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ASSOCIATE OF APPLIED SCIENCE NURSING PROGRAM
COURSE SYLLABUS
NURS 158: NURSING CARE OF ADULTS IN HEALTH AND ILLNESS
5 CREDITS (2 theory [30 hours] credits and 3 Clinical [135 hours] credit)
GENERAL INFORMATION
A. INSTRUCTOR INFORMATION:
1. Theory and Clinical Instructors:
Staci Warnert, MSN, RN 781-4055 (cell)
753-2007 (office)
Peggy Drussel, MSN, RN 934-3045 (cell)
753-2020 (office)
Jennifer Mahlberg-Grant, BSN, RN 340-2063 (Cell)
(Clinical in Elko)
Sarah Lino, BSN, RN 388-3033 (Cell)
(Lab and Clinical in Elko) 753-2216 (Office)
Delene Volkert, MSN, RN 397-7250 (Cell)
(Clinical in Winnemucca) 775-623-1823 (office)
2. Office and Hours:
Staci- Health Sciences Room 119
Tuesday: 0900-1200 am
Thursday: 0900 – 1100 am
(Also by appointment)
Peggy- Health Sciences Room 116
Tuesday: 0900-1100 AM
1400- 1530 PM
Thursday: 1430-1600 PM
(Also by appointment)
Delene – Winnemucca Campus
Tuesday: 12:30 – 3:00
Thursday: 9:00 – 11:30
(Also by appointment)
Sarah- by appointment only
Jennifer – by appointment only
We are available by email anytime Monday through Friday and you can expect a response within 24-48 hours (not including weekends and holidays).
B. COURSE INFORMATION:
- Catalog Description Building on Fundamentals of Nursing, this course provides for the acquisition and application of basic adult health nursing theory by applying clinical reasoning and safe, evidence-based, patient-centered, holistic nursing care to diverse patients with common acute health problems. Incorporates a focus on health promotion. Includes the application of the concepts of caring, clinical reasoning, quality improvement, communication, and teamwork, considering legal and ethical responsibilities of the nurse when caring for adults.
Two credits theory, three credits clinical. Offered Spring Semester only. Prerequisites: Admission to the Nursing Program and successful completion of the 1st semester of the ADN program.
2. Schedule:
Theory: Classroom Thursday 9:30 – 11:45 AM, Health Science 108
Clinical: Monday, Wednesday, & Friday, as assigned and other times as indicated on Clinical Schedule
Skills Lab: January 26 & 28, 2015 as scheduled in groups on Clinical Schedule
Simulation: as scheduled in groups on Clinical Schedule
COURSE OUTCOMES:
Course Outcomes: / Measurement:1. Apply adult health nursing concepts to provide safe, quality, evidence-based, patient-centered nursing care in a variety of healthcare environments to diverse patients with common acute health problems. / In-class student collaboration.
Midterm and Final Clinical Evaluation.
Cultural Assessment Activity and Assignment.
Student use of SBAR tool during simulation activities.
Clinical Leadership Assignment with QSEN competencies.
Demonstrate understanding of course concepts on an objective exam.
ATI student transcripts.
Successful demonstration of skills in the nursing lab prior to clinical activity.
Dietician Assignment.
Clinical Teaching Presentation.
Clinical Care Packets.
2. Demonstrate clinical reasoning to make patient-centered care decisions for diverse adult patients with common acute health problems. / Ability to think critically and identify risk of complications during clinical and simulation activities.
Midterm and Final Clinical Evaluation.
Demonstrate clinical reasoning by answering application level questions on an objective exam.
Clinical Leadership Assignment with QSEN competencies.
3. Participate in quality improvement processes to improve patient care. / Post-clinical discussion and reflection regarding diverse patients, gaps in best practice and NPSG gaps in the clinical setting.
Wellness Assignment.
Clinical student evaluation.
Clinical Care Packets.
Cultural Assessment Activity and Assignment.
4. Begin to engage in teamwork with members of the interprofessional team, the patient, and the patient’s support persons when managing patient care. / Clinical Leadership Assignment.
Midterm and Final Clinical Evaluation.
Classroom discussions and activities.
Simulation situations.
Dietician Assignment.
Wellness Assignment.
5. Begin to apply management, legal, ethical, and professional guidelines in the care of diverse adult patients with common acute health problems. / Midterm and Final Clinical Evaluation.
Classroom discussions and classroom activities.
