14INTRO97.22A
Associate Degree
Registered Nursing Program
ADN 22A
Advanced Nursing Critical Care Life Span
Fall 2011
ADN 22A: ADVANCED NURSING CRITICAL CARE LIFE SPAN SYLLABUS
TABLE OF CONTENTS
Theory Content: INTRODUCTION TO 22A
Course Information 1.0
Course Outline 1.2
Orem's Conceptual Framework 1.3
Course Requirements 1.4
Course Learning Outcomes 1.5
Challenge Policy (General and 22A) 1.6
Course Schedule 1.9
Grades/ Assignments 1.11
Laboratory Content: INTRODUCTION TO 22AL
Course Information 2.0
Course Outline 2.2
Conceptual Framework 2.3
Course Requirements 2.4
Entry/ Exit Skills 2.5
Learning Outcomes 2.6
Challenge Policy 2.7
Skills Assessment Expectations 2.9
LONG BEACH CITY COLLEGE
Associate Degree Nursing Program
ADN 22A Advanced Nursing Critical Care Life Span
COURSE INFORMATION
Course Description
The lecture course (ADN 22A) incorporates Orem’s Theory of nursing care in acute hospital and clinic settings. The major foci are: (1) caring for the adult patient with health deviations in critical care areas and (2) caring for the ill child in the hospital setting and in pediatric outpatient settings. This course emphasizes the educative/ supportive, wholly compensatory, and partly compensatory roles of the nurse.
Time Allotment, Sequencing and Enrollment
2.5 college semester units, 9 week course
Class Lecture: 5 hours per week, total 45 hours
This course is offered during the first nine weeks of the 4th semester with enrollment as space and resources allow. Concurrent enrollment with ADN 22AL is required.
Required Texts:
1. Brunner/Suddarth, 11th Edition, Medical-Surgical Nursing
2. Davis' Drug Guide for Nurses
3. 22A Syllabus
4. James, Ashwill & Droske, 3rd edition, Nursing Care of Children, Principles and Practice
5. Curren & Munday Math for Meds, 7th Edition
6. Dudek Nutrition Essentials for Nursing Practice, 4th Edition.
7. Urden, Stacy, & Lough, 5th edition, Priorities in Critical Care Nursing
8. Leifer, G. & Hartson, H. Growth and Development across the lifespan, a health promotion focus.
9. Maxishare Milestones Growth & Development Guide
Teaching Methods
Lecture and class discussion
Reading assignments from textbooks and journal articles
Independent CD-Rom and DVD assignments
Sub-Modules
1.0
Student Evaluation
Possible Points
Quizzes 150
Final Exam 100
Total Points 250
Student Course Grade
Students must be concurrently enrolled in ADN 22A and ADN 22AL. When the student achieves a satisfactory clinical performance evaluation in ADN 22AL, the percentage of the theory grade in ADN 22A will also be the course grade for ADN 22AL. If the student’s clinical performance is less than satisfactory, the grading policy in the Student Handbook will be followed.
Course Instructors Office Telephone
Ronda Wood, R.N-BC., M.N. Ed.D. C-100N 938-4615
Sigrid Sexton, R.N., M.S.N., FNP C-100N 938-4799
Office hours for faculty are posted on individual office doors. Faculty are also available by email and cell phone or pager.
1.1
Long Beach Community College District
LONG BEACH CITY COLLEGE
Associate Degree Nursing Program
ADN 22A Advance Critical Lifespan
COURSE OUTLINE
Adult Complex Health Deviations
A. Complex health deviations involving the self-care requisites of
1. Sufficient intake of air
2. Prevention of hazards to human life, human functioning and human well being.
3. Promotion of normalcy
B. Pathological conditions and prescribed medical diagnostic and therapeutic measures associated with cardiovascular disorders and respiratory dysfunction in the adult
C. Developmental self-care requisites of the critically ill adult
D. Educative/supportive role of the nurse in the provision of care for the adult and his/her family
I. Child Health Deviations
A. Growth and Development of the pediatric population from infancy to adolescence
B. Developmental self care requisites of the hospitalized child
C. Health deviations involving the self care requisites of:
1. Sufficient intake of air
2. Sufficient intake of water
3. Sufficient intake of food
4. Maintenance of balance between activity/rest
5. Solitude and social interaction
6. Care associated with elimination processes
7. Hazards to human life
8. Promotion of normalcy
D. Health deviations associated with the infant to adolescent and their prescribed medical, diagnostic, nursing and therapeutic measures
