Unit Outline
FACULTY OF Health Sciences
School of Nursing Midwifery and Paramedicine
National Unit Outline
SEMESTER one, 2020
NRSG258: Principles of Nursing: Surgical
UNIT OUTLINE – Revised COVID-19 Impacted
Credit points: 10
Prerequisites: NIL
National Lecturer in Charge: Kate Steirn
Office location: North Sydney
Email: XXXXXXXXXX
Telephone: XXXXXXXXXX
Contact me: please contact me via email, All questions related to content to be posted on the Discussion Board. UNIT RATIONALE, DESCRIPTION and AIM:
Unit Description: This unit will enable students to develop knowledge and skills for person-centred, evidence-based nursing care of individuals experiencing episodic health alterations or illness that require surgery. The principles of surgical nursing that underpin best practice will be demonstrated by the use of evidence-based case studies. Roles of the surgical nurse across a variety of health settings, and within the context of multi-disciplinary care, will be explored across the patient journey. The content contained within this unit will inform nursing students’ future clinical practice across a variety of settings.
Unit Rationale: The Registered Nurse plays a central role in the provision of health care for people who experience health alterations. Health alterations occur across a range of settings and it is a requirement that the nurse is able to provide care for people experiencing these alterations. The content contained within this unit is required to provide the theoretical knowledge which will underpin nursing practice in the surgical environment.
Teaching Team:
National Teaching Team
CAMPUS NAME
NAME
CONTACT DETAILS
Brisbane
Alison Peele
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Ballarat
Bernie Gla
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Canbe
a
Teri Pantie
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North Sydney
Kate Steirn
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Melbourne
Joe Pe
y
Joe.pe
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Mode: On campus until Week 4. Online delivery from Week 5
Attendance pattern: Weekly online interactive sessions from Week 5
Duration: 10 Week Semester. You should anticipate undertaking 150 hours of study for this unit, including online participation, readings, assignment preparation and online activities.
LEARNING OUTCOMES
The Bachelor of Nursing (BN), Bachelor of Nursing (Enrolled Nurse/Diploma entry) Bachelor of Nursing/Bachelor of Business (BNBADM) and Bachelor of Nursing/Bachelor of Paramedicine (BNBP) courses are professional programs that require development of particular attributes for accreditation purposes.
On successful completion of this unit, you should be able to:
1. demonstrate knowledge of pathophysiology to manage common issues in surgical nursing; (GA4, 5)
2. outline the biopsychosocial, spiritual and cultural factors that impact on the person’s surgical experience; (GA1, 4, 5)
3. apply the Roper-Logan-Tierney Model of Nursing across the lifespan, to the principles of surgical nursing across the care continuum; (GA1, 4, 5, 9)
4. implement the Levett-Jones’ Clinical Reasoning Cycle across a range of settings, to plan safe, evidence-based, culturally sensitive, person-centred nursing care for common health alterations in surgical nursing; (GA3, 4, 5, 8, 9)
5. apply quality use of medicines, non-pharmacological therapeutic interventions and complementary therapies in the surgical context; (GA1, 3, 4, 5, 7, 8)
6. apply legal and ethical principles related to the surgical experience. (GA3)
GRADUATE ATTRIBUTES
Each unit in your course contributes in some way to the development of the ACU Graduate Attributes which you should demonstrate by the time you complete your course. All Australian universities have their expected graduate attributes – ACU’s Graduate Attributes have a greater emphasis on ethical behaviour and community responsibility than those of many other universities. All of your units will enable you to develop some attributes.
On successful completion of this unit, you should have developed your ability to:
GA1 demonstrate respect for the dignity of each individual and for human diversity
GA3 apply ethical perspectives in informed decision making
GA4 think critically and reflectively
GA5 demonstrate cues, knowledge, skills and attitudes appropriate to the discipline and/or profession
GA7 work both autonomously and collaboratively
GA8 locate, organise, analyse, synthesise and evaluate information
GA9 demonstrate effective communication in oral and written English language and visual media
NMBA REGISTERED NURSE STANDARDS FOR PRACTICE
The Nursing and Midwifery Board of Australia’s Registered Nurse Standards for Practice developed in this unit are:
NMBA Standards for Practice
Learning Outcomes
1. Thinks critically and analyses nursing practice.
1.1, 1.2, 1.3, 1.4, 1.5, 1.6, 1.7
1, 2, 3, 4, 5
2. Engages in therapeutic and professional relationships.
2.1, 2.2, 2.3, 2.4, 2.5, 2.6, 2.7, 2.8
3, 4, 6
3. Maintains the capability for practice.
3.1, 3.2, 3.3, 3.4, 3.7
1, 2, 3, 4, 5, 6
4. Comprehensively conducts assessments.
4.1, 4.2, 4.3, 4.4
2, 3, 4, 5, 6
5. Develops a plan for nursing practice.
5.1, 5.2, 5.3, 5.4
2, 3, 4, 5,
6. Provides safe, appropriate and responsive quality nursing practice.
6.1
1, 2, 3, 4, 5, 6
7. Evaluates outcomes to inform nursing practice.
7.1, 7.2
3, 4, 5
CONTENT
Topics will include:
Surgical nursing care
· Principles
· Alterations to health resulting in surgery (e.g. acute neurological problems)
· Risk factors and como
idities – impact on surgical experience
· Biopsychosocial, spiritual and cultural considerations
· Promoting independence and working collaboratively
· Safety and risk assessments
· Assessing for and managing deterioration
· Patient education
· Quality use of medicines (anaesthetic agents, intravenous fluids, antiemetics, analgesia, antipyretics and antibiotics)
· Continuity of care
· Discharge planning
· Tools for planning care (e.g. care pathways)
· Legal and ethical issues
· Preoperative
· Types of surgery and settings
· Pathways for surgical admission
· Role of the nurse and the multidisciplinary team
· Admission and preparation for surgery
· Intraoperative
· Role of the nurse and the multidisciplinary team
· Postoperative
· Role of the nurse and the multidisciplinary team
· Identifying and managing post-operative complications.
