FACULTY OF HEALTH SCIENCES School of Nursing & Midwifery Online

SEMESTER 2, 2011 Unit Code: MIDW335 Unit Title: Babies Needing Extra Care UNIT OUTLINE CREDIT POINTS: 10 PREREQUISITES / CORE REQUISITES / INCOMPATIBLES: BIOL119 & BIOL120 Foundation Biological Sciences 1&2; MIDW113 The Childbearing Journey

LECTURER-IN-CHARGE:

Lecturer Name: Colleen Rolls Office Location: Melbourne Campus room 3-104 Email: within MIDW335 Mail

DESCRIPTION:
This theoretical unit will assist students to acquire foundational knowledge of the care of babies with special needs. Students will have the opportunity to study the circumstances that commonly result in a baby being admitted to a Level Two Nursery. The issues confronting the infant and family during this period will be explored as well as the role of the midwife in facilitating health and wellbeing of the infant and family. Students will reflect upon and debate the ethico-legal issues involved in caring for a baby with special needs.

TEACHING TEAM:
Lecturer Name: Michelle Ferguson Email: within MIDW335 Mail (expect reply from Michelle on Monday & Tuesday).

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MODE AND DURATION: Mode:

Fully online unit

Duration: 10 week semester. You should anticipate undertaking 150 hours of study for this unit, including readings, discussion board postings, portfolio development and assignment preparation. Unit Outline Resources: The University provides a range of information and support for your studies. The Unit Outline Resources web page (http://www.acu.edu.au/241467) links to all relevant Policies, Resources and Support. See the end of this document for more information. LEARNING OUTCOMES: On successful completion of this unit, you will be able to:
1. Identify circumstances that may necessitate admission of a baby to a Level Two Nursery; 2. Analyse the Level Two Nursery environment and its potential to impact upon the baby and family; 3. Describe the role of the midwife within the context of the Level Two Nursery multidisciplinary team; (ACU Graduate Attribute: 5); 4. Utilise clinical decision-making strategies to plan evidence based care for the baby in a Level 2 Nursery and their family; (ACU Graduate Attribute: 6, 8); 5. Explain the familys right to privacy, dignity, respect, and to be informed and make decisions regarding care of their baby (ACU Graduate Attribute: 1);

6. Debate the ethico-legal issues which arise in the care of babies with special needs (ACU Graduate Attribute: 3); 7. Utilise information and communication technologies effectively to meet your learning needs. (ACU Graduate Attribute: 10).

Each unit in your course contributes in some way to the development of the ACU Graduate Attributes which you should demonstrate by the time you complete your course. You can view the ACU Graduate Attributes for all courses by following the link to Graduate Attributes (http://www.acu.edu.au/204356). All Australian universities have their expected Graduate Attributes ACUs Graduate Attributes have a greater emphasis on ethical behaviour and community responsibility than those of many other universities. All of your units will develop some attributes. Your course Bachelor of Midwifery is a professional program that requires development of particular attributes for accreditation purposes. These are also included in the Learning Outcomes. On successful completion of this unit, students will have developed their ability to:
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GA1 GA2 GA3 GA4 GA5 GA6 GA7 GA8 GA9

demonstrate respect for the dignity of each individual and for human diversity recognise their responsibility to the common good, the environment and society apply ethical perspectives in informed decision making think critically and reflectively demonstrate values, knowledge, skills and attitudes appropriate to the discipline and/or profession solve problems in a variety of settings taking local and international perspectives into account work both autonomously and collaboratively locate, organise, analyse, synthesise and evaluate information demonstrate effective communication in oral and written English language and visual media

GA10 utilise information and communication and other relevant technologies effectively CONTENT: Topics will include: Growth and development - assessment of the newborn - gestational assessment - comfort and stimulation - parental contact. Circumstances that require a baby to admitted to a Level Two Nursery - pre-term - congenital malformations - genetic disorders - metabolic disturbances - neonatal abstinence syndrome - jaundice - infection - neurological disorders - anaemia. Care of the sick or preterm baby - resuscitation - temperature regulation - oxygenation - immunity - pharmacology - pain management - comfort. Care of the family - education - support and counselling - grief and loss - transition to parenthood.
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Ethico-legal issues - informed consent - saving very premature babies - palliative care. Fluid and electrolyte needs of babies - nutrition - elimination - calculating fluid requirements - gavage feeding - intravenous feeding - supplemental feedings - breastfeeding. Neonatal emergency transport service - referral, stabilisation and retrieval of the sick or pre-term baby

