Medical-Surgical Nursing 4

Scholar Year: 2021/2022

Courses

Head Teacher Responsability Maria do Céu Mendes Pinto Marques Head Fernando Manuel Machado Rodrigues Colaborador

Weekly workload Hours/week T TP P PL TC S E EL OT TPL O OT/PL Type of classes 1,2 1,33 ,13 Lectures Type Teacher Classes Hours Theoretical-practical Totals 1 1,20 Fernando Rodrigues   0,33 Maria do Céu Marques   0,86 Práticas-Laboratórios Totals 1 1,33 Maria do Céu Marques   1,33 Orientação Tutorial Totals 1 0,13 Maria do Céu Marques   0,13

Teaching language

Portuguese

Intended learning outcomes (Knowledges, skills and competencies to be developed by the students)

As outcomes of learning, it is expected that the student:
-Proves to have knowledge in advanced life support related to the person in critical condition and / or organ failure
-Knows how to manage priorities in high complexity situations
-Understands the principals involved in transporting the person in critical condition
-Analyses the national plan of organ procurement and transplantation
-Demonstrates knowledge of the vital functions substitutive therapies
-Designs a care plan to the person in critical condition in anticipation of instability and risk of organ failure.

Syllabus

1. The Advanced Life Support (ALS) in Adult
-Airwais approach
-Rythms recognition
-Pharmaceuticals
-SAV-Algorithm
-Special-Cases
-Post-resuscitation care
2. The Advanced Life Support (ALS) in Trauma
-Injury mechanism
-Initial Assessment of the traumatized
-Major injury and its approach
-Risks to the team, precautions
3.Transport of the Person in Critical Situation
-Transportation inside the hospital and secondary transportation
-Helicopter transport
4.Harvesting of organs and transplantation
-National Programme for organ harvesting
-Donor selection
-Brain death diagnosis
-Donor maintenance
-Extraction and organ preservation
5. Vital functions replacement therapies
-Aerial therapies
-Renal and liver replacement therapies
-ECMO, Extra Corporeal Membrane Oxygenation
6.Nursing interventions to the person in critical condition and / or organ failure

Demonstration of the syllabus coherence with the UC intended learning outcomes

The learning that comes from the theoretical issues will enable the graduate student to care for the person in critical condition / or organ failure. Similarly, it will promote the development of specific skills about early identification of people in urgent / emergente clinical situation, establishing methodologies for the initial assessment, planning, implementation and evaluation of nursing interventions supported algorithms and guidelines on scientific evidence. The contents will be based on a dynamic query, analysis and interpretation of the works listed in the bibliography and especially of scientific papers addressing different issues that will be the study object of the course. These were defined in order to support, in a theoretical perspective, the learning outcomes.

Teaching methodologies

The goal is a student centered teaching method that encourages reflection, and enhances the processes of cognitive and interpersonal nature, advocating the acquisition and development of concepts, problem solving, constant research and practical work where the aspects of intervention therapy in nursing are clearly identified. There will be tutorial sessions, in accordance with the study plan and the recommendations of the Bologna Process. In the laboratory practical classes the class will be divided into small groups, they follow a scripted simulation scenarios with ALS intervention.

Demonstration of the teaching methodologies coherence with the curricular unit's intended learning outcomes

The implementation of interactive methodologies promotes in students a dynamism that affects the process of teaching and learning in a positive way. The resulting demand for knowledge from the evidence related to the various topics listed in the syllabus instils a methodology that students should use during the course and subsequently take to their workplaces. The teaching methodologies are oriented in coherence and coordination with the learning objectives set for the course since they intend to introduce moments of exposure where the most significant concepts will be worked out, combined with exposure, scientific evidence research and training in the laboratory. It is expected from students to be the driving force in their own development, and that they undertake their work in a constant search for updated information.

Assessment methodologies and evidences

Student performance in these classes will be subject to continuous practical assessment, accounting for 50% of the total. The theoretical lessons and theoretical-practical lessons will be reviewed as an individual written test 50%.
Assessment by examination:
Written test 50% individually and practical test 50% individually

Bibliografia

Cody, W.K., (2006). Philosophical and theoretical perspectives for advanced nursing practice. London: Jones & Bartlett.
Conselho Português De Ressuscitação (2010). http://www.cpressuscitacao.pt/
Conselho Europeu de Ressuscitação (2010). http://www.cprguidelines.eu/2010/
Joel, L.A. (2003). Advanced practice nursing: essentials for role development. London: F.A. Davis Company.
PHTLS (2007). Atendimento pré-hospitalar ao traumatizado: básico e avançado. Rio de Janeiro: Elsevier.
Sociedade Portuguesa de Cuidados Intensivos (2008). Recomendações para o Transporte de Doentes Críticos. Centro Editor Livreiro da Ordem dos Médicos. http://www.spci.pt/Docs/GuiaTransporte/9764_miolo.pdf