BECOMING AN EMERGENCY NURSE PRACTITIONER

SHE Level 4
SCQF Credit Points 40.00
ECTS Credit Points 20.00
Module Code MHB726197
Module Leader Edd Pool
School School of Health and Life Sciences
Subject Nursing
Trimesters
  • A (September start)-B (January start)
  • B (January start)-C (May start)

Summary of Content

This module aims to provide Registered Nurses and/or Registered Healthcare Practitioners with the necessary knowledge and skills to independently assess those who present to an Emergency Department and/or Minor Injuries Unit or similar. As part of this, those undertaking the module are prepared for autonomous practice within defined protocols without reference to a doctor; in keeping with this, the module encompasses protocols which are identified as being the minimum standard before a Registered Nurse/Registered Healthcare Practitioner, upon successful completion of this module, can assume the title of Emergency Nurse Practitioner. The clinical and practice learning undertaken as part of this module provide a foundation on which later protocols can be developed and taught to further expand the Emergency Nurse Practitioner's role. As the focus of this module is the development of specialist knowledge and skills in relation to clinical assessment, diagnosis and effective intervention for those with minor injuries, there is exploration of the following to allow the student to consider their role as a specialist practitioner; professional relationships, practice and management skills, clinical governance, critical analysis of evidence and best practice and clinical knowledge and skills within the context of this role.

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

On successful completion of the module the student should be able to:1. Synthesise knowledge of normal anatomy to conduct appropriate clinical examinations, differentiating normal from abnormal whilst continually critically reviewing practices, skills and knowledge.2. Demonstrate understanding of the accountability associated with practising independently in the role of emergency nursing practitioner in relation to nursing assessment, treatment and discharge of those receiving care3. Demonstrate interpersonal communication skills, involving the patient and multi-professional team during assessment, treatment planning, delivery and discharge in emergency care/minor injuries. 4. Demonstrate critical thinking as part of clinical decision making, ensuring that this is based on all data pertinent to those being cared for, including; physical examinations, history taking, interpretation of test results and X rays. 5. Critically appraise all sources of evidence in order to promote and perform evidence based practice as part of assessment, diagnosis, treatment and discharge in emergency care/minor injuries.6. Critically evaluate and challenge, as appropriate, policies, procedures, clinical protocols and clinical guidelines, to facilitate informed professional accountability and clinical practice development within emergency care and minor injuries.7. Recognise the limitations of the (Emergency Nurse Practitioner) role, demonstrating the ability to appropriately refer patients to other members of the multidisciplinary team.8. Evidence clinical activity and advancement of (Emergency Nurse) Practitioner related knowledge and skills through supervised practice and clinical log narrative.9. Evidence understanding of the impact of chronic illness / pre-existing medical conditions and medications, and their impact, on the assessment of, and recovery from, minor injuries.

Teaching / Learning Strategy

The module is delivered using a blended learning approach and students must study on-site at GCU, Glasgow. A combination of lectures, seminars, tutorials, interactive discussions, workshops, directed and self-directed study activities will be used. Students will normally receive 72 hours of face-to-face contact with the module team, excluding individual academic support. There is also normally 75 hours of clinical practice learning, working alongside and being supervised by an experienced Emergency Nurse Practitioner within a Minor Injuries Department. The fundamental aim of the teaching and learning strategy is to support the development of autonomous, independent problem solving and decision making within the parameters of student's profession competence, role and employers agreed vicarious liability. The assessment strategy is designed to support assessment of both practice and theoretical knowledge and skills. a

