10091152Surgical Nursing 2
Course Information
Description
This course focuses on the continuation of basic surgical nursing and anesthesia skills. Also covers basic dental prohylaxis, dental radiography, and cardiopulmonary resuscitation.
Total Credits
3
Course Competencies
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Perform a Comprehensive Oral Health Assessment & Treatment (COHAT)Assessment StrategiesParticipation in laboratory anesthesia and surgical situationsSuccessful evaluationsCriteriaPerform anesthesia and monitoring of patients throughout dental proceduresIdentify teeth, give the name and function of each, recognize species differencesRecognize the canine and feline dental formulas and root formulasDemonstrate knowledge of the anatomy of a tooth including the materials a tooth is made of, parts of a tooth, and nomenclature for tooth surfacesIdentify the instruments associated with COHATDiscuss common dental problems and pathology including gingivitis periodontal disease, malocclusion, mandibular symphyseal fractures, crown fractures and cariesDiscuss the importance of dental care in an animal s health program. Be able to tell a client why COHAT is an important part of a pet s health care and how one is performedTake and process dental radiographsDiscuss safety precautions taken when performing COHAT and dental radiographs
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Participate in emergency and critical careAssessment StrategiesParticipation in laboratory anesthesia and surgical situationsSuccessful evaluationsCriteriaRecognize signs of impending cardiopulmonary arrest.Perform CPRDiscuss common pharmacologic agents used during CPR and emergenciesCalculate and administer Emergency drugsPerform artificial ventilationDiscuss aspects of triage (phone and in clinic)Familiar with Basic First AideDiscuss causes of anesthetic emergenciesRecognize signs of anesthetic emergenciesDiscuss common treatments of anesthetic emergenciesArtificially ventilate a patientCalculate and administer emergency drugsDescribe what each drug is used forRecognize an adverse reaction or an over dose reaction for each drug administered in classPlace and IV catheterDiscuss alternative routes of fluid administrationRecognize signs of shockDiscuss the different types of shockDiscuss the different types of fluids and their different usesCompare and contrast the different types of shock hypovolemic anaphylactic and their causes and treatmentCalculate fluid therapy rates and total volume amounts in terms of a given total dose, given dose rate, and %volume loss.Obtain parameters needed to evaluate a critical patient including but not limited to a TPR, CRT, MM color, dehydration status, pulse rate and quality, lungs sounds, resp quality, heart soundsCare for the recumbent patientRecognize and respond to common veterinary emergencies trauma, resp distress, acute abdomen, GDV, Urethral obstruction, toxic ingestion, dystocia, c sections
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Perform surgical and anesthesia nursingAssessment StrategiesParticipation in laboratory anesthesia and surgical situationsSuccessful evaluationsCriteriaPerform a complete preoperative physical examination and keep appropriate records.Calculate and administer pre-operative mendicants and know their use, routes of administration and contraindications, as well as adverse reactions.Discuss and perform patient preparation for surgical proceduresDiscuss and perform patient preparation for common surgical proceduresPerform client education and discharge instructions for common surgical procedures (written client education as well as telephone )Calculate and administer anesthetics agents, know their use, route of administration, contraindications and adverse reactionsPerform endotracheal intubationFamiliar with common monitoring devices, their application, and interpretation of results and mechanism of actionDiscuss safety precautions involved with the use of anestheticsCheck anesthetic equipment prior to use and after use for correct set up, function, and maintenanceAppropriately prepare the surgical suite and instruments needed for surgeryDiscuss and perform surgical equipment cleaning and maintenanceMonitor animals recovery from anesthesia, including pain managementIdentify common surgical instruments and be able to discuss their useIdentify common suture materials and suture patterns. Discuss the properties of eachDiscuss and practice methods of sterilization of equipmentDiscuss and practice aseptic techniqueProperly prepare for aseptic procedures and surgeryProperly prepare surgical packs, instruments, gown, drape and table cover packs and the surgical suiteDiscuss and use cautery and suction in a surgical situationRecognize the risk factors for differing groups of animals and be able to adjust anesthesia to minimize these risks: geriatric, pediatric, brachycephalic, site hounds, obese, cesarean, trauma cardiovascular disease, respiratory disease , renal disease , liver disease
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Perform Exotic animal AnesthesiaAssessment StrategiesParticipation in laboratory anesthesia and surgical situationsSuccessful evaluationsCriteriaDiscuss the unique qualities and risks of each species presented in class in terms of handling, sample collection, and anesthesia (rabbits, rodents, birds, reptiles)Perform anesthesia and monitoring of rabbits, rodents, birds and reptilesUse an appropriate anesthetic regime on each species
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Perform alternative induction techniquesAssessment StrategiesParticipation in laboratory anesthesia and surgical situationsSuccessful evaluationsCriteriaDiscuss the different anesthetics used for induction of anesthesia, including risks and benefitsDiscuss the safety concerns and precautions that should be employed with each of the different anestheticsCan perform alternate inductions and evaluate their use according to checklist and scoring guides provided in the course
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Prepare sample collection proceduresAssessment StrategiesParticipation in laboratory anesthesia and surgical situationsSuccessful evaluationsCriteriaCollects and labels needed blood samples for Pre-op blood work.Discuss the reason for pre-op blood works with a clientExplain why each test is needed and what the test tells usCollect blood samples from jugular, cephalic, saphenous, and femoral veinsPerform pre-op blood chemistries and intra-op PCVs and TPs
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Demonstrate wound managementAssessment StrategiesParticipation in laboratory anesthesia and surgical situationsSuccessful evaluationsCriteriaRecognize and classify wound typesDescribe the phases of wound healingDiscuss the factors that influence wound healingProvide immediate wound careDiscuss wound debridement closure and drainageApply the principles of bandaging
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Explore the impact of implicit bias and cultural competence and humility on interactions with coworkers and clients and the influence on patient care and outcomes in veterinary medicineAssessment StrategiesWritten reflection essayCriteriaDefine implicit biasCompare and contrast cultural competence and cultural humilityIdentify your own implicit biasesDiscuss ways in which implicit bias impacts your interactions with other members of the veterinary medical healthcare teamDiscuss ways in which implicit bias can adversely impact your interactions with veterinary clientsDiscuss ways in which cultural competence and cultural humility benefit the client and coworker relationshipDiscuss how cultural competence and cultural humility can lead to improved patient care and outcomesExplain how the effect of implicit bias on interactions with other members of the veterinary healthcare team and veterinary clients can affect patient care and outcomesReflection essay uses inclusive language and avoid using alienating languageReflection essay contains correct spelling, punctuation, and grammar