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COLLEGE OF SCIENCE, TECHNOLOGY AND APPLIED

ARTS OF TRINIDAD AND TOBAGO
School of Nursing, Health and Environmental Sciences
DEPARTMENT OF NURSING

“Transforming Lives, Transforming Communities, Transforming the Nation… One Student at a
Time

MANAGING THE CRITICALLY ILL
PHILOSOPHY:
Maintaining Health Is Our Responsibility.

We can empower ourselves and learn once and for all how to take our health into our own hands. We can learn how to
take better care of ourselves every day, live with more awareness, more consciousness around our choices and defining
what it means for us to be healthy and well. It is a wonderful life-altering journey and I hope you decide to embark on it!
VISION:
To be a student-centered, dynamic and innovative, world-class and multi-campus
college, promoting excellence in teaching and learning, serving diverse communities
and producing lifelong learners who can compete globally.
MISSION:
To be the premier educational institution in: providing high quality, affordable and
accessible education programmes serving the needs of business, industry and the
diverse campus communities and facilitation the personal and professional development
of its students, faculty and staff.

The Institution’s motto “Transforming Lives, Transforming Communities, Transforming the
Nation… One Student at a Time.” is embodied in our Core Curriculum as well as
Programme Curriculum through ten competencies which students will understand,
practice and demonstrate upon successful completion of their programmes of study at
the College. These competencies are as follows:

Programme Curriculum Competencies

KNOWLEDGE

A clear understanding of the principles and concepts of related theories and models of the particular
discipline and the relationship to other disciplines through study, education and experience.

EFFECTIVE COMMUNICATION

The ability to accurately transfer thoughts and meaning through interpersonal skills using
appropriate registers.

ANALYTICAL ABILITY

The ability to systematically gather relevant data and make appropriate deductions, inferences and
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Health and Environmental Sciences DEPARTMENT OF NURSING “Transforming Lives. Course Code: NURS 445 Course Title: Management of the Critically Ill Number of Credits: 3 Semester: 2 Track: 2 . Transforming the Nation… One Student at a Time connections with a view to judiciously solve problems. SOCIAL AND GLOBAL RESPONSIBILITY A conscientious approach that reflects social and global accountability. CREATIVITY The ability to explore issues and generate solutions from an innovative perspective. caring and integrity. TECHNOLOGY AND APPLIED ARTS OF TRINIDAD AND TOBAGO School of Nursing. TECHNOLOGICAL EXPERTISE Utilization of current tools and techniques with the view to achieving efficiency and improving functionality. whilst accepting the related risks. Transforming Communities. worth and dignity of others whilst developing one’s own belief system. COLLABORATION Proficiency in working cohesively with other stakeholders with the view to achieving common goals. DIVERSITY The ability to recognize and respect uniqueness. commitment. The ability to recognize and take advantage of legitimate opportunities for innovation and social improvement. ethical and best practices in all spheres. moral. COLLEGE OF SCIENCE. PROFESSIONALISM A life-long engagement in reflective.

306 Prerequisite for: Number of Contact 45 Hours: Delivery: This course will be delivered in face to face sessions through lectures. 6. COURSE GOAL This course is focused on the care of care for adults experiencing complex injuries and acute illnesses. Integrate theory. 4. discussions and other group activity. 220. TECHNOLOGY AND APPLIED ARTS OF TRINIDAD AND TOBAGO School of Nursing. Demonstrate assessment skills in the management of critically ill and/or injured patients. They will differentiate holistic nursing care therapies in primary. Simulation laboratory allows students to master psychomotor skills and practice other professional skills in readiness for direct contact with patients. recognizing limits to own practice and consult appropriately. Instructor: Instructor: Office: Office Hours: Telephone: Email: COURSE DESCRIPTION AND GOAL: The course provides nursing students with the principles governing the care of casualties and the critically ill individual. Provide appropriate nursing care to patients with complex needs in emergency situations. Students will integrate knowledge of the principles of the biophysical and psychosocial sciences to solve life threatening problems that affect casualties and critically ill individuals in a variety of health care settings. Students are introduced to theoretical foundations of nursing physically ill adults. 3. Display effective communication skills. 3 . 320. BIOL172. 2. 5. COLLEGE OF SCIENCE. Health and Environmental Sciences DEPARTMENT OF NURSING “Transforming Lives. research and clinical knowledge in the management of patients presenting with trauma and medical-surgical emergencies. NURS 211. Students will apply critical thinking and the nursing process when exploring case—based practice situations to select effective patient care solutions for adaptation and management of stress and physical illness. Students perform assessment skills and demonstrate application of the nursing process in clinical settings. secondary and tertiary care settings. Transforming Communities. Instructional Objectives Upon successful completion of this course the student will be able to: 1. Transforming the Nation… One Student at a Time Co-requisites: Prerequisite: BIOL 171. Engage in the triage process to establish priorities in the management and care of patients. Demonstrate culturally and ethically safe practice.

