College of Nursing Critical Care Nursing

Critical Care Skills Laboratory

Edited By Dr. Radwa Hamdi Assistant Professor of Critical Care College of Nursing University of Dammam

2011

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

Critical Care skills Laboratory Objectives The critical care laboratory in the college of nursing is a fully equipped state-of-the-art laboratory designed to recreate the atmosphere of the critical care unit, the latest in laboratory and simulation technology such as high fidelity human patient simulators, digitalized video, bedside computer charting, and electronic supply and static mannequins are all included within the lab. The lab also provides a space for debriefing and reflective thinking exercises that allow the students time to review their decisions and actions with the instructor and their classmates.

Mission: Preparing graduate nurses qualified for caring for critically ill patients according to the universal standards of nursing practice.

Objectives: 

Enhance learning using simulation technology and related resources.



Provide educational materials for students, faculty, and staff.



Provide hands-on learning experiences specific to critical care nursing course objectives as directed by the nursing curriculum.



Provide a safe environment for students to practice critical care nursing skills



Bridge the gap between theoretical learning and clinical training



Encourage independent student learning opportunities



Integrate Clinical Simulation into critical care Nursing curriculum



Increase preparedness of nursing students before introduction to hospital training



Introduce physiology/ pharmacology/health assessment, etc. into cases critical care students



Increase preparedness for dealing with high acuity and critical cases



Enhance communication skills



Demonstrate the value of team-work and collaboration

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

Schedules

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

University of Dammam College of Nursing Post Graduate Department 1431 – 1432

Master of Science in Critical Care Nursing Time Table of Third Semester Master Program Critical Care Nursing

Saturday Sunday Monday Tuesday

8-9

9-12

1212:30

12:30-2:30

Clinical (Hospital)

Critical Care Medicine

Prof. Dr. Fatma Mokabel

A. Prof. Radwa H. Bakr*

A. Prof. Radwa H. Bakr

Critical Care Surgery

A.. Prof. Hanan El-Kefafy A.. Prof. Omnia H. Salem

Critical Care Nursing II Prof. Dr. Fatma Mokabel* A.. Prof. Hanan El-Kefafy A.. Prof. Omnia H. Salem

A. Prof. Radwa H. Bakr*

Clinical (Hospital) Prayer Time

Date / Time

Critical Care Nursing II Prof. Dr. Fatma Mokabel* A.. Prof. Hanan El-Kefafy A.. Prof. Omnia H. Salem

Wednesday Seminars in Critical Care Nursing Prof. Dr. Fatma Mokabel A.. Prof. Hanan El-Kefafy A.. Prof. Omnia H. Salem*

Seminars in Critical Care Nursing Prof. Dr. Fatma Mokabel A.. Prof. Hanan El-Kefafy A.. Prof. Omnia H. Salem*

* Course Coordinator Program Coordinator: Dr. Radwa Hamdi

Postgraduate Coordinator: Prof. Dr. Fatma Mokabel

College Dean: Prof. Dr. Mohamed Hegazy

MASTER OF SCIENCE IN CRITICAL CARE NURSING

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

LABORATORY ROTATION THIRD SEMESTER ACADEMIC YEAR 2010 - 2011

Date

Activity

Staff member

1st week Saturday

Examination of the critically ill patient : simulated clinical experience

Dr. Radwa Hamdi

Sunday

Vascular access

Dr. Radwa Hamdi

Monday

Clinical skills revision : ECG, ABG, XRAY, redominstration and screening

Dr. Radwa Hamdi

2nd week Saturday

Sunday Monday

Program Coordinator Dr. Radwa Hamdi

Assessment of the Dr. Omnia Hemeda trauma patient : simulated clinical experience NGT insertion , gavage Dr. Omnia Hemeda , lavage , feeding Tracheal suctioning Dr. Omnia Hemeda Insertion of an indwelling catheter Postgraduate Coordinator Prof. Dr. Fatma Mokabel CRITICAL CARE II

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

LABORATORY OCCUPANCY

ACADEMIC YEAR 2010-2011 Course

Year

Semes

Number

Days

ter

of

occupying

students

lab

Medical /

Third

First

surgical

Year

Semes

nursing

Saturday and 88

Duration

Description

16 weeks

Students will

Sunday

practice procedures

ter

and simulation as part of their clinical training

Fundament

Secon

First

als of

d

semest

nursing

Year

er

Tuesday and 120

13 weeks

Wednesday

Students will practice procedures and simulation as part of their clinical training

Critical

Master Third

care

progra

semest

nursing

m

er

Saturday , 3

3 weeks

Students will

Sunday

practice procedures

Monday

and simulation as part of their clinical training

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

CRITICAL CARE NURSING POSTGRADUATE COURSES

Course

CRITICAL CARE NURSING

Simulated clinical experience (SCE) Care of the patient who develops cardiopulmonary resuscitation ACLS protocols

Assessment of ADVANCED the HEALTH ASSESSMENT cardiovascular system Assessment of the respiratory system

Objectives

- Recognizes and responds appropriately to a crisis situation - Correctly identifies cardiopulmonary arrest , calls for help and responds to the code leader’s orders for interventions - Adheres to ACLS protocols and algorithms - Correctly administers cardiovascular medications - Correctly defibrillates the patient using safety precautions - Documents interventions and the patient’s response - Correctly takes history from simulated patient - Inspects the chest and identifies findings - Palpates for excursion, TVF, and pulsations - Percuses the chest over MCL and MAL, back - Auscultates the chest over MCL and MAL -Identifies normal and abnormal breath sounds and adventitious sounds and heart sounds and their significance - Documents findings - Communicates effectively with patient and team members

