UNIVERSITY OF FLORIDA



UNIVERSITY OF FLORIDA

COLLEGE OF NURSING

COURSE SYLLABUS

SUMMER 2013

COURSE NUMBER NGR 6361C section 7683

COURSE TITLE Nurse-Midwifery Care II

CREDITS 6 (2 credits didactic, 4 credits laboratory)

PLACEMENT Second course in Nurse-Midwifery Clinical Track

PREREQUISITE NGR 6360C: Nurse-Midwifery Care I

FACULTY Jane F Houston DNP, CNM e-mail: houstonj@ufl.edu

Clinical Assistant Professor

Office Hours: Friday 10-12 or by appointment

352/273-6411 (Office)

352 871-0151 (Cell)

|MaryAnn Smith MSN, CNM |Cell 352/316-5516 |Office Hours: Tuesday 4-6 pm |

|Clinical Assistant Professor | | |

|nursemas@ufl.edu | | |

DEPARTMENT CHAIR Susan Schaffer, PhD, ARNP, FNP-BC (Gainesville)

Phone: 352/273-6366 e-mail: sdschaf@ufl.edu

Office Hours: by appointment

CAMPUS DIRECTOR: Andrea Gregg, RN, DSN (Jacksonville)

Phone: 904-244-5172 e-mail: greggac@ufl.edu

Office Hours: by appointment

COURSE DESCRIPTION This is the second of two courses presenting specialized knowledge of current theories and techniques in nurse-midwifery care. The emphasis is on the development of nurse-midwifery management skills in the care of at-risk women seeking primary care, gynecological, antepartal, intrapartal, or postpartal care and at-risk neonates. Care of at risk women from diverse backgrounds across the lifespan is a focus of this course.

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

1. Integrate scientific theories and research findings from nursing and other disciplines into nurse-midwifery practice to provide primary care, gynecological, antepartal, intrapartal, and postpartal care to at-risk clients.

2. Synthesize and apply knowledge of abnormal physiologic and psychosocial aspects to at-risk women and neonates receiving nurse-midwifery care.

3. Demonstrate the role and professional responsibilities of the nurse-midwife in the provision of culturally sensitive care and management of at-risk women and neonates.

4. Collaborate with other health care providers to ensure continuity of care and optimal health care delivery for at-risk nurse-midwifery clients.

5. Analyze major factors contributing to infant and maternal morbidity and mortality in Florida and in the nation.

6. Utilize legal and ethical principles to formulate decisions in an advanced nurse- midwifery practice role.

COURSE SCHEDULE Online lecture via Voice Thread, Live discussions via Adobe Connect (Mondays 7-9pm) Note: Student attendance is required for a two-day intensive session during the semester (see schedule).

E-Learning (Sakai) is the course management system that you will use for this course. E-Learning is accessed by using your Gatorlink account name and password at . There are several tutorials and student help links on the E-Learning login site. If you have technical questions call the UF Computer Help Desk at 352-392-HELP or send email to helpdesk@ufl.edu.

It is important that you regularly check your Gatorlink account email for College and University wide information and the course E-Learning site for announcements and notifications.

Course websites are generally made available on the Friday before the first day of classes.

CLINICAL SCHEDULE

TBA

ATTENDANCE

Students are expected to be present for all classes, other learning experiences and examinations. Students who have extraordinary circumstances preventing attendance should explain these circumstances to the course instructor prior to the scheduled class or clinical lab, or as soon as possible thereafter. Instructors will make an effort to accommodate reasonable requests. A grade penalty may be assigned for late assignments or make-up exams. Make-up exams may not be available in all courses.

Students are expected to be present for all scheduled clinical practice experiences, discussions and seminars. Students who have extraordinary circumstances preventing attendance should explain these circumstances to the course instructor prior to the scheduled clinical practice experience or seminar. Instructors will make an effort to accommodate reasonable requests. A grade penalty may be assigned for unexcused seminar or clinical absences. The faculty member will advise the method of notification for absences to the clinical site e.g. phone, email, and notification of facility.

