NS3360 Holistic Nursing Care in Acute Illness I NS3360 Lesson Plan 1

Spring 2014

Seminar and Lab Learning Activities: Administration of Medications: injections

Seminar Readings Seminar Videos

Potter and Perry: Chapter 31, pp. 600-608, 622-631

Mosbys Nursing Skills: Medication Administration: intradermal, intramuscular, subcutaneous injections, injection preparation from ampules and vials

Lab Activities Medication Administration: Subcutaneous Intramuscular Intradermal

Seminar and Lab Learning Objectives: 1. Manipulate parts of a syringe. 2. Locate sites for subcutaneous injections. 3. Locate sites for intramuscular injections. 4. Locate sites for intradermal injections. 5. Discuss types of equipment to use for the different routes for parenteral injections. 6. Demonstrate injection techniques for subcutaneous, intramuscular and intradermal sites. 7. Demonstrate mixing of two types of insulin. 8. Discuss the administration of subcutaneous heparin.

Ungraded assignments: Ochs (Potter and Perry) STUDY GUIDE Chapter 31

NS3360 Lesson Plan 2 Seminar and Lab Learning Activities: Oxygen Therapy and Airway Suctioning
Seminar Readings Seminar Videos

Potter and Perry: Chapter 40

Lewis Chapter 29, pp.618-625

Mosbys Nursing Skills: Oxygen saturation (pulse oximetry) Oxygen therapy and oxygen delivery: general principles Oxygen tank regulators Suctioning: nasopharyngeal; oropharyngeal; and nasotracheal Chest physiotherapy: percussion, vibration and shaking Postoperative exercises: diaphragmatic breathing and controlled coughing Incentive spirometry

Lab Activities Oxygen therapy Incentive spirometry Turn, cough and deep breathe Postural drainage Airway Suctioning: nasopharyngeal

Seminar and Lab Learning Objectives: 1. Discuss the various methods of delivering oxygen. 2. Discuss the nursing interventions to promote oxygenation and ventilation. 3. Demonstrate application of various types of oxygen equipment. 4. Discuss the signs and symptoms that would warrant the need for suctioning. 5. Discuss the techniques for airway suctioning. 6. Identify the steps involved in nasopharyngeal suctioning. 7. Demonstrate nasopharyngeal suctioning. 8. Discuss the signs and symptoms that would warrant the need for suctioning

Ungraded assignments: Ochs (Potter & Perry) STUDY GUIDE Chapter 40

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NS3360 Lesson Plan 3 Seminar and Lab Learning Activities: Tracheostomy Care and Chest Drainage System and Maintenance
Seminar Readings Seminar Videos

Mosbys Nursing Skills: Potter & Perry Lewis Chapter 28, pp. 566-572 Chapter 27, pp.528-535, 542 Chapter 40 , pp. 849-850, 869-873
Lab Activities Tracheostomy care Chest drainage system and maintenance

Tracheostomy care Oxygen therapy for patients with an artificial airway Chest tube insertion Chest tube removal Chest tube: closed drainage systems Atrium U video series

Seminar and Lab Learning Objectives: 1. Discuss the techniques for airway suctioning of a tracheostomy. 2. Identify the steps involved in performing tracheostomy care. 3. Demonstrate nursing care of a tracheostomy. 4. Demonstrate suctioning of a tracheostomy. 5. Identify indications for chest tube placement. 6. Describe instances where it is appropriate to clamp a chest tube. 7. Describe the nursing interventions when a chest tube disconnects from the drainage unit. 8. Demonstrate the maintenance of a closed chest drainage system. 9. Identify the assessments of a patient with a closed chest drainage system.

Ungraded assignments: Ochs (Potter & Perry) STUDY GUIDE Chapter 40

NS3360 Lesson Plan 4 Seminar and Lab Learning Activities: Seminar Exam #1, Skill Performance Exam: Airway suctioning and Oxygen therapy
Seminar Readings Seminar Videos

Seminar Exam #1
Mosbys Nursing Skills Potter and Perry None Chapter 30 Review

Lab Activities

Skill Performance Exam: Airway suctioning and Oxygen Therapy

NS3360 Lesson Plan 5 Seminar and Lab Learning Activities: IV Dosage Calculations and Skill Performance Exam: Chest drainage system
Seminar Readings Seminar Videos

Potter and Perry Chapter 41, pp.925-926 Mosbys Nursing Skills: Intravenous infusion: Dose and Flow Rate Calculations

Dosage Calculation book

Lab Activities

Skill Performance Exam: Chest Drainage System

IV Dosages Calculations

Seminar and Lab Learning Objectives:

1. 2. 3. 4. Calculate an infusion flow rate in drops per minute. Calculate IV infusion time. Calculate IV infusion volume. Calculate milliliters per hour: mL/hr.

