SEMESTER HOURS 5 CONTACT HOURS LECTURE: 4 LAB: 4 PREREQUISITES: RNSG 1125, 1128, 1216, 1161, 1433, 1126, 2362, 1538, 1137, 2363 CO-REQUISITES: RNSG 2138, 2360. SUCCESSFUL COMPLETION OF ALL LEVEL COURSES IS REQUIRED FOR PROGRESSION INSTRUCTOR: MARIANE HASTIE MSN, RN, CCRN OFFICE: HSC 253 PHONE: 903-988- 3768 E-MAIL: mhastie@kilgore.edu OFFICE HOURS: AS POSTED AND BY APPOINTMENT Course Description In-depth coverage of advanced health care concepts with nursing application through selected exemplars. Concepts include cognition, immunity, clotting, fluid and electrolyte balance, gas exchange, metabolism, nutrition, perfusion, tissue integrity, and interpersonal relationships. Continuing development of clinical judgment with integration of all health care concepts. The course lends itself to a concept-based approach. Course Objectives Upon completion of this course the student will: 1. Utilize a systematic process to analyze selected advanced health care concepts for patients across the lifespan. 2. Critique nursing management for selected advanced health care concepts. 3. Relate the learned concepts to a variety of health care situations. 4. Analyze the interrelatedness of health care concepts to make clinical judgements for optimum patient care outcomes. Course Outline Immunity Sepsis Human Immunodeficiency Virus (HIV) Organ Transplantation Systemic Inflammatory Response Syndrome (SIRS) 1
Multiple Organ Dysfunction Syndrome (MODS) with Shock and/or DIC (including Withdrawal of Care) Gas Exchange Anemia Respiratory Distress Syndrome Pulmonary Emboli Cystic Fibrosis Trauma Fluid & Electrolytes Extracellular Fluid Volume Excess Heart Failure Hypokalemia Heart Failure Hyperkalemia Acute Renal Failure Tissue Integrity Burns Acid Base Compensation and Partial Compensation Comfort ICU Procedural Pain (Intubated/Comatose) Perfusion Tetralogy of Fallot (Congenital) Patent Ductus Arteriosus (PDA) Septal Defects (VSD) Coarctation of Aorta Dysrhythmias Myocardial Infarction (MI) Sudden Death Shock Aneurysms Clotting Disseminated Intravascular Coagulation Thrombocytopenia Idiopathic Thrombocytopenia Purpura (ITP) (bone marrow) 2
HELLP Syndrome (liver & pregnancy complications) Heparin Induced Thrombocytopenia (HIT) Blood Products Cognition Traumatic Brain Injury Encephalopathy Postpartum Psychosis Schizophrenia Interpersonal Relationships Violence Intimate Partner Violence Workplace Violence Elder Abuse Child Neglect Child Abuse Shaken Baby Syndrome Bullying Rape/Trauma Personality Disorders Crisis Intervention Metabolism/Nutrition Liver Failure Pancreatitis Starvation Failure to Thrive Dysrhythmia Sinus Tachycardia, Sinus Bradycardia, Sinus Arrhythmia Atrial Fibrillation and Atrial Flutter Supraventricular Tachycardia Ventricular Tachycardia and Ventricular Fibrillation PVCs and Bigeminy Junctional Rhythms 1 st degree, 2 nd degree, and 3 rd degree blocks Pulseless Electrical Activity and Asystole Idioventricular 3
Required Textbooks & Equipment Elsevier Nursing Concepts Online Course 2016 St. Louis: Mosby Giddens, J. F. Concepts for Nursing Practice Online resources 2017 St. Louis Mosby Ignatavicius, D. & Workman, M. Ignatavicius, D. & Workman, M. By Patricia S. Yoder-Wise, RN, EdD, NEA-BC, ANEF, FAAN editor Jones, Shirley A. Required: Medical Surgical Nursing, Patient-Centered Collaborative Care Required: Clinical Nursing Judgment Study Guide for Medical-Surgical Nursing: Patient- Centered Collaborative Care ISBN:978-1-4557-7255-1 ISBN: ISBN13: 978-0323222310 ISBN10: 0323222315 8th ed. 8th ed. Required: Leading and Managing in Nursing, 6th Edition ISBN: 9780323185776 6th ed. Required: Advanced Cardiovascular Life Support 2015 Guidelines Required: ECG Success: Exercises in ECG Interpretation AHA item # 15-1005 2015 Missouri: Elsevier Missouri: Elsevier Missouri: Elsevier American Heart Association ISBN: 10:0-8036- 1577-9 2008 Philadelphia: F.A. Davis 4
Program+ Learning Outcomes: After completion of the program, students will be able to: Provide a safe and effective care environment for their patients, through appropriate management of patient care and promotion of safety and infection control. Provide for patient s psychosocial integrity. Provide for patient s physiological integrity through basic care and comfort, pharmacological and parenteral therapies, reduction of risk potential, and physiological adaptation. Provide for patient health promotion and maintenance. Provide care for patient s utilizing the nursing process, including assessment, analysis, planning, implementation, and evaluation. Provide patient care utilizing critical thinking to prioritize, set goals, apply knowledge with inferential and interpretive reasoning, and predict or evaluate outcomes. Evaluation: The grading system in RNSG 2539 is composed of lecture quizzes, theory exams, lab quizzes, HESI conversion score and comprehensive final exam. Students must also achieve successful completion (pass/fail) of the Lab portion of this course and pass the HESI RN EXIT exam. Health Care Concept (HCC): Six (6) Exams 100 points (12.5% each) 75% Six Concept pre-assignment quizzes 100 points 12.5% Lab numeric grade 12.5% 35% Saunders NCLEX Review 15% Poster Board Presentations 25% Pharmacology Discussion Board & Quizzes 25% Prep U Mastery Level of 8 HCC4 Final Grade from above 40% HCC Final 20% RN Exit Exam (HESI) 20% PNC (Class grade 10% and Final 10%) 20% FINAL GRADE 100% 5
