Clinical Nursing Objectives: Skill Development & NMBA Alignment

This assignment outlines weekly nursing objectives focusing on the development and practical application of key clinical skills, aligned with the Nursing and Midwifery Board of Australia (NMBA) standards. The objectives span four weeks and cover essential procedures such as nasogastric tube insertion, preparation of parental potassium solutions, drain management, and medication administration. Each objective details the specific skill to be mastered under the supervision of a senior registered nurse, along with references to relevant NMBA standards, ensuring safe and quality practice. Resources used include Australian guidelines, clinical skills protocols, government websites, and nursing journals, providing a comprehensive framework for skill enhancement and professional development in nursing practice. The objectives emphasize patient safety, infection control, and adherence to established policies and regulations.

Running head: WEEKLY NURSING OBJECTIVES
WEEKLY NURSING OBJECTIVES
Name of the Student
Name of the university
Author’s note

1WEEKLY NURSING OBJECTIVES
Week 1
Objective 1
Under the supervision of my senior registered nurse, I will be able to insert a nasogastric feeding
tube in the patient and then confirm it that the tube is correctly sited.
Objective 2
Under the supervision of my senior registered nurse, I will measure the tube length correctly by
holding the tube from the bridge of the nose across the face to the earlobe and then drawing the
tube down to the xiphisternum.
Link to NMBA standards
4.1 conducts assessments that are holistic as well as culturally appropriate.
6.1. Provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are
responsive to the nursing needs of people.
6.2 practices within their scope of practice
6.5 Practices in accordance with relevant policies, guidelines, standards, regulations and
legislation.

2WEEKLY NURSING OBJECTIVES
Resources
I have used the Australian guidelines for adhering to the ways of the nasogastric therapy.
I have also brainstormed through the below mentioned books for choosing the objectives. The
nursing and the midwifery protocol has helped to link my nursing protocols with the nursing
standards.
Nasogastric therapy (2018). Clinical Skills in Hospitals Project Nasogastric therapy. Access
date: 21.6.2018. Retrieved from:
https://www2.health.vic.gov.au/about/publications/policiesandguidelines/Nasogastric-therapy.
Nursing and Midwifery board of Australia, (2016). Registered nurse standards for practice.
Access date: 21.6.2018. Retrieved from: http://www.nursingmidwiferyboard.gov.au/Codes-
Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx.
Reference list
Nasogastric therapy (2018). Clinical Skills in Hospitals Project Nasogastric therapy. Access
date: 21.6.2018. Retrieved from:
https://www2.health.vic.gov.au/about/publications/policiesandguidelines/Nasogastric-
therapy.
Nursing and Midwifery board of Australia, (2016). Registered nurse standards for practice.
Acess date : 21.6.2018. Retrieved from:
http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-
standards/registered-nurse-standards-for-practice.aspx.

3WEEKLY NURSING OBJECTIVES
Taylor, S. J. (2013). Confirming nasogastric feeding tube position versus the need to feed.
Intensive and Critical Care Nursing, 29(2), 59-69. DOI:
https://doi.org/10.1016/j.iccn.2012.07.002

4WEEKLY NURSING OBJECTIVES
Week 2
Objective 1
Under the supervision of my senior registered nurse, I will able prepare a parental potassium
solutions safely to avoid too much intake of fluids.
Objective 2
Under the supervision of my senior registered nurse, I will be able to assess the current fluid and
the electrolyte status of my patients, including monitoring of the fluid balance chart, weight,
heart rate, capillary rate, respiratory rate and National Early Earning Score (NEWS).
Link to NMBA standards
5.1 uses assessment data and best available evidence to develop a plan
6.5 Practices in accordance with relevant policies, guidelines, standards, regulations and
legislation.
3.6 actively engages with the profession,
3.7 identifies and promotes the integral role of nursing practice and the profession in influencing
better health outcomes for people.
Resources
Books, government websites and Australian journal articles have been used to prepare the
objectives. The guided protocol would help the nurse in performing within the scope of practice.

5WEEKLY NURSING OBJECTIVES
Intravenous therapy (2018). Clinical Skills in Hospitals Project Intravenous therapy. Access
date: 21.6.2018. Retrieved from:
https://www2.health.vic.gov.au/about/publications/policiesandguidelines/Intravenous-therapy.
Nursing and Midwifery board of Australia, (2016). Registered nurse standards for practice.
Access date : 21.6.2018. Retrieved from: http://www.nursingmidwiferyboard.gov.au/Codes-
Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx
Kumar, G., Walker, E., & Stephens, R. (2014). Intravenous fluid therapy. Trends in Anaesthesia
and Critical Care, 4(2), 55-59. https://www.trendsanaesthesiacriticalcare.com/article/S2210-
8440(14)00020-3.
Reference list
Intravenous therapy (2018). Clinical Skills in Hospitals Project Intravenous therapy. Access
date: 21.6.2018. Retrieved from:
https://www2.health.vic.gov.au/about/publications/policiesandguidelines/Intravenous-
therapy.
Nursing and Midwifery board of Australia, (2016). Registered nurse standards for practice.
Access date : 21.6.2018. Retrieved from:
http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-
standards/registered-nurse-standards-for-practice.aspx

6WEEKLY NURSING OBJECTIVES
Kumar, G., Walker, E., & Stephens, R. (2014). Intravenous fluid therapy. Trends in Anaesthesia
and Critical Care, 4(2), 55-59.
https://www.trendsanaesthesiacriticalcare.com/article/S2210-8440(14)00020-3.

