School of Nursing - UT Health Science Center San Antonio

Fall 2008

NURE 3301-001 Perioperative Nursing I

This course resides in the Department of Acute Nursing Care

Additional Materials will be provided during the first day of class August 30, 2008

FACULTY
Frank Laureano, RN, MSN, CNOR
E-mail: Laureano@uthscsa.edu
Phone: (210) 567-5844
Pager: (210) 821-0594
Fax: (210) 567-1719
Office: 2.623
Office Hours: By Appointment
Acute Nursing Care Department		  

COURSE DESCRIPTION
This is a "hands-on" 15 week course, designed to produce students who will be able to function as beginning staff nurses in the operating room (OR) following graduation. This course reviews the framework of Perioperative Nursing and adds the needed depth and breadth necessary to work in ORs as novices. Theory and roles of perioperative nursing, introduced in semester I, will be expanded upon. (It also differs from the elective course "Introduction to Perioperative Nursing", where only a general orientation to the OR is presented in a three weeks course.) The clinical practicum is based on the utilization and application of research. Students are expected to provide perioperative care to select populations such as general and OB/GYN surgery patients. The role of the professional circulating nurse will be emphasized, with an exposure to the scrub role. Critical thinking, problem solving, and decision making are integral parts of the course, and are incorporated into both didactic and practicum experiences. Basic perioperative competencies will be demonstrated by the student by the conclusion of the course.

CREDIT AND TIME ALLOCATION
1.5 hour class and 1.5 hours clinical (3 course hours)

PREREQUISITES
3802, Generic Students entering the 3rd and 4th semester, Flex Students.  The selection of students for this course will be determined by the course instructor following an interview.

COURSE OBJECTIVES
  1. Identify the roles of the professional perioperative nurse.
  2. Recognize safety needs of patients and the surgical team.
  3. Demonstrate the ability to work safely and independently.
  4. Demonstrate time management and consistent surgical conscience.
  5. Identify the surgical team players and adequately function as a team member.
  6. Be an effective manager of resources.
  7. Identify and intervene for the physiological needs of select surgery patients.
  8. Recognize and respond to psychological needs of surgical patients.
  9. Demonstrate basic perioperative skills.
  10. Discuss anesthesia protocols, monitoring and induction assistance.
  11. Discuss the legal and ethical ramifications of perioperative nursing.
  12. Perform basic competencies of circulating, and develop an understanding of the scrub role.
  13. Demonstrate the ability to make decisions, problem solve, and think critically in a high stress fast pacedenvironment.

CLINICAL OBJECTIVES
N/A

CRITERIA FOR EVALUATION / GRADES
Evaluation:
Class: Quizzes, student presentation, attendance of 90% of classes
40% - quiz
40% - quiz
20% - presentation
100% - Total
 A = 90-100%
B = 80-89%
C = 70-79%
D = 60-69%
F = Below 60%

Clinical: Pass/fail (credit/no credit)
  - Demonstrated competencies in selected perioperative skills (see attached tool)
  - Evaluations of preceptor and clinical instructor re: team member, safe practice
  - Attendance of 90% of the clinical
  - Participation in clinical conferences

SCHOLASTIC DISHONESTY
Students are expected to be above reproach in all scholastic activities. Students who engage in scholastic dishonesty are subject to disciplinary penalties, including the possibility of failure in the course and dismissal from the university. "Scholastic dishonesty includes but is not limited to cheating, plagiarism, collusion, and submission for credit of any work or materials that are attributable in whole or in part to another person, taking an examination for another person, any act designed to give unfair advantage to a student or the attempt to commit such acts." Regents Rules and Regulations, Part One, Chapter VI, Section 3, Subsection 3.2, Subdivision 3.22.

American with Disabilities Act (ADA) Accommodations
Any student seeking ADA Accommodations under the American with Disabilities Act should contact the Associate Dean for Students within the first week of the semester so that appropriate accommodations may be arranged. A Request for Accommodations (Form 100) must be completed. These forms are available in the Office for Students Room: 1.118-16

REQUIRED TEXT / REFERENCE
None

RECOMMENDED (OPTIONAL) TEXT / REFERENCE
None

CONTENT OUTLINE
  1. The surgical team
  2. Patient centered outcomes
  3. Legal, ethical issues
  4. Perioperative nursing roles
  5. Principles of aspesis and sterile technique
  6. Attire, surgical scrub, gloving and gowning
  7. Sterilization and disinfection
  8. Surgical preparation: skin prep, positioning, draping
  9. Safety
  10. Hemostasis and blood loss
  11. Wound closure
  12. Instrumentation
  13. Surgical Specialties
  14. Emergencies in the OR/malignant hyperthermia
  15. Competencies
  16. Anesthesia monitoring and assistance
  17. Electrosurgery, laser surgery

CALENDAR - First Week Only
Please check the Fall 2008 Schedules for recent updates on Class Dates & Room.
Date Topic / Assignment Due

Saturday, August 30, 2008
(6:30 a.m. - 3:30 p.m.)

Orientation to Environment roles & responsibilities University Hospital 2nd Floor, Operating Room.

Course packet provided the first day of class.