Kingsborough Community College The City University of New York Department of Nursing

Nursing 19 Family-Centered Maternity Nursing, page 1 of 12 Professor Catherine Olubummo RN, MSN, FNP Associate Professor Course Co-Coordinator Kingsborough Community College The City University of New York Department of Nursing Nursing 19 Family-Centered Maternity Nursing Course Syllabus: 2013-2014 Credit Hours: 4 credits, 14 hours (one-half semester) Pre-requisites NUR 20, 22 Pre or Co-requisite SOC 31, ENG 24 Professor Janette O Sullivan CNM, LM, RN, MS Assistant Professor Course Co-Coordinator COURSE DESCRIPTION This course present facts, principles and concepts relevant to the care of individuals and families during the reproductive years of the life cycle and introduces the student to family centered maternity nursing. Recognizing the impact of pregnancy on the individual and family, the student develops an awareness of the physiological and psychosocial needs of the patient that may occur during the childbearing years. This is addressed through Quality and Safety for Nurses (QSEN) Initiative incorporating the concepts of patient centered care, teamwork and collaboration, evidence based practice, safety, quality improvement and informatics; the nursing process; and the Categories of Client Needs. Classroom instruction and laboratory sessions, at the college and in selected health agencies, are held weekly throughout the semester. Classwork for the typical week will consist of: five (5) hours of classroom instruction, one (1) hour college laboratory/simulation, eight (8) hours health agency experience. It is essential for students to engage in additional practice for the maintenance of skills. Provisions are available for additional time in the college laboratory for practice STUDENT LEARNING OUTCOMES (SLOs) The following course SLOs apply when caring for individuals and families during the reproductive years of the life cycle. The course SLOs will be achieved by the end of the semester. 1. Selects safe, caring, patient-centered, evidence based nursing care to individuals and families during the reproductive years of the life cycle. 2. Analyzes critical thinking/clinical reasoning strategies when providing nursing care and implementing quality improvement related to patient care 3. Implements teamwork and collaboration with members of the intra-professional team 4. Differentiates informatics principles, techniques, and systems when providing nursing care 5. Employs leadership/management in a variety of healthcare settings for the purpose of providing and improving patient care. 6. Values professional, ethical, and legal principles relevant to the practice of a registered nurse

Nursing 19 Family-Centered Maternity Nursing, page 2 of 12 ASSESSMENT MEASURES for COURSE SLOs Students will perform satisfactorily in the classroom, laboratory/simulation and clinical setting as evidenced by achieving 75% or greater on written exams and, completion/submission of various course specific written assignments, and demonstration of satisfactory performance on course specific clinical competency and evaluation tools. ASSESSMENT TECHNOLOGY INSTITUTE (ATI) TESTING ATI testing will be included in the course. Failure to take the exam as scheduled will result in a grade of incomplete and will prevent progression in the program. ATTENDANCE Complete participation in class is possible only when students are able to focus attention on the class, therefore entering class after it has begun is disrespectful to Faculty and classmates. Talking out of turn or exhibiting other disruptive behaviors is not tolerated and students will be asked to leave the classroom or lab. All electronic devices that generate sound must be turned off when any member of the academic community enters a classroom. Cellular devices are allowed to be on in the classroom only if the owner is using the caller ID, voice messages or a vibrating battery. NO TEXTING IS ALLOWED AT ANY TIME DURING CLASS AND/OR LABS. Members of the academic community must exit the classroom to make or receive calls. A student is deemed excessively absent in any course when he or she has been absent 15% of the number of contact hours a class meets during a semester. When a student is excessively absent, a grade of W or WU will be assigned as described in the college catalogue. Attendance at pre and post conference for laboratory experience is required. Absence from either pre or post conference constitutes an absence for the day s experience. STUDENTS WITH DISABILITIES It is college policy to provide reasonable accommodations to students with disabilities. Any student with a documented disability who may need accommodations in this class is requested to speak directly to Access-Ability Services, D-205, (718) 368-5175, as early in the semester as possible. All discussions will remain confidential. EVALUATION Final letter grades will be calculated according to college and departmental policy as follows: A+ 97 100 B+ 87 89 C+ 78 79 D+ 66 69 A 93 96 B 83 86 C 75 77 D 60 65 A- 90 92 B- 80 82 C- 70 74 F 60 or below W WU INC Withdrew without penalty Unofficial withdrawal (counts as a failure) Term s work is incomplete. Counts as an F grade Nursing 19 Final numeric grades will be calculated as follows: Lecture examinations average (3 exams) 60% Final examination 40% Antepartum Patient Assessment Guide Satisfactory or Unsatisfactory Writing Clinical Assignments Satisfactory or Unsatisfactory