· Acute pain management
QUALITY ASSURANCE AND STUDENT FEEDBACK
Student feedback from the previous iteration of NRSG258 has been used to directly inform the development of this new unit to include unit content, improve the LEO site for the unit, improve teaching sessions, and assessment tasks.
· Assessment task 1 has been re-written to align more strongly with the Learning Outcomes and improve student success
· Tutorial have been redesigned for greater clarity
· Content has been re-sequenced to improve flow and align teaching strategies
SELT surveys are usually conducted at the end of the teaching period. Your practical and constructive feedback is valuable to improve the quality of the unit. Please ensure you complete the SELT survey for the unit. You can also provide feedback at other times to the unit lecturers, course coordinators and/or through student representatives.
LEARNING AND TEACHING STRATEGY AND RATIONALE
This unit requires students to undertake 150 hours of focused learning to achieve the unit learning outcomes. Learning associated with this unit incorporates face to face teaching activities (lectures and tutorials), online activities, preparation and generation of assessment items and self-directed study. Students are expected to take responsibility for their individual learning and to participate actively within group activities and in online tutorials. The tutorial classes are designed for student participation an application of content to clinical case studies. Completion of pre reading materials and lecture content are a requirement for tutorials in order, for you to get the most out of the interactive face to face and online class activities. Your weekly in-class participation is designed to enhance your learning and application of the theory to practice.
LECTURE CAPTURE
Lectures for this unit will be recorded and made available for students via the LEO learning management system. Resource session are Q+ A sessions and are an opportunity for students to ask questions about the unit in general, assessment tasks or unit content. Resource sessions will not continue from week 5 however students will have access to academic support through Discussion Forums. Please see the Schedule below.
SCHEDULE
For the most up-to-date information, please check your LEO unit and also note advice from your lecturing and tutoring staff for changes to this schedule.
Week
Starting
Lecture/Resource session
Online activity Tutorial
Assessment
1
24 Fe
Lecture Part A+B: Over view of unit
Principles of surgical nursing,
Patient journey focus, consent,
MDT involvement,
RLT overview
Intro to Unit
On-line book
Induction to unit
Introduction to CBL; Clinical Reasoning Cycle and RLT model of nursing.
2
2 March
Lecture Part A: Legal and ethical issues
Lecture Part B: Assessing Surgical risk
Discussion of assessment task 1
Case Study One – Preoperative phase E-Book
Case study one
3
8 March
9th Pub Holiday Melbourne and Canbe
a
Lecture Part A: Intro to Pharmacology
Lecture Part B: Pharmacology anaesthetics
Case Study one – Intraoperative phase
Case study one
4
16 March
Lecture Part A: Physiology of inflammatory response + Pain
Lecture Part B: Pharmacology Analgesics, antipyretics + antibiotics
Case Study one – post operative phase
Case study one
23/03/20
COVID-19 Response Mid-semester Break
5
30 March
Lecture Part A: Principles of nutrition
Lecture Part.
B: Resource Session Discussion of assessment task 1 Q+A
Case Study Two – pre operative phase E book
Case study two
6
6 April
Good Friday 10th Pub Holiday
Lecture Part A: Principles of fluids and Electrolytes
Lecture Part B: Resource Session Discussion of assessment task 1 Q+A
Case Study two – Intraoperative phase
Case study two
7
13 April
Easter Monday 13th Pub Holiday
Lecture Part A: Managing Surgical Complications
Lecture Part B: Resource Session Online quizzes
Case Study two – Post operative phase
Case study two
8
20 April
Lecture Part A:
Wound management + Antibiotics
Lecture Part B: Resource Session
Case Study three – E-book - Outpatients
Case study three
Assignment 1: Case study due Monday 20th of April by 23:59
9
27 April
ANZAC Day 27th Pub Holiday
Lecture Part A+B: Paediatrics.
Presented on Brisbane campus only.
Case Study four – pre operative phase E-Book
Case study fou
10
4 May
4th Pub Holiday Brisbane
Lecture Part A+B: Revision Lecture
Case Study four – post operative phase
Case Study four and Revision of concepts
1-12 June
Central examinations
MCQ and Short answer (50%)
ATTENDANCE REQUIREMENTS FOR THIS UNIT
Attendance at all lectures, practical classes and simulations is expected. Attendance records of all practical and tutorial classes are maintained with a minimum of 80% attendance expected.
Reasons why attendance is required
In classes, you will be interacting with other students and developing skills which you will use in your professional/clinical experience. Students who attend less than 80% of classes are at risk of not developing these essential skills. Therefore, you are strongly advised to attend a minimum of 80% of classes in this unit.
Procedures to follow should a student fail to attend 80% of classes due to illness and/or personal circumstances beyond their control
1