ADULT HEALTH NURSING - Il WITH INTEGRATED PATHOPHYSIOLOGY including Geriatric Nursing AND PALLIATIVE CARE MODULE PLACEMENT: IV SEMESTER THEORY: 7 Credits (140 hours) PRACTICUM: Lab/Skill Lab (SL): 1 Credit (40 hours) Clinical: 6 Credits (480 hours) DESCRIPTION: This course is designed to equip the students to review and apply their knowledge of Anatomy, Physiology, Biochemistry and Behavioral sciences in caring for adult patients with Medical/Surgical disorders using nursingprocess approach. It also intends to develop competencies required for assessment, diagnosis, treatment, nursing management, and supportive/palliative and rehabilitative care to adult patients with various Medical Surgical disorders, COMPETENCIES: On completion of the course the students will apply nursing process and ctitical thinking in deliveringholistic nursing care with selected Medical and Surgical conditions. At the completion of Adult Health Nursing TI course, students will 1. Explain the etiology, pathophysiology, manifestations, diagnostic studies, treatments and complications of selectedcommon medical and surgical disorders. Perform complete health assessment to establish a data base for providing quality patient cae and integrate theknowledge of diagnostic tests in the process of data collection. 3. Identify diagnoses, list them according to priority and formulate nursing care plan. 4, Perfonm nusing procedures skillfully and apply scientific principles while giving comprehensive mursing care topatients Integrate knowledge of anatomy, physiology, pathology, nuttition and pharmacology in cating for patients experiencingvarious medical and surgical disorders 6, Identify common diagnostic measures related to the health problems with emphasis on nursing assessment andresponsibilities. Demonstrate skill in assisting/performing diagnostic and therapeutic procedures. 8. Demonstrate competencies/skills to patients undergoing treatment for medical surgical disorders 9. Identify the drugs used in treating patients with selected medical surgical conditions. 10, Plan and provide relevant individual and group education on significant medical surgical topics. 11, Maintain safe environment for patients and the health care personnel in the hospitalCOURSE OUTLINE ‘T—Theory, L/SL —Labi/Skill Laby Tait] Tine | Learang Outcomes Content “Teaching Learaing | Assessment te ‘heen Methods T | 121) [Explain the etiology, [Nursing management of patient with |» Lecture and - McQ faborhysiciogy. Jaordersof Ear, Neseand Throw | acusion ASL) |cinical manifestations, (Includes etiology, pathophysiology, (* Short answer \diagnostic measures clinical manifestations, diagnostic [¢ Demonstration of), say land medical, surgical, |measures and medical, surgical, hearing aids, nasal [nutritional and nursing |nutritional and nursing management) Packing, medication |+ OSCE pitteeana ad TM peronaemeeeenen) | Nata paens athe |* Review of anatomy and PhysiDlOeY oF | adilogy disorders the and throst and speech clinic |* History, physical assessment, and diagnose ts o External ea: deformities tli, {orsign bots ant tumors o Mile er impacted was, ‘Smpanis membrane perforation, Oitemeda and tne 6 tame ear Meaiz's disease, Labi tots toes + Upper respiratory airway infections Rhinitis, sinusitis, tonsillitis, laryngitis J+ Epstass, Nasa obstvetion.lrynseal cbsvction + Deainess and its management Tat] Time | Learaiug Outcomes Content “Teaching Learaing | Assessment te ‘nein Mods TL | 121) [Explain the etiology, ‘management of patient with |» Lecture and - McQ » fpahorigsotogy. lasorderoteve oeusion (SL) [fal manifestations ° + Short Essay fimestmarteetons |, evew of anony and physileay of |e Denonstaionot |. oe agnosie menses se visual is es, |patients with disorders medication |¢ Drug book lofeve [Describe eye donation, foanking and lsansplantation J+ History, physical assessment, diagnostic assessment leye Disorders J+ Refinctive errors + Eyelids: infection, deformities }+ Conjunctiva: inflammation and infection bleeding J+ Comes: inflammation and infection J+ Lens: cataract J+ Glaucoma + Resina detachment J+ Bhindnass J+ Eye donation, banking and ‘wansplantation administration + Visit to eye bankmy] sm 4 (USL) [Explain the etiology, pathophysiology, clinical manifestations, diagnostic tests, and medical, surgical nutritional, and