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Clinical Competencies

22
  • ECG Interpretation
  • Advanced Cardiac Life Support – Basic Airway Management For Operating Room Nurses
  • Introduction to History Taking Skills
  • Examination of the Pelvis
  • Examination of the Thorax and Lungs
  • Examination of the Rectum
  • Examination of the Abdomen
  • Examination of the Heart
  • Conscious Sedation and analgesia competencies
    • Introduction To Harvey Cardiopulmonary Simulator
    • Standards Of Practice
    • Patient Assessment
    • Difficult Airway
    • Drug Pharmacology
    • Introduction, Goals And Indications For Administration Of Sedation
    • Managing Complications
  • CanMEDS Framework Competencies for Medical Students
    • Collaborator
    • Communicator
    • Health Advocate
    • Leader
    • Medical Expert
    • Professional
    • Scholar

Procedural Competencies

39
  • Airway management
  • IV access
  • Local anesthesia/field block
  • Suturing of Lacerations
  • Pap Smear
  • Nasogastric tube placement
  • Venipuncture
  • Abscess incision and drainage
  • Urethral catheterization
  • Oxygen administration devices
  • Thoracentesis
  • Lumbar puncture
  • Anoscopy
  • Arterial line placement
  • Central venous catheter placement
  • Intramuscular Injection
  • Pericardiocentesis
  • Emergency Resuscitation Principles
  • Circulation Assessment & CPR
  • Rectal Examination
  • Electrocautery
  • Epidurals
  • Intraosseous Infusion
  • Ultrasound-guided Central Line Insertion
  • Simulation Debriefing
  • Wound Treatment
  • Introduction, Goals And Indications For Administration Of Sedation
  • Central Vein Catheterization Landmark Technique
  • Chest tube placement and management
  • Spontaneous vaginal delivery
  • Types of Surgical Knots
  • Tying Technique
  • Principles of Asceptic Technique
  • General Principles
  • Laparoscopic Equipment
  • Handling Laparoscopic Instruments
  • Basic Laparoscopic Techniques
  • Managing Complications
  • Tracheostomy

Nursing Competencies

85
  • Wound Management
    • Wound Prevention
    • Wound Assessment
    • Wound Treatment
  • Advanced Clinical Nursing Management (Pre Code & Code)
    • Cardiac Failure
    • Renal Failure
    • Tracheostomy Care
    • Suctioning In Respiratory Care
    • Fluid And Electrolytes
    • Basic Airway Management For Operating Room Nurses
    • Medical-Surgical Nursing Comprehensive Scenario
    • Pre Operative Assessment
    • Neurological Trauma
    • Bipap & CPAP
    • Respiratory Failure
    • Shock
    • Respiratory Assessment
    • Oxygen Therapy
  • COPD and its Management
    • Acute Exacerbations
    • End-of-Life Care
    • Definition, Prevalence, Signs & Symptoms
    • Risk Factors And Pathophysiology
    • Diagnosis And Severity
    • Management Of Stable COPD
    • Patient Self-Management Education
  • Procedural Sedation education for registered nurses
    • Introduction To Laerdal SimMan
    • Standards Of Practice
    • Patient Assessment
    • Difficult Airway
    • Drug Pharmacology
    • ECG Interpretation
    • Introduction, Goals And Indications For Administration Of Sedation
    • Managing Complications
  • Introduction to Perioperative Nursing
    • Introduction To The Perioperative Nursing Program
    • Role Of The Perioperative Nurse
    • Preoperative Care
    • Intraoperative Care – Part 1
    • Intraoperative Care – Part 2
    • Full Time Clinical Component
    • Perioperative Anatomy & Medical Terminology
    • General Surgery
    • Perioperative Safety
  • Physical Assessment
    • Physical Examination Of The Airway
    • How To Take Blood Pressure Reading
    • Acute Bronchospasm
    • Acute Respiratory Failure
    • Cardiac
    • Pulmonary Embolism
    • Taking A Temperature
  • Procedural Sedation and Analgesia Education
    • Standards Of Practice
    • Patient Assessment
    • Difficult Airway
    • Drug Pharmacology
    • ECG Interpretation
    • Introduction, Goals And Indications For Administration Of Sedation
    • Managing Complications
  • Safe Blood Transfusion
    • Safe Blood Transfusion I
    • Safe Blood Transfusion II
  • Community Home Infusion
    • Teaching Home IV Self-Administration
    • Teaching Community Intravenous: Gravity
  • Collaborative Framework
    • Respiratory Assessment
    • Tracheostomy Care
    • Oxygen Therapy
    • Suctioning In Respiratory Care
  • Fundamental Perioperative Skills for LPN
    • Introduction To The Perioperative Skills for LPN
    • Role Of The LPN Perioperative Nurse
    • LPN Perioperative Care
    • LPN Perioperative Safety
    • LPN Intraoperative Care
  • Pain Management
    • Classification & Physiology Of Pain
    • Pain Assessment
    • Non-pharmacological Approaches For Pain Management
  • Rheumatoid Arthritis Hand
    • Ulnar Drift Deformity In Rheumatoid Arthritis
    • Boutonniere Deformity In Rheumatoid Arthritis
  • Total Joint Arthroplasty Outcome Measures
    • Thirty Second Chair Stand Test (30 Sec-CST)
    • Stair Climb Test (SCT)
    • Ten Metre Walk Test
    • Timed Up & Go (TUG) Test
    • Functional Reach Test (FRT)
    • Single Leg Stance (SLS) Test
    • Six Minute Walk Test (6MWT)
    • Visual Analogue Scale (VAS): Pain
    • Numeric Pain Rating Scale (NPRS)
    • Hip Disability And Osteoarthritis Outcome Score (HOOS)
    • Knee Injury And Osteoarthritis Outcome Score (KOOS)
    • Lower Extremity Functional Scale (LEFS)

