Perioperative Nursing (4 cr)

Objectives (course unit)

The student
- knows the role of the perioperative nurse
- knows the meaning of aseptics in intraoperative nursing
- knows the significance of patient safety and continuity in perioperative care
- knows the main methods of preparation of a patient's anaesthesia;
- knows the medication and infusions used in anaesthesia
- knows the observation and the main areas of treatment under anaesthesia and in recovery room
- recognises main surgical instruments and suture materials and knows their basic use in surgery
- knows the main equipment and their use in the operating theatre
- knows the most common methods of disinfection and sterilasation
- becomes familiar with positioning the patient for the operation

Content (course unit)

- various roles of a perioperative nurse
- nursing in day surgery and ambulatory surgery
- interaction with the patient
- guidance of patients of different ages and special issues in perioperative nursing
- preparation of the operating theatre for surgery
- patient safety, documentation and reporting in perioperative nursing
- preparation of the patient for the operation
- the principles of aseptics in the operating theatre
- the main instruments and equipment and their use in the operating theatre
- the most common methods in disinfection and sterilasation in perioperative nursing
- induction and observation of the patient during the operation
- medication and fluid therapy in anaesthesia
- observation of the patient in the recovery room
- pain control in immediate postoperative nursing

Prerequisites (course unit)

30 ects of first year studies completed, including Pharmacotherapy and Medical Calculations. Participation in course Intravenous Fluid Therapy and Blood Transfusion.

Assessment criteria, satisfactory (1-2) (course unit)

The student
- perceives the patient's care path in the intraoperative phase
- perceives the perioperative nurse's job description in the intraoperative care of the patient
- is able to guide the patient in the intraoperative phase
- knows the importance of patient safety and continuity of care during intraoperative care
- knows the importance of aseptics in the work of the operating room and in minor surgery
- knows the main preparation methods for the patient's anaesthesia
- knows the infusions and medications used for the patient's anaesthesia
- knows the most important aspects of monitoring a patient under general or local anaesthesia during the operation and in the recovery room
- knows the most important surgical instruments
- knows the main surgical sutures
- knows the treatment tools used in the patient's intraoperative phase
- knows the most-used disinfectant and sterilisation methods in perioperative nursing
- knows the most used surgical positionings
- knows the importance of written documentation and oral reporting of the patient care

Assessment criteria, good (3-4) (course unit)

The student
- knows the patient's care path in the intraoperative phase
- knows the perioperative nurse's job description in the intraoperative care of the patient
- is able to guide the patient with detailed explanations during the intraoperative phase
- understands the importance of patient safety and continuity of care during intraoperative care
- knows the importance of aseptics in the work of the operating room and in minor surgery and is able to act according to the aseptic rules
- knows the main preparation methods for the patient's anaesthesia
- knows the infusions and medications used in the patient's anaesthesia
- know the most important surgical sutures and the purpose of their use
- knows the most important aspects of monitoring a patient under general or local anaesthesia during the operation and in the recovery room
- is able to identify the most common treatment tools in the intraoperative phase and knows the basics of using them
- knows the most-used disinfectant and sterilisation methods in perioperative nursing
- is trained in creating the most common surgical positionings for the patient’s operation
- is able to document the main areas of the patient’s anaesthesia

Assessment criteria, excellent (5) (course unit)

The student
- understands the patient's care path in the intraoperative phase
- understands the perioperative nurse's job description in intraoperative care and perceives the importance of teamwork
- is able to provide patient-centred guidance during the intraoperative care
- understands the importance of patient safety and continuity of care in the intraoperative care
- understands the importance of asepsis in the work of the operating room and minor operations and is able to work aseptically, having mastered the aseptics in different situations
- has mastered the preparation methods for the patient's anaesthesia
- knows the infusions and medications used in the patient's anaesthesia and knows their action mechanisms
- is able to monitor the essential aspects of a patient under general or local anaesthesia during the operation and in the recovery room
- is able to identify the most common surgical instruments and knows the purpose of their use
- knows the use of the most common sutures
- knows the most common treatment tools in the intraoperative phase and knows the basics of using them
- knows the most-used disinfectant and sterilisation methods in perioperative nursing
- knows how to create the most common surgical positioning and understands their importance for the patient’s condition
- is able to document the key areas of patient anesthesia and give oral reports about the patient’s condition during the operation, taking into consideration patient safety and continuity of care

