RATNA PRABHA NURSING

COLLEGE
VADNAGAR

UNIT PLAN
ON
MEDICAL SURGICAL NURSING-IST

PREPARED BY
MR.GUNJAN RAWAL
LECTURER
RPNI
 RATNA PRABHA NURSING COLLEGE, VADNAGAR
2ND YEAR B.SC NURSING
UNIT PLAN
MEDICAL SURGICAL- 1

Subject: Medical Surgical Nursing-I

General objectives: At the end of the unit, students will be able to understand the subject Knowledge of medical surgical nursing-I and can use

the knowledge in providing the comprehensive care to the client

Total allotted Hours:-210 Hrs

TIME LEARNING CONTENT TEACHING EVALUATION

UNIT

OBJECTIVES TIME TEACHER LEARNING METHODS

(HRS) ACTIVITES/
AV AIDS
I 15 Appreciate the Introduction
trends in medical  Introduction to medical- surgical nursing
& surgical Evaluation and trends of medical an 1hour Lecture Short answers
nursing surgical nursing Discussion
Ms. Pooja Objective type
 Describe the role  Review of concepts of health and illness 2hour polmanar Demonstration Assessment of
of a nurse in disease-concepts, causations, skills with
caring for adult classification, dieses, Acute illness Practice checklist
patient in chronic & terminal illness , stages of session
hospital & illness Supervised Unit test
community  Review of concepts of comprehensive clinical
2hour
nursing care in medical surgical practice.
Describe the conditions based on nursing process 2hour Charts
concepts of
 Role of nurse, patient and family in care 3hours OHP
medical surgical
of adult patient
asepsis
 Role and responsibilities of a nurse in PPT
medical surgical settings
 Out patient department
 In- patient department
 Intensive care unit
 Home and community settings
 Introduction to medical surgical asepsis
 Inflammation & Infection 3hours
 Immunity
 Wound Healing
Care of surgical patient 2 hour
 Pre-operative
 Intra operative
 Post-operative
II 15
Describe the Common signs and symptoms and 2hours
common signs , management 1hour Short answers
symptoms ,  Fluid and electrolyte imbalance Lecture
problems & their 1hour Objective type
 Vomiting Discussion
specific nursing  Dyspnea and cough, respiratory 2hours Ms. Pooja
interventions obstruction 1hour polmanar Seminar
2hours
 Fever Case
2hours
 Shock discussion
1hour
 Unconsciousness, Syncope 1hour
 Pain Charts
2hours
 Incontinence
OHP
 Edema
  Age related problems-geriatric PPT
III 20
Describe the Nursing management of patients with Essay type
etiology , respiratory problems
Pathophysiology, 30min. Lecture Short answers
Clinical  Review of anatomy and physiology of Discussion
respiratory system Mr. Objective type
manifestations,D 1hour
Gunjan Demonstration
iagnostic  Nursing Assessment – History and Assessment of
Rawal
measures & physical assessment 2hours Practice skills with
Management of  Upper respiratory tract infection 1hour session Check list
patients(adults  Bronchitis 1hour
including  Asthma 1hour Supervised Assessment of
elderly) with  Emphyseema 1hour clinical patient
disorders of  Atelectasis 1.30hours practice. management
respiratory  Chronic obstructive pulmonary diseases 1hour problem
system  Bronchiectasis 1hour
2hours Explain Unit test
 Pneumonia using ,graphs,
1hour
 Pulmonary tuberculosis models,
1hour
 Lung abscess 1hour films ,slides
 Pleural effusion 1hour
 Chest injuries Charts
1hour
 Respiratory arrest and insufficiency 2hours OHP
Special therapies,alternative therapies
PPT
nursing procedures
Drugs used in treatment of respiratory disorders

