Study Guide

Objective

Under supervision, the student will be competent in identifying needs of patients and their families and in planning, implementing, evaluating and documenting nursing care. The student 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. The student will learn to give oral reports under supervision. The student will also be competent in dealing with patients in various life situations. The student will become familiar with the principles of patient-oriented, resource-based and multi-professional nursing of patients and their families. The student will utilize information and nursing technology and equipment. The student 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 implementation 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.

Materials

Kuisma, M. Holmström, P. Nurmi, J. Porthan, K. & Taskinen, T. 2021. Ensihoito. Sanoma Pro Oy.

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

Alanen, P., Jormakka J. & Kettunen J. 2023. Oireista työdiagnoosiin. Ensihoitopotilaan tutkiminen ja arviointi. SanomaPro 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)

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 Autumn 2021 or in Spring 2022

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, including collaboration between authorities
- under supervision, recognises 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 families
- 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, including collaboration between authorities
- recognises changes and problems in vital functions and know 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 families professionally
- knows how 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, including collaboration between authorities
- recognises 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 families professionally
- knows how to counsel acutely and critically ill patients

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 acutely and critically ill patients
- skills and knowledge of emergency nursing are lacking and patient safety is jeopardised
- does not recognise changes in patient's vital functions
- does not fully observe asepsis
- jeopardises 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 lacking
- study motivation is lacking

Qualifications

Medical Nursing. Surgical Nursing and Health Technology.