PMSC20002 - Advanced Critical Skills Application
Term 1 - 2017


All details in this unit profile for PMSC20002 have been officially approved by CQUniversity and represent a learning partnership between the University and you (our student). The information will not be changed unless absolutely necessary and any change will be clearly indicated by an approved correction included in the profile.

Overview

The unit will address the paramedic management of patients with medical and trauma conditions at the critical care level. On the completion of this unit you will be able to, identify the indications, precautions, risks and contraindications of the skills and interventions involved in critical care practice, employ critical thinking and clinical decision making and demonstrate the skills and interventions required at a critical care level. The unit will include clinical skills laboratory and simulation scenarios to develop essential communication, assessment, clinical problem-solving, decision making and management skills required at a critical care level.

Details

Career Level Postgraduate
Credit Points 6
Student Contribution Band 2
Fraction of Full-Time Student Load 0.125

Pre-requisites or Co-requisites

Co-Requisite: PMSC20003 Pharmacological Application in the Critical Care setting

Residential Schools

This unit has a Compulsory Residential School for distance mode students and the details are:
Click here to see your Residential School Timetable.

Attendance Requirements

All on-campus students are expected to attend scheduled classes – in some units, these classes are identified as a mandatory (pass/fail) component and attendance is compulsory. International students, on a student visa, must maintain a full time study load and meet both attendance and academic progress requirements in each study period (satisfactory attendance for International students is defined as maintaining at least an 80% attendance record).

Offerings

Term 1 - 2017
  • Mixed Mode

Website

This unit has a website, within the Moodle system, which is available two weeks before the start of term. It is important that you visit your Moodle site throughout the term. Go to Moodle

Recommended Student Time Commitment

Each 6-credit Postgraduate unit at CQUniversity requires an overall time commitment of an average of 12.5 hours of study per week, making a total of 150 hours for the unit.

Class Timetable

Assessment Overview

Assessment Task Weighting
1. Online Quiz(zes) 40%
2. Off-campus Activity 60%
3. On-campus Activity Pass/Fail

This is a graded unit: your overall grade will be calculated from the marks or grades for each assessment task, based on the relative weightings shown in the table above. You must obtain an overall mark for the unit of at least 50%, or an overall grade of ‘pass’ in order to pass the unit. If any ‘pass/fail’ tasks are shown in the table above they must also be completed successfully (‘pass’ grade). You must also meet any minimum mark requirements specified for a particular assessment task, as detailed in the ‘assessment task’ section (note that in some instances, the minimum mark for a task may be greater than 50%). Consult the University’s Grades and Results Procedures for more details of interim results and final grades.

All University policies are available on the IMPortal.

You may wish to view these policies:

  • Grades and Results Procedure
  • Assessment Policy and Procedure (Higher Education Coursework)
  • Review of Grade Procedure
  • Academic Misconduct Procedure
  • Monitoring Academic Progress (MAP) Policy and Procedure – Domestic Students
  • Monitoring Academic Progress (MAP) Policy and Procedure – International Students
  • Refund and Excess Payments (Credit Balances) Policy and Procedure
  • Student Feedback – Compliments and Complaints Policy and Procedure
  • Acceptable Use of Information and Communications Technology Facilities and Devices Policy and Procedure

This list is not an exhaustive list of all University policies. The full list of University policies are available on the IMPortal.

Feedback, Recommendations and Responses

Every unit is reviewed for enhancement each year. At the most recent review, the following staff and student feedback items were identified and recommendations were made.

Feedback Source Recommendation
One student considered the amount and level of content in the course to be too much Course Evaluation Survey Content will be reviewed by additional staff within the paramedic discipline to evaluate if it needs to be revised. Currently, the content covered are all skills within the potential critical care paramedic scope of practice, so it would be hard to revise down.
On successful completion of this unit, you will be able to:
  1. Articulate the concepts and theoretical underpinnings, including the anatomical and pathophysiological reasons, for the application of critical care skills and interventions in the management of a critically ill or injured patient
  2. Identify the indications, precautions, risks and contraindications of the skills and interventions involved in critical care practice
  3. Employ critical thinking and clinical decision making for the use of critical care skills and interventions
  4. Demonstrate the skills and interventions involved in critical care practice

Alignment of Assessment Tasks to Learning Outcomes

Assessment Tasks Learning Outcomes
1 2 3 4
1 - Online Quiz(zes)  
2 - Off-campus Activity  
3 - On-campus Activity      

Alignment of Graduate Attributes to Learning Outcomes

  • Professional Level
  • Advanced Level
Graduate Attributes Learning Outcomes
1 2 3 4
1. Knowledge
2. Communication
3. Cognitive, technical and creative skills  
4. Research  
5. Self-management    
6. Ethical and Professional Responsibility    
7. Leadership    

Alignment of Assessment Tasks to Graduate Attributes

  • Professional Level
  • Advanced Level
Assessment Tasks Graduate Attributes
1 2 3 4 5 6 7
1 - Online Quiz(zes)      
2 - Off-campus Activity
3 - On-campus Activity  

Textbook Information

There are no required textbooks.