Math Calculation/Pharmacology Policy: The safe administration of medications is one of the primary objectives of the A.D.N. program. Accurate mathematical computation and pharmacological knowledge are essential elements of safe medication administration. Therefore, accuracy of mathematical computations/pharmacology will be assessed before each clinical course with the mastery (competency) level increasing from simple to complex during your course of study. Level I through Level IV must successfully pass the math/medication exam with a score of 100%. (Attempts for each Level is as follows: Level I 5 attempts; Level II and Level III 4 attempts; and Level IV 3 attempts). After each attempt, if the student is unsuccessful they must meet with their Instructor and complete the assigned remediation/tutorials before the next math exam. However, if the student does not pass the exam with a score of 100% on the final attempt, they will be required to withdraw failing from ALL clinical and theory courses. The student will not be eligible for readmission unless a recommended math course has been taken and passed, with a grade of C or better. The student may then reapply to continue in the nursing program when space is available. Learning Lab: The purpose of the Learning Lab is to integrate and reinforce theory with practice and to expand content by implementing a variety of learning activities employing critical thinking, analytical and logical reasoning necessary to deliver competent, safe, nursing care to clients and families. Students must remain in lab for the full allotted time unless otherwise notified by the instructor. Lab hours: 65 Saunders NCLEX Prep Quizzes & Exams Poster Board Presentation Pharmacology Review & Discussion Board Prep U Capstone 25 credit hours 10 credit hours 10 credit hours 20 credit hours Class room Schedule: The class/exam schedule will be available on the website prior to the first day of class. 6
Scholastic Requirements: Grades in each nursing course in the KC A.D.N. program will use the following standard with no rounding: A = 92-100 B = 82-91.9 C = 78-81.9 D = 60-77.9 F = 59.9 and below Nursing Students must successfully pass both theory and concurrent clinical courses and achieve a grade of C or better to pass each course. An unsatisfactory grade in either theory or clinical practice will result in failure of the course, and both theory and clinical courses must be repeated. A student must pass both courses with a grade of C or better. Grade calculation: Students must achieve 78% as the average of all exam grades in a course before grades on any papers or extra work may be averaged in. There will be no rounding of grades. Examinations: A blueprint of each test/quiz, identifying the topics to be covered, will be provided prior to each exam/quiz. Unless otherwise stated, the text will be considered as the authority. Testing will be computerized. You need to look at the rationales at this time. There will be 50 questions on major exams with 60-minute time limit. The final examination will be comprehensive, consisting of 100 questions and there will be a two (2) hour time limit. If a student is unable to be present for a major exam, it is the student s responsibility to contact the instructor prior to the examination. A make-up exam will be given at a time determined by the instructor. The highest grade a student may make on a make-up exam is 78%. Students are expected to be on time for all testing; the classroom doors will be locked and no one will be admitted late. Therefore the student will need to schedule time for a makeup exam with the instructor and the maximum grade for the makeup exam will be 78%. If a student wishes to review an exam, the student must make an appointment to make these arrangements with the lead instructor. The student has up to 2 weeks to review an exam. 7
Posting of Grades: Exams are graded by the computer with immediate results available to the student. Grades will be posted on Blackboard after faculty has had time to review the item analysis. Students will not come to the instructor s office to seek grades as this will slow the process. Faculty and staff are not permitted to give out information regarding student grades/scores over the telephone, or by e-mail. STANDARDIZED TESTING POLICY The A.D.N. program has chosen to participate in a Total Testing Program. Students pay a testing fee each semester, and will take a standardized test at the completion of each level. The exams will be given during the two weeks preceding final exams (as scheduling permits). The test score (% that HESI correlates with your score) will be weighted at 20% of the level grade. If the student is in 4 th level and does not make 900 on the RN Exit Exam on the 1 st attempt they must provide proof of completion of an approved NCLEX Review course before repeating the RN Exit Exam. A score of 900 or higher must be made on