Region A Nursing Consortium - Tri-County Community College



Region A Nursing Consortium

Spring 2016

Tri-County Community College Campus

NUR 112 (Health-Illness Concepts)

Lead Instructor: Susan Fowler, MHS, RN; Office-113; Phone-835-4252; Email- sfowler@tricountycc.edu

Office hrs Mondays 9-2

Adjunct Faculty: Shirley Voyles, BSN, RN; Office is located in the Nursing Lab; Phone 835-4267 Email: svoyles@tricountycc.edu; Office hrs by apt only

Interim Consortium Director: Debbie Hogan, RN, MHS; TCCC Office–114; Phone-835-4246 TCCC office days

Tuesdays and Thursdays; HCC Office 904; Phone 828-627-4653; HCC Office days Mondays and Wednesdays

Email: dhogan@tricountycc.edu

Class: Tuesday 0900-1530, Enloe Room 101

Clinical: Wednesdays & Thursdays 0700-1530 and 0800-1200. Clinical locations: TCCC Simulation Lab,

Murphy Medical Center, Angel Medical Center, and various community sites

Course Description

NUR 112- This course is designed to further develop the concepts within the three domains of the individual, healthcare, and nursing. Emphasis is placed on the concepts of acid-base, metabolism, cellular regulation, oxygenation, infection, stress/coping, health-wellness-illness, communication, caring interventions, managing care, safety, quality improvement, and informatics. Upon completion, students should be able to provide safe nursing care incorporating the concepts identified in this course.

Pre-requisite: NUR 111 and NUR 117

Instructional Materials

• Region A Nursing Consortium Lippincott Textbook Package including digital access

• RN Notes (Flip book)- Recommended

• Psych Notes (Flip book)- Recommended

Instructional Methods

• Moodle Assignments

• Case studies

• Discussion

• Lecture/Power Points

• Cooperative learning

• Project-based learning

• On-line activities

• Technology based instruction

• Experiential learning

• Inquiry-based learning

• Group projects

• Simulation

There is a website linked to Moodle which includes the RANC policy and procedure manual. Students should check the site daily for any new information about RANC or tidbits that may enhance the learning experience. It is the student’s responsibility to check school e-mail and the Moodle site for information.

Course Competencies

Upon completion of this course, students will be able to:

• Examine the pathophysiology, prevalence and clinical course of individuals with specific alterations in

health

• Differentiate between the healthy individual and those individuals experiencing alterations in health.

• Detect changes within the internal and external environment of the individual with these alterations.

• Correlate diagnostic tests and procedures with the identified alterations.

• Respond to situations with an awareness of the values, attitudes, behaviors, and beliefs important to

professional nursing.

• Incorporate all concepts within the domain of nursing to safely provide therapeutic care to individuals

with alterations in health.

• Communicate professionally and effectively while safely providing therapeutic care to individuals with

alterations.

• Effectively collaborate with the individual/individuals and members of the interdisciplinary healthcare

team to provide therapeutic care.

• Develop a teaching plan for individuals incorporating teaching and learning principles.

• Collaboratively manage care of the individual with alterations in health.

Program Outcomes

Upon completion of the Associate Degree Nursing Program, the graduate will upon licensure:

• Practice professional nursing behaviors incorporating personal responsibility and accountability for continued competence.

• Communicate professionally and effectively with individuals, significant support person(s), and members of the interdisciplinary healthcare team.

• Integrate knowledge of the holistic needs of the individual to provide an individual centered assessment.

• Incorporate informatics to formulate evidence-based clinical judgments and management decisions.

• Implement caring interventions incorporating documented best practices for individuals in diverse settings.

• Develop a teaching plan for individuals, and/or the nursing team, incorporating teaching and learning principles.

• Collaborate with the interdisciplinary healthcare team to advocate for positive individual and organizational outcomes.

• Manage health care for the individual using cost effective nursing strategies, quality improvement processes, and current technologies.

• tice safely and ethically within the healthcare system according to the nursing practice act,

healthcare policy, and National Patient Safety Goals.

• Employ information technology to support clinical decision-making.

• Utilize principles of evidence-based practice while safely providing therapeutic nursing care to

individuals in the healthcare system.

• Advocate, protect, and support the individual’s rights and interests.

• Accept accountability for behavior, actions and judgments.

