PN133L Medical-Surgical Nursing I Instructor Information Name: Phone Number: Email: Office Hours:
INSTRUCTOR To be announced upon onset of course. COURSE DESCRIPTION The systems approach to this course is designed to provide the student with a broad base of knowledge of selected diseases and disorders which affect individuals as they move along the wellness/ illness continuum. Emphasis will be placed on using the nursing process to meet the unique needs of each patient and family and/or support system during disruptions of health with the goal of returning the individual to an optimal level of wellness or to support them through the experience of death. Included will be the basic pathophysiology within selected biological system disorders: Cardiovascular, Respiratory, Endocrine, and Upper Gastrointestinal. Fluid, Electrolytes and Shock will also be covered. Emphasis will also be placed on appropriate methods of health maintenance where applicable, diet therapy, and the use of medications for the restoration and maintenance of health. PHILOSOPHY The role of Faculty is to facilitate learning, provide structure, provide encouragement, encourage professionalism and encourage growth. The role of Student is to assume responsibility of learning, to seek learning, strive for success, communicate needs, develop growth and celebrate success. Learning is a life-long process, which results in a change of behavior, attitude or though pattern. Students learn by discovery and active participation. Faculty facilitates learning and provides structure in which the student assumes the responsibility of learning. LEARNING OBJECTIVES Upon completion of this course the student will: 1. Explain the pathophysiology, etiology, complications, diagnostic tests, signs and symptoms, therapeutic measures and nursing care implications related to body systems disorders. 2. Apply the nursing process by integrating appropriate therapeutic standards to deliver safe and effective care and promote positive outcomes. 3. Examine the effectiveness of various pain management options. 4. Distinguish the legal, ethical and cultural implications in providing care for the selected systems disorders. 5. Appraise the pathophysiology, etiology and signs and systems of shock and the nursing care provided using the nursing process. PREREQUISITE(S) PN111L Human Anatomy & Physiology PN112L Nursing Fundamentals I PN113L Professional Awareness PN114L Nursing Clinical I PN121L Nursing Fundamentals I PN122L Pharmacology PN123L Life Span Growth & Development PN125L Nursing Clinical II CONTACT HOURS 125 Contact Hours (100 Lecture Hours and 25Lab Hours) 2015 Lincoln Educational Services Corporation Revised: December 30, 2015 1
INSTRUCTIONAL MATERIALS AND REFERENCES Calculations of Drug Dosages: An Interactive Workbook, 9th Edition Ogden, Sheila, J. Mosby; 2012; Flesch-Kincaid Grade Reading Level: Foundations of Mental Health Care, 5 th Edition Morrison-Valfre, Michelle Mosby, 2013; Flesch-Kincaid Grade Reading Level: 12 Fundamental Concepts and Skills for Nursing, 4 th Edition DeWit, Susan C. Saunders Publication, Inc.; 2014 Flesch-Kincaid Grade Reading Level: 10.0 Journey Across the Life Span: Human Development and Health, 4 th edition Polan, Elaine and Taylor, Daphne F.A. Davis; 2011 Flesch-Kincaid Grade Reading Level: 11.0 Mosby s Pharmacology Memory NoteCards, 3 rd Edition Zerwekh, JoAnn, Claborn, JoCarol and Gaglione, Tom Mosby; 2012; Flesch-Kincaid Grade Reading Level: Saunders Comprehensive Review for the NCLEX-PN Examination, 5 th Edition Silvestri, Linda Anne Saunders Publication, Inc.; 2012; Flesch-Kincaid Grade Reading Level: Saunders Nursing Drug Handbook 2015 Hodgson, Barbara B. and Kizior, and Robert J. Saunders Publication, Inc.; 2015; Flesch-Kincaid Grade Reading Level: Study Guide to Accompany Understanding Medical Surgical Nursing, 5 th Edition Williams, Linda and Hooper, Paula FA Davis Company, Inc.; 2015 Flesch-Kincaid Grade Reading Level: 11.0 Taber s Cyclopedic Medical Dictionary, 22nd Edition Independent Editors FA Davis, 2013; Flesch-Kincaid Grade Reading Level: Understanding Medical Surgical Nursing, 5 th Edition Williams, Linda and Hooper, Paula FA Davis Company, Inc.; 2015 Flesch-Kincaid Grade Reading Level: 11.0 Understanding Pharmacology: Essentials for Medication Safety, Text and Study Guide, 11 th edition Workman,I; LaCharity, L; Kruchko, S. Saunders; 2011; Flesch-Kincaid Grade Reading Level: 11.0 SOFTWARE REQUIRED None INSTRUCTIONAL METHODS 2015 Lincoln Educational Services Corporation Revised: December 30, 2015 2