Demonstrates understanding of course concepts on an objective exam.
Clinical Leadership Assignment with QSEN competencies.
Wellness Assignment.
6. Use information management principles, techniques, and systems, and patient care technology in the care of diverse adult patients with common acute health problems. / Demonstrate understanding of course concepts on an objective exam.
Midterm and Final Clinical Evaluation.
Demonstrate competency in the use of
information management systems in the clinical and simulation settings.
Clinical Leadership Assignment with QSEN competencies.
METHOD OF INSTRUCTION:
Lecture, discussion, in-class activities, student self-assessment, small group work, videos, selected reference and text readings, written assignments, computer assisted learning programs, and community-based clinical experiences will be utilized.
THEORY EVALUATION:
Evaluation of student progress will be the successful completion of the course outcomes this will be evaluated with module examinations. Four (4) examinations will be given in addition to the ATI Nutrition Final. Questions will be based on utilization of critical thinking skills and application of knowledge acquired in this, as well as previous courses. Questions may be multiple- choice, fill in the blank, choose all correct answers, or other alternate formats as applicable.
An ATI exam will be given at the end of the course to evaluate student progress and performance. The ATI exam will also serve as an evaluation tool to address any areas of content gaps in course content and correlate with areas of content that were well supported in the course. The ATI exam for this course is Nutrition and will score as the student
Final.
After each exam, the students have an option of attending Cooperative testing where they will randomly be divided into groups. Each group will be given a retest of the exam and allowed to collaborate to form their answers. The students can earn up to 3 points each that will be added to their test scores. Points for collaborative testing will be: 3 points if receiving a 90%-100% on the cooperative test; 2 points for 80%-89% on the cooperative test; 1 point for 76%- 79% on the cooperative exam. Students must pass the individual exam at a minimum of 76% to receive points for collaborative testing, however, they are welcome to participate. Collaborative exams are optional for each student.
See the Outcome and Assessment area at the end of the syllabus for further specific information.
CLINICAL EVALUATION:
Clinical evaluation is done mutually by student and instructor throughout the semester and in a summative evaluation at the end of the clinical rotation. Online discussion following each clinical experience will be used to help determine your clinical standing (see rubric). Actual clinical performance will be used to determine clinical competency and the ability to generalize and transfer theory outcomes to the clinical settings. Safe clinical practice and demonstration of personal and associate degree nursing practice attributes at the second semester level are mandatory for progression in the program.
*See the Outcome and Assessment area at the end of the syllabus for further specific information.
REQUIRED MATERIALS:
v Lewis, S., Dirksen, S., Heitkemper, M., &Bucher, L. (2014). Medical-surgical nursing: Assessment and management of clinical problems (9th Ed.). St. Louis, Missouri: Elsevier Mosby.
**Please plan to use the Drug book, Lab & Diagnostic book, 6th edition APA Manual, and Nursing Diagnosis Book of your choice. You also may find it helpful to use your Fundamentals, Med/Surg, and Pharmacology books as references.
ATI Modules:
· ATI Nutrition Tutorial Module prior to NNRH Dietitian Clinical – submit transcript with NNRH Dietitian assignment
· Safe Dosage – submit transcript prior to medication calculation exam with 100% score
· Parenteral (IV) medications – submit transcript prior to medication calculation exam with 90% score
· Powdered Medications - submit transcript prior to medication calculation exam with 90% score
· Dosage and Calculation Tutorial 2.0 – review prior to medication calculation exam
· Medication Administration – review prior to medication calculation exam
· Oral Medications – review prior to medication calculation exam
· Injectable Medications – review prior to medication calculation exam
· Refer to weekly module schedule for remaining ATI modules which are aligned with course content throughout the semester
GRADING POLICY AND CRITERIA:
If you do not complete the course and do not formally withdraw by the drop deadline, your instructor will automatically assign you a grade of "F".
Drop deadline is March 23, 2015.
Course grade will be based on a percentage of the total possible points of theory and clinical assignments according to the following scale:
100 - 94.00 = A 76.00 =C (needed to pass)
93.99-90.00 = A- 75.99-70.00 = C-
89.99-87.00 = B+ 69.99-67.00 = D+
86.99-84.00 = B 66.99-64.00 = D
83.99-80.00 = B- 63.99-60.00 = D-
79.99-77.00 = C+ Below 60.00 = F
Course work must be completed with an average of 76% or better to pass the course in both the theory and clinical grades. Clinical grades will be averaged into your final grade and count for 30% of your overall course grade.
