Competence in Acute Care Nursing and Emergency Health CareLaajuus (5 cr)
Code: AH00CM89
Credits
5 op
Teaching language
- English
Objective
The student is able to
- evaluate the reasons, symptoms and treatment procedures that lead to changes in the state of a client in need of acute care
- evaluate the need of acute care and carry out treatment in different working environments
- assess patient weakening condition and be able to start needed nursing care interventions based on previous learned
- describe national and international preparedness operating models of the authority cooperation and communication in exceptional and dangerous situations
Enrollment
06.05.2024 - 30.08.2024
Timing
11.11.2024 - 22.12.2024
Number of ECTS credits allocated
5 op
Mode of delivery
Contact teaching
Unit
Faculty of Health Care and Social Services (LAB)
Campus
Lappeenranta Campus
Teaching languages
- English
Seats
0 - 30
Degree programmes
- Bachelor's Degree Programme in Paramedic (2021, 2022, 2023)
Teachers
- Mira Korvenoja
- Marjut Louhelainen
- Mervi Hietanen
Scheduling groups
- Info 1 (Size: 0. Open UAS: 0.)
- Lecture Breathing (Size: 0. Open UAS: 0.)
- Lecture Circulation (Size: 0. Open UAS: 0.)
- Lecture ECG (Size: 0. Open UAS: 0.)
- Lecture Neurology (Size: 0. Open UAS: 0.)
- Practice R1 Skills/ patient assessment/ MET-cases (Size: 0. Open UAS: 0.)
- Practice R2 Skills/ patient assessment/ MET-cases (Size: 0. Open UAS: 0.)
- Practice R3 Skills/ patient assessment/ MET-cases (Size: 0. Open UAS: 0.)
- Simulation R1 (Size: 0. Open UAS: 0.)
- Simulation R2 (Size: 0. Open UAS: 0.)
- Simulation R3 (Size: 0. Open UAS: 0.)
Groups
-
HLPRPARA23SBachelor's Degree Programme in Paramedic 23S Lappeenranta
Small groups
- Info 1
- Lecture Breathing
- Lecture Circulation
- Lecture ECG
- Lecture Neurology
- Practice R1 Skills/ patient assessment/ MET-cases
- Practice R2 Skills/ patient assessment/ MET-cases
- Practice R3 Skills/ patient assessment/ MET-cases
- Simulation R1
- Simulation R2
- Simulation R3
Learning outcomes
The student is able to
- evaluate the reasons, symptoms and treatment procedures that lead to changes in the state of a client in need of acute care
- evaluate the need of acute care and carry out treatment in different working environments
- assess patient weakening condition and be able to start needed nursing care interventions based on previous learned
- describe national and international preparedness operating models of the authority cooperation and communication in exceptional and dangerous situations
Implementation and methods of teaching
The student is able to
- evaluate the reasons, symptoms and treatment procedures that lead to changes in the state of a client in need of acute care
- evaluate the need of acute care and carry out treatment in different working environments
- assess patient weakening condition and be able to start needed nursing care interventions based on previous learned
- describe national and international preparedness operating models of the authority cooperation and communication in exceptional and dangerous situations
Timing and attendance
Mandatory attendance on Info-lecture.
Mandatory attendance on simulations and skills-lessons.
Return of individual Moodle tasks.
Participate of rehearsals and simulation lectures.
Accepted Anesthesiology 1cr exam.
Accepted Emergency Health care 0.5 cr exam
Accept Exam-test.
Learning material and recommended literature
Materials in Moodle learning environment.
Any other learning material will be informed at the beginning of the course.
Course literature:
Blaber, A. & Harris, G. 2021. Assessment Skills for Paramedics
Till, C. 2021. Clinical ECGs in Paramedic Practice
Exam retakes
Written Exam
Compensation for absence with another group
Contents
Student can evaluate the patient´s deterioration in a preventive manner and is able to respond to the demands of the situation using the previously acquired nursing knowledge.
Assessment of the need for care and NEWS Score.
Cardiac events.
Respiratory failure.
Disorders of consciousness.
Patient with cardiac arrest.
Anesthesiology 1 cr
Emergency Health care 0.5 cr
Additional information for students: previous knowledge etc.