Location and time

Course Final exam (theory) will be agreed upon orientation

Please, note! The test includes 2 parts: theory and medical calculation. Medical calculation can be completed in the classroom or in EXAM room

Group exam 3.4.2023
1st retake in Exam weeks 19-20
2nd retake in Exam on week 32

if failed both retakes, the student has to enroll in the next course.

The evaluation (0-5) is based on the final exam, assignments (excluding S2), and classroom attendance/active participation. Theoretical part + medical calculations, please note that these are separate parts of this course.

There are mandatory assignments in Moodle Platform. If a student wants feedback on their assignments they need to submit the assignments by xx For passing the course (no feedback given) the submission date is xx Submissions later than that, will not be considered or assessed.

Perioperative care: concepts and perioperative process
• TASK: Perioperative Process and aseptic principles
Surgical Nursing (Scrub and Circulating)
• TASK: Role and duties of scrub and circulating nurse
Small group session: Scrub and Circulating
• TASK: Surgical Nursing in the perioperative phase
Anesthesia
• TASK: Anesthesia preparation and induction
• TASK: Anesthesia maintenance GA
• TASK: Regional anesthesia

Postoperative care and CSSD (independent)
• TASK: Postoperative care and CSSD

S2 - task

Exam schedules

Course Final test in Exam during week
Please, note! The test includes 2 parts: theory and medical calculation
1st retake in Exam on week
2nd retake in Exam on week

Mandatory small group sessions: please see course schedule

Task submission deadline: will be agreed during first theory and orientation class

Assessment methods and criteria

To pass the course successfully, all the tasks/assignments, need to be achieved in the given time. The course will be evaluated as Failed / Satisfactory 1 - Excellent 5. The evaluation is based on the final exam (evaluation 0-5). The final exam includes medical calculation (pass/failed).

In order to pass the tasks/tests and exam, the answers cannot show or present such action, which would cause danger, harm, injury, or death to the patient.

Assessment scale

0-5

Teaching methods

The information about this course will be updated and agreed upon with the students during the first theory and orientation (see the schedule)

The course has different learning methods: online studies in Tuni-Moodle, blended learning in a classroom, lectures, small group work, and independent studies.

This course will include the following mandatory parts
1. independent/pair assignments
2. small group sessions (2)
3. S2 assignment
4. Theory exam + medical calculation

Participation in contact teaching/lectures is highly recommended

Learning materials

Recommended Literature:
• Hinkle, J.L & Cheever, K.H : Brunner & Suddarth's Textbook of Medical-Surgical Nursing. Wolters Kluwer Health/Lippincott Williams & Wilkins; 2017. (also earlier publications)
• Wicker P, Dalby S. Rapid Perioperative Care. Hoboken: John Wiley & Sons, Incorporated; 2016
• Wicker P. Perioperative Practice at a Glance. 1st ed. Wiley-Blackwell; 2015.
• Criscitelli T. Fast Facts for the Operating Room Nurse: An Orientation and Care Guide in a Nutshell. New York: Springer Publishing Company; 2014.

