CCN Course Grid 2024
CCN Course Grid 2024
CCN Course Grid 2024
Course outline
Course description: It focuses on concepts of Critical Care and analyzing client’s problems to plan appropriate
care interventions with more advanced concepts. Learners are expected to apply critical care concepts, nursing
process and evidence-based practice while integrating pathophysiological, pharmacological, psychosocial,
spiritual, and cultural concepts and theories within critical and emergency setting.
Learning Outcomes:
Teaching/Learning Strategies: Flipped class room, use of online virtual learning environment (VLE), hybrid
model (F2F + online), power point presentations, asynchronous and synchronous lectures, Panopto recordings,
simulation based clinical workshop, guest lectures, recorded presentations / podcasts / vodcasts, Kahoot, H5P,
online video, quizzes, mock drill of code blue, article reviews, diagnostic reviews, two way discussions, role-
plays, clinical conferences, clinical log sheet, case study discussions, skills demonstrations/return demonstrations,
group work, high fidelity simulation based education, skills boot camp, breakout rooms, and integrated case-
based double jump with performance exam.
1. Students are required to maintain dress code, carry their ID cards, stethoscope, and always required
stationary.
2. Clinical objectives and assignments must be completed on daily basis, and a portfolio needs to be
maintained to keep the evidence of the assignments.
3. Attendance and punctuality must be maintained throughout clinical and follow the attendance policy in
handbook.
4. Students are expected to maintain 100% attendance during clinical /Simulation / Skills.
4
5. In case of emergency/sickness as approved by the course facilitator, students may miss up to four days
(cumulative) of clinical/lab/ skill experience in a semester with genuine reason and final approval of
Academic Lead is compulsory.
6. Learners are required to make up any absence on clinical areas. Students are required to make up missed
days (for approved leaves) at the end of the semester. Four days of justifiable leave in clinical area must
be made up by the learners. More than 4 days of leave in a semester may result in repeating the semester/
year or expelling from the year (if pattern of leave is persistent). A learner who is unable to attend a
clinical for any reason must notify the faculty / ward in- charge prior to the clinical. Learner who is sick
on a clinical day must be seen by a physician at their respective/ designated institutions. There is no
provision for make up for unapproved leaves and hence student will get F in clinical/lab / simulation and
will be require repeating a course whenever offered next. Student unable to make up the missed days
should consider themselves as having failed the course. Make ups will be schedule at the end of the
semester. Students are required to check for their attendance/make ups with the course coordinator.
7. Participates actively and vigilantly in bedside clinical practice
8. Students must aim to remain honest, sincere, and vigilant during group interaction and report all critical
incidents/issues to their respective faculty.
9. Any student who is unable to come on the clinical rotation due to any genuine or un genuine reason, need
to complete their missed clinical hours in the form of the make-ups at the end of the semester only. This
clinical will be supervised by clinical preceptors or joint appointees. (Refer to student handbook).
10. Active participation in post-conferences. Clinical conferences, de-briefing sessions, and any other academic
activity by the clinical or lab facilitator are part of clinical experience, students should attend regularly.
Refer to shared link for Clinical standard policy from student handbook 2019
https://vle.aku.edu/mod/resource/view.php?id=283245
https://vle.aku.edu/mod/resource/view.php?id=283246
The course learning (theory section) will be evaluated through four assessments. This includes (i) Clinical
portfolio, (ii) Midterm exam, (iii) Final term exam, and (iv) Double jump exam. Students must review all the
critical care nursing concepts learned through synchronous and asynchronous online modules and classes, VLE
courses, face-to-face classes, post-conferences, guest speaker sessions, simulations, skills labs, and clinical
practice. Students may wish to study in small groups or individually and should be able to strategize their learning
plans. To avoid last minute assignment submissions or exam preparations, and promote academic progress,
students are encouraged to engage themselves in ongoing learning throughout the course. Students must visit
VLE site on regular basis to receive updates and notifications regarding course plans, and assessments, and
acquire learning resources. An average length of time on VLE for each topic expected for this course is 2-3 hours,
which may differ based on individualized learning needs. Students must comply with the assessment deadlines, as
the VLE site will be locked beyond submission hours. Late submissions will not be accepted. Active class
participation is highly encouraged for comprehensive understanding- and intellectual wellbeing for maintain best
clinical practice.
