Post-registration Certificate Course in Paediatric Intensive Care Nursing(26/10/2017 – 27/6/2018)

This program is organized by Institute of Advanced Nursing Studies and conducted by Kowloon Central Cluster

The Nursing Council of Hong Kong has approved the Hospital Authority as a provider of Continuing Nursing Education (CNE) since 1 December 2005.

COURSE INFORMATION

Aims of the course

1. Improve the competency of registered nurses by acquiring specialized knowledge and skills in “Paediatric Intensive Care Nursing” so that they can deliver a higher standard of care to critically-ill children.

2. Increase nurses’ awareness on integration of theory and evidence-based findings into paediatric critical care nursing practices through interactive learning in clinical setting.

3. Enhance nurses’ abilities in critical thinking and decisions making so as to achieve best outcome for sick children and their families.

Intended Learning Outcomes

Upon completion of the course, participants should be able to:1. Master the fundamental knowledge and skills on child development, normal and altered

anatomy and physiology, as well as the clinical manifestation and management of medical and surgical conditions in children.

2. Demonstrate skills to perform advanced nursing assessment and understand the impact of multisystem disorders on the physiological condition and psychosocial aspect of the critically ill child and his or her family.

3. Formulate and implement individualized care plan according to nursing assessment, diagnostic findings, laboratory and monitoring results in order to address different medical or surgical conditions.

4. Evaluate the effects of therapeutic interventions and communicate effectively with multidisciplinary team to make necessary recommendations in promoting optimal patient outcomes.

5. Utilize evidence-based knowledge and practice in advanced life saving and life supporting modalities to improve patient outcomes.

6. Anticipate and work as a team in emergency clinical situations within the legitimate framework.

7. Manage to achieve quality outcomes in the delivery of health care for individuals and families.

8. Integrate the philosophy of family centered care in building therapeutic and care relationship with parents and family, and enabling them to make informed decision for the best interest of the child.

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9. Respect different cultural aspects in provision of palliative care to terminally ill child and support the bereaved family through a holistic approach.

10. Identify ethical and legal issues, as well as apply principles in ethical and legal decision making in nursing practice.

11. Conduct clinical project and adopt scientific evidences to facilitate quality improvement in patient care.

Duration of the Course

26 October 2017 – 27 June 2018

Design of the course

A. Theoretical Input: a total of 16 days, one study day per week (9:00 am – 5:30 pm)

Module I: The Core Module of PRCC in Paediatric Specialty Nursing (4 study days and 1 hour quiz)

Oct 2017: 26/10 (Thu)Nov 2017: 2/11 (Thu), 9/11 (Thu), 16/11 (Thu)Quiz: 29/11/2017 (Wed) 9:00 am -10:00 am (in Room 113, 1/F., SGN, QEH)

Module II: Specialty Specific Module: 12 study days Nov 2017: 29/11 (Wed)Dec 2017: 6/12 (Wed), 13/12 (Wed), 20/12 (Wed), 27/12 (Wed)Jan 2018: 3/1 (Wed), 10/1 (Wed), 17/1 (Wed), 24/1 (Wed), 31/1 (Wed)Feb 2018: 21/2 (Wed), (Written examination)Jun 2018: 27/6 (Wed) (Project Presentation)

B. Clinical Practicum: 6 weeks

Group A: A(I): 12/3/2018 – 25/3/2018A(II): 26/3/2018 – 29/4/2018 (7 weeks as there are 4 public holidays during the practicum period)

Group B: B(I): 30/4/2018 – 13/5/2018B(II): 14/5/2018 – 10/6/2018

Assessments

A. Written Assessments (100%) - Quiz (Core module): 5%- Written examination (Specialty Specific Module): 55%- Group project presentation: 20%- Patient care study (20%)

B. Continuing Clinical Assessment (100%) Continuous clinical assessment during the clinical practicum period

Class Size and target participants30 Registered Nurses

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Entry Requir e ment - Nurses registered with the Hong Kong Nursing Council, with valid practicing

certificate.- Preferably, course participants should have at least 24 months post-registration

experience and working in related departments - Priority will be given to nurses currently working in Paediatric Intensive Care Units- Lower priority will be given to nurses who have enrolled in previous PRCC without

successful completion

Exit Requirement:- Successful completion of “Paediatric Advanced Life Support Program, American

