RUFAIDA COLLEGE OF NURSING

JAMIA HAMDARD

ASSIGNMENT ON
COURSE PLAN OF BSC NURSING 2ND YEAR
SUBMITTED TO: SUBMITTED BY:
MS. SABA HASHMI UMME RUMAN
NURSING TUTOR M.SC. NURSING 1st YR
RCON RCON
ADULT HEALTH NURSING I WITH INTEGRATED PATHOPHYSIOLOGY (including BCLS
module)
PLACEMENT : III SEMESTER
THEORY- 6 Credits (120 hrs)
PRACTICAL- Lab/Skill lab- 1 Credit (40 hrs)
Clinical- 6 Credits (480 hrs)
DESCRIPTION: This course is designed to equip the students to review and apply their knowledge of Anatomy, Physiology, Biochemistry and
Behavioral sciences in caring for adult patients with Medical / Surgical disorders using nursing process approach and critical thinking. It also
intends to develop competencies required for assessment, diagnosis, treatment, nursing management, and supportive /palliative care to patients
with various Medical Surgical disorders.
COMPETENCIES
On completion of Medical Surgical Nursing I course, students will be able to
1. Explain the etiology, pathophysiology, manifestations, diagnostic studies, treatments and complications of common medical and surgical
disorders.
2. Perform complete health assessment to establish a data base for providing quality patient care and integrate the knowledge of anatomy,
physiology and diagnostic tests in the process of data collection.
3. Identify diagnoses, list them according to priority and formulate nursing care plan.
4. Perform nursing procedures skillfully and apply scientific principles while giving comprehensive nursing care to patients.
5. Integrate knowledge of pathology, nutrition and pharmacology in caring for patients experiencing various medical and surgical disorders.
6. Identify common diagnostic measures related to the health problems with emphasis on nursing assessment and responsibilities.
7. Demonstrate skill in assisting / performing diagnostic and therapeutic Procedures.
8. Demonstrate competencies/skills to patients undergoing treatment for medical surgical disorders.
9. Identify the drugs used in treating patients with medical surgical conditions.
10. Plan and give relevant individual and group education on significant medical surgical topics.
11. Maintain safe environment for patients and the health care personnel in the hospital.
12. Integrate evidence-based information while giving nursing care to patients.
 COURSE CONTENT
UNIT HOURS LEARNING CONTENT TEACHING LEARNING ASSESSMENT
OUTCOMES ACTIVITIES METHODS
I 6(T) Narrate the evolution of Introduction Lecture cum OSCE
4 medical surgical nursing • Evolution and trends of discussion
(L/S medical and surgical nursing • Demonstration &
L) Apply nursing process in • International classification Practice session
caring for patients with of diseases • Role play
medical surgical • Roles and responsibility of a • Visit to outpatient
problems nurse in medical and department, in
surgical settings patient and
Execute the role of a o Outpatient department intensive care unit
nurse in various medical o In-patient unit
surgical setting o Intensive care unit
• Introduction to medical and
Develop skills in surgical asepsis
assessment and care of o Inflammation, infection
wound o Wound healing – stages,
influencing factors
Develop competency in o Wound care and dressing
providing pre and technique
postoperative care • Care of surgical patient
o pre-operative
o post-operative
• Alternative therapies used in
caring for patients with
Medical Surgical Disorders
II 11(T) Explain organizational Intraoperative Care Lecture cum Caring for
4 set up of the operating • Organization and physical Discussion patient
(L/S theatre set up of the operation • Demonstration, intra
L) Differentiate the role of theatre Practice session, operatively
scrub nurse and o Classification and Case • Submit a
circulating nurse o O.T Design Discussion list of
Describe the different o Staffing • Visit to receiving bay disinfectant
positioning for various o Members of the OT team s used for
surgeries o Duties and instruments
Apply principles of responsibilities of the with the
asepsis in handling the nurse in OT action and
sterile equipment • Position and draping for precaution
Demonstrate skill in common surgical procedures
scrubbing procedures • Instruments, sutures and
Demonstrate skill in suture materials, equipment
assessing the patient and for common surgical
document accurately the procedures
surgical safety checklist • Disinfection and sterilization
Develop skill in assisting of equipment
with selected surgeries • Preparation of sets for
Explain the types, common surgical procedures
