URDANETA CITY UNIVERSITY

San Vicente West, Urdaneta City, Philippines-2428

COLLEGE OF NURSING

VISION:

A Dynamic university that envisions to be a Center of Development and Excellence in producing SMART professionals who are globally competitive and productive

Mission

Committed to establish a SMART university where stakeholders and its environment are:

Service-driven – Taking the initiative to provide for the needs of stakeholders and the society
Motivated – having the enthusiasm to give one’s best
Achievement-Focused – committing one’s self to excellence
Responsive – highly conscious of needs of the society and mother earth
Transformed Team Player – a dynamic member of the global society

Goal
Actualizing One Vision..One Mission… and One Identity..as One UCU

Objective
To Aim High and be Amazing

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 INSTRUCTIONAL PLAN FOR RELATED LEARNING EXPERIENCE- Operating Room

Course Title: Care of Clients with Problems in Oxygenation, Fluid and Electrolyte Balance, Nutrition, Safety and Comprehensive Perioperative Nursing Care.
Course Code: NCM 103
Course Description: This course deals with the principles and techniques of nursing care management of sick clients across lifespan with emphasis on the adult and the older patients,
population group in any setting with alterations/problems in oxygenation, fluid and electrolyte balance, nutrition and metabolism. Assessment and care during perioperative period.
Techniques in assisting the surgical team during the operation. Principles of safety, comfort and privacy during the perioperative period.

Course Credit: 8 units lecture, 6 units RLE (1 unit Skills Lab; 5 units Clinical)
Self-directed Learning:
Placement:
Pre-requisites: NCM 102
Co-requisite:

No Program Outcome
1 Apply knowledge of physical, social, natural and health sciences and humanities in practice of nursing
2 Provide safe, appropriate and holistic care to individuals, families, population group and community utilizing nursing process
3 Apply guidelines and principles of evidence-based practice in the delivery of care
4 Practice nursing in accordance with existing laws, legal, ethical and moral principles
5 Communicate effectively in speaking, writing and presenting using culturally-appropriate language
6 Document to include reporting up-to-date client care accurately and comprehensively
7 Work effectively in collaboration with inter-intra- and multidisciplinary and multi-cultural teams
8 Practice beginning management and leadership skills in the delivery of client care using a systems approach.
9 Conduct research with an experienced researcher.
10 Engage in lifelong learning with a passion to keep current with national and global developments in general, and nursing and health
development in particular.
11 Demonstrate responsible citizenship and pride of being a Filipino.
12 Apply techno-intelligent care systems and processes in health care delivery
13 Adopt the nursing core values in the practice of the profession.
14 Apply entrepreneurial skills in the delivery of nursing care.

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Level Outcomes:
Course Outcomes:
1. Apply concepts, theories, and humanities in the formulation and application of appropriate nursing care to individuals and families during childbearing and childrearing
2. Provide safe, appropriate and holistic care to individuals, families and population group utilizing the nursing process during childbearing and childrearing
3. Apply evidence-based nursing practice in the care of mother and child
4. Practice maternal and child nursing in accordance with existing laws, legal, ethical and moral principles
5. Communicate effectively in speaking, writing and presenting using culturally-appropriate language
6. Document care of mother and child during post-partal period accurately and comprehensively
7. Work effectively in collaboration with the inter-professional team to safely, efficiently deliver nursing care
8. Practicing beginning management and leadership skills in the delivery of client care using a systems approach in the care of normal mother and child
9. Engaged in lifelong learning with a passion to keep current with national and global development in the care of the mother and
10. Demonstrate responsible citizenship and pride of being a Filipino
11. Apply techno-intelligent care system and processes in maternal and child care
12. Adopt the nursing core values in the delivery of care to mother and child

Learning Plan for Clinical Area: OPERATING ROOM

Learning Outcomes Contents/Topics Learning Strategies Assessment

RLE (Clinical Area)
Day TA

Exercise/demonstrate self- Reorientation of: Week Courtesy call to the Chief of 24 Lecture: Paper and Pencil test
responsibility, and to others  Importance of attending school 1 hospital and/or Chief Nurse. hours RLE: Direct observation of students’ actions
based on Philippine culture flag rising and flag retreat and attitudes inside and outside classroom
and values activities. Tour and familiarized over the and school campus; checking of attendance.
 Importance of environmental hospital and assigned area.
preservation to human health Orientation on the following
(Climate Change) cleanliness 1.OR personnel/organizational
inside and outside the University chart
rooms and campus. 2.OR set-up; supplies, instruments
 and equipment
Recapitulation of the Universities 3.OR protocols, policies and

