NU324-OT :

Department

Faculty of Nursing

Academic Program

Bachelor in Science in Nursing

Type

Compulsory

Credits

04

Prerequisite

NU321-OT

Overview

The course equips the students with the necessary knowledge, skills and proper attitude to deal with the perioperative care of surgical patients with emphasis on the intraoperative procedure which includes the definition, discussions, procedural steps and preparation of the patient in the following procedures on nasal, neck, throat, thoracic, cardio--vascular and genitourinary surgeries and kidney transplant.

The skills laboratory will enable the students to enhance their skills in the Health teachings, safe positioning practices, skin preparation, draping techniques, and instrumentation, and other special procedures for specific operation.

Intended learning outcomes

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

1. Recognize perioperative consideration of the surgical client.

2. List common surgical procedures included on the different areas of specialization which includes the nasal, neck, throat, thoraco, cardiovascular, genitourinary and kidney transplant.

3. Define each surgical procedures.

4. Discuss each surgical procedures included in the different areas of specification which includes nasal, neck, throat, thoraco, cardiovascular, genitourinary surgeries and kidney transplant.

Teaching and learning methods

a. Lectures

b. Assignments and Research

c. Recitation and Reporting

d. Demonstration and return demonstration

e. Quizzes and Major examinations

Methods of assessments

· Midterm exam 30%.

· Practical Exam 12%

· Final exam 50%.

· Homework and reports 8%.

Course Outline

NASAL SURGERY

a.Definition

b.Review of Anatomy and Physiology

a. Preoperative Preparation of Patient Undergoing Nasal surgery

· Physical

· Psychological

· Spiritual

· Legal

· Patient Education

b. Different Nasal Surgical Procedures:

Definition/Indication/Nursing considerations/Intraoperative preparation and Nursing functions/Operative Procedure

· Submucousal Resection (SMR)

· Functional Endoscopic Sinus Surgery (FESS)

· Nasal polypectomy

· Caldwell Luc Procedure

c. Intraoperative Preparation

· Preliminary Nasal Preparation

· Positioning

· Skin Preparation

· Draping

· Equipment, Instrumentation, and Supplies

d. Care of Nasal Packing

NECK AND THROAT SURGERY

aDefinition

a. Review of Anatomy and Physiology

b. Preoperative Preparation of Patient Undergoing Neck and Throat Surgery

· Physical

· Psychological

· Spiritual

· Legal

· Patient Education

c. Different Neck and Throat Surgical Procedures

Definition/Indication/Nursing considerations/Intraoperative preparation and Nursing functions/Operative Procedure

· Tonsillectomy

· Adenoidectomy

· Tracheostomy

· Thyroidectomy

· Parathyroidectomy

e. Intraoperative Preparation

· Preliminary Nasal Preparation

· Positioning

· Skin Preparation

· Draping

· Equipment, Instrumentation, and Supplies

f. Postoperative consideration of patient who undergo neck and throat surgery

THORASIC SURGERY

a. Definition of Thoracic Surgery

b. Review of Anatomy and Physiology

· Upper and Lower Respiratory system

c. Different preoperative Investigations for Thoracic Surgery

· Imaging Test

· Pulmonary Function Test

· Cardiopulmonary Exercise Tolerance test

· Visualization and Biopsy Test: Pulmonary Angiography, Bronchoscopy

d. Thoracic Surgical Team

d. Preoperative Preparation of Patient Undergoing Thoracic Surgery

· Physical

· Psychological

· Spiritual

· Legal

· Patient Education

e. Different Thoracic Surgical Procedures

Definition/Risk Factors/Indication/Special Nursing considerations/Intraoperative preparation and Nursing functions/Operative Procedure/Postoperative complications

· Bronchoscopy

· Thoracentesis

· Thoracostomy: Chest Tube Drainage System

· Video Assisted Thoracoscopy

· Thoracotomy

· Segmented Lung Resection

· Wedge Resection

· Pulmonary lobectomy

· Pneumonectomy

· Thoracoplasty

· Thymectomy

· Pleurectomy

f. Nursing Skills

a. Preoperative health Teachings:

· Deep breathing and coughing exercise

· Arm and shoulder Exercise

· Incentive spirometry

b. Positioning

c. Skin Preparation

d. Draping

e. Equipment, Instrumentation, and Supplies

CARDIAC SURGERY

a. Definition

b. Review of Anatomy and Physiology

· Pathway of blood through the heart to the lungs

c. Preoperative Preparation of Patient Undergoing Cardiac Surgery

· Physical

· Psychological

· Spiritual

· Legal

· Patient Education

d. Cardiac Surgical Team

e. Different Cardiac Surgical Procedures

Definition/Indication/Nursing considerations/Intraoperative preparation and Nursing functions/Operative Procedure

· Cardio Pulmonary Bypass

· Intra-aortic Balloon Cathetirization

· Aortic Valve Replacement

· Mitral valve Replacement

· Coronary artery Bypass

· Pulmonary embolectomy

· Maze Procedure

f. Intraoperative Preparation

· Positioning

· Skin Preparation

· Draping

· Equipment, Instrumentation, and Supplies

g. Postoperative Consideration of patient who undergo Cardiac Surgery

h. Assisting in Cardiac Cathetirization

i. Central venous Pressure Monitoring

VASCULAR SURGERY

a.Definition

a. Review of Anatomy and Physiology

b. Preoperative Preparation of Patient Undergoing Vascular surgery

· Physical

· Psychological

· Spiritual

· Legal

· Patient Education

c. Vascular Surgical Team

d. Different Vascular Surgical Procedures

Definition/Indication/Nursing considerations/Intraoperative preparation and Nursing functions/Operative Procedure

· Carotid Endarterectomy

· Abdominal Aortic Procedure

· Aortic Endarterectomy

· Aortic Bypass

· Femoral Arterial Thromboembolectomy

· Greater Saphenous Vein Ligation and Stripping

· Portosystemic Shunt

· Arteriovenous Shunt or Arteriovenous (Bridge) Fistula

e. Intraoperative Preparation

· Positioning

· Skin Preparation

· Draping

· Equipment, Instrumentation, and Supplies

f. Postoperative Consideration of patient who undergo Vascular Surgery

  1. Fistula care

GENITOURINARY SURGERY

a. Definition

b. Review of Anatomy and Physiology

c. Preoperative Preparation of Patient Undergoing Genitourinary Surgery

· Physical

· Psychological

· Spiritual

· Legal

· Patient Education

d. Indications

e. Genitourinary Surgical Team

f. Different Genitourinary Surgical Procedures

· Operations on th Urethra

· Operations on the Prostate

· Operations on the Bladder

· Operations on the Ureter

· Operations on the Kidney

g. Patient Preparation

h. Positions

i. Skin Preparation

j. Draping

k. Equipment, Instrumentation, and Supplies

l. Postoperative Consideration of patient who undergo Genitourinary Surgery

m. Continuous Bladder irrigation

n. Assist in Urinary Diversions

KIDNEY TRANSPLANT

a.Definition

b. Indication

c. Preoperative Preparation of Patient Undergoing Kidney transplant

· Considerations in Kidney Transplant

· Criteria for Donor Selection

· Screening Tests

d. Patient Preparation

e. Positions

f. Skin Preparation

g. Draping

h. Equipment, Instrumentation, and Supplies

i. Postoperative Consideration of patient who undergo Genitourinary Surgery