functions, and nursing • Scrubbing procedures –
considerations for Gowning, masking and
different types of gloving
anaesthesia • Monitoring the patient
during the procedures
• Maintenance of the
therapeutic environment in
OT
• Assisting in major and
minor operation, handling
specimen
• Prevention of accidents and
hazards in OT
• Anaesthesia- types, methods
 of administration, effects
and stages, equipment &
drugs
• Legal aspects
III 6(T) Identify the signs and Nursing care of patients with Lecture, Short
4 symptoms of shock and common signs and symptoms discussion, answer
(L/S electrolyte imbalances and management demonstration • MCQ
L) Develop skills in • Fluid and electrolyte • Case discussion • Case report
managing fluid and imbalance
electrolyte imbalances • Shock
Perform pain assessment • Pain
and plans for the nursing
management
IV 16(T) Demonstrate skill in Nursing Management of Lecture, Essay
4(L) respiratory assessment patients with respiratory discussion, • Short
Differentiates different problems • Demonstration Answer
breath sounds and lists • Review of anatomy and • Practice session • OSCE
the indications physiology of respiratory • Case presentation
Explain the etiology, system • Visit to PFT Lab
pathophysiology, clinical • Nursing Assessment –
manifestations, history taking, physical
diagnostic tests, and assessment and diagnostic
medical, surgical, tests
nutritional, and nursing • Common respiratory
management of common problems:
respiratory problems o Upper respiratory tract
Describe the health infections
behaviour to be adopted o Chronic obstructive
in preventing respiratory pulmonary diseases
illnesses o Pleural effusion,
Empyema
o Bronchiectasis
 o Pneumonia
o Lung abscess
Cyst and tumors
o Chest Injuries
o Acute respiratory
distress syndrome
o Pulmonary embolism
• Health behaviours to prevent
respiratory illness
V 15(T) Explain the etiology, Nursing Management of Lecture, Quiz
5(L) pathophysiology, clinical patients with disorders of Discussion
manifestations, digestive system • Demonstration, • OSCE
diagnostic tests, and • Review of anatomy and • Role play
medical, surgical, physiology of GI system • Problem Based
nutritional, and nursing • Nursing assessment – Learning
management of History and physical • Visit to stoma
gastrointestinal disorders assessment clinic
Demonstrate skill in • GI investigations
gastrointestinal • Common GI disorders:
assessment o Oral cavity-lips, gums
Prepare patient for upper and teeth
and lower o GI - Bleeding,
gastrointestinal Infections,
investigations Inflammation, tumors,
Demonstrate skill in Obstruction, Perforation
gastric decompression, & Peritonitis
gavage, and stoma care o Peptic & duodenal ulcer,
Demonstrate skill in o Mal-absorption,
different feeding Appendicitis, Hernias
techniques o Hemorrhoids, fissures,
Fistulas
o Pancreas- inflammation,
 cysts, and tumors
o Liver-inflammation,
cysts, abscess, cirrhosis,
portal hypertension,
hepatic failure, tumors
o Gall bladder-
inflammation,
Cholelithiasis, tumors
• Gastric decompression,
gavage and stoma care,
different feeding techniques
• Alternative therapies, drugs
used in treatment of
disorders of digestive system
VI 15(T) Explain the etiology, Nursing Management of Lecture, discussion Care plan
5(L) pathophysiology, clinical patients with cardiovascular • Demonstration • Drug
manifestations, problems Case discussion Record
diagnostic tests, and • Review of anatomy and Practice session
medical, surgical, physiology of cardio vascular Health education
nutritional, and nursing system Drug/ book presentation
management of • Nursing Assessment-History
cardiovascular disorders and Physical assessment
Demonstrate skill in • Disorders of vascular
cardiovascular system-Hypertension,
assessment arteriosclerosis, Raynaud’s
Prepare patient for disease, aneurysm and
invasive and non- peripheral vascular disorders
invasive cardiac • Coronary artery diseases--
procedures coronary atherosclerosis,
Demonstrate skill in Angina pectoris, myocardial
monitoring and infarction
interpreting clinical • Valvular disorders -
 signs related to cardiac congenital and acquired
disorders • Rheumatic heart disease - BCLS Module
pericarditis, myocarditis,
endocarditis, cardiomyopathies BLS/BCLS
• Cardiac dysrrhythmias, heart evaluation
block
• Congestive heart failure, cor-
pulmonale, pulmonary Field visit to blood bank Interpretation of
edema, cardiogenic shock, counseling blood reports
cardiac tamponade Visit reports
• Cardiopulmonary arrest

