16 Jul NRS312 ESSENTIAL NURSING CARE: MANAGING THE DETERIORATING PATIENT
NRS312 Essential Nursing Care: Managing the Deteriorating Patient
Upon successful completion of this subject, students should:
be able to collect, interpret and document subjective and objective data in the seriously ill or deteriorating person (aligns with Nursing and Midwifery Board of Australia National Competency Standards for the Registered Nurse: 1.1, 1.2, 2.5, 4.1, 5.1, 5.2, 5.3, 7.4, 8.1, 8.2).
be able to demonstrate a broad knowledge which links the underlying pathophysiology of serious cardiac, respiratory and neurological presentations to their clinical manifestations (NMBA 2.6, 3.1, 3.4, 4.1, 7.4).
be able to apply theoretical knowledge, critical thinking and the use of best evidence to contribute to the planning and implementation of appropriate nursing interventions for the person experiencing a serious or life-threatening illness (NMBA 1.2, 2.5, 2.6, 3.1, 3.2, 3.3, 3.4, 4.1, 6.1, 6.2, 6.4, 7.1, 7.2, 7.4, 7.7, 7.8, 8.1, 8.2, 10.3).
be able to apply theoretical knowledge to safely perform selected procedural skills including venepuncture, intravenous cannulation, administration of blood products and management of central venous access devices, required for the care of patients experiencing serious or life-threatening illness (NMBA 1.2, 2.5, 7.1, 7.2, 7.4).
be able to analyse the legal and ethical considerations associated with the management of the deteriorating patient (NMBA 1.1, 2.1, 2.2, 2.3, 2.4, 2.5, 7.4, 7.5, 7.6, 9.3, 9.5).
be able to communicate effectively with individuals, groups and members of the interdisciplinary team in the acute care environment (NMBA 1.2, 2.3, 2.4, 2.5, 5.1, 5.2, 5.3, 6.1, 6.2, 6.3, 7.4, 7.5, 7.6, 7.7, 9.1, 9.2, 9.3, 9.4, 10.2, 10.4)
Syllabus
The subject will cover the following topics:
Module 1: Recognition of the Deteriorating Patient/Advanced Life Support. Recognising the deteriorating infant/child. Recognising the deteriorating adult. Cardiac and respiratory arrests pathophysiology. Cardiac monitoring recognition of lethal rhythms, basic ECG interpretation. Principles of Advanced Life Support (ALS) defibrillation and medications. ALS algorithms for adults and children. Basic Principles of Triage. Learning. Outcomes: 1-4, 6.
Module 2: Legal and Ethical Issues in Acute Health Deterioration. Withdrawal of treatment. Patient comfort analgesia, provision of basic nursing care, supporting the family. Organ donation. Family presence during resuscitation. Mental Health Emergencies. Learning Outcomes: 5, 6.
Module 3: Circulatory Deterioration. Shock overview pathophysiology, stages types with focus on hypovolaemic, cardiogenic and anaphylactic shock. Central venous access and arterial lines. Management of shock fluid resuscitation, vasoactive medications, advanced medication calculations. Venepuncture and introduction to IV cannulation. Administration of blood products. Learning Outcomes: 1-4, 6.
Module 4: Respiratory Deterioration. Respiratory trauma, pneumothorax, flail chest. Advanced oxygen therapy and management of chest drains. Respiratory failure. Airway management. Introduction to mechanical ventilation. Learning Outcomes: 1-4, 6.
Module 5: Neurological Deterioration. Comprehensive assessment of the neurological system. Stroke, pathophysiology, clinical manifestations, immediate management. Traumatic brain injury and raised intracranial pressure- pathophysiology, clinical manifestations and management. Epilepsy, immediate treatment. Delirium. Brain Death. Learning Outcomes: 1-4, 6.
Module 6: Renal and Diabetic Emergencies. Renal Assessment. Pathophysiology of Acute Kidney Injury (AKI) and complications. Collaborative management of AKI and complications, pharmacological, introduction to continuous renal replacement therapy, nursing considerations. DKA, assessment and management. Learning Outcomes: 1-4, 6.
Module 7: Severe Burn Injury & Sepsis. Severe burn injury, pathophysiology and complications. Assessment of burn injury, burn size and depth. Immediate management of burn injury, first aid, criteria for referral, fluid resuscitation, airway management, initial wound management. Sepsis, pathophysiology and complications. Immediate management of sepsis, fluid resuscitation, vasoactive medications. Learning Outcomes: 1-4, 6.
Module 8: Mental Health Deterioration. Self-harm and suicidal ideation. Acute intoxication, overdose, withdrawal. Aggressive behaviour and threats of violence. Acute psychosis. Acute anxiety. Learning Outcomes: 1-4, 6.
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