APPLYING CLINICAL ASSESSMENT AND DECISION MAKING FOR PARAMEDIC SCIENCE

SHE Level 3
SCQF Credit Points 20.00
ECTS Credit Points 10.00
Module Code M3B924581
Module Leader Evelyn McElhinney
School School of Health and Life Sciences
Subject Paramedic Science
Trimester
  • A (September start)

Pre-Requisite Knowledge

Completion of Year 2

Summary of Content

T he aim of this module is to develop knowledge and skills to enable students undertaking the BSc Paramedic Science programme to further advance their skills in independently conducting a structured physical clinical assessment which can be applied in acute and primary care settings. This module will entail study of topics and development of skills associated with holistic assessment, consultation skills, clinical decision making, and evidence based practice. Consequently, this integrated theory and practice based module aims to promote the development of the safe and effective practitioner working within an acute or primary care setting with a focus on in depth consultation and minor illness. Practice Based Education 7: Minor Illness & Ambulance During this integrated theory and practice module students will undertake 10 weeks (400 hours) practice based education in both the primary care environment where patients present with minor illness and also time with a registered paramedic in the out-of-hospital environment.

Syllabus

Diagnostic History taking and consultation skills Physical examination techniques Examination of skin, hair, nails, face, neck, ear, nose and throat. Examination cardiovascular examination Examination of the respiratory system Examination of the abdomen Neurological assessment Recognition of a range of mental health presentations, and referral pathways Theories and models of clinical decision making Management and treatment options for a range of acute and primary care presentations Management and treatment options for a range of acute and primary care presentations through scenarios and online materials (minor and acute undiagnosed illness) Referral routes using a number of modalities - paper, electronic

Learning Outcomes

On successful completion of this module the student should be able to:1. Analyse techniques designed to elicit a comprehensive diagnostic physical and psychological clinical history via a range of consultation skills and models.2. Review and analyse clinical decision making models and theory and their influence on clinical practice.3. Demonstrate appropriate knowledge and skills including the techniques of inspection, palpation, percussion, auscultation and movement associated with a complete physical examination of body systems.4. Differentiate and explore normal from abnormal findings for a wide range of acute and primary care clinical presentations.5. Apply knowledge of disordered physiology and patient assessment, in order to select and implement appropriate strategies to provide initial management and appropriate referral of acute secondary and primary care presentations.6. Integrate knowledge gained through the module and from reflection on practice experience, to apply effective evidenced based care and management.

Teaching / Learning Strategy

This module uses a blended approach with a range of learning and teaching strategies including, demonstration, clinical scenarios, lectures, seminars, tutorials, interactive discussions, and workshops, directed and self -directed study. The theoretical component of the module will be delivered using a front loaded model allowing students to complete a minimum of 400 hours in practice based education in the remaining time. Practice Based Education 7: Minor Illness & Ambulance is split into two parts. 200 hours is to be completed in a minor illness environment and 200 hours within the ambulance environment. Supervision of practice based education is through a Practice Educator (PEs) or other appropriately registered healthcare practitioner with training in practice education. They will be supported by a Practice Education Facilitator (PEF).

Indicative Reading

Practice Education Handbook - BSc Paramedic Science (2017) Fitness to Practice - GCU (2017) Practice Assessment Document (PAD) - Year 3: Sections 2 & 3. -720 GCU learn Bickley, L.S (2012) Bates' Guide to physical examination and history taking (11th Edition), Philadelphia: Lippincott, Williams and Wilkins Brown, E. M. (2008). Heart sounds made easy. 2nd ed, Churchill Livingstone: Edinburgh Dains,J.E., Ciofu Baumann., L., and Scheibel, P. (2011) Advanced health assessment & clinical diagnosis in primary care, Mosby: St Louis Douglas, G, Nicol,F and Robertson, C (ed) (2013) MacLeod's Clinical Examination (13th ed), China: Churchill Livingstone Elsevier Japp, A.G and Robertson, C (ed) (2013) MacLeod's Clinical Diagnosis, China: Churchill Livingstone Elsevier Thompson,C., and Dowding, D (2009) Essential decision making and clinical judgement for nurses, Churchill Livingstone: Edinburgh Walker, S., Carpenter, D., and Middlewick, Y (2013) Assessment and Decision Making in Mental Health Nursing, Learning Matters: Sage Policies Ritchie, L (2015) Pulling together: transforming urgent care for the people of Scotland. The Report of the Independent Review of Primary Care Out of Hours Services Scottish Government Scottish Ambulance Service Towards 2020: Taking Care to the Patient

Transferrable Skills

-284 Develop independent learning by working in a self-directed manner. -284 Develop study and IT skills to underpin effective learning. Develop critical thinking, decision making and communication skills. Work effectively with others. Underpin professional practice through reflection and the integration of theory and practice. Appreciate the need for a high level of ethical and professional conduct.

Module Structure

Activity Total Hours
Assessment (FT) 20.00
Placement 400.00
Independent Learning (FT) 124.00
Practicals (FT) 20.00
Tutorials (FT) 36.00

Assessment Methods

Component Duration Weighting Threshold Description
Coursework 1 n/a 100.00 40% Case Study 2000 wordsAll components must be passed for successfull completion.Exception Case number 164
Coursework 2 n/a 0.00 35% Logbook - PL competency logbookAll components must be passed for successfull completion.PAD Completed with 400 hours of practice based education recorded.Exception Case number 164
Exam (School) 0.50 0.00 35% OSCEAll components must be passed for successfull completion.Exception Case number 164