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Medical Surgical 1 01 - Lecture notes 1,2,3
Clinical - Complex Med. Surg. (12392)
South Texas College
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COURSE TITLE MEDICAL-SURGICAL NURSING 1 SYLLABUS
COURSE DESCRIPTION: This course is designed to give the student a basic understanding of the concepts of Medical- Surgical Nursing including the definition and etiology of diseases/disorders, methods of diagnosis, signs and symptoms, treatment and nursing care, including aspects of pharmacology and nutrition. Emphasis is placed on the nursing process. The course is organized by functioning systems and is arranged so that the presentation of the systems advances from simple to complex. Introduction to Mental Health will be part of Medical -Surgical Nursing 1.
TEACHING METHODS: Lecture, Handouts, Group discussions, Visual Aids, ATI Lab skills – Virtual Clinical Simulation
COURSE OBJECTIVES: Upon successful completion of this course, the student should be able to:
- Compare and contrast normal anatomy and physiology functions with that of a pathological nature.
- Integrate knowledge in the areas of nursing skills, nutrition, and pharmacology, to medical and surgical conditions and states of mental health.
- Discuss general principles of first aid for major and minor emergencies with the rationale for care rendered.
- Formulate a plan of holistic care for patients with medical-surgical conditions, based on the nursing process.
- Correlate legal/ethical considerations to the plan of care for clients with medical-surgical and mental health conditions.
- Identify the rights and responsibilities of the client, nurse, family and other health providers related to medical-surgical conditions and mental health conditions.
- Identify concepts of disease transmission as it relates to the nurse's responsibilities while assisting to determine the client's need.
- Describe how the dynamics of the nurse/client relationship affects/influences the formulation of client goals and a plan of care for various medical-surgical conditions and/or various states of mental health.
- State how the nurse incorporates the fundamental principles of health restoration/promotion into identifying client goals and assisting in the formulation of a plan of care.
- Explain how the nurse caring for clients with medical-surgical conditions assists in the implementation of a plan of care with other members of the health care team.
- Identify how age/culture/situational variables relate to the implementation of the plan of care for clients with Medical-Surgical conditions
- Discuss the concepts of personality development
- List and define the well know personality deviations know to occur throughout the life span.
CLINICAL OBJECTIVES Upon completion of this course, the student should be able to:
i. Provide care for multiple patients within the professional nursing role. ii. Provide care for multiple patients of all ages with a caring attitude and an understanding of the patient's cultural beliefs and practices. iii. Apply the four (4) steps of the nursing process which includes assessment, planning, implementation, and evaluation in a patient care setting. iv. Deliver care to patients utilizing professional standards in nursing practice. v. Utilize confidentiality in communication both verbally and in writing vi. Demonstrate the ability to care for patients from different cultures, with the understanding that here are complementary and alternative therapies available. vii. Deliver care within the legal and ethical guidelines. viii. Deliver patient care with knowledge of the common characteristics, concepts, and processes related to transmission of communicable diseases, including risk factors and preventive health practices.
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CLOCK HOURS
OUTSIDE WORK & HOURS
PREREQUISITES REQUIRED
INSTRUCTIONAL RESOURCES
ix. Utilize nursing skills to deliver competent, safe patient care. x. Apply concepts of nutrition, pharmacology, and nursing skills into the disease processes that may affect patients.
