Texas Concept-Based Curriculum KILGORE COLLEGE ADN Program RNSG1433 Health Care Concepts II Spring 2017

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1 COURSE HOURS 2 HOURS, 0 LECTURE, 12 CLINICAL HOURS PER WEEK CONTACT HOURS 12 HOURS PER WEEK PREREQUISITES: RNSG 1125, 1128, 1430, 1216, 1161 COREQUISITES: RNSG 1126, 2362 Course Description In-depth coverage of health care concepts with application through selected exemplars. Concepts include acid-base balance, coping, clotting, cognition, fluid and electrolytes, gas exchange, immunity, metabolism, nutrition, comfort, and perfusion. Provides continuing opportunities for development of clinical judgment skills. The course lends itself to a concept-based approach. Instructor Julie Blundell, MSN, RN Office number: HSC jblundell@kilgore.edu Office hours posted on door List of Instructors which might use this syllabus: Krystal Bridwell, MSN, RN Tracy Hicks, MSN, PMHNP/FNP, RN Jackie Hobbs, MSN, RN Wendy Hicks, BSN, RN Dawn Bahr, MSN, RN Terri Peerenboom, MA, BSN, RN Mariane Hastie, MSN, RN Course Rationale: A second level concept-based course with information provided to encourage the completed development of the student into the roles of a professional, competent nurse. Required Textbooks & Equipment Halter, M. J., Varcarolis, Foundations of Mental Health Nursing: A Clinical Approach (ebook) 7 th ed. Elsevier 1

2 Ignatavicius, D. & Workman, M., Medical Surgical Nursing: Patient Centered Collaborative Care (ebook) 8 th ed. Elsevier Ignatavicius, D. & Workman, M., Clinical Nursing Judgment Study Guide for Medical-Surgical Nursing: Patient-Centered Collaborative Care, 8 th ed. Elsevier Evaluation: The grading system in RNSG 1433 is composed of lecture quizzes, theory exams, lab quizzes, HESI conversion score and comprehensive final exams. Students must also achieve successful completion (pass/fail) of the Lab portion of this course and pass the HESI exam. a. Grades consist of, but are not limited to: Level 1 HESI Results Remediation Forms and Required NCLEX/HESI style questions o Students will be required to work on a minimum of 1,500 practice NCLEX style questions throughout the semester, with additional questions required based on their Level 1 HESI Results Remediation Form. At least 100 questions should be completed each week. These practice HESI/exam quizzes (Prep U or similar component) are not optional. Points may be deducted from an exam grade if the entire question assignment is not completed by the date they are due. Noncompletion of the Level 1 HESI Results Remediation Form developed and signed by the student at the beginning of Level 2, students will not be allowed to sit for their Level 2 HESI Exam. LEVEL2 Grade Calculations are based on the following: RNSG 1433 HCC2: Comprehensive Final Exam worth 20% HESI #1 Conversion Score worth + 20% = 40% EXAM 1 Comfort & Elimination worth 5% EXAM 2 Coping/Cognition & Nutrition worth 5% EXAM 3 Immunity & Metabolism worth 6% EXAM 4 Gas Exchange & Fluid Elect. worth 6% EXAM 5 Acid/Base & Clotting worth 6% EXAM 6 Perfusion worth 6% QUIZ Average (Lecture and Lab) 6% = 40% 2

3 RNSG 1126 PNC2: Comprehensive Final Exam worth 10% = 10% Unit 1 Exam worth 3% Unit 2 Exam worth 3% Quiz Average worth 2% = 10% Summary of Level II Students Grades: PNC2 Lecture grade = 10% of overall grade PNC2 - Final Exam = 10% of overall grade HCC2 Lecture grade = 40% of overall grade HCC2 - Final Exam = 20% of overall grade HESI #1 Conversion Score = 20% of overall grade b. The student will receive the same grade for RNSG 1126 and c. The student is expected to participate in: a. In-class activities b. Group work c. Presentations d. Reports/papers using correct APA format e. Simulation and other lab activities d. Learning Lab (pass/fail) Lab Quizzes Participation in skills lab Various assignments: Adaptive Learning assignments/case Studies/Course Learning Modules/other assignments Skills competencies: Satisfactory. 3

