INTERAMERICAN UNIVERSITY OF PUERTO RICO METROPOLITAN CAMPUS FACULTY SCIENCE AND TECHNOLOGY CARMEN TORRES DE TIBURCIO SCHOOL OF NURSING I. GENERAL INFORMATION SYLLABUS Course Title : Practice of Fundamentals of Nursing Code and Number : NURS 1112 Credits : 2 credits Academic Term : Professor : Office Hours : Telephone : Electronic Mail : II. DESCRIPTION Application of the nursing process in the care of the adult with common dysfunctions in functional health patterns that support physical functioning. Beginning of the development of clinical skills to perform in the areas of competence as care provider. Requires a total of 90 hours in diverse scenarios. Corequisite NURS 1111. III. OBJETIVES 1. Develop clinical skills in order to execute areas of competence in the role of provider of care. 2. Apply the nursing process in the care of the adult with common dysfunctions in the functional health patterns. 3. Provides security to the client, while offering nursing care IV. COMPETENCIES OF THE PROFILE OF THE GRADUATE WHICH SERVES THIS COURSE: 1. Apply critical thinking skills, while providing direct care basic, safe, effective, on time and equitable, to patients/clients when starting the use of the (Nursing Process) for decision-making.
2. Offers patients/clients centered care considering their needs, values, preferences, and cultural beliefs. (Humanistic Care) 3. Demonstrates competence in therapeutic interventions based on evidence guided by the faculty of nursing, to offer adult health care for the maintenance and restoration of health in structured scenarios. (Health Disease) 4. Initiates the use of effective verbal and nonverbal communication skills including information technology to support the quality care to patient/client and team. (Communication) 5. Applied evidence-based knowledge to the decision-making process guided by the faculty of nursing to provide patient care/adult client within the context of his family. (Research: Evidence-Based Practice) IV. THEMATIC CONTENT Unit I. Clinical Skills of nursing interventions according to the pattern of functional health. A. Scientific Principles and Skills Development in the Functional Health Patterns 1. Safety a. 2016 National Patient Safety Goals Metas-Joint Commission on Accreditation of Health Organizations (JCAHO) http://www.jointcommission.org/patientsafetygoals/. I. Goal I- Improve the accuracy of patient identification. Use at least two ways to identify patients. For example, use the patient s name and date of birth. This is done to make sure that each patient gets the correct medicine and treatment.(npsg. 01 01.01) Make sure that the correct patient gets the correct blood when they get a blood transfusion. (NPSG. 01 03.01) II. Goal 2 - Improve staff communication Get important test results to the right staff person on time. (NPSG. 02 03.01) 2 P age
III. Goal 3 - Use medicines safely Before a procedure, label medicines that are not labeled. For example, medicines in syringes, cups and basins. Do this in the area where medicines and supplies are set up. (NPSG. 03.04.01) Take extra care with patients who take medicines to thin their blood. (NPSG. 03.05.01) Record and pass along correct information about a patient s medicines. Find out what medicines the patient is taking. Compare those medicines to new medicines given to the patient. Make sure the patient knows which medicines to take when they are at home. Tell the patient it is important to bring their up-to-date list of medicines every time they visit a doctor. (NPSG. 03.06.01) IV. Goal 6- Use alarms safely Make improvements to ensure that alarms on medical equipment are heard and responded to on time. (NPSG. 06.01.01) V. Goal 7 - Prevent infection Use the hand cleaning guidelines from the Centers for Disease Control and Prevention or the World Health Organization. Set goals for improving hand cleaning. Use the goals to improve hand cleaning. NPSG.07.01.01 Use proven guidelines to prevent infections that are difficult to treat. NPSG.07.03.01 Use proven guidelines to prevent infection of the blood from central lines. NPSG.07.04.01 Use proven guidelines to prevent infection after surgery. NPSG.07.05.01 Use proven guidelines to prevent infections of the urinary tract that are caused by catheters. NPSG.07.06.01 3 P age
VI. Goal 15 - Identify patient safety risks Find out which patients are most likely to try to commit suicide. NPSG.15.01.01 VII. Universal Protocols Make sure that the correct surgery is done on the correct patient and at the correct place on the patient s body. UP.01.01.01 Mark the correct place on the patient s body where the surgery is to be done. UP.01.02.01 Pause before the surgery to make sure that a mistake is not being made. UP.01.03.01 b. Institute of Medicine of the National Academy of Sciences (IOM) c. National Patient Safety Foundation (NPSF) d. I M SAFE check list 2. Pattern of health perception and health management a. Prevention of the transfer of micro-organisms: 1) Vocabulary 2) Common pathogenic microorganisms 3) Infectious chain 4) Risk factors in the infectious process 5) Process of the infection 6) Infections associated with the care of the health (nosocomial) 7) Natural defenses of the body b. Infection Control: 1) Measures of Asepsis a) Hand hygiene (CDC) b) Hand Washing 2) Standard Precautions a) Use of robe, mask and gloves b) Isolation skills 3) Surgical Asepsis a) Beginning b) Sterile Gloves c. Management od Ambience: 1) Physical Safety a) Falls Prevention b) Protocols for physical restraint c) Means and Measurement Protection 2) Hygiene 3) Arrangement of Unit 4 P age
