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Study-Unit Description

Study-Unit Description

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CODE NUR5153

 
TITLE Advanced Principles of Perioperative Nursing

 
UM LEVEL 05 - Postgraduate Modular Diploma or Degree Course

 
MQF LEVEL 7

 
ECTS CREDITS 10

 
DEPARTMENT Nursing

 
DESCRIPTION - This study-unit offers an in-depth exploration of the patient perioperative journey, examining the vital role perioperative nurses play at each key stage. From admission and preoperative preparation to postoperative care and discharge, students establish the multifaceted nature of caring for surgical patients, as a commitment to providing a holistic view of the patient experience.

- This study-unit adopts an inquiry-based learning framework with a dynamic blend of theoretical knowledge and clinical experience. Rooted in evidence-based perspectives, the study unit entices students to critically analyse and apply the latest evidence in intraoperative nursing, facilitating a prevention-orientation role through forward-thinking in a continuous adaptive manner to patient care.
- The study-unit also covers strategies applicable in practice contexts to facilitate a seamless transition of theoretical knowledge, providing students with the necessary specialised knowledge and expertise to effectively navigate the complexities of the intraoperative setting.
- With a deliberate emphasis on general principles of surgical practice, rather than the management of specific conditions, students are equipped with a broad foundation that can be universally applied across diversity in: patient populations, clinical scenarios, complexity, and multi-specialty surgeries.

Study-Unit Aims:

- To recognise the inherent challenges in delivering optimal perioperative care to a wide range of patient groups (high risk procedures; cardiac, respiratory and neurological conditions; chronic medical conditions; acute trauma).
- To acquire knowledge to initiate and implement evidence-informed perioperative care, considering the unique aspects of the age-extremes specific needs and tailoring care accordingly.
- To prepare students for evolving roles within nursing that demand a dynamic and adaptable critical inquiry, knowledge, skills, and competencies, in handling a range of perioperative clinical scenarios.
- To enhance proficiency of how multi-disciplinary care is organized to meet the diverse challenges posed by patients with various co-morbidities undergoing different surgical procedures with varying degrees of required patient needs.

Learning Outcomes:

1. Knowledge & Understanding:

By the end of the study-unit the student will be able to:

鈥� Identify the role of specialist nurse in comprehensively managing patients across the perioperative cycle, applicable to both elective and emergency anaesthesia and surgery.
鈥� Synthesise and apply diverse perioperative nursing roles, adeptly implementing core principles of intraoperative or perianaesthesia nursing practice in complex, time-critical surgeries with challenging medical conditions and effectively addressing deteriorating body systems.
鈥� Recognise the concepts and principles of intraoperative techniques including: patient assessment and monitoring of respiratory, cardiovascular, haemodynamic and neurological states; homeostasis, fluid and electrolyte balance, and principles of haemostasis.
鈥� Enhance insight into perioperative pharmacological therapies, including anaesthetic agents, and pain management strategies.

2. Skills:

By the end of the study-unit the student will be able to:

鈥� Critique the delivery of patient-centred care in the context of anaesthesia and perioperative nursing, specifically focusing on complex, acute, high-risk, and age-diverse patient populations.
鈥� Interpret how and why certain approaches to anaesthesia (general, sedation and regional anaesthesia techniques) and their mechanism of action in addressing patients with a wide variety of clinical complexities and comorbidities.
鈥� Address or prevent abnormalities as they arise - Normothermia, safety precautions in patient positioning, and which are exacerbated with tools and equipment used
鈥� Evaluate the evidence base for clinical decisions in supporting cardio-respiratory physiology, pain and nervous systems.
鈥� Enhance the student鈥檚 ability to articulate the rationale for updates in evidence based practices within perioperative contexts, including: workflow and design considerations of the perioperative environment to address challenges arising from asepsis; ergonomics and patient positioning; interventional and image guided procedures; minimally invasive surgery; haemostasis, wound care.

Main Text/s and any supplementary readings:

Main Texts:

- Phillips, N. & Hornacky, A. (2020) Berry & Kohn's Operating Room Technique, 14th Edition. Elseiver.
- Rothrock, J. (2022) Alexander's Care of the Patient in Surgery, 17th Edition. Elseiver.
- Sutherland-Fraser, et al. (2021) Perioperative Nursing, An Introduction, 3rd Edition. Elseiver.

Learned Societies:

- Association for Perioperative Practitioners (AfPP).
- 2019 AORN Guidelines for Perioperative Practice.
- 2020 ACORN Standards.

Journals:

- Journal of Perioperative Practice.
- American periOperative Registered Nurses (AORN) Journal.
- Journal of Perioperative Nursing.
- Journal of perioperative Medicine.
- British Journal of Anaesthesia.
- European Journal of Anaesthesiology.
- Anesthesiology.

 
ADDITIONAL NOTES Pre-requisite Qualifications: Level 6 and 1 year professional experience in relevant areas

 
STUDY-UNIT TYPE Indep. Study, Lect, Tutorial, Workshop & Group Learning

 
METHOD OF ASSESSMENT
Assessment Component/s Assessment Due Sept. Asst Session Weighting
Assignment SEM2 Yes 50%
Simulation SEM2 Yes 50%

 
LECTURER/S Justin Deguara
Stephen Ebejer (Co-ord.)
Amanda Rapa

 

 
The University makes every effort to ensure that the published Courses Plans, Programmes of Study and Study-Unit information are complete and up-to-date at the time of publication. The University reserves the right to make changes in case errors are detected after publication.
The availability of optional units may be subject to timetabling constraints.
Units not attracting a sufficient number of registrations may be withdrawn without notice.
It should be noted that all the information in the description above applies to study-units available during the academic year 2025/6. It may be subject to change in subsequent years.

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