the 2 nd RN Exit Exam in order for the Affidavit of Graduation to be sent to the Texas Board of Nursing. If the student does not make 900 or higher on the HESI Exit Exam with their two attempts, but has passed the 4 th Level courses, the student will be allowed to graduate. The student will have one (1) calendar year from graduation to pass the HESI Exit Exam with a 900 or higher. The student s Affidavit of Graduation will be sent to the Texas Board of Nursing when the student passes the HESI Exit Exam. Remediation Policy: A student, who has failed a lecture exam with a score less than 78, is required to meet with their lecture Instructor prior to the next exam. After a 2nd exam score of less than 78, the student will also be referred to a Nursing Department tutor and be required to meet at least once with them before the next exam. Any student failing to follow this required remediation will not be eligible for re-entry into the program in the event they fail a course. Students who have failed a course or two (2) HESI s in one semester, must complete RNSG 1293, Special Topics in Nursing, prior to being eligible to re-enter the Nursing Program. At the 2nd course failure, students will be removed from the program and will have the option to re-apply to the nursing program, as a first level student, after five (5) years. 8
Kilgore College is dedicated to the students accepted to the ADN Program to promote their success. Our Mission Statement is: The Kilgore College prepares students for success in life and in nursing. According to the Texas Board of Nursing, Differentiated Essential Competencies (DECs) a nurse is responsible for being (excerpts from DECS s): I. Member of the Profession: B. Assume responsibility and accountability for the quality of nursing care provided to patients and their families by: 4. Continuing competency and professional development. 5. Self-evaluation, staff evaluation, and peer evaluation processes. D. Demonstrate responsibility for continued competence in nursing practice, and develop insight through reflections, self-analysis, self-care, and lifelong learning. 1. Participate in educational activities to maintain/improve competence, knowledge, and skills. 3. Use self-evaluation, reflections, peer evaluation, and feedback to modify and improve practice. 5. Demonstrate commitment to the value of lifelong learning. The American Nurses Association Standards of Practice states that nurses are responsible for (excerpts follow): Standard 8. Education The registered nurse attains knowledge and competency that reflects current nursing practice. Standard 14. Professional Practice and Evaluation The registered nursed evaluates her or his own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations. 9
The Kilgore College Student Handbook, in the Statement of Unsafe Clinical Practice; states that a student is unsafe if the students: 3. Assumes inappropriate independence in action or decisions. 5. Fails to recognize own limitation, incompetence and/or legal responsibilities. Based on these important expectations for the career of nursing, any student who does not contact their lecture instructor within 48 hours concerning remediation, over any exam where they scored less than 78, will be placed on Contract for Unprofessional Conduct. If a failure results from the continued poor performance on lecture exams, the student will not be allowed to re-enter the Kilgore College Associate Degree Nursing Program based on the unprofessional conduct demonstrated by the lack of responsibility for their own education. Disabilities Accommodations Kilgore College is committed to making reasonable accommodations to assist individuals with disabilities in reaching their academic potential. If you choose to request accommodations for a documented disability which may impact your performance, attendance, or grades in this course, you must first register with the Office of Disability Services. Please note that classroom accommodations cannot be provided prior to your instructor s receipt of an accommodation letter from the Office of Disability Services. For more information about accommodations, please contact the Disability Services office on the second floor of the Devall Student Center: (903) 983-8206. Academic Difficulties: Kilgore College has Student Success Programs at both the Kilgore and Longview campus; i.e., The Zone Tutoring Lab, TRIO, Student Support. They provide resources for decreasing test anxiety and other academic difficulties. The ADN program has established a nursing tutorial program for students. Both self and faculty referrals can be made. The earlier you seek help, the less stress you will encounter and the better your prospects for being successful. Students should plan on studying at least three hours outside of class for every hour spent in class. 10
