Discussion: Curriculum for paramedic critical care

Discussion: Curriculum for paramedic critical care ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Discussion: Curriculum for paramedic critical care I attached a critical care nursing.. I want you to change this doc to paramedic critical care. Discussion: Curriculum for paramedic critical care attachment_1 COPYRIGHT AND AMENDMENTS COPYRIGHT AND AMENDMENTS All rights reserved. © 2016 Saudi Commission for Health Specialties. This material may not be reproduced, displayed, modified, or distributed without prior written permission of the copyright holder. No other use is permitted without prior written permission of the Saudi Commission for Health Specialties. Any amendment to this document shall be approved by the Specialty Scientific Council and the Executive Council of the commission and shall be considered effective from the date of updating the electronic version of this curriculum published on the commission website unless different implementation date has been mentioned. For permission, contact the Saudi Commission for Health Specialties, Riyadh, Kingdom of Saudi Arabia. This program is approved by: Members of the Clinical Laboratory Sciences Committee, SBAMS, and SCHS. Correspondence: P.O. Box: 94656 Postal Code: 11614 Consolidated Communication Center: 920019393 International Contact Call: 00-966-114179900 Fax: 4800800 Extension: 1322 Website: www.scfhs.org.sa Formatted and Designed by: Manoj Thomas Varghese, CMT/Salem Al Tamimi (SCFHS) 2 SAUDI DIPLOMA ADULT CRITICAL CARE NURSING CURRICULUM TABLE OF CONTENTS TABLE OF CONTENTS SAUDI DIPLOMA 1 TABLE OF CONTENTS 3 ACKNOWLEDGEMENTS 6 INTRODUCTION 7 PROGRAM OVERVIEW 8 Program Objectives 8 General Training Requirements 9 Admission Requirements 9 Leaves Time Frame for Program Completion INSTRUCTIONAL METHODS Hospital Rotations FIRST-YEAR TRAINING MODULES Module I: Foundations of Intensive Care Nursing I 9 10 11 11 12 12 Learning Objectives 12 Module Outline 12 Clinical Competencies 13 Module II: Ethics in Nursing and Dimensions of Care 13 Learning Objectives 13 Module Outline 14 Clinical Competencies 14 Module III: Behavioral Problems and Psychosocial Concepts 14 Learning Objectives 14 Module Outline 14 Clinical Competencies 15 Module IV: Advanced Health Assessment Learning Objectives SAUDI DIPLOMA ADULT CRITICAL CARE NURSING CURRICULUM 15 15 3 TABLE OF CONTENTS Module Outline 15 Clinical Competencies 16 Module V: Advanced Pathophysiology and Nursing Management Learning Objectives 16 Module Outline 16 Clinical Competencies 17 Module VI: Infection Control 17 Learning Objectives 17 Module Outline 17 Clinical Competencies 18 Module VII: Pharmacology for Critically Ill Patients 18 Learning Objectives 18 Module Outline 19 Clinical Competencies 19 SECOND-YEAR TRAINING MODULES Module VIII: Epidemiology 20 20 Learning Objectives 20 Module Outline 20 Clinical Competencies 20 Module IX: Nursing Research and Evidence-Based Practice in Nursing 21 Learning Objectives 21 Module Outline 21 Clinical Competencies 21 Module X: Biostatistics 22 Learning Objectives 22 Module Outline 22 Clinical Competencies 22 Module XI: Healthcare Informatics 4 16 22 Learning Objectives 22 Module Outline 23 Clinical Competencies 23 SAUDI DIPLOMA ADULT CRITICAL CARE NURSING CURRICULUM TABLE OF CONTENTS Module XII: Leadership and Management 23 Learning Objectives 23 Module Outline 24 Clinical Competencies 24 Module XIII: Professional Development 25 Learning Objectives 25 Module Outline 25 Clinical Competencies 25 Module Discussion: Curriculum for paramedic critical care XIV: Intensive Care Nursing Practicum II 26 Learning Objectives 26 Module Outline 26 Clinical Competencies 26 Module XV: Intensive Care Nursing Practicum III 27 Learning Objectives 27 Module Outline 27 Clinical Competencies 27 ASSESSMENT 28 The Continuous Evaluation Process 28 Centralized examinations 28 Promotion Examination 29 Final (End-of-program) Examination 29 Certification 29 REFERENCES 30 APPENDICES 31 Appendix 1 SAUDI DIPLOMA ADULT CRITICAL CARE NURSING CURRICULUM 31 5 ACKNOWLEDGEMENTS ACKNOWLEDGEMENTS We thank Allah (SWT) for giving us the opportunity to accomplish this work. May Allah’s (SWT) blessing be upon our noble Prophet Mohammed. (May the peace and blessing of Allah be upon him, his family, and noble companions.) We also would like to express our deepest gratitude to the Saudi Commission for Health Specialties for honoring us with the responsibility to develop this curriculum. May Allah (SWT) make these humble efforts beneficial to the patients, families, nurses, and nursing professionals. 