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تحميل الدليل التدريبي

أسئلة شائعة


King Saud University

 Riyadh Community College


Department of Applied Medical Sciences



Course syllabus For Medical Surgical Nursing

Nur 201



Second Semester 1426 / 1427



Prepared By


Eyad Alhelih





Department of Applied Medical Sciences / Nursing

Nur 201 - Medical Surgical Nursing


I. Description of The Course


A. Catalog Description

This course focuses on the care of adult patients with acute or chronic illness and their responses to actual or potential alterations in health. The nursing process as a method of providing nursing care and as related to the independent role of the nurse is studied. Problem solving and critical thinking skills are applied to analysis of data for identifying nursing and collaborative problems. Emphasis is placed on nursing interventions directed toward promotion of system stability, maximum functional status. Basic knowledge needed to assess and manage common acute, chronic and emergent health problems are covered. Also, emphasis will be placed on Pathphysiology, principles of pharmacology and medication use as therapeutic adjuncts and the use of diagnostic procedures as aids in the clinical decision making. The clinical component provides experience in utilizing the nursing process to meet the needs of the adult patient.


B. Number of Hours Per Week:

11 semester hours: 2 lecture & 9 lab per week


C. Prerequisite:

Nur 101


D. Faculty:

Eyad Alhelih, RN, MSN,OCNS, FNCI


II. Course Outcomes


A - Classroom

At the end of this course students will be able to:

A. Utilize nursing process in caring patients with different Disorders.

B. Apply the nursing process to care of the older adult patient.

C. Apply the nursing process to the patient undergoing a diagnostic procedure.

D. Identify nursing responsibilities in the management of the patients undergoing a surgical procedure.

E. For each of the following units: Respiratory Disorders, Cardiac Disorders, GI Disorders, Metabolic and Endocrine Disorders, Infectious diseases  Fluid and Electrolyte and Acid/Base Disturbances

1. Review normal body structure and function as related to meeting the nursing needs of patients with health problems presented in each unit.

2. Identify the pathophysiology present in relation to the common health problems presented in each unit.

3.Identify common diagnostic measures related to the health problems presented in each unit with emphasis on nursing assessment and responsibilities.

4.Explain the various intrinsic and extrinsic factors which may influence the health problems as presented in each unit.

5. Indicate common symptoms and/or nursing problems associated with the health problems presented in each unit.

6. Identify the general medical/surgical management of patients with health problems presented  in each unit.

7.Identify the general nursing management of the patients with health problems presented in each unit including:

a) physical management

b) psychosocial concepts

c) diet modifications

d) drug therapy

e) teaching aspects

Assessment: The student’s ability to master the above stated outcomes and therefore provide appropriate nursing care to the patient with the previously identified conditions will be assessed through an objective exams.


B- Clinical (lab)

At the end of this course students will be able to:

-Demonstrate beginning skill in providing nursing care and support to selected adult patients with a variety of medical-surgical conditions by:

A. Applying principles of physical and psycho-social care to selected patients.

B. Utilizing appropriate safety measures when practicing the nursing skills

C. Establishing inter-personal relationships with the patient and family.

D. Applying principles of recording and reporting observations.

F. Relating patients’ diagnostic test results to their condition.

G. Recognizing patient teaching opportunities.

H. Using beginning critical thinking skills.

F. Preparing and safely administering medications via the oral, parenteral, and routes.

G. Implementing measures to safely maintain an IV infusion.

-Demonstrate acceptance of responsibilities relative to the student role in learning by:

A. Designing a care plan to meet the physical and psycho-social needs of a selected adult patient with a medical/surgical condition.

B. Recognizing and utilizing opportunities for learning experiences with the instructor’s guidance.

C. Taking an active part in pre and post conferences.

D. Completing assignments as indicated such as:

a) drug cards for each drug administered by the student.

b) daily care plans for assigned cases.

Assessment: The student’s ability to master the above stated outcomes and therefore provide appropriate nursing care will be assessed through a clinical competency skills exam and assigned case studies .




III. Class (Meeting Days/Times)

Lecture: Sunday 1:00 pm – 3:00 pm

Lab:  Saturdays , Mondays , and Wednesdays    5:00 – 7:00 pm

         Tuesdays                                               2:00 pm – 5:00 pm

Office Hours:

Tuesday          1:00 pm –2:00 pm


IV. Grading System



A- Classroom: Grades in the classroom activities shall be based on performance according to the following methods:

- Unit exams/ Quizzes

- Final comprehensive examination (counts 1/3 of final course grade)

- Other written assignments

B-Clinical: Grades in the clinical activities will be demonstrated through:

Evaluation based on the specific objectives related to content of this Medical-Surgical Practicum. Observation will be made of the student’s ability to utilize knowledge learned during earlier and present learning experiences, and growth in the ability to demonstrate nursing psychomotor skills.


