Study Guide

Objective

The student:
- applies legislation, ethical guidelines and principles in critical care.
- knows the structure of the service provision system, the collaborating authorities and typical service pathways for various client groups in critical care.
- knows the principles in health promotion in acute and critical care.
- becomes competent in identifying the needs of patients and their next-of-kin, as well as in planning, implementing, evaluating and documenting acute and critical care.
- is able to assess patient’s need of care in emergency but also in intensive care.
- safely administers drugs and fluids and follows fluid balance and nutritional status of patients in acute and in critical care.
- is able to give oral and written reports and to consult.
- becomes competent in dealing with patient and his/ her next-of-kin in various life situations and supports the patient and his/ her next-of kin in crisis.
- becomes familiar with the principles of patient-oriented, resource-based and multi-professional nursing of patients and their next-of-kin.
- utilizes information and nursing technology and equipment.
- is able to maintain patient safety and work safety in acute and critical care nursing.
- works in a manner of sustainable development.

Content

Care and service provision system for acute and critically ill adult patients, pre-hospital care, emergency and ICU as care environments, main concepts and different care situations for most common medical, surgical, cardiac, respiratory and neurological acute and critically ill patients.

Assessment criteria, satisfactory (1)

1-2
The student
- is able to describe some elements in the care and service provision system for acute and critically ill patients, including collaboration between authorities.
- under supervision, recognizes changes and problems in vital functions and knows how to carry out nursing interventions to help patients in most common acute and critical care situations.
- under supervision, is competent to plan and carry out safely intravenous fluid and drug care for acute and critically ill patients.
- under supervision, is competent to apply nursing technology and to give reports and to consult team members.
- under supervision, documents the acute and critical care.
- under supervision, is competent to encounter acute and critically ill patients and their next-of-kin.
- under supervision, knows how to counsel and how to promote health for acute and critically ill patients and their next-of-kin.

Assessment criteria, good (3)

3-4
- is able to describe the care and service provision system for acute and critically ill patients, including collaboration between authorities.
- recognizes changes and problems in vital functions and knows how to carry out nursing interventions to help patients in most common acute and critical situations.
- is competent to plan and carry out safely intravenous fluid and drug care for acute and critically ill patients and to evaluate the effectiveness of the care.
- is competent to apply nursing technology and to give reports, as well as to consult team members.
- is competent to document acute and critical care.
- is competent to encounter acute and critically ill patients and their next-of-kin professionally and works empathically.
- knows how to counsel critically ill patients and how to promote health for acute and critically ill patients and their next-of-kin.

Assessment criteria, excellent (5)

5
The student
- is able to describe the structure of the care and service provision system for acute and critically ill patients, including collaboration between authorities.
- is competent to follow nursing protocols and recognizes independently the changes and problems in vital functions and implements appropriate nursing interventions.
- knows how to carry out nursing interventions to help patients in most common acute and critical situations and independently evaluates the effectiveness of the care.
- is competent to plan and carry out safely intravenous fluid and drug care for acute and critically ill patients and to evaluate the effectiveness of the care.
- is competent to apply nursing technology, give reports, and consult team members.
- is competent to document acute and critical care.
- is competent to encounter ácute and critically ill patients and their next-of-kin professionally and uses empathy to support them.
- is competent to counsel critically ill patients and knows how to promote health for acute and critically ill patients and their next-of-kin.
- is competent to support the patient and his/her next-of-kin in crisis situations.

Assessment criteria, approved/failed

Fail = 0
The student
- is not able to describe the structure of the care and service provision system for acute and critically ill patients or the collaboration between authorities.
- does not know how to meet basic needs of acute and critically ill patients.
- skills and knowledge of acute and critical care nursing are lacking and patient safety and/ or work safety is jeopardized.
- does not recognize changes in patient's vital functions.
- does not know any nursing interventions to promote care of acute and critically ill patients.
- does not fully observe asepsis.
- repeatedly makes mistakes in drug and fluid care.
- avoids nursing and learning situations.
- does not respect confidentiality.
- collaboration skills are poor.