6 SAUDI DIPLOMA ADULT CRITICAL CARE NURSING CURRICULUM INTRODUCTION INTRODUCTION In the Kingdom of Saudi Arabia, critical care is a booming specialty in nursing. Currently, hospitals are offering critical care nurses more attractive incentives, including sign-on bonuses, relocation bonuses, and reimbursement for continuing education and certification. Although there have always been very sick and severely injured patients, the concept of critical care as a specialty, is relatively modern. Given the advances in medicine and technology, the nursing care of patients has become more complex. To provide appropriate care, nurses require specialized knowledge and skills as the mechanisms of delivering care evolve to support patients’ needs for continuous monitoring and treatment. The practice of intensive care nursing of adults has improved over the past decades8. Knowledge of the pathophysiology of life-threatening conditions and the technological capacity to monitor and treat adult patients suffering from these conditions, have advanced rapidly during this period. Currently, in the Kingdom of Saudi Arabia, there is a high incidence and prevalence of acute medical conditions among adults. In Saudi Arabia, there is a high prevalence of acute illnesses and complications of chronic illness due to the sedentary (inactive) lifestyle of the Saudi population4. There has also been an increase in trauma cases e.g., road traffic accidents, as accidents continue to increase5. Therefore, nurses who are specialized in critical care are in demand in Saudi Arabia to meet the healthcare needs of critically ill patients. To meet the national and international standards of critical care nursing, the Saudi Commission for Health SpecialtiesDiscussion: Curriculum for paramedic critical care (SCFHS) will offer an evidence-based training and educational program, tailored specifically to intensive care unit (ICU) nurses. The expected outcomes of this program include the generation of research investigations and dissemination of research findings related to this specialized area of practice. This program will focus on the nursing care of adult patients with acute and complex health problems. The emphasis is on enhancing the critical thinking skills necessary to make sound nursing judgments and promote self-directed nursing care of patients with acute and complex health problems. Furthermore, this program will synthesize evidence-based data to deliver competent, culturally sensitive, and appropriate holistic care to clients with complex health needs. SAUDI DIPLOMA ADULT CRITICAL CARE NURSING CURRICULUM 7 PROGRAM OVERVIEW PROGRAM OVERVIEW The Advanced Practice Nursing Program in Adult Critical Care is a two-year program designed to provide opportunities for registered nurses to acquire updated clinical knowledge and skills, and further develop professional attitudes and behaviors, which will enable them to work with critically ill patients. This program will help the trainee nurses to develop intellectual and creative abilities to facilitate the development of independent judgment and problem-solving skills. The ultimate goal of this program is to prepare registered nurses with sound skills and attitudes to perform competently in critical care settings. Upon successful completion of the Advanced Nursing Practice Program in Adult Critical Care, the nurse will be awarded a certificate from the SCFHS to practice as a Senior Specialist in Adult Critical Care Nursing. Program Objectives Upon completion of the Advanced Nursing Practice Program in Adult Critical Care, the learner will be able to: 1) Integrate knowledge of nursing and related sciences with the care of critically ill adults. 2) Identify common risk factors that may adversely affect the physical and psychosocial wellbeing of adult patients with acute life-threatening diseases. 3) Utilize the nursing process in the care of adult patients with acute life-threatening health problems. 4) Demonstrate the interpersonal and psychomotor skills needed to implement effective nursing care of critically ill adults. 5) Utilize critical thinking skills to improve the health outcomes of patients with acute lifethreatening diseases. 6) Provide health education and counseling to adult patients and their families. 7) Manage sudden or acute deteriorations in the conditions of adult patients who are ill with acute life-threatening diseases. 8) Apply infection control and safe-patient care standards when caring for adult patients with acute life-threatening diseases. 9) Develop an improvement project proposal targeting the adult population e.g., to reduce the fall rate of hospitalized patients. 10) Utilize an evidence-based approach to evaluating nursing practice in adult settings. 11) Apply concepts of quality improvement to the evaluation of nursing care. 12) Discussion: Curriculum for paramedic critical care Manage ethical issues concerning the care of adult patients and their families in accordance with Islam, Saudi culture, and their regulations. 13) Participate in professional development activities, including self-directed learning and continuing professional education. 14) Demonstrate competencies in the attached skills (Appendix i) 15) Assess and facilitate patients’ and families’ use of effective coping mechanisms in times of crisis. 16) Provide safe and effective practice in the administration and disposal of drugs used in the care of the critically ill patient; assess the effects of drug therapy and initiate action according to the clinical unit’s protocols. 