NURSING 7136 - Intensive Care II

North Terrace Campus - Semester 2 - 2022

This course will develop the skills and knowledge obtained in NURSING 7031 Foundations of Care. This course considers the pathophysiology of complex patient conditions requiring intensive care, as well as assessment, monitoring and advanced therapeutics. The content builds on the foundation knowledge from NURSING 7031 Foundations of Critical Care. by continuing a systems approach to the development of advanced intensive care nursing knowledge and practice. Content will focus on care of the patient with neurological, renal, gastrointestinal, endocrine, haematological and multisystem disorders. Promotion of evidence based practice will be integral to course delivery and clinical case review The focus will be on the collaborative multidisciplinary management of the complex intensive care patient and the critical care nurse's role within this team. Leadership skills will be developed through a workshop to prepare students to take on advance practice roles in the intensive care unit.

  • General Course Information
    Course Details
    Course Code NURSING 7136
    Course Intensive Care II
    Coordinating Unit School of Nursing
    Term Semester 2
    Level Postgraduate Coursework
    Location/s North Terrace Campus
    Units 6
    Contact Up to 4 hours per week
    Available for Study Abroad and Exchange N
    Prerequisites NURSING 7031
    Corequisites NURSING 7118
    Assumed Knowledge Systems Anatomy and Physiology
    Restrictions Available to M.NurSc and G.DipNurSc students only
    Course Description This course will develop the skills and knowledge obtained in NURSING 7031 Foundations of Care. This course considers the pathophysiology of complex patient conditions requiring intensive care, as well as assessment, monitoring and advanced therapeutics. The content builds on the foundation knowledge from NURSING 7031 Foundations of Critical Care. by continuing a systems approach to the development of advanced intensive care nursing knowledge and practice. Content will focus on care of the patient with neurological, renal, gastrointestinal, endocrine, haematological and multisystem disorders. Promotion of evidence based practice will be integral to course delivery and clinical case review The focus will be on the collaborative multidisciplinary management of the complex intensive care patient and the critical care nurse's role within this team.
    Leadership skills will be developed through a workshop to prepare students to take on advance practice roles in the intensive care unit.
    Course Staff

    Course Coordinator: Ms Krystle Halls

    Phone: +61 8 8313 0930
    Email: krystle.halls@adelaide.edu.au
    Location: Level 4, AHMS, Adelaide Nursing School, University of Adelaide.

    School Office
    Phone: +61 8 8313 3595
    Email: nursing@adelaide.edu.au
    Course Timetable

    The full timetable of all activities for this course can be accessed from Course Planner.

  • Learning Outcomes
    Course Learning Outcomes
    1 Demonstrate knowledge of the pathophysiological nature of disorders resulting in critical illness.
    2 Integrate advanced and integrated theoretical and clinical knowledge required for the, assessment and management of the complex critically ill patient
    3 Demonstrate a systems approach to the assessment, monitoring and support of physiological function in the critically ill patient
    4 Integrates care which is patient centred and embraces cultural diversity, individuality and experience
    5 Demonstrate the ability to work as leaders in advanced practice roles within a collaborative multidisciplinary team
    6 Evaluate and integrates the use of analytical enquiry and critical reflection into nursing practice, through contemporary issues, i.e. current evidence based guidelines, and consensus statements, in intensive care nursing.
    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)

    Attribute 1: Deep discipline knowledge and intellectual breadth

    Graduates have comprehensive knowledge and understanding of their subject area, the ability to engage with different traditions of thought, and the ability to apply their knowledge in practice including in multi-disciplinary or multi-professional contexts.

    1,3-5

    Attribute 2: Creative and critical thinking, and problem solving

    Graduates are effective problems-solvers, able to apply critical, creative and evidence-based thinking to conceive innovative responses to future challenges.

    2-4, 6

    Attribute 3: Teamwork and communication skills

    Graduates convey ideas and information effectively to a range of audiences for a variety of purposes and contribute in a positive and collaborative manner to achieving common goals.

    1,3, 5, 6.

    Attribute 4: Professionalism and leadership readiness

    Graduates engage in professional behaviour and have the potential to be entrepreneurial and take leadership roles in their chosen occupations or careers and communities.

    3, 4, 5-6

    Attribute 5: Intercultural and ethical competency

    Graduates are responsible and effective global citizens whose personal values and practices are consistent with their roles as responsible members of society.

    5-6

    Attribute 6: Australian Aboriginal and Torres Strait Islander cultural competency

    Graduates have an understanding of, and respect for, Australian Aboriginal and Torres Strait Islander values, culture and knowledge.

    2, 4, 6

    Attribute 7: Digital capabilities

    Graduates are well prepared for living, learning and working in a digital society.

    2, 5, 6

    Attribute 8: Self-awareness and emotional intelligence

    Graduates are self-aware and reflective; they are flexible and resilient and have the capacity to accept and give constructive feedback; they act with integrity and take responsibility for their actions.

    5-6
  • Learning Resources
    Required Resources
    In this course you should use the texts prescribed for Intensive Care I.

