DEL MAR COLLEGE DEPARTMENT OF NURSING EDUCATION RNSG Foundations of Nursing Practice

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1 COURSE INFORMATION College Year: Semester: Fall 2013 Prerequisites: BIOL 2401, 2402, HPRS 1106, HPRS 1204, RNSG 1201 Concurrent: RNSG 1160, RNSG 1300 PSYC 2301 and Chem 1406 (Degree plan only) must be completed before enrolling in Level II nursing courses. Credit/Contact Hours: 4 Semester Credit Hours 3 lecture hours per week 4 skills laboratory hours per week Course Placement: Semester 1, Year 1, (REM R3, E3, M3) FACULTY CONTACT INFORMATION Donna Huddleston PhD, RN, Course Coordinator Office: Health Science Office Phone: Text: M F dhuddleston@delmar.edu Linda Earwood, MSN, RN, Level Coordinator Office: Health Science Office Phone: learwood@delmar.edu COURSE DESCRIPTION Introduction to the role of the professional nurse as a member of the profession, provider of patientcentered care, patient safety advocate, and member of the health care team. Topics include but are not limited to the fundamental concepts of nursing practice, history of professional nursing, a systematic framework that introduces the use of clinical reasoning and critical thinking for decisionmaking, mechanisms of disease, the needs and problems that nurses help patients manage, and basic psychomotor skills. Emphasis is on knowledge, judgment, skills and professional values within a legal/ethical framework. In addition, the basic concepts in the assessment of culturally, ethnic and socially diverse patients and their families are incorporated. Skills lab provides for the demonstration of basic nursing skills competency. The teaching/learning philosophy for this course, as for any course in the DMC/Nurse Education, is delineated in the program philosophy printed in the Handbook for Nursing Students (see

2 The DMC/Nursing Education organizing structure serves as the framework for this course. The nursing process is the method used to plan and implement care to the client. ATI s Comprehensive Assessment and Review Program (CARP) is integrated throughout the nursing program and is utilized for this course. CARP is an online resource that focuses on student development of study and test taking skills, critical thinking, and problem solving to succeed throughout the program and NCLEX success. Student Learning Outcomes Member of the Profession: Exhibit caring behaviors that reflect commitment to the growth and development of the role and function of the nurse. 1. Develops self evaluation and reflective journaling for the purpose of practice. 2. Identifies essential aspects of a professional nurse. 3. Identifies the legal and ethical professional standards to provide a safe environment. 4. Identifies value of evidence based practice and life long learning. Provider of Patient Centered Care: Demonstrate competency by accepting responsibility for the quality of basic nursing care, and providing safe, compassionate, evidence based patient care. 1. Identifies components of teaching and learning principles. 2. Utilizes professional conduct and personal qualities. 3. Documents in written and electronic record. 4. Demonstrates basic nursing skills in the care of adult clients. 5. Utilizes the steps of the Nursing Process to provide client care. 6. Distinguishes normal vs. abnormal function and factors that inhibit normal function. 7. Develops rapport and awareness of cultural respect. 8. Identifies the components of caring behaviors. 9. Identifies behaviors of patience and compassion. 10. Identifies the essential activities of clinical reasoning. Patient Safety Advocate: Demonstrate an understanding of patient safety advocacy. 1. Implements safe fundamental nursing care for adult clients. 2. Administers medications using the five rights. 3. Recognizes responsibility for the quality and safe environment for patients, self and others. 4. Demonstrates an understanding of advocacy. Member of the Health Care Team: Participate in the collaboration, communication, and coordination of patient care as part of the health care team. 1. Describes basic effective communication techniques for clients. 2. Applies general principles of therapeutic communication. 3. Communicate and document patient data using technology to support decision making.

3 SCANS and DECs Curriculum Statement This course involves the interplay among The Secretary s Commission on Achieving Necessary Skills (SCANS) and the Texas Board of Nursing Differentiated Essential Competencies (DECs) to effectively prepare graduates who will provide safe competent, compassionate care. These competencies are fully described in the Handbook for Nursing Students Course Overview WEEK CONTENT 1 Course Overview & Syllabus Agreement Chp. 5 Evidenced Based Practice Chp. 21 Managing pt. care Chp. 22 Ethics & Values Chp. 23 Legal Chp. 39 Hygiene Chp. 11 Developmental Theories Chp. 14 Older Adults Chp. 26 Documentation and Informatics ATI Activity Chp. 7 Caring in Nursing Practice Chp. 24 Communication Chp. 28 Infection Protection & Control Chp. 31 Medication Administration 2 Chp. 15 Critical Thinking Chp. 16 Nursing Assess Chp. 17 Nursing Dx Chp. 18 Planning Chp. 19 Implementing Chp. 20 Evaluation Chp. 41 Fluid & Electrolytes Chp. 41 Intro to Diabetes Care Plan Activity ATI Activity 3 CH 29 Vital Signs CH 30 Health Assessment and Intro to Form CH 32 Safety o Class activity (restraints) 4 *Clinical orientation 5 Chp. 38 Activity/Exercise Chp. 42 Sleep Chp. 47 Mobility and Immobility Noon Chp. 44 Nutrition Chp. 48 Skin 7 Chp. 40 Oxygenation Chp. 30 Cardiac (Med/Surg)

