CLINICAL SPECIALITY – I
MEDICAL SURGICAL NURSING
Placement: 1st YearMEDICAL SURGICAL NURSING
Hours of instruction
Theory: 150 Hours
Practical: 650 Hours
Total : 800 Hours
Course Description
neuro science nursing/cardiovascular & thoracic nursing/critical care
nursing/oncology nursing/orthopaedic and rehabilitation nursing/nephro &
urology nursing, gastroenterology nursing/ geriatric nursing.
It is designed to assist students in developing expertise and in depth
knowledge in the field of medical Surgical Nursing. It will help students to
appreciate the patient as a holistic individual and develop skill to function
as a specialized Medical-Surgical Nurse. It will further enable the student to
function as educator, manager and researcher in the field of Medical –
Surgical Nursing.
Objectives
At the end of the course the students will be able to:
At the end of the course the students will be able to:
Nursing as a speciality.
2. Apply concepts & theories related to health promotion.
3. Appreciate the client as a holistic individual.
4. Perform physical, psychosocial assessment of Medical – Surgical
patients.
5. Apply Nursing process in providing care to patients.
6. Integrate the concept of family centered nursing care with associated
disorder such as genetic, congenital and long-term illness.
7. Recognize and manage emergencies with Medical- Surgical patients.
8. Describe various recent technologies & treatment modalities in the
management of critically ill patients.
9. Appreciate the legal & ethical issues relevant to Medical – Surgical
Nursing.
10. Prepare a design for layout and management of Medical – Surgical
Units.
11. Appreciate the role of alternative systems of Medicine in care of
patients.
12. Incorporate evidence based Nursing practice and identify the areas of
research in the field of Medical – Surgical Nursing.
13. Recognize the role of Nurse practitioner as a member of the Medical –
Surgical health team.
14. Teach Medical – Surgical Nursing to undergraduate nursing students
& in-service nurses.
COURSE CONTENT:
Unit Hours Content
I
Unit Hours Content
I
5 Introduction:
Historical development of Medical- Surgical Nursing in India. Current status of health and disease burden in India.
Current concept of health.
Trends & issues in Medical – Surgical Nursing.
Ethical & cultural issues in Medical – Surgical Nursing.
Rights of patients.
National health policy, special laws & ordinances relating to older
people.
National goals.
Five year plans.
National health programs related to adult health.
II 20 Health Assessment of patients
History taking. Physical examination of various systems.
Nutritional assessment.
Related investigations and diagnostic assessment.
III 5 Care in hospital settings:
Ambulatory care. Acute and Critical care.
Long term care.
Home Health Care.
Characteristics, care models, practice settings, interdisciplinary
team.
Hospitalization- effects of hospitalization on the patient & family.
Stressors & reactions related to disease process.
Nursing care using Nursing process approach.
IV 10 Management of patients with disorders of Gastro intestinal tract
Review of anatomy and physiology. Common Disorders-etiology, Patho physiology, Clinical
manifestations, complications, prognosis.
Health assessment- History taking, physical examination,
investigation and diagnostic assessment.
Treatment modalities and trends.
Nursing management.
Related research studies.
Evidence based nursing practice.
Rehabilitation and follow-up.
Unit Hours Content
V 10 Management of patients with disorders of nervous system
Review of anatomy and physiology.V 10 Management of patients with disorders of nervous system
Common Disorders- etiology, Patho physiology,Clinical
manifestations, complications, prognosis.
Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
Treatment modalities and trends.
Nursing management.
Related research studies.
Evidence based nursing practice.
Rehabilitation and follow-up.
VI 10 Management of patients with disorders of respiratory system
Review of anatomy and physiology. Common Disorders- etiology, Patho physiology,Clinical
manifestations, complications, prognosis.
Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
Treatment modalities and trends.
Nursing management.
Related research studies.
Evidence based nursing practice.
Rehabilitation and follow-up.
VII 10 Management of patients with disorders of cardio vascular system
Review of anatomy and physiology. Common Disorders- etiology, Patho physiology,Clinical
manifestations, complications, prognosis.
Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
Treatment modalities and trends.
Nursing management.
Related research studies.
Evidence based nursing practice.
Rehabilitation and follow-up.
VIII 5 Management of patients with disorders of blood
Review of anatomy and physiology. Common Disorders- etiology, Patho physiology,Clinical
manifestations, complications, prognosis.
Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
Treatment modalities and trends.
Nursing management.
Related research studies
Evidence based nursing practice
Rehabilitation and follow-up
IX 10 Management of patients with disorders of genito urinary system
Review of anatomy and physiology. Common Disorders- etiology, Patho physiology, Clinical
manifestations, complications, prognosis.
Unit Hours Content
Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
Treatment modalities and trends.
Nursing management.
Related research studies.
Evidence based nursing practice.
Rehabilitation and follow-up.
X 10 Management of patients with disorders of endocrine system
Review of anatomy and physiology. Common Disorders- etiology, Patho physiology, Clinical
manifestations, complications, prognosis.
Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
Treatment modalities and trends.
Nursing management.
Related research studies.
Evidence based nursing practice.
Rehabilitation and follow-up.
XI 10 Management of patients with disorders of musculo-skeletal
system
Review of anatomy and physiology.system
Common Disorders- etiology, Patho physiology,Clinical
manifestations, complications, prognosis.
Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
Treatment modalities and trends.
Nursing management.
Related research studies.
Evidence based nursing practice.
Rehabilitation and follow-up.
XII 8 Management of patients with disorders of integumentory system
Review of anatomy and physiology. Common Disorders- etiology, Patho physiology,Clinical
manifestations, complications, prognosis.
Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
Treatment modalities and trends.
Nursing management.
Related research studies.
Evidence based nursing practice.
Rehabilitation and follow-up.
XIII 5 Management of patients with disorders of Eye and ENT
Review of anatomy and physiology. Common Disorders-etiology, Patho physiology, Clinical
manifestations, complications, prognosis.
Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
Treatment modalities and trends.
Unit Hours Content
Nursing management. Related research studies.
Evidence based nursing practice.
Rehabilitation and follow-up.
XIV 8 Management of patients with disorders of reproductive system
Review of anatomy and physiology. Common Disorders- etiology, Patho physiology, Clinical
manifestations, complications, prognosis.
Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
Treatment modalities and trends.
Nursing management.
Related research studies.
Evidence based nursing practice.
Rehabilitation and follow-up.
XV 8 Geriatric nursing
Nursing Assessment-History and Physical assessment. Ageing;
Demography; Myths and realities.
Concepts and theories of ageing.
Cognitive Aspects of Ageing.
Normal biological ageing.
Age related body systems changes.
Psychosocial Aspects of Aging.
Medications and elderly.
Stress & coping in older adults.
Common Health Problems & Nursing Management;
Psychosocial and Sexual.
Abuse of elderly.
Role of nurse for care of elderly: ambulation, nutritional,
communicational, psychosocial and spiritual.
Role of nurse for caregivers of elderly.
Role of family and formal and non formal caregivers.
Use of aids and prosthesis (hearing aids, dentures,
Legal & Ethical Issues.
Provisions and Programmes for elderly; privileges, Community
Programs and health services;
Home and institutional care.
Issues, problems and trends.
XVI 8 Management of patients with communicable and sexually
transmitted diseases:
Review of immune system.transmitted diseases:
Common Disorders of immune system – HIV/AIDS.
Review of infectious disease process.
Communicable Diseases- etiology, Patho physiology, Clinical
manifestations, complications, prognosis.
Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
Treatment modalities and trends.
Unit Hours Content
Nursing management.
Related research studies.
Evidence based nursing practice.
Rehabilitation and follow-up.
XVII 8 Emergency, trauma and multi-system organ failure
Trauma, burns, poisoning
Etiology, Patho physiology, Clinical manifestations, complications,
prognosis.
Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
• Treatment modalities and trends.
• Nursing management.
• Related research studies.
• Evidence based nursing practice.
• Rehabilitation and follow-up.
Practical
Total = 660 Hours
1 Week = 30 Hours
Dept/Unit No. of Week Total Hours
General Medical Ward 4 120 Hours
General Surgical Ward 4 120 Hours
ICUs 4 120 Hours
Oncology 2 60 Hours
Ortho 2 60 Hours
Cardio 2 60 Hours
Emergency Department 2 60 Hours
Neuro 2 60 Hours
Total 22 Weeks 660 Hours
Student Activities:
• Clinical presentations
• History taking
• Health Assessment
• Nutritional Assessment
• Health Education related to disease conditions
• Case studies
• Project work
• Field visits
