Study Guide

Objective

The student
-is able to identify the needs of patients and their next-of-kin in planning, implementing, evaluating and documenting nursing care.
-knows the structure of the service provision system, the collaborating authorities and typical service pathways for various client groups in acute and critical situations.
-is able to give oral reports under supervision.
- is able to deal with patients in various life situations.
-is familiar with the principles of patient-oriented, resource-based and multi-professional nursing of patients and their next-of-kin.
- is able to utilize information and nursing technology and equipment.
- is able to apply ethical guidelines and principles and knows how sustainable development is taken into account in nursing in acute care.

Content

Care and service provision system for acutely ill patients, main concepts and different care situations for medical, surgical, cardiac, respiratory and neurological acute patients.
Triage in hospital acute care.
Assessment of the patient's status by using cABCDEF-protocol, monitoring the patient, planning and implementation of care.
Securing patient´s vital functions.
Reporting and consulting by using ISBAR-protocol.
Nursing interventions, medication and fluid care.
Most common laboratory and radiation examinations.
Non-invasive ventilation care in emergency and intensive care for cardiac and pulmonary failure patients.
Advanced Life Support (ALS), in-hospital resuscitation protocol.
Cardial rhythms.
Glasgow Coma Scale.
Written documentation and oral information by using ISBAR.
Drug calculations
Skill-labs and simulations

Materials

Kuisma, M. Holmström, P. Nurmi, J. Porthan, K. & Taskinen, T. 2017. Ensihoito. Sanoma Pro Oy.

Alanen, P., Hakio, N. & Koskela, T. 2022. Tehohoitotyö, Sanoma Pro Oy.

Ritmala-Castrén, M., Lönn, M., Lundgren-Laine, H., Meriläinen, M., Peltomaa, M. & Ahtiala, M. 2017. Teho- ja valvontahoitotyön opas. 2., uudistettu painos. Helsinki: Duodecim. (soveltuvin osin)

Terveysportti: Akuuttihoitotyön lääkkeet

Alanen, P., Jormakka, J., Kosonen, A. & Saikko, S. 2017. Oireista työdiagnoosiin. Ensihoitopotilaan tutkiminen ja arviointi. Sanomapro.

Teaching methods

Lessons as contact teaching, part of lessons are on Moodle
Independent studying on Moodle.
Lessons are recorded on Moodle and there is assignments on Moodle.

Exam schedules

Exam at SeAMK in Kampustalo.
Drug calculations during skills labs and simulations. After these retakes are in EXAM room.
Skills labs and simulations with the student's own group.

Completion alternatives

Contact lessons in Spring 2023

Student workload

1 ects is 27h of student work

Further information

Internal medical diseases, surgical nursing and medication and fluid care must be completed before taking this course.

Evaluation scale

1-5

Assessment criteria, satisfactory (1)

1-2
The student
- is able to describe some elements in the care and service provision system for acutely and critically ill patients, and the collaboration between authorities.
- under supervision, recognizes changes and problems in vital functions and knows how to carry out nursing interventions to help patients with respiratory or cardiac failure.
- under supervision, is competent to plan and carry out safely intravenous fluid and drug care of acutely and critically ill patients.
- under supervision, is competent to apply nursing technology and to give reports.
- under supervision, is competent to encounter acutely and critically ill patients and their next-of-kin.
- under supervision, knows how to counsel acutely and critically ill patients.

Assessment criteria, good (3)

3-4
The student
- is able to describe the care and service provision system for acutely and critically ill patients, and the collaboration between authorities.
- recognizes changes and problems in vital functions and knows how to carry out nursing interventions to help patients with respiratory or cardiac failure.
- under supervision, is 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, is competent to apply nursing technology and to give reports.
- is competent to encounter acutely and critically ill patients and their next-of-kin professionally.
- is able to counsel acutely and critically ill patients.

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, and the collaboration between authorities.
- recognizes changes and problems in vital functions and implements appropriate nursing interventions.
- knows how to carry out nursing interventions to help patients with respiratory or cardiac failure and evaluate the effectiveness of the care.
- is 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.
- is competent to apply nursing technology and to give reports.
- is competent to encounter acutely and critically ill patients and their next-of-kin professionally.
- is able to counsel acutely and critically ill patients.

Assessment criteria, approved/failed

Failed= 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 acutely and critically ill patients.
- skills and knowledge of acute-nursing are lacking and patient safety is jeopardized.
- does not recognize changes in patient's vital functions.
- does not fully consider asepsis.
- jeopardizes his/her own safety and the patient's.
- repeatedly makes mistakes in drug and fluid care.
- avoids nursing and learning situations.
- does not seek contact with patients.
- despite feedback, dresses and behaves inappropriately.
- does not respect confidentiality.
- collaboration skills are poor.
- study motivation is poor.

Assessment methods and criteria

performing tasks
Exam
Active participation

Qualifications

Medical Nursing. Surgical Nursing and Health Technology.