Duration Logistics

Six sessions

Critical Care Lab II

Four sessions

Critical Care Lab II

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

Documents

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

Master of Science in Critical Care Nursing Laboratory Rotation List of Procedures Cardiovascular system :  Drawing blood from a vein  Insertion of an IV line  Assiting insertion of a central venous line  Central venous line care  CVP measurment  Drawing an arterial sample  Inserting an arterial line  Cardiopulmonary resuscitation  Defibrillation Respiratory system:  Maintaining patent airway  Inserting an oropharyngeal airway  Bag valve mask ventilation  Suctioning the airway  ETT care  Tracheostomy care  Managing ventilator emergencies Gastrointestinal and genitourinary:  Inserting a nasogastric tube  Feeding via NGT  Inserting a urinary catheter  Caring for a patient with an indwelling catheter

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

STUDENT EVALUATION OF SIMULATED CLINICAL EXPERIENCE Do not agree

Somewhat agree

Strongly agree

Not applicable

The instructor prompts guided me I thinking critically I feel more confident in my ability to deal with real patients I developed better understandings of drugs used in the simulated clinical experience I feel more prepared for decision making My physical examination and assessment skills have improved I feel more able to predict what pathophysiological changes may occur in a real patient The simulated clinical experience has reinforced my theoretical knowledge The simulated clinical experience has challenged me to think and make decisions I have learned a great deal from observing my colleagues I have learned ways to improve my communication skills with patients and colleagues Debriefing sessions and discussions were valuable

Comments : ……………………………………………………………………………………………… …………………………………………................................................................................ ……………………………………………………………………………………………… …………………………………………………………....................................................... ……………………………………………………………………………………………….

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

CLINICAL SIMULATION LABORATORIES PHOTOGRAPHY RELEASE

I , ___________________________________ hereby agree to allow ___________________________________ to record or photograph my performance in the clinical simulation lab , for use in simulation sessions for teaching purposes or for use in educational materials , brochures, manuals and presentations. Date : _____________________________________________________ Name : ____________________________________________________ Signature : _________________________________________________

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

Workshops and training

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

CRITICAL CARE (II) LABORATORY SCHEDULED TRAINING ACTIVITIES AND WORKSHOPS ACADEMIC YEAR 2010 – 2011 FIRST SEMESTER

Workshop / training

Date

Instructor

Location

Duration

Pediatric ECS (METI )

October 6TH 2010

Dr. Radwa Hamdi

Critical Care Lab

1 day

Virtual IV Maintenance and training SIMMAN 3G Faculty training workshop ECS Training workshop

October 3rd

Dr. Ashraf

Critical Care Lab

1 day

October 11th October 17th

Eng. Abubakr

Critical Care Lab

2 days

November 1st

Wael kossa

Critical Care Lab

Highfidelity simulation workshop

January 1011th

Organization is in progress

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

High fidelity Simulation Workshop With : Pedia Sim by METI® INSTRUCTOR : Participants :

DR. RADWA HAMDI

Pediatric Nursing Academic Staff and Demonstrators Duration: One day Timing: Wednesday 6 0ct0ber 2010 Venue: College of Nursing - Critical Care II Skill Lab

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

Workshop Rationale: This workshop is designed to acquaint pediatric nursing faculty with the high fidelity simulator

designed by METI ; Pediatric Emergency care

simulator (PEDIA SIM), as well as the educational modules of the Program of Nursing Curriculum Integration (PNCI) , a four-semester guide which provides simulated clinical experiences (SCE). That are integrated within the nursing curriculum. Human patient simulation

provides an innovate

learning environment where nursing students can practice clinical and critical thinking skills without fear of harming a real person, the result is increased self-confidence, and ultimately competence. Simulation offers multiple opportunities for student training and clinical experience that help overcome the limitations of clinical areas, However simulators are often under- utilized due to insufficient staff training. The aim of this workshop is to train pediatric Nursing academic staff on the use of high fidelity simulators to prepare them for the use of simulation in undergraduate and postgraduate student clinical training .

Workshop objectives: As a result of successful completion of the workshop, participants will be able to:  Identify the parts of the high fidelity simulator  Familiarize with simulator software and applications  Demonstrate how to operate the high fidelity simulator Familiarize with educational modules of the Program of Nursing Curriculum Integration (PNCI)  Demonstrate how to run a scenario on the high fidelity simulator

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

 Demonstrate how to write new scenarios by editing existing ones  Demonstrate how to create new scenarios  Demonstrate how to conduct a clinical simulation session  Demonstrate how to conduct a debriefing session

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

High fidelity Simulation Workshop Pedia Sim by METI® Instructor :

Dr. Radwa Hamdi

Program Day :

Time:

Activity:

Tuesday 13/10/09

8.00-8.30:



8.30-9.30:

 

Identify the parts of the high fidelity simulator Familiarize with simulator software and applications Demonstrate how to operate the high fidelity simulator

9.30-10.00:



Familiarize with educational modules of the Program of Nursing Curriculum Integration (PNCI)

10.00 - 10.30:



Practical application : how to run a scenario on the high fidelity simulator

10.30- 11.00



Writing new scenarios by editing existing ones Creating new scenarios

 11.00 – 12.00

Practical application : conducting a clinical simulation session  Demonstrate how to conduct a debriefing session 12.30 – 1.30: 1.30 – 2.00:

Prayer break 

Practical application : Conducting a debriefing session

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

Simulation Training Workshop With : ® SimMan 3G Instructor : Eng . Abubakr -- BETA COMPANY Participants : College of Nursing Academic Staff and Demonstrators Duration: One day Timing: Monday October 11th 2010 , to be repeated Sunday 17th Oct Venue: College of Nursing - Critical Care I Simulation Laboratory

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

2010 Workshop Rationale: This workshop is designed to acquaint nursing faculty with the most recent high fidelity simulator designed by SIMMAN ; SIMMAN 3G. Human patient simulation provides an innovate learning environment where nursing students can practice clinical and critical thinking skills without fear of harming a real person, the result is increased self-confidence, and ultimately competence. Simulation offers multiple opportunities for student training and clinical experience that help overcome the limitations of clinical areas, However simulators are often under- utilized due to insufficient staff training. The aim of this workshop is to acquaint Nursing academic staff on the use of SIMMAN 3G high to prepare them for the use of simulation in undergraduate and postgraduate student clinical training . Workshop objectives: As a result of successful completion of the workshop, participants will be able to:  Identify the parts of the high fidelity simulator  Familiarize with simulator software and applications  Demonstrate how to operate the high fidelity simulator  Familiarize with educational modules  Demonstrate how to run a scenario on the high fidelity simulator

