1
Children’s Emergency Nursing
6KNIF302
Level: 6
Credits: 30
Module leader: Sheena Bynoe
Tel: 020 7848 3512
Email: [email protected]
This handbook must be read in conjunction with module information provided on KEATS, the King’s E-Learning and Teaching Service. You will be given access to KEATS on enrolment. Important information relating to assessment and related regulations can be found in the Postgraduate Programme Handbook, available on KEATS and via the Nightingale Student Hub. This handbook can also be provided in alternative formats (such as large print) upon request to [email protected].
2
Contents
Module overview .............................................................................................................. 3
Learning outcomes ....................................................................................................... 3
Teaching arrangements ............................................................................................... 3
Submitting coursework .................................................................................................... 4
Summative assessment ................................................................................................ 4
Results and resubmissions for coursework ................................................................ 5
Learning outcomes for sessions ...................................................................................... 7
Session 1 ............................................................................................................................ 7
Introduction and Welcome .......................................................................................... 7
Current Context of Emergency Nursing ..................................................................... 7
Respiratory Assessment ............................................................................................... 7
Respiratory Conditions/Blood Gas Interpretation .................................................... 7
Session 2 ........................................................................................................................... 8
Introduction to Simulation .......................................................................................... 8
The Physiology of Shock/ Assessment and Management ......................................... 8
Fluids and Electrolytes/Metabolic Considerations.................................................... 8
Session 4 ........................................................................................................................... 9
Assessment & Management of Traumatic Head Injury/Altered Conscious Levels . 9
Pain Assessment and Management ............................................................................ 9
Session 5 ........................................................................................................................... 9
Major Trauma ............................................................................................................... 9
Session 6 ........................................................................................................................... 10
Principles of Assessment & Management of Sickle Cell Crisis ................................. 10
Safeguarding Challenges.............................................................................................. 10
Mental health Issues in ED .......................................................................................... 10
Session 7 ........................................................................................................................... 10
Sexual Health and Pregnancy ...................................................................................... 10
Minor Injuries and Ailments ....................................................................................... 10
Session 8 ........................................................................................................................... 10
Immersive Simulation ................................................................................................. 10
Action from previous evaluations ............................................................................... 11
Timetable – 6KNIF302.................................................................................................... 12
3
Module overview The aim of the module is to critically analyse and evaluate nursing care of children and young people attending ED departments. Participants will have the opportunity to develop and evaluate specialist skills as well as critique their own developing role. Current issues facing practitioners will be explored as well as having the opportunity to review current research in depth to enable evidence-based practice to be applied.
Learning outcomes
Critically examine the knowledge base and practice skills required to competently care for children and young people in the ED setting.
Using contemporary knowledge and research; explore and evaluate the needs of the critically ill child and their families taking into consideration individual values and beliefs that may influence this process.
Consider the role of the nurse within the multi-disciplinary team when caring for children and young people in ED.
Reflect on personal and professional philosophies and beliefs as well as experiences in order to critique practice.
Teaching arrangements Lecturers from both within the Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care and our Trust partners will be contributing to this module to ensure appropriate expertise is provided. Teaching strategies will be varied including lectures, discussions, case studies, reflection, and simulated activities. Students are encouraged to engage with the e-learning platform to access relevant material uploaded by the facilitators including an on-line reading list and other recommended reading. Information on assignment submission will also be available via this route.
It is essential to plan annual leave well in advance with your clinical manager and to consider the assignment schedule to plan off duty accordingly.
Formative assessment discussions will be encouraged throughout the module and the module lead will be able to provide feedback on an individual basis.
4
Submitting coursework
Summative assessment Format Academic essay of 3,000 words Title A critical evaluation of the evidence for an aspect of care Aim The aim of this assignment is to allow critical evaluation of the evidence to support an aspect of care relevant to your specialist area of nursing practice. This assignment must be child centred reflecting on clinical examples to focus your discussion. Confidentiality must be maintained. General advice
Introduction should include contextual data, acknowledgements of consent and confidentiality.