MAXIMUM STUDENT/
INSTRUCTOR RATIO:
280 CLOCK HOURS (100 Lecture/30 Lab/15 0 Clinical)
ATI Practice/Skilled Modules - 35 Hours
Foundations of Nursing, Fundamentals of Nursing, Anatomy and Physiology I-II
Foundations and Adult Health Nursing, Cooper & Gosnell, 7 th Edition ATI - Pharmacology for Nursing, Edition 10. ATI - Mental Health Nursing, Edition 10. ATI - Adult Medical Surgical Nursing, Edition 10. The Human Body in Health and Illness, Herlihy, Barbara, 5th Edition, Saunders, 2011
ATI Website Elsevier Website Computer Required Calculator Drug book or Medication Cards
40 :
METHOD OF EVALUATION: 10 Quizzes 5% ATI 10% ATI Remediation 35 Hours ( Mandatory)* 5% 9 Exams 60% Final Exam 20%
A student's cumulative grades are calculated and recorded at the midpoint of each course. The grade results will be used to evaluate the student's academic progress and completion program objectives. Progress reports are available to students and/or sponsors at these periods. Students may request a program report at any time during the program session. A student must complete each course with a grade of 78% or better to progress to the next course.
ATI Testing The ATI test grade is incorporated into the course as 10% of the final course grade. The ATI grade that the student scores places them into one of the four (4) different levels described below:
1. Level 3 – Scores meeting the Proficiency Level 3 standard may be considered to exceed most expectations for performance
in this content area.
2. Level 2 – Scores meeting the Proficiency Level 2 standard may be considered to exceed minimum expectations for
performance in this content area.
3. Level 1 – Scores meeting the Proficiency Level 1 standard may be considered to meet the absolute minimum expectations
for performance in this content area.
4. Below Level 1 – Scores below the Proficiency Level standard can be considered below minimum expectations and may be
indicative of significant risk in this content area.
GRADING SCALES INCLUDING
COMPLETION REQUIREMENTS
Letter Grade Percentage GPA NOTE: A 100 -92 4. May round up to move Letter Grade from “C” to “B”, “B” to “A”. May NOT round up any grade less than a 77.
B 91 -84 3.
C 83 -78 2.
F 77-Below 0
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for nursing care plans for the course. The course final average must be at least 78 or better to pass.
Clinical Attendance Attendance to clinical is critical. This is the opportunity for the student to learn and practice skills in the skills lab and then apply them later in patient care. All time spent in the skills lab and receiving instruction is considered clinical time. Any student missing a clinical day must call in to the instructor prior to the scheduled clinical so arrangements can be made for their patient assignment to be taken care of.
Class Attendance Refer to Vocational Nursing Orientation Handbook, Attendance Policy.
COURSE OUTLINE:
41 Care of the Surgical Patient 42 Care of the patient with an Integumentary Disorder 43 Care of the patient with a Musculoskeletal Disorder 44 Care of the patient with a Gastrointestinal Disorder 45 Care of Patient with Gallbladder, Liver, Biliary Tact, or Exocrine Pancreatic Disorder 46 Care of the Patient with a Blood or Lymphatic Disorder 47 Care of the Patient with Cardiovascular or Peripheral Vascular Disorder
MENTAL HEALTH NURSING
33 Concepts of Mental Health 34 Care of a Patient with Psychiatric Disorder 35 Care of a Patient with Addictive Personality
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Chapter 41: Care of the Surgical Patient Unit Objectives Student Assignments Learning Activities
- Identify the purposes of surgery.
- Distinguish among elective, urgent, and emergency surgery.
- Explain the concept of perioperative nursing.
- Discuss the factors that influence an individual’s ability to tolerate surgery.
- Discuss the considerations for the older adult surgical pt.
- Describe the perioperative checklist.
- Explain the importance of informed consent for surgery.
- Explain the procedure for turning, deep breathing, coughing, and leg exercises for postoperative patients.
- Differentiate among general, regional, and local anesthesia.
- Explain conscious sedation.
- Describe the roles of the circulating nurse and the scrub nurse during surgery.
- Discuss the initial nursing assessment and management immediately after transfer from the post anesthesia unit.
- Identify the rationale for nursing interventions designed to prevent postoperative complications.
- List the assessment data for the surgical patient.
- Identify the information needed for the postoperative patient in preparation for discharge.
- Discuss the nursing process as it pertains to the surgical pt.
