PBNS – Post-Basic Nursing Studies
Foundations of Perioperative Nursing Practice
Theory and practice governing perioperative nursing as set out by the Canadian Nurses Association (CNA) and the Operating Room Nurses Association of Canada (ORNAC) provide the foundation for the examination of the fundamental concepts of perioperative nursing in this course. The various roles of the perioperative Registered Nurse and the surgical team are explored. The patient as a unique individual is examined in relation to the perioperative experience.
Concepts of anesthesia within perioperative nursing
Principles of safe practice when assisting with administration of anaesthesia and associated pharmacology are examined. Physiologic maintenance and monitoring are explored as well as management of perioperative complications.
Perioperative nursing in the preoperative, intraoperative and postoperative environment
Care of the patient in the preoperative, intraoperative, and postoperative phases of surgery are examined in detail. Topics include: preparing a safe surgical environment; surgical instrumentation and equipment; surgical asepsis and sterile techniques; preoperative, intraoperative, and postoperative patient care; the roles of the scrub and circulating nurse; and surgical site management.
Fundamentals of Perioperative Techniques
Within a simulated perioperative setting students integrate theoretical concepts and apply evidence-informed perioperative principles and techniques. Students practice skills related to the scrub and circulating Registered Nursing roles based on Operating Room Nurses Association of Canada (ORNAC) practice standards and competencies. Students incorporate concepts of leadership to effectively work in a complex inter-professional perioperative team.
Prerequisites: PBNS 403.
Perioperative Clinical Preceptorship
Under the supervision of a Registered Nurse preceptor, the student provides direct patient care in the perioperative setting. Students are exposed to a variety of surgical experiences. Students are expected to scrub and circulate on a variety of surgical procedures which may include one or more of the following: general surgery, gynaecology and obstetrics, orthopaedics, plastic surgery, ear, nose, throat (ENT) surgery, urology, vascular, endovascular, and/or cardiovascular surgery. The surgical specialties offered will be dependent on the placement location. Students gain experience and confidence to function independently providing safe and effective patient care. Concepts of nursing leadership within the operating theatre are integrated and applied within the clinical setting. The importance of evidence-based practice and use of research in the perioperative setting are emphasized.
Prerequisites: PBNS 404.
Pathophysiology of Cardiac Disorders
Students acquire specific knowledge related to the anatomy, physiology, and pathophysiology of cardiac disorders. Health promotion, disease prevention, epidemiology, etiology, risk factors, and sequelae are examined. Atherosclerosis, acute coronary syndrome, angina, heart failure, valve dysfunction, cardiomyopathies, vascular disease, and congenital abnormalities are examined as they apply to individuals, families, communities, and populations.
Focused Assessment of Cardiac Function
Students develop the skills necessary to assess the patient with cardiac disease. History and physical examination, along with laboratory assessment and diagnostics are examined in depth. Students apply theory to understand physical assessment and laboratory findings as related to the pathophysiology. Introductory rhythm analysis and 12-lead electrocardiography along with indications and appropriate nursing interventions for specific diagnostic procedures are examined. Specific diagnostic procedures such as chest x-ray, echocardiography (transesophageal and transthoracic), cardiac magnetic resonance imaging (MRI), cardiovascular computerized tomography (CT), electrophysiological studies/ablation angiography, ambulatory electrocardiography, exercise stress testing, coronary angiography are are discussed.
Management of Cardiac Disorders
The focus of the course is the patient journey from acute episodes to chronic conditions including rehabilitation and palliation. Students analyze medical, nursing and pharmacological management of the patient with cardiac disease. Principles of pharmacology related to common cardiac medications are applied through case studies. Communication and interprofessional collaboration that promote effective patient teaching and thus optimize care of the individual, families, and groups are emphasized. Case studies are utilized to discuss legal and ethical issues related to cardiac care.
Care of Cardiac Surgical Patient
Students investigate cardiac surgical techniques such as coronary artery bypass grafting, valvular surgery, transplantation, and correction of congenital defects. Pre-operative assessment, intra-operative techniques, post-operative care and rehabilitation are examined. Patient teaching and legal/ethical aspects of cardiac care are applied through case scenarios. The student must be a registered nurse to participate in this course.
Advanced Management of Cardiac Disorders
Students build upon the foundational knowledge of cardiac sciences to explore advanced nursing concepts related to rhythm analysis, 12-lead electrocardiography, and pacemaker techniques. Sensitivity to cultural diversity, religious beliefs and spirituality are discussed and integrated into the care of the cardiac population. Current trends in research are discussed. The student must be a registered nurse to participate in this course.
Prerequisites: PBNS 467.