NURS 1365 - Introduction to Adult Medical‑Surgical Nursing Clinical

Credit Hours: 2.50

3. Demonstrate critical thinking by applying the nursing process to provide safe, culturally appropriate, patient-centered care.

Course Outcome:

1. Upon completion of this course, students will be able to demonstrate effective use of the nursing process while caring for patients experiencing surgery, acid‐base imbalance, respiratory problems, diabetes mellitus, and gastrointestinal problems.

Course Objectives: The student will:

1. The student will demonstrate competence in physical assessment with adult patients.
2. The student will identify drug actions and nursing interventions appropriate to the medications for patients experiencing surgery, acid‐base imbalance, respiratory problems, diabetes mellitus, and gastrointestinal problems.
3. The student will correctly compute and administer drugs to patients experiencing surgery, acid‐base imbalance, respiratory problems, diabetes mellitus, and gastrointestinal problems.
4. The student will perform nursing interventions safely with patients experiencing surgery, acid‐base imbalance, respiratory problems, diabetes mellitus, and gastrointestinal problems.

Program Outcome/Student Learning Outcome:

4. Communicate effectively with patients, families, and the interdisciplinary healthcare team.

Course Outcome:

2. Upon completion of this course, students will be able to demonstrate therapeutic communication techniques, including teaching, for the patient and family experiencing surgery, acid‐base imbalance, respiratory problems, diabetes mellitus, and gastrointestinal problems.

Course Objectives: The student will:

1. The student will document care accurately and consistently.
2. The student will report changes in patient’s condition promptly to the instructor and RN.

Program Outcome/Student Learning Outcome:

5. Demonstrate professionalism in his/her practice.

Course Outcome:

3. Upon completion of this course, students will be able to demonstrate qualities and behaviors of the professional nurse while caring for patients experiencing surgery, acid‐base imbalance, respiratory problems, diabetes mellitus, and gastrointestinal problems.

Course Objectives: The student will:

1. The student will maintain confidentiality of information.
2. The student will practice within the ethical and legal framework of nursing (ANA Scope and Standard of Practice).
3. The student will promptly report unsafe, illegal, or inappropriate incidents to faculty and/or staff.
4. The student will maintain professional appearance, attitude, and conduct

Program Outcome/Student Learning Outcome:

6. Utilize technology appropriately in planning and providing nursing care.

Course Outcome:

4. Upon completion of this course, students will be able to demonstrate use of available technology within the healthcare setting while caring for patients experiencing surgery, acid‐base imbalance, respiratory problems, diabetes mellitus, and gastrointestinal problems, including nursing care and patient response.

Course Objectives: The student will:

1. The student will perform nursing interventions safely with patients experiencing surgery, acid‐base imbalance, respiratory problems, diabetes mellitus, and gastrointestinal problems.
2. The student will utilize technology to obtain and record relevant data for patients experiencing surgery, acid‐base imbalance, respiratory problems, diabetes mellitus, and gastrointestinal problems.

1. Perioperative Nursing Care
   1. Assessment and care of:
      1. Preoperative patients
      2. Intraoperative patients
      3. Postoperative patients
   2. Perioperative teaching
      1. Comfort/safety measures
      2. Medications/routes of administration
         1. Narcotics, antianxiolytics, anticholinergics
         2. PCA
         3. Epidural/spinal anesthesia
         4. Sedatives/hypnotics
         5. Anesthetic agents
   3. Postoperative nursing interventions
2. Nursing Care for Patients with Acid‐Base Imbalances
   1. Assessment
   2. Regulation
   3. Laboratory tests
   4. Interventions
3. Nursing Care for Patients Experiencing Respiratory Problems
   1. Lung assessment
   2. Nursing diagnoses (respiratory)
   3. Clinical manifestations
   4. Nursing interventions
   5. Analysis of diagnostic tests
   6. Pharmacological management of respiratory disorders
4. Nursing Care for Patients with Gastrointestinal Problems
   1. Neoplastic disorders
   2. Ingestion/esophagus disorders
      1. Subjective findings
      2. Objective findings
      3. Medical/surgical management
      4. Nursing diagnosis
      5. Nursing interventions
   3. Gastric disorders
      1. Subjective findings
      2. Objective findings
      3. Medical/surgical management
      4. Nursing diagnosis
      5. Nursing interventions
   4. Gall bladder/pancreas disorders
      1. Subjective findings
      2. Objective findings
      3. Medical/surgical management
      4. Nursing diagnosis
      5. Nursing interventions
   5. Liver disorders
      1. Subjective findings
      2. Objective findings
      3. Medical/surgical management
      4. Nursing diagnosis
      5. Nursing interventions
   6. Intestinal disorders
      1. Subjective findings
      2. Objective findings
      3. Medical/surgical management
      4. Nursing diagnosis
      5. Nursing interventions
   7. Pharmacological management of gastrointestinal problems
   8. Blood/blood product transfusion
      1. Nursing interventions
   9. Skills/equipment
      1. IV/IVPB
      2. NG tubes
      3. Chest tubes
5. Diabetes Mellitus
   1. Pathophysiology
   2. Oral agents
   3. Insulin
   4. Acute care management