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2010/1 Module Catalogue
 Module Code: ODP2012 Module Title: POST ANAESTHETIC CARE
Module Provider: Health & Social Care Short Name: PAC
Level: HE2 Module Co-ordinator: BLEASDALE RM Mr (HSC)
Number of credits: 20 Number of ECTS credits: 10
Module Availability

Throughout the year.
Assessment Pattern

Components of Assessment
Portfolio of Practice Evidence
To include 3  reading logs relating to practice and a practice diary, covering a range of patient groups in the post anaesthetic phase. It will focus on the management of the care and interventions of a patient.
On the principles of advanced airway management – emphasis will be placed on care of the intubated and ventilated patient and use of appropriate monitoring equipment, including Electrocardiogram (ECG) and Oxygen Saturation (O2 sats). 2000 words
Qualifying Conditions An aggregate mark of 40% is required to pass the module

Module Overview

Students are expected to participate in the post-anaesthetic care of patients following anaesthesia and surgery.  They will be encouraged to explore a variety of approaches to the provision of skilled patient care for children and adults with the emphasis on the holistic care of the patient.  The module will encompass a range of learning activities including lectures, and group discussions. Students will also access the Skills Laboratory providing experiential learning through simulation and helping to develop links between theory and practice.

Applying Evidence to Peri-Operative Practice module
Year One modules for the Dip HE in ODP

Module Aims

This module will enable the student to further develop their knowledge and skills within the post-anaesthetic care area of the operating department, using prior experience to enhance and apply the airway management skills required in this care phase. Students will develop their understanding of effective pain management and how this impacts on the recovery of the patient. In practice they will undertake, under supervision, individual patient care monitoring all aspects of the post anaesthetic and surgical care. The need for recording and effective communication is paramount to patient outcomes and this will be demonstrated this throughout the module.
Learning Outcomes

The figures in parentheses (xy) after each learning outcome relate to the HPC ‘Standards of Proficiency’

At the end of the module the student should be able to:

Professional Practice Skills 

1. Manage the patient’s airway in the immediate post-anaesthetic period, to include the older patient, adult, adolescent and paediatric patients. (3a.1)
2. Prepare, administer and monitor under supervision of a registered practitioner prescribed drugs to a patient via different routes including intra-muscular, subcutaneous and oral. (2b.3, 2b.5, 3a.1)
3. Respond appropriately in the event of an adverse reaction and accurately record on the appropriate documentation details of drug administration. (3a.1)
4. Monitor and assess patients from all identified groups as they recover from general and regional anaesthesia and recognise and take appropriate action to alterations in the patients’ physiological parameters.(2b.3, 3a.1)
5. Check that all drains, dressings, wound supports and other support equipment is functioning correctly and take remedial action where required. (3a.1)
6. Assess, manage and implement pain relief strategies for improving patient comfort within all identified patient groups. Provide care in the immediate post-anaesthetic period to meet individual needs, concerns and beliefs. (3a.1, 2b.3)
7. Document care and treatment regarding the patients’ condition during immediate post operative period. Ensure this information is communicated to the receiving person when handing over the patients’ care. (2b.5)
Values and Attitudes
8. Recognise the contributions of self and others in the process of communication with the patient, colleagues, carer’s and others. (1b.2,1b.3, 1b.4)
9. Develop an awareness of the complexity of individualised patient care in the immediate post-operative period. (3a.1)
10. State values that underpin professional care. (1a.4, 1a.5,1b.1) 

Knowledge and Understanding 

11. Discuss preparation and administration of prescribed drugs to a patient via different routes. (3a.1)
12. Review how the type of procedure and the clinical speciality affect the requirements for post-anaesthetic monitoring and care. (2c.1, 3a.1)
13. Evaluate current legislation and policies, which affect the practitioner’s work in post anaesthetic care. (2c.1)
14. Recognise the potential risks to patients and adverse reactions that may occur during recovery from surgery and anaesthesia and ways to avoid or minimise these. (2c.1, 3a.1)
15. Explain the principles, techniques and methods for assessing and monitoring patient’s recovery from anaesthesia and for checking physiological parameters. (2b.4, 3a.1)
16. Compare methods of assessing the patient’s pain status and ways of managing pain and improving the patient’s comfort. (2b.4, 3a.1)
17. Examine the function and methods of checking different types of support equipment used for patients as they recover from surgery and anaesthesia. (3a.1)
18. Discuss what information should be recorded regarding the patient’s condition, care and treatment during surgery and why this is important and what information needs to be given to the receiving person when handing over a patient. (2b.5)
19. Explain the principles and techniques of using artificial airways and patient positions to maintain unobstructed respiration including how surgical and anaesthetic procedures may compromise the airway. (3a.1)
20. Discuss types, purpose and function of materials and equipment needed for airway management and explain indications for use. (3a.1)

Cognitive Skills

21. Relate anatomy and physiological processes to immediate post-op care. (3a.1)
22. Collect and interpret physiological data used in the continuing care of individual patients in the immediate post- operative period. (2a.1,2a.4,2b.2,2b.4)

Key Skills

23. Communicate and interact effectively across a range of clinical and professional situations. (1b.4, 1b.5)
24. Use a range of appropriate information systems and write clear, legible and coherent records. (2b.2, 2b.5)
25. Develop professional working relationships and take responsibility for own learning. (1b.2)
Module Content

Airway management – naso-pharyngeal, oro-pharyngeal, laryngeal masks, endotracheal tubes, ventilators, humidifiers, anaesthetic circuits, oxygen therapy, airway safety, wiring of jaws, nasal packs.

Physiological parameters – Pulse, respiration, blood pressure, temperature, peripheral circulation, colour and oxygen saturation

Preparation and administration of drugs – routes to include intra-muscular, subcutaneous, oral, rectal, topical, sublingual. Drugs to include induction agents, muscle relaxants, anti-cholinesterase, anti-emetics and analgesics.

Pain Management – behavioural indices, patient positioning, prescribed narcotics, Patient Controlled Analgesia (PCA) Nurse Controlled Analgesia (NCA) and regional analgesia

Patient monitoring – support equipment, drains, dressings and wound supports, pressure areas.

Communication skills – emotional states, levels of understanding, individual concerns, beliefs and preferences. Organisational protocols and policies.relating to Surgical, Anaesthetic and Recovery teams.

Methods of Teaching/Learning

Contact Time 30 hours
Directed Study 45 hours
Practice Setting 125 hours

Selected Texts/Journals

Required Reading:
Avidan M, Harvey AMR, Ponte J, Wendon J, Ginsburg R 2003 Perioperative Care, Anaesthesia, Pain Management and Intensive Care Elsevier Churchill Livingstone, London.
Carrie L.E.S, Popat M.T, Simpson P.J. 2001 Understanding Anaesthesia 4th edn. Butterworth Heinmann, Oxford
Hatfield A, Tronson M. 2001 The Complete Recovery Room Book, 3rd Edition Oxford University Press, Oxford
Hawthorn J, Redmond K, 2001 Pain - Causes and Management Blackwell Science
Leaper D.J, Peel A. 2003 Handbook of Post-Op Complications Oxford Pocket Medicine, Oxford
Shorten G, Carr D, Harmon D, Puig M. and Browne J. 2006 Postoperative Pain Management : An evidence-based guide to practice. Saunders Elsevier, London
Sully P, DAlla, J 2005 Essential Communication Skills for Nursing Elsevier Mosby, London
The Resuscitation Council, 2005 Guidelines, medical information and reports (online) The Resuscitation Council, United Kingdom
Journal of Operating Department Practice
Anaesthetic and Recovery Nurse
Last Updated

3 June 2008