E. Educative/supportive role of the nurse in care of the child and his/her family.
1.2
LONG BEACH CITY COLLEGE
Associate Degree Nursing Program
ADN 22A Advanced Nursing Critical Life Span
IMPLEMENTATION OF CONCEPTUAL FRAMEWORK
Orem’s Self-Care Theory
| | | |
| |THEORY INFORMATION |CLINICAL IMPLEMENTATION |
|SELF CARE THEORY | | |
| | | |
|Health Deviation of Self care requisites |The Universal Self Care Requisites serve |Students apply all previously learned skills in the|
|related to the needs of pediatric patients|as an outline for learning. The concept |new settings of pediatric and critical care units. |
|and critically ill adults generated by |of Health Deviation Self Care Requisites |The student will care for 2 pediatric patients or 1|
|illnesses and medical diagnostic |is discussed with emphasis placed on the |critically ill adult patient each day in clinical. |
|procedures and treatments. |pediatric patient and the critically ill | |
| |adult patient. |Students use the nursing process as they continue |
| | |to assess, plan set goals, intervene, and evaluate |
| | |patients across the life span from infancy to the |
| | |critically ill adult based on all eight USCR. |
| | | |
| | |Students develop a nursing care plan and provide |
| | |care in the wholly compensatory, partially |
| | |compensatory, and educative/supportive modes. |
| | | |
| | |During campus labs and in clinical students apply |
| | |their knowledge of USCR and identify Health |
| | |Deviations pertaining to all eight areas. |
| | | |
| | | |
| | | |
| | | |
1.3
Long Beach Community College District
LONG BEACH CITY COLLEGE
Associate Degree Nursing Program
ADN 22A Advanced Nursing Critical Life Span
COURSE REQUIREMENTS
During this course each student will:
1. Arrive to class prepared and on time.
2. Complete all audio-visual, reading and written work prior to class.
3. Independently review any material from previous required courses as needed.
4. Behave appropriately in the classroom (appropriate behavior will be defined by the teaching team and the student handbook).
5. Review student handbook and college policies for policies such as academic honesty policy, submodule policy, health requirements policy, etc.
6. Achieve at least 75% in theory testing by the end of the course to maintain status in the program.
7. Achieve at least a 93% on the Math test by the assigned due date.
8. Satisfactorily complete the cardiac monitor submodule with a score of 85% by the date stated on the schedule.
9. Complete all assigned work (Pediatric and Adult ABG CD-Roms) and Suctioning Skill testing by due date.
10. Actively participate in class discussion.
11. Use appropriate terminology verbally and in writing.
12. Assume responsibility for meeting behavioral objectives and test in the event of absence from class.
13. Integrate the LBCC conceptual framework into the care plans and case study format.
1.4
Long Beach Community College District
LONG BEACH CITY COLLEGE
Associate Degree Nursing Program
ADN 22A - Advanced Nursing Critical Care Lifespan
ADN 22A LEARNING OUTCOMES
Upon satisfactory completion of the course, the student will be able to demonstrate the following learning outcomes:
Professional Role
• Prepare to interact with members of the health care team in a professional manner.
Communication
• Communicate relevant, accurate and complete information in a concise and clear manner.
Orem Self Care Theory as it relates to the Nursing Process
• Synthesize Orem’s Self Care Theory with the critically ill adult and hospitalized child.
• Synthesize the nursing process with the critically ill adult and hospitalized child.
• Compare and contrast normalcy as it relates to the critically ill adult and hospitalized child.
• Predict potential health hazards for the critically ill adult and hospitalized child.
• Differentiate between the self care demands and deficits requiring interventions in the critically ill adult and hospitalized child.
• Distinguish how the nursing process is used in differentiating plans of care that reflect the developmental level and developmental self care requisites of the critically ill adult and hospitalized child.
Critical Thinking
• Relate appropriate learned theory to patient scenarios for the critically ill adult and hospitalized child.
Safety
• Recognize unsafe practices and potential health hazards.
• Synthesize knowledge from this course and previous courses to assimilate safe nursing practice.
Teaching/Learning
• Prepare to teach the patient and family about the health deviations identified in this course.
Collaborative Management of Care
• Prioritize all aspects of patient care.
