BNS 121: Specialized Clinical Nursing
INTENSIVE CARE • MODULE 1
Critical Care Nursing, Emergency Resuscitation & ICU Procedures
Critical Care Foundations & Patient Assessment
- Subtopic: Holistic and Critical Thinking Frameworks in High-Acuity Intensive Care Settings
- Subtopic: Psychological Impact of Critical Illness and ICU Psychosis on Patients and Families
- Subtopic: Pain Assessment, Sedation Scales (RASS), and Comfort Management in the Intubated Patient
- Subtopic: Burnout Prevention and Stress Management Strategies for Intensive Care Unit Personnel
- Subtopic: ICU Reception Protocols, Rapid Emergency Triage, and Critical Care Patient Admission
- Subtopic: Continuous Monitoring and Clinical Interpretation of Arterial Blood Gases (ABGs)
- Subtopic: Invasive Hemodynamic Monitoring: Central Venous Pressure (CVP) and Arterial Lines
Critical Emergencies & Specialized Life Support
- Subtopic: Emergency Resuscitation, Defibrillation Protocols, and Synchronized Cardioversion
- Subtopic: Principles, Modes, Alarms, and Weaning Protocols for Invasive Mechanical Ventilation
- Subtopic: Endotracheal Intubation Assisting, Tracheostomy Care, and Closed Suctioning Techniques
- Subtopic: Management of Circulatory Shock: Hypovolemic, Cardiogenic, Septic, and Anaphylactic Shock
- Subtopic: Acute Neurological Crises: Severe Traumatic Brain Injury, Status Epilepticus, and Coma (GCS)
- Subtopic: Acute Kidney Injury (AKI) in ICU: Continuous Renal Replacement Therapy (CRRT) and Hemodialysis
- Subtopic: Emergency Critical Care in Polytrauma, Major Inhalation Burns, Poisonings, and Near-Drowning
- Subtopic: Special ICU Populations: Pediatric Emergencies, Obstetric Crises, and Geriatric Sepsis
- Subtopic: Brain Death Determination Criteria, Organ Donation Coordination, and End-of-Life Withdrawal
CARDIOLOGY • MODULE 2
Cardiologic Nursing, Arrhythmia Analysis & Cardiac Surgery
Cardiovascular Assessment & Medical Cardiology
- Subtopic: Advanced Assessment of the Cardiac Patient: Focused History, Jugular Venous Distension & Heart Sounds
- Subtopic: Diagnostic Biomarkers in Cardiology: Troponins, CK-MB, BNP, Lipid Profiles & Coagulation Studies
- Subtopic: Clinical Electrophysiology: 12-Lead ECG Acquisition, Axis Determination, and Waveform Analysis
- Subtopic: Recognition and Management of Atrial Fibrillation, Flutter, Supraventricular Tachycardias & Heart Blocks
- Subtopic: Lethal Dysrhythmias: Ventricular Tachycardia, Ventricular Fibrillation, and Asystole Protocols
- Subtopic: Acute Coronary Syndromes (ACS): Pathophysiology, ECG Patterns, and Thrombolysis / PCI Pathways
- Subtopic: Acute and Chronic Heart Failure: Pharmacological Inotropes, Vasodilators, and ACEI/ARB Regimens
- Subtopic: Cardiogenic Pulmonary Edema, Valvular Heart Diseases, and Rheumatic Heart Disease Prophylaxis
- Subtopic: Infective Endocarditis, Pericarditis, Cardiac Tamponade, and Emergency Pericardiocentesis
Cardiac Surgery & Advanced Interventions
- Subtopic: Preoperative Evaluation and Preparation for Open-Heart and Closed-Heart Surgeries
- Subtopic: Coronary Artery Bypass Grafting (CABG) and Valvular Replacement / Repair Procedures
- Subtopic: Surgical Correction of Congenital Cardiac Shunts (ASD, VSD, PDA, Tetralogy of Fallot)
- Subtopic: Temporary and Permanent Cardiac Pacemakers: Insertion, Settings, and Malfunction Troubleshooting
- Subtopic: Intra-Aortic Balloon Pump (IABP) Counterpulsation: Mechanism, Timing, and Catheter Care