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

 Demonstrate how to write new scenarios by editing existing ones  Demonstrate how to create new scenarios  Demonstrate how to conduct a clinical simulation session

Program Day :

Time:

Monday 11/10/2010

8.00-8.30:

Activity: 

Identify

the parts of the high

fidelity simulator SIMMAN 3G 8.30-9.30:



Familiarize with simulator software and applications



Demonstrate how to operate the high fidelity simulator

9.30-10.00:



Familiarize

with

educational

modules 10.00 - 10.30:



Practical application : how to run a scenario

on

the

high

fidelity

simulator 10.30- 11.00



Writing new scenarios by editing existing ones



Creating new scenarios



Practical application : conducting a

11.00 – 12.00

clinical simulation session

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

12.30 – 1.30: 1.30 – 2.00:

Prayer break 

Practical conducting

application a

:

clinical

simulation session

Training Workshop Evaluation Form

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

Please provide feedback regarding the training session that you attended. Your opinion is valuable to us and will guide us in planning future training workshops . Workshop: ……………………………………………………………………… …………………………………….. Instructor : ……………………………………………………………………… ……………………………………. Please check the box corresponding to the degree to which you believe the training workshop achieved its goals: Excellent Objectives for the workshop were met Questions were answered to my satisfaction I better understand the components of the simulator I better understand how to operate the simulator I better understand how to run a simulation scenario I received guidance on how to use simulation in my course I better understand how I can integrate simulation into my curriculum I am better prepared to assume the role of facilitator in a simulation setting I am better prepared to make the simulator and its environment more realistic I better understand the importance of

Good

Fair Poor

N/A

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

debriefing I feel confident in my ability to use the simulator with my student

Comments : ……………………………………………………………………………… ……………………………………………………………………………… ………………………………………………………………………………

High fidelity Simulation Workshop With : PEDIASIM EMERGENCY CARE SIMULATOR® Instructor : Dr. RADWA HAMDI Date : October 6 th 2010

Attendance Serial

Name

1.

DR. AWATEF ALSAYED

2.

DR. LAYLA YOUNIS

3.

DR. HODA NAFEA

4.

DR. AFKAR RAGAB

5.

DR. AHLAM

6.

DR. THANAA ALHANAFY

7.

DR. ABEER ALI

8. 9.

Signature

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

10. 11. 12. 13. 14. 15.

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Checklists

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

INTRAVENOUS CATHETER INSERTION STUDENT’S NAME:……………………………………

STUDENT’S NUMBER: …………………………………………

PROCEDURE CHECKLIST 1 2 3 4 5 6 7 8

US

N/A

COMMENTS

Explains the procedure and obtains consent. Observes universal precautions Applies local anesthetic Places tourniquet above the intended site and palpates the vein. Cleanses skin and fixes vein Inserts catheter, bevel up, parallel to the vein at a 30 degree angle to the skin. Advances into the vein. Decreases angle when flashback occurs.

9

Advances 0.5 then retracts needle from catheter.

10

Advances catheter until port is flush with the skin.

11

Occludes the distal end of the catheter and connects IV tubing

12

S

Checks flow through catheter.

13 Secures the catheter

Grade : ………………………………………………………………………………………………………………………….. Date of evaluation: …………………………………………………………………………………………………………. Clinical supervisor: …………………………………………………………………………………………………………..

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

UNIVERSAL PRECAUTIONS FOR INVASIVE PROCEDURE STUDENT’S NAME:……………………………………

STUDENT’S NUMBER: …………………………………………

Procedure checklist 1 2 3 4 5 6 7 8 9

S

US

N/A

Comment

Checks Patient identity Checks relevant documents Obtains informed consent Marks procedure site Positions patient correctly Displays Images and results properly Prepares blood products, implants, devices, or special equipment Administers required antibiotics or fluids Observes safety precautions based on history and medications

Grade : ………………………………………………………………………………………………………………………….. Date of evaluation: …………………………………………………………………………………………………………. Clinical supervisor: …………………………………………………………………………………………………………..

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

ARTERIAL LINE INSERTION ( Radial artery ) STUDENT’S NAME:……………………………………

STUDENT’S NUMBER: …………………………………………

PROCEDURE CHECKLIST 1 2 3 4 5 6

S

US

N/A

COMMENTS

Explains procedure and obtains consent. Observes universal precautions. Positions limb for arterial cannulation: supinates the arm and dorsiflexes the wrist Follows aseptic technique Palpates the artery. Infiltrates the insertion site with 1% lidocaine.

7

Uses Catheter-over-needle technique: Inserts needle and catheter at a 20- to 40-degree angle to the skin. When a flash of blood appears in the hub, drops angle to near 0 degrees and advances about 1 mm. Slides the catheter off the needle into the artery. Puts pressure on the artery and removes the needle from the catheter.

8

Connects the catheter to the transduction system and observes arterial waveform and pressure.

9

Secures the catheter with sterile dressing and tape.

Grade : ………………………………………………………………………………………………………………………….. Date of evaluation: …………………………

Clinical supervisor: ………………………………..

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

SUCTIONING A PATIENT WITH AN ENDOCTRACHEAL TUBE (ETT) STUDENT’S NAME:……………………………………

STUDENT’S NUMBER: …………………………………………

Procedure checklist 1

Explains the procedure to the patient.

2

Observes aseptic technique

3

Opens sterile gloves and suction catheter.

4

Monitors oxygen saturation during procedure.