1.5
Long Beach Community College District
LONG BEACH CITY COLLEGE
Associate Degree Nursing Program
ADN 22A – Advanced Critical Life Span
POLICY STATEMENT
Challenge Option for Advanced Placement
1. The challenge option for each course consists of two parts:
• 1st: challenge of the theory course
• 2nd: Challenge of the laboratory course
2. An announcement regarding the challenge options will be made at the beginning of every course on the first day of class.
3. The student must have evidence on file in the college and program cumulative folder of formal instruction in this course content.
4. Formal instruction and direct patient care experience (in the content of the course being challenged) must have taken place within the three years previous to the challenge request.
5. If the student satisfactorily passes the clinical exam the grade earned for the course or potion of the course will be the grade achieved on the theory course.
6. The student must utilize both the conceptual framework and the nursing process in the laboratory challenge portion of this option.
7. For details refer to the LBCC Catalog “Nursing Programs and Courses: Policies for Transfer Credit, Advanced Placement and Credit by Examination for the Associate Degree.”
1.6
Long Beach Community College District
LONG BEACH CITY COLLEGE
Associate Degree Nursing Program
ADN 22A – Advanced Critical Life Span
CHALLENGE OPTION
ADN 22A and 22AL
General Announcement
Students interested in challenging must let the instructor know by the last day of the first week of the course. The student should complete the department “Application for Challenge by Examination for ADN 22A” and complete the college formal application for challenge by examination. Upon acceptance of the challenge option by the teaching team, an appointment will be made for the student to take the written theory exam at the beginning of the second week of the course.
Written Test
A 150 point comprehensive, objective (NCLEX style) test will be given. The student must achieve a minimum score of 75% to continue with the challenge.
Upon successful completion of the ADN 22A course challenge, the student then proceeds to the next step; the challenge of ADN 22AL.
1.7
APPLICATION FOR CHALLENGE BY EXAMINATION
ADN 22A – Advanced Critical Life Span
Student Name________________________________ Date____________________
Student complete section A below:
A. Justification of this request:
Student Signature_____________________________________
Teaching team complete section B below:
B. Decision: Yes________ If yes, write contract below.
No________ If no, state reason for denial.
C. Contract
Written test completed by ___________________________
Signatures:
Lead Instructor: _____________________________ Date:___________________
Instructor:__________________________________ Date:___________________
Instructor:__________________________________ Date:___________________
Student:____________________________________ Date:___________________
D. Disposition of Challenge_________________________________________________
1.8
LONG BEACH CITY COLLEGE
ADN 22A/AL Fall 2011 Schedule
| |Monday |Sect I: Tuesday |Sect II: Wednesday |Sect III: Saturday |Friday |Friday |Friday |
| |Lecture |6:45-3:15pm & |2:30-11:00pm & |6:45-3:15pm & |Lecture |Campus Lab |Campus Lab |
| |Rm C101 |Wednesday |Thursday |Sunday |Rm. C101 |Adult First: |Pediatrics First: |
| |12:00-3:00pm |6:45-2:15pm |1:30-9pm |6:45-2:15pm |8-10am |Rm 306 |Rm 208 |
| | |Conference 1:15-2:15 |Conference 1:30- 2:30 |Conference 1:15-2:15 | |12-3pm |12-3 pm |
| | |Clinical |Clinical |Clinical | | | |
|1 |Mon 8/15/11 |Tues/Wed |Wed/Thurs |Sat/Sun |Fri 8/19/11 |Fri. 8/19/11 |Fri 8/19/11 |
| |Course Intro (1) |8/16,17/11 |8/17,18/11 |8/20,21/11 |Dysrhythmias (2) |Adult: |Peds: DCSR |
