intensive care nursing – 6knic306 · debate the contemporary research evidence base for practice...
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Intensive Care Nursing – 6KNIC306 Level: 6
Credits: 30
Module leader: Carolyne Stewart
Tel: 020 7848 3526
Email: [email protected]
Module deputy: Dr Andreas Xyrichis
Tel: 020 7848 3649
Email: [email protected]
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This handbook must be read in conjunction with module information provided on KEATS, the King’s E-Learning And Teaching Service. You will be given access to KEATS on enrolment. Important information relating to assessment and related regulations can be found in the Undergraduate Programme Handbook, available on KEATS and via the Nightingale Student Hub. This handbook can also be provided in alternative formats (such as large print) upon request to [email protected].
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Contents
Module overview .............................................................................................................. 4
Module aim ................................................................................................................... 4
Learning outcomes ....................................................................................................... 4
Teaching arrangements ............................................................................................... 4
Submitting coursework .................................................................................................... 5
Assessment criteria ...................................................................................................... 5
Formative assessment .................................................................................................. 5
Summative assessment ................................................................................................ 6
Results and resubmissions for coursework: ............................................................... 6
Dates for examinations .................................................................................................... 7
Results and resits for examinations ............................................................................ 7
Learning resources ........................................................................................................... 8
Lecture 1 – Introduction to Module and Assessments .............................................. 8
Lecture 2 – Assessing Oxygenation and Ventilation ................................................. 8
Lecture 3 – Invasive Mechanical Ventilation ............................................................. 8
Lecture 4 & Seminar 1 – Acute Respiratory Distress Syndrome (ARDS) ................ 9
Lecture 5 – Positioning the Critically Ill Person ........................................................ 9
Lecture 6 – The Critically Ill Obstetric Patient .......................................................... 9
Lecture 7 & Seminar 2 – Sepsis: Pathophysiology & Management .......................... 10
Seminar 3 – The Elderly and Bariatric Patients ........................................................ 11
Lecture 9 & Seminar 4 – Advanced Haemodynamic Assessment and Management 11
Simulation Session – Rhythm Recognition, Resuscitation and Pacing ................... 11
Lecture 10 – End of Life Care ...................................................................................... 12
Lecture 12 – Acute Brain injury .................................................................................. 13
Lecture 13 – Transfer of the Critically Ill .................................................................... 13
Lecture 14 – Weaning from Ventilation ..................................................................... 13
Seminar 5 – Non-invasive Ventilation (NIV) ............................................................. 14
Lecture 15 – Pain, Sedation and Delirium .................................................................. 14
Lecture 16 – Nutrition in the Critically Ill .................................................................. 14
Lecture 17 – Renal Replacement Therapies (RRT).................................................... 15
Seminar 6 – Acute Kidney Injury ................................................................................ 15
Lecture 18 – Rehabilitation after Critical Illness ....................................................... 15
Lecture 19 – The Service User Perspective ................................................................. 15
Lecture 20 – Cancer Therapies and Haemo-oncology .............................................. 16
Lecture 22– Trauma .................................................................................................... 16
Seminar 7 – Exam Preparation ................................................................................... 17
Module evaluation ........................................................................................................... 18
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Action from previous evaluations ............................................................................... 18
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Module overview This module forms part of the MSc Advanced Practice. The module contributes to your programme of study. It enables you to apply the knowledge from core modules specifically to intensive care nursing practice. The module covers the core elements of knowledge required to underpin completion of the national critical care nursing competencies (Steps 2/3) and if required by your unit the CC3N trauma speciality competencies, published by the Critical Care National Network Nurse Leads Forum (CC3N). To make up the total recommended 60 credits, you may also wish to discuss other suitable modules with the course leader. The module can also be taken as a freestanding module. Module aim The aim of this module is to enable experienced post-qualification degree level intensive care nurses to advance their practice, enhance their understanding and application of research evidence and develop their role as competent intensive care nurses. Learning outcomes The learning outcomes meet all Knowledge Skills Framework (KSF) core dimensions. Relevant KSF specific dimensions are highlighted against each learning outcome:
Critically evaluate relevant critical care research to promote evidence based practice (KSF-HWB1-10/IK1-3/G2)
Critically appraise policy, protocols, organisation and management of care for intensive care patients and their relatives (KSF-HWB1-10/IK1-2/G2)
Critically review how the intensive care nurse effectively interacts within the inter-professional team to provide collaborative care within the ICU, hospital, and community setting (KSF-HWB1,8/IK1-3/G2)
Debate the ethical and legal issues associated with intensive care nursing practice (KSF-HWB1-10/IK1-3)
Achieve relevant Step 2 and 3 core clinical competencies set out in the National Competency Framework for Adult Critical Care Nurses (CC3N 2015). Copies of this document are available online at: http://www.cc3n.org.uk/competency-framework/4577977310 [Accessed 2nd March 2018].
