NURSING 7107 - Acute Coronary Care
North Terrace Campus - Semester 2 - 2015
General Course Information
Course Code NURSING 7107 Course Acute Coronary Care Coordinating Unit School of Nursing Term Semester 2 Level Postgraduate Coursework Location/s North Terrace Campus Units 3 Contact Up to 3 hours per week Available for Study Abroad and Exchange N Prerequisites NURSING 7108 Foundations of Cardiac Care Restrictions Available to M.NursSc students only Course Description This course provides foundation knowledge and skills which are fundamental for the development of advanced nursing practice. The course consists of two sections. The first section describes the physiology, pathophysiology, assessment, and management of respiratory failure. At the completion of the course students will be expected to be competent to care for patients requiring non-invasive and invasive ventilation. The second section focuses on cardiac anatomy and physiology, electrophysiology, and the mechanisms, diagnosis, and management of cardiac arrhythmias, including the management of temporary and permanent pacing.
Course Coordinator: Mr Adrian De Luca
Course Coordinator: Adrian De Luca
Phone: +61 8 8313 6284
Student Liason Officer
Phone: +61 8 8313 3595
The full timetable of all activities for this course can be accessed from Course Planner.
Course Learning Outcomes
1 Describe the aetiology, pathophysiology, assessment, and management of cardiovascular disorders and their comorbidities 2 Discuss the management of the haemodynamically unstable patient 3 Demonstrate advanced haemodynamic monitoring techniques 4 Analyse and interpret haemodynamic data and explain the significance of the findings 5 Explain the influence of various drug therapies on haemodynamics 6 Explain the indications, physiological effects, nursing care, and complications of the intra-aortic balloon pump. 7 Reflect upon the ethical implications of disease and its management. 8 Identify and critically appraise the evidence that informs practice.
University Graduate Attributes
This course will provide students with an opportunity to develop the Graduate Attribute(s) specified below:
University Graduate Attribute Course Learning Outcome(s) Knowledge and understanding of the content and techniques of a chosen discipline at advanced levels that are internationally recognised. 1-7 The ability to locate, analyse, evaluate and synthesise information from a wide variety of sources in a planned and timely manner. 1, 4, 8 An ability to apply effective, creative and innovative solutions, both independently and cooperatively, to current and future problems. 7-8 Skills of a high order in interpersonal understanding, teamwork and communication. 7-8 A proficiency in the appropriate use of contemporary technologies. 2-6 A commitment to continuous learning and the capacity to maintain intellectual curiosity throughout life. 8 A commitment to the highest standards of professional endeavour and the ability to take a leadership role in the community. 1, 7, 8 An awareness of ethical, social and cultural issues within a global context and their importance in the exercise of professional skills and responsibilities. 7
Required ResourcesPrescribed texts
Opie, LH & Gersh, BJ 2013, Drugs for the heart, 8th edn, Elsevier Saunders, Philadelphia.
*Sidebotham D, McKee A, Gillham M, Levy JH 2007, Cardiothoracic Critical Care, Butterworth Heinemann Elsevier, Philadelphia.
*Stouffer, GA 2008, Cardiovascular Hemodynamics for the Clinician, Blackwell, Oxford.
Thompson, PL (ed.) 2011, Coronary Care Manual, 2e, Elsevier Australia, Chatswood.
Note: (*) Full Text Available to view online via the University of Adelaide library (e-books).
The prescribed texts are integral to the course and may be purchased from all or some of the following outlets:
The University of Adelaide, Adelaide SA 5005
Phone: +61 8 8125 5160
Ramsay – Medical books and more
Located at Unibooks Adelaide Store, Gate 10 (off Victoria Drive) Union Building, Adelaide SA 5000
Phone: +61 8 8125 5195 or 1300 796 106
Fax: +61 8 8231 2069
Shop 20, Renaissance Arcade, 128 Rundle Mall, Adelaide SA 5000
Phone: 08 8224 0886
Fax: 08 8223 3570
Recommended ResourcesThe readings for this course are available electronically via MyUni.
Please note: it is your responsibility to organise printing should you prefer a hard copy of the readings.