to influence health/socioeconomic policies and nursing practice. KNOWLEDGE Student should be able to: 1 Immersion level: Demonstrates comprehension of the relevant and significant ideas across disciplines and can make comparisons and draw conclusions about them. TECHNOLOGY AND APPLIED ARTS OF TRINIDAD AND TOBAGO School of Nursing. Document complete and accurate health histories required for holistic nursing 4 . 3 Outline major injuries and medical emergencies. Transforming the Nation… One Student at a Time 7. Communicate effectively during the assessment process. Student should be able to: 1. 2. maintaining a therapeutic relationship with the patient or client. 2. 3. Relate specific findings from assessment to presenting injury or medical emergency. 1 Demonstrate an understanding of the goals and purposes of emergency care. Present assessment data reflecting both concisely and accurately in both oral and written forms. Transforming Communities. Evaluate health outcomes for patients in the emergency care setting. Reflect and critique own practice to extend nursing knowledge and practice skills in the delivery of emergency nursing care. 9. Contribute to change processes to improve quality and manage risk for patients in emergency care setting. 2 Describe specific steps in assessment and triaging process. Student should be able to: 1. COLLEGE OF SCIENCE. Use selective communication strategies for maintaining confidentiality of information obtained from clients during assessments COMMUNICATION Immersion Level: Uses communication processes purposefully to make meaning in different disciplinary contexts. Documents assessments on appropriate recording tools. 3. 8. Student should be able to: Intermediate level: Makes connections between disciplinary and professional expectations. Health and Environmental Sciences DEPARTMENT OF NURSING “Transforming Lives.

adapts and combines communication strategies in relation specific nursing theories and frameworks. TECHNOLOGY AND APPLIED ARTS OF TRINIDAD AND TOBAGO School of Nursing. Use available resources and research techniques in the execution of projects. Intermediate level: Articulates problem solving processes and practices using disciplinary problem solving processes to approach problems. critical thinking and diagnostic reasoning in nursing care. Demonstrate competent use of technology for monitoring patients Intermediate level: Student displays positive attitudes towards technology uses and independently selects appropriate tools that support productivity. 2. Student should be able to: 1. Identify the roles of the nursing process. The student should be able to: 1. Use specific problem solving approaches (Nursing Process) for guiding health teaching activities 2. Student should be able to: 1. learning and personal pursuits. Student should be able to: 1. Demonstrate the effective use of specific instruments in conducting assessments. 2. Demonstrate competent application of medical technology to aid in treatment of clients. 3. 5 . Document and communicate data using medical and nursing terminologies and Incorporating nursing theories and frameworks for planning nursing interventions. organizing and analyzing information. Discuss specific relationships of mechanism of injury and the signs and symptoms being experienced by the client TECHNOLOGICAL EXPERTISE Immersion Level: Use technology to gain knowledge of various techniques and demonstrate a sound understanding o the nature and functioning of technology systems in problem solving – gathering. Student should be able to: 1. Intermediate Level: Selects. Health and Environmental Sciences DEPARTMENT OF NURSING “Transforming Lives. Transforming the Nation… One Student at a Time interventions. COLLEGE OF SCIENCE. ANALYTICAL ABILITY Immersion Level: Student analyses structures and organizations and perceives and makes relationships. Demonstrates the interrelatedness in function of specific body organs and systems. Transforming Communities. collaboration.

