WOOD COUNTY SCHOOL OF PRACTICAL NURSING
BASIC NURSING II
Time: 84.5 Hours of Theory.
Placement: Nursing I
Instructors: Darla Hall, MS, BSN, RN and Toni Tennant, BSN, RN
Textbooks:
Christensen, Barbara and Kockrow, Elaine. Foundations of Nursing, Sixth Edition,
Mosby Elsevier Publishing, St. Louis, Missouri, 2011.
Christensen, Barbara and Kockrow, Elaine. Study Guide, Foundations of Nursing, Sixth
Edition, Mosby Elsevier Publishing, St. Louis, Missouri, 2011.
Christensen, Barbara and Kockrow, Elaine. Adult Health Nursing, Sixth Edition, Mosby
Elsevier Publishing, St. Louis, Missouri, 2011.
Christensen, Barbara, Kockrow, Elaine, Adult Health Nursing Study Guide, Sixth
Edition, Mosby Elsevier Publishing, St. Louis, Missouri, 2011.
References:
Herlihy, Barbara and Nancy Maebias. The Human Body In Health and Illness, 3rd, W.
B. Saunders Company, Philadelphia, Pennsylvania, 2003.
Hill, Signe and Howlett, Helen. Success in Practical/Vocational Nursing, 6th Edition.
Saunders Elsevier, St.Louis, Missouri, 2009.
Mosby’s Medical, Nursing, and Allied Health Dictionary, Eight Edition, Mosby
Yearbook Publishing, St. Louis, Missouri, 2007.
Wold, Gloria, Hoffman. Basis Geriatric Nursing. Mosby Elsevier, St. Louis, Missouri,
2008.
Course Overview:
Basic Nursing II is designed to introduce the learner to techniques that will be utilized in
the clinical setting while administering nursing care to clients in various stages of health
and illness. The nursing process is used throughout in order to develop data collection
skills and establish prioritizing skills.
1
Course Objectives:
1. Implement basic nursing procedures safely.
2. Function as an effective member of the health care team.
3. Utilize the nursing process in data collection, performance of skills and documentation
of care.
4. Communicate effectively with clients, their significant others, and members of the
health care team.
Clinical Component:
1. Provide care of the client in various stages of health and illness in the acute care
setting.
2. Modify basic nursing care for the resident in an extended care facility.
Instructor Activities:
1. Handout course materials.
2. Lecture and initiate class discussions.
3. Show audiovisuals
4. Demonstrate procedures.
5. Develop and score tests.
6. Observe and score return demonstrations.
Student Activities:
1. Complete all reading and homework assignments.
2. Take notes and participate in class discussions.
3. View audiovisuals.
4. Complete required return demonstrations for basic nursing skills-pass/fail grade with a
maximum of 3 attempts)
5. Complete all quizzes/examinations with a minimum score of 80%.
6. Standardized Test is mandatory (See Handbook for Grading Requirements and
Dismissal Policy).
Course Content and Time:
Unit I:
Safety - 7 Hours
Unit II:
Observations - 15 Hours
Unit III:
Nursing Process and Documentation - 13 Hours
Unit IV:
Surgical Asepsis and Infection Control - 2.5 Hours
Unit V:
Elimination - 15 Hours
Unit VI:
Oxygenation Needs - 6 Hours
Unit VII:
Perioperative Nursing - 8 Hours
Unit VIII:
Wound Care - 10 Hours
Unit IX:
Loss, Grief, Dying and Death - 8 Hours
2
UNIT I: SAFETY – 7 HOURS
Pre-class Assignment: Christensen, FOUNDATIONS OF NURSING, Chapter 14
Lesson I - Safe Environment - 4 Hours
Pre-class Assignment: Christensen, pages 343-346 & 354-366.
A.
B.
C.
D.
E.
F.
G.
Safety in Healthcare Environment
Falls
National Patient Safety Goals
Infants & Children
Older Adults
Latex Sensitivity
Electrical Hazards
H. Left Handed Patient
I. Mercury Spills
J. Fire Safety
K. Accidental Poisoning
L. Disaster Planning
M. Terrorism/Bioterriosm
Objectives:
1. Define terms related to safety.
2. Discuss hospital/health care environmental potential safety hazards
3. Discuss methods to reduce physical hazards.
4. Identify individuals at risk for falls and safety precautions to prevent falls.
5. Discuss National Patient Safety Goals
6. From a list, identify the age group most at risk from environmental clutter.
7. Identify safety factors to consider when caring for clients of all age groups.
8. Identify hazards associated with electrical equipment.
9. Discuss modifications of the hospital environment for the left-handed patient.
10.Discuss nursing actions in the event of a fire in the clinical setting.
11.Identify the types of fire extinguishers as discussed in Christensen.
