MEDICAL SURGICAL NURSING

PREAMBLE

Medical-surgical nursing is a nursing specialty area concerned with the care of adult patients in a broad range of settings. The Academy of Medical-Surgical Nurses (AMSN) is a specialty nursing organization dedicated to nurturing medical-surgical nurses as they advance their careers. Traditionally, medical-surgical nursing was an entry-level position that most nurses viewed as a stepping stone to specialty areas. Medical-surgical nursing is the largest group of professionals in the field of nursing. Advances in medicine and nursing have resulted in medical-surgical nursing evolving into its own specialty

Many years ago a majority of hospital nurses worked on wards, and everyone was a medical-surgical nurse. Today licensed medical-surgical nurses work in a variety of positions, inpatient clinics, emergency departments, HMO’s, administration, outpatient surgical centers, home health care, humanitarian relief work, ambulatory surgical care, and skilled nursing homes. Some military medical-surgical nurses serve on battlefields.

GOALS

The aim of the undergraduate nursing program is to:

 

  • Prepare graduates to assume responsibilities as professionals, competent nurses and midwives in providing promotive, preventive, curative, and rehabilitative services.
  • Prepare nurses who can make independent decisions in nursing situations, protect the rights of and facilitate individuals and groups in pursuit of health, functions in the hospital, community nursing services, and conduct research studies in the areas of nursing practice
  • They are also expected to assume the role of teacher, supervisor, and manager in a clinical /public health settings.

 OBJECTIVES

  • Appreciate the trends in medical and surgical nursing.
  • Describe the role of a nurse in caring for adult patient in hospital and community.
  • Describe the concepts of Medical Surgical aspects.
  • Describe the common signs, symptoms, problems and their specific nursing intervention.
  • Describe the etiology, pathophysiology, clinical manifestations, diagnostic measures and management of patients

DURATION

  • Four year

ELIGIBILITY

The aim of the undergraduate nursing program is to:

  • Prepare graduates to assume responsibilities as professionals, competent nurses and midwives in providing promotive, preventive, curative, and rehabilitative services.
  • Prepare nurses who can make independent decisions in nursing situations, protect the rights of and facilitate individuals and groups in pursuit of health, functions in the hospital, community nursing services, and conduct research studies in the areas of nursing practice
  • They are also expected to assume the role of teacher, supervisor, and manager in a clinical /public health settings.

Eligibility (for appearing in the examination)

  1. A candidate must have minimum of 80% attendance  (irrespective of the kind of absence) in theory and practical of the each subject for appearing for examination.
  2.    A candidate must have 100% attendance in each of the practical areas before award of degree.

 CAREER OPPORTUNITIES:

Registered Nurses (RNs) may work in more than 50 different areas of practice from public health to palliative care.

Gerontological Nursing

Gerontological nursing isn’t just about end-of-life activities — it’s about maximizing functional health and psychological well being for people over 65. Nursing who specialize in gerontology find themselves working in diverse settings, and caring for older adults in various stages of life.

Home Health Nursing

The last 20 years, we’ve witnessed nursing care shift to the community from hospitals. Discover all the interventions home health care nurses now deliver, allowing Canadians to successful manage increasingly complex conditions in the comfort of their homes.

Occupational Health Nursing

Occupational Health Nurses are knowledgeable, and highly skilled, with specialized education in many related workplace health and environmental safety fields. Learn more about how the OHN may be the employee’s first contact with primary health care.

Palliative care

palliative care nursing is not only end of life care. In fact, as RN, CNS, APN or NP, nurses spend time focusing on a holistic approach to care delivery, attending to the physical, spiritual, psycho-social and practical issues that may arise during an illness period

Public Health Nursing

Public health nursing in Ontario is rooted in the traditions of Florence Nightingale, Jeanne Mance, and women in religious orders such as the Grey Nuns. Early North American PHNs understood the importance of social, economic, environmental, and political determinants of health, and believed that social activism and collaboration with community organizations and governments was a fundamental aspect of public health nursing practice

Nurse Practitioner

Nurse practitioners (NP) are registered nurses with advanced university education who provide personalized, quality health care to patients. NPs offer health-care services to individuals, families and communities. They practise in a variety of settings, including hospitals and community based clinics in Ontario cities and towns.

 TEACHING STRATEGIES

The interdisciplinary curriculum is based on both clinical and public health model for practice. The major focus is to provide quality care  to patients and use of new technologies. Fellows are prepared to participate in multidisciplinary approach in planning, implementing, managing and evaluating programme. It is assumed that there will be approximately 360 teaching hours in one year period of fellowship course. Out of these, theory teaching will be 210 hours and practical will be of 720 hours.

