Module Description Template

s

Field name / Comments/notes
Title / Emergency Care Admissions
Code / NH3156
Level / 6
Credit rating / 30
Pre-requisites / BSc (Hons) Acute Clinical Practice course admission criteria apply.
Health Care Professionals working in an Accident and Emergency Department (A&E) or Admission / Assessment Unit within Emergency Care with normally one years post registration experience, and for a minimum of 20 hours per week for the duration of the module.
Type of module / Extensive delivery over one semester
Aims / To develop the students’ knowledge and skills in the assessment, prioritisation, planning, implementation and evaluation of healthcare for patients attending withundifferentiated, undiagnosed acute +/- chronic deterioratingemergency presentations which require emergency admission to hospital.
Learning outcomes/objectives / By the end of the module the student should be able to:
  • Debate and analyse the contribution of the multi-disciplinary team in the management of patientsrequiring emergency admission to hospital with regard to the DOH standards for Urgent and Emergency Care.
  • Critically analyse the epidemiology of emergency deteriorating acute+/- chronic presentations and apply this knowledge to the underlying patho-physiological changes.
  • Competently demonstrate comprehensive assessment of patients with a range of acute +/- chronic deteriorating illness using appropriate techniques, identifying the patho-physiological changes and effect on other body systems
  • Identify a patient’s risk of further deterioration, identify and implement strategies to minimise these including referral, and, implement appropriate actions when adverse events occur.
  • Competently implement the management of complex clinical situations using evidence based practice.
  • Identify and apply the psychological and social assessments necessary for specific age groups and vulnerable patients with regard to vulnerable adults and the older patient.
  • Critically appraise NHS initiatives, standards, guidelines and policies with regard to practice implementation and patient outcome.

Content /
  • Epidemiology of emergency admissions
  • History taking,examination,documentation
  • Requesting and interpretation of diagnostic investigations
  • Requirements of adults and older patients attending with an acute+/- chronic deteriorating illness
  • Anatomy and patho-physiology applied to the emergency management of the diverse range of clinical speciality conditions in emergency care which patients present with as undifferentiated, undiagnosed conditions.
  • Acid Base Imbalance
  • Shock
  • Sepsis
  • Cardiac emergencies
  • Diabetic emergencies
  • Gastro-Intestinal emergencies
  • Renal emergencies
  • Airway and ventilation emergencies
  • Respiratory emergencies
  • Neurological medical emergencies
  • Overdose Emergencies
  • Vascular emergencies
  • Haematological emergencies
  • Gynaecological emergencies
  • Mental Health Emergencies
  • Psychosocial Issues

Teaching and learning strategies / Lectures will be provided by faculty and invited multi-disciplinary clinical staff.
Teaching methods include:Key note lectures, group debate, student seminars, reflective analysis, studentcentral internet support materials, CD ROM, videos, anatomical models, clinical visits and tutorials.
Each student will have a named clinical mentor who will supervise development of practice in the clinical area.
Hours of study:
90 hours taught (15 days)
90 hours independent study (15 days)
120 hours clinical skills (20 days)
300 hours total
Learning support
Text
Journals
Web sites / All students have access to the learning materials in the module area within the managed learning environment of student central
  • Bache,J., C.Armitt & C. Gadd. 2003. Handbook of Emergency Department Procedures.London: Mosby.
  • Bickley L.S. 2007. Bates’ Guide to Physical Examination and History Taking. 9th edition. Philadelphia: Lippincott
  • Dolan, B., Holt, L. 2005. Accident and Emergency Theory into Practice.2nd ed. Edinburgh: Balliere Tindall.
  • Jowett, N.I., Thompson, D. R. 2007. Comprehensive Coronary Care. 4th ed. London: Balliere Tindall
  • McCance, K.L., & Huether, S.E. 2006. Pathophysiology. The Biologic Basis for Disease in Adults and Children. St Louis: Elsevier Mosby.
Specialist research and clinical studies can be found in these journals with direct relevance for emergency care:
  • International Emergency Nursing
  • Emergency Nurse
  • Journal of Emergency Nursing
Emergency Care Specialist Library

NHS Healthcare Workforce – Urgent and Emergency Care

Department of Health – Emergency Care

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%
The student will complete a 3,000 Literature Reviewexploring an emergency admission condition which must be agreed with the module leader prior to completion. Key components will include an explanation of the patho-physiology of the condition, exploration of relevant research studies, reference to NHS and National UK guidelines and standards, and will make recommendations for the evidence based management of the emergency admission condition.
The module leader will mark the assignments using the SNM level 6theoretical assessment criteria.
Clinical Practice25%
The student will complete 9 clinical skills, listed in the module skills inventory, demonstrating the integration and application of theory in the practice setting. The clinical mentor will assess the 9 skills using the SNM level 6Skills Marking Grid criteria.
Brief description of module content and/or aims (maximum 80 words) / This module addresses the emergency assessment and management of patients attending Accident and Emergency Departments and Assessment/Admission Units with undifferentiated, undiagnosed acute +/- chronic deterioration in health, for whom care must be safely prioritised and immediately delivered.
Area examination board to which module relates / Undergraduate Continuing Professional Education Division, School of Nursing and Midwifery
Module team/authors/ coordinator / Christine Crawford/A&E Pathway Board
Semester offered, where appropriate / Semester one and/or two
Site where delivered / Falmer, Brighton
Date of first approval / June 2008
Date of last revision
Date of approval of this version / April 2010
Version number / 2
Replacement for previous module / Emergency Admissions NH332
Field for which module is acceptable and status in that field / Continuing Professional Education
Optional/Mandatory
Course(s) for which module is acceptable and status in course / Optional/Mandatory for Urgent and Emergency Care Pathway
Optional/Mandatory for BSc(Hons) Acute Clinical Practice
Optional/MandatoryBSc(Hons) Professional Clinical Practice
Optional/Mandatory or BSc(Hons) Professional Practice
School home / School of Nursing and Midwifery
External examiner
Date of appointment / Ian Wood
September 2008 – 2012
Knowledge and Skills Module Mapping / Core Dimensions: 1,2,3,4,5,6 – level 4
Health and wellbeing:1,2,3,4,5,6,7,8 – level 4
Information and Knowledge: 1,2,3 level 2
General: 1,2, 6 level 2