Tri-County Community College seeks to take learning beyond the classroom by encouraging individuals to develop their abilities in collaboration, communication, and critical thinking/problem solving.

Collaboration is the process of working cooperatively to achieve the needs of a group or team.

Students will:

1. Respect group members' individual viewpoints and roles.

2. Develop group ideas, goals, and consensus.

3. Meet deadlines and goals responsibly.

Communication is the ability to comprehend and communicate through various forms of media.

Students will:

1. Communicate, verbally and nonverbally, in relation to his/her course of study.

2. Communicate with a diverse audience.

3. Use appropriate mediums for communication.

4. Use appropriate grammar, spelling, style, and mechanics.

Critical thinking is the process of analyzing and evaluating issues and ideas, identifying good and bad reasoning, and constructing creative and sustainable solutions to problems, in a variety of settings.

Students will:

1. Raise vital questions and issues.

2. Gather and evaluate information from a variety of sources.

3. Compare and contrast different points of view.

4. Develop well-reasoned, creative conclusions and solutions.

Course Evaluation Methods

Students will be evaluated based on three (3) unit exams worth 80% of the grade and a final exam worth 20%.

Students will also be evaluated clinically on a pass/fail basis. The objectives for the theory and clinical portions of the course are found in the NUR 112 Outline and the Clinical Evaluation Tool. Students need to meet the objectives listed in these documents in order to pass the course. It is in the student’s best interest to become familiar with the details of these documents.

|3 Unit Exams |80% |Grading Scale: |A |93-100 |

|Final Exam |20% | |B |85-92 |

| | | |C |80-84 |

| | | |D |70-79 |

| | | |F |0-69 |

Please note that grades are not mailed. You may access grades by logging into your Moodle Account.

Attendance Policy

Students are expected to attend all class and clinical sessions. Students who miss 10% or more of the total possible time for a course (including lecture and clinical), before the last day to withdraw from a course, as set forth in the Academic Calendar, will receive a grade of W (withdrawal) for that course. Students who fail to meet attendance requirements after the "last day to withdraw from a course will receive an F for the course. For this 8-week course, 10% is measured as one (1) class day and (1) clinical day. Absences are discouraged at the end of the course when taken just because they haven’t been “used.”

Inclement Weather/Delayed Class Schedule

Whenever possible, announcements concerning college operation for day classes will be made by 0600 on the Tri-County Community College Website, on local TV and radio stations. Students may receive text message alerts if the student has enrolled for the text message service. If you do not have the service available please visit the TCCC website to enroll for text alerts. When weather conditions dictate early dismissal of day classes, the announcement will be made to each class, on the Tri County Community College Website and local TV and radio stations.

Withdrawal from Course

Should you need to withdraw from any Tri-County Community College Course, please refer to the 2015-2016 TCCC general catalog/student handbook. You must follow proper procedures to withdraw to preserve your GPA. The last day to withdraw from this 8-week course is February 22, 2016.

Changes in Syllabus

Other course documents provided by the instructor are incorporated by reference into this syllabus and are binding. Changes announced or posted in class or via Moodle take precedence over the syllabus. It is the students’ responsibility to keep abreast of such changes.

Classroom and Clinical Requirements

Students must meet both theory and clinical objectives for this course in order to progress. Students are expected to follow the RANC attendance policy regarding absences and partial absences. Students are responsible for all material covered in class and are expected to attend all clinical sessions. Students are responsible for obtaining information from class when absent.

Due to the amount of content covered in this 8 week course, all exams must be taken on the day they are scheduled. No makeup exam will be available. Consequently, missing an exam would result in a zero grade entry.

If a student is struggling academically, he or she should be proactive. Students are encouraged to seek assistance from instructors with difficult course material that is not understood. Please don’t make the mistake of thinking that academic struggles will not be noticed or that they will go away. Waiting until the withdrawal date to seek help is not productive and is reflective of poor problem-solving skills.

Due to the amount of material covered in this 8 week course, it is imperative that you come to class prepared. If you find yourself having difficulty, please seek out your instructors for assistance. Students may come to the instructor’s office at any time, but it is best to make an appointment. Instructor-led study groups will be offered each Monday from 1000-1200 (excluding holidays when college is closed). Students are also encouraged to use the Student Forum on Moodle to post questions that need clarification.

