Medical Surgical Nursing
Medical Surgical Nursing
Medical Surgical Nursing
Course Description - The purpose of this course is to acquire knowledge and develop
proficiency in caring for patients with medical surgical disorders in varieties of health
care settings and at home.
• Demonstrations
- Respiratory assessment
assisting in procedures of X
ray chest, MRI, lung Biopsy,
bronchoscopy
- Thoracentesis, - care of
patients with chest drainage
& change of chest drainage
Care of patients on
ventilators & weaning
nebulisation
IV 30 Describe the etiology, Nursing management of • Lectures & Discussion • Essay type
Pathophysiology, clinical patient (Adults including • Charts, graphs models, • Short answers
manifestation, diagnostic elderly) with disorders of films and slides • Objective type
measures and Digestive system • Demonstrations • Skill assessment
management of patients • Review of Anatomy & • Practice sessions with check list
(Adults including elderly) Physiology of digestive • Case discussions • Clinical work
with disorders of Digestive system • Seminars assessment of
system • Nursing Assessment –history patient
• Clinical practice
& physical assessment • Drug book management
• Etiology, pathophysiology, • Exposure to related
clinical manifestation, procedures Health
diagnosis, treatment Education Supervised
modalities and medical, clinical practice Drug
surgical, Nutritional & Book / Presentation
nursing management
Disorders of oral cavity
• Oral cavity
- Lips, gums, tongue, salivary
and teeth
-esophagus inflammation,
stricture, obstruction,
- bleeding & esophageal tumour
• Stomach & Duodenum hiatus
hernia, gastritis, peptic &
duodenal ulcer, bleeding,
tumour pyloric stenosis
-Food allergy & poisoning
• Small intestinal
inflammation and infection
-
Ulcerative colitis, enteritis,
malabsorbtion syndrome,
Obstruction, tumors
perforation,
• Large Intestinal disorders
Colitis inflammations &
infection, obstruction,
Tumors, lump Hernias
• Appendix
Inflammation, mass, abscess,
rupture
• Anal & Rectum
Fistulas,fissures,Hemorroides
• Peritonitis/ acute abdominal
• Pancreas; inflammation,
cyst, abscess, tumours
• Liver- Inflammation, cyst,
cirrhosis, abscess, portal
hypertension, hepatic failure
and tumors
• Biliary tract & gall bladder
Inflammation obstruction,
stones, tumors
• Demonstrations
- Preparing assessing &
witnessing
- Barium meal, enema,
- Abdominal paracentesis,
- Liver biopsy,
- Endoscopies, ERCP, OGD,
- Colonoscopy, Proctoscopy,
Sigmoidoscopy
- Liver function test Gastric
analysis, stomach wash
- Gastrostomy feeding
- Jejunestomy feeding
- Bowel wash
- Colostomy care
• Liver inflammation cyst,
abscess, cirrhosis, portal
hypertension, hepatic failure,
tumours,
• Gall Bladder, inflammation,
Obstruction, Stones, &
tumours
• Special Therapies, alternative
therapies nursing procedures,
drug used in the treatment of
disorders & diseases of
digestive system
V 30 •Describe the etiology, Nursing management of • Lectures & Discussion • Essay type
pathophysiology, clinical patient(adults including • Explain charts, graphs • Short answers
manifestation, diagnostic elderly) with blood and models, films and slides • Objective type
measures and management cardiovascular problems • Demonstrations • Skill assessment
of patients (adults • Review of Anatomy & • Practice sessions with check list
including elderly) with Physiology of blood and • Case discussions/ • Clinical work
disorders of blood and cardiovascular system Seminars
cardiovascular problems. • Nursing Assessment –history • Clinical practice
•Describe the vascular & physical assessment. • Drug book
conditions and its nursing • Etiology, pathophysiology, • Exposure to procedure
management clinical manifestation, visit to blood bank
diagnosis, treatment participation in blood
modalities: medical, surgical, bank counseling
Nutritional & nursing
management of:
• Vascular systems
Hypertension, hypotension
Raynaud’s disease Aneurism
and Peripheral vascular
disorders
• Heart-
- Coronary artery disease
- Ischemic heart disease
- Coronary atherosclerosis
- Angina pectoris
- Myocardial infarction
- Congestive cardiac failure
- Corpulmonale
- Pulmonary Oedema
- Cardiogenic shock
- Cardiac tamponade
- Endocarditis
- Myocarditis, Pericarditis
- Cardiomyopathies
• Valvular heart disease-
- Congenital & acquired
- Rheumatic heart disease
• Conduction system
- Cardiac dysarthmias & heart
blocks
• Cardiac arrest- Cardio
pulmonary
resursitation(CPR)
• Blood
- Anaemia
- Polycythemia
- Bleeding & cloatings
disorders, platelet defect
- Hemophilia
- Thalassemia
- Leukemia
- Leukopenia Agranulocytosis
- Lymphomas & Myelomas
• Special Therapies
Blood transfusion, safety
check, procedure, &
requirement, management of
adverse transfusion reaction,
records for blood transfusion
Management and counseling of
blood donors phlebotomy
procedures,& post donation
management. Blood bank
functioning and hospital
transfusion committee.