| |Childhood Resp (2) |Orientation |Orientation |Orientation | |Lines |Childhood Growth |
| | |Adult Lab: Suctioning, |Adult Lab: Suctioning, |Adult Lab: Suctioning, |(Math Test taken first time by|Vents |and Development |
| | |Med. Admin. |Med. Admin. |Med. Admin. |today) | | |
| | |Peds Lab: |Peds Lab: |Peds Lab: | | | |
| | |Hospitalized Child |Hospitalized Child |Hospitalized Child | | | |
| | |Med. Admin. |Med. Admin. |Med. Admin. | | | |
|2 |Mon 8/22/11 |Tues,Wed. |Wed, Thurs. |Sat, Sun. |Fri 8/26/11 |Fri 8/26/11 |Fri 8/26/11 |
| |Adult CV Disorders |8/23,24/11 |8/24,25/11 |8/27,28/11 |Childhood Cardiac (2) |Adult: Skill Test |Peds: Assessment |
| |(3) | | | |(Cardiac Monitor Submodule |Suctioning, |and Procedure |
| | |Hospital |Hospital |Hospital |passed by 08) |Medication Admin |Preparation |
| | | | | | |Review | |
|3 |Mon 8/29/11 |Tues,Wed |Wed, Thurs |Sat, Sun. |Fri 9/02/11 |Fri 9/02/11 |Fri 9/02/11 |
| |Quiz 1 |8/30,31/11 |8/31,9/01/11 |9/03,04/11 |Cardiopulmonary Arrest (2) |Adult: 12 lead EKG |Peds: DSCR/ |
| |Childhood | | | | |Physical Assess |Hazards |
| |GI/Metabolic (2) |Hospital |Hospital |Hospital |(Math test passed by 11am) |Review | |
| | |Case Studies Due |Case Studies Due |Case Studies Due | | | |
| | |8/31 |9/1 |9/4 | | | |
|4 |Mon 9/05/11 |Tues,Wed |Wed,Thurs |Sat, Sun. |Fri 9/09/11 |Fri. 9/09/11 |Fri 9/09/11 |
| | |9/06,07/11 |9/07,08/11 |9/10,11/11 |Childhood Hematology (2) |Adult: Chest tube |Peds: Death |
| |Holiday | | | | |review, Mock Code |and Dying |
| | |Hospital |Hospital |Hospital | | | |
|5 |Mon 9/12/11 |Tues, Wed |Wed, Thurs |Sat, Sun. |Fri 9/16/11 |Fri. 9/16/11 |Fri 9/16/11 |
| |MI/CS (3) |9/13,14/11 |9/14,15/11 |9/17,18/11 |Quiz 2 | |Adult: |
| | |Switch groups |Switch groups |Switch groups |Adult |Peds: DCSR/ |Lines |
| | |Peds and Adult Orientation|Peds and Adult |Peds and Adult Orientation|Respiratory |Childhood Growth |Vents |
| | |(see above for lab topics)|Orientation |(see above for lab topics)|(1) |and Development | |
| | | |(see above for lab | | | | |
| | | |topics) | | | | |
|6 |Mon 9/19/11 |Tues, Wed |Wed, Thurs |Sat, Sun. |Fri 9/23/11 |Fri. 9/23/11 |Fri 9/23/11 |
| | |9/21/11 |9/21,22/11 |9/24,25/11 |Childhood Musculoskeletal (2) |Peds: |Adult: |
| |Adult Respiratory | | | | |Assessment and |Medication Admin |
| |(3) |Hospital 9/21 |Hospital |Hospital |ABG CD-ROMs due 0800 |Procedure |Review |
| | |*9/20 Flex Day* | | | |Preparation |& |
| | | | | | | |Test Suction |
|7 |Mon 9/26/11 |Tues, Wed |Wed, Thurs |Sat, Sun. |Fri 9/30/11 |Fri. 9/30/11 |Fri 9/30/11 |
| | |9/27,28/11 |9/28,29/11 |10/01,02/11 |Acute Renal Failure(2) |Peds: |Adult: |
| |Childhood | | | | |DSCR/Hazards |Chest Tube review |
| |Communicable |Hospital |Hospital |Hospital |Peds CD-ROMs due 0800 | |Mock Code |
| |Diseases (3) |Case Studies Due |Case Studies Due 9/29 |Case Studies Due | | | |
| | |9/28 | |10/2 | | | |
|8 |Mon 10/03/11 |Tues, Wed |Wed, Thurs |Sat, Sun. | Fri 10/07/11 |Fri. 10/07/11 |Fri 10/07/11 |
| | |10/04,05/11 |10/05,06/11 |10/01,02/11 | |Peds: |Adult: |
| |Quiz 3 | | | |Adult Neuro (1) |Death and Dying |12 Lead EKG, |
| |Adult Neuro (2) |Hospital |Hospital |Hospital |Child Neuro (1) | |Physical |
| | | | | | | |Assessment |
|9 |Mon 10/10/11 |Tues, Wed |Wed, Thurs |Sat, Sun. |Fri 10/14/11 |Fri. 10/14/11 |Fri 10/14/11 |
| |**10-11** |10/11,12/11 |10/12,13/11 |10/15/11 | | | |
| |Childhood GU (1) | | | |FINAL EXAM |Peds ATI |ATI |
| |Peds ATI |Hospital |Hospital |Hospital | |review and |review and |
| |**arranged between | | | | |discussion |discussion |
| |11 & 3** | | | | | | |
1.9
Long Beach Community College District
LONG BEACH CITY COLLEGE
Associate Degree Nursing Program
ADN 22A Advanced Nursing Critical Life Span
Assignments/Grading
Record of Test Grades
