Simmons College Department of Nursing



Simmons College Department of Nursing

Clinical Foundations and Health Assessment Syllabus

Fall 2016 Thursday

Course Number: NURS 295

Course Name: Clinical Foundations and Health Assessment

Credit hours: 4 credits

Faculty: Linda R. Moniz, PhD, RN Cathy Prevost, MS, RN

(617)521-2437 (617)521-

Office S-317 Office S-332F

Linda.moniz@simmons.edu Cathy.prevost@simmons.edu

Office Hours: Mon + Thurs after class or by appointment

Nursing Skills Lab: As Scheduled

Open Lab: TBA

Course Description:

Clinical foundations and health assessment introduces the student to the clinical skills and assessment techniques necessary to provide care to patients across the lifespan. The course will cover the nursing process, Subjective/objective assessments, clinical skills, medication calculations and administration, and comprehensive physical examination skills of adults and children. The lecture content will be presented to the students and lab time will be utilized to practice the required skills, assessments and techniques.

Course Objectives:

|Outcome / Goal |Nursing Program outcome |Content |Student Evidence of |

| | | |outcome achievement |

|Incorporate principles of patient |Number 1, 2, 5 |Therapeutic communication |Successful grades on |

|centered care into eliciting a | |Taking a health |exams, lab competencies |

|patient history and performing a | |history/interviewing | |

|physical exam | | | |

|Perform a complete physical exam |Number 1, 2, 5 |Performing a physical exam|Successful grades on |

|using the modalities of inspection,| |Heart assessment |exams, lab competencies |

|palpation, percussion and | |Lung assessment | |

|auscultation (Essentials 3,4,5,7,9;| |Abdominal assessment | |

|NOP 1,2,5) | |Neuro assessment | |

| | |MS assessment | |

|Collect a comprehensive health |Number 1,2,5 |Taking a health |Successful grades on |

|history with a focus on chronology | |history/interviewing |exams, lab competencies, |

|of chronic health problems and the | | |taking a complete health |

|investigation of acute symptoms | | |history |

|(NOP 1,2,5) | | | |

|Communicate the clients health |Number 3,4,5 |Therapeutic communication,|Successful grades on |

|status verbally, in writing and in | |Documentation |exams, lab competencies |

|EHR | | | |

|Demonstrate skill in basic nursing |Number 1,2 |Vital signs, infection |Successful grades on |

|care procedures | |control, personal care, |exams, lab competencies |

| | |transfers, skin/wound | |

| | |care, medication | |

| | |administration, | |

|DATE |CLASS TITLE |READING |

|Class #1 |Course Overview |Lab and class syllabus |

|9/8/16 | | |

| |Therapeutic communication |Wilkinson & Treas; Fundamentals of Nursing (Vol 1) |

| | |Chapter 21 |

| |Taking a health history/interviewing | |

| | |Jarvis Chapter 4 |

| | | |

| | |Lab Skills |

| | |Hand washing |

| | |Taking a health history |

| | | |

|Self-directed study |Med calc: Modules 1, 2, 3 |Morris; Calculate with Confidence |

|Class #2 |Vitals |Wilkinson & Treas; |

|9/15/16 |Heart Assessment |Fundamentals of Nursing (Vol 1) |

| |Cardiovascular/Circulation |Chapters 20,37 |

| | |Jarvis Chapter 19 |

| | |Case Study : Vital Signs p. 157 Do Questions 4-7 |

| | |Lab skills |

| | |Temperature |

| | |Apical pulse |

| | |Respirations |

| | |Blood pressure |

| | |Oxygen Saturation |

| | |Placement to listen S1, S2 |

|Self-directed study |Med calc: Modules 4, 5, 6 |Morris; Calculate with Confidence |

|Class #3 |Medication Calculation |Med-Calc practice questions – working in small groups |

|9/22/16 | | |

| |Oxygenation |Wilkinson & Treas Chapter 36 |

| |Lung Assessment |Jarvis Chapter 18 |

| | | |

| | |Lab skills |

| | |Moving / turning patient in bed |

| | |Transfers – bed to stretcher, bed to chair |

| | |Range of motion |

| | |Assist with ambulation |

| | |Canes, walkers and crutches |

|Self-directed study |Med calc: Modules 7, 8, 9, 10 |Morris; Calculate with Confidence |

