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FACULTY OF HEALTH SCIENCE

UNIVERSITAS MUHAMMADIYAH SURAKARTA

2018

MODULE OF

MEDICAL-SURGICAL

NURSING SKILL LAB (Respiratoy System, Cardiovascular System,

Hematologic System, and Perioperative System)

Dian Hudiyawati, S.Kep., Ns., M.Kep

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VISSION OF NURSING STUDY PROGRAM

The Nursing Study Program will be a center of excellence of nursing science and

technology based on Islamic values, and is competitive in chronic disease

nursing care by 2029.

MISSION OF NURSING STUDY PROGRAM

1. To develop science, technology and arts in the field of nursing as part of the

worship of Allah (SWT) integrated with devotion to the realization of the

main community.

2. To organize high-quality, continuous and integrated professional education

as an effort to meet the needs and demands of competent nursing staff at the

national level in the field of chronic disease nursing care based on Islamic

values.

OBJECTIVES OF NURSING STUDY PROGRAM

1. To become an excellent study program based on Islamic value in the education and

development of science and technology in the field of chronic disease nursing care.

2. To generate nurses who have high competency and noble character.

3. To become a sustainable nursing study program with high-quality governance.

4. To carry out learning processes that are capable of integrating Intellectual

Intelligence (IQ), Emotional Intelligence (EQ), and Spiritual Intelligence (SQ) in

students by instilling Islamic teachings and Muhammadiyah teachings.

5. To organize learning processes oriented to developing competencies, character

building, and professional ethics, as well as mastering soft skills required by the

working world and to meet national demands.

6. To carry out research and community services

PROFILE OF GRADUATE

To become a pious and excellent nurse in performing the role as care provider,

communicator, educator, and health promoter, manager, leader, and researcher on

the comprehension and implementation of science and technology, especially

nursing care of chronic diseases.

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PREFACE

Alhamdulillah, All praise and gratitude prayed to the presence of Allah SWT for his

blessing, guidance, and grace. Prayers and blessed greetings may attain the Prophet Muhammad

and his followers to the end of time.

Module of Medical-Surgical Nursing Skill Lab (Respiratory System, Cardiovascular

System, Hematologic System, and Perioperative System) was composed as a reference for

clinical activities of medical-surgical nursingskills (respiratory system, cardiovascular system,

hematologic system, and perioperative system), which is one of the series of lab/clinical

implementation to obtain an undergraduate nursing degree (S. Kep). This module is a

preparation material that assists lecturers or instructors to plan classes and clinical activities

with Semester Credit Hours of 2 credits. Furthermore, this module contains assessments to

evaluate student’s learning outcomes. This learning process includes lab/clinical activities of

medical-surgical nursingskills (respiratory system, cardiovascular system, hematologic system,

and perioperative system) that entail the signs and symptoms as well as the implementation of

nursing care as performed by nurse.

Despite the author’s effort to make it comprehensible, this textbook may have its

shortcomings. Therefore, feedbacks are welcomed to improve the quality of both nurse

candidates and nursing education and management. Finally, the author would like to express

gratitude for the support and assistance addressed toward the author for this work. Thank you.

Surakarta, 3rd August 2018

Author,

Ns. Dian Hudiyawati, M.Kep

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TABLE OF CONTENT

Title ......................................................................................................... i

Preface..................................................................................................... ii

Table of Content ..................................................................................... iii

SYLABUS .............................................................................................. v

I. Head-to-Toe

A. Objectives .................................................................................... 1

B. Concept Map ............................................................................... 2

C.Head-to-toe Examination ............................................................. 3

