Module information
Module details
- Title
- Techniques for Advanced Monitoring
- Type
- Specialist
- Module code
- S-CC-S2
- Credits
- 10
- Phase
- 2
- Requirement
- Compulsory
Aim of this module
This module provides trainees with an advanced working knowledge of the technical applications of advanced monitoring using technological systems in critical care. The trainee will acquire the necessary skills to perform each of these.
Work-based content
Training activities
| # | Learning outcome | Training activity | Type | Action |
|---|---|---|---|---|
| # 1 | Learning outcome 1,2,8 |
Training activities
Perform quality assurance & maintenance for a Point of Care Testing device |
Type ETA | Action View |
| # 2 | Learning outcome 1,2,8 |
Training activities
Quality assure the pre-analytical process of sample preparation for blood gas analysis |
Type ETA | Action View |
| # 3 | Learning outcome 2,5,8 |
Training activities
Interpret blood gas analysis results for markers |
Type ETA | Action View |
| # 4 | Learning outcome 3,8 |
Training activities
Measure blood pressures, to include
|
Type ETA | Action View |
| # 5 | Learning outcome 5,6,8 |
Training activities
Prepare and perform oximetry, to include two of the following:
|
Type ETA | Action View |
| # 6 | Learning outcome 5,6,8 |
Training activities
Identify the requirement for, prepare and perform capnography |
Type ETA | Action View |
| # 7 | Learning outcome 6,8 |
Training activities
Prepare hypo/hyperthermia heating unit and ensure accurate monitoring of the patient’s temperature, to include:
|
Type ETA | Action View |
| # 8 | Learning outcome 6,8 |
Training activities
Prepare and perform respiratory monitoring to include:
|
Type ETA | Action View |
| # 9 | Learning outcome 4,5,8 |
Training activities
Prepare and perform neurological monitoring including one of the following:
|
Type DTA | Action View |
| # 10 | Learning outcome 7,8 |
Training activities
Interpret imaging techniques, to include:
|
Type DTA | Action View |
Assessments
Complete 2 Case-Based Discussions
Complete 2 DOPS or OCEs
Direct Observation of Practical Skills Titles
- Interpret blood gas results, including possible diagnosis and initial therapies.
- Set up an arterial pressure monitor.
- Set up neurological monitoring.
- Scrutinise and troubleshoot respiratory monitoring.
- Troubleshoot reported inaccurate measurement of temperature probe.
Observed Clinical Event Titles
- Explain possible complicating pre-analytical errors for abnormal blood gas results – including incorrect handling and pre-analysis sample maintenance.
- Troubleshoot questioned accuracy of abnormal arterial blood pressure.
- Perform bedside troubleshooting of an invasive blood pressure monitoring catheter and communicate corrective steps to the multidisciplinary team.
- Troubleshoot application of monitoring electrodes/sensors.
Learning outcomes
| # | Learning outcome |
|---|---|
| 1 | Prepare point of care testing (POCT) devices for safe use in monitoring critically ill patients. |
| 2 | Perform blood gas analysis to monitor critically ill patients. |
| 3 | Apply blood pressure measurement techniques to monitor critically ill patients. |
| 4 | Apply neurological monitoring techniques to monitor critically ill patients. |
| 5 | Apply techniques to monitor respiratory function in critically ill patients. |
| 6 | Apply techniques to monitor temperature in critically ill patients. |
| 7 | Interpret imaging techniques in ICU. |
| 8 | Practice safely in accordance with guidance and legislation to minimise risk in all elements of patient care. |
Clinical experiences
Clinical experiences help you to develop insight into your practice and a greater understanding of your specialty's impact on patient care. Clinical experiences should be included in your training plan and you may be asked to help organise your experiences. Reflections and observations from your experiences may help you to advance your practice and can be used to develop evidence to demonstrate your awareness and appreciation of your specialty.
Activities
- Visit the imaging department to observe imaging procedures such as x-ray, CT, MRI or ultrasound.
- Attend a POCT meeting to appreciate the governance procedures involved.
- Observe blood gas training for new users.
- Attend a meeting with an industry specialist to appreciate their role in research and development.
- Observe neurological monitoring.
Academic content (MSc in Clinical Science)
Important information
The academic parts of this module will be detailed and communicated to you by your university. Please contact them if you have questions regarding this module and its assessments. The module titles in your MSc may not be exactly identical to the work-based modules shown in the e-portfolio. Your modules will be aligned, however, to ensure that your academic and work-based learning are complimentary.
Learning outcomes
On successful completion of this module the trainee will be able to:
- Critically evaluate the application of POCT in the critical care environment.
- Explain the use of ventilation waveforms/flow loops in the diagnosis of a patient’s clinical respiratory condition.
- Critically evaluate the range of techniques and equipment required for monitoring in critical care, including invasive blood pressure management, resting energy expenditure and imaging.
- Evaluate the measurement principles underpinning common types of monitoring equipment used in critical care, including neurological monitoring.
Indicative content
- Application of investigations used in the management of the critically ill patient.
- The regulations, guidelines, protocols and procedures in place to manage the risk of pre and post analytical errors in POCT.
- Analytical aspects of sampling, and POCT analysis.
- Understand the principles of imaging techniques.
- Identify basic structures on radiological imaging, recognising examples of artefact.
- Describe the function of a selection of monitoring techniques, including transducers, and develop interpretation skills.
- The application of advanced monitoring in the management of common pathophysiology’s presenting in the critically ill patient.
- Describe the components of, and methodologies involved, in temperature measurement, including interpretation and application of therapies.
- The principles of the use of hyper/hypothermia units including accurate temperature monitoring.
- Understand the theory and clinical application of neurological monitoring, including bispectral index, NIRS and EEG.
- Describe the application of respiratory gas measurements related to the nutrition of the critically ill patient.
- Understand the advantages/disadvantages of measuring resting energy expenditure (VO2, VCO2, minute volume) as opposed to using calculated estimations.