Nursing Faculty

Form no. (12)

Course Specification
Course data :

Course Code: Year and Level:

100221 Course Title: Emergency Nursing fourth semester2019\ 2020

Specialization: Credit Hour:

Critical Care and
Emergency Nursing Lecture: 2 Tutorial: 1

2– Overall Aim of Course to provide undergraduate nursing students with the theoretical knowledge and
skills required to care competently and safely for seriously ill patients or injured victims in emergency
situations or disasters. It focuses on the application of an accurate assessment and provision of emergency
nursing care according to the priorities. This course also emphasizes on providing students with critical
thinking, clinical judgment, problem solving and team working skills

3 – Intended Learning Outcomes of Course (ILOs)At the end of this course, students will be able to:
a1 describe the physical and psychological needs of the emergency patient/family, and
health care personnel.
a2 tell the scope of emergency care nursing practice.
a3 differentiate between primary , secondary and ongoing assessment
a4 recognize the different types of traumatic brain injuries (TBI) .
a-Knowledge a5 explain the different mechanisms of TBIs
and
a6 list manifestations of increased ICP
understanding
Skills a7 tell the immediate life threatening chest injuries
a8 identify immediate life threatening chest traumas
a9 describe the manifestations of chest traumas
a10 recognize the complications associated with traumatic injuries
a11 identify the components of trauma lethal triad
a12 give examples of the causes of altered responsiveness
a13 define altered responsiveness
a14 list the risk factors for stroke
a15 differentiate between transient ischemic attack and stroke
a16 identify patients with liver, spleen, kidney, and pancreatic injuries
a17 predict the specific injured abdominal organ according to the site and mechanism of
injury
a18 list the mechanisms of primary spinal cord injury
a19 associate the spinal cord injury level with the presented manifestations
a20 define triage
 b1 audit the coping strategies that emergency patient/family use in emotional and spiritual
distress and grief
b2 prioritize the evidence-based interventions needed to meet the needs of emergency
patient/family
b3 classify traumatic brain injuries
b4 map pathophysiology and the preventive measures of secondary brain injuries
b5 differentiate between the 5 immediate life threatening chest traumas
b6 adapt the resuscitation measures to prevent the trauma triad of death
b7 predict the cause of altered responsiveness
b- b8 justify the emergency management for patients with an altered responsiveness
Intellectual
b9 Select the appropriate diagnostic study for stroke patients
Skills
b10 justify the emeregncy management of stroke based on the 8 Ds of stroke chain of
survival
b11 timeline the emergency management of patient with ischemic stroke
b12 calculate the mean arterial pressure
b13 associate the spinal cord injury level with the presented manifestations
b14 distinguish between primary and secondary spinal cord injuries
b15 summarize the emergency management of patients with liver, spleen, kidney, and
pancreatic injuries
b16 differentiate between emergent and urgent conditions
c1 perform primary assessment and simultaneous resuscitation of emergency patients
c2 implement secondary assessment of emergency patients
c3 assess trauma patients using ABCDEFGHI approach
c4 diagnose life threatening problems in emergency patients
c5 implement of life saving interventions for emergency patients
c6 determine/monitor emergency patients' response to therapeutic management
c7 evaluate trauma patients for the presence of trauma triad of death
c8 implement the evidence based interventions for prevention of secondary brain injuries
c9 logroll traumatized patients
c10 apply spinal immobilization devices
c- c11 demonstrate the care of patient with spinal cord injuries
Professional c12 assess emergency patients for cues indicating cerebral hypoperfusion
Skills c13 perform the preventive measure of trauma associated complications
c14 troubleshoot problems associated with using technologic equipment in emergency
department
c15 implement in priority the emergency care of neurologic emergencies
c16 perform the ongoing assessment of emergency patients
c17 follow up patients suffering from liver, spleen, kidney, and pancreatic injuries
c18 evaluate and manage patient with spinal cord injuries
c19 . manage patients the 5 immediate life threatening chest traumas
C20 triage victims using start model
C21 tag victims according to the start model
d-General d1 collaborate with emergency team, and patient/family members in implementing the
 nursing interventions
d2 respond sensitively to the emergency patients and their families
d3 support ethical decision making in emergency practice
Skills d4 communicate effectively with emergency patient/family, health care members, and
educators
d5 demonstrate professional attitudes in emergency nursing practices
d6 apply aseptic technique during emergency care

