NMHS32700 Foundations Crit Care Nursing

Academic Year 2023/2024

The National Foundation Module in Critical Care Nursing aims to build upon and advance the repertoire of knowledge, skills, attitudes and professional values in the promotion of competence in the nurses’ clinical practice in critical care nursing. The goal of the module is that students will be able to safely and competently care for critically ill patients in the critical care environment in which they are employed. This module contains six units of learning. 1: Care of the patient with altered respiratory function; 2. Care of the patient with altered cardiovascular function; 3. Care of the patient with altered renal function and fluids and electrolyte balance; 4. Care of the patient with altered gastrointestinal and endocrine function; 5. Care of the patient with altered neurological function; 6. Managing the critically ill patient.
Attainment of Clinical Competencies in the student’s employment setting is essential for successful completion.

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Curricular information is subject to change

Learning Outcomes:

1. Demonstrate an understanding of normal anatomy and physiology and its application to disordered function.
2. Critically evaluate and apply available knowledge to guide the assessment, planning, implementation and evaluation of evidence-based nursing care.
3. Perform and review a comprehensive and systematic assessment of a critically ill patient using an appropriate framework.
4. Interpret and critically examine assessment results and data using supportive research to determine normal values and underlying pathophysiology for critically ill patients.
5. Evaluate the clinical significance and nursing implications of assessment data.
6. Demonstrate and maintain therapeutic and professional relationships by delivering systematic and comprehensive patient care.
7. Integrate research and reflection into clinical practice.
8. Promote continuity of care by contributing to multidisciplinary collaboration across the health care continuum.

Student Effort Hours: 
Student Effort Type Hours
Autonomous Student Learning

150

Online Learning

70

Total

220

Approaches to Teaching and Learning:
Lectures - Online
Active/task-based learning
Reflective log learning
Case-based learning in the clinical setting
 
Requirements, Exclusions and Recommendations

Not applicable to this module.


Module Requisites and Incompatibles
Equivalents:
Core Concepts of ICU Nursing (NMHS32440)


 
Assessment Strategy  
Description Timing Open Book Exam Component Scale Must Pass Component % of Final Grade
Presentation: Clinical Case Study Presentation Varies over the Trimester n/a Alternative non-linear conversion grade scale 50% No

40

Multiple Choice Questionnaire: 50 MCQ /one hour Varies over the Trimester n/a Alternative non-linear conversion grade scale 50% No

40

Continuous Assessment: Clinical Assessment: Clinical Competency Attainment Throughout the Trimester n/a Alternative non-linear conversion grade scale 50% Yes

20


Carry forward of passed components
Yes
 
Remediation Type Remediation Timing
In-Module Resit Prior to relevant Programme Exam Board
Please see Student Jargon Buster for more information about remediation types and timing. 
Feedback Strategy/Strategies

• Feedback individually to students, post-assessment

How will my Feedback be Delivered?

Students will receive feedback within 20 working days (Mon-Fri) of assessment submission

