Med Surg I PDF
Med Surg I PDF
Course Description: The purpose of this course is to acquire knowledge and develop proficiency in
caring for patients with medical surgical disorders in varieties of health care settings and at home.
Dura-
Assessment
Areas tion Objectives Skills Assignments
Methods
(in wk)
General 06 • Provide • Assessment of the • Plan and give • Assess
Medical nursing patient care to 3-4 perform-
Ward care to Taking history assigned patients ance with
(Respira - adult Perform general and • Nursing care rating
- tory, patients specific physical plan- 02 scale
GI, with examination • Nursing case • Assess
Endocrine, medical - Respiratory presentaion-1 each skill
Renal, disorders - GI with
• Drug
Hemoto - • Counsel - Endocrine checklist
presentation-1
- logy) and - Renal • Evaluation
• Maintain drug
educate - Hematology of case
book
patients Identify alterations and study/
deviations. • Maintain
and presenta-
• Practice medical Practical record
families tion
book
surgical asepsis • Comple-
Standard safety tion of
measures. practical
• Administer medications record.
Oral, IV, IM, ID,
Subcutaneous,
Airlock and Z-Track
method
•Blood and Component
Therapy
• IV therapy
IV canulation
Maintenance and
monitoring
IV additives
IV Bottle change
• Oxygen therapy by
different methods
Ambu bag
Ventuiry mask
• Nebulization
• Chest physio- therapy
• Postural drainage
Naso gastric feeding
Areas Dura- Assessment
tion Objectives Skills Assignments Methods
(in wk)
•Gastric lavage
•Perform/Assist in
therapeutic procedures
Thoracentesis
Abdominal
Paracentesis
Barium meal
USG
Endoscopy
- ERCP
- OGD scopy
- Colonoscopy
- Proctoscopy
- Sigmoidoscopy
EDUCATIONAL VISITS:
1. Black J.M. Hawk, J.H. (2005) Medical Surgical Nursing Clinical Management for Positive
Outcomes. (7th ed) Elsevier.
2. Brunner S. B., Suddarth D.S. The Lippincott Manual of Nursing practice J.B.Lippincott.
Philadelphia.
3. Medical Surgical Nursing: an integrated approach 2nd ed , White, L, Delmar
Thomson learning (2002) United States
4. Lewis, Heitkemper&Dirksen (2000) Medical Surgical Nursing Assessment and Management of
Clinical Problem (6 thed) Mosby.
5. Colmer R.M. (1995) Moroney’s Surgery for Nurses (16 thed) ELBS.
6. Shah N.S. (2003) A P I textbook of Medicine, The Association of Physicians of India
Mumbai.
7. Satoskar R.S., Bhandarkar S.D. & Rege N.N. (2003) Pharmacology and Pharmacotherapeutics
(19 thed) Popular Prakashan, Mumbai.
8. Phipps W.J., Long C.B. & Wood N.F. (2001) Shaffer’s Medical Surgical Nursing B.T.Publication
Pvt. Ltd. New Delhi.
9 Datta T.K. (2003) Fundamentals of Operation Theatre Services, Jaypee, New Delhi.
10. Maheswari J Essentials of Orthopedics (3rd ed) Mehta Publication, NewDelhi.
11 Pasricha J.S., Gupta R. (2001) Illustrated Text book of Dermatology (2nded) Jaypee brothers New
Delhi.
12 Haslett C., Chilvers E.R., Hunder J.A.A. &Boon, N.A. (1999) Davidson’s Principles and Practice
of Medicine (18 thed) Churchill living stone. Edinburgh.
13 Walsh M. (2002) Watson’s Clinical Nursing and Related Sciences (6thed) Bailliere
Tindall Edinburgh.
14. Medical Surgical Nursing: an integrated approach 2nd ed , White, L, Delmar
Thomson learning (2002) United States
15. Medical Surgical Nursing: A Nursing process approach Vol. I & II, , Ignatacicius,
Donna & Workman, Linda, W. B. Saunders Company, Philadelphia (1995)
16. The Lippincott Manual of Nursing practice, 7th ed, Nettina, Sandra, Lippincott
Williams & Wilkins, Philadelphia (2001)
EVALUATION SCHEME:
Internal assessment
Theory: 25 Marks
Mid-term Examination 50
Pre-final 75
Total: 125
(125 Marks to be converted in to 25 Marks for Internal Assessment (Theory))
External Assessment
University Examination
Theory: 75 Marks
Practical: 100 Marks
a) Guideline for Nursing Care Plan: (3 X 25 Marks)
12. Guide line for writing Nursing care plan (including health education) Marks – 20
Date Assessment Nursin Objectiv Plan of care Ratio Evaluatio Remark
g e Implementatio nale n
diagnos n
is
Subjective &
Objective Data
Marks 4 3 2 7 2 2
--
Sr No Content Marks
1 History to Physical examination with date time 05
2 Disease condition: 08
(Definition Anatomy Physiology, incidence,
Etiology & risk factor, Pathophysiology, clinical
manifestation
3 Investigations 02
4 Medical Surgical management complications & prognosis 06
5 Drug study 04
6 Nursing care plan 20
7 Nurses note 05
Total 50
b) FORMAT FOR CASE PRESENTATION Marks – 50
1. Patients Biodata: Name, Address, Age, sex, religion, martial status, occupation, source of health
care, date of admission, provisional diagnosis, date of surgery if any
2. Presenting complaints: describe the complaint with which the patient has come to hospital
3. History of illness:
History of present illness- onset, symptoms, duration, precipitating / alleviating factors
History of past illness- illnesses, surgeries, allergies, immunizations, medications
congenital problems, psychological problems.
4. Economic status: Monthly income & expenditure on health, marital assets (own pacca house, car,
system available.