Teaching arrangements For a 30 credit module it is expected that students will spend around 300 hours studying. The educational approach is adult student centred, which builds on your experience as qualified practitioners. You will experience a wide variety of teaching and learning strategies including:
Lectures
E-Learning
Group work and guided study
Tutorials
Work-based learning
Case study exploration
Independent study.
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Submitting coursework Coursework (competency assessment document) must be submitted in person (or posted) by the deadline.
Assessment criteria 1. Two hour scenario-based examination 2. Competency Assessment document
Formative assessment To help prepare you for the examination, you are required to take part in an online discussion of the evidence base for an identified area of critical care nursing practice. This will require you to:
1. Work in a group to prepare a model answer based on an exam type question 2. Contribute to an online group analysis of the evidence base for an identified area of critical
care nursing
You will be allocated to small study groups. A clinical scenario will be accessed through the KEATS site. You are expected to engage with your study group in an online discussion to produce a group answer to a specific question based on the scenario. Contributions should be collated and a final group answer posted on the discussion board by the deadline.
Contributions might include: reflections from practice, commentary on current evidence, reference to clinical guidelines, academic debate of peer contributions, novel ideas. Extensive reading of relevant literature is expected and all contributions must be free from plagiarism. Full Harvard referencing will not be required, however, the author and date must be cited in the text. You must use an appropriate academic style and adhere to appropriate professional conduct at all times.
The final group answer must not exceed 1,000 words. Words in excess of this limit will not be marked. The group answer will be assessed according to the level 7 Faculty assessment criteria contained in the post graduate handbook.
Timetable for completion of formative assessment
Date Activity
03/05/2018 Introduction to online formative assessment.
Allocation of study groups
10/05/2018 Scenario open for viewing and contributions
02/07/2018 Scenario closed
NO FURTHER CONTRIBUTIONS WILL BE MARKED AFTER MIDNIGHT
06/07/2018 Online feedback
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Summative assessment There are two parts to the summative assessment for this module. Part 1: Examination You are required to sit a two hour scenario based examination. Topics will be distributed six weeks prior to the date of the examination. The examination will comprise two scenarios each with three related questions. You will be required to:
Choose two out of three presented scenarios
Answer all questions assigned to the two chosen scenarios
Evaluate clinical data
Debate the contemporary research evidence base for practice
Demonstrate an in-depth knowledge of physiological, psychological and social aspects of ICU nursing
There will be opportunity to undertake and discuss practice scenarios within the module timetable. Part 2: Assessment of clinical competence You are required to complete a clinical assessment document specifically related to Intensive Care nursing, which has been mapped against the step 2/3 national competencies for critical care (CC3N 2015). Additional optional competencies which have been mapped against the trauma speciality competencies (CC3N 2017), may also be completed. Competencies must be assessed in an ICU by an identified practitioner who holds both the intensive care and mentorship qualification. All competencies must be achieved to the minimum standard outlined in the document. Submission details for the competency assessment completion form are provided on the KEATS module page. It is essential that you use your candidate number on all assignments/examinations. Your candidate number, which will begin with Y for the academic year 2017/18, will be available via Student Records on the King’s Intranet approximately one month after you enrol. If you are unable to submit your work by the deadline please refer to the information in your programme handbook on “mitigating circumstances” Submission date for competency assessment document: Tuesday 31st July 2018 Late submissions will be accepted for 24 hours following the submission date. All work submitted late will be marked as normal but will be capped at the pass mark for the module. If your assignment is hard copy please ensure you date stamp it and submit it to the submission room G15 James Clerk Maxwell Building. If your assignment is submitted electronically through TurnItIn, information about how to submit late will be provided on KEATS module sites under assessment information. The external examiner for this module is Nicola Morrell-Scott. Students are not to make direct contact with external examiners, in particular regarding their individual performance in assessments Results and resubmissions for coursework: Students will receive a provisional (unratified) mark for their coursework 4 weeks following submission. According to the method of submission as detailed on your KEATS site, if your work was submitted online you will be able to download marked coursework from KEATS; alternatively, if you completed a hard copy submission you can collect your coursework and feedback from the Nightingale Student Hub.
