N498 Advanced Critical & Progressive Care Nursing 10.30.06

WINONASTATEUNIVERSITY

PROPOSALS FOR NEW COURSES

DIRECTIONS FOR THE DEPARTMENT

This form, Proposal for New Courses, is to be used to submit course proposals for any new undergraduate or graduate course. Read the directions below for information on providing course descriptions and impact of approval on other departments. The department must include a Financial and Staffing Data Sheetand an Approval Form with this proposal. Copies of each of these forms are attached. Refer to Regulation 3-4, Policy for Changing the Curriculum, for complete information on submitting proposals for curricular changes.

Provide the following information when submitting a new course proposal.

A.Provide a description of the course. This description must include the following information.

1.Description of the course as it will appear in the WSU catalog.

2.Syllabus or course outline of the major topics, themes, subtopics, etc., to be covered in the course. This outline should be, at a minimum, a two-level outline, i.e., consisting of topics and subtopics.

3.Statement of the basic instructional plan and methods used, for example, lectures, discussion, etc.

4.Course requirements (papers, lab work, projects, etc.) and means of evaluation.

5.List of course materials. This list may include textbooks, articles, monographs, software, etc.

6.Bibliography, including author, title, date, for a reasonable number of scholarly materials such as articles and books.

The above course description does not preclude future revisions of course content, texts used, methods of instruction and forms of evaluation.

B.Provide a rationale for the new course. The rationale should include the following item.

1.Statement of the major focus and objectives of the course.

2.Statement specifying how this course will contribute to the departmental curriculum.

3.Courses which may be dropped, if any, if this course is implemented.

C.Provide a statement of the impact of this course on other departments, programs, majors, and minors.

1.Clearly state the impact of this course on courses taught in other departments. Does this course duplicate the content of any other course? Is there an effect on prerequisites?

2.Would approval of this course change the total number of credits required by any major or minor of any department? If so, the department must indicate which departments are affected and explain carefully the effects of the course.

3.If this course has an impact on the major or minor of any other department or any program, it is the responsibility of the department submitting the course proposal to send written notification to the department(s) or program(s) affected. State clearly which other programs are affected by this proposal and whether the other departments have been notified and/or consulted.

D.If this course is also being submitted for inclusion in the University Studies Program, the form Proposal for University Studies Course and appropriate approval form must also be completed and submitted according to the instructions on that form.

Note: If any of the requested information is missing, the proposal will not be reviewed by the A2C2 Course and Program Proposal Subcommittee or the Graduate Council but will instead be returned to the department.

WINONASTATEUNIVERSITY

PROPOSAL FOR NEW COURSES

Department Nursing Date October 25, 2006

Refer to Regulation 3-4, Policy for Changing the Curriculum, for complete information on submitting proposals for curricular changes.

N498 Advanced Critical and Progressive Care Nursing 2

Course No.Course NameCredits

This proposal is for a(n) X Undergraduate Course______Graduate Course

Applies to: NURN Major______Minor______University Studies*

_____ Required_____ Required______Not for USP

_X__ Elective_____ Elective

Prerequisites Registered Nurse license, Consent of Instructor, Nursing experience in critical care or acute/progressive care units

Grading method ______Grade only______P/NC only X Grade and P/NC Option

Frequency of offering Every spring semester

*For University Studies Program course approval, the form Proposal for University Studies Courses must also be completed and submitted according to the instructions on that form.

Provide the following information:

A.Course Description

Catalog description.

This course is specifically designed for Registered Nurses currently caring for adults in critical or progressive/acute

care nursing units. Course content is designed to meet knowledge requirements for practice and/or certification in critical care or progressive care nursing and as such, promotes continuing excellence in the nursing profession. Course content will be based on the 2006 topic and certification blueprints established by the American Association of Critical-Care Nurses (AACN) Certification Corporation. The emphasis of learning activities will address clinical judgment in the eight major categories including cardiovascular, pulmonary, endocrine, hematology/immunology, neurology, gastrointestinal, renal, and multisystem, and explore concepts of professional caring and ethical practice in nursing. Prerequisites: Registered Nurse license, consent of instructor, nursing experience in critical are or acute/progressive care units. GradeOption: Grade or P/NC option.

Course outline of the major topics and subtopics (minimum of two-level outline).

AACN’s Synergy Model and Exam Blueprints and Course Learning Outcomes will be used to guide the topical outline.

