National American University School of Nursing
NS3360 Holistic Nursing Care in Acute Illness I Spring 2014NS3360 Lesson Plan 1Seminar and Lab Learning Activities: Administration of Medications: injectionsSeminar ReadingsSeminar VideosPotter and Perry:Chapter 31, pp. 600-608, 622-631Mosby’s Nursing Skills: Medication Administration: intradermal, intramuscular, subcutaneous injections, injection preparation from ampules and vialsLab ActivitiesMedication Administration:SubcutaneousIntramuscularIntradermalSeminar and Lab Learning Objectives:Manipulate parts of a syringe.Locate sites for subcutaneous injections.Locate sites for intramuscular injections.Locate sites for intradermal injections.Discuss types of equipment to use for the different routes for parenteral injections.Demonstrate injection techniques for subcutaneous, intramuscular and intradermal sites.Demonstrate mixing of two types of insulin.Discuss the administration of subcutaneous heparin.Ungraded assignments: Ochs (Potter and Perry) STUDY GUIDE Chapter 31NS3360 Lesson Plan 2Seminar and Lab Learning Activities: Oxygen Therapy and Airway Suctioning Seminar ReadingsSeminar VideosPotter and Perry:Chapter 40LewisChapter 29, pp.618-625Mosby’s Nursing Skills: Oxygen saturation (pulse oximetry)Oxygen therapy and oxygen delivery: general principlesOxygen tank regulatorsSuctioning: nasopharyngeal; oropharyngeal; and nasotrachealChest physiotherapy: percussion, vibration and shakingPostoperative exercises: diaphragmatic breathing and controlled coughingIncentive spirometryLab ActivitiesOxygen therapyIncentive spirometryTurn, cough and deep breathePostural drainageAirway Suctioning: nasopharyngealSeminar and Lab Learning Objectives:Discuss the various methods of delivering oxygen.Discuss the nursing interventions to promote oxygenation and ventilation.Demonstrate application of various types of oxygen equipment.Discuss the signs and symptoms that would warrant the need for suctioning.Discuss the techniques for airway suctioning.Identify the steps involved in nasopharyngeal suctioning.Demonstrate nasopharyngeal suctioning.Discuss the signs and symptoms that would warrant the need for suctioningUngraded assignments: Ochs (Potter & Perry) STUDY GUIDE Chapter 40NS3360 Lesson Plan 3Seminar and Lab Learning Activities: Tracheostomy Care and Chest Drainage System and MaintenanceSeminar ReadingsSeminar VideosPotter & PerryChapter 40 , pp. 849-850, 869-873Lewis Chapter 28, pp. 566-572Chapter 27, pp.528-535, 542Mosby’s Nursing Skills:Tracheostomy careOxygen therapy for patients with an artificial airwayChest tube insertionChest tube removalChest tube: closed drainage systemsAtrium U video seriesLab ActivitiesTracheostomy careChest drainage system and maintenanceSeminar and Lab Learning Objectives:Discuss the techniques for airway suctioning of a tracheostomy.Identify the steps involved in performing tracheostomy care.Demonstrate nursing care of a tracheostomy.Demonstrate suctioning of a tracheostomy.Identify indications for chest tube placement.Describe instances where it is appropriate to clamp a chest tube.Describe the nursing interventions when a chest tube disconnects from the drainage unit.Demonstrate the maintenance of a closed chest drainage system.Identify the assessments of a patient with a closed chest drainage system.Ungraded assignments: Ochs (Potter & Perry) STUDY GUIDE Chapter 40NS3360 Lesson Plan 4Seminar and Lab Learning Activities: Seminar Exam #1, Skill Performance Exam: Airway suctioning and Oxygen therapySeminar ReadingsSeminar VideosSeminar Exam #1Potter and PerryChapter 30 ReviewMosby’s Nursing Skills NoneLab ActivitiesSkill Performance Exam:Airway suctioning and Oxygen TherapyNS3360 Lesson Plan 5Seminar and Lab Learning Activities: IV Dosage Calculations and Skill Performance Exam: Chest drainage systemSeminar ReadingsSeminar VideosPotter and PerryChapter 41, pp.925-926Dosage Calculation bookMosby’s Nursing Skills:Intravenous infusion: Dose and Flow Rate CalculationsLab ActivitiesSkill Performance Exam: Chest Drainage SystemIV Dosages CalculationsSeminar and Lab Learning Objectives:Calculate an infusion flow rate in drops per minute.Calculate IV infusion time.Calculate IV infusion volume.Calculate milliliters per hour: mL/hr.NS3360 Lesson Plan 