Respiratory System - Laredo College



Laredo Community College Vocational Program

VNSG 1409 Nursing in Health & Illness 11

Respiratory System

|Course Learning Objectives |Content |Learning Experience |

|Apply knowledge of pathophysiology to monitoring client for |I. Respiratory Anatomy |Required Readings: |

|alterations in body systems | |Timby, Introduction to Medical Surgical Nursing, 10th|

|Evaluate client respiratory status by measuring oxygen |II. Respiratory Physiology |Ed. |

|saturation |III. Assessment | |

| |IV. Diagnostics procedures |Chapter 19 |

|Examples ( ABGs & pulse oximeter) | | |

| | |Activities: |

|Notify provider about client laboratory test results | |Lecture |

| | |Discussion |

|Monitor client laboratory values that are deviations from normal| |Case Studies |

|arterial blood gases (ABGs) Ph, Pao2, Paco2, Hco3 | |Group Activities |

| | |Quiz |

| | |Learning System Software |

| | |Test |

|Discuss preparation and care of clients having respiratory | | |

|diagnostic procedures. | | |

| | | |

Upper Respiratory Disorders

|Course Learning Objectives |Content |Learning Experience |

|Consider priorities of care according to current condition of |Client diagnosis/ prescribed tx. |Required Readings: |

|client. | |Timby, Introduction to Medical Surgical Nursing, 10th Ed.|

| |Treatment modalities for airway obstruction/airway maintenance. | |

|Provide care for client with tracheostomy | |Chapter 20 |

| |ET tube and mechanical ventilation | |

|Monitor care for client on ventilator | |Activities: |

| |Nursing process |Lecture |

|Reinforce client teaching on purposes of laboratory tests | |Discussion |

| |Diagnostic Examinations: |Case Studies |

| |Pulse oximeter |Group Activities |

|Describe instances when HCP should be notify of client’s |Bronchoscopy |Quiz |

|status |Thoracenthesis |Learning System Software |

| |CPAP |Test |

|Plan with client to meet client’s self care needs. |Pulmonary Function Tests | |

| |NCP for clients with tracheostomy mechanical ventilation | |

|Provide care for client with drainage device | | |

| |Diet therapy | |

| | | |

| |Drug therapy | |

| | | |

| |Health Promotion | |

Lower Respiratory Airway

|Course Learning Objectives |Content |Learning Experience |

|. |Infectious and Inflammatory Disorders |Required Readings: |

|Identify client’s support system and resources. |Pulmonary Tuberculosis |Timby, Introduction to Medical Surgical Nursing, |

| |Occupational Lung Diseases |10th Ed. |

|Explain the use of meter dose inhalers and Incentive |Malignant Disorders | |

|Spirometry. |Trauma |Chapter 21 |

| |Thoracic Surgery | |

| | |Activities: |

|Provide care for client with drainage device |Chest tubes |Lecture |

| | |Discussion |

| |Sputum specimen collection |Case Studies |

|Intervene to improve client respiratory status by giving a | |Group Activities |

|breathing or respiratory treatment, suctioning or |Concept Mapping for client recovering from thoracic surgery |Quiz |

|repositioning | |Learning System Software |

| |Drug therapy |Test |

|Determine client’s ability to perform activities of daily | | |

|living & nutrition |Diet therapy | |

| | | |

|Schedule client care activities to promote adequate rest and |Psychosocial | |

|sleep | | |

| | | |

Introduction to the Urinary Tract

|Course Learning Objectives |Content |Learning Experience |

|Apply knowledge of pathophysiology to monitoring client for |General Nursing Assessment |Required Readings: |

|alterations in body systems |History |Timby, Introduction to Medical Surgical |

| |Physical Exam |Nursing, 10h Ed. |

| |Gerontologic Consideration | |

|Reinforce client teaching on purpose of lab tests |Diagnostic Studies |Chapter 57,58, 59 |

| |Blood Chemistry | |

|Monitor client output changes from baseline |Routine Urinalysis |Activities: |

| |Clean Catch |Lecture |

|Collect specimens as needed |Urine Culture |Discussion |

| |Radiologic Evaluation |Case Studies |

|Notify provider about clinical lab test results |IVP & KUB |Group Activities |

| |Renal Arteriogram |Quiz |

| |Renal Scan |Learning System Software |

| |Other Tests |Test |

|Discuss alternative methods to promote client’s urinary output. |Cystoscopy and Retrograde | |

