Clinical Procedures and Emergency Medical Assistance in Extended Competency Nurse Practice
Study Course Implementer
Riga, Anninmuizas Boulevard 26a, aurk@rsu.lv, +371 26539996
About Study Course
Objective
Provide nurses with thorough theoretical knowledge of common medical emergencies, their pathogenesis, diagnosis and treatment, including pharmacological interventions. Develop practical skills in performing various clinical procedures (e.g. ensuring vascular access using invasive and non-invasive medical
technologies, basic and extended life support algorithms, etc.).
Preliminary Knowledge
Successful completion of previous courses of the study programme “Nursing”. Assessment of the health status of patients in the provision and management of care for different patients, education and health promotion. Clinical procedures, pharmacology and emergency medical assistance. Leadership and effective leadership of change in healthcare.
Learning Outcomes
Knowledge
1.Students will acquire in-depth knowledge and skills in patient care; on factors contributing to recovery. Demonstrate skills in the latest medical technologies to be used in practice.
2.Analyse and explain the aetiology, pathogenesis and therapeutic principles of common emergency conditions.
3.Understand the pharmacodynamics and pharmacokinetics of the medicinal product in acute situations.
4.Make informed decisions in critical situations based on evidence-based literature, guidelines and practical experience.
5.Principles of multidisciplinary cooperation in acute situations.
Skills
1.Is able to make an independent decision to perform therapeutic interventions by developing and using evidence-based action algorithms.
2.Differentiate symptoms as far as possible and formulate possible diagnoses of nurses.
3.Transfer of structured information (SBAR method or equivalent).
4.Dealing with acute pain syndrome, shock, seizures, anaphylaxis, trauma.
5.Apply emergency algorithms in practice.
6.Cooperation with the doctor, operational services, colleagues, relatives of patients.
Competences
1.Ability to make clinical decisions within the framework of evidence-based Nursing practice using research methodology and terminology.
2.Ability to participate and engage in emergencies in response to existing or potential threats in accordance with the scope of their professional competences.
3.Students are able to provide vascular access using invasive and non-invasive medical technologies
4.Able to act in various emergency medical situations (acute pain, shock, etc.), as well as able to perform different clinical procedures independently.
5.Ability to participate in a complex patient care process with doctors, emergency room and other specialists.
6.Able to demonstrate in-depth knowledge and understanding of the pathophysiology and treatment principles of emergency conditions.
7.Able to make responsible decisions and act quickly in accordance with professional and ethical standards.
Assessment
Individual work
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Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Literature research |
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-
|
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Student conducts research of recommended literature and evidence-based literature in preparation for the implementation of the clinical situation scenario. |
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2.
Study course assessment questionnaire to be completed |
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|
-
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In order to evaluate the quality of the study course as a whole, the student must complete the study course evaluation questionnaire on the student portal. |
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Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Test |
-
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10 points
|
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All practical classes have been attended and passed. The crediting of the practical class shall be performed by the teaching staff taking into account the student activity (demonstrated knowledge, skills and competences) in the implementation of clinical procedures and simulation scenarios and after-consultation activity. Final test: exam. |
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Study Course Theme Plan
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Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Lesson – ensuring vascular access (invasive and non-invasive technologies)
Description
Providing peripheral venous access - USG controlled Central venous approach care/assistance Providing Intraossal access monitoring vital signs |
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Lesson - Respiratory support Technologies. Provision of respiratory tract
Description
Insertion and use of a laryngeal mask assisting/performing tracheal intubation Providing and evaluating oxygenation |
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Lesson - aspiration risk. Providing nutrition and fluid
Description
Assessment of aspiration risk Providing Enteral Power Providing PEG care and replacement using THE SBAR method |
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Lesson - providing emergency care during pregnancy and childbirth
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Lesson - heart rhythm disorder. Defibrillation
Description
Using a defibrillator and AED performing CPR monitoring and interpretation basics/performance of an electrocardiogram (ECG) |
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Lesson - bleeding, polymath, acute pain
Description
Carrying out haemorrhaging measures – in acute situations , policyram patient care assessment and care of acute pain |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Lesson – ensuring vascular access (invasive and non-invasive technologies)
Description
Providing peripheral venous access - USG controlled Central venous approach care/assistance Providing Intraossal access monitoring vital signs |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Lesson - Respiratory support Technologies. Provision of respiratory tract
Description
Insertion and use of a laryngeal mask assisting/performing tracheal intubation Providing and evaluating oxygenation |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Lesson - ensuring respiratory support technologysefectivity
Description
Provision of artificial lung ventilation and auxiliary ventilation replacement and care of tracheostoma cannula |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Lesson - Respiratory support Technologies
Description
Perform a cricothyrootomy Insert and use Combitube Airway |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Lesson - aspiration risk. Providing nutrition and fluid
Description
Assessment of aspiration risk Providing Enteral Power Providing PEG care and replacement using THE SBAR method |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Lesson - providing emergency care during pregnancy and childbirth
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Lesson - providing emergency care during pregnancy and childbirth
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Class – shocks, comas, urgent psychiatric conditions
Description
Shock patient care intravenous administration of medication — in acute situations |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Lesson - heart rhythm disorder. Defibrillation
Description
Using a defibrillator and AED performing CPR monitoring and interpretation basics/performance of an electrocardiogram (ECG) |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Lesson - bleeding, polymath, acute pain
Description
Carrying out haemorrhaging measures – in acute situations , policyram patient care assessment and care of acute pain |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
|
Lesson - bleeding, polymath, acute pain
Description
Carrying out haemorrhaging measures – in acute situations , policyram patient care assessment and care of acute pain |
Bibliography
Required Reading
Praktisko nodarbību un video lekciju materiāli kursa e-studiju vidē.
Perry, A. G., Potter, P. A., & Ostendorf, W. R. (2025). Clinical Nursing Skills and Techniques (11th ed.). Saint Louis: Mosby.
Giardino, A. P., Hanks, E., R., & Hanks, Robert G. (2014). Collaboration with the Advanced Practice Nurse : Role, Teamwork and Outcomes. Nova Science Publishers, Inc.
Blair, K. A., & Jansen, M. P. (2015). Advanced practice nursing: core concepts for professional role development (Fifth edition.). New York: Springer Publishing Company, LLC.
Additional Reading
Dang, Judith Ascenzi, Kim Bissett, Madeleine Whalen, Sandra L. Dearholt, Ascenzi, … Whalen. (2021). Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals : Model and Guidelines. Sigma.