Clinical judgment (80%)
Cardiovascular (35%)
Acute Coronary Syndromes (Angina→AMI) and potential complications
Acute Heart Failure/ Pulmonary Edema and potential complications
Cardiac Surgery (CABG, Valve replacement) and potential complications (tamponade)
Cardiomyopathies
Cardiovascular pharmacology
Dysrhythmias (conduction defects, blocks, pacemakers, AICDs) and pharmacologic management
Hemodynamic monitoring
Hypertensive crisis
Peripheral Vascular insufficiency (arterial occlusion, carotid artery stenosis, endarterectomy, peripheral stents)
Pulmonary Hypertension
Ruptured or dissecting aneurysm (thoracic, abdominal)
Shock states: Cardiovascular, Hypovolemic
Pulmonary (15%)
Acute pulmonary embolus
Acute respiratory distress syndrome (ARDS)
Acute respiratory failure, hypoxemia
Acute respiratory infections
Air-leak syndromes (e.g., pneumothorax)
Aspirations (aspiration pneumonia, VAP, foreign body)
Chronic lung disease, exacerbation of COPD, emphysema, Status asthmaticus, bronchitis)

Pulmonary pharmacology
Respiratory distress
Thoracic surgery ( lung contusions, fractured ribs, hemothorax, pulmonary hemorrhage, lung reduction, pneumonectomy, lobectomy, tracheal surgery)
Ventilator management and ABG interpretation, mixed venous gases, CPAP, volutrauma and barotraumas

Endocrine (4%)
Hypoglycemia/Hyperglycemia/DKA/HHNK
Diabetes Insipidus
Hormones and endocrine anatomy and physiology
Hematology/Immunology (3%)
Hematology, anatomy and physiology, blood products, and plasma
Immunosuppression-acquired (HIV/AIDS, neoplasms)
Life-threatening coagulopathies (ITP, DIC, hemophilia, HITTS, ReoPro-induced) and non life-threatening coagulopathies
Organ transplantation
Sickle cell crisis
Neurology (5%)
Aneurysm, AV malformation, Intracranial hemorrhage (SAH, epidural, subdural)
Encephalopathy (e.g. hypoxic-ischemic, metabolic, edema, infectious)
Head trauma, skull fractures
Neurologic infections (meningitis, GBS, West Nile)
ICP monitoring
Neurosurgery
Seizure disorders
Stroke
Gastrointestinal (5%)
Acute abdominal trauma/Acute abdomen
Acute GI Bleed
Bowel infarction, bowel obstruction, bowel perforation
GI surgeries ( Whipple, esophagogastrectomy, gastric bypass)
Hepatic failure/coma
Pancreatitis
GERD
Renal (5%)
Acute & Chronic renal failure and dialysis
Life-threatening electrolyte imbalances
Fluid balance concepts and renal anatomy and physiology
Renal trauma
Multisystem (8%)
Multisystem trauma
Septic shock/infectious diseases (viral, bacterial, line sepsis, nosocomial infections, Immunosuppression)
SIRS/sepsis/MODS
Toxic exposure, toxic ingestions and inhalations (chemicals, radiation, anaphylaxis, drug/alcohol overdose, poisoning)

Professional Caring and Ethical Practice (20%)
Advocacy/Moral Agency
Caring practices
Collaboration
Systems Thinking
Response to Diversity
Clinical Inquiry
Facilitation of Learning
Exam preparation: Study tips & learning resources; Test taking tips; Dealing with test anxiety; Strategies for successful testing

Instructional methods utilized. Please indicate the contributions of lectures, laboratories, web-based materials, internships, and other instructional methods to this course.
Instructional methods: Lecture/Discussions, Clinical Analysis/Clinical Application (Case Studies), audio-visual materials, Practice tests, Study Groups/online discussion groups; Desire to Learn (D2L) will be used to facilitate course activities.
Thirty contact hours: all students (Critical care and Progressive care) will have combined class time for 20 contact hours. Students will be separated into Critical Care and Progressive Care groups. Each group will have class time for 10 content hours specific to critical care or progressive care respectively. The total contact hours for students in this course will equal thirty hours.
Internet section: All lecture materials, Clinical Analysis/Clinical Application (Case Studies), audio-visual, practice tests, study groups/online discussion groups will be modulated for the internet section.

Course requirements (papers, lab work, projects, etc.) and means of evaluation.

All students are required to complete the following assignments (assignments may vary each year depending on changes in health care, research, or other variables):

a. Pre-test Assessment – (BKAT©)

All students must take the Basic Knowledge Assessment Test (BKAT ©). This is a 100-item test of basic knowledge. The purpose of this assignment is to assess a baseline of students in the course and to give students test-taking experience. This is a non-graded assignment.