IV 30 Nursing management of patient with Essay type

disorders of digestive system 1hour. Short answers
Describe the  Review of anatomy and physiology of Lecture
etiology , Objective type
respiratory system Discussion
Pathophysiology, 2hours
 Nursing Assessment – History and Assessment of
Clinical Mr. Demonstration
physical assessment skills with
manifestations,D 1hour Gunjan
 iagnostic  Etiology pathophysiology clinical Rawal Practice Check list
measures & manifestations, diagnosis treatment, session
Management of modalities and medical, surgical & Assessment of
patients(adults nursing management Supervised patient
including Disorders of 2hours clinical management
elderly) with  Oral cavity –Lips ,gums, tongue, salivary practice. problem
disorders of glands and teeth 3hours
Explain using Unit test
digestive system  Oesophagus- Inflammation structure, charts ,graphs,
obstruction, bleeding and tumors 3hours
models,
 Stomach and duodenum- hiatus hernia, films ,slide
gastritis, peptic and duodenum ulcer,
bleeding, tumors, pyloric stenosis OHP
 Small intestinal disorders-Inflammation 3hours
& infection, entritis, malabsorption, PPT
obstruction, tumor and perforation
 Large intestinal disorders- colitis, 3hours
Inflammation and infection obstruction
and tumor and lump 3hours
 Hernias
2hours
 Appendix- Inflammation, mass, abscess
and rupture
2hours
 Anal &Rectum: Hemorrhoids, fissures,
Fistulas 3hours
 Gall Bladder, inflammation, obstruction,
stones and tumors 1hour
 Special therapies, alternative therapies
Nursing procedure 1hour
Drugs used in treatment of GI disorders

Essay type
V 30 Nursing management of patient with blood
and cardio vascular problems Short answers
Describe the 30min.
etiology ,  Review of anatomy and physiology of Lecture
Objective type
Pathophysiology, respiratory system 30min. Discussion
Clinical  Nursing Assessment – History and Assessment of
Ms. Demonstration
manifestations,D physical assessment skills with
Bhoomika
iagnostic  Etiology pathyphysiology clinical 30min. & Practice Check list
measures & manifestations, diagnosis treatment, session
Management of modalities and medical, surgical dietetics Mr. Assessment of
patients(adults & nursing management of 30min. Gunjan Supervised patient
including  Vascular system 1hour Rawal clinical management
elderly) with 1hour practice. problem
 Hypertension, Hypotension
disorders of  Atherosclerosis 1hour
Explain using Unit test
cardiovascular  Raynaud’s Disease charts ,graphs,
system  Aneurism and peripheral vascular 1hour
models,
Describe the disorders films ,slides
vascular Heart
1hour Drug book
conditions and  Coronary artery disease
1hour presentation
its nursing  Coronary atherosclerosis
1hour
management  Angina pectoris Visit to blood
 Valvular disorders of the heart 1hour bank
o Congenital & acquired
o Rheumatic heart disease counseling
 Endocarditis, Pericarditis Myocarditis 1hour Assessment of
 Cardiao myopathies 1hour skill with
 Cardiac dysrhythmias,heart block 1hour check list
Assessment of
 Congestive cardiac failure 2hours
patient
o Cor-pulmonale, pulmonary
management
edema, cardiogenic shock,
problem
cardiac tamponade
 Cardiac emergencies and arrest 1hours
 Cardio pulmonary resuscitation 1hour OHP
Blood
 Anaemias 2hours PPT
 Polycythema 1hour
 Bleeding Disorders : clotting factors
1hour
defected and plateless defects
1hour
 Thalassemia
1hour
 Leukaemia 1hour
 Lymphomas 1hour
 Myelomas 1hour
 Leucopenia and agranulocytosis
 Special therapies 2hours
 Blood transfusion, safety checks,
procedure and requirements management
of adverse transfusion reaction, records
for blood transfusion
 Management & counseling of blood
donors, phlebotomy procedure, & post
donation in relation to blood transfusion
 Role of nurse in organ donation ,
retrieval and banking
Alternative therapies 2hours
Nursing procedures
Drugs used in treatment of blood and cardio
vascular disorder.

VI 10 Essay type
Nursing management of patient with genitor- Lecture Short answers
urinary problems Discussion
Describe the 30min. Mr. Objective type
etiology ,  Review of anatomy and physiology of Gunjan Demonstration
Pathophysiology, respiratory system 30min. Rawal Assessment of
Clinical  Nursing Assessment – History and Practice skills with
manifestations,D physical assessment session Check list
iagnostic  Etiology pathophysiology clinical Supervised Assessment of
measures & manifestations, diagnosis treatment, 1hour clinical patient
Management of modalities and medical, surgical dietetics 1hour practice. management
patients(adults & nursing management 30min. problem
including  Nephrites 30min. Drug book
elderly) with  Nephrotic syndrome 1hour presentation Unit test
disorders of  Nephrosis 1hour
genitor-urinary 1hour Explain using
 Renal Tumors
system 1hour charts ,films,
 Acute renal failure slides
1hour
 Chronic renal failure
 End stage renal disease 30min OHP
 Dialysis, renal transport
 Congenital Disorders , urinary, infection PPT
  Disorders of ureter, urinary bladder and
urethra –inflammation ,infection,
structure obstruction, tumor ,prostrate, 30min.
special therapies, alterative therapies
nursing procedures
 Drugs used in treatment of respiratory
disorders

