© University of Dublin 2011

NU7541: Nursing Care &Management of Critically ill Patient with Multi system Dysfunction Module coordinator Gobnait Byrne (TCD) and Avril Lowry (SJH)

Module Lecturers Educational facilitators, clinical facilitators, clinical nursing staff, multidisciplinary guest lecturers

Hours and ECTS credits

Assessment Student Effort

Direct Contact

Specified Activities

Self-Directed Learning

Direct Contact: Supervision

Total Hours

ECTS credits

50 30 n/a 110 10 200/250 10

Rationale and Aims

Intensive care nursing must anticipate and respond to societal and patient needs and facilitate the growth and diversity of professional practice. The postgraduate diploma in intensive care nursing will be developed to meet the needs in society, the nursing service in Ireland and to fulfil the An Bord Altranais and the University of Dublin Trinity College requirements and standards.

This module will enable the student to plan implement and evaluate quality biopsychosocial care for the critically ill patient requiring cardiac, respiratory and multisystem support.

Module Content

Respiratory Advanced applied respiratory/ chest

physiology/management/nursing/interpretation/airway management Ventilation support (principles-waveforms-interpretation-modes-settings)/tracheostomy Acute respiratory failure/Adult Respiratory Distress Syndrome (ARDS)/chest

trauma/Under water seal drain (UWS). Thoracic surgery/neoplasm/toxic/inhalation poisoning /Nursing/psychosocial support of patient with respiratory conditions i.e. Pulmonary Embolus/Ventilator Associated Pneumonia (VAP), TB/ Asthma/ COPD/nitric oxide/ proning/innovative treatments.

HFOV / NOVA care Physiotherapy/manual hyperinflation Clinical innovations Multi system dysfunction Spinal Trauma/ injuries/management Multiple Trauma Shock/Sepsis/rhybdo/ Anaphalyxis Endocrinology/ DKA/ Pancreatitis/ Thyroid Crisis Obstetric Emergencies Liver failure and Management Renal Failure and Management GI emergencies Therapeutic cooling Cardiac Surgery

© University of Dublin 2011

Learning Outcomes On successful completion of this module, students should be able to:

Identify & critically evaluate the current research in order to promote evidenced based care for the critically ill patient with cardiac, respiratory and multi- system dysfunction, incorporating quality, safety and accountability into all aspects of care.

Select and implement in-depth specialist knowledge for nursing care/innovative treatments for the critically ill patient with cardiac, respiratory and multi- system dysfunction.

Provide appropriate nursing/psychosocial/pharmacological support mechanisms for the critically ill patient with cardiac, respiratory and multi- system dysfunction.

Maintain effective collaboration with the multidisciplinary team to care for the critically ill patient with cardiac, respiratory and multi- system dysfunction.

Evaluate information technology, sources of information and innovative treatments that support the management of the critically ill patient with cardiac, respiratory and multi- system dysfunction.

Methods of Teaching and Student Learning

Group work, lectures, guest speakers, guided discussion, practical demonstrations, self directed learning

Methods of Assessment Weighting

Examination (3hrs)

Students must answer 3 questions out of 4 .

One question from Section A of the Paper

One question from Section B of the Paper

Student can answer the third question from either Section A or Section B

100%

Indicative Resources – more detailed lists may be provided by lecturers

Aacn (2005) Protocols for Practice: Care of Mechanically Ventilated Patients, 2nd edn. Jones and Bartett.

Alspach J.G. (2005) AACCN: Core Curriculum for Critical Care Nurses, 6th edn. Saunders, Philadelphia

Benner P., Kyriakidis, P. & Shannard, D. (1999) Clinical Wisdom and Interventions in Critical Care. W.B. Saunders Company, London.

Corne J., Carroll M., Browne, I. & Delaney, D. (2002) Chest X-Ray Made Easy, 2nd edn. Churchill Livingstone, Edinburgh.

Darovic G.O. (2003) Handbook of Haemodynamic Monitoring, 2nd edn. W.B. Saunders Company.

Foxall F. & Kelsey L. (2008) Arterial blood Gas Analysis: an easy learning guide. M&K Update Ltd.

Hager L., & Munden, J. (Eds.) (2008) Springhouse Complete Guide to Documentation, 2nd edition. Lippincott Williams & Wilkins.

© University of Dublin 2011

Jevon P. & Ewen B. (2007) Monitoring the Critically Ill patient, 2nd edn. Blackwell Science London.

Karlson K. (2008) Advanced Critical Care Nursing (AACN'S CLINICAL REFERENCE FOR CLINICAL CARE NURSING). 1st edn. Saunders.

Kubler-Ross. E. (1989) On Death and Dying. Tavistock Routledge. London (Reprinted 1999 – available. VERITAS).

Lehne , R A ( 2009) Pharmacology for Nursing Care, 7th edn. WB Saunders, New York.

Slutsky A. S. & Brochard, L. (2004) Mechanical Ventilation (Update in Intensive Care & Emergency Medicine). Berlin and Heidelberg: Springer-Verlag.

Springhouse (2009) Auscultation Skills: Breath and Heart Sounds, 4th edition. Lippincott Williams & Wilkins.

Tortora G.J. & Grabowski, S.R (2008) Principles of Anatomy and Physiology 12th edn. Wiley and Sons.

The British Medical Association and the Royal Pharmaceutical Society of Great Britain. (2010) British National Formulary, No 48 BMA / Royal Pharmacological Society London.

Urden L.D. Lough, M.E. & Stacy, K.M. (2009) Thelan’s Critical Care Nursing, Diagnosis and Management,6 th edn. Mosby.