6

Pre-oxygenates patient with AMBU bag on a 100% O2 for 2 minutes Turns on suctioning equipment with suction tubing and places near head of patient.

8

Places sterile gloves on dominate hand and connects suction catheter to suction tubing.

9

Using aseptic technique, passes suction catheter , while occluded , through ET tube until patient coughs. Applies suction and withdraws suction catheter with a rotating motion at 5 second intervals.

10 11 12 13 14 15

US

N/A

Comment

Places clean Latex glove on non-dominate hand.

5

7

S

Ventillates patient with ambu bag using 100% oxygen Cleans out patient oropharyngeal airway with suction catheter . Discards suction catheter Rinses suction tubing with water. Monitors patients breathing and oxygen saturation.

Notes amount, colour and consistency of tracheal aspiration Grade : ………………………………………………………………………………………………………………………….. 16

Date of evaluation: …………………………………………………………………………………………………………. Clinical supervisor: …………………………………………………………………………………………………………..

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

SUCTIONING A PATIENT WITH A TRACHEOSTOMY TUBE STUDENT’S NAME:……………………………………

STUDENT’S NUMBER: …………………………………………

S

Procedure checklist 1

Explains the procedure to the patient.

2

Observes aseptic technique

3

Opens sterile gloves and suction catheter.

4

Monitors oxygen saturation during procedure.

6

Pre-oxygenates patient with AMBU bag on a 100% O2 for 2 minutes Turns on suctioning equipment with and places near head of patient. Places sterile glove on dominate hand and connects suction catheter to suction tubing. Using aseptic technique, passes suction catheter through connector down into tracheal tube entering the patients upper airway until patient coughs. Applies suctioning while withdrawing suction catheter with a rotating motion at 5 second intervals.

8 9

10 11 12 13 14 15

N/A

Comment

Places clean Latex glove on non-dominate hand.

5

7

US

Ventilates patient with AMBU bag on a 100% 02 Clean out patient oral pharyngeal airway with either suction catheter Discards suction catheter Rinse suction tubing with water. Monitors patients breathing and oxygen saturation.

Notes amount, colour and consistency of tracheal aspiration Grade : ………………………………………………………………………………………………………………………….. 16

Date of evaluation: ……………………………

Clinical supervisor: ………………………………………..

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

DRAWING AN ARTERIAL SAMPLE (radial artery)

STUDENT’S NAME:……………………………………

STUDENT’S NUMBER: ………………………………………… S

Procedure checklist 1 2 3 4 5 6 7 8 9 10 11 12 13 14

US

N/A

Comment

Explains the procedure to the patient Observes universal precautions for invasive procedures Applies local anesthesic if appropriate Prepares skin with antiseptic solution Uses sterile technique. Performs modified Allen test. Positions patient supine and extends wrist to 30 to 45 degrees. Palpates artery distal to the radial styloid Holds the syringe like a dart with the lumen of the needle facing the flow of blood. Enters the skin at a 45-degree angle, at a point 2 to 3 cm proximal to the volar wrist crease. Slowly advances the needle toward the point of maximal arterial impulse. Allows blood to fill the syringe. Collects sample then withdraws the needle. Expels air bubbles in the syringe,caps and labels.

Grade : ………………………………………………………………………………………………………………………….. Date of evaluation: …………………………..

Clinical supervisor: ….……………………………….

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

BAG MASK VENTILATION STUDENT’S NAME:……………………………………

STUDENT’S NUMBER: …………………………………………

Procedure checklist 1

Provides O2 supplementation and monitoring

2

Observes universal precautions.

3

Opens the patient's airway with head-tilt or jaw-thrust.

4

Chooses a proper size face mask and connects to oxygen

5

One-handed technique: (C E ) Holds the mask with the thumb and forefinger in a "C" shape and hold the jaw with the other fingers (E )

6

Two-handed technique: Places thumb and of one hand on one side of the mask and places other hand similarly on the other side of the mask. Uses remaining fingers to pull the mandible into the mask Uses correct sized bag to ventilate: 250 mL for neonates, 500 mL for pediatric , 1000 to 1500 mL for adults

7

S

US

N/A

Comment

Grade : ………………………………………………………………………………………………………………………….. Date of evaluation: …………………………………………………………………………………………………………. Clinical supervisor: …………………………………………………………………………………………………………..

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

BASIC AIRWAY MANAGEMENT STUDENT’S NAME:……………………………………

STUDENT’S NUMBER: …………………………………………

Procedure checklist 1 2

3

4

5 6

7 8

S

US

N/A

Comment

Uses universal precautions. Head-tilt chin-lift maneuver : Applies downward pressure on the forehead and uses fingers to lift mandible. Jaw-thrust maneuver : Places heels of hands on sides of the patient's head and grasps angles of mandible with fingers and push jaw anteriorly. Oropharyngeal airway (OPA) insertion : Selects correct size OPA (from mouth to the angle of the mandible). Inserts OPA inverted, then rotates 180 degrees at the posterior pharynx. Nasopharyngeal airway (NPA) insertion : Selects correct size NPA (from tip of nose to angle of mandible). Lubricates NPA and inserts along floor of the nasal cavity. Bag-valve mask ventilation : Opens airway, then applies mask using either one- or two-handed technique ventilates at rate of 10 to 12 breaths per minute, at a tidal volume of 8 to 10 mL/kg.

Grade : ………………………………………………………………………………………………………………………….. Date of evaluation: …………………………………………………………………………………………………………. Clinical supervisor: …………………………………………………………………………………………………………..

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

DRAWING BLOOD FROM A VEIN STUDENT’S NAME:……………………………………

STUDENT’S NUMBER: …………………………………………

Procedure checklist 1 2 3 4 5 6 7 8 9 10

S

US

N/A

Comment

Explains procedure and obtains consent. Observes universal precautions. Positions the patient supine and places all supplies within reach. Places tourniquet 5 to 10 cm proximal to selected venipuncture site. Cleanses overlying skin with antiseptic solution. Applies traction distal to the vein. Holds butterfly needle with bevel facing upward. Inserts needle into vessel and observes for flash of blood. Inserts vacuum tube into the vacuette tube and collects sample. Releases tourniquet and removes needle.

