ASSESSMENT AND IMMEDIATE MANAGEMENT OF MINOR ILLNESSES/INJURY IN UNSCHEDULED CARE

SHE Level 3
SCQF Credit Points 40.00
ECTS Credit Points 20.00
Module Code M3B725842
Module Leader Lyndsey Fearns
School School of Health and Life Sciences
Subject Nursing
Trimesters
  • C (May start)-A (September start)
  • S-C (May start)-A (September start)
  • A (September start)
  • B (January start)
  • C (May start)

Pre-Requisite Knowledge

Reegistered nurse who works in a clinical area where the assessment and management of patients presenting with minor illnesses / injuries comprises a significant proportion of their day-to-day role.

Summary of Content

There is an increasing demand to develop an unscheduled care workforce that is responsive to and reflective of changing health needs, service demands, skill mix and government targets for health improvement. An important element of modernising service will be the delivery of care by highly skilled and autonomous practitioners within an overall framework of Interprofessional practice. This module is specifically designed to address the needs of practitioners working in unscheduled care aiming to meet the challenges and demands faced in delivering high quality care to children and adults presenting with minor injury/illness. This is applicable to those working in accident and emergency departments, minor injury units and primary care settings and out of hour's centres. The module promotes the development of knowledge, problem-solving and decision-making skills to underpin clinical competence, as transferable skills to utilise the unpredictable and unique clinical situations that characterise this sphere of practice. The intention is to ensure competence and confidence within the field of minor injury/illness to support a service model, which empowers staff to see, treat, and discharge independently of medical staff.

Syllabus

Immediate assessment and management of minor injuries and conditions presenting in the context of: MUSCULOSKELETAL: Shoulder & upper arm; Elbow; Wrist and hand; Digit pulp e.g. fingertip; Knee & Lower Limb; Foot and ankle; Back pain SKIN ENT EYE CHEST HEAD Adult/Child anatomy and physiology and Pathophysiology to underpin the assessment and management of minor injuries and conditions. Radiological Interpretation of: The wrist and hand Knee / lower limb Wound management Assessment and management of common paediatric minor injuries & childhood illness Immediate Assessment and management of Mental health conditions including deliberate self-harm Clinical history-taking in relation to minor injuries/illnesses Protocols and guidelines Patient Group Directives (PGDs ): Tetanus and antibiotic vaccination guidelines Professional Legal and professional issues Health Promotion Reflective Practice Decision-making and Evidence Based Practice

Learning Outcomes

At the end of this module the student should be able to:1 Demonstrate knowledge of the anatomy, physiology and pathology sufficient to underpin the immediate assessment and management of minor injury/ illnesses in children and adults, relevant to the unscheduled care environment2 Demonstrate a structured approach to clinical assessment and management of children and adults presenting with minor illness/injury to the unscheduled care environment.3 Analyse theoretical approaches to critical thinking and decision-making in the presentation, assessment and management of minor injuries/illness 4 Utilise evidence based practice to underpin safe and effective practice5 Demonstrate competence in the assessment and management of children and adults presenting with common minor injury/illness in the unscheduled care setting6 Explore the legal, ethical and professional requirements regarding the immediate assessment and management of minor injury/ illnesses, presenting within the unscheduled care environment7 Interpret, evaluate and utilise clinical data to underpin the clinical assessment and management of minor injury/ illnesses 8 Analyse the need for effective communication within a multi-disciplinary unscheduled care environment; and where indicated, initiate appropriate patient pathways.9 Appraise personal learning needs and development in regards to minor illness/injury in unscheduled practice10 Analyse appropriate strategies in the assessment and management of minor illness/injury, including health education and health promotion models and use of patient group directions.

Teaching / Learning Strategy

Students will be supported to develop requisite knowledge and skills via modified lectures, case study analyses, simulated practice and group work. The module will be made available through GCULearn. Students will be directed to engage with wider reading including access to NHS electronic library and DVD's. The teaching and learning strategy aims to support the development of students as autonomous, independent problem-solvers and capable high-level decision-makers operating within the parameters of their professional competence, role and employers' agreed vicarious liability (or equivalent). Students, as active and engaged learners, will be responsible for organising self-directed learning. Guidance and tutorial support will be provided to support development of the Clinical Practice portfolio. Student-centred learning strategies will be deployed; such as group tutorials and the provision of learning objects (e.g. handouts, workbooks literature search and appraisal guidance). Supervised clinical practice will provide the forum for practice-based learning and assessment of clinical competencies and this will take place at the students' workplace. Supervised clinical practice involves students working alongside a designated practitioner who possesses the skills the student requires to develop and can therefore act as a role model and assessor. This may be a Doctor or Advanced Nurse Practitioner with the appropriate educational preparation and clinical expertise to facilitate learning in practice. Development of the Clinical Practice Portfolio provides structure and guidance for demonstrating achievement of overall competence to practice. It is comprised of a record of achievement of required clinical competencies based on Benner's (1984) Novice to Expert framework and a record of reflective practice. Individual competencies are assessed on a pass/fail basis.

Indicative Reading

-360-2 RUSHFORTH, H, 2009. Assessment made Incredibly Easy (UK Edition). London: Lippincott Williams & Wilkins. -360 DOUGLAS, G., NICOL, F. & ROBERTSON, F. eds. 2013. Macleod's Clinical Examination . 13 th Edition. Edinburgh. Elsevier Churchill Livingstone. BICKLEY, L. 2016. Bates' Pocket Guide to Physical Examination and history taking . 7 th Edition. London. Lippincott Williams & Wilkins. JOHNSON, G., & HILL-SMITH, I. 2012. The Minor Illness Manual. 4 th edition. London. Radcliffe Publishing Ltd. PURCELL, D. 2017. Minor injuries: A clinical guide . 3 rd edition. Edinburgh. Elsevier.-2 CROUCH, R., CHARTERS, A., DAWOOD, M. & BENNETT, P. eds. 2016. Oxford handbook of emergency nursing . 2 nd edition. Oxford. Oxford University Press RAMRAKHA, P., MOORE, K. & SAM, A. 2010. Oxford Handbook of Acute Medicine. 3 rd edition. Oxford. Oxford University Press.

Transferrable Skills

Participation in this module will enable the student to develop the following transferrable skills associated with level 9 study including: Working in a self-directed manner, taking responsibility for own learning, personal development and clinical practice competence. Developing study and IT skills to underpin effective learning. Developing knowledge and understanding in the context of a subject, which can be transferred within different contexts. Demonstrating critical thinking and problem solving skills in a range of situations. Developing communication skills, written, oral, listening and presentational skills. Demonstrating the ability to work as an effective member of a team. Underpinning professional practice through the integration of theory and practice. -425

Module Structure

Activity Total Hours
Assessment (FT) 60.00
Assessment (FDL) 60.00
Tutorials (PT) 80.00
Independent Learning (PT) 260.00
Tutorials (FT) 80.00
Assessment (PT) 60.00
Tutorials (FDL) 80.00
Independent Learning (FDL) 260.00
Independent Learning (FT) 260.00

Assessment Methods

Component Duration Weighting Threshold Description
Coursework 2 n/a 100.00 40% Critical Reflection on a Practice Based Case-Study (4000 words)Exceptions Case 161
Coursework 1 n/a 0.00 40% Clinical Competency PortfolioExceptions Case 161