Late theory and clinical assignments will be worth 50% of the actual grade. If an assignment is more than one week late, a zero will be given for the assignment but submission of the assignment is still required.
Instructors will make all attempts to have work graded and returned to student within 7 working days from submission date. Please allow more time for larger papers or projects.
Theory Content – worth 70% of grade / POINTSSection One and Two Exam / 100
Section Three and Four Exam / 100
Section Five and Six Exam / 100
Section Seven and Eight Exam / 100
ATI Nutrition Exam & Remediation – schedule TBA / 100
ATI Nutrition Question Journaling / 25
Total Theory Points / 525
Clinical Grades – worth 30% of grade / POINTS
Clinical Care Packets 50 points each x 5 / 250
Clinical Leadership Activity / 50
Health Risk Power Point – Golden Health/Golden Valley / 25
Wellness Health Brochure – Golden Health/Golden Valley / 25
Cultural Assignment –IHS/Public Health / 25
Assisted Living/Terraces Teaching Presentation / 25
Dietician Assignment / 50
Pioneer Urgent Care/Humboldt FNP Clinic / 25
Simulation / Pass/ Fail
Total Clinical POINTS / 475
Total Course Points / 1000
Students must receive an average of 76% in clinical learning activities and and pass all pass/fail graded assignments and activities
ATTENDANCE POLICY:
Students are expected to attend all classroom, lab, and clinical hours.
(See Student Handbook)
STUDENT CONDUCT:
Great Basin College considers academic honesty one of its highest values. A student who obtains academic credit for work that is not the product of his or her own effort is being dishonest and undermining the academic integrity of the college. Students are expected to be the sole authors of their work. Use of another’s ideas must be accompanied by specific citation and reference. In addition, a learner may not submit the same work for credit in more than one course. The disciplinary consequences of plagiarism and other forms of academic dishonest include non-acceptance of work submitted, a failing grade in the course, and/or or other disciplinary action as outlined in Great Basin College’s Student Conduct Policy.
ADA STATEMENT:
Great Basin College is committed to providing equal educational opportunities to qualified students with disabilities in accordance with state and federal laws and regulations, including the Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. A qualified student must furnish current verification of disability. The Director of Services for Students with Disabilities (Julie G. Byrnes) will assist qualified students with disabilities in securing the appropriate and reasonable accommodations, auxiliary aids and services. For more information or further assistance, please call 775.753.2271.
CAMPUS SECURITY:
CAMPUS SECURITY:GBC is committed to the safety of our students and has a duty to promote awareness and prevention programs for violence on campus under the Jeanne Clery Act as well as the Campus SaVE (Sexual Violence Elimination Act) and VAWA (Violence Against Women Act), which are amendments to Clery. Acts of violence include, but are not limited to, sexual assault, domestic violence, dating violence, and stalking. Acts of violence can occur on the physical campus or centers of GBC in addition to field placement sites, clinical practice settings, and other places where college or class activities occur.As well, the online environment at GBC is considered a GBC site.If you experience any incidence where your safety has been threatened or violated, or if you feel threatened or harassed, immediately report this to me, any center director, faculty, or staff member, or directly to the Director of Environmental Health, Safety & Security(775.753.2115) or the Vice President for Student Services(775.753.2282).
COURSE SCHEDULE:
All attempts will be made to maintain the posted theory and clinical schedule. However, please note that in the event of an unforeseen emergency or circumstances beyond our control, faculty may schedule class and/or clinical times on other days as a means to ensure every opportunity for students to successfully complete the course. The faculty also may make changes to the syllabus at any time throughout the semester. All attempts will be made to inform the students of any changes in a timely manner when possible.