Withdrawal from a course: If a Student chooses to withdraw from a course for personal reasons or due to failing a course, the Student must go to the Registrar s Office to withdraw themselves. Faculty will only withdraw Students for administrative reasons. If a Student withdraws from a lecture course, the corresponding clinical course must also be withdrawn from at the same time. Attendance Policy: Students are expected to attend both class and clinical. If a student is unable to attend an assigned activity, they are required to call and report their absence as listed in each course syllabus. Absent students are responsible for all announcements, assignments, and course content. Sleeping in class will be counted as class time missed or as absence from class. Lecture/Lab: See Kilgore College Catalog for the attendance policy that states that no more than 12.5% of the total hours of instruction in any term can be missed. Any lab time missed over 12.5% will require make-up activities as designated by the lab instructor. Any lecture time missed over 12.5% will automatically give reason for the student to be dropped from the course. If you have any questions about the policy, please ask your Instructor or the Director. (You cannot miss any more than 6 hours of lecture. You cannot miss any more than 4 hours of lab). Make up Examinations: Students are expected to take all tests as scheduled. If a student is unable to take a major exam at the appointed time, he/she must notify the instructor of the absence prior to the scheduled exam time and schedule a make-up time according to the individual course syllabus. However, the maximum grade that the student may make on the exam is 78. Quizzes will be given at the beginning of lecture and lab. At this time the doors will be locked until everyone is finished with the quiz. Any student who is absent or late to lecture or lab will not be allowed to make-up the missed quiz. There will be no make-up quizzes. A missed quiz grade will be documented as a 0. HESI Exams: Students are expected to take all tests as scheduled. The student will not be able to take the HESI Exam at any other time than the scheduled day and time. Policy for Testing and Telephones: 11
Students must turn their phones off and place them out on the indicated front desk or table during testing or during exam review. If the phone is out on the indicated front desk, and not turned off and rings/vibrates, the first offense will be a verbal warning and the second offense will result in a contract. During ANY exam or HESI exam, if the phone rings on their person, it will be considered cheating. The student will be dismissed from the exam and the exam will closed at that time. The student will make a 0 on the exam. Academic Integrity: From the Kilgore College Catalog: It is the responsibility of the students and the faculty to help maintain scholastic integrity at the college by refusing to participate in or tolerate scholastic dishonesty. Plagiarism and other forms of academic dishonesty undermine the very purpose of the college and diminish the value of an education. Specific sanctions for academic dishonesty are outlined in the Kilgore College Student Handbook available in the Office of the Vice President of Student Development, located in the Devall Student Center. Also available on the Kilgore College Website. Matters of Academic Dishonesty: From the Kilgore College Student Handbook: Academic dishonesty matters may first be considered by the faculty member who may recommend penalties such as withdrawal from the course, failing the course, reduction or changing of a grade in the course, a test, assignment, or in other academic work; denial of a degree and/or performing additional academic work not required by other students in the course. Acceptance of the faculty member s recommended penalties by the student shall make the penalties final and constitutes a waiver of further administrative procedures. If the student does not accept the decision of the faculty member, he/she may have the case heard by the appropriate department chair, dean and Vice President of Instruction for review. See Student Complaint, Grievance and Appeal Procedure for specific appeal instructions. If the student is ultimately found not to have been involved in academic dishonesty, the instructor shall not base his/her evaluation of the student on the alleged but unproven dishonesty. If the student is ultimately found to have violated matters of academic dishonesty, the appropriate disciplinary sanction shall be implemented. Any student who believes that a grade has been inequitably awarded should refer to the academic grade change procedures. Also available on the Kilgore College Website. 12