Management related to blood
transfusion
- Role of nurse in organ
donation, transplant, retrieval
& banking Drugs used in
cardiovascular system.
Alternative therapies
- Nursing procedures
• Demonstration-ECG
VI 10 Describe the etiology, Nursing management of • Lectures & Discussion • Essay type
Pathophysiology, clinical patient (Adults including • Explain using charts, • Short answers
manifestation, diagnostic elderly) with genitourinary graphs models, films and • Objective type
measures and management problems slides • Skill assessment
of patients (adults • Review of Anatomy & • Demonstrations with check list
including elderly) with Physiology of genito-urinary • Practice sessions • Clinical work
disorders of genitouinary systems • Case discussions/ Assessment of
system • Nursing Assessment –history Seminars patient
& physical assessment. • Supervised Clinical management
• Etiology, pathophysiology, practice problem
clinical manifestation, • Drug book/ presentation
diagnosis, treatment • Exposure to procedure
modalities and medical, Health Education
surgical, dietetics & nursing
management of
- Nephritis
- Nephrotic syndrome
- Nephrosis
- Renal calculus
- Tumours
- Acute renal failure
- Chronic renal failure
- End stage renal disease
- Dialysis, renal transplant
- Congenital disorders, urinary
infections
- Benign prostate hypertrophy
• Kidney
- Polycystic kidney
• Disorders of ureter,
urinary bladder and
urethra- inflammation
infections, calculus stricture,
obstructions, tumors,
prostrate
• Special therapies,
alternative therapies,
nursing procedures.
• Drug used in treatment of
Genito urinary disorders
• Demonstrations Bladder
wash / Irrigation
Demonstration care of
Indwelling catheterization
male / female Condom
catheters (external)
VII 5 Describe the etiology, Nursing management of • Lecture discussion • Essay type
Pathophysiolgy, Clinical disorders of male (adults • Explain using Charts, • Short answer
manifestations, diagnostic including elderly) graphs • Objective type
measures and management reproductive system • Models, films, slides • Assessment of
of patients (adults • Review of anatomy and • Demonstration skills with check
including elderly) with Physiology of male • Practice session list
disorders of male reproductive system • Case discussion/ seminar • Assessment of
reproductive system. • Nursing assessment- history patients
• Health education
and physical assessment • Supervised clinical management
• Etiology, pathophysiology, practice problem
clinical manifestations, • Drug book/ presentation
diagnosis, treatment
modalities and medical,
surgical dietetics and nursing
management of disorders of
male reproductive system
• Congenital malformations;
cryptorchidism
• Infections
• Hypospadiasis, Epispadiasis
• Infection Testis and adjacent
structure
• Penis
• Prostate: inflammation,
infection hypertrophy, tumor
• Sexual Dysfunction
• Infertility
• Contraception
• Breast, gynecomastia, tumors
• Climacteric changes special
therapies, alternative
therapies.