    Choose one of the following:

    Bersten, A & Soni, N (eds) 2013, Oh’s intensive care manual, 7th edn, Butterworth Heinemann Elsevier, Philadelphia.

    Elliott, D, Aitken, L & Chaboyer, W (eds) 2015, ACCCN’s critical care nursing, Mosby Elsevier, Sydney.

    Urden, L, Stacy, K & Lough, M (eds) 2013, Critical care nursing, diagnosis and management, 6th edn, Mosby Elsevier, St Louis (available as an electronic book from the University of Adelaide Library)

    Online Readings
    The online readings for this course are available electronically via MyUni Canvas course.
    Please note: it is your responsibility to organise printing should you prefer a hard copy of the reader.
    Recommended Resources
    Anatomy and Physiology
    Marieb, E. Hoehn, K. 2016 Human Anatomy & physiology; 10th edn.  Global ed. Harlow : Pearson

    Pharmacology
    Bryant, B, Knights, K Darroch S and Rowland A. 2019, Pharmacology for health professionals, 5th edn, Elsevier- health science Division.

    Haemodynamic Monitoring

    Pinksy M, Teboul, J and Vincent J (ed) 2019 Functional Haemodynamic Monitoring, Springer-Verlag, Berlin

    Note: You are not required to buy the recommended texts. However, they provide valuable supplementary reading on various aspects of the material covered within this course and you are encouraged to review them.

    As a student at the University of Adelaide you also have free access to a large variety of quality electronic textbooks. These can be accessed online through the library website by entering the E-Journals A-Z link and selecting-books only.
    Online Learning
    Resources will be made available online through the course MyUni pages where possible for students to prepare and review the course content.
  • Learning & Teaching Activities
    Learning & Teaching Modes
    This course employs on campus delivery of material by a variety of teaching methods to promote learning. A mix of lectures including guest speakers, tutorials, practical skill demonstration, simulation exercises and case study review will be incorporated into the sessions. Students will be challenged to develop and demonstrate critical thinking and problem solving skills.

    Student participation and discussion will be expected in all sessions.

    Lectures
    Face to face course lectures will be scheduled weekly at the AHMS building on North Terrace. The lecture locations will be made available on the MyUni website.

    Reading
    There are several recommended texts for this course and the online reading list will be made available on the canvas course in MyUni. The readings have been carefully chosen. These required and recommended readings have been selected to optimise your knowledge on the topic and so that they will continue to be of use to you after you graduate.

    Clinical Practice and Skill Acquisition
    This course supplements theoretical knowledge acquisition with field based learning. Students are required to complete clinical skills and work a minimum of 300 clinical hours in intensive care during this semester.
    Workload

    The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

    Lectures
    The student is expected to attend the weekly face to face course lectures at the AHMS building North Terrace. The lecture locations will be made available on the MyUni website. Student participation and discussion will be expected in all sessions.

    Readings

    An online reading list has been compiled for this course and will be made available through canvas on MyUni. The lecture and readings have been carefully chosen. The required and recommended readings have been selected to optimise your knowledge on the topic and that they will continue to be of use after you graduate.

    Clinical Practice and Skills Acquisition
    This course supplements theoretical knowledge with field based learning. Students are required to complete clinical skills and work a minimum of 300 clinical skills in intensive care during this semester.
    Learning Activities Summary
    The course content will be covered through an in-depth systematic approach of the bodily systems including anatomy, physiology, pathophysiology, health assessment and incorporating technologies which are required for the intensive care nurse.

    The core modules which will be covered includes:

    Foundations of Critical Care
    Cardiovascular
    Respiratory
    Neurological
    Renal
    Gastrointestinal, metabolic and endocrine
    Multisystems
    Special Populations


    Specific Course Requirements

    The completion of a clinical skills diary in the students workplace is required for successful completion.  Course content will support the successful achievement of the clinical skills.

    CLINICAL SKILL AREAS
    Airway
    Breathing
    Circulation
    Neurological
    Renal
    Transport
    Infection Control
    Reflective Practice






     

  • Assessment

    The University's policy on Assessment for Coursework Programs is based on the following four principles:

    1. Assessment must encourage and reinforce learning.
    2. Assessment must enable robust and fair judgements about student performance.
    3. Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
    4. Assessment must maintain academic standards.

    Assessment Summary
    Assessment Task Assessment Type Weighting Learning Outcome(s) being addressed
    Part IA - Outline
    Part IB– Case Study
    Formative
    Summative
    0%
    50%
    1-3, 6
    Pre-sighted Written Examination Summative 50% 1-4
    Structured Clinical Assessment Hurdle  Pass/Fail 1-4
    Clinical Skills and Reflective Practice Diaries Summative Pass/Fail 1, 3, 6
    Assessment Related Requirements
    Clinical Skills and Reflective Practice Diaries Pass/ Fail
    The assessment of skills will occur throughout the semester. Students will be assessed by the critical care registered nurses and clinical titleholders, with whom they work. Please refer to the information provided in the Clinical skills and Reflective Practice Diaries regarding skills assessment criteria.