6Seminar and Lab Learning Activities: IV dosage calculation exam,Intravenous therapy: types of venous access devices, assessment, insertion and care, Skill Performance Exam: Medication administrationSeminar ReadingsSeminar VideosIV Dosage Calculation ExamPotter and PerryChapter 41, pp.905-907, 916-925Mosby’s Nursing Skills Intravenous therapy: initiationLab ActivitiesType of Venous access devices: peripheral IV initiation IV simulatorsSkill Performance Exam: Medication AdministrationSeminar ObjectivesDiscuss purposes for initiation of intravenous therapy. Discuss procedures for initiation of intravenous therapy. Describe types of peripheral venous access devices.Perform peripheral venipuncture on IV arms and simulators.Ungraded assignments: Ochs (Potter & Perry) STUDY GUIDE Chapter 41NS3360 Lesson Plan 7Seminar and Lab Learning Activities: IV Maintenance and Specimen CollectionSeminar ReadingsSeminar VideosPotter & PerryChapter 41, pp.904-909Chapter 44, pp.1035-1039LewisChapter 17, pp.326-327Chapter 49, pp.1233-1235Mosby’s Nursing Skills:Intravenous Therapy: discontinuation; regulation of flow rate; solution change; administration set change; dose and flow rate calculationsShort peripheral intravenous catheter: dressing change (adult and peds)Blood Glucose MonitoringLab ActivitiesIV MaintenanceIV DiscontinuationSpecimen Collection: Blood glucose monitoringSeminar and Lab Learning Objectives:Demonstrate how to change intravenous solutions, tubing, and dressings.Demonstrate how to set up intravenous fluids with various equipment.Demonstrate the discontinuation of IV therapy.Discuss the various types of intravenous solutions and their indications.Identify assessment steps for the maintenance of an intravenous system.Demonstrate a fingerstick for blood glucose monitoring.Ungraded assignments: Ochs (Potter & Perry) STUDY GUIDE Chapter 41NS3360 Lesson Plan 8Seminar and Lab Learning Activities: IV Medications and IV ComplicationsSeminar ReadingsSeminar VideosPotter & PerryChapter 31, pp.608-611, 631-639Mosby’s Nursing Skills:Medication Administration: intravenous bolus; piggyback, intermittent infusion sets and mini-Infusion pumpsLab 1Lab 2IV medication administration: intermittent, piggyback, bolusIV medication administration: intermittent, piggyback, bolusSeminar and Lab Learning Objectives:Discuss methods of medication administration via intravenous route.Demonstrate medication administration via intravenous route.Discuss the complications of intravenous therapy.Demonstrate troubleshooting techniques for intravenous therapy complications.Differentiate between phlebitis and infiltration.Ungraded assignments: Ochs (Potter & Perry) STUDY GUIDE Chapter 31 & 41NS3360 Lesson Plan 9Seminar and Lab Learning Activities: Central line accesses, TPN& Lipids, and Blood TherapySeminar ReadingsSeminar VideosPotter & PerryChapter 41, pp. 907Chapter 43, pp.990-992Chapter 44, pp.1021-1024Chapter 35, pp. 635-639Lewis Chapter 17 pp. 328-331Chapter 31 pp. 705-710Mosby’s Nursing Skills:Central Venous Catheter InsertionCentral Venous Catheter: removal; site care; blood samplingCentral Parenteral NutritionPeripherally Inserted Central Catheter (PICC): maintenance and dressing changeBlood Products AdministrationLab ActivitiesCentral venous access devices and maintenanceTPN and LipidsBlood TherapyPCASeminar and Lab Learning Objectives:Discuss types of equipment to access the central venous system.Discuss and demonstrate nursing care for patients who have various central venous catheters.Discuss candidates for parenteral nutrition.Discuss type and components of parenteral nutrition.Demonstrate set up of TPN and lipids.Discuss components of blood therapy.Demonstrate initiation and maintenance of blood transfusions.Discuss various blood transfusion reactions and nursing interventions needed to maintain safety in this therapy.Discuss maintenance of a PCA (patient controlled analgesia) system.Ungraded assignments: Ochs (Potter & Perry) STUDY GUIDE Chapter 41NS3360 Lesson Plan 10Seminar and Lab Learning Activities: Seminar Exam #2 and Intravenous Therapy Skill Performance ExamSeminar ReadingsSeminar VideosSeminar Exam #2NoneLab ActivitiesSkill Performance Exam:Intravenous Therapy ................
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