Course Contents -4 Matrix of the contents with ILO`S of The course

Week Topics No. of contact a's
.No
b's c's d's
hours
1 Introduction 2
2 Acute Coronary Syndrome 2 a. 1 b.1 c.1 d.1 & d.5
3 (unstable angina, 2
myocardial infarction)
4 2 b.2 &b.3 c.2 &c.3 d.1 & d.5
a.2 &a.3
5 Cardio thoracic surgery 2 &a.4 & b.4
6 Fulminant Hepatic Failure 2 a.5 b.5 c.4 d.1 & d.5
7 Acute Pancreatitis 2 a.6 b.6 c.5 d.1 & d.5
8 Glycemic control in ICU 2 a.7 c.6 d.1 & d.5
b.7
9 Multiple organ dysfunction 2 a.8 b.8 c. 7 d.1 & d.5
syndrome (MODS)
10 Neuromuscular disorders: 2 a.9 b.9 c.8 d.1 & d.5
myasthenia Gravis
11 Neuromuscular disorders: 2 a.9 b.9 c.9 d.1 & d.5
Guillian Baree' syndrome
 Practical Lecture Cr.H week Topics
Cr.H
1` Introduction + Trauma overview
2 Scope of emergency nursing
4
3 Assessment of emergency patients
4 4 Traumatic brain injuries
5 Spinal cord injuries
2 6 Thoracic injuries
2 7 Abdominal injuries
2 8 Complications of trauma
2 9 Neurologic emergencies
2 10 Transient ischemic attack + Stroke
2 11 Altered responsiveness
Introduction + Trauma overview
Scope of emergency nursing
Assessment of emergency patients

5– Teaching and Learning ILO’S of the course

Methods
Knowledge skills Intellectual skills Professional General
s skills skills
Lectures a.1 -4, a.11-13, a.15,
Method 1
a.16, a.17, a.20
Group discussion b.2, b.6, b.10, b.14, a.3, a.4, a.7a.a. 9,
Method 2
b.15, b.16 a.17,
Method 3 Demonstration c.1 - c.20
Case studies a.8 , a.10 , a.15 b.1, b.4, b.5, b.6, b.9, c.17,c.21
Method 4
b.10, b.15
Method 5 Role modeling C21 d .1 - d .6
Method 6 Simulation b.8 c.1 - c.21 d .1 - d .6
Presentation a.1-4, a.11-13, a.15,
Method 7
a.18-20
Method 8 Video a.5 , a.7 , a.10,a.15, b.7, b.10 d .1 - d .6
a.18, a.19, a.21
6- Teaching and Learning Methods for students with limited abilities:
-Allowing them to practice in open hours lab
Method 1
-Meeting with them in office hours and sometimes in extra hours rather than the office hours
7-Students assessment ILO`S of the course
Knowledge Intellectual Professional General
Methods used Skills Skills Skills skills

Method 1 a.1 , a.2 , a.3 , a.4 , b.2, b.3, c.4

Written exams
 a.5 , a.6 a.12, b.4, b.5,
a.13 , a.14 , a.15 , b.6, b.7,
a.16 , a.17 , a.20 , b.8, b.9,
a.21 b.10, b.11,
b.12, b.13,
b.14,
b.15,b.16
Method 2 a.1 , a.6 , a.7 , a.1 b.3, b.13
Pre-class quiz 3, a.20 ,
Criteria
Method 3 a.18, a.11, c.1, c.2, d.1- d.6
clinical c.4-8, c.11,
examination c.14-17,
(OSCE) c.19-20
Method 4 a.4, a.6, a.8-11, b.7, b.9, c.4, c.5,
Case study a.17-21 b.16, c.7, c.13
Method 5 a.10, a.12, a.18, b.2, b.6 c.1,c.4-21 d.1- d.6
Clinical
exam
a.2 , a.3 , a.5 , b.2, b.3,
Method 6 a.7 , a.12-17 , a.19 b.5-8,
Oral exam -2 b.10, b.11,
b.14 -16
Method 7 a.4, a.9, a.10, a.17 b.15, b.9, C.1
Portfolio b.16,
Method 8 b.1, b.4
Written
assignment
:Assessment methods' Criteria
-

Ongoing clinical evaluation over the 14 weeks

midterm exam 6 th week
Formative OSCE 6th week
a- Schedule
Summative OSCE 12thweek
oral exam 12th week
final written exam 14thweek
b- Weighting of Assessment Grades Percentage
Assessments Summative clinical work 20 20%
Midterm exam 10 10 %
Practical exam 10 10 %
 Oral exam 10 10 %
Final exam 50 50 %
TOTAL 100 100 %

8- List of References
a- Course Notes - Course notes
1 Burns S. Essentials of critical care.3 th ed .Elsevier Saunders,
Philadelphia, 2014.
2 Newberry L , Criddle L. Sheehy’s manual of emergency care .7 th ed.
Mosby Inc., 2012.
3 Daniel Limmer ,Michael F. O’keefe. Emergency Care.12 th ed, Pearson
Education, Inc., 2011.
b- Text Books 4 Humphries R, Stone C. Current diagnosis and treatment emergency
th
medicine. 7 ed. Lange current series, 2011.
5 Emergency nurses association. Trauma nursing core course provider
manual.6th ed.2012.
6 Morton PG. Critical care nursing: a holistic approach. 10 th ed. New York,
lipincott Williams & Wilkins, 2013.
1 www.ena.org
c- Periodicals, Web 2 www.aacn.org
Sites, … etc 3 www.americanheart.org
4 www.cochrane.org

Course instructor: Head of Department:

Dr. Maysa Elbiaa