NURS 400- Critical Care Nursing Fall 2017 Course Syllabus

NURS 400- Critical Care Nursing Fall 2017 Course Syllabus

Semester Fall 2017 Day(s) Course Faculty Lectures: Wednesday 9 am to 11 am Clinical: Thursday 7am to 1pm or 3 to 9pm PrepLab: Wednesday 1 to 2pm or 2 to 3pm SimLab: Thursday 1 to 2pm or 2 to 3pm Angela Massouh, PhD, MScN, CNS Assistant Professor Cardiology Clinical Nurse Specialist American University of Beirut Course Coordinator Extension: 5959 or Pager: 1310 Email: am50@aub.edu.lb Office Hours: By appointment Hera Tashjian, MScN, C-CNS Clinical Instructor American University of Beirut Course Co-coordinator Extension: 5973 Email: ht17@aub.edu.lb Office Hours: By appointment

Course Description NURS 400 is a 4-credit course that introduces concepts and issues related to the diagnosis and management of clients with critical illness. The course builds upon knowledge gained in previous courses, namely Nursing Care of Adults. The content is organized around the nursing process framework and the bio-psychosocial dimensions of human beings. Areas of emphasis include advanced assessment in critical illness; ethical and psychosocial issues related to critical illness; management of critically ill adults with cardiovascular, respiratory, neurologic, metabolic and renal problems, as well as emergency nursing care. NURS 400 has two components; the theory and the clinical, each is equivalent to 2 credits. The purpose of clinical component is to provide the student with opportunity to apply concepts learnt in the theory component to clinical situations utilizing the nursing process as the framework to meet the bio-psycho-social needs of clients in critical illness. Students rotate in coronary care, medical and surgical intensive care, neurology intensive care, and emergency care units. Emphasis in this course is placed on achieving the following instructional objectives: 1. Acquisition of physical assessment and various monitoring skills applied to critically ill adults. 2. Development of nursing diagnoses and related client outcomes. 3. Identification of nursing interventions to manage problems common to the critically ill. 4. Setting priorities for implementation of care. 5. Evaluation of the effectiveness of nursing care. 6. Analysis of the impact of critical illness on the client and family.

Course Description Prerequisites NURS 302- Nursing Care of Adults II, Theory Textbook Sole, M. L., Klein, D.G., & Moseley, M.J. (2008). Introduction to Critical Care Nursing (7 th ed.) St. Louis: Elsevier Saunders. Teaching Personnel: Theory 1. Angela Massouh: Course Coordinator 2. Hera Tashijian Teaching Personnel: Clinical 1. Clinical Coordination: Angela Massouh 2. Simulation: Angela Massouh 3. Emergency Department: Lamia Eid and Samer Halabi 4. Coronary Care Unit: Mohammad Issa and Doaa Kamal 5. Respiratory Care Unit: Sarine Malkdjian 6. Intensive Care Unit: Hera Tashjian and Rafika Zaatari 7. Neuro Intensive Care Unit: Rachel Bejjani Fayyad Teaching Facilities 1. Classroom 2. Moodle 3. Adult Critical Care Areas at the American University of Beirut Medical Center 4. Skills laboratory for clinical simulation and independent student activities 5. Saab Medical Library Teaching Methods 1. Lecture and Discussion 2. Case Study Discussions 3. Reflective Practice 4. Clinical Instruction 5. Simulation Exercises

Learning Assessment Upon completion of the course, the student will be able to: 1. Describe the impact of the critical care environment on the client. 2. Relate the human responses to critical illness to the underlying pathophysiology. 3. Analyze legal and ethical dilemmas related to critical illness. 4. Demonstrate initiative and self-direction in acquiring knowledge and seeking learning opportunities. 5. Utilize knowledge from the humanities and sciences, nursing theory and research findings in planning the care of critically ill adults. 6. Demonstrate beginning competence in hemodynamic and cardiac monitoring. 7. Demonstrate beginning competence in respiratory therapy. 8. Analyze and interpret physical and psychosocial assessment findings relevant to critically ill adults and their families. 9. Demonstrate safe nursing care and evidence-based interventions relevant to critically ill adults and their families. 10. Attend to the psychosocial and learning needs of critically ill adults and their families utilizing effective communication techniques. 11. Demonstrate professional behavior in relation to clients and members of the health team in terms of applying the ethical principles pertaining to the nursing profession. Learning Assessment Attendance is Mandatory as per AUB policy. Moodle (3 entries) and Attendance 5% Exam I 30% Exam II 25% 3 Drop Quizzes 10% 3 Care Plans: CCU (1), ICU (1), and NCU or RCU 15% 2 OSCEs 15% Clinical Review Pass or Fail Clinical Evaluation Pass or Fail If you are selected as the CLINICAL HERO, you will be exempted from the Final OSCE.

