Unit

Content

Time (Hrs)

I

Introduction

·        Evolution and trends of medical and surgical nursing

·        International classification of diseases

·        Roles and responsibility of a nurse in medical and surgical settings

o     Outpatient department

o     In-patient unit

o     Intensive care unit

·        Introduction to medical and surgical asepsis

o     Inflammation, infection

o     Wound healing – stages, influencing factors

o     Wound care and dressing technique

·        Care of surgical patient

o     pre-operative

o     post-operative

·        Alternative therapies used in caring for patients with Medical Surgical Disorders

6

II

Intraoperative Care

·        Organization and physical set up of the operation theatre

o     Classification

o     O.T Design

o     Staffing

o     Members of the OT team

o     Duties and responsibilities of the nurse in OT

·        Position and draping for common surgical procedures

·        Instruments, sutures and suture materials, equipment for common surgical procedures

·        Disinfection and sterilization of equipment

·        Preparation of sets for common surgical procedures

·        Scrubbing procedures – Gowning, masking and gloving

·        Monitoring the patient during the procedures

·        Maintenance of the therapeutic environment in OT

·        Assisting in major and minor operation, handling specimen

·        Prevention of accidents and hazards in OT

·        Anaesthesia – types, methods of administration, effects and stages, equipment & drugs

·        Legal aspects

15

III

Nursing Care of Patients with Common Signs And Symptoms and Management

·        Fluid and electrolyte imbalance

·        Shock

·        Pain

6

IV

Nursing Management of Patients with Respiratory Problems

·        Review of anatomy and physiology of respiratory system

18

·        Nursing Assessment – history taking, physical assessment and diagnostic tests

·        Common respiratory problems:

o     Upper respiratory tract infections

o     Chronic obstructive pulmonary diseases

o     Pleural effusion, Empyema

o     Bronchiectasis

o     Pneumonia

o     Lung abscess

o     Cyst and tumors

o     Chest Injuries

o     Acute respiratory distress syndrome

o     Pulmonary embolism

·        Health behaviours to prevent respiratory illness

V

Nursing Management of Patients with Disorders of Digestive System

·        Review of anatomy and physiology of GI system

·        Nursing assessment –History and physical assessment

·        GI investigations

·        Common GI disorders:

o     Oral cavity: lips, gums and teeth

o     GI: Bleeding, Infections, Inflammation, tumors, Obstruction,

Perforation & Peritonitis

o     Peptic & duodenal ulcer,

o     Mal-absorption, Appendicitis, Hernias

o     Hemorrhoids, fissures, Fistulas

o     Pancreas: inflammation, cysts, and tumors

o     Liver: inflammation, cysts, abscess, cirrhosis, portal hypertension, hepatic failure, tumors

o     Gall bladder: inflammation, Cholelithiasis, tumors

·        Gastric decompression, gavage and stoma care, different feeding techniques

·        Alternative therapies, drugs used in treatment of disorders of digestive system

16

VI

Nursing Management of Patients with Cardiovascular Problems

·        Review of anatomy and physiology of cardio-vascular system

·        Nursing Assessment: History and Physical assessment

·        Invasive & non-invasive cardiac procedures

·        Disorders of vascular system- Hypertension, arteriosclerosis, Raynaud‘s disease, aneurysm and peripheral vascular disorders

·        Coronary artery diseases: coronary atherosclerosis, Angina pectoris, myocardial infarction

·        Valvular disorders: congenital and acquired

·        Rheumatic   heart    disease:    pericarditis,    myocarditis,                       endocarditis, cardiomyopathies

·        Cardiac dysrhythmias, heart block

·        Congestive heart failure, corpulmonale, pulmonary edema, cardiogenic shock, cardiac tamponade

·        Cardiopulmonary arrest

20

VII

Nursing Management of Patients with Disorders of Blood

·        Review of Anatomy and Physiology of blood

·        Nursing assessment: history, physical assessment & Diagnostic tests

·        Anemia, Polycythemia

7