12.Describe nursing interventions in the event of accidental poisoning.
13.Discuss the role of the nurse in disaster planning.
14.Discuss high-risk syndromes of bioterrorism.
15.Discuss terrorism.
Activities:
1.Complete CCMH/SJH Orientation CareLearning modules.
2.Study Guide, “Safety.” (optional)
Lesson II - Restraining Clients - 3 Hours
Pre-class assignment: Foundations of Nursing, Christensen, pages 346-354.
A. Types of Safety Reminder Devices (SRD)
B. Applying Safety Reminder Devices
3
Objectives:
1. Explain the rationale for the use of restraints in a clinical setting.
2. Identify the various types of restraints and their specific uses.
3. Identify the procedures for proper application of restraints.
4. Identify appropriate assessments and care for patients with restraints.
5. Discuss pros and cons of utilizing safety reminder devices.
6. Detail measures to create a restraint-free environment.
7. List safety considerations for the older adult.
Activities:
1. Demonstration and lab practice - Restraints.
2. Video: "Geriatric Restraints"
3. Get Ready for NCLEX, “Key Points” & Review Questions, pg. 367-368.
4. Study for Unit Exam.
UNIT II: OBSERVATIONS - 15 HOURS
Pre-class Assignment: Christensen, FOUNDATIONS OF NURSING, Chapter 4 & 5.
Lesson I - Body Temperature - 2.5 Hours
Pre-class Assignment: Christensen, Chapter 4, pg. 56-69.
A. Guidelines for Obtaining Vital Signs
B. Temperature Regulation
C. Temperature Measurement
D. Thermometers
Objectives:
1. Define terms related to vital signs.
2. Explain the rationale for obtaining baseline vital signs.
3. Discuss the nursing process as it relates to vital signs.
4. Explain the guidelines for vital sign measurement.
5. Define terms related to body temperature.
6. Discuss factors that affect body temperature.
7. Accurately assess oral, rectal, axillary, and tympanic temperatures.
8. List advantages and disadvantages of using each body temperature site.
9. Identify factors that determine how often to monitor body temperature.
10. Identify nursing interventions for the patient with an abnormal body temperature.
11. List signs and symptoms of elevated body temperature.
12. Identify normal temperature values for each developmental stage.
13. Discuss documentation of body temperature.
Activities:
1. Vital Sign Measurement - Lab Practice.
2. Study Guide, “Vital Signs,” (optional)
4
Lesson II - Pulse Determination - 3 Hours
Pre-class Assignment: Christensen, Chapter 4, pages 69-75.
A. Stethoscope Use
B. Pulse Sites
C. Factors Influencing Pulse Rates
D. Obtaining Pulse Measurements
E. Apical Pulse
F. Pulse Deficit
Objectives:
1. Define terms related to pulse rates.
2. Identify the function of the various parts of a stethoscope.
3. List the various sites for pulse measurements.
4. Explain the technique for obtaining a peripheral pulse.
5. Explain the technique for obtaining an apical pulse.
6. Identify factors influencing pulse rates.
7. Describe accurate documentation of the pulse.
8. Explain and document pulse variations according to age.
9. Accurately access an apical pulse, a radial pulse, and a pulse deficit.
10. Discuss nursing interventions for the patient with an abnormal pulse.
Activities:
1. Video: "Examination Of The Peripheral Pulses"
2. Practice with Doppler.
3. Locate and measure pulses on lab partner (palpation and auscultation..
5. Handout, “The Stethoscope.”
Lesson III - Respirations - 1.5 Hours
Pre-class Assignment: Foundations of Nursing, Christensen, pages 75-77.
A. Respiratory Function
B. Obtaining a Respiratory Rate
Objectives:
1. Define terms related to respirations.
2. Discuss the mechanics of respiration.
3. Identify factors influencing respirations.
4. Describe the procedure for obtaining the respiratory rate.
5. Identify variations of respirations according to age.
6. Discuss nursing interventions for the patient with abnormal respirations.
7. Describe accurate documentation of respirations.
Activities:
1. Video: "Temperature, Pulse, Respirations"
2. Practice assessing respirations.
5
Lesson IV - Blood Pressure Determination - 4 Hours
Pre-class Assignment: Foundations of Nursing, Christensen, pages 77-86.
