FACULTY OF MANAGEMENT AND

MUAMALAH +
FACULTY O F NURSING & ALLIED HEALTH
SCIENCE
COURSE OUTLINE

Course
Course Code
Semester
Status
Credit hour
Educator
Delivery Method

Nursing Practice 1
AHCC 1007
1
Major
7
Noor Hanita Zaini
Bedside teaching
Practice / Demonstration
Pre and post conference
Discussion
Nursing Round

Pre-requisite

Advanced Health Assessment, Cardiovascular and Pulmonary System,

Evidence Based Practice

Measurement
method/ Marks
Distribution /
Grade

Formative

Summativ
e
Course
objectives

Case study 1
a. Written
b. Presentation
Case study 2
a. Written
b. Presentation
Log book

20%
10%
10%
20%
10%
10%
10%

OSPE

50%

.
At the end of their clinical posting students will be able to provide
nursing care to critically ill patients with cardiovascular and pulmonary
disorders holistically by using the nursing process approach.

Learning
Outcomes

At the end of their clinical posting the students will be able to:
1.
2.
3.
4.
5.
6.
7.

Course synopsis

Week
I-VIII

Demonstrate health assessment of the critically ill patient with

the problem of cardiovascular and pulmonary diseases
Analyze health assessment findings.
Formulate comprehensive nursing care plan for patients with
cardiovascular and respiratory disorder in critical care area.
Monitor patients hemodynamic status intensively
Administer drugs needed by critically ill patients safely.
apply holistic nursing care to patients who need mechanical
ventilator support by inculcating Islamic or individual religion
perspective
Realize the importance of patients safety by providing holistic
and safe individualized nursing care to critically ill patients.

This course enables students to practice and apply the knowledge,

skill and attitude taught in classrooms at the clinical settings.
Students will be posted to these critical care areas:
a.
Intensive Care Unit (ICU) for 4 weeks to provide intensive
care to the critically ill patients who need pulmonary and cardiac
support.
b.
Coronary Care Unit (CCU) for 2 weeks to care patients with
coronary diseases.
c. Cardiothoracic Intensive Care Unit (CICU) for 2 weeks to care
patients with cardiothoracic surgery.

Skill
NURSING SKILL IN CARDIOVASCULAR SYSTEM
Cardiovascular clinical assessment
History
Physical Examination
Laboratories studies
Lipid Profile
CK-MB
Cardiac Troponin T
Diagnostic procedures.
Interpret 12 lead ECG
Echocardiogram
Stress test
Angiogram
Bedside monitoring
Cardiac rhythm monitoring
Arterial, central venous and pulmonary
artery pressure monitoring.
Spiritual,
psychological,
socio-economical
assessment
Treatment and nursing intervention of the cardiac diseases

Hours

Management of cardiac disorder

Pharmacology
Cardiac catheterization & angiography (PTCA)
Pulmonary artery monitoring
Defibrillation and cardioversion
Advance cardiac life support (ACLS)
Intra Aortic Balloon Pump
Under water seal drainage post cardiothoracic
surgery
Cardiac pacemakers
Rehabilitation

NURSING SKILL IN PULMONARY SYSTEM

Mechanical ventilation settings in patients with respiratory
failure secondary to
ARDS/ALI
Obstructive lung disease
Status asthamaticus
Neuromuscular disease
History taking and pulmonary assessment.
History

Physical Examination

Laboratories studies
o Arterial Blood Gases monitoring and analysis

Diagnostic procedures
o Bronchoscopy
o Thoracentesis
o Pulmonary Function Tests
o Ventilation/Perfusion Scanning
o Chest Radiography

Bedside monitoring
o Capnography

Recognize and manage complications of mechanical

ventilation
Auto-PEEP
Baro-and volutrauma
Hypotension
Pulmonary clinical assessment and diagnostic procedures
Arterial Blood Gas Monitoring

Arterial Blood Gas Analysis

Assessing Pulmonary Function

Management of patient with pulmonary disorders:

Pulmonary Therapeutic management
Oxygen therapy
Artificial airways
Non-invasive Ventilation
o Indications, General Principles
o Endotracheal Intubation
o Modes of Ventilation
o Complication of Mechanical Ventilation
o Troubleshooting Ventilators
Invasive mechanical ventilation
Underwater-seal drainage system
Pharmacology
Total hour
294 Jam
Total Equivalent to practical hour
7
Main Reference
Alspach, J.G., (2006) Core Curriculum for Critical Care
Nursing. Missouri : Saunders Elsevier.
Additional Reference

Bersten, A.D. & Soni, N. (2003) Ohs Intensive Care Manual.

(5th ed.). Philadelphia: Elsevier.