Textbooks & E-Books available through the UCD Library
Aitken, L., Marshall, A. and Chaboyer, W., (2016). ACCCN's Critical Care Nursing. Elsevier Health Sciences .
Albarran, J.W., Mallett, J., RGN & Richardson, A. 2013, Critical care manual of clinical procedures and competencies, John Wiley & Sons, Ames, Iowa; Chichester, West Sussex;
Bademan, E.G. & Sigma Theta Tau International 2010;2009; A daybook for critical care nurses, 1st;1; edn, Sigma Theta Tau International, Indianapolis, IN.
Baid, H., Creed, F., Hargreaves, J. & Adam, S.K. 2016, Oxford handbook of critical care nursing, Second edn, Oxford University Press, Oxford, United Kingdom
Benner, P.E., Hooper-Kyriakidis, P.L. & Stannard, D. 2011, Clinical wisdom and interventions in acute and critical care: a thinking-in-action approach, 2nd edn, Springer Pub, New York.
Booker, K.J.;2015; Critical care nursing: monitoring and treatment for advanced nursing practice, Wiley Blackwell, Ames, Iowa
Boxwell, G. 2010, Neonatal intensive care nursing, 2nd edn, Routledge, New York; Abingdon, Oxon;
Chaney, A.;2016; Fast facts about G.I. and liver diseases for nurses: what APRNs need to know in a nutshell, 1st edn, Springer, New York.
Coviello, J.S. 2017, ECG interpretation made incredibly easy! pocket guide, Third edn, Wolters Kluwer, Philadelphia (eBook through UCD Library)
Finch, J. & Dutton, H.;2018; Acute and critical care nursing at a glance, Wiley, Hoboken, NJ.
Foreman, M.D., Milisen, K. & Fulmer, T.T. 2010, Critical care nursing of older adults: best practices, 3rd edn, Springer Pub. Co, New York, NY.
Goldsworthy, S. & Graham, L.2013; Compact clinical guide to mechanical ventilation: foundations of practice for critical care nurses, 1st edn, Springer Publishing Company, LLC, New York, NY.
Hardin, S.R., Kaplow, R., Teton Data Systems (Firm) & STAT!Ref (Online service) 2020;2019; Cardiac surgery essentials for critical care nursing, Third;3; edn, Jones & Bartlett Learning, Burlington, MA
Hazinski, M.F. 2013; Nursing care of the critically ill child, 3rd edn, Elsevier/Mosby, St. Louis, Mo.
Jevon, P. & Ewens, B. 2012, Monitoring the critically ill patient, 3rd edn, Wiley-Blackwell, Chichester, West Sussex.
Jones, J. & Fix, B. 2019, Critical care notes: clinical pocket guide, 3rd edn, F.A. Davis Company, Philadelphia, PA.
Knapp, R.; 2015; Hemodynamic monitoring made incredibly visual, Third;3; edn, Wolters Kluwer, Philadelphia.
Krau, S.D. and Overstreet, M. (2017). Pain Management, An Issue of Critical Nursing Clinics, E-Book (Vol. 29, No. 4). Elsevier Health Sciences.
Kucia, A.M. & Quinn, T. 2013; Acute cardiac care: a practical guide for nurses, 1. Aufl. edn, Wiley-Blackwell, Ames, Iowa;Chichester, West Sussex, U.K;
Marino, P.L., Teton Data Systems (Firm) & STAT!Ref (Online service) 2014;2013; Marino's the ICU Book, Fourth;4;4e.; edn, Wolters Kluwer Health/Lippincott Williams & Wilkins, Philadelphia
Mendoza, J.D. 2011, Acute kidney injury: causes, diagnosis, and treatments, Nova Biomedical/Nova Science Publishers, New York.