Invasive Hemodynamic Monitoring Module

Hemodynamic assessment and monitoring are central to critical care nursing. Please read, Headley, J.M. (2002). Invasive hemodynamic monitoring: Physiologic principles and clinical applications. Edwards Life Sciences. After reading and studying this monograph, students will take a 30-item post-test posted on D2L. This is a graded assignment.

Case Studies

A series of case studies will be posted on D2L and that are designated for CCRN or PCCN RNs. Students are encouraged to work together as they study the scenarios and discuss the study questions. Students should share their knowledge and expertise. Each student will be graded on a specified number of case studies. This is a graded assignment.

Practice Quizzes/Tests

Practice tests allow students to evaluate knowledge and clinical decision-making skills, as well as develop skill in test-taking. If you are able to communicate your knowledge through the medium of a multiple-choice exam, you will more likely be successful in passing the certification exam. Practice quizzes and tests will also cover topics that are on the Test Blueprint, but will not be covered during the class sessions. This is a non-graded assignment.

Evaluation of Learning

The final course grade will be based on the percentage of points students achieve of the total points possible for all

required graded assignments.

When registering for the course, student must select from 1 of 2 grading options:

Pass/No Credit Option - When the course is completed, either P (pass) or NC (no credit) is entered in the student's permanent record. P is interpreted as equivalent to an A,B,C, or D letter grade. If the student receives a "grade" of NC, the course can be repeated; however, it must be repeated for a letter grade, and the grade will be included in the student's GPA.

Grade Option – The following grading scale is used for graded assignments and exams:

Grading Scale

A: 92 – 100B: 83 – 91 C: 74 – 82D: 65 – 73

Course materials (textbook(s), articles, etc.).

Students will select one of the following two required texts:

Donohoe Dennison, R. (2006). Pass CCRN! (3rd ed.) Mosby Elsevier.

Urden, L. D., Stacy, K.M., & Lough, M.E. (2006). Thelan’s Critical Care
Nursing: Diagnosis and Management (5th edition). Mosby Elsevier.

List of references.

American Association of Critical-Care Nurses (2006). AACN Core curriculum for
critical care nursing (6th ed.). St. Louis, Missouri: Saunders Elsevier.

American Association of Critical-Care Nurses (2004). Adult CCRN Practice
Exam,(5th ed.).Aliso Viejo, CA. AACN Certification Corporation. (
American Association of Critical-Care Nurses (2004). AACN Delegation
Handbook, (2nd ed.). Retrieved October 5, 2006.

American Association of Critical-Care Nurses. Progressive Care Fact Sheet.
Retrieved October 5, 2006, from
American Heart Association. (2005). Guidelines 2005 for Cardiopulmonary
Resuscitation and Emergency Cardiovascular Care. Available at

Ahrens, T., & Prentice, D. (2007). Critical care certification: Preparation, review
& practice exams (5th ed.). Appleton & Lange: Stamford.

Davis, L. (2004) Cardiovascular Nursing Secrets. Mosby Elsevier: St. Louis,
MO. ISBN: 0323031439

Darovic, G. O. (2002). Hemodynamic Monitoring: Invasive and Noninvasive
Clinical Application. (3rd. ed.). Philadelphia, Pennsylvania. Saunders.

Ehrat, K. S. (2002). The Art of EKG Interpretation. (5th ed.). Dubuque, Iowa.
Kendall/Hunt Publishing Company

Hardin, S., & Kaplow, R. (2004). Synergy for clinical excellence: The AACN
synergy model for patient care. Sudbury, MA.Jones and Bartlett Publishers.

Urden, L. D., Stacy, K.M., & Lough, M.E. (2006). Thelan’s Critical Care
Nursing: Diagnosis and Management (5th edition). Mosby Elsevier.
ISBN: 0-323-03248-6

Kuebler, K. K., Berry, P. H., & Heidrich, D. E. (2002). End of life care: Clinical
practice guidelines. Philadelphia, PA. Saunders.

Society of Critical Care Medicine. (1998). Guidelines on Admission and discharge
for adult intermediate care units. [Electronic Version]. Critical Care Medicine,
26(3), 607-610.

B.Rationale

Statement of the major focus and objectives of the course.

