BECOMING AN EMERGENCY NURSE PRACTITIONER

SHE Level 4
SCQF Credit Points 40.00
ECTS Credit Points 20.00
Module Code MHB723909
Module Leader Christina McColl
School School of Health and Life Sciences
Subject Nursing
Trimesters
  • A (September start)-B (January start)
  • B (January start)-C (May start)

Pre-Requisite Knowledge

Registered Nurse who works at a senior level within an emergency department for a minimum of three years

Summary of Content

This module aims to provide the Registered Nurse or Registered Healthcare Practitioner with the necessary knowledge and skills to independently conduct an assessment on patients who present to an Emergency Department / Minor Injuries Unit or similar. The course also aims to prepare the Registered Nurse for autonomous practice within defined protocols without reference to a doctor. The course encompasses the basic protocols identified as being the minimum standard before a nurse can entitle themselves as an Emergency Nurse Practitioner. The module acts as a foundation on which later protocols can be developed and taught to further expand their role. The focus of this module is the development of specialist knowledge and skills related to clinical assessment / diagnosis and effective intervention for the patient with minor injuries. It explores: -360b7 Professional relationships and management skills -360b7 Clinical governance b7 Professional practice b7 Critical analysis b7 Clinical knowledge b7 Clinical skills b7 Clinical management In addition, the module will allow the student to consider their role as a specialist practitioner through examination of research, best practice and all other developments in the care of the patient with minor injuries.

Syllabus

Unit 1 Professional and legal issues (includes use of pharmacy guidelines and IRMER guidelines for requesting xrays). Clinical governance History taking and documentation Communication skills X-ray interpretation Preparation for OSCE examination and written assignment Unit 2 Musculoskeletal assessment Introduction to upper and lower limbs including anatomy, structure and function Assessment of the shoulder, elbow, wrist and hand Assessment of the hip, knee, ankle and foot Unit 3 Midline assessment Assessment and management of chest wall injuries Assessment of management of neck and back Head injuries - assessment and management ENT - assessment and management. Eye injuries - assessment and management Facial injuries - assessment and management Unit 4 Assessment, exploration and management of wounds and burns Use of local anaesthesia and wound closure techniques Unit 5 Minor injuries across the life continuum Paediatric considerations including child protection Preparation for OSCE examination and written assignments

Learning Outcomes

By the end of the module the learner should be able to:Synthesise knowledge of normal anatomy to conduct appropriate clinical examinations and differentiate normal from abnormal whilst continually critically reviewing practices, skills and knowledge.Analyse patients behaviours and traits to determine how they contribute to the complex professional level problems and issues presented to the (Emergency Nurse) Practitioner.Demonstrate acceptance of the accountability associated with practising independent nursing assessment and the associated treatment and discharge.Demonstrate sensitivity in interpersonal communication, involving the patient as a partner during the assessment process, multi-professional team involvement, treatment planning/delivery and discharge processes.Demonstrate advanced level thinking to provide a rationale for the clinical judgements and decisions based on all the data collected from a range of sources (eg physical examinations, history taking, interpretation of test results, X rays).Critically appraise all sources of information including legislation and research in order to promote and perform evidence based practice during the patient's assessment, diagnosis, treatment and discharge process.Critically evaluate and challenge the wider issues of policies, procedures, clinical protocols or clinical guidelines, including independent prescribing to facilitate through audit professional accountability and clinical practice development within Emergency Care.Recognise the limitations of the (Emergency Nurse) Practitioner role by demonstrating the ability to appropriately refer patients to other members of the multidisciplinary team.Formulate a learning log to evidence clinical activity and advancement of (Emergency Nurse) Practitioner related knowledge and skills.

Teaching / Learning Strategy

This module is only available in a blended learning format and students are required to study on site in Glasgow. The online platform supports pre and post delivery of key sessions and reinforces the practice and practice support A combination of lectures, seminars, tutorials, interactive discussions, workshops, directed and self directed study activities will be used. The student will always obtain a minimum of 72 hours of contact time with the module team, excluding individual academic support. There is also 75 hours clinical placement with an experienced Emergency nurse practitioner with a Minor Injury Department within the city. The fundamental aim of the teaching and learning strategies 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.

Indicative Reading

Davies, F., Bruce, C. and Taylor-Robinson, K. (2011) Emergency Care of Minor Trauma in Children . CRC Press Fotheringham, D., Dickie, S. and Cooper, M. (2011) Evolution of the role of the ENP in Scotland: a longitudinal study. Journal of Clinical Nursing Lumley, J. (2008) Surface Anatomy: the anatomical basis for clinical evaluation (4 th ed) Churchill Livingstone. McConnell, D., Slevin, O. And McIlfactrick, S. (2013) ENPs perceptions of their role and scope of practice: is it advanced practice? International Emergency Nursing NMC (2015) The Code : Professional standards of practice and behaviour for nurses and midwives. Nursing and Midwifery Council Purcell, D. (2010) Minor Injuries : a clinical guide (2 nd ed.) Churchill Livingstone. Raby, N., Berman, L. and de Lacey, G. (2005) Accident and Emergency Radiology: a survival guide. London, Saunders. Wyatt, P. et al (2012) Oxford Handbook of Emergency Medicine OUP

Transferrable Skills

By the end of this module, students will be able to: Work in a self-directed manner, taking responsibility for own learning and personal development. Appreciate the need for a high level of ethical and professional conduct Develop study and IT skills to underpin effective learning. Develop knowledge and understanding in the context of a subject, which can be transferred within different clinical contexts. Develop critical thinking and problem solving skills in a range of situations. Demonstrate communication skills: written, oral listening and presentational. Demonstrate the ability to work as an effective member of the team. Discriminate between levels of evidence supporting clinical practice.

Module Structure

Activity Total Hours
Lectures (PT) 36.00
Practicals (PT) 75.00
Tutorials (PT) 40.00
Assessment (PT) 40.00
Independent Learning (PT) 209.00

Assessment Methods

Component Duration Weighting Threshold Description
Exam (School) 1.50 50.00 40% OSCE - Pass mark is 70% but mark will be normalised to 40%.
Coursework 1 n/a 50.00 40% Case Study (3000 words)
Coursework 2 n/a 0.00 n/a Clinical Practice Logbook