mursing| lnianagement of Kidney| land urinary system disorders IDemonstrate skill in Prepare patient for |zcnitourinary investigations lPrepare and provide lnealth education on lprevention of renal Jealoul [Nursing management of patient with [Kidney and Urinary problems J+ Review of Anatomy and physiology of| the genitourinary system J+ aistory, physical assessment, diagnostic tests ]> Urinary tract infections: acute, chronic, lower, upper + Nephritis, nephrotic syndrome J+ Renal calculi Acute and chronic renal failure Disorders of ureter, urinary bladder ‘and Urethra + Disorders of prostate: inflammation, infection, stricture, obstruction, and Benign Prostate Hypertrophy [> Lecture eum’ Discussion J+ Demonstration + Case Discussion + Health education + Drug book + Field visit - Visits hemodialysis unit Meg + Shore Note + Long essay + Case report '» Submits health teaching on prevention of urinary calculi 6m [Explain the etiology, pathophysiology, clinical manifestations, diagnostic tests, and lmedical, surgical, nutritional, and nursing| management of male reproductive disorders [Nursing management of disorders of Imale reproductive system J+ Review of Anatomy and physiology of| the male reproductive system J» History, Physical Assessment, ‘Diagnostic fests + Infections of testis, penis and adjacent structures: Phimosis, Epididynnitis, and| [> Lecture, Discussion |» Case Discussion |» Health education > Short essayTate] Time Learaing Ovcomes Content Teacing/ Leaning | Assessment enter | “Steods irs Sri + sexual dysfunction, inter, conmcenion + ate res Disorder ynecomasi thor clint chang V | 100 [isan the otoay. [Nursing management ofpaveat with [> Lestweand» OSCE fist) faiatosnogs fpumsscmtratiesapcomte | domen | poe ‘Demonstration of «aston ee + Review of anatomy and physioto bum wound mesures nd |" oan andemmccve Gomes | Snennat vacusn Seng and had psiens with dere |e psory, physica assessment, cessing a Jof bums/cosmetic assessment of bums and fluid & ee and its electrolyte loss le Visit to bum : Loe rabion centers + Reconsrctive and conmtic surgery for bum, conga deformities ‘Shai aad abun pone ener J+ Leal and ethical aspects + Special thapies: LAD, vacuumed roung Laver penton sie itsin uvenon tn of doma fier Vi] 16TH) [ean ts eto, [Norsing managtnen af patent with [> Lamsand > OSCE athophylosy feuralgiat dorders icousion USL) test manietaions fn ‘ Short notes J+ Review of nstomy and pysitogy of + Demonstration of iagnoste meen Ese ee meas? | the neurological system physiotherapy, neuro|* FSS4¥ |patients with asseaument, |® Drug book neurological disorders + tistory, physical and neurological stent, diagnostic teste J+ Headache, Head injuries + Spinal injuries: Paraplegia, Hemiplegia, Quadriplegsa + Spinal cord compression: hemiation of | in vertebral disc J» intra cranial and cerebral aneurysms |» Meningitis, encephalitis, brain, abseess, neuro-cysticercosis J+ Movement disorders: Chorea, Seizures ‘& Epilepsies| J+ Cerebrovascular disorders: CVA, + Cranial, spinal neuropathies: Bell's palsy, tigeminal neuralgia J Peripheral Neuropathies J+ Degenerative diseases: Alzheimer's disease, Parkinson's disease + Guillain-Barré syndrome, Myasthenia ‘eravis & Multiple sclerosis, tracheostomy care + Visit to schabiltation center, Jong term care clinics, EEG, NCV study’ unit,Unit] Time | Learning Outcomes Content Teaching/ Learning | Assessment “Activities Methods irs) J+ Rehabilitation of patient with neurological deficit Vit] 12(1) [Explain the etiology, [Nursing management of patients with |» Lecture, discussion cast featherbscloy, fimmunotoicl problems case Discussion Kinznowtic teste and? Review of Immune system seminar medical, surgical, Je Nursing Assessment: History and |e Refer Module on nutritional, and musing} "physical assessment HIVADS management of immunological J+ HIV & AIDS: Epidemiology. disorders ‘Transmission, Prevention of “Transmission and management of HIVAIDS Prepare and provides |, Role of Nurse: Counseling, Health celts education on |” education and home eare consideration| prevention of HIV | ad habitation infection snd rehabilitation + National AIDS Control Program ~ NACO, various national and international agencies for infection [Describe the national | contol infection control prosrans VitI| 12 (1) [Explain the etiotoay, [Nursing