NU321-ICU :

Department

Faculty of Nursing

Academic Program

Bachelor in Science in Nursing

Type

Compulsory

Credits

04

Prerequisite

Overview

This course discusses the fundamental concepts of critical care nursing and tools used by the critical care nurse. It includes basic assessment and technical skills associated with management of the critically ill patient.

Intended learning outcomes

GENERAL OBJECTIVES:

At the end of the course, the student will be able to:

1. Explain the fundamental concepts of critical care nursing with regards to ethical and moral considerations.

2. Apply assessment techniques properly and other technical skills basic in the care of critically ill patients.

3. Apply the principles of the nursing process such as assessment, diagnosis, planning, implementation and evaluation in the care of critically ill patients.

SPECIFIC OBJECTIVES:

At the end of the course, the student will be able to:

1. Define Critical care Nursing, the purposes and functions of the professional organizations.

2, describe standards of care and performance for critical care nursing.

3. Identify current trends in critical care nursing.

4. Describe the factors that influence the critical care experience for patients, family members and critical care nurses

5. Discuss the critical care experience from the patient’s and family’s perspective and the family’s needs

6. Describe the critical care nurse

7. Identify the common organisms isolated from the skin of ICU personnel

8. Identify different personal protective barriers to infectious agents

9. Perform effective hand washing technique

10. Demonstrate skills in using protective barriers

11. Describe the relationships between pain and anxiety

12. Describe factors that may place the critically ill patient at risk for developing pain and anxiety.

13. Discuss the physical and psychological effects of pain and anxiety.

14. Discuss methods and tools for assessing pain and anxiety.

15. Describe challenges in the assessment of pain in critically ill patient.

16. Identify pharmacological and non-pharmacological strategies to promote comfort and reduce anxiety.

17. Review the anatomy and physiology of utilization of nutrients in the body.

18. Calculate ideal body weight and recommended daily requirements of water and other nutrients.

19. Discuss nutritional assessment and types of therapies used to provide nutrients to critically ill patients.

20. Formulate nutritional plan of care for critically ill patient.

21. Identify the transition needs from total parenteral/ enteral feeding to an oral diet or long term enteral feeding.

22. Review the basic anatomy and physiology and conduction system of the heart.

23. Explain the relationship between electrical and mechanical events of the heart.

24. Interpret the basic dysrhythmias generated from the sinoatrial node, the atria, the atrioventricular blocks.

25. Describe appropriate interventions for common dysrhythmias.

26. Demonstrate correct way of taking a 12-lead ECG.

27. Identify basic dysrhythmias recorded on a rhythm strip.

Teaching and learning methods

a. Lectures

b. Assignments and Research

c. Recitation and Reporting

d. Demonstration and return demonstration

e. Quizzes and Major examinations

Methods of assessments

· Midterm exam 30%.

· Practical Exam 12%

· Final exam 50%.

· Homework and reports 8%.

Course Outline

I. Overview of Critical Care Nursing

a. Definition of critical care nursing

b. professional organizations of critical care nursing

c. standards of practice

d. trends and issues

II. Individual and family responses to critical care experience

a. the critical care environments

b. the critical care nurse

c. the critically ill patient

d. family members’ needs and responses

III. Ethical and moral issues affecting critical care

a. ethical issues

b. ethical decision making

c. ethical principles

d. legal accountability in nursing

IV. Infection control in ICU

a. chain of infection

b. preventing infection

c. standard precautions/ barrier protection

d. strategies to reduce infection risk in ICU

e. organisms with health –care associated infection potential

f. environmental factors and design issues in ICU

V. Comfort and sedation

a. definition of pain and anxiety

b. predisposing factors to pain and anxiety

c. physiology of pain and anxiety

d. pain and anxiety assessment

e. management of pain and anxiety

VI. Nutritional support

a. assessment of patient’s nutritional status

b. nutritional therapy goals

c. calculation of ideal body weight and recommended nutrients

d. practice guidelines for enteral access such as NGT insertion

e. practice guidelines for parenteral access

f. monitoring and evaluating nutritional care plan

g. monitoring complications for NGT feeding, parenteral feeding

VII. Dysrhythmia Interpretation

a. review of the anatomy and physiology and conduction system of the heart

b. Basic electrophysiology

c. analyzing basic electrocardiographic tracing

d. systematic interpretation of dysrhythmias

e. management and nursing interventions of common dysrhythmias

f. performing 12-lead ECG