Perioperative Nursing (4 cr)

Evaluation scale

H-5

Content scheduling

Contents
• Perioperative nursing (organization, tasks and areas of responsibility in team work, care environment)
• Ethical principles of surgical wards
• Roles and tasks of surgical teams
• Patient and occupational safety in a surgical ward (including infection prevention, asepsis, levels of disinfection, instrument safety, reporting and documentation, use of checklists)
• Disinfection and sterilization methods in perioperative nursing
• Preparing patients in a surgical ward
• Maintaining the body temperature of a surgical patient
• Setting the patient in a proper position for surgery, disinfection and defining the area of operation
• Common treatment equipment, instruments and sutures and assisting in a surgery
• Preparations of a surgical team before a procedure (instrument and supply collection, surgical hand disinfection, sterile clothing, defining the area of operation)
• Treatment of the patient in a recovery room and the criteria of transferring the patient to an inpatient ward

Preclinical Training in Perioperative Nursing

• Contents:
• The operating room as an environment
• Preoperative and intraoperative preparations in surgical and anaesthetic wards and transferring the patient to an operating room
• Care of a patient during a procedure: different nursing roles, duties and team work
• How to use the surgical team checklist
• Observation and care of patients under anaesthesia
• Common operating positions and disinfection of the area of operation
• Collecting instruments and treatment supplies
• Surgical hand disinfection, sterile clothing and defining the area of operation
• Common care equipment, devices and instruments
• Aseptic techniques of surgical wards
• Providing assistance in a surgery
• Tasks related to ending a procedure (supply inventory and equipment maintenance)
• Transferring the patient and immediate postoperative observation and care
• Pharmacotherapy and liquid therapy
Anaesthesiology and Pharmacology 1 ECTS ANFA
• Common methods of anaesthesia , the medications used in them and the effects and phases of these medications in the body
• Preparations for anaesthesia (collecting the medications, preparing the patient monitoring systems and the anaesthesia workstation)
• Observation and care of patients under anaesthesia in the operating and recovery rooms
• Pharmacotherapy and liquid therapy during anaesthesia and in the recovery room
• Pain assessment and management

Objective

PERIOPERATIVE NURSING 5 ECTS PEHO
The study unit includes 1 ECTS of studies arranged in English

Objectives
Students will
• Understand the treatment path for perioperative patients
• Know how to describe the perioperative treatment process of adult patients
• Learn the principles of asepsis and know how to apply the methods and principles of infection prevention in a surgical ward
• Be able to work in multiprofessional surgical and anaesthetic teams at the different phases of perioperative nursing
• Become proficient in the basic principles and values of surgical and anaesthetic nursing and learn to base their actions on the latest research information
• Understand the special features of pharmacotherapy and fluid therapy for perioperative patients and know how to apply them in patient care
• Become familiar with the most common anaesthetic and analgesic methods
• Know how to prepare patients for anaesthesia and procedures
• Know how to use common patient testing, examination, monitoring and care instruments, analyse the resulting information and act accordingly
• Know how to report on and document the different phases of perioperative treatment
• Learn to identify the special features of counselling and support provided to perioperative patients
• Be aware of the safety risks in surgical and anaesthetic wards and know how to ensure the safety of activities
• Understand the tasks of anaesthetic nurses, circulating nurses and surgeon’s assistants and identify the key instruments used
• Be able to perform immediate postoperative observation in the recovery room

Content

Preclinical Training in Perioperative Nursing
Objectives

Students will
• Learn to perform nursing of surgical patients in a surgical ward
• Learn to carry out the necessary preparations for the patient’s intra-operative care
• Understand the key factors contributing to successful team work in surgical and anaesthetic wards
• Practise the tasks of anaesthetic nurses, circulating nurses and surgeon’s assistants
• Learn to use the key care equipment, supplies and instruments used in anaesthetic and surgical care
• Practise aseptic techniques in different nursing roles in a surgical ward
• Learn to observe and care for patients in the intraoperative and immediate postoperative context
• Practise documenting and reporting of perioperative nursing
• Contents:
• The operating room as an environment
• Preoperative and intraoperative preparations in surgical and anaesthetic wards and transferring the patient to an operating room
• Care of a patient during a procedure: different nursing roles, duties and team work
• How to use the surgical team checklist
• Observation and care of patients under anaesthesia
• Common operating positions and disinfection of the area of operation
• Collecting instruments and treatment supplies
• Surgical hand disinfection, sterile clothing and defining the area of operation
• Common care equipment, devices and instruments
• Aseptic techniques of surgical wards
• Providing assistance in a surgery
• Tasks related to ending a procedure (supply inventory and equipment maintenance)
• Transferring the patient and immediate postoperative observation and care
• Pharmacotherapy and liquid therapy