management of patient with |» Lecture and OSCE 4 cust estonia,” fonctoiacondtons discussion Essay eee ancas, + Suuctue and chaactrstics of noma! |e Demonstraionof |.) /staging, diagnostic and cancer cells chemother 4 measures and + sistory, physically assessment Preparation an Drug book amare Etspytmeemen, | Scan ementof | diagnose ts ee Counseling, patients with difer + Visitto BMT, cone feancer, teatment Prevention eeeingearly detections | ray units | ee modalities including newer weatments ‘waming sign of cancer Epidemiology, etiology classification, Pathophysiology, staging clinical ‘manifestations, diagnosis, treatment ‘modalities and medical and surgical nursing management of Oncological condition ‘Common malignancies of various body system eye, ear, nose, laryns, ‘breast, cervix, ovary, ers, sarcoma, renal, bladder, kidney, prostate Brain, Spinal cord, ‘Oncological emergencies J+ Modalities of treatment ‘Chemotherapy, Radiotherapy: ‘AERB regulations, Surgical intervention, Stem cell and bone marrow transplan, Tnmunotherapy. Gene therapy Psychological aspects of cancer: anxiety, depression, insomnia, anger + Supportive care + Hospice care linear accelerator, ‘brachytherapy, ete), nvclear medicine sit |+ Completion of palliative careUnit] Time | Learning Outcomes Content ‘Teaching/ Learning | Assessment ‘Actes ‘Merhoas iis mdi dang inal hours (20 hours) TE) 15D fEslainthe pes, Nasing management of eeu dp OC vst {asics auisines, [Emergeney and Disasterstaations |” dcsson pee reventon and Imanagement of |Disaster Nursing |e Demonstration of presentations Jdisaster and the |* Concept and principles of disaster disaster ancl case study |ctiology, ursing, Related Policies ‘preparedness (Mock thority, : dal and waging clinical manifestations, * Types of disaster: Natural and |. Filed visit to local Jingnostic measures | manmade disaster management Jand management of Jy Disaster preparedness: Team, centers or demo by patisns with acute |” guidelines, protocols, equipment, fire extinguishers fierzenies seein + Group presentation + ictogy, castation, (roleplay skit, Pathophjsilogy. sing clinical | eancept mapping on Imesston, Gagnon ceatent | ifent emergency Iiodalites and medical and sural | ene ising monagement ofan ath |, tli and sgn cnmgencien [f° eter Trauma cre Poly trauma, Bites, Poisoning and management ‘Thermal emergencies ATCN module + Guided reading on J+ Principles ofemerzency management |? Sided sean + sic eg! apts Manageme Anthony DMZ) gid % | 10H [Esra the Concepe Nursing car ofthe ery fiecueaad fp OSCE prsctoia stress and coping in elder patient impaired Describe the nursing fmanneement ofthe, pyychosoil and sexual abwseof Tia fcasing elderly ‘elderly on geriatric : Poralaton J+ oe of amily and formal an non fomal eaeaives + Use ofaid and prosiesshetng bid, detues) + epatand ec iases + sina roarans fo et, prtleges commsty rowan and Rea sonics + ome and instinsina ere 15(D) [Explain the etiology. [Nursing management of patientsin[* Leste and + Objective ype! athoshsiloe. scusion 8 SE) ieee essite tations, {Titieal Care units dis le Short notes fisanostemesnue + Pres ofeszalewenunsag _|* Pemorstaionon | c. frdmanagement of Js crzaicton: physi setup poses, mechanical resentatons pss stating norms entiatos casae |b assessment of |* Protocols, equipment and supplies monitors ele skill on tmonitorng of + Clinical practice in[Tait] Time | Learning Outcomes Content “Teaching/ Learning | Avsexement Activities Methods (irs) “ > Use and application of eral care | different ICUs patients in biomedical equipment: ventilators, icv. cardiac monitors, defibrillators, writ infusion pump, Resuscitation Writes a equipment and any other assignment J+ Advanced Cardiac Life support Jegal issues in critical eare Js Nursing management of critically ill ms patient, J+ transitional care + Ethical and Legal Aspects + Breaking Bad News to Patients andlor their families: Communieation with patient and family + End oflie eae NIT] S(t) [Describe the ciology, [Nursing management of patients |e Lecture and > Assignment pathophysiology, Joccupational and industrial disorders | discussion on industrial cinta! manifestations jazards Seca aatestatot: 16 History, physical examination, [e Tndustial visit ‘alt Lntmonscemena: | Didsnostic tests patents with J+ cccupational diseases and occupational management Jindustrial health - disorders Bibliography: 1. Lewis, Heitkemper&Dirksen (2000) Medical Surgical Nursing Assessment and Management of Clinical Problem (6 th ed) Mosby. 