NURS 1327



LVN & PARAMEDIC TO ADN TRANSITION LEVEL

RNSG 1327 - TRANSITION TO PROFESSIONAL NURSING

COURSE OUTLINE

I. Transition from LVN & Paramedic to ADN Role

A. Professional role development

B. LVN & Paramedic vs. ADN roles

1. Knowledge, skills, and abilities

2. Scope of practice

3. Roles

4. Regulations, policies, standards

5. Directed vs. autonomous practice

6. Collaborative nursing practice

7. Role in varying health care settings

8. Role in health care team

C. Review of ethical nursing practice

D. Review of legal considerations considering ADN level

II. Associate Degree Nursing Competencies

A. Technical competencies

1. Assessment

2. Review reporting/documenting client care

3. Review pharmacological safety, including IV therapy

B. Cognitive competencies

1. Nursing process

a. Role of ADN

b. Phases

c. Application to immobility

2. Teaching/learning process

3. Critical thinking

C. Interpersonal skills

1. Culture

a. Transcultural nursing

b. Cultural awareness

c. Religious and spiritual considerations

d. Incorporation into nursing practice

2. Communication skills

a. Development of communication skills

b. Forms of communication

c. Review of factors influencing communication

d. Review of factors promoting/inhibiting communication

e. Communication techniques

f. Developmental considerations

3. Process recording

III. Health Promotion

A. Health Promotion Across Dimensions of Optimal Health

1. Physical

2. Emotional

3. Social

4. Intellectual

5. Spiritual

B. Nurse’s Role in Promotion of Healthy Nutrition

IV. Care of Patients in the Perinatal Cycle

A. Prenatal

1. Prenatal Adaptation

2. Prenatal Assessment

3. Common Discomforts of Pregnancy

4. Selected Nursing Diagnoses/Nursing Interventions/Evaluation of Outcomes

B. Intrapartum

1. Indications of Labor

2. Intrapartal Assessment

3. Stages and Characteristics of Labor

4. Selected Nursing Diagnoses/Nursing Interventions/Evaluation of Outcomes

C. Postpartum

1. Postpartal Adaptation

2. Postpartal Assessment

3. Selected Nursing Diagnoses/Nursing Interventions/Evaluation of Outcomes

D. Newborn

1. Neonatal Adaptation

2. Neonatal Assessment

3. Selected Nursing Diagnoses/Nursing Interventions/Evaluation of Outcomes

V. Care of the Client Experiencing Commonly Occurring Health Problems

A. Genitourinary System

1. Anatomy and Physiology/Pathophysiology

2. Assessment

3. Review Commonly Occurring Surgeries

a. Gender Specific

1) Female

a) Uterine Fibroids

b) Ovarian Cyst

c) Endometriosis

d) Pelvic Relaxation Disorders

e) Premenstrual Syndrome

f) Pelvic Inflammatory Disease

g) Overactive Bladder

2) Male

a) Prostatitis

b) Benign Prostatic Hypertrophy (BPH)

c) Erectile Dysfunction

b. Non-Gender Specific

1) Toxic Shock Syndrome

2) Urinary Calculi

3) Cystitis/Pyelonephritis

c. Selected Surgeries

1) Lithotripsy

2) Pyelolithotomy (open)

3) Hysterectomy

4) Cystocele/Rectocele Repair

5) Transurethral Resection of the Prostate (TURP)

6) Bladder Sling

d. Sexually Transmitted Diseases

1) Herpes Simplex II

2) Syphilis

3) Gonorrhea

4) Trichomoniasis

5) Chlamydia

6) Candida

7) Human Papilloma Virus/Condyloma

8) Cytomegalovirus

4. Selected Nursing Diagnoses/Nursing Interventions/Evaluation of Outcomes Emphasizing ADN role

B. Integumentary Problems

1. Anatomy and Physiology/Pathophysiology

2. Assessment

3. Review Commonly Occurring Problems

a. Acne

b. Cellulitis

c. Impetigo

d. Methicillin Resistant Staphylococcus Aureus (MRSA)

e. Herpes Zoster

f. Varicella

g. Rubella/Rubeola

h. Candida

i. Atopic Dermatitis

j. Psoriasis

k. Contact Dermatitis

4. Selected Nursing Diagnoses/Nursing Interventions/Evaluation of Outcomes Emphasizing ADN Role

C. Neurologic Problems

1. Anatomy and Physiology/Pathophysiology

2. Assessment

3. Review Commonly Occurring Problems

a. Cerebrovascular Disease (CVA)

b. Transient Ischemic Attack (TIA)

4. Selected Nursing Diagnoses/Nursing Interventions/Evaluation of Outcomes Emphasizing ADN Role

D. Mental Health Problems

1. Assessment

2. Review Commonly Occurring Problems

a. Crisis

3. Selected Nursing Diagnoses/Nursing Interventions/Evaluation of Outcomes Emphasizing ADN Role

E. Cardiovascular

1. Anatomy and Physiology/Pathophysiology

2. Assessment

3. Review Commonly Occurring Problems

a. Atherosclerosis/Arteriosclerosis

b. Hypertension

c. Heart failure

4. Selected Nursing Diagnoses/Nursing Interventions/Evaluation of Outcomes Emphasizing ADN Role

F. Endocrine Problems

1. Anatomy and Physiology/Pathophysiology

2. Assessment

3. Review Commonly Occurring Problems

a. Diabetes Mellitus

4. Selected Nursing Diagnoses/Nursing Interventions/Evaluation of Outcomes

Emphasizing ADN Role

G. Respiratory Problems

1. Anatomy and Physiology/Pathophysiology

2. Assessment

3. Review Commonly Occurring Problems

a. Asthma

b. Upper Respiratory Infections

c. Lower Respiratory Infections

1) Pneumonia

2) Bronchitis

4. Selected Nursing Diagnoses/Nursing Interventions/Evaluation of Outcomes Emphasizing ADN Role

H. Gastrointestinal Problems

1. Anatomy and Physiology/Pathophysiology

2. Assessment

3. Review commonly occurring problems

a. Gastroenteritis

b. Obesity

c. GERD

4. Selected Nursing Diagnoses/Nursing Interventions/Evaluation of Outcomes Emphasizing ADN Role

I. Perioperative Cycle

1. Anatomy and Physiology/Pathophysiology

2. Assessment

3. Review Commonly Occurring Surgeries

a. Cholecystectomy

b. Appendectomy

c. Tonsillectomy/Adenoidectomy

d. Myringotomy

e. Total Knee Replacement

f. Open Reduction and Internal Fixation (ORIF) of Hip

g. Total Hip Replacement

h. Endarterectomy

4. Selected Nursing Diagnoses/Nursing Interventions/Evaluation of Outcomes Emphasizing ADN Role

N:/Syllabus/Transition/RNSG1327 Revised 03/12

Reviewed 03/13

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