This course occurs in an intensive care unit. Clinical practice experiences will build toward independence in providing nursing care for unstable* critically ill patients and/or patients experiencing complex critical illness**, as well as their families [e.g. multitrauma, spinal injury and traumatic brain injury, stroke and subarachnoid hemorrhage, and SIRS/sepsis/MODS, acute respiratory distress syndrome, and hepatic insufficiency and fluid/electrolyte/acid-base imbalances]. Relevant patients will be experiencing a variety of modes and issues related to mechanical ventilation, cardiac and invasive hemodynamic monitoring, a variety of diagnostic processes, and multiple interventions intended to optimize oxygen supply and demand balance. Primary patient issues will be present in more than one physiological system and will impact other systems. Learners will participate in a one day Lab focused on Cardiac Arrest Management: In team-based, high fidelity simulations, learners have an opportunity to explore common challenges in cardiac arrest management (including more complex patient scenarios, team roles and management, pitfalls in cardiac arrest management situations) and to consider the impact for nurses of participating in cardiac arrest management situations. While NSCC 7620 is generally a clinical teacher led course, in unique situations it is possible to complete this course as a preceptorship. [*Unstable patient is defined as "experiencing obvious and active changes in condition, but not extremely rapid change". **Complex patient is defined as "experiencing multi-system critical illness"]. Please note, learners must be Registered Nurses to take this course. Course materials for this course, along with all other courses in the Nursing Specialty Critical Care curriculum are offered in the iPad/IBook format. Students must have access to an iPad to participate in this course.
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In this course, learners will have opportunities to use the processes of critical thinking, systematic inquiry, communication, collaboration, leadership, and professionalism. Upon successful completion of this course, students should be able to:
Independently complete systematic comprehensive assessment of unstable (defined as “experiencing obvious and active changes in condition, but not extremely rapid change”) and/or complex (defined as “experiencing multi-system critical illness”), critically ill patients including data collected from patients and family, monitoring, and diagnostic processes.
Collaborate in nursing management of pulmonary artery pressure and intracranial pressure monitoring.
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