2. Black IM. Hawk, 1H. (2005) Medical Surgical Nursing Clinical Management for Positive Outcomes. (7 ed) Elsevier 3... Brunner S. B., Suddarth D.S. The Lippincott Manual of Nursing praetice J.B Lippincott. Philadelphia 4, Colmer R.M. (1995) Moroney’s Surgery for Nurses (16 th ed) ELBS. 5. 5. Shah N.S. (2003) A P I textbook of Medicine, The Association of Physiciaus of India Mumbai 6, Satoskar R.S., Bhandarkar $.D. & Rege N.N. (2003) Pharmacology and Pharmacotherapeutics (19 th ed) Popular Prakashan, Mumbai 7. Phipps W.., Long C.B. & Wood NF. (2001) Shaffer’s Medical Surgical Nursing B.T Publication Pvt. Ltd. New Delhi. 8. 11 Haslett C, Chilvers E.R., Hunder J.A.A. &Boon, N.A. (1999) Davidson’s Principles and Practice of Medicine (18 th ed) Churchill living stone. Edinburgh. 9, 13 Walsh M. (2002) Watson’s Clinical Nursing and Related Sciences (6" ed) Bailliere Tindall EdinburghCLINICAL PRACTICUM, CLINICAL PRACTICUM: 6 Credits (180 Hours) ~ 20 weeks * 24 hours PRACTICE COMPETENCIES: On completion of the clinical practicum, the students will develop proficiency in applying nursing process and critical thinking in rendering holistic nursing care including rehabilitation to the adult/geriatrie patients ‘admitted in Critical Care Units, undergoing cosmetic and reconstructive surgery and with selected medical & surgical disorders cf ear, nose, throat, eye, Genitourinary, reproductive, immunologic, nervous systems and in emergeney/disaster conditions ‘The students will be competent to 1. Utilize the mursing process in providing care to the sick adults inthe hospital 4. Perform complete health assessment to establish a database for providing quality patient cae. ». Integrate the knowledge of diagnostic tests in patient assignment. Identify nursing diagnoses and list them according to priority 4. Formulate nursing care plan, using problem solving approach. ©. Apply scientific principles while aiving nursing cate to patients £ Develop skill in performing nursing procedures applying seientific prin 4. Establish/develop interpersonal relationship with patients and family members. hh Evaluate the expected outcomes and modify the plan according to the patent needs Provide comfort and safery to adult patients i the hospital ‘Maintain safe environment for patients during hospitalization, Explain nursing actions appropriately to the patients and family members. Ensure patient safety while providing nursing procedures, 6, Assess the educstional needs of the patient and their family related to medical and surgical disorders and provide ‘appropriate health education to patients 7. Provide pre, intra and post-operative care to patients underaoing surgery. autrition and pharmacclo; for paticnts experiencing selected medical and surgical 8. Integrate knowledge of patholog disorders. 8. Integrate evidence-based information while giving nursing cre to patients. 10, Demonstrate the awareness of legal and ethical issues in nursing practice. 1. Nursing Management of Patients with ENT Disorders AL SKiMLab Use of mantkins and simulators + Tracheostomy care ‘+ Insiling Ear and Nasal medications + Bandage applicationB. linical Postings Clinical | Duration | Learning Procedural Competencies! Glinical [Assessment arew/anit | (weeks) | Outcomes ‘Clinical Sills Requirements | Methods [ENT Waed | 2 [Provide care» Examination of ear, nose throatand | ENTassesoment |» Clinical land OFD to patients | History tking = evaluation sth ENT Mentos | Applying bandages to Ear, Nose ls cosestiy’ [6 OSCE Clinical + Tracheostomy care pension fF Cseto leaucate the |* Preparation of patient, assisting and ae [patents and | monitoring of prints undergo et ion Efcirfamilies | diagnostic procedures © Auditory screening tests © Audiometric tests + Preparing the patient and assisting in speval procedures like Anterior’ posterior nosal packing, Ear Packing and Springing ‘+ Preparation and afte ere of patcn's undergoing ENT surgical procedures + Insillation of drops/medication TL, Nursing Management of Patients with Eye Conditions A. Skill Lab Use of manikins and simulators + Iosilng Bye medications # Eyeinigation + Byebandage