The University of Southampton
Courses

HLTH6182 Advanced Critical Care Practice

Module Overview

This is a core module within the MSc Advanced Clinical Practice (critical care practitioner pathway). This module builds on your own experience and practice as well as the knowledge gained in previous theory modules to support you in the development of your practice (you must therefore have successfully completed an appropriate level 6 intensive care module). Drawing on the knowledge gained from your own clinical experience and from the modules that you have already undertaken you will develop the skills required to work effectively within critical care at an advanced level. Drawing on contemporary evidence and real case examples you will be exploring the care needs of the critically ill patient. The time spent in the classroom will support you in developing the underpinning knowledge and critical thinking to take back into practice with you where you will further develop your knowledge and skills. This module demands that you have worked within critical care and are currently practicing in said environment and therefore have the necessary experience to take the next step in advancing your practice. You will require a mentor in practice during this module and this must be a healthcare professional with the relevant experience (i.e. senior critical care practitioner or Intensivist).

Aims and Objectives

Module Aims

The aim of this module is to support you in the development of knowledge of critical care practice, supporting you to advance your practice based on the best available evidence.

Learning Outcomes

Learning Outcomes

Having successfully completed this module you will be able to:

  • Critically explore the evidence which underpins the ethos of critical care practice
  • Demonstrate the ability to articulate your reasoning of management plans in regards to the critically ill patient
  • Critically appraise the role of advanced critical care practitioner in the delivery of critical care
  • Demonstrate critical analysis with regards to therapeutic interventions with reference to the related pathophysiology: a. Single organ failure b. Multiple-organ failure c. Patients with long term conditions d. Psychological impact of critical illness and care
  • Critically discuss contemporary issues and developments within the speciality
  • Demonstrate a comprehensive understanding of complex ethical dilemmas and issues in critical care
  • Critically reflect on your skills and case management of the critically ill patient

Syllabus

The syllabus reflects the broad nature of critical care and is based on contemporary practice in the field and the most up to date evidence. Therefore the content will adapt and develop to ensure that the student is exposed to the diverse, international and multi-professional nature of critical care. • Critical appraisal of the evidence base (including conducting primary research, audit and evaluation) • Technology in critical care • Supporting the patient in critical care including discharge planning and rehabilitation • End of Life care and care of the dying patient • Tissue and organ donation • Theoretical underpinning of surgical procedures and associated patient care • Patient safety • Supporting the patient with long term conditions and enabling their self care • Communication in critical care • Resuscitation and first stage management of the critically ill patient • Advanced therapeutic interventions and organ system support • Patients with multiple morbidities and complex needs • Nutrition • Ethics and legal issues in critical care • Supporting thepatient with long term conditions • Psychological impact of critical illness and care on the patient and their family • Role of outreach in the identification and support of patients pre-admission to critical care

Special Features

This is a core module for those seeking to apply for Associate Membership of the Faculty of Intensive Care Medicine as an Advanced Critical Care Practitioner. Therefore students are encouraged to refer to the assessment requirements of the Faculty of Intensive Care Medicine and draw on this module to support your application. Students are required to have a local education/clinical supervisor in order to address the competencies.

Learning and Teaching

Teaching and learning methods

Due to the nature of the modules content a number of learning and teaching methods may be employed: • Lectures on key themes led by experts in their subject • Action learning groups • Virtual learning environment • Case based clinical scenarios • Clinical mentors in practice • Guided reading • Guided study • Simulated practice The emphasis is on supporting you in developing your knowledge and skills.

TypeHours
Lecture35
Revision70
Follow-up work30
Wider reading or practice45
Preparation for scheduled sessions20
Total study time200

Resources & Reading list

Intensive Care Society.

McGloin S. McLeod S. (2010). Advanced Practice in Critical Care: A case study approach. 

Journal of Intensive Care Medicine available through the University of Southampton library. ,0 , pp. 0.

Parillo J. Dellinger R. (2013). Critical Care Medicine: Principles of Diagnosis and Management in the Adult. 

Curriculum for training Advanced Critical Care Practitioners.

Bernstein A. Soni N. (2013). Oh’s Intensive Care Manual. 

Assessment

Assessment Strategy

The assessment is based on supporting the student to meet the associated learning outcomes. If one element is referred that element will be resubmitted with the final module mark capped at 50%. Towards the end of the module you will present a case study from your practice. This is your opportunity to gain experience and feedback on your presenting skills as well as your contribution to the patient’s journey. a) Formative presentation of a case study You will develop a presentation based on a case that you have been involved with that you will be writing up as an extended case based study. It is expected that this will include: • A description of the clinical context and relevance of the case • Relevant patient history • Physical examination • Investigations undertaken and results • Outcome b) This will give you an opportunity to discuss your case and obtain peer feedback.Towards the end of the module there will be a formative multiple choice examination which will be used to enable the teaching team and yourself to assess learning to date and identify further learning needs. This will be in the same format as the summative multiple-choice examination, so this will also give you the opportunity to become familiar with the question/examination format. a) Two Extended case based study In agreement with the module lead/education lead in practice (as appropriate and to ensure that you are gaining breadth of knowledge) you will write two extended case based summaries. It is expected that these will include; • The case study in an appendix (will not count towards the word count) • Justification for your choice of case • Management of the clinical case • Discussion concerning the clinic-pathophysiological details of the case, drawing on the relevant literature • Critical appraisal of the evidence base relevant to your case • Reflection on your learning Additional detail will be provided during the module where you will also have opportunity to discuss your case with the module team. It is anticipated that for those wishing to apply for Associate Memebership with the Faculty of Intensive Care Medicine as an Advanced Critical Care Practitioner that this will form a part of the overall portfolio and therefor it is suggested that this is considered when deciding on a case to write about. This module is designed to run within the second half of the pathway and inform your achievement of the FICM competencies to contribute to your annual review and FICM portfolio of evidence. Both components will be marked out of 100%. The pass mark for both components is 50%. You must gain a minimum of 50% in each of the two assessment components to pass the module.

Formative

Presentation (Case study)

Summative

MethodPercentage contribution
Multiple choice Test 30%
Presentation (Case study) 70%

Repeat Information

Repeat type: Internal & External

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