Syllabus Handout
for
WINTER 2009-2010
Adult Nursing IV
NURS 2140 7A
INSTRUCTOR: Diana Blum, RN, MSN
1
Metropolitan Community College
Course Syllabus – 2008/Winter
COURSE IDENTIFICATION
Title: Adult Nursing IV
Prefix/Section: NURS 2140 7A
Credit Hours: 5 credit hours, 3.5 hour lecture a week, 8 hours clinical per week.
Begins/Ends/No-Class Days: Tuesday, Dec. 1, 2009 to Tuesday, Feb. 23, 2010
Meeting Day/Time: Tuesdays 12:00pm – 3:30pm
Clinical, see clinical schedule for clinical times
No Class: Dec. 25, 2009 to Jan. 1, 2010
Last Day to Withdraw Refer to the online class schedule
Class Location: SOC-Mahoney Bldg, RM 503
Lab Location: SOC-Mahoney Bldg, RM 511
Course Web Address: http://www.mccneb.edu/academics/alliedhealth/index.asp
CONTACT INFORMATION
Instructor Name: Diana Blum, RN, MSN
Office Location: SOC-Mahoney Bldg, RM 513
Office Telephone: 402-738-4651
Facsimile: 402-738-4552
Office Hours: Posted outside of room SOC-Mahoney, RM 513
Email Address:
Academic Program Area: Health Careers
Dean’s Office Telephone: (402) 738-4789 in SOC-Mahoney, RM 519
Tutoring: Alice Ludwig, RN – SOC-Mahoney bldg, RM 513
COURSE INFORMATION
Course Description
Adult Nursing IV is a continuation and advancement of pathophysiological manifestations treatment modalities, and nursing interventions through utilization of the critical thinking process and subsequent safe decision outcomes.
Course Prerequisites
Successful completion of the PN Licensure and NURS 2520, NURS 2410.
Course Objectives
1. Demonstrate an advanced understanding of each pathophysiological
manifestation, treatment modality, and advanced physiological realms through
case studies, discussion, lecture, and examinations by obtainment of 76% or
higher grades.
2. Demonstrate advancement toward critical thinking skills with subsequent safe
decision outcomes.
3. Demonstrate mastery of medication math calculations by obtainment of 100% on
exam (with total 3 attempts).
4. Demonstrate an understanding of pathophysiological modalities through safe,
competent care and the utilization of the nursing process.
5. Integrate knowledge from research as influences current and/or future practice.
Clinical Objectives
Refer to “NURS 2140 Clinical Evaluation” attached to this syllabus.
Required & Supplemental Materials:
Required textbooks:
1. Osborn, Watson, and Wraa. Medical Surgical Nursing: Preparation for Practice, Volume 1 (2010), Pearson. Pearson Health Science, Upper Saddle River, NJ.
2. Pocket Reference for ECG’s Made Easy, 3rd Edition, Aehlert, Barbara; Mosby 2006.
3. Reference Textbooks:
Gahart, Betty; Intravenous Medications (2009), Elsevier: ISBN: 0323045545
Gulanick, Meg; Nursing Care Plans, (2007), 6th Edition, Mosby: ISBN: 978-0-323-
03954-3
Mosby’s Dictionary of Medicine, Nursing, and Health Professions; (2005), 7th Edition,
Mosby: ISBN: 0780323035620
Bakerman, Seymour; Bakerman’s ABC’s of Interpretive Laborative Data; (2002), 4th Edition, Interpretive Lab Data, Inc., ISBN: 978-0-945577-07-2
Deglin, Judith; Davis’s Drug Guide for Nurses; (2009), 11th Edition, F.A. Davis: ISBN: 978-0-8036-1911-1
Silvestri, Linda; Saunders Comprehensive Review for the NCLEX-RN Examination; (2007), Elsevier: ISBN: 9781416037088
Stassi, Mary; Math for Nurses by Kaplan, Kaplan Publishing: ISBN: 9781419599552
ASSESSMENT OF STUDENT WORK
Methods of Instruction:
Classroom – A variety of teaching strategies may be used in presenting theory content, such as: case study, discussion, exams, guest speakers, lecture-discussion, concept mapping, role-play, and questioning. Instructional strategies to be used may include: handouts, videos, and PowerPoints.
Instructional guides – will be used to stress important points for each lecture. The guides may be in various forms which may include critical thinking scenarios, questions, prioritizing, and concept mapping, for example.
Methods of Assessing Student Progress:
Student progress is evaluated using a variety of methods including written examinations/quizzes, clinical observation of client care, written process recordings, nursing care plans, charting, assessment of skills in clinical settings.
