CAYUGA COMMUNITY COLLEGE DEPARTMENT OF NURSING COURSE SYLLABUS NURSING Credit Hours. 10 hrs/wk x 7½ wks hrs...

Transcription

1 CAYUGA COMMUNITY COLLEGE DEPARTMENT OF NURSING COURSE SYLLABUS NURSING Credit Hours COURSE TITLE: CLASSROOM TIME: CLINICAL EXPERIENCE: (Clinical) (Lab) TOTAL HOURS: PLACEMENT: Nursing in Physical/Mental Health III 4 hrs/wk x 7½ wks hrs credit hrs 10 hrs/wk x 7½ wks hrs credit hrs 2 hrs/wk x 7½ wks hrs 120 hrs credit hrs Fourth Semester of Nursing Curriculum PREREQUISITES: Nursing 101, 102, 214, 215, Biology 203, 204, Adult, Child, and Infant CPR certification by American Heart Association or American Red Cross CPR for Health Professionals. Cannot be taken concurrently with Nursing 216. COURSE DESCRIPTION: This course builds upon the skills, abilities, and knowledge developed in Nursing 101, 102, 214, and 215. The core concepts of individual, professional nursing, and health care are an organizing framework. Emphasis is placed on the concepts of fluid and electrolyte balance, metabolism, intracranial regulation, cellular regulation, immunity, and mobility. The role of the nurse as manager of care is further developed with increased autonomy and an emphasis on the development of leadership skills. The student will integrate theory into practice by caring for adult and older adult patients in acute care settings and the clinical preceptorship. The student is expected to demonstrate competency of selected advanced nursing skills in the Nursing Lab. COURSE LEARNING OUTCOMES: Upon completion of this course, the student will be able to: 1. Adhere to the standards of professional practice, be accountable for own actions and practice within the moral, legal, and ethical framework as defined by NYS Nurse Practice act and professional standards. 2. Demonstrate effective and professional communication techniques with individuals, families, groups and members of the health care team. 3. Use the nursing process to develop a comprehensive and prioritized plan of care for patients and families. 4. Integrate evidence-based practice as a foundation for safe care for a group of patients. 5. Apply clinical reasoning skills to provide safe patient care for a group of patients. 6. Demonstrate caring interventions to provide comprehensive and prioritized patient-centered care for a group of patients. 7. Develop and implement a teaching plan for a group of learners.

2 Page 2 8. Collaborate with the interdisciplinary healthcare team to provide safe care for a group of patients. 9. Apply principles of prioritization, delegation and supervision for a group of patients in a safe and cost-effective manner. 10. Use information technology to communicate and access information. 11. Use resources for continuous learning and self-development. COURSE MATERIALS: 1. HESI, Comprehensive Review for the NCLEX-RN Examination Edition 5. Elsevier, LaCharity, Linda. Prioritization, Delegation and Assignment Practice Exercises for NCLEX-RN Examination 3 rd Ed. Mosby, Davis, Drug Guide for Nurses. 13 th Ed., F.S. Davis or Nursing Central by Unbound Medicine. 4. Lewis, Sharon.etal. Medical surgical Nursing. 9 th Ed., Mosby, Print or Electronic Version. 5. Lewis and Dirksen. Medical surgical Nursing Study Guide. 9 th Ed., Mosby, Nursing Drug Reference or Cards of student's choice. 7. Meg Gulanick, Marcena Nienoll and Judith L. Myers. Nursing Care Plans Diagnoses, Interventions, and Outcomes. 8 th Ed. 8. Jane Vincent Corbett and Angela Denise Banks. Laboratory Tests and Diagnostic Studies with Nursing Diagnoses. 8 th Ed. OPTIONAL TEXTBOOKS: 1. Dentlinger. Medical Surgical Nursing, Reviews and Rationales. Prentice Hall, 3 rd Ed., Kathryn Colgrove, Med-Surg Success, Davis, 2 nd Ed., Joann Zerwekh. Mosby s Illustrated Study Guide for the NCLEX RN Exam. 8 th Ed., Mosby, Ackley and Ludwig. Nursing Diagnosis Handbook. Mosby s 10 th Ed., TEACHING STRATEGIES: 1. Reading assignments 2. Lecture, discussion, demonstration, and role playing 3. Collaborating learning groups 4. Interactive Computer Technologies, HESI Evolve Online Case Studies, Medcom Nursing Videos, 5. Self-study guides/learning guides 6. Optional Supplemental Instruction Sessions 7. Bulletin board displays 8. Exam review sessions Unit exams can be reviewed up to two weeks after test date 9. Student/instructor conferences 10. Nursing Lab instructor demonstration, independent practice, and competency demonstrations 11. Clinical experiences 12. Peer tutoring by Center for Academic Success 13. Preceptorship Journals 14. Clinical simulation learning activities

