Royal Hospital, Oman Pediatric Intensive Care Nursing Course Curriculum

Royal Hospital, Oman Pediatric Intensive Care Nursing Course Curriculum

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The objective of this curriculum is to build a knowledge base for pediatric intensive care nurses at Royal Hospital, Oman. This course is to be taken in conjunction with face-to-face training provided at induction and is useful for beginners, as well as experienced nurses.

Learning Objectives

  • Describe optimal hygiene behaviors and the importance of hand hygiene in preventing healthcare-associated infections
  • Describe the steps and indications and contraindications in accessing a central venous catheter
  • Describe how to assess the patency of a central venous catheter and the potential complications associated with accessing a central venous catheter
  • Understand the modes of transmission of healthcare-associated infections, along with the most common associated interventions
  • Identify the different types of urinary catheters and how to chose a properly sized urinary catheter for a particular patient
  • Understand basic cardiac anatomy and physiology
  • Identify basic components of an electrocardiogram
  • Interpret cardiac saturations and intra-atrial pressures 
  • Assess a pediatric patient’s cardiovascular status in a detailed physical exam
  • Describe different methods for accurate vital sign monitoring related to the cardiovascular system
  • Explain the indications and steps for using technology to continuously monitor patients
  • Learn about the physiologic and clinical factors involved in identifying different etiologies of shock, as well as principles of management
  • Compare and contrast invasive versus non-invasive blood pressure monitoring
  • Describe the concepts behind the appearance of an arterial line pressure tracing, including the effects of stroke volume and vascular compliance
  • Compare the physiology, indications, equipment, voltage selection, and clinical considerations when performing cardioversion and cardiac defibrillation
  • Describe different emergency situations in the pediatric cardiac patient
  • Discuss the evaluation and management of pediatric cardiac patients, focusing on urgent and emergent considerations
  • List early and late signs of respiratory and cardiovascular failure in pediatric cardiac patients
  • Distinguish between upper and lower airway obstruction, including how to recognize clinical features of some common and emergency respiratory illnesses
  • Understand how a pulse oximeter works, when it should be used, and how to interpret and troubleshoot the reading
  • Describe the pediatric airway, including differences between adult and pediatric airways, the airway exam and anatomical abnormalities
  • Understand clinical signs and symptoms of respiratory distress, and how to distinguish between respiratory distress and impending respiratory failure
  • Understand the indications, contraindications, and specific steps in performing rapid sequence induction for emergent intubation
  • Describe the terminology, modes of ventilation, definition of ARDS, lung protective strategies, and extubation readiness
  • List the indications and contraindications for endotracheal tube (ETT) suctioning
  • Understand the required equipment and steps in the procedure of ETT suctioning
  • Identify the potential complications of ETT suctioning
  • Describe the basic concepts of non-invasive ventilation, including indications and contraindications
  • Understand the advantages and technical considerations of non-invasive ventilation and how to identify the appropriate clinical setting for non-invasive ventilation
  • Understand how to identify and manage the complications of non-invasive ventilation
  • Describe the procedure of bag-mask ventilation, including techniques for proper airway positioning and for obtaining a tight mask seal, and usage of basic airway adjuncts
  • Understand the features and proper usage of the non-rebreather mask and manual ventilator bags in providing oxygen to patients in respiratory distress
  • Review indications for administering inhaled medications and provides a demonstration on how to deliver these medications to a patient
  • Describe the procedure for tracheostomy site care and identify tracheostomy events that require emergency response
  • Describe safety checks, suctioning procedure, and humidification options for a patient with a tracheostomy tube

  • Explain key basic science-based definitions (dialysis, osmosis, diffusion, convection, membrane properties)

  • Understand concepts that influence PD delivery, and apply these to the management of PD clinically (indications and contraindications, ultrafiltration, clearance, and infection control)
  • Discuss and manipulate the various components of a PD prescription (sodium, potassium, dextrose, heparin, antibiotics, fill time, drain time, dwell time, cycle number, fill volume) in response to different patient scenarios, including as a given patient’s needs change over time
  • Apply a systematic approach to evaluating each patient, including physical exam, effluent evaluation, laboratory and fluid balance results evaluation, and assessment of the PD set-up
  • Recognize and respond to physical exam, effluent, laboratory results, fluid balance results, and technical aspects of the PD set-up, including diagnostic testing and management
  • Understand key mechanical aspects of PD delivery, including include movement of fill bag and drain bags, clamping and unclamping of catheters
  • Understand when to deliver, and when to avoid, common medications used with PD (sodium supplementation, intraperitoneal antibiotics, and fibrinolytics)
  • Recognize and manage key common patient-specific complications (dehydration, peritoneal catheter leak, peritonitis, and poor ultrafiltration)
  • Recognize and manage key common electrolyte abnormalities (hyperkalemia, hypokalemia, hyponatremia)
  • Recognize and manage key common mechanical complications (catheter obstruction, clamped catheter, inadequate fill bag height, inadequate drain bag height)
  • Understand the physiology of pain and how to identify pain sources, indicators of pain, and risks of pain
  • Understand the consequences of unrelieved pain
  • Understand the developmental considerations of pain assessment and identify validated pain scales for clinical use
  • Describe how to score a patient’s pain and dependency using validated scoring tools
  • Identify and perform non-pharmacological interventions to reduce and manage pain, stress, and anxiety in patients
  • Understand developmental considerations for non-pharmacological pain management
  • Understand the categories of different medications used for pain, and when to use each as well as the risks of various pain medications
  • Identify symptoms of dependency and risks of withdrawal
  • Understand how to assess and manage pediatric pain and how to use the scoring systems of various validated pain assessment tools
  • Understand how to manage sedation and assess dependence and withdrawal in the pediatric patient
  • understand the physiology of pain and its effects
  • Identify sources of pain and pain assessment tools
  • Understand the pharmacology of analgesia and complications of pain medications

Suggested Audience

  • Nurses

Curriculum Directors

Samiuddin Shaikh, MD; Muna Zahir Al Shaqsi RN, CCNPNP, BSC

Contributors

Debra Morrow, RN, BSN, CCRN; Mary-Jeanne Manning, APRN, MSN, BC, PNP, CCRN; Vivian Williams, MSN, RN, CPNP; Susan Hamilton, RN, MS, CCRN, CWOCN; Nancy Braudis, BSN, MS, CPNP, CCRN; Nancy Braudis, BSN, MS, CPNP, CCRN; Brienne Leary, RN, BSN, CPON, CCRN; Thomas Shanley, MD; James DiNardo, MD, FAAP; Mjaye Mazwi, MD; Toni Imprescia, RN; Monica Kleinman, MD; Traci Wolbrink, MD, MPH; Tonya Miller, MD, FAAP; Robert Pascucci, MD; Gerhard Wolf, MD; Robert Graham, MD; Craig Smallwood, RRT; Janelle Nobrega, MSN, RN, CPNP; Catherine Dowling RN, MS, CCRN

    Release Date

    • Released: November 1, 2019.