MODULE SPECIFICATION TEMPLATE

MODULE DETAILS

Module title / Emergency Care Developing Autonomous Practice
Module code / NH6153
Credit value / 30
Level
Mark the box to the right of the appropriate level with an ‘X’ / Level 4 / Level 5 / Level 6 / X / Level 7 / Level 8
Level 0 (for modules at foundation level)
Entry criteria for registration on this module
Pre-requisites
Specify in terms of module codes or equivalent / Normal course entry requirements apply. Of, if taken as a free standing module, pre-requisites are: emergency care practitioners with a minimum of five years’ experience in an urgent or emergency care area, and who have the opportunity to undertake the role of autonomous practitioner under the supervision of a recognised Practitioner/Emergency Nurse Practitioner (ENP) for a minimum of 20 hours clinically per week.
Co-requisite modules
Specify in terms of module codes or equivalent
Module delivery
Mode of delivery / Taught / X / Distance / Placement / X / Online / X
Other
Pattern of delivery / Weekly / X / Block / Other
When module is delivered / Semester 1 / X / Semester 2 / X / Throughout year
Other
Brief description of module content and/ or aims
Overview (max 80 words) / This module prepares prepares the Emergency Practitioner working in A&E departments, Minor Injuries Units or Walk-in-Centres to extend and develop their knowledge and skills to practice autonomously in the provision of optimum urgent and emergency care for patients attending with acute undifferentiated, undiagnosed minor injuries and illnesses.
Module team/ author/ coordinator(s) / Christine Crawford, Emergency Care Pathway team
School / School of Nursing and Midwifery
Site/ campus where delivered / Falmer and NHS Trust Sites
Course(s) for which module is appropriate and status on that course
Course / Status (mandatory/ compulsory/ optional)
BSc(Hons) Acute Clinical Practice / O
BSc (Hons) Professional Practice / O
BSc(Hons) Nurse Practitioner / O
Graduate Certificate in Acute Clinical Practice / O

MODULE AIMS, ASSESSMENT AND SUPPORT

Aims / To develop the students’ knowledge and skills required for autonomous practice, according to local NHS Trust defined protocols, in the effective management of a specified range of minor injuries and illnesses within an Emergency Care area of practice.
Learning outcomes / By the end of this module the student should be able to:
1.  Debate and analyse the contribution of Health Care Practitioners in the management of patients with emergency minor injuries and illnesses with regard to the DOH standards for Urgent and Emergency Care.
2.  Critically analyse and reflect on the professional, legal and ethical issues associated with the developing roles of Emergency Health Care Practitioners in A&E / Minor Injuries setting, or Walk-In Centres.
3.  Competently undertake a focussed psychosocial assessment, take a health history and critique their practice
4.  Demonstrate safe, structured physical assessment of presenting minor injuries and illnesses, using appropriate techniques and tools, identifying the underlying anatomical and patho-physiological changes in relation to the injury or illness
5.  Critically 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.
6.  Competently implement the management of minor illnesses and injuries, according to Unit protocols, identifying a primary/differential diagnosis.
7.  Apply the use of evidence based practice to critically evaluate the use of interventions and investigations and their rationale for use.
8.  Identify and apply the psychological and social assessments necessary for specific age groups and vulnerable patients with regard to children, vulnerable adults and the older patient.
9.  Debate the impact of the patient's presenting complaint on their social, psychological and physical state and the implications for treatment and discharge.
10.  Critically appraise NHS initiatives, standards, guidelines and policies with regard to practice implementation and patient outcome.
Content / ·  Ethical and Legal Issues in autonomous practice
·  National policy guidelines and recommendations for minor injuries and illnesses
·  Clinical Decision Making
·  History Taking and Documentation
·  X-ray requesting and Interpretation
·  Psychological and social assessment with specific regard to children, child protection, adolescents, vulnerable adult, and the older patient
·  Assessment and management of:
·  Chest Injury and Respiratory illnesses
·  Ear, Nose and Throat injuries and illnesses
·  Head Injuries
·  Musculoskeletal injuries and illnesses
·  Minor Maxillo Facial injuries and illnesses
·  Mental Health conditions
·  Minor injury wounds
·  Minor burn injuries
·  Ophthalmic injuries and illnesses
·  Paediatric Minor injuries and illnesses
·  Skin and rash conditions
Learning support / Textbooks:

·  Bickley, L.S. 2012. Bates Guide to Physical Examination and History-Taking. 11th edition. Philadelphia: Lippincott Williams and Wilkins