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 VMGO, as well as the College of Nursing guidelines
goals and objectives; classroom policies 4.OR records and forms (for
in accordance with the Universities documentation, requisitions
academic rules and regulations and etc.)
professor/instructor’s classroom 5.Practice of skills-ex. Hand scrub,
management; grading system; and, gowning, gloving
Introduction of Nurses Conduct of Setting up of OR table, mayo table
Profession 6.Grading system and requirements
– attendance, NCPs, Journal
Reports, Case Study, Drug Study,
Performance, Evaluation on
Perioperative checklist
7.Observation of an actual
Operation (during observation, C.I.
discusses procedures and
processes)
Given an actual clinical Demonstrate Safety and Quality 72 Lecture: Paper and Pencil Test
setting where student will Safety and Quality Nursing Care Week Nursing Care: hours
practice with supervision in  Surgical scrub 2-4  Surgical Hand washing RLE: Rubrics for Teaching Demonstration
level II. Hence, student will be  Gowning  Donning gowning and
able to:  Gloving closed gloving. Rubric for Journal sharing
 Positioning  Proper positioning of the
Assess patient’s health status  Draping client
with the use of specific  Catheterization  Or instrumentation
methods and tools to address  Sutures  Anesthesia
existing health needs  Surgical aseptic principles  Nursing Process
 OR instrumentation  Utilizing WHO surgical
Formulate nursing  Anesthesia safety checklist
diagnosis/es focusing on  Nursing process
health promotion and disease  Surgery concepts: peri-operative Perform surgical asepsis in their
prevention. nursing role as scrub nurse
 WHO surgical safety checklist.
Implement safe and quality Demonstrate universal precautions

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interventions addressing the in handling body fluids
needs of patient. Principles and practice of surgical and
medical asepsis
Conduct individual/ group
health education activities
based on the priority learning
needs.

Evaluate with the client the

health outcomes of nurse-
client working relationship

Assumes responsibility for

life-long learning, own
personal development and
maintenance of competence
5-7 Transfer patient to and from 72 Lecture: Paper and Pencil Test
Student will be able to: Safety guidelines and body mechanics stretcher to OR table/bed hours
in transferring patients Assist in proper positioning and RLE: Rubrics for Teaching Demonstration
Integrate concepts, theories strapping patient at OR table
and principles of sciences and Protect the client from electrical, Rubric for Journal sharing
humanities in the formulation Possible Injuries and Prevention inside thermal and/or chemical injuries
and application of operating room - Proper placement and Completion of required Circulating and Scrub
appropriate nursing care monitoring of cautery case.
during pre, intra and post- pads/grounds
operative. - Appropriate blending
of temperature of saline for lavage
- Rinsing of instruments/tubings
Formulate nursing soaked in chemicals before
diagnosis/es focusing on serving to OR team
health promotion and disease
prevention. Provide needed blankets and
sheets to prevent hypothermia/

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 provide privacy to a client.

Apply Perioperative concepts Roles and functions of a scrub nurse 8-10 Perform various roles and functions 72 Lecture: Paper and Pencil Test
and principles holistically and as a scrub nurse: hours
comprehensively Layers of the Abdomen a. Drapes the operative field RLE: Rubrics for Teaching Demonstration
correctly
Integrate knowledge of Types of sutures, needles and b. Performs surgical scrub correctly Rubric for Journal sharing
families with the nursing blades c. Dons gowns and gloves
process and family nursing to d. Serves gowns gloves, drapes Completion of required Circulating and Scrub
promote quality operating Identification and uses of various OR e. Serves instruments and supplies case.
room nurse instruments sponges and other supplies in anticipation of the needs of
the surgeon
Demonstrate caring as the Instrument count, needle count, and f. Performs after care of surgical
core of nursing, love of God, sponge count instruments
love of country and love of Assists in major and minor surgical
people. procedures
Roles and functions of a circulating
Manifest professionalism, nurse Guided supervision in performance
integrity and excellence of various OR skills
Project the positive  Setting the OR table/
professional image of a instruments table Assists the circulating nurse in
Filipino nurse with respect to  Safety Surgical Checklist providing for the needs of the
cultural diversity  Nursing considerations in surgical team
handling OR equipment
 supplies contraptions. Reviews with the students:
- Setting up OR
table/instrument table
- Nursing
considerations in handling
OR equipment, supplies
contraptions.