Miller, C.M. & Torbey, M.T. 2015; Neurocritical care monitoring, 1st edn, DEMOS Medical, New York
Morton, P.G. & Fontaine, D.K. (2017), Critical care nursing: a holistic approach, Eleventh edn, Wolters Kluwer, London; Philadelphia
Rabinovici, R., Frankel, H.L. & Kirton, O.C. 2016; Trauma, critical care, and surgical emergencies: a case and evidence-based textbook, Informa Healthcare, London.
Saxon, A. & Lillyman, S. 2011, Developing advanced assessment skills: patients with long-term conditions, M&K Pub, Keswick, Cumbria.
Scarth, E. & Smith, S.P. 2016;, Drugs in anaesthesia and intensive care, Fifth edn, Oxford University Press, Oxford, United Kingdom.
Stevens, R.D., Hart, N.(. & Herridge, M.S. 2014, Textbook of post-ICU medicine: the legacy of critical care, First edn, Oxford University Press, New York, NY, United States of America;Oxford, United Kingdom;.
Tartavoulle, T. & Manning, J. 2017, Infection in the Intensive Care Unit, an Issue of Critical Care Nursing Clinics of North America, Elsevier [Imprint], Philadelphia
Vincent, J.L., Abraham, E., Kochanek, P., Moore, F.A. and Fink, M.P., (2016.) Textbook of Critical Care E-Book. Elsevier Health Sciences.
Willis, L.M. ;2016;, Health assessment made incredibly visual, Third edn, Wolters Kluwer, Philadelphia.
Woodruff, D.W. 2016;, Critical care nursing made incredibly easy, Fourth;4; edn, Wolters Kluwer, Piladelphia.
 Suggested Reading Resources
Bersten, A.D. and Handy, J., (2018). Oh's intensive care manual. Elsevier Health Sciences.
Bickley L.S., Szilagyi P.G., (2016) Bates' Pocket Guide to Physical Examination and History Taking. Lippincott Williams & Wilkins
Coviello, J.S. ed., (2016). ECG interpretation made incredibly easy. Wolters Kluwer.
Krau, S.D. and Overstreet, M., (2017). Pain Management, An Issue of Critical Nursing Clinics, E-Book (Vol. 29, No. 4). Elsevier Health Sciences.
Lough, M.E. (2016), Hemodynamic monitoring: evolving technologies and clinical practice, Mosby, St. Louis.
Perrin, K.O. & MacLeod, C.E. (2017), Understanding the essentials of critical care nursing, Third edn, Pearson, Boston
Urden, L.D., Stacy, K.M. & Lough, M.E. (2017), Critical care nursing: diagnosis and management, 8th edn, Elsevier, Maryland Heights, Missouri.
Journal Articles, Guidelines and Publications of Interest (this list is updated every year)
Adler, A.C., Sharma, R., Higgins, T. and McGee, W.T., (2014). Hemodynamic assessment and monitoring in the intensive care unit: An overview. Enliven: J Anesthesiology Critical Care Med, 1(4), p.010.
Alhazzani, W., Belley-Cote, E., Møller, M.H., Angus, D.C., Papazian, L., Arabi, Y.M., Citerio, G., Connolly, B., Denehy, L., Fox-Robichaud, A., Hough, C.L., Laake, J.H., Machado, F.R., Ostermann, M., Piraino, T., Sharif, S., Szczeklik, W., Young, P.J., Gouskos, A., Kiedrowski, K. & Burns, K.E.A. 2020, "Neuromuscular blockade in patients with ARDS: a rapid practice guideline", Intensive care medicine, vol. 46, no. 11, pp. 1977-1986.
American Association for Respiratory Care, (2010). Endotracheal suctioning of mechanically ventilated patients with artificial airways 2010. Respiratory Care, 55(6), pp.758-764.
Bangash, M.N., Kong, M.L. and Pearse, R.M., (2012). Use of inotropes and vasopressor agents in critically ill patients. British journal of pharmacology, 165(7), pp.2015-2033.
Baptistella, A.R., Sarmento, F.J., da Silva, K.R., Baptistella, S.F., Taglietti, M., Zuquello, R.A. and Nunes Filho, J.R., (2018). Predictive factors of weaning from mechanical ventilation and extubating outcome: A systematic review. Journal of critical care.
Beduneau, G., Pham, T., Schortgen, F., Piquilloud, L., Zogheib, E., Jonas, M., Grelon, F., Runge, I., Terzi, N., Grangé, S. and Barberet, G., (2017). Epidemiology of weaning outcome according to a new definition. The WIND study. American journal of respiratory and critical care medicine, 195(6), pp.772-783.
Berry, W. and McKenzie, C., (2010). Use of inotropes in critical care. Clinical Pharmacist, 2, p.395.
Bhandary, R., (2015). Chest imaging in the intensive care unit. Surgery (Oxford), 33(10), pp.480-484.
Cederwall, C.J., Olausson, S., Rose, L., Naredi, S. and Ringdal, M., (2018). Person-centred care during prolonged weaning from mechanical ventilation, nurses’ views: an interview study. Intensive and Critical Care Nursing, 46, pp.32-37.
Demoule, A., Brochard, L., s, M., Heunks, L., Jubran, A., Laghi, F., Mekontso-Dessap, A., Nava, S., Ouanes-Besbes, L., Peñuelas, O., Piquilloud, L., Vassilakopoulos, T. & Mancebo, J. 2020, "How to ventilate obstructive and asthmatic patients", Intensive care medicine, vol. 46, no. 12, pp. 2436-2449.
Dres, M. and Demoule, A., (2018). Diaphragm dysfunction during weaning from mechanical ventilation: an underestimated phenomenon with clinical implications. Critical Care, 22(1), p.73.