Present a synopsis of a child presentation.
Critically analyse the current evidence base for your chosen topic.
Evaluate the extent to which your practice conforms to this evidence base including recommendations for future practice in relation to your findings.
The conclusion should present a summary of your findings as well as implications for practice.
Ensure that the focus of your work is on nursing practice and nursing literature, although it is acknowledged that literature from other health care sources may be relevant.
The assignment should demonstrate accurate use of the JAN referencing system.
5
Results and resubmissions for coursework Students may download feedback and marked course work (unratified marks) from KEATS 4 weeks following submission. Feedback will include the award of a numerical grade which remains provisional until ratified by the examination boards. The dates for the examination boards are available on KEATS. Ratified marks can be viewed online via Student Records on the King’s Intranet following the relevant examination board. Coursework submission are provided on the KEATS module page. It is essential that you use your candidate number on all assignments/examinations. Your candidate number, which will begin with Z for the academic year 2018/19, will be available via Student Records on the King’s Intranet approximately one month after you enrol. If you are unable to submit your work by the deadline please refer to the information in your programme handbook on “mitigating circumstances”.
Submission date for coursework: 9 April 2019
Late submissions will be accepted for 24 hours following the submission date. All work submitted late will be marked as normal but will be capped at the pass mark for the module. If your assignment is hard copy please ensure you date stamp it and submit it to the submission room G15 JCMB. If your assignment is submitted electronically through TurnItIn, information about how to submit late will be provided on KEATS module sites under assessment information. The external examiner for this module is Nathalie Turnville. Students are not to make direct contact with external examiners, in particular regarding their individual performance in assessments. The university and its Examination Boards in the ten Faculties (Institutes/Schools, King's Learning Institute and the Association of King's College (AKC), work with over 500 external examiners to ensure the quality and standard of our taught awards. Find the latest report on the External Examiners Report page, navigate to the Faculty’s section.
Students will receive a provisional (unratified) mark for their coursework 4 weeks following submission. According to the method of submission as detailed on your KEATS site, if your work was submitted online you will be able to download marked coursework from KEATS; alternatively, if you completed a hard-copy submission you can collect your coursework and feedback from the Nightingale Student Hub. To collect a hard copy assignment, you must provide your candidate number. Alternatively, you may send a stamped addressed envelope to the Nightingale Student Hub ensuring that this is large enough to accommodate your assignments and that you have applied sufficient postage. Hard copy assignments will be retained for four weeks; if you have not collected your assignment by then, it will be destroyed. Feedback will include the award of a numerical grade which remains provisional until ratified by the examination boards. The dates for the examination boards are available on KEATS. Ratified marks can be viewed via Student Records on the King’s Intranet, the Monday following the relevant examination board.
6
The marking criteria by which your work is judged are provided in full in your programme handbook. Please also refer to the section in your programme handbook on plagiarism and how to avoid it. If you have a query about how to refer to a specific piece of work please ask your module leader, your group leader or a member of library staff for guidance. The feedback you receive on your assignment will guide you towards how to do better next time or how to maintain your existing high standard! If you do not understand your mark or the feedback you receive please contact Sheena Bynoe. If you are unsuccessful, it is recommended that you contact the module leader before submitting your second attempt. This will enable the module leader to provide you with an appropriate level of support as you prepare to re-submit your work. Resubmission date: 16 July 2019
Resubmitted work available for download: TBC
7
Learning outcomes for sessions Extra learning resources will be on KEATS and the module reading list is available on line.
Session 1
Introduction and Welcome
Meet the module facilitator and each other.
Discuss the aims and objectives of the module including personal expectations and objectives.
Current Context of Emergency Nursing
Explore the national arena, analysing the provisions for children presenting in ED.
Consider challenges currently facing ED departments in England reflecting on current legislation which may impact on care provision.
Respiratory Assessment
Understand normal breathing physiology and demonstrate understanding of factors which may impede effective ventilation.
