Aim of this module
This rotation will enable critical care trainees to perform a range of clinical diagnostic investigations undertaken to investigate disorders of or affecting the respiratory system, interact with patients and demonstrate safe, patient- centred practice. Trainees will be expected to build on the competence gained in the earlier module, explaining procedures to patients and gaining informed consent (including the unconscious patient), enhancing and extending practical skills in undertaking diagnostic investigations, setting up and maintaining the equipment used, producing and interpreting results, and building their professional practice.
Number | Work-based learning outcome | Title | Knowledge |
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1 | 1, 2, 3,5 | Control infection risks in accordance with departmental protocols. |
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2 | 1, 2, 3,4,5 | Minimise risks and hazards in compliance with health and safety policies. |
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3 | 1, 2, 3, 5 | Select suitable technology for each type of investigation, choosing and adapting the appropriate diagnostic technique, patient position, machine settings and transducer for each patient. |
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4 | 1, 2, 3, 4, 5 | Set up equipment ready for use for each type of investigation. |
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5 | 1, 2, 3 | Obtain a suitably completed request form, greet the patient, check patient ID and ensure that the patient’s identity is confirmed as correct and fully identified on each type of recording system. |
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6 | 1, 2, 3 | Explain the procedure for each type of investigation to the patient and address any questions they may have relating to the procedure, including the process after the procedure and how the patient will be informed of the results. |
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7 | 1, 2, 3 | Gain appropriate consent for each investigation/consultation as appropriate to the individual patient in the critical care setting. |
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8 | 1, 2, 3 | Initiate a consultation, elicit information, clarify as necessary, summarise, and empathise and use active listening techniques while taking a patient history. |
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9 | 1, 2, 3, 5 | Treat patients in a way that respects their dignity, rights, privacy and confidentiality, taking appropriate action to respond to the specific needs of the patient, as defined by department protocol. |
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10 | 1 | Assess the patient’s suitability for the proposed investigation and obtain a blood gas sample suitable for the assessment of blood gas status using a recognised technique. |
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11 | 1 | Analyse and interpret a range of blood gas results and take appropriate action with the required degree of urgency in a range of conditions, including normal, Type 1 and Type 2 respiratory failure. |
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12 | 1,6 | Identify requirements for long-term oxygen therapy, including ambulatory, and undertake assessments in accordance with national guidelines, titrating oxygen according to patient requirements and clinical indications. |
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13 | 1 | Complete appropriate documentation based on the results of the assessment undertaken and the patient’s clinical needs, and identify further investigations and/or future management plans. |
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14 | 2 | Assess the patient and undertake cardiopulmonary exercise testing using an appropriate protocol in patients with respiratory, vascular and cardiac disease. |
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15 | 2 | Record results of cardiopulmonary exercise testing accurately in an appropriate format and analyse and technically interpret full cardiopulmonary exercise tests. |
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16 | 3, 5, 6 | Assess the patient, determine the appropriate settings and obtain accurate baseline measurements of NIV therapy where appropriate. Initiate appropriate NIV therapy and monitor clinical status. |
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17 | 7 | Undertake consultations with patients to explain and agree therapeutic strategies for the management of their respiratory conditions. |
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18 | 1, 2, 3, 5 | Decontaminate equipment and leave in a suitable condition for reuse. |
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19 | 4 | Set ventilator alarms in a range of patients. |
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20 | 4 | Assist in the interpretation of data from ventilator alarms recognising and rectifying common problems associated with ventilator troubleshooting and the use of ventilators in a range of patients. |
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You must complete |
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3 Case-based discussion(s) |
2 of the following DOPS / OCEs |
Assessment Title | Type |
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Participate in the ventilator set up and selection of appropriate ventilator settings ready for a new patient. | DOPS |
Set up for and connect NIV ventilator to patient. Discuss ventilator settings with staff. | DOPS |
Participate in a CPET investigation. Assist with the patient interface and monitoring. | DOPS |
Analyse a blood gas sample and make references to the possible care pathway of the patient | DOPS |
Provide clinical technical support to nurse at the bedside regarding safe use of ventilation. | OCE |
Initiate the ECG, Resp, and SpO2 monitoring on an awake patient, explaining to the patient the reasons and benefits of each parameter. | OCE |
Discuss and agree ventilator mode and settings up for a new patient with medical staff. | OCE |
Discuss the key components for consideration when planning a safe transfer of a patient with medical staff. | OCE |
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
1. Describe blood gas physiology and acid-base balance.
2. Discuss the principles and role of short- and long-term oxygen therapy in the treatment of disease.
3. Describe the evidence base for oxygen prescription and assessment of patients for long-term oxygen therapy.
4. Describe the role of field exercise testing in the assessment for ambulatory oxygen.
5. Describe the process for ordering oxygen therapy.
6. Discuss the pathophysiology of common causes of respiratory failure.
7. Describe the role of non-invasive ventilation in the treatment of acute and chronic respiratory failure in a range of disorders, to include airway, chest wall and muscle disorders.
8. Discuss the range of ventilators available for the provision of non-invasive ventilation, their modes of action and functions.
9. Discuss the assessment and monitoring of patients receiving non-invasive ventilation in the acute and chronic setting.
10. Describe the structure, function, mechanics and control of the cardiorespiratory system, to include ventilation, gas transport and exchange, haemodynamics and cardiac output during rest and exercise.
11. Recognise the physiological adaptations that occur with exercise training.
12. Describes the range of exercise tests available and their clinical importance.
13. Describe the application of cardiopulmonary exercise testing in the assessment of limitations to exercise.
14. Describe the common protocols used in cardiopulmonary exercise testing.
15. Recognise the uses and limitations of cardiopulmonary exercise testing and its value in clinical practice.
16. Discuss the application of interpretation strategies to respiratory investigations.
Indicative Content
Cardiorespiratory responses to exercise
Useful information