For the Nursing Program, being in breach of the Academic Honesty Policy will include the following but is not limited to: 1. Looking at another s paper 2. Buying papers and exams 3. Illegally accessing a professor s office 4. Procuring/buying a copy of the instructor s test or test bank 5. Using cell phones, tablets, and other electronic equipment to find information or record test questions for others 6. Writing notes on hat brims, skin, shoes, bottles, and other items The Kilgore College Nursing faculty takes very seriously our obligation to graduate nurses who embody the values, ethics, and standards of the nursing profession and those of Kilgore College. We know that integrity as a student correlates with integrity as a nurse and that integrity is essential for professional success. Academic honesty must be the foundation for academic success. In order to achieve this success for our students and the ADN Program, the Standardized Exam vendor will use forensic data to analyze exams. If an aberrancy is determined, the exam will be invalidated and a retest will be offered. When taking the NCLEX Exam, candidates are required to not discuss the exam with anyone when they depart the testing site. Therefore, while attending the ADN Nursing Program, students will refrain from discussing exams taken in the program with students who have not taken the exam. Discussion of the exam will be considered a breach of the Academic Honesty Policy. In the absence of academic honesty it is impossible to assign accurate grades and to ensure that honest students are not at a competitive disadvantage. Students share in the responsibility for maintaining academic honesty. Students are to refrain from acts of academic dishonesty and notify instructors and/or appropriate administrators about observed incidents of academic dishonesty. Any student who is suspected of not following the rules of the Kilgore College Program during a testing session could be asked to retake the exam. We believe that you, the student, share our aspirations for academic integrity of the program and for your success as a professional nurse. 13
A student will comply with the Kilgore College Academic Honesty Policy to insure academic integrity at Kilgore College. Civility Policy Per the Kilgore College Catalog, the college reserves the right to withdraw a student from one or more classes if, in the judgment of the college officials, such action is deemed to be in the interest of the student/and or the college. Examples of some reasons for administrative withdrawal are failure to provide accurate information, excessive absences, or unacceptable student behavior. The Civility Statement of the Kilgore College Catalog states that students are expected to assist in maintaining a classroom environment that is conducive to learning. Inappropriate or disruptive classroom behavior is prohibited in order to assure that everyone has the opportunity to gain from time spent in class. Should a disruptive classroom incident occur, the faculty member in charge may remove the student on either a temporary or permanent basis. Students have the right to appeal through the appropriate channels. Unprofessional conduct/unacceptable student behavior in this circumstance includes, but is not limited to the following: 1. Threatening instructors, hospital staff, patients, or other students. 2. Slanderous accusations against faculty, Kilgore College, hospital staff, or other students. 3. Disruption of the classroom or clinical environment. (This includes use of electronic devices during class or clinical such as texting, ipods, cell phone, and/or computer for other than specified class activities, etc.) 4. Being disrespectful to instructors, hospital staff, patients, or other students (i.e. tone of voice, rolling eyes, body language, arguing with instructor). 5. Demanding to discuss personal academic issues in a public forum. 6. Spreading of unfounded rumors. Sexual Harassment Policy Statement Please refer to the Kilgore College Program Student Handbook and the KC student handbook. 14
Alcohol/Intoxicating Substances Policy Please refer to the Kilgore College Program Student Handbook and the KC Student Handbook. Policy for Social Networking Sites Students in the ADN Program at Kilgore College are expected to adhere to the high standards of the Nursing profession with regard to maintaining confidentiality. This not only includes guarding patient confidentiality at a clinical site, but, also, in the classroom, at home and on-line. The following guidelines for behavior involved with cell phone use, FACEBOOK, Twitter, MySpace and any other social networking site. Guidelines: It is the students responsibility to keep their site appropriate and profiles clean. Do not post threats or derogatory remarks about anyone associated with the ADN Program. This includes fellow students, faculty, staff, college administration, clinical affiliates, and, above all, patients. This is a violation of the Kilgore College Board policy and will be reported to the police and disciplinary action, such as dismissal, is likely. Posting photos of other students, faculty, staff, etc. without their permission is forbidden. Taking photos of patients or clients, their body parts, or body fluids or exudates, is strictly forbidden. Cell phone use at the clinical site is strictly forbidden. If cell phones are discovered they will be confiscated for the remainder of the class or clinical day. Kilgore College Concealed Handgun Policy: (effective August 1, 2017) Kilgore College is committed to providing a safe and secure living, learning and working environment for all students, faculty, staff, and community visitors in a diverse campus community setting. As provided by law, handgun license holders may carry concealed weapons on Kilgore College campuses, except for a 15