|Possible Points |Points Earned |Percent |Grade |
|Quiz #1 | | | |
|Quiz #2 | | | |
|Quiz #3 | | | |
|Final Exam | | | |
|Total | | | |
Letter Grades: A = 91-100
B = 83-90
C = 75-82
D = 67-74 (failing in nursing)
F = 66 and below
Due Dates For Assignments
|Assignment |Due Date |Submit to: |
|ABG CD-ROM | |Julie Bean |
|Pediatric CD-ROMs | |Dr. Wood |
|Adult Case Study | |Clinical Instructor |
|Pediatric Case Study | |Clinical Instructor |
|EKG Submodule | |Julie Bean |
|Math Test | |Dr Wood |
**All students must have the hospital modules completed, current TB test, current CPR card, current malpractice insurance, and proof of immunizations/immunity before the first clinical day or will not be allowed in the clinical area**
1.10
Long Beach Community College District
LONG BEACH CITY COLLEGE
Associate Degree Nursing Program
ADN 22AL Advanced Nursing Critical Care Life Span Laboratory
Course Information
Course Description
This laboratory course includes both on-campus laboratory practice and application of course content in the clinical setting. This laboratory course is divided into two components; critical care and pediatric.
Time Allotment, Sequencing, and Enrollment
1.5 college semester units, 9 week course
Campus lab: 3 hours per week
Clinical: one 8 hour shift and one 7 hour shift
This course is offered during the first nine weeks of the 4th semester with enrollment as space and resources allow. Concurrent enrollment with ADN 22A is required.
Required Texts:
1. Brunner/Suddarth, 11th Edition, Medical-Surgical Nursing
2. Davis's, Drug-Guide for Nurses
3. James, Ashwill & Droske, 3rd edition, Nursing Care of Children, Principles and Practice
4. Curren & Munday Math for Meds, 7th Edition
5. Dudek Nutrition Essentials for Nursing Practice, 4th Edition.
6. Urden, Stacy, & Lough, 5th edition, Priorities in Critical Care Nursing
Supplementary Readings
Nursing Journal, articles as assigned
American Journal of Nursing, articles as assigned
Critical Care Nurse, articles as assigned
Journal of Pediatric Nursing, articles as assigned
Maternal Child Nursing, articles as assigned
Other assigned readings
Teaching Methods
Campus laboratory class discussion
Clinical conference discussion
Case Studies presentations
Reading assignments from textbooks and journal articles
Clinical practice
Campus laboratory practice
Clinical written work
Journal Article presentation
2.0
Student Compliance with Clinical Agency Requirements
All students must comply with clinical agency requirements for documentation of health status and training. The student must keep original documents. Copies are to be turned in to the instructor and placed in the students file in the program directors office. Copies of the following must be on file:
Hepatitis B vaccine
Annual TB screening
Proof of immunity to varicella (titer)
Current Professional Malpractice
Current CPR for healthcare providers
Student Evaluation
See Student Clinical Evaluation forms and Clinical Behavioral Objectives in the adult and pediatric laboratory syllabus sections.
Student Course Grade
Students must be concurrently enrolled in ADN 22A and ADN 22AL. When the student achieves a satisfactory clinical performance evaluation in ADN 22AL, the percentage of the theory grade in ADN 22A will also be the course grade for ADN 22AL. If the student’s clinical performance is less than satisfactory, then the grading policy in the Student’s Handbook will follow. The student must achieve at less a 75% in 22A to continue in the program.
Course Instructors Office Telephone
Ronda Wood, R.N-BC., M.N. EdD., lead C100 N 938-4615
Sigrid Sexton, R.N., M.S.N., F.N.P. C100-O 938-4799
Office hours for faculty are posted on individual office doors. Faculty are also available by email and cell phone or pager.