A. Blood Pressure Physiology
B. Blood Pressure Variations
C. Equipment
D. Blood Pressure Procedure
Objectives:
1. Define terms related to blood pressure.
2. Contrast systolic and diastolic pressures.
3. List the equipment necessary for obtaining a blood pressure.
4. Identify factors influencing blood pressure
5. Discuss measurement of orthostatic blood pressure.
6. State conditions causing alterations in blood pressure.
7. Explain the technique for obtaining a blood pressure.
8. Discuss nursing interventions for the patient with an abnormal BP reading.
9. State the procedure for documenting the blood pressure.
10. Identify normal blood pressure ranges according to age.
11. Describe a method for determining appropriate blood pressure cuff size for clients.
12. Discuss forearm versus upper arm blood pressure measurements.
13. Describe the benefits and the precautions to follow for self-measurement of BP.
Activities:
1. Video: "Blood Pressure"
2. Practice blood pressure measurement on lab partner.
3. Return Vital Signs Demonstration – including apical heart rate.
Lesson V - Introduction to Physical Data Collection - 2 Hours
Pre-class Assignment: Foundations of Nursing, Christensen Chapter 5 – pg. 93-106.
A. Signs and Symptoms
B. Disease and Diagnosis
C. Assessment
Objectives:
1. Define terms related to physical assessment.
2. Discuss the difference between a sign and a symptom.
3. Compare and contrast the origins of disease.
4. List the four major risk factors for development of disease.
5. Discuss frequently noted signs and symptoms of disease conditions.
6. Describe the nursing responsibility when assisting a physician with physical exam.
7. Discuss the psychological preparation of the patient for physical assessment.
8. Explain the necessary skills for the physical examination/nursing assessment.
9. Explain physical assessment techniques.
10. Discuss the nurse/patient interview.
11. List the basic essential health history.
12. Identify ways to develop cultural sensitivity.
6
Activities:
1. Handout: Physical Assessment Techniques
2. Study for Unit Exam.
Lesson VI - Performing Physical Data Collection - 2 Hours
Pre-class Assignment: Foundations of Nursing, Christensen, pages 106-119.
A. Introduction to Physical Data Collection
B. Weight and Height
C. Head to Toe Physical Data Collection
Objectives:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Define terms related to physical assessment.
List equipment and supplies necessary for the physical examination.
Describe the correct methods of obtaining weight and height.
Identify factors influencing weight and height.
Describe the four physical assessment techniques.
Describe the sequence of steps when performing a nursing assessment.
Discuss age-related considerations that may impact physical data collection.
Discuss normal and abnormal assessment findings in the head-to-toe assessment.
Describe the adventitious breath sounds.
Describe documentation of the physical examination/nursing assessment.
Activities:
1. Handouts "Levels of Consciousness, “Guidelines to Monitoring Paient Status.”
2. Video: "Rapid Physical Assessment.’
3. Handout, “Normal/Adventitious Breath Sounds.”
4. Study for Unit Exam.
5. Review: Get Ready for NCLEX, “Key Points”& Review Questions, 119-120.
UNIT III - NURSING PROCESS AND DOCUMENTATION - 13 HOURS
Pre-class Assignment: Christensen, FOUNDATIONS OF NURSING, Chapter 6 and 7;
Success in Practical/Vocational Nursing, Hill & Howlett, Chapter 8, pages 107-121.
Lesson I - Nursing Process Overview And Introduction - 3.5 Hours
Pre-class Assignment: Foundations, Christensen, pages 121-127. Mosby's
Dictionary. Appendix 12-1-pages 2068-2110-Nanda Approved Nursing Diagnosis.
Mosby’s Dictionary. Appendix 12-2-pages2111-2185-Nanda Approved Nursing
Diagnosis Relevant to Diseases, Disorders, and Procedures.
7
A. Overview of the Nursing Process
B. Data Collection (Assessment)
C. Nursing Diagnosis
Objectives:
1. Discuss the concept of critical thinking.
2. Identify terms related to the nursing process.
3. Describe the purpose of the nursing care plan.
4. Describe the six components of the nursing process.
5. Explain the use of each nursing process phase.
6. List sources of data.
7. Contrast objective and subjective data.
8. Contrast nursing diagnosis with medical diagnosis.
9. Identify components of a nursing diagnosis.
10. Compare actual and at risk nursing diagnosis.
11. Identify NANDA.
12. Utilize "related to" and "manifested by" correctly.
Activities:
1. Handouts: "Student Nursing Care Plan"
"How to Make A Nursing Diagnosis”
"Characteristics of Critical Thinking"
2. Video: "The Nursing Process: A Systematic Approach" (optional)
3. Transparency: "Guidelines for Nursing Diagnosis"
4. Foundations Study Guide-“Nursing Process and Critical Thinking” page 39
and “Documentation” page 47.
Lesson II - The Nursing Process In Practice - 4 Hours
Pre-class Assignment: Foundations, Christensen, pages 127-135.
Hill, Success In Practical/Vocational Nursing, pages 107-121.
Wold. Basic Geriatric Nursing. Review as applicable to elderly patients.
