Download Instructor selected handouts/multimedia

LORENZO WALKER INSTITUTE OF TECHNOLOGY
PRACTICAL NURSING PROGRAM
CLINICAL SCOPE:
Medical-Surgical Nursing I, Clinical
Adult Medical Nursing Care
PLACEMENT:
Semester 2
TIME ALLOTMENT:
265 hours
PURPOSE:
The purpose of this rotation is to introduce the student to medical surgical nursing principles and
procedures in the acute care as well as long term care setting and to progressively acquire nursing
skills and build on past experiences. Experiences will include caring for geriatric patients
incorporating rehabilitative principles, documenting on the legal record of care, administering
medications and performing nursing procedures.
COURSE DESCRIPTION:
The students will provide care for medical-surgical and geriatric patients utilizing nursing principles
(34.0, 37.0) in the acute care and long term care setting. The clinical experience will focus on
developing basic nursing skills such as practicing within the scope of practical nursing; performing
aseptic techniques (27.0), performing physical comfort and safety skills (29.0), providing personal
patient care (30.0), performing nursing procedures (31.0), applying principles of nutrition (33.0),
administering medication (following successful completion of Pharmacology) (32.0), providing
care for medical surgical and geriatric patients (34.0, 37.0), applying the principles of infection
control (38.0), providing bio-psycho-social support (40.0), developing organizational skills 41.0)
and demonstration of basic employability skills (42.0).
Observational hours shall not exceed 18 hours.
METHODS OF EVALUATION:
The student will be evaluated using the Clinical Student Evaluation tool.
COURSE REQUIREMENTS:
To successfully complete the course, the student must receive a passing grade on the Clinical
Student Evaluation.
REFERENCES:
Castaldi, PA Study Guide for Christensen and Kockrow Foundations of Nursing, St. Louis:
Mosby/Elsevier, 2006.
Christensen, BL and Kockrow, EO, Foundations of Nursing, 5th edition, St. Louis:
Mosby/Elsevier, 2006.
PNMNCCL.SCP
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Section S, Page 1 of 4
Deglin, J and Vallerand, A., Davis’s Drug Guide for Nurses, 10th ed., Philadelphia: FA Davis
Company, 2007.
FA Davis, Taber’s Cyclopedia Medical Dictionary, Philadelphia: FA Davis Company, 20th ed.,
2005.
Linton, AD, Introduction to Medical Surgical Nursing, Philadelphia: Saunders/Elsevier, 2007.
Maebius, NK, Study Guide for Linton Introduction to Medical-Surgical Nursing, Philadelphia:
Saunders/Elsevier, 2007.
Myers, E and Hopkins, T., LPN Notes, 2nd ed., Philadelphia: FA Davis Company, 20th ed., 2007.
Ogden, S, Calculation of Drug Dosages, 8th ed., St. Louis: Mosby/Elsevier, 2007.
Pagano, KD and Pagano, TJ, Mosby’s Diagnostic and Laboratory Test Reference, 8th ed. 2008.
Scanlon, Valerie and Sanders, Tina, Essentials of Anatomy and Physiology, 5th ed. Philadelphia:
F.A. Davis Company, 2007.
Scanlon, Valerie and Sanders, Tina, Student Workbook for Essentials of Anatomy and
Physiology, 5th ed. Philadelphia: F.A. Davis Company, 2007.
Silvestri, LA, Saunders Comprehensive Review for NCLEX-PN, 3rd ed., Philadelphia:WB
Saunders Co., 2007.
Sparks, Sheila and Taylor, Cynthia, Nursing Diagnosis Reference Manual, 7th ed. Pennsylvania:
Lippincott, Williams and Wilkins, 2008.
Virtual Clinical Excursions – Skilled Nursing; for Christensen and Kockrow Foundation of
Nursing 5th ed., 2007
Virtual Clinical Excursions – Medical Surgical; for Linton Introduction to Medical Surgical
Nursing, 4th ed., 2007.
Instructor selected handouts/multimedia
COURSE OBJECTIVES:
The student, at the completion of the course will be able to:
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Practice within the role and scope of the job description. (25.02)
Follow policies and procedures affecting the health, safety and well-being of patients.
(25.03)
Describe characteristics of growth and development of the adult through the lifespan.
(26.04)
Receive and give oral report of patient's status (24.01).
Report and record objective, pertinent observations (24.02, 29.04, 29.05).
Maintain current documentation (24.03).
Document changes in patient behavior and mental awareness (24.04).
Obtain specific data from patient and family (24.05).
Utilize nursing principles to assist with the patient's plan of care (24.07).
Practice within the role and scope of the job description (25.02).