This course will use one of UF’s web hosted collaborative software applications (Adobe

Connect and or Voice Thread) for lecture presentation and or assignments.  These collaborative applications have the functionality of recording your text, audio and/or video comments.   If you do not want to be recorded please notify assigned faculty member prior to the first class.  You do not need to provide a photo or use the video comment option, this is your choice.  The recordings are accessed through web links provided by your faculty member and should not be shared with anyone not enrolled in the course. The recordings are available to the class during the semester.  The recordings will not be used in another course.

Graduate students are required to submit a written calendar of planned clinical practice dates and times to the course faculty member prior to beginning the clinical rotation. Any changes to the calendar (dates and times) must be submitted in writing to the course faculty member before the change is planned to occur. Clinical hours accrued without prior knowledge of the faculty member will not be counted toward the total number of clinical hours required for the course.

ACCOMMODATIONS DUE TO DISABILITY

Each semester, students are responsible for requesting a memorandum from the Disability Resource Center to notify faculty of their requested individual accommodations. This should be done at the start of the semester.

COUNSELING AND STUDENT HEALTH

Students may occasionally have personal issues that arise on the course of pursuing higher education or that may interfere with their academic performance. If you find yourself facing problems affecting your coursework, you are encouraged to talk with an instructor and to seek confidential assistance at the University of Florida Counseling Center, 352-392-1575, or Student Mental Health Services, 352-392-1171. Visit their web sites for more information: or

ACADEMIC HONESTY

The University of Florida Student Conduct and Conflict Resolution Policy may be found at

STUDENT HANDBOOK

Students are to refer to the College of Nursing Student Handbook for information about College of Nursing student policies, honor code, and professional behavior. Of particular importance for this course are the sections on appearance in clinical practice areas, personal liability insurance, and student safety.

TOPICAL OUTLINE

1. Nurse-midwifery management of at-risk women and neonates

2. Anatomy and physiology of fetal/neonatal complications and complications related to pregnancy

3. Genetics and embryology

4. Environmental and occupational hazards that affect pregnancy

5. Indicators of at-risk and/or high risk-pregnancy and deviations from normal in neonates with appropriate interventions

6. Diagnosis and management of antepartal complications: Rh incompatibility, anemias, hemoglobinopathies; hypertensive disorders and trophoblastic disease; preterm labor, premature rupture of membranes, dysmaturity, grandmultiparity, and multiple gestation; bleeding disorders; infectious diseases; gastrointestinal/genitourinary problems; endocrine disorders; and concurrent/preexisting medical problems

7. Diagnosis and management of intrapartal complications: breech and malpresentations; prolapsed cord, depressed neonate, bleeding disorders, postpartum hemorrhage, shoulder dystocia, multiple gestation, dysfunctional labor and feto-pelvic disproportion

8. Diagnosis and management of postpartal complications: infections, hemorrhage, perinatal loss, and psychosis

9. Diagnosis and management of neonatal complications, including risk factors associated with: malformations, cardiopulmonary adaptation and difficulties; asphyxia, thermoregulation, gastrointestinal and metabolic disorders, infections; hematologic problems and hyperbilirubinemia, fetal growth restriction, feeding, abuse and neglect

10. Collaborative care of high-risk clients

11. Special populations: adolescents, physically and/or mentally handicapped, advanced maternal age, substance abusers, sexual abuse and domestic violence

12. Pharmacotherapeutics specific to nurse-midwifery care of the woman and neonate

13. Counseling, diagnosis, and management of perinatal infections: H1N1, Hepatitis, Parvo, varicella, chorioamnionitis, pyelonephritis CMV, HSV, listeriosis, syphilis, toxoplasmosis

14. Diagnosis and management of women’s health problems: abnormal breast findings, menstrual irregularities, osteoporosis.