Foundations and Adult Health Nursing, Cooper & Gosnell, 7th Edition- Chapter 41
ATI Content Mastery Series PN- Med/ Surg Nursing, 10th Edition Ch. 84 Pg 599- Ch. 85 Pg 605-
ATI Pharmacology Tutorial- Pharmacology Made Easy
-Pain & Inflammation
Chapter 42: Care of the patient with a Integumentary Disorders Unit Objectives Student Assignments Learning Activities
- Discuss the primary functions of the integumentary system.
- Describe the differences between the epidermis and dermis.
- Discuss the functions of the three major glands located in the skin.
- Discuss the general assessment of the skin.
- Discuss the viral disorders of the skin.
- Discuss the bacterial, fungal, and inflammatory disorders of the skin.
- Identify the parasitic disorders of the skin.
- Describe the common tumors of the skin.
- Identify the disorders associated with the appendages of the skin.
- State the pathophysiology involved in a burn injury.
- Identify the methods used to classify the extent of a burn injury.
- Discuss the stages of burn care with appropriate nursing interventions.
- Discuss how to use the nursing process in caring for patients with skin disorders.
- Identify general nursing interventions for the patient with a skin disorder.
Foundations and Adult Health Nursing, Cooper & Gosnell, 7th Edition- Chapter 44
ATI Content Mastery Series PN- Med/ Surg Nursing, 10th Edition Ch. 65 Pg 443- Ch. 67 Pg 449-
ATI Learning System PN Module & Practice Test -Medical-Surgical: Dermatological
Chapter 43: Care of the patient with a Musculoskeletal Disorder
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- Discuss the etiology and pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, and nursing interventions for the patient with acute abdominal inflammations (appendicitis, diverticulitis, and peritonitis), for the patient with hernias, and for the patient with colorectal cancer.
- Differentiate between mechanical and non-mechanical intestinal obstruction, including causes, medical management, and nursing interventions.
- Explain the etiologies, medical management, and nursing interventions for the patient with fecal incontinence.
Chapter 45: Care of the patient with a Gallbladder, Liver, Biliary Tract, Exocrine Pancreatic Disorder Unit Objectives Student Assignments Learning Activities
- Discuss nursing interventions for the diagnostic examinations of patients with disorders of the gallbladder, liver, biliary tract, and exocrine pancreas.
- Explain the etiology, pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, and nursing interventions for the patient with cirrhosis of the liver, carcinoma of the liver, hepatitis, liver abscesses, cholecystitis, cholelithiasis, pancreatitis, and cancer of the pancreas.
- Discuss specific complications and teaching content for the patient with cirrhosis of the liver.
- Define jaundice and describe signs and symptoms that may occur with jaundice.
- State the six types of viral hepatitis, including their modes of transmission.
- List the subjective and objective data for the patient with viral hepatitis.
- Discuss the indicators for liver transplantation and the immunosuppressant drugs to reduce rejection.
- Discuss the two methods of surgical treatment for cholecystitis and cholelithiasis.
Foundations and Adult Health Nursing, Cooper & Gosnell, 7th Edition- Chapter 45
ATI Content Mastery Series PN- Med/ Surg Nursing, 10th Edition Unit 7 Ch. 46 Pg 315- Ch. 47 Pg 319- Ch. 48 Pg 325-
Chapter 46: Care of the patient with a Blood or Lymphatic Disorder Unit Objectives Student Assignments Learning Activities
- Describe the components of blood.
- Discuss factors necessary for the formation of erythrocytes.
- Differentiate between the functions of erythrocytes, leukocytes, and thrombocytes.
- Define the white blood cell differential.
- Describe the blood clotting process.
- List the basic blood groups.
- Describe the generalized functions of the lymphatic system and list the primary lymphatic structures.
- List common diagnostic tests for evaluation of blood and lymph disorders, and discuss the significance of the results.
- Compare and contrast the different types of anemia in terms of etiology and pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, nursing interventions, patient teaching, and prognosis.