This course is designed to meet knowledge requirements for practice and/or certification in critical care or progressive care nursing and as such, promotes continuing excellence in the nursing profession. The following objectives guide the learning outcomes of students in the course:

Identify signs and symptoms of various patient problems in the eight major categories (cardiovascular, pulmonary, endocrine, hematology/immunology, neurology, gastrointestinal, renal, and multisystem).
State normal ranges of lab values and identify anticipated abnormal lab values for various critical and/or acute health conditions.
Describe anticipated medical therapies, procedures, and nursing interventions for various critical and/or acute health conditions.
Discuss priority of care for the critical-care/acute illness phase of various health problems.
Discuss appropriate assessments, monitoring parameters, and nursing interventions for the patient’s status and expected outcomes.
Analyze own clinical judgment and decision-making ability.
Discuss nursing behaviors for Professional Caring and Ethical Practices.
Identify personal test-taking strategies.

Specify how this new course contributes to the departmental curriculum.

This course is intended to supplement the current undergraduate curriculum. It is designed to meet the continuing education needs of Registered Nurses in rural and urban areas in Southeastern Minnesota and Western Wisconsin. It supplements elective course requirement options for WSU RN-BSN or CCNS degree students.

Indicate any course(s) which may be dropped if this course is approved. None

C.Impact of this Course on other Departments, Programs, Majors, or Minors

Does this course increase or decrease the total credits required by a major or minor of any other department? If so, which department(s)?

This course is a Nursing elective course and would meet the requirements for the RN-BS Nursing major. The RN-to-

BS Nursing Major requires five semester hours of upper-division nursing electives; of these two semester hours must be

from nursing electives. There would be no increase the total credits for the RN-BSN major. There would be no impact on

prerequisite courses or have an impact on courses taught in other departments.

List the department(s), if any, which have been consulted about this proposal. The Department of Nursing

Attach a Financial and Staffing Data Sheet.

Attach an Approval Form with appropriate signatures.

Department Contact Person for this Proposal:

Catherine Nosek

______

Name (please print)Phonee-mail address

Form Revised 4-13-05

WINONASTATEUNIVERSITY

FINANCIAL AND STAFFING DATA SHEET

Course or Program____N498: Advanced Critical & Progressive Care Nursing______

Include a Financial and Staffing Data Sheet with any proposal for a new course, new program, or revised program.

Please answer the following questions completely. Provide supporting data.

1.Would this course or program be taught with existing staff or with new or additional staff? If this course would be taught by adjunct faculty, include a rationale.

This course would be taught with existing staff.

The Nursing Major (RN-to-BS Nursing Major and Generic option) requires five semester hours of upper-division nursing

electives; of these two semester hours must be from nursing electives.

The Department of Nursing offers specified elective courses each semester to meet undergraduate (UG) and RN-to-BS students’

curriculum requirements. This course will be part of the elective courses that the department chooses to offer. Courses are

recommended by the Undergraduate Curriculum Committee and approved by the Nursing Faculty Organization. There is high

interest and request for this course by RNs and students. The Department of Nursing has unanimously voted to support this

course.

2.What impact would approval of this course/program have on current course offerings? Please discuss number of sections of current offerings, dropping of courses, etc.

This course will not have any impact on required courses for the RN-BS Nursing major.

There will be no courses dropped from the curriculum. This course is being added to the Department of Nursing’s elective course

options. An elective course offering is a departmental decision made by Undergraduate Curriculum Committee and Nursing

Faculty Organization based on students’ curriculum needs and staff availability.

3.What effect would approval of this course/program have on the department supplies? Include data to support expenditures for staffing, equipment, supplies, instructional resources, etc.

There are no unusual or extra equipment, supplies, or instructional resource costs. Staffing this course becomes part of faculty

teaching load in accordance with the IFO contract. The department supports electives as part of fulfillment of degree

requirements.

[Revised 9-05]
WINONASTATEUNIVERSITY

APPROVAL FORM

Routing form for new and revised courses and programs.Course or Program______

Department Recommendation
______
Department Chair Datee-mail address
Dean’s Recommendation_____ Approved_____ Disapproved
______
Dean of College Date
A2C2 Recommendation_____ Approved_____ Disapproved
______
Chair of A2C2 Date
Graduate Council Recommendation_____ Approved_____ Disapproved
(if applicable)
______
Chair of Graduate CouncilDate
______
Director of Graduate StudiesDate
Faculty Senate Recommendation_____ Approved_____ Disapproved
______
President of Faculty Senate Date
Academic Vice President Recommendation_____ Approved_____ Disapproved
______
Academic Vice President Date
Decision of President_____ Approved_____ Disapproved
______
President Date
Please forward to Registrar.
Registrar ______Please notify department chair via e-mail that curricular change has been recorded.
Date entered

[Revised 9-05]