Nursing 19 Family-Centered Maternity Nursing, page 3 of 12 Students are expected to take all tests when scheduled. Exceptions to this rule will be for emergency situations and the faculty must know in advance. Students who do not take a test on the scheduled date are required to take a makeup test. All makeup tests may be given at the end of the semester. Students who fail to take the scheduled exams or makeup exams will receive a grade of zero for that test. All written assignments must comply with college standards for written work. Written assignments are to be turned in during the class period on the date that they are due. All assignments must be handed in by the end of the course to complete the requirements of the course. A late assignment will meet the requirements of the course but will not receive full credit. If written assignments are not submitted by the end of the course, the student will receive a grade of "INC" for the course. Students must submit all assignments prior to the beginning of the next semester in order to progress in the program. Clinical agency performance will be evaluated as Satisfactory (S) or Unsatisfactory (U). Performance that has been designated as "U" at the end of the course will result in failure of the course. A minimum average grade of "75%" is required on all clinical assignments to achieve a satisfactory clinical grade. A conference with the instructor is required at mid-semester, and at the end of the course, at which time the student's progress in the course will be discussed. In addition, students may initiate conferences with the instructor at other times. RETENTION CRITERIA Criteria for retention in the Nursing Program mandates that students: 1. Receive no grades below a C in any of the co-requisite courses with the exception of NUR17. A grade of B is required as a passing grade in NUR17 Calculations for Medication Administration. 2. Earn a minimum a C grade in every required Nursing course with a clinical component. 3. Students who fail a clinical nursing course achieving a grade of not less than C- may apply to repeat the course one time only in the semester immediately following the failure. Repeating the course is subject to space availability. The minimum grade for Clinical courses that are repeated is a B. 4. Students must submit an Intent to Return to Nursing Courses Form outlining what they thought caused them to be unsuccessful and include a plan for success that demonstrates significant changes in how they will approach the course when repeated. Teaching Strategies Lecture/Discussion Simulated Laboratory Experiences Demonstration/Return Demonstration Case Studies Multimedia Computer Assisted Instruction Pre and Post Conferences Health Agency Experiences Community Experiences REQUIRED TEXTBOOKS FOR NURSING 19 - Murray & McKinney. Foundations of Maternal Newborn and Women s Health Nursing. Fifth Edition, 2010 PROGRAM REQUIRED TEXTBOOKS - Carpenito, L. (2007). Nursing Diagnosis Handbook, 12th Edition. Lippincott - Abrams, A. C. (2007). Clinical Drug Therapy, 9th edition, Lippincott - Dudek, Susan G (2006). Nutrition Handbook for Nursing Practice, 5th Edition, Philadelphia, Pa: J.B. Lippincott - Thomas, Clayton L, editor. (2009). Taber s Cyclopedia Medical Dictionary, 21st edition. Philadelphia, Pa. F.A, Davis Company - LeFevre-Key, Joyce (2010). Laboratory and Diagnostic Tests with Nursing Implications, Pearson

Nursing 19 Family-Centered Maternity Nursing, page 4 of 12 OPTIONAL REFERENCES - AJN: American Journal of Nursing - JOGNN: Journal of Obstetric, Gynecologic and Neonatal Nursing - MCN: The American Journal of Maternal-Child Nursing All students are expected to have read and to adhere to the policies pertaining to the following, as outlined in the department s Nursing Student Handbook: Attendance (detailed above) Malpractice insurance, health clearance, and CPR training Evaluation and grading (detailed above) Clinical competencies College laboratory practice requirements Clinical Agency experience requirements (including appropriate dress) Netiquette Specific dress requirements for each clinical course Drug calculation policy Mandatory skills review Criteria for retention in the nursing program Civility TOPICAL OUTLINE Each unit incorporates the Categories of Client Needs: Safe and Effective Care Environment (Management of Care, Safety and Infection Control), Health Promotion and Maintenance, Psychosocial Integrity, Physiological Integrity (Basic Care and Comfort, Pharmacological and Parenteral Therapies, Reduction of Risk Potential, Physiological Adaptation. Unit 1 - Orientation to Family-Centered Maternity Nursing Unit 2 - Assessment and Management of the Antepartum Patient and Family Unit 3 - Assessment and Management of the Intrapartum Patient and Family Unit 4 - Assessment and Management of the Postpartum Patient and Family Unit 5 - Assessment and Management of the Neonate and Family Unit 6 - Assessment and Management of Women s Health Issues

