Medical and Surgical Nursing

Structure Type:	Course
Code:	KG09AIHE318
Type:	Compulsory
Level:	Bachelor
Credits:	7.5 points
Responsible Teacher:	Palo, Raija
Teacher Team:	Paussu, Paula ; Ahola, Liisa ; Mäki-Kala, Katri ; Knuuttila, Tarja ; Salminen-Tuomaala, Mari
Language of Instruction:	Finnish

Course Implementations, Planned Year of Study and Semester

Curriculum	Semester	Credits	Start of Semester	End of Semester
HOITOTYO-2013SH	2 autumn	4.5	2014-09-01	2014-12-31
HOITOTYO-2013SH	2 spring	3.0	2015-01-02	2015-07-31
HOITOTYO-2013TH	2 autumn	4.5	2015-08-01	2015-12-31
HOITOTYO-2013TH	2 spring	3.0	2016-01-01	2016-07-31
SH-2014	2 autumn	7.5	2015-08-01	2015-12-31
TH-2014	2 autumn	7.5	2016-08-01	2016-12-31

Learning Outcomes

COMPETENCE IN CUSTOMERSHIP IN HEALTH CARE, DECISION-MAKING COMPETENCE AND ETHICAL COMPETENCE

Students will, under supervision, be able to identify the needs of adult patients and their families and plan, implement, evaluate and document nursing care. They will, under supervision, be able to give oral reports. They will learn to deal with patients in various life situations. They will understand the principles of patient-oriented, resource-based and multi-professional nursing of patients and their families. Students will demonstrate their understanding of principles and guidelines on ethics and data protection.

CLINICAL COMPETENCE

Students will be learn to identify and evaluate changes and disorders in patients' vital functions and will, under supervision, be able to initiate appropriate nursing interventions. Under supervision, students will recognize individual rehabilitation needs of medical-surgical patients and seek to support the patient during the rehabilitation process. Under supervision, they will be competent in preparing patients for various procedures and in monitoring and caring for them during and after the treatment. Students will know how to work aseptically to prevent infections. Under supervision, they will be able to prepare patients for the more common types of examinations and measurements. Under supervision, students will be able to plan and safely implement adult patients' intravenous fluid care and medication and blood transfusion and to evaluate the effectiveness of the treatments. Under supervision, students will be able to implement nutritional therapy. They will become familiar with the more common diseases of medical-surgical patients, and with the methods for diagnosing and treating the diseases in the general practice level. Students will be able to recognize pain in medical-surgical adult patients and will, under supervision, be able to plan and implement pain control and to evaluate its effectiveness. Students will learn to use relevant technological equipment.

COMPETENCE IN HEALTH PROMOTION

In their work, students will follow the principles of promoting and supporting the health and resources of adult patients. Students will learn the main factors that influence the health and illness of adult people.

COUNSELLING AND MENTORING COMPETENCE

Students will, under supervision, be able to counsel adult patients on the basis of research and evidence in issues pertaining to health and illness. Under supervision, students will be able to plan, implement and evaluate counselling situations.

LEARNING COMPETENCE

Students will be competent in critically evaluating their level of professional expertise with regard to their strengths and weaknesses. Students will learn to evaluate their learning skills, needs and the learning environment.

Student's Workload

Will be announced at the beginning of the course.

Prerequisites / Recommended Optional Courses

No previous studies are required.

Medical-surgical nursing and counselling of patients, who suffer from prevalent diseases. Nursing and counselling patients with infectious diseases. Written, electronic and oral documentation. Drug care.Peripheral cannulation, intravenous fluid and drug care, blood transfusions. Technology in nursing.

Mode of Delivery / Planned Learning Activities and Teaching Methods

Interactive and action-based learning methods, lectures, lab skills exercises, independent study

Assessment Criteria

5
Students
- recognize needs for nursing in adult patients and their families and plan, implement, evaluate and report on nursing
- know how to encounter adult patients and their families in various life situations
-critically apply profession-specific ethical principles
- recognize and assess changes and disorders in patients' vital functions and are able to implement appropriate nursing interventions
- are able to plan and implement safely fluid care, medication and blood transfusions for adult patients and to evaluate their effectiveness
- know how to counsel and teach adult patients in a resource-oriented way on issues related to health and illness
- know how to search, apply and evaluate critically evidence-based knowledge

3-4
Students
- recognize needs for nursing in adult patients and their families and, under supervision, know how to plan, implement, evaluate and report on nursing
- know how to work in a professional manner in client situations
- are able to justify their actions by profession-specific ethical principles
- recognize and assess changes and disorders in patients' vital functions and, under supervision, are able to implement appropriate nursing interventions
- are able to plan and implement safely fluid care, medication and blood transfusions for adult patients and, under supervision, able to evaluate their effectiveness
- know how to counsel and teach adult patients in a resource-oriented way on issues related to health and illness
- know how to search, apply and evaluate critically evidence-based knowledge

1-2
Students
- under supervision, recognize needs for nursing in adult patients and their families and know how to plan, implement, evaluate and report on nursing
- know how to take adult patients into consideration
-observe ethical principles in their action
- recognize and assess changes and disorders in patients' vital functions and, under supervision, are able to implement appropriate nursing interventions
- under supervision, are able to plan and implement safely fluid care, medication and blood transfusions for adult patients and, under supervision, able to evaluate their effectiveness
- under supervision, know how to counsel and teach adult patients in a resource-oriented way on issues related to health and illness
- know how to search and handle evidence-based knowledge but are not able to apply or evaluate the knowledge.

Fail:
Students
-are unable to meet adult patients' basic needs
-knowledge and skills are greatly lacking and patient safety cannot be guaranteed
-do not know how to observe and report on changes in vital functions
-do not observe adequate asepsis
-jeopardise their own and the patient's safety
-repeatedly make mistakes in fluid care or medication
-avoid care and learning situations
-do not seek patient contact
-despite feedback, dress or behave inappropriately
-do not observe confidentiality
-collaboration skills are greatly lacking
-are not adequately motivated to learn the profession
-know how to seek and handle evidence-based knowledge but do not know how to evalute it critically.

Assessment Methods

Active participation, written test, drug calculation test (must be passed before the practical training period) and lab skills exercises (regular attendance and active participation)

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