ATENEO DE DAVAO UNIVERSITY

College of Nursing

COURSE SYLLABUS
(2008)

NURSING 106
CARE OF CLIENTS ACROSS THE LIFESPAN WITH PROBLEMS IN INFLAMMATORY AND IMMUNOLOGIC REACTIONS, CELLULAR ABERRATIONS,
ACUTE BIOLOGIC CRISIS, INCLUDING EMERGENCY AND DISASTER NURSING AND IV THERAPY

Prepared by:

CID BENEDICT PABALAN, RN

MAYCHELLE ANCOG, RN
VIRGINCITA BARREDO, RN
 NCM 106

Placement: 4th Year, 1st Semester

Time Allotment: 144 lecture hours

Course Description: NCM 106 deals with the principles and techniques of nursing care management of sick clients across the lifespan in varied settings, with
alterations/problems in inflammatory and immunologic function, cellular aberration, acute biologic crisis, including emergency and disaster nursing IV therapy.

Values to be integrated:

1. Value for life

2. Respect for patients’ rights
3. Value for family support
4. Culture and Gender Sensitivity
5. Respect for all religions
6. Professionalism
7. Genuine nursing care
8. Self-discipline
9. Being sensitive to the feelings of others
D H Topics Objectives Activities References Evaluation Values
A R
Y S
I. Immunologic/Inflammatory After each 3-hour Textbooks: Paper and The following
Reactions session, the students pen quiz values shall be
will be able to: Horwitz M.E. incorporated in
(2000). Stem cell NCM 106:
A. Review of the Immune System: Viewing of a short transplantation for
1. Components of the Immune video clip on the inherited 1. Self-
System immune system immunodeficiency awareness
Antigens disorders
Immune Cells Enumerate the Lecture-discussion 2.Value for life
-Major histocompatibility components of the Cotran R.S., Kumar
Complex immune system and V., Collins T. 3. Respect for
-Monocytes, define each type (1999). Pathologic patients’ rights
Macrophages, and Dendritic basis of diseases
cells Define cytokines, the (6th ed., pp. 195- 4. Value for
-B lymphocytes functions and the 216). Philadelphia: family support
-Immunoglobulins immune response W.B. Saunders.
-T lymphocytes process 5. Culture and
-Natural Killer Cells Porth C.M. (2002). Gender
2. The Lymphoid Organs Pathophysiology: Sensitivity
Distinguish the types of Concepts of Altered
3. Cytokines and the Immune immunity Health States (6th 6. Respect for all
Response ed., pp. 331-395). religions and
Philadelphia:
Lippincott Williams
and Wilkins
 cultures
Websites/URLs:
4. Humoral immunity, cellular Identify the different 7.
immunity, acquired immunity, factors that affect the Center for Disease Professionalism
and active and passive immune system Control and
immunity. Prevention, 8. Genuine
Divisions of nursing care
5. Regulation of the Immune Differentiate the HIV/AIDS 8. Self-discipline
Response immune system of prevention-basic
individuals across the statistics 9. Being
6. Transfer of Immunity from life span www.cdc.gov/hiv/st sensitive to the
mother to Infant ats.htm feelings of others

7. Immune Response in the Kimball’s biology

Elderly pages: A
description of T and
B cells with some
illustrations
http://www.ultranet.
com/~jkimball/Biolo
gyPages/B/B_and_
Tcells.html

National Institutes
of Health Web site
on the immune
system
http://rex.nci.nih.go
v/PATIENTS/INFO
_TEACHER/books
helf/NIH_immune/in
dex.html
 8. The Inflammatory Response Differentiate acute
Acute Inflammation inflammation from
-Vascular Response chronic inflammation
-Cellular Response
-Acute Phase Response
-Inflammatory Mediators
-Inflammatory Exudates
Chronic Inflammation

B. Significant subjective data from the client Identify significant data

- family history
- chief complaints
- functional patterns
psychosocial and behavioral assessment
that should be obtained Interactive
necessary to be used Role Play
as the basis of
rendering patient care
and management

C. Principles and techniques of physical

examination in all age groups, deviations
from normal
Define each type of
Inspection: physical examination
Types of skin lesions technique

