PRINCIPLES OF SURGICAL AND ANAESTHETIC PRACTICE

SHE Level 1
SCQF Credit Points 60.00
ECTS Credit Points 30.00
Module Code M1B722574
Module Leader n/a
School School of Health and Life Sciences
Subject Nursing
Trimesters
  • B (January start)-C (May start)
  • A (September start)

Pre-Requisite Knowledge

Entry to SCQF Level 7 admissions criteria

Summary of Content

This module provides an introduction to the specialties of anaesthetic and surgical practice within the perioperative environment. It provides a context based perspective on interprofessional working in perioperative practice. The student will learn the fundamental principles and practices of a surgical and anaesthetic practitioner. They will develop the skills and knowledge required to practise safely, under the supervision of a qualified Mentor, during 16 weeks of clinical placement.

Syllabus

Anatomy, physiology and pathophysiology of the skin, blood, gastro-intestinal, musculoskeletal, immune and nervous systems. Legal, professional and ethical issues relating to the role of the surgical and anaesthetic practitioner. Professional accountability, risk management and incident reporting Scottish Patient Safety Programme Principles of general and orthopaedic surgery Perioperative documentation and patient records. Pre and intra operative assessment Care planning Principles of infection control, decontamination, sterilisation and traceability Patient positioning, including assessment of skin and pressure area care Dressings and drains Sutures and wound healing Surgical terminology Principles and practice of scrubbing, gowning and gloving Establishing and maintenance of the sterile field Provision and monitoring of accountable items Electrosurgery Specimen handling Drug legislation and storage Drug calculations 1 Pharmacology of anaesthetic agents, including muscle relaxants, analgesics, sedation, local anaesthetics Principles of the triad of anaesthesia Gas laws, SI units, measurement of pressure, weight and volume Properties of medical gases and volatile agents Regional and conductive anaesthesia Basic airway management Preparation of the anaesthetic room and related equipment Temperature control and prevention of hypothermia Monitoring of temperature, capnography, volatile agents, breathing and neuromuscular blockade. Purpose and function of the anaesthetic machine, breathing systems and ventilators Composition and distribution of body fluids Intravenous fluid management, including assisting with IV cannulation Blood transfusion, including autologous transfusion In hospital basic life support Conscious sedation Tourniquets Deep vein thrombosis prophylaxis

Learning Outcomes

On successful completion of this module the student should be able to:Demonstrate an understanding of the anatomy, physiology and pathophysiology of the skin, blood gastro-intestinal system, musculoskeletal system, immune system and the nervous system. Demonstrate an understanding of and competence in fundamental surgical and anaesthetic practice. Demonstrate an understanding of the principles and delivery of general, regional and local anaesthesia, during elective surgery. Demonstrate an understanding of the preparation and function of a range of anaesthetic and surgical equipment. Demonstrate an understanding of the principles of provision of a safe perioperative environment. Undertake a range of pre and intra operative patient assessment activities to enable the provision of safe and effective perioperative care. Contribute to the homeostasis of the perioperative patient. Demonstrate an understanding of drug legislation and drug calculations. Discuss and analyse the care needs of patients undergoing general and musculoskeletal surgery.

Teaching / Learning Strategy

This module will use lectures, practical simulation/ demonstration and directed learning workbooks to promote an understanding of the key theoretical principles of surgical and anaesthetic practice in elective surgery. Students will spend 16 weeks within clinical practice to enable them to develop a wide range of clinical skills, under the supervision of a trained Mentor. A range of assessment methods will be used.

Indicative Reading

Al-Shaikh, B. & Stacey, S. 2013, Essentials of Anaesthetic Equipment , 4 th edn, Churchill Livingstone, London. Association of Anaesthetists of Great Britain & Ireland. 2007, Recommendations for standards of monitoring during Anaesthesia and Recovery, AAGBI, London. Association of Anaesthetists of Great Britain & Ireland. 2010, Management of Severe Local Anaesthetic Toxicity 2, AAGBI, London. Association for Perioperative Practice. 2011, Standards and Recommendations for Safe Perioperative Practice, AfPP, Harrogate. College of Operating Department Practitioners. 2011, Student Standards of Professional Behaviour , CODP, London. - Could Not Find Health and Care Professions Council. 2010, Guidance on conduct and ethics for students , HCPC, London. Health and Care Professions Council. 2008, Standards of conduct, performance and ethics, HCPC, London. Hughes, S. & Mardell, A. 2009, Oxford Handbook of Perioperative Practice, Oxford University Press, Oxford. Rang, H.P., Dale, M.M., Ritter, J.M., Flower, R.J. & Henderson, G. 2011, Rang and Dale's Pharmacology, 7 th edn, Churchill Livingstone, Edinburgh. Radford, M., County, B. & Oakely, M. 2004, Advancing Perioperative Practice, Nelson-Thornes, Cheltenham. Resuscitation Council (UK). 2010, The Resuscitation Guidelines 2010, Resuscitation Council (UK), London. Rothrock, J.C. 2011, Alexander's Care of the Patient in Surgery, 14 th edn, Mosby, St. Louis. Simpson, P.J. & Popat, M. 2002, Understanding Anaesthesia, 4 th edn, Butterworth Heinemann, Oxford. Smith, T., Pinnock, C. & Lin, T. 2009, Fundamentals of Anaesthesia, 3 rd edn , Cambridge University Press, Cambridge. Smith, B., Rawling, P., Wicker, P. & Jones, C. 2007, Core Topics in Operating Department Practice - Anaesthesia and Critical Care, Cambridge University Press, Cambridge. Waugh, A. & Grant, A. 2010, Ross and Wilson: Anatomy and Physiology in Health and Illness, 11 th edn, Churchill Livingstone, Edinburgh. Wicker, P. & O'Neill, J. 2010, Caring for the Perioperative Patien t , 2 nd edn, Blackwell Publishing Ltd, Oxford.

Transferrable Skills

The learning strategies used and the practice placement learning will enable the students to develop and build upon skills of assessment, monitoring, communication, patient safety, analysis and team working.

Module Structure

Activity Total Hours
Practicals (FT) 45.00
Placement 600.00
Independent Learning (FT) 133.00
Assessment (FT) 64.00
Lectures (FT) 112.00
Tutorials (FT) 12.00

Assessment Methods

Component Duration Weighting Threshold Description
CA n/a 0.00 35% Clinical Assessment CA
WA n/a 50.00 35% 2000 word written assignment WA
Exam (Dept) 02 n/a 0.00 35% Anaesthetic Machine OSCE
CT 1.50 50.00 35% Class Test 1 hour 30 mins CT
Exam (Dept) 01 n/a 0.00 35% BLOOD TRANSFUSION OCSCE