Advanced Nursing Critical Care Life Span

Associate Degree

Registered Nursing Program

ADN 22A

Advanced Nursing Critical Care Life Span

Fall 2011

ADN 22A: ADVANCED NURSING CRITICAL CARE LIFE SPAN SYLLABUS

TABLE OF CONTENTS

Theory Content: INTRODUCTION TO 22A

Course Information 1.0

Course Outline 1.2

Orem's Conceptual Framework 1.3

Course Requirements 1.4

Course Learning Outcomes 1.5

Challenge Policy (General and 22A) 1.6

Course Schedule 1.9

Grades/ Assignments 1.11

Laboratory Content: INTRODUCTION TO 22AL

Course Information 2.0

Course Outline 2.2

Conceptual Framework 2.3

Course Requirements 2.4

Entry/ Exit Skills 2.5

Learning Outcomes 2.6

Challenge Policy 2.7

Skills Assessment Expectations 2.9

LONG BEACH CITY COLLEGE

Associate Degree Nursing Program

ADN 22A Advanced Nursing Critical Care Life Span

COURSE INFORMATION

Course Description

The lecture course (ADN 22A) incorporates Orem’s Theory of nursing care in acute hospital and clinic settings. The major foci are: (1) caring for the adult patient with health deviations in critical care areas and (2) caring for the ill child in the hospital setting and in pediatric outpatient settings. This course emphasizes the educative/ supportive, wholly compensatory, and partly compensatory roles of the nurse.

Time Allotment, Sequencing and Enrollment

2.5 college semester units, 9 week course

Class Lecture: 5 hours per week, total 45 hours

This course is offered during the first nine weeks of the 4th semester with enrollment as space and resources allow. Concurrent enrollment with ADN 22AL is required.

Required Texts:

1.  Brunner/Suddarth, 11th Edition, Medical-Surgical Nursing

2.  Davis' Drug Guide for Nurses

3.  22A Syllabus

4.  James, Ashwill & Droske, 3rd edition, Nursing Care of Children, Principles and Practice

5.  Curren & Munday Math for Meds, 7th Edition

6.  Dudek Nutrition Essentials for Nursing Practice, 4th Edition.

7.  Urden, Stacy, & Lough, 5th edition, Priorities in Critical Care Nursing

8.  Leifer, G. & Hartson, H. Growth and Development across the lifespan, a health promotion focus.

9.  Maxishare Milestones Growth & Development Guide

Teaching Methods

Lecture and class discussion

Reading assignments from textbooks and journal articles

Independent CD-Rom and DVD assignments

Sub-Modules

1.0

Student Evaluation

Possible Points

Quizzes 150

Final Exam 100

Total Points 250

Student Course Grade

Students must be concurrently enrolled in ADN 22A and ADN 22AL. When the student achieves a satisfactory clinical performance evaluation in ADN 22AL, the percentage of the theory grade in ADN 22A will also be the course grade for ADN 22AL. If the student’s clinical performance is less than satisfactory, the grading policy in the Student Handbook will be followed.

Course Instructors Office Telephone

Ronda Wood, R.N-BC., M.N. Ed.D. C-100N 938-4615

Sigrid Sexton, R.N., M.S.N., FNP C-100N 938-4799

Office hours for faculty are posted on individual office doors. Faculty are also available by email and cell phone or pager.

1.1

Long Beach Community College District

LONG BEACH CITY COLLEGE

Associate Degree Nursing Program

ADN 22A Advance Critical Lifespan

COURSE OUTLINE

I. Adult Complex Health Deviations

A.  Complex health deviations involving the self-care requisites of

1.  Sufficient intake of air

2.  Prevention of hazards to human life, human functioning and human well being.

3.  Promotion of normalcy

B.  Pathological conditions and prescribed medical diagnostic and therapeutic measures associated with cardiovascular disorders and respiratory dysfunction in the adult

