Post-registration Certificate Course in Renal Nursing (07-09-2018 to 17-05-2019) Jointly organised by Institute of Advanced Nursing Studies, Hospital Authority Hong Kong Society of Nephrology Hong Kong Kidney Foundation Hong Kong Association of Renal Nurses Conducted by Kowloon East Cluster COURSE INFORMATION AIM OF PROGRAM To develop the competence of registered nurses in renal nursing in order to ensure a high standard of specialized care for renal patients PROGRAM INTENDED LEARNING OUTCOMES (PILOs) 1. Describe the pathophysiology, clinical manifestations, and treatment modalities of diseases/ renal replacement therapies for Chronic Kidney Disease (CKD) patients 2. Perform advanced health assessment and assess the impact of clinical findings on the condition of renal patients 3. Formulate appropriate nursing care plan for renal patients based on the health assessment data and incorporation of evidence-based knowledge 4. Organize nursing management in terms of multidisciplinary approach and perform specialized skills for patients requiring haemodialysis, peritoneal dialysis, renal transplant or continuous renal replacement therapy in the provision of quality renal care 5. Evaluate on-going therapeutic interventions and clinical outcomes of the care and treatment for patients requiring renal specialty care 6. Appraise nurses roles in renal nursing and prepare for taking up advanced nursing practice, leadership & resource person roles in clinical setting 7. Discuss legal & ethical issues in renal care and apply principles in the consideration of ethical dilemmas and legal implications in nursing practice 8. Communicate patient s information & needs effectively to members in the multidisciplinary team 9. Recognize methods for evaluating healthcare interventions and outcomes 10. Demonstrate ability to conduct innovative clinical projects and adopt evidence-based approach to facilitate continuous quality improvement in the renal specialty COURSE DESIGN AND DURATION A. Theoretical Input (13 study days, one study day per week, 09 00 1715) Module I: Fundamental Module - Peritoneal Dialysis and Core Subjects in Renal Nursing (5 days) - Study days: 7/9/2018, 14/9/2018, 21/9/2018, 28/9/2018& 05/10/2018 (Friday) Module II: Specialty Specific Module - Hemodialysis and Renal Transplantation (6 days) - Study days: 12/10/2018, 19/10/2018, 26/10/2018, 2/11/2018, 9/11/2018& 16/11/2018 (Friday) - Project Presentation: 29/3/2019 (1 Day) Written Examination: 17/5/2019 (AM) Educational Visit: 17/5/2019 (PM) 1
B. Clinical Practicum: 10 Weeks (excluding public holidays) Group A: From19/11/2018 to 27/1/2019 (10 weeks with 3 days of PH) Including PH: 25/12/2018, 26/12/2018, 1/1/2019 Group B: From 10/12/2018 to 24/2/2019 (11 weeks with 6 days of PH) Including PH: 25/12/2018, 26/12/2018, 1/1/2019, 5/2/2019, 6/2/2019 & 7/2/2019 Group C: From 28/1/2019 to 14/4/2019 (11 weeks with 4 days of PH & 1 study day) Including PH: 5/2/2019, 6/2/2019, 7/2/2019 & 5/4/2019 Study Day: 29/3/2019 (Project Presentation) Group D: From 11/2/2019 to 28/4/2019 (11 weeks with 4 days of PH & 1 study day) Including PH: 5/4/2019, 19/4/2019, 20/4/2019, 22/4/2019 Study Day: 29/3/2019 (Project Presentation) ASSESSMENTS 1. Written assessment (100%) - Written examination (60%) - Group Projects with presentation (20%) - Patient Care Study (20%) 2. Continuing Clinical Assessment (100%) VENUE A. Theoretical Input: Module I: Fundamental Module 07/09/2018, 14/09/2018, 28/09/2018 & 05/10/2018 (Friday) Lecture Theatre, 8/F, Ambulatory Care Block, Tseung Kwan O Hospital 21/09/2018 (Friday) Lecture Theatre, Nurse Quarter, Princess Margaret Hospital 2-10 Princess Margaret Hospital Road, Lai Chi Kok, Kowloon Module II: Specialty Specific Module 12/10/2018, 19/10/2018, 26/10/2018, 02/11/2018 & 16/11/2018 (Friday) Lecture Theatre, 8/F, Ambulatory Care Block, Tseung Kwan O Hospital 09/11/2019 (Friday) Auditorium, G/F, Hospital Main Block, Tseung Kwan O Hospital Project Presentation: 29/03/2019 (Friday) Lecture Theatre, 8/F, Ambulatory Care Block, Tseung Kwan O Hospital Written Examination: 17/5/2019 (Friday) TBC B. Clinical Practicum: Renal Units of the following hospitals HKEC : PYNEH HKWC : QMH, TWH KCC : KWH, QEH KEC : TKOH, UCH KWC : CMC, PMH NTEC : AHNH, PWH, NDH NTWC : TMH CLASS SIZE: 50 ~ 55 Nurses TARGET PARTICIPANT: Nurses in RN rank 2
