10091127Surgical Nursing 1
Course Information
Description
This introductory course to surgical nursing covers surgical instruments, package prep, patient prep, anesthesia, monitoring and post-op care.
Total Credits
3
Course Competencies
-
Prepare surgical suite for surgical procedureAssessment StrategiesSkill Sheet Check-Offslaboratory examsCriteriayou clean and disinfect the surgical suiteyou inspect anesthetic machine and perform anesthetic machine leak checkyou ensure there is adequate oxygen and anesthetic gas to complete the anesthetic procedureyou gather appropriate surgical attire, packs, suture, blades and other equipment as neededyou select and set-up the anesthetic machine correctly for the weight of the patient
-
Assess surgical patientAssessment StrategiesSkill sheet check-offsLaboratory and lecture examsCriteriayou peform physical exam prior to procedureyou gather and/or assess existing patient history from the medical recordyou draw blood for preanesthetic diagnostic lab testsyou analyze diagnostic test results and inform the Veterinarian in charge of any abnormalitiesyou ensure food and water was withheld from the patient prior to anesthesiayou understand all aspects of patient pre-surgical evaluation including other diagnostic tests such as radiography, electrocardiography, etc...
-
Insert IV catheterAssessment StrategiesSkill sheet check-offsLaboratory examsCriteriayou gather all catheter suppliesyou clip and prep the catheter siteyou insert the IV catheter using proper techniqueyou tape the IV catheter in place using proper techniqueyou attach the IV fluids and set the drip rate
-
Perform anesthetic inductionAssessment StrategiesSkill sheet check-offsLaboratory and lecture exams/quizzesCriteriayou calculate and aseptically draw into syringes the correct drug dosesyou calculate the correct IV fluid drip rateyou administer the induction drug dose "to effect"
-
Perform endotracheal intubationAssessment StrategiesSkill sheet check-offsLecture and laboratory examsCriteriayou gather all endotracheal intubation suppliesyou perform leak checks on all endotracheal tubes selected and record amount of air to maximum cuff inflationyou use a laryngoscope to insert the endotracheal tube within the tracheayou use a minimum of two methods to assess whether endotracheal tube is correctly placed within the tracheayou secure the endotracheal tube to the patient and attach the patient to the anesthesia machineyou inflate the endotracheal tube cuff if needed using proper technique
-
Prepare patient for surgical procedureAssessment StrategiesSkill sheet check-offsLaboratory and lecture examsCriteriayou gather all patient prep suppliesyou clip the surgical site of the patient using proper techniqueyou aseptically scrub the surgical site using the target methodyou know the different scrub/rinse/paint combinations and how to prepare them for use on the patientyou understand the advantages and disadvantages of the various scrub/rinse/paint solutions
-
Assist veterinary surgeon with surgical procedureAssessment StrategiesSkill sheet check-offsLaboratory examsCriteriayou wear cap, mask and shoe coversyou aseptically put on surgical gown and glovesyou correctly identify all surgical instruments in the packyou drape the patient and secure with clampsyou select and hand the requested instrument to the surgeonyou cut sutureyou remove the drapes from the patient using proper technique and without contaminating the surgical site
-
Monitor anesthesiaAssessment StrategiesSkill sheet check-offsLaboratory and lecture exams/quizzesCriteriayou correctly complete the anesthetic monitoring formsyou record heart rate, respiratory rate and anesthetic gas concentration every 5 minutesyou assess eyeball position, palpebral reflex, jaw tone, CRT, muscle relaxation, pulse pressure and temperature every 5 minutesyou select, set-up and use anesthetic monitoring equipment (pulse oximeter, ultrasonic doppler and esophageal stethoscope)you understand the stages and planes of anesthesiayou understand how the anesthetic machine operates and can operate it correctlyyou can troubleshoot faulty anesthetic machine operation
-
Monitor anesthetic recoveryAssessment StrategiesSkill sheet check-offsLaboratory and lecture exams/quizzesCriteriayou correctly set the anesthesic gas rate and oxygen flow rate for recovery of the patientyou correctly assess when to extubate the patientyou extubate the patient using proper techniqueyou remove the IV fluid line and IV catheter after extubationyou complete the post-operative recovery form, including patient vital signsyou transfer patient to ready recovery cage (heating pad and towel if needed)you evaluate patient for painyou monitor surgical site for swelling, redness, hemorrhage, discharge and dehiscenceyou evaluate patient for adequate nutrition
-
Evaluate post-surgical patientsAssessment StrategiesSkill sheet check-offsLaboratory and lecture exams/quizzesCriteriayou perform a post-surgical physical exam day 1, day 3 and day 6 post-operativelyyou assess the post-surgical patient for signs of painyou monitor the surgical incision for heat, swelling, redness, discharge and dehiscence for 1 week post-operativelyyou remove sutures or staples in 10-14 daysyou record physical exam and suture line findings in the medical recordyou report any abnormalities to the veterinarian-in-charge
-
Make surgical packsAssessment StrategiesSkill sheet check-offsLaboratory and lecture examsCriteriayou make an instrument packyou make a drape packyou make a gown packyou correctly identify by name and in writing all surgical instrumentsyou correctly identify various types of sutureyou know the advantages and disadvantages of various types of sutureyou can identify absorbable and nonabsorbable types of sutureyou correctly identify surgical blades
-
Identify, clean and maintain surgical and anesthetic equipmentAssessment StrategiesSkill sheet check-offsLaboratory and lecture exams/quizzesCriteriayou clean and disinfect surgical suite post-operativelyyou clean and sterilize instrumentsyou clean and disinfect endotracheal tubes, rebreathing bags and breathing hosesyou inspect equipment for defects/problems/malfunctionyou understand autoclave machine operationyou package gauze and/or instruments in peel-packs for ethylene oxide sterilizationyou understand the various methods of sterilizationyou identify and understand the differences between the antiseptics and disinfectants used
-
Describe common veterinary small animal surgical proceduresAssessment StrategiesLecture examsCriteriayou understand how canine ovariohysterectomy and castration are performed and the indications for eachyou understand how feline ovariohysterectomy, castration and declaw are performed and the indications for eachyou understand small animal cesarean sectionyou understand small animal cystotomy and feline perineal urethrostomy and the indications for eachyou understand pyometrayou understand tail docking and puppy dewclaw removal