    It is essential that students, who do not have exposure to a particular skill, discuss with the coordinator options for alternative clinical experience/demonstration to occur. The Semester 2 component of the skills and reflective diaries must be completed by end of semester and presented for assessment. The diaries will be graded Pass or Fail.
    Assessment Detail
    Formative Assessment 1A - Case Study Outline:
    This assessment is scheduled early in the semester to assist in the planning and development of your case study, so that you can receive feedback on your work before handing in your final assignment.

    Topic
    The case chosen must be relevant to the course content for Intensive Care II
    Once you have selected a topic:
    • Identify the topic and provide a brief paragraph which situates the topic, providing background, identifying the significance to critical care nursing and any limitations or boundaries of your intended work.
    (This is designed to assist in the development of the introduction for your final case study).
    • Provide a rough plan (in dot point form) of your case study identifying headings that demonstrate a logical sequence and structure for your proposed paper.
    • Outline the key points to be discussed using the headings identified above and the issues to be critiqued.
    (This is designed to assist in the development of the content of the paper ensuring the topic and significant issues are covered appropriately, and from a variety of perspectives).
    • Describe the search strategy undertaken to identify preliminary references including key words and databases used.
    (This is to ensure contemporary and reliable resources support your work).
    • Provide a reference list containing 5 preliminary references on the topic which complies with the School of Nursing Student Handbook and Style Guide.
    (This list will need to be expanded for your final case study).

    A high academic writing standard is required with key points in text referenced appropriately.
    Please ensure the patient's anonymity and confidentiality is maintained. The use and identification of a pseudonym is required. Work not complying with this guideline will be returned unmarked to the student.

    Summative Assessment 1B – Case study:

    Topic
    Preamble
    Case studies allow clinical episodes and practices to be articulated and explored. The case study should be about a patient you have cared for, relating actual events in which you were involved and critiquing the clinical events based upon the literature.
    When writing the final case study the following points should be considered:
    • the patient's diagnosis
    • relevant past history
    • nursing care
    • treatment
    • psychosocial aspects of care
    • clinical progress and outcome
    • discharge planning
    • a critique of the care given.
    The case study should summarise the nursing and medical treatment the patient received and then critique this in the light of current practice and knowledge.

    The case study should be structured as an academic paper with the following sections:
    • Introduction outlining the case study’s structure
    • Body of text that covers the following areas:
    • presents the patient’s story—includes clinical presentation, diagnosis, any relevant history and pathophysiology of the patient’s condition
    • nursing assessment and discharge planning undertaken during the clinical admission to the relevant area
    • outlines the clinical progress of the patient, including interdisciplinary interventions (with an emphasis on nursing)
    • critiques the nursing management of the patient and interprets the outcomes of interventions, supported with relevant (and appropriate) literature
    • Conclusion that summarises the patient case study.

    Assessment 2 – Structured Clinical Assessment:
    This practically based examination will test the student's ability to apply knowledge to practice. This is a Hurdle examination and will assume skills and knowledge addressed in Foundations of Critical Care and covers all skills and knowledge taught in Intensive Care II. Students will be presented with a clinical scenario which enables the demonstration of essential advanced assessment, management and therapeutic strategies. The examination will be approximately 30 minutes long. The Structured Clinical Assessment examination will be held during the University Exam Weeks.

    Time – 30 minutes Hurdle assessment - must pass this Assessment to successfully pass the course.

    Students who demonstrate unsafe practice during the structured clinical assessment will not have successfully completed the examination regardless of their overall mark. Students will be reassessed at the discretion of the course coordinator in the supplementary examination period.

    Assessment 3 – Presighted Written Examination:
    Students are to prepare for ALL five questions. You may use all course materials available to you in preparing for the examination but will not be allowed to take anything with you into the exam. Questions will be distributed at the end of week 9 to students.

    Please use the text books/ readings/ lecture notes and study guide provided in this course to construct your answers.

    The final exam will be a closed book exam containing three compulsory questions. Each of the final exam questions will be chosen from those in this Pre-Sighted Exam Paper.
    Submission
    Assessments, unless otherwise stated in your Study guide/MyUni, are to be submitted electronically via Assignments in MyUni on the due date identified. 

    An assessment submitted via MyUni must be submitted as a .doc, .docx or .rtf file. If submitting a PowerPoint presentation for marking, the .ppt or .pptx must be submitted as .pdf file. It is also important to submit your file under your name, such as surname.firstname. MyUni stamps all the other details against your filename once you submit your assessment.

    Course Grading

    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.

    Extension of time for assessment items

    Please complete the extension request form and email directly to the Course Coordinator if requiring additional time for your assessments.  The extension request form can be found on the course MyUni Home Page.


    Failure to submit an assessment item on time without an approved extension will incur a penalty as detailed under Late Submission of Work in the school manual.
  • Student Feedback

    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.


    Insufficient student feedback in semester 2

    There has been positive student feedback to the introduction of IPL simulation excercises on metcall and transport scenarios
  • Student Support
  • Policies & Guidelines
  • Fraud Awareness

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