Grade : ………………………………………………………………………………………………………………………….. Date of evaluation: …………………………………………………………………………………………………………. Clinical supervisor: …………………………………………………………………………………………………………..

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

VENTILATOR EMERGENCY STUDENT’S NAME:……………………………………

STUDENT’S NUMBER: …………………………………………

Procedure checklist 1

2

3

4 5 6

7 8 9 10 11

12 13

Problems Associated With Mechanical Ventilator: Detach patient from ventilator and manually ventilate patient using Laerdal Silicone Resuscitator (attached to endotracheal tube) and high flow oxygen. If the patient is "easy" to manually ventilate and settles once removed from the ventilator - the ventilator has been identified as the primary source of the ventilator emergency. While one nurse manually ventilates the patient, a second skilled nurse inspects the ventilator and attends performance check (as per manufacturer's guidelines). If the problem cannot be identified and rectified, the ventilator is replaced with another. The malfunctioning ventilator is sent to biomedical engineering for review. Problems Associated With The Endotracheal Tube: -If the patient is "easy" to manually ventilate but an audible air leak is present, check cuff pressure with manometer. If the leak persists or is unsealable, check tube position / length and air entry. Reinsert tube to correct length. Check for absence of cuff leak and equal air entry. Document event. If the patient is "difficult" to ventilate, attempt to pass suction catheter. If the suction catheter cannot be passed further than 5 cm - verify that the patient is not biting on the tube. Insert oropharyngeal airway and attempt to suction patient again. If difficulty persists: proceed. If the suction catheter cannot be passed further than 10-15 cm: Position patient's head / neck in a position of neutral alignment and attempt to suction patient again.

S

US

N/A

Comment

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING 14

If difficulty persists: proceed. If the suction catheter cannot be passed further than the tip of the endotracheal tube: Deflate cuff. Pass suction catheter. - Reinflate cuff to pressure of 15 to 25 cm H2O. Attempt to pass suction catheter again.

15

If passage of catheter is impossible and ventilation is absent: remove tube.

16 17

18

Call for assistance of ICU physician immediately. Manually ventilate patient using Laerdal Silicone Resuscitator and appropriately sized mask. -Prepare for reintubation.

Grade : ………………………………………………………………………………………………………………………….. Date of evaluation: …………………………………………………………………………………………………………. Clinical supervisor: …………………………………………………………………………………………………………..

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

TRACHEOSTOMY DRESSING STUDENT’S NAME:……………………………………

STUDENT’S NUMBER: …………………………………………

Procedure checklist 1 2 3 4 5 6 7 8

9 10 11

S

US

N/A

Comment

Explains procedure to patient Aseptically prepares equipment Prepares dressing pack at bedside Suctions patient Removes old dressings and ties Swabs around tracheal stoma with normal saline Folds sterile gauze squares in half and place on under each wing of tracheostomy tube. Attaches cotton tape to tracheostomy tube by passing doubled cotton tape up through opening then threading loose ends up through loop. Passes two long portions of cotton tape behind patients head. Ties long end to short leaving a two finger space between patient and tie tapes. Measures cuff pressure

Grade : ………………………………………………………………………………………………………………………….. Date of evaluation: …………………………Clinical supervisor: …………………………………………………………

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

SET UP AND INSERTION OF CENTRAL VENOUS CATHETER STUDENT’S NAME:……………………………………

STUDENT’S NUMBER: …………………………………………

EQUIPMENT: Surgical Mask (Physician and Nurse) Sterile gown and gloves 1 large trolley drape ,1 large patient drape 1 fenestrated drape , Basic dressing pack Chlorhexidine1 x 5ml syringe 1 x 10ml syringe 1 x 23g needle 1 x 19g needle 10mls 1% Plain Lignocaine 5 - 10mls Heparinised Saline 50 units in 5ml 2/0 Black Silk on straight cutting needle Stitch cutter Hansipore dressing or Gauze dressing and Micropore tape Central Venous Catheter as requested. (Add extra 5ml syringe for single lumen catheter). PROCEDURE CHECKLIST STANDARDS: The procedure will be performed under the strictest aseptic conditions. The procedure will be explained to the patient and 2 written consent will be obtained by the Medical Officer. Universal precautions will be maintained throughout 3 the procedure and in the clean up phase following the procedure. Patient safety will be maintained throughout the 4 procedure. OUTCOMES 1

5 6 7 8

The catheter will be located in Superior Vena Cava. The risk of infection will be minimised. The patient will feel safe and secure during the procedure. There will be a defined clinical benefit for the patient from the performance of the procedure.

S

US

N/A

Comment

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING The attendant risks involved in the performance of, and subsequent to the procedure will be monitored and managed within defined protocols SPECIAL CONSIDERATIONS 9

10

Resuscitation trolley should be readily accessible.

11

Patient bed should be able to be tilted in the Trendelenberg position. The insertion site e.g. jugular or subclavian area, should be exposed and clear of clothing, ECG dots, wires and jewellery. I.V Lines and infusion pumps should be primed with the prescribed fluid and ready for connection.

12

The audible QRS tone on the monitor should be turned on during the procedure. Chest X-Ray to be taken and reviewed by a medical practitioner as soon as practicable post insertion of a subclavian line.

NURSES ROLE: Remains with the patient throughout the procedure Prepares the patient, removing clothing, exposing the site area, repositioning ECG dots/wires. Positions the patient in the Trendelenberg position.

Opens packs and sets up for procedure.

13

Observes Cardiac Monitor during insertion of the guidewire/catheter.

Grade : ………………………………………………………………………………………………………………………….. Date of evaluation: ………………………………………………………………………………………………………….

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING Clinical supervisor: …………………………………………………………………………………………………………..

