Kingdom of Saudi Arabia
The Ministry of Higher Education
University of Tabuk
Faculty of Applied Medical Sciences
Department of Nursing
FIELD EXPERIENCE SPECIFICATION
CRITICAL CARE NURSING (CLINICAL) NUR 406
SECOND SEMESTER, ACADEMIC YEAR (A.Y.) 1434 – 1435
College
Faculty of Applied Medical Sciences
Department Nursing
A. Course Identification and General Information
Course Title
Course Code
Credit Hours
Program(s) in which the course is
offered
Name of faculty member responsible for
the course
Critical Care Nursing (Clinical)
NUR 406
135 hours (Six (6) hours per week; 15
weeks)
Nursing
Hilario Jr. Cruzada Noveno
Dave Rainier CatbaganPaguntalan
Juan Manlangit
Mohammed Mari
Ma. Clarissa Mateo-Jugos
Yolanda Cabaltica
Dr. Analita Gonzales
Mashel Hassan Al-Omrani
Year and Semester at which this course
is offered
Level 8, 4th year, Second Semester
Prerequisite(s)
Adult Health Nursing-2/Clinical (NUR 304)
Community Health Nursing
Psychiatric Nursing
Maternal and Child Nursing
Nursing Leadership and Management
Emergency Nursing
King Khaled Hospital
Corequisite(s)
Location if not on main campus
B. Objectives
1. Summary of the main learning outcomes for students enrolled in the
course.
At the end of the clinical rotation, the students will be able to:
i. exhibit the fundamental duties and responsibilities of a
beginning critical care nurse
ii. demonstrate basic skill in the care of patients with critical
illnesses

implications of the findings of laboratory exams

invasive and noninvasive procedures results

use of basic and advanced equipment

advanced medication computation

exhibit skill in reading carrying out doctor’s orders
iii. establish professional relationship with the entire healthcare
team
iv. communicate effectively with patients (as necessary), healthcare
staff, and others that may be involved in the care of the critically
ill
v. exemplify the ethico-moral responsibilities in the clinical area
1
2. Briefly describe any plans for developing and improving the course that
are being implemented. (e.g. increased use of IT or web based reference
material, changes in content as a result of new research in the field)
i. Will apply a rotational plan for the laboratory and hospital
duties of the students;
ii. Will make use of simulator models for the return demonstration
of procedures;
iii. Will avail of the internet sources and library resources of the
school
3. Will employ multimedia presentations and other electronic resources.
C. Course Description
This course is designed to provide nursing students with the skills required to
care competently and safely for critically ill patients. It focuses on providing the
students with the basic knowledge and fundamental nursing skills in the care of
patients with critical conditions. It also focuses on prioritizing application of
immediate, rapid, and accurate nursing assessment and provision of quality
nursing care. It enables the students to provide comprehensive quality nursing
care for critically ill patient with different body system alterations, with different
types of invasive devices and with different types of equipment used in the
critical care setting.
Clinical Focus
Focus 1
1. Introduction to critical care nursing
2. Clinical Policies and Procedures
3. Personal protective equipment
4. Universal precautions
2
Week (W) / Day (D) No
Contact hours
W1, D1
1
Focus 2
5. Medication management
6. Common medications used in the critical area
and their preparation
7. Nursing implications
Focus 3
8. Fluids and electrolytes
a. Hemodialysis
b. Peritoneal dialysis
c. Paracentesis
9. Nursing implications
Focus 4
10. Blood components
11. ABG
12. Blood chemistry
13. Nursing implications
Focus 5
14. Mechanical ventilation
15. Bronchoscopy
16. Endoscopy
17. Nursing implications
Focus 6
18. Cardiac catheterization
19. Hemodynamic monitoring
20. CVP
21. ECG
22. Nursing implications
Focus 8
23. Neurologic assessment
a. GCS
24. ICP monitoring
25. Nursing implications
Clinical Exposure
W1, D1
2
W1, D2
2
W1, D2
1
W2, D3
1.5
W2, D3
1.5
W2, D4
3
W3 onwards
2. Course components (total contact hours per semester): 45hours
Lecture:
0
Tutorial:
9
Laboratory: Practical/Field
work/Internship:
0
135 Hours
3
Other
None
3. Additional private study/learning hours expected for students per week. (This should be an
average: for the semester not a specific requirement in each week): 15 hours (office hours)
4. Development of Learning Outcomes in Domains of Learning
a. Knowledge
(i) At the end of the course the student should be able to:
1.
2.
3.
Recognize the common needs of critically ill patients
Identify the most important nursing diagnoses for critically ill patients
Understand all relevant information on the frequently used invasive devices and
machines in the critical care unit
4.
Identify action, side effects and the important nursing considerations regarding
administration of the most commonly used medications & infusions in critical care
units
(ii) Teaching strategies to be used to develop that knowledge
1.
Demonstration
2.
Nursing care plan
3.
Focus group discussion
4.
Medication preparation
5.
Feedback mechanisms
6.
Pre- and Post-conferences
(iii) Methods of assessment of knowledge acquired
1.
Direct observation
2.
Use of procedure checklist
3.
Return demonstration
b. Cognitive Skills
(i) At the end of the course the student should be able to:
1.
Interpret laboratory findings & diagnostic procedure results
2.
Recognize normal and abnormal ECG findings
3.
Practice drug dosage and infusion calculation
4.
Identify the appropriate nursing diagnosis for each critically patient according to
priority
5.
Use problem solving and critical thinking skills in carrying out patient care
(ii) Teaching strategies to be used to develop these cognitive skills
1.
Clinical conference
2.
Case study presentation and case analysis
3.
Laboratory values analysis and procedure results interpretation
(iii) Methods of assessment of cognitive skills acquired
1.
Oral examination
1.
Major examinations
2.
Case presentation
3.
Case analyses
4.
Research
c. Interpersonal Skills and Responsibility
(i) At the end of the course the student should be able to:
1. Communicate effectively with all the healthcare team members
2. Maintain a professional relationship between members of the team
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3. Demonstrate confidence in dealing with the doctors and staff of the unit
(ii) Teaching strategies to be used to develop these skills and abilities
1. Endorsements
2. Actual conversation with staff and doctors; and patients
(iii) Methods of assessment of students interpersonal skills and capacity to carry responsibility
1. Direct observation
2. Use of rubrics
d. Communication, Information Technology and Numerical Skills
(i) At the end of the course the student should be able to:
1. Utilize the available forms of communication in the area
2.
(ii) Teaching strategies to be used to develop these skills
1. Actual hospital experience
2. Hands-on with the latest available equipment in the area
(iii) Methods of assessment of students numerical and communication skills
1. Direct observation and evaluation
e. Psychomotor Skills (if applicable)
(i) At the end of the course the student should be able to:
1. Demonstrate skill in the assessment of the critically ill patient effectively
2. Prepare at least one assessment sheet and one critical care nursing record for critically ill
patient every week
3. Construct a comprehensive nursing care plan in CCU clarifying actual and or potential
patient health problems
4. Assist with the collection of or independently collect laboratory specimens
5. Assist patients undergoing diagnostic procedures
6. Demonstrate cardiopulmonary resuscitation for the different age group
7. Insert invasive devices such as oropharyngeal airway, nasogastric tube, urinary catheter
8. Assist physician with insertion of invasive devices such as endotacheal tube &
tracheostomy tube, chest tube, arterial catheter central venous catheter
9. Administer medications safely
10. Demonstrate skill in troubleshooting machines and equipment in the area
(ii) Teaching strategies to be used to develop these skills
1. Demonstration
2. Actual clinical exposure
3. Clinical supervision
4. Direct observation
(iii) Methods of assessment of students psychomotor skills
1. Use of checklist
5. Schedule of Assessment Tasks for Students During the Semester
Assessment
Assessment task
Week due
Proportion of Final Assessment
1
Competency
All weeks
30 %
2
Attitude and Behaviour
All weeks
10 %
5
3
Requirements
At the end of the
rotation
20 %
4
Final clinical exam
13th week
40 %
100%
D. Student Support
Arrangements for availability of teaching staff for individual student consultations and
academic advice. (Include amount of time teaching staff are expected to the be available each
week) 1hour
E. Learning Resources
1. Required Text(s)

