Nursing in Acute and Critical Situations (3cr)

Objective

Under supervision, students will be competent in identifying needs of patients and their families and in planning, implementing, evaluating and documenting nursing care. Students will know the structure of the service provision system, the collaborating authorities and typical service pathways for various client groups in acute and critical situations. Students will learn to give oral reports under supervision. They will also be competent in dealing with patients in various life situations. Students will become familiar with the principles in patient-oriented, resource-based and multi-professional nursing of patients and their families. Students will utilize information and nursing technology and equipment. They will apply ethical guidelines and principles to nursing in acute and critical situations.

Content

Care and service provision system for acutely and critically ill patients, main concepts and different care situations. Acute and critically ill patient; Assessment of the patient's status, planning and implemention of the nursing care. Triage in emergency care and disasters. Securing patient´s vital functions in acute and critical problems. Nursing intensive care patients on a ventilator. Nursing cardiac patients in CCU. Written and oral information and documentation in nursing acutely and critically ill patients.

Qualifications

Medical Nursing. Surgical Nursing and Health Technology.

Assessment criteria, satisfactory (1)

1-2
Students
- are able to describe some elements in the care and service provision system for acutely and critically ill patients, including collaboration between authorities
- under supervision, recognise changes and problems in vital functions and know how to carry out nursing interventions to help patients with respiratory or cardiac failure
- under supervision, are competent to plan and carry out safely intravenous fluid and drug care of acutely and critically ill patients
- under supervision, are competent to apply nursing technology and to give reports
- under supervision, are competent to encounter acutely and critically ill patients and their families
- under supervision, know how to counsel acutely and critically ill patients

Assessment criteria, good (3)

3-4
Students
- are able to describe the care and service provision system for acutely and critically ill patients, including collaboration between authorities
- recognise changes and problems in vital functions and know how to carry out nursing interventions to help patients with respiratory or cardiac failure
- under supervision, are competent to plan and carry out safely intravenous fluid and drug care of acutely and critically ill patients and to evaluate the effectiveness of the care
- under supervision, are competent to apply nursing technology and to give reports
- are competent to encounter acutely and critically ill patients and their families professionally
- know how to counsel acutely and critically ill patients

Assessment criteria, excellent (5)

5
Students
- are able to describe the structure of the care and service provision system for acute and critically ill patients, including collaboration between authorities
- recognise changes and problems in vital functions and implement appropriate nursing interventions
- know how to carry out nursing interventions to help patients with respiratory or cardiac failure and evaluate the effectiveness of the care
- are competent to plan and carry out safely intravenous fluid and drug care for acutely or critically ill patients and to evaluate the effectiveness of the care
- are competent to apply nursing technology and to give reports
- are competent to encounter acutely and crically ill patients and their families professionally
- know how to counsel acutely and crically ill patients

Assessment criteria, approved/failed

Fail = 0
Students
- are not able to describe the structure of the care and service provision system for acute and critically ill patients or the collaboration between authorities
- do not know how to meet basic needs of acutely and critically ill patients
- their skills and knowledge of emergency nursing are lacking and patient safety is jeopardised
- do not recognise changes in patient's vital functions
- do not fully observe asepsis
- jeopardise their own and the patient's safety
- repeatedly make mistakes in drug and fluid care
- avoid nursing and learning situations
- do not seek contact with patients
- despite feedback, dress and behave inappropriately
- do not respect confidentiality
- their collaboration skills are lacking
- their study motivation is lacking