Academy of Pediatrics and American Heart Association”

- Successful completion of the following e-learning programs from HA e-Learning Centre (eLc) is required:

1. Ventilatory Care2. Introduction to Pain Management3. Wound Management4. Principles in Legal Decision Making

VenuesI . Theoretical Input :

Lecture room G08/G09, G/F, Block M, Kowloon HospitalMulti-function room, G/F., Block D, Queen Elizabeth HospitalRoom 113, 1/F., School of General Nursing, Queen Elizabeth HospitalRoom 143, 1/F., School of General Nursing, Queen Elizabeth Hospital

II. Clinical Practicum: (Designated PICUs in HA Hospitals)- Kwong Wah Hospital- Princess Margaret Hospital - Prince of Wales Hospital - Queen Elizabeth Hospital - Queen Mary Hospital- Tuen Mun Hospital- United Christian Hospital

Program Director

Ms Sarah CHEUNG Manager (N), IANS, HAHOTel. No. (852) 2300 7096 Fax No.: (852) 2300 7707 email: cheuscs@ha.org.hk

Course DirectorsMs. CHAN Mei Yan Advanced Practice Nurse, PAED, QEHTel. No. (852) 3506 6938 Fax No.: (852) 3506 6934 email: bcmyz06@ha.org.hk

Ms. WONG So Man Nursing Manager, CND, QEHTel. No. (852) 3506 8315 email: bwsmz02@ha.org.hk

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Program Development & Review CommitteeCluster Name RankHAHO Ms. Alice WONG Head, IANS

Ms. Angela CHEUNG M (N), IANSHKEC Ms. CHAN Lai Kuen DOM (PAE), PYNEHHKWC Mr. T M WONG WM (PAED), DKCH

Ms. Ronnie CHENG Dep DOM (PAED), QMHMs. Bernice TSUI DOM (DPC), QMHMs. Tomcy LEUNG NC (PAE/ PIC),QMHMs. W M LEE NC (PAE/ Neonatal Care),QMH

KCC Ms. W L YU DOM (PAED), KWHMs. Y M YEUNG DOM (PAED),QEHMs. Itea LEUNG NC (Neonatal Care), QEHMs. Vivian CHAN CNO (Commissioning/ HKCH), HKCHMs. M Y CHAN APN(PAED), QEHMs. S M WONG NM(CND), QEH

KEC Ms. Miranda LUI WM (PAED), TKOHMs. P K MA DOM (P&AM), UCHMs. K M CHAN NC (Neonatal Care), UCH

KWC Ms. Connie TSE DOM (PED, DDU), CMCMs. Tany KWONG DOM (Paed&AM), PMHMs. CHAN Man Yi NC (Neonatal Care), PMHMs. C Y LO WM (Paed), YCH

NTEC Ms. Becky CHAN DOM (P&AM), AHNHMs. Ada CHAN DOM (PAED), PWHMs. S Y LEE NC (Neonatal Care), PWH

NTWC Ms. Alice CHAU DOM (PAED&AM), TMH

Visiting Lecturer s :Cluster Name RankHKWC Ms Tomcy LEUNG NC (PAE/ Paediatric Intensive Care), QMHHKWC Ms. Pilta KAN APN (PAE), QMHKCC Ms. MAK Mo Kit WM (PAD), KWHKCC Ms Joey CHIU APN (PAED), QEHKEC Ms NG Yuk Sim APN (P&AM), UCHKWC Ms TO Chor Kwan APN (Paed & AM), PMHNTEC Ms LEE Suk Yin NC (Neonatal Care) / NC (PAED) / (Neonatal

Care), NTEC / PWHNTEC Ms. TAM Yee Mei APN (PAED), PWHNTWC Ms KWEE Yung NS (PAED&AM), TMH

Language Medium

English supplemented with Cantonese will be used in class, but all written assignments and examination will be conducted in English.

