ENROLLED NURSE SCHOOL

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					In addition to achieving the basic nursing care objectives, it is anticipated that the Trainee
Enrolled Nurse practising under the direction and supervision and direction of the Registered
Nurse, will be able to achieve the following objectives upon the completion of the peri-
operative nursing practice placement in Work Practice II:

       1.     List the goals of
                      -      anaesthetic nursing.
                      -      operating room nursing
                      -      recovery room nursing

       2.     Discuss the physical, cognitive, emotional, spiritual and social needs of an
              individual in the Peri-operative Theatre Suite and describe the subsequent
              required nursing interventions to meet these needs of the individual intra-
              operatively.

       3.     Discuss the importance of patient safety after pre-medication and during
              induction.

       4.     Discuss the basic care of the intra-operative patient in relation to body
              temperature.

       5.     Demonstrate competency in the following task skills for the management of
              surgical patients during induction:

              a)      Vital nursing observations
                      -      Apply monitor/probe/leads for Blood Oxygen Saturation, Blood
                             Pressure, Temperature and Electro-cardiography correctly.

                      -       Record, monitor and report Blood Pressure, Blood Oxygen
                              Saturation, Pulse, Respiration and Temperature where
                              appropriate.

              b)      Management of patient with the Calf Compression Device
                      -    State the function of the Calf Compression Device
                      -    Apply and operate the Calf Compression Device correctly.
                      -    List the complications associated with the Calf Compression
                           Device
                      -    Describe the specific nursing management of a patient with the
                           device.

              c)      Manual Handling

                      -      Demonstrate safe handling of patient during bed to / from
                             operating table transfer accordingly to the Code of Practice for
                             Manual Handling.



Revise Date: September 2005                                    Review Date: September 2008
             d)     Infection Control (Environmental and resource maintenance)
                    -       Discuss the importance of maintaining a surgically clean
                            environment
                    -       State the definition of and differences between standard
                            precaution, surgically clean and aseptic technique.
                    -       Demonstrate the correct cleaning procedures for the monitoring
                            trolleys and equipment, intubation equipment, surgical beds,
                            assisted ventilation device (eg. mask) and the Anaesthetic
                            Machine / Morgan Trolley.
                    -       Discuss the protocol for safe sharp disposal and clinical
                            management.


      6.     Provide nursing assistance for and implement basic management of specific
             procedures:

                       a) Peripheral intravenous cannulation

                              -   Assemble and prepare the required equipment for
                                  peripheral intravenous cannulation
                              -   Apply the reflux valve and protective dressing to the
                                  cannula in an aseptic manner
                              -   Remove the IV cannula according to instruction and
                                  protocol and apply dressing appropriately
                              -   Minimise risk with sharps by ensuring mobile sharps bin
                                  are easily accessible to the Nurse / Medical Officer /
                                  self.

                       b) Intubation

                              -   State the basic nursing management of an intubated
                                  patient and list the common complications.
                              -   List and discuss the types and functions of Endotracheal
                                  Tubes (ETT) and Laryngeal Mask
                              -   Demonstrate basic assembling / cleaning and
                                  management of the laryngoscope.
                              -   Inspect and verify the sterility of the packaged tubes or
                                  laryngeal masks
                              -   Inflate endotracheal or laryngeal mask cuff correctly
                              -   Detect air leak around intubated tube or mask and
                                  discuss its implications.
                              -   Assist the anaesthetist with anchoring/securing the ETT
                                  / Laryngeal Mask correctly.
                              -   Discuss the importance of eye protection and
                                  demonstrate eye protection procedure for an intubated
                                  patient.

                       c) Extubation

                              -   Assemble the required equipment for extubation


Revise Date: September 2005                                 Review Date: September 2008
                              -     Discuss the importance of suction during extubation
                              -     Detach monitoring devices where indicated.
                              -     Apply oxygen mask post extubation under the direction
                                    of an anaesthetist.
                              -     Monitor level of consciousness and breathing patterns
                              -     Demonstrate safe positioning of a patient with varying
                                    stages of level of consciousness.
                              -     List the complications that may be associated with post
                                    extubation and briefly discuss the management.

       7.     Accurately perform circulation observation and blood sugar level monitoring
              and report accordingly.

       8.     Demonstrate management of an unconscious patient in relation to airway
              management.


                        OPTIONAL CLINICAL OBJECTIVES

Under the guidance of a Registered Nurse, the Trainee Enrolled Nurse will be provided with
learning opportunities to perform scouting in the operating room. The TEN will

       1.     Demonstrate the correct method for opening sterile supplies and pouring of
              solutions

       2.     Assist with the gloving and gowning of scrubbed personnel

       3.     Select specimen container and receive, label and dispatch specimen according
              to instructions.

       4.     Discuss the importance of correct and accurate documentation in the
              “Operating Suite Nurses’ Report”

       5.     Perform delegated scouting duties.




Revise Date: September 2005                                  Review Date: September 2008

				
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Description: ENROLLED NURSE SCHOOL