limited number of exclusion zones and certain necessary restrictions as outlined in the accompanying procedures. The open carrying of handguns is prohibited on campus. Exclusion Zones: Areas where the carrying of a handgun by a license holder is prohibited. These areas are to be indicated by signage in compliance with Penal Code 30.06(c)(3). Exclusion Zones Handgun license holders are responsible for obeying all properly posted exclusion zones. Exclusion zones will have signage that prohibits handguns and is compliant with Penal Code 30.06(c)(3). Kilgore College excludes concealed handguns in the following areas. 1. Exclusions Required by Other Entities. Areas for which state or federal law, licensing requirements, or contracts require exclusion exclusively at the discretion of the state or federal government, or in which handguns are prohibited by an accrediting authority. Refer to Appendix A for a list of exclusion zones. 2. Patient Care Areas. Section 46.035(b)(4) of the Penal Code excludes hospitals licensed under Chapter 241 of the Health and Safety Code. By analogy and extension, patient care areas will be excluded, including hospitals, clinics, and mental health treatment areas. A patient care area is restricted to patient care areas for which a formal record of treatment is maintained. Refer to Appendix A for a list of exclusion zones. Appendix A FACILITY/PROGRAM/OFFICE AREA EXCLUDED TIMEFRAME Health Science Center Kilgore College Police Department Testing Entire Health Science Center all floors Entire KCPD office suite on the Kilgore Campus Testing Centers on the Kilgore and Longview campuses and/or anywhere else on campus utilized as a temporary testing center PERMANENT PERMANENT PERMANENT: Full-time Testing Centers. 16
TEMPORARY: During the operation of temporary testing centers Please view the entire policy and Appendix A at: https://www.kilgore.edu/sites/default/files/documents/file/kcpd/kc-concealed-carry- Policy.pdf Student Contract Policy Students may be placed on contract in any class, lab, or clinical setting. A student s final grade, in a course, will be lowered by a letter grade for each contract issued. Students who receive a second contract in a semester will be expelled from the program at that time. Students who receive a third contract will be expelled from the program at that time. Students may apply for readmission to the program. The student will be required to appear before the Admission/Readmission/Progression Committee. Readmission will be reviewed on an individual basis. Student Professional Code of Dress and Hygiene Please refer to the Kilgore College Program Student Handbook. Please remember that as a student representing the KC A.D.N. program, you should be professionally attired in either the khaki pants and official polo shirt or uniform when the student is on campus as a nursing student in lecture and lab. Student Nurse Association T-shirts will be allowed with khaki pants on lecture days only. Whenever you are in uniform, you need to adhere to the Dress Code Policy whether on campus or clinical. ** Kilgore Picture ID s must be worn at all times when on campus and in the clinical facility. ** Appearance in Lab or Skills Check-offs (or any other time you are on campus) 17
Khaki pants and the KCADN polo shirt, with the KC ADN patch, and all white shoes (no clogs or open toed shoes allowed), will be the official non-clinical hospital uniform. White shirts (short sleeve, long sleeve or turtleneck) may be worn under the polo shirt. White shirt tails should not hang below the polo shirt. Sweaters or jackets may be worn for warmth on campus. The KC ADN uniform is royal blue top, royal blue skirt or slacks, and all white shoes (no clogs or open toed shoes allowed). The KC ADN patch is placed on the upper left chest above the students nametag. A waist length royal blue scrub jacket with the KC ADN patch on the upper left chest above the nametag may be worn for warmth. Or a white shirt (short sleeve, long sleeve, or turtleneck) may be worn under the uniform top. White shirt tails should not hang below the uniform top. Sweaters or jackets may be worn for warmth on campus. Please remember that as a student you are representing the KC ADN program. Appearance in Lecture Student may wear the royal blue uniform or the polo shirt and khaki pants, following all dress code policies in the student handbook. Student Nurse Association T-shirts with khaki pants or khaki capris with white shoes. Sweaters or jackets may be worn for warmth on campus. Please remember that as a student you are representing the KC ADN program. Drop Date: The Drop Procedure per KC Catalog will be announced the first day of class. DISCLAIMER: Your instructor reserves the right to make modifications in content and schedule as necessary to promote the best education possible within prevailing conditions affecting this course. COURSE LEARNING OUTCOMES FOR LEVEL IV: (upon completion of this course the student will): According to the Texas Board of Nursing Differentiated Essential Competencies for Associate Degree Nursing (DECs) the student will upon successful completion of this course be able to: 18