Student should be able to: 1. Monitoring emergency care nursing. Correctly interpret data obtained from various monitoring systems. Assessment  Discuss the values b. Utilize resources available among the group and other sources in facilitating learning. Transfer  Discuss the role of the nurse in Values underpinning emergency emergency care. a. Emergency treatment nursing. Health and Environmental Sciences DEPARTMENT OF NURSING “Transforming Lives. f. Intermediate level: Student values and incorporates others’ ideas and other points of view and recognizes there is power in combining ideas. TECHNOLOGY AND APPLIED ARTS OF TRINIDAD AND TOBAGO School of Nursing. TEACHING OBJECTIVES: THE SYLLABUS OBJECTIVES CONTENT ACTIVITY Week 1 Introduction to Emergency Lab/Clinical Experience Care Nursing  Define emergency care Components of Emergency care Lecture-Discussion nursing. Individual ill. d. 2. Undertake problem based learning activities with colleagues from specific scenarios. Environment whilst managing the critically c. Transforming the Nation… One Student at a Time 2. Participate effectively in groups for undertaking and presenting projects ad assignments. Nursing responsibilities of the nurse b. Student should be able to: 1. COLLABORATION Immersion Level: Student initiates cooperative learning activities by seeking out others for assistance and for building projects together and acts as an active facilitator. Triage underpinning emergency care c. Transforming Communities. COLLEGE OF SCIENCE. Stabilisation  Describe the components of e. care  Discuss ethicolegal a. 6 .

Professional responsibilities  Discuss the importance of a.  Apply the principles of initial Triage assessment to make accurate a. Components of Life  Discuss the importance of b. Provide comfort maintaining the comfort of the c. COLLEGE OF SCIENCE.  Demonstrate competence in history taking during emergency situations. Emergency Care  Describe the principles of b.  Explain the components of life Goals framework in emergency care a. Decisions case studies. Health emergency care environment on the patient. Triage  Explain the Manchester triage system in emergency care Framework  Explain the goals of triage. Transforming Communities. Physical  Compare and contrast the c. TECHNOLOGY AND APPLIED ARTS OF TRINIDAD AND TOBAGO School of Nursing. SKILLS & PROCEDURES 7 . b. Emergency Care b. Categories triage decisions in selected b. a. Triage emergency care. Manchester System performing a systematic. Health and Environmental Sciences DEPARTMENT OF NURSING “Transforming Lives. Across the room assessments. Week 3 EQUIPMENT. Vital signs categories of triage. a. Ethicolegal responsibilities critically ill patient Week 2: Assessment and Triage  Describe the goals of Principles emergency care. CTAS prioritized initial assessment. c. The nurses’ role providing pain relief and b.  Describe the components of Assessment the initial and detailed a. Transforming the Nation… One Student at a Time OBJECTIVES CONTENT ACTIVITY  Discuss the impact of the d.

Assemble equipment for: skills and procedures used a. Equipment 1. Transforming the Nation… One Student at a Time OBJECTIVES CONTENT ACTIVITY  Describe the equipment. Nebulisation devices  Cricothyrodotomy necessary when providing care to the critically ill  Perform procedures independently and safely. Transforming Communities. Health and Environmental Sciences DEPARTMENT OF NURSING “Transforming Lives. bandages. Defibrillator  Abdominoparacentesis care equipment f. EKG machine  Endotracheal Intubation  Demonstrate competent d. Intubation devices  Pericardiocentesis  Demonstrate competence  Thoracentesis in using the various skills h. TECHNOLOGY AND APPLIED ARTS OF TRINIDAD AND TOBAGO School of Nursing. Spinal board  Insertion of chest tube critically ill patient c. Cardiac monitor  Catheterization and safe use of emergency e. Skills whilst providing care to  Assessment and monitoring the critically ill patient  Communication  Medication administration  Basic Cardiac Life Support  Immobilization  Lifting and moving  Documentation Procedures  Splinting  Log rolling  Obtaining ECG  Cardiac monitoring  Pulseoximetry and ABG  Defibrillation  Insertion of Oropharyngeal Airway  Insertion of Chest Tube  Abdominoparacentesis  Catheterization  Endotracheal Intubation  Pericardiocentesis  Thoracentesis  Cricothyrodotomy 8 . Splints. COLLEGE OF SCIENCE. Infusion pumps g. slings in providing care to the b.