TEACHING METHODS

case studies, discussion boards with live discussion, demonstration, electronic sources, audiovisual materials, supervised clinical practice.

LEARNING ACTIVITIES

Clinical simulations and laboratory, written exams, paper, discussion boards and oral presentations via Adobe Connect

CLINICAL EVALUATION

All student will complete a minimum of 192 clinical hours.

Clinical experience will be evaluated through faculty observation, verbal communication with the student, written work, and agency staff reports using a College of Nursing Clinical Evaluation Form. Faculty reserve the right to alter clinical experiences, including removal from client care areas, of any student to maintain patient safety and to provide instructional experiences to support student learning.

Clinical evaluation will be based on achievement of course and program objectives using a College of Nursing Clinical Evaluation Form. All areas are to be rated. A rating of Satisfactory represents satisfactory performance and a rating of Unsatisfactory represents unsatisfactory performance. The student must achieve a rating of Satisfactory in each area by completion of the semester in order to achieve a passing grade for the course. A rating of less than satisfactory in any of the areas at semester end will constitute a course grade of E. Satisfactory achievement of clinical competency is a requirement to receiving a course grade. Regardless of the classroom grade, a student receiving an Unsatisfactory evaluation in the clinical component of the course will be assigned a course grade of E.

The faculty member will hold evaluation conferences with the student and clinical preceptor at each site visit. The faculty will write a summary of each conference in an advisement note. This summary will be signed by the faculty member and student. Final evaluation conferences with the faculty member are mandatory and will be held during the last week of each semester. A student may request additional conferences at any time by contacting the clinical faculty member.

Students enrolled in advanced practice courses with a clinical component will use Clinical Experience Form F to document clinical experience including hours, practice location and preceptor for their personal records. Students also assess their learning experience using Clinical Site Assessment Form G. Form G is submitted electronically through Sakai. At the end of the clinical experience the student completes a self-evaluation and the faculty completes a student evaluation using the College of Nursing Clinical Evaluation Form.

CLASSROOM EVALUATION

For students who achieve a satisfactory clinical grade, the letter grade for the course will be based upon the following:

GRADING SCALE

Course grades are determined by a variety of evaluative methods such as written exams, clinical performance, written papers, oral presentation, case studies, and class participation. The nurse-midwifery specialty utilizes the following grading scale to compute grades:

A 95-100 (4.0) C 74-79* (2.0)

A- 93-94 (3.67) C- 72-73 (1.67)

B+ 91-92 (3.33) D+ 70-71 (1.33)

B 84-90 (3.0) D 64-69 (1.0)

B- 82-83 (2.67) D- 62-63 (0.67)

C+ 80-81 (2.33) E 61 or below (0.0)

* 74 is the minimal passing grade

For more information on grades and grading policies, please refer to University’s grading policies:

The College of Nursing utilizes ProctorU, a live proctoring service, for major examinations in graduate web-based online courses to ensure a secure testing environment.   Students must sign in to ProctorU at least 30 minutes prior to the scheduled time for each exam in order to authenticate their identity and connect with the live proctor. Students authenticate their identity and are remotely monitored by a trained employee of ProctorU.  An extra half hour will be scheduled to allow for the sign-in process. See Sakai site for further information about ProctorU.

• Major course examinations will be administered via ProctorU, a live proctoring service, to ensure a secure testing environment.

• Each student computer must be in compliance with Policy S1.04, Student Computer Policy and must contain a web cam, microphone, and speakers.

• Each examination will cost $22.50 per exam.

• Students go to the website and click on “How To Get Started”. This will permit students to create an account and test out their system.

• Once an instructor makes an exam available, students go online to ProctorU to schedule and pay for the exam session. Students must provide a valid email address and phone number where they can be reached during an exam.

• CON IT Support office will oversee this process and provide technical assistance.