|Class #4 | | |

|9/29/16 |Medication Calculation |Lab skills |

| | |Administering oxygen via cannula, face mask, venti mask |

| | |Lung sounds |

| | | |

| | |Case Study: Oxygenation P. 287 Do questions 2,3,7,12.13 |

|Class #5 |Exam I | |

|10/6/16 | | |

| | | |

| |Promoting Asepsis/preventing infection/precautions|Wilkinson & Treas; Fundamentals of Nursing (Vol 1) |

| |Pressure ulcers / Wound Care |Chapters 23, 35 |

| | | |

| | |Lab skills |

| | |Standard precautions and infection precautions |

| | |Transmission based precautions |

| | |PPE |

| | |Sterile gloves |

| | |Sterile field |

| | |Skin assessment |

| | | |

| | | |

|10/10/16 |No Class / Lab - Academic Holiday | |

| | | |

|Class #6 |Perioperative nursing |Wilkinson & Treas; Fundamentals of Nursing (Vol 1) |

|10/20/16 |Fluid, electrolyte and acid base balance |Chapter 18, 38, 39, |

| |Documentation |Lab skills |

| | |Documenting vital signs |

| |Med Calc Exam |Documenting I+O |

| | |Soapie packet |

| | | |

| | |Case Study : Fluid + Electrolytes P. 297 Do questions 4,5,10,11,12,13 |

|Class #7 |Exam II |Good Luck |

|10/27/16 | | |

| |Hygiene |Wilkinson & Treas, Chapter 25 |

| |Skin assessment |Jarvis Chapter 12 |

| | | |

| | |Lab skills |

| | |Wound staging |

| | |Proper use of Braden scale |

| | |Assessing / describing wounds |

| | |Wound irrigation |

| | |Dry dressing |

| | |Wet to damp dressing |

| | |Bed bath / personal care |

| | | |

| | |NDNQI certificate due |

|Class #8 |Medication Administration |Wilkinson & Treas; Fundamentals of Nursing (Vol 1) |

|11/3/16 |Pain |Chapter 26, 31 |

| | |Lab skills |

| | |Meds given orally, SC, IM, IV, via NGT/GT |

| | |Topical, ophthalmic, nasal, rectal, MDI |

| | |Reconstitution |

| | |Mixing insulin in one syringe |

| | |IV push |

| | |Intermittent / continuous infusions |

| | |Changing IV solutions, priming tubing etc. |

| | |Pain scale |

| | | |

| | |Soapie Assignment Due |

|Class #9 |Mobility / Safety |Wilkinson & Treas; Fundamentals of Nursing (Vol 1) |

|11/10/16 |Neurological exam |Chapter 24, 32 |

| |Musculoskeletal Exam |Jarvis Chapter 23, pg. 577-609 |

| | |Lab skills |

| | |Cranial nerve assessment |

| | |Strength, sensation |

|Class #10 |Exam III |Good Luck |

|11/17/16 | | |

| |HEENT |Jarvis pg. 251-264, 281-302, 325-335, 353-368, |

| | |Pupils |

| | |Eye / ears |

| | |Nodes |

|Class #11 |Urinary Elimination |Wilkinson & Treas; Fundamentals of Nursing (Vol 1) |

|12/1/16 | |Chapter 28 |

| | |Lab Skills |

| | |Obtaining specimen from indwelling catheter |

| | |Insertion / removal of indwelling catheter |

| | |Straight vs. indwelling catheter |

| | |Measuring urine from indwelling catheter |

| |Nutrition |Insertion / removal NGT |

| | |Checking placement / residual |

|Class # 12 |Bowel Elimination |Wilkinson & Treas Chapter 29 |

|12/8/16 |Abdominal Assessment |Jarvis Chapter 21 |

| | |Lab skills |

| | |Bedpan |

| | |Ostomy |

| | |Enema |

| | |Bowel sounds |

| | |Case study: Bowel Elimination – Diarrhea p. 247 Do questions 1-5 |

| |Final exam: Good Luck!!!!!!! | |

Please print lab syllabus from moodle and keep with class syllabus.

Textbooks and Media

Required texts

Jarvis, C. (2016). Physical Examination and Health Assessment (7th ed.) Elsevier

Trueman, M.S. (2014).Case studies in nursing fundamentals. F.A. Davis: Philadelphia

Wilkinson, J. M., Treas, L. (2016) Fundamentals of nursing: theory, concepts and applications. (Vol. 1). F.A Davis: Philadelphia (3rd ed.)

Wilkinson, J. M., Treas, L. (2016) Fundamentals of nursing: thinking and doing. (Vol. 2). F.A Davis: Philadelphia (3rd ed.)