4 8 Care Plan Activity (group Review of Quiz) 9 Chp. 25 Patient Education Chp. 43 Pain Mgmt. Diagnostic (Lab Data) Interpretation 10 Chp. 45 Urinary Elimination Chp. 46 Bowel Elimination 11 Chp. 6 Health & Wellness 12 Chp. 9 Culture & Ethnicity Chp. 32 Complementary & Alternative Therapies 13 Chp. 35 Spiritual Health Chp. 36 Loss, Death & Grieving Chp. 37 Stress & Coping EDUCATIONAL HEALTH FAIR AT THE HARVIN CENTER EAST CAMPUS 14 TBA 15 Simulation Experience ATIL COMPREHENSIVE EXAM 16 FOUNDATIONS FINAL EXAM Textbooks Required: Brunner, L. S., Smeltzer, S. C., & Suddarth, D. S. (2010). Brunner & Suddarth's textbook of medicalsurgical nursing. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. Kee, J. L., Hayes, E. R., & McCuistion, L. E. (2012). Pharmacology: A nursing process approach. St. Louis, MO: Elsevier Saunders. Ochs, G. (2013). Study guide for fundamentals of nursing, eighth ed. St. Louis, Mo: Mosby. ISBN: Potter, P. A. (2013). Fundamentals of nursing. St. Louis, Mo: Mosby. ISBN: Required Reference Books: You must own or have access to one of the reference books in each of the categories listed below as required by the Nursing Education Department: Nursing Diagnosis Handbook: Ackley, B. J., & Ladwig, G. B. (2014). Nursing diagnosis handbook: An evidence based guide planning care. ISBN: to Laboratory/Diagnostic Manual:

5 Pagana, K. D. & Pagana, T. J. (2010) Mosby s manual of diagnostic and laboratory tests (4 th ed.). St. Louis: Mosby Elsevier. ISBN Health Assessment Handbook: D Aminco, D. and Barbarito, C. (2012).Clinical pocket guide for health and physical assessment in nursing (2 nd ed.). Upper Saddle River, NJ: Prentice Hall. (May be purchased with combination pack described in required textbooks.) Drug Guide: (Select ONE) Deglin, J. and Vallerand, A. (2010). Davis's drug guide for nurses with resource kit CD ROM (12 th ed.). Philadelphia, PA: FA Davis. Wilson, B. A., Shannon, M. T., & Shields, K. (2011). Pearson nurse s drug guide. Upper Saddle River, NJ: Prentice Hall. Other Resources: ATI Comprehensive Assessment and Review Program (CARP) TECHNOLOGY REQUIREMENTS CANVAS Learning System: Each unit contains assignments available on CANVAS and student is responsible for completing the Student CANVAS Tutorial found on the following website: Student is required to login to the course on a daily basis to complete assignments that include i.e. quizzes, discussions and case studies. The student is to secure proper configuration of personal computers that support the CANVAS Learning System in order to complete assignments by scheduled due dates. Additional online resources are available through ADDITIONAL MATERIALS AND LAB SUPPLIES REQUIRED Students will need the Department of Nurse Education lab kit prior to attending labs. It is the students responsibility to bring lab kits during scheduled labs and campus open labs as practice supplies will not always be made available. METHODS OF ACCOMPLISHING STUDENT LEARNING OUTCOMES Methods of instruction may include but are not limited to lectures, small group discussions, audio visual media, written assignments, case studies, computer assisted programs, games, demonstrations; directed practice and simulation learning activities in the learning laboratory. The laboratory experience is correlated with theory, which emphasizes the application of the nursing process in caring for clients in common medicalsurgical conditions.