II. Respiratory System

A. Objectives .................................................................................... 23

B. Concept Mapof Respiratory System ............................................ 24

C. Respiratory Examination ............................................................. 25

D. Water Sealed Drainage (WSD) Care ........................................... 33

E. Chest Physiotherapy .................................................................... 43

F. Oxygen Therapy .......................................................................... 55

G. Inhalation Therapy Using Nebulizer .......................................... 66

III. Cardiovascular System

A. Objectives .................................................................................... 73

B. Concept Mapof Cardiovascular System ...................................... 74

C. Cardiovascular Examination ....................................................... 75

D. ECG Recording and Interpretation.............................................. 86

IV. Hematologic System

A. Objectives .................................................................................... 96

B. Concept Mapof Hematologic System .......................................... 97

C. Hematologic Assessment and Examination ................................ 98

D. Blood Transfusion ....................................................................... 108

V. Perioperative System

A. Objectives .................................................................................... 122

B. Concept Mapof Perioperative ...................................................... 123

C. Hectingand Up Hecting ............................................................... 124

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TIMELINE OF MEDICAL-SURGICAL NURSING SKILL LAB

NURSING STUDY PROGRAM FACULTY OF HEALTH SCIENCE

UNIVERSITAS MUHAMMADIYAH SURAKARTA

Study Program : Undergraduate (S1) of Nursing

Semester Credit Hours : Two (2)

Class/Semester : A, B, C, D, E, F/ III (three)

Meeting Material Duration

(Minute)

Strategy Activity Media

I Explanation

of Lesson

Plan, Weekly

Lesson Plan,

and timeline.

Head-to-Toe

Physical

Examination.

200 Lecture,

discussion

Lecturer: explaining the

material and instructional

methods that will be

employed in one semester,

giving assignments for the

next meeting.

Students: Listening to and

asking questions about the

explanation, confirming

the timeline is understood.

timeline

II Head-to-Toe

Physical

Examination

200 Simulation,

discussion

Lecturer: explaining the

material and performing

the actionas a

demonstration.

Students: listening to,

asking questions, and

practicing the skill

individually.

WSD

care set

III Head-to-Toe

Physical

Examination

200 Simulation,

discussion

Lecturer: explaining the

material and performing

the action as a

demonstration.

Students: listening to,

asking questions, and

practicing the skill

individually.

IV Assessment

and physical

examination

of the

cardiovascular

system

200 Simulation,

discussion

Lecturer: explaining the

material and performing

the action as a

demonstration.

Students: listening to,

asking questions, and

practicing the skill

individually.

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V ECG

recording and

interpretation

200 Simulation,

discussion

Lecturer: explaining the

material and performing

the action as a

demonstration.

Students: listening to,

asking questions, and

practicing the skill

individually.

VI ECG

interpretation

200 Simulation,

discussion

Lecturer: explaining the

material and performing a

demonstration.

Students: listening to,

asking questions, and

practicing the skill

individually.

VII Cardio-

respiratory

system

examination

200 Simulation,

discussion

Lecturer: explaining the

material and performing a

demonstration.

Students: listening to,

asking questions, and

practicing the skill

individually.

MID-SEMESTER EXAM

VIII Respiratory

system

physical

assessment

and

examination

200 Simulation,

discussion

Lecturer: explaining the

material and performing a

demonstration.

Students: listening to,

asking questions, and

practicing the skill

individually.

IX WSD care 200 Simulation,

discussion

Lecturer: explaining the

material and performing a

demonstration.

Students: listening to,

asking questions, and

practicing the skill

individually.

X Chest

physiotherapy

200 Simulation,

discussion

Lecturer: explaining the

material and performing a

demonstration.

Students: listening to,

asking questions, and

practicing the skill

individually.

XI Inhalation

therapy using

nebulizer and

oxygen

therapy

200 Simulation,

discussion

Lecturer: explaining the

material and performing a

demonstration.

Students: listening to,

asking questions, and

practicing the skill

individually.

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XII Hectingand

up hecting

200 Simulation,

discussion

Lecturer: explaining the

material and performing a

demonstration.

Students: listening to,

asking questions, and

practicing the skill

individually.

XIII Hematologic

assessment

and

examination

200 Simulation,

discussion

Lecturer: explaining the

material and performing a

demonstration.

Students: listening to,

asking questions, and

practicing the skill

individually.

XIV Blood

transfusion

and

management

of transfusion

reactions

200 Simulation,

discussion

Lecturer: explaining the

material and performing a

demonstration.

Students: listening to,

asking questions, and

practicing the skill

individually.

SEMESTER FINAL EXAM

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Objective:

1. Learners will be able to identify complete physical examination or head-to-toe

assessment.

CHAPTER 1

HEAD-TO-TOE ASSESSMENT