Content: same as in the course plan
- various roles of a perioperative nurse
- day surgery and ambulatory surgery
- guidance of patients
- special issues in perioperative nursing
- preparation of the operating theatre for surgery
- patient safety, documentation, and reporting in perioperative nursing;
- preparation of the patient for the operation
- the principles of aseptic practice in operating room
- the essential equipment and its use in the operating theatre;
- the most common methods in disinfection and sterilization;
- induction and observation of the patient during the operation;
- medication and fluid therapy in anesthesia:
- observation of the patient in the recovery room;
- pain control in immediate postoperative nursing

Medical calculations:
• Calculation skills for nurses (e-book).2013. Boyd, Claire
• Gatford & Phillips. Nursing Calculations.2006.
The material provided during the course and created in teams and small groups

Student workload

The course is 4 ECTS. 1 ECTS is 27 hours of student work. The total work is 108 hours of student work, including possible online studies, blended learning, small group work lessons, and independent studies.

Further information

Tamk students must have completed 50 ECTS of the early-stage studies before commencing the course, including Pharmacotherapy and Medical Calculations.

Students must enroll in a course during enrollment time.

Assessment criteria - fail (0) (Not in use, Look at the Assessment criteria above)

The student does not reach the criteria set for passed evaluation. The assignments and tests show such activities, which may cause danger, harm, injury or death to the patient.

Assessment criteria - satisfactory (1-2) (Not in use, Look at the Assessment criteria above)

Outlines the patient's care pathway in the intraoperative phase
Outlines the role of the perioperative nurse; scrub nurse, anaesthetic nurse and circulator
Is able to guide the patient in the intraoperative phase
Is aware of the importance of patient safety and continuity of care in the operating room
Knows the importance of asepsis in operating rooms and small operations
Knows the main methods of preparing a patient for anesthesia
Know the patient's anesthesia fluids and medications
Knows the most important aspects of monitoring anesthetized and anesthetized patient during surgery and waking
Knows the most important surgical instruments
Knows the most important surgical sutures
Knows the common equipment used in the patient's intraoperative phase
Knows the most commonly used disinfectant and sterilization methods in perioperative nursing
Knows the most common positioning ways for the operation.
Knows the meaning of documentation and spoken reporting in patient's care

Assessment criteria - good (3-4) (Not in use, Look at the Assessment criteria above)

Knows the patient's care pathway in the intraoperative phase
Understands the work of a perioperative nurse in intraoperative care of a patient
Is able to guide the patient in the intraoperative phase
Understands the importance of patient safety and continuity of care in operating rooms
Understands the importance of asepsis in operating theater and small procedures and knows how to act aseptically
Knows the essential methods of patient anesthesia preparation
Know the patient's anesthesia fluids and medications
Knows the most important aspects of anesthesia and anesthesia in patient monitoring and its importance for patient's well-being during surgery and waking
Can identify the most common basic surgical instruments
Knows the most important surgical sutures and their intended use
Knows the equipment used in the patient's intraoperative phase and knows the basics of their use
Knows the importance of the most commonly used disinfectant and sterilization methods in perioperative nursing
Get used to creating the most used positionings in OR
Can document the most important aspects of patient anaesthesia

Assessment criteria - excellent (5) (Not in use, Look at the Assessment criteria above)

Understands the patient's care pathway in the intraoperative phase
Understands the work of a perioperative nurse in a patient's intraoperative care and understands the importance of teamwork
Is able to patient-guide the patient in the intraoperative phase
Understands the central importance of patient safety and continuity of care in the operating room
Understands the importance of asepsis in operating theater and small procedures and knows how to act aseptically and masters aseptic function in different situations
Master the methods of preparing the patient for anesthesia
Know the patient's fluids and medications used in anesthesia and their mechanisms of action
Able to observe key areas of the anesthetized and anesthetized patient during surgery and waking
Can identify the most common basic surgical instruments and know their purpose
Knows the purpose of the most important surgical sutures
Knows the basics of the instruments used in the patient's intraoperative phase
Knows the most commonly used disinfectant and sterilization methods in perioperative nursing
Knows how to create the most used surgical positions and understands their importance for the patient's well-being
Can document the most important aspects of a patient's anesthesia and orally inform about patient care in OR for securing continuity of care
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