THE UNIVERSITY OF TEXAS OF THE PERMIAN BASIN BSN NURSING PROGRAM

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1 THE UNIVERSITY OF TEXAS OF THE PERMIAN BASIN BSN NURSING PROGRAM NURS 3330 Course UTPB NURSING CARING SCHOLARSHIP IMAGINATION Susan Mberenga, MSN, RN Fall 2016

2 Basic Information Instructor: Office Location: Office Hours: Phone office: Work Cell: Susan Mberenga, MSN, RN MB and Wednesday and and by appointment NURS 3330: Course Placement: Junior Senior Fall Spring Summer Course Pre-requisites/Co-requisites: NURS 3320/3321 and NURS 3210; NURS 3530 Class: Three (3) hours of class per week* (See Calendar) Class Schedule and Room: 10:30 am 1250 pm in the LL01 (Library Lecture Hall 1) will start lecture at 1045 Course Description Evidence-based nursing concepts and theories to promote and restore health of adults with physiological and psychological alterations; apply clinical/critical reasoning and options for the safe and holistic care of persons with altered health status across the health-illness continuum and in a variety of settings. Patient advocacy is emphasized relating to care options. Course Objectives Objectives/Outcomes: Upon completion of course, the student will be able to: 1. Analyze the core competencies for health professionals including role collaboration, inter-professional communication, and handoffs in person and via informatics in the medical-surgical care environment. 2. Describe physiological and psychological pathological conditions affecting various body systems and processes, and the standard medical-surgical treatment protocol and nursing practice. 3. Distinguish the impact of physiological and psychological pathological conditions on the patient. 4. Discuss the actions, therapeutic effects, adverse effects, and patient education associated with medications including complementary and alternative modalities. 5. Apply clinical/critical reasoning through the nursing process to clinical situations including assessment, intervention, and evaluation of evidence-based, holistic nursing care. 6. Incorporate the psychosocial, cultural, and spiritual needs of individuals and families in planning and adapting evidence-based nursing care. Module Objectives Objectives/Outcomes: Upon completion of specified modules, the student will be able to: MODULE A: 1) Describe the scope of medical-surgical nursing in health promotion, illness/injury prevention in adult patients 2) Explain the culture of safety and quality care as described by the National Patient Safety Goals and required by The Joint Commission 3) Differentiate the six (6) core QSEN (Quality and Safety Education for Nurses) competencies for nursing practice and safety education 4) Delineate three (3) essential ethical principles that nurses should use as a guide to make clinical decisions 5) Demonstrate compliance with the five rights for delegation and supervision of nursing tasks/activities to unlicensed assistive personnel (UAP) 6) Apply four (4) steps of SBAR process in communications with members of the health care team 7) Illustrate three (3) important purposes/uses of informatics and technology in health care 8) Clarify the role of the nurse in the process of systematic quality improvement 9) Provide an example for each of the four (4) domains of complementary and alternative medicine (CAM) 10) Discuss special considerations related to CAM use among older adults (Health Promotion and