Midwifery Competencies

34
  • Midwifery Emergency Skills Program
    • Post Partum Haemorrhage
    • Shoulder Dystocia
    • Hypertensive Disorders Of Pregnancy
    • Contraception
    • Approach To Abortion
    • Antenatal Fetal Assessment
    • Postpartum Hemorrhage
    • Caring For Sexual Assault Survivors
    • Antepartum Bleeding
    • Fetal Well Being
    • Breech
    • Twins
    • Anaphylaxis
    • Cord Prolapse
    • Communication
    • RBC Alloimmunization
    • Upper Genital Tract Infection
    • Vulvovaginitis
    • Prenatal Screening And Diagnosis
    • Intrauterine Growth Restriction
    • Medical And Surgical Complications Of Pregnancy
    • Multifetal Pregnancy
    • Postpartum Care
    • Introduction And Preparation For The Physical Examination Of Female Genitalia
    • Management Of The Infertile Couple
    • Speculum Examination
    • Performing A Pap Smear
    • Evaluation Of A Patient With A Pelvic Organ Prolapse
    • Bimanual Examination
    • Pelvirectal Examination
    • Pregnancy Hypertension
    • The Perimenopause
    • Inspection And Palpation Of External Genitalia
  • Perinatal Health
    • SOGC Guidelines: Diagnosis, Evaluation And Management Of The Hypertensive Disorders Of Pregnancy

Physiotherapy Competencies

13
  • Clinical Competence Based Simulated Physiotherapy Learning
    • Intermittent Positive Pressure Breathing/BIRD
    • Manual Techniques: Assisted Cough
    • Pneumonia In Motor Neurone Disease
    • Aspiration Pneumonia In Trauma
    • Clinical Competence Skill Set- SCI Respiratory Assessment
    • Respiratory Anatomy And Physiology
    • Basic Oxygen Therapy
    • Basic Respiratory Assessment
    • Suctioning
    • Manual Techniques: Vibrations
    • Manual Techniques: Percussion
    • Manual Hyper-Inflation (MHI)
    • Clinical Competence Skill Set – Assisted Cough