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To collect a hard copy assignment, you must provide your candidate number. Alternatively, you may send a stamped addressed envelope to the Nightingale Student Hub ensuring that this is large enough to accommodate your assignments and that you have applied sufficient postage. Hard copy assignments will be retained for four weeks; if you have not collected your assignment by then, it will be destroyed. Feedback will include the award of a numerical grade which remains provisional until ratified by the examination boards. The dates for the examination boards are available on KEATS. Ratified marks can be viewed via Student Records on the King’s Intranet, the Monday following the relevant examination board. The marking criteria by which your work is judged are provided in full in your programme handbook. Please also refer to the section in your programme handbook on plagiarism and how to avoid it. If you have a query about how to refer to a specific piece of work please ask your module leader, your group leader or a member of library staff for guidance. The feedback you receive on your assignment will guide you towards how to do better next time or how to maintain your existing high standard. If you do not understand your mark or the feedback you receive please contact Carolyne Stewart ([email protected]) or Dr Andreas Xyrichis ([email protected]). If you are unsuccessful, it is recommended that you contact the module leader before submitting your second attempt. This will enable the module leader to provide you with an appropriate level of support as you prepare to resubmit your work.
Dates for examinations You will be notified of dates for examination on the Student Records section of the King’s Intranet.
Results and resits for examinations Unratified results from exams will be available on your KEATS module site 4 weeks from the date of the examination. Faculties are required from academic year (2016/17) to make examination scripts available to any student who makes a request, free of charge. Any requests for examination scripts should still be managed in accordance with the Data Protection Act 1998. Students may request access to their exam paper at any time (after the Assessment Sub Board meeting) during their programme of study. This policy applies to all summative, unseen, written examinations. MCQs and OSCEs are exempt from this process.
Re-sit dates will available on your KEATS module site. If you are unsuccessful, it is recommended that you contact the module leader before submitting your second attempt or re-sitting your examination. Resubmission date for competency assessment document: Tuesday 16th of October.
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Learning resources Lecture 1 – Introduction to Module and Assessments During this session you will learn:
About the module structure, content and teaching methods/resources
How to access KEATS, the module leader and other group members
The assessment requirements of the module Reading material: Module & programme handbooks.
Lecture 2 – Assessing Oxygenation and Ventilation During this session you will learn:
The physiological principles underlying oxygen delivery, consumption and acid base disturbance
ABG interpretation skills including the recognition of compensation, mixed disorders, & relevant interventions
The evidence for the use of different techniques for assessment of adequacy of oxygen delivery
How to apply advanced skills to complex clinical examples within the context of holistic patient management
Reading material: Sood P., Paul G. & Puri S. (2010) Interpretation of arterial blood gas. Indian J Crit Care Med. 14(2), 57–64. Ward J. (2006) Oxygen delivery and demand. Surgery (Oxford) 24(10), 354–360. Cowley N. (2013) Interpreting arterial blood gas results. BMJ 346(f16), 1-7.
Lecture 3 – Invasive Mechanical Ventilation During this session you will learn:
The principles of positive pressure ventilation and the difference between volume and pressure control ventilation
The advantages and limitations of common ventilatory modes
How to assess the suitability of ventilatory mode to patient status
The nursing care of a patient requiring invasive ventilation.
Reading material: Pham T, Brochard L, Slutsky A (2017) Mechanical Ventilation: State of the Art. Mayo clinic Proceedings. 92 pp: 1382-1400
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Lecture 4 & Seminar 1 – Acute Respiratory Distress Syndrome (ARDS) During this session you will learn:
The definition of ARDS and key risk factors
The pathogenesis of ARDS
The evidence base for current treatment and management of ARDS. Reading material: Howell M, Davis A (2018) Management of ARDS in Adults. JAMA. 319 (7) pp 711-712. ARDS Definition Task Force; Ranieri V., Rubenfeld G., Thompson B., et al. (2012) Acute respiratory distress syndrome: the Berlin definition. JAMA. 307, 2526-2533. Silversides J. & Ferguson N. (2013) Clinical review: Acute respiratory distress syndrome - clinical ventilator management and adjunct therapy. Critical Care 17, 225.
