As the most senior staffer and only AGACNP on your team, you are tasked by a medical-surgical unit supervisor with developing a 1-hour teaching module based on a disease process from one of the following: Neurology, Cardiovascular, Pulmonary, Gastroenterology, Urology, Endocrinology, Orthopedics, Dermatology, Rena

Teaching Module for Care after Cardiac Surgery Due to Infective Endocarditis Disease

Contact hours

1 hour

Learning Aims

This training module will provide new, newly licensed RNs in the medical-surgical unit with a broad overview and introduction to the key principles of non-invasive hemodynamic monitoring. This teaching module is core to the concepts of practicum in the medical-surgical unit and links with quality indicators of nursing practice in the unit.

Module Rationale

Infective endocarditis requires surgical treatment in a majority of patients (Vincent & Otto, 2018). Invasive hemodynamic monitoring methods have been used in hemodynamic management. However, such methods are associated with complications, injury, fatigue, and infections (Gravante et al., 2020; Pour-Ghaz et al., 2019). New non-invasive hemodynamic monitoring methods, such as finger cuff technology, have been developed to help monitor patients after surgery and ensure continued blood pressure stability and cardiac function (Gellert & Bramlage, 2018). This creates a need to train surgical unit nurses on the use and principles of non-invasive hemodynamic monitoring.

Teaching Module Content

The nurse teaching module will focus on the principles of non-invasive hemodynamic monitoring when managing a patient after cardiac surgery due to endocarditis disease. For the module to create a foundation for the RNs’ practice in the medical-surgical unit, the topics to be discussed include:

Non-invasive hemodynamic monitoring technologies,

Non-invasive hemodynamic monitoring principles,

Holistic care in the surgical unit,

Theories of change implementation in clinical practice,

Importance of best standard of care in an acute care setting.

Module Learning Outcomes

The new-hire and newly graduated RNs, after the teaching module, will be able to:

Differentiate between invasive and non-invasive hemodynamic monitoring,

Apply principles of non-invasive hemodynamic monitoring,

Apply non-invasive hemodynamic monitoring terminologies,

Utilize non-invasive hemodynamic monitoring devices for hemodynamic management.

Delivery and Presentation

The teaching module will be delivered in the meeting room in the medical-surgical unit. The module will be presented with a one-hour PowerPoint presentation. All new-hire, newly graduated RNs assigned to the surgical unit are required to attend in person.

References

Gellert, G., & Bramlage, P. (2018). Use of the ClearSight® System for Continuous Noninvasive Hemodynamic Monitoring during Heart Valve Interventions: Review of the Literature and Single-Site Experience. The Heart Surgery Forum, 21(6), E476–E483. https://doi.org/10.1532/HSF.2177

Gravante, F., Lombardi, A., Gagliardi, A. M., Pucci, A., & Latina, R. (2020). Dressings and securement devices of peripheral arterial catheters in intensive care units and operating theaters. Dimensions of Critical Care Nursing, 39(5), 242–250. https://doi.org/10.1097/DCC.0000000000000433