3 Maintenance) 11) Explain the concepts of culture, cultural diversity, cultural competence, and cultural sensitivity (Psychosocial Integrity) Addresses Course Objectives 1, 4, 5, 6 MODULE B: 1) Differentiate between inflammation and immunity in terms of cells, functions, and features 2) Discuss the basis for the five cardinal manifestations of inflammation 3) Identify the influences of the aging process on inflammation and immunity 4) Contrast white blood cell count with differential test results that indicate no immune problems, immune suppression, infection, or allergic reaction with results that indicate problems in one or more of these areas 5) Explain the protection provided by active immunity, passive immunity, and cell-mediated immunity 6) Interpret laboratory test findings related to infections and infectious diseases 7) Plan nursing interventions for management of the patient with an infection 8) Explain the reason for the increase in multidrug-resistant organisms 9) Compare and contrast the pathophysiology and clinical manifestations of Osteoarthritis, Rheumatoid Arthritis, and other connective tissue diseases 10) Discuss nursing care management for patients with Osteoarthritis, Rheumatoid Arthritis, and other connective tissue diseases 11) Describe current treatment strategies for patients with Osteoarthritis, Rheumatoid Arthritis, and other connective tissue diseases 12) Compare and contrast the pathophysiology and clinical manifestations of HIV and other Immune Deficiencies 13) Discuss nursing care management for patients with HIV and other Immune Deficiencies 14) Describe current treatment strategies for patients with HIV and other Immune Deficiencies 15) Identify patient education needs with HIV and other Immune Deficiencies 16) Differentiate between the characteristics and manifestations of specified hypersensitivity reactions 17) Explain the rationale for types of drug therapy for autoimmune disorders 18) Identify patients at risk for endocrine health problems 19) Describe the relationship between hormones and receptor sites 20) Explain negative feedback as a control mechanism for hormone secretion 21) Apply principles of anatomy and physiology to discuss the role of the endocrine system in homeostasis 22) Interpret laboratory test findings and clinical manifestations for patients with possible endocrine disorders 23) Compare and contrast the pathophysiology and clinical manifestations of pituitary and adrenal gland problems 24) Discuss nursing care management for patients with pituitary and adrenal gland problems 25) Describe current treatment strategies for patients with pituitary and adrenal gland problems 26) Identify patient education needs with pituitary and adrenal gland problems 27) Compare and contrast the pathophysiology and clinical manifestations of problems of the thyroid gland and parathyroid glands 28) Discuss nursing care management for patients with problems of the thyroid gland and parathyroid glands 29) Describe current treatment strategies for patients with problems of the thyroid gland and parathyroid glands 30) Identify patient education needs with problems of the thyroid gland and parathyroid glands 31) Compare and contrast the pathophysiology and clinical manifestations diabetes mellitus 32) Discuss nursing care management for patients with diabetes mellitus 33) Describe current treatment strategies for patients with diabetes mellitus 34) Identify patient education needs with diabetes mellitus Addresses Course Objectives 2, 3, 4, 5, and 6. MODULE C: Posted in CANVAS Addresses Course Objectives 2, 3, 4, 5, and 6. MODULE D: Posted in CANVAS Addresses Course Objectives 2, 3, 4, 5, and 6.

4 MODULE E: Posted in CANVAS Addresses Course Objectives 2, 3, 4, 5, and 6. Course Objective # Course Module AACN DECS 1, 4, 5, 6 A I-A; I-C; I-D; II-A; III-A; IV-E 2, 3, 4, 5, 6 B I-A; I-B3; I-C2a, b, 3b; I-D; II-A; II- B; II-C; II-H; III-A1-3; IV-A1, 2, 5; IV-B; IV-C4, 6, 7; IV-E1, 2, 3 2, 3, 4, 5, 6 C I-A; I-B3; I-C2a, b, 3b; I-D; II-A; II- B; II-C; II-H; III-A1-3; IV-A1, 2, 5; IV-B; IV-C4, 6, 7; IV-E1, 2, 3 2, 3, 4, 5, 6 D I-A; I-B3; I-C2a, b, 3b; I-D; II-A; II- B; II-C; II-H; III-A1-3; IV-A1, 2, 5; IV-B; IV-C4, 6, 7; IV-E1, 2, 3 2, 3, 4, 5, 6 E I-A; I-B3; I-C2a, b, 3b; I-D; II-A; II- B; II-C; II-H; III-A1-3; IV-A1, 2, 5; IV-B; IV-C4, 6, 7; IV-E1, 2, 3 CCNE Standard III: A-D; III: F-H IOM Recommend ation 2, 4, 6, 7 Teaching Strategies This course is taught by lecture, seminar, team learning, break out groups, group projects, Socratic questioning, and discussions. It is expected that assigned readings be completed prior to the class. Course Grading COURSE COMPONENT COURSE GRADE % * Quizzes (Medical Terminology, In-Class Quizzes (scheduled & unscheduled) * Drug Calculations Exam (Grade of > 90% required; Cannot attend clinical until 15% grade of > 90% is achieved) * Targeted ATI med surge practice assessments (Must achieve 100% for submission credit) 10% * Exam 1 15% * Exam 2: Mid-Term Exam (80% new content; 20% comprehensive) 15% * Exam 3 (80% new content; 20% comprehensive) 15% * ATI Proctored Test ( must make a 70% or higher to pass) 15% * Exam 4: Final Exam (80% new content; 20% comprehensive) 15% TOTAL 100% * Individual Student Work GRADING SCALE A B C D < 60 F

