Study Guide

Objective

Acute, Emergency and Intensive Care Nursing 5 cr AKTE
Objectives                                
- Students will learn to describe the emergency care system and service in the context of specialised health care, the levels of emergency care and the role of and interdependency between different stages of emergency care
- Students will gain proficiency in the main treatment methods of emergency and acute care, treatment-related technology and the creation of a safe care environment.
- Students will learn to interview and examine patients in emergency and acute care situations, identify the need for acute care, administer, document and report the required treatment and evaluate the actual treatment process.
- Students will learn to use the VIRVE phone as a communication device for emergency and acute care and know how to describe inter-authority cooperation from the perspective of emergency and acute care.
- Students will learn to safely administer pharmacotherapy to emergency and acute care patients.
- Students will know how to assess customers’ need for and urgency of treatment in acute care and reception work and will be able to make independent decisions, while identifying their limits and using consultation for support.
- Students will learn to cooperate with customers and their social networks and other people involved.
- Students will gain proficiency in CRM.
- Students will be able to carry out the clinical examinations and treatment measures belonging to the job description of nurses and draw the necessary conclusions.
- Students will learn to provide customers with personalised guidance and support for self-care and health promotion.
- Students will be capable of handling acute care and reception work in multicultural customer contacts.
- Students will know how to draw conclusions of the condition of an acutely ill patient and propose appropriate treatment methods.
- Students will learn to describe the emergency care system and service in the context of specialised health care, the levels of emergency care and the role of and interdependency between different stages of emergency care
- Students will gain proficiency in the main treatment methods of emergency and acute care, treatment-related technology and the creation of a safe care environment.
- Students will learn to safely administer pharmacotherapy to emergency and acute care patients.

Content

Contents
Intensive Care Nursing 3 cr TEHO
- The care environment and features of intensive care and the intensive care unit as part of the service system
- Comprehensive observation and care of intensive care patients by vital function
- Training in the basics of care and observation instruments: invasive and non-invasive
- Care of respirator patients
- Monitoring of the patient’s heart and circulation in the intensive unit
- Neurological monitoring of patients
- Assessment of the respiratory sufficiency of patients
- Nursing of intensive care patients
- Ethical analysis of intensive care based on patient cases
- High-risk pharmaceuticals, demanding fluid therapy and nutritional care, assessment, monitoring, follow-up and treatment of the fluid balance
- MET operations and liaison/consultant ICU Nurse operations
- Support and guidance for the intensive care patient and family members
- Demanding pain management of intensive care patients, the significance of basic care and delirium in the intensive care unit
- Skills workshops supporting theoretical studies
Acute and Emergency Nursing 2 cr PäEN
- Encountering patients and family members
- Acute and emergency care system
- Assessment of the need for care, TRIAGE, emergency call centre operations
- Phone guidance in the assessment of the need for care
- Multiprofessional inter-authority cooperation
- Flow of information, consultation and reporting (ISBAR)
- The VIRVE phone and its basic use
- Treatment process of patients suffering from various illnesses and injuries in acute and emergency care
- Special features of pharmacotherapy in acute and emergency care
- Participation in major accident training
- Principles of CRM
- Special features of acute care in different operating environments
- Observation of vital functions, disturbances in vital functions, support for vital functions
- ABCDE protocol
- Intensive resuscitation
- Acute mental health cases
- Critical thinking and decision-making
- Patient safety
- Skills workshops supporting studies

Materials

All materials from Optima and
ICN: E-book: Booker, Kathy J., editor. 2015. Critical care nursing: monitoring and treatment for advanced nursing practice. Wiley-Blackwell. Chapters: 2-6, 8-10, 13
AEN: E-book through Finna: Acute and Critical Care Nursing at a Glance, by Helen Dutton, and Jacqui Finch 2018.

Exam schedules

ICN and AEN exam week 17, 2020

International connections

Case-based learning,
skills training in clinical workshops,
classroom simulation,
nursing calculations,
task-based learning and group work

Student workload

Assignments and student workload:
Intensive care nursing 3 cr, 81 hours:
Contact lessons 27 h and independent study 54 hours.
Two pre-assignments before clinical workshops, 3 hours
ARDS case study, 10 hours
Multiple trauma with head injury case study, 10 hours
Nursing calculations, 1 hour
Clinical workshop on ICU nursing 3 x 4 h: 1) invasive pressure monitoring, taking and interpreting arterial blood gas analysis. 2) ventilator treatment, tracheostomy care, 3) ECG quizzes, neurological patient in ICU.
Accident and emergency nursing 2 cr, 54 hours:
Contact lessons 20 h and independent study 34 hours.
Patient Case seminar (with group work) presentations, using the cABCDEF tool, 14 hours,
Pre-task before clinical workshop, 6 hours
Clinical workshops on Accident and emergency nursing 2 x 4 h: VIRVE phone, IO route, transport ventilator, the use of the Lifepack 15 for monitoring, nursing calculations.
ICU and Accident and emergency nursing exam, ICU 30 hours to prepare, AEN: 14 hours

Content scheduling

Timing:
Weeks 12-17, 2020

Evaluation scale

H-5

Assessment methods and criteria

Theory courses on basic and professional studies should be mostly completed before enrollment on this course.
Intensive care nursing:
Pre-assignments: Approved/ failed
ARDS case study: Numeral evaluation
Multiple trauma with head injury case study: Numeral evaluation
Nursing calculations completed
Clinical workshops on ICU nursing 3 x 4 h, attendance mandatory: Approved/ failed
Accident and emergency nursing:
Patient Case seminar presentations: Numeral evaluation
Clinical workshop on Accident and emergency nursing 2 x 4 h, attendance mandatory: Approved/ failed
ICU and Accident and emergency nursing exam: numeral evaluation