2. Essential References

3. Recommended Books and Reference Material (Journals, Reports, etc) (Attach List)

American Journal of Nursing International Health Regulation: World Health
Organization, 2nd Edition
4. Electronic Materials, Web Sites etc

http://www.wikipedia.org/

http://adam.about.com/encyclopedia/infectiousdiseases/Renal-and-urologicdisorders.htm

http://www.nivl.com/

www.besttreatments.co.uk

http://medicalcenter.osu.edu/

http://www.americanheart.org/

http://www.diabetes.org/

http://www.aacn.org/(critical care)

http://www.lighthouse.org/
 http://www.aadenet.org/(diabetes)
5. Other learning material such as computer-based programs/CD, professional
standards/regulations
 Facebook
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F. Facilities Required
Indicate requirements for the course including size of classrooms and laboratories (i.e. number
of seats in classrooms and laboratories, extent of computer access etc.)
1. 20-seater Skills laboratory
2. Simulation equipment
G. Course Evaluation and Improvement Processes
1. Strategies for Obtaining Student Feedback on Effectiveness of Teaching
a. Focus group discussion
b. Post-activity report form
c. Student evaluation
2. Other Strategies for Evaluation of Teaching by the Instructor or by the Department
a. Faculty evaluation
3. Processes for Improvement of Teaching
a. Faculty training and evaluation
4. Processes for Verifying Standards of Student Achievement (e.g. check marking by an
independent member teaching staff of a sample of student work, periodic exchange and
remarking of tests or a sample of assignments with staff at another institution)
a. Class standing
b. Return demonstration
c. Performance checklist
5. Describethe planning arrangements for periodically reviewing course effectiveness and
planning for improvement.
a. Regular assessment of student performance
b. Identify student needs based on the checklist results
c. Update course syllabus to fit the need of students
d. Apply effective methods that will address student learning in the clinical area
e. Provide training to clinical instructors in the clinical area
Prepared by:
Mashel Hassan Al-Omrani
Dr. Analita G. Gonzales
Hilario Jr. Cruzada Noveno, MAN, MSN, USRN, RN
Dave Raynier C. Paguntalan, MSN, RN
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