ENTRY REQUIREMENTS - Registered Nurses with valid practicing certificate issued by the Nursing Council of Hong Kong - Nurses having not less than 24 months post-registration experience (excluding any period of postbasic training) - Completed the e- Learning program 腹膜透析網上課程 : 4 hours - Priority will be given to nurses currently working in renal units or prepared to work in the renal units - Lower priority will be given to nurses who have enrolled in previous PRCC without successful completion Remarks: Registered Nurses who have successfully completed the Fundamental Module from PRCC in Renal Nursing in 2015-2016, 2016-2017 or 2017-2018, and meet the entry requirement of the full course would be eligible to apply for direct entry to the Module II: specialty specific module of PRCC in Renal Nursing, subjected to approval of the Program Development & Review Committee. PROGRAM DEVELOPMENT & REVIEW COMMITTEE HAHO IANS Ms. Cynthia WONG Head of IANS IANS Ms. Ada CHUNG Manager (Nursing) IANS Ms. Sena SZE Manager (Nursing) Program Director HKEC PYNEH Ms. CHO Hau Ying DOM (Med) PYNEH Ms. HO Hau Sim, Eva NC(RenalCare) President, HK Association of Renal Nurses HKWC QMH Ms. Frances CHIU Dep DOM (MED)/NC (Renal Care) TWH Ms. Judy FUNG DOM (Med) KCC QEH Ms. Cindy LEUNG DOM (MED) QEH Ms. Agnes CHEUNG NC (Renal Care) KWH Ms. HO Tsui Wah, WindyDOM (M&G) KWH Ms. TAM Suet Lai NC(RenalCare) KEC UCH Ms. HUI Yun Ho NC(RenalCare) Course Director UCH Ms. NG Yuen Bing DOM (M&G) UCH Ms. LAW Sheung Lan SNO (NSD) TKOH Ms. KWOK Man Kit DOM (MSS) KWC CMC Mr. Walter LEUNG DOM (M&G) PMH Ms. Candic TANG DOM (Med) PMH Ms. LEE Shuk Hang NC (Renal) NTEC AHNH Ms. CHAN Kit Hoi DOM (Med/ICU) PWH Ms. YIU Lai Ping, Alice DOM (M&T) PWH Ms. LAW Man Ching NC(RenalCare) NTWC TMH Mr. K F CHAN DOM (M&G) TMH Ms. Maggie LEE NC (Renal Care) Others Dr. LEUNG Chi Bon NTEC CC(CI)/ PWH HK Kidney Foundation Mr. Duncan LEE HK Kidney Foundation Prof. Sydney TANG Prof, HKU Prof(MED) Chairman of HK Society of Nephrology Dr. Sunny WONG Consultant (M&G) UCH HK Society of Nephrology 3
PROGRAM DIRECTOR Ms. Sena SZE COURSE DIRECTOR Ms. HUI Yun Ho Manager (N), IANS, HAHO Tel. : 2300 7708 Fax No.: 2300 7707 Nurse Consultant (Renal Care), KEC Tel. : 3949 6127 Fax No.: 3949 5569 Email : senasze@ha.org.hk Email : huiyh2@ha.org.hk VISITING LECTURERS HKEC PYNEH Ms. HO Hau Sim, Eva, Nurse Consultant (Renal Care) HKWC QMH Ms. LAM May Ki, Advanced Practice Nurse (MED) NTEC AHNH Ms. TSE Yim Yuk, Advanced Practice Nurse (MED) KEC UCH Ms. WONG Po Kwan, Advanced Practice Nurse (M&G) LANGUAGE MEDIUM Both English and Cantonese will be used in class, all course assignments and examination will be in English. TEACHING & LEARNING STRATEGIES 1. Lectures and demonstrations 2. Group discussion and tutorials 3. Group project presentation 4. Video and slide show 5. Educational visits 6. Clinical/ case conference 7. Clinical teaching and supervised clinical practice 8. Patient care study AWARD OF CERTIFICATE A Certificate of Achievement will be issued to those who have completed the course and successfully passed all the course required assessments: COURSE CONTACT HOURS This course is equivalent to CNE 284 points. Contact Hours: Theoretical input: 87.5 hours (CNE points: 87.5) Educational visit: 3 hours (CNE points: 1.5) Clinical Practicum: 10 weeks (CNE points: 195)
