NURS 1327 – Transition from Vocational to Professional Nursing



Unit II – Associate Degree Nursing Competencies

Part A – Technical Competencies

|Behavioral Objectives |Content Outline |Clinical Objectives |Learning Opportunities |

|Review the role of the nurse in the safe |Pharmacological Safety |Take client history using structured and|Read: |

|administration of medications, including intravenous |Medication administration |unstructured data collection tools to |Berman & Snyder (2012) |

|therapy. |Source of information |obtain physical, psychosocial, | |

| |Drug information |spiritual, cultural, familial, |Adams (2011) |

| |Factors affecting disage variation/drug actions |occupational, environmental information,| |

| |Roles of the health care team |risk factors, and client resources. |Lewis (2011) |

| |Drug orders | | |

| |Nurse’s role |Perform assessment to identify health |McKinney (2009) |

| |Five rights |needs and monitor for change in health | |

| |Routes of administration |status. |Estes (2010) |

| |Calculating dosages | | |

| |Psychological issues |Validate, report, and document | |

| |Recording of medications |assessment data using assessment tools. |Required: MyNursingLab |

| |Medication errors | | |

| |Medication reconciliation |Perform therapeutic and preventive |Module 4 – Physiological Aspects of Nursing |

| |Fluid and electrolyte balance |nursing measures and administer |Lesson 13 – Fluid & Electrolyte |

| |Body fluid distributions |treatments and medications as authorized|Lesson 14 – Medication Administration |

| |Electrolyte composition of body fluid |by law and determined by the BON. | |

| |Methods of movement | |Module 3 - Assessing Health Status |

| |Regulatory mechanisms |Collaborate with other health care |Lesson 1: Health History |

| |Fluid imbalance |providers with treatments and |Lesson 2: Techniques of Physical Assessment |

| |Dehydration |procedures. |Lesson 3: Vital signs |

| |Hypovolemia | |Do pretest, content, and posttest |

| |Hypervolemia | | |

| |Electrolyte imbalance | | |

| |Assessment of hydration | |Videos at HSC: |

| |Intravenous therapy | |#1116 – Denver Developmental Screening Test |

| |Types of solutions | | |

| |Regulating flow rates | |CD-ROM: |

| |Intravenous piggy back medications | |# 4096 – The Ten Minute Assessment of the Adult (on |

| |Intravenous push medications | |Blackboard) |

| |Complications of IV therapy | | |

| | | | |

| | | |TVCC Library – Nursing Education in Video |

| | | | |

|Identify factors to be included in assessing clients |Health history/assessment | |Rapid physical assessment |