Interprofessional Skills

33
  • Home Care
    • Teaching Home Tracheostomy Care
    • Teaching Home IV Self-Administration
  • Goals of Care & Advance Care Planning
    • Goals Of Care & Advance Care Planning
  • Sterilization and Disinfection
    • Infection Prevention Principles In MDRD
    • Medical Device Reprocessing – An Introduction
    • Infection Prevention
    • Disinfection
    • Decontamination Process
    • Sterilization 1
    • Sterilization 2
    • Sterilization IUSS (Flash)
    • Sterilization Table Top Steam
    • Sterile Storage And Distribution
  • Communication Skills in ACLS & ATLS
    • Introduction To Human Factors
    • The Nature Of Human Error
    • Inter-Professional Communication Skills During Implementation Of ACLS And ATLS Simulation Session
    • Introduction To METIMan
  • Communication Skills in a Simulation Session
    • Practicing Resuscitation And Communication Skills, In An Inter-Professional Simulation Session
    • Communication
    • Team Management
  • Mobile Medical Unit
    • VANOC 2010 Medical Services
    • Introduction To The Mobile Medical Unit – History And Planning-Dr. jack Taunton
    • Summary Of Whistler Polyclinic And Mobile Medical Unit- Dr Ross Brown
    • Mobile Medical Unit Orientation To Physical Lay Out And Patient Flow (Emergency, Critical Care/Pre/Post Operative/Operating Room)
    • Olympic/Paralympic (2010), MMU Blood Education Overview- Dr. Kate Chipperfield, MD
    • Transfusion Medicine Services
    • Trauma Evaluation And Management (TEAM)
    • Abdomen-Stab Wound Case
  • Medical Device Reprocessing
    • Introduction To Reprocessing
    • Decontamination Process
    • Disinfection
    • Infection Prevention
    • Sterilization

Introduction to Simulation

38
  • Introduction to Simulators and simulation Technology
    • Patient Simulation Sessions
    • Introduction To Laerdal SimMan 3G
    • Introduction To METI SurgicalSim
    • Introduction To Laerdal SimMan Essential
    • Introduction To METI Baby Simulator (BabySim)
    • Introduction To METI Emergency Care Simulator (ECS)
    • Introduction To METI Human Patient Simulator (HPS)
    • Introduction To METI Pediatric Simulator (PediaSim)
    • Introduction To METI Pelvic ExamSim
    • Introduction To Simbionix GI Mentor II
    • Introduction To Simbionix PERC Mentor
    • Introduction To Simbionix URO Mentor
    • Introduction To Surgical Techniques Work Benches
    • Introduction To VIST
    • Introduction To Harvey Cardiopulmonary Simulator
    • Introduction To Syndaver Surgical Patient
    • Introduction To Laerdal SimBaby
    • Introduction To Laerdal Sim Man 3G
    • Introduction To Laerdal SimMan
    • Introduction To METIMan
  • Fellowship Lectures
    • Stress and Human Performance by Eric David
    • Workload Management by Eric David
    • Communication by Eric David
    • Team Management by Eric David
    • Theoretical Basis of Simulation in Health Education by Dr. Qayumi
    • Developing a Sim Centre by Dr Qayumi
    • Curriculum Development by Dr. Qayumi
    • Introduction to Human Factors by Eric David
    • The Nature of Human Error by Eric David
    • Situational Awareness – The Cornerstone of Error Prevention by Eric David
    • Fatigue and Human Performance by Eric David
    • Advancements in Simulation Debriefing by Dr. Adam Cheng
  • Scientific Method and Applied Statistics
    • Introduction To Scientific Method
    • Scientific Methods EPA 8 Lecture 1
    • Scientific Methods EPA 8 Lecture 2
    • Scientific Methods EPA 8 Lecture 3
    • Scientific Methods EPA 8 Lecture 4
    • Applied Statistical Tutorial

Surgical Competencies

7
  • Basic Surgical Techniques Competencies
    • Ch 1 – Introduction to Basic Surgical Instruments
    • Ch 2 – Handling of Surgical Instruments
    • Ch 3 – Knot Tying Techniques
    • Ch 5 – Aseptic Techniques And Operating Room Conduct
    • Ch 6 – Basic Surgical Procedures
    • Ch 4 – Wound Management Techniques
    • Ch 7 – Laparoscopic Surgical Techniques