COURSE CONTENTS Module I Peritoneal Dialysis & Core Subjects in Renal Nursing Overview 1.Renal Services in Hong Kong: Achievements and Challenges 2.Roles & Responsibilities of Renal Nurse Applied Renal Anatomy & Physiology 1. Applied Renal Anatomy & Physiology 2. Electrolyte and Acid-base Balance Renal Disorders and its Management 1. Renal Diseases (A) Obstructive Uropathy Cystic & Developmental Diseases Neoplasms 2. Renal Diseases (B) Hypertensive and diabetic nephropathy Vascular diseases Urinary tract infection Tubulo-interstitial diseases Toxic Nephropathies 3. Renal Diseases (C) Nephrotic and Nephritic Syndrome Primary and secondary glomerulonephritis Systemic Lupus Erythromatosis, Goodpasture s Syndrome, Vasculitis, Amyloid etc. Renal Failure and Related Management 1. Acute Renal Failure 2. Chronic Kidney Disease 3. Clinical Assessment of Patients with Renal Failure 4. Systemic Manifestations of Chronic Renal Failure and Related Nursing Management 5. Chronic Renal Failure (Nursing Management) 6. Principle of Dialysis (Peritoneal Dialysis & Haemodialysis) 7. Commonly used Drugs in Renal Patients 8. Management of Diabetic Renal Patients 9. Dietary Management in Renal Patients 10. Diabetic Renal Nursing Peritoneal Dialysis (PD) 1. Pre-dialysis Assessment & Patient Education 2. Nursing Management of Patients on Peritoneal Dialysis 3. Complication of PD and its management 4. Nursing Management of Patients with PD Complications 5. APD, Continuous Ambulatory Peritoneal Dialysis (CAPD) system and PD fluid 6. CAPD/APD Training 7. Peritoneal Equilibration Test (PET) & PD Adequacy 8. PD & APD Prescription Others 1. Adult Education: Application in Renal Nursing 2. Psychosocial Aspects of Patients with Renal Diseases 3. Occupational Therapy in renal services 4. Renal palliative care (Nursing perspectives) 5. PD Nursing: From Hospital to Community Miscellaneous 5
1. Introduction to the course 2. Tutorial 3. Briefing on Clinical Practicum & Clinical Assessment Module II Haemodialysis & Renal Transplantation Haemodialysis 1. Anticoagulation for Haemodialysis 2. Complications of Haemodialysis and its Management 3. Nursing Management of Patient on Haemodialysis 4. Acute Haemodialysis, Plasmapheresis & Haemoperfusion 5. Nursing Management of Patient on Acute Haemodialysis, Plasmapheresis & Haemoperfusion 6. Adequacy of Dialysis (Haemodialysis) 7. Recent Advances in Haemodialysis Treatment, Special Dialysis Mode 8. Nocturnal Home Haemodialysis and its Nursing Implication 9. Common Renal Problems in Children 10. Paediatric Haemodialysis and its Nursing Management 11. Continuous Renal Replacement therapy (CRRT) : Overview 12. Nursing Management of Patient on CRRT Dialysis 1. Surgical Aspects of Dialysis Access 2. Nursing Management for Patients with Vascular access 3. Experience Sharing on Cannulation 4. Vascular Access Creation and Management Renal Transplantation 1. Renal Transplant & Immunology 2. Organ Donation & Procurement 3. Management of Potential Deceased & Living Renal Donors 4. Management of Post Renal Transplant Patients 5. Nursing care of Renal Transplant Patient 6. Surgical Aspect of Renal Transplantation Others 1. Infection Control in Renal Unit 2. Water Treatment System 3. Renal Rehabilitation 4. Renal Registry 5. Evidence based practice and research in renal nursing 6. Risk Management in Renal Unit 7. Role of Medical Social Workers in Renal Services Miscellaneous 1. Tutorials/ Discussion 2. Briefing on Clinical Practicum & Clinical Assessment 3. Briefing on Project Assignment & Patient Care Study 4. Project Presentation 5. Written Examination 6. Discussion and Conclusion Educational Visit Haemodialysis Units 6