Morris, D. G., (2010) Calculate with Confidence (6th ed). NY: Elsevier

NURS 225 Fundamentals Lab kit bag (It will be sold in the Simmons book store)

Recommended Texts:

A.P.A. (2010). American psychological association publication manual (6th ed.). Washington

Nugent, P. & Vitale, B. (2012). Fundamentals Success: A course review applying critical thinking to test-taking. (3rd ed.). Philadelphia: Davis

Nugent, P. & Vitale, B. (2012). Test success: Test-taking techniques for beginning nursing students. (6th ed.). Philadelphia: Davis

Taber, C. (2010). Taber’s encyclopedic medical dictionary. (21st ed.). Philadelphia: Davis (Online)

SIMMONS COLLEGE DEPARTMENT OF NURSING

Nursing 225 Nursing Process & Skills

Course Policies and Criteria for Evaluation

Course Policies: Please refer to the Simmons College Nursing Programs Student Handbook for policies specific to the nursing programs. This syllabus is designed as a guide for students. Faculty reserves the right to make changes throughout the semester as needed.

A. Tape Recording: Tape recording of lectures can be done with the permission of the faculty/lecturer. This must be obtained prior to class.

B. Professional Responsibilities: Students are expected to prepare for and attend all classes, labs, and clinical experiences. Class will begin and end on time. Students who arrive after class begins must wait until a break to enter the class to avoid disrupting other students. Professional appearance and behavior is required of each student in accordance with the guidelines found in the Simmons College Student Handbook.

C. Academic Warnings: The Department of Nursing can submit an academic/clinical warning when the student’s performance is considered to be marginal and/or unsafe. The justifications for a warning include but are not limited to the following:

1. Quizzes or exams with a grade of 75% or below

2. Overdue assignments

3. Poor attendance

4. Poor or unsafe clinical practice

5. Violation of the Professional Code of Conduct

6. Other, specify.

D. Dismissal: A student can be dismissed from a course in the nursing program at anytime, with cause. Evidence of unsafe practice, failing work, or violation of the Professional Code of Conduct are grounds for dismissal.

E. Final Grading criteria: Refer to Nursing Handbook

Evaluation

• Course grade will be based on the following: % of Course Grade

• Lab

o Laboratory Experience P/F

o Laboratory Competency P/F

o Medication calculation exam 5%

o Health history (soapie packet) 15%

o Physical exam 10%

o NDNQI Pressure Ulcer certification 5%

Class

o Exam I 10%

o Exam II 10%

o Exam III 10%

o Final examination 25%

o Case studies 10%

• You must attend your schedule class section. Attending other class sections is not allowed unless it is cleared by the course coordinator.

• Determination of Course Grade if Clinical and Laboratory Evaluation is “Satisfactory.”

o The course grade in NURS 295 is based on the theoretical component consisting of examinations and written work. The student must achieve a weighted average of 75% or greater on the examinations in order to progress to the next nursing course. Please refer to the Nursing Student Handbook

o Once a 75% weighted average in the examinations has been achieved all other course assignments will be calculated into the final grade.

• Determination of Course Grade if Clinical and Laboratory Evaluation is “Unsatisfactory.”

o If a student fails the laboratory or clinical component of this course, a grade of C- or less will appear on the transcript. Refer to the Nursing Student Handbook.

• Physical Exam (This assignment is worth 10% towards your final grade)

• Written Assignments:

o Health history / Soapie assignment (This assignment is worth 15% towards your final grade.

o

• Examinations

a. Three examinations will be given. Each examination will be 10% of the course grade. See course schedule for dates.

b. A final cumulative examination will be given. The grade will constitute 25% of the final course grade.

c. Each exam will be 60 questions. The students will have 1 hour and 15 minutes to complete the exam

• Medication Calculation Exam: A grade of 90% is required to pass the drug calculation test. Students will be required to retake a calculation test a maximum of 2 additional times until the minimum grade of 90% is achieved. Failure to successfully complete this exam will result in withdrawal from the course.

• The grade earned on the first attempt will be entered into the grade-book and the first grade will be factored into your grade.

o The medication calculation exam will be given in class and proctored by the course instructor.

o There will be online modules that are mandatory and must be completed by the designated time.

Faculty:

LaDonna Christian MSN, APRN-BC

S341 (617) 521-2618

ladonna.christian@simmons.edu

Marla Lynch

S333 (617)-521-2535

marla.lynch@simmons.edu

Office hours: by appointment

• Laboratory requirements:

o Students must demonstrate the ability to perform all nursing skills by the end of the semester. Failure to do so will result in failure of the course.

o Attendance is required at each scheduled laboratory session. You must attend your scheduled lab section. Attending other lab sections is not allowed.

o Unexcused absence from lab may result in a 2 point reduction in the student’s final grade for every lab session missed.

o Students in need of remediation should attend open lab sessions and contact the Nursing Laboratory Coordinator if additional assistance is required.