2.1
Long Beach Community College District
LONG BEACH CITY COLLEGE
Associate Degree Nursing Program
ADN 22AL Advance Critical Care Lifespan Laboratory
COURSE OUTLINE
Lab includes application of all theory taught in ADN 22A, reinforcement of previously learned skills, and new skills in the campus laboratory and clinical settings.
II. Adult Complex Health Deviations
E. Complex health deviations involving the self-care requisites of
4. Sufficient intake of air
5. Prevention of hazards to human life, human functioning and human well-being.
6. Promotion of normalcy
F. Pathological conditions and prescribed medical diagnostic and therapeutic measures associated with cardiovascular disorders and respiratory dysfunction in the adult
G. Developmental self-care requisites of the critically ill adult
H. Educative/supportive role of the nurse in the provision of care for the adult and his/her family
III. Child Health Deviations
F. Growth and Development of the pediatric population from infancy to adolescence
G. Developmental self care requisites of the hospitalized child
H. Health deviations involving the self care requisites of:
9. Sufficient intake of air
10. Sufficient intake of water
11. Sufficient intake of food
12. Maintenance of balance between activity/rest
13. Solitude and social interaction
14. Care associated with elimination processes
15. Hazards to human life
16. Promotion of normalcy
I. Health deviations associated with the infant to adolescent and their prescribed medical, diagnostic, nursing and therapeutic measures
J. Educative/supportive role of the nurse in care of the child and his/her family.
III. New skills: Medication Administration using IV push method, IV drip calculations and pediatric IV medication calculation.
2.2
Long Beach Community College District
LONG BEACH CITY COLLEGE
Associate Degree Nursing Program
ADN 22AL Advanced Nursing Critical Life Span
Conceptual Framework: Orem’s Self-Care Model
| | | |
| |THEORY IMPLEMENTATION |CLINICAL IMPLEMENTATION |
|SELF CARE THEORY | | |
| | | |
|Health Deviation of Self-care requisites |The Universal Self Care Requisites serve |Students apply all previously learned skills in the|
|related to the needs of pediatric patients|as an outline for learning. The concept |new settings of pediatric and critical care units. |
|and critically ill adults generated by |of Health Deviation Self Care Requisites |The student will care for 2 pediatric patients or 1|
|illnesses and medical diagnostic |is discussed with emphasis placed on the |critically ill adult patient each day in clinical. |
|procedures and treatments. |pediatric patient and the critically ill | |
| |adult patient. |Students use the nursing process as they continue |
| | |to assess, plan set goals, intervene, and evaluate |
| | |patients across the life span from infancy to the |
| | |critically ill adult based on all eight USCR. |
| | | |
| | |Students develop a nursing care plan and provide |
| | |care in the wholly compensatory, partially |
| | |compensatory, and educative/supportive modes. |
| | | |
| | |During campus labs and in clinical students apply |
| | |their knowledge of USCR and identify Health |
| | |Deviations pertaining to all eight areas. |
| | | |
| | | |
| | | |
| | | |
2.3
Long Beach Community College District
LONG BEACH CITY COLLEGE
Associate Degree Nursing Program
ADN 22AL Advanced Nursing Critical Life Span
COURSE REQUIREMENTS
During this course each student will:
1. Arrive to clinical prepared and on time.
2. Independently review any material from previous required courses as needed.
3. Behave appropriately in the clinical (appropriate behavior will be defined by the teaching team and the student handbook).
4. Review student handbook and college policies for policies such as academic honesty policy, submodule policy, health requirements policy, etc.
5. Achieve at least 75% in theory testing by the end of the course to maintain status in the program.
6. Achieve at least a 93% on the Math test by the assigned due date.
7. Suctioning Skill testing by due date.
8. Use appropriate terminology verbally and in writing.
9. Assume responsibility for meeting behavioral objectives and test in the event of absence from class.
10. Integrate the LBCC conceptual framework into the care plans and case study format.
2.4
Long Beach Community College District
LONG BEACH CITY COLLEGE
Associate Degree Nursing Program
ADN 22AL – Advanced Nursing Critical Care Lifespan Laboratory
Entry and Exit Skills
Entrance Skills
Upon entrance to ADN 22AL, the student will demonstrate the following skills, concepts and/or information:
1. Readiness to utilize critical thinking and decision making in a rapidly changing environment.
2. Ability to adapt Orem’s Nursing Theory and the nursing process to a more complex environment in the clinical setting.
3. Readiness to utilize the therapeutic communication skills in the care of the critically ill and/or pediatric client and their families.
