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Fundamental of Nursing: Fundamental of Nursing -II ()

In the course Fundamentals of Nursing students learn basic nursing skills, caring for the perioperative patient, positioning patients, medication administration, nursing theories and charting. In many programs the course is splitted into theoretical

Course Description

This course introduces learners to different concepts of nursing practice with emphasis on identifying the patient needs, developing communication skills and use of the nursing process. Learners will gain knowledge related to theoretical concepts, values, and norms of the profession, while learning skills for providing basic nursing care to patients in hospital settings. Gordon’s Functional Health Pattern (FHPs) will be used to assess patient needs.

Course Objective

By the completion of this course, learners will be able to:

1. Identify the prescribed standards of nursing care set by the institution.

2. Begin to identify the importance of evaluation in his/her nursing practice.

3. Identify relevant sources, which contribute to personal and professionals growth.

4. Begin to use the nursing process to deliver safe nursing care to individuals.

5. Begin to understand the knowledge derived from Humanities, Natural and Behavioral Sciences, when providing nursing care to clients.

6. Identify basic principle that protection against

7. Use critical thinking skills in selecting nursing intervention and outcomes for the planning of care setting.

8. Perform all basic nursing skills safely and accurately at clinical settings

List of Skills Lab

List of Skills Labs
1. Application of hot water bag
2. Application of Cold Compresses
3. Applying bandages including wound dressing
4. Performing nebulization/steam therapy
5. Apply suction therapy.
6. Care of drainage bags (catheter)
7. Sitz bath
8. Elimination: Suppositories, Enema, Flatus Tube, Manual extraction
9. Specimen Collection
10. Urine Testing through dipstick

Clinical Objectives of Fundamental Nursing

1. Identify the roles and functions of health care team members.
2. Describe the functions of the various departments in a hospital.
3. Describe the physical setup of a ward
4. Utilize techniques of therapeutic communication skills with patient and health team members.
5. Collect patients’ data through interview.
6. Observe the coordination of patients’ care between the health team members.
7. Identify different forms used for documentation in patients’ care.
8. Utilize appropriate hospital forms for documentation.
9. Assess, document and identify variations in Vital Signs
10. Discuss the observations for different Vital Signs pattern.
11. Develop problem list based on patients’ assessments and rationalize each problem identified.
12. Document assessment of patients’ problems/needs by using Maslow’s Hierarchy of human needs at a beginning level.
13. Develop Nursing care plan based on priority patients’ problem by following all the six components of nursing process.
14. Observe the process of admission of a patient in hospital.
15. Orient a patient to hospital environment.
16. Assist in transfer of patients from one unit to another unit and department.
17. Assist in preparing patients and family for discharge.
18. Document the discharge of patients from the hospital.
19. Observe various legal forms/documents used in the admission process
20. Observe patients’ reactions to hospitalization and give assistance as needed.
21. Demonstrate occupied and unoccupied bed making.
22. Assess the need of personal hygiene care for selected patients and provide care accordingly.
23. Document patients’ assessment and care provided.
24. Utilize skills to maintain healthy nails and feet
25. Demonstrate use of following safety measures for patients:
26. Side rails
27. Restraints
28. Hand washing
29. Demonstrate application of body mechanics when moving and lifting patient.
30. Demonstrate range of motion exercises on a patient.
31. Provide back care to bed ridden patients.
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32. Assist in transferring patients from bed to bed, bed to chair and bed to stretcher.
33. Utilize different comfort devices in patients’ care.
34. Assist patients with different types of positions.
35. Demonstrate characteristics of a professional nurse.
36. Assist patients in maintaining proper body alignment in bed.

Reference Books

Course Outline

In this unit learners will be introduced to the application of the nursing process in professional nursing practice.
At the completion of this unit learners will be able to:
1. Define nursing process.
2. Describe the purposes of nursing process.
3. Identify the components of the nursing process
4. Discuss the requirements for effective use of the nursing process
5. Describe the functional health approach to the nursing process
Nursing Assessment:
1. Describe the assessment phase of the nursing process
2. Discuss the purpose of assessment in nursing practice
3. Identify the skills required for nursing assessment.
4. Differentiate the three major activities involved in nursing assessment.
5. Describe the process of data collection.
6. Perform a nursing assessment using a functional health approach.
Nursing Diagnosis:
1. Define diagnosis in relation to the nursing process.
2. State the meaning of nursing diagnosis
3. Describe the components of a nursing diagnosis
4. Differentiate between a nursing diagnosis and medical diagnosis.
5. Identify the clinical skills needed to make nursing diagnoses.
6. Formulate nursing diagnoses according to NANDA list.
Outcome Identification and Planning:
1. Define outcome identification and planning
2. Explain the purposes of outcome identification and planning.
3. Describe the components of the nursing plan of care.
4. Use a functional health approach to plan client care.
Implementation and evaluation:
1. Define implementation and evaluation
2. Discuss the purposes of implementation and evaluation
3. Describe clinical skills needed to implement the nursing plan of care.
4. Describe activities the nurse carries out during the evaluation phase of the nursing process.
5. Use a functional approach to implement and evaluate client care.
Communication of the Nursing Process: Documenting and Reporting:
1. Describe the purposes of the client record
2. List the principles of charting
3. Discuss the guidelines of documentation.
4. Discuss the importance of confidentiality in the documenting and reporting.
Critical Thinking:
1. Explain the importance of critical thinking in nursing.
2. Discuss definitions of, characteristics of, and skills used in critical thinking.
3. Identify the three major factors that affect thinking.
4. Explore ways to enhance and develop critical thinking skills especially as applied to nursing.
5. Set personal goals for developing critical thinking skills.

UNIT II: Concept of Value Belief
At the end of this unit, learners will be able to:
1. Define value/belief pattern
2. Explain how behaviors related to values
3. Identify sources of professional nursing values
4. Apply cultural and developmental perspective when identifying values
5. Examine values conflict and resolution in nursing care situations

UNIT III: Self Concept and Self Perception
At the end of this unit, learners will be able to:
1. Define self perception/ self concept pattern.
2. Describe the functions of self and self concept
3. Discuss how self concept develops through out the life span
4. Discuss factors that can effect self concept
5. Identify possible manifestation of altered self concept
6. Apply nursing process for a person with an altered self concept