|across the life span in a variety of settings. |Data collection | | |

| |Ethical considerations | |Documentation |

| |Interview techniques | | |

| |Reducing anxiety | |Physical Assessment of a Child |

| |Cultural awareness | | |

| |Personal awareness | |Fluid & electrolyte balance |

| |Content of the interview | | |

| |Biographical data (demographics) | | |

| |Informant/client profile | | |

| |Height | | |

| |Weight | | |

| |Growth chart | | |

| |Age | | |

| |Sex | | |

| |Race | | |

| |Chief complaint | | |

| |History of present illness (or present concern) (HPI) | | |

| |Location | | |

| |Radiation | | |

| |Quality | | |

| |Quantity | | |

| |Associated manifestations | | |

| |Aggravating factors | | |

| |Alleviating factors | | |

| |Setting | | |

| |Timing | | |

| |Prior medical history (PMH) | | |

| |Medication – Prescription & over the counter | | |

| |Medical illnesses | | |

| |Childhood | | |

| |Adult | | |

| |Allergies | | |

| |Surgeries and diagnostic procedures | | |

| |Hospitalizations | | |

| |Immunizations | | |

| |Trauma | | |

| |Transfusions | | |

| |Family History | | |

| |Hereditary | | |

| |Communicable | | |

| |Environmental | | |

| |Blood vs. adopted | | |

| |Social History | | |

| |Tobacco | | |

| |Alcohol | | |

| |Illicit drugs | | |

| |Marital status/family structure/role in the family | | |

| |Living arrangements/sexual practices | | |

| |Economic status/sources of income | | |

| |Occupational history | | |

| |Education | | |

| |Mode of transportation/travel history | | |

| |Availability of help | | |

| |Social/recreation activities | | |

| |Home environment | | |

| |Physical | | |

| |Psychosocial | | |

| |Work environment | | |

| |Developmental considerations (Erickson’s Stages of Development) | | |

| |Infant | | |

| |Child | | |

| |Denver Developmental Screening Test (DDST) | | |

| |Adolescent | | |

| |Adult | | |

| |Gerontologic | | |

| |Functional Assessment | | |

| |Pregnant client | | |

| |Special needs client | | |

| |Review of systems | | |

| |General | | |

| |Neurological | | |

| |Psychological | | |

| |Skin | | |

| |Eyes | | |

| |Ears | | |

| |Nose and sinuses | | |

| |Mouth | | |

| |Throat/neck | | |

| |Respiratory | | |

| |Cardiovascular | | |

| |Breasts | | |

| |Gastrointestinal | | |

| |Urinary | | |

| |Musculoskeletal | | |

| |Female reproductive | | |

| |Male reproductive | | |

| |Nutrition | | |

| |Endocrine | | |

| |Lymph nodes | | |

| |Hematological | | |

| |Cultural assessment | | |

| |Racial and ethnic groups | | |

| |Cultural beliefs | | |

| |Self-care practices | | |

| |Major beliefs and values | | |

| |Language barriers and communication styles | | |

| |Role of family | | |

| |Spousal relationships | | |

| |Parenting styles | | |

| |Spiritual assessment | | |

| |Nature of clients spiritual beliefs | | |

| |Nature of clients spiritual support | | |

| |How beliefs impact health care | | |

| |State of well-being or distress | | |

| |Nutritional assessment | | |

| |Appearance | | |

| |Daily intake | | |

| |Appetite | | |

| |Difficulty eating, chewing, swallowing | | |

| |Dental | | |

| |Vitamin and mineral supplements | | |

| |Physical examination | | |

| |Techniques | | |

| |Measurement | | |

| |Inspection | | |

| |Auscultation | | |

| |Percussion | | |

| |Palpation | | |

| |General appearance | | |

| |Vital signs | | |

| |Respirations | | |

| |Pulse | | |

| |Sites | | |

| |Rate | | |

| |Rhythm | | |

| |Temperature | | |

| |Blood pressure | | |

| |Skin | | |

| |Color | | |

| |Moisture | | |

| |Texture | | |

| |Turgor | | |

| |Edema | | |

| |Hair | | |

| |Color | | |

| |Distribution | | |

| |Texture | | |

| |Scalp | | |

| |Nails | | |

| |Color | | |

| |Shape | | |

| |Configuration | | |

| |Head and neck | | |

| |Shape | | |

| |Symmetry | | |

| |Thyroid gland | | |

| |Lymph nodes | | |

| |Tracheal position | | |

| |Masses | | |

| |Tenderness | | |

| |Carotid bruits | | |

| |Ear | | |

| |External ear | | |

| |Middle ear | | |

| |Inner ear | | |

| |Auditory screening (voice whisper test) | | |

| |Color | | |

| |Size | | |

| |Placement | | |

| |Nose | | |

| |Shape | | |

| |Patency | | |

| |Sinuses | | |

| |Internal inspection | | |

| |Eyes | | |

| |Vision acuity | | |

| |Color vision | | |

| |Visual fields | | |

| |Lacrimal ducts | | |

| |Drainage | | |

| |Extraocular muscle function | | |

| |Pupil | | |

| |Mouth and throat | | |

| |Breath | | |

| |Lips | | |

| |Tongue | | |

| |Buccal Mucosa | | |

| |Gums | | |

| |Teeth | | |

| |Palate | | |

| |Breasts and regional nodes | | |

| |Color | | |

| |Shape | | |

| |Size and symmetry | | |

| |Contour | | |

| |Lesions and masses | | |

| |Discharge | | |

| |Supraclavicular nodes | | |

| |Infraclavicular nodes | | |

| |Axillary nodes | | |

| |Thorax and lungs | | |

| |Shape of thorax | | |

| |Symmetry of chest wall | | |

| |Presence of superficial veins | | |

| |Costal angle | | |

| |Angle of ribs | | |

| |Intercostal spaces | | |

| |Muscles of respiration | | |

| |Respirations | | |

| |Thoracic expansion | | |

| |Tactile fremitus | | |

| |Breath sounds | | |

| |Heart and peripheral vasculature | | |

| |Precordium | | |

| |PMI | | |

| |Lifts, thrills | | |

| |Jugular venous distention | | |

| |Heart sounds | | |

| |Peripheral vasculature | | |

| |Capillary refill time | | |

| |Arterial pulses | | |

| |Homans sign | | |

| |Abdomen | | |

| |Contour | | |

| |Symmetry | | |

| |Pigmentation and color | | |

| |Scars | | |

| |Striae | | |

| |Respiratory movement | | |

| |Masses and nodules | | |

| |Pulsation | | |

| |Vascular sounds | | |

| |Liver | | |

| |Spleen | | |

| |Stomach | | |

| |Abdomen guarding | | |

| |Tenderness | | |

| |Pain | | |

| |Rebound tenderness | | |

| |Inguinal lymph nodes | | |

| |Bowel | | |

| |Bowel movements | | |

| |Constipation | | |

| |Bowel sounds | | |

| |Urinary tract | | |

| |Voiding | | |

| |Musculoskeletal | | |

| |Overall appearance | | |

| |Posture | | |

| |Gait | | |

| |Mobility | | |

| |Joint contour | | |

| |Range of motion | | |

| |Muscle strength | | |

| |Assistive devices | | |

| |Genitalia | | |

| |Female | | |

| |Pubic hair distribution | | |

| |Skin color/condition | | |

| |External structures | | |

| |Vaginal introitus | | |

| |Urethral meatus | | |

| |Discharge | | |

| |CVA tenderness | | |

| |Male | | |

| |Pubic hair distribution | | |

| |Penis | | |

| |Scrotum | | |

| |Perineum | | |

| |Urethral meatus | | |

| |Discharge | | |

| |CVA tenderness | | |

| |Rectal | | |

| |Fissures | | |

| |Hemorrhoids | | |

| |Sphincter tone | | |

| |Neurological/mental status | | |

| |Facial expression, affect | | |

| |Level of consciousness (LOC) | | |

| |Sensory assessment | | |

| |Motion & position sense | | |

| |Romberg | | |

| |Involuntary movements, tremors | | |

| |Cranial nerves | | |

| |Reflexes | | |

| |Radiological and laboratory information | | |

| |Problem formulation | | |

|Review the nurse’s role in reporting and documenting |III. Reporting/Documenting Client Care | | |

|pertinent client information. |Reporting | | |

| |Principles of effective reporting | | |

| |SBAR | | |

| |Documenting | | |

| |Principles of documentation | | |

| |Methods of charting | | |

| |Legal and practice standards | | |

N: Syllabus/Transition/Transition Unit II Part A Revised 03/13

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