Specialty Nursing (Critical Care - Standard Option)

​Learners are introduced to critical care nursing practice and the nature of critical illness, including patients' experience of critical illness, the role of the critical care nurse and the context of critical care nursing practice. Theoretical concepts that are foundational to critical care nursing practice are examined, including: oxygen supply and demand as a basis for cellular oxygenation and physiological function, comprehensive assessment and analysis of arterial blood gas analysis, hemodynamic monitoring and assessment, and clinical decision-making. Simulation sessions support application of theoretical aspects to nursing practice, laying the foundation for clinical practice experience. Please note: You must achieve 75% or greater to register in NSCC 7220.
Prerequisite(s):

• No prerequisites are required for this course.

This course supports the development of fundamental knowledge required to systematically analyze and interpret basic cardiac dysrhythmias. Participants will explore myocardial electrophysiology in relation to cardiac monitoring and develop a systematic approach to dysrhythmia analysis and interpretation. Further, participants will consider the predisposing factors and associated interventions related to the conduction defect present and the consequences of the dysrhythmia to both systemic and myocardial oxygen supply and demand. Finally, the significance of dysrhythmia analysis, interpretation, and management to critical care nursing practice will be explored. Although this course is conducted within the specific context of critical care nursing practice, it would also be suitable for other nurses or qualified health professionals requiring this skill. If you are not a registered nurse or a student nurse in the final years of your BSN program you must consult the Critical Care Nursing Program Head prior to registration. Health professionals who are not nurses may register for this course with approval of the Critical Care Specialty Program Head. If you are registering in the NSCC, NSHA or NSER nursing program follow the program course matrix. Program Head approval is required to take NSCC 7150 as a co-requisite with NSCC 7120, NSCC 7220, NSHA 7100, or NSER 7110. You must achieve 75% or greater in this course to continue forward in the Critical Care Nursing Program and register in NSCC 7220.
Prerequisite(s):

• No prerequisites are required for this course.

Learners expand their understanding of critical care nursing practice by exploring family-centered care and interdisciplinary collaborative practice in critical care settings. Two narrative cases of patients and families experiencing critical illness (acute coronary syndrome and first-line management of myocardial infarction; acute respiratory insufficiency) build relevant critical care nursing knowledge and integrate theoretical concepts presented in other modules and in previous courses. Over the last four weeks of the course, learners complete 25 hours of simulation and supervised clinical practice experience: Concept-focused clinical learning experiences include comprehensive assessment, hemodynamic and cardiac monitoring management, dysrhythmia recognition and management, application of oxygen supply and demand theory, beginning exploration of family centered care and interdisciplinary collaboration in critical care, and care of patients experiencing ACS (first line management) and respiratory insufficiency. Please note, learners must be Registered Nurses to take this course. Please note: You must achieve 75% or greater to register in the next Critical Care Nursing course, NSCC 7320.
Prerequisite(s):

• 75% in NSCC 7120 and 75% in NSCC 7150

Learners build knowledge related to supporting oxygen supply and demand balance for critically ill patients by exploring theory of mechanical ventilation, advanced oxygen supply and demand assessment, and management of metabolic and oxygen demand. The remainder of the course focuses on pathophysiology, assessment and management of a variety of 'single-system' critical illnesses presented within narrative cases of patients and families in a variety of critical care settings. Narrative cases focus on acute kidney injury, acute respiratory failure and care of chronically, critically ill patients/family, and hemodynamic instability (including shock states) arising from hypovolemic shock, acute decompensated heart failure, and SIRS/sepsis. The narrative cases also provide context for learners to build understanding of patients' and families' experiences of critical illness, develop clinical decision-making processes that support effective patient and family care, and to build understanding of interprofessional collaborative practice within critical care environments. Please note, learners must be Registered Nurses to take this course. Please note: You must achieve 75% or greater to register in the next Critical Care Nursing course, NSCC 7420.
Prerequisite(s):

