NCM 118 – CARE OF CLIENTS WITH LIFE-THREATENING CONDITIONS, ACUTELY ILL/ MULTI-ORGAN PROBLEMS, HIGH ACUITY AND EMERGENCY

SITUATION
COURSE TIME TABLE ; SY 2021-2022

WEEK 1 and 2 WEEK 3

Section A and B (August 23 and 24) August 25 and 26 August 30 and 31 September 1 and 2

ORIENTATION RESPONSES TO ALTERATIONS /PROBLEMS AND C.Responses to Altered Tissue Perfusion B.Responses to Altered Ventilator Function
ITS PATHOPHYSIOLOGIC BASIS IN LIFE- 1. Assessment 1. Assessment
INTRODUCTION TO CRITICAL CARE THREATENING CONDITIONS ACUTELY ILL Subjective Data- Nursing history Subjective Date –History
A.Scope of Critical Care Practice /MULTI-ORGAN PROBLEMS,HIGH ACUITY AND Objective Data Objective Data – Physical Assessment
1.Development of Critical Care Nursing EMERGENCY SITUATION -Physical Assessment Diagnostic Assessment
Practice, Education and Professional -Diagnostic Assessment a.Non-invasive-oximetry
Activties in the Philippines A.Responses to Altered Perception a.Non-invasive b. Invasive –ABG
1.Assessment ECG -Pulmonary Capillary Wedge Pressure
2. Critical Care Body of Knowledge Subjective –Nursing History Echocardiography -Pleural Fluid Analysis
Critical Care Competencies Objective –Diagnostic Assessment b.Invasive -Pulmonary Angiography
Professional Organizations a.Brain Imaging Techniques – Cardiac Cath -Ventilation-Perfusion (V/Q) Scan
CT;MRI;PET;Cerebral Angiography,Cerebral CVP - Capnography
Nursing Care of Clients with Life-Threatening Perfusion, Intracranial Pressure Monitoring PAP
Conditions, Acutely Ill/Multi-organ Problems, High b.Pulse Wave forms - Intra-arterial Blood Pressure 2.Nursing Diagnoses
Acuity and emergency Situation c. Assessment of Cerebral Perfusion-CPP - Left Arterial Pressure Monitoring
A.Assessment d.Assessment of Cerebral Oxygenation-Jugular 3.Planning for Health Restoration and
1. Subjective Data -History venous oximetry, Partial Brain Tissue 2.Nursing Diagnoses Maintenance
2. Objective Data – Physical Assessment Oxygenation , Monitoring -Client positioning
Diagnostic Studies/Procedures e.Non-invasive: Transcranial Doppler,Continuous 3.Planning -Preventing desaturation
B. Analysis/Nursing Diagnosis EEG, Near Infrared Spectroscopy -Promotion Secretion Clearance
4.Alterations in Perfusion -Patient Education
C. Planning - Neurological Assessment Acute Ischemic Heart Disease -Optimizing Oxygenation and
1.Planning for Health Promotion a.Level of Cosciousness Heart Failure Ventilation
2.Planning for Health Restoration and -Glasgow Coma Scale Cardiogenic Shock -Preventing Atelectasis
Maintenance -Full Outline of unresponsiveness (FOUR) Coronoary Arterial Disease
Score Hypertensive Crisis 4. Alterations in Ventilation
D.Implementation of Care of Clients -Mental Status Cardiomyopathy
1.Independent Nursing Care Arrhythmias 5. Implementation
Physiologic Care b. Cranial Nerve Testing Medical/Surgical Managemnet
 Psychosocial Care c.Cerebella Testing -Mobilization of secretions
Spiritual Care d. Sensory Assessment -artificial airways
2.Interdependent Care e. Motor Assessment 5. Implementation -Administering oxygen
Pharmacologic Therapeutics f. Reflexes Medical/Surgical Managment -Mechanical ventilation
Complementary and Alternative Therapies - Recanalization -Thoracic Surgeries
Nutritional and Diet Therapy 2.Nursing Diagnoses - Palliative Care for End-Stage Heart Failure -Lung transportation
Surgical Intervention 3.Planning - Percutaneous Transluminal Angioplasty Pharmacologic Management
Immunologic Therapy Performing Frequent Assessments - Pacemakers Complementary and Alternative
Maintaining Surveillance for complications - Cardioversion Medicines,High Calorie
E. Client Education 4.Neurologic Alterations - Ablation Supplements
Traumatic Alterations - CABG 6. Client education
F. Evaluation of the Outcome of Care Acute Ischemic Stroke - IABP
Traumatic Spinal Cord Injury - Heart Transplantation 7.Evaluation of the Outcome of Care
G. Reporting and Documentation of Care 5. Implementation Pharmacological Management
Medical-Surgical Management Complimentary/Alternative Therapies 8.Reporting and Documentation of Care
-Bleeding Management - Fish Oil/ Omega 3 Fatty Acids
-Evacuation of Blood Clots - Hawthorn
Pharmacological Management - Gingko Biloba
Diet Nutritional Therapy - Garlic
-Antioxidants
-Phytochemical Complementary and Alternative 6.Patient Education
Therapy
-Bilbery
6. Client Education
7. Evaluation of the Outcome of Care
8. Reporting and Documentation of Care
 WEEK 4 WEEK 5
September 6 and 7 September 8 and 9 September 13 and 14 September 15 and 16