3. Pattern: Activity and Exercise a. Corporal mechanics b. Alignment and Mobility c. Muscle skeletal assessment d. Change of position, transference and ambulation e. Alertness 1) Pulse 2) Respiratory Rate 3) Blood pressure 4. Pattern: Nutritional Metabolic a. Nutritional History b. Weight and Height c. Thermoregulation 1) Temperature d. Integumentary System 1) Maintenance of the integrity of the skin and mucous membranes 2) Pressure Ulcers 5. Pattern: Elimination a. Input and Output (I+O) b. Evaluation of feces 6. Pattern: Sleep - Rest a. Sleep History b. Sleep Environment 7. Pattern: Cognitive - Perceptual a. Pain Assessment b. Relaxation techniques c. Comfort Unit II. Application of the nursing process in providing care to the adult. A. Nursing Process 1. Diagnostic Reasoning a. Assessment 1) Cultural Competence a) Josepha Campinha-Bacote Model 5 P age
b) The five questions 2) Communication a) Team STEPPS (1) SBAR b) Prefixes, suffixes and abbreviations 3) Interview 4) Health history a) Assessment tool in Functional Patterns of Health b. Nursing Diagnosis 1) Diagnosis according to NANDA 2. Therapeutic Reasoning a. Expected Outcomes (NOC) 1) Expected outcomes according to NOC 2) Indicators b. Planning 1) Establishing diagnosis by prioritizing 2) Selection of Nursing Interventions (NIC) 3) Selection of Nursing activities 4) Scientific Rationale 5) Standardized Care Plans c. Implementation 1) Execution of interventions in accordance with: a) National Patient Safety Goals b) NIC c) Structured communication: SBAR 2) Documentation of Nursing care offered d. Evaluation 1) Measurement of achievements of the awaited results 2) Documentation of obtained results a) Client/patient response 6 P age
V. ACTIVITIES A. Group Discussions B. Audiovisual Resources C. Assigned Readings and other assignments D. Presentations and return of presentations E. Clinical Practice F. Practice Exams G. Application of the Nursing Process H. Quizzes (either in class or on Blackboard) I. Evidence Based Practice search for procedures J. Internet Tutorials VI. METHODS OF EVALUATION CRITERIA PUNCTUATION % FINAL GRADE Short quizzes (prefixes, suffixes, and theoretical content Practical exams Hand Washing Use of sterile gloves Standard precautions attire Vital signs Occupied bath and bed 300 60% 100 20% Application of the Nursing Process 100 15% Clinical execution (comprehends from the first day of simulated laboratory until the last day of clinical experience, plus portfolio) 100 5% TOTAL 600 100% Delivery of Homework Assignments Assignments will be delivered on the date and time assigned by the professor. For each day of delay 10 points will be deducted from the total accumulated points. Assignments must be delivered personally to the professor without exception. For each day of delay 10 points will be deducted from the total accumulated points. Assignments must be delivered personally to the professor without exception. 7 P age
IX. SPECIAL NOTES A. Supportive Services or Special Needs Students requiring additional services or special assistance must request these at the beginning of the course or as soon as they learn that they need them, through the appropriate4 register in the office of M. Jose Rodrigues, at the University Orientation Program located at the first floor of Harris Building. B. Honesty, Fraud, and Plagiarism The lack of honesty, fraud, plagiarism, and any other inadequate behavior in relation to academic work constitutes major infractions sanctioned by General Student Regulations. Major infractions, according to General Student Regulation, may result in suspension from the University for a definite period of time greater than one year or the permanent expulsion from the University, among other sanctions. C. Use of electronic devices: Cellular (mobile) telephones, IPODS, and any other electronic device that could interrupt the teaching-learning process or disrupt a milieu favorable for academic excellence will be deactivated. Critical situations will be dealt with in an appropriate manner. The use of electronic devices that permit accessing, storing or sending data during tests or examinations is prohibited. D. Special Requirements of Practice and Internship Centers Some academic programs of the University require students to complete a practice or internship in a real work scenario as part of the degree requirements. These external centers may be state and federal agencies, hospitals, and