Midterm:
5
14th March
2024
Final term:
21st May 2024
Midterm Exam will evaluate students’ Computer 20% 28th March
knowledge, integration, and application based exam 2024
of concepts related to critical care nursing and with physical
associated evidence-based practices. It would presence (Time will be
be evaluated through multiple choice questions communicated)
and short questions and answers.
Final Exam will evaluate students’ knowledge, Computer 30% 31st May 2024
integration and application of concepts related to based exam
critical care nursing and associated evidence- with physical (Time will be
based practices. It would be evaluated through presence communicated)
multiple choice questions and short questions
and answers.
Double Jump Exam will assess the students’ Face-to-face 30% 14th, 15th, 16th
clinical problem solving and decision-making exam May 2024
processes, predominantly nursing care processes
including assessment, outcomes, interventions, 0830-1730
and evaluation. hours
Total 100%
Assessment Does not meet the Partially meets the Meets expectations Score
Criteria expectations (0-3) expectations (4-6) (7-10)
Quality of evidence Most of the evidences Few of the evidences Almost all of the
Authenticity (from presented are not from presented are from evidences presented
scientific databases) authentic database nor authentic data bases are from authentic
and recency (not are recent and few are recent data bases and are
more than 5 years recent
older) of the
evidence
Practicality of The learning shared The learning shared The learning shared
evidence from the evidence from the evidences from the evidence
Application of provided is not/ provided have limited provided have
evidence in practice hardly applicable in application in practice
significant
practice application in
practice
Presentation of The evidence The evidence The evidence
evidence presented are presented are presented are
Completeness incomplete, incomplete, but complete, organized
Organization disorganized, and organized and and accurate with
Accuracy inaccurate with errors accurate with negligible errors in
in spelling, grammar minimum errors in spelling, grammar,
and punctuation spelling grammar, and and punctuation
punctuation
Overall Assessment Comments:
Total Marks
Assessment Criteria
Aga Khan University
School of Nursing and Midwifery
BScN Degree Programme 2022
Year IV, Semester 1
Critical Care Nursing Course
QUESTIONING SKILLS 0 1 2 3
4.
ORGANISATION IN DATA COLLECTION
0 1 2 3
i. Relevance
ii. Depth
iii. Logical flow
5.
COMPREHENSIVENESS OF THE DATA COLLECTED 01 2 3 4
EXAMINATION PREPARATION
ORGANIZATION
4.
i. Demonstrated effective equipment handling
ii. Approached client in organized manner
iii. Applied correct examination technique
10
0. Poor 0 1 2 3 4
1. Satisfactory
2. Good
3. Excellent
4. Outstanding
Hypothesize any 3 Medical diagnoses about this patient? Identify rationale for choice
1. MEDICAL DIAGNOSIS
1. DISEASE SIGN & SYMPTOM: Review patient’s scenario and his Medical
Diagnoses. Identify at least three presenting signs and symptoms, and
integrate them with patient’s condition/disease.
11
Rationalization of the presenting sign and symptoms with the disease using
critical thinking and clinical reasoning
(1 mark for correct rationalization of sign & symptoms of the disease. 012 3
0. Poor
1. Satisfactory
2. Good
3. Excellent
4. Outstanding
TREATMENT(Medical/Surgical) 0 2 4
4.
Zero (0) for not identifying any medical and / or surgical treatment
1 mark each for identification of correct medical and / or surgical treatment
(at least 2)
Drug i
PHARMACOLOGY
0 1 2 3
5. What Drugs may be ordered for this patient and their action, side effect &
nursing responsibilities (maximum 2 drugs) Drug ii
Maximum
X-RAY INTERPRETATION: Marks 3
1.
