ASSOCIATE OF APPLIED SCIENCE NURSING PROGRAMCOURSE SYLLABUS

NURS 257: Nursing Process Across the Lifespan III6 CREDITS (3 theory (45 hours) credits and 3 Clinical (135 hours) credit)

Fall 2013

GENERAL INFORMATION

A. INSTRUCTOR INFORMATION:

1. Theory and Clinical Instructor(s):

Heidi Johnston, MSN, RN, CNE 753-2000 (Office) 397-3808 (Cell)

heidi.johnston@gbcnv.edu

Sharon Sutherland, RN, MSN 753-2017 (Office) 934-2336 (Cell) sharon.sutherland@gbcnv.edu

2. Office and Hours:

Heidi Johnston Health Sciences Room 120 Monday: 1300-1600 Thursday: 0900-1200 Also by appointment

Sharon Sutherland Health Sciences Room 117 Monday: 1300-1500 Tuesday: 0800-1000 Wednesday: 0800-0900

B. COURSE INFORMATION:

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Emphasis is on meeting bio-psychosocial needs of patients throughout the lifespan requiring more complex care of common, well-defined problems utilizing the nursing process.

1. Schedule:

Theory:Classroom: Monday and Wednesday 0900 – 1015Dates: August 26, 2013 – December 13, 2013

Clinical:

Tuesday, Thursday, & Friday 0645 – 1500 as assigned and as indicated on Clinical Schedule

COURSE OUTCOMES:

COURSE OUTCOMES MEASUREMENTS

1. Apply adult health nursing concepts to provide safe, quality, evidence-based, patient-centered nursing care in a variety of healthcare environments to diverse adults with acute illnesses and long-term management of chronic illnesses.

Clinical evaluationSummary of clinical practice guidelinesClinical Care PacketSBAR communicationATI modulesQuizzes

2. Engage in clinical reasoning to make patient-centered care decisions for diverse adults with acute illnesses and long-term management of chronic illnesses.

Case scenariosSimulationQuizzesClinical microsystems discussion

3. Select quality improvement processes to monitor in the care of diverse adults with acute illnesses and long-term management of chronic illnesses.

Post clinical DQ National Patient Safety GoalsQuality and safety classroom activityQuizzesPost clinical discussions

4. Engage in teamwork with members of the interprofessional team, the patient, and the patient’s support persons when managing patient care.

Clinical experienceTeam leader assignmentGroup conflict activityQuizzes

5. Apply management, legal, ethical, ANA standards CCP1-3-2013 HJ3-1-20137-31-13

and professional guidelines important in the care of diverse adults with acute illnesses and long-term management of chronic illnesses.

Classroom discussionPresentation ANA standardsQuizzes

6. Analyze the role of information management principles, techniques, and systems, and patient care technology to communicate, manage knowledge, mitigate error, and support decision-making on the medical/surgical unit.

Utilization of EMR in clinicalArticle of EBP for utilization of EMREMR navigation used in Simulation

METHOD OF INSTRUCTION:

Lecture, discussion, demonstration, small group work, videos, assigned readings,written assignments, computer assisted learning programs, nursing labactivities and clinical instruction will be utilized.

THEORY EVALUATION:

Evaluation of student progress will be the successful completion of the course outcomes which will be evaluated with module examinations and a comprehensive final exam. 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, multiple-answer, or other NCLEX® alternate formats as applicable. All written work (theory and clinical) will be considered for determination of a course grade.

CLINICAL EVALUATION:

A midterm and final clinical evaluation is done mutually by student and instructor. The Clinical Evaluation forms will be used. Actual clinical performance and written assignments 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 third semester level are mandatory for progression in the program.

REQUIRED MATERIALS:

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Ignatavicius, D., Workman, M., (2013). Medical Surgical Nursing, patient centered collaborative care, St. Louis, MO. Saunders.

Perry, Hockenberry, Lowdermilk, & Wilson (2010) Maternity Child Nursing Care. Maryland Heights, MO: Mosby.

American Heart Association. PEARS: Pediatric Emergency, Assessment, Recognition, and Stabilization.

Evolve Simulation Learning System Access Code.

***Please plan on using the Drug book, and Lab & Diagnostic book, and Nursing

Diagnosis Book of your choice. You also may find it helpful to use your Fundamentals and Pharmacology books as references.

OPTIONAL VIDEOS:

The following videos are located via WebCampus

Expert Drug Therapy Series: Asthma, Emphysema, and Chronic Bronchitis Pathophysiology for Nurses Asthma, Emphysema, and Chronic Bronchitis Acute and Chronic Renal Failure

GRADING POLICY AND CRITERIA:

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 = D83.99-80.00 = 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.

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.

