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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:
[email protected] Telephone: (02) 9739 2472 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 Peeler
[email protected] 07 3623 7620 Ballarat Bernie Glab
[email protected] 03 5336 5356 Canberra Teri Pantier
[email protected] 02 6209 1196 North Sydney Kate Steirn
[email protected] 02 9739 2472 Melbourne Joe Perry
[email protected] 03 9953 3190 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: GA1demonstrate respect for the dignity of each individual and for human diversity GA3apply ethical perspectives in informed decision making GA4think critically and reflectively GA5demonstrate cues, knowledge, skills and attitudes appropriate to the discipline and/or profession GA7work both autonomously and collaboratively GA8locate, organise, analyse, synthesise and evaluate information GA9demonstrate 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 comorbidities – 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 activityTutorial Assessment 1 24 Feb 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 Canberra 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 four 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