Primary lesions: Demonstrate proper

1. MACULE palpation and
2. PAPULE inspection techniques
3. NODULE
4. TUMOR Distinguish each type
5. PLAQUE of lesion in terms of
6. VESICLE appearance and other
7. BULLAE characteristics
8. PUSTULE
9. WHEAL
10. BURROW
11. TELANGIECTASIA
 Secondary Lesions:
1. SCALE Paper and
2. CRUST Photo presentation pen moving
3. ATROPHY of each quiz
4.LICHENIFICATION
5. EROSION
6. EXCORIATION
7. FISSURE
8. ULCERATION
9. SCAR
10. ESCHAR
11. KELOIDS
12.PETECHIAE, PURPURA, AND
ECCHYMOSES

Palpation:
-Turgor
-Tenderness
-masses
-body temperature
D. Diagnostic tests and Nursing
responsibilities

A. Non-invasive
-Urinalysis
-C and S Define each diagnostic Lecture-discussion
-X-Ray test Paper and
Simulation (Lumbar pen quiz
B. Invasive Identify the indications tap)
-CBC for each test
-Antistreptolysin titer
-Biopsy Identify the possible
-Blood Chemistry complications for each
-Lumbar tap test
-ELISA
-Western blot Identify the appropriate
-Immunoelectrophoresis nursing responsibilities
for each test

E. Pathophysiologic Mechanisms Lecture-

discussion Paper and
Immunodeficiency Disease pen quiz
Define
1. Humoral (B-cell) Immunodeficiency immunodeficiency Pantomime for the
-Transient Hypogammaglobulinemia of distinct signs and
Infancy symptoms
-Primary B-cell Immunodeficiencies
-Secondary B-cell Immuodeficiencies Trace the
pathophysiologic
2. Cellular (T-cell) Immunodeficiencies process of each
-Primary T-cell Immunodeficiencies disorder through
-Secondary T-cell Immuodeficiencies diagram representation
3. Combined T-Cell and B-Cell
Define each
-Immunodeficiencies immunologic disorder
 -Severe Combined Immunodeficiency
-Ataxia-Telangiectasia Enumerate the different
-Wiskott-Aldrich Syndrome signs and symptoms of
each disorder
4. Disorders of Phagocytosis
Enumerate the
Primary Disorders of Phagocytosis possible complications
-Job syndrome of each disorder
-Chediak-Higashi Syndrome
Formulate appropriate
Secondary Disorders of Phagocytosis nursing diagnoses for
each disorder
5. Stem cell transplantation
Enumerate appropriate
nursing interventions
for each disorder

Allergic and Hypersensitivity Disorders

Hypersensitivity Reactions

Type 1- Immediate/Anaphylactic Reaction

-Time of onset
-Common Signs snd Symptoms
-Role of IgE
-Specific Conditions:
Asthma and other allergies
-Atopic Disorders
]
Type 2- Cytotoxic, antibody dependent
-Time of Onset
-Common signs and symptoms
-Specific Comditions:
Blood transfusion Reactions
Rh Incompatibilities
Type 3-Immune-Complex Mediated
-antigen-antibody mechanism
 -Its effect on the Kidneys
-Arthrus Reaction
-Serum sickness

Type 4-Cell Mediated

-Cellular changes
-Hyperseisitivity Disorders
-Allergic Contact dermatitis
-Hypersensitivity Pneumonitis

LATEX ALLERGY

Transplantation Immunopathology

Host-Versus-Graft Disease
Graft-Versus-Host Disease

Autoimmune Disease

Immunologic Tolerance

Mechanism of Autoimmune Disease

Heredity and Gender
Failure of T-Cell-Mediated Suppression
Molecular Mimicry
Superantigens
Rheumatoid arthritis
Systemic Lupus Erythematosus
Idiopathic Thrombocytopenia Purpura
Autoimmune hemolytic anemia.
Grave’s disease
Hashimoto’s Thyroiditis
Myasthenia Gravis
Celiac disease
Pemphigous
Acquired Immunodeficiency Syndrome Briefly trace the history
The AIDS Epidemic of the AIDS epidemic
Transmission of HIV Infection
State the virus
Pathophysiology of AIDS responsible for AIDS
and explain how it
Diagnosis of HIV Infection differs from other
Classification of HIV Infection viruses
Phases of HIV Infection Describe the
Clinical Course mechanisms of HIV
Opportunistic Infections transmission and relate
Respiratory Manifestations them to the need for
Gastrointestinal Manifestations public awareness and
Nervous System manifestations concern regarding the
Cancer and Malignancies spread of AIDS
Wasting Syndrome
Metabolic Manifestations Describe the diagnosis
of AIDS