IT Resources

You will need access to the following IT resources:
  • Unit Website (Moodle)
  • Internet
  • CQUniversity Student Email
All submissions for this unit must use the Harvard (author-date) referencing style (details can be obtained here). For further information, see the Assessment Tasks below.
Unit CoordinatorNatalee Williams-Claassen (n.williams-claassen@cqu.edu.au)
Note: Check the Term-Specific section for any additional contact information provided by the teaching team
Week Begin Date Module/Topic Chapter Events and Submissions
Week 1 06-03-2017

Module 1: Introduction

Week 2 13-03-2017

Module 1: Introduction

Advanced vascular access and medication administration:

  • IO
  • EJ
  • SC Drugs
  • Drug Pumps
Week 3 20-03-2017

Module 2: Perfusion Procedures

Arterial lines

Vasopressors

Week 4 27-03-2017

Module 2: Perfusion Procedures

Review of 12-lead, right-sided and 15-lead ECG principles and acquisition

Fibrinolytics

Week 5 03-04-2017

Module 3: Cardiac Procedures

Synchronised cardioversion

Transcutaneous pacing

Vacation Week 10-04-2017

Self-study period

Week 6 17-04-2017

Module 4: Airway and Ventilation Procedures

Intubation

Use of a bougie

ET drug administration

OG/NG tube placement

Capnography

Quiz 1 - is due on the 19th April 2017 0800 AEST.

Week 7 24-04-2017

Module 4: Airway and Ventilation Procedures

Chest decompression (needle and Cook set)

Pneumocath

Thoracostomy and chest tube placement

Week 8 01-05-2017

Module 4: Airway and Ventilation Procedures

IPPV Review

PEEP

CPAP

Week 9 08-05-2017

Module 4: Airway and Ventilation Procedures

Ventilators

Cricothyrotomy

Week 10 15-05-2017

Module 5: Altered Consciousness and Behavioural Procedures

Chemical and physical restraints

Integration of seizure and altered LOC management principles

Quiz 2 - is due on the 17th May 2017 0800 AEST.

Week 11 22-05-2017 Review of skills learned throughout session
Case Reports Due Wednesday (24 May 17) 08:00 AM AEST
Week 12 29-05-2017 Residential School

Skills practice

Assessment of OSCEs

Review/Exam Week 05-06-2017
Exam Week 12-06-2017

No Exam

1 Online Quiz(zes)

Assessment Title Online Quizzes
Task Description

You will complete two (2) separate online quizzes. Each quiz will consist of multiple choice questions exploring content included in the unit (such as but not limited to, lecture materials, online modules, links & required readings).

Multiple choice questions will be based upon information provided throughout this unit

Content for the quizzes is based on previous weeks’ topics (as detailed in the schedule) and will test your ability to identify the concepts and theoretical underpinnings, including the anatomical and pathophysiological reasons, for the application of critical care skills and interventions in the management of a critically ill or injured patient , identify the indications, precautions, risks and contraindications of the skills and interventions involved in critical care practice and employ critical thinking and clinical decision making for the use of critical care skills and interventions.

Quiz 1 - Quiz will be available on the 5th April 2017 0800 AEST and is due on the 19th April 2017 0800 AEST.

Quiz 2 - Quiz will be available on the 10th May 0800 AEST and is due on the 17th May 2017 0800 AEST.

Students are reminded that to achieve a pass mark in this unit you must, achieve a pass mark for EVERY skill/procedure and you will need to submit all assessment pieces and achieve a minimum pass mark of 50% for each assessment piece.

Number of Quizzes 2
Frequency of Quizzes Other
Assessment Due Date Quiz 1 - is due on the 19th April 2017 0800 AEST (UTC+10:00, QLD Time). Quiz 2 - is due on the 17th May 2017 0800 AEST (UTC+10:00, QLD Time).
Return Date to Students Quizzes will be marked and returned to students after 2 weeks from the due date
Weighting 40%
Assessment Criteria

There are two quizzes, each quiz is worth 20%. Marks are awarded if the multiple choice question is answered correctly and the total marks are tallied after both quizzes have been attempted.

Quizzes are open-book, so the use of Clinical Practice Guidelines, book chapters and journal articles etc. are allowed.

Each quiz will have a specific time limit imposed to complete the quiz.

Quizzes will become available on Wednesdays at 0800 AEST and the due date and time for each quiz is by the following Wednesday by 0800 AEST.

In the absence of an approved extension, there will be no opportunity to complete the task after the due date, and there will be no opportunity to apply a late penalty of five percent per day.

Non-attempts will score a zero mark. There will be no negative marking (that is, you will not lose a mark for an incorrect response). Quizzes may not be re-attempted. These are individual assessment pieces, collaboration with other students is not allowed and would result in disciplinary action.