0.5 mark for each correct response
Problem 1
Problem 2
Problem 3
One mark for each of the correct component in each of the three Diagnosis 3
diagnosis 1 2 3
Identify Expected Outcomes and Possible or Actual Interventions (3 at least) for the
identified nursing problems.
Problem 1 Nursing Interventions
STG:
LTG:
Problem 2 Nursing Interventions
STG:
LTG:
Problem 3 Nursing Interventions
STG:
LTG:
1 mark for each of the three component present in interventions of each Problem 3
problem 1 2 3
i. Name
ii. Age
iii. Current Medical diagnosis
iv. Co morbid * years
i. Pathophysiology
ii. Evidence
iii. Any medical treatment
iv. Any nursing diagnosis at least one and nursing intervention at
least one
v. Any relevant teaching need
1. HISTORY DOCUMENTATION
Accurate 1 2 3 4 5
Succinct
Relevant
Comprehensive
Signature and Date and time
Theory objectives :
Unit objectives:
By the end of the clinical/ simulations/ lab/ skills, learners will be able to:
1. Apply the nursing process and critical thinking in delivering culturally sensitive holistic
nursing care to patients/clients with various medical/surgical conditions in critical care
setting by utilizing evidenced-based practices.
2. Familiarize self with Critical Care unit set up including equipment, supplies, use of
various types of monitors and ventilators, and documents.
3. Explore physiological, psychosocial, and spiritual needs of critically ill patients/families and
intervene accordingly and provide realistic teaching to clients and families in collaboration
with other health team members.
4. Incorporate cognitive, interpersonal, and technical skills from the humanities, natural and
behavioral sciences while providing nursing care to clients.
5. Integrate diagnostic procedures and provide safe individualized care to patients requiring
critical care modalities such as mechanical ventilation (invasive and noninvasive),
hemodynamic monitoring, pacemaker, Intra-Aortic Balloon Pump (IABP), and
pharmacological support.
6. Integrate conceptual models and theories applicable to nursing practice in critical care.
7. Demonstrate personal and professional attributes, leadership abilities, and awareness of
legal and ethical standards required to work in critical care areas.
8. Document all assessments, nursing care and discharge teaching provided to the clients in
appropriate sheet.
22
Course Schedule:
Mode of Teaching
(Online,
Face to face,
TIME AND blended
DATE Week* Concept of Study Faculty
DURATION Clinical,
Simulation,
Skill based) + T/L
Pedagogy
Unit I: Conceptual foundation and
critical care nursing
a. Psychosocial implications in the
care of critically ill patient and
family
b. Stress and coping
c. Individual and family response to
7th
0900-1300 the critical care experience Face to face/Online Ms. Zahira Amir
February 1st
hours d. Death and Dying theories Ali
2024
e. Sleep and sensory balances in
4 hours critically ill patient
f. Infection control in critical care
g. Nutrition in critical care
h. Contemporary issues in critical
care area
i. Complementary therapies
Unit II: Care of a patient with Ventilator
0900-1300 a. Compliance versus elasticity Guest Speaker/
9th hours b. Modes of ventilator Ms. Zahira Amir
February 1st c. Trouble shooting mechanical Synchronous/ online Ali
2024 4 hours ventilation
d. Complications of mechanical
ventilation
14th 0900-1300
Unit V: Methods of Hemodynamic Ms. Zahira Amir
February hours 2nd Face to face
monitoring Ali
2024
4 hours
1100-1300
and
15th 1400-1600 Unit VIII: Multisystem Alterations Face to face Ms. Zulekha
February hours 2nd Saleem
2024
4 hours
23
0900-1300
hours Unit IX: Advanced Treatment Modalities
16th a. ICD management, Intracranial
February 4 hours 2nd pressure monitoring Face to face Ms. Zahira Amir
2024 b. Intra-abdominal pressure Ali
monitoring
Guest Speaker/
20th
0900-1300 Unit III: Electrocardiography (ECG) Ms. Zulekha
March 7th
hours Online/ Synchronous Saleem/ Ms.
2024
Zahira Amir Ali
4 hours
1100-1300 Unit VII: Code management (A)
and a. Medications used in code
1400-1600 managements
21st hours b. Documentation during a code.
