking and analysis focused on evidence-based medicine and best practice will be covered to integrate decision making and clinical judgement into the use of clinical procedures. Additionally, the unit introduces you to the concepts and decision making for the use of short term pharmacology treatments and how to safely conduct a review of in-home patient medications for referral to the patient's primary health provider.

Details

Career Level Postgraduate
Credit Points 6
Student Contribution Band 2
Fraction of Full-Time Student Load 0.125

Residential Schools

This unit has a Compulsory Residential School for distance mode students and the details are:
Click here to see your Residential School Timetable.

Attendance Requirements

All on-campus students are expected to attend scheduled classes – in some units, these classes are identified as a mandatory (pass/fail) component and attendance is compulsory. International students, on a student visa, must maintain a full time study load and meet both attendance and academic progress requirements in each study period (satisfactory attendance for International students is defined as maintaining at least an 80% attendance record).

Offerings

Term 1 - 2017
  • Mixed Mode

Website

This unit has a website, within the Moodle system, which is available two weeks before the start of term. It is important that you visit your Moodle site throughout the term. Go to Moodle

Recommended Student Time Commitment

Each 6-credit Postgraduate unit at CQUniversity requires an overall time commitment of an average of 12.5 hours of study per week, making a total of 150 hours for the unit.

Class Timetable

Assessment Overview

Assessment Task Weighting
1. Written Assessment 40%
2. Practical Assessment 40%
3. Written Assessment 20%

This is a graded unit: your overall grade will be calculated from the marks or grades for each assessment task, based on the relative weightings shown in the table above. You must obtain an overall mark for the unit of at least 50%, or an overall grade of ‘pass’ in order to pass the unit. If any ‘pass/fail’ tasks are shown in the table above they must also be completed successfully (‘pass’ grade). You must also meet any minimum mark requirements specified for a particular assessment task, as detailed in the ‘assessment task’ section (note that in some instances, the minimum mark for a task may be greater than 50%). Consult the University’s Grades and Results Procedures for more details of interim results and final grades.

All University policies are available on the IMPortal.

You may wish to view these policies:

  • Grades and Results Procedure
  • Assessment Policy and Procedure (Higher Education Coursework)
  • Review of Grade Procedure
  • Academic Misconduct Procedure
  • Monitoring Academic Progress (MAP) Policy and Procedure – Domestic Students
  • Monitoring Academic Progress (MAP) Policy and Procedure – International Students
  • Refund and Excess Payments (Credit Balances) Policy and Procedure
  • Student Feedback – Compliments and Complaints Policy and Procedure
  • Acceptable Use of Information and Communications Technology Facilities and Devices Policy and Procedure

This list is not an exhaustive list of all University policies. The full list of University policies are available on the IMPortal.

On successful completion of this unit, you will be able to:
  1. Demonstrate advanced clinical physical examination and assessment skills for the diagnosis of common chronic and low acuity disease states
  2. Apply critical thinking to determine an appropriate management plan for patient care
  3. Perform advanced clinical treatment including procedural skills in the management of common chronic and low acuity disease states
  4. Identify and integrate pharmacology in patient care as required
  5. Explore a patients medications to identify potential issues for referral to the patients primary healthcare provider

A Graduate Diploma is now the standard requirement for many State ambulance services for advanced positions in the paramedic field. An emphasis has been placed on preferred candidates exceeding this requirement with a Masters degree for many new positions such as the Paramedic Practitioner.

Alignment of Assessment Tasks to Learning Outcomes

Assessment Tasks Learning Outcomes
1 2 3 4 5
1 - Written Assessment    
2 - Practical Assessment    
3 - Written Assessment    

Alignment of Graduate Attributes to Learning Outcomes

  • Professional Level
  • Advanced Level
Graduate Attributes Learning Outcomes
1 2 3 4 5
1. Knowledge
2. Communication      
3. Cognitive, technical and creative skills
4. Research          
5. Self-management        
6. Ethical and Professional Responsibility          
7. Leadership          

Alignment of Assessment Tasks to Graduate Attributes

  • Professional Level
  • Advanced Level
Assessment Tasks Graduate Attributes
1 2 3 4 5 6 7
1 - Written Assessment      
2 - Practical Assessment      
3 - Written Assessment        

Prescribed Textbooks

There are no prescribed textbooks

Other Resources

These are not compulsory, but may assist you:
Murtagh's General Practice Companion Handbook
Author/s: Murtagh, JE Year: 2015
Edition: 6th Edition Publisher: McGraw Hill
City: North Ryde, Sydney State: NSW
Country: Australia
Other resources may be available at CQUniversity Library. Note:

The supplementary text by Murtagh is a general medicine companion - a smaller version of a much larger text, but a handy guide for this unit as well as PMSC20008.

