CALIFORNIA STATE UNIVERSITY, BAKERSFIELD Department of Nursing

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1 CALIFORNIA STATE UNIVERSITY, BAKERSFIELD Department of Nursing 1 NURSING 252 Health Care of Adults Through Senescence, Part 1 Spring Quarter/Sophomore Year 2005 FACULTY: Office/Phone Kathleen Gilchrist, RN, PhD Team Leader, Sect. 4 RNEC 132/ Brenda Pulskamp, RN, EdD, Section 1 RNEC 112/ Jaime Mendiola, RN, MSN,CCRN, ACNP-C, Sect. 2 RNEC 109/ Debbie Wilson, RN, FNP, Section 3 RNEC 134/ Janice Nichols, RN, FNP, Section 5 RNEC 124/ Helen Downey, RN, EdD, Section 6 RNEC 110/ Vicki Shergill, RN, FNP, Section 7 RNEC 124/ DAY(s)/TIME/LOCATION: See Schedule CREDITS: Laboratory/Clinical Practice (5 units) (15, 50-minute hours per week) COURSE DESCRIPTION: The CSUB Systems Model of Nursing, as the conceptual basis of the nursing process and as a means of maintaining physiological, psychological, behavioral and socio-cultural integrity is applied. Biological and psychosocial theories are utilized in the development of the nursing process. Emphasis is placed on nursing interventions directed towards promotion of system stability/maximum functional status and evaluation of the results of interventions. Clinical experiences for implementing the nursing process in the care of young, middle-aged, and older adults with common illness conditions are provided. Acute geriatric health-care health settings are utilized. Critical analysis of patient data and responses to nursing intervention are emphasized. PREREQUISITES: N241, N242, N243, N244, N245, BIO355 COREQUISITES: N251, BIO370

2 COURSE OBJECTIVES: 2 Upon successful completion of N252, the student will: 1. Utilize knowledge of development, psychosocial, physiological, socio-cultural and pathophysiological factors that influence adults in assessing health care needs. (Evaluation #1) 2. Demonstrate beginning proficiency in assessment and identification of nursing problems, and in developing, implementing, and evaluating nursing care in the acute area. (Evaluation #3, 10) 3. Develop/revise written nursing care plans for individual clients. (Evaluation #3, 9) 4. Utilize nursing publications/research findings in planning and evaluating nursing. (Evaluation #8) 5. Demonstrate beginning proficiency in verbal/written communication with others through skillfully reporting and recording data. (Evaluation #5, 6, 9) 6. Exhibit professional behavior in interactions with clients, health team members, peers, and the public. (Evaluation #4) 7. Demonstrate beginning proficiency in geriatric assessment, identification of geriatric specific problems, and development and utilization of geriatric specific care plans. (Evaluation #1, 2, 3, 6, 7, 9, 10, 11) 8. Develop nursing process which demonstrates application of CSUB Department of Nursing conceptual model. 9. Demonstrate motivation for self-learning through the selection of clients appropriate to their own learning needs. (Evaluation #10) Services for Students with Disabilities: CSUB provides services for students with disabilities through the Services for Students with Disabilities Office (661) ; TDD (661) CLINICAL EXPERIENCES: Management of Clients in Geriatric Settings Management of Clients in Acute Care Settings Development of Advanced Skills Tracheobronchial Care, Chest Tubes, PCA, Naso-gastric Intubation, etc. Monitoring of Patients with Acute Health Problems Interpretation of Laboratory/Diagnostic Tests Intravenous Therapy: Venipuncture, Assessment and Supervised Administration Patient Teaching Formulating Nursing Care Plans EQUIPMENT:

3 3 CSUB Nursing Student Uniform, name tag, stethoscope, watch with second hand, reflex hammer, measuring tape, penlight TEACHING METHODOLOGY: A. Demonstration D. Laboratory Practice B. Discussion E. Clinical Practicum F. Audio-Visual ATTENDANCE: Students are required to attend all clinical sessions. Required care plan preparation must be completed (must complete first page, pathophysiology, and appropriate medications and labs) before patient care or student will be sent home for an unexcused absence. Excused absences from laboratory are only given for time missed due to illness or for other extenuating circumstances. An excused absence is one in which the instructor is notified by the student prior to the clinical meeting and other arrangements are made to make up any work missed. An unexcused absence is one in which the instructor is not notified PRIOR to the class meeting, or clinical time and no arrangements are made to make up missed clinical experience. Students must notify their instructor themselves of any absence prior to the scheduled meeting time. Due to the essential nature of the content and hospital experience in this course, an UNEXCUSED absence is difficult to make up and may result in failing the course. Attendance will be taken. After 12 hours of clinical absence, time must be made up at the discretion and availability of faculty. If you are15 minutes or more late for any clinical, it will be an unexcused absence. Illness Policy: Students with chronic or contagious health conditions limiting their ability to perform all aspects of nursing care must submit a doctor's certificate stating that it is safe for the student to perform nursing care at 100% capacity before returning to the clinical area. All absences more than 12 hours, even if excused, must be made up and at the discretion and availability of the nursing faculty Clinical Warning: Students are advised to familiarize themselves with the provision of Clinical Warning Procedure (Nursing Student Policy Handbook). Clinical Warnings may result in a reduction in the student s grade. LABORATORY/HOSPITAL ATTIRE: Lab coats over appropriate attire (for example: no jeans, sweats, short skirts, low cut blouses, shorts, flip-flops, etc.) with name tags are necessary when obtaining assignments at the hospital. Uniforms are to be worn during assigned lab/clinical time. Students are responsible for following the uniform policy in the Undergraduate Nursing Student Policy Handbook. All students are responsible for a well-groomed professional appearance while in the clinical area. Long hair will be tied back, clean and conservatively styled. Adornments will be limited to single, small earrings or studs. No other body embellishments will be visible or obvious. Finger rings will be limited to one low profile ring or band. Fingernail adornments will not be acceptable in the clinical area. Acrylic nails or silk enhancements are an infection control risk and are not allowed.

4 4 CONFERENCES: Individual and group conferences may be scheduled at the initiative of the student or instructor. EVALUATION OF STUDENTS: 1. Clinical Evaluation Tool: In order to receive a passing letter grade for the course, the student must receive a pass grade on each item of the clinical evaluation tool. If a student receives a fail grade on any item, he/she has failed the course regardless of other grades earned. Students will be evaluated in the clinical area on preparedness and performance of skills, patient care, communication skills, written requirements, and medication preparedness. See evaluation tool. Skills will be evaluated on: SATISFACTORY: Passed with 100% competency/no errors. NEEDS WORK: Minimal errors or one major break in technique that the student is able to correct for the faculty/or two minor breaks in technique. UNSATISFACTORY: Two or more breaks in technique during procedure. A clinical warning will be issued if there is a pattern of unsatisfactory grades in the skills lab/hospital setting. 2. Medication Calculations: a. Students must pass the medication calculation test with a grade of 100% before administering medications in the clinical area. Medication testing is limited to 3 attempts. Failure to successfully pass the medication examination on the third attempt will result in failure of the course. b. Students must successfully administer medications to patients by the end of the 6 th week of clinical to receive a passing grade unless there are other arrangements with faculty. This includes parenteral, non-parenteral, and IV medications. 3. Modified Nursing Care Plans: Must be started for all hospitalized patients prior to clinical care. Required sections (first page, pathophysiology, and professor specified additions) must be completed before giving care. If not completed, student will be sent home from clinical area and given an unexcused absence. 4. Short Care Plan: One short care plan is due. See requirements and grading criteria in your N252 Clinical Manual. 1. Long Nursing Care Plan: One long care plan is due no later than May 19 or May on an acute client. See requirements above for hospital preparation. A 2 page