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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 Monday October 28, 2013.

Assessment Total GradeTheory 70% of gradeModule Exams 65 points/exam 520 pointsModule Points 5 points/module 45 pointsATI Nurse Logic 35 pointsATI Final Exam 100 points

Clinical 30%NNRH CCP 58 points/4 CCP 232 pointsSurgical Assignment 10 pointsPEARS 20 pointsTeam Leader 10 pointsHome Health 9 pointsVA Clinic 7 pointsPediatric Clinic Assignment 6 pointsNurse Practitioner 6 pointsSimulation Pass/Fail

DOSAGE CALCULATION TEST:

Each semester students must pass the ATI Safe Dosage module post- test with a 100%. Additional ATI module post-tests listed will require a 90% pass rate. Transcripts are required prior to taking the dosage calculation exam. Students will submit transcripts of module (lesson and test) on date indicated by instructor.

Exam Process

The exam format will be paper and pencil. Simple, non-graphing calculators will be permitted during the exam. Use of calculators on cell phones or PDAs is NOT permitted. Using these types of calculators will cause the student to forfeit the exam. Students may miss one question on this exam. Students will have three chances to pass this exam. After the second failed exam, the student will receive a letter of notification and will be required to repeat the ATI modules and corresponding post-tests before their third attempt. If the student fails their third attempt, they will appear before the Admission and Progression Committee.

ATTENDANCE POLICY:

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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.

DATE READING ASSIGNMENT TEST DATE

Monday August 26 Nursing Program Orientation9:30-1:30 PMPictures with Laura Gallegosat 1:30

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Wednesday August 28 Module 1:

Iggy Text:

Chapter 23: “Cancer Development”

Chapter 24: “Care of Patients with Cancer”

Bring ATI Practice Test Cancer Transcript to class

Monday September 2 Labor Day- no class

Wednesday September 4 Module 1 Exam 0900-1015

Monday September 9 Module 2:Iggy Text:Chapter 6: “Genetic Concepts for Medical-Surgical Nursing”Chapter 20: “Care of Patients with Arthritis and Other Connective Tissue Diseases”

Wednesday September 11 Module 2- Case Studies

Monday September 16 Module 3:

Iggy Text:

Chapter 31: “Care of Patients with Noninfectious Upper Respiratory Problems”

Chapter 32: “Care of Patients with Noninfectious Lower Respiratory Problems”

Simulation Asthma 3

Wednesday September 18 Case Studies for Chapters 31 and 32

Monday September 23 Module 3 Exam 0900-1015

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Wednesday September 25 Module 4:Iggy Text:Chapter 41: “Assessment of the Hematological System”Chapter 42: “Care of Patients with Hematological Problems”

Monday September 30 Iggy Text:Continue with Chapter 41 and 42

Wednesday October 2 Module 4 Exam 0900-1015

Monday October 7 Module 5:Iggy Text:Chapter 37: “Care of Patient with Cardiac Problem”

Simulation HF 13

Wednesday October 9 Iggy Text:Chapter 38: “Care of Patients with Vascular Problems”

Monday October 14 Module 5 Exam 0900-1015Wednesday October 16 Module 6:

Iggy Text:Chapter 44: “Care of Patients with Problems of the Central Nervous System: The Brain”

Monday October 21 Iggy Text:Chapter 45: “Care of Patients with Problems of the Central Nervous System: The Spinal Cord”

Wednesday October 23 Module 6 Exam 0900-1015Monday October 28 Module 7:

Iggy Text:Chapter 62: “Care of Patients with Problems of the Biliary System and Pancreas”

Pancreatitis 35

Wednesday October 30 Iggy Text:Chapter 71: “Care of Patients with Acute Kidney Injury and Chronic Kidney

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Disease”Monday November 4 Module 7 Exam 0900-1015Wednesday November 6 Module 8:

Iggy Text:Chapter 57: “ Care of Patients with Esophageal Problems”Chapter 58: “ Care of Patients with Stomach Disorders”

Monday November 11 Veterans DayWednesday November 13 Iggy Text:

Chapter 59: “Care of Patients with Noninflammatory Intestinal Disorders”

Monday November 18 Iggy Text:Chapter 60: “Care of Patients with Inflammatory Intestinal Disorders”

Simulation GI bleed 31

Wednesday November 20 Module 8 Exam 0900-1015Monday November 25 Module 9:

Iggy Text:Chapter 27: “Care of Patients with Skin Problems”

Wednesday November 27 Iggy Text:Chapter 53: “Care of Patients with Musculoskeletal Problems”

PEARS

Monday December 2 Module 9 Exam 0900-1015Wednesday December 4 Review DayFINALS WeekDecember 9-13

ATI Final Exam

Have a great break!

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