Step Two: Advanced Critical Care HEA4201


This module has been designed in partnership with Liverpool Heart and Chest Foundation NHS Trust (LHCH) to support the development of critical care staff in acquiring further appropriate core knowledge and skills to successfully complete the National Adult Critical Care Competencies at Step Two of the National Framework. The enhanced knowledge, skills and technical abilities considered in this module will focus on the assessment and management of patients following emergency events which has led to admission to a critical care environment. Pathophysiology, psychosocial aspects and expectations of discrete professional groups are identified as key themes within the learning experience which underpin safe, effective critical care

Module Code: HEA4201
Level: 7
Credits: 30
Cost: £1080 for Sept 2019 to July 2020

Who is this module for?

This module will be particularly attractive to established nurses and ODP’s ( practicing in a critical care environment for a minimum of a year) who will be expected to have evidenced achievement of Step One Competencies and be working in an area that supports Step Two competency development.

What are the key aims of the programme?

Demonstrate critical application of expertise in achievement of Step Two competencies (National
Competency Framework for Adult Critical Care).

What will I study?

The content relates to the National Critical Care Competencies and reflects a systems based approach.

* Knowledge of applied relevant anatomy, physiology and pathophysiology;
* Recognition of health abnormalities;
* Competency to assess, plan and implement and evaluate care for patients with health abnormalities including the ability to plan and contribute to rehabilitation alongside the MDT;
* Knowledge relating to pharmacology and pharmacokinetics;
* Knowledge of investigation, interpretation and application of results;
* Knowledge of treatment modalities including safe and effective use of equipment;
* Competency in managing emergency situations;
* Leading and working as a team;
* End of life care;
* Intra and Inter-hospital transfer.

How will I be assessed?

The variety of assessments within HEA4201 provide an excellent vehicle for students to demonstrate deep learning, develop thinking, enhance intellectual skills and build effective communication links commensurate with specialist and non-specialist groups. The students will be assessed both under exam conditions with short answer questions and OSCE and through submission of a competency document (Step Two). This range of assessments give the student a chance to exercise their skill proficiency, demonstrate their underpinning knowledge base, develop and evaluate arguments and express their personal and professional views.

The assessment of this module, benchmarked against the National Critical Care competencies, comprises the following :
• An end point 2.5 hour examination ( short answers based on patient scenarios)
• Two 20 min OSCEs ( 80% pass mark )
• Completion of the Step two competency document (pass / fail)

On successful completion you will:

Critically apply knowledge of the patient's history and pathophysiological changes to ensure safe
management of the complex critically ill patient.

Critically examine the skills of assessment, decision making and communication to evaluate care
of the critically ill complex patient.

Critically apply appropriate clinical knowledge when undertaking psycho motor skills to
demonstrate effective management of the critically ill complex patient.

Study Dates and Venues

September 2019

Venue: Liverpool Heart and Chest NHS Trust

Starts: Wed 11th Sep 2019

Session Times:
  • 1st Session, Wednesday, 11 Sept 19, 9.00am -4.00 pm, Attendance
  • 2nd Session, Monday, 23 Sep 19, 9.00am -4.00 pm, Attendance
  • 3rd Session, Monday, 7 Oct 19, 9.00am -4.00 pm, Attendance
  • 4th Session, Friday, 25 Oct 19, 9.00am -4.00 pm, Attendance
  • OSCE 1: Thursday, 7 Nov 19, 9.00am -4.00 pm, Attendance
  • 5th Session, Monday, 11 Nov 19, 9.00am -4.00 pm, Attendance
  • 6th Session, Monday, 25 Nov 19, 9.00am -4.00 pm, Attendance
  • 7th Session, Monday, 9 Dec 19, 9.00am -4.00 pm, Attendance
  • 8th Session, Monday, 6 Jan 20, 9.00am -4.00 pm, Attendance
  • OSCE 2: Thursday, 16 Jan 20, 9.00am -4.00 pm, Attendance
  • 9th Session, Monday, 27 Jan 20, 9.00am -4.00 pm, Attendance
  • 10th Session, Monday, 10 Feb 20, 9.00am -4.00 pm, Attendance
  • Exam, Thursday, 20 Feb 20, 9.00am -4.00 pm, Attendance
  • Submission of Step 2 Portfolio, Friday 28 Feb 20
  • Study dates and times are subject to change.

    Further Information

    Module availability varies from year to year and will be subject to minimum student numbers being achieved. Places will be allocated on a first come first served basis. Due to the popularity of some modules it may be that the module is fully booked when your application is received. We will include your details on a waiting list and allocate you a place on the next available intake

    Ruth Gilbert, Clinical Lead
    + Liverpool Heart & Chest Hospital NHS Foundation Trust,
    Thomas Drive, Liverpool, L14 3PE

    Ruth Gilbert: Clinical Lead : email

    Jeannette Ellis: Academic Lead : email


    This module forms part of the

  • PGCert Advanced Critical Care
  • There is opportunity for students to progress to a full master’s degree award:

  • MSc Advanced Clinical Practice
  • MSc Professional Clinical Practice