March 7th c. Post resuscitation management Face to face Ms. Zahira Amir
2024 4 hours d. Psychosocial, legal and ethical Ali
issues
e. Involvement of the family during
a code
0900-1300 Unit VII: Code management (B)
hours a. Life threatening Emergencies/
Dysrhythmias
22nd 4 hours b. Indications for initiating Cardio
Ms. Zahira Amir
March 7th pulmonary resuscitation Face to face
Ali
2024 c. Roles of care givers in managing
cardiopulmonary arrest situations.
d. Utilization of crash cart and
defibrillator
0900-1300 Ms. Zahira Amir
27th hours Ali
March 8th Review class Face to face
Ms. Zulekha
2024 4 hours Saleem
1400-1600
28th hours
March 8th Mid term
2024 (2 hours)
0900-1300 Unit IV: Critical Concepts in care of
hours patient with specific conditions:
3rd April Ms. Zulekha
9th a. Pulmonary Embolism Face to face
2024 4 hours b. Hypertensive Crisis Saleem
c. Cardio Myopathies
d. Cardiac Tamponade
1100-1300 Unit VI: Spinal Cord Nursing
Emergency Injuries concepts
and a. Disaster, Triage, and trauma
4th April Ms. Zulekha
1400-1600 9th management Face to face
2024 Saleem
hours b. Nursing management of medical
and surgical emergencies
4 hours
24
0900-1300
22nd May hours
16th Unit X: IABP monitoring Face to face Guest Speaker
2024
4 hours
1100-1300
and
23rd May Asynchronous/ Ms. Zulekha
1400-1600 16th Unit XII: Toxicology
2024 online Saleem
hours
4 hours
Ms. Zahira Amir
1500-1600 Ali
23rd May
hours 16th Review class Face to face Ms. Zulekha
2024
Saleem
1.5 hours
0930-1130
31st May hours
17th Final Exam
2024
2 hours
Total Hours: 48 hours
Note: Clinical master plan, grouping, and placements as well as skills, simulation and double
jump planner/ schedules will be shared on VLE. Any deviation/ modification in the course
schedule due to holidays that are subjected to the appearance of Moon and / or unrest city
situation will be shared with students on VLE through announcements.
Basic Skills*: NG insertion/ Feeding /Removal, Oral nasal Suctioning, IV cannula and
medication, Catheterization insertion and removal
Advanced Skills/ Boot camp**: Hemodynamic Monitoring (CVP & Art Line), Inline Suctioning
+ Ventilator trouble shooting, Code Management/ Crash Handling (Tachycardia and bradycardia
with pulse), Code Management/ Crash Handling (Cardiac arrest), BIPAP modes/ Handling, B-
Brown (syringe pumps + infusion sets)
High Fidelity Simulation Education***: Ventilator Management, Sepsis Management, Advanced
Cardiovascular Life Support
References:
Bruni, A., Garofalo, E., Pelaia, C., Messina, A., Cammarota, G.,
Murabito, P., ... & Navalesi, P. (2019). Patient-ventilator
asynchrony in adult critically ill patients. Minerva
anestesiologica, 85(6), 676-688. Retrieved from
https://www.minervamedica.it/en/getfreepdf/RGw0VVJPL1
RBbnpaaG4xb2JRT25aZlZ5
dEdXMi80K0RUM2ZzaVlCZEd4LzB1R1pxazVSTlZ0aW
VsVkt4WHkxWQ%253D%2 53D/R02Y2019N06A0676.pdf
Pulmonary Embolism
Hypertensive Crisis
Cardio Myopathies
Cardiac Tamponade:
Hagen, E. M., Rekand, T., Gilhus, N. E., & Grønning, M. (2012). Traumatic spinal
cord injuries-
-incidence, mechanisms and course. Tidsskrift for den
Norske laegeforening: tidsskrift for praktisk medicin, ny
raekke, 132(7), 831-837. Retrieved from
https://tidsskriftet.no/en/2012/04/traumatic-spinal-cord-
injuries-incidence-mechanisms- and-course
Airway Emergencies
Damrose, J. F., Eropkin, W., Ng, S., Cale, S., & Banerjee, S.