Describe the
alterations in immune
function that occur in
persons with AIDS

List the 3 stages of HIV

infection and describe
the symptoms,
psychosocial issues,
and management
concerns for each
stage
Early Management
Treatment
Psychosocial Issues

Prevention of HIV Infection

HIV Infection in pregnancy and in infants Discuss the vertical
and children transmission of HIV
 from mother to child
and recommended
prevention measures

Cite problems with

diagnosis of HIV
infection in the infant

Compare the progress

of HIV Infection in
infants and children
with HIV infection in
adults
F. Nursing Diagnoses Formulate appropriate Group formulation Individual
Taxonomy/Development of Outcome nursing diagnoses for of Nursing Car Plan NCP making
Criteria each disorder With the 5
BEST ursing
1. Impaired skin Integrity Formulate SMART interventions
2. Activity Intolerance objectives and
3. Potential for Infection outcome criteria
4. Disturbances in Self-concept
5. Ineffective Family Coping Enumerate appropriate
6. Social isolation nursing interventions
for each disorder
G. Principles of Various Modalities of
Management
1. health promotion Define each principle of
2. disease modalities of
prevention management
3. Curative
4. Restorative Cite examples of each
principle
H. Pharmacologic Actions Identify the Paper and
Therapeutic use, side effects, pharmacologic 1 versus 45 (from 1 pen quiz
indications, contraindication, nursing management for versus 1 million
responsibilities immunologic disorders game)

a. Antibiotics Identify the mechanism

 b. Antifungal agents of action, indication,
c. Anticholinergic agents contraindication,
d. Adrenergic Agents adverse effects and
e. Anti-inflammatory agents side effects of each
f. Corticosteroids drug
g. Immunologic agents
h. Vaccines Enumerate the nursing
responsibilities
appropriate for each
pharmacologic
management

I. Nursing Responsibilities for specific Define each type of Photo presentation Paper and
surgical and special procedures special and surgical of nursing pen quiz
procedure procedures
Thyroidectomy Return
Incision and drainage, etc. demonstration

Safe and comprehensive perioperative Enumerate appropriate

nursing care nursing responsibilities
perioperatively Simulation
1. Assessment and care during the
perioperative period
2. Techniques in assisting the surgical
team during the operation
3. Principles of safety, comfort and privacy
during the perioperative period
4. Nursing responsibilities during the
perioperative period

A. Surgical Procedures-debridement,
incision and drainage, excision
B. Special procedures: Define the following:
1. Universal Precaution 1.Universal Precaution Lecture
2. Reverse Isolation 2.Reverse Isolation demonstration
3. Medical Asepsis 3.Medical Asepsis
 4. Surgical Asepsis 4.Surgical Asepsis

Demonstrate the
proper technique of
each procedure

J. Bioethics: Principles and application of Identify the different Role-play

bioethics in the care of the clients ethical concerns in
-Patient’s rights patient care
-Confidentiality
-The Informed Consent
-Advance Directive
-Issues in patients with AIDS
Formulate a discharge
K. Appropriate discharge plan including plan specific for each
health education disorder

Identify the guidelines

L. Accurate recording and in accurate recording
documentation and documentation
III. CELLULAR ABERRATIONS Trace the normal cell Video clip Cotran R.S., Kumar Paper and
cycle presentation of the V., Collins T. pen quiz
A. Review of the Cellular cell cycle (1999). Pathologic
Physiology basis of diseases
1. The cell cycle (6th ed., pp. 90-91,
2. Differentiation Define terms in the 260-327).
3. Proliferation cellular aberration Philadelphia: W.B.
concept Saunders.
B. Characteristics of Benign and
Malignant neoplasms
1. Terminology Differentiate each
2. Neoplasm defined term if Porth C.M. (2002).
3. Benign appropriate Pathophysiology:
4. Malignant Concepts of Altered
-cancer cell characteristics Health States (6th
-Invasion and metastasis ed., pp. 149-178).
-Tumor Growth Philadelphia:
-General effects Lippincott Williams
and Wilkins