Feltrim, M.I.Z. and Nozawa, E., (2017). Effect of intensive vs moderate alveolar recruitment strategies added to lung-protective ventilation on postoperative pulmonary complications: a randomized clinical trial. Jama, 317(14), pp.1422-1432
Headley, J.M., (2016). The Goldilocks Principle: Using functional hemodynamics for fluid optimization. Nursing2017 Critical Care, 11(3), pp.23-27.
Laerkner, E., Egerod, I., Olesen, F. and Hansen, H.P., (2017). A sense of agency: An ethnographic exploration of being awake during mechanical ventilation in the intensive care unit. International journal of nursing studies, 75, pp.1-9.
Leisman, D.E., Deutschman, C.S. and Legrand, M., 2020. Facing COVID-19 in the ICU: vascular dysfunction, thrombosis, and dysregulated inflammation. Intensive care medicine, 46(6), pp.1105-1108.
Madden, A., Delaunois, I. and Leen, B., Evidence summary: Is the use of warm humidified ‘wet circuit for mechanical ventilation recommended in ventilating patients with COVID-19?.https://www.lenus.ie/bitstream/handle/10147/627597/Evidence-Summary-COVID-19-Wet-Circuit-Mechanical-Ventilation.pdf?sequence=1
McGrath, B.A., Brenner, M.J., Warrillow, S.J., Pandian, V., Arora, A., Cameron, T.S., Añon, J.M., Martínez, G.H., Truog, R.D., Block, S.D., Grace C Y Lui, McDonald, C., Rassekh, C.H., Atkins, J., Qiang, L., Vergez, S., Dulguerov, P., Zenk, J., Antonelli, M., Pelosi, P., Walsh, B.K., Ward, E., Shang, Y., Gasparini, S., Donati, A., Singer, M., Peter J M Openshaw, Tolley, N., Markel, H. & Feller-Kopman, D.J. 2020, "Tracheostomy in the COVID-19 era: global and multidisciplinary guidance", The Lancet Respiratory Medicine.
Morris, L.L., Whitmer, A. and McIntosh, E., (2013). Tracheostomy care and complications in the intensive care unit. Critical care nurse, 33(5), pp.18-30.
Morris, L.L., McIntosh, E. and Whitmer, A., (2014). The importance of tracheostomy progression in the intensive care unit. Critical care nurse, 34(1), pp.40-48.
Natt, B.S., Malo, J., Hypes, C.D., Sakles, J.C. & Mosier, J.M. 2016, "Strategies to improve first attempt success at intubation in critically ill patients", British Journal of anaesthesia: BJA, vol. 117, no. suppl_1, pp. i60-i68
Pezzotti, W., (2014). Chest X-ray interpretation: Not just black and white. Nursing2016, 44(1), p.40.
Rochwerg, B., Einav, S., Chaudhuri, D., Mancebo, J., Mauri, T., Helviz, Y., Goligher, E.C., Jaber, S., Ricard, J., Rittayamai, N., Roca, O., Antonelli, M., Maggiore, S.M., Demoule, A., Hodgson, C.L., Mercat, A., Wilcox, M.E., Granton, D., Wang, D., Azoulay, E., Ouanes-Besbes, L., Cinnella, G., Rauseo, M., Carvalho, C., Dessap-Mekontso, A., Fraser, J., Frat, J., Gomersall, C., Grasselli, G., Hernandez, G., Jog, S., Pesenti, A., Riviello, E.D., Slutsky, A.S., Stapleton, R.D., Talmor, D., Thille, A.W., Brochard, L. & Burns, K.E.A. 2020, "The role for high flow nasal cannula as a respiratory support strategy in adults: a clinical practice guideline", Intensive care medicine, vol. 46, no. 12, pp. 2226-2237
Rose L, Adhikari NKJ, Leasa D, Fergusson DA, McKim D. (2017) Cough augmentation techniques for extubation or weaning critically ill patients from mechanical ventilation. Cochrane Database of Systematic Reviews 2017, Issue 1.
Silva, B.N.G., Andriolo, R.B., Saconato, H., Atallah, Á.N. and Valente, O., (2012). Early versus late tracheostomy for critically ill patients. Cochrane Database of Systematic Reviews, (3).
Torres, A., Niederman, M.S., Chastre, J., Ewig, S., Fernandez-Vandellos, P., Hanberger, H., Kollef, M., Bassi, G.L., Luna, C.M., Martin-Loeches, I. and Paiva, J.A., (2017). International ERS/ESICM/ESCMID/ALAT guidelines for the management of hospital-acquired pneumonia and ventilator-associated pneumonia: Guidelines for the management of hospital-acquired pneumonia (HAP)/ventilator-associated pneumonia (VAP) of the European Respiratory Society (ERS), European Society of Intensive Care Medicine (ESICM), European Society of Clinical Microbiology and Infectious Diseases (ESCMID) and Asociación Latinoamericana del Tórax (ALAT). European Respiratory Journal, 50(3), p.1700582
Wawrzeniak, I.C., Regina Rios Vieira, S. and Almeida Victorino, J., (2018). Weaning from Mechanical Ventilation in ARDS: Aspects to Think about for Better Understanding, Evaluation, and Management. BioMed research international, Vol. 2018, Article ID 5423639, 12 pages,
Name Role
Ms Orla Daly Lecturer / Co-Lecturer
Dr Aoife Claire MacCormac Lecturer / Co-Lecturer
Timetabling information is displayed only for guidance purposes, relates to the current Academic Year only and is subject to change.
 

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