Lecture 5 – Positioning the Critically Ill Person During this session you will learn:
How to position patients in relation to optimise gas exchange
The treatment of hypoxaemia/ hypoxia
Different positions and their relative evidence base
Reading material: Johnson K. & Meyenburg T. (2009) Physiological rationale and current evidence for therapeutic positioning of critically ill patients. AACN Advanced Critical Care 20(3), 228–240. Hewitt N., Bucknall T. & Faraone N.M. Lateral positioning for critically ill adult patients. Cochrane Database of Systematic Reviews 2016, Issue 5. Art. No.: CD007205. DOI: 10.1002/14651858.CD007205.pub2 Park S., Kim H., Yoo K. et al. (2015) The efficacy and safety of prone positioning in adults patients with acute respiratory distress syndrome: a meta-analysis of randomized controlled trials. Journal of Thoracic Disease 7(3), 356–367.
Lecture 6 – The Critically Ill Obstetric Patient
During this session you will learn:
The key physiological demands of pregnancy
The treatment strategy for a patient with HELLP syndrome, Pre-eclampsia & Postpartum haemorrhage.
Reading material:
Scholefield et al. on behalf of the Maternal critical; care working group (2011) Providing equity of critical and maternity care for the critically ill pregnant or recently pregnant woman. Royal College of Anaesthetists.
Available online at: https://www.rcog.org.uk/globalassets/documents/guidelines/prov_eq_matandcritcare.pdf [Accessed 4th April 2018].
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Lecture 7 & Seminar 2 – Sepsis: Pathophysiology & Management
During this session you will learn:
How to recognise a patient presenting with sepsis
The pathophysiology of the altered inflammatory process
The evidence based management of sepsis
To integrate knowledge to clinical scenarios focusing on nursing care issues
Reading material: Rhodes A., Evans L., Alhazzani W. et al. (2017) Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016. Intensive Care Medicine 43(3), 304-377. NCEPOD (2015) Just Say Sepsis! A review of the process of care received by patients with sepsis. National Confidential Enquiry into Patient Outcome and Death (NCEPOD). Available online at: http://www.ncepod.org.uk/2015report2/downloads/JustSaySepsis_FullReport.pdf (Accessed 4th April 2018). NICE (2016) Sepsis: recognition, diagnosis and early management (NG51). National Institute for health and care excellence (NICE). Available online at: https://www.nice.org.uk/guidance/ng51 (Accessed 4th April 2018). Singer M. et al. (2016) The third international consensus definitions for sepsis and septic shock (Sepsis-3). JAMA 315(8), 801-810. doi:10.1001/jama.2016.0287
Lecture 8 – Advanced Cardiac Support During this session you will learn:
The principle effects of the IABP
Nursing management of the patient with an IABP
Other advanced mechanical options for supporting a patient with acute cardiac failure. Reading material: Tramm R., Ilic D., Davies A.R., Pellegrino V.A., Romero L. & Hodgson C. Extracorporeal membrane oxygenation for critically ill adults. Cochrane Database of Systematic Reviews 2015, Issue 1. Art. No.: CD010381. DOI: 10.1002/14651858.CD010381.pub2 Krishna M. & Zacharowski K. (2009) Principles of intra-aortic balloon pump counterpulsation. Contin Educ Anaesth Crit Care Pain 9(1), 24-28. doi: 10.1093/bjaceaccp/mkn051.
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Seminar 3 – The Elderly and Bariatric Patients During this session you will learn:
The specific needs of specialist population groups, such as the elderly or bariatric patient
The evidence base currently available to support optimum management of these patients. Reading material: Riou B, Boddaert J (2016) The elderly patient and the ICU: where are we going, Where should we Go? Critical Care Medicine. 44 pp 231-232 Bajwa S., Sehgal V. & Bajwa S. (2012) Clinical and critical care concerns in severely ill obese patients. Indian Journal of Endocrinol Metab 16(5), 740–748.
Lecture 9 & Seminar 4 – Advanced Haemodynamic Assessment and Management During this session you will learn:
The pros and cons of various advanced haemodynamic assessment tools
The benefits & limitations of the use of crystalloid, colloid, blood & blood products and the associated nursing responsibilities
The benefits and limitations of inotropes, chronotropes and other vaso-active agents and the nursing considerations associated with the use of such drugs
To interpret complex haemodynamic data available from the use of advanced monitoring
To integrate knowledge of advanced haemodynamic monitoring as part of holistic patient management.
