Module information
Module details
- Title
- Application of Renal Replacement Therapy
- Type
- Specialist
- Module code
- S-CC-S4
- Credits
- 10
- Phase
- 3
- Requirement
- Compulsory
Aim of this module
The aim of this module is to give the trainees an understanding of the role of continuous renal replacement therapy (CRRT) as an organ support technique within critical care. This will include an understanding of which patients require CRRT, how they will benefit from the technique and what the risk factors associated with it are. They will also be able to explain the equipment, common modalities, pre connection considerations and settings used in the therapy.
Work-based content
Training activities
| # | Learning outcome | Training activity | Type | Action |
|---|---|---|---|---|
| # 1 | Learning outcome 1, 3, 5 |
Training activities
Identify patient requirements for CRRT, with reference to patient status and renal pathophysiology |
Type DTA | Action View |
| # 2 | Learning outcome 1, 2 |
Training activities
Set up line, prime and test renal replacement therapy equipment |
Type DTA | Action View |
| # 3 | Learning outcome 3, 4,5 |
Training activities
Identify the correct principle of active mechanism with reference to patient status and renal pathophysiology |
Type DTA | Action View |
| # 4 | Learning outcome 3, 4, 5 |
Training activities
Identify the correct therapy modes with reference to patient status and renal pathophysiology |
Type DTA | Action View |
| # 5 | Learning outcome 3, 4, 6 |
Training activities
Identify the correct anticoagulation technique, with reference to patient coagulation status |
Type DTA | Action View |
| # 6 | Learning outcome 1, 2, 4 |
Training activities
Respond to and assist in the management of technical alarms and safety features |
Type ETA | Action View |
| # 7 | Learning outcome 2, 4, 6 |
Training activities
Manage a patient undergoing CRRT, troubleshooting clinical issues as they arise |
Type DTA | Action View |
| # 8 | Learning outcome 1, 2, 4 |
Training activities
Troubleshoot and manage issues arising with renal replacement equipment to prevent escalation of technical issues |
Type DTA | Action View |
| # 9 | Learning outcome 2, 4 |
Training activities
Provide bedside support and training for CRRT interventions |
Type DTA | Action View |
| # 10 | Learning outcome 3, 4, 5, 6 |
Training activities
Assist and advise the clinical team with the prescription of therapy for a range of patients |
Type DTA | Action View |
Assessments
Complete 2 Case-Based Discussions
Complete 2 DOPS or OCEs
Direct Observation of Practical Skills Titles
- Setup, line and prime CRRT equipment.
- Assist with a patient’s CRRT programme prior to commencing therapy.
Observed Clinical Event Titles
- Troubleshoot an issue with CRRT at the bedside.
- Assist with connecting a patient and commencing CRRT.
Learning outcomes
| # | Learning outcome |
|---|---|
| 1 | Set up and programme a renal replacement therapy machine. |
| 2 | Evaluate and resolve clinical and technical issues relating to therapy. |
| 3 | Prescribe therapies for clinical scenarios related to renal replacement therapies. |
| 4 | Evaluate and manage risk to practice safely in all elements of patient care. |
| 5 | Describe the renal replacement therapy modalities, with reference to patient needs. |
| 6 | Identify appropriate anticoagulation techniques, with reference to patient needs. |
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
- Attend induction/training sessions for CRRT.
- Observe onset of therapy on the unit.
- Observe troubleshooting of clinical and technical issues during CRRT
- Attend patient audit discussion forums relating to CRRT.
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 CRRT and the underpinning evidence.
- Explain the clinical and technical issues involved in the effective application of CRRT.
Indicative content
- Modes of CRRT (SCUF, CVVH, CVVHD, CVVHDF).
- Principles, application, management and clinical risks of CRRT.
- Convection and diffusion.
- Use of pressure, flow and air detection monitoring during the safe use of CRRT.
- Equipment – circuits, machines and components.
- Anticoagulation techniques during CRRT.
- Available options and risks associated with the patient during circuit anticoagulation.
- Issues with extra corporeal circuits.
- Key areas presenting risks to the patient’s wellbeing associated with extra corporeal circuits.
- Available options and risks associated with patient therapy prescription during CRRT.
- Infection prevention and control considerations.
- Risk management during CRRT.
- Settings and prescriptions during CRRT.
- Alarms and troubleshooting during CRRT.
- Evidence base around the application of CRRT.