- Subtopic: Postoperative Cardiovascular Nursing: Managing Mediastinal Chest Drains and Bleeding
- Subtopic: Phase I, II, and III Cardiac Rehabilitation: Patient Education, Diet, and Exercise Prescription
DERMATOLOGY • MODULE 3
Dermatologic Nursing, Skin Lesions & Advanced Wound Care
Dermatologic Assessment & Cutaneous Pathologies
- Subtopic: Systematic Dermatologic History Taking and Morphological Classification of Primary/Secondary Skin Lesions
- Subtopic: Common Parasitic Skin Infestations: Scabies Eradication Regimens and Pediculosis Management
- Subtopic: Superficial and Deep Fungal Dermatoses: Tinea Capitis, Corporis, Pedis, Cruris, and Onychomycosis
- Subtopic: Bacterial Pyodermas: Impetigo, Erysipelas, Cellulitis, Furuncles, Carbuncles & Staphylococcal Scalded Skin
- Subtopic: Viral Cutaneous Infections: Herpes Simplex, Herpes Zoster (Shingles), Warts, and Molluscum Contagiosum
- Subtopic: Chronic Inflammatory Dermatoses: Atopic Eczema, Contact Dermatitis, and Plaque Psoriasis
- Subtopic: Autoimmune Vesiculobullous Disorders: Pemphigus Vulgaris and Bullous Pemphigoid
- Subtopic: Cutaneous Drug Eruptions: Erythema Multiforme, Stevens-Johnson Syndrome (SJS) & Toxic Epidermal Necrolysis (TEN)
- Subtopic: Pigmentary Disorders (Vitiligo, Melasma), Phacomatoses, Acne Vulgaris, and Hair/Nail Dystrophies
Dermatological Therapeutics & Wound Care
- Subtopic: Topical Dermatological Therapies: Emollients, Keratolytics, Corticosteroid Vehicles, and Wet Dressings
- Subtopic: Phototherapy Protocols (Narrowband UVB, PUVA) and Systemic Biological Therapy Monitoring
- Subtopic: Advanced Management of Complex Chronic Skin Ulcers: Venous, Arterial, Neuropathic Diabetic Foot Ulcers
- Subtopic: Malignant Skin Lesions: Basal Cell Carcinoma, Squamous Cell Carcinoma, Melanoma, and Kaposi's Sarcoma
- Subtopic: Psychosocial Support for Altered Body Image, Disfiguring Dermatoses, and Skin Bleaching Complications
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OTORHINOLARYNGOLOGY • MODULE 4
Ear, Nose & Throat (ENT) Nursing & Airway Management
Applied ENT Anatomy, Physiology & Examination
- Subtopic: Applied Anatomy, Histology, and Embryology of the Ear, Nose, Paranasal Sinuses, Pharynx, and Larynx
- Subtopic: Physiology of Hearing, Vestibular Balance, Olfaction, Gustation, Swallowing, and Phonation
- Subtopic: Otoscopic Examination, Ear Syringing Indications, Contraindications, and Clinical Hygiene Procedures
- Subtopic: Audiometric Assessment: Tuning Fork Tests (Weber, Rinne) and Pure Tone Audiometry Interpretation
- Subtopic: Anterior and Posterior Rhinoscopy, Nasal Airway Patency Tests, and Sinus Transillumination
- Subtopic: Examination of the Oral Cavity, Oropharynx, Tonsillar Pillars, and Indirect Laryngoscopy
ENT Disorders, Emergencies & Surgical Care
- Subtopic: Otological Disorders: Otitis Externa, Acute/Chronic Suppurative Otitis Media (CSOM) & Mastoiditis
- Subtopic: Inner Ear and Vestibular Pathologies: Ménière’s Disease, Labyrinthitis, and Benign Paroxysmal Vertigo
- Subtopic: Nasal and Sinus Pathologies: Allergic Rhinitis, Acute/Chronic Sinusitis, Nasal Polyps & Septal Deviation
- Subtopic: Pharyngeal and Laryngeal Disorders: Adenotonsillitis, Peritonsillar Abscess (Quinsy), and Laryngitis
- Subtopic: ENT Manifestations of HIV/AIDS: Kaposi's Sarcoma, Candidiasis, and Parotid Swelling
- Subtopic: ENT Emergencies: Epistaxis Management (Anterior/Posterior Nasal Packing, Cauterization)