| |Renal Biopsy | |

|Monitor client’s nutritional status. |Voiding Cystrourethrogram | |

| |Urine Specific Gravity | |

| | | |

| | | |

|Identify client response to diagnostic |Arteriovenous Graft | |

|tests/treatments/procedures/ surgery or health alterations |Drug therapy | |

| | | |

| |Irrigate urinary catheter | |

| |Measure I & O | |

| | | |

| |Indwelling catheters | |

| |Care of the client with urinary incontinence | |

Caring for the client with Urinary Disorders

| |Content |Learning experiences |

|Objective | | |

|Apply knowledge of pathophysiology to monitoring client for | Bladder training |Chapters 57,58, & 59 continues |

|alterations in body systems |Barrier garment/external | |

| |Collective devices. |To include topic group presentations |

|Reinforce client teaching on purposes of lab tests |Care of the client with urethral strictures | |

| | |Active class participation |

| | | |

|Notify health care provider if client has signs of potential |Nursing management | |

|complications after special procedures or surgical interventions|Preoperative | |

|i.e. bleeding. |Postoperative | |

| |Urinary diversion procedures | |

| |Ileal conduit | |

|Compare client lab values to normal lab values specific to |Continent urinary diversion | |

|facility |Uretersigmoidostomy | |

| |Renal calculi | |

|Notify provider about lab tests results |Etiology | |

| | | |

|Perform diagnostic teaching |Voiding dysfunction | |

| |Urinary retention | |

|Diagnostic tests collect specimens |Urinary incontinence | |

| | | |

|Bladder scan, BUN & Creatinine, urine specific gravity |AV fistula | |

| |Teaching client and family self care | |

|Monitor client output for changes from baselines |Drug therapy | |

| |Nutritional needs of clients in renal failure | |

| | | |

| | | |

Infectious and Inflammatory Disorders of the Heart, Blood Vessels, and Valvular Disorders

|Course Learning Objectives |Content |Learning Experience |

|Apply knowledge of pathophysiology to monitoring client for |Infectious and Inflammatory Disorders of the Heart |Required Readings: |

|alterations in body systems | |Timby, Introduction to Medical Surgical Nursing, 10th|

| |Inflammatory Disorders of the |Ed. |

| | | |

|Implement measures to manage/prevent possible complications of |Peripheral Blood Vessels |Chapter 28,24 |

|client condition or procedures | | |

| |Assessment findings |Activities: |

|Reinforce client teaching on treatments & procedures | |Lecture |

|Identify client’s need for palliative comfort/care. |Diagnostic Treatments |Discussion |

| | |Case Studies |

|Reinforce teaching to prevent complications due to client |Nursing Management |Group Activities |

|diagnostic test/treatments/procedures or health alterations | |Quiz |

| |Client and family teaching |Learning System Software |

| | |Test |

|Provide sensitivity to client’s cultural practices when |Drug therapy | |

|reinforcing teaching. | | |

| |Diagnostic Procedures | |

Disorders of Coronary and Peripheral Blood Vessels

|Course Learning Objectives |Content |Learning Experience |

|Consider general principles of client disease process when |Arterial Pressure |Required Readings: |

|providing care |Hypertensive Disease |Timby, Introduction to Medical Surgical Nursing, 10th Ed. |

| |Nursing Process | |

|Notify provider about changes in client status | |Chapter 25 |

| |Diet therapy for clients with coronary heart disease | |

|Identify signs & symptoms of electrolyte imbalance | |Activities: |

| |Drug therapy |Lecture |

| | |Discussion |

|Identify abnormalities on cardiac monitor |Client and family teaching |Case Studies |

| | |Group Activities |

|Perform care for client before or after surgical procedures |Surgical procedures: |Quiz |

| |CABG |Learning System Software |

|Identify client with increased risk for insufficient blood |PTCA |Test |

|circulation | | |

| |Cholesterol levels | |

| |Cardiac markers | |

Introduction to the Gastrointestinal System

|Course Learning Objectives |Content |Learning Experience |

|Consider general principles of client disease process when |Anatomy and Physiology |Required Readings: |

|providing care | |Timby, Introduction to Medical Surgical Nursing, 10th Ed. |

| |Nursing Process | |

| | |Chapter 44 |

|Identify signs & symptoms of client fluids &/or electrolyte |Client and family teaching | |

