This module will consolidate on the previous module Foundations in critical care for remote and rural areas (NMS1111xx), by application of knowledge to clinical situations.Initial monitoring and interventions including: Sepsis, respiratory failure, acute coronary syndromes, renal emergencies, neurological emergencies and trauma. (LO1, 2) effective stabilisation, handover and transfer of the person who is clinically deteriorating (LO 3,4)Situation awareness, crisis resource management and teamwork (LO4). Reflection, portfolio development, writing and IT skills, including poster presentation (LO4). Specific monitoring interventions, arterial line, central venous pressure, capnography, advanced airway management. Maintaining fluid and electrolyte balance.Therapeutic interventions for people with, for example, acute kidney injury, acute brain injury, management of raised intracranial pressure. Providing reassurance and information needs.Non- technical skills including coping mechanisms and situational awarenessSelf-awareness, teamwork and human factors.This will include a one-week clinical critical care placement in an acute care centre. Students will be expected to exercise autonomy and initiative through the completion of clinical work based competencies under the guidance of the module leader and clinical educators. Simulation based clinical assessment scenarios will provide learning experiences in a safe environment, allowing for, and promotion of safe, reliable and up to date critical care nursing practice.