**Nursing lab performance must be satisfactory, all assigned work must be completed and turned in, and the clinical competency must be passed before a final grade will be assigned.



Evaluation Item

Grade %

First Hour  Exam 1


15/3/ 2006



Second Hour Exam 2

Unit IV, V

26/4/ 2006


Competency Skills Practical Exam


Assignments and Quizzes


Final Comprehensive Exam

All Studied Units

Will be Addressed by the College


Total  Grade

100 %



V- Attendance


- Repeated absences will jeopardize your status in the program.

-Tests which are missed because of absences are to be made up within 1 week.

- It is the student’s responsibility to contact the instructor on the day he returns to school and schedule the make-up of the missed test.

- Five percent of the total number of test items will be deducted from your raw score (your number right) if the test is not taken on the day it is scheduled. Special consideration may be given to unusual circumstances.

- Written assignments are due as specified by the instructor. Work handed in late will receive ½ credit. This includes late work due to absences unless previous arrangements have been made. If over 1 week late, no credit will be given.

- If absent on the day of a classroom quiz, those possible points are forfeited there is no makeup.


VI. Textbook


Smeltzer, S., and Bare, B. (2004). Brunner and Suddarth’s Textbook of Medical Surgical Nursing (10th edition). J.B. Lippincott Co., Philadelphia, PA.


VII. Methods of Presentation


A- The classroom course content will be conducted through the use of the following methods:

- Lecture and discussion

- Demonstration

- Required and supplemental readings

- Handouts


B- The Lab course content will be conducted through the use of the following methods:

a) Lecture and discussion

b) Demonstration and redemonstration of the psychomotor skills

c) Take home assignments.












Lecture Topics

Lab Topics




- Nursing Process and Critical Thinking


-Clinical implementation of nursing process and critical thinking



- Fluid and electrolytes

- IV Solutions

- Initiating IV Infusion

-Assignment I



- Perioperative Concepts and Nursing Management

- Wound Assessment

- Demonstrating Postoperative  Exercise

- Review Wound Dressing



Respiratory Disorders

- First Hour Exam            15/3/ 2006

- Suctioning

- Oxygen therapy I



Respiratory Disorders

- Oxygen Therapy II

- Chest Physiotherapy

- Assignment II



Cardiovascular Disorders

- Blood Extraction

- Blood Transfusion



Cardiovascular Disorders

- Blood Transfusion Reactions


- Assignment III



GI Disorders

- Administering Oral Medication

- Administering IV Medication



GI Disorders

- Administering IM Medication

- Lavage ( NGT)



Metabolic and Endocrine Disorders

- Second Hour Exam

   26/4/ 2006

- Blood glucose tests



Metabolic and Endocrine Disorders

- Glucocheck

- Administering Insulin Injections

- Assignment IV



Infectious Diseases

- Applying Sterile Gown

- Universal Precautions




- Revision



Practical Exam

- Practical Exam


 Lectures Table of Contents


I.                  Critical Thinking , Ethical Decision Making , and The Nursing Process

a-                   Assessment

b-                   Diagnosis

c-                    Planning

d-                   Implementation

e-                   Evaluation


II.               Fluid and Electrolytes

a-                   Physiological Overview

b-                   Body Fluids

c-                    IV Solutions

d-                   Balance and Distribution


III      Perioperative Concepts and Nursing management

a-                   Preoperative Nursing Management

b-                   Intraoperative Nursing Management

c-                    Postoperative Nursing Management


IV      Respiratory Disorders

a.                     Assessment of respiratory function

b.                     Management of Patient with Upper Respiratory Tract Disorders

c.                     Management of Patient with Lower Respiratory Tract Disorders

d.                     Management of Patient with Chronic obstructive Pulmonary Diseases


V        Cardiovascular Disorders

a.         Assessment of Cardiovascular Function

b.         Management of patient with Coronary Vascular Disorders

c.         Assessment and management of patient with Peripheral Vascular                Disorders

d.         Assessment and Management of Patient with Hypertension


VI      Disorders Of GI System

a.                     Assessment of GI System

b.                     Management of patient with Esophageal disorders

c.                     Management of patient with Gastric and Duodenal Disorders

d.                     Management of patient with Rectal Disorders


VII     Metabolic and Endocrine Disorders

a.               Assessment and management of Patient with Hepatic Disorders

b.               Assessment and management of Patient with Diabetes Mellitus


VIII   Management of Patient with Infectious Diseases

a.         common Infectious Diseases         


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