Intensive Care Ventilation Module Descriptor s Field name Comments/notes Title Intensive Care Ventilation Code NH3142 Level 6 Credit rating 20 Pre-requisites Type of module Aims Learning outcomes/objectives Content BSc (Hons) Acute Clinical Practice course admission criteria apply Complete a minimum of 150 hours clinical time during the time period of the module in an area with patients who are mechanically ventilated Extensive The aim of the module is to enable students to: Develop specialist intensive care knowledge, skills, and awareness of the assessment and therapeutic management of patients with acute respiratory failure Develop specialist intensive care knowledge, skills, and awareness of current issues in preventing hospital acquired infections Explore the role of research and evidence based practice in intensive care By the end of the module the students will be able to: Explain the pathophysiology of common illnesses/injuries causing acute respiratory failure in the intensive care setting and critically analyse their management Accurately assess the respiratory function of intensive care patients (physical assessment, arterial blood gas analysis, respiratory laboratory results and response to respiratory therapies), critically analyse abnormal assessment findings and rationalize appropriate actions Critically analyse and demonstrate specialist intensive care skills for invasive and non-invasive modes of mechanical ventilation, weaning patients off mechanical ventilation and sedation, analgesia and paralysis Critically explore the prevention and management of intensive care infections and demonstrate interventions for preventing Ventilator Associated Pneumonia Evaluate the role of research in intensive care and critically analyse strategies for evidence-based intensive care practice Critically reflect on the care and support required by mechanically ventilated patients and demonstrate an ability to critique and apply current specialist intensive care research findings to clinical practice Respiratory pathophysiology related to the intensive care setting Invasive and non-invasive modes of mechanical ventilation Care of mechanically ventilated patients Teaching and learning strategies Learning support Complications of mechanical ventilation Weaning patients off of mechanical ventilation Psychological care of ventilated patients Overview of care of the child requiring mechanical ventilation Respiratory physical assessment Interpretation of chest X-rays Interpretation of blood gases Interpretation of respiratory laboratory results Pharmacology related to ventilated patients Sedation, analgesia, and paralysis in intensive care Hospital acquired infections and infection control in intensive care Prevention of Ventilator Associated Pneumonia Patient positioning Frameworks for reflection and analysis of evidence-based practice Research and audit in intensive care Hours: 200 total 60 tutor directed 70 private study 70 clinical linked learning activities Teaching and learning will be facilitated via lectures, discussion and seminar work in the classroom and by demonstration and discussion in the clinical area. In addition to faculty lecturers, other clinical experts will be used to provide specialist in put (e.g. physiotherapists, clinical nurse specialists, nurse consultants, medical consultants and pharmacists). Student Central will be used for electronic learning materials and to promote further communication and learning outside of the classroom. Each student will have a tutor counsellor (normally the module leader) and a clinical mentor. Mentors will be responsible for supervision of assessment of clinical competence and overseeing the progress of the student’s clinical progress within the module. The tutor will assist the student with their theoretical work and liaise with the clinical mentor Reading list Adam, S.K. and S. Osborne. 2005. Critical care nursing: Science and practice. 2nd ed. Oxford: Oxford University Press. Dikeman, K.J. and M.S. Kazandjian. 2003. Communication and swallowing management of tracheostomized and ventilatordependent adults. 2nd ed. Clifton Park, NY: Thomson Delmar Learning. Irwin, R.S. and J.M. Rippe, eds. 2007. Manual of intensive care medicine. 4th ed. Philadelphia: Lippincott Williams & Wilkins. Marino, P.L. and K.M. Sutin. 2006. The ICU book. 3rd ed. Philadelphia: Lippincott Williams & Wilkins. McConachie, I. 2006. Handbook of ICU therapy. 2nd ed. Cambridge: Cambridge University Press. Morton, P.G. et al. 2005. Critical care nursing: A holistic approach. 8th ed. Philadelphia: Lippincott Williams & Wilkins. Sole, M.L., D.G. Klein and M.J. Moseley. 2005. Introduction to critical care nursing 4th ed. St. Louis: Elsevier Saunders. Woodrow, P. 2006. Intensive care nursing: A framework for practice. 2nd ed. Abingdon: Routledge. Suggested Journals Nursing in Critical Care Intensive and Critical Care Nursing Care of the Critically Ill Critical Care Current Opinion in Critical Care Websites http://www.ccmtutorials.com/rs/mv/page3.htm http://ccforum.com/ Assessment tasks Brief description of module content and/or aims (maximum 80 words) Area examination board to Students will undertake two assessment tasks: theory 75% and practice 25%. Both assessment tasks must be passed in order to pass the module overall. Theory – 75% Written Assignment o 2500 word case study about a patient requiring mechanical ventilation Practice - 25% Skills Inventory o 4 skills assessed in practice by a mentor/assessor OSCE o 2 skills assessed at the University through simulation This module will normally be the first for students undertaking the Intensive Care Pathway. This module prepares students to develop the specialist knowledge and skills necessary for caring for ventilated patients. Students from areas other than an intensive care unit may also take the module but must demonstrate 200 hours of contact time with ventilated patients during the course of the module (to be confirmed by the clinical mentor). BSc (Hons) Acute Clinical Practice which module relates Module team/authors/ coordinator Semester offered, where appropriate Site where delivered Date of first approval Date of last revision Date of approval of this version Version number Replacement for previous module Field for which module is acceptable and status in that field Course(s) for which module is Module Leader - Heather Baid Intensive Care Pathway Board 1 or 2 Falmer November 1998 June 2008 Nov 2010 5 N/A Undergraduate continuing professional education, School of Nursing and Midwifery Mandatory module for Level 6 Intensive Care Pathway School home Optional/mandatory module for BSc (Hons) in Acute Clinical Practice Optional/mandatory module for BSc (Hons) in Professional Practice Optional/Mandatory for BSc Professional Clinical Practice School of Nursing and Midwifery External examiner Tina Moore (2008-2012) NHS Knowledge & Skills Framework Core Dimensions 1-5 Health and Wellbeing 1-8 Information and Knowledge 1-3 acceptable and status in course