ANESTPRA3 Clinical Studies in Nurse Anaesthesia, Level 3 Course description

The students will undergo supervised practical training. The course is organised such that the students primarily focus on anaesthesia for patients in ASA categories 3 and 4 and complicated procedures/situations. The students are expected to demonstrate clear progress, take responsibility and demonstrate the ability to make independent assessments in nurse anaesthesiology practice, both in elective and in more acute and complex situations.

Students must have passed ANESTPRA20 Clinical Studies in Nurse Anaesthesia, Level 2 in order to start this course.

After completing the course, the student is expected to have achieved the following learning outcomes defined in terms of knowledge, skills and competence:

Knowledge

The student

• has advanced knowledge of nurse anaesthesia that enables him/her to care for acutely and/or critically ill patients in a vulnerable, critical and life-threatening phase in and outside a hospital setting

• has advanced knowledge of the experiences, reactions and needs of patients and next of kin in connection with acute and/or critical illness in an age-related and multicultural perspective
• has advanced knowledge of observations, monitoring and clinical assessments in connection with acute and/or critical illness, anaesthesia, sedation and analgesia
• has in-depth knowledge of different surgical examinations and procedures and their effect on the patient's situation and on the responsibilities and function of the nurse anaesthetist

• has advanced knowledge of anaesthesiology and emergency medicine

• has advanced knowledge of complications in connection with acute and critical illness, anaesthesiology, sedation and analgesia
• has advanced knowledge of how to maintain and restore vital functions if they are threatened

• has in-depth knowledge of characteristics of particular patient groups that have implications for the choice and administration of anaesthetics
• has in-depth knowledge of how to communicate adapted information about anaesthesia and nurse anaesthesia to patients, next of kin, colleagues and other professional groups
• is capable of analysing problems relating to nurse anaesthesia on the basis of the discipline’s history, traditions, distinctive nature and place in society

Skills

The student

• is capable of practising nurse anaesthesia in accordance with ethical principles and healthcare legislation.
• is capable of independent work on problem-solving relating to the functions and responsibilities of nurse anaesthetists

• is capable of administering general anaesthesia in an independent and responsible manner to otherwise able-bodied patients (ASA 1 and 2) in accordance with applicable guidelines
• is capable of administering anaesthesia to patients with more complex conditions in cooperation with an anaesthetist
• is capable of assessing the link between illness/injury and the choice of anaesthetics and methods
• is capable of observing, assessing and identifying a patient's general and special needs, resources and problems through communication and cooperation with the patient and his/her next of kin
• is capable of applying relevant knowledge about patients who are to undergo anaesthesia, taking into account the patient’s condition and the nature of the procedure, and determining whether a patient needs to be seen by an anaesthetist
• is capable of independently identifying fluid and electrolyte imbalances and initiating adequate treatment following surgical treatment and anaesthesia
• is capable of using the anaesthetic machine and advanced medical equipment commonly used in treatment in a conscious and sound manner
• is capable of documenting, evaluating and quality assuring nurse anaesthesia
• is capable of using his/her knowledge to prevent stress and anxiety in patients through communication and information and by promoting a secure and supportive environment
• is capable of administering and evaluating pharmacological and non-pharmacological pain relief
• is capable of independently identifying acute and problematic situations
• is capable of carrying out wholly or partly compensatory nursing in the event of serious failure of patients’ organs or organ systems
• is capable of making independent decisions in acute situations
• is capable of taking the initiative to and initiating treatment in order of priority in accordance with his/her own competence and within the framework of the applicable laws and regulations
• is capable of preventing psychological late effects of accidents and emergency admission to hospital
• is capable of applying pedagogical and subject didactics principles when informing, teaching and providing guidance to patients, caregivers , colleagues and other members of the healthcare team

Competence

The student

• has action competence in the field of nurse anaesthesia
• is capable of analysing ethical issues in nurse anaesthesia based on discipline knowledge, research, experience and patient knowledge
• is capable of multidisciplinary and interdisciplinary cooperation in patient treatment
• is capable of planning, organising, coordinating and cooperating on the available resources to ensure that they are used in a targeted manner in the patient's best interests
• is capable of applying his/her knowledge and skills to new fields to carry out advanced tasks and projects in nurse anaesthesia
• masters the forms of expression used in nurse anaesthesia and is capable of communicating about issues, analyses and conclusions in nurse anaesthesia, both with specialists and with the general public
• is capable of contributing to new ideas and innovation processes in clinical practice
• is capable of taking a critical approach to the possibilities and limitations of technology in nurse anaesthesia

Simulation and supervised practical training.

The following coursework requirements must be met before a student can receive an assessment for the course:

• The student’s specification of learning outcomes for the course
• Teaching/providing guidance to patients and/or fellow students
• Attendance in compulsory activities
  • Simulation

The assessment is based on the learning outcomes for the course, the student's specification of the learning outcomes and the formative assessment made of the student during the practical training period.

An attendance requirement applies to practical training. In order to pass a practical training course, the student must have attended at least 90% of the planned activities in each course. Students must make up for absence exceeding 10% by agreement with the lecturer and the practical training establishment. If a student’s absence exceeds 20%, he/she will fail the course. Students who fail a period of practical training must retake the whole training period.

Not relevant.

Anatomy is fundamental in order to be able to assess the functioning and disability of users with problems relating to the musculoskeletal system. Physiology is fundamental to the understanding of normal and pathological processes.

In this course, the students will receive an introduction to functional examinations of upper and lower limbs and the spine. Functioning is mapped and assessed by means of systematic examinations. The topics will be covered in more depth in the orthopaedic technology courses, which will review specific types of prostheses and orthoses.

The student must have been admitted to the study programme.

After completing the course, the student should have the following learning outcomes defined in terms of knowledge, skills and general competence:

Knowledge

The student

• can describe the structure and functioning of the musculoskeletal system
• can describe the structure and functions of the skin
• can describe the structure, mechanisms and functions of the circulatory and respiratory systems
• can describe the structure, mechanisms and function of the peripheral, central and autonomous nervous system
• can describe the mechanisms and functions of the endocrine system and its interaction with the other organ systems in the body
• can describe the mechanisms and functions of the immune system and the composition and function of the blood
• can describe important exercise physiology principles, tests and measurements relevant to a prosthetist's work
• can describe fundamental genetic principles
• can describe embryology and the development of the body

Skills

The student

• can palpate and identify structures on the surface of the body
• can carry out and explain simple functional examinations focusing on the lower limbs

General competence

The student

• can communicate with the user during a functional examination
• can take a respectful approach to the human body in connection with examinations and is aware of ethical dilemmas relating to examinations

The following coursework requirements must be met before the student can take the exam:

• minimum attendance of 80% at seminars and skills training.