4 CLASSROOM POLICIES: Math Calculation/Pharmacology Policy: The safe administration of medications is one of the primary objectives of the A.D.N. program. Accurate mathematical computation and pharmacological knowledge are essential elements of safe medication administration. Therefore, accuracy of mathematical computations/pharmacology will be assessed before each clinical course with the mastery (competency) level increasing from simple to complex during your course of study. Level I through Level IV must successfully pass the math/medication exam with a score of 100%. (Attempts for each Level is as follows: Level I 5 attempts; Level II and Level III 4 attempts; and Level IV 3 attempts).after each attempt, if the student is unsuccessful they must meet with their Instructor and complete the assigned remediation/tutorials before the next math exam. However, if the student does not pass the exam with a score of 100% on the final attempt, they will be required to withdraw failing from ALL clinical and theory courses. The student will not be eligible for readmission unless a recommended math course has been taken and passed, with a grade of C or better. The student may then reapply to continue in the nursing program when space is available. Scholastic Requirements: Grades in each nursing course in the KC A.D.N. program will use the following standard with no rounding: A = B = C = D = F = 59.9 and below Nursing Students must successfully pass both theory and concurrent clinical courses and achieve a grade of C or better to pass each course. An unsatisfactory grade in either theory or clinical practice will result in failure of the course, and both theory and clinical courses must be repeated. A student must pass both courses with a grade of C or better. 4

5 Grade calculation: Students must achieve 78% as the average of all exam grades in a course before grades on any papers or extra work may be averaged in. There will be no rounding of grades. Examinations: A blueprint of each test/quiz, identifying the topics to be covered, will be provided prior to each exam/quiz. Unless otherwise stated, the text will be considered as the authority. Testing will be computerized. You need to look at the rationales at this time, as this counts as part of your post Exam Review. Additional one-on-one Exam Review (Remediation) must be scheduled with the Instructor of Content per each exam, within 2 WEEKS following the date of given Exam. Students may not wait until the end of the semester to go back and look at previous exams. Any Student failing an Exam, is required to meet with the Instructor of Content and the student must notify the lead course instructor of the appointment date/time. Any Student that has failed a 2 nd Exam, MUST MEET WITH the lead Instructor to set up further tutorials/remediation. There will be 50 questions on major exams with 60-minute time limit. The final examination will be comprehensive, consisting of 100 questions and there will be a two (2) hour time limit. If a student is unable to be present for a major exam, it is the student s responsibility to contact the instructor prior to the examination. A make-up exam will be given at a time determined by the instructor. The highest grade a student may make on a make-up exam is 78%. Students are expected to be on time for all testing; the classroom doors will be locked and no one will be admitted late. Therefore the student will need to schedule time for a makeup exam with the instructor and the maximum grade for the makeup exam will be 78%. Posting of Grades: Exams will be graded by the computer and posted on the course website as soon as the faculty that taught concepts tested have had a chance to review the exam and analysis. Students will not come to the instructor s office to seek grades as this will slow the recording of grades. Faculty and staff are not permitted to give out information regarding student grades/scores over the telephone, or by . Learning Lab: 5

6 The purpose of the Learning Lab is to integrate and reinforce theory with practice and to expand content by implementing a variety of learning activities employing critical thinking, analytical and logical reasoning necessary to deliver competent, safe, nursing care to clients and families. Students must remain in skills lab for the full allotted time unless otherwise notified by the instructor. The minimum number of Level 2 Lab hours mandated per semester is 64 hours. Failure of a student to fulfill these requirements will result as a Failure in Level 2. Skills Checklist: The student is expected to pass various skills with a satisfactory within two attempts. Students cannot do any skill in clinical before they have successfully checked off in the Lab. If the student is unable to pass, he/she will make an appointment for practice time with the Clinical Lab Assistant before retesting. It is the responsibility of the student to make arrangements to remediate. Retesting will be done within the same week and skill must be completed before student can test on the next skill. If the student is unsuccessful on the second try, he/she will not be permitted to continue in the class, lab and clinical. The student is responsible for being prepared for all skills competency testing on the assigned day. The student must have available all supplies, equipment, skills competency check sheets and anything else that is assigned to demonstrate the assigned skill competency. If the student does not have the needed items to test the student will not be allowed to test and must reschedule testing, this will be considered the student s first attempt at the skill and the student will be given only one more opportunity to pass the skill. If a student is unable to be present for a skills competency testing, it is the student s responsibility to contact the instructor prior to the testing. A make-up skills competency test will be given at a time determined by the instructor. This will be considered the student s first attempt at the skill and the student will be given only one more opportunity to pass the skill. The student will have required peer review sign off sheets that are required to be completed by the date specified. Students will have a situational assessment check off at the end of the semester. Students will be given two opportunities to successfully complete. Standardized Tests: The A.D.N. program has chosen to participate in a Total Testing Program. Students pay a testing fee each semester, and will take a standardized test at the completion of each level. The exams will be given during the two weeks preceding final exams (as scheduling permits). The test score (% that HESI correlates with your score) will be weighted at 20% of the level grade. 6

