NURSING 2L03 Study Guide - Fall 2018, Comprehensive Midterm Notes - Wound Healing, Wound, Windows Aero
12 Oct 2018
School
Department
Course
Professor
NURSING 2L03
MIDTERM EXAM
STUDY GUIDE
Fall 2018
Week 1 Agenda – N2L03
a. Describe unit – types of pts etc.
2. Review learning sequence / clinical materials for complex care – e.g. relevant policies and
procedures / map of location / confidentiality documents (have students sign confidentiality doc)
3. Initial assessment / level 1 review
a. Briefly review level 1 skills – and related to how they will be used in level 2 (head to toe
assessment) – focus on prioritization etc.
b. Provide additional complex care specific considerations / assessments etc.
c. Review basic care tasks – hygiene, toileting / bedpans, bedmaking, briefs, dentures, bed
alarms etc.
d. Intro to Kardex and how info is documented / found on unit etc.
e. Practice with care scenarios related to complex care pts
4. Prioritization / Routine on unit (briefly – focus more on this next week)
a. How Taer’s odel applies to ursig care – how the worksheets mimic this process
b. TOA requirements / Organizational worksheets for complex care etc.
5. Med lab
a. CNO standards / legislation /ISMP RHPA / abbreviations etc.
b. Review practice quiz – work through questions students struggled with
c. Discuss MARs / process for med admin on unit
d. Sample care scenarios to review med admin with ortho pts (using list of common meds on
complex care) – practice with peer
6. Oxygen lab
a. Review principles / clinical reasoning related to oxygen status
b. Practice with equipment in lab
c. handout on 02
7. Surgical Asepsis
a. Review key terms / principles
b. Show Nursing Skills Online video on computer in lab (to ensure they know how to access the
online materials!)
c. Practice / Demo – dressing changes, sterile gloves, suture/ staple removal etc.
d. Review documentation practices
8. Plan for next week
a. When / where to meet for clinical setting (what to wear / change rooms etc)
b. Med quiz – come prepared – bring calculator
c. Preparation for week 2 (background work – e.g. common conditions / meds etc – or site
specific policy / procedure review etc)
9. HHS infection control in-service
a. Mandatory 1 hour in-service for all level 2 students
WEEK 1:
Learning Aims: Surgical Asepsis and Wound Care
Stages of wound healing, differentiating between primary and secondary intention.
find more resources at oneclass.com
find more resources at oneclass.com
o Skin
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Inflammatory phase- hemostasis(blood vessels constrict) , fibrin formed, leukocytes, macrophages there: proliferative phase- new blood vessel come collagen provides strength , wound contraction , epithelization ( surface repaired, remodelling- Factors that impair or promote normal wound healing: risk factor for pressure ulcer development. Impaired mobility: alteration in level of consciousness, shear- force exerted parallel to skin and results from gravity pushing down on body and friction between patient and surface, friction, moisture- increases risk (softens skin, nutrition, tissue perfusion. Various types of drains and their purpose: penrose drain- under dressing, pin clip places through drain to prevent from slipping farther into wound. Correct application and removal of sterile surgical gloves. Correct demonstration and documentation of staple removal, suture removal, drain removal, dressing change (dry and wet to dry) and packings using sterile techniques. The psychosocial impact a wound may have on a patient: body image changes and causes stress and changes influence on self-concept sexuality presence.
