PATIENT MANAGEMENT WITHIN THE MULTI-PROFESSIONAL CRITICAL CARE AND EMERGENCY RETRIEVAL TEAM

SHE Level 3
SCQF Credit Points 20.00
ECTS Credit Points 10.00
Module Code M3B922064
Module Leader Gary Rutherford
School School of Health and Life Sciences
Subject Nursing
Trimesters
  • A (September start)
  • B (January start)
  • C (May start)

Pre-Requisite Knowledge

Paramedic Registered with the Health Professions Council. Successful completion of Principles of Critical Care and Emergency Retrieval

Summary of Content

This module will enable the Critical Care Paramedic to put into practice the knowledge learned within the theoretical module Principles of Critical Care in addition to the practical skills of using diagnostic equipment and medical technology at an advanced level. As a Critical Care Paramedic many scenarios will be challenging and dynamic with a degree of unpredictability. This module will give the student the skills, knowledge and confidence to practice safe and effective patient management within these situations. An understanding around their professional scope of practice and when to ask for advice/senior medical or clinical support, either with direct or indirect support will also be discussed. The student will also be expected to reflect on situations encountered whilst in placement. This module will encourage the student to use reflection within practice and adapt future practice.

Syllabus

Recognition and management of the critically ill/ potentially critically ill patient across the lifespan Detailed and appropriate clinical examination and history taking in relation to critical care Initiation of appropriate investigations and monitoring of the critically unwell patient e.g. ECG, X-Ray, blood gases Integration of clinical findings with any laboratory investigation or 'at patient' testing to form an intial patient care plan which is regularly reviewed Adminstration of appropriate medicines for critical conditions e.g. nitrates, anti-arrhythmics, blood products, analgesia, sedation Operation of equipment associated to the critical care transfer environment Performance of invasive techniques including nasogastric tube placement and urinary catheterisation Appropriate packaging, moving and handling of the critically ill ventilated patient Effective communication with members of the health care team, patients and relatives Maintenance of accurate and legible records/ documentation

Learning Outcomes

On successful completion of the module the student should be able to:1. Demonstrate competency in practicing safely and effectively within their scope of practice, requesting either direct or indirect assistance when required, 2. Show competency in gaining consent, maintaining confidentiality and correctly recording information.3. Practice with an advanced knowledge in patient history taking using clinical reasoning to determine physiological diagnosis and decision making.4. Demonstrate the ability to use a range of assessment skills and clinical reasoning, some specialised, to meet the needs of a critically ill patient across the lifespan.5. Demonstrate in practice the ability to manage and care for a patient within critical care, using reflection were appropriate to adapt future practice.6. Practice in accordance with current legislation governing the use of prescription only medicines and medicines used under a patient group directive, demonstrating pharmacological and pharmacokinetic knowledge.

Teaching / Learning Strategy

The teaching and learning strategy is based upon a practice placement model, putting into practice skills learnt within the principles of critical care and emergency retr ieval. The practice placement model us ed, places the student in appropriate care settings, with mentor and practice placement educator support allowing them to practise skills in a safe and supported environment. This allows them to reach an appropriate level of competence as detailed in the learning outcomes. The student will complete a portfolio of competencies in the appropriate placement setting, supported by a senior clinician (mentor). The student will demonstrate their knowledge and competence by supplying evidence linked to the modules learning outcomes. Evidence may include patient report forms, patient related documentation, placement diary logs, supporting statements from placement mentors, literature reviews. An element of reflection will also be included within the portfolio allowing the student to 're-visit' scenarios encountered within placement and improve future practice. Whilst within placement the student will be able to access GCU learn resources, this will contain relevant updates and information to assist them within their placements. Cohort networks will also be formed, this will allow the students to share learning experiences with tutor support.

Indicative Reading

Atkinson,P. Kendall, R. & Rensburg van, L. (2010) Emergency Medicine: An illustrated Colour Text. London: Elsevier Campbell,J. (2008) International Trauma Life Support, 6 th ed. London: Pearson International Ellis,D. & Hooper,M. (2010) Cases in Pre-hospital and Retrieval Medicine. Austrailia: Elsevier Greaves,I & Porter,K. (2006) Oxford Handbook of Pre-Hospital Care. Oxford: Oxford University Press Gregory.P & Mursell,I (2010) Manual of Clinical Paramedic Procedures, 1 st ed. Oxford: Wiley-Blackwell Gregory,P & Ward, A. (2010) Sanders Paramedic Text Book. London: Mosby Elsevier Jewkes,F. Lubas,P. & McCusker,K. (2005) Pre-Hospital Paediatric Life Support The Practical Approach. 2 nd Ed. Oxford: BMJ Books Woollard,M. Simpson,H. Hinshaw,K and Wieteska,S. (ed) (2010) Pre-Hospital Obstetric Emergency Treatment. London: Blackwell JRCALC (2006) Clinical Practice Guidelines. London: Edexcel Resuscitation Council (UK) (2010) Resuscitation Council Guidelines. 6 th ed. Resuscitation Council: London

Transferrable Skills

Work in a self directed manner, taking responsibility for own learning and personal development. Develop communication and IT skills to underpin effective learning. Communicate effectively in both written and oral forms with fellow students and the teaching team. Work effectively with others. Underpin professional development by integration of theory and practice.

Module Structure

Activity Total Hours
Practicals (PT) 180.00
Assessment (PT) 20.00

Assessment Methods

Component Duration Weighting Threshold Description
Coursework 1 n/a 100.00 40% Demonstration of clinical reflection to LO's- 4000 words