Big Sandy Community and Technical College Course Syllabus PS Number: 48472, 48473 Semester: Fall Year: 2017 Faculty Name: Charlene Carroll Kimberly DeRossett Monica Jervis Title: Assistant Professor of Nursing Professor of Nursing Laboratory Instructional Specialist Course Prefix and Number: NPN 202 Course Credit Hours: 6 Credits (150 contact hours). Lecture: 4 credits (60 contact hours); Lab/Clinical: 2 credits (90 contact hours) Course Prerequisites: Pre-requisites: (NPN 101 and NPN 111) and (BIO 135 or BIO 139) and (AHS 115 or AHS 120 or CLA 131 or OST 103). Minimum C grade. Pre-requisite or Co-requisite: NPN 135. Minimum C grade. Course Title: Med-Surg I Alterations Catalog Course Description: Applies nursing process to selected child/adult clients experiencing common health deviations related to metabolic dysfunctions, fluid and electrolyte imbalances, cardiovascular dysfunctions, and cellular deviations that interfere with activities of daily living with emphasis on the nurse as the provider of care. *NOTE: The student s failure to read this document does not excuse the student from the requirements of this syllabus. Instructor Contact Information: Campus Location: Mayo Building & Room: D 201 & D 205 Office Hours: Each full-time faculty s specific schedule of office hours will be posted during the first week of the course beside the faculty member s office door and available on the NPN 202 Blackboard course shell. 1
Office Phone Number: CC 788-2801 KD 788-2821 MJ 788-2833 Alternate Number: Best Times to Call: Email is the best method of contact unless otherwise specified by the individual instructor. KCTCS Email: CC charlene.carroll@kctcs.edu KD kimberly.derossett@kctcs.edu MJ mjervis0008@kctcs.edu Special Instructions: Each full-time faculty member maintains office hours. Faculties are available to students during scheduled office hours or by appointment. Supervisor Contact Information: Name: Myra Elliott Campus Location: Prestonsburg Building & Room: Student Center 202 A Office Phone Number: 606 886-3863 Ext. 94715 KCTCS Email: myrat.elliott@kctcs.edu Text and Supplies: A. Required Textbooks with valid on-line resource access codes: All textbooks, study guides, supplies and virtual learning materials from all previous practical nursing courses and Practical Nursing Program Handbook for 2017-2018. B. Required Supplies: NPN 202 Practical Nursing Supply Kit (available in the bookstore) (2) Central Line Dressing Kit (sterile with Chloraprep solution, biopatch and stabilization device) (1) Levine Nasogastric tube # 14 Fr (1) Bulb Irrigation Tray (Sterile) (1) 60 ml Catheter tip syringe KCTCS General Education Competencies Students should prepare for twenty-first century challenges by gaining: A. Knowledge of human cultures and the physical and natural worlds through study in the sciences and mathematics, social sciences, humanities, histories, languages, and the arts. Method to Achieve Competency: 2
B. Intellectual and practical skills, including inquiry and analysis critical and creative thinking written and oral communication quantitative literacy information literacy teamwork and problem solving Method to Achieve Competency: C. Personal and social responsibility, including civic knowledge and engagement (local and global) intercultural knowledge and competence ethical reasoning and action foundations and skills for lifelong learning Method to Achieve Competency: D. Integrative and applied learning, including synthesis and advanced accomplishment across general and specialized skills. Method to Achieve Competency: Course Specific Competencies (Student Outcomes): Upon completion of this course, the student can: 1. Use Gordon s functional health patterns as a basis for the organization and delivery of care to clients experiencing metabolic, fluid and electrolyte, cardiovascular and cellular deviation dysfunctions across the lifespan. 2. Utilize clinical judgment in application of the nursing process and human caring phenomenon in collaboration with the healthcare team to clients experiencing dysfunctions in metabolic, fluid and electrolyte, cardiovascular and cellular health patterns. 3. Perform identified nursing skills related to metabolic and cardiovascular dysfunction and demonstrate retention of previously learned nursing skills in a competent manner. 4. Recognize the link between lifelong learning and the improvement in the professional practice of nursing to client care. 5. Utilize therapeutic communication when dealing with clients experiencing metabolic, fluid and electrolyte, cardiovascular and cellular deviation dysfunctional health patterns. 6. Incorporate legal and ethical standards in the care of clients experiencing metabolic, fluid and electrolyte, cardiovascular and cellular deviation dysfunctional health patterns. 3
