INTENSIVE CARE UNIT TRAINING MODULE

I. Course Title Intensive Care Unit Training Module

II. Course Description The program is comprised of didactic and clinical components
followed by immersion in the clinical setting. This will ensure that
novice nurses are equipped with knowledge on the essentials of being
an Intensive Care Nurse of TriCity Medical Center, Inc.
 Didactic Phase – This is designed to be completed within 5 days. A
final exam is taken after completion.
 Skills Training Phase – It follows successful completion of the
didactic phase and is to be accomplished in 5 days. The nurses
must be able to successfully pass the initial evaluation for the
demonstration of each nursing procedure.
 Clinical Phase – a fourteen-week phase where nurses will be
working under a preceptor for a week, and evaluated for the
capacity to function independently before allowing to work with
minimal to no supervision
III. Course Objective General Objective:
At the end of the course, Intensive Care Unit (ICU) staff members will
be able to provide comprehensive nursing care to critically ill
patients.

Specific Objectives:
At the end of the course, staff members of the Intensive Care Unit
will be able to
a) Discuss the scope of practice of nurses in the Intensive Care
Unit
b) Recognize ethical and legal issues relevant to critically ill
patients
c) Prioritize actions according to the needs of patients utilizing
the nursing process
d) Develop technical skills necessary to function competently as
a professional nurse

IV. Time Frame Lecture and Demonstration: 10 Days

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Didactic Phase – 5 days

Skills Training Phase – 5 days
Clinical Phase – 14 weeks

V. Course Outline Time Frame Mode of Teaching Preceptor

Day 1 1. Unit Profile 1 hour Lecture Head Nurse/
a. Organizational Chart Charge Nurse
b. Job Description
A. Head Nurse
B. Charge Nurse
C. Staff Nurse
D. Nurse Associate
2. Staff Requirements
3. Schedule and Staffing
4. Physical Set-up
5. Unit Policies 2 hours Lecture Head Nurse/
a. Mission Vision Charge Nurse
b. Scope of Service
c. ICU General Admission
d. Policy on Isolation Admission
e. Policy on Visitors
f. Transfer and Discharge of Patient
from ICU
g. Provision for Emergency
Situations
h. Patient Restraint
i. Do Not Resuscitate
6. Unit Workflow 1 hour Lecture Head Nurse/
a. Admission Charge Nurse
A. Receiving from ER
B. Receiving from OR
C. Receiving from GNU
b. Discharge
A. Transfer to GNU
B. Transfer to other hospital
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C. Discharge against medical

advice
D. Transfer of Expired Patients
7. Roles and Responsibilities 2 hours Lecture Head Nurse/
a. Endorsement Charge Nurse
A. Policies (15 minute prior to
end of shift)
B. Charge Nurse to Charge
Nurse
C. Bedside Nurse to Bedside
Nurse
D. SBAR method
b. Time and Motion of Staff Nurses
c. Monitoring of accountabilities
A. E-cart
B. Pharmacy Stocks
C. CSS Stocks
D. Equipment
E. Linen
8. Standard and Isolation Precautions 1 hour Lecture Head Nurse/
a. Infection Control Practices Charge Nurse
A. Use of ICU Scrub suit
B. Use of Utility Room
C. Use of PPE
D. Isolation Standards
E. Waste Disposal
DAY 2 Roles of a Critical Care Nurse 1 hour Lecture Head Nurse/
9. Care of Ventilated Patients Charge Nurse
a. Ventilator Settings
b. Ventilator Modes
c. Ventilator Alarms
d. Guidelines
10. Care of Patients with Central Lines 1 hour
a. Assisting in Inserting a Central
Venous Line
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b. Care if the Central Venous Access

Device
c. Guidelines
11. Care of Patients with Hemodynamic 1 hour
Monitoring
a. Cardiac/ECG monitoring
b. Central Venous Pressure
c. Kidney Function
d. Pulse Oximetry
e. Arterial Pressure Monitoring
f. Pulmonary Artery Catheter
12. Care of High Risk Pregnancy Patients 1 hour Lecture Head Nurse/
a. Indications for Hemodynamic Charge Nurse
monitoring in Pregnancy
b. FDA Categories of Labeling for
Drug Use in Pregnancy
c. Cardiotocography
d. Hypertensive Disease in
Pregnancy
13. Care of Pediatric Critical Patients 1 hour Lecture Head Nurse/
a. Common Medical Treatment in Charge Nurse
Pediatric Emergencies
b. IV Fluid Administration
c. Dosage Calculation using Body
Weight
d. The Broselow Tape
e. Pain Assessment in Pediatric
Patients
f. Summary of Key Points
14. Care of Burn Patients 1 hour Lecture Head Nurse/
Charge Nurse
15. Care of Post-Transplant Patient 1 hours Lecture Head Nurse/
Charge Nurse
16. Patient Evacuation during emergency

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DAY 3 17. Ethical Issues 1 hour Lecture Head Nurse/

a. Patient Confidentiality Charge Nurse
b. DNR
c. End-of-life Care
18. Documentation and Charting 3 hours Lecture Head Nurse/
a. ICU visiting policy Sample Charting Charge Nurse
b. ICU admission agreement Interactive
c. ICU Flow sheet discussion
d. Shift Endorsement Sheet
e. FDAR
f. Bizbox Training
19. Equipment Training 4 hours Demonstration Head Nurse/
a. Electrical Bed Interactive Charge Nurse
b. Cardiac Monitor Discussion
c. Defibrillator
d. Laryngoscope
e. Emergency Cart
f. Suction Machine
g. Glucometer
h. Nebulizer
i. 12 Lead ECG
j. Mechanical Ventilator
k. Portable Pulse Oximeter
l. Thermometer
m. Cardiotocography (CTG) Machine
n. Oxygen Tank
DAY 4 20. Nursing Procedures 8 hours Lecture Head Nurse/
a. Hygiene Demonstration Charge Nurse
A. Bed Bath Video Presentation
B. Perineal Care
C. Oral Care
D. Change of dressing
E. Assisting in Removal of
Sutures
b. Oxygenation
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A. ABG interpretation
B. Care of Ventilated Patient
C. Suctioning (open and closed
method)
D. CPT and postural drainage
E. Tracheostomy Care
F. Oral and Nasal Airway
insertion
G. Obtaining a Sputum Sample
H. Assisting in Thoracentesis
I. Monitoring a patient with
chest drainage
c. Nutrition
A. NGT/PEG feeding
B. Gastric lavage
C. TPN
D. Blood glucose monitoring
d. Elimination
A. Catheterization
(straight/indwelling/condom
)
B. Managing of drains
C. Enema administration
D. Obtaining a urine/stool
sample
e. Restraints
A. Application and monitoring
DAY 5 f. Medication 5 hours Lecture Head Nurse/
A. Dosage and Calculation Demonstration Charge Nurse
B. Emergency Drugs Interactive
g. Assisting in Code Blue discussion
A. BLS Review
B. ACLS Review
C. PALS Review
h. Teamwork 2 hours Lecture
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Group activity
Week 2 21. Skills Training Mock Code Head Nurse/
Return Charge Nurse
Demonstration
Competency
Checklist
VI. Evaluation Written Examination
Performance Appraisal (at the end of the clinical phase)