CAYUGA COMMUNITY COLLEGE DEPARTMENT OF NURSING COURSE SYLLABUS NURSING 216 4 Credit Hours COURSE TITLE: CLASSROOM TIME: Family/Community Nursing II 4 hrs/wk x 7½ wks.... 30 hrs..... 2 credit hrs CLINICAL EXPERIENCE: (Clinical) (Lab) NUMBER OF TOTAL CREDIT HOURS PLACEMENT: PREREQUISITES: 10 hrs/wk x 7½ wks... 75 hrs..... 2 credit hrs 2 hrs/wk x 7½ wks.... 15 hrs 120 hrs..... 4 credit hrs Fourth Semester in Nursing Curriculum Nursing 101, 102, 214, 215, Biology 203, Biology 204, CPR Adult, Child and Infant certification by American Heart Association or American Red Cross CPR for Health Professionals. Cannot be taken concurrently with Nursing 217. COURSE DESCRIPTION: This course builds upon the skills, abilities, and knowledge developed in Nursing 101, Nursing 102, Nursing 214 and Nursing 215. The student will learn interpersonal, technical, and cognitive skills related to individualized nursing care of mothers and infants through the maternity cycle, children with complex medical/surgical needs, and high risk antepartum and postpartum clients in the community. Learning activities are planned to develop the student's ability to think critically, to reason and form judgments, and to assess, analyze and resolve client-centered problems. The roles of nurse as provider of care, manager of care and member of the profession are further developed with increased autonomy and an emphasis on the development of leadership skills. Clinical experiences are correlated with theory by selection of clients in acute care settings, home care and varied community agencies. The student is expected to demonstrate competency of selected nursing skills in the Nursing Lab. STUDENT LEARNING OUTCOMES: Upon completion of this course, the student will be able to: 1. Adhere to the standards of professional practice, be accountable for own actions and practice within the moral, legal, and ethical framework as defined by NYS Nurse Practice act and professional standards. 2. Demonstrate effective communication techniques with individuals, families, groups and members of the health care team. 3. Use the nursing process to develop a comprehensive and prioritized plan of care for patients and families. 4. Integrate evidence-based practice as a foundation for safe patient care for a group of patients. 5. Apply clinical reasoning skills to provide safe patient care for a group of patients. 6. Apply comprehensive and prioritized caring interventions to provide patient-centered care for a group of patients. 7. Develop a teaching plan for a group of learners incorporating teaching and learning principles.
Page 2 8. Collaborate with the interdisciplinary healthcare team to provide safe patient care for a group of patients. 9. Apply principles of prioritization, delegation and supervision for a group of patients in a safe and cost-effective manner. 10. Use information technology to communicate and access information. 11. Use resources for continuous learning and self-development. COURSE MATERIALS: 1. Davidson, London and Ladewig Olds. Maternal-Newborn Nursing and Women s Health Across the Lifespan (2012) 9 th ed. ISBN-13: 978-0-13-210907-9. 2. Hockenberry and Wilson. Wong s Essentials of Pediatric Nursing (2013) 9 th ed. ISBN-978-0-323-08343-0. 3. Nursing Drug Reference Text of student's choice. 4. Neehr Perfect 3 month subscription, ISBN 978-0-9858379-1-4. TEACHING STRATEGIES: 1. Reading assignments 2. Lecture, discussion, demonstration, and role playing 3. Collaborating learning groups 4. Interactive Computer Technologies 5. Self-study guides/learning guides 6. Optional remediation workshops 7. Bulletin board displays 8. Exam review sessions 9. Student/instructor conferences 10. Nursing Lab instructor demonstration, independent practice, and competency demonstrations 11. Clinical experiences 12. Peer tutoring by academic support 13. Process recordings STUDENT EVALUATION AND GRADING: A minimum passing grade of 77 (C+) must be achieved in each Nursing course and a satisfactory clinical grade must be achieved in each clinical Nursing course. A course grade below C+ is considered a failing grade. A course grade of C, C-, D+, D, D-, F or W is considered an unsuccessful attempt and will prohibit the progression to the next course. A second unsuccessful attempt in the program in a clinical Nursing course will result in withdrawal from the program. The student and instructor will use the following performance criteria to evaluate clinical and written work performance: (S) Satisfactory: The student exhibits the ability to perform safely, independently or with minimal instructor assistance. Demonstrates theory comprehension and meets all specific criteria. (NI) Needs Improvement: The student s performance is minimally acceptable and remediation to attain a rating of satisfactory is mandatory. Demonstrates theory comprehension and requires minimum additions and or corrections to meet satisfactory status.