3 Page 3 STUDENT EVALUATION AND GRADING: A minimum passing grade of 77 (C+) must be achieved in each Nursing course and a satisfactory clinical grade must be achieved in each clinical Nursing course. A course grade below C+ is considered a failing grade. A course grade of C, C-, D+, D, D-, F or W is considered an unsuccessful attempt and will prohibit the progression to the next course. A second unsuccessful attempt in the program in a clinical Nursing course will result in withdrawal from the program. See Summative Rotation Evaluation and Guidelines for determining clinical grade. The student and instructor will use the following criteria to evaluate clinical and written work performance: (S) Satisfactory: The student exhibits the ability to perform safely, independently or with minimal instructor assistance. Demonstrates theory comprehension and meets all specific criteria. (NI) Needs Improvement: The student s performance is minimally acceptable and remediation to attain a rating of satisfactory is mandatory. Demonstrates theory comprehension and requires minimum additions and or corrections to meet satisfactory status. (U) Unsatisfactory: The student fails to provide safe patient care. Demonstrates overall lack of theory comprehension as evidenced by deficiencies requiring a complete revision to meet satisfactory status. It is the student s responsibility to remediate any identified needs improvement or unsatisfactory performance to the satisfactory level. If a student fails to achieve satisfactory on all performance criteria by the completion of the course, the student will fail the course. Final evaluation will not be completed until all clinical make-ups are complete. Classroom 1. Unit Exams (3) 70% 2. Final Comprehensive Exam 30% 3. Teaching Project 4. Drug Dosage Exam 100% accuracy is required by completion of Nursing 217. (A limit of two retakes is allowed) 5. Medication Competency Exam 100 % accuracy is required by completion of Nursing Evolve RN Online Case Studies complete 5 case studies from course outline at 80% level. Clinical Experience 1. Preparation for patient care is required. Incomplete preparation for patient care will result in dismissal from clinical that day and will count as an absence 2. Weekly Clinical Evaluations 3. Summative Rotation Evaluation (SRE) 4. Successful completion of Nursing Lab skills 5. Successful completion of Medication Administration Experience STATEMENT ON ACCOMMODATIONS TO DISABLED STUDENTS: Cayuga Community College, by mission and in compliance with the Americans with Disabilities Act of 1990 (ADA) and Section 504 of the Rehabilitation Act of 1973, is pledged to accommodate any students who provide appropriate documentation of a disability. Consistent with our institutional goals and capabilities, and with the objectives of this course, we will provide persons with disabilities any

4 Page 4 reasonable accommodations designated as necessary for them to have an equal opportunity for learning. In order to qualify for such accommodations, students with disabilities must present current documentation that meets our guidelines and verifies the existence and nature of their disabilities. Documentation needs to be submitted to the Office of Accessibility Resources for review and students must meet with the Accessibility Specialist to determine reasonable accommodations. Once accommodations are authorized by the specialist, it is critical that students have thorough discussions with their instructors about their required accommodations. If you are a student in need of accommodative services for a documented disability or have questions regarding this process, please contact the Office of Accessibility Resources located in the Center for Academic Success (Auburn Campus ), (Fulton Campus ). STATEMENT ON ACADEMIC INTEGRITY: Honesty is a fundamental responsibility of students in all pursuits of learning in the classroom, nursing lab and clinical agency. Acts of academic dishonesty are subject to disciplinary sanctions. Refer to the Nursing Student Handbook for the Academic Misconduct/Dishonesty policy and the CCC Student Handbook, for the Student Code of Conduct. COURSE REQUIREMENTS: 1. All clinical hours must be completed by the end of the course. 2. No more than six hours classroom absence will be allowed per 4 credit nursing course. 3. All written work must be submitted by the end of the course. 4. All Nursing Lab requirements must be completed by the end of the course. 5. Compliance with Nursing Student Handbook policies and procedures. 6. A student must satisfy all Rotation I requirements before participating in Preceptorship experience. Any student demonstrating less than satisfactory performance in Rotation I will complete the 56 clinical hours under the supervision of a clinical instructor rather than a clinical preceptor. 7. Completion of program Exit Interview with the Director of Nursing. 8. Completion of HESI exit exam. 9. All course and clinical evaluation procedures must be completed by the date of the final exam. COURSE CONTENT: I. Orientation to Nursing 217 A. Progress toward Learning Outcomes B. Nursing Program Conceptual Framework C. National Patient Safety Goals D. Learner Accountability II. Health Assessment A. Collecting data through history and physical examination. B. Neurological Assessment C. Head-to-toe assessment of the adult patient

5 Page 5 III. Nursing Care of Patients with Impaired Metabolism A. Hepatitis B. Cirrhosis C. Esophogeal Varices D. Cancer of the Liver E. Liver Failure F. Lab: Blood Transfusion Therapy IV. Nursing Care of Patients with Impaired Immunity A. Rheumatoid Arthritis B. Fibromyalgia C. Lupus D. HIV/AIDS E. Lab: Advanced Medication Administration V. Nursing Care of Patients with Impaired Intracranial Regulation A. Increased intracranial pressure B. Head trauma (TBI) C. Seizure disorder D. Lab: Care of the Patient with Intracranial Surgery VI. Nursing Care of Patients with Impaired Mobility A. Spinal Cord Injury B. Parkinson s Disease C. Multiple Sclerosis D. Amyotrophic Lateral Sclerosis E. Myasthenia Gravis F. Guillain-Barre Syndrome VII. Nursing Care of Patients with Impaired Regulatory Mechanisms A. Pituitary Disorders 1. GH excess 2. Hypopituitaryism 3. Hyperpituitarism 4. SIADH 5. Diabetes insipidus B. Adrenal Disorders 1. Cushing s Disease 2. Addison s Disease C. Pancreatic Disorders 1. Pancreatitis 2. Cancer of the Pancreas 3. DKA and HHS D. Lab: Simulation Care of the Complex Patient

6 Page 6 VIII. Nursing Care of Patients with Altered Renal Perfusion A. Acute Renal Failure B. Chronic Renal Failure C. Lab: Renal dialysis D. Lab: Putting It All Together IX. Nursing Care of Patients with Impaired Cellular Regulation A. Breast Cancer Revised: 10/17