·  Dimond, B. 2011. Legal Aspects of Nursing. 6th edition. Harlow: Pearson education.
·  Downie, G., J. Mackenzie, A. Williams, and C. Hind. 2008. Pharmacology and medicines Management for Nurses. 2nd ed. London:Churchill Livingstone
·  Higgs, J., M.A.Jones, S.Loftus, and N.Christensen. 2008. Clinical Reasoning in the Health Professions. 3rd edition. Oxford: Butterworth Heinemann.
·  Hopcroft, K., and V.Forte. 2010. Symptom Sorter. 4th edition. Abingdon: Radcliffe Medical Press
·  Johnson, G., and I.Hill-Smith. 2012. The Minor Illness Manual. 4th edition: Abingdon: Radcliffe Publishing Ltd.
·  Purcell, D. 2010. Minor injuries, A Clinical Guide.
2nd edition. Edinburgh: Churchill Livingstone
·  Raby, N., L, Berman. and G,de Lacey. 2012. Accident and Emergency Radiology: A Survival Guide. 3rd edition. London: W.B. Saunders.
·  Walsh,M. 2006. Nurse Practioners. Clinical Skills and Professional Issues. 2nd ed.Oxford: Butterworth Heinemann
Websites:
·  Department of Health: Urgent and Emergency Care
http://www.dh.gov.uk/health/category/policy-areas/nhs/urgent-and-emergency-care/
·  NHS Evidence in Health and Social Care http://www.evidence.nhs.uk/
·  General Practice Notebook http://www.gpnotebook.co.uk/homepage.cfm
·  Nurse Practitioner UK
http://www.nursepractitioner.org.uk/
Journals
·  International Emergency Nursing
·  Emergency Nurse
·  Journal of Emergency Nursing
Teaching and learning activities
Details of teaching and learning activities / Teaching and learning strategies include:
Key note lectures
Group debates
Student seminars
Reflective analysis
E-learning
Allocation of study hours (indicative)
Where 10 credits = 100 learning hours / Study hours
SCHEDULED / This is an indication of the number of hours students can expect to spend in scheduled teaching activities including lectures, seminars, tutorials, project supervision, demonstrations, practical classes and workshops, supervised time in workshops/ studios, fieldwork, external visits, and work-based learning. / 90 hours
GUIDED INDEPENDENT STUDY / All students are expected to undertake guided independent study which includes wider reading/ practice, follow-up work, the completion of assessment tasks, and revisions. / 90 hours
PLACEMENT / The placement is a specific type of learning away from the University that is not work-based learning or a year abroad. / 120 hours
TOTAL STUDY HOURS / 300 hours
Assessment tasks
Details of assessment for this module / The assessment consists of two parts: parts one and two.
Both parts must be passed in order to pass the module.
Part One Practical Element (50% of overall mark)
The student will complete 9 clinical skills, listed in the module skills inventory, demonstrating the integration and application of theory in the practice setting, and document a concise summary of each care episode, comprising presenting condition, clinical abnormality found, investigations, interventions, diagnosis, treatment and discharge advice. Learning Outcomes 3, 4, 5, 6, 7,and 8 will be assessed in each of these skills
Part Two Theoretical Element (50% of overall mark)
The Student will complete a Portfolio of Evidence comprising of a 500 word clinical reasoning account which will critically analyse the rationales for clinical decisions made, citing relevant literature, for each of the nine clinical skills in the skills inventory, plus one 500 word reflective analysis on the contribution to patient care by the Emergency Nurse/Care Practitioner. Learning Outcomes1, 2, 6, 7, 8, 9, and 10 will be assessed in the Portfolio of Evidence.
Types of assessment task[1]
Indicative list of summative assessment tasks which lead to the award of credit or which are required for progression. / % weighting
(or indicate if component is pass/fail)
WRITTEN
COURSEWORK / Portfolio of Evidence / 50%
PRACTICAL / Clinical Skills / 50%

EXAMINATION INFORMATION

Area examination board / Undergraduate CPE (Acute Clinical Practice) AEB
Refer to Faculty Office for guidance in completing the following sections
External examiners
Name / Position and institution / Date appointed / Date tenure ends
Yvonne Needham / Senior Lecturer,
University of Hull / 1.9.12 / 31.8.16

QUALITY ASSURANCE

Date of first approval
Only complete where this is not the first version / June 2008
Date of last revision
Only complete where this is not the first version / April 2010
Date of approval for this version / June 2013
Version number / 3
Modules replaced
Specify codes of modules for which this is a replacement / (old code NH3155)
Available as free-standing module? / Yes / X / No

[1] Set exercises, which assess the application of knowledge or analytical, problem-solving or evaluative skills, are included under the type of assessment most appropriate to the particular task.