C.  Developmental self-care requisites of the critically ill adult

D.  Educative/supportive role of the nurse in the provision of care for the adult and his/her family

II.  Child Health Deviations

A.  Growth and Development of the pediatric population from infancy to adolescence

B.  Developmental self care requisites of the hospitalized child

C.  Health deviations involving the self care requisites of:

1.  Sufficient intake of air

2.  Sufficient intake of water

3.  Sufficient intake of food

4.  Maintenance of balance between activity/rest

5.  Solitude and social interaction

6.  Care associated with elimination processes

7.  Hazards to human life

8.  Promotion of normalcy

D.  Health deviations associated with the infant to adolescent and their prescribed medical, diagnostic, nursing and therapeutic measures

E.  Educative/supportive role of the nurse in care of the child and his/her family.

1.2

LONG BEACH CITY COLLEGE

Associate Degree Nursing Program

ADN 22A Advanced Nursing Critical Life Span

IMPLEMENTATION OF CONCEPTUAL FRAMEWORK

Orem’s Self-Care Theory

SELF CARE THEORY / THEORY INFORMATION / CLINICAL IMPLEMENTATION
Health Deviation of Self care requisites related to the needs of pediatric patients and critically ill adults generated by illnesses and medical diagnostic procedures and treatments. / The Universal Self Care Requisites serve as an outline for learning. The concept of Health Deviation Self Care Requisites is discussed with emphasis placed on the pediatric patient and the critically ill adult patient. / Students apply all previously learned skills in the new settings of pediatric and critical care units. The student will care for 2 pediatric patients or 1 critically ill adult patient each day in clinical.
Students use the nursing process as they continue to assess, plan set goals, intervene, and evaluate patients across the life span from infancy to the critically ill adult based on all eight USCR.
Students develop a nursing care plan and provide care in the wholly compensatory, partially compensatory, and educative/supportive modes.
During campus labs and in clinical students apply their knowledge of USCR and identify Health Deviations pertaining to all eight areas.

1.3

Long Beach Community College District

LONG BEACH CITY COLLEGE

Associate Degree Nursing Program

ADN 22A Advanced Nursing Critical Life Span

COURSE REQUIREMENTS

During this course each student will:

1.  Arrive to class prepared and on time.

2.  Complete all audio-visual, reading and written work prior to class.

3.  Independently review any material from previous required courses as needed.

4.  Behave appropriately in the classroom (appropriate behavior will be defined by the teaching team and the student handbook).

5.  Review student handbook and college policies for policies such as academic honesty policy, submodule policy, health requirements policy, etc.

6.  Achieve at least 75% in theory testing by the end of the course to maintain status in the program.

7.  Achieve at least a 93% on the Math test by the assigned due date.

8.  Satisfactorily complete the cardiac monitor submodule with a score of 85% by the date stated on the schedule.

9.  Complete all assigned work (Pediatric and Adult ABG CD-Roms) and Suctioning Skill testing by due date.

10.  Actively participate in class discussion.

11.  Use appropriate terminology verbally and in writing.

12.  Assume responsibility for meeting behavioral objectives and test in the event of absence from class.

13.  Integrate the LBCC conceptual framework into the care plans and case study format.

1.4

Long Beach Community College District

LONG BEACH CITY COLLEGE

Associate Degree Nursing Program

ADN 22A - Advanced Nursing Critical Care Lifespan

ADN 22A LEARNING OUTCOMES

Upon satisfactory completion of the course, the student will be able to demonstrate the following learning outcomes:

Professional Role

·  Prepare to interact with members of the health care team in a professional manner.

Communication

·  Communicate relevant, accurate and complete information in a concise and clear manner.

Orem Self Care Theory as it relates to the Nursing Process

·  Synthesize Orem’s Self Care Theory with the critically ill adult and hospitalized child.

·  Synthesize the nursing process with the critically ill adult and hospitalized child.

·  Compare and contrast normalcy as it relates to the critically ill adult and hospitalized child.

·  Predict potential health hazards for the critically ill adult and hospitalized child.

·  Differentiate between the self care demands and deficits requiring interventions in the critically ill adult and hospitalized child.

·  Distinguish how the nursing process is used in differentiating plans of care that reflect the developmental level and developmental self care requisites of the critically ill adult and hospitalized child.

Critical Thinking

·  Relate appropriate learned theory to patient scenarios for the critically ill adult and hospitalized child.

Safety

·  Recognize unsafe practices and potential health hazards.

