Algonquin College
NSG0168
Perioperative Patient Care for RPN
Course Outline
2022-2023
- Pre-requisite(s)
- N/A
- Co-requisite(s)
- N/A
- Prepared by
- Wendy Phair
- Approved by
- Carmen Hust, Chair of Nursing
- Approval date
- Sunday, December 4, 2022
- Normative hours
- 90.00
- Grading system
- A+ Through F
| Applicable Program | Level | Core/Elective |
|---|---|---|
| 0897X02PWO - RPN - Operating Room | 1 | Core |
Course Description
Students create perioperative care plans that include preoperative assessment and intraoperative planning for surgical intervention. Students are introduced to safe, responsible practices of equipment, supply handling and the role of the perioperative nurse in assisting the surgical team. Implementation and documentation of care are practised. Students review surgical anatomy and explore select surgical and diagnostic procedures including requisite instrumentation, equipment and supplies, anesthetic interventions, as well as patient considerations in the immediate post-operative period.
Vocational Learning Outcomes
This course provides the opportunity for you to achieve the following outcomes:
0897X02PWO - RPN - Operating Room
| VLO 1 | Complete all work as a member of a surgical team in a legal, ethical, competent, and professional manner (T, A) |
|---|---|
| VLO 2 | Contribute to the provision of nursing care to persons undergoing surgery by applying knowledge of the process and principles of nursing in the operating room setting. (T, A) |
| VLO 4 | Identify and respond appropriately within the scope of practice to changes in human behaviour due to the effects of illness, stress, and fatigue of an individual. (T, A) |
| VLO 5 | Apply knowledge of the principles of physical sciences to operating room nursing. (T, A) |
| VLO 6 | Apply aseptic techniques to all delegated tasks related to surgical procedures, patient care, and other departmental functions. (T, A) |
| VLO 7 | Contribute to the safety of self and others in the application, care, and use of instruments, special equipment, and supplies used for basic surgical procedures. (T, A) |
| VLO 8 | Develop personal strategies to maintain, improve, and promote professional competence within the role of the operating room nurse. (T) |
| VLO 9 | Identify and apply discipline-specific practices that contribute to the local and global community through social responsibility, economic commitment and environmental stewardship. (T) |
Assessment Levels —T: Taught A: Assessed CP: Culminating Performance
Course Learning Outcomes / Elements of Performance
When you have earned credit for this course, you will have demonstrated the ability to:
1. Describe surgical anatomical structures for specific types of surgery.
1.1
Open and closed abdominal surgeries
Breast surgery
Open thoracic surgeries
Major orthopedic surgeries
Routine Plastic surgeries
2. Describe commonalities in surgical procedures across systems.
2.1
Describe incision type and site, major anatomical structures, steps in the surgical procedure and instrumentation required for the following surgical procedures: Plastic – Reconstructive / Cosmetic. Orthopedic. Thoracic. Vascular. General. Genitourinary / Gynecological. Retrieval / Transplant Surgery. Minimally Invasive Surgery.
3. Discuss methods of surgical bookings and operating room supply delivery systems – Case Carts.
3.1
Computer booking systems.
Supply delivery.
Case Cart flow.
Loaner Equipment and sets
4. Plan for intraoperative care including common complications.
4.1
Based on patient assessment and surgical procedure, understands potential intraoperative complications and responds appropriately: Haemorrhage / blood transfusion. Allergic Reaction. Hypothermia. Aspiration.
5. Describe various types of surgical positioning, the physiological consequences and equipment necessary for safety.
5.1
Demonstrate safe operation of surgical beds and positioning devices.
List appropriate accessories needed for each position.
Use of sequential compression devices, antiembolic stockings
Warming blankets.
Practice positioning for: Supine. T rendelenberg / reverse Trendelenberg. Lithotomy. Prone. Lateral recumbent. Importance of patient assessment prior to positioning from prospective of: Age. Health. Nutritional status. Skin integrity.