1. Apply advanced nursing concepts based on knowledge, judgment, skills, patient safety, and professional values for the development of the professional nurse s roles in caring for patients in complex nursing situations. Activities: Lecture and discussion with case studies and question and answer exercises. Videos, Computer Assisted Learning, Laboratory instruction, discussion, and skill practice. Immediate feedback/rationales for test/quiz questions. Assessment: Computerized Theory Exam, Laboratory performance and skills check off. (SCANS: 1-8) (SLO: 1-6) (IOM: 1-5) (DECs: III) 2. Demonstrate knowledge acquisition and understanding of advanced medical surgical concepts in the following areas: metabolism, nutrition, gas exchange, fluids & electrolytes, acid base, tissue integrity, comfort, immunity, clotting, cognition / interpersonal, and perfusion. Activities: Lecture and discussion with case studies and question and answer exercises. Videos, Computer Assisted Learning, Laboratory instruction, discussion, and skill practice. Immediate feedback/rationales for test/quiz questions. Assessment: Computerized Theory Exam, Laboratory performance and skills check off. (SCANS: 1-8) (SLO: 1-6) (IOM: 1-5) 3. Prioritize and analyze the roles of the professional nurse as a member of the profession, provider of patient centered care, patient safety advocate, and member of the health care team in the provision of holistic, culturally sensitive, and competent health care for adult patients and families. Design and evaluate care for adult patients and families with advanced health care needs involving multiple body systems. Activities: Lecture and discussion with case studies and question and answer exercises. Videos, Computer Assisted Learning, Laboratory instruction, discussion, and skill practice. Immediate feedback/rationales for test/quiz questions. Assessment: Computerized Theory Exam, Laboratory performance and skills check off. (SCANS: 1-8) (SLO: 1-6) (IOM: 1-5) (WECM: End of Course Objective) 19
4. Synthesize evidenced-based research findings and theoretical knowledge to construct and manage competent, individualized, developmentally appropriate holistic care for patients with complex health needs in intermediate and critical care settings. Activities: Lecture and discussion with case studies and question and answer exercises. Videos, Computer Assisted Learning, Laboratory instruction, discussion, and skill practice. Immediate feedback/rationales for test/quiz questions. Assessment: Computerized Theory Exam, Laboratory performance and skills check off. (SCANS: 1-8) (SLO: 1-6) (IOM: 1-5) (DECs: II) 5. ExSLOre and demonstrate principles of critical thinking, analytical and logical reasoning as the basis for leadership and management decisions in implementation of the nursing process for patients and families experiencing complex health needs within a legal and ethical framework. Activities: Lecture and discussion with case studies and question and answer exercises. Videos, Computer Assisted Learning, Laboratory instruction, discussion, and skill practice. Immediate feedback/rationales for test/quiz questions. Assessment: Computerized Theory Exam, Laboratory performance and skills check off. (SCANS: 1-8) (SLO: 1-6) (IOM: 1-5) (DECs: I) 6. Utilize critical thinking skills and a systematic problem-solving process as a framework to examine a safe, cost-effective, competent, delivery of critical care in intermediate and critical care settings within a collaborative, ethical and legal framework. Activities: Lecture and discussion with case studies and question and answer exercises. Videos, Computer Assisted Learning, Laboratory instruction, discussion, and skill practice. Immediate feedback/rationales for test/quiz questions. Assessment: Computerized Theory Exam, Laboratory performance and skills check off. (SCANS: 1-8) (SLO: 1-6) (IOM: 1-5) (DECs: III) 7. Demonstrate the leadership and management ability necessary to assure and facilitate effective collaborative skills with patients, families, and the interdisciplinary team using oral, written and non-verbal communication in providing comprehensive care to patients with complex health needs. 20
Activities: Lecture and discussion with case studies and question and answer exercises. Videos, Computer Assisted Learning, Laboratory instruction, discussion, and skill practice. Immediate feedback/rationales for test/quiz questions. Assessment: Computerized Theory Exam, Laboratory performance and skills check off. (SCANS: 1-8) (SLO: 1-6) (IOM: 1-5) (DECs: IV) Scans Competencies: 1. Reading 4. Speaking & Listening 7. Workforce Competencies 2. Writing 5. Thinking Skills 8. Basic Use of Computers 3. Mathematics 6. Personal Qualities Student Learning Outcomes: After completion of the program, students will be able to:. Provide a safe and effective care environment for their patients, through appropriate management of patient care and promotion of safety and infection control. Provide for patient s psychosocial integrity. Provide for patient s physiological integrity through basic care and comfort, pharmacological and parenteral therapies, reduction of risk potential, and physiological adaptation. Provide for patient health promotion and maintenance. Provide care for patient s utilizing the nursing process, including assessment, analysis, planning, implementation, and evaluation. Provide patient care utilizing critical thinking to prioritize, set goals, apply knowledge with inferential and interpretive reasoning, and predict or evaluate outcomes. IOM Institute of Medicine Core Competencies 1.Provide patient-centered care: Identify, respect, and care about patients differences, values, preferences, and expressed needs; listen to, clearly inform, communicate with, and educate patients; share decision making and management; and continuously advocate disease prevention, wellness, and promotion of healthy lifestyles, including a focus on population health. 