I will offer information regarding skills and pharmacology throughout the unit on the Moodle page, however, access to a pharmacology text is recommended. Suggestions include Rang and Dale's Pharmacology (8th edition) or Bryant and Knights Pharmacology for Health Professionals.

IT Resources

You will need access to the following IT resources:
  • CQUniversity Student Email
  • Internet
  • Unit Website (Moodle)
  • Access to Zoom (session log-in details will be provided)
  • Access to eMIMs through the university library Paramedic Science Resource Guide
All submissions for this unit must use the Harvard (author-date) referencing style (details can be obtained here). For further information, see the Assessment Tasks below.
Unit CoordinatorKirsty Shearer (k.shearer@cqu.edu.au)
Note: Check the Term-Specific section for any additional contact information provided by the teaching team
Week Begin Date Module/Topic Chapter Events and Submissions
Week 1 06-03-2017

General assessment & management 1

Week 2 13-03-2017

General assessment & management 2

Week 3 20-03-2017

Focused assessment & management - HEENT 1

Week 4 27-03-2017

Focused assessment & management - HEENT 2

Week 5 03-04-2017

Focused assessment & management - cardiac & respiratory

Vacation Week 10-04-2017
Week 6 17-04-2017

Focused assessment & management - GIT/renal/endocrine

Week 7 24-04-2017

Focused assessment & management - integumentary/musculoskeletal

Week 8 01-05-2017

Wound assessment & management

Written Assessment Due Friday (05 May 17) 11:45 PM AEST
Week 9 08-05-2017

Infection assessment & management & immunity/immunisation

Week 10 15-05-2017

Pharmacology - pain management

Week 11 22-05-2017

Residential School

Week 12 29-05-2017

Pharmacology - patient's own medications

Written Assessment Due Friday (02 Jun 17) 11:45 PM AEST
Review/Exam Week 05-06-2017
Exam Week 12-06-2017

1 Written Assessment

Assessment Title Written Assessment
Task Description

You are to select two (2) clinical cases that you have personally been involved in during your current clinical practice (or clinical placements associated with this program) that have a primary care or low acuity perspective.

You are to write up, for each case, a comprehensive reflective case study, encompassing (but not limited to) the following components:

  • Background – age, gender, clinical & social history
  • A review of patient presentation, including chief complaint
  • Physical assessment findings
  • Review of medications (prescribed & over-the-counter)
  • Treatment offered at the time of your attendance
  • Potential alternate assessment and/or treatment interventions
  • Patient disposal (actual) versus potential alternate referral options (from a primary care/low acuity expanded scope of practice viewpoint)

Suggested word count is difficult, but would suggest no less than 1500 words per case review.

Assessment Due Date Week 8 Friday (05-May-2017) 11:45 PM AEST
Return Date to Students Week 10 Friday (19-May-2017)
Weighting 40%
Assessment Criteria

Each reflective case review will be worth 20% of your overall mark for this unit. All assessments must be submitted to pass this unit.