7 All students will have an individualized remediation plan to complete during the following semester based on their HESI performance and scores. HESI remediation will be focused on success on the NCLEX- RN, as well as, the HESI. If the student is in 4 th level and does not make 900 on the RN Exit Exam on the 1 st attempt they must provide proof of completion of an approved NCLEX Review course before repeating the RN Exit Exam. A score of 900 or higher must be made on the 2 nd RN Exit Exam in order for the Affidavit of Graduation to be sent to the Texas Board of Nursing. If the student does not make 900 or higher on the HESI Exit Exam with their two attempts, but has passed the 4 th Level courses, the student will be allowed to graduate. The student will have one (1) calendar year from graduation to pass the HESI Exit Exam with a 900 or higher. The student s Affidavit of Graduation will be sent to the Texas Board of Nursing when the student passes the HESI Exit Exam. Remediation Policy: A student, who has failed a lecture exam with a score less than 78, is required to meet with their lecture Instructor prior to the next exam. After a 2nd exam score of less than 78, the student will also be referred to a Nursing Department tutor and be required to meet at least once with them before the next exam. Any student failing to follow this required remediation will not be eligible for re-entry into the program in the event they fail a course. Students who have failed a course, must complete RNSG 1293, Special Topics in Nursing, prior to being eligible to re-enter the Nursing Program. At the 2nd course failure, students will be removed from the program and will have the option to re-apply to the nursing program, as a first level student, after five (5) years. After a 2nd failure, students may appeal to the Admission, Re-Admission and Progression Committee for reinstatement by appearing before the committee, in person, with a formal request. Acceptance is not guaranteed and may be conditional. Kilgore College is dedicated to the students accepted to the ADN Program to promote their success. Our Mission Statement is: The Kilgore College Associate Degree Nursing prepares students for success in life and in nursing. According to the Texas Board of Nursing, Differentiated Essential Competencies (DECs) a nurse is responsible for being (excerpts from DECS s): 7

8 I. Member of the Profession: B. Assume responsibility and accountability for the quality of nursing care provided to patients and their families by: 4. Continuing competency and professional development. 5. Self-evaluation, staff evaluation, and peer evaluation processes. D. Demonstrate responsibility for continued competence in nursing practice, and develop insight through reflections, self-analysis, self-care, and lifelong learning. 1. Participate in educational activities to maintain/improve competence, knowledge, and skills. 3. Use self-evaluation, reflections, peer evaluation, and feedback to modify and improve practice. 5. Demonstrate commitment to the value of lifelong learning. The American Nurses Association Standards of Practice states that nurses are responsible for (excerpts follow): Standard 8. Education The registered nurse attains knowledge and competency that reflects current nursing practice. Standard 14. Professional Practice and Evaluation The registered nursed evaluates her or his own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations. The Kilgore College Associate Degree Nursing Student Handbook, in the Statement of Unsafe Clinical Practice; states that a student is unsafe if the students: 3. Assumes inappropriate independence in action or decisions. 5. Fails to recognize own limitation, incompetence and/or legal responsibilities. 8

9 Based on these important expectations for the career of nursing, any student who does not contact their lecture instructor within 48 hours concerning remediation, over any exam where they scored less than 78, will be placed on Contract for Unprofessional Conduct. If a failure results from the continued poor performance on lecture exams, the student will not be allowed to re-enter the Kilgore College Associate Degree Nursing Program based on the unprofessional conduct demonstrated by the lack of responsibility for their own education. Accommodations: It is the responsibility of the student, not the instructor, to seek special accommodations when needed. If you need special accommodations for any reason, please contact the special populations counselor, fill out the necessary forms and bring them to your instructor at the beginning of the semester. ADA Statement: Kilgore College is committed to making reasonable accommodations to assist individuals with disabilities in reaching their academic potential. If you choose to request accommodations for a documented disability which may impact your performance, attendance, or grades in this course, you must first register with the Office of Disability Services. Please note that classroom accommodations cannot be provided prior to your instructor s receipt of an accommodation letter from the Office of Disability Services. For more information about accommodations, please contact the Disability Services office on the second floor of the Devall Student Center: (903) Academic Difficulties: Kilgore College has Student Success Programs at both the Kilgore and Longview campus; i.e., The Zone Tutoring Lab, TRIO, Student Support. They provide resources for decreasing test anxiety and other academic difficulties. The ADN program has established a nursing tutorial program for students. Both self and faculty referrals can be made. The earlier you seek help, the less stress you will encounter and the better your prospects for being successful. Students should plan on studying at least three hours outside of class for every hour spent in class. Withdrawal from a course: If a Student chooses to withdraw from a course for personal reasons or due to failing a course, the Student must go to the Registrar s Office to withdraw themselves. Faculty will only withdraw Students for administrative reasons. If a Student withdraws from a lecture course, the corresponding clinical course must also be withdrawn from at the same time. 9

