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Module Description Template
Title
Code
Level
Credit rating
Pre-requisites
s
Comments/notes
Intensive Care Cardiovascular Level 6
NH 3124
6
20 credits
Applicants for the module will be required to meet the following
criteria:
Normally hold 120 credits at level 5
Type of module
Aims
Normally have 1 year’s post registration experience at least six
months of which will be in an intensive care area
Extensive
To:
Enhance understanding of cardiovascular anatomy, physiology and
pathophysiology related to critically ill patients
Enable students to accurately assess cardiovascular status and
function in the critically ill patient
Critically analyse the management of a cardiovascularly unstable
patient and intervene to optimise care
Explore the role of the nurse and members of the multi-disciplinary
team within intensive care
Demonstrate resuscitation skills at an advanced level
Learning outcomes/objectives
The student will be able to:
Recognise cardiovascular dysfunction seen in the intensive care
setting and relate and apply underlying pathophysiological changes
Accurately assess cardiovascular function in critically ill patients
Critically analyse the cardiovascular management of critically ill
patients and intervene to optimise care
Recognise abnormalities in electrocardiograph recordings, their
significance and take appropriate action
Use haemodynamic monitoring to assist in cardiovascular
assessment and use findings to manage and optimise care
Select and interpret appropriate interventions to assess
cardiovascular function in the critically ill patient.
Identify, apply and disseminate research findings relating to critical
care practice.
Assess and manage critical and clinical events to ensure safe and
effective care.
Support and empower patients and clients, their families and other
carers to influence and participate in decisions concerning their
care.
Act independently within a multidisciplinary multi agency context.
Provide psychological support for individuals and their carers
Content
Be aware of the emotional demands of working within an intensive
care unit
Review cardiovascular anatomy to include detail of coronary arteries
Function of cardiac muscle action potential
Conducting system
Cardiac cycle, Pressures within the heart and great vessels
Cardiac output, peripheral resistance, preload, afterload and
contractility
Nervous control of the heart, the autonomic nervous system
Myocardial oxygen consumption
Cardiovascular disorders related to intensive care nursing
Administration of i.v. fluids and massive blood transfusions
Haemodynamic monitoring
The normal electrocardiograph
Abnormalities of the electrocardiograph related to intensive care
patients
Temporary cardiac pacing
Use of drugs to enhance cardiovascular function
Management of patients post myocardial infarction
Pathophysiology and management of shock
Management of clotting disorders
Advanced resuscitation
Psychological care of patients and their carers and self
Teaching and learning
strategies
Hours:
200
- 60 taught
- 70 private study
- 70 clinical practice
Teaching will be via lectures, discussion and seminar work in the
classroom and by demonstration and discussion in the clinical area.
In addition to faculty lecturers, clinical experts e.g. nurse specialists,
dietician, medical consultant and pharmacists will be used to provide
input on specialist areas.
Where appropriate and available visits to relevant clinics, theatres
and alternative practice areas.
Students will use textbooks, journals, websites and clinical
experience to enhance their learning. They will also receive tutorial
support for assignment writing
Learning support
All students on the Intensive Care Nursing pathway will have a
named clinical mentor to supervise development of practice in the
clinical area.
Each student will have a personal tutor (normally the module leader)
and a clinical mentor.
Mentors will be responsible for assessing clinical competence and
overseeing the progress of the student’s clinical progress within the
module
The tutor will assist the student with their theoretical work and liaise
with the clinical mentor.