VII 7(T) Explain the etiology, Nursing Management of

3(L) pathophysiology, clinical patients with disorders of
manifestations, blood
diagnostic tests, and • Review of Anatomy and
medical, surgical, Physiology of blood, nursing
nutritional, and nursing assessment- history, physical
management of assessment & Diagnostic
hematological disorders tests
Interpret blood reports • Anemia, Polycythemia
Prepare and provides • Bleeding Disorders –
health education on clotting factor defects and
blood donation platelets defects,
thalassemia, leukemias,
leukopenias, agranulocytosis
• Lymphomas, myelomas
VIII 8(T) Explain the etiology, Nursing management of Lecture, Prepare
2(L) pathophysiology, clinical patients with disorders of discussion, health
manifestations, endocrine system demonstration education
diagnostic tests, and • Review of anatomy and • Practice session on self-
 medical, surgical, physiology of endocrine administration of
nutritional, and nursing system Case discussion insulin
management of endocrine • Nursing Assessment – History Health education submits a diabetic
disorders and Physical diet plan
Demonstrate skill in assessment
assessment of endocrine • Disorders of thyroid and
organ dysfunction Parathyroid, Adrenal and
Prepare and provides Pituitary (Hyper, Hypo,
health education on tumors)
diabetic diet • Diabetes mellitus
Demonstrate skill in
insulin administration
IX 11(T) Explain the etiology, Nursing management of Lecture, Drug report
4(L) pathophysiology, clinical patients with disorders of discussion • Preparation
manifestations, Integumentary system • Demonstration of Home
diagnostic tests, and • Review of anatomy and • Practice session care plan
medical, surgical, physiology of skin • Case Discussion
nutritional, and nursing • Nursing Assessment –
management of disorders History and Physical
of integumentary system assessment
Demonstrate skill in • Infection and infestations;
integumentary Dermatitis
assessment • Dermatoses; infectious and
Demonstrate skill in Non infectious
medicated bath • Acne, Allergies, Eczema &
Prepare and provide Pemphigus
health education on skin • Psoriasis, Malignant
care melanoma, Alopecia
• Special therapies,
alternative therapies
• Drugs used in treatment of
disorders of integumentary
 system
X 11(T) Explain the etiology, Nursing management of Lecture / Nursing
4(L) pathophysiology, clinical patients with musculoskeletal • Discussion care plan
manifestations, problems • Demonstration • Prepare
diagnostic tests, and • Review of Anatomy and • Case Discussion health
medical, surgical, physiology of the • Health education teaching on
nutritional, and nursing musculoskeletal system care of
management of • Nursing Assessment- patient
musculoskeletal History and physical with cast.
disorders assessment, diagnostic tests
Demonstrate skill in • Musculoskeletal trauma:
musculoskeletal Dislocation, fracture, sprain,
assessment strain, contusion, amputation
Prepare patient for • Musculoskeletal infections
radiological and non- and tumors: Osteomyelitis,
radiological investigations benign and malignant
of tumour
musculoskeletal system • Orthopedic modalities: Cast,
Demonstrate skill in splint, traction, crutch
crutch walking and walking
splinting • Musculoskeletal
Demonstrate skill in care inflammation: Bursitis,
of patient with synovitis, arthritis
replacement surgeries • Special therapies, alternative
Prepare and provide therapies
health education on bone • Metabolic bone disorder:
healing Osteoporosis, osteomalacia
and Paget’s disease
• Spinal column defects and
deformities – tumor,
prolapsed intervertebral disc,
Pott’s spine
 • Rehabilitation, prosthesis
• Replacement surgeries

XI 17 (T) 3 Explain the etiology, Nursing management of Lecture, Prepares

(L) pathophysiology, clinical patients with Communicable discussion, and
manifestations, diseases demonstration submits
diagnostic tests, and • Overview of infectious • Practice session protocol on
medical, surgical, diseases, the infectious • Case Discussion / various
nutritional, and nursing process seminar isolation
management of patients • Nursing Assessment – • Health education techniques
with communicable History and Physical • Drug Book/
diseases assessment, Diagnostic tests presentation
Demonstrate skill in • Tuberculosis • Refer TB control
barrier and reverse • Diarrhoeal diseases, & Management
barrier techniques hepatitis A-E, Typhoid module
Demonstrate skill in • Herpes, Chickenpox,
execution of different Smallpox, Measles, Mumps,
isolation protocols Influenza
• Meningitis
• Gas gangrene
• Leprosy
• Dengue, Plague, Malaria,
Chikungunya, swine flu,
Filariasis
• Diphtheria, Pertussis,
Tetanus, Poliomyelitis
• Special infection control
measures: Notification,
Isolation, Quarantine,
Immunization,