Related Web sites:

C. General Pathophysiology of Trace the
Cellular Aberration pathophysiologic American Cancer
process of cellular Lecture-discussion Society
aberration through www.cancer.org
diagram representation
CA: A cancer
Identify the prevalence journal for
of different cancers in Clinicians
different local and www.ca-journal.org
international regions
National Cancer
Institute
www.nci.nih.gov
Epidemiology: Local & International Collage making

a. lung
b. breast
c. uterine
d. prostate
e. colorectal

D. Carcinogenesis and Causes of

Cancer
Oncogenesis
Risk factors:

1. Gender and site Describe the role of

2. Age proto-oncogenes and
3. Race and anti-oncogens in the
ethnicity transformation of a
4. Genetics normal life line to a
5. Hormonal Factors cancer cell line
6. Immunologic
Factors Name the steps in the
7. Oncogenic transformation of
Viruses normal cells to cancer
8. Drugs and cells by carcinogens
Chemicals
9. Radiation
-ionizing Identify the risk factors
-UV to cancer
-electromagnetic
-radon Identify the preventive
9. Lifestyle measures to specific
-smoking risk factors
-nutrition/diet
-obesity State how lifestyle can
 -viruses contribute to the cancer
-psychosocial risk through increased
factors exposure to
carcinogenic agents
F. Significant subjective data from the client Identify significant
- family history subjective data that Case analysis
- chief complaints should be obtained
- functional patterns necessary to be used Role-play Return
- psychosocial and as the basis of demonstration
behavioral assessment rendering patient care
and management
G. Principles and techniques of physical Lecture-
examination in all age groups, deviations demonstration
from normal Identify each technique
of physical examination Group presentation
1. Breast-Self examination
2. Testicular Examination Identify the indication
3. Digital Rectal Examination and contraindication of
each technique

Demonstrate each
technique of physical
examination

The 9 Danger Signs [ CAUTION UP ] Define the danger Jingle making

signs of cancer contest

H. Diagnostic tests and Nursing Paper and

responsibilities Photo presentation pen quiz
with lecture-
Lung Cancer Define each diagnostic discussion
A. Chest X-Ray test
B. Sputum Cytology
Identify the indications
for each test
Breast Cancer
A. Mammogram Identify the possible
 B. Clinical Breast Exam complications for each
C. MRI test
D. Tissue Sampling
Identify the appropriate
nursing responsibilities
Uterine Cancer for each test
A. transvaginal sonography
B. hysteroscopy
C. sonohysterography
D. Biopsy Punch

Cervical Cancer

A. Pap smear with staging

Prostate Cancer

A. Digital rectal examinanition

B. Prostate-Specific Antigen

Colorectal cancer

A. Fecal Occult blood test

B. Sigmoidoscopy
C. Colonoscopy
D. Double- contrast barium enema

Other tests:

A. Tumor markers
B. Radioisotope scan
C. MRI
I. Pathophysiologic Mechanisms leading to
manifestations Lecture-discussion Paper and
Define each type of (Story-telling style) pen quiz
A. Lung Cancer cancer
B. Breast Cancer
C. Uterine Cancer Trace the
D. Colorectal Cancer pathophysiologic
E. Prostate Cancer process of each
F. Non-Hodgkin Lymphoma disorder through
G. Kidney Cancer (Renal Cell) diagram representation
H. Melanoma
I. Basal Cell carcinoma Enumerate the different
J. Thyroid Cancer signs and symptoms of
K. Leukemia each disorder
L. Brain Cancer
Enumerate the
possible complications
of each disorder