A variety of teaching strategies will be used throughout this course. These may include, but are not limited to daily lectures, classroom discussions, simulations, case studies, classroom/laboratory exercises, demonstrations, and assessments. The use of multimedia such as audio visual aids, DVDs, CDs and internet sites may be inserted as appropriate during each teaching-learning activity. The use of the campus Learning Resource Center will also be used as appropriate to complete assigned research. This course is delivered via the Residential model. ASSESSMENT CRITERIA & METHOD OF EVALUATING STUDENTS Grade Distribution Exams 30% Laboratory/ Simulation activity 5% Out of class assignments, quizzes, written assignments 5% Midterm Exam 20% Final Exam 20% Comprehensive Exam #2 20% Total 100% Lab grades: Each skill is checked-off by the instructor will be given 0-4 points. Points awarded for the initial check-off will be the lab grade recorded. If the student does not meet the minimum standard (that is, a point grade of 0-1-2) the student will be required to repeat the skill until the standard is reached (3 or 4 points). The grade awarded during the initial check-off will not be changed. Simulations may be utilized as a graded element or as an adjunct to a lab demonstration element. Note: Students who do not show up for the skills check-off appointment with the instructor and who do not have an exempted absence, will receive 30 minutes absence time and a zero (0) point grade. Lab Criteria 4 = 100% Proficient; requires little to no supervision 3 = 80% Adequate; requires minimum supervision 2 = 60% Not adequate; requires maximum supervision 1 = 40% Unacceptable; unsafe actions 0 = 0% Did not complete skill or lab Out-of-Class Assignments Out-of-Class Assignments are an extension of the classroom/laboratory experience and provide an opportunity for students to research, apply, or practice concepts learned in the classroom. This type of reinforcement strengthens a student s understanding of course competencies. While the type of assignments and time require will vary from course to course and student to student, each student will be required to complete out-of-class assignments which will be included as part of the course final evaluation. Professionalism Students are expected to come each week prepared to contribute their knowledge and insights. We will all learn from each other. Students are expected to act in a professional manner, meeting deadlines, solving problems, cooperating with classmates and generally contributing in a positive way to the class. Working in the real world often means searching for solutions in a group context. Teamwork, listening, empathy, enthusiasm, emotional maturity and consideration of other people s 2015 Lincoln Educational Services Corporation Revised: December 30, 2015 3
concerns are essential to success. Please bring these qualities and values with you to class. It is as important to practice these interpersonal skills as it is to learn new intellectual content. Students will be evaluated on their professional demeanor in class. GRADING POLICY Universal Grading Scale At the end of each course, each student is assigned a final grade as follows: A student earning a cut score of 75 or above is considered to have successfully completed the course and is eligible to pursue further studies. A student receiving a score of 74 or below has not successfully completed a course. A course that is not successfully completed must be repeated and the cut score of 75 achieved to meet graduation requirements. Percentage Letter Grade Interpretation Point Value 95-100 A Excellent Plus 4.0 90-94 A- Excellent 3.9 87-89 B+ Good Plus 3.8 84-86 B Good 3.5 80-83 B- Good Minus 3.0 77-79 C+ Average Plus 2.8 74-76 C Average 2.5 70-73 C- Average Minus 2.0 67-69 D+ Below Average 1.5 64-66 D Poor 1.2 60-63 D- Poor 1.0 59 and below F Failing Work 0.0 Incomplete Withdrawal I WA Temporary grade; is not considered in computing Grade Point Average; Requires make-up work Received by students who officially withdraw from a course before the end of the add/drop period Withdrawal W Withdrawal after the add/drop period Pass Non-Pass P NP Received by students in internships /externships or Developmental Courses. "P" is not considered in computing the Grade Point Average Received by students in internships / externships and Developmental Courses Repeat Course ** Received by students who repeat a course Retaken Override R* If a student is given an exception, the Registrar can over-ride course retake 2015 Lincoln Educational Services Corporation Revised: December 30, 2015 4