Undertake a comprehensive respiratory assessment relating symptoms to underlying physiological changes.
Understand the principles of chest examination including auscultation.
Respiratory Conditions/Blood Gas Interpretation
Consider common respiratory emergencies seen in children.
Evaluate the management of common respiratory emergencies based on current evidence.
Consider the use of blood gases in the acutely ill child and demonstrate an understanding of the basic principles.
Explore the relationship of a blood gas result in the clinical assessment and optimal treatment for the child.
8
Session 2
Introduction to Simulation
Consolidate knowledge through simulated learning.
Through simulated activities consider the systematic assessment and subsequent management of a child presenting with respiratory symptoms.
The Physiology of Shock/ Assessment and Management
Demonstrate a systematic approach to the assessment of a child presenting with shock considering the changes to underlying physiology.
Analyse the pathophysiology of sepsis, septic shock and the systemic effects on the critically ill child.
Review the management options for the patient with shock and altered cardiac output and systemic vascular resistance.
Consider the presentation of and pathophysiology behind cardiogenic shock and the subsequent management strategies.
Session 3
Fluids and Electrolytes/Metabolic Considerations
Understand the role of electrolytes in cell functioning
Critically analyse the use of electrolyte replacement therapy
Critically evaluate the use of colloid and crystalloid fluid in the management of a critically ill child.
Critically evaluate the role of electrolyte and fluid management in patients with diabetic ketoacidosis.
Simulation
Consolidate knowledge through simulated learning.
Through simulated activities consider the systematic assessment and subsequent management of a child showing signs of cardiac compromise/shock/DKA
Identify the key elements to the safe transfer of a seriously ill child.
9
Session 4
Assessment & Management of Traumatic Head Injury/Altered Conscious Levels
Critically analyse the nursing assessment and management of children who have sustained a head injury/present with altered conscious levels.
Consider the varied assessment tools used to assess the neurological status of an infant or child reflecting on experience as to the efficacy of these.
Consolidate knowledge through simulated learning.
Pain Assessment and Management
Critically evaluate the use of pain assessment tools in the emergency setting.
Consider the physiology of pain and how this presents on initial assessment.
Discuss the decision-making process required to select the most appropriate analgesia for an individual infant, child or young person.
Simulation
Consolidate knowledge through simulated learning.
Through simulated activities consider the systematic assessment and subsequent management of a child presenting with altered conscious levels.
Session 5
Major Trauma
Consider the epidemiology, assessment and management for children and young people who present with injuries following a major trauma.
Evaluate interventions such as ATLS and tools such as the paediatric trauma score in accurately identifying the critically unwell child.
Consolidate knowledge through simulated learning.
10
Session 6
Principles of Assessment & Management of Sickle Cell Crisis
Consider the physiology of sickle cell pain and how this presents on initial assessment.
Discuss the decision-making process required to select the most appropriate analgesia for an individual infant, child or young person, presenting in ED with sickle cell pain.
Understand the common sickle cell presentations and current treatments available.
Safeguarding Challenges
Reflect upon the challenges faced with identification of abuse or neglect within the ED setting and the role of the nurse in sharing information.
Demonstrate knowledge of the referral system, duty of care and the responsibilities of local authorities under the Children Act.
Consider key policies within the context of Child Protection.
Mental health Issues in ED
Select predisposing factors which make young people vulnerable as well as the reasons behind increased attendance within ED settings.
Consider safe and appropriate approaches to initial assessment and management of a child or young person presenting in acute crisis.
Consider the services available to young people and their families.
Session 7
Sexual Health and Pregnancy
Discuss common reasons for young people attending ED departments in relation to sexual health.
Consider approaches to difficult conversations with young people regarding sexuality, psychological needs, and social factors as well as bullying which are necessary to identify vulnerability.
Evaluate policy and practice concerns around pregnancy in young people.
Principles of care for an unexpected delivery in the ED setting.