Conditions Minimum mark or grade - 50%
Submission Online

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

1. Articulate the concepts and theoretical underpinnings, including the anatomical and pathophysiological reasons, for the application of critical care skills and interventions in the management of a critically ill or injured patient

2. Identify the indications, precautions, risks and contraindications of the skills and interventions involved in critical care practice

3. Employ critical thinking and clinical decision making for the use of critical care skills and interventions

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Knowledge

2. Communication

3. Cognitive, technical and creative skills

4. Research



2 Off-campus Activity

Assessment Title Case Reports
Task Description

You will witness first hand some of the advanced care skills of the critical care paramedic. By reflecting upon these skills, you will see how appropriate management plans are established from assessment findings such as history and physical examination, how critical thinking, clinical decision making and medical evidence are used for the employment of critical care skills and interventions and the effect these skills and procedures have on the patient’s homeostasis and our ability as CCPs to manage patients.

Within your current practice you will be required to directly observe critical care skills performed by a CCP/Physician on at least two (2) or more patients. You will required complete a case report on two (2) of these patients to critically discuss the skill(s) observed (one report per patient). The case reports must include the following:

  • A description of the patient's clinical presentation and diagnosis
  • Discussion on the clinical reasoning undertaken for use of this skill in the management of this critically ill or injured patient, as well as the evidenced-based support behind the skill's application.
  • Articulate and justify why this skill is clinically significant at a critical care level.
  • Documented changes in the patient’s clinical presentation (positive or negative) resulting from application of the skill, providing reasons for this occurrence.

Students are reminded that to achieve a pass mark in this unit you must, achieve a pass mark for EVERY skill/procedure and you will need to submit all assessment pieces and achieve a minimum pass mark of 50% for each assessment piece.

Assessment Due Date Week 11 Wednesday (24-May-2017) 08:00 AM AEST
Return Date to Students 7th June 2017
Weighting 60%
Assessment Criteria

While there is no prescribed word limit for your case reports, it is expected that each case report will be clear and concise. The case report will be assessed in accordance with the information and rubric provided on the unit’s Moodle page. The case reports are to be submitted as a Word document.

The case report document is worth 60% of your overall unit mark.

Conditions Minimum mark or grade - 50%
Referencing Style Harvard (author-date)
Submission Online

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

1. Articulate the concepts and theoretical underpinnings, including the anatomical and pathophysiological reasons, for the application of critical care skills and interventions in the management of a critically ill or injured patient

2. Identify the indications, precautions, risks and contraindications of the skills and interventions involved in critical care practice

3. Employ critical thinking and clinical decision making for the use of critical care skills and interventions

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Knowledge

2. Communication

3. Cognitive, technical and creative skills

4. Research

5. Self-management

6. Ethical and Professional Responsibility

7. Leadership



3 On-campus Activity

Assessment Title Skill Assessments
Task Description

For this assessment students will be required to attend a compulsory residential school. There will be several assessment pieces, each designed to assess the knowledge and practical skills acquired during this unit. The assessment tasks will consist of OSCE's. The format of the OSCE's will be a clinical skill which relates to the learning outcomes for the unit.

You will be assessed in an OSCE format throughout the compulsory residential school. During an OSCE your clinical skills will tested as well as your theoretical knowledge of that skill. It is essential to learn the correct clinical methods, and then practice these methods repeatedly until you perfect the methods whilst simultaneously developing an understanding of the underlying theory behind the methods used.

Students are reminded that to achieve a pass mark in this unit you must, achieve a pass mark for EVERY skill/procedure and you will need to submit all assessment pieces and achieve a minimum pass mark of 50% for each assessment piece.

Assessment Due Date Assessed during Residential School Period
Return Date to Students Students will be made aware of their results at the end of the Residential School
Weighting Pass/Fail
Assessment Criteria

OSCE sheets for specific skills will be provided on the unit’s Moodle page.

Students will have a maximum of two attempts for each skill assessed.

The assessment will be based on a satisfactory/unsatisfactory marking criteria based on the following key points:

· Successful completion of the skill

· Demonstration of skill in a timely matter

· Ability to minimise missed steps or minor mistakes

· Completion of the skill without making a critical error

· A critical error will result in a failed attempt

If a critical error occurs during your assessment the assessment will immediately cease, no marks will be given for that item and will result in a failed attempt. Critical errors in this unit will be classed as anything that causes immediate harm to yourself, partner, patient or bystanders and/or any procedure that is performed outside the scope of practice of a CCP and/or any of the errors listed below.

During any form of assessment, if any of the following are witnessed the assessment will immediately cease, no marks will be given for that item and it will result in a failed attempt:

  • An action which causes immediate harm to yourself, partner, patient or bystanders
  • Unsafe use of the defibrillator
  • No or incomplete drug check
  • Incorrect sharps disposal
  • Performing a skill and/or procedure outside the scope of practice of a CCP
Conditions Minimum mark or grade - You must achieve a pass mark for EVERY skill/procedure to be eligible to pass this unit.
Referencing Style Harvard (author-date)
Submission Hard copy

There is no submission of this assessment as it is completed and assessed under observation at the Residential School for this unit

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

4. Demonstrate the skills and interventions involved in critical care practice

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Knowledge

2. Communication

3. Cognitive, technical and creative skills

5. Self-management

6. Ethical and Professional Responsibility

7. Leadership




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