4. Readiness to perform medical-surgical skills at a higher technological level with progressive independence.
5. Readiness to develop skills as a functional member of a multi-disciplinary team.
Exit Skills
Upon completion of ADN 22AL the student will demonstrate competence in the following skills, concepts and/or information:
1. Application of theory taught in ADN 22A to the adult patient in the critical care setting and to the pediatric patient in a wide range of settings.
2. Continuing application of theory taught in all previous courses in the ADN program.
3. Competency in the ADN 22AL procedural skills required in nursing care of the critical care and pediatric patient including suctioning of the ventilated patient, care of the patient on the ventilator, and medication administration for the pediatric patient.
4. Continuing competency in all procedural skills taught in all previous lab courses in the ADN program.
5. Progressive competency in the RN role as demonstrated by caring for pediatric and critically ill patients.
6. Organization and time management skills needed to care for critically ill and pediatric patients with complex needs.
7. Application of proper principles of English usage and mechanics to the health care setting by communicating with patients, instructors, and staff verbally and in writing; and by preparing nursing care plans and recording the application of the nursing process in the medical record.
2.5
Long Beach Community College District
LONG BEACH CITY COLLEGE
Associate Degree Nursing Program
ADN 22AL - Advanced Nursing Critical Care Lifespan Laboratory
ADN 22AL Learning Outcomes
Upon satisfactory completion of the course, the student will be able to demonstrate the following learning outcomes:
Professional Role
• Communicate with members of the health care team in a professional manner.
• Practice as a professional and patient advocate.
Communication
• Utilize therapeutic communication skills when interacting with patients, family and the healthcare team.
Orem Self Care Theory as it relates to the Nursing Process
• Demonstrate the principles of Orem’s Self Care Theory with the critically ill adult and hospitalized child.
• Demonstrate components of the nursing process with the critically ill adult and hospitalized child.
Critical Thinking
• Exhibit critical thinking in the application of learned theory to the critically ill adult and hospitalized child.
Safety
• Provide patient care in a safe manner and recognize unsafe practices.
• Recognize and alleviate potential health hazards in the critically ill adult and hospitalized child.
Teaching/Learning
• Teach the patient and family about the health deviations.
• Design patient/family education plans and utilize the nursing process to teach patients/families.
Collaborative Management of Care
• Prioritize and evaluate all aspects of patient care in a cost efficient manner.
• Manage the care of a critically ill adult patient.
Manage the care of multiple hospitalized children.
2.6
Long Beach Community College District
LONG BEACH CITY COLLEGE
Associate Degree Nursing Program
ADN 22A – Advanced Critical Life Span
CHALLENGE OPTION
ADN 22AL
General Announcement
Students interested in challenging must let the instructor know by the last day of the first week of the course. The student should complete the department “Application for Challenge by Examination for ADN 22AL” and complete the college formal application for challenge by examination. Upon acceptance of the challenge option by the teaching team, an appointment will be made for the student to take the written theory exam at the beginning of the second week of the course.
Written Test
A 150 point comprehensive, objective (NCLEX style) test will be given. The student must achieve a minimum score of 75% to continue with the challenge.
Upon successful completion of the ADN 22A course challenge, the student then proceeds to the next step; the challenge of ADN 22AL.
Challenge of ADN 22AL
The student submits the department “Application for Challenge by Examination for ADN 22AL” and the college application for challenge by examination.
Case Study
The student will complete two written case studies; one for a pediatric patient and one for a critical care patient to be assigned by the instructor. The case studies are due by the last day in the second week of the course.
Clinical
Clinical assessment will be individualized to evaluate the clinical competency of the student. The student is advised to attend clinical orientation day. The student and instructor will plan a specified number of days, not less than two, on a pediatric and critical care unit. During this time, the student is to demonstrate competencies expected of a student at the end of ADN 22AL.
Grade for ADN 22AL
If successful, the grade earned for ADN 22AL will be the same that is earned in the challenge of ADN 22A.