6. Habits: Consumption of alcohol, smoking, tobacco chewing, sleep, exercise, work elimination,
nutrition.
7. Physical examination with date and time
8. Investigation
9. Treatment
Sr Drug : Pharmacologic Ro Dose & Action Side effect & Nursing
no trade al name ute frequency Drug responsibility
name interaction
Sr No Content Marks
1 Assessment / Introduction 05
2 Knowledge and understanding of disease 10
3 Nursing care plan 15
4 Presentation skill 10
5 A.V. aids 04
6 Time 02
7 Summary & conclusion 02
8 Bibliography 02
Total 50
c) Guide line for Nursing Case Study (2 X 50 Marks)
1. Patients Biodata: Name, address, age, sex, religion, marital status, occupation , source of health
care, date of admission provisional diagnosis, date of surgery if any
2 Presenting complaints: Describe the complaints with which the patient has come to hospital
3 History of illness:
History of present illness – onset, symptoms, duration, precipitating / alleviating factors
History of past illness- illnesses, surgeries, allergies, immunizations, medications
Family history – family tree, history if illness in family members, risk factors, Congenital
problems, psychological Problems.
4 Economic status: Monthly income & expenditure on health, marital assets (own pacca house car,
two wheeler, phone, TV etc. ..)
5 Psychological status: ethnic background, (geographical information, cultural information) support
system available.
6 Habits: consumption of alcohol, smoking, tobacco chewing, sleep, exercise, work elimination,
nutrition.
7 History to Physical examination with date and time
8 Disease condition: - Definition, Anatomy Physiology, incidence, Etiology & risk factor,
Pathophysiology, clinical manifestation
9 Investigation
Date Investigation done Normal value Patient value Inference
11 Drug Study
Sr Drug : Pharmacologica Route Dose & Action Side effect Nursing
no trade l name frequency & Drug responsibility
name interaction
12 Nurse’s Notes:
13 Self Evaluation:
14 Bibliography:
Note: Same format to be used for Medical Ward / Surgical Ward having 50 Marks each.
Evaluation Criteria for Nursing Case Study
Remarks
Evaluation discussed Sing. Of Supervisor
& Students Signature Date :
Date :
e) Guideline for Therapeutic Diet
Introduction: Name of the patient, age, sex, religion of the patient, education, language, socioeconomic
status, regular meal pattern, food like and dislikes, disease condition of the patient, reason for
prescribed diet
Menu planning: Recommended diet plan with details of CHO, protein, fat and calories with nutrients and
restrictions with due consideration to commonly available seasonal foods
Patient’s education: Ability of student to explain to the patient the need for adherence to recommended
diet.
References:
Sr No Content Marks
1 Introduction 05
2 Menu planning 10
3 Patient education 05
4 Evaluation 02
5 References 03
Total 25
f) GUIDE LINE FOR CLINICAL ASSESSMENT OF STUDENT
CLINICAL EVALUATION (3 X 100 MARKS)
f - i & ii) Format for Clinical Assessment
(MEDICAL WARD / SURGICAL WARD)
Signature of Teacher
Date:
Signature of student
Date of Sign
Note: Same format to be used for 1) Medical Ward & 2) Surgical Ward having 100 Marks each.
f - iii) Format for OPERATION THEATRE experience EVALUATION
Sr. Content 5 4 3 2 1
No
I Personal &professional behavior:
1 Wears theatre dress correctly
2 Arrives and leaves punctually
3 Notably poised & effective even in stressful situation
4 Works with interest & willingness
5 Shows respect to co-workers, works well as a team member.
II Knowledge of:
6 Anatomy & surgical procedure
7 Equipment & articles
8 Anaesthesia, Microbiology, Legal responsibilities
III Skills
9 Collects & receives all preoperative information about patients.
10 Follows principles f scrubbing, gowning& gloving
11 Arranges trolley according to procedure
12 Assists efficiently knowing the steps
13 Works efficiently as a circulating nurse
14 Assists the anesthetist for induction, intubation & extubation
15 Follows strict infection control measures
16 Maintains therapeutic operation theatre environment
17 Checks adequacy of equipment & supplies
18 Records & reports immediately
19 Provides appropriate postoperative care
20 Follows cleaning, packing & sterilization of equipment
i Introduction
ii Objective
vi Assisting in surgery
Scrubbing, Gowning and gloving
Position and draping of patient
Trolley setting for various operations/ conditions
viii Hazards of OT
Accidents
ix Cleaning of OT
Carbolization
Fumigation
xi References
[Note: Assignments are requirement of operation theatre posting, however they are not for
evaluation.]
f – iii – 2) Guide line for WITNESSED CASES Operation Theater
I. Demographic Profiles
B) Intubation:
Type of ETT - Size
C) Boyles apparatus
D) Extubation: (Steps)
[Note: Assignments are requirement of operation theatre posting, however they are not for
evaluation.]
f - iii - 3) Guideline for ASSISTED CASES in Operation Theatre
I) DEMOGRAPHIC PROFILE:
Name of Patient: WC/ Bed No.
Age/ Sex: Diagnosis:
Proposed Surgery: Actual Surgery:
Date of case assisted:
1. Position
2. Painting
3. Draping
4. Incision
5. Method of Homeostasis
6. Dissection
7. Retraction
8. Anastomosis
9. Drainage
10. Haemostatic
11. Closure
12. Dressing
13. Adhesive
[Note: Assignments are requirement of operation theatre posting, however they are not for
evaluation.]
External Practical Evaluation Guidelines
II Basic B.Sc Nursing
Subject:-Medical Surgical Nursing I
100 Marks
MONTH : YEAR :
CENTRE :
Date Date :