Indicative Reading

AVEYARD, H. 2019. Doing a Literature Review in Health and Social Care: A Practical Guide. 4 th ed. London: McGraw-Hill. AVEYARD, H., SHARP, P. & WOOLLIAMS, M. 2015. A Beginner's Guide to Critical Thinking and Writing in Health and Social Care. 2 nd ed. Maidenhead: Open University Press. BAGLEY, S., 2018. Exploring Emergency Nurse Practitioners' Perceptions of Their Role. Nursing Standard 26 pp. 41-50. BICKLEY, L.S., SZILAGYI, P.G. & HOFFMAN, R.M. 2017. Bates' Pocket Guide to Physical Examination and History Taking. 8th ed. International edition. Philadelphia: Lippincott Williams & Wilkins. CROUCH, R. & BROWN, R. 2018. Advanced Clinical Practitioners in Emergency Care: Past, Present and Future. British Journal of Hospital Medicine. 79(9) pp. 511-515. DRAKE, R., VOGL, A.W. & MITCHELL, A.W.M. 2020 Gray's Anatomy for Students. 4 th ed. Philadelphia, PA: Elsevier. DURUd6Z, M.T. 2014. Hand Function, A Practical Guide to Assessment. New York, NY: Springer. ELLIS, H. & MAHADEVAN, V. 2019. Clinical Anatomy: Applied Anatomy for Students and Junior Doctors. 14 th ed. Hoboken: Wiley-Blackwell. EUROPEAN SOCIETY OF RADIOLOGY & EUROPEAN FEDERATION OF RADIOGRAPHER SOCIETIES 2019. Patient Safety in Medical Imaging: A Joint Paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS). Insights into Imaging 10(1) pp. 1-17. FIELD, D. & HUTCHINSON, J.O. 2013. Fields Anatomy, Palpation and Surface Markings. 5th ed. Elsevier. FOTHERINGHAM, D., DICKIE, S. & COOPER, M. 2011. The Evolution of The Role of The Emergency Nurse Practitioner in Scotland: A Longitudinal Study. Journal of Clinical Nursing, 20(19?20), pp. 2958-2967. INNES, J.A., DOVER, A.R., & FAIRHURST, K. 2018. Macleod's Clinical Examination. 14th ed. Edinburgh: Elsevier. LUTZE, M., FRY, M. & GALLAGHER, R. 2015. Minor Injuries in Older Adults Have Different Characteristics, Injury Patterns, and Outcomes When Compared with Younger Adults: An Emergency Department Correlation Study. International Emergency Nursing 23(2) pp.168-173. MCCONNELL, D., SLEVIN, O.D., & MCILFATRICK, S. J. 2012. Emergency Nurse Practitioners' Perceptions of Their Role and Scope of Practice: Is It Advanced Practice? International Emergency Nursing 21(2) pp. 76-83. MCRAE, R.& ESSER, M 2008. Practical Fracture Treatment. 5th ed. Churchill Livingstone/Elsevier. NHS EDUCATION FOR SCOTAND. 2018. Advanced Practice Toolkit: Pillars of Practice [online]. NHS Education for Scotland. Available from: <http://www.advancedpractice.scot.nhs.uk/education/pillars-of-practice.aspx> PROBST, B. 2015. Critical Thinking in Clinical Assessment and Diagnosis. Cham: Springer International Publishing. PURCELL, D. 2017. Minor Injuries: A Clinical Guide. 3rd ed. Edinburgh; London; New York; Oxford; Philadelphia; St Louis; Sydney; Toronto: Elsevier. RABY, N., BERMAN, L., DE LACEY, G. & MORLEY, S. 2015. Accident & Emergency Radiology: A Survival Guide. 3rd ed. Edinburgh: Elsevier Saunders. SCOTTISH GOVERNMENT. 2016. A National Clinical Strategy for Scotland [online]. Edinburgh: The Scottish Government. Available from: <http://www.gov.scot/Resource/0049/00494144.pdf> SCOTTISH GOVERNMENT. 2017. Paper 2 - Advanced Nursing Practice; Transforming Nursing, Midwifery and Health Professions' (NMaHP) Roles: pushing the boundaries to meet health and social care needs in Scotland. Paper 2 Advanced nursing practice [online]. Edinburgh: Chief Medical Officer Directorate. Available from: <https://www.gov.scot/publications/transforming-nursing-midwifery-health-professions-roles-advance-nursing-practice/> SCOTTISH GOVERNMENT. 2018. National health and social care workforce plan: part three [online]. Edinburgh: The Scottish Government. Available from: <https://www.gov.scot/publications/national-health-social-care-workforce-plan-part-3-improving-workforce/pages/12/> SOBACI, G. 2016. Current Concepts and Management of Eye Injuries. London: Springer London. TORTORA, G.J. 2014. A Brief Atlas of the Skeleton and Surface Anatomy. New York: Wiley. TROTT, A. 2012. Wounds and Lacerations: Emergency Care and Closure. 4th ed. Philadelphia, PA: Elsevier/Saunders. United Kingdom Government. 2017. The Ionising Radiation (Medical Exposure) Regulations 2017 [online]. Available from: <http://www.legislation.gov.uk/uksi/2017/1322/made> UNITED KINGDOM GOVERNMENT. 2018. Tetanus: the green book (chapter 30) [online]. London: Public Health England. Available from: https://www.gov.uk/government/publications/tetanus-the-green-book-chapter-30

Transferrable Skills

Development, or enhancement, of; Independent learning skills Critical thinking and decision making skills Study, IT and time management skills Professional and ethical values aligned with professional practice Communication and team working Theory and practice integration and problem solving Reflection

Module Structure

Activity Total Hours
Independent Learning (FT) 209.00
Tutorials (FT) 20.00
Lectures (FT) 32.00
Placement 75.00
Assessment (FT) 40.00
Practicals (FT) 24.00

Assessment Methods

Component Duration Weighting Threshold Description
Clinical Log n/a 50.00 40% Clinical Log with narrative (3000 words)Exceptions case submitted and outcome pending regarding minimum threshold and module pass markEXCEPTIONS CASES 187 AND 188 APPROVED NOV 2019
OSCE n/a 50.00 40% OSCE (70% pass mark normalised to 40%)Exceptions case submitted and outcome pending regardigng minimum threshold and module pass mark