Lab Competencies (Student Outcomes): (Enter N/A if this does not apply.) NPN 202 Essential Skills are the Clinical Skills for which the student must demonstrate 100% proficiency as part of the requirements to earn a satisfactory clinical grade. Please see page 6 for further information related to Skill Proficiency Evaluations. NPN 202 Essential Skills include: General Principles (overriding) Safety Practices (overriding) Standard precautions (overriding) Gastrointestinal Intubation a. Lavage b. Gavage c. Gastric Suctioning Central Venous Catheter a. Dressing b. Medication Administration c. Removal of Non-coring needle from Implanted Venous Port Blood Administration Course Outline: I. Care of the Patient Experiencing Alterations in Fluid and Electrolyte Balances A. Alterations in function regulation and dynamics B. Major alterations in fluid and electrolyte balances C. Assessment D. Specific aspects of commonly occurring health problems related to alterations in fluid and electrolyte balances E. Planning / implementing nursing role, treatment modalities, and therapeutic communication F. Evaluation G. Discharge planning II. Care of the Patient Experiencing Alterations in Metabolism A. Alterations in function regulation and dynamics B. Major alterations related to metabolism C. Assessment D. Specific aspects of acute and chronic health problems E. Planning/implementing nursing role, treatment modalities, and therapeutic communication F. Evaluation G. Discharge planning III. Care of the Patient Experiencing Alterations in Cellular Deviations A. Factors that contribute to cellular deviation B. Concepts and characteristics of benign and malignant tumors C. Non-carcinogenic cellular deviations D. Assessment E. Diagnostic studies F. Treatment modalities G. Specific aspects of acute and chronic care of the client with cellular deviation H. Planning / implementing nursing role, treatment modalities, and therapeutic communication 4
IV. I. Evaluation J. Discharge planning Care of the Patient Experiencing Alterations in Cardiovascular Function A. Alterations in function regulation and dynamics B. Major alterations in cardiovascular and dynamics C. Assessment D. Specific aspects of acute and chronic cardiovascular problems across the life span according to basic human needs and nursing process E. Planning / implementing nursing role, treatment modalities, and therapeutic communication F. Evaluation G. Discharge planning Course Structure: Methods may include, but are not limited to: 1. Discussion / Lecture 2. Client Situations 3. Individual and/or Group Presentations 4. Laboratory Demonstrations and Practice and Skill Exams 5. Clinical Rotations (various nursing delivery methods may be utilized) 6. Pre- and Post-Conferences 7. Workshops 8. Self-study Materials 9. Audio-Visual Materials 10. Computer Assisted Instruction (CAI) 11. Written assignments 12. Web-enhanced instruction/on-line learning modules Technology/Media Component: NPN 202 is a web-enhanced course utilizing the Blackboard platform to assist students in the learning process. Blackboard can be accessed through the Big Sandy Community and Technical College website at http://www.bigsandy.kctcs.edu. The textbooks in NPN 202 are accompanied by a companion website and access code for student on-line resources. Email communication for NPN 202 should be through each student s BSCTC email account or Blackboard account. Email should be read daily. Maintenance of each student email account is the student s responsibility, such as emptying email regularly allowing access to new messages. Service-Learning: Students may be assigned to complete a service learning project based on the learning content of this course. Civility: In order to facilitate the process of meeting course requirements, students are expected to maintain civility in the classroom, campus laboratory and clinical facility. There will be a no-tolerance policy of disruptive or uncivil behavior toward another student, faculty, or clinical facility staff. Students 5
exhibiting disruptive behaviors as determined by the faculty will be asked and expected to leave the classroom, laboratory or clinical site. Course Requirements and Evaluation: To receive a passing grade of C in NPN 202, the student must: a. earn 76% of the total theory points; and b. earn a Satisfactory Clinical Grade. Grading Policy: THEORY REQUIREMENTS: Grading Scale: The scale below shows the relationship between the student s course percentage average and the letter grade the student will receive. No rounding will be used in calculation of final grades. Bonus points will not be awarded in this course. A = 100 90% B = 89 82% C = 81 76% D = 75 67% E = 66% and below The Percentage Grade will be derived by dividing the total points earned by the total points possible at the end of the course. Total points possible will be derived from exams, dosage calculations, and a final comprehensive exam and may include other quizzes, assignments, etc. CLINICAL REQUIREMENTS: For a Satisfactory Clinical Grade the following must be achieved: Dosage Calculation Proficiency in Clinical and Campus Laboratory = 100% proficiency Skills Proficiency Evaluations = 100% proficiency Clinical Evaluation of Student Performance = Satisfactory Skills Proficiency Evaluation At the beginning of this course, students are expected to be able to safely and proficiently perform all essential skills from previous nursing courses and to demonstrate knowledge acquired from previous courses in the nursing curriculum and from the nursing assistant course. Students are expected to continue to maintain these skills and apply knowledge to classroom, campus laboratory, and clinical activities throughout the course. Students are required to complete all Essential Skills for NPN 202 (pages 3-4) at 100% proficiency as part of the