Course content:

Introduction to surgical nursing Per-intera-postoperative care. Shock Bleeding Burn Infection control &Wound care. Blood transfusion

GIT system :

Preparation of the patient for GIT surgery peptic ulcers , stomach & duodenum surgery. Appendicitis Intestinal obstruction hernias anorectal surgery. peritonitis

Endocrine system; Goiter Thyroid surgery Acute pancreatitis Breast cancer

Urinary system
UTI Urinary calculus Urinary stricture Bladder surgery Urinary diversion prostate surgery test surgery

Others ( lab skills)

Aseptic technique sterilization & disinfection drainage care.

Course objective;
On completion of this course the learner will be able to:

Explain the different general types of surgery. Describe appropriate assessment of the preoperative period understand the points to be included in pre-operative teaching.

Describe possible post-operative complications Discuss appropriate nursing interventions to prevent these complications Describe appropriate assessment of the postoperative patient. Identify the members of the healthcare team and their role.

Assess and classify the wounds. Perform wound dressing Apply nursing process for surgical patient according his/her situation

What is surgery ? branch of medicine dealing with surgical diseases. Surgery is the use of instruments during an operation to treat injuries, diseases, and deformities.

What is surgical nursing? a branch or specialty of nursing delivers a nursing care for patient with surgical diseases or patient who required surgical intervention. Today surgery is a safe, effective treatment option because of medications such as antibiotics and anesthetics that allow a quicker recovery.

Classifications of Surgery

Seriousness
Major Minor Elective ; Planned/scheduled, with no time requirements. Urgent ; Surgery needed within 2430 hours. Emergency; Immediate surgery needed to save life or limb.

Urgency

Purpose
Diagnostic:
To obtain tissue samples, make an incision, or use a scope to make a diagnosis. e.g. biopsy Confirmation or measurement of extent of condition e.g . Exploratory laparotomy

Exploratory:

Palliative : Alleviation of symptoms

without curing disease. E.g. pain

Reconstructive: Correction of defects of body parts .e.g. knee replacement

Transplant: replacent of unfunction organ by anther functioning organ. Renal Preventive: Removal of tissue before it causes a problem e.g. Mole or polyp removal Aesthetic :Requested by patient for improvement Blepharoplasty, breast augmentation Curative: Removal of diseased or abnormal tissue. E.g Inflamed appendix.

Surgical Settings
Inpatient

:-

hospitalization for the surgery.

One day (same day) ;

patient is admitted, has surgery and discharged the same day.

Outpatient;-

not hospitalized, admitted to a short-stay unit or goes directly to surgical suite. Short-stay Surgery Center ;
(ambulatory surgical center) stand alone surgical centers, no hospitalization required

Surgical Procedure Suffixes:Suffix

-ectomy

Meaning
Removal by cutting Looking into

Examples
craniectomy colonoscopy

-oscopy -ostomy

Formation of a permanent artificial opening

Incision or cutting into Formation or repair

colostomy

-otomy

thoracotomy mammoplasty

-plasty