Indicative reading list
Adam S K and Osborne S
1997
Critical Care Nursing: Science and Practice
Oxford University Press
Conover Mary B
2002
Understanding Electrocardiography
8th ed Mosby
Colquhoun M
The ABC of Resuscitation
5th Ed BMJ
2003
Goldberger A & Goldberger E 1998
Clinical Electrocardiography - Simplified Approach
6th Ed, Mosby Year Book
Hinds C J & Watson J D
1995
Intensive Care
2nd Ed, W B Saunders Ltd, London
Hudak Carolyn M
1998
Handbook of Critical Care Nursing
7th Ed, Lippincott Raven
Oh T E
Intensive Care Manual
4th Ed, Butterworths
1996
Opie Lionel H
Drugs for the Heart
5th Ed, W B Saunders
2000
Darovic Gloria O
Hemodynamic Monitoring
3rd Ed, W B Saunders
2002
Phillips Raymond E &
Feeney Mary K
1990
The Cardiac Rhythms “A Systematic Approach to Interpretation”
3rd Ed, W B Saunders
Tortora & Grabowski
2002
Principles of Anatomy and Physiology
10th Ed, Harper & Row
Woods, S. L.
Cardiac Nursing
4th Ed, Lipincott Raven
2000
Davis, D.
2000
How to Quickly and Accurately Master E.C.G. Interpretation.
3rd Ed, J.B. Lippincott Company, Philadelphia
Royal College of General Practitioners
Infection Control Guidance for General Practice
2003
Web Sites:
www.cardioguide.com
www.cardiology.org
www.healthsci.utas.edu.au
www.resus.org.uk
Assessment tasks
Journals
Critical Care Nurse
Intensive and Critical Care Nursing
Heart and Lung
Care of the Critically Ill
British Heart Journal
Journal of Cardiovascular Nursing
Nursing in Critical Care
Theory 50%
Practice 50%
Theory
Exam 10%
-
Exam 10%
- Interpretation and management of Cardiac
Arrhythmias
Assignment 30%
-
PRACTICE
Reflective
Account 20%
Unseen paper
12 lead ECG interpretation
-
Skills Inventory 30%
-
2000 words
The assignment will enable the student
to cover a particular aspect of the
module in depth
Individual essay titles will be negotiated
with the module leader
An analytical, reflective account of
clinical practice. Word limit 1500
words.
5-6 specified skills will be assessed in
practice by the student’s mentor/unit
assessor/or course tutor.
NB. A 40% pass must be achieved in each assessment part.
Failure to achieve 40% at first attempt in any part will result in a
referral for the module and a maximum final mark of 40%.
Word limit may be exceeded by up to 10% where that is
exceeded, the examiner reserves the right to reduce the result
by 10 %
Brief description of module
content and/or aims
(maximum 80 words)
Area examination board to
which module relates
Module team/authors/
coordinator
Semester offered, where
appropriate
Site where delivered
Date of first approval
Date of last revision
Date of approval of this
version
Version number
Replacement for previous
module
Field for which module is
acceptable and status in that
field
Course(s) for which module is
acceptable and status in
course
School home
External examiner
This module will normally be the second module in the Level 6
General Intensive Care Nursing pathway.
All patients within intensive care units are monitored using an
electrocardiograph, most require invasive haemodynamic monitoring
and receive drugs and fluids to enhance cardiac function. It is
therefore essential that intensive care nurses have an in depth
knowledge of the cardiovascular system and causes of cardiac
dysfunction. They must also be able to accurately assess and
analyse the cardiovascular status of patients and manage
therapeutic interventions in order to optimise cardiovascular
function.
Critical care area examination board, INAM
Module Leader Jane Lovegrove
Intensive Care Pathway Board
Jette Harford, Claire Hogan, Cathy Hall, Lindsey Reynolds, Pauline
Simes, Colin Groombridge, Bernie King, Linda Kinsella, Fiona
Stedman, Sophia Thomas, Fiona Creed, Erika Thorne, Kevin Barrett
2
Falmer
18 November 1998
N/A
June 2004
2
N/A
Post registration health professionals
Optional module for BSc (Hons) in Professional Clinical Practice
Optional module for BSc (Hons) in Professional Practice.
Mandatory module for Level 6 Intensive Care pathway
Institute of Nursing and Midwifery
Judith Benbow