• Nursing procedures
• Drugs used in treatment of
disorders of male
reproductive system
VIII 10 Describe the etiology, Nursing management of • Lecture discussion • Essay type
Pathophysiology, clinical patient ( adults including • Explain using Charts, • Short answer
manifestation, diagnostic elderly) with disorders of graphs • Objective type
measures and management endocrine system • Models, films, slides • Assessment of
of patients (adults • Review of anatomy and • Demonstration skills with check
including elderly) with physiology of endocrine • Practice session list
disorders of endocrine system • Case discussion/ seminar • Assessment of
system • Nursing assessment-history • Health education patients
and physical assessment • Supervised clinical management
• Etiology, pathophysiology, practice problem
clinical manifestation, • Drug book/ presentation
diagnosis, treatment
modalities and medical,
surgical, dietetics and
nursing management of
• Disorders of pituitary
• Disorders of thyroid and
parathyroid
• Adrenal tumour
• Diabetes mellitus
• Diabetes insipidus
• special therapies, alternative
therapies
• Nursing procedures
• drugs used in treatment of
disorders of endocrine
system
IX 10 Describe the etiology, Nursing management of • Lecture discussion • Essay type
Pathophysiology, clinical patients (adults including • Explain using Charts, • Short answer
manifestations, diagnostic elderly) with disorders of graphs • Objective type
measures and management Integumentary system • Models, films, slides • Assessment of
of patients (adults • Review of anatomy and • Demonstration skills with check
including elderly) with physiology of skin and its • Practice session list
disorders of skin appendages • Case discussion/ seminar • Assessment of
• Nursing assessment- history • Health education patients
and physical assessment • Supervised clinical management
• Etiology, Pathphysiology, practice problem
clinical manifestation, • Drug book / presentation
diagnosis, treatment
modalities and medical,
surgical, dietetics and
nursing management of
disorders of skin and its
appendages
• Lesions and abrasions
• Infection and infestations:
Dermatitis
• Dermatosis; infectious and
non infectious “inflammatory
determatosis
• Acne vulgaris
• Allergies and Eczema
• Psoriasis
• Malignant melanoma
• Alopecia
• Care of patient with Skin
surgery Special therapies,
alternative therapies
• Nursing procedures,
• Drugs used in treatment of
disorders of Integumentary
system
X 15 Describe the etiology, Nursing management of • Lecture discussion • Essay type
Pathology, Physiology, patients (adults including • Explain using Chart, • Short answers
clinical manifestations, elderly) with musculoskeletal graphs • Objective type
diagnostic measures and problems • Models, films, slides • Assessment of
management of patients • Review of anatomy and • Demonstration skill with check
(adults including elderly) physiology of • Practice session list
with disorders of musculoskeletal system, • Case discussion / seminar • check list
musculoskeletal system • Nursing assessment-history • Assessment of
• Health education
and physical assessment • Supervised clinical patients
• Etiology, Pathophysiology, practice management
clinical manifestation, • Drug book / problem
diagnosis, treatment • presentation
modalities and medical,
surgical, dietetics and
nursing management of
• Disorders of:
Muscles, ligaments and
joints- inflammation,
infection , trauma
Bones-inflammation,
infection, dislocation,
sprain, fracture, tumour
& trauma
Osteomalacia and
osteoporosis
Arthritis
Congenital deformities
Spinal column –
defects and
deformities, tumor,
Prolapsed inter
vertebral disc. Pott’s
spine
Paget’s disease
· Amputation
· Prosthesis
· Transplant and replacement
surgeries
· Rehabilitation special
therapies, alternative therapies
· Nursing procedures, drug
used in treatment of disorders
of musculoskeletal system
XI 10 Describe the etiology, Nursing management of • Lecture Discussion • Essay type
pathophysiology, clinical Patient (adults Including • Explain using Charts, • Short answer
manifestations diagnostic elderly) with Immunological Graphs • Objective type
Measures and problems • Models, films slides • Assessment of
Management of Patients · Review of Immune system. • Demonstration skills with check
(adults Including elderly) · Nursing Assessment-History • Practice session list
with disorders of and physical assessment • Case discussion/ Seminar • Assessment of
Immunological systems · Etiology, Pathophysiology, • Health education patient
clinical manifestations, management
• Supervised clinical
diagnosis treatment problem
practice
modalities and medical,
• Drug book/ presentation
surgical, dietetics and nursing
management of- • Orientation visit to
· Immunodeficiency disorder Hospital control system
· Primary immuno deficiency
· Phagocytic dysfunction
· B-cell and T-cell deficiencies
· Secondary immuno-
deficiencies
· Acquired Immuno Deficiency
Syndrome (AIDS)
• Incidence of HIV & AIDS
· Epidemiology
· Transmission-prevention of
Transmission
· Standard safety precautions
· Role of nurse, counseling
· Health education and home
care consideration,
· National AIDS control
program NACO various
National and international
agencies.