Formulate appropriate
nursing diagnoses for
each disorder

Enumerate appropriate
nursing interventions
for each disorder

Childhood Cancers
Cite the early warning
Medullablastoma signs of cancer in
Glioma children
Neuroblastoma
Wilm’s Tumor Discuss possible
Retinoblastoma concerns of adult
Ewing’s Sarcoma survivors of childhood
Osteosarcom cancer
J. Nursing Diagnoses Formulate appropriate Group
Taxonomy/Development of Outcome nursing diagnoses for formulation of NCP
Criteria each disorder

Formulate SMART
A. Potential for Infection objectives and
B. Disturbance in Body Image outcome criteria
C. Activity Intolerance
D. Potential for alteration in nutrition; less Enumerate appropriate
than body requirements nursing interventions
E. Alteration in oral Mucous Membrane for each disorder
Integrity
F. Alteration in Comfort
G. Fluid Volume Deficit
2 minute
Define each principle of role play for each
K. Principles of Various Modalities of modalities of group
Management Against CANCER management
1. Health promotion
2. disease Cite examples of each
prevention principle
3. Curative
4. Restorative

M. Principles of Management Paper and

pen quiz
1. Cancer Staging: Distinguish each type o Lecture-
cancer staging discussion
Cancer naming Mnemonics Quiz bowl
TNM classification Define each principle of style
Clinical staging management
Metastatic Spread
Enumerate appropriate
2. Prevention of Infection nursing responsibilities
3. Hydration and interventions for
4. Blood component replacement each principle of
 5. 0xygen therapy management
6. Prevention of Complications
7. Rehabilitation

N. Pharmacologic Actions
Therapeutic use, side effects, Identify the
indications, contraindication, nursing pharmacologic
responsibilities management for
cancer
1. Biotherapy
Classification Identify the mechanism

Cytokines of action, indication,

Monoclonal Antibodies contraindication,

Cellular Therapies adverse effects and

Immunodilators side effects of each

Retinoids drug

Distinguish each
classification

Enumerate the nursing

responsibilities
appropriate for each
pharmacologic
management

2. Chemotherapeutic Agents Paper and

Classification pen quiz

Cell cycle-specific

Cell cycle-nonspecific
Categories

Alkalating agents

Antibiotic
antineoplastic

Antimetabolite

Nitroureas

Plant derivatives

Hormonal

Special considerations in chemotherapeutic Identify Special

drugs preparation considerations in
1. Proper attire chemotherapeutic
2. Chemo drug handling drugs preparation

H. Bioethics: Principles and application of Identify the different Video clip Paper and
bioethics in the care of the clients ethical concerns in presentation pen quiz
-Patient’s rights patient care showing scenes for
-Confidentiality medical series
-The Informed Consent shows (i.e. House,
-Ethics of decision MD, Grey’s
-Advance Directives anatomy)
Formulate a discharge
plan specific for each
disorder

Identify the guidelines

in accurate recording
and documentation
Paper and
O. Nursing Responsibilities for specific Video clip pen quiz
surgical and special procedures presentation
[Preoperatively and showing scenes for Return
Postoperatively] medical series demonstration
-positioning shows (i.e. House,
-dos and donts Define each type of MD, Grey’s
-bedside equipment special and surgical anatomy)
-activity structuring procedure

Safe and comprehensive perioperative Operating room

nursing care simulation
Enumerate appropriate Lecture-discussion
 5. Assessment and care during the nursing responsibilities
perioperative period perioperatively
6. Techniques in assisting the surgical
team during the operation
7. Principles of safety, comfort and privacy
during the perioperative period
8. Nursing responsibilities during the
perioperative period

Surgical Procedures:

1. Modified radical mastectomy

(drainage/positioning)
2. Lobectomy (positioning)
3. Hysterectomy
4. Craniectomy
5. Transurethral resection of the prostate
(cystoclysis)
6. Colostomy ( care )
7. Bone Marrow and Peripheral Blood Stem
Cell Transplantation

Special procedures:
1. Radiation therapy
2. Cervical Implants
3. Reverse Isolation
Identify the different Case analysis
P. Appropriate discharge plan including ethical concerns in Paper and
health education patient care pen Quiz