Selected Testing/Assessment Methods:
Examinations/quizzes include multiple choice and more than 1 answer type questions. Written assignments include written nursing careplans or concept maps, and other written assignments appropriate to the clinical setting or classroom. Faculty observation of student completion of skills are primary methods of evaluating students in the clinical practicum setting.
Evaluation:
Final course grades are based on the following letter scale:
93-100 = A
85-92 = B
76-84 = C
70-75 = D
Below 70 = F
A student’s course grade will be determined as follows: / Multiple Choice questions:Exam # 1 / 25 questions, each question worth 4%
Exam # 2 / 25 questions, each question worth 4%
Exam # 3 (Note: 50 questions for the exam) / 50 questions, each question worth 2%
Exam # 4 / 25 questions, each question worth 4%
Exam #5 (Note: 50 questions for the exam) / 50 questions, each question worth 2%
Exam #6 / 25 questions, each question worth 4%
Exam 7 / 25 questions, each question worth 4%
Exam 8 / 25 questions, each question worth 4%
Exam 9 / 25 questions, each question worth 4%
Comprehensive Final / 100 questions, each questions worth 1%
There will be no rounding of grades, i.e., a 75.7 = 75%. A final course grade of 76% is required to continue in the program.
Clinical will be graded on a satisfactory/unsatisfactory basis. Refer to clinical evaluation attached to this syllabus. Students must obtain satisfactory on all assignments, and skills performances to obtain a satisfactory evaluation for the clinical component. Students must pass the math exam with a 100% before they can pass medications on the unit. Students are allowed three attempts to pass the math exam with a 100%. Failure to pass the exam after three attempts will result in failure of the course.
To satisfactorily complete a nursing course, the student must receive a “C” (76%) or above in the theory course and a pass in the corresponding clinical component. Failure by a student in either theory or clinical will necessitate repeating the entire course (both theory and clinical components).
Make-up Test Procedures:
If it is necessary to be absent during an assigned test/quiz period, the student must make-up that exam/quiz prior to the next scheduled class date (i.e., if the missed test is on Wednesday, the test must be made up PRIOR to the next Wednesday). Failure to do so will result in a zero for the examination. The student may miss one exam/quiz without penalty, as long as the test is made up within the specific time period. If the student misses more than one exam/quiz, the exam/quiz may be made up, but the maximum score allowed is an 80%. The final examination must be taken on the scheduled date and at the scheduled time.
Students may not enter the classroom after the testing has begun. If the student is not in the classroom when tests are being distributed the student must follow the provision for make up test procedures.
When necessary to make up an examination, it will be placed in the testing center. It is the student’s responsibility to make an appointment and take the test within the specified period of time.
Exceptions to these guidelines may be considered, but only if the student consults with the instructor in advance.
Late Assignments:
Assignments are expected to be completed and turned in by the dates stipulated on the course calendar and the individual instructor due dates. It is the responsibility of the student to notify the clinical/course instructor of any delay in meeting the stated/written deadlines. Habitual lateness in handing in assigned work can contribute to course failure.
Maintenance of Student Records:
Examination reviews will be held following all student completion and/or grading of scheduled exams. Courteous and respectful behavior is expected of every student present to facilitate the learning experience afforded by the review. Students may request to review the exams individually, by appointment. Appointments must be made individually with faculty of the course. Course faculty will keep all exams/quizzes.
Every effort will be made to return all tests and written assignments in a timely manner for review.
INSTRUCTOR’S EXPECTATIONS OF STUDENTS
Methods of Learning:
Students are expected to participate in all theory and clinical sessions. Assigned readings are to be completed prior to attending the class/clinical session scheduled for the specific topic. Written assignments, theory, and clinical assignments must be completed by specified dates. Due dates for written theory assignments and some clinical assignments will be on the class schedule. Due dates for written clinical assignments will be given with clinical information if not on class schedule. Assignments not handed in by the due date will receive a zero, and will not be accepted.
Pre-clinical lab preparation is a must. Students are expected to come to the clinical practicum setting prepared to give care to their clients. Being prepared includes such things as looking up medications, knowing the diagnosis of the clients, being prepared to do procedures/treatments, having data related to prior laboratory and previous assessments completed before clinical, and having a written plan of care. Faculty will provide students with clinical expectations the day of orientation to the clinical facility. Students not prepared for clinical assignment, will be sent home and will be subject to the clinical attendance policy per the Nursing Program Policy/Procedure Student Manual.