6. Name incision sites, perform skin preps and drape aseptically.
6.1
List names of incisions appropriate for surgical interventions:
Midline
Paramedian
Kocher
Phannensteil
Describe perimeter to be prepped; describe purpose of skin preps.
Describe prep solutions appropriate for the following areas:
Abdominal incision
Open wounds
Stomas
Mucous membranes – mouth,vagina
Eyes
Ears
Demonstrate appropriate techniques when prepping abdominal incisions:. Outline the principles of draping incisions:. Draping materials. Square draping. Handling of drape. Practice draping basic incisions.
7. Surgical Pause
7.1
Discuss reasons for surgical pause.
Correct side surgery; steps to surgical pause.
8. Describe and prepare O.R. equipment for safe use.
8.1
Electrocauteries / smoke evacuators
Tourniquets
Warming blankets
Laparoscopic towers
Compressed air tanks
Suction equipment
Microscopes
Lasers
Light sources
9. Demonstrates accurate documentation techniques on the perioperative record.
9.1
Chart patient care interventions and outcomes in regards to :
Admission
Anesthesia
Surgical procedure
Surgery performed
Team members
Equipment used & setting
Positioning
Prepping
Implants
Drains / Catheters
Counts
Incident reports
Specimens
10. Name basic surgical instruments and equipment required for basic set ups. Discuss safe handling techniques.
10.1
Instruments in general surgery, plastic, orthopaedic, long instrument sets.
Basins and equipment used in routine surgery.
Safe technique for handling sharps - neutral zone, transfer devices.
Intraoperative handling of contaminated instruments - bowel precautions.
Learning Resources
Rothrock. (2019). Alexander's Care of the Patient in Surgery. (16th ed.). Elsevier Mosby
ORNAC Standards 2021
ORNAC Standards 2021
Learning Activities
Lectures
Case Studies
Discussion
Online activities
videos
Independent reading and research
Case Studies
Discussion
Online activities
videos
Independent reading and research
Pre-defined Evaluation / Earning Credit
The following list provides evidence of this course's learning achievements and the outcomes they validate:
Quiz(zes) (40%)
Validates Outcomes: CLO 1, CLO 2, CLO 4, CLO 5, CLO 6, CLO 8, CLO 9, CLO 10
Discussion Forum (20%)
Validates Outcomes: CLO 3, CLO 7, CLO 9
Case Study(ies) (40%)
Validates Outcomes: CLO 1, CLO 3, CLO 4, CLO 5, CLO 6, CLO 8, CLO 9, CLO 10
Prior Learning Assessment and Recognition
Students who wish to apply for Prior Learning Assessment and Recognition (PLAR) need to demonstrate competency at a post-secondary level in all outlined course learning outcomes. Evidence of learning achievement for PLAR candidates includes:
- Challenge Exam
- Project/Assignment
Course Related Information
Please refer to the Course Section Information (CSI) / weekly schedule for specific course-related information as provided by your professor.
Program Information
0897X02PWO - RPN - Operating Room
Privacy Statement
I understand that within my course of study, I may have access to personal information, which may include personal health information (PHI) belonging to clients of Algonquin College’s community partner agencies. Furthermore, I understand that I am responsible for the safekeeping of any personal information in my custody, and that I am accountable to the College for my actions in respect of this information. I agree that I will treat all personal information to which I have access as confidential, that I will access only that information which is needed for the purposes of my studies, and that I will not disclose this information, electronically, verbally or otherwise, for any other purpose.
I understand that a breach of this agreement may lead to academic discipline up to and including my removal from the program, and may further expose me to liability for breach of statute, including the Ontario Personal Health Information Protection Act (PHIPA).
I understand that within my course of study, I may have access to personal information, which may include personal health information (PHI) belonging to clients of Algonquin College’s community partner agencies. Furthermore, I understand that I am responsible for the safekeeping of any personal information in my custody, and that I am accountable to the College for my actions in respect of this information. I agree that I will treat all personal information to which I have access as confidential, that I will access only that information which is needed for the purposes of my studies, and that I will not disclose this information, electronically, verbally or otherwise, for any other purpose.
