Study Guide

Objective

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

Content

Care and service provision system for critically ill adult patients, ICU as care environment, main concepts and different care situations for most common medical, surgical, cardiac, respiratory and neurological critically ill patients.

Student practices: Basic care for adult patients in Intensive Care Unit. Emergency and intensive care for trauma patient. Invasive ventilation care in emergency and in intensive care. Assessment of critically ill patients by using cABCDEF-protocol, monitoring critically ill patients, planning and implementation of nursing care. Securing patient´s vital functions in critical care. Reporting and consulting by using ISBAR-protocol.
Nursing interventions: medication and fluid care, nutrition and most common laboratory and radiation examinations for critically ill medical, surgical and respiratory patients. Blood gas analyzes. Care of a septic shock patient. Care of a hypovolemic shock patient.The care of the patient in most common drug intoxications. Student understands the meaning of multi-professional co-operation in emergency and in critical care. The work of a trauma-team and MET. Written and oral information and documentation in nursing for critically ill patients. Sustainable development in critical care nursing.
Drug calculations are tested

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 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 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 critical care situations.
- under supervision, is competent to plan and carry out safely intravenous fluid and drug care for critically ill patients.
- under supervision, is competent to apply nursing technology and to give reports and to consult team members in critical care.
- under supervision, documents the critical care.
- under supervision, is competent to encounter critically ill patients and their next-of-kin.
- under supervision, knows how to counsel and how to promote health for critically ill patients and their next-of-kin.

Assessment criteria, good (3)

3-4
The student
- is able to describe the care and service provision system for 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 critical situations.
- is competent to plan and carry out safely intravenous fluid and drug care for 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 in critical care.
- is competent to document critical care.
- is competent to encounter 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 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 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 critical situations and independently evaluates the effectiveness of the care.
- is competent to plan and carry out safely intravenous fluid and drug care for critically ill patients and to evaluate the effectiveness of the care.
- is competent to apply nursing technology, give reports, and consult team members in critical care.
- is competent to document critical care.
- is competent to encounter 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 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 critically ill patients or the collaboration between authorities.
- does not know how to meet basic needs of critically ill patients.
- skills and knowledge of 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 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.

Assessment methods and criteria

performing tasks
Exam
Active participation

Qualifications

Registered Nurse's Core Competencies Modules I-III
Registered Nurse's Medication and Fluid Care Competencies

Clinical training in the basics of clinical nursing
Clinical training in gerontological nursing
Clinical training in long term nursing