SET UP AND INSERTION ENDOTRACHEAL TUBE STUDENT’S NAME:……………………………………

STUDENT’S NUMBER: …………………………………………

EQUIPMENT: Oxygen Suction 10ml syringe attached to buffered artery forcep Laryngoscope Magills forceps Lubricant (H20 solution or L.A.) 1m white tape Scissors Geudel airway Laerdal resuscitation and mask Yankeur sucker Drugs as ordered Stethoscope Leucoplast tape Procedure checklist STANDARDS: 1 * Emergency intubation to be undertaken by the medical officer skilled in this procedure. 2 3

Persons warranting E.I. must have a registered nurse in constant attendance. IV access made available.

4

Cricoid pressure to be applied prior to intubation and removed only after cuff inflation.

5

Cuff inflated to 200mmHg and no more than 30mmHg.

6

Positioning of the ETT is verified by observing chest movement.

7

- Auscultation of the chest and stomach.

8

Chest x-ray (reviewed by medical officer).

9

ETT sizes ranging from 2.5mm to 9.5mm. Selection appropriate to patient size.

S

US

N/A

Comment

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING 10

Necessary drugs are prescribed and administered at medical officers request. OUTCOMES: Patient airway available with means to maximise respiratory function. PROCEDURE:

1.

Excess secretions/foreign bodies removed from oropharynx prior to procedure.

2.

Excess secretions/foreign bodies removed from oropharynx prior to procedure.

3

Excess secretions/foreign bodies removed from oropharynx prior to procedure.

4 Patient pre-oxygenated with 100% oxygen. Patient placed in supine position with adequate access to the head. Drugs prepared and available close to IV access. Manual of mechanical ventialtion comenced when ETT in situ. Record size of ETT and placement at the lips. Observe and record respiratory observations.

Grade : ………………………………………………………………………………………………………………………….. Date of evaluation: …………………………………………………………………………………………………………. Clinical supervisor: …………………………………………………………………………………………………………..

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

CENTRAL VENOUS CATHETER CHANGE STUDENT NAME :………………………………….. STUDENT NUMBER; ……………………………………………….

PROCEDURE CHECKLIST 1 2 3 4

5

Prepares dressing pack at bedside prior to positioning patient. Hangs new IV solution and places new new administration set ( protecting distal end from contamination by placing distal end on open dressing pack). Primes IV line with appropriate solution

7

Clamps off line of CVC pigtail being changed with slide clamp. Places new IV administration set and IV solution into Infusion Pump.

10 11

12

N/A COMMENTS

Observes universal precautions.

Stops infusion pump and clamps IV line, with roller clamp on CVC lumen extension being changed

9

US

Explains the procedure and obtains consent.

6

8

S

Places CVC pigtail and IV line on sterile towel from dressing pack and allows solution to dry Starts Infusion Pump and allow fluid to run into sterile field of dressing pack. Connect new IV line too CVC pigtail and removes slide clamp from CVC pigtail. Label IV administration set with time and date of change.

Grade : ………………………………………………………………………………………………………………………….. Date of evaluation: …………………………………………………………………………………………………………. Clinical supervisor: ………………………………………………………………………………………………………….

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

simulation

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

Master of Science in Critical Care Nursing Laboratory Rotation Simulated Clinical Experience Objectives During their laboratory rotation critical care master students will be exposed to several simulated clinical experiences tailored to mimic situations to which they will be exposed in the ICU environment , this will provide an opportunity for students to practice skills and interventions in a safe risk free environment as well as implement teamwork leadership, and communication skills. The simulated clinical cal experience will be followed by a debriefing session during which strengths and areas for improvement will be discussed with the instructor. As a result of each simulated clinical experience students will be expected to:  Integrate theoretical knowledge to practice  Utilize evidence base, critical thinking and the nursing process as afrme work for nursing care  Determine the priorities for nursing utilizing individualized plans of care  Evaluate the effectiveness of therapeutic interventions implemented  Document nursing and medical interventions  Implement best nursing practices for the simulated patient  Apply interdisciplinary collaboration  Communicate effectively with healthcare providers regarding patient progress

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

Integration of simulation in Critical Care Nursing curriculum Human patient simulation is one such strategy to address the multiple issues faced in teaching critical care nursing today. Patient simulation allows teach multiple objectives while brings learning alive in a multidimensional environment, and increases the confidence of the learner, which leads to competence. This is of particular importance for nurses who will be working in a high acuity environment where skill and self confidence are of utmost importance . The Program for Nursing Curriculum Integration (PNCI) by METI provides an answer to assist faculty with this transition and make more efficient use of their time as they embark on the use of patient simulation to facilitate learning and to assess competency.

Areas of practice Critical Care Nursing: Selected topics of the critical care curriculum will be chosen to be taught using human patient simulation in an effort to bridge the gap between theory and knowledge while enhancing skill, knowledge and self confidence. The following is a list of the critical care topics included in the program of nursing curriculum integration , the high lighted items are presently being used in postgraduate teaching  Assessment of the cardiovascular system

 Assessment of the respiratory system

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

 Traumatic Brain Injury  RSV Bronchiolitis  Meningitis  Fluid and Electrolyte Imbalance  Cystic Fibrosis  Chronic Heart Failure and COPD  Bioterrorism  End-of-Life Care  Sickle Cell Crisis  Chronic Osteomyelitis on Home Antibiotic Therapy  Acquired Immune Deficiency Syndrome  Cardiac Rehabilitation  Dementia and UTI  Intentional Overdose of a Hypnotic  Cardiopulmonary Arrest  DIC  Acute respiratory distress syndrome  Mechanical ventilation  Acute Coronary Syndrome and AMI  COPD Exacerbation with Respiratory Failure  Postoperative Pulmonary Embolism  Closed Head Injury with Increasing ICP  Multiple Patient Care Management

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

ROADMAP FOR INTEGRATION PROGRAM OF NURSING CURRICULUM INTEGRATION CRITICAL CARE NURSING Concept  

  