Mosby's Medical, Nursing & Allied Health Dictionary, Appendix 12-1 and 12-2
A. Outcomes Identification/Goals
B. Planning
C. Implementation
D. Evaluation
E. Role of the LPN in the Nursing Process
Objectives:
1. Evaluate the role of the Outcomes Identification/Goals in the nursing process.
2. Evaluate the role of planning in the nursing process.
3. Evaluate the role of implementation in the nursing process.
4. Evaluate the role of evaluation in the nursing process.
5. Discuss the process of care plan revision.
8
6.
7.
8.
9.
Identify the steps of the evaluation process.
Describe four components of the evaluation process.
Identify the role of the practical nurse in the utilization of the nursing process.
Identify the differences between expected outcomes, long-term goals, and short-term
goals.
10. Contrast the student care plan with an institutional care plan.
11. Explain the role of critical pathways in the nursing process.
Activities:
1. Practice writing nursing care plans.
Lesson III- Recording - 2.5 Hours
Pre-class Assignment: Foundations, Christensen - pages 138-149.
A. Purposes Of Patient Records
B. Basic Guidelines for Documentation
C. Methods of Recording
Objectives:
1. List five purposes for keeping medical reports.
2. Explain the various methods of recording
3. Identify accurate charting entries.
4. Identify the different forms in a client's chart.
5. Implement accurate use of acceptable abbreviations and terms when charting.
6. Match descriptive terms with their proper definition (see handout).
7. Contrast objective data with subjective data.
8. State specific times according to a 24-hour clock.
9. Identify basic guidelines for documentation.
Activities:
1. Transparencies:
"Charting Errors"-“Charting Examples”-“Mistakes”“Types of Mistakes”
2. Handous: "Descriptive Charting Terms"
"Guidelines to Monitoring Patient Status"
3. Group participation - "Charting Practice Worksheet"
Lesson IV - Communications Among Health Team Members - 3 Hours
Pre-class Assignment: Foundations, Christensen, pages 149-157.
A.
B.
C.
D.
Documentation and Clinical (Critical) Pathways
Home Health Care Documentation
Long Term Health Care Documentation
Special Issues in Documentation
Objectives:
1. Define key terms related to recording and reporting.
9
2.
3.
4.
5.
6.
7.
State guidelines to be used for giving reports about clients.
Explain the importance of change of shift reports.
List ways to maintain confidentiality of reports.
Explain how to verify telephone reports.
Describe guidelines to use in completing incident reports.
Compare documentation in the various healthcare facilities/environments (home
health, long-term care, etc.)
8. Explain the use of a Kardex.
9. Define Critical (Clinical) Pathways
10. Discuss the use of computers for data collection.
11. Utilize military time accurately.
Activity:
1. Video: "The Nurse and the Deposition"
2. Group Participation: Charting Practice Worksheet
3. Unit Examination
UNIT IV: SURGICAL ASEPSIS AND INFECTION CONTROL - 2.5 HOURS
Lesson I - Surgical Asepsis - 2 Hours
Pre-class Assignment: Foundations of Nursing, Christensen, pages 291-307.
A. Principles of Sterile Technique
B. Sterile Gloving
C. Cleaning, Disinfection, and Sterilization
Objectives:
1. Identify principles of surgical asepsis.
2. Describe situations in which surgical asepsis is used.
3. Correctly don sterile gloves and surgical mask.
4. List the steps to avoid contamination when opening a sterile package.
6. Explain the basic principles of maintaining sterile technique.
7. Describe the accepted techniques of preparation for disinfection and sterilization.
Activities:
1. Practice sterile gloving and opening sterile packages.
2. Return demonstration of sterile gloving.
Lesson II - Infection Control in Alternative Healthcare Settings - 0.5 Hour
Pre-class Assignment: Foundations of Nursing, Christensen, pages 303-309.
A. Evaluating Knowledge Base
B. Factors That Impact Compliance
10
Objectives:
1. List ways to evaluate patient and significant other's knowledge of infection control.
2. Discuss patient teaching for infection prevention and control as an element of health
promotion.
3. Identify cultural considerations that impact infection control.
4. Discuss factors that predispose the older adult to infections.
Activities:
1. Use infection control and medical asepsis in your daily activities.
2. Study for Unit Exam.
3. Get Ready for NCLEX, “Key Points,”& Review Questions, pg. 307-309.
UNIT V - ELIMINATION – 15 HOURS
Pre-class Assignment: Christensen, Foundations of Nursing, Chapters 18, 19, & 20.
Lesson I - Fecal Elimination - 2 Hours
Pre-class Assignment: Christensen, pages 465-468, 589-592.
A. Anatomical Review
B. Factors Influencing Defecation
C. Common Problems
D. Bedpans and Urinals
Objectives:
1.