Casting and Splinting

9
  • Cast Application by Cyberpatient Team
  • A step-by-step guide for casting and splinting by Dr Jeff Nash
    • 1 – Orthopedics Immobilization Techniques- An Introduction
    • 2 – Orthopedics Immobilization Techniques- Volar Wrist Splint
    • 3 – Orthopedics Immobilization Techniques- Long Arm Cast and Thumb Spica
    • 4 – Orthopedics Immobilization Techniques- PosteriorArm Splint(Black Slab)
    • 5 – Orthopedics Immobilization Techniques- Ulnar Gutter Splint
    • 6- Orthopedics Immobilization Techniques- Short Leg Cast
    • 7- Orthopedics Immobilization Techniques- Cylinder (Stove) Leg Cast
    • 8 – Orthopedics Immobilization Techniques- Posterior Short Leg Splint (Black Slab)

CyberPatient Experts Series

75
  • Approach to Imaging and Understanding of Different Imaging Modalities - Dr. Savvas Nicolaou
    • Approach to chest X-ray imaging and acute chest pain
    • Approach to the interpretation of the abdominal radiograph and approach to imaging of the acute abdomen.
    • Approach to brain imaging
  • Diagnostic and Procedural Imaging
    • Radiology
      • Radiology Of The Spine
      • RADIOLOGY IN PMP
      • MSK Imaging
      • Abdominal Imaging Anatomy
      • Metabolic Bone Disease Imaging
      • Radiology Of The C Spine
      • Overview – Thoracic Imaging
      • Bone Tumor Radiology
      • Practical Emergency Radiology
      • MRI Of The Knee
      • Radiological Modalities
      • Basic Approaches To Chest Radiology
      • Gout, Arthritis & Fractures
      • Approaches To Chest XRAY In Heart Disease
      • Introduction To Neuroimaging
      • Thoracic Imaging – Radiological Anatomy Of The Chest
      • Anatomy Of The Pelvis And Skull
      • ACR Appropriateness Criteria
    • Pulmonary Radiology
      • Respiratory
    • Ultrasound
      • Musculoskeletal Radiology
      • ACR TIRADS
    • Ultrasound Guided Nerve Block PEM Course
      • Bier Block Course
      • Adverse Reactions & Complications Of Peripheral Nerve Blocks
      • Physics Of Ultrasound
    • Ultrasound Guided Regional Anesthesia
      • Ultrasound Guided Blockade Of The Ilioinguinal And Iliohypogastrics Nerves
      • Physics Of Ultrasound
    • Ultrasound-Guided Emergency Medicine Procedures, Advanced Course (UGEMP-Advanced)
      • Ultrasound Guided Abscess Diagnosis And Drainage
      • Ultrasound Guided Arthrocentesis
      • Ultrasound-Guided Lumbar Puncture
      • Ultrasound Guided Paracentesis
      • Ultrasound Guided Foreign Body Identification And Removal
  • Learning in Healthcare Education Series - Dr. Karim Qayumi
    • Curriculum Development
    • Gamification in Education
    • Fundamental Theories Behind Education
    • Exploring Competency-based Education
    • Post-Series Q+A
  • Laboratory Medicine
    • Thyroid Laboratory Testing Lectures- Dr. Sophia L. Wang, MD
    • Adrenal Hypertension Lectures- Dr.Daniel Holmes, MD
    • Scientific Basis Of Lipid Disorders Lectures- Dr. Daniel Holmes, MD
    • Immunoglobulins Lectures- Dr. William E. Schreiber, MD
    • Autoantibody Testing In SARDS Lectures- Dr. Micheal C. Nimmo, MD
    • Complete Blood Count (CBC) Interpretations Lectures-Dr. Tyler Smith MD
    • Introduction To Coagulation-Dr. Tyler Smith MD
    • Transfusion Medicine Basics-Dr. Kate Chipperfield MD
    • Transport For Microbiology Labs-Michael Payne
    • Introduction To Mycology- Michael Payne
    • Laboratory Diagnosis Of Viral Infections- Dr. Christopher Lowe, MD, FRCPC
    • Evaluation Of Acid Based Status lectures – Dr. William E. Schreiber, MD
    • Disturbances In Plasma Sodium Lectures- Dr. Daniel T. Holmes, MD
    • Lab Testing In Diabetes Lectures- Dr. Sophia L. Wang, MD
  • Pharmacology and Therapeutics
    • Gastrointestinal Pharmacology Lectures- Dr. Andrew Horne, MD
    • Endocrine Pharmacology- Dr. David Miller, MD
    • Anticancer Pharmacology- Dr. Jennifer Shabbits, MD
    • Pharmacology Of Antimicrobial Agents- Dr. David Godin
    • Pharmacology Of Antiepileptics- Dr. Andrew Horne
    • Quantitative Pharmacokinetics Lectures- Dr. David Godin, MD
    • Pharmacology Of The Autonomic Nervous Systems- Lectures Dr. Micheal Walker, MD
    • Cardiac Pharmacology Lectures- Dr.Michael Walker, MD
    • Diuretics Lectures- Dr. David Godin, MD
    • Pharmacology Of Local Anaesthetics Lectures- Dr. David Godin, M
    • Pharmacology Of Inhaled Anaesthetics Lecture- Dr. Peter T. Choi, MD
    • Pharmacology Of Antidepressants- Dr. Dean Elb
    • Pharmacology And Anxiety- Dr. R. Randhawa MD
    • Pharmacology Of Antipsychotics-Dr. Ric M. Procyshyn
    • Variability In Response To Drugs-Dr. David Godin
    • Fundamental Concepts Lectures- Dr. David Godin, MD
  • Surgical and Medical Ethics Series - Dr. Alberto Ferreres
    • Medical Ethics and Bioethics 101
    • Patient-physician Relationship and Communication
    • How to Deliver Bad News
    • Medical Futility
    • The Surgical Informed Consent Process
    • Surgical Ethics: Principles and Practice
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Medical-Surgical Nursing Comprehensive Scenario