|imbalances | |Activities: |

| |Drug therapy |Lecture |

|Monitor & provide for nutritional needs | |Discussion |

| | |Case Studies |

|Provide client/family information about condition, | |Group Activities |

|treatments & procedures |Diagnostic studies: |Quiz |

| |EGD |Learning System Software |

| |MUGA Scan |Test |

|Monitor client changes form baseline |Colonoscopy | |

| | | |

| |Health Promotion (client teaching) | |

|Provide emotional | | |

|support to client/family | | |

| |Diet therapy | |

| | | |

| | | |

| | | |

Disorders of the Upper Gastrointestinal Tract

|Course Learning Objectives |Content |Learning Experience |

|Consider general principles of client disease process when |Disorders affecting eating |Required Readings: |

|providing care |Disorders affecting the esophagus |Timby, Introduction to Medical Surgical Nursing, 10th |

| |Gastric Disorders |Ed. |

|Provide feeding and/or care for client with enteral tubes |Pathophysiology and Etiology | |

| |Assessment findings |Chapter 45 |

| |Diagnostic findings | |

|Monitor & provide for nutritional needs of client |Medical and Surgical Management |Activities: |

| |Nursing Management |Lecture |

|Collect data on client nutrition or hydration status |Nursing Process |Discussion |

| | |Case Studies |

| | |Group Activities |

|Identify client potential for aspiration, sedation, swallowing| |Quiz |

|difficulties | |Learning System Software |

| | |Test |

| | | |

|Perform care for client before & after surgical procedures | | |

| | | |

| | | |

| | | |

| | | |

| | | |

Disorders of the Lower Gastrointestinal Tract

|Course Learning Objectives |Content |Learning Experience |

|Consider general principles of client disease process when |Altered Bowel Elimination |Required Readings: |

|providing care |Inflammatory Bowel Disease |Timby, Introduction to Medical Surgical Nursing, 10th Ed. |

| |Intestinal Obstruction | |

|Identify signs & symptoms of client fluid and/or electrolyte | |Chapter 46 |

|imbalance |Diverticular Disorders | |

| |Abdominal Hernia |Activities: |

| |Cancer of the Colon and Rectum |Lecture |

| |Anorectal Disorders |Discussion |

|Teach on methods to prevent constipation. | |Case Studies |

| | |Group Activities |

|Collect data on client nutrition or hydration status | |Quiz |

| |Nursing Management |Learning System Software |

| | |Test |

|Collect data for and review client’s diet history. |Client’s emotional status | |

| | | |

|Monitor & provide for nutritional needs of client | | |

| | | |

|Consider client preferences & reinforce teaching on dietary | | |

|restrictions | | |

| | | |

| | | |

|Monitor client’s bowel sounds & elimination needs . | | |

Disorders of the Liver, Gallbladder, and Pancreas

|Course Learning Objectives |Content |Learning Experience |

|Gather data on client’s health history and risk for disease |Disorders of the Liver |Required Readings: |

|(medical hx.). |Disorders of the Gallbladder |Timby, Introduction to Medical Surgical Nursing, 10th Ed. |

| | | |

|Monitor diagnostic or lab test results |Disorders of the Pancreas |Chapter 47 |

| |Carcinoma of the Pancreas | |

|Perform diagnostic tests | |Activities: |

| |Nursing Management |Lecture |

|Notify provider about lab test results | |Discussion |

| |Client’s intake & output |Case Studies |

|Collect various specimens | |Group Activities |

| |Drug therapy |Quiz |

|Identify client response to diagnostic | |Learning System Software |

|tests/procedures/surgery or health alterations |Pain management |Test |

| | | |

| |Client and family teaching re: diet therapy | |

|Validate pain using rating scale (0/10) | | |

| | | |

| | | |

| | | |

|Identify actual/potential stressors for client. | | |

| | | |

Caring for Client with an Ileostomy and Colostomy

|Course Learning Objectives |Content |Learning Experience |

| |Ileostomy |Required Readings: |

| |Continent Ileostomy |Timby, Introduction to Medical Surgical Nursing, 10th |

|Monitor impact of disease on client nutritional status |Ileoanal Reservoir |Ed. |

| |Colostomy | |

|Collect data on client nutrition or hydration status |Surgical Management |Chapter 48 |