5 The existing rule of C or better to progress remains in effect; therefore, to successfully complete a nursing course, students shall have a course grade of or greater. The common rounding rule will be used for final grades. Example: 89.5 will be rounded to 90; 89.4 will be rounded to 89. Course Assignments Quizzes (15%) Timed quizzes will be administered throughout the semester. These quizzes will test knowledge of content addressed prior to the quiz date, including readings required prior to lecture, medical terminology (abbreviations, prefixes, suffixes), and content covered during lab. There will be no make up for quizzes that are missed, whether scheduled or unannounced. Drug Calculations quiz Must be passed with > 90%. After the first failed attempt, student will be referred to the Retention Coach for remediation prior to re-taking the exam. Initial, and any needed make-up exams, must be completed prior to beginning on-site clinical experiences. Examinations (60%) There are four (4) scheduled module exams (Exam 1: Modules A & B; Exam 2: Module C; Exam 3: Module D; Exam 4: Module E) worth 15% each (total = 60%). Each exam subsequent to the initial exam will be comprehensive (80% new content, 20% previously covered content). An exam blueprint will be provided one week prior to each exam date. Exams are posted on CANVAS. It opens on at 1530 and closes Wednesday at IT IS YOUR RESPONSIBILITY TO ALLOCATE ENOUGH TIME TO TAKE IT! 60 questions per question, 90 minutes total (1.5 minutes per question, you may NOT go back to another question, you may not use anything other than YOUR brain to take the test. You may use calculators if dosage calculations are on the test. After completion of the exam, a thorough item analysis will be conducted prior to posting exam scores. All students must take the exam before scores can be posted or a review given. Students who fail an exam, score < 70%, MUST meet with the Course Director and/or the Retention Coach prior to taking the next scheduled exam. No late exams will be allowed unless an extension is discussed with the course facilitator prior to the exam. Decisions regarding extensions are at the discretion of the Course Director. Make-up exams, if permitted, must be completed within 7 days of the original exam date. No children may be brought to class or exams. Do not leave children unattended in the building. Targeted ATI med surg practice assessments and Adult Medical Surgical Online Practice assessments (10%) Students are required to complete Targeted ATI med surg practice assessments to enhance learning of course concepts. There is no time limit on any of the assessments and ATI books may be used to complete ALL PRACTICE assessments. The targeted ATI med surg practice assessment due dates are in the course schedule. ATI targeted med surg practice assessments require 100% score. RN Adult Medical Surgical Online Practice 2016 A due date is in the course schedule. ATI book is allowed during assessment. For every topic missed, read the online ATI book, retake the RN Adult Medical Surgical Online Practice 2016 A again. See syllabus for deadline dates. RN Adult Medical Surgical Online Practice 2013 B due date is in the course schedule. ATI book is allowed during assessment. For every topic missed, read the online ATI book, retake the RN Adult Medical Surgical Online Practice 2013 B again. See syllabus for deadline dates. In order to enter the final, a binder/folder with documents/paperwork must be handed to the instructor. It is your ticket into your final. The binder must have the following information: full name of the student and date of final, performance profile(s) showing ALL targeted med surg practice assessments, performance profile showing RN Adult Medical Surgical Online Practice 2016 A, and, performance profile showing RN Adult Medical Surgical Online Practice 2013 B. Proctored ATI Exam (15%) The Proctored ATI Exam date, time, and location will be posted when confirmed. All assigned coursework in this syllabus must be completed/submitted during the semester. Failure to complete and/or submit assigned coursework will result in a grade of I, Incomplete.