NS3360 Lesson Plan 6 Seminar and Lab Learning Activities: IV dosage calculation exam, Intravenous therapy: types of venous access devices, assessment, insertion and care, Skill Performance Exam: Medication administration
Seminar Readings Seminar Videos

IV Dosage Calculation Exam

Potter and Perry Chapter 41, pp.905-907, 916-925 Mosbys Nursing Skills Intravenous therapy: initiation

Lab Activities

Type of Venous access devices: peripheral IV initiation IV simulators

Skill Performance Exam: Medication Administration

Seminar Objectives 1. 2. 3. 4. Discuss purposes for initiation of intravenous therapy. Discuss procedures for initiation of intravenous therapy. Describe types of peripheral venous access devices. Perform peripheral venipuncture on IV arms and simulators.

Ungraded assignments: Ochs (Potter & Perry) STUDY GUIDE Chapter 41

NS3360 Lesson Plan 7 Seminar and Lab Learning Activities: IV Maintenance and Specimen Collection
Seminar Readings Seminar Videos

Mosbys Nursing Skills: Potter & Perry Lewis Chapter 17, pp.326-327 Chapter 49, pp.1233-1235 Chapter 41, pp.904-909 Chapter 44, pp.1035-1039 Intravenous Therapy: discontinuation; regulation of flow rate; solution change; administration set change; dose and flow rate calculations Short peripheral intravenous catheter: dressing change (adult and peds) Blood Glucose Monitoring

Lab Activities

IV Maintenance IV Discontinuation
Specimen Collection: Blood glucose monitoring

Seminar and Lab Learning Objectives:

1. 2. 3. 4. 5. 6. Demonstrate how to change intravenous solutions, tubing, and dressings. Demonstrate how to set up intravenous fluids with various equipment. Demonstrate the discontinuation of IV therapy. Discuss the various types of intravenous solutions and their indications. Identify assessment steps for the maintenance of an intravenous system. Demonstrate a fingerstick for blood glucose monitoring.

Ungraded assignments: Ochs (Potter & Perry) STUDY GUIDE Chapter 41

NS3360 Lesson Plan 8 Seminar and Lab Learning Activities: IV Medications and IV Complications
Seminar Readings Seminar Videos

Mosbys Nursing Skills: Potter & Perry Chapter 31, pp.608-611, 631-639 Medication Administration: intravenous bolus; piggyback, intermittent infusion sets and miniInfusion pumps
Lab 2

Lab 1

IV medication administration: intermittent, IV medication administration: intermittent, piggyback, bolus piggyback, bolus

Seminar and Lab Learning Objectives:

1. 2. 3. 4. 5.

Discuss methods of medication administration via intravenous route. Demonstrate medication administration via intravenous route. Discuss the complications of intravenous therapy. Demonstrate troubleshooting techniques for intravenous therapy complications. Differentiate between phlebitis and infiltration.

Ungraded assignments: Ochs (Potter & Perry) STUDY GUIDE Chapter 31 & 41

NS3360 Lesson Plan 9 Seminar and Lab Learning Activities: Central line accesses, TPN& Lipids, and Blood Therapy
Seminar Readings Seminar Videos

Potter & Perry Mosbys Nursing Skills: Chapter 41, pp. 907 Chapter 43, pp.990-992 Chapter 44, pp.1021-1024 Chapter 35, pp. 635-639 Lewis Chapter 17 pp. 328-331 Chapter 31 pp. 705-710 Central Venous Catheter: removal; site care; blood sampling Central Parenteral Nutrition Peripherally Inserted Central Catheter (PICC): maintenance and dressing change Blood Products Administration Central Venous Catheter Insertion

Lab Activities Central venous access devices and maintenance TPN and Lipids Blood Therapy PCA

Seminar and Lab Learning Objectives: 1. Discuss types of equipment to access the central venous system. 2. Discuss and demonstrate nursing care for patients who have various central venous catheters. 3. Discuss candidates for parenteral nutrition. 4. Discuss type and components of parenteral nutrition. 5. Demonstrate set up of TPN and lipids. 6. Discuss components of blood therapy. 7. Demonstrate initiation and maintenance of blood transfusions. 8. Discuss various blood transfusion reactions and nursing interventions needed to maintain safety in this therapy. 9. Discuss maintenance of a PCA (patient controlled analgesia) system.

Ungraded assignments: Ochs (Potter & Perry) STUDY GUIDE Chapter 41

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NS3360 Lesson Plan 10 Seminar and Lab Learning Activities: Seminar Exam #2 and Intravenous Therapy Skill Performance Exam
Seminar Readings Seminar Videos

Seminar Exam #2
None

Lab Activities

Skill Performance Exam: Intravenous Therapy

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