| |Pre and Post operative Clients | |

|Identify client risk for impaired elimination |Nursing Process |Activities: |

| | |Lecture |

|Provide skin care to client with skin barrier creams | |Discussion |

| |Record Intake & Output |Case Studies |

|Assist with teaching ostomy care to client. | |Group Activities |

| | |Quiz |

|Teach skin care to clients with colostomy. | |Learning System Software |

| |Provide ostomy care |Test |

|Identify significant body image changes that may affect recovery | | |

| | | |

Caring for Clients with Pain

|Course Learning Objectives |Content |Learning Experience |

|Apply knowledge of pathophysiology to monitoring client for |Types of Pain |Required Readings: |

|alterations in body systems |Pain Transmission |Timby, Introduction to Medical Surgical Nursing, 10th|

| | |Ed. |

|Validate pain using a rating scale (0/10) |Nursing Management | |

| | |Chapter 11 |

|Monitor client’s non-verbal signs of pain/discomfort such as |Pain scale 0-10 | |

|grimacing (pain subjective) | |Activities: |

| |Applying heat and cold |Lecture |

|Monitor & document client response to medication | |Discussion |

| |Drug therapy (non-pharmacological interventions) |Case Studies |

| | |Group Activities |

|Reinforce client teaching on expected effects of prescribed | |Quiz |

|medications | |Learning System Software |

| | |Test |

| | | |

|Provide non pharmacological measures for pain relief (imagery, | | |

|message, or repositioning) use an alternative/complementary | | |

|therapy (acupressure, music therapy, or herbal therapy) in | | |

|providing care | | |

| | | |

Caring for Clients with Cancer

|Course Learning Objectives |Content |Learning Experience |

|Apply knowledge of pathophysiology to monitoring client for |Cancer |Required readings: Timby, Introduction to Medical |

|alterations in body image |Pathophysiology |Surgical Nursing, 10th Ed. |

| |Etiology | |

|Validate pain using rating scale | | |

| |Physical Assessment & History |Chapter 18 |

|Document & monitor client response to medication | |Activities: |

| |Chemotherapy |Lecture |

|Monitor client for signs & symptoms of adverse effects of | |Discussions |

|radiation therapy |Bone Marrow Transplants |Group presentations |

| | |Quizzes |

|Reinforce client teaching for management of side effects of |Immunotherapy |Learning System Software |

|radiation therapy | |Tests |

| |Nursing Management | |

|Reinforce client teaching for management of side effects of | | |

|radiation | | |

| |Psychological Support | |

|Document client response to radiation therapy provide | | |

|interventions for client side effects to radiation |Terminally Ill Client | |

| | | |

|Identify family response to client illness | | |

| | | |

Caring for Clients in Shock

|Course Learning Objectives |Content |Learning Experience |

|Apply knowledge of pathophysiology to monitoring client for |Shock Types |Required Readings: |

|alterations in body systems |Medical Management |Timby, Introduction to Medical Surgical Nursing, |

| | |10th Ed. |

|Apply knowledge of pathophysiology when addressing client | | |

|pharmacological agents | |Chapter 17 |

| |Drug Therapy | |

|Implement measures to manage/prevent complications of client | |Activities: |

|condition | |Lecture |

| | |Discussion |

|Respond to life threatening situations (CPR) | |Case Studies |

| | |Group Activities |

|Notify provide about client unexpected response/emergency | |Quiz |

|situations |Nursing Process |Learning System Software |

| | |Test |

|Recommend changes in emergency treatment based on client response|Drug therapy | |

|to interventions | | |

| |Assessing client’s status. | |

|Reinforce teaching of emergency interventions explanations to | | |

|client/family (eg., restorations of breathing and/or pulse) |Early recognition of s/s of shock | |

| | | |

Caring for Clients with Infectious Disorders

|Course Learning Objectives |Content |Learning Experience |

|Identify communicable disease & modes of transmission |Factors that increase susceptibility to infection |Required Readings: |

| | |Timby, Introduction to Medical Surgical Nursing, 20h |

| |Diagnostic Tests |Ed. |

|Reinforce appropriate infection control procedures with client & |WBC Count and Differential | |

|staff |Culture and Sensitivity |Chapter 23 |

| |Skin Tests | |

| |Immunologic Tests |Activities: |

|Monitor diagnostic or lab test results |Other Tests |Lecture |

| |Nursing Process |Discussion |

| | |Case Studies |

|Use universal precautions/apply infection principles to client | |Group Activities |