2.
3.
4.
5.
6.
7.
8.
List functions of the large intestine.
State the divisions of the large intestines starting at the ileo-cecal valve.
List factors that influence bowel elimination.
Identify common bowel elimination problems.
Identify normal and abnormal characteristics of stool.
Describe the role medications play in promotion of bowel elimination.
Describe the various types of bedpans and urinals.
Identify psychological and physiological factors that influence the elimination
process.
9. Discuss home care tips regarding bowel elimination.
Activities:
1. Handout, "Bowel Anatomy"
3. Handout "Bowel Elimination Terms.”
3. Study Guide, “Specimen Collection & Diagnostic Examination.” (optional)
4. DVD: “The Digestive System.”
11
Lesson II - Specimen Collection and Diagnostic Tests: Introduction - 1.5 Hours
Pre-class Assignment: Foundations of Nursing, Chapter 19, Christensen, pages
475-494, 499-501.
A. Diagnostic Examination
B. Guidelines for Specimen Collection
C. Obtaining Fecal Specimens
Objectives:
1. Define key terms related to specimen collection and diagnostic tests.
2. Discuss guidelines for specimen collection.
3. Explain the nurse's role in the collection of stool specimens.
4. State the role of endoscopy in diagnosing gastrointestinal problems.
5. Identify the equipment necessary for collection of stool specimens according to the
type of specimen ordered.
Activities:
1. Study Guide, Chapter 20, pages 143-144. (optional)
Lesson III - Skills Related To Intestinal Disorders - 3 Hours
Pre-class Assignment: Christensen, pages 592-595.
A. Enema Administration
B. Siphoning an Enema
C. Rectal Tube
D. Fecal Impaction
Objectives:
1. List key points in teaching the client to achieve and maintain healthy bowel
elimination.
2. Discuss the various solutions used for enemas.
3. Compare a cleansing enema with a retention enema.
4. Chart the administration of an enema.
5. Identify the purpose of a rectal tube.
6. Identify indications of a fecal impaction.
7. Discuss why fecal impaction removal may be dangerous to the patient.
8. Explain the procedure for administering a cleansing enema, a Fleets enema and a
rectal tube.
9. Write information to be documented about bowel elimination procedures.
Activities:
1. Video: "Fleets Enema"
2. Handouts: "Policy on Fecal Impaction Removal"
3. Bowel Terminology Quiz
12
4. Study for Bowel Elimination Exam.
Lesson IV - Urinary Elimination - 3 Hours
Pre-class Assignment: Foundations of Nursing, Christensen, pages 566-569, 580-583.
A. Assessment of Urine Elimination
B. Anatomical Review
C. Common Urinary Elimination Problems
D. Bladder Training
Objectives:
1.
2.
3.
4.
5.
6.
7.
Define terms relevant to urinary elimination needs.
List assessment areas related to urinary elimination.
Identify gross anatomy of the urinary system with consideration of gender differences.
List five common urinary problems.
Identify normal and abnormal characteristics of urine.
Discuss the bladder training program.
Explain the goals of bladder training.
Activities:
1. Handout "Urinary Elimination Terms"
2. DVD, “The Urinary System.”
Lesson V - Specimen Collection For Diagnostic Tests: Urinary - 1.5 Hours
Pre-class Assignment: Foundations of Nursing, Christensen, Chapter 19, pages 494-497.
A. Collecting Urine Specimens
B. Urinalysis
Objectives:
1.
2.
3.
4.
5.
6.
7.
List the steps in implementing collection of a clean-catch urine specimen.
Identify steps necessary in the collection of a 24-hour urine collection.
Explain how to obtain a urine specimen from a retention catheter.
Identify steps necessary in collecting urine specimens in children.
Compare routine specimen collection and clean-catch specimen collection.
Explain what reagent strips are.
Discuss the findings in a normal urinalysis.
Activities:
1. Video-"Collecting Specimens and Urinary Catheter Care"
2. Study Guide, Chapter 20, pages 141-143. (optional)
13
Lesson VI - Urinary Catheterization - 4 Hours
Pre-class Assignment: Christensen, pages 569-583.
A.
B.
C.
D.
Types of Catheters
Female Catheterization
Male Catheterization
Self Catheterization
E.
F.
G.
H.
Removing an Indwelling Catheter
Catheter Irrigation/Instillations
Performing Catheter Care
Performing Vaginal Irrigation
Objectives:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Identify factors that commonly influence urinary elimination.
List methods of stimulating voiding in a client with urinary retention.
Identify the various types of urinary drainage devices.
List the steps in urinary catheterization.
Identify information for documentation of a urinary catheter insertion.
Discuss the needs of a client with an indwelling catheter.