6 Textbooks & Materials Required American Psychological Association. (2010). Publication manual of the American Psychological Association. (6 th ed.). Washington, D.C.: American Psychological Association. ISBN: Ignatavicius, D. & Workman, L. (2016). Medical-surgical nursing: Patient-centered collaborative care. (8 th ed.). St. Louis, MO: Saunders Elsevier. ISBN: Ignatavicius, D. & Workman, L. (2016). Medical-surgical nursing: Patient centered collaborative care. Clinical decision-making study guide. (8 th ed.). St. Louis, MO: Saunders Elsevier. Ladwig, G. & Ackley, B. (2014). Guide to nursing diagnosis. (4 th ed.). St. Louis, MO: Saunders Elsevier. ISBN: Pagana, K. & Pagana, T. (2014). Manual of diagnostic and laboratory tests. (5 th ed.). St. Louis, MO; Mosby Elsevier. ISBN: Skidmore-Roth, L. (2014). Mosby s drug guide for nursing students. (10 th ed.). St. Louis, MO; Mosby Elsevier. ISBN: Supplemental textbook: RN- adult medical surgical nursing ATI book REFERENCE: AACN. (2002). Hallmarks of the professional nursing practice environment. AACN. ANA. (2010). Code for nurses with interpretive statements. ANA. ANA. (2010). ANA social policy statement. ANA. Craig, G. P. (2012). Clinical calculations made easy: Solving problems using dimensional analysis. (5 th ed.). Philadelphia, PA: Wolters Kluwer Health Lippincott Williams & Wilkins.ISBN: Huether, S. & McCance, K. (2012). Understanding pathophysiology. (5 th ed.). St. Louis, MO; Mosby Elsevier. ISBN: Institute of Medicine. (2010), The future of nursing: Leading change, advancing health. National Academies Press. Jarvis, C. (2012). Physical examination & assessment. (6 th ed.). St. Louis, MO: Saunders Elsevier. ISBN: Jarvis, C. (2012). Physical examination & assessment: Student laboratory manual. (6 th ed.). St. Louis, MO: Saunders Elsevier. ISBN: Lehne, R. (2012). Pharmacology for nursing care. (8 th ed.). St. Louis, MO: Saunders Elsevier. ISBN: Ochs, G. (2013). Fundamentals of nursing: Study guide. (8 th ed.). St. Louis, MO; Mosby Elsevier. ISBN: Potter, G. & Perry, A. (2013). Fundamentals of nursing. (8 th ed.). St. Louis, MO; Mosby Elsevier. ISBN: Texas Nurses Association. (2011). Annotated guide-rn to the Texas nursing practice act. (10 th ed.). Austin, TX: Texas Nurses Association. Touhy, T.A. & Jett, K. (2012). Ebersole & Hess Toward health aging: Human needs & nursing response. (8 th ed.). St. Louis, MO: Mosby Elsevier. ISBN: Students in the UTPB BSN Nursing Program are expected to have access to all required textbooks and materials used in nursing courses. Nursing courses are designed to build upon the student s growing knowledge base. Students are strongly advised to retain all required textbooks and materials from nursing courses taken in the junior year and senior year for review and reference pending graduation from the program and preparation for the NCLEX EXAM.

7 Guidelines Lectures: Students should read the textbook and/or other readings as assigned prior to class. Most of the lectures provide expansion of specific textbook topics and guidance on important areas. Face-to-face lectures will be summaries, elaborations on specific topics, and discussion. Attendance/Absences: Your attendance is expected at every class and/or lab and clinical session; attendance will be recorded. This type of course requires participation in all areas for accurate evaluation of performance. Intelligent participation requires that you be prepared for the class. Your attendance is expected at every class and/or lab and clinical. Attendance is necessary to be successful in both the didactic portion and clinical learning experience of students. Students become more proficient in their learning when consistent active participation occurs. Students must attend all classroom and clinical sessions. When emergencies occur that prevent attendance, it is the student s responsibility to inform the faculty. Notifying the faculty and appropriate clinical instructor of an anticipated absence is imperative; failure to do so may result in failure of the course. Notification of a clinical absence must be done by phone call or text to the clinical instructor. Notification of a clinical absence by is not acceptable and will not be recognized as appropriate and sufficient notification. Excessive absence from class may result in an Administrative drop by the Director of the Nursing Program upon recommendation by the faculty. Classroom attendance will follow the UTPB attendance policy: refer to the UTPB Falcon Guide. ( Computer Skills and Other Requirements: Basic computer skills, ability to use the Internet, and ability to type are required. All assignments must be formatted in Microsoft Word or Excel, using correct APA format or the assignment will be rejected. Submitted work must be saved as a doc or docx file; please do not submit work as a pdf file. Scholastic Dishonesty The integrity of a university degree depends on the integrity of the work done for that degree by each student. The University expects a student to maintain a high standard of individual honor in all scholastic work (Rules and Regulations of the Board of Regents). Scholastic dishonesty includes, but is not limited to cheating, plagiarism, collusion, and the submission for credit of any work or materials that are attributable in whole or in part to another person, any act designed to give unfair advantage to a student, or the attempt to commit such acts. Detailed information on scholastic dishonesty along with disciplinary procedures is outlined in the Handbook of Operating Procedures, Part 5, Section 1, and the Student Guide.

