Seven domains from the Clinical Sustainability Assessment Tool structure NU603's closing plan, which names an owner, a sponsor, an audit rhythm and the signal that would show drift. Searches like "nu 603 unit 10 assignment example", "nu603 unit 10 sample" and "nu603 unit 10 example" land here.
Keeping the Two-Hour Script After the Student Leaves: A Sustainability Plan Organized by Clinical Sustainability Assessment Tool Domain
[Student Name]
Purdue University Global
NU603: Evaluating and Disseminating Principles of Advanced Nursing Practice - Clinical
Unit 10 Sustainability Plan
[Instructor Name]
[Date]
The department, people and dates are composite and bracketed; every handoff item is recorded as awaiting the director's decision, not as agreed.
Why Sustainability Needs Its Own Plan
A change is sustained when it continues to be delivered after the initial effort ends, and ideally continues to produce its benefits and adapts as conditions shift (Moore et al., 2017). The fasting script has run for [eight] weeks with a student auditing it weekly. When the writer's placement ends on [date], that attention stops. This plan follows the Clinical Sustainability Assessment Tool, whose seven domains describe the organizational capacities that help a clinical practice last (Malone et al., 2021). Each domain gets its current state, the risk to durability and one concrete safeguard.
Engaged Staff and Leadership
Current state: the script is used on [84] percent of audited calls, and the anesthesia chair signed its wording. Risk: no one owns it once the writer leaves. Safeguard: [a pre-admission nurse], who helped trial the calculator card, is proposed as owner, given [two] protected hours each month to run the audit and keep the materials current. The anesthesia chair is proposed as clinical sponsor, the person the owner goes to when a delay is blamed on drinking or the exception line needs revision.
Engaged Stakeholders
Current state: two of four surgeon offices use the new line on their sheets. Risk: the other two still send the midnight rule, and patients who receive both follow the stricter one. Safeguard: the sponsor calls the two remaining office managers in [month], and the owner tracks the source-of-instruction item on the check-in form each quarter. A rise in patients naming the surgeon's office signals that an office has reverted.
Organizational Readiness
Current state: the default on the surgical order set remains the midnight rule. The informatics request sits in a queue for [month]. Risk: every new pre-op nurse meets a midnight order and a script that contradicts it, and may trust the order. Safeguard: until the default changes, the pre-op nurses' orientation includes one sentence explaining that the anesthesia policy governs fasting and the order default is pending correction. The owner asks the sponsor for a queue update each quarter. The order set is placed under readiness rather than hidden, because it is the one dependency that could quietly undo the rest.
Workflow Integration
Current state: the script lives in a printed binder; the calculator card is at every pre-admission desk. Risk: the binder is replaced with an older copy, or a desk loses its card. Safeguard: the script line is built into the electronic call template so that the nurse sees it on every call, and the card is added to the desk supply checklist the unit clerk already uses. Spare cards are kept with the owner.
Implementation and Training
Current state: current staff learned the script at two huddles. Risk: new staff, travelers and float nurses never attend a huddle, and drift enters with them. Safeguard: a five-minute segment on the script and card is added to pre-admission orientation, with the owner as the teacher. An annual refresher was considered and rejected, on the reasoning that new staff are where drift begins, so training is placed where they arrive.
Monitoring and Evaluation
Current state: the writer audits [20] call notes a week. Risk: weekly audits will not survive the writer's departure. Safeguard: the owner audits [20] check-in forms each quarter, recording the median hours since last clear liquid and the share of calls documenting a stop time. The drift signal is defined in advance: a median above [six] hours for two consecutive quarters, or script documentation below [70] percent, sends the owner to the sponsor for review. The owner does not have to judge whether things have slipped; the numbers decide.
Outcomes and Effectiveness
Current state: fasting times for later arrivals fell substantially, with no rise in fasting-related delays. Risk: without a reported result, leaders stop seeing a reason to protect the owner's time. Safeguard: the owner reports three figures to the perioperative director twice a year: median clear-liquid hours, script use and fasting-related delays per [1,000] cases. Named implementation strategies, audit and feedback and a clinical champion among them (Powell et al., 2015), stay in place because they are part of the routine rather than extras.