I understand that a breach of this agreement may lead to academic discipline up to and including my removal from the program, and may further expose me to liability for breach of statute, including the Ontario Personal Health Information Protection Act (PHIPA).
Department Information
STUDENT SUCCESS SPECIALIST
The Faculty Student Success Specialist is Alicia George in room J117. Alicia may also be reached at telephone
extension 2992 or by e-mail at georgea@algonquincollege.com.
RESPECT FOR CONFIDENTIALITY
Students are required to respect the confidentiality of employer, client and/or patient information, interactions and practices that occur either on Algonquin College premises, or at an affiliated clinical/field/co-op placement site. Concerns regarding clients, patients and/or employer practices are to be brought to the attention of the program oordinator, or designated field/clinical/co-op placement supervisor so that they may be resolved collaboratively. uch concerns are not to be raised publically either verbally, in writing, or in electronic forums. These matters are to be addressed through established program communication pathways.
MODES OF INSTRUCTION
Programs at Algonquin College are delivered using a variety of instruction modes. Courses may be offered in the classroom or lab, entirely online, or in a hybrid mode which combines classroom sessions with online learning activities.
TEST CENTRE
Students who miss a test or examination due to unforseeable circumstances may be eligible to write the test or
examination on a different date. This is at the discretion of the Professor and program team. If students are ganted permission then the test or examination will be conducted at the Test Centre. Students are responsible for making an appointment at the Test Centre in a timely fashion and informing the Professor of the date and time. A $30.00 administration fee will be charged which is the responsibility of the student.
POLICY ON CONDUCT
Students in the department of Community Studies are expected to make themselves familiar with this policy to
conduct themselves accordingly. College Directive SA07 refers.
ACADEMIC PROBATION AND LEARNING CONTRACT
If you are experiencing serious difficulties your academic advisor will sit down with you and review the
recommendations of the promotion and evaluation committee regarding your overall performance.
Academic Probation is used to give you clear information about what grade point average or what overall
performance you must meet in order to be allowed to continue in the program. Students who have two of more F grades in a given term or whose term grade point average falls below 1.7 are considered to be on academic
probation (Directive AA14 Grading System). This requires the student to meet with their academic advisor or
coordinator to sign a learning contract which identifies the conditions which must be met to continue in the program. Students who do not meet the terms of their learning contract are withdrawn from the program.
Learning Contracts are used to give you specific feedback on areas you must directly address to meet the criteria for proceeding in your program. A learning contract is based on the recommendations of the promotion and evaluation committee. The purpose of the contract is to identify clearly for you the conditions for your continuance in the program.
The Faculty Student Success Specialist is Alicia George in room J117. Alicia may also be reached at telephone
extension 2992 or by e-mail at georgea@algonquincollege.com.
RESPECT FOR CONFIDENTIALITY
Students are required to respect the confidentiality of employer, client and/or patient information, interactions and practices that occur either on Algonquin College premises, or at an affiliated clinical/field/co-op placement site. Concerns regarding clients, patients and/or employer practices are to be brought to the attention of the program oordinator, or designated field/clinical/co-op placement supervisor so that they may be resolved collaboratively. uch concerns are not to be raised publically either verbally, in writing, or in electronic forums. These matters are to be addressed through established program communication pathways.
MODES OF INSTRUCTION
Programs at Algonquin College are delivered using a variety of instruction modes. Courses may be offered in the classroom or lab, entirely online, or in a hybrid mode which combines classroom sessions with online learning activities.
TEST CENTRE
Students who miss a test or examination due to unforseeable circumstances may be eligible to write the test or
examination on a different date. This is at the discretion of the Professor and program team. If students are ganted permission then the test or examination will be conducted at the Test Centre. Students are responsible for making an appointment at the Test Centre in a timely fashion and informing the Professor of the date and time. A $30.00 administration fee will be charged which is the responsibility of the student.