Nursing 19 Family-Centered Maternity Nursing, page 5 of 12 Unit 1 Orientation to Family Centered Maternity Nursing Content/Lecture Discussion Strategies to involve the students in reaching successful outcomes for successful completion of this course Strategies for identifying and managing current trends in contemporary maternity nursing Coordination of care utilizing leadership, delegation, and priority setting in applying critical thinking to the nursing process Team functioning on safety & quality of care when meeting the needs of the family Centered Maternity Nursing Strategies relevant to the outcomes of care regarding principles of family as they apply to the child bearing family Provision of Course requirements with sensitivity and respect specific to the Syllabus review including - The impact of culture on childbearing families - Current trends in community based - Nursing diagnoses appropriate to the childbearing family - Health teaching - Legal-ethical implications of care - Standards of practice - Responsibility and accountability - Research - Quality assurance - Informed consent - Maternal rights - Legal issues during delivery - Home health care - Managed care Application of critical thinking processes when practicing safely in the delivery of care to the pregnant patient The purpose and the steps in critical thinking The nurse s role in maternity and women s health care Utilization of technology in the care of the antepartum patient - Communication and documentation of care rendered via electronic medical record - Uses hand held computer devices for health teaching Uses the EMR impart for medication reconciliation

Nursing 19 Family-Centered Maternity Nursing, page 6 of 12 Unit 1 Orientation to Family Centered Maternity Nursing Related Learner Experiences Required Reading Murray & McKinney: Ch. 1 pp. 2-18, Ch. 2 pp. 22-34, Ch. 3 pp. 37-49, Ch. 4 pp. 55-39, Ch. 5 pp. 69-83, Ch. 6 pp. 88-108 Nursing 19 syllabus Written Assignments Clinical evaluation form Assessment tools Nursing care plan Clinical Competencies Student will - Complete a health assessment and head to toe physical exam of a prenatal patient in the prenatal clinic - Determine the prenatal patient s EDC - Identify health issues of the prenatal patient - Develop a teaching plan to promote a healthy pregnancy - Teach the prenatal patient selected health promotion activities including nutrition, expected changes during pregnancy, identification of complications and what to do if occur - Implement an individualized plan of care for the patient - Provide patient-centered care based on evidence based practice with sensitivity and respect - Act as a team leader using the principles of priority setting and delegation - Incorporate national safety standards to ensure the safe and effective delivery of patient care - Communicate to all members of the healthcare team utilizing SBAR - Document patient status, health teaching, and medication reconciliation using the EMR while meeting the needs of the antepartum patient

Nursing 19 Family-Centered Maternity Nursing, page 7 of 12 Unit 2 Care of the Antepartum Patient and Family Content/Lecture Discussion The structure and function of the Reproductive System Strategies to involve the patient and family in reaching successful outcomes for the antepartum patient Health teaching related to prenatal care Strategies for identifying and managing care of the pregnant patient during antepartum period Coordination of care utilizing leadership, delegation, and priority setting in meeting the antepartum related needs Team functioning on safety & quality of care when meeting the needs of the antepartum. Strategies relevant to the outcomes of care for the antepartum patient Provision of prenatal care with sensitivity and respect specific to the pregnant patient with prenatal care including - Physiological and psychosocial adaptation - Prenatal care - Antepartum fetal assessments - Prenatal diagnostic tests - Nutrition for childbearing - Complications of pregnancy Application of critical thinking processes when practicing safely in the delivery of care to the pregnant patient with prenatal care Use of the nursing process throughout the mutually designed plan of care for the antepartum patient Utilization of technology in the care of the antepartum patient. - Communication and documentation of care rendered via electronic medical record - Uses hand held computer devices for health teaching Uses the EMR impart for medication reconciliation Related Learner Experiences Required Reading Murray & McKinney, Ch.7 pp. 110-144, 125-145, p. 931, pp. 140-144, Ch. 8 pp. 147-167, Ch. 9 pp. 169-195, Ch. 24 pp. 578-588, Ch. 25 pp. 629-631, 614-629, 632-646, Ch. 26 pp. 654-666 Ch. 34 pp. 909-910 A/V and CAI programs Interactive Video: From Pregnancy to delivery Laboratory/Simulation Experiences Leopold s Maneuver on the Noel Simulation Clinical Experiences Clinical Rotation to the Prenatal Clinic Student will