17) Analyze management and leadership using relevant theories and demonstrate their application to professional practice. 8 SAUDI DIPLOMA ADULT CRITICAL CARE NURSING CURRICULUM PROGRAM OVERVIEW 18) Reflect and critically evaluate their own practice in the application of an appropriate model of nursing. 19) Apply knowledge demonstrate knowledge and request of patient’s rights in professional clinical practice. General Training Requirements 1) The trainee shall abide by the regulations and obligations established by the Saudi Commission for Health Specialties (SCFHS). 2) Training is a full-time commitment. The trainee shall be enrolled on a full-time, continuous basis for the entire duration of the program. 3) Training is to be conducted in institutions accredited for nurses’ training by the Saudi Commission for Health Specialties. 4) The training will be comprehensive in the specialty of the critical care of adults. 5) The trainee shall be actively involved in patient care with gradual progression of responsibility. Admission Requirements Eligible applicants must fulfill the application requirements of the SCFHS and meet the following criteria: 1) Be a graduate from an accredited nursing program with a Bachelor of Nursing (BSN) degree. 2) Pass the interview for admission. 3) Have a current license to practice nursing. 4) Provide a letter from an employer supporting a full time enrollment in the program. 5) Provide evidence of current certification in Basic Life Support (BLS). To obtain a certificate of the Advanced Nursing Practice Program in Adult Critical Care, the candidate must fulfill the following requirements: 1) The required period for the completion of this program is two calendar years. 2) The program consists of a 44 weeks per calendar year, excluding examination weeks and annual vacation. A total of 88 weeks must be completed during the entire study period. 3) A total of 40 hours of didactic and clinical hours must be completed each week. 4) The trainee rotation consists of an 8-hour shift, excluding lunchtime or a 12-hours shift to complete the required total of 40 hours per week. 5) The program’s language of instruction is English. Leaves 1) 2) 3) Trainees are entitled to an annual leave of thirty days in addition to one of the Eid leaves. Trainees are also entitled to sick leaves, maternity leaves, and “emergency” leaves for a period not exceeding ninety days. Discussion: Curriculum for paramedic critical care Trainees shall compensate for such leaves with an equivalent number of days before being awarded the program’s certificate of completion. Leaves that are not utilized in due time within the year shall not be shifted to the coming year. SAUDI DIPLOMA ADULT CRITICAL CARE NURSING CURRICULUM 9 PROGRAM OVERVIEW 4) Trainees may be granted a special leave for scientific purposes not to exceed seven days per training year to attend scientific conferences, seminars, or workshops in the same specialty area. The trainee is required to provide proof of attending such activities. Time Frame for Program Completion MODULES OF SECOND YEAR TRAINING: MODULES OF FIRST YEAR TRAINING Year Modules Orientation: 1 week Module I: Foundations of Intensive Care Nursing I Module II: Ethics in Nursing and Dimensions of Care Module III: Behavioral Problems and Psychosocial Concepts Module IV: Advanced Health Assessment Module V: Pathophysiology and Nursing Management Module VI: Infection Control Module VII: Pharmacology for Critically Ill Patients Annual Vacation: 4 weeks Module VIII Epidemiology Module IX: Nursing Research and Evidence-Based Practice in Nursing Module X: Biostatistics Module XI: Healthcare Informatics Module XII: Leadership and Management Module XIII: Professional Development Module XIV: Intensive Care Nursing II Practicum Module XV: Intensive Care Nursing III Practicum Number of Weeks 4 3 3 12 8 4 8 4 4 4 4 4 4 10 13 Eid Vacations: 2 Weeks (One Week for Each Eid) 10 SAUDI DIPLOMA ADULT CRITICAL CARE NURSING CURRICULUM INSTRUCTIONAL METHODS INSTRUCTIONAL METHODS 1) 2) 3) 4) 5) 6) 7) 8) Interactive lectures and discussions Computer assisted interactive instructional programs Weekly reading assignments and use of the SCFHS digital library4 Simulations and clinical skills demonstrations Presentations Group discussion of case studies Clinical practicums to include: a) Theory to precede related clinical assignments (as needed). b) Post clinical debriefing: 1-2 times per week, as needed, and the development of nursing plans of care for selected patients. Case presentations: Guidelines: Each trainee will present a case study of a patient cared for in the clinical setting. The case presentation should include: the patient’s past medical/surgical history, disease diagnosis/treatment history, current medical/surgical diagnosis, and nursing diagnosis with appropriate assessment findings, and current plans of care with identification of optimal outcomes. Presentations are to be approximately 15 minutes with the trainee facilitating the post-presentation discussion. The discussion should include a comparison of plans of care with the current American