Anatomy and Physiology
First Aid 1
Pharmacology and Medicine
Internal medicine (1cr) and surgery (1cr)
Medical nursing care and surgical nursing care theories
Assessment criteria
Complete the given Moodle assignments.
Accepted Emergency Health care 0.5cr exam.
Accepted Anesthesiology 1cr exam.
Pass the theory exam.
Assessment scale
1-5
Assessment criteria: level 1 (assessment scale 1–5)
- Student know and may named basic concepts of acute care and understand the need for care in acute situations.
- Student apply the acquired nursing knowledge and skills in acute nursing training and simulations.
Assessment criteria: level 3 (assessment scale 1–5)
- Student understand and may explain basic concepts of acute care, need for care in acute settings and can apply based on evidence of acute treatment.
- Student can apply the acquired acute nursing knowledge and skills in acute nursing practice and simulation environment.
Assessment criteria: level 5 (assessment scale 1–5)
- Student understand, can explain and justify the basic concepts of acute care, analyze the need for care in acute settings and can implement the care based on evidence.
- Student is able to apply the knowledge and skills acquired in acute care, justified and according to the situation, in acute nursing practice and simulation environment.
Enrollment
20.11.2023 - 05.01.2024
Timing
05.02.2024 - 24.03.2024
Number of ECTS credits allocated
5 op
Mode of delivery
Contact teaching
Unit
Faculty of Health Care and Social Services (LAB)
Campus
Lappeenranta Campus
Teaching languages
- English
Seats
0 - 20
Degree programmes
- Bachelor's Degree Programme in Paramedic (2021, 2022, 2023)
Teachers
- Marjut Louhelainen
- Mervi Hietanen
- Anssi Hapuli
Scheduling groups
- Info 1 (Size: 0. Open UAS: 0.)
- Luennot Circulation (Size: 0. Open UAS: 0.)
- Luennot Breathing (Size: 0. Open UAS: 0.)
- Luennot Neurology (Size: 0. Open UAS: 0.)
- Luennot ECG (Size: 0. Open UAS: 0.)
- Harjoitus R1 Skills/ patient assessment/ MET-cases (Size: 0. Open UAS: 0.)
- Harjoitus R2 Skills/ patient assessment/ MET-cases (Size: 0. Open UAS: 0.)
- Harjoitus R3 Skills/ patient assessment/ MET-cases (Size: 0. Open UAS: 0.)
- Simulaatio R1 (Size: 0. Open UAS: 0.)
- Simulaatio R2 (Size: 0. Open UAS: 0.)
- Simulaatio R3 (Size: 0. Open UAS: 0.)
Groups
-
HLPRPARA22SHBBachelor's Degree Programme in Paramedic 22S A Lappeenranta
Small groups
- Info 1
- Lecture 1
- Lecture 2
- Lecture 3
- Lecture 4
- Practice R 1
- Practice R 2
- Practice R 3
- Simulation R 1
- Simulation R 2
- Simulation R 3
Learning outcomes
The student is able to
- evaluate the reasons, symptoms and treatment procedures that lead to changes in the state of a client in need of acute care
- evaluate the need of acute care and carry out treatment in different working environments
- assess patient weakening condition and be able to start needed nursing care interventions based on previous learned
- describe national and international preparedness operating models of the authority cooperation and communication in exceptional and dangerous situations
Implementation and methods of teaching
The student is able to
- evaluate the reasons, symptoms and treatment procedures that lead to changes in the state of a client in need of acute care
- evaluate the need of acute care and carry out treatment in different working environments
- assess patient weakening condition and be able to start needed nursing care interventions based on previous learned
- describe national and international preparedness operating models of the authority cooperation and communication in exceptional and dangerous situations
Timing and attendance
Mandatory attendance on Info-lecture.
Mandatory attendance on simulations and skills-lessons.
Return of individual Moodle tasks.
Participate of rehearsals and simulation lectures.
Accepted Anesthesiology 1cr exam.
Accepted Emergency Health care 0.5 cr exam
Accept Exam-test.
Learning material and recommended literature
Materials in Moodle learning environment.
Any other learning material will be informed at the beginning of the course.
Course literature:
Blaber, A. & Harris, G. 2021. Assessment Skills for Paramedics
Till, C. 2021. Clinical ECGs in Paramedic Practice
Exam retakes
Written Exam
Compensation for absence with another group
Contents
Student can evaluate the patient´s deterioration in a preventive manner and is able to respond to the demands of the situation using the previously acquired nursing knowledge.
