COURSE OUTLINE

1. COURSE CODE : NCM 106

2. COURSE TITLE : CARE OF CLIENTS WITH CELLULAR ABERRATION, ACUTE BIOLOGIC CRISIS, INCLUDING
EMERGENCY AND DISASTER NURSING WITH INTRAVENOUS THERAPY
3. PRE – REQUISITE : NCM 104
4. CO – REQUISITE : N/A
5. COURSE CREDIT : 6 Units Lecture, 5 Units RLE (1 Unit skills lab, 4 Units clinical)
6. CONTACT HOURS/SEMESTER : 90 Lecture Hours/204 RLE Hours
5 Hours per Week (Lecture)/24 Hours per Week (RLE)
7. COURSE DESCRIPTION : This course deals with the concepts, principles and theories of human behavior and the care of the
sick client across the lifespan with emphasis on cellular aberration, acute biologic crisis, including
emergency and disaster nursing along with Intravenous therapy in varied settings.

OVERVIEW

ACUTE BIOLOGICAL CRISIS

1. Standard Assessment of the Critically ILL
2. Diagnostic /Laboratory Examinations
3. Acute Biological Crisis / Multi Organ System/ Dysfunction/ Emergency
a. Cardiac Failure
b. Acute Myocardial Infarction
c. Acute Pulmonary Failure
a. Acute Renal Failure
b. Stroke or CVA
c. Increase Intracranial Pressure
d. Diabetic Ketoacidosis
e. Massive Bleeding
f. Extensive Burns
 g. Extensive Surgery
h. Poisoning
i. Multiple Injuries
j. Emerging Illnesses
3. Principles of Management
a. Determination & Management of cause
b. Life Saving Intervention
c. Life Maintaining Intervention
d. Psychosocial & Behavioral Intervention
e. Supportive Management
f. Pharmacologic Management
g. Prevention of Complication
4. Rehabilitation
5. Purposes, Indications, Nursing Responsibility, for the following:
a. Surgical Procedures
b. Special Procedures
6. Safe and Comprehensive Perioperative Nursing Care
a. Assessment and Care
b. Techniques in Assisting the Team
c. Principles of Safety, comfort and Privacy
d. Nursing Responsibilities
UNIT III. DISASTER & EMERGENCY NURSING
1. Definition of Emergency
2. Types of Emergency
3. Triage
4. Hospital Emergency Incident
5. Incident Command Education
6. Hospital Operations Plan
7. Personnel Protective Equipment
 8. Hazardous Materials
9. Decontamination
10. Biological Warfare and Biological Agents
11. Blast injuries
12. Natural Disaster
13. Stress Reaction
14. Nurses Role in Disaster and Emergency
PRELIM EXAMINATIONS
UNIT IV: INTRAVENOUS / PARENTERAL THERAPY
1. Basic Foundation of IV therapy
a. Philosophy
b. Historical Background of IVT
c. Standard & Competencies of IVT
2. Content
a. Review of Anatomy & Physiology of the Vascular & Peripheral and Integumentary System
a. Fluid & Electrolyte Therapy
b. Venipuncture Technique on Adult & Children
c. Complications of IVT
a. Infection Control & Microbiology
b. Demonstration of Procedure
c. Documentation of Activity
3. Performance Scale for IVT

Unit I. ONCOLOGIC NURSING

1.CLINICAL ASPECT OF CANCER DIAGNOSIS
A. Epidemiology of Cancer
B. Pathophysiology
C. Roles of Genes and Immune System
D. Assessment
E. Prevention, screening and detection
F. Cancer Diagnosis and Staging
2. CANCER TREATMENT MODALITIES
A. Surgery
B. Radiation
C. Chemotherapy
D. Biotherapy
E. Bone Marrow and Stem Cell Transplantation
3. CANCER CARE SUPPORTIVE THERAPIES
a. Nutrition
b. Skin Integrity
c. Bone Marrow Suppression
d. Oral Mucositis
e. Psychosocial Care
f. Sexuality
g. Functional Status in the Patient with Cancer
h. Patient Education
i. Palliative Care
j. Family Caregiving
k. Ethical Considerations

4. SYMPTOMS MANAGEMENT
a.Fatigue
b. Dyspnea
c. Pain
d. Sleep Disturbance
e. Nausea
f. Hot flashes
5. ONCOLOGIC EMERGENCIES
a. Pericardial Effusions and Neoplastic Cardiac Tamponade
b. Superior Vena Cava Syndrome
 c. Septic Shock
d. Spinal Cord Compression
e. Obstructive Uropathy
f. Hypercalcemia
f. Hyperuricemia
g. Syndrome of Inappropriate Antidiuretic Hormone Syndrome (SIADH)
MIDTERM EXAMINATIONS
6. CLINICAL MANAGEMENT OF MAJOR CANCER
A. Brain and Nervous System
B. Breast
C. Colorectal
D. Gastrointestinal – Esophagus, Stomach, Liver, Pancreas, Anal Canal
F. Genitourinary- Prostate, Testicular, Penile , Bladder, Renal cell
F. Gynecologic – Cervical, Endometrial, Ovarian
G. Head and Neck
H. Leukemia
I. Lung
J. Malignant Lymphoma – Hodgkin’s and Non-Hodgkin’s
A. Multiple Myeloma
B. Skin
K. Pediatric Oncology
i. Central Nervous system – Glial
ii. Bone- Osteosarcoma, Ewing’s
iii. Neuroblastoma
iv. Wilm’s Tumor
L. Retinoblastoma
 8. TEXTBOOK
• Langhorne, M., Fulton, J., Otto, S., (2011). Oncology Nursing, 5th Edition, Elsevier (Singapore) PTE LTD
• Smeltzer S., et al., (2010). Textbook of Medical- Surgical Nursing 12th Edition

9. SUGGESTED READINGS AND REFERENCES

• ONS, Eilers, Langhorne (2015).,Core Curriculum for Oncology Nursing, 5th Edition
• ANSAP (2014)., Nursing Standards on Intravenous Practice 10th Edition
• Nettina et al., (2009). Lippincott, Manual of Nursing Practice, 8 th edition
• Lemone and Burke (2010). Medical- Surgical Nursing: Critical Thinking in Client Care, 4 th Edition
• Limmer et al., (2011). Emergency Care, 12th Edition
• Schumacher and Chernecky (2010), Real World Nursing Survival Guide: Critical Care and Emergency Nursing, 4 th Edition
• Udan, J., (2009). Medical Surgical Nursing, 2nd Edition

EBOOK
• Pocket Guide to the Operating Room (Goldman, 2010)

VIDEOS
• https://www.youtube.com/watch?v=OIdC8aw1xdw
• https://www.youtube.com/watch?v=o86Sj6epLfI
• https://www.youtube.com/watch?v=GEUixUwqwq4
• pe.dadeschools.net/pdf/cpr/2015%20AHA%20Guidelines.docx
https://www.google.com.ph/?gfe_rd=cr&ei=m1aVV-qcFM2C8AWLyZjwBQ