Facilitators Manual - Emergency Care Institute
Facilitators Manual - Emergency Care Institute Facilitators Manual - Emergency Care Institute
• Airway management- Airway opening manoeuvres° Clearing of the airway° Insertion of airway adjuncts° Measuring of airway adjuncts- Cervical spine Immobilisation- Bag – valve – mask ventilation- Intubation.Suggested Modalities• Self Directed learning.• Modified lecture.• Demonstration.• Simulation.• Role play.• Experiential Learning.Facilitator ActivitiesThe following activity has been designed to further develop participant knowledge of respiratoryassessment and associated nursing interventions. The facilitator may use this activity to achievethe modules aim or alternatively facilities may choose to use other outlined modalities.33Option 1: SimulationUsing a simulation mannequin participants demonstrate head tilt, chin lift, jaw thrust, and insertionof airway adjuncts. On completion of the exercise participants are debriefed and an opportunity forfeedback provided.Expected Timeframe: 90 minutesReferences/Resources• American College of Surgeons Committee on Trauma (2008) ‘Advanced Trauma Life Supportfor Doctors ATLS Student Course Manual’ 8th Ed. Chicago• Colleton, L.G (2008) ‘Beyond The Stethoscope: Respiratory Assessment Of The Older Adult’,Nursing Made Incredibly Easy, Sep/Oct 6,5 11-14• Chestnutt, M.S, Gifford, A.H. & Prendergast.T.J (2009) ‘Pulmonary Disorders’ in McPhee, S.J.& Papadakis, M.A. (ED’s) Current Medical Diagnosis and Treatment. McGraw-Hill; USA• Cretikos, M.A., Bellomo, R., Hillman, K. Finfer, S. & Flabouris, A. (2008) ‘Respiratory Rate: TheNeglected Vital Sign’, MJA 188(11):657-659.• Crummy, F. & Naughton, M.T. (2006). ‘Non- Invasive positive pressure ventilation for acuterespiratory failure: justified of just hot air?’ Internal Medicine Journal (2007) 37, 112-118.• De la Pena, E., & Altman, G.B. (2004) ‘Measuring Peak Expiratory Flows’ in Delmar Fundamental& Advance Nursing Skills, 2nd ed. Delmar Learning: USA.• ‘Diffusion of Gases’ [Image] (n.d) Retrieved 3 May 2009 fromhttp://www.pdh-odp.co.uk/Swot%20of%20Gases.htm• ‘Funnel Chest’ [Image] (n.d.) Retrieved 5 May 2009 fromhttp://www.kinderchirurgiewillital.de/triburst/05a.jpg• Gomella, L.G & Haist, S.A (2007). ‘Clinicians Pocket Reference’ 11th Ed. McGraw-Hill: USA• Hanley, M.E. & Welsh, C.H. (2003) ‘Current Diagnosis & Treatment in Pulmonary medicine’,McGraw-Hill: USA• ‘Kyphotic spine’ [Image] (n.d.) Retrieved 5 May 2009 fromhttp://www.crosbyclinic.im/images/kyphosis.jpg
FACILITATORs’ Manual Transition to Emergency Nursing34• Larynx [Image] (n.d) Retrieved 5 May from http://www.biologycorner.com/.../resp_images.html• LeBlond, R.F, Brown, D.B, DeGowin, R.L (2009) ‘DeGowins Diagnostic Examination’, 9th Ed.McGraw-Hill:USA.• Levitzky, M.G. (2007) ‘Pulmonary Physiology’, 7th ed. McGraw-Hill: USA• Moore, T. (2007) ‘Respiratory assessment in adults’, Nursing Standard. 21, 49, 48-56• National Asthma Council (2006) ‘Asthma Management Handbook’, National Asthma CouncilAustralia LTD. Melbourne• ‘Nose’ [Image] (n.d) Retrieved 3 May 2009 from http://www.web-books.com/../Respiratory.htm• ‘Pharynx’ [Image] (n.d) Retrieved 4 May 2009 fromhttp://www.commons.wikimedia.org/wiki/File:Pharynx_diagr• Penuelas, O. Frutos_Vivar, F. Esteban, A CMAJ. Nov 6, 2007; 177 (10). Accessed on 12 May 2009 athttp://www.cmaj.ca/cgi/content/full/177/10/1211• ‘Pigeon Breast’ [Image] (n.d.) Retrieved 5 May 2009 fromhttp://www.healthcentral.com/ency/fullsize/9011.jpg• Porth, C.M. (2006) ‘Patho-physiology Concepts of Altered Health States’, 4th Ed JB Lippincott: USA• Pruitt, W.C. (2003) ‘Breathing Lessons: Basics of Oxegen Therapy’, Nursing 2009 33(10), Oct, p43-45.