• Infection control program
· Rehabilitation, Special
therapies, alternative therapies
Nursing procedures Drugs
used in treatment of disorders
of immunological systems
XII 20 Describe the etiology, Nursing management of • Lecture discussion • Essay type
Pathophysiology, clinical patient (adults including • Explain using Charts, • Short answer
manifestations, diagnostic elderly) with Communicable graphs • Objective type
measures and management Diseases • Models, films, slides • Assessment of
of patients (adults • Overview of infectious • Demonstration skills with
including elderly) with disease, the infectious • Practice session • check list
Communicable Diseases process • Case discussion / seminar • Assessment of
• Nursing Assessment-History • Health education patients
and physical assessment • Supervised clinical management
• Epidemiology, infectious practice problem
process, clinical • Drug book / presentation
manifestations, diagnosis,
treatment, prevention and
dietetics. Control and
eradication of common
communicable diseases
Tuberculosis
Diarrhoeal diseases
Hepatitis A-E
Herpes
Chickenpox
Smallpox
Typhoid
Meningitis
Gas gangrene
Leprosy
Dengue
Plague
Malaria
Diphtheria
Pertusis
Poliomyelitis
Measles
Mumps
Influenza
Tetanus
Yellow fever
Filariasis
HIV, AIDS
• Reproductive Tract
Infections
• Special infection control
measures; Notification,
Isolation, Quarantine,
Immunization, Infectious
Disease, Hospitals, Special
therapies, Alternative
therapies
· Nursing procedures
· Drugs used in treatment of
communicable diseases
XIII 20 • · Describe the Peri Operative nursing: • Lecture discussion • Essay type
organization and • Organization and physical set • Explain using Charts, • Short answer
physical set up of up of the operation theatre graphs • Objective type
Operation theatre (OT): • Models, films, slides • Assessment of
• Identify the various Classification • Demonstration skills with check
instruments and O.T.DESIGN • Practice session list
equipments used for Staffing • Supervised clinical
common surgical Members of the OT practice Drug book /
procedures team. presentation
• Describe the infection Duties and
control measures in the responsibility of nurse
operation theatre in OT
• Describe the role of the Principles of health and
nurse in the Peri operating room attire.
operative nursing care Instruments
Sutures and suture
materials
Equipments
O.T. tables and sets for
common surgical
procedure
Scrubbing procedures
Gowning and gloving
Preparation of O.T.
sets
Monitoring the patients
during surgical
procedures
• Maintenance of therapeutics
environment in O.T.
• Standard safely measures
Infection control:
fumigation,
disinfections and
sterilization
Biomedical waste
management
Prevention of
accidents and hazards
in O.T.
• Anesthesia
Types
Methods of
administration
Effects and stages
Equipment
Drugs
• Cardio pulmonary
Resuscitation (CPR)
• Pain management techniques
• Legal Aspects
MEDICAL SURGICAL NURSING
(Adult including Geriatrics)-I
Practical
Placement: Second Year Time: 720 Hours
General Medical 06 • Provide nursing care • Assessment of the patient • Plan and give care to • Assess
Ward to adult patients with Taking history 3-4 assigned patients performance with
(Respiratory, medical disorders Perform general and • Nursing care plan- 02 rating scale
GI, Endocrine, • Counsel and educate specific physical • Nursing case • Assess each skill
Renal, Hematology) patients and families examination presentaion-1 with checklist
- Respiratory • Drug presentation-1 • Evaluation of case
- GI • Maintain drug book study/
- Endocrine • Maintain Practical presentation
- Renal record book • Completion of
- Hematology practical record.
Identify alterations
and deviations.
• Practice medical surgical
asepsis, Standard safety
measures.