Follow policies and procedures affecting the health, safety and well-being of patients
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(25.03).
Follow legal guidelines in charting (25.04).
Apply principles of medical and surgical asepsis (27.01).
Describe the relationships of body systems in providing patient care. (28.01)
Care for equipment and supplies. (29.01)
Maintain patient environment and service areas on unit (29.02, 29.03)
Observe and report patient's daily behavior and mental awareness. (29.04, 29.05)
Adjust bed and side rails. (29.06)
Demonstrate proper body mechanics, proper positioning and transfers. (29.07, 29.09,
29.10).
Lift, hold and transfer a patient using proper body mechanics (29.07).
Transfer patients using mechanical lifters (29.08).
Assist patients to ambulate with the use of a walker, wheelchair, cane or crutches (29.13,
29.14, 29.15, 29.16, 29.17, 29.18).
Demonstrate emergency evacuation procedures. (29.19)
Apply protective devices as directed (e.g. vest, belt, wrist, and ankle mitt) (29.11).
Apply comfort devices as directed (e.g. footboard, over bed cradle, sandbag, alternating
pressure mattress) (29.12).
Provide personal patient care (bathing, oral care, hair care, nail care, shaving, shampoo, skin
care, dressing, meals) (30.0).
Assist with elimination (urinal, bedside commode, bedpan) (30.12, 30.13, 30.14).
Admit patient, assist RN with patient assessment, transfer and discharge of patient (31.01,
31.02, 31.03, 31.04).
Make unoccupied/occupied bed. (31.05)
Measure and record vital signs recognizing abnormalities and danger signals. (31.07)
Take and record patient's height and weight. (31.08)
Assist patient with range of motion exercises (31.09).
Collect specimens (urine, stool, sputum) (31.11, 31.12, 31.13, 31.15, 31.33, 31.43, 31.44).
Insert urinary catheter, monitor catheter drainage system, provide catheter care, irrigate
urinary catheter, and remove urinary catheter (31.14, 31.20, 31.32, 31.33, 31.35, 31.48).
Test stool for occult blood. (31.45)
Monitor fluid intake and output (I&O) (31.16).
Observe, report and record patient emesis (31.17).
Apply hot and cold compresses (31.18).
Assist patient with sitz bath (31.19).
Monitor chest drainage system (31.23).
Monitor patients following special procedures (31.24).
Apply sterile and non-sterile dressings (31.25, 31.31, 27.03).
Measure urine specific gravity (31.34).
Change ostomy appliance (31.36).
Administer gavage feeding and maintain enteral feeding tubes (31.57).
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Perform neurological checks (31.40).
Give enema (31.41).
Logroll patient (31.42).
Perform naso-oral-pharyngeal suctioning (31.46).
Perform tracheostomy care (31.47).
Irrigate colostomy (31.56).
Instruct patient in breathing exercises (31.58).
Assist with physical examination and diagnostic procedures (31.60, 31.61).
Administer and maintain oxygen (32.63).
Perform calculation and adjust IV flow rate (31.64).
Observe IV infusion, report signs of adverse reactions (31.65).
Inspect insertion site, change dressing and remove IV needle or catheter from peripheral
veins (31.66).
Hang bags or bottles of hydrating fluid (31.67).
Assist with postmortem care (31.68).
Administer medications with supervision of instructor (32.0).
Apply principles of nutrition (33.0).
Provide care for medical-surgical patients, utilizing nursing principles (34.0).
Apply principles of infection control, utilizing nursing principles (38.0).
Provide bio-psycho-social support (40.0).
Develop organizational skills (41.0).
Demonstrate employability skills specific to practical nursing (42.0).
Obtain and test a drop of blood for sugar (31.59)
Identify and adapt safety principles as related to the elderly. (37.01, 37.02)
Describe general characteristics, particular needs and problems of the elderly. (37.03)
Identify attitudes and living habits which promote positive mental and physical health for
the elderly. (37.04)
Identify signs and symptoms of common disorders/diseases. (37.06)
Identify community resources and services available to the elderly. (37.07)
Apply reality orientation techniques. (37.08)
Identify common alterations in elderly patient behavior. (37.10)
Provide care for patients with special needs (e.g. impaired hearing, impaired vision,
immobility, impaired body functions). (37.11)
Apply principles of infection control, utilizing nursing principles. (38.0)
Respond to emotional needs of patient and family. (40.04)
Organize patient care assignments, complete accurately and in a timely manner.
(41.01, 41.02).
Care for patient with respiratory disease/disorder. (34.06)
Care for patient with cardiovascular disease/disorder. (34.07)
Care for patient with digestive disease/disorder. (34.12)
Care for patient with endocrine disease/disorder. (34.13)
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