SCHEDULE: Week/Date Week 1 July 25th Week 2 August 1st Modules Module 1 The Perinatal Environment and Assessment of the Neonate Module 2 Resuscitation, Stabilisation and Admission to Special Care Nursery Module 3 Cardio-Respiratory Diseases Discussion Board/Due Date Discussion Board 1 Sunday July 31st Discussion Board 2 Sunday August 7th

Week 3 August 8th

Discussion Board 3 Sunday August 14th

Week 4 August 15th Week 5 August 22nd

Module 4 Fluids, Electrolytes and Feeding Module 5 Neonatal conditions 1- Jaundice, Infections and Neonatal Abstinence Syndrome(NAS)

Discussion Board 4 Sunday August 21st Discussion Board 5 Sunday August 28th

Week 6 August 29th

Module 6 Neonatal Conditions 2.Congential and Genetic Disorders

Discussion Board 6 Sunday September 4th

Week 7 September 5th

Module 7 Conditions of Prematurity

Discussion Board 7

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Sunday September 11th Portfolio1 Monday September5th Discussion Board 8 Sunday September 18th Discussion Board 9 Sunday September 25th

Week 8 September 12th Week 9 September 19th Week 10 October 3rd

Module 8 Neurological Conditions and Neurodevelopmental Care Module 9 Ethical Issues and Stabilisation for transfer Vacation week Module 10 Discharge planning and Family Care Portfolio2 Assignment

Discussion Board 10 Sunday October 9th Monday October 17th Monday October 31st, 12midday

Monday October 31st, 12 midday

ASSESSMENT PROCEDURES: OVERVIEW OF ASSESSMENTS:

Brief Description of Assessment Tasks Due Date Weighting (%) Learning Outcome/s Assessed Graduate Attributes Assessed

Group discussion board participation

Assignment 2- Portfolio1. Assignment 3. - Portfolio2. Assignment 4.- Case study

Per 20% study schedule 5/9/11 20% 17/10/11 20% 31/10/11 40%

1, 2, 3, 4, 5, 6, 7 1, 2, 3, 4, 5, 6, 7 1, 2, 3, 4, 5, 6, 7 1, 2, 3, 4, 5, 6, 7

1, 3, 5, 6, 8, 10 5, 8, 10 5, 8, 10 1,3,5, 8, 10

In order to pass this unit, you are required to successfully complete all assessment tasks.
Assessment task 1: Group Discussion Board Participation This assessment task provides the opportunity for students to develop open-mindedness and receptiveness to new ideas by sharing ideas and evidence related to module topics. Following review of the Module material, readings and learning activities, student groups are to make submissions to each of the 10 Discussion Boards (DB). Challenging others ideas respectfully is especially encouraged. Guidelines: Students are to work in a 3-4 person group for discussion board activities. Grades for discussion board participation will be a group grade. A group discussion board contribution is required each week. Individual discussion board contributions are also encouraged but are not graded. Weighting 20% Due date & time per Study Schedule Word limit maximum 250 words per DB postings Marking criteria As per attached marking guide Submission requirements Discussion boards 1-10
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Assessment task 2: Portfolio Task1.