Class Attendance:
Promptness: This is of high importance for success in this class. If a student should miss a class for any reason he/she is expected to cover, on his/her own, the material he/she missed. All work must be made up to the satisfaction of the instructor involved. For absences on days when exams/quizzes are given, refer to section related to “makeup test procedure”. It is the student’s responsibility to notify the Instructor immediately if the student is unable to attend class. If a student demonstrates unprofessional behavior in the classroom, the student will be asked to leave. Frequent tardiness and early departures from class can contribute to course failure. Students who attend no class meetings up to and including the Section Census Date published in the Class Schedule at www.mccneb.edu/schedule/ may be disenrolled from the class. There is no appeal for this disenrollment.
Clinical Attendance:
Refer to Attendance Policy in the Nursing Policy/Procedure Student Manual
Student Withdrawal:
If you cannot participate in and complete this course, you should officially withdraw by calling Central Registration at 402-457-5231 or 1-800-228-9553. Failure to officially withdraw will result in either an attendance-related failure (FX) or failing (F) grade. The last date to withdraw is noted in the CLASS IDENTIFICATION section of this syllabus.
LEARNING SUPPORT
MCC's Academic Resource Centers, Math Centers, and Writing Centers offer friendly, supportive learning environments that can help students achieve educational success. Staff members in these centers provide free drop-in assistance with basic computing, reading, math, and writing skills. Self-paced, computer-assisted instructional support in reading, vocabulary, typing, English as a Second Language, and online course orientation is also available.
Detailed information about the Academic Resource, Math, and Writing Centers is in the Student Handbook, College Catalog, and online at http://www.mccneb.edu/arc/.
ACCOMMODATIONS FOR STUDENTS WITH DISABILITIES:
If you have a disability that may substantially limit your ability to participate in this class, please contact a Disability Support Services Counselor located in the Student Services Office on each campus. Metropolitan Community College will provide reasonable accommodations for persons with documented qualifying disabilities. However, it is the student’s responsibility to request accommodations. For further information, please visit http://www.mccneb.edu/dss/ and/or contact Student Services.
TECHNOLOGY SUPPORT
For assistance with student email, passwords, and most other MCC technology, contact the Help Desk at 457-2900 or .
TECHNOLOGY RESOURCES:
By using the information technology systems at MCC (including the computer systems and phones), you acknowledge and consent to the conditions of use as set forth in the Metropolitan Community College Procedures Memorandum on Acceptable Use of Information Technology and Resources. It is your responsibility as a student to be familiar with these procedures. The full text of the Procedures Memorandum may be found at the following website: http://www.mccneb.edu/procedures/X-15_Technology_Resources_Use.pdf.
[Other pertinent college policies are posted on the CDS website www.mccneb.edu/cds; it is suggested, but not required, that they be attached to your syllabus.]
REQUIRED ATTACHMENTS
1. SCHEDULE OF ASSIGNMENTS
2. IMPORTANT DATES Note: You may want to include a link Metro’s Academic Calendar at http://www.mccneb.edu/academics/calendar.asp?Theme=2 )
NURS 2140 Clinical Component
Location:
Assignments to clinical facility in the acute care setting.
Clinical focus:
Hierarchy of needs, the nursing process, communication, safety, advancement of clinical skills, advancement of assessment skills, along with advancement of the understanding of pathophysiology to include medications, labs, diagnostic tests, and other significant data.
Preceptor Experience:
Students may be assigned clinical experience with an RN preceptor. Refer to following page for specifics.
Clinical Methods of Instruction:
A variety of teaching strategies applicable to the clinical experience will be utilized such as patient care, case study, demonstration, return demonstration, discussions group and/or individual, individual supervision, pre/post conferences, journaling, and concept mapping.
Emphasis in Clinical Experience:
Safety is the emphasis in all areas of patient care to include but not limited to; medication administration and physiological cares.
Assessment of Clinical Student Progress:
The instructor will assess knowledge base through observation, discussion, and questioning during patient care. Pre and post conferences will be utilized to assess knowledge base through discussion. The written patient care plan, pre-lab data and ongoing patient care data will be assessed. Medication administration safety will also be an important area of patient care that will include verbal questioning and direct observation as to action, therapeutic response, side effects, and proper administration.
Assessment Methods:
The student will be evaluated daily/weekly. The student must achieve a satisfactory for each objective by the end of the clinical components. If the student does not achieve a satisfactory for each objective by the end of the clinical experience this indicates that the objectives was not met and therefore constitutes a clinical failure. Pre-lab requirements must be completed before the clinical experience. Pre-lab forms and clinical forms must be completed and submitted weekly. Students are responsible for completion of all assignments. The student must successfully complete clinical to pass the course. The student will participate in self-evaluation during the quarter.