10 Attendance Policy: Students are expected to attend both class and clinical. If a student is unable to attend an assigned activity, they are required to call and report their absence as listed in each course syllabus. Absent students are responsible for all announcements, assignments, and course content. Sleeping in class will be counted as class time missed or as absence from class. Lecture/Lab: See Kilgore College Catalog for the attendance policy that states that no more than 12.5% of the total hours of instruction in any term can be missed. Any lab time missed over 12.5% will require make-up activities as designated by the lab instructor. Any lecture time missed over 12.5% will automatically give reason for the student to be dropped from the course. If you have any questions about the policy, please ask your Instructor or the Director. (You cannot miss any more than 6 hours of lecture. Any missed lab time must be made up with the approval of the lead Instructor) Make up Examinations: Students are expected to take all tests as scheduled. If a student is unable to take a major exam at the appointed time, he/she must notify the instructor of the absence prior to the scheduled exam time and schedule a make-up time according to the individual course syllabus. However, the maximum grade that the student may make on the exam is 78. Quizzes will be given at the beginning of lecture and lab. At this time the doors will be locked until everyone is finished with the quiz. Any student who is absent or late to lecture or lab will not be allowed to make-up the missed quiz. There will be no make-up quizzes. A missed quiz grade will be documented as a 0. HESI Exams: Students are expected to take all tests as scheduled. The student will not be able to take the HESI Exam at any other time than the scheduled day and time. Policy for Testing and Telephones: Students must turn their phones off and place them out on the indicated front desk or table during testing. 10

11 If the phone is out on the indicated front desk, and not turned off and rings/vibrates, the first offense will be a verbal warning and the second offense will result in a contract. During ANY exam or HESI exam, if the phone rings on their person, it will be considered cheating. The student will be dismissed from the exam and the exam will closed at that time. The student will make a 0 on the exam. Academic Integrity: From the Kilgore College Catalog: It is the responsibility of the students and the faculty to help maintain scholastic integrity at the college by refusing to participate in or tolerate scholastic dishonesty. Plagiarism and other forms of academic dishonesty undermine the very purpose of the college and diminish the value of an education. Specific sanctions for academic dishonesty are outlined in the Kilgore College Student Handbook available in the Office of the Vice President of Student Development, located in the Devall Student Center. Also available on the Kilgore College Website. Matters of Academic Dishonesty: From the Kilgore College Student Handbook: Academic dishonesty matters may first be considered by the faculty member who may recommend penalties such as withdrawal from the course, failing the course, reduction or changing of a grade in the course, a test, assignment, or in other academic work; denial of a degree and/or performing additional academic work not required by other students in the course. Acceptance of the faculty member s recommended penalties by the student shall make the penalties final and constitutes a waiver of further administrative procedures. If the student does not accept the decision of the faculty member, he/she may have the case heard by the appropriate department chair, dean and Vice President of Instruction for review. See Student Complaint, Grievance and Appeal Procedure for specific appeal instructions. If the student is ultimately found not to have been involved in academic dishonesty, the instructor shall not base his/her evaluation of the student on the alleged but unproven dishonesty. If the student is ultimately found to have violated matters of academic dishonesty, the appropriate disciplinary sanction shall be implemented. Any student who believes that a grade has been inequitably awarded should refer to the academic grade change procedures. Also available on the Kilgore College Website. For the Nursing Program, being in breach of the Academic Honesty Policy will include the following but is not limited to: 11