All students enrolled in a postgraduate coursework nursing program have access to the School of Nursing – Postgraduate Coursework Student Centre on MyUni. If you would like the opportunity to network with other students, you can use the Communication features in the site. This site will also feature information about the latest news and events at the School of Nursing.
UNIFIED is your one-stop shop for email, calendar, MyUni and Access Adelaide. It even allows you to search the Library.
UNIFIED is available to all active students; with a single login you can access your student systems and personal information through a central website. Login with your Student ID ("a1234567") and Password.
For more information, including easy to follow instructions visit https://unified.adelaide.edu.au/web/mycampus/home.
Help for Nursing Students
The University of Adelaide Library has a website to help nursing students use the library and its resource (www.library.adelaide.edu.au/guide/med/nursing).
Remote student library service
The University of Adelaide Library provides a document delivery and loans service to non-metropolitan students who do not visit a University of Adelaide campus to attend classes (www.adelaide.edu.au/library/docdel/external.html).
Learning & Teaching Activities
Learning & Teaching ModesThis course will be delivered on campus and will include the following:
1. Three hours contact per week.
2. Blend of lectures, tutorial, and workshops incorporating a problem-based learning approach.
3. Lecture notes online
The information below is provided as a guide to assist students in engaging appropriately with the course requirements.The delivery mode of this course is mainly face-to-face workshops on campus (Three hours contact per week). Although attendance is not compulsory in this course, students are strongly encouraged to attend the classes. Many of the workshops presented in this course will involve problem-based learning using real-life case studies and therefore have a close link to your clinical rotation within the specialty areas of cardiac nursing practice. Practical workshops will form the basis of some of the sessions.
There are several required texts for this course. Most of the Reading will be supplied to you online through MyUni. However you are strongly advised to search and read widely of each topic in this course.
This is a 3-unit course so you should be expecting to spend at least 12 hours a week on, workshops, readings and completing the assignments.
Learning Activities SummaryThe course content will include the following:
1. Hemodynamic monitoring (pulmonary artery catheters and cardiac output measurement)
2. Shock states
3. Inotropic agents
4. Haemodynamic profiles workshop
5. Intra-aortic balloon therapy
6. Acute renal failure
7. Electrical safety
8. Haemostasis, thrombosis, and bleeding
9. Analgesia, sedation, and related topics
10. Patient delays in seeking treatment
11. Women and cardiovascular disease
12. Hypotension and syncope
13. Sudden cardiac death
14. Pericardial disease, myocarditis, cardiomyopathy, takotsubo
15. Adults with congenital heart disease
16. Pulmonary hypertension
17. Anaemia and cardiac disease
Specific Course RequirementsAlthough it is not a mandatory requirement, students are encouraged to seek the opportunity to rotate through the various cardiac sub-specialty environments within their organisation ie Interventional, medical and surgical.
The University's policy on Assessment for Coursework Programs is based on the following four principles:
- Assessment must encourage and reinforce learning.
- Assessment must enable robust and fair judgements about student performance.
- Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
- Assessment must maintain academic standards.
Assessment Task Task Type Weighting Learning Outcome(s) being addressed Learning exercise Formative NGP 2, 3, 4, 8 Case presentation outline Formative 10% 1 – 5, 7, 8 Case presentation Summative 40% 1 – 5, 7, 8 Structured clinical assessment Summative 60% 1-7 Skills workbook Summative Pass/fail 1-7
Assessment DetailLearning Activity – 150 words (NGP), Due Week 2: Complete the learning activity in week 1 consisting of your responses to those activities/discussion points. The assessment is scheduled early in the semester to ensure that appropriate resources are used, and that referencing complies with the Disciplines Handbook and Style Guide.
Case presentation outline − 500 words (10%), Due Week 6: The aim of this assessment is to introduce the topic; provide a justification for selecting the case; present the case in a structured format; and outline the key points and issues to be critiqued; including a reference list of at least 5 preliminary references. This assessment is scheduled early in the semester to assist students with the planning and development of the case presentation.
Case presentation − (40%), Due Week 12: The presentation time will be 15 minutes in total, 10 minutes for the presentation and 5 minutes for discussion and questions. Assessment will be based on: the content of the presentation; the students understanding and critique of the topic; the presentation style; support of the topic from contemporary literature; and the student’s ability to promote discussion.