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Teaching & Learning Strategies- Lectures and tutorials- Group discussions- Clinical demonstrations and coaching- Project presentations- Case studies- Clinical teaching & Supervised Clinical Practice

Award of Certificate:

A certificate will be awarded to those who have completed all parts of the course and successfully passed all assessments and examinations.

CNE Points:

The course is equivalent to 229 CNE points.(Contact hours: Theoretical Input: 112 hours (112 CNE points)

Clinical Practicum: 234 hours (117 CNE points)

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COURSE CONTENT

I Module I1. General health issues in paediatric nursing

i. Concept of paediatric nursingii Growth & Development (including immunization)iii Nursing process, physical assessmentiv Diagnostic tests, imaging and laboratory valuesv Legal and ethical aspects of Paediatric carevi Grief support

2. Overview of paediatric health problemsi. Respiratory problemsii. Cardiac problemsiii. Neurologic problemsiv. Renal problemsv. Haematological problemsvi. Gastrointestinal problemsvii. Muscular and skeletal problemsviii Immunological problemsix Common genetic problems

I Module II1. Fluid, electrolyte, nutrition and elimination management

i Applied physiology and pathophysiology of complex conditions related to fluid, electrolyte, nutrition and elimination problems

ii Assessment and management of complex and abnormal functions of gastrointestinal, urinary and neurological systems

iii Assessment and management of burn and scaldiv Management of enteral and parenteral nutrition and fluid therapyv Renal replacement therapies

2. Respiratory and cardiovascular managementi. Applied physiology and pathophysiology of the respiratory and

cardiovascular systemsii. Assessment and management of respiratory and cardiovascular

conditionsiii. Pathophysiology and management of shockiv Management of rhythm disturbancev Paediatric Advanced Life Supportvi. Recognition and management of congenital anomalies vii. Mechanical ventilatory management viii Identify indications for Extra Corporeal Membranous Oxygenation

(ECMO)

3. Neurological, pain and stress managementi. Applied physiology and pathophysiology of conditions related to

neurological, pain and stress problems ii. Assessment and management of neurological & cranial conditionsiii. Impact of acute and chronic pain and stress iv. Pain assessment and management

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4. Skin, hygiene and infection prevention managementi. Applied physiology and pathophysiology of conditions related to

skin, hygiene and infection preventionii Assessment and management of septic conditionsiii Prevention of infection in immunocompromised conditionsiv. Infection control measures v. Skin assessment and management vi. Wound assessment and managementvii. Ostomy care viii Burn & Scald

5. Haematological and oncological managementi. Applied physiology and pathophysiology of the haematological and

oncological conditionsii. Assessment and management of haematological and oncology

emergenciesiii. Chemotherapyiv Blood and blood products administrationv Alternative services to oncology or terminally ill children including

palliative service, advance directives

6. Endocrine & metabolic managementi Applied physiology and pathophysiology of endocrine & metabolic

conditionsii Assessment and management of endocrine & metabolic emergencies

7. Musculoskeletal managementi Applied physiology and pathophysiology of musculoskeletal

conditionsii Assessment and management of congenital musculoskeletal

conditions

8. Therapeutic and care relationshipi. Establish a therapeutic and caring relationship with child and their

familiesii. Promote the culture of family centered careiii. Offer support to child’s family facing crisis and imminent death of

their beloved childiv. Assessment and management of the transition to home/ institutional

carev. Palliative care and address the needs of the family during grieving

and bereavement process

9. Miscellaneousi Pathophysiology of conditions related to traumaii Applied physiology and pathophysiology of organ failureiii Management of organ transplant/donationiv Inter-/ intra-hospital transferv Transitional care

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S PEAKER S LIST

Medical SpeakersCluster Hospital Name RankHKWC DKCH Dr. C W FUNG AC (PAE)HKWC QMH Dr. C Y CHOW AC (PAE)HKWC QMH Dr. Brian CHUNG AP (PAE)HKWC QMH Dr. H Y CHUNG Hon Assoc CONS (SRG)HKWC QMH Dr. Evelyn Eugenie Y L