Q. Accurate recording and Formulate a discharge

documentation plan specific for each
disorder

Identify the guidelines

in accurate recording
and documentation
III. Acute Biologic Crisis

A. Standard Assessment of the Critically Ill Identify the appropriate Video clip Porth C.M. (2002).
-Focused History Taking assessment technique presentation of an Pathophysiology: Paper and
-Discriminating Physical Examination for each type of acute emergency Concepts of Altered pen quiz
AIRWAY biologic crisis situation Health States (6th
BREATHING ed., pp. 500-
CIRCULATION Enumerate 504,564-566,777-
HEMODYNAMIC STATUS prioritization of the 781, 1163-1164,
assessment process 1174-1178,1433-
1437).
Philadelphia:
B. Pathophysiologic Mechanisms leading to Lippincott Williams
manifestations Lecture-discussion and Wilkins
Define each type of Video clip
1. Cardiac Failure crisis presentation of
2. Acute Myocardial Infarction specific situations Related web sites:
3. Acute Renal Failure Trace the showing the crisis
4. Stroke pathophysiologic Burns:
process of each http://www.bt.cdc.g
disorder through ov/masscasualties/
diagram representation pdf/burns-
masscasualties.pdf
Enumerate the different
signs and symptoms of Food poisoning:
each disorder http://www.health.vi
c.gov.au/foodsafety
Enumerate the /downloads/poison
possible complications _prevent.pdf
of each disorder
Red cross
Formulate appropriate guidelines in
nursing diagnoses for chemical poisoning:
each disorder http://www.redcross
.org/static/file_cont
 Enumerate appropriate 157_lang0_67.pdf
nursing interventions
for each disorder SARS and
Emerging
Infections
Terrorism:
http://www.bioterror
ism.uab.edu/EI/sar
s/sars.pdf

5. Increased Intracranial Pressure

6. Metabolic Emergencies
-DKA/HHNK
7. Massive Bleeding/Hypovolemic Shock
8. Extensive surgeries (include dehiscence
and evisceration)

9. Extensive Burns
(include staging and area computation)
10. Poisoning
11. Multiple Injuries
12`. Emerging illness (SARS, Avian Flu)

C. Nursing Diagnoses Formulate appropriate

Taxonomy/Development of Outcome nursing diagnoses for NCP making
Criteria each disorder

5. Impaired Gas Exchange Formulate SMART

6. Inability to sustain spontaneous objectives and
ventilation outcome criteria
7. Dysfunctional Ventilatory Weaning
Response Enumerate appropriate
8. Decreased cardiac output nursing interventions
9. Altered tissue perfusion, systemic for each disorder
10. Alteration in nutrition, less than body
 requirements
11. Fluid Volume Deficit
12. Activity Intolerance

D. Results/Implications of Diagnostic Define each diagnostic Simulation

Laboratory Exams test ECG tracing
Lecture-discussion
1. Non-Invasive: ECG, cardiac Identify the indications
rhythms for each test
2. Invasive: ABG, Hemodynamic
monitoring, CVP, pulmonary Distinguish the
capillary wedge pressure (PCWP) implivation of each
result

Identify the possible

complications for each
test

Identify the appropriate

nursing responsibilities
for each test

E. Principles of Management Lecture-discussion Paper and

pen quiz
1. Determination and management Define each principle of
of Cause modalities of
2. Life saving interventions: management
Basic Life support
Advanced Cardiac Life support
First aid Measures Perform each principle
Fluid Resuscitation technique accurately

3. Life Maintaining Interventions: Define life maintaining Lecture-discussion Paper and

-Airway management and care of intervention pen quiz
patients with ventilator
-Parenteral fluid administration Identify the indications
 (blood and blood component therapy for each
-Interventions for hemodynamic
instability Enumerate the
-Continuous hemodynamic interventions for each
monitoring
-Interventions for Nueral
Regulation
-Fluid and Electrolyte Problems
-Nutrition
-Perioperative Problems
4. Psychosocial and behavioral Identify the indications Lecture-discussion
interventions: for each Psychosocial
-measures to relieve anxiety and behavioral
-fear, depression interventions
- critical care concerns:
-immobility, Enumerate the
-sleep deprivation interventions for each
-sensory overload Psychosocial and
-body image alterations behavioral intervention
-grieving
-sexuality
-spirituality
5. Supportive management Lecture-discussion
6. Prevention of complication
7. Rehabilitation-pulmonary, cardiac,
neurologic