B, Clinical Postings Clinical | Duration] Learning | Procedural Competencies Clinical] Assessment area/unit | (weeks) | Outcomes Clinical Skill Requirements |” Methods (Ophthalmology | 2 [Develop kill [+ History taking, Examination of eyes [> Eye assessment — |» Clineal hit in providing | and interpretation 1 evaluation carte with |* Assisting procedures + Heath teaching [+ OSCE Eyecisorders | o Visual acuity + case study’ fo Clinical Clinical presentation [Educate the ipatients and | © Refraction tests © Fundoscopy. retinoscopy, ‘ophthalmoscopy, tonometry, Presentation~ 1 Itheir families Je Pre and post-operative care + Instillation of drops/ medication |+ Eye irrigation '+ Application of eye bandage |+ Assisting with foreign body removal IIL, Nursing Management of Patients with Kidney and Urinary System Disorders A Skill Lab ‘Use of manikins and simulators Assessment: kidney & urinary system + Preparation: dialysis © Catheterization and careB. Clinical Postings Glinical [Duration] Learning Procedural Competencies! Glinieal “Assessment area/unit | (weeks) | Outcomes Clinical Skills Requirements | ~ Methods (Renal ward [Develop skill [+ ‘Assessment of Kidney |» Assessment 1 |» Clinical inephrolozy in and urinary system evaluation een anagement = + Drug presentation including lofpatients | © History taking -! [+ Care plan Dialysis unit hwith urinary, | © Physical examination + Carestudy’ |e OSCE male s i Clinical fsicaive | © ‘Testicular self-examination Cet jon 1° U2 [problems © disital rectal exam . + Preparing and |* Dru + Preparation and assisting with diagnostic |" assisting in Presentation and therapeutic procedures hemodialysis © Cystoscopy. Cystometrogram, © Contras studies: IVP ete © Peritoneal dialysis © Hemodialysis, © Lithotripsy © Specific tests: Semen analysis, ‘gonorreoea tet, Renal/ Prostate Biopsy’ at, Catheterization: care '» Bladder irrigation + U0 recording and monitoring l» Ambulation and exercise IV. Nursing Management of Patients with Burns and Reconstructive Surgery AL Skill Lab ‘Use of manikins and simulators ‘© Assessment of bume wound © Wound dressing B. Clinical Postings {reconstructive surgeries Pre-operative and post- operative care of patients Caring of skin graft and post cosmetic surgery |+ Rehabilitation Clinical [Duration | Learning Outcomes | Procedural Competencies! Clinical | Assessment areaiunit | (weeks) ‘Clinical Skills Requirements |” Methods [Burns uni 2 [Develop shllin bums |e Assessment of bums Js bum wound | Clinical reconstructive assessment and assessment—1 | evaluation, Crretcal nit Irovidingcreto |? Fists of ums io + carestudyicase |¢ Care patients with different —|s Fruid & electrolyte 2s of burns < presentation-1 | studylcase Iopes oft replacement therapy report > Skin care DDevetop skill in . care of Bum wounds providing care to round patients with different | — Bathing 28 of cosmetic and ps : ~ Dressing'V. Nursing Management of Patients with neurological disorders A. Shall Lab Use of manikins and simulators ‘+ Range of motion exercises + Musle strensthening exercises © Gnich walking B. Clinical Postings Clinical [Duration] Learning | Procedural Competenciev Clinical | Clinical | Assessment areatunt | (weeks) | Outcomes stills Requirements | Methods [Newroloay- [Develop al [+ Hisory aking; Neurological 5 > Clinical medical ia Examination uo assessment! evaluation Management 5 [Surgery Bipot |* Patent monitoring 1 + Neuro wards + case study case |” assessment hvith |« Prepare and assist for various invasive ee |Neurological | and non-invasive diagnostic Presentation '* OSCE, problems | procedures + Drug presentation -1 |* €#¥e repord J+ Range of motion exercises, muscle presentations strengthening + car of medical surgical and rehabilitative patents VI. Nursing Management of Patients with Immunological Disorders AL Stall Lab + Baier Nursing +) Reverse Bari Nursing B. Clinical Postings Clinical [Duration] Learaing | Procedural Compotenciey Clinical | Clint [Assessment areaiunit] (weeks) | Outcomes still Requirements | Methods Isolation | 1 [Develop skllin + History taking ( Anesment oF — [+ Care note fear ine jramune stats pres Mangement of\* Immunological stats assessment (6 + cuie pes podantsath | HIV) and imerpretaionof specie Teashingof | \pnmunotoeical | tests isolation to patient |? Heath \aisorders