Foundations and Adult Health Nursing, Cooper & Gosnell, 7th Edition- Chapter 46
ATI Content Mastery Series PN- Med/Surg Nursing, 10th Edition Unit 5 Ch. 33 Pg 223- Ch. 34 Pg 227- Ch. 35 Pg 231-
ATI Pharmacology Tutorial- Pharmacology Made Easy
-The Hematological System
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- List six signs and symptoms associated with hypovolemic shock.
- Discuss important issues to cover in patient teaching and home care planning for the patient with pernicious anemia.
- Discuss the etiology and pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, nursing interventions, patient teaching, and prognosis for patients with acute and chronic leukemia.
- Compare and contrast the disorders of coagulation (thrombocytopenia, hemophilia, disseminated intravascular coagulation) in terms of etiology and pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, nursing interventions, and prognosis.
- Discuss the primary goal of nursing interventions for the patient with lymphedema.
- Discuss the etiology and pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, nursing interventions, patient teaching, and prognosis for the patient with multiple myeloma, malignant lymphoma, and Hodgkin’s lymphoma.
- Apply the nursing process to the care of the patient with disorders of the hematological and lymphatic systems.
Chapter 47: Care of the patient with Cardiovascular or Peripheral Vascular Disease Disorders Unit Objectives Student Assignments Learning Activities
- Discuss the location, size, and position of the heart.
- Identify the chambers and valves of the heart and their functions.
- Discuss the electrical conduction system that causes the cardiac muscle fibers to contract.
- Explain what produces the two main heart sounds.
- Trace the path of blood through the coronary circulation.
- List diagnostic tests used to evaluate cardiovascular function.
- For coronary artery disease, compare non-modifiable risk factors with factors that are modifiable in lifestyle and health management.
- Describe five cardiac dysrhythmias.
- Compare the etiology and pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, nursing interventions, and prognosis for patients with angina pectoris, myocardial infarction, or heart failure.
- Specify patient teaching for patients with cardiac dysrhythmias, angina pectoris, myocardial infarction, heart failure, and valvular heart disease.
- Discuss the purposes of cardiac rehabilitation.
- Discuss the etiology and pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, nursing interventions, and prognosis for the patient with pulmonary edema.
- Compare and contrast the etiology and pathophysiology, clinical manifestations, assessment, diagnostic tests, medical management, nursing interventions, and prognosis
Foundations and Adult Health Nursing, Cooper & Gosnell, 7th Edition- Chapter 47
ATI Content Mastery Series PN- Med/ Surg Nursing, 10th Edition Unit 4 Ch. 24- Pg 157-
ATI Learning System PN Tutorial -
ATI Pharmacology Tutorial- Pharmacology Made Easy
-The Cardiovascular System
-Vascular Disorder
-Hypertension
Revised 01/06/2019 EK MEW
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- Identify basic interventions for patients experiencing various mental health problems.
- Describe the general care and treatment methods for patients experiencing mental health problems.
- Name two alternative therapies used for mental disorders.
Edition- Chapter 34
ATI Content Mastery Series PN- Med/Surg Nursing, 10th Edition Ch. 5; 11-17, 21-
Chapter 35 : Care of the patient with Addictive Personality Unit Objectives Student Assignments Learning Activities
- Name two traits that characterize an addictive personality.
- Describe the three stages of dependence.
- Describe one legal effort that has decreased the incidence of substance abuse.
- Describe three disorders associated with alcoholism.
- Explain the two phases of recovery: detoxification and rehabilitation.
- Identify six types of drugs of abuse.
- Describe possible steps to help the chemically impaired nurse.
Foundations and Adult Health Nursing, Cooper & Gosnell, 7th Edition- Chapter 35
ATI Content Mastery Series PN- Med/Surg Nursing, 10th Edition Ch. 18, 19, 20, 26, 27
Revised 01/06/2019 EK MEW
Medical Surgical 1 01 - Lecture notes 1,2,3
Course: Clinical - Complex Med. Surg. (12392)
University: South Texas College
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