(2019). The critical response team in airway emergencies.
The Permanente journal, 23. Retrieved from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6636511/
Keller, J. M., Steinbach, T. C., Adamson, R., Carlbom, D. J.,
Johnson, N. J., Clark, J., ... & Çoruh, B. (2018). ICU
emergencies simulation curriculum for critical care
fellows: the difficult airway. MedEdPORTAL, 14.
Retrieved from
https://www.mededportal.org/doi/full/10.15766/mep_237
4-8265.10744
32
Cardio-pulmonary Emergencies
Chen, F. C., Lin, Y. R., Kung, C. T., Cheng, C. I., & Li, C. J.
(2017). The association between door-to-balloon time of
less than 60 minutes and prognosis of patients developing
ST segment elevation myocardial infarction and
undergoing primary percutaneous coronary intervention.
BioMed research international, 2017. Retrieved from
https://www.hindawi.com/journals/bmri/2017/1910934/
Fowler R, Chang MP, Idris AH. Evolution and revolution in
cardiopulmonary resuscitation. Curr Opin Crit Care. 2017
Jun;23(3):183-187. doi: 10.1097/MCC.0000000000000414.
PMID:
28398908. Retrieved from https://journals.lww.com/co-
criticalcare/Fulltext/2017/06000/Evolution_and_revolution
_in_cardiopulmonary.3.aspx
Nolan JP, Soar J, Perkins GD. Cardiopulmonary resuscitation. BMJ.
2012 Oct 3;345:e6122. doi: 10.1136/bmj.e6122. PMID:
23034844. Retrieved from
https://www.bmj.com/content/345/bmj.e6122
Cherry, B., & Jacob, S. R. (2016). Contemporary nursing: Issues, trends, &
management.
Elsevier Health Sciences. Retrieved from
https://books.google.com.pk/books?hl=en&lr=&id=vzzdCwAAQBAJ&oi=
fnd&pg=PP1
&dq=Contemporary+issues+in+emergency+nursing&ots=mOqfbhwtks&si
g=vKZvY4Kt
rxEcLPRT8Pz_R0Gr0gc&redir_esc=y#v=onepage&q=Contemporary%20i
ssues%20in% 20emergency%20nursing&f=false
Lundin, A., Djarv, T., Engdahl, J., Hollenberg, J., Nordberg, P., & Ravn-Fischer,
A. et al. (2016).
Drug therapy in cardiac arrest: a review of the
literature. European Heart Journal – Cardiovascular
Pharmacotherapy, 54–75. doi:
doi:10.1093/ehjcvp/pvv047.
33
Vallentin, M. F., Granfeldt, A., Holmberg, M. J., & Andersen,
L. W. (2020). Drugs during cardiopulmonary
resuscitation. Current opinion in critical care, 26(3),
242-250.
Poole, K., Couper, K., Smyth, M. A., Yeung, J., & Perkins, G.
D. (2018). Mechanical CPR: who? when? how?.
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Critical Care, 22(1), 1-9. Retrieved from
https://ccforum.biomedcentral.com/articles/10.1186/s1
3054-018-2059-0
Santonocito, C., Ristagno, G., Gullo, A., & Weil, M. H. (2013). Do-
not-resuscitate order: a view throughout the world. Journal
of Critical Care, 28(1), 14-21. Retrieved from
https://www.sciencedirect.com/science/article/pii/S0883944
112002249?casa_token=6Oc Ych-
in7IAAAAA:PKnq9xE3FxGVcBn08qzz7-
CEQsqpTobq0jcrRNHsaTTszBhIaObOX2nH4zynrGAuCH
Sumeq9MIw
Meghani, S., Karmaliani, R., Ajani, K., Bhamani, S. S., Khan, N. U., & Lalani, N.
(2019).