Gunshot/Stab wounds h.thermal. c. Effects of forces on the body assessment findings  Apply knowledge of the d. Penetrating Trauma 4. Beatings. chest and limb ii. Impact on Health Care 2. Demonstrate-return mechanism of injury when Injury demonstration of correct providing emergency care.  Rib fracture  Demonstrate competence in  Flail chest managing the critically injured  Pneumothorax patient  Tension pneumothorax  Open pneumothorax  Hemothorax  Pulmonary contusion  Cardiac contusion  Cardiac tamponade d. Trauma statistics in Trinidad and assessment on a trauma treatment. Burns. Limb. Major mechanisms of Motion 3. Abdominopelvic e. Tobago patient  Describe the basic mechanism b. victim. Motor vehicular accidents spinal. Transforming the Nation… One Student at a Time OBJECTIVES CONTENT ACTIVITY Week 4 MAJOR INJURIES  Define the term trauma.fractures. Spinal suspected spinal cord injury stabilise and treat the trauma c. Mechanisms of Injury Video/ Demonstration  Describe the major traumatic 1. Accurately conduct an initial injuries requiring emergency a. Accurately document of injury. Chest 5. Transforming Communities. TECHNOLOGY AND APPLIED ARTS OF TRINIDAD AND TOBAGO School of Nursing. Falls (Rapid Vertical fractures Deceleration) iii. COLLEGE OF SCIENCE.internal injuries Week 5 MAJOR INJURIES Near drowning Lecture-discussion  Differentiate salt and fresh 9 . subluxations f. Demonstration-Return  Perform correctly a brief and Traumatic Injuries demonstration of correct detailed physical assessment technique in lifting and of the trauma victim. chemical g. Health and Environmental Sciences DEPARTMENT OF NURSING “Transforming Lives. a. Head moving patients with  Discuss interventions to b. techniques in stabilizing i.

Fresh water near drowning.  Outline the diagnostic tests for the patient with major medical emergency. Review techniques in thorax emergencies.  Identify the common types of Poisoning bites and stings. Set up insertion of chest tube  Describe a medical emergency.  Discuss the management of Bites and Stings bites and stings. Transforming the Nation… One Student at a Time OBJECTIVES CONTENT ACTIVITY water near drowning. d. c. Asthma & Status Asthmaticus 3. c. ARDS tray  Outline the major medical b.  Describe assessment considerations for a patient presenting with any of the various medical emergencies. Scorpion sting Week 6&7 MEDICAL EMERGENCIES Respiratory 1. Health and Environmental Sciences DEPARTMENT OF NURSING “Transforming Lives. Snake bites process when providing b.  Using the nursing process discuss the emergency management of the patient experiencing a major medical emergency. TECHNOLOGY AND APPLIED ARTS OF TRINIDAD AND TOBAGO School of Nursing.  Perform a complete and 10 . Transforming Communities.  Utilize the steps in the nursing a. a. COLLEGE OF SCIENCE. COPD and lung assessment  Explain the physiological. Tension Pneumothorax psychological. Bee sting emergency management. social and spiritual impact of a medical emergency on the patient. Salt water  Discuss the management of b. Set up an intubation tray 2. a.