|care (isolation, aseptic techniques) | |Quiz |

| | |Learning System Software |

|Assist client in disease prevention activities | |Test |

| | | |

| | | |

|Prevent environmental spread of infectious disease through | | |

|correct use of equipment | | |

| | | |

|Protect immuno compromised clients from exposure to infectious | | |

|organisms | | |

| | | |

|Use correct hand washing techniques | | |

| | | |

Caring for Preoperative Clients

|Course Learning Objectives |Content |Learning Experience |

|Review client’s physiological history |Perioperative Care |Required Readings: |

| | |Timby, Introduction to Medical Surgical Nursing, 10th|

| | |Ed. |

|Identify client response to diagnostic surgery | | |

| |Preoperative |Chapter 14 |

|Implement measures to manage/ prevent post-op complications | | |

| | |Activities: |

| | |Lecture |

|Reinforce teaching to prevent complications due to surgery | |Discussion |

| |Intraoperative |Case Studies |

| | |Group Activities |

|Obtain informed consent & baseline lab tests | |Quiz |

| |Postoperative |Learning System Software |

| | |Test |

|Monitor vital signs | | |

| |Ambulatory Care | |

|Notify provider if client has signs of potential complications | | |

| |Sequential compression device | |

| |TED’s stockings | |

|Use appropriate supplies to maintain asepsis | | |

| | | |

|Monitor client care area for sources of infection | | |

Introduction to the Endocrine

|Course Learning Objectives |Content |Learning Experience |

| |Anatomy and Physiology |Required Readings: |

|Apply knowledge of pathophysiology to monitoring client for |Pituitary Gland |Timby, Introduction to Medical Surgical Nursing, 10th |

|alterations in body systems |Thyroid Gland |Ed. |

| |Parathyroid Gland | |

| |Thymus Gland |Chapter 49 |

|Reinforce client teaching on purpose of lab test |Pineal Gland | |

| |Adrenal Glands |Activities: |

|Monitor diagnostic or lab tests |Pancreas |Lecture |

| |Ovaries and Testes |Discussion |

| | |Case Studies |

|Know about diagnostic various endocrine disorders | |Group Activities |

| | |Quiz |

|Notify provider about lab tests results |Physical Assessment & health history |Learning System Software |

| | |Test |

| | | |

|Discuss the nursing management of clients undergoing diagnostic |Nursing Management | |

|tests to detect endocrine dysfunction. | | |

| | | |

| | | |

| |General Nutritional Considerations | |

| |General Pharmacologic Considerations | |

| |General Gerontologic Considerations | |

Caring for Client with disorder of the Endocrine

|Course Learning Objectives |Content |Learning Experience |

|Apply knowledge of pathophysiology to monitoring client for |Disorders of the Pituitary Gland |Required Readings: |

|alterations in body |Acromegaly |Timby, Introduction to Medical Surgical Nursing, 10th|

| |Simmond’s Disease |Ed. |

| |Diabetes Insipidus | |

|Monitor diagnostic or lab test results |Syndrome of inappropriate |Chapter 50 |

| |Antidiuretic Hormone | |

|Reinforce client teaching about diagnostic tests. | |Activities: |

| | |Lecture |

|Notify provider about client lab test results | |Discussion |

| |Secretion |Case Studies |

|Reinforce client teaching on methods to prevent complications | |Group Activities |

|associated with diagnosed illness | |Quiz |

| | |Learning System Software |

| |Disorders of the Thyroid Gland |Test |

| |Hyperthyroidism | |

|Reinforce client’s stress management techniques. |Thyrotoxic Crisis | |

| |Hypothyroidism | |

|Determine client’s nutritional and hydration status. | | |

| | | |

| | | |

| |Medical Management | |

| |Nursing Process | |

| |The Client with Hypothyroid | |

Caring for Clients with Diabetes Mellitus

|Course Learning Objectives |Content |Learning Experience |

| |Diabetes Mellitus |Required Readings: |

|Apply knowledge of pathophysiology to monitoring client for |Pathophysiology & Etiology |Timby, Introduction to Medical Surgical Nursing, 10th|

|alterations in body |Assessment Findings |Ed. |

| |Medical Management | |

|Reinforce teaching about diagnostic tests |Nursing Management |Chapter 51 |

| |The Client with Diabetes Mellitus Care Plan | |

|Monitor diagnostic & lab results |Acute Complications of Diabetes Mellitus |Activities: |