F. Pharmacologic Actions Identify the Lecture-discussion Drug study

pharmacologic
Therapeutic use, side effects, management for each
indications, contraindication, nursing crisis
responsibilities
Identify the mechanism
1. Analgesics of action, indication,
2. Narcotics contraindication,
3. Corticosteroids adverse effects and
4. Antihypertensive side effects of each
 5. Vasopressors drug
6. Antibiotics
7. Parenteral fluids Distinguish each
classification

Enumerate the nursing

responsibilities
appropriate for each
pharmacologic
management

G. Nursing Responsibilities for specific Video clip Paper and

surgical and special procedures presentation pen quiz
1. Tracheostomy
2. Endotracheal Intubation Define each type of Role-play
3. Cardiocentesis special and surgical
4. Thoracotomy procedure
5. Cut-down
6. Aneurysm clipping
7. Defibrillation &
Cardioversion Enumerate appropriate
[Preoperatively and Postoperatively] nursing responsibilities
-positioning perioperatively
-dos and donts
-bedside equipment
-activity structuring

Safe and comprehensive perioperative

nursing care

9. Assessment and care during the

perioperative period
10. Techniques in assisting the surgical
team during the operation
11. Principles of safety, comfort and privacy
during the perioperative period
12. Nursing responsibilities during the
 perioperative period
H. Bioethics: Principles and application Identify the different Role-play Paper and
of bioethics in the care of the clients ethical concerns in pen quiz
-Patient’s rights patient care
-Confidentiality Case
-The Informed Consent analysisi
-Advance Directives

I. Appropriate discharge plan including Formulate a discharge

health education plan specific for each
disorder

J. Accurate recording and Identify the guidelines

documentation in accurate recording
and documentation
IV. Disaster and Emergency Paper and
pen quiz
A. Definition of Emergency and Define emergency and ROLE PLAY of A
other terminologies disaster terms DISASTER

-Disaster
-Trauma

B. Triage Define TRIAGE Video presentationCone DC, Paper and

MacMillan DS. pen quiz
Definition Identify objectives for Case simulation Mass-casualty
Objectives triaging triage systems: A
hint of Science. Case analysis
1. START Triage system Differentiate START Jingle making for
Acad Emerg Med
(Simple Triage and Rapid System) triage from MILITARY mnemonics
Indication for use of START triage triage in terms of 2005, 12(8): 739-
System procedure protocol and EMERGENCY 741 [PubMed
indications ROOM tour Citation]

The Mnemonic/Procedure: Triage Coding

Respiration http://remm.nlm.gov
Pulse/Perfusion /radtriage.htm
Mental Status

ADULT START Triage System Cut-out activity

PEDIATRIC START Triage System Identify the color Game ka na Ba?
coding and patient
START Flow Chart classification process
for each type of triaging
Four Triage Categories/Color Coding

Evacuation Prioritization according to

category

The Incident Command System

2. MILITARY TRIAGE

Indication of use for Military Triage

5 Categories of Severity
1. Black/ Expectant
2. Red/ Immediate
3. Yellow/Observation
4. Green/Wait (Walking wounded)
5. White/Dismiss Identify different Interview hospital
hospital operation admin. For
C. Hospital Operations Plan plans in local and prepared hospital
international hospitals operations plan
Paper and
D. Types of Emergency with Photo presentation pen quiz
appropriate nursing interventions
Define each type pf Lecture-discussion
8. Airway obstruction emergency
9. Myocardial Infarction
10. Near drowning Enumerate the signs
11. Hemorrhage and symptoms
12. Head/Chest/abdominal
Trauma Identify the appropriate
13. Poisoning and Overdose medical and nursing
14. Hypo/Hyperthermia actions for each
15. Snake bite/Animal bites
16. Nitrogen Narcosis
17. Fractures
18. Spinal cord Injury

E. The Crash Cart/E-Cart Showing of Crash Moving Exam

Define what a crash card
-Contents of the Crash cart cart is Paper and
- A-Z Emergency Drugs pen quiz
-Defibrillator Identify the use of a
-Oxygen Saturation Monitor crash cart
 Enumerate the
structures and contents
of a crash cart

