Practical Procedures list : Medical surgical nursing- ii

Medical surgical nursing- ii

2.1               Ear , nose and throat

                     i.     Examination of ear , nose and throat

                    ii.     Instillation of drops in ear /nasal cavity

                  iii.     Tracheostomy care

                  iv.     Irrigation of nasal cavity / ear

                   v.     Teaching patient and family

2.2               opthalmology

                     i.        Examination of eye

                    ii.        Eye irrigation

                  iii.        Application of:

a.   Eye drops

b.   Ointments

c.   Eye patch

                  iv.        Assisting in foreign body removal

                   v.        Teaching patient and family

2.3               Neurology and neurosurgery

                     i.        Performing neurological assessment

                    ii.        Assess Glasgow coma scale

                  iii.        Assisting with diagnostic procedures

a.   Lumbar puncture

b.   EEG

c.   EMG

d.   MRI

e.   CT scan

f.     Myelography

g.   Myelogram

                  iv.        Participates in the rehabilitation programme

                   v.        Teaching patient and family

2.4               Burns

                     i.        Assessment of burns patient

a.   Percentage of burns

b.   Degree of burns

                    ii.        Calculation of fluid

                  iii.        Maintenance of fluid and electrolyte and intake output

                  iv.        Care of burn wounds

                   v.        Limited access dressing (LAD)

                  vi.        Performance of passive and  active exercises

                 vii.        Participates in the rehabilitation programme

               viii.        Teaching patient and family

2.5               Oncology

                     i.        Assisting in bone marrow aspiration / Biopsy

                    ii.        Breast self examination

                  iii.        Participating in treatment modalities

a.   Chemotherapy

b.   Radiotherapy

                                                         i.    Tele therapy

                                                        ii.    Brachy therapy

c.   Pain management

d.   Hormonal therapy

e.   Immunotherapy

f.     Gene therap

                  iv.        Post mastectomy exercises

                   v.        Teaching on warning signs of cancer

                  vi.        Participates in rehabilitation

2.6               Critical care unit

                     i.        Monitoring the patients in ICU

                    ii.        Maintain flow sheet

                  iii.        Care of the patient on ventilator

                  iv.        Demonstrate the use of

a.   Ventilator

b.   Cardiac monitor

c.   Infusion pump

                   v.        Perform endotracheal suctioning

                  vi.        ABG- collection , analysis and interpretation

                 vii.        Hemodynamic monitoring  (CVP, Arterial pressure, PWP)

               viii.        Demonstrate the use of :

a.   Pacemaker

b.   Defibrillator

                  ix.        Maintenance of emergency trolley/ crash cart

                   x.        Total parenteral nutrition

                  xi.        Investigation and their interpretation ( on the case /patient)

                 xii.        Legal procedures

               xiii.        Triage

               xiv.        Medico legal documentation

                xv.        Counsel patient and family in grief and bereavement