NURS 1345 - Introduction to Adult Medical‑Surgical Nursing A

Credit Hours: 1.50

1. Analyze and apply the critical components of evidence-based nursing practice.

Course Outcome:

1. Upon completion of this course, students will be able to explain the role of evidence in determining best clinical practice and differentiate clinical opinion from research and evidence summaries for patients experiencing surgical interventions, gastrointestinal problems, and nutritional problems.

Course Objectives:

1. The student will explain subjective and objective data of patients experiencing surgical interventions, gastrointestinal problems, and nutritional problems.
2. The student will identify data to select appropriate nursing diagnosis and collaborative problems of patients experiencing surgical interventions, gastrointestinal problems, and nutritional problems.
3. The student will recall evidence‐based collaborative management for the patient experiencing surgical interventions, gastrointestinal problems, and nutritional problems.
4. The student will explain evidence‐based nursing interventions for patients experiencing surgical interventions, gastrointestinal problems, and nutritional problems.

Program Outcome/Student Learning Outcome:

2. Recognize quality improvement strategies as an integral component of nursing practice.

Course Outcome:

2. Upon completion of this course, students will be able to identify national patient safety goals and quality indicators for patients experiencing surgical interventions, gastrointestinal problems, and nutritional problems.

Course Objectives:

1. The student will recognize quality indicators related to improved surgical patient outcomes.
2. The student will discuss national patient safety goals involved in providing safe patient care.

1. Nutritional Assessment
   1. Guidelines
   2. Influencing affecting factors
   3. Cultural, age, gender variations
   4. Diagnosis
   5. Interventions
   6. Evaluation
2.  Perioperative Nursing
   1. Perioperative period
      1. Surgical setings
      2. Classifications
      3. Surgical risks
      4. Surgical terminology
      5. Physiological stress response to surgery
      6. Changes of aging related to surgery
      7. Psychosocial considerations
      8. Preoperative nursing assessment
         1. Subjective data
         2. Objective data
      9. Preoperative nursing interventions
         1. Preoperative teaching
            1. Physical preparation
            2. Postop care preparation
         2. Preoperative/operative medication
            1. Sedatives/hypnotics
            2. Tranquilizers (benzodiazepines)
            3. Narcotic analgesics
            4. Anticholinergics
            5. Antianxiolytics
            6. Prophylactic antibiotics
            7. Antiemetics
         3. Operative permit
            1. Informed consent
            2. Witness signature
         4. Preoperative checklist
   2. Intraoperative period
      1. Physical environment
         1. Holding area
         2. Operating room
      2. Roles of members of surgical team
         1. Surgeon
         2. Anesthesiologist/anesthetist
         3. Circulation nurse
         4. Scrub nurse/tech
      3. Management of the patient in the OR
      4. Anesthesia
         1. Definition
         2. Types
            1. General
               1. Intravenous agents
               2. Inhalation agents
            2. Regional
               1. Spina
               2. Epidural
         3. Stages of anesthesia
         4. Anesthesia Adjuncts
            1. Neuromuscular blocking agents
            2. Narcotics
            3. Tranquilizers
            4. Antiemetics
            5. Anticholinergics
            6. Neuromuscular reversing agents
      5. Intraoperative complications
   3. Immediate postoperative period (PACU)
      1. Initial assessment and related interventions
      2. Criteria for discharge from the PACU
   4. Care for the post‐op patient on the nursing unit
      1. Continued assessment and interventions
      2. Postoperative pain management
      3. Potential complications and related interventions in the post‐op patient
      4. Discharge teaching
3. Ingestion/Esophageal Disorders
   1. Pathophysiology of:
      1. Dental disorders
      2. Periodontal disease
      3. Oral disorders
      4. Benign tumors of the oral cavity
      5. Premalignant tumors of the oral cavity
      6. Malignant tumors of the oral cavity
      7. Disorders of the salivary glands
      8. Achalasia
      9. Diffuse esophageal spasm
      10. Gastroesophageal reflux disease (GERD)
      11. Hiatel hernia
      12. Diverticula
      13. Esophageal neoplasms
   2. Subjective findings
   3. Objective findings
   4. Medical/surgical management
   5. Nursing diagnosis
   6. Nursing interventions
4. Gastric Disorders
   1. Pathophysiology of:
      1. Acute gastritis
      2. Chronic gastritis
      3. Peptic ulcer disease
      4. Gastric ulcer
   2. Subjective findings
   3. Objective findings
   4. Medical/surgical management
   5. Nursing diagnosis
   6. Nursing interventions
5. Gall Bladder/Pancreas Disorders
   1. Pathophysiology of:
      1. Cholelithiasis
      2. Acute cholecystitis
      3. Acute acalculous cholecystitis
      4. Chronic cholecystitis
      5. Choledocholithiasis/cholangitis
      6. Carcinoma of the gall bladder
      7. Acute pancreatitis
      8. Chronic pancreatitis
   2. Subjective findings
   3. Objective findings
   4. Medical/surgical management
   5. Nursing diagnosis
   6. Nursing interventions
6. Liver Disorders
   1. Pathophysiology of:
      1. Hemolytic jaundice
      2. Hepatocellular jaundice
      3. Obstructive jaundice
      4. Viral hepatitis
      5. Toxic hepatitis
      6. Alcoholic hepatitis
      7. Laennec’s cirrhosis
      8. Postnecrotic cirrhosis
      9. Biliary cirrhosis
      10. Portal hypertension
      11. Ascites
      12. Hepatic encephalopathy
      13. Fatty liver
      14. Liver neoplasms
   2. Subjective findings
   3. Objective findings
   4. Medical/surgical management
   5. Nursing diagnosis
   6. Nursing interventions
7. Intestinal Disorders
   1. Pathophysiology of:
      1. Bowel infections/infestations
      2. Appendicitis
      3. Peritonitis
      4. Crohn’s disease
      5. Ulcerative colitis
      6. Benign bowel tumors
      7. Cancer of the small bowel
      8. Colon cancer
      9. Herniations
      10. Diverticular disease
      11. Obstruction
      12. Irritable bowel syndrome
      13. Acquired megacolon
      14. Hemorrhoids
      15. Pilonidal cyst
      16. Anal fissure
      17. Anal fistula
      18. Anorectal abscess
      19. Anorectal tumor
   2. Subjective findings
   3. Objective findings
   4. Medical/surgical management
   5. Nursing diagnosis
   6. Nursing interventions
8. Pharmacology Categories: Integrated Throughout the Course with Appropriate Content
   1. Antacids/antiflatulents
   2. Antidiarrheals
   3. Laxatives
   4. Antiemetics
   5. Intravenous therapy
   6. Nutritional therapy
   7. Sedatives/hypnotics
   8. Tranquilizers (benzodiazepines)
   9. Narcotic analgesics
   10. Anticholinergics
   11. Antianxiolytics
   12. Prophylactic antibiotics
   13. Neuromuscular blocking agents
   14. Neuromuscular reversing agents