F. Personal Protective Identify the types of Photo presentation

Equipment Personal Protective with discussion
Equipment and
indications for each

G. Hazardous Materials Enumerate hazardous Collage

materials

Identify the possible

H. Decontamination effects of each Discussion
hazardous material to
health

Identify
decontamination
measures

I. Biologic Warfare and Biologic Identify biologic Knowledge sharing

agents warfares and agents Lecture-discussion
Role-play
Enumerate appropriate
management and
protocol for warfares

J. Blast Injuries Define blast injuries

Identify appropriate
medical and nursing
actions for each

K. Natural Disasters Define different natural

disasters

Identify appropriate
 action plans for specific
natural disasters

L. Stress Reactions Define specific types of

-Post Traumatic stress reaction
-Stress Disorder Critical Incident
Stress management Enumerate appropriate
-Debriefing nursing actions for
each
M. Special Emergency Photo sharing Paper and
Procedures pen quiz
Lecture-discussion

1. Tracheostomy Dummy simulation

2. Endotracheal Intubation
3. Cardiocentesis Lecture
4. Thoracotomy Demonstration
5. Cut-down
6. Aneurysm clipping
7. Defibrillation &
Cardioversion

N. Nursing Responsibilities for specific Define each type of Simulation Paper and
surgical and special procedures special and surgical Lecture Discussion pen quiz
[Preoperatively and procedure Lecture
Postoperatively] Demonstration Return
-positioning demonstration
-dos and donts
-bedside equipment Enumerate appropriate
-activity structuring nursing responsibilities
perioperatively
Safe and comprehensive perioperative
nursing care

Assessment and care during the

 perioperative period

Techniques in assisting the surgical team

during the operation

Principles of safety, comfort and privacy

during the perioperative period

Nursing responsibilities during the

perioperative period

O. Universal Precaution Application in an Identify universal

emergency set-up Precaution principles

Cite examples
of cases needing
universal precaution

Demonstrate
the correct steps in
universal precaution
V. IV THERAPY
Discuss the importance Lecture-discussion Paper and
A. Philosophy of Intravenous Pen Quiz
Parenteral Therapy for
the patient as well as
B. Definition the nurse. Illustration
and
Describe the roles and pinpointing
C. Basic Foundation of IV Therapy responsibilities of the different
1. Historical background of IV nurses in IV therapy. IV therapy
therapy access points
2. Ethico-legal aspects of IV Recognize the ethico- Obtain and submit
therapy legal implications of a copy of the Moving Exam
2.1 Role of ANSAP IV Therapy. Standard operating
2.2 Difference between RA 9173 procedure(SOP)
and RA 7160 Identify the roles and from local hospital
3. Standards of IV therapy functions of ANSAP. about IV therapy.

Present the difference

D. Review of Anatomy and Physiology of between RA 9163 to *Powerpoint
the vascular system RA 7160 in terms of IV presentation of the
Therapy requirements anatomy of the
vascular, peripheral
E. Peripheral and Integumentary System Identify and discuss the and integumenary
parts and functions of system
the vascular, peripheral
F. Fluid and Elecrolyte therapy and integumentary
1. Types of Fluids/ Solution and systems.
uses
2. Drug Interaction with IV fluids Enumerate the types of
3. Handling of IV solutions, blood fluids/solutions and
products and components identify the indication
for each Lecture-
demonstration
G. Nursing process in IV therapy
Utilize the nursing
process in the care of
Clients undergoing IV
 therapy.

H. Venipuncture Technique on Adult & Identify the appropriate

children sites for
-Prescribed cannula and indications of each Venipuncture.
-Color, gauge
-Ideal period of usage of an IV set, Describe the steps in
indications the procedure for
-Process in keeping a set sterile performing a
venipuncture using
I. Complications of IV therapy selected techniques

Demonstrate function,
J. Infection Control & Microbiology usage, care and
Principles maintenance of
supplies and
equipment utilized in
K. Demonstration of Procedure the administration of IV
Documentation of Activity therapy Return-
demonsration
Observe principles of with an IV
strict asepsis during Therapy
the actual Certified
implementation of the Clinical
intravenous therapy Instructor
practice.