Assessment of the need for care and NEWS Score.
Cardiac events.
Respiratory failure.
Disorders of consciousness.
Patient with cardiac arrest.
Anesthesiology 1 cr
Emergency Health care 0.5 cr
Additional information for students: previous knowledge etc.
Anatomy and Physiology
First Aid 1
Pharmacology and Medicine
Internal medicine (1cr) and surgery (1cr)
Medical nursing care and surgical nursing care theories
Assessment criteria
Complete the given Moodle assignments.
Accepted Emergency Health care 0.5cr exam.
Accepted Anesthesiology 1cr exam.
Pass the theory exam.
Assessment scale
1-5
Assessment criteria: level 1 (assessment scale 1–5)
- Student know and may named basic concepts of acute care and understand the need for care in acute situations.
- Student apply the acquired nursing knowledge and skills in acute nursing training and simulations.
Assessment criteria: level 3 (assessment scale 1–5)
- Student understand and may explain basic concepts of acute care, need for care in acute settings and can apply based on evidence of acute treatment.
- Student can apply the acquired acute nursing knowledge and skills in acute nursing practice and simulation environment.
Assessment criteria: level 5 (assessment scale 1–5)
- Student understand, can explain and justify the basic concepts of acute care, analyze the need for care in acute settings and can implement the care based on evidence.
- Student is able to apply the knowledge and skills acquired in acute care, justified and according to the situation, in acute nursing practice and simulation environment.
Enrollment
15.05.2023 - 01.09.2023
Timing
14.08.2023 - 24.09.2023
Number of ECTS credits allocated
5 op
Mode of delivery
Contact teaching
Unit
Faculty of Health Care and Social Services (LAB)
Campus
Lappeenranta Campus
Teaching languages
- Finnish
Seats
0 - 40
Degree programmes
- Bachelor's Degree Programme in Paramedic (2021, 2022, 2023)
Teachers
- Mervi Hietanen
- Anssi Hapuli
Scheduling groups
- Info 1 (Size: 0. Open UAS: 0.)
- Harjoitus R 1 (Size: 0. Open UAS: 0.)
- Harjoitus R 2 (Size: 0. Open UAS: 0.)
- Harjoitus R 3 (Size: 0. Open UAS: 0.)
- Lecture 1 (Size: 0. Open UAS: 0.)
- Lecture 2 (Size: 0. Open UAS: 0.)
- Lecture 3 (Size: 0. Open UAS: 0.)
- Lecture 4 (Size: 0. Open UAS: 0.)
- Simulaatio R 1 (Size: 0. Open UAS: 0.)
- Simulaatio R 2 (Size: 0. Open UAS: 0.)
- Simulaatio R 3 (Size: 0. Open UAS: 0.)
Groups
-
HLPRPARA22SHABachelor's Degree Programme in Paramedic 22S A Lappeenranta
Small groups
- Info 1
- Harjoitus R 1
- Harjoitus R 2
- Harjoitus R 3
- Lecture 1
- Lecture 2
- Lecture 3
- Lecture 4
- Simulaatio R 1
- Simulaatio R 2
- Simulaatio R 3
Learning outcomes
The student is able to
- evaluate the reasons, symptoms and treatment procedures that lead to changes in the state of a client in need of acute care
- evaluate the need of acute care and carry out treatment in different working environments
- assess patient weakening condition and be able to start needed nursing care interventions based on previous learned
- describe national and international preparedness operating models of the authority cooperation and communication in exceptional and dangerous situations
Implementation and methods of teaching
The student is able to
- evaluate the reasons, symptoms and treatment procedures that lead to changes in the state of a client in need of acute care
- evaluate the need of acute care and carry out treatment in different working environments
- assess patient weakening condition and be able to start needed nursing care interventions based on previous learned
- describe national and international preparedness operating models of the authority cooperation and communication in exceptional and dangerous situations
Timing and attendance
Mandatory attendance on Info-lecture.
Mandatory attendance on simulations and skills-lessons.
Return of individual Moodle tasks.
Participate of rehearsals and simulation lectures.
Accepted Anesthesiology 1cr exam.
Accepted Emergency Health care 0.5 cr exam
Accept Exam-test.
Learning material and recommended literature
Materials in Moodle learning environment.