Each reflective case review will be assessed on the following criteria:

Overall presentation

  • Organisation of presentation/layout
  • Writing mechanics
  • Formatting
  • Referencing

Content

  • Thoroughness of history (background & patient presentation)
  • Thoroughness of physical examination
  • Discussion of current pharmacology
  • Treatment administered
  • Recommendations regarding potential assessment/treatment interventions
  • Discussion of patient disposal
Conditions Minimum mark or grade - A minimum mark of 50% must be achieved on this assessment to pass the unit
Referencing Style Harvard (author-date)
Submission Online

Submission through the unit Moodle page

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

2. Apply critical thinking to determine an appropriate management plan for patient care

4. Identify and integrate pharmacology in patient care as required

5. Explore a patients medications to identify potential issues for referral to the patients primary healthcare provider

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Knowledge

2. Communication

3. Cognitive, technical and creative skills

4. Research



2 Practical Assessment

Assessment Title Practical Assessment
Task Description

During the compulsory residential school for this unit, you will need to complete a practical assessment where you will be evaluated on your procedural and declarative knowledge of the various assessments, skills and pharmacology learnt throughout this unit. You will be assessed via a structured scenario involving comprehensive assessment and management of a patient presenting with a primary care or low acuity issue/s.

Assessment Due Date The practical assessmnet must be completed by 1700hrs on the final day of the residential school (Saturday Week 11 - 27 May 2017).
Return Date to Students Review/Exam Week Friday (09-Jun-2017)
Weighting 40%
Assessment Criteria

The practical assessment will be marked in accordance with the rubric provided on the unit Moodle page. In the event of a critical error or fail grade in your first attempt, you will be allowed a second attempt. A critical error or fail grade in the second attempt will result in a fail for this assessment.

If a critical error occurs during your assessment the assessment will immediately cease; no marks will be given resulting in a failed attempt. Critical errors in this assessment will be classed as any action or inaction which causes immediate harm to yourself, partner, patient or bystanders; failure to assess or address issues of primary survey; unsafe use of monitor/defibrillator; unsafe drug administration; unsafe work practices or incorrect treatment for patient presentation.

This assessment is worth 40% of the overall mark for this unit. All assessments must be completed to pass this unit.

In the absence of an approved extension, there will be no opportunity to complete this assessment after the compulsory Residential School for this unit.

Conditions Minimum mark or grade - A minimum mark of 50% must be achieved on this assessment to pass the unit
Referencing Style Harvard (author-date)
Submission Hard copy

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

1. Demonstrate advanced clinical physical examination and assessment skills for the diagnosis of common chronic and low acuity disease states

3. Perform advanced clinical treatment including procedural skills in the management of common chronic and low acuity disease states

4. Identify and integrate pharmacology in patient care as required

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Knowledge

2. Communication

3. Cognitive, technical and creative skills

5. Self-management



3 Written Assessment

Assessment Title Written Assessment
Task Description

Following on from your practical assessment, you will be required to document a comprehensive case report (attendance record), outlining your patient assessment, management and disposal. It should be written in an organised manner as though it is a document that you would fax to the patient’s GP.

This should encompass (but not be limited to) the following components:

  • Background – age, gender, clinical & social history
  • A review of patient presentation, including chief complaint
  • Physical assessment findings
  • Review of medications (prescribed & over-the-counter)
  • Treatment offered at the time of your attendance
  • Patient disposal including referral options (from a primary care/low acuity expanded scope of practice viewpoint)
Assessment Due Date Week 12 Friday (02-Jun-2017) 11:45 PM AEST
Return Date to Students Review/Exam Week Friday (09-Jun-2017)
Weighting 20%
Assessment Criteria

The case report will be marked according to the rubric provided on the unit Moodle page.

The case report will be assessed on the following criteria:

Overall presentation

  • Organisation of presentation/layout
  • Writing mechanics
  • Formatting

Content

  • Thoroughness of history (background & patient presentation)
  • Thoroughness of physical examination
  • Discussion of current medications
  • Details of assessment/treatment interventions
  • Plan for patient disposal

This assessment is worth 20% of the overall mark for this unit. All assessments must be completed to pass this unit.

Conditions Minimum mark or grade - A minimum mark of 50% must be achieved on this assessment to pass the unit
Referencing Style Harvard (author-date)
Submission Online

Submit assessment through the unit Moodle page

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

1. Demonstrate advanced clinical physical examination and assessment skills for the diagnosis of common chronic and low acuity disease states

2. Apply critical thinking to determine an appropriate management plan for patient care

5. Explore a patients medications to identify potential issues for referral to the patients primary healthcare provider

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Knowledge

2. Communication

3. Cognitive, technical and creative skills




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