Nursing 19 Family-Centered Maternity Nursing, page 8 of 12 Unit 2 Care of the Antepartum Patient and Family - Complete a health assessment, head to toe physical exam - Implements an individualized plan of care for the patient - Provide patient-centered care based on evidence based practice with sensitivity and respect - Acts as a team leader using the principles of priority setting and delegation - Incorporate national safety standards to ensure the safe and effective delivery of patient care - Communicate to all members of the healthcare team utilizing SBAR - Document patient status, health teaching, and medication reconciliation using the EMR while meeting the needs of the antepartum patient

Nursing 19 Family-Centered Maternity Nursing, page 9 of 12 Unit 3 Care of the Intrapartum Patient and Family Content/Lecture Discussion Components of the birthing process - Passage - Passenger - Powers - Psyche Strategies to involve the patient and family in reaching successful outcomes for the patient with intrapartum care Health teaching regarding labor and delivery. Strategies for identifying and managing care of intrapartum patient - Coordination of care in meeting related needs for the intrapartum care. - Team functioning on safety & quality of care when meeting the needs of the intrapartum patient. Strategies relevant to the outcomes of care for the intrapartum patient Provision of intrapartum care with sensitivity and respect specific to - Stages of labor - Nursing care during labor - Fetal Monitoring - Managing the discomfort of labor - Immediate care of the newborn - Intrapartum complications - Nursing care during obstetrical procedures - Pain management during childbirth - Perinatal education Application of critical thinking processes when practicing safely in the delivery of care to the labor patient Use of the nursing process throughout the mutually designed plan of care for the labor patient. Utilization of technology in the care of a labor patient. Communication and documentation of care rendered via electronic medical record Uses hand held computer devices for health teaching Uses the EMR impart for medication reconciliation Related Learner Experiences Required Reading Murray & McKinney: Ch. 4 pp. 53-66, Ch.12 pp. 237-260, Ch. 13 pp. 237-292, pp. 368-391, Ch. 15 pp. 331-357, Ch. 16 pp. 360-386, Ch. 27 pp. 693-727 A/V and CAI programs Media: Labors of Love Media: Managing the Intrapartum Patient Lab/Simulation Experience Leopold s Maneuver on the Noel Simulation L & D worksheet Media: Labor & delivery augmentation Cesarean deliver VHS 290.1 Summary guide to nursing care in labor L & D Assessment and NCP Clinical Experience Clinical rotation in labor and delivery Student will - Complete a health assessment, head to toe physical exam - Implements an individualized plan of care for the patient - Provide patient-centered care based on evidence based practice with sensitivity and respect - Acts as a team leader using the principles of priority setting and delegation - Incorporate national safety standards to ensure the safe and effective delivery of patient care - Communicate to all members of the healthcare team utilizing SBAR - Document patient status, health teaching, and medication reconciliation using the EMR while meeting the needs of the intrapartum patient

Nursing 19 Family-Centered Maternity Nursing, page 10 of 12 Unit 4 Care of the Postpartum Patient and Family Content/Lecture Discussion The Postpartum assessment Review of the acronym: BUBBLE HE Strategies to involve the patient and family in reaching successful outcomes for the postpartum patient - Health teaching regarding care of the postpartum mother and newborn. Strategies for identifying and managing care of the postpartum patient - Coordination of care in meeting related needs for the postpartum patient. Team functioning on safety & quality of care when meeting the needs of the postpartum patient Strategies relevant to the outcomes of care for the postpartum patient Provision of postpartum care with sensitivity and respect specific to : - Physiological and psychosocial changes during postpartum period - postpartum assessments and care - Postpartum complications and management - Pain management during postpartum period. Application of critical thinking processes when practicing safely in the delivery of care to the postpartum patient - Use of the nursing process throughout the mutually designed plan of care for the postpartum patient. Utilization of technology in the care of the postpartum patient. Use the EMR to communicate, document care, and impart for medication reconciliation. Uses hand held computer devices for health teaching. Related Learner Experiences Required Reading Murray & McKinney: Ch. 17 pp. 390-419, Ch. 18 pp. 421-440, Ch. 28 pp. 730-755 A/V and CAI programs Media: Postpartum. VHS 212.1 Lab/Simulation Experience Postpartum assessment Clinical Experiences Clinical rotation to Postpartum Unit Student will: - Complete a health assessment - Complete a head to toe physical exam - Implement an individualized plan of care for the postpartum patient - Provide patient-centered care based on evidence based practice with sensitivity and respect - Act as a team leader using the principles of priority setting and delegation - Incorporate national safety standards to ensure the safe and effective delivery of care - Communicate to all members of the healthcare team utilizing SBAR - Documents patient status, health teaching, and medication reconciliation using the EMR.