Students should not be receiving personal phone calls while in class or clinical. Cell phones should be turned off during class or left at home or in the car during clinical. Please instruct family/child care providers to call for emergencies only and to identify the emergency situation. Students will be called from class only if it is an emergency. If an emergency occurs, every effort will be made to get a message to the student in class or clinical. The phone number for the college is 837-6810.

Students are expected to report to the clinical area 15 minutes prior to the start of your day in order to prepare.

All students must report to clinical in full uniform and are expected to abide by the RANC dress code. Students are require to bring a stethoscope, penlight, bandage scissors, a black writing pen, and a black permanent fine-tipped marker. If hair falls below the collar or falls forward into the work space, it must be secured. Students may wear one pair of non-dangling earrings. Remove tongue rings, nose rings, and other sets of earrings. All tattoos must be covered, even if it requires wearing a white, long-sleeved top under the scrub top. Male students must wear a plain white tee shirt under RANC uniform.

If a student is unable to attend a clinical session, the instructor who is in charge of the clinical rotation and the clinical site need to be notified by the student no later than 0630. You will need to obtain the name of the person with whom you left a message. Students should be professional when calling the clinical agency by identifying themselves and the school. Students will be evaluated on their professional behaviors as part of the clinical evaluation.

It is the student’s responsibility to make sure that CPR and TB skin tests are current. Students should keep their own copies of all required records. Failure to have an updated CPR or TB skin test will prevent you from attending clinical.

All clinical agencies are now tobacco free. This means that there is no smoking on the grounds or in the student’s vehicle. Students will not be allowed to leave the clinical agency to eat or smoke.

Classroom Behavior

Any conduct by the student, which is detrimental to that student's success or best performance or to the success or best interests of the class as a whole may result in the permanent removal of the student from the class. Detrimental activities include rude or disruptive behavior including but not limited to inappropriate emails, chats and discussion board posts to other students or the instructor, lack of effort, negative influence upon others in the class, and non-instructional use of cell phones.

Concerns with Course

If a student has any concerns about this course, he or she should first consult with the instructor. If after meeting with the instructor, the student feels that the concerns have not been satisfactorily addressed, or feels that he or she cannot effectively communicate with the instructor about the issue, the student may contact the following people:

First Contact

Debbie Hogan, MHS, RN 828-835-4246 dhogan@tricountycc.edu

Second Contact

Vice President of Instruction

Dr. Steve Wood, (828) 835-4254 (swood@tricountycc.edu)

ADA Notification: Alternate Learning Styles/Additional Support

Tri County Community College is committed to providing equal educational opportunities for students with documented disabilities. The college complies with Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990 which stipulate that no student shall be denied the benefits of an education “solely by reason of a handicap.” Disabilities covered by law include, but are Program Outcomes

Upon completion of the Associate Degree Nursing Program, the graduate will upon licensure:

1. Practice professional nursing behaviors incorporating personal responsibility and accountability for continued competence.

2. Communicate professionally and effectively with individuals, significant support person(s), and members of the interdisciplinary healthcare team.

3. Integrate knowledge of the holistic needs of the individual to provide an individual centered assessment.

4. Incorporate informatics to formulate evidence-based clinical judgments and management decisions.

5. Implement caring interventions incorporating documented best practices for individuals in diverse settings.

6. Develop a teaching plan for individuals, and/or the nursing team, incorporating teaching and learning principles.

7. Collaborate with the interdisciplinary healthcare team to advocate for positive individual and organizational outcomes.

8. Manage health care for the individual using cost effective nursing strategies, quality improvement processes, and current technologies.

Technical Standards (Examples are not all-inclusive)

The practice of nursing requires the performance of essential functions in order to provide safe and effective nursing care.

To effectively educate students to the profession of nursing, the performance of these functions is incorporated throughout the program within lab and clinical settings. Faculty and students are required to demonstrate proficiency of these functions to progress through the nursing program. The essential functions include:

1. Critical Thinking – critical thinking skills sufficient to identify complex problems and reviewing related information, to develop and evaluate options and implement solutions. For example, developing a nursing care plan based on data obtained from physical assessment of patient.

2. Interpersonal Skills - interpersonal abilities sufficient to interact with faculty, care team, patient, and patient’s

family under physically and mentally demanding environmental conditions. For example, relaying important

patient data to instructor and physician in a timely manner.