·  Synthesize knowledge from this course and previous courses to assimilate safe nursing practice.

Teaching/Learning

·  Prepare to teach the patient and family about the health deviations identified in this course.

Collaborative Management of Care

·  Prioritize all aspects of patient care.

1.5

Long Beach Community College District

LONG BEACH CITY COLLEGE

Associate Degree Nursing Program

ADN 22A – Advanced Critical Life Span

POLICY STATEMENT

Challenge Option for Advanced Placement

1.  The challenge option for each course consists of two parts:

·  1st: challenge of the theory course

·  2nd: Challenge of the laboratory course

2.  An announcement regarding the challenge options will be made at the beginning of every course on the first day of class.

3.  The student must have evidence on file in the college and program cumulative folder of formal instruction in this course content.

4.  Formal instruction and direct patient care experience (in the content of the course being challenged) must have taken place within the three years previous to the challenge request.

5.  If the student satisfactorily passes the clinical exam the grade earned for the course or potion of the course will be the grade achieved on the theory course.

6.  The student must utilize both the conceptual framework and the nursing process in the laboratory challenge portion of this option.

7.  For details refer to the LBCC Catalog “Nursing Programs and Courses: Policies for Transfer Credit, Advanced Placement and Credit by Examination for the Associate Degree.”

1.6

Long Beach Community College District

LONG BEACH CITY COLLEGE

Associate Degree Nursing Program

ADN 22A – Advanced Critical Life Span

CHALLENGE OPTION

ADN 22A and 22AL

General Announcement

Students interested in challenging must let the instructor know by the last day of the first week of the course. The student should complete the department “Application for Challenge by Examination for ADN 22A” and complete the college formal application for challenge by examination. Upon acceptance of the challenge option by the teaching team, an appointment will be made for the student to take the written theory exam at the beginning of the second week of the course.

Written Test

A 150 point comprehensive, objective (NCLEX style) test will be given. The student must achieve a minimum score of 75% to continue with the challenge.

Upon successful completion of the ADN 22A course challenge, the student then proceeds to the next step; the challenge of ADN 22AL.

1.7

APPLICATION FOR CHALLENGE BY EXAMINATION

ADN 22A – Advanced Critical Life Span

Student Name______Date______

Student complete section A below:

A. Justification of this request:

Student Signature______

Teaching team complete section B below:

B. Decision: Yes______If yes, write contract below.

No______If no, state reason for denial.

C. Contract

Written test completed by ______

Signatures:

Lead Instructor: ______Date:______

Instructor:______Date:______

Instructor:______Date:______

Student:______Date:______

D. Disposition of Challenge______

1.8

LONG BEACH CITY COLLEGE

ADN 22A/AL Fall 2011 Schedule

Monday
Lecture
Rm C101
12:00-3:00pm / Sect I: Tuesday
6:45-3:15pm &
Wednesday
6:45-2:15pm
Conference 1:15-2:15
Clinical / Sect II: Wednesday
2:30-11:00pm &
Thursday
1:30-9pm
Conference 1:30- 2:30
Clinical / Sect III: Saturday
6:45-3:15pm &
Sunday
6:45-2:15pm
Conference 1:15-2:15
Clinical / Friday
Lecture
Rm. C101
8-10am / Friday
Campus Lab
Adult First:
Rm 306
12-3pm / Friday
Campus Lab Pediatrics First: Rm 208
12-3 pm
1 / Mon 8/15/11
Course Intro (1)
Childhood Resp (2) / Tues/Wed
8/16,17/11
Orientation
Adult Lab: Suctioning, Med. Admin.
Peds Lab:
Hospitalized Child
Med. Admin. / Wed/Thurs
8/17,18/11
Orientation
Adult Lab: Suctioning, Med. Admin.
Peds Lab:
Hospitalized Child
Med. Admin. / Sat/Sun
8/20,21/11
Orientation
Adult Lab: Suctioning, Med. Admin.
Peds Lab:
Hospitalized Child
Med. Admin. / Fri 8/19/11
Dysrhythmias (2)
(Math Test taken first time by today) / Fri. 8/19/11
Adult:
Lines
Vents / Fri 8/19/11
Peds: DCSR
Childhood Growth and Development
2 / Mon 8/22/11
Adult CV Disorders
(3) / Tues,Wed.
8/23,24/11
Hospital / Wed, Thurs.
8/24,25/11
Hospital / Sat, Sun.
8/27,28/11
Hospital / Fri 8/26/11
Childhood Cardiac (2)
(Cardiac Monitor Submodule
passed by 08) / Fri 8/26/11
Adult: Skill Test
Suctioning, Medication Admin Review / Fri 8/26/11
Peds: Assessment and Procedure Preparation
3 / Mon 8/29/11
Quiz 1
Childhood
GI/Metabolic (2) / Tues,Wed
8/30,31/11
Hospital
Case Studies Due
8/31 / Wed, Thurs
8/31,9/01/11
Hospital
Case Studies Due
9/1 / Sat, Sun.
9/03,04/11
Hospital
Case Studies Due
9/4 / Fri 9/02/11
Cardiopulmonary Arrest (2)
(Math test passed by 11am) / Fri 9/02/11
Adult: 12 lead EKG Physical Assess Review / Fri 9/02/11
Peds: DSCR/
Hazards
4 / Mon 9/05/11
Holiday / Tues,Wed
9/06,07/11
Hospital / Wed,Thurs
9/07,08/11
Hospital / Sat, Sun.
9/10,11/11
Hospital / Fri 9/09/11
Childhood Hematology (2) / Fri. 9/09/11
Adult: Chest tube review, Mock Code / Fri 9/09/11
Peds: Death
and Dying
5 / Mon 9/12/11
MI/CS (3) / Tues, Wed
9/13,14/11
Switch groups
Peds and Adult Orientation
(see above for lab topics) / Wed, Thurs
9/14,15/11
Switch groups
Peds and Adult Orientation
(see above for lab topics) / Sat, Sun.
9/17,18/11
Switch groups
Peds and Adult Orientation
(see above for lab topics) / Fri 9/16/11
Quiz 2
Adult
Respiratory
(1) / Fri. 9/16/11
Peds: DCSR/
Childhood Growth and Development / Fri 9/16/11
Adult:
Lines
Vents
6 / Mon 9/19/11
Adult Respiratory
(3) / Tues, Wed
9/21/11
Hospital 9/21
*9/20 Flex Day* / Wed, Thurs
9/21,22/11
Hospital / Sat, Sun.
9/24,25/11
Hospital / Fri 9/23/11
Childhood Musculoskeletal (2)
ABG CD-ROMs due 0800 / Fri. 9/23/11
Peds:
Assessment and Procedure Preparation / Fri 9/23/11
Adult:
Medication Admin Review
Test Suction
7 / Mon 9/26/11
Childhood Communicable Diseases (3) / Tues, Wed
9/27,28/11
Hospital
Case Studies Due
9/28 / Wed, Thurs
9/28,29/11
Hospital
Case Studies Due 9/29 / Sat, Sun.
10/01,02/11
Hospital
Case Studies Due
10/2 / Fri 9/30/11
Acute Renal Failure(2)
Peds CD-ROMs due 0800 / Fri. 9/30/11
Peds:
DSCR/Hazards / Fri 9/30/11
Adult:
Chest Tube review
Mock Code
8 / Mon 10/03/11
Quiz 3
Adult Neuro (2) / Tues, Wed
10/04,05/11
Hospital / Wed, Thurs
10/05,06/11
Hospital / Sat, Sun.
10/01,02/11
Hospital / Fri 10/07/11
Adult Neuro (1)
Child Neuro (1) / Fri. 10/07/11
Peds:
Death and Dying / Fri 10/07/11
Adult:
12 Lead EKG, Physical Assessment
9 / Mon 10/10/11
**10-11**
Childhood GU (1)
Peds ATI
**arranged between 11 & 3** / Tues, Wed
10/11,12/11
Hospital / Wed, Thurs
10/12,13/11
Hospital / Sat, Sun.
10/15/11
Hospital / Fri 10/14/11
FINAL EXAM / Fri. 10/14/11
Peds ATI
review and discussion / Fri 10/14/11
ATI
review and discussion

1.9