Students’ tests will be maintained on file in the nurse-midwifery office. No copies of tests may be made by students. A student can review tests at any time but cannot remove them from the office. Downloading the exam from Sakai is prohibited, as is printing the exam.

Students must achieve an overall GPA of 3.0 or better in order to receive the Masters degree.

Exam I 30% (Monday 06/18/13)

Exam II 30% (Monday 08/05/13)

Paper 25% (Monday 7/08/13 by 4 PM)

Case Studies/Discussion boards 15% (varies/TBA)

Clinical Practice Pass/Fail

Late Work - Students are expected to turn in assignments when they are due. If advance arrangements are made with the faculty for due cause (e.g. extended illness, death in the family), an assignment may be turned in at a later date without penalty. Otherwise, assignments turned in late will be assessed a penalty of ten (10) percentage points the first 24 hours, plus five percentage point per day after the first 24 hours, including weekends. This is deducted from the final percentage grade.

REQUIRED COURSE MATERIALS

All texts from previous MSN courses

American College of Nurse-Midwives (ACNM) 

        Core Competencies for Nurse-Midwifery Practice (2007)

        The Standards for the Practice of Nurse-Midwifery (2003)

        The ACNM Code of Ethics (2008)

REQUIRED TEXTS

Beckmann, C., Ling, F., Smith, R. & Barzansky, B. (2013) Obstetrics and Gynecology (7th ed).

Philadelphia, PA: Lippincott Williams & Wilkins

Gabbe, S., Simpson, J. L., Niebyl, J. R., Galan, H., Goetzl, L., Jauniaux, E.R. & Landon, M

(2012). Obstetrics: Normal and Problem Pregnancies (6th ed). Philadelphia, PA: Churchill

Livingstone

Hatcher, R. A., Trussell, J., Nelson, A.L., Cates, W., Stewart, F. & Kowal, D. (2011). 

Contraceptive technology (20th ed.). New York, NY: Ardent Media.

Posner, G., Black. A. & Dy, J. (2013). Oxorn Foote Human Labor and Birth (6th ed.). Columbus,

OH: McGraw-Hill

Schuiling, K.D., & Likis, F.E. (2012). Women’s gynecologic health . Sudbury ME: Jones &

Bartlett.

Varney, H.  (2004). Varney’s midwifery (4th ed.).  Sudbury, ME: Jones and Bartlett.

RECOMMENDED TEXTS

Briggs, G.G, Freeman, R.K., & Yaffe, S.J.  (2011). Drugs in pregnancy and lactation (9th ed.). 

Philadelphia, PA: Lippincott Williams & Wilkins.

Cunningham, F. G.,  Leveno, K. J., Bloom, S.L., Hauth, J.C., Gilstrap, L. C., & Wenstrom, K.D. 

(2009). Williams Obstetrics (23rd ed.). Columbus OH: McGraw-Hill.

Gordon, J. D., Rydfors, J., Druzin, M.L., Tadir, Y., El-Saved, Y., Chan, J., Lebovic, D., Langen,

E. & Fuh, K. (2007). Obstetrics, Gynecology and Infertility: Handbook for Clinicians:

Pocket Edition. Arlington, VA: Scrub Hill Press

Varney, H.  (2009). Varney’s Pocket Midwife (2nd ed).  Sudbury, ME: Jones and Bartlett.

Youngkin, E. Q., Davis, M. S., Schadewald, D.M., & Juve, C. (2013). Women’s Health: a

primary health guide. (4th ed.). Upper Saddle River, NJ: Pearson Education Inc.