Knowledge, attitude, and practice of healthcare
professionals regarding family presence during
resuscitation: An interventional study in a tertiary care
setting, Karachi, Pakistan. Connect: The World of Critical
Care Nursing, 13(1), 46-55. Retrieved from
https://connect.springerpub.com/content/sgrwfccn/13/1/46
.full.pdf
Zavotsky, K. E., McCoy, J., Bell, G., Haussman, K., Joiner, J., Marcoux, K. K., ...
& Tortajada,
D. (2014). Resuscitation team perceptions of family
presence during CPR. Advanced Emergency Nursing
Journal, 36(4), 325-334. Retrieved from
https://journals.lww.com/aenjournal/FullText/2014/10000/R
esuscitation_Team_Perceptio
ns_of_Family_Presence.7.aspx?casa_token=d4kMJWaWjW
8AAAAA:t5zQoU7iMgmo
mt7e52ZWEPAiov3y7RJEBHJBML1BnNTjh6nKprpWRz6
rrS_rraJDnuoApWththNF3m rzA-uOq04Ex5s
Hunt, L., Frost, S. A., Hillman, K., Newton, P. J., & Davidson, P.
M. (2014). Management of intra-abdominal hypertension
and abdominal compartment syndrome: a review. Journal
of trauma management & outcomes, 8(1), 1-8. Retrieved
from https://link.springer.com/article/10.1186/1752-2897-
8-2
Chesnut, R. M., Temkin, N., Carney, N., Dikmen, S., Rondina, C.,
Videtta, W., ... & Hendrix, T. (2012). A trial of intracranial-
pressure monitoring in traumatic brain injury. New England
Journal of Medicine, 367(26), 2471-2481. Retrieved from
https://www.nejm.org/doi/full/10.1056/NEJMoa1207363
Unverzagt, S., Buerke, M., de Waha, A., Haerting, J., Pietzner, D.,
Seyfarth, M., ... & Prondzinsky, R. (2015). Intra‐aortic
balloon pump counterpulsation (IABP) for myocardial
infarction complicated by cardiogenic shock. Cochrane
Database of Systematic Reviews, (3). Retrieved from
https://www.cochranelibrary.com/cdsr/doi/10.1002/1465185
8.CD007398.pub3/epdf/full
Ahmad, Y., Sen, S., Shun-Shin, M. J., Ouyang, J., Finegold, J. A.,
Al-Lamee, R. K., ... & Francis, D. P. (2015). Intra-aortic
balloon pump therapy for acute myocardial infarction: a
meta-analysis. JAMA internal medicine, 175(6), 931-939.
Retrieved from
https://jamanetwork.com/journals/jamainternalmedicine/art
icle-abstract/2210888
Shock Management
Jennifer, SB., Laura, KB., & Christopher, PH. Management of the critically
poisoned patient.
Scand J Trauma Resusc Emerg Med. 2009 Jun 29;17:29.
doi: 10.1186/1757-7241-17-29. Retrieved from
ncbi.nlm.nih.gov/pmc/articles/PMC2720377/pdf/1757-
7241-17-29.pdf
Skolnik, A., & Monas, J. (2020). The Crashing Toxicology Patient.
Emergency Medicine Clinics, 38(4), 841-856. Retrieved
from
https://www.clinicalkey.com/nursing/#!/content/playContent
/1-s2.0-
S0733862720300717?returnurl=https:%2F%2Flinkinghub.el
sevier.com%2Fretrieve%2F
pii%2FS0733862720300717%3Fshowall%3Dtrue&referrer=
https:%2F%2Fpubmed.ncbi. nlm.nih.gov%2F
Reference:
https://www.aku.edu/sonampk/programmes/Documents/Supplementary%20Student%20Handbo
ok%202020.pdf#search=student%20handbook (Page # 43)
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Copyright © 2023 by the Aga Khan University. All information shared during this course
belongs to the Aga Khan University and is intended for registered participants only. This
information should be treated as highly confidential. Do not forward and\or share this
information with anyone. For permission to access to this information, please contact the course
coordinators or relevant authority for further assistance.
Revised: August 20, 2021,
January 20, 2023 (UGNCC)
Course Grid Prepared and Reviewed by: CCN Course team, 2024