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
  1. Perform a Comprehensive Oral Health Assessment & Treatment (COHAT)
    Assessment Strategies
    Participation in laboratory anesthesia and surgical situations
    Successful evaluations
    Criteria
    Perform anesthesia and monitoring of patients throughout dental procedures
    Identify teeth, give the name and function of each, recognize species differences
    Recognize the canine and feline dental formulas and root formulas
    Demonstrate knowledge of the anatomy of a tooth including the materials a tooth is made of, parts of a tooth, and nomenclature for tooth surfaces
    Identify the instruments associated with COHAT
    Discuss common dental problems and pathology including gingivitis periodontal disease, malocclusion, mandibular symphyseal fractures, crown fractures and caries
    Discuss 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 performed
    Take and process dental radiographs
    Discuss safety precautions taken when performing COHAT and dental radiographs

  2. Participate in emergency and critical care
    Assessment Strategies
    Participation in laboratory anesthesia and surgical situations
    Successful evaluations
    Criteria
    Recognize signs of impending cardiopulmonary arrest.
    Perform CPR
    Discuss common pharmacologic agents used during CPR and emergencies
    Calculate and administer Emergency drugs
    Perform artificial ventilation
    Discuss aspects of triage (phone and in clinic)
    Familiar with Basic First Aide
    Discuss causes of anesthetic emergencies
    Recognize signs of anesthetic emergencies
    Discuss common treatments of anesthetic emergencies
    Artificially ventilate a patient
    Calculate and administer emergency drugs
    Describe what each drug is used for
    Recognize an adverse reaction or an over dose reaction for  each drug administered in class
    Place and IV catheter
    Discuss alternative routes of fluid administration
    Recognize signs of shock
    Discuss the different types of shock
    Discuss the different types of fluids and their different uses
    Compare and contrast the different types of shock hypovolemic anaphylactic and their causes and treatment
    Calculate 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 sounds
    Care for the recumbent patient
    Recognize and respond to common veterinary emergencies trauma, resp distress, acute abdomen, GDV, Urethral obstruction, toxic ingestion, dystocia, c sections

  3. Perform surgical and anesthesia nursing
    Assessment Strategies
    Participation in laboratory anesthesia and surgical situations
    Successful evaluations
    Criteria
    Perform 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 procedures
    Discuss and perform patient preparation for common surgical procedures
    Perform 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 reactions
    Perform endotracheal intubation
    Familiar with common monitoring devices, their application, and interpretation of results and mechanism of action
    Discuss safety precautions involved with the use of anesthetics
    Check anesthetic equipment prior to use and after use for correct set up, function, and maintenance
    Appropriately prepare the surgical suite and instruments needed for surgery
    Discuss and perform surgical equipment cleaning and maintenance
    Monitor animals recovery from anesthesia, including pain management
    Identify common surgical instruments and be able to discuss their use
    Identify common suture materials and suture patterns. Discuss the properties of each
    Discuss and practice methods of sterilization of equipment
    Discuss and practice aseptic technique
    Properly prepare for aseptic procedures and surgery
    Properly prepare surgical packs, instruments, gown, drape and table cover packs and the surgical suite
    Discuss and use cautery and suction in a surgical situation
    Recognize 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

  4. Perform Exotic animal Anesthesia
    Assessment Strategies
    Participation in laboratory anesthesia and surgical situations
    Successful evaluations
    Criteria
    Discuss 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 reptiles
    Use an appropriate anesthetic regime on each species

  5. Perform alternative induction techniques
    Assessment Strategies
    Participation in laboratory anesthesia and surgical situations
    Successful evaluations
    Criteria
    Discuss the different anesthetics used for induction of anesthesia, including risks and benefits
    Discuss the safety concerns and precautions that should be employed with each of the different anesthetics
    Can perform alternate inductions and evaluate their use according to checklist and scoring guides provided in the course

  6. Prepare sample collection procedures
    Assessment Strategies
    Participation in laboratory anesthesia and surgical situations
    Successful evaluations
    Criteria
    Collects and labels needed blood samples for Pre-op blood work.
    Discuss the reason for pre-op blood works with a client
    Explain why each test is needed and what the test tells us
    Collect blood samples from jugular, cephalic, saphenous, and femoral veins
    Perform pre-op blood chemistries and intra-op PCVs and TPs

  7. Demonstrate wound management
    Assessment Strategies
    Participation in laboratory anesthesia and surgical situations
    Successful evaluations
    Criteria
    Recognize and classify wound types
    Describe the phases of wound healing
    Discuss the factors that influence wound healing
    Provide immediate wound care
    Discuss wound debridement closure and drainage
    Apply the principles of bandaging

  8. 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 medicine
    Assessment Strategies
    Written reflection essay
    Criteria
    Define implicit bias
    Compare and contrast cultural competence and cultural humility
    Identify your own implicit biases
    Discuss ways in which implicit bias impacts your interactions with other members of the veterinary medical healthcare team
    Discuss ways in which implicit bias can adversely impact your interactions with veterinary clients
    Discuss ways in which cultural competence and cultural humility benefit the client and coworker relationship
    Discuss how cultural competence and cultural humility can lead to improved patient care and outcomes
    Explain how the effect of implicit bias on interactions with other members of the veterinary healthcare team and veterinary clients can affect patient care and outcomes
    Reflection essay uses inclusive language and avoid using alienating language
    Reflection essay contains correct spelling, punctuation, and grammar