- Subtopic: Emergency Removal of Foreign Bodies from the Ear Canal, Nasal Cavity, and Upper Aerodigestive Tract
- Subtopic: Acute Airway Obstruction: Ludwig’s Angina, Acute Epiglottitis, and Emergency Cricothyroidotomy
- Subtopic: Tracheostomy Nursing Care: Tube Suctioning, Inner Cannula Cleaning, Tie Changing, and Decannulation
- Subtopic: Perioperative Care in ENT Surgery: Tonsillectomy, Adenoidectomy, Mastoidectomy, and Total Laryngectomy
ORTHOPAEDICS & TRAUMA • MODULE 5
Orthopaedic Nursing, Fracture Care, Traction & Rehabilitation
Musculoskeletal Pathology & Deformities
- Subtopic: Congenital Deformities: Clubfoot (Talipes Equinovarus - Ponseti Method), Congenital Hip Dysplasia (DDH)
- Subtopic: Musculoskeletal Manifestations of Poliomyelitis and Cerebral Palsy Joint Contractures
- Subtopic: Bone Infections: Acute and Chronic Osteomyelitis (Sequestrum, Involucrum) and Septic Arthritis
- Subtopic: Metabolic and Degenerative Joint Diseases: Osteoarthritis, Rheumatoid Arthritis, and Osteoporosis
- Subtopic: Spinal Column Pathologies: Prolapsed Intervertebral Disc (Slipped Disc), Scoliosis, and Pott's Disease
- Subtopic: Benign and Malignant Bone Tumours: Osteoma, Osteosarcoma, Ewing Sarcoma, and Pathological Fractures
Trauma Management, Casting & Appliances
- Subtopic: Classification of Fractures (Closed, Open/Compound, Greenstick, Comminuted) and Dislocation Care
- Subtopic: Emergency Splinting, Fracture Reduction Principles, and Skeletal Imaging (X-Ray, CT, MRI)
- Subtopic: Plaster of Paris (P.O.P) and Fiberglass Casts: Application Techniques, Drying, and Patient Education
- Subtopic: Early Detection and Prevention of Cast Complications: Acute Compartment Syndrome and Volkmann’s Ischemia
- Subtopic: Principles, Application, and Maintenance of Skin Traction (Buck's, Gallows)
- Subtopic: Principles, Application, and Maintenance of Skeletal Traction (Thomas Splint, Steinmann Pin, Kirschner Wire)
- Subtopic: Pin-Site Wound Care Protocols to Prevent Skeletal Traction Infection
- Subtopic: Preoperative and Postoperative Care in Open Reduction Internal Fixation (ORIF) and Arthroplasty
- Subtopic: Measurement, Fitting, Gait Training, and Rehabilitation with Crutches, Walkers, and Wheelchairs
OPHTHALMIC NURSING • MODULE 6
Ophthalmic Nursing, Visual Assessment & Eye Surgery
Visual Assessment & Ocular Pathology
- Subtopic: Applied Anatomy of the Eyeball, Orbit, Extraocular Muscles, and Visual Pathway
- Subtopic: Visual Acuity Testing (Snellen Chart, E-Chart, Light Perception) and Visual Field Assessment
- Subtopic: Ophthalmoscopy, Slit-Lamp Examination Principles, and Intraocular Pressure Tonometry
- Subtopic: Refractive Errors: Myopia, Hyperopia, Astigmatism, Presbyopia, and Optical Correction
- Subtopic: Infectious and Inflammatory Eye Disorders: Bacterial/Viral Conjunctivitis, Trachoma, and Keratitis
- Subtopic: Corneal Ulceration: Diagnosis, Staining with Fluorescein, and Complication Prevention
- Subtopic: Cataracts: Etiology (Senile, Congenital, Traumatic), Clinical Signs, and Surgical Indications
- Subtopic: Glaucoma: Pathophysiology of Open-Angle vs. Acute Angle-Closure Glaucoma Emergencies
- Subtopic: Retinal Pathologies: Retinal Detachment, Diabetic Retinopathy, and Hypertensive Retinopathy
Ophthalmic Procedures, Surgery & Primary Eye Care
- Subtopic: Emergency Nursing Care of Ocular Trauma, Chemical Burns, and Foreign Body Removal
- Subtopic: Correct Instillation Techniques for Ophthalmic Drops, Ointments, and Eye Irrigation