2 min read

Description #

Sally Brown, a 76 year old retired white female of average height and weight was admitted to hospital with acute onset of nausea and vomiting. Patient history includes right medullary cerebrovascular accident with mild residual left-sided weakness, diabetes mellitus, hypertension, dysphagia, status post percutaneous endoscopic gastrostomy placement, urinary tract infection, and anemia. Sally has no known allergies and home medications include Amoxicillin, Pronestyl, Aldomet, Aggrenox, and NPH Insulin. Her mental status is within normal limits. She lives with her son in Victoria in a rancher with two steps and one handrail at the entrance. She denies alcohol or tobacco use.

The same patient history is used to move a group of students through small components of the scenario based on Sally developing a series of problems and complications during her hospital stay.

Each scenario is reported off to the next student.

The scenarios will take 20 minutes with 10 minutes for debriefing.

Scenario 1

The patient assessment is normal except for mild abdominal distention and hypoactive bowel sounds. Sally is scheduled for a CT scan. There are orders to start an IV and administer IV Phenergan for nausea.

Scenario 2

Sally’s nausea continues and is made NPO. The nurse receives orders to increase the IV fluids, call a GI physician for consult, place an NG tube and connect it to low suction, and give a pain med via the NG tube.

Scenario 3

The GI physician diagnoses GI bleed. Orders are written for a transfusion, and IV pain medication. Sally has a transfusion reaction.

Scenario 4

Sally deteriorates rapidly after the transfusion reaction and has to be intubated. IN this scenario she has a tracheostomy and needs suctioning. She has orders of IV antibiotics for pneumonia.

Scenario 5

The patient has increased abdominal pain. The physician writes orders to replace the NG tube. There are orders for IV pain medications.

Scenario 6

The patient had developed a fever and a UTI is suspected as well as a possible MRSA. There are orders for a urinalysis for culture and isolation.

Learning Objectives #

Demonstrate clinical knowledge competency as an entry level registered nurse through the assessment, and diagnosis of patient problems, the planning of nursing care and the evaluation of patient responses.

Demonstrate leadership skills through priority setting, delegation, decision making and communication.

Incorporate theoretical concepts and research findings into the delivery of quality nursing care.

Basic Airway Management For Operating Room NursesPre Operative Assessment
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