CARE OF PATIENT WITH COMPLEX OR SPECIALISED NEEDS

SHE Level 2
SCQF Credit Points 40.00
ECTS Credit Points 20.00
Module Code M2B722577
Module Leader Claire Lewsey
School School of Health and Life Sciences
Subject Nursing
Trimesters
  • B (January start)-C (May start)
  • A (September start)

Pre-Requisite Knowledge

Successful completion of level 1 modules, or equivalent

Summary of Content

This module provides the opportunity for students to gain knowledge, understanding and clinical experience in caring for patients undergoing complex, specialised, non-scheduled and emergency surgery and anaesthesia. The module will explore the assessment, delivery and evaluation of perioperative care for a range of patients, including those undergoing; paediatric surgery, surgically assisted child birth and emergency or non scheduled surgery. The module aims to provide extensive clinical placement opportunities to enable student to build on and consolidate their previous experience. By the end of the module students should be able to apply an understanding of a diverse range of complex, specialised and emergency situations to the care of patient.

Syllabus

Care of patients with complex or specialised needs, including renal failure, head injuries, obesity. Rapid sequence induction. Clinical emergencies - anaphylaxis, massive blood loss, shock, malignant hyperpyrexia, basic life support, across the age continuum. Assessment of emergency and complex patients, including ABCDE assessment, neurological assessment, triage and arranging and undertaking investigations. Moral and ethical issues in emergency care, including withdrawal of treatment, DNA CPR, end of life care. Transplantation and handling of human tissue. Problem solving skills in complex and unpredictable situations. Care of paediatric patients and their carers, including child development. Anatomical and physiological differences in neonate, children and adults. Principles of paediatric anaesthesia and surgery. Care of patients during surgically assisted childbirth. Physiological changes in pregnancy. Invasive monitoring, including arterial and central lines and blood gases Emergency and trauma surgery. Confidential Enquiry into Perioperative Deaths (CEPOD). Major incident policies. Anatomy, physiology and pathophysiology of renal and genito-urinary system. Urology and gynaecological surgery.

Learning Outcomes

On successful completion of this module the student should be able to:1. Adapt and apply existing knowledge and skills of a surgical and anaesthetic practitioner to the care of patients undergoing complex, specialised, non-scheduled and emergency surgery.2. Demonstrate a broad knowledge of the anatomy, physiology and pathophysiology of the renal and genito- urinary systems and the associated surgical procedures. 3. Demonstrate skills and knowledge in the recognition, assessment and treatment of patients suffering from life threatening or emergency conditions.4. Identify, analyse and reflect upon the cultural, ethical, moral and practical issues that affect patients and their carers, as the patient reaches the end of their life.5. Describe the principles and actively participate in the delivery of care to patients and their carers undergoing surgically assisted child birth.6. Apply an understanding of the anatomical and physiological differences between neonates, children and adults and apply this to care of paediatric patients and their carers as they undergo anaesthesia and surgery.

Teaching / Learning Strategy

This module will use lectures, practical simulations/ demonstration and directed learning workbooks to promote an understanding of the key theoretical principles of complex and specialised perioperative care. Students will spend 22 weeks in clinical practice to enable them to develop, practise and consolidate a wide range of clinical skills, under the supervision of a trained Mentor. Formative tripartite assessment will provide students with comprehensive feedback on their clinical performance and progress towards achievement of the module learning outcomes.

Indicative Reading

Association of Anaesthetists of Great Britain & Ireland. 2011, Malignant Hyperthermia Crisis Laminate, AAGBI, London. Association of Anaesthetists of Great Britain & Ireland. 2011, Malignant Hyperthermia Recommended Contents, AAGBI, London. Association of Anaesthetis of Great Britian & Ireland. 2011, Malignant Hyperthermia Crisis Task Allocations, AAGBI, London. Association of Anaesthetists of Great Britain and Ireland. 2009. Suspected Anaphylactic Reactions associated with Anaesthesia AAGBI : London Available from: <http://www.aagbi.org/publications/guidelines/docs/anaphylaxis_2009.pdf> Association for Perioperative Practice. 2011, Standards and Recommendations for Safe Perioperative Practice, AfPP, Harrogate. Bell, G. & Limb, J. 2009, "Equipment and Monitoring for Paediatric Anaesthesia", Anaesthesia and Intensive Care Medicine , Vol. 10, no. 10, pp. 480-488. Health and Care Professions Council. 2008, Standards of conduct, performance and ethics , HCPC, London. Hughes, S. & Mardell, A. 2009, Oxford Handbook of Perioperative Practice, Oxford University Press, Oxford. Radford, M., County, B. & Oakely, M. 2004, Advancing Perioperative Practice, Nelson-Thornes, Cheltenham. Shields, L. 2010, Perioperative Care of the Child: A Nursing Manual, Wiley-Blackwell, Chichester. Smith, B., Rawling, P., Wicker, P. & Jones, C. 2007, Core Topics in Operating Department Practice - Anaesthesia and Critical Care, Cambridge University Press, Cambridge. Waugh, A. & Grant, A. 2010, Ross and Wilson: Anatomy and Physiology in Health and Illness, 11 th edn, Churchill Livingstone, Edinburgh. Wicker, P. & O'Neill, J. 2010, Care of the Perioperative Patient , 2 nd edn, Blackwell Publishing, Oxford.

Transferrable Skills

The learning strategies used and the practice placement learning will help to develop skills of assessment, analysis, problem solving, communication and team working.

Module Structure

Activity Total Hours
Lectures (FT) 60.00
Tutorials (FT) 6.00
Assessment (FT) 40.00
Independent learning 56 hours PLUS Directed Study 20 hours TOTAL 76 hours 76.00
Practicals (FT) 14.00
Placement 765.00

Assessment Methods

Component Duration Weighting Threshold Description
TRI n/a 0.00 40% FORMATIVE COURSEWORKTripartite assessment compulsory
CA n/a 0.00 40% CLINICAL ASSESSMENT PASS/FAIL CA
Exam (Dept) 01 2.00 50.00 35% Class Test = CT
Course Work 01 n/a 50.00 35% 2500 word case study