- Subtopic: Application of Eye Pads, Eye Shields, and Pressure Dressings
- Subtopic: Preoperative and Postoperative Nursing Care for Cataract Extraction (Phacoemulsification, ECCE)
- Subtopic: Surgical Nursing in Trabeculectomy (Glaucoma), Pterygium Excision, and Evisceration / Enucleation
- Subtopic: Disinfection, Micro-Surgical Instrument Care, and Sterilization in Ophthalmic Theatres
- Subtopic: Primary Eye Care (PEC) and Community Blindness Prevention Initiatives in Uganda
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CLINICAL ONCOLOGY • MODULE 7
Oncology Nursing, Cancer Biology & Treatment Modalities
Cancer Biology, Epidemiology & Diagnostics
- Subtopic: Global and National Epidemiology of Common Cancers (Cervix, Breast, Prostate, Kaposi's Sarcoma, Burkitt's)
- Subtopic: Cellular Biology of Cancer: Proto-Oncogenes, Tumour Suppressor Genes, and Apoptosis Resistance
- Subtopic: Carcinogenesis: Chemical, Environmental, Radiation, and Viral Carcinogens (HPV, EBV, HHV-8, HBV)
- Subtopic: Clinical Cancer Staging Systems: TNM Classification vs. Histological Tumour Grading
- Subtopic: Clinical Utility and Limitations of Tumour Markers (PSA, CA-125, CEA, AFP, Beta-hCG)
- Subtopic: Assisting in Diagnostic Biopsy Procedures: Fine Needle Aspiration (FNA), Core Biopsy, Bone Marrow Aspiration
Cancer Treatment Modalities & Nursing Care
- Subtopic: Surgical Oncology Principles: Diagnostic, Curative, Cytoreductive (Debulking), and Palliative Surgery
- Subtopic: Radiation Oncology: Teletherapy (External Beam) vs. Brachytherapy (Internal Radiation) Safety
- Subtopic: Nursing Care of Patients Undergoing Radiotherapy: Managing Acute Radiation Dermatitis and Mucositis
- Subtopic: Classification and Mechanisms of Cytotoxic Chemotherapy: Alkylating, Antimetabolites, Mitotic Inhibitors
- Subtopic: Endocrine Hormonal Therapy and Targeted Biologic Monoclonal Antibodies in Cancer Care
- Subtopic: Principles of Autologous and Allogeneic Hematopoietic Stem Cell / Bone Marrow Transplantation
ONCOLOGIC SAFETY • MODULE 8
Chemotherapy Administration, Safety & Oncologic Emergencies
Chemotherapy Administration & Safe Handling
- Subtopic: Pre-Chemotherapy Verification Protocols: Blood Counts, Renal/Hepatic Clearance & BSA Calculation
- Subtopic: Central Venous Access Devices (CVADs): Care and Maintenance of PICC Lines, Port-a-Caths & Hickman Lines
- Subtopic: Personal Protective Equipment (PPE) and Biosafety Cabinets for Chemotherapy Reconstitution
- Subtopic: Chemotherapy Extravasation: Vesicant vs. Irritant Drugs, Prevention, Local Antidotes & Cold/Warm Compresses
- Subtopic: Safe Handling and Disposal of Cytotoxic Waste, Excreta, and Spill Kit Management Protocols
- Subtopic: Management of Treatment Toxicities: Chemotherapy-Induced Nausea and Vomiting (CINV), Alopecia & Neuropathy
Oncologic Emergencies & Acute Complications
- Subtopic: Febrile Neutropenia: Emergency Sepsis Workup, Reverse Isolation, and Immediate Broad-Spectrum Antibiotics
- Subtopic: Superior Vena Cava Syndrome (SVCS): Pathophysiology, Clinical Presentation, and Airway Protection
- Subtopic: Spinal Cord Compression: Neurological Deficit Recognition, Corticosteroids & Emergency Decompression
- Subtopic: Tumour Lysis Syndrome (TLS): Hyperkalemia, Hyperuricemia, Hypocalcemia & Renal Protection
- Subtopic: Hypercalcemia of Malignancy: Clinical Manifestations, Vigorous Hydration, and Bisphosphonates