requirements to earn a satisfactory clinical grade. Once skills are learned, students are expected to maintain all Essential Skills at 100% proficiency in the campus laboratory and clinical setting. It is the student s responsibility to practice as needed in the campus laboratory to maintain skill proficiency. Demonstration of the essential skills and initial practice sessions will be scheduled by the Laboratory Instructional Specialist/ Faculty. It is the student's responsibility to practice after this initial demonstration/discussion. Students will participate in at least two practice sessions with other students and/or instructional specialist/faculty unless otherwise instructed and will document all signatures as required on the Essential Skills-Critical Criteria Sheet for each skill. The Essential Skills-Critical Criteria 6
Sheet must be presented to the Lab Instructional Specialist/Faculty prior to testing on the day of the skill exam or the student will forfeit that skill attempt/opportunity. In the event the student fails a skill exam, the student must practice any deficient areas. This practice must be documented on the Essential Skill-Critical Criteria Sheet. This sheet must be presented when the student returns to repeat the Skill Exam on the assigned date. In order to receive two opportunities to complete a skill, the student must follow the above instructions. Absence, failure to practice, and failure to bring documentation of practice on the day of the skill exam are reasons why a student may be given only one opportunity to complete a skill. All students must be finished with their final attempt at each Skill Exam by the deadlines set by the Laboratory Instructional Specialist/Faculty. Should a student be unsuccessful on their final attempt to perform the skill or fail to meet the established deadline, they will be given the option of withdrawing from the course at that time or receiving a grade of E for the course. Clinical Evaluation of Student Performance The Final Clinical Grade for each student in NPN 202 will be graded as Satisfactory or Unsatisfactory. An overall Unsatisfactory Clinical Grade can occur if a student is deemed by the nursing faculty to be in gross violation of safe nursing practice. An overall Final Unsatisfactory Clinical Grade can also occur if the student receives two weekly unsatisfactory clinical evaluations of performance. In the event that an overall Unsatisfactory Clinical Grade is assigned, or an unsatisfactory clinical grade that is the result of gross negligence or violation of safety practices, the student will be asked to withdraw from the course. If the student chooses not to withdraw from the course when an overall Unsatisfactory Grade has been assigned, the student will not be allowed to return to campus lab or clinical and will receive a grade of E for the course. Campus nursing laboratory experiences will be considered in the evaluation of the student's weekly clinical progress. Both scheduled labs and lab appointments will be considered. All students must be on time, in appropriate attire (see Practical Nursing Program Student Handbook), and remain in the lab the entire time during scheduled times unless excused by the Laboratory Instructional Specialist/Faculty. Attendance Policy: Students are expected to attend and be punctual for ALL lecture, laboratory, and clinical experiences. More than one clinical/laboratory absence will result in the student meeting with the nursing faculty and nursing coordinator to determine whether the student will be permitted to continue in this nursing course. If a student must miss clinical, the student is to notify the clinical instructor by calling the assigned clinical unit prior to the beginning of the clinical experience on that clinical day. Students should ask for the name of the person spoken to if a message is left with the clinical facility. The student must follow up with the written reason for the absence by e-mail or in person, which will be placed in the student s file. Failure to notify the instructor prior to the beginning of the clinical experience will result in an unexcused absence and an unsatisfactory clinical evaluation for the week. If a student misses a clinical experience, and it is determined to be an excused absence, the student will 7
make up the clinical experience at the discretion of the nursing faculty. It is the responsibility of the student to contact the instructor within 3 days for a make-up assignment. Make-up work must be completed by the assigned date. All assigned clinical work must be satisfactory or the weekly clinical evaluation will be affected. Unexcused absences from clinical cannot be made up and the student will receive an unsatisfactory weekly clinical evaluation. Students who are going to be tardy for clinical must notify their clinical instructor. In the event that the student is not able to arrive by 8:00 AM, it is the student s responsibility to notify the clinical instructor immediately. The student may be counted absent and will be required to make up the missed time. In the event that a student must be absent or tardy for scheduled Laboratory time, the student must notify the Laboratory Instructional Specialist/Faculty prior to the scheduled appointment. Tardiness or absence from a scheduled laboratory