Facilitators Manual - Emergency Care Institute

FACILITATORs’ Manual Transition to Emergency NursingParticipants are divided into groups of two. Each participant is allocated a role of either patient or nurse.Roles are then reversed and feedback about the process/activity provided.• Patient Role: The participant is given a medical history and set of symptoms which they must exhibit.• Nurse Role: The participant uses the ABCDEFGHIJ, MIST and AMPLE mnemonic to:1. Assess the patient.2. Identify life threatening injuries or conditions during the primary survey and initiate appropriateinterventions.3. Using a mock set of notes document appropriately.Option 2: Case StudyParticipants are given a case study and are asked to identify in the patient history clinical indicators ofurgency and identify appropriate nursing interventions.Option 3: BrainstormingThe aim of this activity is to discuss challenges that may be encountered in the Emergency Departmentand identify actions from identified challenges.32Participants are broken up into small groups and asked to discuss within the context of the emergencydepartment challenges that they may face when conducting a patient assessment. Participants are thenrequired to identify actins from the identified challenges. Each small group describes challenges andactions and then presents information back to the larger group for wider discussion.Expected Timeframe – 60 minutes4.3 AIRWAY ASSESSMENT & MANAGEMENTAimThe participant will on completion of this module be able to competently assess and manage a patientpresenting to the emergency department with a compromised airway.Learning OutcomesBy completing this section, the participant will be able to:• Demonstrate the process of airway assessment and recognition of a compromised airway.• List the causes of airway obstruction.• Identify common clinical presentations requiring urgent airway assessment and management.• Perform Airway opening manoeuvres.• Demonstrate techniques for clearing the airway and inserting airway adjuncts.• Demonstrate effective Bag – valve - mask ventilation.• Identify mechanisms of injury which would indicate cervical spine vulnerability.• Correctly measure and apply cervical spine immobilisation devices.• Describe a variety of patients presenting to Emergency which require intubation.Content• Causes of airway obstruction.• Clinical presentations requiring urgent airway assessment and management.• Airway assessment – Look, Listen and Feel.• Causes of airway obstruction.• Common clinical presentations requiring urgent airway assessment and management- Choking Patient- Anaphylaxis’s.