Association of Critical-care Nurses (AACN)6 Clinical Practice guidelines, Standards of Care, and any other evidence-based practice standards. This program contains fifteen modules that address topics relevant to the education and training of nurses enrolled in an advanced practice program with a focus on critical care nursing. Each module targets specific competencies. The program’s clinical competencies have been adopted from Mosby’s online nursing skills database, with some modifications to meet the outcomes of this program (Appendix i). Each trainee is issued a username and a password to access Mosby’s Nursing Consult database.Discussion: Curriculum for paramedic critical care# The trainee is expected to perform the competency exams online. The assigned clinical instructor monitors the test results and schedules trainees for competency checks in the nursing skills laboratory, based on the trainees’ online-exam scores. The attached checklist is used as a tool to monitor the competency checks of each trainee. Hospital Rotations Most hospitals’ critically ill patients are in the intensive care units. Therefore, to experience the role of the adult critical care nurse, trainees are provided with adequate specialty experience. The purpose is to enable them to have confidence and gain competence in terms of the assessment and overall holistic management of critically ill patients in varied critical care settings. Some hospitals have several ICUs, such as a Trauma, Surgical, and Burn ICUs. Additionally, some critically ill patients arrive in the Emergency Department and then transfer to another hospital or die. Therefore, trainees are advised to see these cases with his/her clinical instructor. SAUDI DIPLOMA ADULT CRITICAL CARE NURSING CURRICULUM 11 FIRST-YEAR TRAINING MODULES FIRST-YEAR TRAINING MODULES Module I: Foundations of Intensive Care Nursing I Learning Objectives At the end of this module, the learner will be able to: 1) Appraise the functions and responsibilities of the professional critical care nurse and select essential criteria for establishing a professional portfolio. 2) Obtain initial subjective and objective data from the critically ill patient. 3) Implement the basic principles of time management in the performance of nursing activities to care for critically ill patients. The learner will prioritize a plan of care according to the changing acuity of a patient. 4) Differentiate among the potential stressors in the critical care environment and select strategies to minimize their effects on patients and families. 5) Describe the different methods of therapeutic-airway management. 6) Describe the principles of wound and burn management. 7) Demonstrate cardiopulmonary resuscitation techniques. Module Outline A. Roles and responsibilities of intensive care nurses: ? Scope of practice ? Professionalism and ethics ? Accountability ? Professional relationships ?Discussion: Curriculum for paramedic critical care Legal responsibility ? Advance practice roles ? Credentialing ? Professional development ? Professional portfolios ? Identifying stressors ? Burnout ? Managing stress and stress-reduction techniques ? Sensory deprivation ? ICU psychosis ? Patterns and routines ? Team work ? Acuity index B. Crisis management: ? Communication skills ? Family counseling ? Framework for crisis management ? Transcultural issues in death and dying ? Grief counseling 12 SAUDI DIPLOMA ADULT CRITICAL CARE NURSING CURRICULUM FIRST-YEAR TRAINING MODULES C. D. E. F. G. H. I. Proficient vascular access monitoring Airway management and ventilation Calculate and administer drugs safely Care of patients undergoing invasive procedures Wound management Burn management Cardiopulmonary resuscitation Clinical Competencies A. B. C. D. E. F. G. H. I. J. K. Monitor and interpret pulse oximetry and carbon dioxide levels. Monitor vascular access. Administer IV infusion fluids, blood, and blood products. Assist airway management and ventilation. Perform suctioning from different orifices. Assist the patient undergoing invasive procedures. Assist with pleural decompression (thoracentesis). Perform standard procedures for wound dressings. Measure burn surface areas (%) and manage burns. Participate in direct current defibrillation for ventricular fibrillation. Contribute to/participate in synchronized cardioversion. Module II: Ethics in Nursing and Dimensions of Care Learning Objectives At the end of this module, the learner will be able to: 1) Examine the nature and role of ethical theories in guiding sound ethical decision-making in workplace settings. 2) Discuss the ethical and legal contexts of professional nursing practice. 3) Examine key ethical issues occurring in nursing and related healthcare contexts. 4) Discuss the processes for achieving desired moral outcomes in nursing and healthcare domains. 5) Analyze the conflicting duties and rights inherent in moral dilemmas. 6) Discuss the impact of current issues related to healthcare delivery. … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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