Anaesthesiology and Critical Care Nursing: Critical Care Nursing
1800-P3-ANSPL-S1
The main task of the subject is to broaden the knowledge of how to deal with patients in life-threatening conditions in the intensive care unit (sepsis, hypovolemia, shock, pulmonary embolism) and the management of patients after cardiopulmonary resuscitation. Management of patients undergoing surgery under general and / or regional anesthesia.
Care before, during and after anesthesia.
Making a proper nursing diagnosis, the ability to quickly solve problems, as well as the ability to collect information, use publications and scientific journals to deepen the knowledge acquired during the classes.
Total student workload
Total student workload: 195 hours
self study: 15 hours
lecture: 20 hours
practical training: 80 hours
apprenticeship: 80 hours
Number of ECTS credits: 7
Learning outcomes - knowledge
D.W1. risk factors and health threats in patients of different ages;
D.W2. etiopathogenesis, clinical symptoms, course, treatment, prognosis and principles of nursing care for patients in selected diseases;
D.W3. principles of diagnosing and planning patient care in general, surgical, obstetric and gynecological, pediatric, geriatric, neurological, psychiatric nursing, intensive care, palliative care, long-term care;
D.W4. types of diagnostic tests and rules of ordering them;
D.W5. principles of preparing patients of different age and health condition for tests and diagnostic procedures, as well as principles of care during and after these tests and procedures;
D.W6. properties of drug groups and their effects on the patient's systems and organs in various diseases depending on age and health, taking into account side effects, interactions with other drugs and administration routes;
D.W7. nursing standards and procedures used in the care of patients of various ages and health conditions;
D.W10. rules for the organization of specialist care (geriatric, intensive care, neurological, psychiatric, pediatric, internal medicine, surgery, palliative care, long-term care and in the operating theater);
D.W13. pathophysiology, clinical symptoms, course, treatment and prognosis of diseases of the developmental age: respiratory system, circulatory system, nervous system, urinary tract, digestive system and endocrine, metabolic, allergic and blood diseases;
D.W14. pathophysiology, clinical symptoms of diseases and life-threatening conditions of a newborn, including premature babies, and the basics of nursing care in this regard;
D.W18. methods, techniques and tools for assessing the state of consciousness and consciousness;
D.W22. principles of nutrition of patients, including dietary treatment, pre- and postoperative indications according to the protocol of comprehensive perioperative care for the improvement of treatment outcomes (Enhanced Recovery After Surgery, ERAS);
D.W23. factors increasing the perioperative risk;
D.W24. principles of preparing a patient for urgent and scheduled surgery, in one-day surgery and principles of patient care after surgery in order to prevent early and late complications;
D.W28. standards and procedures for emergency and life-saving procedures;
D.W30. methods of anesthesia and principles of patient care after anesthesia;
D.W31. pathophysiology and clinical symptoms of life-threatening diseases (respiratory failure, circulatory failure,
nervous system, shock, sepsis);
D.W32. methods and scales of pain assessment, sedation level, sleep disturbances and delirious states in life-threatening patients;
D.W33. methods and techniques for communicating with a patient who is unable to establish and maintain effective communication due to their health condition or treatment;
D.W34. principles of prevention of complications related to the use of invasive diagnostic and therapeutic techniques in critically ill patients;
D.W35. first aid rules and life support algorithms for Basic Life Support (BLS) and Advanced Life Support (ALS);
Learning outcomes - skills
D.U8. recognize complications after specialist diagnostic tests and surgeries;
D.U9. provide the patient with oxygen on an ad hoc basis and monitor his condition during oxygen therapy;
D.U12. prepare the patient physically and mentally for diagnostic tests;
D.U19. care for a patient with an intestinal fistula as well as an endotracheal and tracheotomy tube;
D.U22. provide information to the members of the therapeutic team about the patient's health condition;
D.U23. assist the doctor during diagnostic tests;
D.U24. assess the level of pain, the patient's reaction to pain and its severity, and apply pharmacological and non-pharmacological analgesia;
D.U25. follow the procedure with the body of a deceased patient;
D.U26. prepare and administer medications to patients in various ways, either independently or on the orders of a physician;
D.U27. provide first aid in life-threatening situations;
D.U28. temporarily immobilize bone fractures, dislocations and sprains and prepare the patient for transport;
D.U29. temporarily stop bleeding and haemorrhages;
D.U30. perform basic resuscitation procedures in adults and children and use an Automated External Defibrillator (AED) and a device-less airway and device clearing the airway with the use of available epiglottic devices;
Learning outcomes - social competencies
1) be guided by the good of the patient, respect for the dignity and autonomy of people
entrusted to care, showing understanding for worldview differences
and cultural and empathy in the relationship with the patient and his family;
2) respecting patient's rights;
3) independent and reliable exercise of the profession in accordance with the principles of ethics, including observance of moral values and obligations in patient care;
4) being responsible for the performed professional activities;
5) consult experts in the event of difficulties in solving the problem on its own;
6) anticipating and taking into account factors influencing one's own and the patient's reactions;
7) perceiving and recognizing own limitations in the field of knowledge, skills and social competences, and self-assessment of deficits and educational needs.
Teaching methods
• show
• a chat
• practical exercises at the patient's bedside
• information lecture
• exercises in the simulation room
• remote learning
• hybrid teaching
Observation/demonstration teaching methods
- display
Expository teaching methods
- discussion
Type of course
compulsory course
Prerequisites
Knowledge of human anatomy, physiology and pathophysiology and the basics of nursing ethics.
Course coordinators
Assessment criteria
The course ends with an exam - the conditions for taking the credit are: compulsory attendance, preparation of a multimedia presentation on self-education.
Exam - a single-choice test consisting of 100 questions.
Assessment criteria:
100 - 95: very good
90 - 94 good plus
85 - 89 good
79 - 84 sufficient plus
70-78 is sufficient
Practical placement
Apprenticeships are conducted under the supervision of a person having the right
practicing the profession of a nurse or midwife, who is an employee of a given entity performing medical activities, in which the internship takes place, and the internship supervisor from the university supervises the implementation of the internship.
Bibliography
Basic literature:
1. Ed.Z. Kruszyński Fundamentals of Anesthesiology and Intensive Therapy - a textbook for students, Wyd. Scientific Research Poznań 2014
2. Lynn Fitzerald, Macksey red ed. Polish T. Szreter, P Witt -Anesthesiology for nurses - practical rules of conduct, Medisfera 2015
3. Wołowicka L., Dyk D., Anesthesiology and intensive care. Clinic and nursing, PZWL, Warsaw 2014.
4..Krajewska- Kułak E., H. Rolka, B. Jankowiak Standards of anesthetic nursing care PZWL 2014
5. Mark Weinert Crash Course Anestezjologia, ed. A. Kubler, Edra Urban and Partner Wrocław 2016 ed. 2
Additional information
Additional information (registration calendar, class conductors,
localization and schedules of classes), might be available in the USOSweb system: