Introduction to Professional Nursing Practice



|[pic] | |National AmericanUniversity Course Syllabus |

Quarter: Spring 2014

Course Title: Holistic Nursing Care in Acute Illness I

Course ID: NS3360

Credit Hours: 7

Prerequisites: none

Faculty:

Name: Lori Baldrige, RN, BSN, MSN

Phone: 952-356-3693

Email: lbaldrige@national.edu

Office Hours: TBD

Skills Lab Faculty:

Name: Jessie Daniels, RN, MA

Phone: 952-356-3689

Email: jdaniels@national.edu

Office Hours: TBD

Class Time:

Theory: Wednesday: 1000-1200, 1300-1500.

Seminar: Tuesday: 0900-1100

Lab: Group A: Tuesday 1200-1600

Group B: Thursday 0900-1300

Course Description:

This course focuses on the foundational concepts, principles and techniques of beginning and intermediate psychomotor skills necessary to provide holistic and culturally congruent nursing care for clients in the acute, sub-acute and long-term care setting in order to promote physical restoration, maintenance or independence. Emphasis is placed on the management and adaptation of clients with acute illness or exacerbations of chronic illness. Students will learn to provide physical nursing care, and to perform delegated medical treatments.

Text Books:

|Book Title |

|Edition |

|Author |

|Date |

|Publisher |

|ISBN |

| |

|Contemporary Psychiatric Mental Health Nursing |

|3rd. ed. |

|Kneisl & Trigoboff |

|2013 |

|Pearson |

|9780132557771 |

| |

|Fundamentals of Nursing - Text and Clinical Companion Package |

|8th ed. |

|Potter, Perry, Stockert & Hall |

|2013 |

|Elsevier |

|9780323091800 |

| |

|HESI Case Study: Complete RN Collection 2012, 2 year version |

| |

|HESI |

|2011 |

|Elsevier |

|9781455727063 |

| |

|Medical-Surgical Nursing - Two-Volume Text and Study Guide Package: Assessment and Management of Clinical Problems |

|9th ed. |

|Lewis, Dirsdon, Heitkemper, Bucher, & Camera |

|2013 |

|Elsevier |

|9780323294577 |

| |

|Nursing 2014 Drug Handbook with Web Toolkit (do not purchase if you already own a prior edition) |

|34th ed. |

|Lippincott |

|2014 |

|Lippincott |

|9781451186352 |

| |

|Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care |

|10th ed. |

|Ackley |

|2014 |

|Mosby/Elsevier |

|9780323085496 |

| |

|Publication Manual of the American Psychological Association |

|6th ed. |

|American Psychological Association |

|2010 |

|American Psychological Association |

|9781433805615 |

| |

|Fundamentals of Nursing - Study Guide.. - to Accompany Potter |

|8th edi |

|Ochs & Potter, Perry, Stockert, Hall |

|2013 |

|Elsevier |

|9780323084697 |

| |

|Davis's Comprehensive handook of Lab and Diagnostic Tests with Nursing Implications |

|5th edi |

|Leeuwn, Poelhuis- Leth, & Bladh |

|2012 |

|FA Davis |

|9780803636644 |

| |

|Clinical Simulations for Nursing Education: Learner Volume |

|12th ed. |

|Gasper & Dillion |

|2012 |

|FA Davis |

|9780803621800 |

| |

|Calculation of Drug Dosages: A work text |

|9th edi |

|Ogden & Fluharty |

|2011 |

|Elsevier |

|9780323077538 |

| |

Textbook and Study Materials Guidelines:

Prior to each nursing course, it is the student’s responsibility to purchase all required textbooks including study guides, workbooks, and case studies, etc. It is highly recommended that students retain all textbooks and study materials until completion of the nursing clinical core, as most of the materials are used in multiple quarters throughout the nursing program.

The edition of the textbooks and study materials on each cohort’s textbook list will be utilized throughout the nursing program. Re-entry nursing students may be required to purchase current textbook editions consistent with the re-entry cohort.

System Assessment:

System Research Requirements:

Objectives of the Course:

Upon successful completion of this course, the student will be able to:

1. Demonstrate theoretical principles and ability to perform safe, effective and efficient psychomotor skills.

Knowledge and skills leading to mastery of this competency

a. Explain the interrelationships among theory, practice, and research.

b. Integrate theories and concepts from liberal education into nursing practice.

c. Determine the application of psychomotor skills for the efficient, safe, and compassionate delivery of client care.

d. Maintain optimum level of pain relief, oxygenation, patency of airway, administration of intravenous therapy, and integrity of medical supplies and equipment.

e. Promote respiratory, circulatory, cardiopulmonary, gastrointestinal, genitourinary, integument, and musculoskeletal functioning.

f. Promote the nutrition and fluid balance, elimination, physical activity, restoration or maintenance of physical independence, physical comfort, rest and sleep, and personal hygiene of the client.

2. Acquire knowledge that promotes the safe delivery of prescribed medications.

Knowledge and skills leading to mastery of this competency;

a. Establish a foundational understanding of the medication administration process.

b. Identify sources of information necessary to administer prescribed medication, including compatibility and interactions among prescribed medications and complementary substances.

c. Determine the safe range of the dosage prescribed.

d. Calculate dosage necessary to administer prescribed medications.

e. Determine the appropriateness of the route for administration of prescribed medication.

f. Demonstrate the ability to prepare and administer prescribed medication.

g. Determine the effectiveness of the prescribed medication.

h. Demonstrate the ability to follow procedure for working with controlled substances.

3. Explain the purposes, rationales, and indications for various nursing actions.

Knowledge and skills leading to mastery of this competency;

a. Incorporate a model of critical thinking when making clinical judgments and decisions.

b. Cite nursing and associated literature that supports the nursing action.

c. Deliver compassionate, client-centered, evidence-based care that respects client and family preferences.

d. Explore phenomena in nursing that relates to the human response to illness.

4. Acquire knowledge from the behavioral, biological and physical sciences necessary to provide simple to intermediate level nursing actions.

Knowledge and skills leading to mastery of this competency;

a. Synthesize theories and concepts from liberal education to build an understanding of the human experience

b. Identify sources of information necessary to deliver nursing actions to clients and families who are experiencing illness.

c. Incorporate theories of aging when providing care for gerontologic clients.

d. Explore the Patterns of Knowing.

5. Document pertinent, accurate and complete client care information.

Knowledge and skills leading to mastery of this competency;

a. Incorporate a standardized terminology in a care environment that reflects nursing’s unique contribution to patient outcomes.

b. Examine information and electronic medical record systems used to document client information.

c. Explain the use of CIS systems to document interventions related to achieving nurse sensitive outcomes.

6. Demonstrate advancing knowledge and skill in implementing the nursing process in client care and critical thinking activities.

Knowledge and skills leading to mastery of this competency;

a. Articulate the components of the nursing process: Assessment, diagnosis, outcome identification, planning, implementation, and evaluation.

b. Relate the six components of the nursing process to the nurse’s clinical reasoning.

c. Discuss the significance of nursing diagnosis for nursing practice.

d. Differentiate between a medical and nursing diagnosis.

e. Discuss the categorization of nursing diagnosis by functional health patterns.

f. Explore the four types of diagnostic statements: Actual, risk, possible, and wellness.

g. Explain the purposes of outcome identification and planning.

h. Explore Nursing Outcomes Classifications and Nursing Intervention Classification.

i. Explain the purposes of implementation and evaluation.

j. Explain activities the nurse carries out to effectively use the nursing process.

7. Explore the stress, anxiety, coping and adaptation of the client and family.

Knowledge and skills leading to mastery of this competency;

a. Investigate the concepts of stress, anxiety, coping and adaptation. b. Evaluate person environment factors that contribute to the experience of stress and anxiety.

c. Examine the importance of cognitive appraisal in experiencing stress.

d. Determine strategies to manage stress and illness.

e. Determine when problem-focused and emotion-focused coping should be used.

f. Categorize pharmacological therapies used to treat anxiety disorders.

g. Summarize adaptation in terms of health, psychological well-being, and social function

Academic Integrity Policy:

Please refer to the NAU undergraduate catalog () and the SON student handbook ().

Attendance Policy:

Please refer to the NAU undergraduate catalog () and the SON student handbook ().

Teaching/Learning Strategies:

Individual and group work

Critical thinking exercises

Audiovisuals

Demonstrations/lab performance

Lecture

Case Studies

Note that effective winter 2013-2014, faculty assess student knowledge through NCLEX-style questions for a minimum of 80% of the course grade.

Assessment Methods:

Theory Unit Exams

• NCLEX-style questions

• Dosage Calculations

Skills Exams

Written/submitted assignments

Skills Validation/ Lab Performance

Simulation

Case Studies – NCLEX style questions

Effective spring 2014, the SON will implement the following guidelines:

One or more proctored ATI exams will be administered at designated times during the quarter. Please refer to the course calendar for details. Students who achieve the benchmark of Level 2 proficiency or better on the first attempt of the applicable exam will receive points toward the course final examination score, not to exceed a total score of 100%. Point values will be awarded based on the following criteria:

Level 3 proficiency – 5 points

Level 2 proficiency – 3 points

Level 1 proficiency or below – 0 points

For courses in which multiple ATI exams are given, point values will be awarded for the first attempt of each applicable exam and applied to the course final exam (not to exceed a total score of 100%). Points will not be awarded for the Critical Thinking: Entrance, Critical Thinking: Exit, or RN Comprehensive Predictor exams.

Grading Scale:

A= 94-100%

B= 86-93%

C= 78-85%

D= 66-77%

F= 65%- below

***PLEASE NOTE: The course letter grade will be the grade achieved in the theory component. The lab/seminar component of the course will be pass/fail. The theory component and laboratory component must each be passed at 78%.

Failure to achieve a passing grade in a theory or clinical course will result in the failure of the associated theory or clinical course.

For nursing courses that contain theory and lab portions, or theory, clinical, and/or preceptorship portions: Failure to achieve a passing grade in the theory portion of the course, and a “P” or “S” in the associated lab, clinical, and/or preceptorship portions, will result in a failing grade of “F” for the course, in which case the student will be required to repeat the entire course.

Theory Content:

This content outline is a guide and is subject to change.

|Week |Learning Plans |Learning Activities |

|Week 1 |Course Introduction |Lewis Chapters: |

| |Perioperative Care |18: Preoperative Care |

| | |19 Intraoperative Care |

| | |20 Postoperative Care |

| | |ATI Adult Medical-Surgical Chapters: |

| | |107:Anesthesia and Moderate (Conscious) Sedation |

| | |108: Preoperative Nursing Care |

| | |109: Postoperative Nursing Care |

| |Upper and Lower Respiratory Problems |Lewis Chapters |

|Week 2 |Musculoskeletal Disorders |26: (review) Respiratory System |

| | |27: Upper Respiratory Problems |

| | |28: Lower Respiratory Problems |

| | |62: (review) Musculoskeletal System |

| | |63: Musculoskeletal Trauma and Orthopedic Surgery |

| | |ATI Adult Medical-Surgical Chapters: |

| | |20: Airway Management |

| | |21: Oxygen Therapy and Mechanical Ventilation |

| | |24: Pneumonia |

| | |25: Tuberculosis |

| | |28: Pulmonary Embolism |

| | |78: Musculoskeletal Diagnostic Procedures |

| | |79: Musculoskeletal Surgical Procedures |

| | |80: Amputations |

| | |81: Osteoporosis |

| | |82: Fractures |

| |Pain Management |Lewis Chapters: |

|Week 3 |Stress and Stress Management |10: Pain |

| | |8: Stress and Stress Management |

| | |Perry and Potter Chapters: |

| | |43: Pain Management |

| | |ATI Adult Medical-Surgical Chapters: |

| | |4: Pain Management |

| | |105: Pain Management for Clients with Cancer |

| | |ATI Fundamentals Chapters: |

| | |33: Coping |

| |Exam #1 |ATI Practice Assessment: |

| | |Targeted Med/Surg: Respiratory |

| |Introduction to Hematology and Lab Interpretation |Lewis Chapters: |

|Week 4 |Blood Transfusions |30: Hematological System |

| | |ATI Adult Medical-Surgical Chapters: |

| | |43: Hematologic Diagnostic Procedures |

| |Fluid and Electrolytes |Lewis Chapters: |

|Week 5 |Acid-Base Balance |17: Fluid, Electrolyte, and Acid-Base Imbalances |

| | |Perry and Potter Chapters: |

| | |41: Fluid, Electrolyte, and Acid-Base Balance |

| | |ATI Adult Medical-Surgical Chapters: |

| | |48: Fluid Imbalance |

| | |49: Electrolyte Imbalance |

| | |50: Acid-Base Imbalance |

| | |ATI Fundamentals Chapters: |

| | |56 Fluid and Electrolyte Imbalances |

| | |ATI Practice Assessment: |

| | |Fundamentals |

| |Exam #2 | |

| |Nutritional Problems |Lewis Chapters: |

|Week 6 |Inflammation and Skin Healing |13: Inflammation and Wound Healing |

| |Integumentary Disorders |23: (review) Integumentary system |

| | |24: Integumentary Problems |

| | |40: Nutritional Problems |

| | |Perry and Potter Chapters: |

| | |48: Skin Integrity and Wound Care |

| | |ATI Adult Medical-Surgical Chapters: |

| | |86: Pressure Ulcers, Wounds, and Wound Management |

| | |ATI Nutrition for Nurses Chapters: |

| | |11: Barriers to Adequate Nutrition |

| | |13: Gastrointestinal Disorder |

| | |ATI Fundamentals Chapters: |

| | |39: Nutrition and Oral Hydration |

| | |55: Pressure Ulcers, Wounds, and Wound Management |

| |Upper and Lower Gastrointestinal Problems |Lewis Chapters: |

|Week 7 | |39: (review) Gastrointestinal System |

| | |42: Upper Gastrointestinal Problems |

| | |43: Lower Gastrointestinal Problems |

| | |Perry and Potter Chapters: |

| | |46: Bowel Elimination |

| | |ATI Adult Medical-Surgical Chapters: |

| | |51: Gastrointestinal Diagnostic Procedures |

| | |52: Gastrointestinal Therapeutic Procedures |

| | |53: Esophageal Disorders |

| | |54: Peptic Ulcer Disease |

| | |55: Acute and Chronic Gastritis |

| | |56: Appendicitis |

| | |57: Intestinal Obstruction |

| | |58: Inflammatory Bowel Disease |

| | |59: Colorectal Cancer |

| | |ATI Practice Assessment: |

| | |Targeted Med/Surg:Fluid & Electrolytes |

| |Exam #3 | |

| |Infection Control |Lewis Chapters: |

|Week 8 |Infectious Disease |15: Infection and HIV infection |

| | |Perry and Potter Chapters: |

| | |28: Infection Prevention and Control |

| | |ATI Adult Medical-Surgical Chapters: |

| | |106: Bacterial, Viral, Fungal, and Parasitic Infections |

| |Renal and Urological Problems |Lewis Chapters: |

|Week 9 |Liver, Pancreas, and Biliary Tract Problems |45: (review) Urinary System |

| | |46: Renal and Urologic Problems |

| | |44: Liver, Pancreas, and Biliary Tract Problems |

| | |ATI Adult Medical-Surgical Chapters: |

| | |60: Cholecystitis and Cholelithiasis |

| | |61: Pancreatitis and Pancreatic Cancer |

| | |62: Hepatitis and Cirrhosis |

| | |64: Renal Diagnostic Procedures |

| | |67: Acute Glomerulonephritis |

| | |69: Infections of the Renal System |

| | |70: Renal Calculi |

| |Exam #4 |71: Voiding Disorders |

| | |ATI Practice Assessment: |

| | |Targeted Med/Surg: Gastrointestinal |

| |Obesity |Lewis Chapters: |

|Week 10 | |41: Obesity |

| |Final |ATI Practice Assessment: |

|Week 11 | |Targeted Med/Surg: Renal & Urinary |

Course Specific Guidelines:

WRITTEN WORK POLICY FOR THEORY:

See the calendar for due dates of written work

5% of total points will be deducted each day) for any late assignments.

Assignments are due by 2359 on the scheduled due date.

All assignments are to be done in APA format. No handwritten work will be accepted, no exceptions.

Student Responsibilities:

• Students must adhere to the policies listed in the NAU undergraduate catalog (), the NAU student handbook (), and the SON student handbook ().

• Student must also remain compliant with the policies of the nursing program and the university.

|Graded Assignments and Exams |Points Possible |Due Date |Points |

| | | |Earned |

|Assignments 40% of total grade |

|Lesson Plan 1 | | | |

|Class Points |5 points |3/12 | |

|HESI Case Study Perioperative Care |25 points |3/14 | |

|Lesson Plan 2 |5 points |3/19 | |

|Class Points |25 points |3/21 | |

|HESI Case Study Rheumatoid Arthritis with Joint Arthroplasty | | | |

|Lesson Plan 3 | | | |

|Class Points |5 points |3/26 | |

|Lesson Plan 4 | | | |

|Class points |5 points |4/2 | |

|Blood Transfusion Worksheet |30 points |4/11 | |

|HESI Case Study Pain |25 points |4/4 | |

|Lesson Plan 5 | | | |

|Class Points |5 points |4/9 | |

|Fluid & Electrolyte Worksheet |60 points |4/18 | |

|HESI Case Study Fluid Balance |25 points |4/11 | |

|Lesson Plan 6 | | | |

|Class Points |5 points |4/16 | |

|Lesson Plan 7 | | | |

|Class Points |5 points |4/23 | |

|HESI Case Study Skin Integrity |25 points |4/25 | |

|Lesson Plan 8 | | | |

|Class Points |5 points |4/30 | |

|Lesson Plan 9 | | | |

|Class Points |5 points |5/7 | |

|HESI Case Study Peptic Ulcer Disease |25 points |5/9 | |

|Lesson Plan 10 | | | |

|Class Points |5 points |5/14 | |

|HESI Case Study HIV and TB |25 points |5/16 | |

|Simulation |

|Pneumonia |30 points |3/27, 3/28 | |

|Hip fracture |30 points |5/1, 5/2 | |

|Assignments |375 points | | |

|EXAMS 60% of total grade |

|Exam 1 ATI Practice Assessment: Respiratory |30 points |3/26 | |

|Exam 2 ATI Practice Assessment: Fundamentals |30 points |4/9 | |

|Exam 3 ATI Practice Assessment: Fluid & Electrolytes |30 points |4/23 | |

|Exam 4 ATI Practice Assessment: Gastrointestinal |30 points |5/7 | |

|Final ATI Practice Assessment: Renal & Urinary |60 points |5/21 | |

|Exams |180 points | | |

|*ATI bonus points: Practice tests taken until 100% will earn 3 extra exam points if completed | | | |

|before exam, 6 extra points for final. | | | |

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