Courses Catalogue

Specialized Medical-surgical Nursing 1

COURSE CODE: BNS 4105
COURSE CREDIT UNIT: 4
ACADEMIC PROGRAMME: Nursing Sciences (Direct Entry), B.Sc
COLLEGE/SCHOOL/FACULTY: School of Nursing Sciences
STATUS: Core
PROGRAMME TYPE: Undergraduate

Course Content and Outline

Section  Content                         12 hrs

  •    Introduction to intensive care nursing and renal Units                                    
  •   History and Physical examination of critical care patient
  • Patient and family response to Intensive care experience

Overview of interventions

  •  ABCs
  •  Infection control
  • Medications, pain management in intensive care patients
  •   Nutritional support
  •    Oxygen and mechanical ventilation
  •   Hemodynamic monitoring 
  • Wounds

Preparation of equipment for patients’ reception and admission

  1.  Counseling relatives of patients.
  2.  Connecting patients to various machines
  3. Monitoring of blood gases.

       Provide nursing care to patients. 

Alterations in respiratory functions

  •    Pulmonary edema
  •    Pulmonary embolism
  • Arterial blood Gases
  • Airway maintenance & Oxygen delivery modes
  •  Tracheostomy care
  •  Mechanical ventilation  

Alterations in Renal Function and Fluid/Electrolyte imbalance

  • Renal failure
  •    Electrolyte imbalance
  • Hypo/hypervolemia
  • Dialysis

Alterations in cardiovascular system

  • Introduction to basic ECG
  • Hemodynamic monitoring 
  • Congestive heart failure
  •   Shock states
  •  Vasoactive medications
  •   Defibrillation
  • Cardiopulmonary resuscitation Alterations in neurological function  Neurological assessment
  •  Increased intracranial pressure
  •    Traumatic brain Injury
  •      CVA

  Care of Unconscious patient

Section 2: Nursing in Accident and Emergency 10 hrs

Description and purpose

This section includes both theory and practice, providing students with the experience of caring for patients at risk in an outpatient setting. Assessment of variables that place clients at risk will be utilized in planning and implementing care.  

Section objective 

The general objective of this section is to thoroughly explore how to assess, diagnosis and manage patients in Accidents and Emergency and risks for patients in outpatient/casuality settings. 

Expected Learning Outcomes

Upon completion of this course the student will be able to:

1.      Identify common emergencies in the outpatient/casualty departments.

2.      Demonstrate ability to handle emergencies promptly.

3.      Initiate and participate in management of patients with trauma.

Section Content

  • Identification of patients with trauma.
  •    Primary survey
  •      Secondary survey
  • Concept of triage. 
  •  Injuries: chest, cardiac, abdominal, pelvic.
  •     Severe hemorrhage, 
  •     Burns and scalds, 
  •    Thermal burns & care
  • Electrical burns & care
  • Chemical Burns & care
  • Principle of burn treatment & nutrition Poisoning.
  •    Evaluation of poisoning  Treatment of poisoning 
  •    Management of specific poisoning  
  •   Medical emergencies and provide prompt nursing/medical care  Respiratory distress.
  •     Hemoptysis
  •    Acute asthma & status asthmaticus
  •     Acute appendicitis 
  •    Diabetes Mellitus DKA
  •    Shock states

Resuscitation interventions

  •      Initiation, 
  •      CPR 
  •    Putting up intravenous lines, 
  •  Care of the airway, 
  •    Oral-pharyngeal tubes, 
  •    Oxygen masks/tubes,   Gastric ravage. 
  •     Prevention of further complications 

Section 3: Orthopaedic nursing  8hrs

Description 

This specialized section in medical –surgical nursing prepares the learner with the requisite knowledge and skills required in the care of children and adults with various conditions of bones, connective tissues and joints of both congenital and acquired origins. In addition, it also explores the investigations and the management processes of patients with bone, connective tissue and joint disorders as well as trauma disorders. 

Learning outcomes

Upon completion of the module the learner should be able to demonstrate:

1.The knowledge required to describe various disorders/conditions of bones, connective tissues and joints

2.The knowledge required to describe various types of equipment and gargets used in orthopaedic treatment

3.Participation in the management of patients with bone, connective tissue and joint disorders. 4.The knowledge required to describe the various methods of investigating orthopaedic and trauma disorders.

Section content 

  •   Management of common conditions: Review of the skeletal system; management of congenital, traumatic, inflammatory, immunologic, degenerative and neoplastic disorders of bone, connective tissues and joints.; Deformities in bones, poliomyelitis, clubfoot, and congenital dislocation of hip, congenital talipees, and cerebral palsy; prolapsed vertebral disc, fractures, arthritis, new growths. 
  •  Equipment and Investigations: Orthopaedic equipment, splints, crutches, wheel chair; laboratory and imaging techniques.
  •    Management principles: Intervention; constraints and limitations in surgery; indications for change in management; rational use of drugs and technology; fracture reduction; physical rehabilitation; appliances; informed consent and counseling of patients and relatives.  
  • Orthopaedic Procedures: Pre and postoperative care; application of Plaster of Paris; conditions for application; preparation of patient; care of patients with P.O.P; traction; care of equipment.

Clinical placement on wards  60 hrs ( 30)