6 STUDENT EVALUATION and COURSE REQUIREMENTS Grading Scale A = B = C = D = F = 69 and below METHODS OF EVALUATION A variety of strategies to assess and evaluate the cognitive, psychomotor, and affective domains of the learner include but are not limited to computerized examinations, return demonstrations, simulations, written assignments, and special projects. The laboratory experience is the demonstration of the ability to apply theoretical knowledge required for safe practice as a registered nurse. Campus laboratory evaluations include progress in designated skill achievement. Evaluation tools are standard throughout the program and show progression of knowledge acquired and skills gained. A standardized external exam constructed by an outside source (ATI) is administered at the end of the semester, which will measure comprehensive nursing knowledge acquired during the previous and present nursing semesters, necessary to the practice of registered nursing. Students who demonstrate a knowledge deficit in any area will be expected to complete developmental activities. A failure or withdrawal in RNSG 1160 and or RNSG 1413 means that both courses must be repeated regardless of the grades earned in either course. GRADING GUIDELINES Final RNSG 1413 course grade is determined by: 6 Unit Exams 60% Final Exam 20% Other: Nursing Process Quiz 5% ATI Fundamental Exam 5% (5)Nursing Terminology Quiz 5% Teaching Project: Young Adults 5% Attendance log showing student participated in 8 out of 12 Nursing required Student Success Sessions Total 100%

7 DEL MAR COLLEGE The average of the exams, including the final before weighted calculation is performed, must be 75% or above to pass the course. Grades will not be rounded when calculating the average ( is not rounded to 75). Students with an exam average of 75 or higher will have course grades calculated based on the weighted calculation of the exams and other required course work. Quiz grades need to be 75% or higher otherwise 0 for quiz will be recorded. A minimum grade of 75% and a letter grade of C or higher is required to receive credit for this nursing course. In a strong effort to ensure student success the components of the ATI s Comprehensive Assessment and Review Program (CARP) will be used in this course. Students will have access to the following components of ATI s CARP: Nurse Logic, Learning System, Content Mastery series, Focused Reviews and Remediation Plans. An orientation to these resources is provided during the course orientation. Faculty will identify specific ATI CARP components that must be completed in order to receive credit for this course. Additional resources may be utilized at the discretion of the faculty for further remediation as indicated by individual student performance. A failure or withdrawal in RNSG 1160 and or RNSG 1413 means that both courses must be repeated regardless of the grades earned in either course. Nursing Student Success Center Students will be required to participate in 8 out of 12 scheduled Nursing Student Success activities over the course of the semester. The student will maintain an attendance log that will be submitted at the end of the semester. Failure to participate in 8 out of the 12 course required activities will result in a non passing course grade. Clinical Simulation Activity Students will be required to participate in the clinical simulation activity. If the student fails to participate in this activity the student will not have met the course requirements and therefore the student will receive a non passing course grade.. EXPECTED STUDENT BEHAVIOR 1. Attendance is expected to be regular and punctual. In accordance with the Del Mar College Attendance Policy students are subject to withdrawal due to lack of attendance. Refer to DMC Catalog for attendance policy and student conduct on the following websites: Cell phones are to be off or on vibrate during class or lab. It is not permissible to text during class or lab. 3. Classroom Assignments: Each unit contains assignments that guide the student toward meeting specified course objective. The student is expected to do the required preparation prior to class.

8 DEL MAR COLLEGE 4. Completion of required ATI CARP activities as outlined by faculty. 5. Laboratory Experiences: Each student is responsible for personal preparation related to the laboratory experience prior to skills practice and or simulation learning. Skills Lab Kits are required for each scheduled lab. Students are required to attend labs in DNE dress code as outlined in the student handbook located on the program homepage, Students will not be permitted into the laboratory experience after the scheduled time. Labs missed due to tardiness or absences will be subject to a zero grade for scheduled lab grade if the lab experience is graded. Faculty will refer students to an open campus lab for labs missed. 6. Multi media Assignments: The student is expected to view all assigned AV/Computer material as designated and scheduled. 7. Canvas Learning System: Each unit contains assignments available on Canvas and student is responsible for completing the Student CANVAS Tutorial found on the following website: Each student is required to login to the course on a daily basis to complete assignments that can include i.e. quizzes, discussions and case studies. The student is to secure proper configuration of personal computers that support the Canvas Learning System in order to complete assignments by scheduled due dates. 8. Students are required to review the DMC catalog and the DMC Department of Nursing Education Handbook located on the homepage, 9. No student use of video/audio recordings, WEBCAMS or social networking media are allowed during classroom, laboratory or clinical activities. Student Test Policy 1. Attendance is required and students will not be allowed entry to classroom after exam has started. 2. All student possessions (backpacks, cell phones, beverages, hats, study materials etc.) must be left at the front of the room or designated area 10 minutes prior to the start of the exam. The student may have a pen or pencil during the testing period. Only a Basic Function calculator is permissible and if necessary paper will be provided by faculty. 3. If you are going to be absent you must contact your instructor by phone or prior to the scheduled exam. 4. Make up exams must be taken within hours of absence and are subject to a ten (10) point deduction. 5. Make up exams will only be given at the discretion of the faculty member and can be a different version than that of the scheduled exam. 6. Exams or quizzes can be delivered in a written, online, or clicker response system. In the use of the Clicker response system or scantron grades will only reflect answers entered into the clicker response pad or scantron answer sheet. 7. Classroom exam reviews will be conducted at the discretion of the faculty. Students will not be allowed to take any notes during the review and desks must be cleared. 8. Individual exam reviews may be scheduled with the faculty during office hours and within 7 calendar days from the return of exam grades.

9 9. Any student achieving an examination grade of less than 75% must schedule an appointment with designated faculty within 5 calendar days from the return of exam grades. 10. Students must pass a dosage calculation test at 100% per level prior to the date of scheduled clinical. Failure to obtain a 100% will result in failure of the course. 11. Failure to follow policies can result in a zero for an exam. 12. Students are allowed one make up exam per course and documentation is required. The Handbook for Nursing Students ( details the Progression Policy for the department in case of a failure. EXPECTED STUDENT BEHAVIOR Students are responsible for complying with all policies and procedures listed in The Handbook of Nursing Students ( Students are encouraged to review and be acquainted with the following policies and procedures, listed in the Student Handbook, prior to attending the first day of clinical: Clinical Experience, Professional Conduct, Grooming, and Uniform. OTHER INFORMATION Departmental Grievance Policy The departmental grievance policy is designed to support the college wide policy as an auxiliary avenue to handle grievances efficiently at the level closest to the problem and to maintain a problem solving environment. A student s grievance (nonacademic or academic) that originates through the Department of Nurse Education must adhere to the following procedure: See Appendix E for organizational structure to assist with the proper sequence of individuals to contact. 1. The formal or informal grievance must first be presented to the source of the problem for discussion, consideration and resolution. In the case of a complaint about an instructor, for example each point of complaint must be aired with that instructor before the rest of the process may be followed. 2. If the grievance is not successfully resolved at the first level of contact, the student will proceed to contact the course coordinator. If not resolved the Level Coordinator will be contacted. 3. If the grievance is not satisfactorily resolved at the level of the program it will then continue with involvement of the Program Director followed by the Department Chair. 4. If the complaint cannot be resolved within the DNE then the student will be referred to the formal grievance process through the Dean of Student Engagement and Retention. DMC Safety The student is required to register with DMC Alert found on their MyDMC account page. This alert system will notify students of any emergency or campus closure via the students method of notification. Visit the website

10 Dial when obtaining information regarding campus closures. In the event of fire or other emergency, you should cautiously exit the classroom/building through nearest exit(s). In the event of fire, elevators should not be used. It is the instructor s responsibility to insure that assistance is given to those students who need help in exiting the classroom/building. Fire extinguishers are located in hallways on each floor of the health science buildings. Dial 1199 when using campus telephone. Dial 911 when using pay telephone. American Disabilities Act Statement If you have a disability, including a learning disability for which you can request an accommodation please refer to the link below. A student requesting accommodation must provide documentation of disability to the Counseling and Advising Centers Special Services office at If you require additional assistance such as for testing you must provide the course coordinator documentation that indicates the necessary accommodations within the first week of class. Additional expectations will be discussed by faculty. The course syllabus is a general plan for the course; the instructor reserves the right to make any changes deemed necessary to best fulfill the course objectives. Students registered for this course will be made aware of any changes in a timely fashion using reasonable means. This disclaimer does not abrogate any student rights as described by College rules and regulations. RNSG 1413 Syllabus Fall 2013 Syllabus Acceptance Statement I have read the syllabus of this nursing course I am taking this semester, and I understand the criteria established for grading my course work. I understand that my average on exams must be 75 or higher in order to attain a passing grade for the course. I understand that I must attend 8 out of 12 scheduled sessions for the nursing student success and that I must maintain an attendance log per the course instructions. I will maintain and uphold the academic integrity policy of the Department of Nurse Education and will not condone or participate in any activities of academic dishonesty including, but not limited to, plagiarism, cheating, stealing, or copying another s assigned work. I will not recreate any items or portions of any exam for my own use, or for use by others during my enrollment in the Department of Nurse Education.

11 I will not accept or access any unauthorized information related to any exam administered during my enrollment in the Department of Nurse Education. I will sign only my own papers and other documents and will not sign any other student's name to anything, including class rolls. I will not allow any other student access to any of my paperwork for the purpose of copying. Student Signature Printed Name Date