| |Diabetic Ketoacidosis |Lecture |

| |Hyperosmolar Hyperglycemic Nonketotic Syndrome |Discussion |

|Notify provider about lab results |Hypoglycemia |Case Studies |

| |Chronic Complications of Diabetes Mellitus |Group Activities |

|Identify/intervene to control signs of hypoglycemia or |Peripheral Neuropathy |Quiz |

|hyperglycemia |Diabetic Nephropathy/ foot care |Learning System Software |

| |Diabetic Retinopathy |Test |

|Provide client/family information about condition |Vascular Disturbances | |

|Provide interventions to restore fluids & electrolytes imbalance |Assessment Findings | |

|Reinforce teaching about actions & therapeutic effects of |Medical management | |

|medications (insulin or oral agents |Nursing Management | |

Caring for Dying Patients

|Course Learning Objectives |Content |Learning Experience |

|Identify client needs for palliative/comfort care |The Dying Client |Required Readings: |

| |Informing the dying client |Timby, Introduction to Medical Surgical Nursing, 10th|

|Respect client palliative care choices |Sustaining hope |Ed. |

| |Care of the dying client | |

| | |Chapter 10 |

|Provide palliative/comfort care interventions |Assisting with Emotional Reactions | |

| | |Activities: |

| |Supporting Final Decisions |Lecture |

|Reinforce client/family teaching on palliative care |Living Wills |Discussion |

| |Durable Power of Attorney |Case Studies |

| | |Group Activities |

|Monitor outcome of palliative care interventions |Nursing Management |Quiz |

| | |Learning System Software |

|Identify client end of life needs (finances, fear, loss of | |Test |

|control & role changes) | | |

| | | |

| | | |

|Identify client/family’s ability to cope with end of life | | |

|interest | | |

| | | |

|Assist client in resolution of end of life issues | | |

| | | |

|Provide care or support for client/family to end of life | | |

Caring for Clients with AIDS

|Course Learning Objectives |Content |Learning Experience |

|Apply knowledge of pathophysiology to monitoring client for alterations in body |Human Immunodeficiency Virus |Required Readings: |

| |Acquired Immunodeficiency Syndrome |Timby, Introduction to Medical Surgical |

|Know lab values for disorder |Pathophysiology and Etiology |Nursing, 10th Ed. |

| |Assessment Findings | |

|Monitor diagnostic & lab results |Medical Management |Chapter 35 |

| |Nursing Management | |

|Reinforce teaching about diagnostic tests |Nursing Process |Activities: |

| | |Lecture |

|Notify provider about client lab test results | |Discussion |

| | |Case Studies |

|Universal precautions |Ethical issues |Group Activities |

|Maintain client confidentiality |Personal biases |Quiz |

| | |Learning System Software |

|Monitor client for actual or potential adverse effects of medications | |Test |

| | | |

|Make adjustments to with considerations of client cultural beliefs | | |

| | | |

|Respect client lifestyle choices | | |

| | | |

|Provide information for prevention of high risk behaviors s | | |

| | | |

|Discuss the nursing management of a client with AIDS. | | |

| | | |

|Describe techniques for preventing infection among healthcare workers who care for infected | | |

|clients. | | |

| | | |

|Discuss two ethical issues that affect healthcare workers in relation to HIV | | |

Legal Ethical Issues

|Course Learning Objectives |Content |Learning Experience |

| |Legal Issues in Nursing Practice |Required Readings: |

|Explain the difference between laws & ethics | |Timby, Introduction to Medical Surgical Nursing, 10th|

| | |Ed. |

|What is negligence, malpractice & liability |Ethical Issues In Nursing Practice | |

| |Risk Management |Chapter 5 |

|Identify legal issues affecting the staff & client (refusal of |Informed consent |Activities: |

|tx) |Taking verbal or telephone orders |Lecture |

| |Transcribing orders |Discussion |

|Follow appropriate agency procedures to report tx errors |Recognize task/assignment you are not prepared to perform & seek|Case Studies |

| |assistance |Group Activities |

|Document client care | |Quiz |

| | |Learning System Software |

|Report or intervene to prevent unsafe practice of health care | |Test |

|provider |Nursing Jurisprudence | |

|Explain decision making model |Ethical values | |

| |Professional values | |

| |Patient’s Bill of Rights | |

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