COURSE DISTRIBUTION

TOPIC

 1. Introduction and concept of medical surgical nursing

2. Common signs and symptoms and management

3. Nursing management of patients (adults including elderly) with respiratory problems

4. Nursing management of patients (adults including elderly) with disorders of digestive system

5. Nursing management of patients (adults including elderly) with blood and cardio vascular problems

6. Nursing management of patients (adults including elderly) with genito-urinary problems

7. Nursing management of patients (adults including elderly) reproductive system

8. Nursing management of patients (adults including elderly) with disorders of endocrine system

9. Nursing management of patients (adults including elderly)

with disorders of Integumentary system

10. Nursing management of patients (adults including elderly) with Musculoskeletal problems

11. Nursing management of patients (adults including elderly) with Immunological problems

12. Nursing management of patients (adults including elderly) with Musculoskeletal problems

13. Pen Operative nursing

14. Nursing management of patient with disorders of Ear, Nose and Throat

15. Nursing management of patient with neurological disorders

16. Nursing management of patient with disorders of female reproductive system

17. Nursing management of patient with Burns, reconstructive and cosmetic surgery

18. Nursing management of patient with oncological conditions

19. Nursing management of patients in EMERGENCY& DISASTER situations Disaster Nursing

20. Nursing care of the elderly

21. Nursing management of patient in critical care units

22. Nursing management of patients’ adults including elderly with occupational and Industrial disorders.

HOURS

 15

 15

 20

 30

 30

 10

  5

 10

 10

 

 15

 10

 20

 25

 15

 16

 16

 10

 10

 10

 10

 10

 8

Clinical training

AREAS DURATION(in weeks)
1.General Medical Ward (* Respiratory, GI, Endocrine, Renal, Haemotology) 6
2. General Surgical Ward (GI, Urinary, CTVS) 6
3.Cardiology 2
4. Skin & Communicable diseases Ward 1
5. Orthopaedic ward 2
6. Operation Theatre Skin & Communicable diseases Ward 6
7. ENT 1
8. Ophthalmology 1
9. Neurology 2
10. Gynecology ward 1
11. Burns unit 1
12. Oncology Unit 1
13. Critical Care Unit 2
14. Casualty /Emergency 1

 

Textbook:

  1. Brunner (V), Medical Surgical Nursing, LWW, 10th Edition.

References:

  1. Black, Medical Surgical Nursing: Clinical Management for positive outcomes, Elsevier,7th

Edition.

  1. Willams, Understanding Medical Surgical Nursing, Jaypee, 3id Edition.
  2. Timby, Introductory Medical Surgical Nursing, LWW, 9th Edition.
  3. Lewis, Medical Surgical Nursing Assessment & Management of Clinical Problems, Elsevier

7th edition

  1. Ignatavicius, Critical Thinking for Collaborative Care, Elsevier, 5th Edition.
  2. Monahan, Phipp’s Medical Surgical Nursing: Health & illness perspectives practice, Jaypee,

8th Edition.

  1. Gulanick, Nursing Care Plans: Nursing Diagnosis & Interventions, Mosby, 5th edition
  2. Lippincott’s Manual of Nursing Practice, Jaypee , Edition.
  3. Ulrich, Nursing Care Planning Guides: For adults in acute extended &Home care settings,

Elsevier, 6th edition.

  1. White, Foundations of Adulth Health Nursing, Thompson, 2nd edition.
  2. V Redfern, Nursing Older People, Churchill Livingstone , edition.
  3. Phillip, Berry & Kohn’s Operating room techniques, Elsevier, 11th Edition.
  4. Marks, Roxburgh’s Common Skin Diseases, Arnold, 17th edition.
  5. Thappa, Essential in Dermatology with MCQ’s, Ahuja publishing
  6. Hughes (P), Clinical Practice Protocols in Oncology Nursing, Jones &Balet, 2007
  7. Hickey, The Clinical Practice of Neurological & Neurosurgical Surgical

Nursing, Lippincott, 5th Edition.

  1. Hudak, Critical Care Nursing: A Holistic Approach, Lippincott, 7th edition.
  2. Kaplow, Crictal Care Nursing: Surgery for Optimal Outcomes, Jones &Bartlet, 2007.
  3. Dhiagra, Ear Nose and Throat
  4. Maqboal,Textbook of Ear, Nose & Throat Disease, Jaypee, 10th edition.
  5. Nema (HV), Textbook of Opthalmology, Jaypee, 4thi edition.
  6. Padmini (HR), Opthalmology, Ahuja Publishing House, 2nd edition.
  7. Bhihoto, Parson’s Disease of the Eye, Elsevier, 19th edition.

 

QUESTIONS

Long quetions

Q1 (a)Define Chronic Obstructive Pulmonary Disease (COPD)

(b)Discuss pathophysiology with clinical manifestation of COPD.

(c)Discuss in brief nursing management by using steps of nursing process.

Or

(a) Define Peptic Ulcer.

(b) Discuss risk factors of Peptic ulcer

(c) Describe medical and nursing management.

Q2(a)Define Hypothyroidism.

(b)Explain pathophysiology and its clinical manifestation.

(c)Discuss specific pre and post operative nursing management of patient undergoing

thyriodectomy.

Q3.(Short Essay) of the following :

(a) Nursing management of patient with Diabetic coma.

(b) Venous Thrombosis

(c) National AIDS control programme

(d) Legal Aspects in Operation Theatre

(e) Standard Safety Measures (i) Recial Calculi.

Q4. Answer all the following :

(a) Care of patient with fever

(b) Responsibilities of scrub nurse in OT

(c) Hydrocele

(d) DOT therapy in TB

(e) Water seal drainage

(f) Types of fracture

(g) Inguinal Hernia