KUONG AC (O&T)

HKWC QMH/ HKCH

Dr. KWOK Sit Yee AC (DPC)

HKWC QMH Dr. Rosanna WONG CON (PAE)HKWC QMH Dr. Nicholson YAM AC (CTSD)KCC KWH Dr. CHAN Pak Hong, Eric AC (PAD)KCC KWH Dr. WONG Hoi Tung CON/Deputy COS (NEU)KCC QEH Dr. Winnie CHAN CON (PAED)KCC QEH Dr. MA Chan Chung CON (Cardiothoracic Surgery)KCC QEH Dr. WONG Man Yee, Shirley AC (PAED)KCC QEH Dr. WU Shun Ping CON (PAED)KEC TKOH Dr. Alice KY SIU AC (ENT)KEC UCH Dr. Lilian LEE AC (P&AM)KEC UCH Dr. TSE Man Li HKPIC CONKWC PMH Dr. LAI Wai Ming CON (Paed&AM)KWC PMH Dr. KWAN Yat Wah AC (Paed&AM)KWC PMH Dr. Alison MA AC (Paed &AM)KWC PMH Dr. Joshua WONG Resident (Paed&AM)NTEC PWH Dr. Kate Ching Ching CHAN Assi Prof (PAED)NTEC PWH Dr. CHEUNG Hon Ming AC (PAED)NTEC PWH Dr. CHOW Chung Mo AC (PAED)NTEC PWH Dr. Joannie HUI SMO (PAED)NTEC PWH Dr. Vincent LEE CONS (PAED)NTEC PWH Dr. SHING Ming Kong Cons (PAED)NTEC PWH Dr. LAM Hung San Hugh

SimonAsso. Prof. (PAED)

NTWC TMH Dr. CHAK Wai Kwong AC (P&AM)NTWC TMH/POH Dr. LAM Shu Yan Deputy COS (PAED&AM)

Nursing Speakers

Cluster Hospital Name RankHKEC PYNEH Ms. WONG Sau Fong APN (PAED)HKWC QMH Ms. Karen CHIU APN (PAE)HKWC QMH Ms. Pilta KAN APN (PAE)HKWC QMH Ms. LEE Wan Ming NC (PAE)/ (Neonatal Care)HKWC QMH Ms. Daisy LEUNG NS (PAE)HKWC QMH Ms. Tomcy LEUNG NC (PAE/Paediatric Intensive Care)Cluster Hospital Name Rank

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HKWC QMH Ms. Wendy KWAN APN (PAE)HKWC QMH Ms. TSE Miu Ling APN (PAE)HKWC QMH Ms. Pinky WONG APN (PAE)KCC KWH Ms. CHAN Choi Ha APN (Paed&AM)KCC KWH Ms. MAK Mo Kit WM (PAD)KCC KWH Ms. TO Ching Yee APN (PAD)KCC KWH Ms. TSUI Cherk Kiu RN (PAD)KCC QEH Ms. CHAN Mei Yan APN (PAED)KCC QEH Ms. Joey CHIU APN (PAED)KEC UCH Ms. CHAN Kam Ming NC (Neonatal Care)KEC UCH Ms. NG Yuk Sim APN (P&AM)KWC PMH Ms. TO Chor Kwan APN (Paed&AM)NTEC PWH Ms. CHENG Shuk Man APN (PAED)NTEC PWH Ms. CHEUNG Sui Sum,

JeannyWM (PAED)

NTEC PWH Ms. TAM Yee Mei APN (PAED)NTEC PWH Ms. TONG Yuen Fan NS (CND)NTEC PWH Ms. WONG Tze Wing NC (Burns)NTWC TMH Mr. John WONG Trauma Nurse Coordinator (A&E)NTWC TMH Ms. Kwee YUNG NS (PAED&AM)

Guest Speakers

Ms. Tammy LOY Professional Services manager, Children Cancer FoundationDr. Eve WONG ASWO (MSS) & ASWO (AMC), QEH

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