Learning Outcomes:

On completion of this module, students will be able to:
1. Critically evaluate their knowledge of applied clinical physiology.
2. Critically discuss and differentiate between normal, variations of normal, and abnormal patient assessment findings and
recognise alterations of physiology and pathophysiology pertinent to the patients for which they provide care.
3. Demonstrate critical analysis of the core principles that underpin the nursing management of a person requiring mechanical
ventilation and haemodynamic instability.
4. Synthesise best practice guidelines that underpin the nursing care of the patients for whom they provide care.
5. Critically discuss the key principles of person-centred care in ICU

Indicative Module Content:

Introduction to person-centred care through the Careful Nursing Philosophy & Professional Practice Model.
Advanced respiratory and cardiovascular patient assessment
Modes of ventilation
Chest drains
Inotropes & Vasopressors
Fluids and Electrolytes
ABG's
ABCDEF Care bundle (A: Assess & manage pain. B: SATs & SBTs. C: choice of analgesia & sedation. D: Delirium assessment & prevention. E: Early mobility. F: Family engagement )

Student Effort Type	Hours
Specified Learning Activities	40
Autonomous Student Learning	130
Online Learning	30
Total	200

Learning Requirements:

Registered General Nurse. 12 months post registration experience, employed in Intensive Care Nursing and working a minimum of 75 hours per month

Equivalents:
Altered Respiratory Function (NMHS40530), Altered Respiratory Function (NURS40530)


 

Assessment Strategy  

Description	Timing		Component Scale		% of Final Grade
Continuous Assessment: Group work: Person-centred care guided by Careful Nursing and the ABCDEF Bundle in Critical Care	Varies over the Trimester	n/a	Alternative non-linear conversion grade scale 50%	No	40
Examination: Critical care MCQ review questions	Varies over the Trimester	No	Alternative non-linear conversion grade scale 50%	No	60

 

Remediation Type	Remediation Timing
In-Module Resit	Prior to relevant Programme Exam Board

• Group/class feedback, post-assessment
• Online automated feedback

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