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My New Unit

Subject:
The Surgical Patient
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Goal Summary:
Students will gain the overall basic knowledge needed to care for the surgical patient, using the nursing process to identify, describe, and prioritize information related to the surgical patient, including describing medications related to the adult surgical patient. They will learn prevention strategies related to the care of adult surgical patients. They will also learn teaching strategies and communication techniques to use when caring for the adult surgical patient.
Essential Questions:
1. Discuss the scope of pre-, peri-, and postsurgical nursing duties.
2. Discuss the advent of ambulatory surgery and laparoscopic surgery and their effects on the surgical experience.
3. Discuss the risks of anesthesia
4. What are the benefits of proper wound care?
5. What physiological factors place older adults at risk during surgery? What assessment questions address cardiac history? What steps are taken to secure prostheses and personal effects of patients during surgery? What can the nurse do to prevent wrong site or wrong procedure surgery? What is the ideal response preoperatively when a nurse realizes the patient is having difficulty performing the practice of postoperative exercises?
6. Define and discuss the roles of the scrub and circulating nurses.
Discuss the focused assessment and planning that take place in the preoperative holding area. Review positioning of the patient on the OR table and promotion of psychological comfort before surgery. Discuss preparation of an aseptic environment. Review physical preparation of the patient and procedures for latex allergy. Discuss the types of anesthesia.
7. What is monitored by the nurse during surgery?
8. What parameters are assessed in postanesthesia care? What are the steps in reviewing postoperative instructions and prescriptions with the patient and family before release? What factors affect the speed of convalescence? What items should be available at a postoperative bedside unit? What postoperative tasks prevent complications? What are some ways to help the patient achieve rest and comfort postoperatively? How are neurological function and fluid and electrolyte balance maintained postoperatively?
Content Goals:
1. Explain the nursing knowledge necessary for care that addresses the needs of adult med-surg patients undergoing surgery.
2. Describe assessment techniques to identify factors that affect adult med-surg patients undergoing surgery.
3. Explain how to use the nursing process as a clinical decision-making strategy for providing care that addresses the needs of adult med-surg patients undergoing surgery.
4. Describe and prioritize caring nursing interventions that address the needs of adult med-surg patients undergoing surgery.
5. Describe prevention strategies that address the needs of adult med-surg patients undergoing surgery.
6. Practice communication techniques that address the needs of an adult med-surg patient undergoing surgery.
7. Identify teaching strategies for health instruction that addresses the needs of an adult med-surg patient undergoing surgery.
8. Identify professional nursing behaviors in the clinical setting applicable to the care of adult med-surg patients undergoing surgery.
Meets Course Outcomes: 1 - 8

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