  

Changes in Vital Signs in Relation to Critically Ill Patients Interventions and Treatment of Abnormal Vital Signs in Life Threatening Disorders: ECG, Pulse Oximetry, Arterial Lines, Respiratory and Temp. Monitoring Suctioning; Endotracheal Tubes, Artificial Airways Oxygen Delivery Systems; Mechanical Ventilation Glasgow Coma Scale; Trauma Patient

ICP monitoring , arterial lines , pulmonary artery cathters Cardiac pacemakers

Simulated clinical experience  

Acute heart failure exacerbation Basic dysrhythmias recognition and management



Acute Respiratory Distress/ Failure Secondary to Trauma, Post-Anesthesia and pneumonia

   

Gunshot wound Herniation syndrom Motor vehicle collision with abdominal injuryy and internal bleeding and hypovolemic shock Pulmonary artery catheter   

 

Inclusion of pertinent pharmacology in critical care Antidysrhythmic Agents Thrombolytic Agents; Vasopressors; Blood products Adult Drug Overdose and Poisoning Neurologically Compromised Patient



Ventilator Dependent Patients





  

Syncope Secondary to Bradycardia Requiring Transthoracic Pacing Prior to the Insertion of a Permanent Pacemaker Cardiopulmonary arrest Brain attack with thrombolytic therapy

Intentional Overdose of a Hypnotic Cocaine Overdose with Cardiac Arrest Spinal cord injured patient with neurogenic shock Postoperative pulmonary embolism

Simulated clinical experience

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

Debriefing guide Simulation: ………………………………………………………………. Instructor : ………………………………………………………...…….. Objectives :  Enhance learning through reflection  Self evaluate knowledge and abilities  Assess of teamwork and communication skills  Enhance critical thinking and problem solving

Process of debriefing :  Explore personal reactions  Assess and analyse interventions  Discuss prioritization of care  Discuss communication and collaboration  Discuss safety  Review documentation  Link to clinical and real world  Video playback  Review what went well and what did not  Identify areas for improvement  Evaluate simulated clinical experience

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

Case 1: History:          

Mrs Gamela is a 29 year old Saudi woman She is 7m pregnant Complains of dizziness, palpitations and easy fatigability also complains of being out of breath (gets breathless on doing light housework) The condition started about 1 month ago but has markedly worsened over the last two days The condition worsens by effort and improves when she lies down She sleeps on two pillows This is her first pregnancy she is on irregular antenatal care The patient also complains of indigestion, heart burn and constipation

Past history :

 Received monthly shots for one year when about 12 does not know for what  Tonsillectomy at age 13  no DM , HTN  No allergies  medication : only takes vitamins prescribed by her obstetrician

Family History

 Mother is diabetic  Father and mother are first cousins

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

Case 4: Mr Amar is a 87 year old Saudi man who lives in a nursing home his wife died 1 year ago, he has two children who live abroad and call him once a week The patient experiences shortness of breath and palpitation when he gets up from bed to go to the bathroom this has been going on ever since his last surgery, he sleeps sitting up in bed and feels more dyspnic when he lies down Over the last two weeks the patient has lost 4 pounds

Past history: DM type II of 20 years duration The patient had two CABG surgeries one of three vessels ten years ago and the second of four vessels 3 months ago.

His current medications include: (The patient does not know the name of the drugs but has them with him) Metformin 1000mg X 2 Furosimide X 2 Lisinopril X1 Nadolol X 3 Digoxin X 1 except Friday

Family history: DM, HTN , heart disease two of his brothers died of a heart attack

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

Case 2: Noora is a 45 year old Saudi female she is married and has four children The patient complains of abdominal pain and diarrhea for the last couple of days, diarrhea (8/ day) with nausea but no vomiting she reports that this has happened since she had eaten a meal at a local restaurant she also reports feeling frequently as if her heart is missing a beat The patient also complains of tingling and numbness in the fingers of her right hand that is increased by cold weather this has been going on for the last few years The patient is obese and is diabetic on insulin for the last 15 years

Past history: Hysterectomy 2 years ago, for bleeding Arthritis for the last 5 years

Her current medications include: Insulin Prednisolone tablets x 1 for arthritis

Family history: DM (mother) HTN (mother) 2 of her children havesickle cell disease

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

Case 3: SAID is a 27 year old Egyptian male who works in a ceramic factory he is married and has two children the patient complains of severe fatigue and weakness that has been going on for the last month, two days ago the patient experienced two attacks of fainting from which he recovered by lying down, the patient also complains of palpitations the patient has had bronchial asthma for the last 6 years but recently his attacks were exacerbated by dusty weather

Past history: The patient has a history of scarlet fever at the age of 10 He recalls having several attacks of arthritis during his childhood He was dispensed from military service for having a bad heart

His current medications include: Simbicort inhaler x3 or as needed

Family history: Irrelevant

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING Simulated clinical experience: care of the patient who develops respiratory failure Description of the activity:

Students will be exposed to a simulated clinical experience involving a 26 year old patient who develops ARDS and progressive respiratory failure following exposure to a motor vehicle accident causing bilateral lung contusions. One student will assume the role of nurse in charge while the others will as observers and the roles will be reversed subsequently .Students will be expected to : 

Perform initial assessment



Evaluate data and document findings



Assess surgical wounds, drains



Assist healthcare provider in endotracheal intubation



Check ventilator settings



Evaluate effecyiveness of ventilator settings



Monitor pumps and infusions and check for patency



Assess vitals , ABG and xray and report to healthcare provider



Administer oral care



Do cuff pressure checks



Document assessment, interventions and response to treatment

The objectives of this simulated clinical experience are: 

Identify the pathophysiology and causes of ARDS



Perform assessment of the critically ill patient



Prioritize interventions for a mevchanically ventilated patient



Describe the nursing management of a person to be weaned from mechanical ventillation