Handoff Table
1. Owner named: [pre-admission nurse]. Owner: director. Next date: [date]. Status: awaiting decision.
2. Clinical sponsor: anesthesia chair. Owner: director. Next date: [date]. Status: awaiting decision.
3. Script built into call template: owner with informatics. Next date: [date]. Status: request drafted.
4. Card on desk supply checklist: unit clerk. Next date: [date]. Status: proposed.
5. Orientation segment: owner. Next date: first new hire after [date]. Status: proposed.
6. Quarterly audit and drift signal: owner. First audit: [date]. Status: proposed.
7. Remaining office calls: sponsor. Next date: [month]. Status: proposed.
8. Order set queue update: sponsor. Next date: [month]. Status: pending committee.
The writer's role ends on [date]. After that, questions go to the owner, and the writer's audit files are transferred to the owner's folder on the site's secure drive.
References
Malone, S., Prewitt, K., Hackett, R., Lin, J. C., McKay, V., Walsh-Bailey, C., & Luke, D. A. (2021). The Clinical Sustainability Assessment Tool: Measuring organizational capacity to promote sustainability in healthcare. Implementation Science Communications, 2, Article 77. https://doi.org/10.1186/s43058-021-00181-2
Moore, J. E., Mascarenhas, A., Bain, J., & Straus, S. E. (2017). Developing a comprehensive definition of sustainability. Implementation Science, 12, Article 110. https://doi.org/10.1186/s13012-017-0637-1
Powell, B. J., Waltz, T. J., Chinman, M. J., Damschroder, L. J., Smith, J. L., Matthieu, M. M., Proctor, E. K., & Kirchner, J. E. (2015). A refined compilation of implementation strategies: Results from the Expert Recommendations for Implementing Change (ERIC) project. Implementation Science, 10, 21. https://doi.org/10.1186/s13012-015-0209-1
How this NU603 Unit 10 example is structured
Ownership leads because a change without a named keeper is the most common way practicum work disappears, and every later section supports that one person. Each domain gets the same treatment: current state, the risk to durability and one concrete safeguard. The order set is placed under readiness rather than hidden, since until the default changes, every new pre-op nurse meets a midnight order and a script that contradicts it. The drift signal is defined numerically so the owner is not left judging whether things have slipped. Training is folded into orientation instead of an annual session, on the reasoning that new staff are where drift enters. The plan is modest about authority: it proposes, and the handoff table records each item as awaiting the director's decision rather than agreed. The writer's own role ends on a stated date.
Get an NU603 Unit 10 example written to your instructions
Identify who at your site could own the change, what the manager has said about keeping it and which dependencies remain open, then include the Unit 10 instructions and rubric. Returned in 24-48h, the plan names an owner, a sponsor and a drift signal, proposed rather than presumed. The first custom sample is free. The paper above is an original model document written by our desk, not a submitted student paper and not an official Purdue University Global document.
NU603 Unit 10 questions, answered
What is the Clinical Sustainability Assessment Tool?
The CSAT is a framework and survey from Washington University in St. Louis for judging whether a clinical practice change is likely to last. Its seven domains range from engaged staff and leadership to monitoring and outcomes. A practicum plan can use the domains as headings, provided each one identifies a real risk and a safeguard rather than restating the heading.
Who should own a practicum change after I leave?
Someone whose role already touches the process and who agrees to it, with time allocated. A manager can sponsor, but day-to-day ownership usually works better with a staff member close to the work. The sample proposes a pre-admission nurse with two hours a month and the anesthesia chair as clinical sponsor, subject to the director's decision.
Can the sustainability plan say the site will adopt the change?
Only if a decision has actually been made, and even then, cite who made it. Most practicum plans propose rather than report adoption. The sample records every item as awaiting the director's decision, which keeps it honest and gives the manager a clear list to act on once the practicum ends.