Reading material: Alhashemi, et al. (2011) Cardiac output monitoring: an integrative perspective. Critical Care 15, 214. Gamper G., Havel C., Arrich J. et al. Vasopressors for hypotensive shock. Cochrane Database of Systematic Reviews 2016, Issue 2. Art. No.: CD003709. DOI: 10.1002/14651858.CD003709.pub4. Overgaard C. & Džavík V. (2008) Inotropes and Vasopressors-Review of physiology and clinical use in cardiovascular disease. Circulation 118, 1047-1056. doi: 10.1161/CIRCULATIONAHA.107.728840. Perel P., Roberts I. & Ker K. (2013) Are colloids more effective than crystalloids in reducing death in people who are critically ill or injured? Cochrane Database of Systematic Reviews 2013, Issue 2. Art. No.: CD000567. DOI: 10.1002/14651858.CD000567.pub6.
Simulation Session – Rhythm Recognition, Resuscitation and Pacing During this session you will learn:
The ALS algorithm (RC (UK) 2016)
To recognise common cardiac arrest and peri-arrest arrhythmias and to understand their treatment
The principles of temporary & permanent pacing and how to recognise life threatening events associated with pacing e.g. lack of capture.
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Reading material: McNaughton A. (2013) Indications for post-operative (transthoracic) epicardial pacing. British Journal of Cardiac Nursing 8(12), DOI: http://dx.doi.org/10.12968/bjca.2013.8.12.593. McNaughton A. & Davison J. (2013) Temporary pacing: clinical indications and techniques. British Journal of Cardiac Nursing 8(6), DOI: http://dx.doi.org/10.12968/bjca.2013.8.6.289. Resuscitation Council (UK). (2016). Adult Advanced Life Support. Seventh edition 2016. Available online at: www.resus.org.uk. (Accessed 4th April 2018).
Lecture 10 – End of Life Care During this session you will learn:
Different perspectives regarding withdrawal of treatment and end of life care
The practical, ethical & legal issues concerning withdrawal of treatment and end of life care. Reading material: Myburgh J., Abillama F., Chiumello D. et al. Council of the World Federation of Societies of Intensive and Critical Care Medicine. (2016) End-of-life care in the intensive care unit: Report from the Task Force of World Federation of Societies of Intensive and Critical Care Medicine. Journal of Critical Care 34, 125-30. doi: 10.1016/j.jcrc.2016.04.017. Cork R. (2011) The patient requiring end of life care. In Bench and Brown (ed) Critical Care Nursing; Learning from Practice. Blackwell, London. Chapter 17, 253-262. Department of Health (2008) End of Life Care Strategy. The Stationary Office, London. Leadership Alliance for the Care of Dying People (2014) One chance to get it right; improving people’s experience of care in the last few days and hours of life. Department of Health. Available online at: https://www.gov.uk/government/publications/liverpool-care-pathway-review-response-to-recommendations (Accessed 4th April 2018)
Lecture 11 – Organ Donation/Brain Stem Death Testing During this session you will learn:
The difference between solid organ, tissue and non-heart beating donation
The criteria for brain stem death
The nursing role in organ donation Reading material: NICE (2012) Organ donation for transplantation: improving donor identification and consent rates for deceased organ donation. Available online at: http://guidance.nice.org.uk/CG135/NICEGuidance/pdf/English (Accessed 4th April 2018).
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Lecture 12 – Acute Brain injury During this session you will learn:
The aetiology and pathophysiology of primary & secondary brain injury
The evidence based rationale for nursing management strategies to prevent secondary brain injury
The monitoring devices utilised to measure ICP, CPP, cerebral blood flow & oxygenation. Reading material: Carney N. et al. on behalf of the Brain Trauma Foundation (2016) Guidelines for the Management of Severe Traumatic brain injury. 4th ed www.braintrauma.org (Accessed 4th April 2018) Haddad S. & Arabi Y. (2012) Critical Care Management of Severe Traumatic Brain Injury in Adults. Emergency Medicine 20(12). Slade D. (2011) The patient with raised intracranial pressure. In Bench and Brown (Ed) Critical Care Nursing; Learning from Practice. Blackwell, London. Chapter 12, 190-203.
Lecture 13 – Transfer of the Critically Ill During this session you will learn:
National guidelines relevant to transfer of the critically ill
Nursing responsibilities associated with preparing a patient for & accompanying a patient during transfer
Possible hazards associated with transfer and how they might be prevented. Reading material: Intensive Care Society (2011) Guidelines for the transport of the critically ill adult. ICS: London.