Caring of and family care reaching + Caving of patents with tow inmanity | 2025 + Practising of standard safety messes. ysuonad pecawtionsbarierauningrevere |" Nucsenal trariefsolation sills s + careNote- ‘VIL. Nursing Management of Patients with disorders of Oncological conditions AL SKIMLab ‘Use of manikins and simulators + Application of topical medication + Administration of chemotherapyB. Clinical Postings Cini [Duration] Learning | Procedural Competenciew Clinical | Clinical | Assessment area/anit | (veels) | Outeomes sills Requirements | Methods Oncsloay | 3 [Develop ail [+ History aking & physical examination > Assessment—1 [+ Clinical wards in providing |" of cance patents evaluation finclaing ecto nm > Core stay . nee es in [P Soreening forcommon cancer THM |” linia + care study Sa eeapy Pea | clasifaton presraton=1 fo unit) lisorders [6 preparations assitingandattereare |e Preand posts patients undergoing diagnostic operative care of|* De boo procedures patient with Yarous modes ~ Biopsies FNAC ‘erlous 6 ~ Pap smear treatment ~ Bone-marow aspeation J+ Teaching on oe BSE to family + Various modalities of treatment tmembers ~ Chemotherapy + vist to —— ralitive cae ~ Pain management ~ Stoma therepy ~ Hormonal therapy ~ inno therapy ~ Gene therapy ~ Altemative therapy + Stoma care and feeding + casing of ptint treated with miclar medicine + Rehabilitation VIII, Nursing Management of Patients in emergency conditions A. Ski Lab Use of manikins and simulators ‘+ Assessment: primary and secondary survey + Trauma care: bandasing, wound cae, splinting. positions BL Clinical Postings Clinical [Duration] Learning Procedural Competencies Clinical Skil] Clini] Assessment area‘unit | (veeks) | Outcomes Requirements | Methods [Emergency | 2 [Develop stal » Pracicing age" > Tipe + Cnieal room in providing evaluation eo ancy eareto (+ Primary and secondary survey in [+ Immediate care lunit [patients with | emereeney 1 Use of + Quiz jemergency | Examination, investigations & their emergency {health interpretations, in emergency & disaster | trolley [problems situations + Emergency car of medica and traumatic injury patients, + Documentations, ating in legal procedures in emergency nit + Managing crowd + Counseling the patient and family in dealing with grieving & bereavementTX, Nursing Management of geriatric patients AL Skil Lab ‘Use of manikins and simulators + Use of aslttve safety devices B. Clinical Postings Clinical [Duration [Learning Outcomes) Procedural Clinical Requirements | Assessment areaiunit| (weeks) ‘Competencies! Methods Clinical Skills (Gerais | 1 [Develops alin |o Tistory taking |» Gevlatic assessment —1 > Clinical wart are asessment | and assessment evaluation eee eames) tmdasscvsment |, cae of oral and geriatric patent pais wit Sane with illness |» Core plan seriatie ities + Fall risk assessment '« Functional staus assessment —1 ‘ursing Management of Patients in critical care unlts AL Skill Lab ‘Use of manikins and simulators Assessment critically ill # ET tube set up-suetion + TT stion + Ventilatorset up * Chest drainage Bag mask ventilation Central & Peripheral line Pacemaker B. Clinical Postings linteat [Duration | Learning | Procedural Competencles/ Clinical Skills | __ Clinical ‘Assexement arealunit | (weeks) | Outcomes Requirements | Methods (crtcal 2 [Develop skit [+ Assessment of eisai illpateats | Hemodynamic | Clinisal [cae Unit imassesement J, Assisting in arterial puncture, BT tube | monitoing valuation Seca | intubation & exabation + Ditferat scales [+ OSCE Jcare to le ABG analysis & interpretation - used an ICU le RASS scale patients with |” respiratory acidosis, respiratory alkalosis, ly Communicating |” sseesement eitial health | metabolic acidosis, metabolic alkelosis |" Gain entealy il [conditions th critically il | Use of VAE + Setting up of Ventilator modes and patients une, settings and care of patient on a ventilator Rot ast J+ Set up of wolley with instruments case + Monitoring and maintenance of Chest Presentation drainage system le Bag and mask ventilation J+ Assisting and maintenance of Central and ‘peripheral lines invasive |e Setting up of infusion pump, desibrillator, + Drug administration- infusion, intracardie, intrathecal, epidural, ‘Monitoring pacemaker le ICU care bundle + Management of the dying patient in the Icu