• 75% in NSCC 7220

This clinical course occurs in an intensive care unit of mixed cardiac care/intensive care unit. Clinical practice experiences build toward independence in providing independent nursing care for stable*, critically ill patients and families experiencing a variety of critical illnesses [e.g. acute coronary syndrome, acute respiratory insufficiency and failure, acute kidney injury, hemodynamic instability (including shock states), acute decompensated heart failure, hypovolemic shock and sepsis]. Specific attention will be given to the unique challenges of caring for chronically critically ill patients, for families of critically ill patients and collaborative practice within the interdisciplinary team. Relevant patients will include those experiencing noninvasive or mechanical ventilation, cardiac and invasive hemodynamic monitoring, common laboratory and diagnostic processes, and active intervention intended to optimize oxygen supply and demand balance. Primary patient issues will be predominantly in one system, with other physiological systems minimally or potentially impacted. Learners also complete a one day Lab related to Cardiac Arrest Management: in team-based high fidelity simulations, learners have an opportunity to apply relevant theory (e.g. ACLS algorithms) and to practice skills required for recognition and intervention for life threatening dysrhythmias. While NSCC 7420 is generally a clinical teacher led course, in unique situations it is possible to complete this course as a preceptorship. [*The stable patient is defined as one with 'potential to change or experiencing gradually evolving changes in condition.*] Please note, learners must be Registered Nurses to take this course. Please note: You must achieve a successful grade to register in the next Critical Care Nursing course, NSCC 7520.
Prerequisite(s):

• 75% in NSCC 7320
• Completed clinical application and practicing RN license

Learners expand their understanding of critical care nursing practice by exploring ethical dimensions of critical care nursing practice, including moral distress, medical futility, participation in ethical decision-making, and end-of-life decision-making and patient/family care. These concepts are applied within narrative cases of patients/families experiencing complex, critical illness. Narrative cases also provide an opportunity for learners to explore pathophysiology, assessment and management related to patients and families experiencing multitrauma (including initial management of spinal cord injury), traumatic brain injury, stroke and subarachnoid hemorrhage, complex critical illness (sepsis) including acute respiratory distress syndrome (ARDS), hepatic insufficiency, and fluid/electrolyte/acid-base imbalances. As learners follow the stories of these patients, they continue to build understanding of patients' and families' experiences of critical illness, of interprofessional collaborative practice and ethical nursing practice within critical care environments, and develop clinical decision-making processes that support effective patient and family care. Finally, learners will complete a module related to a patient experiencing one of the following critical illnesses: multiple organ dysfunction syndrome, cardiogenic shock, cardiac surgery, surgery and post-anesthesia, or explore critical care nursing in rural or community settings. Please note, learners must be Registered Nurses to take this course. Please note: You must achieve 75% or greater to register in the next Critical Care Nursing course, NSCC 7620.
Prerequisite(s):

• S in NSCC 7420

This course occurs in an intensive care unit. Clinical practice experiences will build toward independence in providing nursing care for unstable* critically ill patients and/or patients experiencing complex critical illness**, as well as their families [e.g. multitrauma, spinal injury and traumatic brain injury, stroke and subarachnoid hemorrhage, and SIRS/sepsis/MODS, acute respiratory distress syndrome, and hepatic insufficiency and fluid/electrolyte/acid-base imbalances]. Relevant patients will be experiencing a variety of modes and issues related to mechanical ventilation, cardiac and invasive hemodynamic monitoring, a variety of diagnostic processes, and multiple interventions intended to optimize oxygen supply and demand balance. Primary patient issues will be present in more than one physiological system and will impact other systems. Learners will participate in a one day Lab focused on Cardiac Arrest Management: In team-based, high fidelity simulations, learners have an opportunity to explore common challenges in cardiac arrest management (including more complex patient scenarios, team roles and management, pitfalls in cardiac arrest management situations) and to consider the impact for nurses of participating in cardiac arrest management situations. While NSCC 7620 is generally a clinical teacher led course, in unique situations it is possible to complete this course as a preceptorship. [*Unstable patient is defined as "experiencing obvious and active changes in condition, but not extremely rapid change". **Complex patient is defined as "experiencing multi-system critical illness"]. Please note, learners must be Registered Nurses to take this course.
Prerequisite(s):