Heart Failure interpretation c. Shock Week 10 & 11 MEDICAL EMERGENCIES Neurological a Head injury b Spinal cord injury c CVA d Sub-arachnoid haemorrhage e Siezure 11 . TECHNOLOGY AND APPLIED ARTS OF TRINIDAD AND TOBAGO School of Nursing. Obtain ECG by applying electrodes correctly a. Cardiac Tamponade f. Dysrythmias g.  Describe and provide interventions to meet the patient’s psychosocial needs.  Demonstrate competence in using technology to diagnose.  Demonstrate competence when monitoring patients experiencing a major medical emergency.  Demonstrate caring and empathy. COLLEGE OF SCIENCE. treat and monitor patients requiring emergency care  Document assessment findings and interventions in the approved manner. Health and Environmental Sciences DEPARTMENT OF NURSING “Transforming Lives. Transforming Communities. Aortic Aneurysm pericardiocentesis e. Pulmonary Embolism 3. Transforming the Nation… One Student at a Time OBJECTIVES CONTENT ACTIVITY systematic assessment on the patient with experiencing a major medical emergency. Week 8&9 MEDICAL EMERGENCIES Cardiovascular 1. Myocardial infarction 2. Perform basic ECG b. Prepare for d.

TECHNOLOGY AND APPLIED ARTS OF TRINIDAD AND TOBAGO School of Nursing. Fractured penis 12 . Ectopic pregnancies b. Transforming the Nation… One Student at a Time OBJECTIVES CONTENT ACTIVITY f Meningitis g Guillain-Barre Syndrome h Loss of Consciousness Week 12 CONTENT ACTIVITY MEDICAL EMERGENCIES Renal a Acute Renal Failure Gastrointestinal a GI bleeding b Intestinal Obstruction c Acute Abdomen d Appendicitis e Abdominal trauma f Cholecystitis Week 13 CONTENT ACTIVITY MEDICAL EMERGENCIES Endocrine a Thyroid dysfunction b Adrenal dysfunction c Diabetic emergencies Week 14 MEDICAL EMERGENCIES Reproductive a. Transforming Communities. Eclampsia d. Health and Environmental Sciences DEPARTMENT OF NURSING “Transforming Lives. Abruptio placenta c. COLLEGE OF SCIENCE. Torsion of testes e.

89 Very good B+ 3.0 65 . the following grading scheme will be used: Grading system used in AAS for Biology and BSc in Biology Mark Range Definitions Grade GPA 90 – 100 Excellent A 4.84 Good B 3. Transforming Communities.0 75 – 79 Satisfactory C+ 2.74 Average C 2.answer questions. COLLEGE OF SCIENCE. Transforming the Nation… One Student at a Time EXPECTATIONS OF THE STUDENT At least 80% attendance of class time Review of Structure and Function content Review Health Assessment Completion of assigned readings Participation in group assignments Viewing assigned audiovisual material COURSE ASSESMENTS 1 Objective type test 30% 2 Case study 30% 3 Final examination 40% For this course. TECHNOLOGY AND APPLIED ARTS OF TRINIDAD AND TOBAGO School of Nursing.64 Minimum passing grade D 1.0 The mark allocation for this course will be broken down as follows: Mark Allocation system used for AAS in Biology and BSc in Biology 2 In-course exams at 15% each 30 % These two examinations will consist of multiple choice and/ or structured short.59 Fail F 0.69 Below average D+ 1.0 85 .5 80 . Health and Environmental Sciences DEPARTMENT OF NURSING “Transforming Lives.0 0 .5 60 .5 70 . You will be informed by your lecturer about the topics to be covered in each test before the exam 13 .