• Administer medications
Oral, IV, IM, ID,
Subcutaneous,
Airlock and Z-Track
method
• Blood and Component
Therapy
• IV therapy
IV canulation
Maintenance and
monitoring
IV additives
IV Bottle change
• Oxygen therapy by
different methods
Ambu bag
Ventury mask
• Nebulization
• Chest physiotherapy
• Postural drainage Naso
gastric feeding
• Gastric lavage
• Perform/Assist in
therapeutic procedures
Thoracentesis
Abdominal
Paracentesis
Barium meal
USG
Endoscopy
- ERCP
- OGD scopy
- Colonoscopy
- Proctoscopy
- Sigmoidoscopy
• Blood and component
Transfusion
Plasma
RBC
Whole blood
Platelet
Cryoprecipitate
• Throat suctioning
Collect specimens
for common
investigations
Blood
Urine
Stool
Sputum
• Maintain elimination
Catheterization
Catheter care
Bowel wash
Enema
Urinary drainage
Bladder wash
• Maintain Intake, output and
documentation
• Counsel and teach related
to specific disease
conditions.
General Surgical 06 • Provide pre and post Similar to skills of General • Plan and give care to • Assess
Ward (GI, operative nursing medical Ward + 3-4 assigned patients performance with
urinary, CTVS) care to adult patients Practice medical surgical • Nursing care plan- 02 rating scale
with surgical asepsis, standard safety • Nursing case study - • Assess each skill
disorders measures 01 with checklist
• Counsel and educate • Pre operative preparation • Maintain drug book • Evaluation of case
patients and families of patients. • Maintain practical study/
Preparation of skin record book presentation
Informed Consent • Completion of
Assist in various practical record.
investigations in • Evaluation of care
various surgeries & case plan
• Post operative care
• Receiving patient,
assessment, monitoring,
care
• Care of wounds and
drainage
• Suture removal
• Ambulation and exercise
• Naso gastric aspiration
• Care of chest drainage
• Ostomy care
Gastrostomy
Colostomy
Enterostomy
• Practice universal
precaution
• Rehabilitation
Cardiology ward / 02 • Provide nursing care • Physical examination of • Plan and give care to • Assess
CCU/ ICU to patients with the cardio vascular system 3-4 assigned patients performance with
cardiac disorders • Recording and interpreting • Nursing care plan - 01 rating scale
• Counsel and educate ECG • Nursing case • Assess each skill
patients and families • Monitoring of patients presentation- 01 with checklist
Preparation and assisting in • Maintain drug book • Evaluation of case
noninvasive and invasive Maintain practical study
diagnostic procedures. record book • Evaluation of
2D Echo Nursing care plan
Colour Doppler • Compilation of
Holter activity record
12 Lead ECG
Stress test
• Care of patients
undergoing Angiography
• Administer cardiac drugs
• Cardio pulmonary
Resuscitation
• Pre operative and
postoperative care of
patients undergoing cardiac
surgeries.
Operation Theatre 06 • Identify instruments • Scrubbing, gowning, • Assist as a circulatory • Assess
used in common gloving nurse in performance with
operations • Identify instruments, - Major cases- 10 rating scale
• Participate in suturing materials for - Minor cases-5 • Completion of
Infection control common operations. • Assist as a scrub nurse practical record
practices in the • Disinfection, carbolization, in
Operation Theatre fumigation - Major cases- 10
• Set up the table / • Preparation of instrument - Minor cases-05
trolleys for common sets for common operations • Maintain drug book
operative procedures • Sterilization of sharps and
• Assist in giving other instruments
anesthesia • Prepare the OT table
• Assist in the depending upon the
operative procedures operation
• Provide preoperative • Positioning and monitoring
nursing care of patients
• Endotracheal intubation
• Assisting in minor and
major operations.
• Handling specimens
• Disposal of waste as per
the guidelines.
• Care of instruments after
surgery
• Packing of trays
Orthopedic 02 • Provide nursing care • Assessment of the • Nursing care plan-01 • Assess
Ward to adult patients with orthopedic patient • Nursing case study 01 performance with
orthopedic problem Taking history • Nursing case rating scale
• Counsel and educate Physical examination presentation 01 • Evaluation of
patient and families of musculo skeletal • Maintain drug book Nursing care plan
system. • Maintain practical & Nursing case
Apply skin traction record book study/
buck’s extension presentation
traction splints & Maintain practical
patient care record book
• Practice medical surgical
asepsis Standard safety
measures
• Pre and postoperative care
of patients with orthopedic
surgery.
• Preparing, assisting and
witnessing in non invasive
and invasive diagnostic
procedure
• Physiotherapy-Range of
Motion exercises (ROM),
muscle strengthening
exercises
• Crutch maneuvering
technique
• Activity of daily living
• Ambulation
• Teach & counsel patient &
family
• Assist in application &
removal of prosthesis
• POP application and
removal
• Rehabilitation.