3. Communication Skills – communication skills sufficient to communicate information and ideas in speaking so

others will understand. For example, communicating information about procedures and follow up care to patients.

4. Mobility – mobility sufficient to perform physical activities that require considerable use of arms and legs and

moving the whole body, such as lifting, balancing, walking, stooping, and handling of equipment. For example,

assisting a patient with mobility while managing equipment such as IV poles in a safe manner.

5. Motor Skills – motor skills sufficient to quickly move the hands, hand together with the arm, and two hands to

grasp, manipulate, and perform procedures in a specific manner. For example, inserting an IV needle while

maintaining sterile technique.

6. Visual – visual skills sufficient to see details at close range. For example, assessing patient’s skin or IV site for small details.

7. Weight-Bearing – weight-bearing skills sufficient to carry 50-75 pounds. For example, lifting patients from bed to chair with minimal assistance from patient.

8. Listening – listening skills sufficient to give full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times. For example, discussing patient’s status with care team and receiving verbal orders from physician.

9. Hearing - auditory ability sufficient to process sounds and instructions commonly associated with healthcare. For example, being able to listen for small changes within patients upon auscultation, being able to measure a

patient’s blood pressure accurately, and being able to describe the differences between abnormal lungs sounds.

Tri-County Community College is an ADA compliant institution. The College does not discriminate on the basis of disability in the admissions process or in access to its programs, services and/or activities for qualified individuals who meet essential eligibility requirements. The College will provide reasonable accommodations for documented disabilities of individuals who are eligible to receive or participate in college programs, services and/or activities. Student Services provides a disability counselor to assist students in requesting disability related accommodations. If a student believes that he/she cannot meet one or more of the essential functions without accommodations, the student is encouraged to disclose the disability to the disability counselor as soon as possible. Students must certify the ability to meet essential functions of the profession by a signed statement in the beginning of the program, not limited to, learning disabilities, psychological disabilities, and hearing, sight or mobility impairments. Students who require disability services or reasonable accommodations must identify themselves as having a disability and provide current diagnostic documentation to Disability Services counselor. All information is confidential. Please contact Student Services for more information - (828) 837-6810.

Academic Honesty

Students may not engage in academic dishonesty. The Region A Nursing Consortium Policy Manual defines Academic Dishonesty as “Taking or acquiring possession of any academic material (test information, research papers, notes, etc.) from a member of the college staff or student body without permission; receiving or giving help during tests; submitting papers or reports (that are supposed to be original work) that are not entirely the student’s own; not giving credit for others’ work (plagiarism)” (Student Handbook). Students who violate the Academic Integrity Policy will be sent to the Vice President of Student Services for expulsion from the College or other sanction.

• Cheating: Cheating includes, but is not limited to:

• copying, faxing, emailing, or in any way duplicating assignments that are turned in, wholly or in part, as original work

• exchanging assignments with other students, either handwritten or computer generated, whether you believe they will be copied or not

• using any form of memory aid during tests or quizzes without the expressed permission of the instructor

• giving or receiving answers during tests or quizzes. (It is the student’s responsibility to secure his or her papers so that other students will not have the opportunity to copy from them or the temptation to do so.)

• taking credit for group work when the student has not contributed an equal or appropriate share toward the final result

• accessing a test or quiz for the purpose of determining the questions in advance of its administration

• using summaries/commentaries (Cliff Notes, Spark Notes, etc.) in lieu of reading the assigned materials.

• Plagiarism: Plagiarism consists of taking another’s ideas and/or words and presenting them as if they were your own. Students submitting plagiarized material, in whole or in part, will be subject to penalty at the discretion of the instructor. Plagiarism results in a zero grade on the assignment, loss of credit in that course, and/or other administrative action. Plagiarism includes, but is not limited to:

• taking someone else’s assignment or portion of an assignment and submitting it as your own

• submitting material written by someone else or rephrasing the ideas of another without giving the author’s name or source

• presenting the work or tutors, parents, siblings, spouses, or friends as your own

• submitting papers from the Internet written by someone else as your own

• supporting plagiarism by providing your work to others, whether you believe it will be copied or not

Acknowledgement

Our thanks go to the English Department of North Hunterdon-Voorhee Regional High District of Annandale, NJ, for allowing Tri-County Community College to use part of North Hunterdon’s existing academic honesty policy. The Hunderton policy is available at .

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