• Laboratory practice performance and progress:

o Competence in required skills must be demonstrated with lab instructor within one week after the initial lab.

o Students are expected to bring their own stethoscope, watch, and lab supply kits to every lab.

o All students are responsible to put equipment away after use and leave the laboratory area in order.

o Refer to the Nursing Programs Handbook regarding professional behavior and appearance.

o Successful completion of the Final Skills Competency Testing is necessary for successful completion of the course. (P/F)

Academic Integrity:

Please review the Honor System on pages in the Simmons College Students Handbook.

1. All personal belongings will be placed at the front of the room during exams

2. Cell phone are not allowed during exams

3. Calculators may be used however, all work is to be shown on exam papers

• Accommodations for students with disabilities:

Reasonable accommodations will be provided for students with documented physical, sensory, cognitive, learning and psychiatric disabilities. If you have a disability and anticipate that you will need reasonable accommodation in this course, it is important that you contact the Center for Academic Achievement at 617-521-2474 early in the semester. Students with disabilities are often encouraged to contact the instructor immediately and discuss their need for accommodations. Accommodations cannot be made except through the Center for Academic Achievement.

Course Expectations

Clinical Skills Lab Requirements

During assigned labs, students will discuss the application of specific skills. Students must complete the assigned readings before the scheduled lab and bring your duffle kits with you to each lab. Time is allotted in the lab to allow for demonstration by the lab instructor and practice by the student. Please print the lab syllabus and lab calendar and keep them with you along with syllabus.

The clinical lab is considered a practice environment, and as such, professional behavior is expected at all times. Students will engage in role playing as either the patient or nurse. Students should dress comfortably but professionally. A name tag is to be worn at all times in the lab. The lab environment is to be kept clean, neat, and orderly, just as in any patient area. All equipment is to be put away, bed linens kept clean and neat, etc.

Procedures and skills will be carried out according to the Wilkinson & Treas (vol.2), so it is advised to bring the book to lab. A stethoscope and watch will be necessary.

Once a lab skill is presented in an assigned lab, students will have one week to practice and prepare for competency testing of the skill. Practice may occur in the assigned lab or in an open lab. Students will be provided with one set of supplies for each skill and must maintain those supplies for use in practice and competency testing.

When a student is ready for competency testing, she will present with the materials necessary to perform the skill. The student will demonstrate the skill/procedure to the instructor. If the student does not meet the competency on the first attempt, she should return to open lab for practice and re-schedule testing. The student will have 2 attempts to demonstrate mastery.

Final Skills Competency Testing

Objective: The student will successfully demonstrate specific nursing skills in the clinical laboratory setting.

At the end of the semester, each student will perform 2 skills and a heart, lung and abdominal assessment for evaluation by faculty. Demonstration of competency of these nursing activities is criteria for successful completion of the course. The selection of the skills is at the discretion of the faculty. Should the student be unsuccessful in the initial attempt, she will be given another opportunity for testing.

Each student will also perform a physical assessment of 3 systems (cardiac, lung, abdomen) This physical examination will be 10% of the course grade.

Simmons students are not permitted to copy, upload, post, sell or otherwise share course materials from Simmons College courses through online services– which includes (1) tests, syllabi, exercises and other intellectual property developed or created by the instructor and/or the College; and (2) lectures by instructors and/or notes based on those lectures. Such online services include but are not limited to Coursehero, Luvo and OneClass.

Enrolling in a course at Simmons gives you permission to use such course materials for the purposes of participating in the class: listening to lectures, engaging in class discussions, reading the materials, taking notes on them, discussing them with classmates, and completing tests and assignments. It does not give you the right to post course materials, developed by a Simmons instructor and/or by the College. Only the instructor and/or the College has the right to share, sell, copy, upload, post or otherwise distribute such course materials, including notes based on instructors' lectures.

Unauthorized copying, distribution or sharing of course materials developed by Simmons instructors and/or the College, including lecture notes, is a violation of both the Simmons Honor Code and the federal Copyright Act."

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This syllabus serves as a guide to students. It can be modified as throughout the semester determined by the faculty. It is not a contract.

Revised 9/6/16

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In order to avoid copyright disputes, this page is only a partial summary.

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