Key Facts

Module Title: NUR-30173: Care of Critically Ill Women for Midwives
Mode of Study:Trimester 2/February
Contact Details:Contact School of Nursing and Midwifery - 01782 679559
Contact email:nursing.cpd@keele.ac.uk
Faculty: Faculty of Medicine and Health Sciences
Fees: Click for details

Childbirth is a major life event for women and their families.  The few women who become critically ill during this time should receive the same standard of care for both their pregnancy related and critical care needs, delivered by professionals with the same level of competencies irrespective of whether they are provided in a maternity or general critical care setting (Royal College of Anaesthetists 2011). This module aims to support the midwife to achieve this statement.

This exciting module, Care of the Critically Ill Woman, has been designed with the support from clinicians with the aim of ensuring that the theory, practice and assessment elements are closely related throughout the programme. 

The module is appropriate for midwives who currently practice within a facility that may potentially care for critically ill women.  We can recognise the work done to identify and reduce risks, however it remains that some women pre,  during and following childbirth become critically ill (CEMACH 2007; Maternal Critical Care Working Group, 2011).  The aim of the module is to enhance evidence based knowledge and analytical skills in assessing, planning, implementing and evaluating care for such critically ill patients and their families; considering both acute and chronic conditions within the context of  contemporary healthcare policy.

The module reflects the professional expertise of midwives and the variance of critical care units.  Critical care in itself is dynamic and the module demonstrating themes of   evidence based practice, reflective practice and clinical decision making. The teaching methods address core issues to critical care including physiology, assessment, nursing and medical interventions/management to a diverse population and their families and innovations within practice. 

This 15 credit level 6 module will improve the midwife's skills and knowledge in order for them to provide more confident and competent care to women experiencing acute ill health and requiring an escalation of treatment in relation to childbearing.

The midwife will gain skills of clinical judgement and practice and the ability to communicate their management plans effectively to the multidisciplinary team.

This module is available as an elective within BSc (Clinical Practice).

This module is also available as a free standing elective.

To enable the midwife to assess and distinguish between the majority of women with uncomplicated pregnancies and the small but growing minority who have the potential to become acute/ critically ill during pregnancy, labour or the post natal period. Then to enhance the knowledge, skills, confidence and attitudes of midwives caring for these women.

Hold a first level Professional Registration as a Midwife with the Nursing & Midwifery Council (NMC) and currently practice within a facility that may potentially care for critically ill women.

 

Using a blended learning approach including taught, self directed and practical activities the following content will be addressed:
Rationale for requiring higher levels of care during acute, high dependency and critical care episodes
Defining critical care and the team approach in the provision of critical care
Overview of medical and haematological disorders in pregnancy, delivery and post natal period to include sepsis, shock and disseminated intravascular coagulation
Review of the acute physiological presentation during pregnancy
Management of the critically ill to include: assessment (MEOWS), monitoring, evaluation, resuscitation, transfer and the psychological needs of the woman and family
Review of critical care skills - including A to E assessment, management of arterial and central venous catheters, monitoring and simple techniques involved in airway management

No. 01: Assessment Type: Objective Structured Skills & Clinical Examination
  Assessment Marking Scheme: Assessment rule 40%
  Brief Description: The midwife will undertake a simulated clinical scenario of no more than twenty minutes.
  Contribution to the module mark: 50% Qualifying Mark: -
  Apply For Exemption from Anonymous Assessment: Yes
  Optional Detailed Description of Assessment: To critically assess and evaluate the midwife's ability to manage the acute needs and make appropriate referrals of women experiencing acute illness during childbearing. The scenario will be recorded and form the basis of assessment 2 - although these are interlinked each assessment will be separately marked

No. 02: Assessment Type: Reflective Analysis
  Assessment Marking Scheme: Assessment rule 40%
  Brief Description: The midwife will undertake a critical analysis of their recorded clinical encounter (OSCE)
  Contribution to the module mark: 50% Qualifying Mark: -
  Apply For Exemption from Anonymous Assessment: Yes
  Optional Detailed Description of Assessment: The midwife will write a 1500 word reflective account of their performance during the OSCE in terms of their clinical decision making skills, interpersonal, organisational and professional issues. Although interlinked with assessment 1 this will be separately marked.