Lecture 14 – Weaning from Ventilation During this session you will learn:
The assessment criteria for commencing ventilator weaning
The weaning tools, which aid the nursing management of patients requiring long-term weaning.
Reading material: Ouellette D, Patel S, Gerard T, Morris P, Schmidt J et al (2017) Liberation from mechanical ventilation in critically ill adults: An official American College of chest physicians/American thoracic society clinical practice guideline. CHEST. 151 pp 166-180. Blackwood, B. (2011) Use of weaning protocols for reducing duration of mechanical ventilation in critically ill adult patients: Cochrane systematic review and meta-analysis. BMJ 342 doi: http://dx.doi.org/10.1136/bmj.c7237. Crocker C. (2011) The patient requiring complex weaning from mechanical ventilation. In Bench & Brown (Ed) Critical Care Nursing; Learning from Practice. Blackwell, London. Chapter 2, 30-48.
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Seminar 5 – Non-invasive Ventilation (NIV) During this session you will learn:
The evidence-base supporting use of NIV in the critically ill
The nursing care of a patient requiring non-invasive respiratory support. Reading material: McNeill G. & Glossop A. (2012) Clinical applications of non-invasive ventilation in critical care. Contin Educ Anaesth Crit Care Pain (2012) 12(1), 33-37. Doi: 10.1093/bjaceaccp/mkr047
Lecture 15 – Pain, Sedation and Delirium During this session you will learn:
The assessment tools used for levels of sedation, pain and delirium
Different methods of chemical and physical restraint
The indications for and consequences of chemical and physical restraint
The practical, ethical & legal issues concerning the assessment and management of delirium Reading material: Barr et al (2013) Clinical practice guidelines for the management of pain, agitation and delirium in adult patients in the intensive care unit. Critical Care Medicine. 41 pp 263-306 NICE (2010) Delirium; Diagnosis, prevention and management of delirium. National Institute for Health and Clinical Excellence. Available online at: http://www.nice.org.uk/nicemedia/live/13060/49909/49909.pdf (Accessed 4th April 2018).
Lecture 16 – Nutrition in the Critically Ill During this session you will learn:
How to assess the nutritional requirements of the critically ill person
The advantages, limitations and nursing considerations of enteral & total parenteral nutrition use in critical care
The management of blood glucose control. Reading material: Blaser A et al (2017) Early enteral nutrition in critically ill patients: ESICM clinical practice guidelines. Intensive Care Medicine. 43 pp 380-398. Dhaliwal R. et al. (2014) The Canadian critical care nutrition guidelines in 2013: an update on current recommendations and implementation strategies. Nutr Clin Pract. 29(1), 29-43. doi: 10.1177/0884533613510948. Fullwood D. (2011) The patient with altered glucose. In Bench and Brown (Ed) Critical Care Nursing; Learning from Practice. Blackwell, London. Chapter 7, 117-129.
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Lecture 17 – Renal Replacement Therapies (RRT) During this session you will learn:
The principles of haemofiltration & haemodiafiltration
The indications for, potential complications and nursing management requirements associated with RRT.
Reading material: Richardson A. & Whatmore, J. (2015) Nursing essential principles: continuous renal replacement therapy. Nursing in Critical Care 20(1), 8-15. doi: 10.1111/nicc.12120 Ronco C. et al. (2015) Renal replacement therapy in acute kidney injury: controversy and consensus. Critical Care 19, 146.
Seminar 6 – Acute Kidney Injury During this session you will learn:
The causes, complications and key interventions associated with AKI in the critically ill. Reading material: Bellomo R., Kellum J., Ronco, C. et al. (2012) Acute Kidney Injury. The Lancet 380(9843), 756-766. Davies A. & Bench S. (2011) The patient with an acute kidney injury. In Bench and Brown (Ed) Critical Care Nursing; Learning from Practice. Blackwell, London. Chapter 9, 142-163. Ronco C., Ftouh S. & Thomas M. (2013) Acute kidney injury: summary of NICE guidance. BMJ 347, 4930.