• 75% in NSCC 7520
• Completed clinical application and practicing RN license

The course provides an overview of the basic skills of a manager and applies these skills through a series of projects and case studies. It examines the evolution of management and the organizational culture and environment. It also teaches the decision-making skills and the skills involved in planning, organizing, leading and controlling, including planning and facilitating change, teamwork, applying motivational techniques and effective communication.
Prerequisite(s):

• No prerequisites are required for this course.

Introduces diverse perspectives on teaching and learning related to specialty nursing and explores the impact that connected teacher-learner relationships have on effective learning. Teaching and learning are viewed as mutual and parallel processes, being influenced by beliefs, intentions, and capacities of both teachers and learners. Teaching and learning abilities are further developed according to mutually agreed upon learning outcomes and intentions.
Prerequisite(s):

• No prerequisites are required for this course.

In this online course, learners explore how research informs evidence-based nursing practice. Foundational research concepts and processes in quantitative and qualitative paradigms are examined. Learners critique primary research reports of interest, both individually and in groups, and address research utilization in practice.
Prerequisite(s):

• No prerequisites are required for this course.

This on-line course offers students the opportunity to develop their leadership knowledge and skills within the context of specialty nursing. Leadership is explored from multiple perspectives with an emphasis on contemporary theories and frameworks. Topics that are examined include followership, contextual influences, power, navigating change and transitions, and teambuilding. Students engage in a work related leadership project to apply leadership knowledge and skills to their practice.
Prerequisite(s):

• No prerequisites are required for this course.

Professional growth is explored from personal, professional, and historical perspectives. Students choose a focus for growth which is fostered by ongoing critical reflection and journaling. Relational practice is explored through the lenses of mentoring and harmful workplace relationships. Contemporary trends in ethical practice are examined, including the contextual influences on practice; the development of moral identity; and the enhancement of moral integrity. An anticipated trajectory for professional development is envisioned and described.
Prerequisite(s):

• No prerequisites are required for this course.

This course explores contemporary community health nursing, examining multiple perspectives on community, health, and relational practice. Community health nursing is examined through the lenses of primary health care, health promotion, and ethics. Clinical practice is focused on facilitating participatory dialogue with a selected group to explore perspectives on relational practice in health care.
Prerequisite(s):

• No prerequisites are required for this course.

Based on the Canadian Community Health Nursing Standards of Practice, this course provides opportunities for exploring contemporary perspectives on health promotion, protection of health, a community health nursing process, and participatory decision making. Clinical experience occurs through engaging in participatory dialogue with a selected group; exploring salient health issues; and facilitating collective health action.
Prerequisite(s):

• 75% in NSSC 8600

This course is an introduction to the dynamic forces which enhance effective communication between persons from various cultural backgrounds, primarily in a professional setting. By helping students to develop a truly international perspective, COMM 7100 encourages intercultural communication competency, otherwise known as ICC. Due to rapid globalization, ICC is not an option, but a necessity.
Prerequisite(s):

• 6 credits of COMM 1100 level or above, or 3 credits of university/college writing course.

This course introduces students to contemporary issues in health ethics by examining and applying ethical theories to moral dilemmas at the clinical, professional, and organizational levels. To this end, developing competence in moral reasoning is an important goal, one that will be emphasized through the analysis of case studies that test personal, professional, and societal values.
Prerequisite(s):

• BCIT ENGL 1177, or 6 credits BCIT Communication at 1100-level or above, or 3 credits of a university/college first-year social science or humanities course.