experience will be addressed as a clinical tardy or absence. Students who are tardy for theory classroom time are not allowed to enter the classroom until break time. Exceptions to this attendance policy can only be granted by the Nursing Coordinator, with a concurrence of the Nursing Faculty. Make-Up Days: Classes cancelled due to inclement weather will be made up during previously unscheduled time, college breaks, extended class days, web-enhanced instruction or on-line learning modules at the discretion of the faculty. Exam Policy: Exams are announced. Quizzes can be announced or unannounced. Missed quizzes cannot be made up. No food or drink will be allowed on the student s desk or person during any examination. Any exceptions to this will be at the faculty s discretion. All bags, books and study materials will be placed at the front of the classroom and away from the student s desk. All electronic devices, with the exception of a calculator only device, must be turned off or silenced and be placed off of the student s desk in a bag or other closed container. Cell phones or any other devices are not allowed to be used as a calculator. Exams may be administered via paper and pencil format or may be administered electronically. Students will not be allowed to keep their nursing exams. Examinations may not be returned for student review until all students have taken the examination. Examinations will be reviewed in the classroom and may be reviewed by the individual student by appointment in the faculty s office during the week following the specific examination unless otherwise announced. Students that do not review their examination during this time period forfeit their opportunity to review the examination. There will be no classroom group review of the final examination. The final examination may be reviewed by the individual student in the faculty s office by appointment during the week following the examination unless otherwise announced. Students that do not review the final examination during this 8
time period forfeit their opportunity to review the examination. No pencils, pens, phones, calculators, or other devices are allowed on the student s desk or person while reviewing an exam. Missed Exam Policy: If a student cannot take an exam at the scheduled time, the faculty must be notified by 4:00 p.m. of the exam day. It is the student s responsibility to make arrangements with the faculty to take the make-up exam, which may be of a different type including an oral exam. Failure to follow this procedure will result in the student receiving a 0 on the exam. Faculty will determine the date of any make-up exam. There will be no make-up exams for the Final Exam. A student who does not take the Final Exam will receive a grade of 0 on the exam and the 0 will be used in computing the grade for this course. The Nursing Coordinator, with a concurrence of the Nursing Faculty, may grant exceptions to this policy. Late Assignment Policy: All assignments must be turned in as required by the faculty. Late clinical written assignments will not be accepted and the student will receive an unsatisfactory on the clinical evaluation for that week. Withdrawal Policy: A student may be allowed to withdraw from NPN 202 through the last day to withdraw indicated on the 16-week academic calendar for fall 2017. The student must have been attending class, putting forth the effort to pass the course, and have permission of the course faculty. The student must see a nursing faculty member or the nursing coordinator prior to withdrawal in order to complete the appropriate documentation and receive the appropriate readmission guidelines. All facility badges and any books or materials loaned by the faculty or the campus lab to the student must be returned during this meeting in order for the student to be allowed to withdraw with a grade of W. Clinical Facilities Students will receive clinical experience in off campus facilities. Students may be assigned to more than one facility during the semester. Students are responsible for their own transportation to classes and to the off-campus clinical facilities. Student placement in clinical facilities is based on curriculum assignment; placement is not based on individual preference. Changes In Course Assignments During The Semester The faculty makes every effort to update lecture and clinical information based on recent advances in nursing and medicine. Therefore, the faculty reserves the right to make changes in clinical and lecture focus, objectives, assigned readings, clinical experiences, and other learning experiences which the faculty believes will improve the learning opportunities for students. Likewise, students are encouraged to share any recent pertinent information of interest with instructors and classmates. Program Handbook, Code Of Student Conduct, And College Catalog Additional policies and procedures for this course can be found in the Practical Nursing Program Student Handbook, the Code of Student Conduct, and the Big Sandy Community and Technical College Catalog. The Big Sandy Community & Technical College Catalog is available at http://www.bigsandy.kctcs.edu. Additional information can be found at the following site: 9
http://www.bigsandy.kctcs.edu/academics/office_hours_schedules_and_syllabi.aspx 10