Completion of the Challenge Option for both ADN 22A and ADN 22AL
All the components of the challenge are to be completed by the end of the third week.
2.7
APPLICATION FOR CHALLENGE BY EXAMINATION
ADN 22AL- Advanced Critical Life Span
Student Name________________________________ Date____________________
Student complete section A below:
A. Justification of this request:
Student Signature_____________________________________
Teaching team complete section B below:
B. Decision: Yes________ If yes, write contract below.
No________ If no, state reason for denial.
C. Contract
Case study completed by ___________________________
Clinical assessment completed by __________________________
Signatures:
Lead Instructor: _____________________________ Date:___________________
Instructor:__________________________________ Date:___________________
Instructor:__________________________________ Date:___________________
Student:____________________________________ Date:___________________
D. Disposition of Challenge_________________________________________________
2.8
Long Beach Community College District
LONG BEACH CITY COLLEGE
Associate Degree Nursing Program
ADN 22AL Advance Critical Care Lifespan Laboratory
SKILLS ASSESSMENT EXPECTATIONS
It is the philosophy of the faculty of nursing department that students be held accountable for all skills learned previously in the nursing program.
Listed below are the skills that were taught and tested to this point in the program. The student is responsible for being prepared to perform these skills in the clinical area under supervision, with minimal on-the-spot review or teaching required.
Students are strongly encouraged to practice all previously tested skills in the skills lab if the student believes that he/she is not able to safely perform previously learned skills. Additional resources may be utilized to assist the student with mastery of a skill. These include: viewing the DVD’s of skills; using skill assessment sheets from previous courses to assure that all critical elements are included in performance; making an appointment with an instructor in skills lab for assistance; and/or reviewing the hospital procedure manual.
If the student is unable to perform a previously learned skill with 100% accuracy in the clinical area the student will be sent out of the clinical area to the campus skills lab to practice. Before being readmitted to the clinical area verification from a campus lab instructor will be required to assure accuracy.
LIST OF SKILLS
a. Performing ADL’s: bathing, oral care and bed making
b. Applying soft restraints, anti-embolic stockings
c. Transferring, positioning, and ambulating patients
d. Performing ROM
e. Taking vital signs: blood pressure, respirations, temperature and apical pulse
f. Performing a head to toe assessment including: neurological, cardiovascular, respiratory, gastrointestinal, genitourinary, integumentary, and musculoskeletal.
g. Giving an enema
h. Applying a condom catheter
i. Performing open gloving
j. Performing closed bladder instillation
k. Obtaining a urine specimen from a Foley catheter
l. Performing a catheterization with a Foley or a straight catheter
m. Discontinuing a Foley catheter
n. Performing a sterile dressing change
2.9
o. Preparing and administering medications via: oral, intradermal, intramuscular, subcutaneous, intravenous, N/G and G-Tube
p. Checking N/G for residual/placement of NG tube
q. Combining parenteral drugs
r. Intravenous Therapy: changing IV bottles or bags, changing IV tubing, setting up intravenous solutions, discontinuing an IV, calculating the rate of an IV, managing an IVSS and giving medications via an IVSS.
s. Assessing intravenous site for signs of infiltration and/or inflammation
t. performing nasogastric tube skills: insertion, irrigation, gavage
u. Following protocol for contact and respiratory isolation
v. Standard precautions
w. Performing obstetrical skills: OB check, pericare, perilight, sitz bath
x. Performing oral-nasopharygeal and tracheal suctioning
y. Assessing and maintaining of chest tube to underwater seal drainage
z. Performing pre-op and postop care
aa. Positioning and care during pelvic examination
ab. Applying an abdominal binder
ac. Teaching self- breast examination
ad. Applying hot and cold devices
ae. Palpating pedal pulses
af. Performing tracheostomy care
ag. Opening sterile supplies
ah. Moving around and "closing in" a sterile field
ai. Complete physical assessment including cardiovascular, neurological, and abdominal assessment
The theory and lab portion of this course must be taken concurrently and both theory and lab must be passed in order for the student to proceed in the program. The student will receive the same letter grade for theory and for lab unless he/she is less than satisfactory clinically in which case the policy in the Student Handbook for marginal or unsatisfactory clinical ratings will be followed.
2.10
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EDITED BY:
Ronda Wood, RN-BC, MN, EdD
Sigrid Sexton, RN, MSN, FNP
Julie Bean, RN, MSN
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