VII 5 30min. Essay type

Nursing management of disorders of male
reproductive system Lecture Short answers
Discussion
 Review of anatomy and physiology of 30min. Objective type
respiratory system Demonstration
Describe the  Nursing Assessment – History and Ms. Pooja Assessment of
etiology , physical assessment 30min. polmanar Practice skills with
Pathophysiology,  Etiology pathophysiology clinical session Check list
Clinical manifestations, diagnosis treatment, 30min.
manifestations,D Supervised Assessment of
modalities and medical, surgical dietetics 30min.
iagnostic clinical patient
& nursing management of
measures & practice. management
 Testis and adjacent structures 30min.
Management of problem
 Penis Explain using
patients(adults 30min.
 Prostate: Inflammation, infection, charts ,graphs, Unit test
including 30min.
hypertrophy, tumors models,
elderly) with 30min.
 Sexual Dysfunction films ,slides
disorders of 30min.
reproductive  Infertility
Drug book
system  Contraception
presentation
 Breast: Gynecomastia, tumour
Climacteric changes special therapies, OHP
VIII 10 alternativ3e therapies nursing procedures.
PPT
Nursing management of patient with Essay type
disorders of endocrine system Lecture
30min. Short answers
Discussion
 Review of anatomy and physiology of Objective type
respiratory system 30min. Demonstration
Describe the Mr.
etiology ,  Nursing Assessment – History and Gunjan
Assessment of
30min. Practice
Pathophysiology, physical assessment skills with
Rawal session
 Clinical  Etiology pathophysiology clinical Supervised Check list
manifestations,D manifestations, diagnosis treatment, clinical
iagnostic modalities and medical, surgical dietetics practice. Assessment of
measures & & nursing management of 2hours patient
Management of  Disorders of thyroids and par thyroids 2hourd Graphs, management
patients(adults 2hours models, problem
 Diabetes mellitus
including 1hour films ,slides
 Diabetes insipidus Unit test
elderly) with  Adrenal tumor 1.30hours
Drug book
disorders of Pituitary disorders special therapies, alternative presentation
endocrine system therapies nursing procedures.
Explain using
charts ,films,
slides,OHP,
PPT
Assessment of
skills

Essay type
IX 10
30min. Lecture Short answers
Nursing management of patient with Discussion
disorders of integumentary system 30min Objective type
Demonstration
Assessment of
Describe the  Review of anatomy and physiology of Practice
30min. skills with
etiology , respiratory system session
Mr. Check list
Pathophysiology,  Nursing Assessment – History and
physical assessment Gunjan Supervised
Clinical Assessment of
1hour Rawal
manifestations,  Etiology pathophysiology clinical clinical patient
manifestations, diagnosis treatment, 1hour practice. management
Diagnostic
modalities and medical, surgical dietetics 1hour problem
measures &
& nursig management of Explain using
Management of
 Lesions and abrasions charts ,graphs, Unit test
patients(adults
1hour models,
including  Infection and infestations: Dermatitis
1hour films ,slides
elderly) with  Dermotosis, infection and non infection
1hour
disorders of skin inflammatory dermotosis Drug book
1hour
 Acne Vulgaris presentation
 Allergies and Eczema
  Psoriasis 1.hour OHP,PPT
 Malignant melanoma
30min. Assessment of
 Alopecia
skills
Special therapies , alternative therapies
Nursing procedures
Drugs used in treatment of disorders of disorders
of endocrine system.

