ADDITIONAL ASSESSMENT DETAILS
Extended matching questions (EMQ) weighted at 30%. Objective Structured Clinical Examinations (OSCE) weighted at 0%. Written assignment weighted at 70%. Clinical competency document weighted at 0%.
EMQs: Twelve questions each with five stems to be completed within 90 minutes. The assessment and independent management, including any interventions, of patients presenting with a minor injury will be covered. (A 70% pass mark is required), Meets learning outcome: 1
OSCEs: Twelve five minute work stations. Stations will focus on history taking, clinical examinations, management, practical skills and communication. Students have to pass eight out of twelve stations to achieve a pass.(Pass/Fail), Meets learning outcomes: 1 and 3
3000 word written essay
A critical appraisal of the professional, legal and risk management strategies which influence the role and responsibilities of the emergency practitioner for assessment and management of patients with minor injuries, Meets learning outcome: 3 and 4
Clinical Competency document (Pass/Fail), Meets learning outcome: 2
All elements of the summative assessments must be passed in order to complete the module successfully.
Formative Feedback
Students can gain an enhanced understanding of how well they are progressing with their learning by the feedback generated from;
• Practical clinical examination workshops – assessing clinical examination skills assessed during relevant teaching sessions
• Interactive Case scenarios - Start of the second week. Consolidating learning from first week through discussion of case scenarios.
INDICATIVE CONTENT
Emergency Practitioners already work at an advanced level without direct medical supervision, making clinical decisions for patients with a minor injury. The content of this module reflects both the depth and breadth of knowledge and skills required, to make these safe, evidence based decisions.
Professional Issues when caring for patients with a minor injury:
• Accountability
• Mental Capacity
• Consent
• Record Keeping and documentation
• Safe discharge
• Evidence based practice
• Protocols and national guidelines
The underlying anatomy and physiology necessary for the assessment, management of musculo skeletal injuries in both the adult and child.
• Upper limb
• Lower limb
• Neck and back injuries
• Minor traumatic chest injuries
• Splints and walking aids
• Clinical decision making
Assessment, management of wounds in both the adult and child
• Wound healing
• Wound assessment
• Wound closure
• Use of appropriate dressing
• Local anaesthesia
• Management of burns
• Clinical decision making
Pharmacology of commonly used drugs in the management of minor injuries.
• Pain assessment and management
• Use of Patient Group directions
• Basic pharmacological principles of commonly used medicines
Head and face
• The assessment, management and safe discharge of head injuries within national guidelines
• Assessment and management of facial injuries
• Assessment, management and safe discharge of eye injuries
Paediatric specific
• Safeguarding of children – recognition of a non accidental injury and referral
• Child development – including normal pattern of bone ossification
Radiograph interpretation
• Radiation protection (IRMER regulations)
• Systematic approach to radiograph interpretation in the adult and child
• Identification and management of fractures
RESOURCES
Internet access
Lecturers
Library.
Access to clinical practice
Honorary contracts with HEFT for external students
TEXTS
BARNES, K. (2003). Paediatrics. A Clinical Guide for Nurse Practitioners. London: Butterworth Heinemann.
CHAN, O (2013) ABC of Emergency Radiology 3rd ed. London: Wiley Blackwell
DIMOND, B. (2011). Legal Aspects of Nursing. 6th ed. Essex: Pearson Education.
PURCELL, D. (2010). Minor Injuries: A Clinical Guide.2nd ed.Edinburgh: Elsevier.
LEARNING STRATEGIES
Scheduled Learning and Teaching Activities: (80 hours)
65 hours direct contact which includes lectures, workshops
15 hours tutorials
Guided Independent Study: (370 hours)
370 hours self directed study
Supervised Clinical Practice:
135 hours direct supervised clinical practice with nominated mentor, which equates to 7.5 hours per week for 18 weeks.
SPECIAL ADMISSIONS REQUIREMENTS
Students must obtain signed evidence of support from their employer which will include details of an agreed clinical mentor(s). The mentor(s) identified must be experienced emergency department clinicians, currently practising within this area.
Students must have a minimum of four years post registration two of which should be in an acute setting.
Registration with a Professional body.
LEARNING OUTCOMES
1. Determine how previous medical history, physiological, and psychosocial factors influence the case presentation and the implications for the assessment and management of minor injuries.
(Application, Knowledge & Understanding, Problem Solving)
2. Demonstrate the ability to work autonomously when treating a patient with minor injuries within contexts which are complex and unpredictable. (Application, Communication, Problem Solving)
3. Demonstrate a critical awareness of your clinical decision making strategies in relation to the assessment and management of patients with a minor injury, utilising current research and evidence based practice. (Analysis, Knowledge & Understanding, Reflection)
4. Critically appraise the impact of professional, ethical, legal and risk management strategies which influence role and responsibilities of the emergency practitioner when assessing and managing minor injuries. (Analysis, Enquiry, Learning)