5 paper with a two paragraph summary of an article and the article must be submitted with the care plan. See grading criteria in your N252 Clinical Manual Geriatric Care Plan: One long care plan is due. See schedule for date. See format in N252 Clinical Manual, one in depth required. See grading criteria in your N252 Clinical Manual. 3. Facilitative Communication: A grade of 88% or better is required on this assignment. See N252 Clinical Manual for requirements. Complete within the first four weeks of patient care. 4. Prep Time: Please be advised that preparation time for this course requires at least 4-5 hours per week. 9. Care plans for the first five weeks are du on Fridays by 12 noon. The last 5 weeks: Tuesday clinical groups are due on Thursday by 12noon, for the Wednesday clinical groups Friday by noon. 10. Letter Grade: Will be based upon the following: A. Hospital clinical performance/geriatric clinical performance 20% B. Passing of medication math test with 100% P/F 1. Short Care Plan (1) 20% 2. Modified Care Plans 10% 3. Long Care Plan to be submitted no later than the due date 25% 4. Geriatric rotation care plan 20% 5. Facilitative Communication 5% ** NOTE: Late assignments will have 5 points per 24-hour day including weekends (if not on time by Thursday or Friday noon, the care plan is considered late through Monday noon) deducted unless specific arrangements for extenuating circumstances are made with the instructor at least 48 hours prior to the time due. All extensions must be in writing. **Clinical warnings may result in a reduction in your grade. **HIPAA Regulations must be adhered to at all times. Noncompliance may result in a reduction of your grade. **CPR, Malpractice Insurance, Drug testing, Physicals, Medical Insurance: all must be current to enter the clinical setting. If not, you will be sent home with an unexcused absence. ** * Failure of any objective in the evaluation tool (in N252 Clinical Manual) will result in the failure of the course irrelevant of other grades.

6 6 ** Orientation March 29, and 30, 2005 is Mandatory for all students and will result in failure of the course if not present. 11. Grading: Final grade will consist of the total score. Totals will not be rounded up. A = C = A- = C- = B+ = D+ = B = D = B- = D- = C+ = F = 59 and below ***The policy of the Department of Nursing is that the lowest passing score for the course is 73%. There is no rounding up of the final composite course grade to reach 73%. ORIGINAL WORK: All work must be original work written for this course by the individual submitting it. See definition of plagiarism according to University General Catalogue and Department of Nursing Student Handbook. Academic dishonesty takes several forms. One example is submitting someone else s paper and representing it as your own. The other example is plagiarism. Plagiarism is the use of published or unpublished works of another by failing to acknowledge the author thereby claiming it as your own work. The penalty for academic dishonesty as discussed above is an F in the course for first offense and termination from the University for the second offense. If any questions, ask your instructor. TEXTBOOKS REQUIRED: 1. California State University nursing 252, clinical manual spring Ebersole, P. & Hess, P. (2001). Geriatric nursing & healthy aging. St. Louis: Mosby. 3. Gahart, B. L., & Nazareno, A. R. (2005) intravenous medications. Philadelphia: Mosby 4. Lewis, S. M., Heitkemper, M..M., & Dirksen, S. R. (2004). Medical-Surgical nursing: Assessment and management of clinical problems (6th ed.). St. Louis: Mosby. 5. Spector, R. E. (2004) Cultural diversity in health illness (6 th ed.). Prentice Hall. 6. Current Baccalaureate Nursing Student Policy Handbook 7. N 244 Fundamental Skills Manual 2005

7 RECOMMENDED: 7 1. Lewis, S. H., Heitkemper, M. M., & Dirksen, S. R. (2004). Study guide to accompany medical-surgical nursing: Assessment and management of clinical problems (5 th ed.). St. Louis: Mosby. 2. Swearingen, P. L. (2003). Manual of medical surgical nursing care (5 th ed.). St. Louis: Mosby. 3. Saxton, Nugent, & Pelikan, (2003) Mosby's comprehensive review of nursing for NCLEX-RN. 4. All previous texts from N242, N243, N244 B. Pulskamp/K. Gilchrist, 2/2005