Discuss the modes of ventilator settings for a mechanically ventilated patient

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING SIMULATED CLINICAL EXPERIENCE OBSERVATION SHEET Simulation: …………………………………………………………………………………………………………………………………..… Student name: ………………………………………………………………………………………………………….. ……………………… Appropriate nursing intervention Assessment :  Proper equipment used  Systematic approach  Appropriate techniques  Identifies significance of findings Management:  Evaluates data and document findings  Administers appropriate patient care  Assist healthcare provider in procedures when indicated  Checks ventilator settings  Evaluates effecyiveness of ventilator settings  Monitor pumps and infusions and check for patency  Assesses vitals , ABG and XRAY and report to healthcare provider  Documents interventions and response to treatment Team work and Communication :  Communicates effectively with patient  Uses verbal and non verbal communication  Communicates effectively with family members  Uses terms appropriate to patients background and level of education  Collaborates appropriately with colleagues and healthcare team

Areas for improvement

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING Simulated clinical experience observation sheet: Simulation: assessment of the respiratory system Student name: …………………………………………………………………………………………………………...

Appropriate nursing intervention Assessment :  Proper equipment used  Systematic approach  Appropriate techniques  Identifies significance of findings Communication :  Communicates effectively with patient  Uses verbal and non verbal communication  Communicates effectively with family members  Uses terms appropriate to patients background and level of education

Areas for improvement

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING Simulated clinical experience observation sheet: Simulation: assessment of the cardiovascular system Student name: …………………………………………………………………………………………………………...

Appropriate nursing intervention Assessment :  Proper equipment used  Systematic approach  Appropriate techniques  Identifies significance of findings Communication :  Communicates effectively with patient  Uses verbal and non verbal communication  Communicates effectively with family members  Uses terms appropriate to patients background and level of education

Areas for improvement

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

STUDENT EVALUATION OF SIMULATED CLINICAL EXPERIENCE Do not agree

Somewhat agree

Strongly agree

Not applicable

The instructor prompts guided me I thinking critically I feel more confident in my ability to deal with real patients I developed better understandings of drugs used in the simulated clinical experience I feel more prepared for decision making My physical examination and assessment skills have improved I feel more able to predict what pathophysiological changes may occur in a real patient The simulated clinical experience has reinforced my theoretical knowledge The simulated clinical experience has challenged me to think and make decisions I have learned agreat deal from observing my collegues I have learned ways to imprive my communication skills Debriefing sessions and discussions were valuable

Comments : ………………………………………………………………………………………………………………………………………….......................... …………………………………………………………………………………………………………………………………………………………... …………………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………………

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

Inventories

ITEM # CABINET #

EQUIPMENT / SUPPLIES

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

QTTY.

REMARKS

A. SIMULATOR/MANIKIN

1

11dr

2 3 4 5 6 7 8

6dr/7dr 12dr 7 dr 10dr 10dr

ECS include the ff: Full-scale adult patient simulator: BP cuff SPO2 probe Ambu Bag Screen monitor METI Laptop PCU Regulator Regulator CO2 Compressor Central venous cannulation model Tracheostomy care simulator Chester chest AED Little Anne Arterial Puncture arm Virtual IV Pedia Sim METI manikin w/ bed Screen Monitor Compressor PCU regulator

2006 1 1 1 1 1 1 1 1 1 2 2 1 1 2 1 1 1 1 1

New one on 3/10/2009 SN: ECS849 METI

0 2/12/2007; SN: 32070539-C 13/10/08 13/10/08 13/10/08 13/10/08

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

METI vision, LCD & CPU AED Little Anne Training System Electronic weighing scale with stand Crash Cart Suction apparatus with accessories Littmann Stethescope Laryngoscope with accessories Medication Trolley

9 10 11 12 13 14 15

1 1 1 1 1 3 1 1

13/10/08 11/09/2008 19/08/2009 19/08/2009 19/08/2009 19/08/2009 19/08/2009 19/08/2009

1 1 1 2 2 1 1 1 1 1 1 1 1

24/02/08; 40119 2006

B. ELECTRONICS 1 2 3 4 5 6 7 8 9 10 11 12 13

11dr

12 dr

Eiki EIP-200 Data Show w/ RC Team Board Sony Bravia Plasma TV w/ RC Dell LCD monitor w/ mouse & keyboard Dell CPU Optiplex IP Fast Dome Camera ip Primax Canon printer Pressure infusor Amplifier SMARTSIGNS Compact Patient Monitor Accutorr Plus (Datascope) Terumo-Infusion Pump Portable suction machine

2006; 2007 2006 SN: j28kb2j; 2007 SN: 6FNJFD1 2006 Feb, '07; w/ CD & manual; w/ Dr. Fatma 27/10/08 from Pedia lab #1 from Funda from MS lab old from KFHU;

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING

14 14 15

14dr

Omron Fat Loss Monitor LG DVD player LG VCR player

1 1

01/07/2009 31/12/08

Computer table Multipurpose cart Multipurpose cart Conference table Swivel chairs Manual Bed w/ mattress Bedside table Filling trolley

2 1 1 1 21 1 1 2

2006; 1 from comp lab w/ 4 drawers w/ 7 drawers and holders 2006

Bed cover blue Bed sheet blue Pillow case Gown blue Bath towel white Face towel white IV stand Nursing Education Modules Wall Painting

2 7 2 1 2 2 2 5 2

11/11/2007; 1 from Funda 01/11/08 6 2007; 2 old; 1 to MS lab 11/11/2007 11/11/2007 11/11/2007 11/11/2007 new 1 placed on 19/08/2009

C. FURNITURES

1 2 3 4 5 6 7 8

from Funda lab; to MS lab from Funda lab 29/10/07; 01/11/08 from classroom

D. OTHERS

1 2 3 4 5 6 7 8 9

2006

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING Reviewed 2010

UNIVERSITY OF DAMMAM COLLEGE OF NURSING MASTER PROGRAM CRITICAL CARE NURSING