WEEK / SUBJECT / ASSIGMENTSThursday, January 22rd
Peggy / Concepts in Nursing Practice
Lewis:
· Chapter 2-Health Disparities and Culturally Competent Care
· Chapter 5 – Chronic Illness and Older Adults
· Chapter 6- Complementary and Alternative Therapies / Section One
Ticket to class:
Cultural Assessment
At
http://erc.msh.org/quiz.cfm?action
(Bring in a copy of completed assessment at the beginning of
Class)
Thursday, January 29th
Staci / Pathophysiologic Mechanisms of Disease
Lewis:
· Chapter 14- Altered Immune Responses
Pages 203-209 (stop at altered immune response), Pages 212-217 (start at Allergic disorders and stop at organ transplant), Pages 218-219 (Immunodeficiency disorders only)
· Chapter 15- Infection and Human Immunodeficiency Virus Syndrome
· Chapter 17-Fluid, Electrolyte, and Acid Base Imbalances
o Pages 285-309
(stop at CVADs) / Section Two
5 Journal Questions Due
Thursday February 5th
Peggy / Test on Sections One and Two
ATI Nurse Logic Due
Thursday, February 12th
Peggy / Problems of Ingestion, Digestion, Absorption, and Elimination
· Chapter 40- Nutritional
Problems
· Chapter 41- Obesity / Section Three
Thursday, February 19th
Peggy / Problems Related to Altered Sensory Input
Lewis:
· Chapter 21 – Nursing Assessment of Visual and Auditory Systems
o Pages 368-385
· Chapter 22 –Nursing Management of Visual and Auditory Problems
o Focus on the following problems in these systems: tinnitus, vertigo, cataracts, glaucoma, conjunctivitis, hearing loss, hearing loss prevention, and Meniere’s disease.
· Chapter 23 Nursing Assessment of the Integumentary System
· Chapter 24- Nursing Management of Integumentary Problems
o Focus on sun exposure, irritants & allergens, non-melanoma skin problems, viral infections, fungal infections, pediculosis, scabies, bedbugs, psoriasis, seborrhea keratosis, nevi, and acne. / Section Four
5 Journal Questions Due
Guest Speaker at 0900- Class out at 11:15
Thursday, February 26th
Peggy / Test on Sections Three & Four
Thursday, March 5th
Staci / Problems of Oxygenation
Ventilation & Transport
Lewis:
· Chapter 30 – Nursing Assessment Hematologic System
· Chapter 32- Nursing Assessment of the Cardiovascular System
· Chapter 33- Hypertension
· Chapter 34- Coronary Artery disease and Acute Coronary Syndrome
o Focus on Coronary Artery Disease pg.730 – 740. (Do not review Angina or acute coronary syndrome.) / Section Five
Thursday, March 12th
Staci / Problems of Oxygenation: Ventilation
· Chapter 26- Nursing Assessment of the Respiratory system
· Chapter 27- Nursing Management: Upper Respiratory System p. 497-507
· Chapter 28: Nursing Management: Lower Respiratory System pg 522-535 / Section 6
5 Journal Questions Due
Thursday, March 19th
Peggy / Test on Sections 5 & 6
Thursday, March 26th /
Thursday, April 2
Peggy / Problems Related to Movement and Coordination
Lewis:
· Chapter 62-
Assessment of the Musculoskeletal System
· Chapter 63- Musculoskeletal Trauma and Orthopedic / Section Seven
5 Journal Questions Due
Thursday, April 9th
Peggy / Problems Related to the Regulatory and Reproductive Mechanisms
Lewis:
· Chapter 48- Assessment of the Endocrine System
· Chapter 49- Diabetes Mellitus / Section Eight
Thursday, April 16th
Staci / · Chapter 54- Female Reproductive Problems
o Focus on:
Cystocele and rectocele pg. 1300-1301
Benign ovarian tumors pg 1291-1292
· Chapter 55- Male Reproductive Problems
o Focus on Benign prostate hyperplasia pg. 1307-1312
Erectile dysfunction pg. 1326-1330
Prostatitis pg.
1321-1322
Problems of Urinary Function:
· Chapter 46- Renal and Urologic Problems
o Focus on cystitis, urethritis, urethral strictures, urinary incontinence, and urolithiasis within the chapter.
o Pages 1064-1069 (stop at pyelonephritis), 1071 (Urethritis only), 1076 – 1081 (stop at Renal trauma), 1086 – 1094 (start at Bladder Dysfunction, stop at Surgery of the Urinary Tract) / Continued Section Eight
5 Journal Questions Due
Thursday, April 23
Staci / Test on Sections Seven & Eight
Thursday, April 30
Peggy / · Chapter 18- Preoperative Care
· Chapter 19- Intraoperative Care
· Chapter 20-Postoperative Care / Section 9
Thursday, May 7 / Nutritional Presentations / GROUP NUTRITIONAL PRESENTATION
ATI Practice Test Transcript Due
May 11-15
Finals Week / ATI Proctored Final Exam: Time TBA
SUMMERTIME!! / / RELAX AND ENJOY!!
01/09/15 pd, sw