7WEEKLY NURSING OBJECTIVES
Week 3
Objective 1
Under the supervision of my senior registered nurse, I would don clean gloves and safety glasses
before transferring the content in to the safety bag in order to avoid any infections via the
discarded contents.
Objective 2
Under the supervision of my senior registered nurse, I would document the drainage amount in
the clinical record of the patient and would use a permanent marker for marking the date and
time at the back of the drainage back for indicating the levels of loss of fluids in a day.
Link to NMBA standards
3.7 identifies and promotes the integral role of nursing practice and the profession in influencing
better health outcomes for people.
4.1 conducts assessments that are holistic as well as culturally appropriate
4.2 uses a range of assessment techniques to systematically collect relevant and accurate
information and data to inform practice.
4.4 assesses the resources available to inform planning.
6.5 practices in accordance with relevant policies, guidelines, standards, regulations and
legislation.

8WEEKLY NURSING OBJECTIVES
Resources
Canberra Hospital and health services clinical procedures (2013), Drain management. Access
date: 21.6.2018. Retrieved from: http://www.health.act.gov.au/
Nursing and Midwifery board of Australia, (2016). Registered nurse standards for practice.
Acess date : 21.6.2018. Retrieved from: http://www.nursingmidwiferyboard.gov.au/Codes-
Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx
Reference list
Nursing and Midwifery board of Australia, (2016). Registered nurse standards for practice.
Acess date : 21.6.2018. Retrieved from:
http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-
standards/registered-nurse-standards-for-practice.aspx
Tollefson, J. (2004). Clinical psychomotor skills: Assessment tools for nursing students. Cengage
Learning Australia.

9WEEKLY NURSING OBJECTIVES
Week 4
Objective 1
Under the supervision of my senior registered nurse, I would be able to perform the 6 rights of
medication administration that is identification of the patient, cross checking the current drug,
including correct dosages, correct route and appropriate timing to avoid medication errors ,
dosage errors and errors with patient identification. I ensured to take consent from the patient
before starting the procedure.
Objective 2
Under the supervision of my senior registered nurse, I would ensure that I prepare the patient for
the IV push medication, such as assessing the peripheral IV insertion site to find swelling,
redness, and bleeding and temperature difference followed by cleaning the PIV injection site by
an alcohol wipe, to ensure infection control and irritation of the skin.
Link to NMBA standards
2.2 communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and
rights.
3.2 provides the information and education required to enhance people’s control over health.
4.2 Uses a range of assessment techniques to systematically collect relevant and accurate
information and data to inform practice.
5.4 plans and negotiates how practice will be evaluated and the time frame of engagement.

10WEEKLY NURSING OBJECTIVES
5.5 coordinates resources effectively and efficiently for planned actions.
Resources
Nursing and Midwifery board of Australia, (2016). Registered nurse standards for practice.
Acess date : 21.6.2018. Retrieved from: http://www.nursingmidwiferyboard.gov.au/Codes-
Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx.
Tollefson, J. (2004). Clinical psychomotor skills: Assessment tools for nursing students. Cengage
Learning Australia.
Tiziani, A. P. (2010). Havard's nursing guide to drugs. Elsevier Health Sciences.
Reference list
Nursing and Midwifery board of Australia, (2016). Registered nurse standards for practice.
Acess date : 21.6.2018. Retrieved from:
http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-
standards/registered-nurse-standards-for-practice.aspx
Tollefson, J. (2004). Clinical psychomotor skills: Assessment tools for nursing students. Cengage
Learning Australia. https://books.google.co.in/books?
id=jmKnfvbdvacC&printsec=frontcover&dq=Clinical+psychomotor+skills+:
+assessment+tools+for+nurses&hl=en&sa=X&ved=0ahUKEwifj9by7uPbAhVMb30KH
QLPD0kQ6AEIJjAA#v=onepage&q=IV%20antibiotic%20administration&f=false

11WEEKLY NURSING OBJECTIVES
Tiziani, A. P. (2010). Havard's nursing guide to drugs. Elsevier Health Sciences.
https://books.google.co.in/books?
id=XpzQAgAAQBAJ&printsec=frontcover&dq=Havard
%E2%80%99s+Nursing+Guide+to+Drugs&hl=en&sa=X&ved=0ahUKEwiUhuiZ7-
PbAhXIsI8KHXe-AM0Q6AEIKTAA#v=onepage&q=IV%20antibiotics&f=false