X 15 Essay type
Lecture
Nursing management of patient with Discussion Short answers
30min.
musculoskeletal problems Objective type
Demonstration
30min
 Review of anatomy and physiology of Assessment of
respiratory system Practice
30min. session skills with
Describe the  Nursing Assessment – History and Check list
etiology , physical assessment Supervised
Pathophysiology,  Etiology pathophysiology clinical Ms. Assessment of
clinical
Clinical manifestations, diagnosis treatment, Bhoomika patient
1hour practice.
manifestations,D modalities and medical, surgical dietetics management
iagnostic & nursing management of Explain using problem
measures & Disorders of charts ,graphs,
3hours Unit test
Management of  Muscles ,ligaments and joints – models,
2hours
patients(adults inflammation,infection,trauma films ,slides
1hour
including  Bones –inflammation , infection , 1hour Drug book
elderly) with dislocation , fracture , tumor & trauma 1hour presentation
disorders of  Osteomalacia and osteoporosis
musculo-skeletal  Arthritis OHP,PPT
system  Congenital deformities
 Spinal column-defect & deformities , 1hour Assessment of
tumor, prolapsed inter vertebral disc, 1hour skills
pott’s spine 1hour
 Paget’s disease 1hour
 Amputation 30min.
 Prosthesis
 Transplant & replacement surgeries
 Drugs used in treatment of disorders of
 musculoskeletal system
XI 10 30min.
Nursing management of patient with
Immunological problems Lecture Essay type
30min.
Discussion
 Review of anatomy and physiology of Short answers
30min. Demonstration
respiratory system Objective type
 Nursing Assessment – History and Practice
Describe the physical assessment session Assessment of
etiology ,  Etiology pathophysiology clinical 1hour skills with
Pathophysiology, manifestations, diagnosis treatment, Supervised Check list
Clinical modalities and medical, surgical dietetics 30min. clinical
Ms. Assessment of
manifestations,D & nursing management of 30min practice.
Bhoomika patient
iagnostic  Immunodeficiency Disorder 30min.
measures &  Primary immuno deficiency Explain using management
30min. charts ,graphs, problem
Management of  Phagocytic dysfunction 1hour
patients(adults models,
 Be-cell and T-cell deficiencies 30min. Unit test
including films
 Secondary immuno-Deficiencies 30min. ,slides,OHP,
elderly) with  AIDS
disorders of 30min.
 Incidents of HIV & AIDS PPT
immunological
 Epidemiology
system 30min. Drug book
 Transmission –prevention of
30min. presentation
Transmission
 Standard safety precautions 30min.
Assessment of
 Role of Nurse counseling skills
 Health education and home care 30min.
consideration 30min.
30min.
 Infection control programme
 Rehabilitation
Drugs used in treatment of disorders of
immunological system
Essay type

XII 20 Lecture Short answers

Nursing management of patient with 30 min. Discussion
communicable disease Objective type
30min. Demonstration
  Over view of infectious disease , the Practice Assessment of
infectious process session skills with
 Nursing assessment – History & physical 1hour Check list
examination Supervised
Describe the clinical Assessment of
etiology ,  Epidemiology , infectious process ,
practice. patient
Pathophysiology, clinical manifestations, diagnosis, Ms. Pooja
management
Clinical treatment, prevention and dietics. Control polmanar Explain using problem
manifestations,D and eradication of communicable charts ,graphs,
diseases 15 hours
iagnostic models, Unit test
measures & o Tuberculosis films
Management of o Diarrhoeal disease ,slides,OHP,
patients(adults o Hepatitis
including o Herpes PPT
elderly) with o Chiken pox Drug book
communicable o Smallpox presentation
diseases . o Typhoid
o Meningiotis Assessment of
o Gas gangrene skills
o Leprosy
o Dengue
o Plague
o Malaria
o Diptheria
o Pertussis
o Poliomyelitis
o Measles
o Mumps
o Influenza
1hout
o Tetanus
o Yellow Fever 1hour
o HIV, AIDS
 Reproductive tract infection.
 Special infection control measures:
Notification isolation, Quarantine, 1hour
immunization, infections disease
hospitals
  Special therapies ,alterative therapies
nursing procedures
Drugs used in treatment of communicable
XIII 25 disease

Essay type
1hour
Peri operative nursing Lecture Short answers
 Organization and physical set up of the 1hour Discussion
2hours Objective type
operation theatre Demonstration
Describe the  Classification 1hour Assessment of
organization and  Staffing Practice skills with
physical setup of 1hour session Check list
 Members of the O.T team
OT  Duties and responsibilities of nurse in 1hour Supervised Assessment of
O.T
Identify the clinical patient
 Principals of health and operating room 1hour
various practice. management
attire 2hours
instruments& Mr. problem
equipments used  Equipments,Instruments Explain using
Gunjan
for common  Positions and draping for common 1hour charts ,graphs, Unit test
Rawal
surgical surgical procedures 1hour models,
procedures  Scrubbing procedure 1hour films ,slides
 Growing and gloving 1hour
Describe the Drug book
 O.T sets 2hours
infection control presentation
 Monitoring the patient during in O.T
measures in the  Standered safety measures 2hours Explain using
OT  Infection control: Fumigation, charts ,films,
disinfection and sterilization 2hours slides
Describe the role
 Biomedical waste management 2hours
of the nurse in
 Anaesthesia Assessment of
the Peri
o Types skills
operative nursing
care . o Method of administration
o Effects and stages
1hour
o Equipments
1hour
o Drugs
 Cardio pul;monary Resuscitation 1hour
 Pain management techniques
 Legal aspects