POST ANAESTHETIC PRACTICE

SHE Level 3
SCQF Credit Points 20.00
ECTS Credit Points 10.00
Module Code M3B726247
Module Leader Agnes Lafferty
School School of Health and Life Sciences
Subject Nursing
Trimester
  • A (September start)

Summary of Content

This module focuses on developing the key skills, knowledge and judgements that are necessary for post anaesthetic practitioners to provide safe, effective and evidence based care, in an inter-professional setting. It will allow students the opportunity to explore and link the theoretical and clinical elements of post anaesthetic practice. Students will also complete a competency document wherein an experienced supervisor will evidence their achievements in clinical practice.

Syllabus

-360b7 Receiving patients into post anaesthetic care unit b7 Initial assessment of post-operative patients using the ABCDE approach b7 Airway management techniques including; bag mask ventilation, LMA insertion, extubation and emergency re-intubation, difficult/failed intubation b7 Oxygen delivery systems, including: nasal cannulae, oxygen masks, nebulisers, breathing circuits including T pieces, piped gas and oxygen flow meters, oxygen cylinders b7 Provision, establishment and interpretation of invasive and non-invasive monitoring -360b7 Management of commonly occurring post-operative complications and conditions including airway problems, bleeding, post operative nausea and vomiting, pain, hypothermia -360b7 Assessing and responding to altered levels of consciousness b7 Application of national and local discharge criteria b7 Documentation of care and patient handover b7 Use of structured handover frameworks b7 Human factors and non-technical skills b7 Revision of anatomy and physiology of the respiratory and cardiovascular systems b7 The maintenance of normothermia and normoglycaemia in relation to the Scottish Patient Safety Programme

Learning Outcomes

On successful completion of the module the student should be able to:1. Demonstrate skills, knowledge and judgement in the role of a skilled post anaesthetic nurse by providing evidence of successful completion of the immediate post anaesthetic care competency document. 2. Critically analyse and evaluate the delivery of safe immediate post anaesthetic nursing care.3. Appraise and develop their own professional practice in immediate post anaesthetic care unit and identify opportunities to implement evidence based practice.4. Demonstrate proficiency in the preparation and use of a range of anaesthetic, airway and monitoring equipment to support patients' in the immediate post anaesthetic care unit.5. Demonstrate skills, knowledge, judgement and professional values in the conduct of A to E assessments for patients in the post anaesthetic care unit. 6. Discuss the national and local strategies used to prevent, identify and manage post anaesthetic and surgical emergencies/complications in the post anaesthetic care unit.

Teaching / Learning Strategy

Lecturers, service partners, users, carers and students will contribute to the authenticity of the teaching and learning experience using case-based scenarios. Following the spiral curriculum some previously explored concepts will be related to more complex patients and scenarios. The care of a selection of patients will be explored in relation to underpinning pharmacology and pathophysiology. Learning and teaching strategies will enhance student engagement, accessibility, flexibility and personalisation of the curriculum through the use of technology/digital learning where appropriate. A series of core lectures will be supported with facilitator and student-led tutorials and directed learning utilising facilitator and student-led activities. Practical workshops and clinical simulation will be used to help students to integrate theory with practice. Supervision by an experienced supervisor within the students' clinical areas will provide them with flexible learning opportunities to assist them in achieving the module learning outcomes. Guided and self-directed study, including interactive resources supported by a virtual learning environment, will be used to prepare students for each week's activities and assist in consolidation of their learning.

Indicative Reading

ABBOTT, H. & WORDSWORTH, S. 2016. Perioperative Practice Case Book. London, Open University Press ASSOCIATION OF ANAESTHETISTS OF GREAT BRITAIN AND IRELAND. 2013, Immediate Postanaesthetic Recovery, London, AAGBI ASSOCIATION OF ANAESTHETISTS OF GREAT BRITAIN AND IRELAND. 2013 UK National Core Competencies in Post-anaesthesia Care, London, AAGBI ASSOCIATION OF ANAESTHETISTS OF GREAT BRITAIN AND IRELAND. 2007, Recommendations for Standards of Monitoring During Anaesthesia and Recovery, 4 th ed., London, AAGBI ALLMAN, K., WILSON, I., O'DONNELL, A., 2018. Oxford Handbook of Anaesthesia. 4th ed. Oxford, Oxford University Press AL-SHAIKH, B., & STACEY, S.G. 2019. Essentials of Equipment in Anaesthesia, Critical Care and Peri-Operative Medicine. 5th ed. Edinburgh, Elsevier ASSOCIATION OF ANAESTHETISTS. 2019. Quick Reference Handbook. Available from: <https://anaesthetists.org/Home/Resources-publications/Safety-alerts/Anaesthesia-emergencies/Quick-Reference-Handbook> HATFIELD, A., 2014 The Complete Recovery Room Book, 5 th ed., Oxford, Oxford University Press LIN, T., SMITH, T., PINNOCK, C., MOWATT, C., 2017. Fundamentals of Anaesthesia. 4th ed. Cambridge, Cambridge University Press. PEATE, I. & NAIR, M. 2017.Fundamentals of Anatomy and Physiology for Nursing and Healthcare Students. 2nd ed. Chichester, Wiley Blackwell. Useful websites Anaesthesia UK https://www.frca.co.uk/ Association of Anaesthetists https://anaesthetists.org/ Association for Perioperative Practice http://www.afpp.org.uk NHS Choices http://www.nhs.uk/Pages/HomePage.aspx Resuscitation Council (UK) http://www.resus.org.uk https://learn.nes.nhs.scot/25880/nursing-midwifery-and-health-professions-nmahp-perioperative-education-and-development/core-competence-framework-for-anaesthetic-assistants

Transferrable Skills

Development, or enhancement, of; -360b7 Independent learning skills b7 Critical thinking and decision making skills b7 Study, IT and time management skills b7 Professional and ethical values aligned with professional practice b7 Communication and team working b7 Theory and practice integration and problem solving b7 Reflection b7 Airway management skills b7 Management of clinical emergencies in post anaesthetic practice

Module Structure

Activity Total Hours
Independent Learning (FT) 148.00
Assessment (FT) 20.00
Lectures (FT) 24.00
Practicals (FT) 4.00
Tutorials (FT) 4.00

Assessment Methods

Component Duration Weighting Threshold Description
Clinical Competencies n/a 0.00 40% Clinical Competencies (Pass/Fail)Exceptions case submitted and outcome pending regarding minimum threshold and module pass markEXCEPTIONS CASE 188 APPROVED NOVEMBER 2019
Written Assignment n/a 100.00 40% Written Assignment (3000 words)Exceptions case submitted and outcome pending regarding minimum threshold and module pass markEx