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2011/2 Provisional Module Catalogue - UNDER CONSTRUCTION & SUBJECT TO CHANGE
 Module Code: NUR3082 Module Title: APPLIED ANAESTHESIA
Module Provider: Health & Social Care Short Name: NUR3082
Level: HE3 Module Co-ordinator: SAMBROOK A Mr (HSC)
Number of credits: 40 Number of ECTS credits: 20
 
Module Availability
Semester 1
Assessment Pattern
Portfolio of practice evidence: 50%

This will provide evidence of practice diary, one written reflection (1000 words) and 3 reading logs on patient monitoring, anaesthetic techniques and related biosciences.
Unseen examinations: 25%

1.5 hr Anaesthetic exam

To include short answer and multiple choice questions on:
• Anaesthetic Machine
• Airway adjuncts and associated equipment
• Infusion and transfusion procedures
• Patient Monitoring

1.5 hr Pharmacology exam

To include short answer and multiple choice questions on:
• Induction agents,
• Muscle relaxants,
• Opioids & opiates,
• Anti-emetics,
• Volatile agents,
• Reversal agents,
• Intravenous therapy
• Awareness of anaesthetic emergency drugs.

OSCEs
Formative & summative Objective Structured Clinical Examinations (OSCE) 25%

Qualifying Condition(s): A pass mark of 40% is required in all units of the assessment
Module Overview
Prerequisites/Co-requisites
Module Aims
This module enables the student to provide appropriate support to the clinician and will focus on the equipment, techniques and drugs used in anaesthesia so as to be able to act as a anaesthetic practitioner

The module also provides the student with a safe and supported learning environment and enables them to develop knowledge of pharmacological principles underlying the use of medicines in anaesthetic practice.
Learning Outcomes
By the end of the module the student should be able to:

Professional practice skills

1. Participate in the negotiation and agreement of the perioperative care plan with the patient, and others as appropriate.
2. Receive, identify and check patients in the reception area including all relevant documentation using local policy and national guidance.
3. Select, check and prepare a selected range of anaesthetic and associated equipment in accordance with accepted national, local policies and guidelines to include general and regional anaesthetic equipment.
4. Demonstrate an understanding of the uses and application of a range of patient monitoring equipment both invasive and non-invasive.
5. Identify, check, and select appropriate drugs for induction, maintenance and reversal of anaesthesia in accordance with local policy and national guidelines.
6. Select, prepare and assemble appropriate infusion, transfusion and cannulation equipment.
7. Prepare sites for peripheral and central venous cannulation, epidural and spinal anaesthesia including the sterile field and demonstrate principles, management and methods of securing cannulae.
8. Demonstrate methods and equipment used in airway management, whilst ensuring that any signs of the patient airway being compromised is recognized promptly and appropriate action taken immediately.

Values and attitudes

9. Value the contribution of others in the provision of a multi professional approach to practice
10. Recognise the effect of one’s own values on interactions with individuals and their carers, families and significant others.
11. Demonstrate an awareness of equal opportunities in relation to anti-discriminatory behaviour

Knowledge and understanding

12. Demonstrate knowledge of the structure and function of the body in relation to anaesthesia and the physiological parameters and how this affects care for patients
13. Discuss current legislation and policies which affect the practitioners work practice in the area’s of:
i. Informed consent to surgical and anaesthetic intervention
ii. Receipt, issue and storage of drugs
14. Describe the properties and clinical application of a selected range of anaesthetic drugs and different routes of administration.
15. Describe the different requirements for the administration of general, regional and local anaesthesia.
16. Discuss the indications, contra-indications and hazards of methods used for peripheral venous access.
17. Discuss the importance of establishing and maintaining the patient’s airway throughout surgical procedures, and the potential hazards and complications associated with establishing airway’s for different patient groups.
18. Discuss the types, function and purpose of a range of anaesthetic and related equipment and the way in which patient monitoring equipment is used in clinical procedures and identifying potential hazards associated with them.
19. Discuss the different gases used in anaesthesia and the requirements for their safe storage and delivery.
20. Describe epidural/spinal procedures, including anatomy and physiology, patient parameters, equipment, contraindications, infection control/asepsis and packs.
21. Examine the protocols, techniques and equipment used in the management of an identified range of clinical emergency situations.

Cognitive Skills

22. Interpret and relate theory to anaesthetic clinical practice
23. Practice to reflect changing needs within anaesthesia

Key Skills

24. Identify own strengths and weakness according to learning needs.
25. Manage information, collect appropriate data from a range of sources and undertake simple analysis with guidance
26. Communicate in an appropriate manner across a range of clinical and professional situations
27. Can apply numeric formulas to pharmacological calculations
Module Content
Anaesthetic Technology: Gas laws and medical gases; anaesthetic and patient monitoring equipment including interpretation of data and ECG traces, intravenous and intra-arterial access, intravenous therapy, defibrillator, blood pressure monitor, pulse oximeter.

Biological Sciences: Cardio-vascular system, respiratory system, renal function and central nervous system. Circulatory system in relation to blood component therapy/blood products, colloids and crystalloids.

Infusion/transfusion equipment: Peripheral cannulae, giving sets, fluid-warming equipment, and intravenous fluids.

Anaesthetic pharmacology: Induction agents, muscle relaxants, opioids, opiates, volatile agents, reversal agents and drug calculations. Emergency drugs. & methods of recording drug administration during clinical emergencies.

Airway management: Accepted routine and emergency techniques.

Regional anaesthetic blocks: Equipment, drugs, techniques, hazards and contra-indications.
Methods of Teaching/Learning

Contact Time: 90 hours
Directed Study: 70 hours
Practice setting: 12 weeks

Selected Texts/Journals
This is reading that is essential for your understanding of issues/concepts that will be covered by the module content.

Al-Shaikh B. & Stacey S. (2007) Essentials of Anaesthetic Equipment. (3rd edn.) Elsevier Churchill Livingstone , Edinburgh.

Avidan M., Harvey A.M.R., Ponte J., Wendon J. & Ginsburg R. (2003) Perioperative Care, Anaesthesia, Pain Management and Intensive Care. Elsevier Churchill Livingstone. London.

Carrie L., Simpson P. & Popat M.T. ( 2001) Understanding Anaesthesia. (4th edn.) Butterworth Heinemann, Oxford.

Conway N., Ong P., Bowers M. & Grimmett N. (2007) Operating Department Practice (Clinical Pocket Reference). Pennant Health Publishing, Oxford.

Davey A., & Ince C.S. (2004) Fundamentals of Operating Department Practice. (2nd edn.) Greenwich Medical Media, London.

Marieb E. N. (2009) Human Anatomy and Physiology. (9th edn.) Pearson / Benjamin Cummings, London

Nathanson M. & Mahajan R. (2006) Anaesthesia. Elsevier Churchill Livingstone, London

Sasada M. & Smith S. (2003) Drugs in Anaesthesia and Intensive Care. Oxford University Press, Oxford


Journals

Journal of Operating Department Practice
Anaesthesiology
Journal of Perioperative Practice
Journal of Anaesthesia and Intensive Care Medicine


Useful websites

www.codp.org.uk
www.barna.co.uk
www.aagbi.org
www.doh.gov.uk
www.afpp.org.uk
www.mhra.gov.uk
www.bnf.org
Last Updated
30TH JULY 2010