Skin & 02 • Identify skin • Assessment of patients • Plan and give care to 3 • Assess
Communicable problems with skin disorders assigned patients performance with
diseases Ward • Provide nursing care • Assist in diagnostic and • Health talk to patients rating scale
to patients with Skin therapeutic procedures and families- 01 • Evaluation health
disorders and • Administer topical • Maintain drug book talk
Communicable medication • Maintain practical • Completion of
diseases • Practice medical surgical record book practical record
• Counsel and educate asepsis Standard safety
patients and families measures
• Use of personal protective
equipment (PPE)
• Give Medicated baths
• Teach prevention of
infectious diseases.
• Counseling HIV Positive
patient
EDUCATIONAL VISITS:
Medical Surgical Nursing:
1. Artificial Kidney Unit
2. C.S.S.D.
3. Waste Disposal Unit
4. Hospital Kitchen
5. Blood Bank
6. Radiology Department
7. Artificial Limb Center
8. Rehabilitation Center
- Physical
- Vocational
BIBLIOGRAPHY
1. Black J.M. Hawk, J.H. (2005) Medical Surgical Nursing Clinical Management for
Positive Outcomes. (7th ed) Elsevier.
2. Brunner S. B., Suddarth D.S. The Lippincott Manual of Nursing practice
J.B.Lippincott. Philadelphia.
3. Medical Surgical Nursing: An Integrated approach 2nd ed , White, L, Delmar
Thomson learning (2002) United States
4. Lewis, Heitkemper&Dirksen (2000) Medical Surgical Nursing Assessment and
Management of Clinical Problem (6 thed) Mosby.
5. Colmer R.M. (1995) Moroney’s Surgery for Nurses (16th thed) ELBS.
6. Shah N.S. (2003) A P I textbook of Medicine, The Association of Physicians of India
Mumbai.
7. Satoskar R.S., Bhandarkar S.D. & Rege N.N. (2003) Pharmacology and
Pharmacotherapeutics (19 thed) Popular Prakashan, Mumbai.
8. Phipps W.J., Long C.B. & Wood N.F. (2001) Shaffer’s Medical Surgical Nursing
B.T.Publication Pvt. Ltd. New Delhi.
9. Datta T.K. (2003) Fundamentals of Operation Theatre Services, Jaypee, New Delhi.
10. Maheswari J Essentials of Orthopedics (3rd ed) Mehta Publication, NewDelhi.
11. Pasricha J.S., Gupta R. (2001) Illustrated Text book of Dermatology (2nded) Jaypee
brothers New Delhi.
12. Haslett C., Chilvers E.R., Hunder J.A.A. &Boon, N.A. (1999) Davidson’s Principles
and Practice of Medicine (18 thed) Churchill living stone. Edinburgh.
13. Walsh M. (2002) Watson’s Clinical Nursing and Related Sciences (6thed) Bailliere
Tindall Edinburgh.
14. Medical Surgical Nursing: A Nursing process approach Vol. I & II, , Ignatacicius,
Donna & Workman, Linda, W. B. Saunders Company, Philadelphia (1995)
15. The Lippincott Manual of Nursing practice, 7th ed, Nettina, Sandra, Lippincott
Williams & Wilkins, Philadelphia (2001).
Evaluation Scheme
Internal Assessment: Theory: Marks
Mid-Term: 50
Marks
Prelim: 75
Marks
Total: 125
Marks
(125 Marks to be converted in to 25 Marks for Internal Assessment (Theory)
External Assessment
University Examination
Theory: 75 Marks
Practical: 100 Marks
a) Guideline for Nursing Care Plan: (3 X 25 Marks)
FORMAT FOR NURSING CARE PLAN
(Medical / Surgical / Ortho or …………………..) Marks 25
1. Patients Biodata:
Name, address, age, sex, religion, marital status, occupation , source of health care,
date of admission, provisional diagnosis, date of surgery if any
2. Presenting complaints:
Describe the complaints with which the patient has come to hospital
3. History of illness
History of present illness – onset, symptoms, duration, precipitating/ alleviating
factors
History of past illness- illnesses, surgeries, allergies, immunizations, medications
Family history – family tree, history if illness in family members, risk factors,
Congenital
Problems, Psychological Problems.