Anaesthesiology and Pharmacology 1 ECTS ANFA
• Common methods of anaesthesia , the medications used in them and the effects and phases of these medications in the body
• Preparations for anaesthesia (collecting the medications, preparing the patient monitoring systems and the anaesthesia workstation)
• Observation and care of patients under anaesthesia in the operating and recovery rooms
• Pharmacotherapy and liquid therapy during anaesthesia and in the recovery room
• Pain assessment and management

Materials

Wicker, Paul. Perioperative practice at a glance.
https://ebookcentral.proquest.com/lib/turkuamk-ebooks/detail.action?docID=1895109
and/or
Brunner & Suddarths Textbook of Medical-Surgical Nursing. 13 th or newer ed.
•Chapter 18: Intraoperative Nursing Management
•Chapter 19: Care of the Patient in the Postanesthesia Care Unit
and/or
Berman A., Snyder S.J. & Frandsen G. 2016. Kozier & Erb's Fundamentals of Nursing. Concepts, Process, and Practice. 10th edition. : UNIT 8: chapter 37 Perioperative Nursing (Ebook)
English material in Optima: lectures, articles and videos

Teaching methods

Monimuotoiset lähi-, verkko- ja simulaatiomenetelmät sekä harjoittelu. Lisäksi itsenäisiä tehtäviä ja kirjallinen tentti.

Pedagogic approaches and sustainable development

Työelämäperusteiset toimintatavat, työelämäyhteistyö (mahdollisuuksien mukaan), tiimioppiminen ja yhteistyö.

Student workload

PERIOPERATIIVISEN POTILAAN HOITOTYÖ (PEHO ja ANFA)
Luento-opetusta ja kirjallinen koe
(kokeeseen valmistautuminen ja muu itsenäinen opiskelu noin 40 h (helppo / keskivaikea teksti 10 h / 100 sivua = yhteensä noin 300 sivua)
- Opiskelija osallistuu aktiivisesti luennoille, 80 % läsnäolo
- Opiskelija valmistautuu tunneille ennakkotehtävien mukaisesti
- Opiskelija suorittaa lääkelaskun leikkaussaliharjoittelun tai tentin yhteydessä
- Opiskelija osallistuu aktiivisesti työpaja/projektityöskentelyyn leikkaussalissa
- Opiskelija suorittaa hyväksytysti PEHOn kirjallisen tentin (0-5). Hyväksytty suoritus on 50 % kokeen kokonaispistemäärästä. Tentissä arvioidaan koko tenttialueen hallinta.
- Opiskelija suorittaa hyväksytysti ANFAn tentti, joka on hyväksytty/hylätty (50% kokeen kokonaispistemäärästä).

HARJOITTELU LEIKKAUSSALISSA (1op)
Itsenäinen valmistautuminen harjoitteluun 12 h (tarkempi ohjeistus It'sissä)

Harjoittelu luokassa 15 h (sisältää simulaatiot)
- Anestesiahoitotyö (menetelmät, välineistö, monitorointi ja potilaan hoitaminen anestesioiden aikana)
- Leikkausasennot, leikkausvälineistö, leikkausalueen desinfiointi, kirurginen käsien desinfiointi, steriilin takin ja käsineiden pukeminen ja steriilin alueen luominen
- Instrumenttien tunnistaminen ja käsittely, välinehuolto, haavan ompelussa avustaminen ja ompeleiden poisto
- Simulaatio (low)

Arviointimenetelmät ja arvioinnin perusteet

PEHO ja ANFA: kirjallinen koe (yksilö). PEHOn arviointi 0-5, ANFA hyväksytty/hylätty.

HARJOITTELU LEIKKAUSSALISSA:
Aktiivinen osallistuminen prekliiniseen harjoitteluun leikkaussalissa, ennakkotehtävät, läsnäolo harjoittelutunneilla 100%.
Lääkelasku suoritetaan hyväksytysti.
Aktiivinen osallistuminen itsenäiseen työpaja/projekti toimintaan leikkaussalissa
Projektityöskentelyyn osallistuminen & työskentely (vertais- ja itsearviointi); voi olla korottava vaikutus

Further information

PEHO ja ANFA: It's oppimisalusta