State how to perform catheter care.
Discuss the procedure for catheter irrigation/instillation.
Contrast catheter irrigation with 3-way continuous bladder irrigation.
Identify alternatives to catheterization.
List steps to remove an indwelling catheter.
Discuss the immediate effects of removal of an indwelling catheter.
Describe changes in urinary elimination in the elderly.
Discuss home care tips regarding urinary elimination.
Describe the steps of vaginal irrigation including implications for the procedure.
Activities:
1. Video: "Urethral Catheterization"
2. Lab available to practice catheterization.
3. Return catheterization demonstration.
4. Study for Unit Examination
UNIT VI - OXYGENATION NEEDS - 6 HOURS
Pre-class Assignment: Christensen, Foundations of Nursing, Chapters 19 & 20
Adult Health Nursing, pages 28-31.
Lesson I - Introduction to Respiratory Skills - 2 Hours
Pre-class Assignment: Foundations of Nursing, Christensen, pages 507-508, 501507. 555-569. Adult Health, Christensen, pages 31-35
A. Data Collection
B. Specimen Collection
14
C. Lung Inflation Techniques
Objectives:
1. Define terms related to the respiratory system.
2. List basic structures and functions of the respiratory system.
3. Discuss common causes of airway obstruction.
4. Contrast productive and nonproductive cough.
5. Describe various breathing patterns.
6. List the steps involved in obtaining a sputum, nose and throat specimen.
7. List the various studies that may be performed on sputum.
8. Discuss the most effective way to remove secretions.
9. Demonstrate abdominal and pursed lip breathing exercises.
10. Explain the use of the incentive spirometer.
Activities:
1. Transparencies
2. Video "Breath Sounds"
3. Video "Collecting a Sputum Specimen"
Lesson II - Oxygen Therapy - 2 Hours
Pre-class Assignment: Christensen, Foundations of Nursing, pages 555-569, 970971. Adult Health Nursing, pages 383-384,"Pulse Oximetry"
A. Data Collection
B. Humidifiers
C. Safety Precautions
D. Oxygen Delivery Equipment
E. Pulse Oximetry
Objectives:
1. Define terms related to oxygen therapy.
2. List factors that alter oxygen needs.
3. List modes of delivering oxygen therapy.
4. Describe accessory oxygen equipment.
5. List safety factors for oxygen administration.
6. Document oxygen administration.
7. Discuss the various methods that can be used for oxygen administration.
8. State the purpose of an arterial blood gas.
9. Identify the purposes of a pulse oximeter.
10. Discuss the purpose of humidifiers.
11. Identify symptoms of hypoxia.
Activities:
1. Study for Unit Examination.
Lesson III - Oropharyngeal and Nasopharyngeal Suctioning - 2 Hours
15
Pre-class Assignment: Christensen, pages 567-569, 827, Bulb Suctioning of Pediatric
Patient, Page 981.
A. Data Collection
D. Nasopharyngeal Suctioning
B. Types Of Suction Catheters
E. Bulb Suctioning – Infant
C. Oropharyngeal Suctioning
Objectives:
1. Discuss techniques for performing oropharyngeal/nasopharyngeal suctioning.
2. List critical elements of airway suctioning.
3. Describe the purposes of suctioning.
4. Identify essential assessment data needed before and after suctioning.
5. Describe the correct method of bulb suctioning an infant.
6. Discuss adaptations for suctioning of the pediatric client.
Activities:
1. Video "Suctioning" (Parts 1 and 2)
2. Unit Examination.
UNIT VII - PERIOPERATIVE NURSING - 8 HOURS
Pre-class Assignment: Christensen, Adult Health Nursing, Chapter 2 &
Foundations of Nursing, Chapter 20.
Lesson I - Preoperative Nursing Care - 3 Hours
Pre-class Assignment: Christensen Adult Health, pages 17-44.
A. Nursing Process Guide
B. Preoperative Teaching
C. Preoperative Preparation
D. Intraoperative Phase
Objectives:
1. Define terms related to care of the surgical patient.
2. Explain the concept of perioperative nursing.
3. List the classification of surgical procedures.
4. Identify the medical conditions that increase surgical risk.
5. Discuss the factors that influence an individual’s ability to tolerate surgery.
6. Discuss considerations for the older adult surgical patient.
7. Discuss the preoperative checklist.
8. Discuss the common fears associated fears with surgery.
9. Assess for preoperative psychological needs of the patient.
10. Explain the procedure for turning, deep breathing, coughing, and leg exercises for
postoperative patients.