POLICY ON CONDUCT
Students in the department of Community Studies are expected to make themselves familiar with this policy to
conduct themselves accordingly. College Directive SA07 refers.
ACADEMIC PROBATION AND LEARNING CONTRACT
If you are experiencing serious difficulties your academic advisor will sit down with you and review the
recommendations of the promotion and evaluation committee regarding your overall performance.
Academic Probation is used to give you clear information about what grade point average or what overall
performance you must meet in order to be allowed to continue in the program. Students who have two of more F grades in a given term or whose term grade point average falls below 1.7 are considered to be on academic
probation (Directive AA14 Grading System). This requires the student to meet with their academic advisor or
coordinator to sign a learning contract which identifies the conditions which must be met to continue in the program. Students who do not meet the terms of their learning contract are withdrawn from the program.
Learning Contracts are used to give you specific feedback on areas you must directly address to meet the criteria for proceeding in your program. A learning contract is based on the recommendations of the promotion and evaluation committee. The purpose of the contract is to identify clearly for you the conditions for your continuance in the program.
College Related Information
Algonquin College’s policies have been developed to ensure the health, safety and security of all students, faculty and staff, and the proper and fair operation of the College as an academic institution and employer. Please refer to the Algonquin College Policies website for the most current policy information available at http://www.algonquincollege.com/policies/.
Students are especially encouraged to be aware of the following College expectations
Academic Integrity
Algonquin College is committed to the highest standards of academic integrity, and students are expected to uphold these standards as part of the learning process. Any academic work submitted by a student is expected to be their own work, unless designated otherwise and all sources must be attributed. All students should be familiar with the Algonquin College policy AA48: Academic Integrity which outlines student’s roles and responsibilities and what represents academic dishonesty. In some courses, online proctoring may be used to prevent academic dishonesty. Additional information can be found at Academic Integrity - Student Survival Guide - Subject Guides at Algonquin College (libguides.com) and via Academic Integrity Student Resources. Students with any questions about the course expectations regarding academic integrity are encouraged to speak to their professor and the College’s academic integrity team at acaio@algonquincollege.com
Centre for Accessible Learning
Students with visible and/or non-visible disabilities are encouraged to register with the Centre for Accessible Learning (CAL) in order to be eligible for appropriate learning supports and/or accommodations. Students are strongly encouraged to make an appointment with the Centre for Accessible Learning as early as possible when starting a program. Once your needs are identified, a Letter of Accommodation (LOA) will be issued which you can share with your professors. If you are a returning student, please ensure that professors are given a copy of your LOA each semester.
College Email
Students at Algonquin College are provided with a college email account. This is the address that will be used when the College, your professors, or your fellow students communicate important information about your program or course activities. Your network credentials can be found in the?ACSIS portal and you are expected to check your Algonquin email regularly and to use it to send and receive college-related email. Support is available through the college Information Technology Service (ITS) at: https://www.algonquincollege.com/its/
Retroactive Accommodations
Students are expected to meet evaluation and completion deadlines as stated in course outline and course section information documents. In circumstances where evaluation and/or completion deadlines are missed or student performance has been affected by a temporary or permanent disability (including mental health), interim or retroactive accommodations may be considered. In such instances, please consult your course faculty member. For other situations where deferral of evaluations may be warranted, please?consult Algonquin College?Policy?AA21: Deferred Evaluation.
Student Course Feedback
Algonquin College’s invites students to share their course experience by completing a student course feedback survey for each course they take. For further details consult Algonquin College Policy AA25: Student Course Feedback.