Lecture 18 – Rehabilitation after Critical Illness During this session you will learn:
The needs of patients, families and ward staff during and after ICU discharge
The importance and components of structured rehabilitation after critical illness. Reading material: Bench S., Cornish J. & Xyrichis A. (2016) Intensive care discharge summaries for general practice staff: a focus group study. Br J Gen Pract. DOI: https://doi.org/10.3399/bjgp16X688045. Bench S. & Day T. (2010) The user experience of critical care discharge; a meta-synthesis of qualitative research. International Journal of Nursing Studies 47, 487-499. NICE (2009) Rehabilitation after critical illness. NICE. Available online at: http://guidance.nice.org.uk/CG83/Guidance/pdf/English (Accessed 4th April 2018)
Lecture 19 – The Service User Perspective During this session you will learn:
The needs of patients and their loved ones
Issues associated with quality of care from the perspective of the service user.
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Reading material: Health talk online. Patient and family experiences. Available online at: http://www.healthtalk.org/peoples-experiences/intensive-care/intensive-care-experiences-family-friends/. (Accessed 4th April 2018). ICUsteps (2017). Patients and relatives. Available online at: www.icusteps.org. (Accessed 5th March 2018).
Lecture 20 – Cancer Therapies and Haemo-oncology During this session you will learn:
Key cancer treatments and their action
Types of cancer therapies including chemotherapy side effects and chronic pain which can lead to critical illness
Developments in acute oncology.
Reading material: Azoulay E. et al. (2011) Intensive care of the cancer patient: recent achievements and remaining challenges. Ann Intensive Care. 1(5). doi: 10.1186/2110-5820-1-5. Brown M. & Cutler T. (2012) Haematology Nursing. Wiley-Blackwell, Chichester. Souhami R. & Tobias J. (2015) Cancer and its Management. 7th ed. Wiley-Blackwell, Chichester.
Lecture 21 – Acute Hepatic Disorders During this session you will learn:
The current UK epidemiology and causes of liver disease
Pertinent biochemical, haematological and diagnostic tests used in patients with liver disease
The current evidence base medical and nursing management for patients with acute liver disease.
Reading material: Bernal W. & Wendon J. (2013) Acute liver failure. New England Journal of Medicine, 369(26), 2525-2534. Siddiqui M. & Stravitz R. (2014) Intensive care unit management of patients with liver failure. Clinical in Liver Disease 18(4), 957-978. DOI: http://dx.doi.org/10.1016/j.cld.2014.07.012.
Lecture 22– Trauma During this session you will learn:
Advanced trauma life support (ATLS) guidelines, relating to practical nursing management of the trauma patient from admission to ICU
The key psychological and physical issues associated with caring for the multiple trauma patient.
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Reading material: Whiting D, Cole E (2016) Developing a trauma care syllabus for intensive care nurses in the United Kingdom: A Delphi study. Intensive and critical care nursing. 36 pp 49-57. Shere-Wolfe R., Galvagno S. & Grissom T. (2012) Critical care considerations in the management of the trauma patient following initial resuscitation. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 20, 68.
Seminar 7 – Exam Preparation During this session you will learn:
Examination requirements
How to approach the examination and to improve skills in data interpretation and scenario based questioning.
Reading material: Previous papers available from KEATS.
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Module evaluation As part of the university’s Student Voice Strategy, King’s uses an electronic module evaluation system known as EvaSys. This provides an opportunity for you to feedback on different aspects of the module through a series of pre-set questions and qualitative comments. At the end of the module you will receive an automated invitation via your KCL email account to complete your evaluation online.
Please take the time to complete as your feedback is important. It informs ongoing developments to individual modules to ensure that the learning needs and expectations of the Faculty’s student community are met to a high standard.
To strengthen the feedback cycle, a report summarizing the quantitative results for the module as a whole and the module lead’s reflections on your feedback will be sent to you after the online evaluation survey has closed.
