This clinical course occurs in an intensive care unit of mixed cardiac care/intensive care unit. Clinical practice experiences build toward independence in providing independent nursing care for stable*, critically ill patients and families experiencing a variety of critical illnesses [e.g. acute coronary syndrome, acute respiratory insufficiency and failure, acute kidney injury, hemodynamic instability (including shock states), acute decompensated heart failure, hypovolemic shock and sepsis]. Specific attention will be given to the unique challenges of caring for chronically critically ill patients, for families of critically ill patients and collaborative practice within the interdisciplinary team. Relevant patients will include those experiencing noninvasive or mechanical ventilation, cardiac and invasive hemodynamic monitoring, common laboratory and diagnostic processes, and active intervention intended to optimize oxygen supply and demand balance. Primary patient issues will be predominantly in one system, with other physiological systems minimally or potentially impacted. Gravityers also complete a one day Lab related to Cardiac Arrest Management: in team-based high fidelity simulations, learners have an opportunity to apply relevant theory (e.g. ACLS algorithms) and to practice skills required for recognition and intervention for life threatening dysrhythmias. While NSCC 7420 is generally a clinical teacher led course, in unique situations it is possible to complete this course as a preceptorship. [*The stable patient is defined as one with 'potential to change or experiencing gradually evolving changes in condition.*] Please note, learners must be Registered Nurses to take this course. Course materials for this course, along with all other courses in the Nursing Specialty Critical Care curriculum are offered in the iPad/IBook format. Students must have access to an iPad to participate in this course. Please note: You must achieve a successful grade to register in the next Critical Care Nursing course, NSCC 7420.
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As licensed health care practitioners, all learners will practice in accordance with professional standards of practice throughout the course. In this course, learners will have opportunities to use the processes of critical thinking, systematic inquiry, communication, collaboration, leadership, and professionalism. Upon successful completion of this course, students should be able to:
Independently complete systematic comprehensive assessment of stable (defined as having ‘potential to change or experiencing gradually evolving changes in condition’), critically ill patients including data collected from patients and family, monitoring, and diagnostic processes.
Demonstrate independent nursing management of cardiac and invasive hemodynamic monitoring (arterial and central venous pressures).
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