Labs will be assessed based on Manipulation skills. Reports that have been heavily plagiarized will not be marked. organizational skills and the effectiveness and accuracy of expression. Adherence to time limit)  Presentation: (Sensitivity to audience. Transforming the Nation… One Student at a Time Project 30% The project mark will be a composite of the following:  Written Report based on the depth of investigation. Assignments that are not submitted in the format designated by the lecturer will not be graded. and printed on standard A4 or 8. 14 . Use of handouts. COLLEGE OF SCIENCE. Relevance of research to the topic.) Students are further expected to be cognizant of the mark penalty for late submission of lab reports and exercises. Reporting and Calculations. Verbal and non-verbal expression.  Oral Presentation based on  Organisation: (Establishment of importance of topic. Students are required to submit an explanatory letter and a medical certificate should illness prevent timely completion of an assignment. Discussion skills) Laboratory performance and Reporting 20 % An 80% attendance of Labs is expected for all Science courses. where two (2) marks per day will be deducted for late assignments. )  Effectiveness: (Use of visuals. Personal composure and style. Final Examination 40 % A 3 hour examination of the entirety of the course in the following sections: Section A – Multiple Choice – 30 questions Section B – Structured type – 5 questions Section C – Essay type – 1 question. Analytical Skills. Students are expected to adhere to safety precautions outlined in the Laboratory manual. The pages should be numbered and included in the table of contents. with special attention to appropriate lab wear (Lab coats and covered shoes. TECHNOLOGY AND APPLIED ARTS OF TRINIDAD AND TOBAGO School of Nursing. double spaced. Marks will be deducted for inappropriate bibliography.5x 11 paper. Please note that projects typewritten using x12 font. Development of theme . Please note: Any late assignments that are not delivered directly to the lecturer must be deposited with the Programme Assistant and signed for in the register. Observation skills. Transforming Communities. Health and Environmental Sciences DEPARTMENT OF NURSING “Transforming Lives.

Cheating. forgery. Anu Student who attempts to compromise the academic process will be sanctioned. Integrity and Honesty Policies and Procedures Handbook. COSTATT students are expected to bear individual responsibility for their work and to uphold the ideal of academic Integrity. plagiarism and collusion in dishonest acts undermine the College’s educational mission and the student’s personal and intellectual growth. TECHNOLOGY AND APPLIED ARTS OF TRINIDAD AND TOBAGO School of Nursing. COLLEGE OF SCIENCE. A QUICK NOTE ON CITATION 15 . Health and Environmental Sciences DEPARTMENT OF NURSING “Transforming Lives. Transforming Communities.” – COSTAATT Academic. Transforming the Nation… One Student at a Time STATEMENT ON ACADEMIC DISHONESTY “Academic dishonesty is unacceptable and will not be tolerated.

Flagrant failure to properly cite sources.Presenting another person’s paper or ideas as original.Extensive paraphrasing . Students are expected to implement the methods taught in COMM117. . magazines and newspapers. COMM118 and LIBS130and should be cognizant of the fact that credit will not be given for work found to be plagiarized. Details of these requirements are as follows:  In text citation (Quotes/Paraphrasing) o Direct quotation  Use quotation marks and include page numbers (when quoting books. submitting borrowed. when quoting online sources. indented block of text without quotation marks. ghost-written papers and documents downloaded from internet sites.  A quotation of 40 or more words should be formatted as a freestanding. Issue and Page number : 16 . It is a serious academic offence that includes: . o Books / Reports / DVDs  Each reference should include four elements:  Author/Editor/Producer  Date  Title  Publication Information  Periodicals -Serials or periodicals are resources published on a regular basis. This includes uncited ideas. journals and periodicals) or paragraph number (para.Plagiarism is the representation of someone else’s ideas or words as one’s own. such as journals. purchased. o Indirect quotation/paraphrasing o Citations from a secondary source  References list  At the end of an assignment. quotations and/ or words. COSTAATT requires students to adhere to the APA (American Psychology Association) citation standards that require in text citation and a reference list. the full bibliographic information for each source cited in text should be provided. Repeated incidents of plagiarism will result in a failing grade and/or academic sanction. The elements to be included are:  Author(s)  Date  Title of article  Title of Periodical  Volume. Do not use footnotes  References must be listed in alphabetical order by author and should use the hanging indent format.

Emergency Nursing Care: Principles and Practice (2007). Robert Crouch. Cambridge University Press 17 . Ruth Endacott.Text Book Reference: Emergency Nursing Made Incredibly Easy. Lippincott William & Wilkins Gary Jones.