Any other learning material will be informed at the beginning of the course.
Course literature:
Blaber, A. & Harris, G. 2021. Assessment Skills for Paramedics
Till, C. 2021. Clinical ECGs in Paramedic Practice
Exam retakes
Written Exam
Compensation for absence with another group
Contents
Student can evaluate the patient´s deterioration in a preventive manner and is able to respond to the demands of the situation using the previously acquired nursing knowledge.
Assessment of the need for care and NEWS Score.
Cardiac events.
Respiratory failure.
Disorders of consciousness.
Patient with cardiac arrest.
Anesthesiology 1 cr
Emergency Health care 0.5 cr
Additional information for students: previous knowledge etc.
Anatomy and Physiology
First Aid 1
Pharmacology and Medicine
Internal medicine (1cr) and surgery (1cr)
Medical nursing care and surgical nursing care theories
Assessment criteria
Complete the given Moodle assignments.
Accepted Emergency Health care 0.5cr exam.
Accepted Anesthesiology 1cr exam.
Pass the theory exam.
Assessment scale
1-5
Assessment criteria: level 1 (assessment scale 1–5)
- Student know and may named basic concepts of acute care and understand the need for care in acute situations.
- Student apply the acquired nursing knowledge and skills in acute nursing training and simulations.
Assessment criteria: level 3 (assessment scale 1–5)
- Student understand and may explain basic concepts of acute care, need for care in acute settings and can apply based on evidence of acute treatment.
- Student can apply the acquired acute nursing knowledge and skills in acute nursing practice and simulation environment.
Assessment criteria: level 5 (assessment scale 1–5)
- Student understand, can explain and justify the basic concepts of acute care, analyze the need for care in acute settings and can implement the care based on evidence.
- Student is able to apply the knowledge and skills acquired in acute care, justified and according to the situation, in acute nursing practice and simulation environment.
Enrollment
21.11.2022 - 08.01.2023
Timing
06.03.2023 - 30.04.2023
Number of ECTS credits allocated
5 op
Mode of delivery
Contact teaching
Unit
Faculty of Health Care and Social Services (LAB)
Campus
Lappeenranta Campus
Teaching languages
- English
Seats
0 - 30
Degree programmes
- Bachelor's Degree Programme in Paramedic (2021, 2022, 2023)
Teachers
- Mervi Hietanen
- Anssi Hapuli
Scheduling groups
- Info 1 (Size: 0. Open UAS: 0.)
- Harjoitus R 1 Skills (Size: 0. Open UAS: 0.)
- Harjoitus R 2 Skills (Size: 0. Open UAS: 0.)
- Harjoitus R 3 Skills (Size: 0. Open UAS: 0.)
- Harjoitus R 1 Patient Assessment (Size: 0. Open UAS: 0.)
- Harjoitus R 2 Patient Assessment (Size: 0. Open UAS: 0.)
- Harjoitus R 3 Patient Assessment (Size: 0. Open UAS: 0.)
- Harjoitus R 1 MET-training (Size: 0. Open UAS: 0.)
- Harjoitus R 2 MET-training (Size: 0. Open UAS: 0.)
- Harjoitus R 3 MET-training (Size: 0. Open UAS: 0.)
- Verkkoluento 1 Acute Respiratory Distress (Size: 0. Open UAS: 0.)
- Verkkoluento 2 Circulatory Disorders (Size: 0. Open UAS: 0.)
- Verkkoluento 3 Neurology (Size: 0. Open UAS: 0.)
- Verkkoluento 4 ECG (Size: 0. Open UAS: 0.)
- Simulaatio R 1 (Size: 0. Open UAS: 0.)
- Simulaatio R 2 (Size: 0. Open UAS: 0.)
- Simulaatio R 3 (Size: 0. Open UAS: 0.)