12 1. Looking at another s paper 2. Buying papers and exams 3. Illegally accessing a professor s office 4. Procuring/buying a copy of the instructor s test or test bank 5. Using cell phones, tablets, and other electronic equipment to find information or record test questions for others 6. Writing notes on hat brims, skin, shoes, bottles, and other items The Kilgore College Nursing faculty takes very seriously our obligation to graduate nurses who embody the values, ethics, and standards of the nursing profession and those of Kilgore College. We know that integrity as a student correlates with integrity as a nurse and that integrity is essential for professional success. Academic honesty must be the foundation for academic success. In order to achieve this success for our students and the ADN Program, the Standardized Exam vendor will use forensic data to analyze exams. If an aberrancy is determined, the exam will be invalidated and a retest will be offered. When taking the NCLEX Exam, candidates are required to not discuss the exam with anyone when they depart the testing site. Therefore, while attending the ADN Nursing Program, students will refrain from discussing exams taken in the program with students who have not taken the exam. Discussion of the exam will be considered a breach of the Academic Honesty Policy. In the absence of academic honesty it is impossible to assign accurate grades and to ensure that honest students are not at a competitive disadvantage. Students share in the responsibility for maintaining academic honesty. Students are to refrain from acts of academic dishonesty and notify instructors and/or appropriate administrators about observed incidents of academic dishonesty. Any student who is suspected of not following the rules of the Kilgore College Associate Degree Nursing Program during a testing session could be asked to retake the exam. We believe that you, the student, share our aspirations for academic integrity of the program and for your success as a professional nurse. A student will comply with the Kilgore College Associate Degree Nursing Academic Honesty Policy to insure academic integrity at Kilgore College. Civility Policy: 12

13 Per the Kilgore College Catalog, the college reserves the right to withdraw a student from one or more classes if, in the judgment of the college officials, such action is deemed to be in the interest of the student/and or the college. Examples of some reasons for administrative withdrawal are failure to provide accurate information, excessive absences, or unacceptable student behavior. The Civility Statement of the Kilgore College Catalog states that students are expected to assist in maintaining a classroom environment that is conducive to learning. Inappropriate or disruptive classroom behavior is prohibited in order to assure that everyone has the opportunity to gain from time spent in class. Should a disruptive classroom incident occur, the faculty member in charge may remove the student on either a temporary or permanent basis. Students have the right to appeal through the appropriate channels. Unprofessional conduct/unacceptable student behavior in this circumstance includes, but is not limited to the following: 1. Threatening instructors, hospital staff, patients, or other students. 2. Slanderous accusations against faculty, Kilgore College, hospital staff, or other students. 3. Disruption of the classroom or clinical environment. (This includes use of electronic devices during class or clinical such as texting, ipods, cell phone, and/or computer for other than specified class activities, etc.) 4. Being disrespectful to instructors, hospital staff, patients, or other students (i.e. tone of voice, rolling eyes, body language, arguing with instructor). 5. Demanding to discuss personal academic issues in a public forum. 6. Spreading of unfounded rumors. Sexual Harassment Policy Statement Please refer to the Kilgore College Associate Degree Nursing Program Student Handbook and the KC student handbook. Alcohol/Intoxicating Substances Policy Please refer to the Kilgore College Associate Degree Nursing Program Student Handbook and the KC Student Handbook. Policy for Social Networking Sites 13

14 Students in the ADN Program at Kilgore College are expected to adhere to the high standards of the Nursing profession with regard to maintaining confidentiality. This not only includes guarding patient confidentiality at a clinical site, but, also, in the classroom, at home and on-line. The following guidelines for behavior involved with cell phone use, FACEBOOK, Twitter, MySpace and any other social networking site. Guidelines: It is the students responsibility to keep their site appropriate and profiles clean. Do not post threats or derogatory remarks about anyone associated with the ADN Program. This includes fellow students, faculty, staff, college administration, clinical affiliates, and, above all, patients. This is a violation of the Kilgore College Board policy and will be reported to the police and disciplinary action, such as dismissal, is likely. Posting photos of other students, faculty, staff, etc. without their permission is forbidden. Taking photos of patients or clients, their body parts, or body fluids or exudates, is strictly forbidden. Cell phone use at the clinical site is strictly forbidden. If cell phones are discovered they will be confiscated for the remainder of the class or clinical day. Student Contract Policy Students may be placed on contract in any class, lab, or clinical setting. A student s final grade, in a course, will be lowered by a letter grade for each contract issued. Students who receive a second contract in a semester will be expelled from the program at that time. Students who receive a third contract will be expelled from the program at that time. Students may apply for readmission to the program. The student will be required to appear before the Admission/Readmission/Progression Committee. Readmission will be reviewed on an individual basis. Student Professional Code of Dress and Hygiene Please refer to the Kilgore College Associate Degree Nursing Program Student Handbook. 14

