NURS 1365 - Introduction to Adult Medical‑Surgical Nursing Clinical

Credit Hours: 2.50

3. The student can demonstrate critical thinking by using clinical judgement to provide safe, culturally appropriate client and family 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 clients experiencing surgery, acid‐base imbalance, respiratory disorders, diabetes mellitus, and gastrointestinal disorders.

Course Objectives: The student will:

1. Demonstrate competence in assessment/data collecton for adult clients
2. Identify drug actions and nursing interventions appropriate to the medications for clients experiencing surgery, acid‐base imbalance, respiratory disorders, diabetes mellitus, and gastrointestinal disorders.
3. Compute and administer drugs to clients experiencing surgery, acid‐base imbalance, respiratory disorders, diabetes mellitus, and gastrointestinal disorders.
4. Perform nursing interventions safely with clients experiencing surgery, acid‐base imbalance, respiratory disorders, diabetes mellitus, and gastrointestinal disorders.

Program Outcome/Student Learning Outcome:  

4. The student can communicate effectively with clients, families and the interdisciplinary healthcare team.

Course Outcome:

2. Upon completion of this course, the student can demonstrate therapeutic communication techniques, including teaching, for the patient and family experiencing surgery, acid‐base imbalance, respiratory disorders, diabetes mellitus, and gastrointestinal disorders.

Course Objectives: The student will:

1. Document care accurately and consistently.
2. Report changes in client’s condition promptly to the instructor and RN.

Program Outcome/Student Learning Outcome:

5. Demonstrate professionalism in their practice.

Course Outcome:

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

Course Objectives: The student will:

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

Program Outcome/Student Learning Outcome:

6. The student can demonstrate information literacy through nursing care that utilizes a variety of resources, including technology.

Course Outcome:

4. Upon completion of this course, students will be able to demonstrate use of basic technology within the healthcare setting while caring for patients experiencing surgery, acid‐base imbalance, respiratory disorders, diabetes mellitus, and gastrointestinal disorders.

Course Objectives: The student will:

1. Use equipment safely.
2. Utilize technology to obtain and record relevant client data including nursing care and client response.

• Communication: The graduate can communicate effectively for the intended purpose and audience.
• Critical Thinking: The graduate can make informed decisions after analyzing information or evidence related to the issue.
• Global Literacy: The graduate can analyze human behavior or experiences through cultural, social, political, or economic perspectives.
• Information Literacy: The graduate can responsibly use information gathered from a variety of formats in order to complete a task.
• Quantitative Reasoning: The graduate can apply quantitative methods or evidence to solve problems or make judgments.
• Scientific Literacy: The graduate can produce or interpret scientific information presented in a variety of formats.

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. Patient controlled analgesia
         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