Groups
-
HLPRPARA21SHB
Small groups
- Info 1
- Harjoitus R 1Skills
- Harjoitus R 2 Skills
- Harjoitus R 3 Skills
- Harjoitus R 1 Patient Assessment
- Harjoitus R 2 Patient Assessment
- Harjoitus R 3 Patient Assessment
- Harjoitus R 1 MET-training
- Harjoitus R 2 MET-training
- Harjoitus R 3 MET-training
- Verkkoluento 1 Acute Respiratory Distress
- Verkkoluento 2 Circulatory Disorders
- Verkkoluento 3 Neurology
- Verkkoluento 4 ECG
- Simulaatio R 1
- Simulaatio R 2
- Simulaatio R 3
Learning outcomes
The student is able to
- evaluate the reasons, symptoms and treatment procedures that lead to changes in the state of a client in need of acute care
- evaluate the need of acute care and carry out treatment in different working environments
- assess patient weakening condition and be able to start needed nursing care interventions based on previous learned
- describe national and international preparedness operating models of the authority cooperation and communication in exceptional and dangerous situations
Implementation and methods of teaching
The student is able to
- evaluate the reasons, symptoms and treatment procedures that lead to changes in the state of a client in need of acute care
- evaluate the need of acute care and carry out treatment in different working environments
- assess patient weakening condition and be able to start needed nursing care interventions based on previous learned
- describe national and international preparedness operating models of the authority cooperation and communication in exceptional and dangerous situations
Timing and attendance
Mandatory attendance on Info-lecture.
Mandatory attendance on simulations and skills-lessons.
Return of individual Moodle tasks.
Participate of rehearsals and simulation lectures.
Accepted Anesthesiology 1cr exam.
Accepted Emergency Health care 0.5 cr exam
Accept Exam-test.
Learning material and recommended literature
Materials in Moodle learning environment.
Any other learning material will be informed at the beginning of the course.
Course literature:
Blaber, A. & Harris, G. 2021. Assessment Skills for Paramedics
Till, C. 2021. Clinical ECGs in Paramedic Practice
Exam retakes
Written Exam
Compensation for absence with another group
Contents
Student can evaluate the patient´s deterioration in a preventive manner and is able to respond to the demands of the situation using the previously acquired nursing knowledge.
Assessment of the need for care and NEWS Score.
Cardiac events.
Respiratory failure.
Disorders of consciousness.
Patient with cardiac arrest.
Anesthesiology 1 cr
Emergency Health care 0.5 cr
Additional information for students: previous knowledge etc.
Anatomy and Physiology
First Aid 1
Pharmacology and Medicine
Internal medicine (1cr) and surgery (1cr)
Medical nursing care and surgical nursing care theories
Assessment criteria
Complete the given Moodle assignments.
Accepted Emergency Health care 0.5cr exam.
Accepted Anesthesiology 1cr exam.
Pass the theory exam.
Assessment scale
1-5
Assessment criteria: level 1 (assessment scale 1–5)
- Student know and may named basic concepts of acute care and understand the need for care in acute situations.
- Student apply the acquired nursing knowledge and skills in acute nursing training and simulations.
Assessment criteria: level 3 (assessment scale 1–5)
- Student understand and may explain basic concepts of acute care, need for care in acute settings and can apply based on evidence of acute treatment.
- Student can apply the acquired acute nursing knowledge and skills in acute nursing practice and simulation environment.
Assessment criteria: level 5 (assessment scale 1–5)
- Student understand, can explain and justify the basic concepts of acute care, analyze the need for care in acute settings and can implement the care based on evidence.
- Student is able to apply the knowledge and skills acquired in acute care, justified and according to the situation, in acute nursing practice and simulation environment.
Enrollment
01.07.2022 - 04.09.2022
Timing
12.09.2022 - 23.10.2022
Number of ECTS credits allocated
5 op
Mode of delivery
Contact teaching
Unit
Faculty of Health Care and Social Services (LAB)
Campus
Lappeenranta Campus
Teaching languages
- Finnish
Seats
15 - 50
Degree programmes
- Bachelor's Degree Programme in Paramedic (2021, 2022, 2023)
Teachers
- Mervi Hietanen
- Anssi Hapuli
Scheduling groups
- Info 1 (Size: 0. Open UAS: 0.)
- verkkoluento 1 Acute respiratory distress (Size: 0. Open UAS: 0.)
- Verkkoluento 2 Circulatory disorders (Size: 0. Open UAS: 0.)
- Verkkoluento 3 Neurology (Size: 0. Open UAS: 0.)
- Verkkoluento 4 ECG (Size: 0. Open UAS: 0.)
- Harjoitus R1 Skills (Size: 0. Open UAS: 0.)
- Harjoitus R2 Skills (Size: 0. Open UAS: 0.)