Nursing 19 Family-Centered Maternity Nursing, page 11 of 12 Unit 5 Care of the Neonate and Family Content/Lecture Discussion The Newborn assessment, including newborn reflexes Strategies to involve the patient and family in reaching successful outcomes for the Neonate and Family - Health teaching related to care of the newborn Strategies for identifying and managing care of the neonate utilizing a team approach - Coordination of care utilizing leadership, delegation, and priority setting in meeting the neonate related needs Team functioning on safety and quality of care when meeting the needs of the neonate. Strategies relevant to the outcomes of care for the neonate Provision of neonate care with sensitivity and respect specific to the neonate patient including - Physiological adaptation - Newborn classification - Care of the newborn Problems related to gestational age and development - Infant nutrition and feeding - Newborn at risk Application of critical thinking processes when practicing safely in the delivery of care to the Neonate Use of the nursing process throughout the mutually designed plan of care for the neonate. Utilization of technology in the care of the adult patient with a Neonate Communication and documentation of care rendered via electronic medical record Uses hand held computer devices for health teaching Uses the EMR impart for medication reconciliation Related Learner Experiences Required Reading Murray & McKinney: Ch. 19 pp. 442-457, Ch. 20 pp. 460-493, Ch. 21 pp. 497-523, Ch. 22 pp. 526-554, Ch. 29 pp. 759-794, Ch. 30 pp. 799-829 A/V and CAI programs Media: Physical Assessment of the Normal Newborn Media: Video Vulnerabilities of the Neonate Lab/Simulation Experience Newborn assessment, newborn reflexes. Clinical Experiences Clinical Rotation to newborn nursery Student will: - Complete a health assessment - Complete a head to toe physical exam - Implement an individualized plan of care for the neonate patient - Provide patient-centered care based on evidence based practice with sensitivity and respect - Act as a team leader using the principles of priority setting and delegation - Incorporate national safety standards to ensure the safe and effective delivery of care - Communicate to all members of the healthcare team utilizing SBAR - Documents patient status, health teaching, and medication reconciliation using the EMR while meeting the needs of the neonate

Nursing 19 Family-Centered Maternity Nursing, page 12 of 12 Unit 6 Care of the Woman s Health Issues and Family Content/Lecture Discussion Review The methods of contraception Strategies to involve the patient and family in reaching successful outcomes for the patient with women s health issues Health teaching related to women s health issues Strategies for identifying and managing care of the patient with women health issues utilizing a team approach: - Coordination of care utilizing leadership, delegation, and priority setting in meeting the cancer related needs for the patient with women health issues Team functioning on safety and quality of care when meeting the needs of the adult patient with women health issues Strategies relevant to the outcomes of care for the patient with women health issues Provision of women s health care with sensitivity and respect specific to the patient with women health issues including: - Sterilization and infertility - Reproductive alternatives - Postpartum complications Application of critical thinking processes when practicing safely in the delivery of care to the patient with women health issues Use of the nursing process throughout the mutually designed plan of care for the patient with women health issues Utilization of technology in the care of the patient with women health issues. Communication and documentation of care rendered via electronic medical record Uses hand held computer devices for health teaching Uses the EMR to impart medication reconciliation Related Learner Experiences Required Reading Murray & McKinney: Ch.31 pp.833-858, Ch.32 pp.861-878, Ch.34 pp. 894-925 Clinical Experiences Prenatal clinic OBGYN operating room Student will: - Complete a health assessment - Complete a head to toe physical exam - Implement an individualized plan of care for the patient with women s health issues - Provide patient-centered care based on evidence based practice with sensitivity and respect - Act as a team leader using the principles of priority setting and delegation - Incorporate national safety standards to ensure the safe and effective delivery of care - Communicate to all members of the healthcare team utilizing SBAR - Documents patient status, health teaching, and medication reconciliation using the EMR while meeting the needs of the patient with women s health issues