Action from previous evaluations The clinical assessment document has been mapped against the updated National competencies for critical care (Critical Care Networks- National Nurse Leads 2015). Available online at: http://www.cc3n.org.uk/competency-framework/4577977310 (Accessed 4th April 2018)
The clinical assessment document has also been mapped against the national competency framework for critical care trauma speciality competencies (CC3n 2017). Available online at: http://cc3n.org.uk/education-training/4577977309 (Accessed 4th April 2018)
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Intensive Care Nursing 6KNIC306/7KNIM769 Timetable Term 3 2017/18
Teaching
mode Date Type of session Title Time Room Lecturer
University
based Study
03/05/2018
Thursday
Lecture 1 Introduction to module and assessments 09:00-12:00 FWB 2.81 Carolyne Stewart
Lecture 2 Assessing oxygenation and ventilation 13:00-14:00 FWB 2.81
Carolyne Stewart
Lecture 3 Invasive Mechanical ventilation 14:15-16:00 Professor Louise Rose
Self-directed study and/or individual tutorials (by appointment) 16:00-17:00
University
based Study
10/05/2018 Thursday
Lecture 4 ARDS: pathophysiology & management 09:00-10:45 FWB 2.81
Carolyne Stewart
Seminar 1 Case study: The patient with ARDS 11:00-12:00
Lecture 5 Positioning the critically ill patient 13:00-14:30 FWB 2.81
Carolyne Stewart
Lecture 6 The critically ill obstetric patient (swapped) 15:00-16:00 Sam Bassett
Self-directed study and/or individual tutorials (by appointment) 16:00-17:00
University
based Study
17/05/2018 Thursday
Lecture 7 Sepsis: pathophysiology & management 09:00-10:30 FWB 2.81
Carolyne Stewart
Seminar 2 Case study: The patient with sepsis 11:00-12:00
Lecture 8 Advanced Cardiac support 13:00-14:30 FWB 1.60
Neil Anderson
Seminar 3 Elderly and bariatric case scenarios 15:00-16:00 Carolyne Stewart
Self-directed study and/or individual tutorials (by appointment) 16:00-17:00
Online 24/05/2018
31/05/2018
E-learning
• Chest x-ray interpretation • Chest drain insertion and management • Tracheostomy management • Formative assessment scenario
No classroom sessions
20
Teaching mode Date Type of session Title Time Room
Room
Lecturer
University
based Study
07/06/2018
Thursday
Lecture 9 Advanced haemodynamic assessment and management 09:00-10:30 FWB 2.81
Carolyne Stewart
Seminar 4 Case study: The patient with shock 11:00-12:00
Simulation Rhythm recognition, resuscitation and pacing 13:00-16:00 SAiL centre, Guys Campus
Amanda McNaughton/ Ed Baker/
Carolyne Stewart Self-directed study and/or individual tutorials (by appointment) 16:00-17:00
University
based Study
14/06/2018 Thursday
Lecture 10 End of Life care 09:00-10:30
FWB 2.81
FWB 2.81
Jo Noble
Lecture 11 Organ donation/brainstem death testing 11:00-12:00
Lecture 12 Acute Brain injury 13:00-14:30 Elizabeth Leighton
Lecture 13
Transfer of the critically ill 15:00-16:00 Elaine Manderson
Self-directed study and/or individual tutorials (by appointment) 16:00-17:00
University
based Study
21/06/2018 Thursday
Lecture 14 Weaning from Ventilation 09:00-10:30 FWB 2.81
Debbie Field
Seminar 5 Case study: The patient requiring non-invasive ventilation 11:00-12:00
Lecture 15 Pain, sedation and delirium 13:00-15:00 FWB 2.81
Natasha Ascott/Carolyne Stewart
Lecture 16 Nutrition in the critically ill 15:30-16:30 Alberto Santin
Self-directed study and/or individual tutorials (by appointment) 16:00-17:00
Online
28/06/2018
E-learning
• Rhabdomyolysis • Critical Care datasets • Formative assessment scenario
No classroom sessions
21
Teaching mode Date Type of session Title Time Room
Lecturer
University
based Study
05/07/2018
Thursday
Lecture 17 Renal Replacement Therapies 09:00-10:30 JCMB G.14
Roseline Aykeum
Seminar 6 Case study: The patient with Acute Kidney Injury
11:00-12:00
Lecture 18 Rehabilitation after critical illness 13:00-14:15 JCMB G.14 Margaret Kirkby
Lecture 19 The service user perspective 14:30-16:00 Katie Fathers
Self-directed study and/or individual tutorials (by appointment) 16:00-17:00
University
based Study
12/07/2018 Thursday
Lecture 20 Cancer therapies and haemo-oncology 09:00-10:15 FWB 2.80
Sian Hawkins
Lecture 21 Acute hepatic disorders 10:45-12:00 FWB 2.80
Adam Reidlinger
Lecture 22 Trauma 13:00-14:15 FWB 1.60 Ed Baker
Seminar 7 Exam preparation 14:30-15:45 FWB 1.60
Carolyne Stewart
Module evaluation 15:45-16:00
Self-directed study and/or individual tutorials (by appointment) 16:00-17.00