Intensive Care Ventilation Module Descriptor
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Field name / Comments/notesTitle / Intensive Care Ventilation
Code / NH3142
Level / 6
Credit rating / 20
Pre-requisites / · 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
Type of module / Extensive
Aims / 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
Learning outcomes/objectives / 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
Content / Respiratory pathophysiology related to the intensive care setting
Invasive and non-invasive modes of mechanical ventilation
Care of mechanically ventilated patients
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
Teaching and learning strategies / 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.
Learning support / 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 ventilator-dependent 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 / 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
Brief description of module content and/or aims (maximum 80 words) / 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).
Area examination board to which module relates / BSc (Hons) Acute Clinical Practice
Module team/authors/ coordinator / Module Leader - Heather Baid
Intensive Care Pathway Board
Semester offered, where appropriate / 1 or 2
Site where delivered / Falmer
Date of first approval / November 1998
Date of last revision / June 2008
Date of approval of this version / Nov 2010
Version number / 5
Replacement for previous module / N/A
Field for which module is acceptable and status in that field / Undergraduate continuing professional education, School of Nursing and Midwifery
Course(s) for which module is acceptable and status in course / Mandatory module for Level 6 Intensive Care Pathway
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 home / 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