15 Please remember that as a student representing the KC A.D.N. program, you should be professionally attired in either the khaki pants and official polo shirt or uniform when the student is on campus as a nursing student in lecture and lab. Student Nurse Association T-shirts will be allowed with khaki pants on lecture days only. Whenever you are in uniform, you need to adhere to the Dress Code Policy whether on campus or clinical. ** Kilgore Picture ID s must be worn at all times when on campus and in the clinical facility.** Appearance in Lab or Skills Check-offs (or any other time you are on campus) Khaki pants and the KCADN polo shirt, with the KC ADN patch, and with shoes that are closed toe/closed heel and vinyl or leather, will be the official non-clinical hospital uniform. White shirts (short sleeve, long sleeve or turtleneck) may be worn under the polo shirt. White shirt tails should not hang below the polo shirt. Sweaters or jackets may be worn for warmth on campus. The KC ADN uniform is royal blue top, royal blue skirt or slacks, and shoes must be closed toe/closed heel and vinyl or leather. The KC ADN patch is placed on the upper left chest above the students nametag. A waist length royal blue scrub jacket with the KC ADN patch on the upper left chest above the nametag may be worn for warmth. Or a white shirt (short sleeve, long sleeve, or turtleneck) may be worn under the uniform top. White shirt tails should not hang below the uniform top. Sweaters or jackets may be worn for warmth on campus. Please remember that as a student you are representing the KC ADN program. Appearance in Lecture Student may wear the royal blue uniform or the polo shirt and khaki pants, following all dress code policies in the student handbook. Student Nurse Association T-shirts with khaki pants or khaki capris or royal blue uniform pants with shoes that are closed toe/closed heel and vinyl or leather. Sweaters or jackets may be worn for warmth on campus. Please remember that as a student you are representing the KC ADN program. Drop Date: The Drop Procedure per KC Catalog will be announced the first day of class. 15

16 DISCLAIMER: Your instructor reserves the right to make modifications in content and schedule as necessary to promote the best education possible within prevailing conditions affecting this course. COMMON COURSE OBJECTIVES: STUDENT LEARNING OUTCOMES FOR LEVEL II: (upon completion of this course the student will): 1. According to the Texas Board of Nursing Differentiated Essential Competencies for Associate Degree Nursing (DECs) the student will upon successful completion of this course be able to: I. Member of the Profession: A. Function within the nurse s legal scope of practice and in accordance with the policies and procedures of the employing health care institution or practice setting. Activities: text readings, class lecture, and discussion. Assessment: exams multiple choice, written assignments. (SCANS: 1, 2, 4, 5, 6, 7, 8) (PLO: 1-6) (IOM: 2-6) B. Assume responsibility and accountability for the quality of nursing care provided to patients and their families. Activities: text readings, class lecture, and discussion; skills lab. Assessment: exams multiple choice, written assignments; skills lab competencies. (SCANS: 1-8) (PLO: 1-6) (IOM: 1-5) C. Participate in activities that promote the development and practice of professional nursing. Activities: text readings, class lecture, and discussion; student nurses association. Assessment: exams multiple choice, written assignments. (SCANS: 1-8) (PLO: 1-6) (IOM: 1-5) D. Demonstrate responsibility for continued competence in nursing practice, and develop insight through reflection, self-analysis, self-care and lifelong learning. Activities: text readings, class lecture, and discussion; skills lab. 16

17 Assessment: exams multiple choice, written assignments; skills lab competencies. (SCANS: 1-8) (PLO: 1-6) (IOM: 1-6) I. Provider of Patient Centered Care: A. Use clinical reasoning and knowledge based on the associate degree nursing program of study and evidence-based practice outcomes as a basis for decision making in nursing practice. Activities: text readings, class lecture and critical decision making class, and discussion; skills lab. Assessment: exams multiple choice, written assignments; skills lab competencies. (SCANS: 1-8) (PLO: 1-6) (IOM: 1-6) B. Determine the physical and mental health status, needs and preferences of culturally, ethnically and socially divers patients and their families based upon interpretation of comprehensive health assessment findings compared with evidence-based health data derived from the associate degree nursing program of study. Activities: text readings, class lecture, and discussion; skills lab. Assessment: exams multiple choice, written assignments; skills lab competencies. (SCANS: 1, 4-7) (PLO: 1-6) (IOM: 1-6) C. Analyze assessment data to identify problems, formulate goals/outcomes and develop plans of care for patients and their families using information from evidence-based practice in collaboration with patients, their families and the interdisciplinary health care team. Activities: text readings, class lecture, and discussion; skills lab. Assessment: exams multiple choice, written assignments; skills lab competencies. (SCANS: 1-2, 4-7) (PLO: 1-6) (IOM: 1-6) II. Patient Safety Advocate: A. Demonstrate knowledge of the Texas Nursing Practice Act and the Texas Board of Nursing Rules that emphasize safety, as well as all federal, state, and local government and accreditation organization safety requirements and standards. Activities: text readings, class lecture and critical decision making class, and discussion. Assessment: exams multiple choice, written assignments. (SCANS: 1-8) (PLO: 1-6) (IOM: 1-6) 17

