Critical Care Medicine is now recognized as a separate specialty around the world to provide quality service to critically ill patients in various Intensive Care Units (ICUs) and other areas of the hospital. Critical Care Medicine also supervises the organizational management, surge capacity building and proper resource allocation when there is increased need of ICU beds e.g. in event of epidemics or disasters. But because of the tremendous expense of Intensive Care Units and their services the numbers of ICU beds are always limited across the globe.
Along with the development of Critical Care Medicine, Critical Care Nursing (CCN) has now also emerged as a Nursing Specialty around the globe and thus with formation of Critical Care Nurses Association of Nepal (CCNAN), CCN has been established as a specialty program and thus CCNAN is working on to developed structured training program in CCN.
Training in Critical Care Nursing varies between different universities and countries and till date there are few ICU training programs run on the institutional basis by few hospitals with varying curricula. Thus CCNAN has developed this curriculum for CCNTP in Nepal with the objective of maintain minimum standards of knowledge and skills for the nurses working in ICU.
A Critical Care Nurse is a Nurse who has completed her nursing school and registered in the Nepal Nursing Council and completed:
A Critical Care Nurse should have the knowledge and skills to handle and manage critically ill patients including skills in resuscitation, airway management, mechanical ventilation, hemodynamic support, management of poly trauma, postoperative management of complex surgical conditions including cardiac, neuro and transplant surgeries, basic and advanced life support, toxicology and management of various other conditions like sepsis, septic shock, ARDS, VAP, endocarditis etc. or other life-threatening situations. TheCritical Care Nurse should be the Nurse specialist who will provide full range of Critical Care Nursing Care to critically ill patients.
Various levels of ICUs have been defined across the world. Since, Nepal has not started the process of Accreditation of ICUs, the levels of ICUs will be as follows:
The goal of Critical Care Nurse Training Program (CCNTP) is to train a Nurse specialist in the field of Critical Care Nursing who has got relevant knowledge and skills.
The CCNTP should be at least three months (Thirteen weeks) duration, but not more than six months with following minimum duration in Clinical rotations:
If the institution does not have these Units, the institution shall arrange for these clinical rotations in other institutions with these units.
The candidates shall be assembled for theory teaching and divided into various groups for clinical rotations. Each candidate will go through the following rotations:
Any institutions within the country, which has the following mentioned minimum requirements, can only organize the CCNTP. So the institution should apply to CCNAN for endorsement / accreditation of the CCNTP with documents to verify the minimum requirements.
The requirements given above are for 20 participants only. For higher number of participants, the Level III ICU Bed should be increased in 2:1 Ratio. (E.g. For additional 10 participants, there should be 5 additional Level III ICU beds)
But if the institution plans to run CCNTP with less number of participants, the minimum criteria should be fulfilled (without decreasing facilities mentioned for 20 participants)
All interested applicants should apply to CCNAN and CCNAN will select final list of instructors based on assessment of teaching techniques and interview. This will be done by CCNAN as per need felt by CCNAN executive committee.
The Instructors once selected MUST be available during the first training program in following ways:
All candidates who have completed the course by securing more than 50% and become eligible for CCNTP Certification will be awarded the “certificate of completion” of CCNTP. This certificate will be provided by organizing institution but will have logo of CCNAN and signature of Chairman of CCNTP Accreditation Committee.
This certificate will allow the participant to be eligible for Life Membership of CCNAN and also can practice as a Critical Care Nurse in Nepal.