Minor Injuries and Ailments
Consider common presentations to the emergency setting along with current evidence-based management strategies.
Session 8
Immersive Simulation
Simulated practice will bring together the knowledge and skills developed through the module and allow for further development of communication and decision-making skills in the simulation suite.
11
Module evaluation As part of the University’s Student Voice Strategy, King’s uses an electronic module evaluation system known as EvaSys. This provides an opportunity for you to feedback on different aspects of the module through a series of pre-set questions and qualitative comments. At the end of the module you will receive an automated invitation via your KCL email account to complete your evaluation online. Please take the time to complete as your feedback is important. It informs ongoing developments to individual modules to ensure that the learning needs and expectations of the Faculty’s student community are met to a high standard. To strengthen the feedback cycle, a report summarizing the quantitative results for the module as a whole and the module lead’s reflections on your feedback will be sent to you after the online evaluation survey has closed.
Action from previous evaluations Although students felt the inclusion of simulation throughout the module was a positive, some days felt simulation heavy.
Would have liked a session on minor injuries.
ACTION: the simulated activities are more effectively interspersed with the taught components to create a more balanced day along with the introduction of a minor injuries and ailments session.
12
Timetable – 6KNIF302
Teaching mode
Date Title Time Lecturer Room
Day 1
University based study
15 Jan 2019
Introduction to the Module 09:00-09:30 Sheena Bynoe/ Stacey Marr
FWB 1.68
Current Context of Emergency Nursing 09:30-10:30 Lorraine Lawton
Respiratory Assessment 11:00-13:00
Stacey Marr Respiratory Conditions
Blood Gas Interpretation
14:00-17:00
Day 2
University based study
22 Jan 2019
Introduction to Simulation
Simulation- Respiratory
10:00-13:00 Sheena Bynoe/ Stacey Marr/Ellen Duke
SaIL Centre G10 The physiology of Shock
Assessment and Management of Shock in the ED
14:00-16:00 Stacey Marr/Ellen Duke
13
Day 3
University based study
29 Jan 2019
Fluids and Electrolytes
Metabolic Considerations
10:00-13:00
Sheena Bynoe/Stacey Marr/Ellen Duke
SaIL Centre G10A
Simulation- Cardiac/Shock/DKA
Stabilisation for Transfer
14:00-16:00
Day 4
University based study
5 Feb 2019
Assessment & Management of Traumatic Head Injury/Altered Conscious Levels
09:00-11:00 Sheena Bynoe
SaIL Centre G10A
Pain Assessment & Management 11:30-13:00 Ellen Duke
Simulation- Neuro Trauma/Seizure 14:00-16:00 Sheena Bynoe/Stacey Marr/Ellen Duke
14
Day 5
University based study
12 Feb 2019
Major trauma- Epidemiology, Assessment & Management
Simulation- Trauma
09:00-16:00 Jane Wilson & Jordan Renouf
SaIL Centre G10A
Day 6
University based study
19 Feb 2019
Principles of Assessment & Management of Sickle Cell Crisis
09:00-10:30 Joan Walters
FWB 1.68 Safeguarding Challenges 11:00-13:00 Sheena Bynoe
Mental Health Issues in the ED setting 14:00-17:00 Gemma Trainor
Day 7
University based study
26 Feb 2019
Sexual Health and Pregnancy: Policy and Practice Issues
Unexpected delivery in the ED
09:00-13:00 Jan Bowden SaIL Centre G10
Minor Injuries and Ailments 14:00-17:00 Sarah Stiell
15
Day 8
University based study
5 March 2019
Assignment Discussion 09:00-10:00 Sheena Bynoe
SaIL Centre Immersive Simulation- Bringing Learning Together
10:30-15:30 Sheena Bynoe/Stacey Marr/Ellen Duke
Module Evaluation
Key: FWB – Franklin-Wilkins building, Waterloo campus SaIL Centre – Chantler SaIL Centre, Guy’s campus