Structured Clinical Assessment − 30 minutes (50%), Exam Weeks: This practically based examination will test the student's ability to apply knowledge to practice and covers both the knowledge and skills taught in this course. The assessment focus on the student's ability to assess, interpret, analyse and make appropriate clinical decisions relating to clinical scenarios in cardiac nursing.
Skill workbook - (Pass/Fail) Swot Week: Students are required to achieve ‘competence’ in a list of clinical skills integral to the course content and management of the cardiac nursing. Students will be assessed by preceptors and Clinical Titleholders within their institution for clinical competence.
Assessments, unless otherwise stated in your Study guide, are to be submitted electronically via Assignments in MyUni on the due date identified in this Study guide. Instructions for assignment submission are available for all students under Tutorials at www.adelaide.edu.au/myuni/. Formatting and presentation of assignments must comply with School policy as indicated in the School Academic Manual.
An assessment submitted via MyUni must be submitted as a .doc, .docx or .rtf file (or unless otherwise specified, i.e. PowerPoint). It is also important to submit your file under your surname and id number, such as surnamestudentid (i.e. knight1234567). MyUni stamps all the other details against your filename once you submit your assessment.
Your assessment must include an Assignment Coversheet. Your assignment should be submitted as one file, with the coversheet being the first page. A word version and rich text format of the Assignment Coversheet is available to download at http://health.adelaide.edu.au/nursing/current-students/. The Plagiarism Statement must be signed and dated for your assessment to be marked (signature is not required for electronic submission). More information on avoiding Plagiarism is available at www.adelaide.edu.au/writingcentre/plagiarism/.
If you have difficulty submitting your assignment, you can call the MyUni helpdesk Monday to Friday (8am to 6pm) on 08 8313 3335.
Extension of time for assessment items
It is expected that all assessments will be submitted on or by the specified due date.
However, students may apply for an extension of time to submit an assessment, if they are experiencing difficulty. Applications for extension must be made via the online form on the School of Nursing website http://health.adelaide.edu.au/nursing/current-students/. The grounds for granting an extension include health problems, compassionate reasons and other extenuating circumstances. Extensions will usually only be granted for a maximum of one week, but can be longer at the discretion of the Chairperson of the Postgraduate Learning and Teaching Sub-Committee or Head of Learning and Teaching if substantiated with evidence such as a medical certificate.
Upon completion of the online form, you will receive a receipt to your student email of your approved extension. If your extension is granted, then it is your responsibility to keep in contact with the course coordinator and to submit the assessment with evidence of your approved extension.
You must complete this online form for each course and assessment that you request an extension for.
Failure to submit an assessment item on time without an approved extension will incur a penalty as detailed under Late Submission of Work.
Last submission of work
All assessments should be submitted by the specified due date.
Late submission without an approved extension will be penalised at the rate of 10% of available marks for each day after the due date. Work submitted more than ten days after the due date may be returned unmarked. This action will be taken to prevent students who do get their work in on time being disadvantaged.
You are advised to comply with word limits. You are, of course, not expected to achieve exactly the required length and a 10% leeway on either side is acceptable. However, a penalty of 5% of available marks will apply for word limit in excess of the 10% leeway.
Your written work must comply with the formatting and referencing indicated in the School Academic Manual. Marks will be lost for failing to do so.
Return of assignments
Marked assignments and feedback will be returned via MyUni. For further information relating to assessment refer to the Assessment for Coursework Programs Policy.
Requesting a re-mark
Any student who, after discussion of the result with the course coordinator, is still dissatisfied with the final grade awarded for a course, and who has specific grounds for objecting to the grade, may lodge a written request for a review of the result or an independent second assessment with the Head of School within 10 University business days from the date of notification of the result. Such a written request must contain details of the grounds on which the objection is based. Requests must include a summary of the reasons the student believes his or her assessment work deserves a higher grade. These reasons must be directly related to the academic quality of the work. Re-marks, for example, will not be granted where the grounds are that the student has paid tuition fees or incurred liability under HECS-HELP or FEE-HELP, or needs one or two additional marks to get a higher overall grade for the course. The Head of Learning and Teaching may seek the advice of the Postgraduate Learning and Teaching Sub-Committee, and will make a determination on review or second assessment, and inform the student of his or her decision in writing.