Approved: Academic Affairs Committee: 2/01; 1/02

Faculty: 3/01; 2/02

UF Curriculum: 10/97; 11/01

WEEKLY SCHEDULE

|5/14/12 | | | |

| |SIMULATION LAB Monday June 10th 2013 | | |

|9:00 – 10:00 |Course overview |Jane Houston CNM |CON Classroom Jacksonville |

| | |Readings/handouts posted to Sakai | |

| | |for each class | |

| | |Cindy Trainer-Williams CNM | |

|10:00 - 12:00 |Mirena IUD lab | | |

|12:00 –1:00 |LUNCH | | |

|1:00 – 16:00 |Suturing Lab (BRING YOUR KITS) |Brent Seibel MD | |

| |3rd and 4th degree, cervical laceration repair |Jane Houston CNM | |

| |DVD- breech & shoulder dystocia |OB SIM LAB second floor | |

| | | | |

| |Nexplanon demonstration | | |

|16:00-1700 | |Kristin Stich Foerster CNM | |

| | |OB SIM LAB second floor | |

| | | | |

|06/11/13 |SIMULATION LAB Tuesday | | |

|8:00 – 9:00 |Intrapartal complications: |Jane Houston CNM |OB SIM LAB second floor |

| |Shoulder dystocia, PPH | | |

| | | | |

|9:00-noon |Management of PPH and shoulder dystocia (use of Noelle |Jane Houston CNM |OB SIM LAB second floor |

| |simulator) |Jane Gannon CNM | |

| |Third Stage Emergencies |Kristin Foerster CNM | |

| | |MaryAnn Smith CNM | |

| | | | |

|Noon-1:00 |LUNCH | | |

|1:00 – 5:00 |Intrapartal complications (cont) |Brent Seibel MD |OB SIM LAB second floor |

| |Breech delivery and malpresentations, multiple birth, |Jane Houston CNM | |

| |grand multips |Jane Gannon CNM | |

|05/13/13 |Postpartal and Perinatal Complications |Voice thread Lecture and |

| | |discussion board |

| | | | |

| | | | |

|5/20/13 |Antenatal complications |VoiceThread Lecture, /Adobe Connect | |

| |Gestational diabetes, GHTN, HELLP | | |

| | | | |

|05/28/13 |ACNM MEETING NO CLASSES | | |

|5/27/13 is Memorial Day | | | |

| | | |

| | | | |

|06/03/13 |Genetics, Embryology and Neonatal Complications |Voice Thread lecture | |

| | |Discussion board/Adobe Connect | |

| | | | |

|06/18/13 |EXAM 1 | | |

| | | | |

|06/24/13 |Break week | | |

|07/02/13 | | | |

|7/4/13 HOLIDAY |Thyroid disease, growth restriction |VoiceThread lecture | | |

| | |Discussion board /Adobe Connect | | |

|7/08/13 |Bleeding in the GYN patient |Voice Thread lecture | | |

| | | | | |

| |Infertility lecture |Live Via Adobe Connect Dr Alice | | |

| |NOTE: THE LECTURE IS ON FRIDAY, JULY 12, 2013 |Rhoton (will be recorded for those| | |

| |0900-1100 |who cannot attend live) | | |

| | | | | |

| | |Discussion board graded | | |

| |PAPER DUE |Infertility/Multiple gestation | | |

| | | | | |

|7/15/13 |Preterm Labor/dysfunctional labor |VoiceThread lecture | | |

| |Multiple gestation/ |Discussion board graded preterm | | |

| | |labor/Adobe Connect | | |

| | | | | |

|07/22/13 | | | |

| |GI and Metabolic Problems in Pregnancy |VoiceThread lecture/ | |

| |GU Problems in Pregnancy |Discussion board | |

| | | | |

| |Herbs and complementary medications |Live via Adobe Connect | |

| |in pregnancy |Oliver Grundmann PhD | |

| | | | |

07/29/13

| |Bleeding in pregnancy, gyn cancers, DV/sexual assault |VoiceThread | |

| | |lecture/Discussion board, | |

| | |graded: abnormal uterine | |

| | |bleeding | |

| | |/Adobe Connect | |

|08/05/13 |EXAM II | | |

| |Final Evaluations due | | |

................
................

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

Google Online Preview   Download