11. Explain the physical preparation needs of the preoperative patient.
12. Discuss the proper application and rationale of antiembolism stockings.
13. Discuss the importance of informed consent for surgery.
14. Discuss the rationale for the incentive spirometry devices.
15. Describe the role of the circulating nurse and the scrub nurse during surgery.
16
Activities:
1. Handout "Surgical Risk Factors"
2. Review surgical bedmaking
Lesson II - Postoperative Phase - 2 Hours
Pre-class Assignment: Christensen (Adult Health), pages 44-58.
A. Postoperative Recovery
B. Planning for Discharge and Follow-up
Objectives:
1. Discuss the functions of the nurse in the care of the patient immediately following
surgery in the PACU (postanesthesia care unit).
2. Explain the effect anesthesia may have on a patient’s vital signs.
3. Discuss the nursing interventions associated with the ABC's of immediate recovery.
4. Identify the rationale for nursing interventions designed to prevent postoperative
complications.
5. Discuss nursing data collection and interventions related to: incision, ventilation, pain,
urinary function, venous stasis, activity, gastrointestinal status, and fluids/electrolytes.
6 Identify the information needed for the postoperative patient in preparation for
discharge.
Activities:
1. Handout "Post-Op Assessment Checklist"
2. Handout "Home Care Guidelines"
Lesson III - Gastrointestinal Suction, Gastric Feeding - 3 Hours
Pre-class Assignment: Christensen, Foundations of Nursing, pages 583-589.
A. Purposes
B. Types
C. Insertion
D. GI Suction
E. Irrigation
F. Removal
Objectives:
1. List the four main purposes for utilizing a nasogastric tube.
2. Explain the procedure for inserting a nasogastric tube, including the LPN's role.
3. Identify the accepted methods of checking placement of a nasogastric tube.
4. Explain nursing interventions for the patient with nasogastric intubation.
5. List methods used to prevent reflux into the vent lumen of a Salem sump tube.
6. List steps for irrigating a nasogastric tube.
7. List essential data collection before administering tube feedings.
8. Describe the procedure for nasogastric tube removal.
9. Discuss needs of the patient following removal of the NG tube.
10.Describe documentation of nasogastric tube removal.
17
Activities:
1. Video: "Nasogastric Tube Insertion"
2. Study for Unit Examination.
3. Study Guide, Chapter 20, pages 144-147.
UNIT VIII - WOUND CARE - 10 HOURS
Pre-class Assignment: Christensen, Foundations of Nursing, Chapter 13
Lesson I - Healing Process - 3 Hours
Pre-class Assignment: Foundations of Nursing, Christensen, pages 310-342.
A. Wound Classifications
B. Wound Healing
C. Surgical Wound
Objectives:
1. Define terms related to wound care.
2. List the three major types of wound drainage.
3. Identify the signs and symptoms of inflammation.
4. Contrast primary wound healing with secondary wound healing.
5. Identify factors that promote wound healing.
6. Explain the role of granulation tissue in the healing process.
7. Discuss factors that impair wound healing.
8. Match nutrients with their role in wound healing.
9. Identify food sources of specific nutrients.
10. Explain the importance of the white blood cell count in monitoring for wound
infection.
11. Compare dehiscence and evisceration.
12. Identify pertinent data necessary for wound assessment.
13. Describe the nursing process and wound care.
Activities:
1. Transparency - Wound Healing
2. Read assignments
3. Foundations Study Guide-“Surgical Wound Care” page 89.
Lesson II - Wound Care - 4 Hours
Pre-class Assignment: Foundations of Nursing, Christensen, pages 315-333.
A. Standard Steps in Wound Care
B. Care of the Incision
18
C.
D.
E.
F.
G.
Changing a Sterile Dressing
Changing a Wet to Dry Dressing
Transparent Dressing
Irrigations
Complications of Wound Healing
Objectives:
1. Discuss the purposes of dressings.
2. Match the various types of dressings with the appropriate description.
3. Identify methods used to secure dressings.
4. Explain proper taping techniques.
5. Chart a dressing change.
6. List the steps of a sterile dressing change.
7. Demonstrate the correct methods of cleansing wounds.
8. Identify purposes of wound drains and suction.
9. Explain the rationale for applying Wet-To-Dry Dressings.
10. Describe various methods of suturing.
11. Describe basic steps of wound irrigation.
12. Explain the action of Hydrocolloid dressings.
13. List steps necessary to obtain a wound culture.
14. State purposes for obtaining a wound culture.
Activities:
1. Continue to read ahead and write objectives.
Lesson III - Bandages And Binders - 1.5 Hours
Pre-class Assignment: Foundations of Nursing, Christensen, pages 333-342.
