ANAESTHETIC PRACTICE

SHE Level 4
SCQF Credit Points 20.00
ECTS Credit Points 10.00
Module Code MHB726246
Module Leader Claire Lewsey
School School of Health and Life Sciences
Subject Nursing
Trimesters
  • A (September start)
  • B (January start)
  • C (May start)

Summary of Content

This module focuses on developing the key skills, knowledge and judgements that are necessary for anaesthetic practitioners to provide safe, effective and evidence based care, as well as skilled assistance to the anaesthetist. It will allow students the opportunity to explore and link the theoretical and clinical elements of anaesthetic practice. Students will also undertake the NHS Education for Scotland Core Competencies for Anaesthetic Assistants.

Syllabus

-360b7 Anaesthetic assistant's role in the provision of general, regional and local anaesthesia b7 Airway management techniques including; bag mask ventilation, LMA insertion, intubation, RSI, awake fibreoptic intubation, jet ventilation, one lung anaesthesia and extubation b7 Anaesthetic equipment, including anaesthetic machine, breathing systems, ventilators, regional anaesthesia equipment b7 Anaesthetic emergencies, including malignant hypothermia, shock, anaphylaxis, difficult/failed intubation b7 Provision, establishment and interpretation of invasive and non-invasive monitoring b7 Pharmacology of anaesthetic agents, specifically; induction agents, muscle relaxants, analgesia, volatile agents, medical gases and emergency drugs b7 Maintenance of homeostasis, including management of hypothermia, IV fluids and major haemorrhage b7 Preoperative anaesthetic assessment b7 Conscious sedation b7 Arterial blood gases b7 Human factors and non-technical skills b7 Revision of anatomy and physiology of the respiratory and cardiovascular systems

Learning Outcomes

On successful completion of the module the student should be able to:1. Demonstrate skills, knowledge and judgement in the role of a skilled anaesthetic assistant, by providing evidence of the completion of NHS Education for Scotland Core Competences for Anaesthetic Assistants.2. Critically analyse and evaluate anaesthetic practices that safeguard the patient during induction, maintenance and emergence from general, regional and local anaesthesia.3. Critically appraise and develop one's own professional practice in the role of an anaesthetic assistant and identify opportunities to implement evidence based practice.4. Demonstrate skilled proficiency in the preparation and use of a range of anaesthetic, airway and monitoring equipment.5. Critically review the national and local strategies used to identify and manage anaesthetic emergencies.6. Demonstrate skills, knowledge and judgement in the provision of strategies which maintain homeostasis in the anaesthetised patient.

Teaching / Learning Strategy

Lecturers, service partners, users, carers and students will contribute to the authenticity of the teaching and learning experience using case-based scenarios. Following the spiral curriculum some previously explored concepts will be related to more complex patients and scenarios. The care of a selection of patients will be explored in relation to underpinning pharmacology and pathophysiology. Learning and teaching strategies will enhance student engagement, accessibility, flexibility and personalisation of the curriculum through the use of technology/digital learning where appropriate. A series of core lectures will be supported with facilitator and student-led tutorials and directed learning utilising facilitator and student-led activities. Practical workshops and clinical simulation will be used to help students to integrate theory with practice. Supervision by an experienced supervisor within the students' clinical areas will provide them with flexible learning opportunities to assist them in achieving the module learning outcomes. Guided and self-directed study, including interactive resources supported by a virtual learning environment, will be used to prepare students for each week's activities and assist in consolidation of their learning.

Indicative Reading

ABBOTT, H. & WORDSWORTH, S. 2016. Perioperative Practice Case Book. London, Open University Press ALLMAN, K., WILSON, I., O'DONNELL, A., 2018. Oxford Handbook of Anaesthesia. 4th ed. Oxford, Oxford University Press AL-SHAIKH, B., & STACEY, S.G. 2019. Essentials of Equipment in Anaesthesia, Critical Care and Peri-Operative Medicine. 5th ed. Edinburgh, Elsevier. Association of Anaesthetists. 2019. Quick Reference Handbook. Available from: <https://anaesthetists.org/Home/Resources-publications/Safety-alerts/Anaesthesia-emergencies/Quick-Reference-Handbook> LIN, T., SMITH, T., PINNOCK, C., MOWATT, C., 2017. Fundamentals of Anaesthesia. 4th ed. Cambridge, Cambridge University Press. PEATE, I. & NAIR, M. 2017.Fundamentals of Anatomy and Physiology for Nursing and Healthcare Students. 2nd ed. Chichester, Wiley Blackwell. RUTHERFORD, J., FLIN, R., IRWIN, A., MCFADYEN, A.K. 2015. Evaluation of the prototype Anaesthetic Non?Technical Skills for Anaesthetic Practitioners (ANTS?AP) system: a behavioural rating system to assess the non?technical skills used by staff assisting the anaesthetist. Anaesthesia 70 (8), pp. 907-914. Useful websites Anaesthesia UK https://www.frca.co.uk/ Association of Anaesthetists https://anaesthetists.org/ Association for Perioperative Practice http://www.afpp.org.uk NHS Choices http://www.nhs.uk/Pages/HomePage.aspx NES Core Competencies for Anaesthetic Assistants https://learn.nes.nhs.scot/25880/nursing-midwifery-and-health-professions-nmahp-perioperative-education-and-development/core-competence-framework-for-anaesthetic-assistants Resuscitation Council (UK) http://www.resus.org.uk

Transferrable Skills

Development, or enhancement, of -360b7 Independent learning skills b7 Critical thinking and decision making skills b7 Study, IT and time management skills b7 Professional and ethical values aligned with professional practice b7 Communication and team working b7 Theory and practice integration and problem solving b7 Digital and health literacy skills b7 Assertiveness, confidence b7 Citizenship b7 Reflection b7 Airway management skills b7 Non-technical skills b7 Caring for the patient during a clinical emergency

Module Structure

Activity Total Hours
Assessment (FT) 20.00
Practicals (FT) 7.00
Lectures (FT) 31.00
Independent Learning (FT) 139.00
Tutorials (FT) 3.00

Assessment Methods

Component Duration Weighting Threshold Description
NES Anaesthetic Competencies n/a 0.00 40% NES Anaesthetic Competencies (Pass/Fail)Exceptions case submitted and outcome pending regarding minimum threshold and module pass mark
Written Assignment n/a 100.00 40% Written Assignment (4000 words)Exceptions case submitted and outcome pending regarding minimum threshold and module pass markEXCEPTIONS CASE 188 APPROVED NOV 2019