4. Economic status:
Monthly income & expenditure on health, marital assets (own pacca house car, two
wheeler, phone, TV etc. ..)
5. Psychological status:
Ethnic background, (geographical information, cultural information) support system
available.
6. Personal habits:
consumption of alcohol, smoking, tobacco chewing, sleep, exercise, work
elimination, nutrition.
7. History to Physical examination with date and time
8. Disease condition:
Definition, Anatomy Physiology, incidence,
Etiology & risk factor, Pathophysiology, clinical manifestation
9. Investigation
Date Investigation done Normal value Patient value Inference
12. Guide line for writing Nursing care plan (including health education)
Marks – 20
Date Assessment Nursing Objective Plan of care Rationale Evaluation Remarks
Subjective diagnosis Implementation
&
Objective
Data
Marks 4 3 2 7 2 2
Note: Same format to be used for 1) Medical, 2) Surgical & 3) Ortho or any other, having
25 Marks each)
Marks – 50
1. Patients Biodata:
Name, Address, Age, sex, religion, martial status, occupation, source of health care,
date of admission, provisional diagnosis, date of surgery if any
2. Presenting complaints:
Describe the complaint with which the patient has come to hospital
3. History of illness:
History of present illness- onset, symptoms, duration, precipitating / alleviating
factors
History of past illness- illnesses, surgeries, allergies, immunizations, medications
congenital problems, psychological problems.
4. Economic status:
Monthly income & expenditure on health, marital assets (own pacca house, car, two
wheeler, phone, TV etc...)
5. Psychological status:
ethnic background, (geographical information, cultural information) support system
available.
6. Habits:
Consumption of alcohol, smoking, tobacco chewing, sleep, exercise, work
elimination, nutrition.
7. Physical examination with date and time
8. Investigation
Date Investigation done Normal value Patient value Inference
9. Treatment
S.N. Drug: trade Pharmacolo Route Dose & Action Side effect & Nursing
name gical name frequency Drug responsibility
interaction
Remarks:
Signature of Teacher
Date:
Signature of student
Date of Sign
Note: Same format to be used for 1) Medical Ward & 2) Surgical Ward having 100
Marks each.
f - iii) Format for OPERATION THEATRE experience EVALUATION
Maximum 100 Marks
Students Name :-
_____________________________________________________________________
Year :- ________________________ Duration of position :-
________________________
Area of posting :- ________________________
Grades :- [5-Excellent, 4-V. Good, 3-Good, 2-Fair, 1-Poor]
S.N. Content 5 4 3 2 1
I Personal &professional behavior:
1 Wears theatre dress correctly
2 Arrives and leaves punctually
3 Notably poised & effective even in stressful situation
4 Works with interest & willingness
5 Shows respect to co-workers, works well as a team
member.
II Knowledge of:
6 Anatomy & surgical procedure
7 Equipment & articles
8 Anaesthesia, Microbiology, Legal responsibilities
III Skills
9 Collects & receives all preoperative information about
patients.
10 Follows principles f scrubbing, gowning& gloving
11 Arranges trolley according to procedure
12 Assists efficiently knowing the steps
13 Works efficiently as a circulating nurse
14 Assists the anesthetist for induction, intubation &
extubation
15 Follows strict infection control measures
16 Maintains therapeutic operation theatre environment
17 Checks adequacy of equipment & supplies
18 Records & reports immediately
19 Provides appropriate postoperative care
20 Follows cleaning, packing & sterilization of equipment
B) Intubation:
Type of ETT - Size
C) Boyles apparatus
Ventilators Circuit Connection Mechanism Electric
Gadget
D) Extubation: (Steps)
E) Type of I/V Fluids and suture Material available in that area:
I/ V Fluids Suture Material
Note: Assignments are requirement of operation theatre posting, however they are
not for evaluation.
f - iii - 3) Guideline for ASSISTED CASES in Operation Theatre
I. I) DEMOGRAPHIC PROFILE:
Name of Patient : WD/ Bed No. :
Age/ Sex : Diagnosis :
Proposed Surgery : Actual surgery :
Date of witnessed :
II. II) TYPE OF ANAESTHESIA:
Drug used in anesthesia:
Name of Drug Dose Given Dose Available Route Action
Note: Assignments are requirement of operation theatre posting, however they are
not for evaluation.