A. Application Guidelines
B. Application Techniques
Objectives:
1. Discuss the purposes of bandages and binders.
2. List the common types of bandages.
3. Identify basic turns in bandaging.
4. Explain guidelines for application of bandages.
5. Describe essential aspects for application of binders.
6. List data collection required to apply bandages and binders.
7. Correctly apply bandages and binders.
8. Document application of bandages and binders.
9. List data collection required following application of bandages and binders.
Activities:
1. Lab is available for practicing bandaging procedures.
Lesson IV - Heat And Cold Therapy - 1.5 Hours
Pre-class Assignment: Foundations of Nursing, Christensen, pages 529-536.
19
A.
B.
C.
D.
Data Collection
E. Guidelines for Applying Heat and
Cold
F. Heat and Cold Applications
Local Effect of Applying Heat and Cold
G. Eye and Ear Irrigations
Factors Influencing Heat and Cold Tolerance
Objectives:
1. Discuss the physiological effects of heat and cold on the body.
2. Identify reasons for administering hot and cold applications.
3. Explain various methods of applying dry or moist cold therapy.
4. Identify essential assessment data required before administering hot and cold
applications.
5. Identify contraindications of the use of heat or cold.
6. Explain the rebound phenomenon.
7. Explain the proper method of filling a hot water bottle and ice bag.
8. Discuss how to use an Aqua K pad.
9. Select the definition of hypothermia.
10. Select the correct time duration when applying soaks, heat or cold.
11. Discuss safety factors for application of hot and cold.
12. Describe the steps in performing eye and ear irrigations.
Activities:
1. Transparencies
2. Study for Unit Examination
3. Return Demonstrations for Basic Skills (Enemas, specimen collection,
NG Tube irrigation, sterile dressing changes, application of bandages
and binders, heat and cold therapy, O2 therapy).
UNIT IX - LOSS, GRIEF, DYING AND DEATH - 8 HOURS
Pre-class Assignment: Foundations of Nursing, Christensen, Chapters 10 and 40.
Lesson I - Grieving Process - 3 Hours
Pre-class Assignment: Foundations of Nursing, Christensen, pages 218-238.
A.
B.
C.
D.
Loss
Grief and Grieving
Supportive Care During the Dying/Grieving Process
Issues Related to Dying/Death
Objectives:
1. Explain the role of loss in the grief reaction.
2. State strategies toward survival for nurses.
3. Discuss various losses faced by the chronically ill.
20
4.
5.
6.
7.
Identify factors influencing a grief reaction.
List the five stages of the grieving process according to Kubler-Ross.
Define anticipatory grief, unresolved grief, and dysfunctional grief.
List nursing interventions that may facilitate grieving in special circumstances
(perinatal, pediatric, older adult, and suicide).
8. Explore your personal feelings in relationship to death.
9. Discuss issues related to dying and death.
10. Explain concepts of euthanasia, DNR, organ donations, fraudulent methods of
treatment.
Activities:
1. Write your obituary.
2. Study Guide-“Loss, Grief, Dying and Death.” (optional)
Lesson II - Special Needs Of The Dying - 3 Hours
Pre-class Assignment: Christensen, pages 237-247.
A. Psychological Care
B. Physical Care
C. Post-mortem Care
D. Legal Aspects
Objectives:
1. Discuss the "Dying Person's Bill Of Rights."
2. Describe techniques in assisting the dying patient to say good-bye.
3. Identify unique physical signs and symptoms of the near-death patient.
4. Discuss the role of family members of the patient during the dying process.
5. Discuss nursing interventions for the dying patient.
6. Discuss the changes that occur in the body after death.
7. State the steps in post-mortem care.
8. Identify circumstances that require an autopsy.
9. Document post-mortem care.
10. Identify the purpose of a death certificate.
Activities:
1. Visit to a local funeral home.
Lesson III - Hospice Care - 2 Hours
Pre-class Assignment: Foundations of Nursing, Christensen, Chapter 40, pages
1222-1236.
A. Historical Perspective
B. Issues & Responses of the Terminally Ill
C. Hospice Approach
D. Symptom Control and Nursing Care
E. Bereavement Period
F. Ethical Issues
21
Objectives:
1. Discuss the philosophy of hospice care.
2. Differentiate between palliative care and curative care.
3. Discuss four criteria for admission to hospice care.
4. Name the members of the interdisciplinary team and explain their roles.
5. Discuss symptom control and nursing interventions recommended by hospice for each
of the following problems: pain, nausea and vomiting, constipation, malnutrition,
anorexia, dyspnea or air hunger.
6. Discuss the usefulness of pain assessments and when it is best to complete them.
7. List signs and symptoms of approaching death to teach the caregiver.
8. Discuss the role of hospice in families’ bereavement period.
9. Discuss two ethical issues in hospice care.
Activities:
1. Study for Unit Examination.
2. Complete Standardized Testing. (time will be given in class.)
Basic Nursing II
Revised 07/10
22