This assessment task provides the opportunity for students to demonstrate values, knowledge, skills and attitudes appropriate to the neonatal care of infants and families discipline, solve problems in a variety of settings taking local and national perspectives into account as well as utilise information and communication and other relevant technologies effectively related to module topics 1-5. Access Portfolio 1 task Elearning MIDW335 Assessments Weighting 20% Due date & time 5/9/11 Word limit 500 words Marking criteria as per attached Portfolio 1 & 2 marking guide Submission requirements Portfolio 1 to be submitted via Elearning MIDW335 drop box

Assessment task 3: Portfolio Task 2

This assessment task provides the opportunity for students to demonstrate values, knowledge, skills and attitudes appropriate to the neonatal care of infants and families discipline, solve problems in a variety of settings taking local and national perspectives into account as well as utilise information and communication and other relevant technologies effectivelyrelated to module topics 6-10. Access Portfolio 2 task Elearning MIDW335 Assessments Weighting 20% Due date & time 17/10/11 Word limit 500 words Marking criteria as per attached marking guide Submission requirements Portfolio 2 to be submitted via Elearning MIDW335 drop box

Assessment task 4: Case Study

This assessment task provides the opportunity for students to demonstrate values, knowledge, skills and attitudes appropriate to the neonatal care of infants and families discipline, solve problems in a variety of settings taking local and national perspectives into account as well as utilise information and communication and other relevant technologies effectively. Access Case Study Elearning MIDW335 Assessments Weighting 40% Due date & time Monday 31st October Word limit 2,000 words Marking criteria as per attached marking guide Submission requirements Case Study to be submitted via Elearning MIDW335 drop box

OTHER UNIT INFORMATION: It is your responsibility as a student to ensure that you have the prerequisites or co-requisites for a particular unit. You may not enrol in this unit if you have previously passed, or are currently enrolled in, any unit identified as incompatible with this unit. If you do not meet these requirements, then you must see your Course Coordinator. You should also become very familiar with the Student Tutorials in the Learning Management System, since almost all ACU units now utilise eLearning (http://www.acu.edu.au/150935)

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STUDENT FEEDBACK AND CHANGES TO UNIT: Online modules updated by neonatal expert in the field. Readings deleted and new readings added. Text book changed to a current edition. Neonatal nurse sessional teacher employed to facilitate unit online.

ALLOCATING FINAL RESULT GRADES:

Final Result Grade High Distinction Grading Code HD Range Guide (%) 85-100 Numerical Equivalent 7 Descriptor Clear attainment of all learning outcomes, with complete and comprehensive understanding of the unit content, development of relevant skills and intellectual initiative to an extremely high level. Substantial attainment of most learning outcomes, with a high level of understanding of the unit content and development of relevant analytical and interpretative skills to a high level. Sound attainment of some major learning outcomes, with good understanding of unit content and development of relevant skills. Satisfactory attainment of a range of learning outcomes, with basic understanding of unit content and development of relevant skills. Some attainment of learning outcomes with basic understanding of some unit content and some skill development. Only the HOS can allocate this grade. Some attainment of learning outcomes with basic understanding of some unit content and some skill development. Student may be eligible to apply for supplementary assessment, subject to meeting other eligibility criteria set out in the Academic Regulations. Little or no attainment of learning outcomes, with limited understanding of course content or skill development.

Distinction

DI

75-84

Credit Pass Pass Conceded Interim Fail

b a

CR PA PC NF

65-74 50-64

5 4 3

40-49

Fail

NN

0-49

Grading Descriptor extract from the ACU Assessment Policy (http://www.acu.edu.au/250330). An expanded version of grades can be accessed from the 2011 ACU Handbook
a. b. This grade is awarded by Heads of School only in exceptional circumstances. See Academic Regulations. All Interim Fail (NF) grades which have not been converted to a Pass Supplementary (PP) or Fail Supplementary (NX) grade by the census date of the next standard study period will be converted to a Fail (NN) grade.

Adapted from Sadler, D. R. (2005). Interpretations of criteria based assessment and grading in higher education. Assessment and Evaluation in Higher Education, 30:2, 175-194. The percentage range should be used in conjunction with the descriptors.

TEXTS AND REFERENCES: REQUIRED TEXT(S)

Meeks,M., Hallsworth,M. & Yeo,H. 2nd ed(2010). Nursing the Neonate. West Sussex:Wiley Blackwell.