Use of Mobile Devices in Class
With the proliferation of small, personal mobile devices used for communications and data storage, Algonquin College believes there is a need to address their use during classes and examinations. During classes, the use of such devices unless authorized by your professor can be disruptive and disrespectful to others. During examinations, the use of such devices is generally prohibited unless authorized by your professor. Otherwise use is considered academic dishonesty in the form of cheating. For further details consult Algonquin CollegePolicy AA32: Use of Mobile Devices in Class
Technology Requirements
Students are required to have access to a computer and to the internet. There may also be additional technology-related resources required to participate in a course that are not included in the course materials fee, such as headphones, webcams, specialized software, etc. Details on these requirements can be found in the Course Section Information of the course outline for each course available on Brightspace.
Transfer of Credit
It is the student’s responsibility to retain course outlines for possible future use to support applications for transfer of credit to other educational institutions.
Safe Harbour
In the event of an unexpected major event (pandemic, etc.), your course may have changes that are not reflected in the Course Outline. Should this happen, the Course Section Information document will have updated information about your course.
Students are especially encouraged to be aware of the following College expectations
Academic Integrity
Algonquin College is committed to the highest standards of academic integrity, and students are expected to uphold these standards as part of the learning process. Any academic work submitted by a student is expected to be their own work, unless designated otherwise and all sources must be attributed. All students should be familiar with the Algonquin College policy AA48: Academic Integrity which outlines student’s roles and responsibilities and what represents academic dishonesty. In some courses, online proctoring may be used to prevent academic dishonesty. Additional information can be found at Academic Integrity - Student Survival Guide - Subject Guides at Algonquin College (libguides.com) and via Academic Integrity Student Resources. Students with any questions about the course expectations regarding academic integrity are encouraged to speak to their professor and the College’s academic integrity team at acaio@algonquincollege.com
Centre for Accessible Learning
Students with visible and/or non-visible disabilities are encouraged to register with the Centre for Accessible Learning (CAL) in order to be eligible for appropriate learning supports and/or accommodations. Students are strongly encouraged to make an appointment with the Centre for Accessible Learning as early as possible when starting a program. Once your needs are identified, a Letter of Accommodation (LOA) will be issued which you can share with your professors. If you are a returning student, please ensure that professors are given a copy of your LOA each semester.
College Email
Students at Algonquin College are provided with a college email account. This is the address that will be used when the College, your professors, or your fellow students communicate important information about your program or course activities. Your network credentials can be found in the?ACSIS portal and you are expected to check your Algonquin email regularly and to use it to send and receive college-related email. Support is available through the college Information Technology Service (ITS) at: https://www.algonquincollege.com/its/
Retroactive Accommodations
Students are expected to meet evaluation and completion deadlines as stated in course outline and course section information documents. In circumstances where evaluation and/or completion deadlines are missed or student performance has been affected by a temporary or permanent disability (including mental health), interim or retroactive accommodations may be considered. In such instances, please consult your course faculty member. For other situations where deferral of evaluations may be warranted, please?consult Algonquin College?Policy?AA21: Deferred Evaluation.
Student Course Feedback
Algonquin College’s invites students to share their course experience by completing a student course feedback survey for each course they take. For further details consult Algonquin College Policy AA25: Student Course Feedback.
Use of Mobile Devices in Class
With the proliferation of small, personal mobile devices used for communications and data storage, Algonquin College believes there is a need to address their use during classes and examinations. During classes, the use of such devices unless authorized by your professor can be disruptive and disrespectful to others. During examinations, the use of such devices is generally prohibited unless authorized by your professor. Otherwise use is considered academic dishonesty in the form of cheating. For further details consult Algonquin CollegePolicy AA32: Use of Mobile Devices in Class
Technology Requirements
Students are required to have access to a computer and to the internet. There may also be additional technology-related resources required to participate in a course that are not included in the course materials fee, such as headphones, webcams, specialized software, etc. Details on these requirements can be found in the Course Section Information of the course outline for each course available on Brightspace.
Transfer of Credit
It is the student’s responsibility to retain course outlines for possible future use to support applications for transfer of credit to other educational institutions.
Safe Harbour
In the event of an unexpected major event (pandemic, etc.), your course may have changes that are not reflected in the Course Outline. Should this happen, the Course Section Information document will have updated information about your course.