18 E. Comply with mandatory reporting requirements of the Texas Nursing Practice Act. Activities: text readings, class lecture, and discussion; skills lab. Assessment: exams multiple choice, written assignments; skills lab competencies. (SCANS: 1-8) (PLO: 1-6) (IOM: 1-6) III. Member of the Health Care Team: B. Serve as a health care advocate in monitoring and promoting quality and access to health care for patients and their families. Activities: text readings, class lecture, and discussion; skills lab. Assessment: exams multiple choice, written assignments; skills lab competencies. (SCANS: 1-8) (PLO: 1-6) (IOM: 1-6) C. Refer patients and their families to resources that facilitate continuity of care; health promotion, maintenance, and restoration; and ensure confidentiality. Activities: text readings, class lecture, and discussion; skills lab. Assessment: exams multiple choice, written assignments; skills lab competencies. (SCANS: 1-8) (PLO: 1-6) (IOM: 1-6) E. Communicate and manage information using technology to support decision making to improve patient care. Activities: text readings, class lecture and critical decision making class, and discussion. Assessment: exams multiple choice, written assignments, computer assignments. (SCANS: 1-8) (PLO: 1-6) (IOM: 1-6) 1. According to the Workforce Education Course Manual (WECM) the student will upon successful completion of this course be able to: A. Utilize a systematic process to analyze selected foundational concepts for diverse patients across the lifespan. Activities: text readings, class lecture, and discussion. Assessment: exams multiple choice, written assignments. (SCANS: ) (PLO:) (DECs: ) (IOM: ) 18

19 B. Describe nursing management for selected foundational concepts. Activities: text readings, class lecture, and discussion; skills lab. Assessment: exams multiple choice, written assignments; skills lab competencies. (SCANS: ) (PLO:) (DECs: ) (IOM: ) C. Apply the learned concepts to other concepts or exemplars.. Activities: text readings, class lecture and critical decision making class, and discussion; skills lab. Assessment: exams multiple choice, written assignments; skills lab competencies. (SCANS: ) (PLO:) (DECs: ) (IOM: ) D. Describe the interrelatedness between foundational concepts to assist in developing clinical judgment. Activities: text readings, class lecture and critical decision making class, and discussion; skills lab. Assessment: exams multiple choice, written assignments; skills lab competencies. (SCANS: ) (PLO:) (DECs: ) (IOM: ) 2. General Student Learning Outcomes the student will upon successful completion of this course be able to: A. Apply basic nursing knowledge, concepts and theory involved in evidence based nursing practice for: patient safety, infection prevention and control, hygiene, activity and exercise, nutrition, oxygenation, fluid, electrolyte, and acid-base balance, pain management, bowel and urinary elimination, mobility and immobility, skin integrity and wound care, sensory alterations. Activities: text readings, class lecture, and discussion; skills lab Assessment: exams multiple choice, written assignments; skills lab competencies. (SCANS: 1-8) (PLO: 1-6) (DECs: I A, I B, I D, II B, II C, II D, II E, II G, II H, III A, III B, III c, III D, IV A, IV D) (IOM: 1-6) SCANS MATRIX LEGEND (Competency References) 1 Reading 2 Writing 3 - Arithmetic or Mathematics 4 Speaking and Listening 5 Thinking Skills 6 Personal Qualities 19