• Seidel, H.M., Ball, J.W., Dains, J.E., Benedict, G.W (2006) ‘Mosbys Guide to Physical Examination’,Elseveir: USA• Shape of the Thorax [Image] (n.d) Retrieved 5 May fromwww.wrongdiagnosis.com/bookimages/16/5373.1pngAccessed• ‘Suprasternal Notch’ [Image] (n.d) retrieved 5 May 2009 from http://www.wrongdiagnosis.com• ‘The Bronchioles’ [Image] (n.d) Retrieved 3 May 2009 fromhttp://www.medical-dictionary.thefreedictionary.com/bron...• Tintinalli, J.E., Gabor M.S, Kelen, D., Stapczynski, J.S, Ma O.J, & Cline, D.M (2004) ‘Tintinalli’sEmergency Medicine: A Comprehensive Study Guide’, McGraw-Hill: USA• ‘Trachea’ [Image] (n.d.) Retrieved 5 May 2009 from http://www.library.thinkquest.org/5777/resp3.htm• Urden, L.D., Stacy K.M. & lough, M.E (2006) ‘Urden: Thelans Critical Care Nursing: Diagnosis andManagement’, Elsevier; USA
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• Airway management- Airway opening manoeuvres° Clearing of the airway° Insertion of airway adjuncts° Measuring of airway adjuncts- Cervical spine Immobilisation- Bag – valve – mask ventilation- Intubation.Suggested Modalities• Self Directed learning.• Modified lecture.• Demonstration.• Simulation.• Role play.• Experiential Learning.Facilitator ActivitiesThe following activity has been designed to further develop participant knowledge of respiratoryassessment and associated nursing interventions. The facilitator may use this activity to achievethe modules aim or alternatively facilities may choose to use other outlined modalities.33Option 1: SimulationUsing a simulation mannequin participants demonstrate head tilt, chin lift, jaw thrust, and insertionof airway adjuncts. On completion of the exercise participants are debriefed and an opportunity forfeedback provided.Expected Timeframe: 90 minutesReferences/Resources• American College of Surgeons Committee on Trauma (2008) ‘Advanced Trauma Life Supportfor Doctors ATLS Student Course <strong>Manual</strong>’ 8th Ed. Chicago• Colleton, L.G (2008) ‘Beyond The Stethoscope: Respiratory Assessment Of The Older Adult’,Nursing Made Incredibly Easy, Sep/Oct 6,5 11-14• Chestnutt, M.S, Gifford, A.H. & Prendergast.T.J (2009) ‘Pulmonary Disorders’ in McPhee, S.J.& Papadakis, M.A. (ED’s) Current Medical Diagnosis and Treatment. McGraw-Hill; USA• Cretikos, M.A., Bellomo, R., Hillman, K. Finfer, S. & Flabouris, A. (2008) ‘Respiratory Rate: TheNeglected Vital Sign’, MJA 188(11):657-659.• Crummy, F. & Naughton, M.T. (2006). ‘Non- Invasive positive pressure ventilation for acuterespiratory failure: justified of just hot air?’ Internal Medicine Journal (2007) 37, 112-118.• De la Pena, E., & Altman, G.B. (2004) ‘Measuring Peak Expiratory Flows’ in Delmar Fundamental& Advance Nursing Skills, 2nd ed. Delmar Learning: USA.• ‘Diffusion of Gases’ [Image] (n.d) Retrieved 3 May 2009 fromhttp://www.pdh-odp.co.uk/Swot%20of%20Gases.htm• ‘Funnel Chest’ [Image] (n.d.) Retrieved 5 May 2009 fromhttp://www.kinderchirurgiewillital.de/triburst/05a.jpg• Gomella, L.G & Haist, S.A (2007). ‘Clinicians Pocket Reference’ 11th Ed. McGraw-Hill: USA• Hanley, M.E. & Welsh, C.H. (2003) ‘Current Diagnosis & Treatment in Pulmonary medicine’,McGraw-Hill: USA• ‘Kyphotic spine’ [Image] (n.d.) Retrieved 5 May 2009 fromhttp://www.crosbyclinic.im/images/kyphosis.jpg
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