2. Work in interdisciplinary teams: Cooperate, collaborate, communicate, and integrate care in teams to ensure that care is continuous and reliable. 21
3. EmSLOy evidence-based practice: Integrate best research with clinical expertise and patient values for optimum care, and participate in learning and research activities to the extent feasible. 4. Apply quality improvement: Identify errors and hazards in care; understand and implement basic safety design principles, such as standardization and simplification; continually understand and measure quality of care in terms of structure, process, and outcomes in relation to patient and community needs; and design and test interventions to change processes and systems of care, with the objective of improving quality. 5. Utilize informatics: Communicate, manage knowledge, mitigate error, and support decision making using information technology. 22
DATE Activity Time CONCEPTS CLASS ROOM 1/17-1/20 Week 1 Tues 1 st Math Exam 0800-0900 1 st Math Exam Computer Lab Tues PNC 0930-1120 Clinical Judgement G54 Tues HCC4 Lab / Sim 1250-1720 Computer Lab Wed Clinical 0800-1700 Computer Lab & Sim Lab Orientation Thurs HCC4 Concepts 0830-1500 Gas Exchange / Hastie G54 1/23-1/27 Week 2 Tues Math Exam #2 0800-0900 2 nd Math Exam Computer Lab Tues PNC 0930-1130 Ethical/Legal Tues HCC4 Lab / Sim 1250-1720 Computer Lab / Paramedic Lab Thurs HCC4 Concepts 0830-1500 Gas Exchange / Hastie Fri Math Exam # 3 TBA 3 rd Math Exam 1/30-2/3 Week 3 Tues Lecture Exam 1 0800-0900 Gas Exchange Exam Computer Lab Tues PNC 0930-1130 Teamwork & Collab Tues HCC4 Lab / Sim 1250-1720 Computer Lab / Paramedic Lab Thurs HCC4 Concepts 0830-1500 Perfusion / Hastie 2/6-2/10 Week 4 Tues PNC 0930-1130 Lead & Mgnt Tues HCC4 Lab / Sim 1250-1720 Computer Lab / Paramedic Lab Thurs HCC4 Concepts 0830-1500 Perfusion / Hastie Tues HCC4 Lab / Sim 1250-1720 Computer Lab / Paramedic Lab Thurs HCC4 Concepts 0830-1500 Immunity / Hicks 2/13- Week 5 2/17 Tues Lecture Exam 2 0800-0900 Perfusion Exam Computer Lab Tues PNC 0930-1120 Quality Improvement 2/20- Week 6 2/24 Tues PNC exam time 0800-0900 PNC EXAM # 1 Computer Lab Tues PNC 0930-1130 Evidence Base Practice Tues HCC4 Lab / Sim 1250-1720 Computer Lab / Paramedic Lab Thurs HCC4 Concepts 0830-1500 Immunity / Hicks 2/27-3/3 Week 7 23
Tues Lecture Exam 3 0800-0900 Immunity Exam Computer Lab Tues PNC 0930-1130 Safety Tues HCC4 Lab / Sim 1250-1720 Computer Lab / Paramedic Lab Thurs HCC4 Concepts 0830-1500 Metabolism / Bridwell 3/6-3/10 Week 8 Tues LAB QUIZ 0800-0900 LAB VALUE QUIZ CLINICAL GRADE Tues PNC 0930-1130 Health Policy Tues HCC4 Lab / Sim 1250-1720 Computer Lab / Paramedic Lab Thurs HCC4 Concepts 0830-1500 Nutrition / Bridwell 3/13-3/17 SPRING BREAK!!!!!!!!!!!!!!!!!!!!!!!!!!!! 3/20-3/24 Week 9 Tues Lecture Exam 4 0800-0900 Metab & Nutri Exam Computer Lab Tues PNC 0930-1130 Health Policy Tues HCC4 Lab / Sim 1250-1720 Computer Lab / Paramedic Lab Thurs HCC4 Concepts 0830-1500 Cognition/Interp /Hicks 3/27- Week 10 3/31 Tues PNC exam time 0800-0900 PNC EXAM #2 Computer Lab Tues PNC 0930-1130 Professionalism Tues HCC4 Lab / Sim 1250-1720 Computer Lab / Paramedic Lab Thurs HCC4 Concepts 0830-1500 Clotting / Bahr 4/3-4/7 Week 11 Tues Lecture Exam 5 0800-0900 Comm & Clotting Exam Computer Lab PNC 0930-1130 Pt Centered Care Tues HCC4 Lab / Sim 1250-1720 Computer Lab / Paramedic Lab Thurs HCC4 Concepts 0830-1500 F&E / Blundell 4/10-4/14 Week 12 Final week of clinical Tues PNC exam 0800-1000 PNC FINAL EXAM Tues HESI Topics 1000-1500 HESI Presentations G54 Tues HCC4 Sim 1530-1720 With Eddie Paramedic Lab Thurs HCC4 Concepts 0830-1500 Tissue Integ / Blundell 4/17-4/21 Week 13 Tues HCC4 FINAL 0800-1000 F&E, Burn & Cft Exam Computer Lab Tues HESI Topics 1000-1500 Presentations & HS Checkoffs Per Mr. Powers 24
Tues HCC4 Lab / Sim 1530-1720 Last practice with Eddie Paramedic Lab Thurs HCC4 Concepts 0830-1500 Dysrhythmia / Hastie Friday MEGACODE MEGACODE CHECK OFF 4/24- Week 14 4/28 Tues EXAM 0800-1000 FINAL EXAM Tues HCC4 Lab / Sim 12:50-5:20 Saunders complete Computer Lab Thurs HCC4 0830-1030 Dysrhythmia Exam Friday Mandatory attendance in Tyler ET Summit Trinity Mother Frances 5/1-5/5 Week 15 Monday RN EXIT EXAM #1 TBA RN EXIT EXAM # 1 4 hour exam Wed- Fri 8:30-3:30 EVOLVE REVIEW 5/8-5/12 Week 16 Monday RN EXIT EXAM #2 TBA RN EXIT EXAM 4 hour exam Tues - Thurs HURST REVIEW Thurs & Fri Pinning practice PINNING & GRADUATION 25