nongovernmental organizations, among others. It is the student s responsibility to comply with the external practice center, these requirements may be doping tests, HIV tests, an immunization certificate against hepatitis, a health certificate, a negative criminal record, or any other requirement that the institution or practice center may stipulate. If students refuse or are not able to meet any of the requirements, they will be unable to complete their practice or internship and, therefore will not pass the practice or internship course or meet the graduation requirements of their academic program. E. Clinical practice in diverse scenarios This course considers clinical practice in diverse scenarios such as hospitals, diagnostic and treatment centers (CDT), elderly care centers, extended care centers, and simulation laboratories, among others. There is a minimum of an 8 weeks period at the school laboratory to acquire skills before going to the clinical scenario. In the event of the occurrence of special situations which would be beyond the control of the School of Nursing an alternate plan would be considered. RESOURCES Textbooks: Craven, R. (2013). Fundamental of Nursing: Human Health and Function. 7th ed. Philadelphia: Lippincott. Mc Closky, J and Bulechek, G. (2008) Nursing Intervention Classification (NIC). (5th ed). Saint Louis: Mosby Moorhead, S., Johnson, M. & Maas, M. (2008) Nursing Outcomes Classification (NOC). (4th. Ed.). St. Louis:Mosby 8 P age
Ralph, S.S., Craft-Rosenberg, M. Scroggings, L., Vasallo, B. & Warren, J. (Eds.). (2007). NANDA Nursing diagnosis: definitions & classification 2012-2014. Philadelphia: NANDA International. *Sauer, E. S. (2013) Procedure checklist to accompany Craven & Hirnle s Fundamentals of nursing: human health and functions (6th ed.). Philadelphia: Lippincott. Note: *Access through internet. IV. BIBLIOGRAPHY Books: Ackley, B. & Ladwig, G. l. (2011) Nursing diagnosis handbook: A guide to planning care. (9th ed). St. Louis: Mosby Year Book. Carpenito Moyet, L. J. (2007) Nursing Diagnosis: Application to Clinical Practice (12th ed.). Philadelphia: Lippincott. Carpenito Moyet, L. J. (2008). Nursing care plans & documentation: Nursing diagnosis and collaborative problems. (5th ed.). Philadelphia: Lippincott. Harkreader, H. & Hogan, M.A. (2008). Fundamentals of Nursing: Caring and Clinical Judgment. ( 3rd ed.). St. Louis: Saunders. Johnson, M., Bulecheck, G. M., McCloskey, J., Mass, M.L, Moorhead, S. Swanson, E. & Butcher, H. (2008). Nursing diagnosis, outcomes and interventions: NANDA, NOC, and NIC linkages. (3rd ed ). St. Louis: Mosby. Saint Louis: Mosby. Sparks Ralph, S., Craft-Rosenberg, M, Herdman, T.H., (2008). Diagnósticos Enfermeros: Definiciones Y Clasificación 2007-2008. NANDA Internacional. Madrid: Elsevier Audiovisual -Videos V-0671 Body Mechanics. V-0672 Range of Motion Exercise. V-0929 Basic Clinical Skills: Bed Bath. V-0937, V-0987 Nursing Assistant Techniques: Elimination Specimen Collection Urinary Care. V-0927 Basic Clinical Skills: Blood Pressure. V-0928 Basic Clinical Skills: Temperature, Pulse and Respiration. V-0978 Nursing Assistant Techniques: Oral Care. V-0979 Nursing Assistant Techniques: Lifting & Moving Techniques. V-0980 Nursing Assistant Techniques: Measuring Weight. V-0981 Nursing Assistant Techniques: Transfer Techniques. V-0984 Nursing Assistant Techniques in Personal Care. V-0985 Nursing Assistant Techniques in Bathing. V-0986 Nursing Assistant Techniques in Bed Making. V-2211 Applying Restraints. 9 P age
V-2223 Asepsis/Protection: Using Protective Precautions. V-2331 Patient Assessment: Measurements. V-2298 Focus Charting. V-3028 Focus Charting: For Every One. V-3088 Freedom, Reduce Use Physical Restraints. V-3123 Charting Medical Records: Do's and Dont's to Avoid Liability. V- 3124 Controlling Pain: Reporting Symptoms Pain. Electronic References 1. Department of Health and Human Resources & U. S. Department of Agriculture. Dietary Guidelines for Americans Health.gov (ODPHP) (Disponible en español). www.health.gov/dietaryguideline 2. The Joint Commission http://www.jointcommission.org/ 3. 2015 National Patient Safety Goals - Joint Commission www.jointcommission.org/hap_2015_npsgs/ 4. Standardized Nursing Language: What Does It Mean for Nursing Practice www.nursingworld.org/.../thepracticeofprofessionalnursing/.../standardiz 5. U.S. Department of Health and Human Resources. Healthy people 2020. (Disponible en español). http://www.healthypeople.gov/ 6. U.S. Department of health and human services. Centers for disease control in english. (2015). (Disponible en español). http://www.cdc.gov/ 7. USDA Food and Nutrition Service ChooseMyPlate.gov (Disponible en español). www.choosemyplate.gov 8. Infection control guidelines. (Disponible en español). www.cdc.gov/vhf/ebola/ healthcare-us/hospitals/infection-control.html 9. Evidence-based health care and systematic reviews community.cochrane.org/about-us/evidence-based-health-care Revised by Prof. Arnold Resto Del Valle (June, 2016) 10 P age