fIntensive Care Specialities Module Descriptor s Field name Comments/notes Title Code Level Credit rating Pre-requisites Intensive Care Specialities NH3144 6 20 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 intensive care unit Extensive The aim of the module is to enable students to: To develop specialist intensive care knowledge, skills and awareness of the assessment and therapeutic management of patients with acute gastrointestinal, renal and neurological dysfunction To develop specialist intensive care knowledge skills and awareness of management and educational issues in intensive care To explore ethical dilemmas and end of life care in intensive care By the end of the module the students will be able to: Explain the pathophysiology of common illness/injuries causing failure of the gastrointestinal, renal and neurological systems in the intensive care setting and critically analyse their management Accurately assess the gastrointestinal, renal and neurological function of intensive care patients (physical assessment, renal/gastrointestinal/neurological laboratory results and response to renal/gastrointestinal/neurological therapies), critically analyse abnormal findings and rationalize appropriate actions Critically analyse and demonstrate specialist intensive care skills for managing nutrition (enteral and parenteral), head injuries, patients in or at risk of acute renal failure, transfer of critically ill patients, and teaching in intensive care Critically evaluate the principles and management of renal replacement therapies, burns, and intra-cranial pressure monitoring as well as demonstrate specialist intensive care skills for one of these 3 topics Explore specialist intensive care management of diabetic ketoacidosis, liver failure, pancreatitis, wound care, trauma, poisoning, and response to major incidents Critically analyse organ donation, end of life issues, ethical dilemmas and the patient’s experience in intensive care Explore intensive care follow-up and ‘Critical Care Without Walls’ Type of module Aims Learning outcomes/objectives Content Teaching and learning strategies Learning support Reflect on the care of patients with acute renal, gastrointestinal, and neurological failure and demonstrate an ability to critique and apply current specialist intensive care research findings to clinical practice Renal, gastrointestinal and neurological pathophysiology related to the intensive care setting Physical assessment: abdominal and neurological Management of acute and chronic renal failure, burns, acute and chronic liver failure, pancreatitis, diabetic ketoacidosis, trauma, and poisoning Principles and management of renal replacement therapies Administration and management of parenteral and enteral nutrition Management of patients with neurological dysfunction, head injuries, and intra-cranial pressure monitoring Current issues in wound care Education in intensive care Management and shift-leading in intensive care Response to major incidents Transfer of the critically ill patient Critical Care Without Walls – management of the critically ill patient outside of the intensive care unit Intensive care follow-up Organ donation End of life issues and ethical dilemmas in intensive care The patient’s experience 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 and other assessors. Reading List Adam, S.K. and S. Osborne. 2005. Critical care nursing: Science and practice. 2nd ed. Oxford: Oxford University Press. Griffiths, R.D. and C. Jones. 2002. Intensive care aftercare. Oxford: Butterworth-Heinemann. 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. Melia, K.M. 2004. Health care ethics : Lessons from intensive care. London: Sage. Morton, P.G. et al. 2005. Critical care nursing: A holistic approach. 8th ed. Philadelphia: Lippincott Williams & Wilkins. Scholes, J. 2006. Developing expertise in critical care nursing. Oxford: Blackwell Publishing. 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://ccforum.com/ http://www.kidneyatlas.org/ http://www.crrtonline.com/01_edu_lectures.php Assessment tasks 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 Poster Presentation 75% o Construction of a poster to provide education on a subject relating to the module o Viva based on subject of poster presentation Practice Skills Inventory 25% o 6 skills assessed in practice by a mentor/assessor Brief description of module content and/or aims (maximum 80 words) Area examination board to which module relates Module team/authors/ coordinator Semester offered, where appropriate Site where delivered Date of first approval Date of last revision This module will normally be the third for students undertaking the Intensive Care Pathway. The module prepares students to develop the specialist knowledge and skills for monitoring and providing interventions for patients with gastro-intestinal, neurological, and renal dysfunction. Management and teaching issues within intensive care will also be explored. Students must demonstrate 200 hours of contact time with intensive care patients during the course of the module (to be confirmed by the clinical mentor). BSc (Hons) Acute Clinical Practice Module Leader - Heather Baid Intensive Care Pathway Board 1 or 2 Falmer November 1998 June 2008 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 acceptable and status in course School home External examiner NHS Knowledge & Skills Framework April 2010 4 N/A Undergraduate continuing professional education, School of Nursing and Midwifery Mandatory module for Level 3 Intensive Care Pathway Optional/mandatory module for BSc (Hons) in Acute Clinical Practice Optional/mandatory module for BSc (Hons) in Professional Practice Optional/mandatory module for BSc (Hons) in Professional Clinical Practice School of Nursing and Midwifery Tina Moore (2008-2012) Core Dimensions 1-5 Health and Wellbeing 1-8 Information and Knowledge 1-3 General 1