D. Responses to Metabolic-Gastrointestinal and Liver E. Responses to Altered Elimination Leadership in Critical Care
Alterations 1.Assessment MIDTERM EXAMINATION A. Standards of Practice
1. Assessment Subjective Data– Nursing History B. Clinical Leadership
Subjective Data – Nursing History Objective Data –Physical Assessment C. Management Systems and Resources
Objective Data – Physocal Assessment Diagnostic Assessment G. Emergency Nursing 1.Resources and Supports in the Governance
Diagnostic Assessment a.Non-invasive 1. Assessment and Management of a Critical Care Unit
a. Non-invasive -Urinalysis Triage 2.Physical Design and equipment Requirements
-Guaiac Test -24 hr Urine Collection First-Level Emergency of a CCU
-Hepatobiliary Scan CBG -Renal UTZ Severity Index (ESI) 3.Human Resoirce Requirements, Supports and
b. Non-invasive b. Invasive Primary Survey Training of the Workforce
-Blood Gluscose Monitoring - Serum Studies Intravenous Secondary Survey 4.Leadership and Management Principles
-Esophagogastroduodenoscopy (EGD) Pyelography History Influencing Quality, Efficacy and
-Endoscopic Retrograde - Appropriateness of a CCU
- Cholangiopancreatography (ERCP) 2. Nursing Diagnoses 2.Plan/ Implementation and Evaluation 5.Risk Management
-Percutaneous Transhepatic Cholagiography Medical Emergencies
(PTC) 3. Planning a. Airway.Breathing ,Circulation (ABC) Collaboration with Inter-Intra and Multi-disciplinary and
-Liver Biopsy Identifying Risk Factors b. Foreign Body Obstruction Multi-cultural Teams
-Serum Blood Studies Infectious Complications c. Inhalation Injury
Fluid Balance d. Anaphylaxis is A.Inter-Professional Care Maps
2.Nursing Diagnoses Electrolyte Imbalance e. Thoracic Emergency Trauma B.Collaborative Care of Acute/Chronic Clients
Preventing Anemia f. Cardiac Arrest 1.Life-Threatening Conditions
3. Planning g. External hemorrahge 2.Multi-Organ Problems, High Acuity
Administering Volume Replacement 4. Elimination-Rental Alterations 3.Emergency Situation
Controlling the Bleeding Renal Failure (Acute and Chronic) Disability (D)
Maintenance Surveillance for Complications -Head Injury Nurses’ Role as a Member of the research Team
Administering fluids, Insulin and electrolytes 5. Implementation -Stroke
Monitor Response to Therapy Medical/Surgical Managements Ethics in Research
Survey for Complications -Fluid Resuscitation Environmental Emergency
Normalize Body Temperature -Peritoneal Dialysis a. Heat r/t emergencies Quality ans Safety
Patient Education -Hemodialysis b. Submersion Injuries A. Evidence-Based Nursing (EBN)
-Continuous Renal Replacement Therapy c. Stings and Bites B. Clinical Practice Guidelines
4.Metabolic –Gastrointestinal And Liver Alterations (CRRT) d. Poisoning C. Quality and Safety Monitoring
-Acute GI Bleeding e. Drowning and Near Drowning Care Bundles
- Intra-abdominal hypertension and Abdominal Pharmacological Management f. Diving Checklists
Compartment Syndrome Diet and Nutrition Management g. Lightning
 -Liver Failure -Electrolytes Restriction Ethico-Legal Considerations in Critical Care
-Acute Pancreatitis - Fluid Restriction
-Bariatric -High CHO Diet A. Patient Safely Guidelines in Critical Care
-Diabetic Ketoacidosis B. Ethical and Legal Considerations in the Care of
-Hyperglycemia Complimentary/Alternative Therapy the Critically ill
-Hyperosmolar Non-Ketotic Acidosis -Halamang Gamot C. Scope of Nursing Practice based on RA 9173
D. Patient’s Bill of Rights and Obligations :
5.Implementation 6. Client Education Unconscious Client
Medical/Surgical Management
-Volume Restoration 7. Evaluation of the Outcome of Care
-Nasogastric Suction Tubes
- Esophagogastric Balloon Tamponade Tubes 8.Reposrting and Documentation of Care
Billroth 1 and 2
-Transjugular Intrahepatic Portosystemic Shunt
-Liver Transplantation F. Multisystem Problems
-Reverse Hydration 1. Shock
-Reverse Ketoacidosis 2.Systemic Inflammatory Responses (SIRS)
-Electrolyte Replacement 3.MODS
-Rapid Hydration -Assessment
Pharmacologic Management Clinical Manifestations and effects
Complimentary /Alternative Therapy Sequential Organ Failure Assessment (SOFA)
-Ginger Diagnostic Studies
-Bitter fruit (amplaya)
- Nursing Daignoses
6.Client Education
-Planning
7.Evaluation of the Outcome of Care
-Implementation
8. Reporting and Documentation of Care
-Evaluation
 WEEK 6
September 20-21 September 22 and 23

Personal and Professional Development in Critical

Care
A.Continuing Professional Development in Critical
Care Nursing FINAL EXAMINATION
1.Research ,Publications and Conference
presentations
2.ICU/CCU Training
3.Intravenous Training

B. ICU Nurse as a Patient’s Advocate

1.End of Life Care
2.Palliative Care for Critically Ill
3.Safe Practice in the ICU
4.Advocacy: Access to Social Care Services
Philhealth, DOH, DSWD,PAGCOR,PCSO

C.Professional Decorum in Critical Care

Information and Communication Technologies in

Critical Care

A.Clinical Information System

B.Computerized Provider Order Entry (CPOE)
C.Hand-held Technologies
D.Tele-health Initiatives

Critical Care Nursing Roles

A.Practice Nursing

B.Advanced Practice
Nursing Roles

D.Nurse Practitioner
Mrs Maria Lourdes P. Agustin, RN - TL
Mrs Maria Rowena D. Masicampo,RN,MAN
Mr Ever John Laingo,RN,MAN,USRN
Ms Maragerette Andaya, RN