ANAESTHETIC AND IMMEDIATE POSTOPERATIVE RECOVERY PRACTICE

SHE Level 4
SCQF Credit Points 40.00
ECTS Credit Points 20.00
Module Code MHB713005
Module Leader Carole Morley
School School of Health and Life Sciences
Subject Nursing
Trimesters
  • A (September start)
  • B (January start)

Pre-Requisite Knowledge

Registered Nurses and other Health Care Professionals: Diploma in Operating Practice minimum six months experience in Anaesthetic/ Immediate Postoperative Recovery Practice.

Summary of Content

The focus of this module is to facilitate the student to become skilled in the care of patients during anaesthesia and immediate postoperative recovery care. The module incorporates both theory and clinical practice to ensure clinical competence, generally completed over a period of six months.

Syllabus

Local, sedation, regional, general anaesthetic techniques and immediate postoperative recovery care Reflective practice, Pre-operative assessment Standard precaution, risk management, deep venous thrombosis prophylaxis, management of latex allergy AAGBI Anaesthetic machine check and associated circuits, Legal informed consent /documentation, Evidence based practice, Ethics Use of airway scoring tools, basic airway, airway complications, the use of Oxygen therapy Fasting guidelines implications for general anaesthesia and sedation Basic monitoring interpretation and analysis, temperature control Care planning in anaesthetics and immediate postoperative recovery care, tissue viability, psychological support for the patient Interpretation blood results, interpretation pulmonary function test, implications of diabetes and obesity for the perioperative patient, fluid/ electrolyte and renal management Rapid sequence induction, difficult airway society (DAS) management of the difficult failed airway, Intravenous cannulation, Invasive monitoring, analysis of blood gases, Awake fibre optic intubation Emergencies - use of emergency drugs, anaphylaxis, malignant hyperpyrexia, massive blood loss, Level one /two blood transfusion safety, Immediate postoperative handover and discharge, pathophysiology/ management of pain, Modes of ventilation, Interdepartmental/ Inter -hospital transfer

Learning Outcomes

By the end of the module the learner should be able to:Anticipate the implications of surgery when planning anaesthetic and immediate postoperative recovery care using a holistic approach.Debate the legal and ethical issues pertaining to anaesthetic and immediate postoperative recovery care.Apply knowledge of the physiological changes caused by general anaesthetic and surgery on the patients airway.Care for a patient's airway to facilitate safe recovery by the Discuss physiological responses to anaesthetic, perioperative procedures and immediate postoperative recovery care necessary to participate in safe patient monitoring and interpreting of responses.Discuss local and national guidelines for administration of medicines in relation to anaesthesia and immediate postoperative recovery care.Analyse peri-operative care with a view to the assessment of risks/hazards in order to promote optimum safety for patients and staff.Explain the common anaesthetic emergencies using the Association of Anaesthetists of Great Britain and Ireland (AAGBI) guidelines where appropriate.Analyse the need for skilled support for the anaesthetist, and the physical and psychological support of a patient undergoing sedation, local, general and regional anaesthesia.Analyse the need for skilled support for the anaesthetist, and the physical and psychological support of a patient undergoing sedation, local, general and regional anaesthesia.Distinguish the modes of ventilation used in anaesthetic and immediate postoperative recovery care.Appreciate the use of reflective practice within a professional portfolio that would encourage personal accountability in continuing professional development.Critically analyse the issues and debates, including policy and legislation related to anaesthetic and immediate postoperative recovery practice.Critically evaluate research which underpins the anaesthetic and immediate postoperative recovery practice.Successfully meet the clinical competencies of the module.

Teaching / Learning Strategy

This module offers only a blended delivery. A combination of lectures, seminars, tutorials, interactive discussions, workshops, directed and self-directed study will be utilised. The student will always obtain the equivalent of 72 hours of contact time with the module team, excluding individual academic support. The fundamental aim of the teaching and learning strategies, irrespective of delivery mode is to support the development of autonomous, independent problem solving and decision making within the parameters of their profession competence, role and employers agreed vicarious liability (or equivalent). The teaching and learning strategy will be designed to encourage the student to synthesise and apply the theory that relates to anaesthetic practice. Classroom teaching will include lectures, seminars and tutorials including clinical simulation. The student will, in conjunction with their clinical supervisor and module leader, highlight and value present knowledge and individual learning needs in relation to specialist areas. In practice the student will be supported and assessed by a clinical supervisor, enabling the student to integrate theory with anaesthetic practice through the use of the competency profile. The Module Leader and clinical supervisor will encourage the student to reflect on and develop their clinical competencies through both formative ands summative assessment. Students must undertake at least 132 hours of supervised practice in the anaesthetic environment.

Indicative Reading

Aitkenhead, A.R.., Rowbotham, D.J., and Smith, G. (2007) Textbook of Anaesthesia (5th Ed ) Edinburgh Allman, G., Wilson, I.H., (2004) Oxford Handbook of Anaesthesia Oxford , Oxford University Press Garwood-Gowers, A. Tingle, J. Wheat, K. (2005) Contemporary issues in healthcare law and ethics. New York: Elsevier Butterworth. Hatfield, A. and Tronson, M. (2004) The complete Recovery Room Book. Oxford, Oxford University press Jasper, M (2003) Beginning Reflective Practice, Cheltham UK, Nelson Thornes Moyle, J and Davey, A (2005) Wards Anaesthetic equipment (5th Ed) London WB Saunders Pinnock, C., Lin, T., Smith, T, (2002) Fundamentals of Anaesthesia 2nd Edition Greenwich Medical Media, Cambridge University Press Polit, D. Beck, C. Hungler, B. (2006) Essentials of Nursing Research: methods, appraisal and utilization. Philadelphia: Lippincott. Stoelting, R. Hillier, S. (2006) Pharmacology and physiology in anaesthetic practice. Philadelphia: Lippincott Williams and Wilkins. Tortora, G., J., Grabowski S.R. (2003) Principles of Anatomy and Physiology 10th Edition New York: Wiley and Sons. Wall, P. McMahon, S. Koltzenburgh, M. (2006) Wall and Melzack's textbook of Pain. Edinburgh: Churchill Livingstone. www.aagbi.org www.surgical-tutor.org.uk www.sign.ac.uk www.afpp.org.uk www.nes.scot.nhs.uk www.aorn.org www.rcoa.ac.uk www.nao.org.uk www.npsa.nhs.uk/sevensteps

Transferrable Skills

Develop independent learning by working in a self-directed manner 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
Lectures (PT) 46.00
Tutorials (PT) 8.00
Independent Learning (FT) 156.00
Assessment (PT) 40.00
Placement 132.00
Tutorials (FT) 8.00
Practicals (FT) 15.00
Independent Learning (PT) 156.00
Seminars (FT) 3.00
Practicals (PT) 15.00
Assessment (FT) 40.00
Seminars (PT) 3.00
Lectures (FT) 46.00

Assessment Methods

Component Duration Weighting Threshold Description
Exam (School) 60.00 50.00 40% OSCE Examintion - pass mark 70% (normalised to 40%)
Coursework 0.00 50.00 40% Portfolio 4000 words