- Subtopic: Malignant Effusions: Assisting with Thoracentesis, Paracentesis & Pericardial Window Drainage
- Subtopic: Disseminated Intravascular Coagulation (DIC), Bowel Obstruction & Obstructive Uropathy in Cancer
PALLIATIVE & HOSPICE • MODULE 9
Hospice, Palliative Care Nursing & End-of-Life Management
Palliative Philosophy & Holistic Pain Control
- Subtopic: Philosophy, Goals, and Models of Palliative Care: Hospital-Based, Hospice, and Home-Based Care
- Subtopic: The Family as the Unit of Care: Patient Autonomy, Shared Decision-Making & Caregiver Burden
- Subtopic: Comprehensive Pain Assessment (Total Pain: Physical, Psychological, Social, and Spiritual)
- Subtopic: The WHO Three-Step Analgesic Ladder in Palliative Medicine
- Subtopic: Opioid Titration: Morphine Reconstitution, Breakthrough Pain Dosing, and Laxative Co-Prescription
- Subtopic: Managing Common Palliative Symptoms: Dyspnea (Death Rattle), Intractable Nausea, Anorexia-Cachexia
- Subtopic: Non-Pharmacological Pain and Symptom Management: Palliative Positioning, Massage, and Relaxation
End-of-Life Care, Ethics & Bereavement
- Subtopic: Communication in Palliative Care: Breaking Bad News (SPIKES Protocol) and Advance Care Planning
- Subtopic: Ethical and Legal Dilemmas: Resuscitation Decisions (Do-Not-Resuscitate - DNR) and Palliative Sedation
- Subtopic: Recognizing Clinical Signs of the Terminal Phase and Approaching Death
- Subtopic: Terminal Nursing Care: Oral Hygiene, Skin Integrity, Secretion Management, and Gentle Presence
- Subtopic: Grief, Anticipatory Grief, Bereavement Support, and Cultural Funeral Customs in Uganda
- Subtopic: Providing Palliative Care in Chronic Non-Malignant Conditions: End-Stage Heart Failure, Renal Failure & Advanced HIV
Prescribed Textbooks & References
Core clinical textbooks prescribed by the NCHE Bachelor of Nursing Science syllabus for specialized nursing rotations.
- Chulay, M. & Burns, S. (2010). AACN Essentials of Critical-Care Nursing (2nd ed.). New York: McGraw-Hill Medical.
- Adam, S.K. & Osborne, S. (2009). Oxford Handbook of Critical Care Nursing. Oxford: Oxford University Press.
- Woods, S.L., Froelicher, E.S., Motzer, S.U. & Bridges, E.J. (2010). Cardiac Nursing (6th ed.). Philadelphia: Lippincott Williams & Wilkins.
- Braunwald, E., Zipes, D.P., Libby, P. & Bonow, R. (2004). Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine (7th ed.). Philadelphia: Saunders.
- Mackie, R.M. (2003). Clinical Dermatology (5th ed.). Oxford: Oxford University Press.
- Kaschke, O., Nawka, T. & Swift, A. (2009). Ear, Nose, and Throat Diseases: With Head and Neck Surgery (3rd ed.). Stuttgart: Thieme Publishers.
- Kneale, J. & Davis, P. (2005). Orthopaedic and Trauma Nursing (2nd ed.). Edinburgh: Churchill Livingstone / Elsevier.
- Shaw, M.E., Lee, A. & Stollery, R. (2010). Ophthalmic Nursing (4th ed.). Oxford: Wiley-Blackwell.
- Yarbro, C.H., Wujcik, D. & Gobel, B.H. (2011). Cancer Nursing: Principles and Practice (7th ed.). Sudbury: Jones & Bartlett Learning.
- Ferrell, B.R. & Coyle, N. (2010). Oxford Textbook of Palliative Nursing (3rd ed.). Oxford: Oxford University Press.
- Ministry of Health Uganda (2010). Uganda Clinical Guidelines: National Guidelines for Common Conditions. Kampala: MOH.
Follow your university’s current approved course outline for official course codes, teaching order and assessments. This directory organises supplementary revision resources.
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