20 7 Workplace Competencies 8 Basic Use of Computers PLO- Program Learning Outcomes in the Kilgore College Associate Degree Nursing Program Student Handbook. 1. Provide a safe and effective care environment for their patients, through appropriate management of patient care and promotion of safety and infection control. 2. Provide for patient s psychosocial integrity. 3. Provide for patient s physiological integrity through basic care and comfort, pharmacological and parenteral therapies, reduction of risk potential and physiological adaptation. 4. Provide for patient health promotion and maintenance. 5. Provide care for patients utilizing the nursing process, including assessment, analysis, planning, implementation and evaluation. 6. Provide patient care utilizing critical thinking to prioritize, set goals, apply knowledge with inferential and interpretive reasoning and predict or evaluate outcomes. IOM Institute of Medicine Core Competencies 1. Patient Centered Care 2. Teamwork and Collaboration 3. Evidence-based Practice 4. Quality Improvement 5. Safety 6. Informatics Course Objectives Upon completion of this course the student will: 1. Utilize a systematic process to analyze selected health care concepts for diverse patients across the lifespan. 2. Describe nursing management for selected health care concepts. 3. Relate the learned concepts to other concepts or exemplars. 4. Describe the interrelatedness between health care concepts to assist in developing clinical judgment. 20

21 Course Outline HEALTH CARE CONCEPTS 2 January 16-May 12 th Wednesday 8:30am-12:20pm Week 1 January 18 Comfort Pancreatitis (Chronic Pain, Acute Exacerbations) Sickle Cell Anemia (Chronic Pain, Acute Exacerbations) Post-Operative Pain: Abdominal Surgery (Acute Pain) Renal Calculi (Acute Pain) Peripheral Vascular Disease (PVD) (Neuropathic Pain) Week 2 January 25 Elimination Diverticulitis Paralytic Ileus Bowel Obstruction Crohn s Disease Neurogenic Bladder Spastic Week 3 February 1 Cognition Alzheimer s Disease/Dementia Delirium Coping Anxiety o Generalized Anxiety Disorder o Panic Disorder (Attack) o Obsessive Compulsive Personality Disorder o Eating Disorders Anorexia Nervosa Bulimia o Phobia Stress o Separation Anxiety (Developmental) o Post-Traumatic Stress Disorder o Physical Response/Disease 21

22 o Lifespan Response Substance Abuse/Addictive Behaviors o Alcoholism o Maternal/Fetal Cocaine Addiction o Neonatal Abstinence Syndrome (Withdrawal) Week 4 February 8 Nutrition Heart Healthy Diet Diabetic Diet Malnutrition (Introduce Parenteral Nutrition) Peptic Ulcer Disease (PUD) Gastroesophageal Reflux Disease (GERD) Malabsorption Syndromes Infant & Elderly (Gastrostomy and Enteral Feedings) Starvation Failure to Thrive Infant Nutrition (Breast/Bottle) Week 5 February 15 Immunity Vaccines Otitis media Urinary Tract Infection Cellulitis Osteomyelitis Pneumonia Appendicitis Trauma-sprain Week 6 - February 22 Metabolism Diabetes Type 1 Diabetes Type 2 Gestational Diabetes Graves Disease Hyperthyroidism Hypothyroidism Addison s Disease Hypocortisolism (Chronic Adrenal Insufficiency) Cushing s Hypercortisolism 22

23 Week 7 March 1 Gas Exchange Asthma Chronic Obstructive Pulmonary Disease (COPD) Pneumonia- Aspiration RSV/Bronchiolitis (Pedi) Tracheal Esophageal Fistula (Pedi/Newborn) Week 8 March 8 Fluid & Electrolyte Balance Dehydration Gastroenteritis - Elderly and Pediatrics Extracellular Fluid Volume Excess Hypocalcemia Hypercalcemia Hypokalemia Hyperkalemia - Chronic Renal Failure Hyponatremia - Syndrome of antidiuretic Hormone (SIADH), Hypernatremia Diabetes Insipidus (DI) Hypophosphatemia Hyperphosphatemia Hypomagnesemia Hypermagnesemia Week 9 March 22 Acid Base Balance Diabetic Ketoacidosis (DKA) Hyperventilation (Birthing Mother, Panic Attack) Gastrointestinal Losses (Pediatric) Drug Overdose with Hypoventilation Week 10 March 29 Clotting Hemophilia Deep Vein Thrombosis (DVT) Introduction to Blood Products Week 12 April 5 & Week 13 April 12 Perfusion 23

24 Basic ECG Rhythms Congestive Heart Failure Hypertension Gestational Hypertension Mitral Valve Prolapse Coronary Artery Disease (CAD) Peripheral Vascular Disease (PVD) Last Revised 01/26/