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On successful completion of the module, apprentices will be able to:
1 - Explain pathophysiological processes related to organ systems studied, with a critical awareness of symptoms, investigations, interpreting results, and signs of the deteriorating patient.
2 - Apply knowledge to clinical practice in the assessment, monitoring and care of long term conditions to optimise supported patient self-management.
3 - Accurately recognise responses to administered medication including therapeutic and adverse effects to medicines encountered in practice, the causes of common medication errors, how to report them and strategies to prevent error.
4 - Outline the principles of Medicines Optimisation and how these are used to improve adherence incorporating pharmacological principles.
5 - Demonstrate safe and effective clinical judgement when performing a range of nursing proficiencies from Annex A & B aligned to the NAPAD Part 2 to meet patients needs, reporting changes and escalating concerns appropriately.
This module aims to develops your knowledge and understanding of acute and long-term conditions across the lifespan and in all four fields of practice. You will build on your clinical skills base and ability to select and use best available evidence to support your decision-making in practice. You will extend and deepen your understanding of human anatomy and physiology, which will then be applied to physiological changes that take place during disease processes. You will consolidate knowledge and understanding of the principles of pharmacology and medicines management to ensure you are ready to administer medicines upon registration with the NMC, in line with the roles and responsibilities of the Nursing Associate in relation to the safe administration of medication in clinical practice.
You will study the anatomy and physiology of the following organ systems digestive, endocrine, integumentary, innate immunity, inflammatory responses and hypersensitivity reactions, and reproductive (female and male). The pathogenesis, pathology, aetiology and pathophysiology of commonly encountered health conditions and long-term conditions including depression, anxiety, psychosis, sepsis, respiratory disease, cardiac disease, neurological disease, seizures and epilepsy, renal disease, anaphylaxis, diabetes Type 1 & 2, thyroid disease, cancers, osteoporosis, Iatrogenic diseases and abnormal blood profiles. You will be able to accurately recognise, identify and assess signs of normal or worsening physical health, and symptoms and signs of physical deterioration.
You will develop your knowledge of the principles of pharmacology, pharmacodynamics and pharmacokinetics, of commonly occurring medicines used for children, adults, and older adults with long-term physical, mental health and learning disabilities needs and how doses are determined by dynamics and systems of the body. You will understand principles of STOMP – Stopping the over medication of people with a learning disability, autism or both and STAMP – Supporting treatment and appropriate medication in paediatrics. You will understand administration and monitoring of controlled drugs, and pain management, recognising the effects of medication, allergies, drug sensitivities, side effects, contraindications, and the impact of polypharmacy. You will also consider the legal and professional standards, and national and local guidance associated with optimising medicines use for patients and clients.
The module is mapped against the Standards of proficiency for Nursing Associates (NMC, 2018) and Part 2 of the NAPAD proficiencies and will prepare you to carry out clinical skills across the four fields of nursing. Clinical skills practical sessions will enable you to link theory learnt in this module to specific nursing proficiencies including collection and interpret blood glucose specimens; sputum specimens; nasogastric tubes; nasal and oral suction; artificial nutrition and hydration; supporting breathing; oxygen therapy; peak flow oximetry; catheters; venepuncture; caring for the unconscious patient; neurological observations; reporting and referral within the interdisciplinary team; end of life care, care of the deceased; communication techniques, distraction, diversion, behaviour support; using risk assessment tools; supporting continence; managing pain; safe administration of medicines by IM injection, depot medication, vascular access devices and enteral equipment; inhalation routes, suppositories and enemas.
Research informed key lectures will introduce the weekly content of the module identifying theories/principles/concepts enabling you to develop your knowledge and skills. This will be supported by blended learning pre and post session activities on Moodle and you will be expected to engage with a range of activities including pre-reading to prepare you for lectures and follow-on activities to enable ongoing self and tutor assessment of your progress and application of knowledge and skills. The lecture content will be supported by seminars enabling smaller group discussion where you will consolidate your knowledge and critically engage with best evidence to support your professional development and to apply your learning to clinical practice, activities will include role play, problem-based learning, and practice-based scenario exploration. Practical session will enable you to develop nursing proficiencies in Annex A and B of the Standards of Proficiency for Nursing Associates (NMC, 2018) required for practice placements. These will be delivered in the Health Facilities Building and you will be required to wear nursing uniform for these sessions. Access to online learning platforms including safeMedicate and Clinicalskills.net will support the directed study element of this module. Where appropriate specialist practitioners and service users and carers will be invited to contribute to sessions to increase the authenticity of lived experience of the module content and highlight employability links. Learning styles will be supported by a variety of resources including videos, reading material, discussion and debate, e-learning modules, problem solving and practical tasks. You will be expected to utilise appropriate digital technologies and study skills to engage with additional resources and in independently directing your own learning.
Planned LTU Off-the-Job Delivery Learning:
Lectures
Hours: 24
Intended Group Size: Cohort
Seminars
Hours: 12
Intended Group Size: 30
Practicals
Hours: 24
Intended Group Size: 30
Minimum Self-Directed Off the Job Learning (e.g. Self-directed Study)
Hours: 90
Further Details Relating to Assessment
Post session activities submitted through Moodle will facilitate ongoing formative assessment opportunities via lecturer or peer feedback, these may include responses to case studies, quizzes, forum posts or blogs and self-assessment. Clinical skills proficiency will be formatively assessed via completion of self-assessment tasks using Clinicalskills.net. Formative assessment opportunities for the seen exam will be provided via Moodle and you will receive both tutor and peer feedback on these. You will be able to practice essential skills drug calculation and numeracy via the self-assessment tests in preparation for your safeMedication exam in NUR5103 Nursing Associate Practice 3.
Seen exam 2 hours: You will be provided with 4 case studies two weeks prior to the exam date, during which you can prepare/research your responses. On the day of the exam you will be allowed to bring one-side of A4 with supporting notes which you may use as prompts. The case studies will cover a range of conditions which have been studied during the module and you will be required to demonstrate your knowledge, skills and understanding of anatomy, physiology, pathophysiology, pharmacology, medicines management and clinical skills in order to prove safe, effective, compassionate nursing care.
Apprentices should be referred to Module Handbooks for full details of how to approach this assessment.
Please note that there is no compensation, each component must be passed at 40% - NMC regulations.
Module Coordinator - PRS_CODE=
Level - 4
Credit Value - 15
Pre-Requisites - NONE
Semester(s) Offered -