Transfer Credit TR Indicates the school accepted credit earned for previous post-secondary education at an institution other than Lincoln Education Services School. "TR" is not considered in computing the Grade Point Average Test Out Credit TO Indicates the school accepted credit earned for testing out of a course. "TO" is not considered in computing the Grade Point Average ATTENDANCE POLICY The technical nature of the training and graduate employability goals of the programs offered requires that students attend classes on a regular basis. Consequently, the school s attendance policy will be strictly enforced. Students who miss class are encouraged to obtain class notes from fellow students. Students are encouraged to meet with their instructors during office hours immediately following an absence. There is no cost for make-up work. REQUIREMENTS FOR SUCCESSFUL COMPLETION OF THE COURSE - NURSING At a minimum, students must achieve the following: a cut score of 75 or above completion of all required examinations, submission of all required lab exercises and projects, and adherence to the school attendance policy. MAKE-UP ASSESSMENTS & ASSIGNMENTS Make-up Graded Assessments (Tests and Exams) A student who is absent on the day of an assessment will be permitted to make up one (1) assessment per course, provided the student makes-up the assessment on the day they return to the class. The student will have ten (10) points deducted from the earned assessment score. If the student does not make up the assessment on the day they return to the class, the student will receive a zero (0) for the assessment. It is the responsibility of the student to make arrangements for the make-up assessment. If a student arrives late for class and an assessment is in progress, the student will not be permitted to enter the class. The student must make arrangements with the instructor to makeup that assessment. The student will have seven (7) points deducted from the earned grade. If the student delays the make-up to the next day, the student will have ten points deducted from the earned assessment score. Any further delay will result in a zero (0) for the exam. Permission to take an assessment in advance must have approval of the Director of Nursing, or designee, and may only be granted in situations where there are extenuating circumstances. Please see the Testing Make-up Policy for more information. TOPICAL OUTLINE In relation to the disease processes covered in this course the following will be included: Anatomy and physiology review Pathophysiology Manifestations Diagnostic testing and laboratory studies Interventions Client teaching Medications Treatments 2015 Lincoln Educational Services Corporation Revised: December 30, 2015 5
I. Disorders and diseases of the cardiovascular system II. Hypertension and peripheral vascular disease III. Cardiac disorders a. Electrocardiograms IV. Coronary artery disease and cardiac surgery V. Respiratory system a. Upper respiratory disorder b. Lower respiratory disorders c. Ventilator management VI. Endocrine system VII. Diabetes and hypoglycemia VIII. Upper GI disorders IX. Fluids, electrolytes, acid-balance, and intravenous therapy X. Dosage calculations, conversions, reconstitutions, and infusion flow rates XI. Renal system a. Peritoneal dialysis STUDENT CENTERED LEARNING ACTIVITIES The following activities and projects selected for this course are targeted to encourage active student participation in class and provoke critical thinking skills required for the workplace. They will be incorporated at the instructor s discretion. Simulations, role play Group discussion Peer mentoring of other students Internet research and computer based learning and reporting Portfolio development Cooperative Learning Groups Think-Pair-Share DATE SYLLABUS WAS LAST REVIEWED December 30, 2015 2015 Lincoln Educational Services Corporation Revised: December 30, 2015 6