- Harjoitus R3 Skills (Size: 0. Open UAS: 0.)
- Harjoitus R1 Patient assessment (Size: 0. Open UAS: 0.)
- Harjoitus R2 Patient assessment (Size: 0. Open UAS: 0.)
- Harjoitus R3 Patient assessment (Size: 0. Open UAS: 0.)
- Harjoitus R1 MET-training (Size: 0. Open UAS: 0.)
- Harjoitus R2 MET-training (Size: 0. Open UAS: 0.)
- Harjoitus R3 MET-training (Size: 0. Open UAS: 0.)
- Simulaatio R1 (Size: 0. Open UAS: 0.)
- Simulaatio R2 (Size: 0. Open UAS: 0.)
- Simulaatio R3 (Size: 0. Open UAS: 0.)
Groups
-
HLPRPARA21SHA
Small groups
- Info 1
- Online lecture 1 Acute respiratory distress
- Online lecture 2 Circulatory disorder
- Online lecture 3 Neurology
- Online lecture 4 ECG
- Harjoitus R1 Skills
- Harjoitus R2 Skills
- Harjoitus R3 Skills
- Harjoitus R1 Patient assessment
- Harjoitus R2 Patient assessment
- Harjoitus R3 Patient assessment
- Harjoitus R1 MET-training
- Harjoitus R2 MET-training
- Harjoitus R3 MET-training
- Simulation R1
- Simulation R2
- Simulation R3
Learning outcomes
The student is able to
- evaluate the reasons, symptoms and treatment procedures that lead to changes in the state of a client in need of acute care
- evaluate the need of acute care and carry out treatment in different working environments
- assess patient weakening condition and be able to start needed nursing care interventions based on previous learned
- describe national and international preparedness operating models of the authority cooperation and communication in exceptional and dangerous situations
Implementation and methods of teaching
The student is able to
- evaluate the reasons, symptoms and treatment procedures that lead to changes in the state of a client in need of acute care
- evaluate the need of acute care and carry out treatment in different working environments
- assess patient weakening condition and be able to start needed nursing care interventions based on previous learned
- describe national and international preparedness operating models of the authority cooperation and communication in exceptional and dangerous situations
Timing and attendance
Mandatory attendance on Info-lecture.
Return of individual Moodle tasks.
Participate of rehearsals and simulation lectures.
Accepted Anesthesiology 1cr exam.
Accepted Emergency Health care 0.5 cr exam
Accept Exam-test.
Learning material and recommended literature
Materials in Moodle learning environment.
Any other learning material will be informed at the beginning of the course.
Course literature:
Blaber, A. & Harris, G. 2021. Assessment Skills for Paramedics
Till, C. 2021. Clinical ECGs in Paramedic Practice
Exam retakes
Written Exam
Contents
Student can evaluate the patient´s deterioration in a preventive manner and is able to respond to the demands of the situation using the previously acquired nursing knowledge.
Assessment of the need for care and NEWS Score.
Cardiac events.
Respiratory failure.
Disorders of consciousness.
Patient with cardiac arrest.
Anesthesiology 1 cr
Emergency Health care 0.5 cr
Additional information for students: previous knowledge etc.
Anatomy and Physiology
First Aid 1
Pharmacology and Medicine
Internal medicine (1cr) and surgery (1cr)
Medical nursing care and surgical nursing care theories
Assessment criteria
Complete the given Moodle assignments.
Accepted Emergency Health care 0.5cr exam.
Accepted Anesthesiology 1cr exam.
Pass the theory exam.
Assessment scale
1-5
Assessment criteria: level 1 (assessment scale 1–5)
- Student know and may named basic concepts of acute care and understand the need for care in acute situations.
- Student apply the acquired nursing knowledge and skills in acute nursing training and simulations.
Assessment criteria: level 3 (assessment scale 1–5)
- Student understand and may explain basic concepts of acute care, need for care in acute settings and can apply based on evidence of acute treatment.
- Student can apply the acquired acute nursing knowledge and skills in acute nursing practice and simulation environment.
Assessment criteria: level 5 (assessment scale 1–5)
- Student understand, can explain and justify the basic concepts of acute care, analyze the need for care in acute settings and can implement the care based on evidence.
- Student is able to apply the knowledge and skills acquired in acute care, justified and according to the situation, in acute nursing practice and simulation environment.