|Title||Non Invasive Ventilation Management|
By the end of this module the Clinical Scientist in HSST will be able to analyse, synthesise, evaluate and apply their knowledge to be competent in the management, delivery, interpretation and reporting of a Non-Invasive Ventilation service within scope of practice as an independent Consultant Clinical Scientist.
Knowledge and understanding
By the end of this module the Clinical Scientist in HSST will analyse, synthesise, evaluate and critically apply their expert knowledge with respect to:
- the pathogenesis of causes of respiratory failure, including lung, chest wall and neuromuscular diseases (including CNS disorders).
- the differential diagnosis of respiratory failure.
- the appropriate investigations and their use in the diagnosis of respiratory failure.
- treatment and management strategies of respiratory failure.
- the principles and appropriate use of NIV and of intubation and ventilation.
Technical and clinical skills
By the end of this module the Clinical Scientist in HSST with respect to non-invasive ventilation, will be able to demonstrate a critical understanding of current research and its application to the performance and mastery of the following technical skills:
- interpret spirometry and lung function tests
- perform and interpret arterial blood gases
- assess patient’s individual needs in terms of mask type and fit and adjust as appropriate.
- create the patient pathway with regular review, management and follow-upinitiate, monitor and adjust NIV settings as appropriate.
- advise other healthcare staff on alterations to NIV, consideration for admission, referral to medical colleagues for treatment of co-morbidities.
By the end of this module the Clinical Scientist in HSST will be expected to critically reflect and apply in practice a range of clinical and communication skills to advise and communicate effectively with patients, relevant clinicians, patients and the public and other healthcare professionals and will: reflect on the challenges of applying research to practice in relation to these areas of practice and suggest improvements, building on a critique of available evidence.
- take a thorough, focused history.
- elicit relevant and appropriate physical signs within Consultant Clinical Scientist scope of practice.
- plan appropriate investigations in collaboration with medical colleagues where necessary.
- formulate an appropriate differential diagnosis and management plan
- be competent in the interpretation of appropriate lung function tests and blood gases .
- interpret Chest Radiology.
- perform and / or interpret special investigations.advise other healthcare staff on alterations to NIV, consideration for admission, referral to medical colleagues for treatment of co-morbidities.
- reflect on the challenges of applying research to practice in relation to these areas of practice and suggest improvements, building on a critique of available evidence.
Attitudes and behaviours
By the end of this module the Clinical Scientist in HSST will be expected to evaluate their own response to both normal and complex situations demonstrating the professional attributes and insights required of a Consultant Clinical Scientist working within the limits of professional competence referring as appropriate to senior staff and will:
- recognise, where necessary, the urgency of the situation and expedite management appropriately, ensuring patient safety.
- consider the most important and serious causes (of respiratory failure) first and seek to exclude them.
- safely relieve patient’s symptoms and distress.
- show understanding of the patient’s anxiety and be sympathetic.
- explain the possible causes to the patient and relatives and outline the investigation and management plan.
- involve other healthcare teams, particularly ICU/HDU in a timely fashion, when and where appropriate.
- display skill and sensitivity when breaking bad news where appropriate