The grade awarded to a piece of work following review or second assessment as provided for in this policy or as a consequence of appeal to the Student Appeals Committee will usually stand as the final grade for the work, regardless of whether it is higher or lower than the grade originally awarded.
Further guidelines and policies regarding examinations may be found on the examinations website www.adelaide.edu.au/student/exams/rules_policies.html.
Resubmitting failed assignments
In accordance with University Policy, the guidelines and conditions regarding resubmission are stated below. It should be noted that these guidelines concern work that has been assessed as ‘FAIL’.
Course coordinators, in consultation with Head of Learning & Teaching and/or the Pre-Registration or Postgraduate Learning and Teaching Sub-Committee Chairperson, are responsible for determining the circumstances in which students may resubmit assessment tasks. In determining these circumstances, the following are considered.
a) Students may only resubmit their work when:
i ) It will allow them to demonstrate that they have understood feedback on their work; and/or
ii) They might otherwise be at risk of failing the course; and/or
iii) When they have received a Fail grade with an underlying mark of 45-49%; or
iv) The final assessment task in the course is weighted at 20% or more of the total course assessment.
b) In granting a resubmission, the deadline will be negotiated.
c) The resubmitted work will be awarded no more than the minimum pass mark (i.e. 50%).
d) If the resubmitted work does not achieve a pass, it cannot be submitted a third time, and a fail will be recorded.
e) Students who accept an offer of resubmission must take into account the possible implications, such as eligibility for graduation should the reassessment not be able to be completed in time for their preferred ceremony.
Grades for your performance in this course will be awarded in accordance with the following scheme:
M10 (Coursework Mark Scheme) Grade Mark Description FNS Fail No Submission F 1-49 Fail P 50-64 Pass C 65-74 Credit D 75-84 Distinction HD 85-100 High Distinction CN Continuing NFE No Formal Examination RP Result Pending
Further details of the grades/results can be obtained from Examinations.
Grade Descriptors are available which provide a general guide to the standard of work that is expected at each grade level. More information at Assessment for Coursework Programs.
Final results for this course will be made available through Access Adelaide.
The University places a high priority on approaches to learning and teaching that enhance the student experience. Feedback is sought from students in a variety of ways including on-going engagement with staff, the use of online discussion boards and the use of Student Experience of Learning and Teaching (SELT) surveys as well as GOS surveys and Program reviews.
SELTs are an important source of information to inform individual teaching practice, decisions about teaching duties, and course and program curriculum design. They enable the University to assess how effectively its learning environments and teaching practices facilitate student engagement and learning outcomes. Under the current SELT Policy (http://www.adelaide.edu.au/policies/101/) course SELTs are mandated and must be conducted at the conclusion of each term/semester/trimester for every course offering. Feedback on issues raised through course SELT surveys is made available to enrolled students through various resources (e.g. MyUni). In addition aggregated course SELT data is available.
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Policies & Guidelines
This section contains links to relevant assessment-related policies and guidelines - all university policies.
- Academic Credit Arrangement Policy
- Academic Honesty Policy
- Academic Progress by Coursework Students Policy
- Assessment for Coursework Programs
- Copyright Compliance Policy
- Coursework Academic Programs Policy
- Elder Conservatorium of Music Noise Management Plan
- Intellectual Property Policy
- IT Acceptable Use and Security Policy
- Modified Arrangements for Coursework Assessment
- Student Experience of Learning and Teaching Policy
- Student Grievance Resolution Process
Students are reminded that in order to maintain the academic integrity of all programs and courses, the university has a zero-tolerance approach to students offering money or significant value goods or services to any staff member who is involved in their teaching or assessment. Students offering lecturers or tutors or professional staff anything more than a small token of appreciation is totally unacceptable, in any circumstances. Staff members are obliged to report all such incidents to their supervisor/manager, who will refer them for action under the university's student’s disciplinary procedures.
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