8 Disabilities Disability Accommodations To request academic accommodations for a disability, contact Leticia Madrid, Director of the PASS Office in the Mesa Building Room 1160, , madrid_l@utpb.edu. Students are required to provide documentation of disability to the Testing and Academic Accommodations Office prior to receiving accommodations. The Testing and Academic Accommodations Office refers some types of accommodation requests to the University Counseling Center which provides diagnostic testing for learning and psychological disabilities. For information about testing, contact Suzanne Rathbun in the University Counseling Center, , rathbun_s@utpb.edu. Requirements for Participation in the Nursing Program THE UNIVERSITY OF TEXAS OF THE PERMIAN BASIN BSN NURSING PROGRAM Essential Eligibility Requirements for Participation in the Nursing Program ADA Guidelines apply to all qualified disabled persons. A qualified disabled person is a person with a disability who, with or without reasonable modifications to rules, policies, or practices, the removal of architectural, communication, or transportation barriers, or the provision of auxiliary aids and services, meets the essential eligibility requirements for the receipt of services, or the participation in programs or activities provided by a public entity and who can perform the essential functions of the position. The following essential eligibility requirements for participation in the Nursing Program (Standards/Factions) and examples of necessary activities (NOT all inclusive) should be used to assist each applicant/student in determining whether accommodation or modification is necessary. Standard Critical-thinking abilities sufficient for clinical judgment. Interpersonal abilities sufficient to interact with individuals, families, and groups from a variety of social, emotional, cultural, and intellectual backgrounds. Communication abilities sufficient for interaction with others in verbal and written form. Abilities sufficient to move from room to room and maneuver in small spaces. Abilities sufficient to provide safe and effective nursing care. Abilities sufficient to monitor and assess health needs. Abilities sufficient for observation and assessment necessary in nursing care. Abilities sufficient for physical assessment. Some Examples of Necessary Activities Identify cause-effect relationships in clinical situations, and develop nursing care plans. Establish rapport with patients/clients and colleagues. Explain treatment procedures, initiate health teaching, document and interpret nursing actions, and patient/client responses. Moves around in patient s rooms, work spaces, treatment areas, and administer cardio-pulmonary procedures. Calibrate and use equipment; position patients/clients. Hears monitor alarm, emergency signals, auscultated sounds, cries for help. Observes patient/client responses. Perform palpation, functions of physical examination, and/or those related to therapeutic intervention, e.g., insertion of a urethral catheter.

9 Important Dates EVENT DATE Classes Begin August 24 Last Day to Add a Course September 1 Labor Day Holiday, No Class September 5 Last Day to Drop a Course without Creating an Academic September 9 Record Last Day to Drop a Course or Withdraw October 28 Thanksgiving Holiday, No Class November Last Regular Class Day December 6 Final Examinations December 8-13 Semester Ends December 14 Commencement December 17

10 Course Schedule Week Module/Objectives Class Content Assignments/Exams 2 8/29 3 9/5 A/1, 4, 5, 6 B/2, 3, 4, 5, 6 Orientation: Course & Lecture: Fluid & Electrolyte Imbalances; Acid-Base Imbalances Lecture: Concept-Protection Immune System Inflammation & Immune Response Infection Hypersensitivity & Autoimmunity Arthritis & Connective Tissue Diseases Acquired (Secondary) & Congenital (Primary) Immune Deficiencies Chapters: 11, 12, Name of ATI assessments: Immune (complete by 9/12/16) Fluid, Electrolyte, and Acid-Base (complete by 9/12/16) Complete fluid and electrolytes and acid base balance practice form by 9/6/16, will go over it on Tuesday. 4 9/12 B/2, 3, 4, 5, 6 Lecture: Concept-Metabolism Endocrine System Disorders: Anterior Pituitary Gland Posterior Pituitary Gland Adrenal Glands Thyroid Gland Parathyroid Glands Diabetes Mellitus Chapters: Name of ATI assessment: endocrine (complete by 9/19/16)