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 1.Administer medications as
Implement safe and quality Perioperative concepts: 11-14 ordered following all principles in 72 Lecture: Paper and Pencil Test
interventions addressing the - Anesthesia, Types and drug administration hours
needs of patient during procedures 2. Executes legal orders of the RLE: Rubrics for NCP presentation and
before and after the - Role of the nurse in induction of surgeon/anesthesiologist Performance checklist
operation. anesthesia accurately and timely
- Common drugs used at the OR 3. Perform other appropriate Rubric for Return demonstration
Conduct individual/ group nursing interventions
health education activities 4. Evaluate outcomes of care and Patient Assignment Sheet/form
based on the priority learning adjust nursing interventions as
needs. appropriate
Discuss procedures for: 5. Monitors patient continuously
Evaluate with the client the - Disinfection and sterilization during surgery and immediate post-
health outcomes of nurse- - Disposal of hazardous and non- operative phase
client working relationship - hazardous wastes

Perform designated tasks in a given

time allotment on an organized
manner

Performs proper disinfection and

Institute appropriate sterilization protocols
corrective actions to prevent
or minimize harm arising Disposes of hazardous and non-
from adverse effects hazardous wastes appropriately

Displays proper handling and up

keeping of OR resources

Conducts inventory of OR resources

Provide post-op health teachings to

client and/or family members as

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 appropriate

Review with students the needed

post-operative health teachings/
supervises students in rendering
post-operative health teaching to
client and family members as
needed
Validates information documented Lecture: Paper and Pencil Test;
15-18 in the endorsed chart of client 72 Group Dynamics (Chart Simulated Recall)
Adhere to ethico-legal Legal Responsibilities for surgery hours RLE: Skills
considerations when Checks the completeness of informed Performance Checklist; Rubrics
providing safe, quality and consent and other legal forms Supervise students in accomplishing
professional nursing care legal forms
Performance Evaluation
Apply ethical reasoning and Rubric for Health Education activities
decision making process to Ethic-moral Responsibilities Documents accurately and
address situations of ethical Respect patient bill of rights at the OR comprehensively in the client’s
distress and moral dilemmas chart and other records (eg.
Surgical slips, OR logbooks, etc)
Adheres to the Code of Ethics for
Nurses Serves as role model for students
in displaying professional
attitudes and values of a good OR
nurse
Personal and Professional Development Sanctions students who commits
Demonstrate professional behavior at violations in conduct and in the
all times care of clients appropriately
Regularly checks the attendance
and promptness of students, as
well as proper OR attire.

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Learning Environment: Classroom
Related Learning Experience:
Skills Laboratory: Supervised practice and graded demonstration of skills by students done in a nursing laboratory.
Hospital: DOH-accredited hospital and facility
Community: Lying-in clinics and health centers
Independent Study: Use of learner’s time spent outside of the laboratory/clinical area for self-directed learning using available resources (actual and on-line
resources) equivalent to 20-30% of the RLE hours.
Resources: Print, Non-print materials, and electronic materials, equipment (lop tap and Audio-visual) and supplies case studies/scenarios
Course Requirements: Periodical Examination (Preliminary, Mid-term and Final Periodicals)
Class Standing:
Knowledge: Quizzes (short/long), assignment; journal/case study presentations/reporting/recitations/research work
Skills: Teaching demonstration/ skills demonstration-return demonstration
Attitude: Behavior (act of beginning professional)/attendance/courteousness/as smart UCUian’s
Grading System:
PRELIM MIDTERM FINALS
Prelim Grade Midterm Grade Final Grade
PG=(CS X50%)+ (PE X 50%) MG=(CS X50%)+ (ME X 50%) PG=(CS X50%)+ (FE X 50%)
Where: CS (Class Standing) Where: CS (Class Standing) Where: CS (Class Standing)
CS = (Knowledge/Skills/Attitude) CS = (Knowledge/Skills/Attitude) CS = (Knowledge/Skills/Attitude)
PE= Periodical Exam PE-= Periodical Exam PE-= Periodical Exam
TFG= PG+MG+FG
3

References:
Medical Surgical Nursing Concepts and Clinical ApplicationThird Edition 2017Josei Quiambao-Udan
Perioperative Nursing,Mosby – ElsevierLois Hamlin et. Al. 2009
Fundamentals of Nursing: Concepts, Process and Practice, 2008 by KOzier&Erbs
Mosby’s Essential Concepts for the Philippine Nurse Licensure Exam, 2010 by Ray A. Gapuz
Nursing Theories: The Base for Professional Nursing Practice 5 th Edition by Julia B. George
Nursing Management towards Quality Care 4 th Edition by Lydia M. Venzon& Jennifer M.V. Nagtalon

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 Professional Nursing in the Philippines 12 th Edition by Lydia M. Venzon& Ronald M. Venzon
Nursing Research: Principles and Methods 7 th Edition by Denise F. Polit& Cheryl Tetano Beck

Prepared by: Noted:

ZOSIMA C. GARIN, Ed. D.

Genesis N. Dela Cruz RN MAN Dean, College of Nursing
Marissa Julian U. Rose RN MAN
Daniel V. Rodriguez RN, MAN (c)
Clinical Instructor
Approved:

JOSEPHINE S. LAMBINICIO, Ed.D.

Vice President for Academic Affairs

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