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RECOMMENDED REFERENCES
Davies, L. & McDonald, S. (2008). Examination of the newborn and neonatal health a multidimensional approach. Philadelphia: Churchill Livingstone Elsevier. Fraser, D., & Cooper, M. (Eds.). (2009). Myles textbook for midwives (15th ed.). Sydney: Churchill Livingstone Elsevier. Fraser, D., & Cooper, M. (2008). Survival guide to midwifery. Churchill Livingstone Elsevier. Meeks, M., Hallsworth, M. & Yeo, H. (Eds.). (2010). Nursing the neonate (2nd ed.). Chichester, United Kingdom: Wiley-Blackwell. Merenstein, G., Carter, B., Enzman-Hines, M. & Hernandez, M. (Eds.). (2011). Merenstein & Gardners handbook of neonatal intensive care (7th ed.). St Louis: Mosby Elsevier. Mifflin, P. (2003). Saving very premature babies: Key/ethical issues. Edinburgh: Books for Midwives. Polin, R. & Yoder, M. (2007). Workbook in practical neonatology (4th ed.). Philadelphia: Saunders Elsevier. Thomas, R. & Harvey, D. (1992). Neonatology colour guide. Edinburgh: Churchill Livingstone.

FURTHER REFERENCES
Pairman, S., Pincombe, J., Thorogood, C. & Tracy, S. (2006). Midwifery preparation for practice. Sydney: Elseiver. Thureen, P., Deacon, J., Hernandez, J. & Hall, D. (2005). Assessment and care of the well newborn (2nd ed.). Philadelphia: Elsevier Saunders. Wright, L. & Leahey, M. (2005). Nurses and families: A guide to family assessment and intervention (4th ed.). Philadelphia: F.A. Davis.

EXTENDED REFERENCES
Australian Resuscitation Council. (2006). Guidelines: Section 13 Neonatal Guidelines. Available online http://www.resus.org.au/

Royal Childrens Hospital. (2006-2009). Clinical Practice Guidelines. Available online http://www.rch.org.au/clinicalguide/index.cfm Royal Womens Hospital. (2006). Neonatal Clinical Practice Guidelines. Available online http://www.thewomens.org.au/NeonatalClinicalPracticeGuidelines

POLICIES, RESOURCES AND SUPPORT: Unit Outline Resources (http://www.acu.edu.au/241467) It is the responsibility of all students to access, read and familiarise themselves with the following ACU Policies and Regulations. These are to be found in the ACU Handbook, which is readily
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available in the Library or on the Internet. The Academic Honesty Policy is very important and you must understand that plagiarism, collusion and recycling of assignments are not acceptable. You must read the Assessment Policy and Procedures. If you have any queries please see your Lecturer in Charge. Policies This area includes the Academic Honesty Policy (including information on plagiarism); Academic Regulations and Policies - see especially Assessment (attendance, extension for an assignment, factors affecting performance completion of assessment tasks, group work and collaborative assessment, personal circumstances affecting assessment, submission, collection and retention of assessment tasks, resubmission of assessment tasks); Examinations (including deferred exams); Review and appeals; Acceptable use of IT facilities; Conduct and responsibilities; Graduate Attributes. Resources This area includes the ACU Handbook, the eLearning Login (Learning Management System); eLearning Assistance and eLearning Tutorials and guidance. Support If you are experiencing difficulties with learning, life issues or pastoral/spiritual concerns, or have a disability/medical condition which may impact on your studies, you are advised to notify your Lecturer-In-Charge, Course Coordinator and/or one of the services listed below as soon as possible. The support areas include: Academic Skills which offers a variety of services, including workshops (on topics such as assignment writing, time management, reading strategies, referencing), drop-in sessions, group appointments and individual consultations. It has a 24-hour online booking system for individual or group consultations. Campus Ministry offers pastoral care, spiritual leadership and opportunities for you to be involved with community projects. The Career Development Service can assist you with finding employment, preparing a resume and employment application and preparing for interviews. The Counselling Service is a free, voluntary, confidential and non-judgmental service open to all students and staffed by qualified social workers or registered psychologists. Equity and Disability can assist you if you need educational adjustments because of a disability or chronic medical condition; please contact them as early as possible. Indigenous Units on each campus provide information and support for students. For all aspects of support please contact the Office of Student Success.

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