11 5 9/19 6 9/ /3 8 10/10 C/2, 3, 4, 5, 6 C/2, 3, 4, 5, 6 Lecture: Concept-Oxygenation (Part 1) Respiratory System O 2 Therapy; Tracheostomy Respiratory System Noninfectious Upper Respiratory Problems Noninfectious Lower Respiratory Problems Lecture: Concept-Oxygenation (Part 2) Infectious Respiratory Problems Nose; Sinuses Oral Pharynx; Tonsils Larynx; Lungs Critically-Ill Patients Pulmonary Embolism Acute Respiratory Failure Acute Respiratory Distress Syndrome C/2, 3, 4, 5, 6 Lecture: Concept-Cardiac Output & Tissue Perfusion (Part 1) Cardiovascular System EKGs; Dysrhythmias Cardiac Disorders C/2, 3, 4, 5, 6 E/2, 3, 4, 5, 6 Lecture: Concept-Cardiac Output & Tissue Perfusion (Part 2) Cardiovascular System Vascular Disorders Shock; Sepsis Lecture: Concept-Tissue Perfusion Hematologic System RBCs; WBCs; Coagulation EXAM 1 (Chapters: 1, 11, 12, 17,18, 19, 20, 61, 62,63,64) EXAM TO BE COMLETED ON 9/21/16 BY 2359! Chapters: Name of ATI assessment: Respiratory (complete by 10/3/16 at 2359) Chapters: Name of 1 st ATI PRACTICE ASSESSMENT: RN Adult Medical Surgical Online Practice 2013 A round 2 (complete by 10/24/16 at 2359) Chapters: Name of ATI assessment: cardiovascular (complete by 10/17/16 at 2359) Chapters: 36-38, 39,40

12 9 10/ / / /7 D/2, 3, 4, 5, 6 Lecture: Concept-Cognition, Sensation, Mobility (Part 1) Nervous System Central Nervous System (CNS): Brain; Spinal Cord Peripheral Nervous System Neurological: CVAs D/2, 3, 4, 5, 6 Lecture: Concept-Cognition, Sensation, Mobility (Part 2) Sensory System: Eyes, Vision; Ears; Hearing Eyes; Vision Ears; Hearing EXAM 2 DONE IN CLASS! (27,28,29,30, 31,32, 33, 34, 35,36,37,38,39.40) E/2, 3, 4, 5, 6 Lecture: Concept-Protection Integumentary System (Skin, Hair, Nails) Disorders, Inflammation, Irritations, Trauma, Infections, Parasites Burns In class MT quiz 2 with cranial nerves/neuro D/2, 3, 4, 5, 6 Lecture: Concept-Cognition, Sensation, Mobility (Part 3) Musculoskeletal System Metabolic Bone Diseases; Osteomyelitis; Scoliosis; Muscular Dystrophy Hands; Feet Trauma Chapters: Chapters: Name of 2 nd ATI PRACTICE ASSESSMENT: RN Adult Medical Surgical Online Practice 2013 B (complete by 10/31/16 at 2359) READ MATERIAL YOU MISSED BEFORE DOING THE RETAKE! RN Adult Medical Surgical Online Practice 2013 B ROUND 2 (complete by 11/17/16 at 2359) Chapters: Chapters: Name of practice assessment: Targeted Medical-surgical 2013: Neurosensory and Musculoskeletal (complete by 11/14/16 at 2359)

13 13 11/ / / /5 () 16 12/6 (Tuesday) 12/12/16 () E/2, 3, 4, 5, 6 E/2, 3, 4, 5, 6 Lecture: Concept-Tissue Perfusion Cancer Pathophysiology Prevention (Primary Secondary) Management EXAM 3 DONE IN CLASS (Chapters: 41, 42,43,44,45,46,47,48,49,50,51) Lecture: Concept-Filtration, Regulation, Metabolism, Excretion, Elimination Renal and Urinary System Upper Urinary Tract (Kidneys, Ureters) Lower Urinary Tract (Bladder, Urethra) Lecture: Concept-Nutrition, Metabolism, Bowel Elimination Gastrointestinal System Oral Cavity Esophageal Stomach In class MT quiz 3 and ostomy Lecture: Concept-Nutrition, Metabolism, Bowel Elimination (part 2) Gastrointestinal System Intestinal Liver Gallbladder Pancreas Malnutrition; Obesity ATI exam Test is scheduled for Arrive at room STC 1108 no later than 0815, test WILL start on time, if you are late you CANNOT make time up! Final Exam Arrive no later than 0915 am in room STC 1108 Test is from Schedule is subject to change, notification will be given if and when it happens. Chapters: 22 Chapters: Name of ATI practice assessment: Renal and Urinary (complete by 11/28/16 at 2359) Chapters: Name of ATI practice assessment: Gastrointestinal (complete by 12/9/16 at 2359) Final to be taken on campus via computer Final to be taken on campus via computer