Course Policies 1. All course requirements must be completed by student before grades are submitted for credit. 2. Students who miss over one fifth of lecture hours and/or two clinical days (in case of a clinical absence, a medical report to justify the absence is a must) will be asked to drop the course. 3. A student who misses an exam may request a make-up examination. The final decision for such requests will be taken by the course coordinator. 4. Students cannot pass the course if: a. they get an average grade below 70 on the two exams, OR b. they get a course average of below 70 OR c. they get F on the clinical evaluation 5. The passing grade for this course is 70. 6. No makeups will be done for a student who fails to meet the course requirements. 7. All students should adhere to the uniform policy of the School of Nursing during clinical. 8. Any student who is late or absent from a clinical assignment has to make up the experience. 9. A student who is absent from clinical due to illness is expected to inform the instructor by 7 a.m. on the day of clinical assignment. 10. Late submission of assignments results in a deduction of 5 points per day from the grade. 11. Students are expected to abide by AUB s policy on student code of conduct (p. 3) as stipulated in the following website: http://pnp.aub.edu.lb/general/conductcode/index.html

Course Policies In this rotation the student is expected to achieve the following as per the clinical evaluation criteria: General Learning Outcomes 1. Assesses the client s physiologic, psychosocial, and learning needs. 2. Analyzes assessment findings in relation to client condition and identify changes in client condition. 3. Demonstrates safe nursing care to critically ill adults based on scientific principles and recent evidence. 4. Demonstrates safe administration of drugs and parenteral therapy. 5. Identify the components of the emergency carriage and the dosages of medications used during a code. 6. Communicate therapeutically with patients and their families. 7. Implement isolation/precaution techniques as applies to the client. Coronary Care Unit 1. Provide comprehensive care to a load of cardiac patients (namely Acute Coronary Syndrome, Post CABG surgery, Arrhythmias, Heart Failure, Shocks, and status post Cardiac Arrest), including cardiac assessment and intervention. 2. Analyze cardiac rhythm strips for rate, rhythm, P-R interval and wave patterns and identify major dysrhythmias and artifacts. 3. Demonstrate knowledge and safe administration of cardiac drugs. 4. Get oriented to the management of the cardioverter/defibrillator. 5. Assist in the care of clients undergoing cardiac interventions (angioplasty, stents, and cardiac pacemakers). Intensive Care Unit 1. Provide comprehensive care to a load of critically ill patients (namely Post Surgery, Multiple Trauma, and Medical cases including: Shocks, Cardiopulmonary Arrests, etc ) including advanced assessment and intervention. 2. Identify and maintain settings of mechanical ventilators. 3. Assist in management of patients on hemodynamic monitoring. 4. Assist in the care of clients undergoing critical care interventions (intubation, arterial and central line/ Swan Ganz insertion and monitoring, and hemodialysis).

Neuro Intensive Care Unit 1. Provide care of patient post brain tumor resection. 2. Assist in the care of patient with intracranial pressure monitoring. 3. Provide care of patient with aneurysmal Subarachnoid Hemorrhage post coiling/clipping. 4. Provide care of patient with seizures. 5. Provide care of patient with subdural bleeds, ischemic and hemorrhagic stroke. 6. Provide care of patient with traumatic brain injury (moderate and severe). Respiratory Care Unit 1. Provide comprehensive care to a load of pulmonary patients (namely Acute Respiratory Failure, Mechanical Ventilation, Noninvasive Positive Pressure Ventilation), including pulmonary assessment and intervention. 2. Get oriented to the management of mechanical ventilators. 3. Analyze arterial blood gases and intervene accordingly. Emergency Room 1. Assist in the triage and initial assessment of patients in the emergency room. 2. Assist in providing basic and advanced cardiac life support when available. 3. Provide emergency care to a load of patients.

tudent Code of Conduct AUB strives to make learning experiences as accessible as possible. If you anticipate or experience academic barriers due to a disability (including Students are expected to abide by AUB s policy on student code of conduct. In particular, while taking a test or examination, students shall rely on their own mastery of the subject and not attempt to receive help in any way not explicitly approved by the instructor; for example, students shall not try to use notes, study aids, or another s work. Such cheating includes trying to give or obtain information about a test, trying to take someone else s exam, or trying to have someone else take one s own exam. In addition, whenever students draw on another s work, they must specify what they borrowed, whether facts, opinions, or quotations, and where they borrowed it from. Using another person s documented ideas or expressions in one s writing without acknowledging the source constitutes plagiarism. Plagiarism is not tolerated and consequences following AUB policies found in the student code of conduct found on Moodle. Students are also expected to be honest in all dealings with the University. Certain kinds of dishonesty, though often associated with academic work, are of a different category than cheating or plagiarism. These kinds of dishonesty include (but are not limited to) the following: A. Misrepresenting personal circumstances to an instructor (for example, in requesting a makeup exam or special due date for an assignment, or in explaining an absence). B. Forging parts of, or signature on, official documents (including both, university documents and relevant outside documents, such as doctors notes). C. Taking credit for work in a team-project when little or no contribution to the work of the team has been made. Disciplinary actions taken for student misconduct can range from warning to suspension, to expulsion from the University. Students with Special Needs If you have documented special needs and anticipate difficulties with the content or format of the course due to a physical or learning disability, please contact me and/or your academic advisor, as well as the Counseling Center in the Office of Student Affairs (Ext. 3196), as soon as possible to discuss options for accommodations. Those seeking accommodations must submit the Special Needs Support Request Form along with the required documentation. Students with Learning Disabilities