Page 3 (U) Unsatisfactory: The student fails to provide safe patient care. Demonstrates overall lack of theory comprehension as evidenced by deficiencies requiring a complete revision to meet satisfactory status. It is the student s responsibility to remediate any identified needs improvement or unsatisfactory performance to the satisfactory level. If a student fails to achieve satisfactory on all performance criteria by the completion of the course, the student will fail the course. Final evaluation will not be completed until all clinical make-ups are complete. Classroom 1. Exam I 20% 2. Exam II (Comprehensive OB Exam) 30% 3. Exam III 20% 4. Exam IV (Comprehensive Final Exam) 30% 5. Drug Dosage Exam 100% accuracy is required on the Drug Dosage Exam by completion of Nursing 216. (A limit of two retakes is allowed). 6. Evolve RN Online Case Studies complete 3 obstetric and 3 pediatric cases at 85% level Clinical Experience 1. Preparation for patient care is required. Incomplete preparation for patient care will result in dismissal from clinical that day and will count as an absence 2. Weekly Clinical Evaluations 3. Summative Rotation Evaluation (SRE) 4. Successful completion of Nursing Lab skills 5. Successful completion of Medication Administration Experience. COURSE REQUIREMENTS: 1. All clinical hours must be completed by the end of the course. 2. No more than six hours classroom absence will be allowed per 4 credit nursing course. 3. All written work must be submitted by the end of the course. 4. All Nursing Lab requirements must be completed by the end of the course. 5. Compliance with Nursing Student Handbook policies and procedures. 6. Eight additional clinical hours may be required if a student does not meet clinical outcomes. 7. Completion of HESI exit exam. 8. Completion of program Exit Interview with the Director of Nursing. 9. All course and clinical evaluation procedures must be completed by the date of the final exam. STATEMENT ON ACCOMMODATIONS TO DISABLED STUDENTS: Cayuga Community College, by mission and in compliance with the Americans with Disabilities Act of 1990 (ADA) and Section 504 of the Rehabilitation Act of 1973, is pledged to accommodate any students who provide appropriate documentation of a disability. Consistent with our institutional goals and capabilities, and with the objectives of this course, we will provide persons with disabilities any reasonable accommodations designated as necessary for them to have an equal opportunity for learning. In order to qualify for such accommodations, students with disabilities must present current documentation that meets our guidelines and verifies the existence and nature
Page 4 of their disabilities. Documentation needs to be submitted to the Office of Accessibility Resources for review and students must meet with the Accessibility Specialist to determine reasonable accommodations. Once accommodations are authorized by the specialist, it is critical that students have thorough discussions with their instructors about their required accommodations. If you are a student in need of accommodative services for a documented disability or have questions regarding this process, please contact the Office of Accessibility Resources located in the Center for Academic Success (Auburn Campus-315-294-8422), (Fulton Campus-315-593-9327). STATEMENT ON ACADEMIC INTEGRITY: Honesty is a fundamental responsibility of students in all pursuits of learning in the classroom, nursing lab and clinical agency. Acts of academic dishonesty are subject to disciplinary sanctions. Refer to the Nursing Student Handbook for the Academic Misconduct/Dishonesty policy and the CCC Student Handbook, for the Student Code of Conduct. COURSE CONTENT: I. Orientation to Nursing 216 A. Progress toward Graduate Outcomes B. Core Components and Roles C. QSEN Competencies D. National Patient Safety Goals II. III. Contemporary Maternity-Newborn Nursing A. Current Issues in Maternal-Newborn Nursing B. Tools for Critical Thinking in Maternal-Newborn Nursing C. The Family in Contemporary Society D. Client Teaching Pregnancy A. Conception and Fetal Development B. Physical and Psychologic Changes of Pregnancy C. Antepartal Nursing Assessment Lab: Fetal Development/Fetal Monitoring D. The Expectant Family: Needs and Care E. The Expectant Family: Age-Related Considerations F. Maternal Nutrition G. Preparation for Childbirth H. Pregnancy at Risk: Pregestational Problems I. Pregnancy at Risk: Gestational Onset J. Diagnostic Assessment of Fetal Status Lab: Antepartum Testing (High Risk)
Page 5 IV. Birth A. Processes and Stages of Labor and Birth B. Intrapartal Nursing Assessment C. The Family in Childbirth: Needs and Care D. Maternal Analgesia and Anesthesia E. Childbirth at Risk F. Obstetric Procedures: The Role of the Nurse Lab: Childbirth Education and Preparation V. Postpartum A. Postpartal Adaptation and Nursing Assessment B. The Postpartal Family: Needs and Care C. Attachment D. The Postpartal Family at Risk Lab: Death of the Wished for Child VI. VII. VIII. IX. The Child With A Disturbance Of Regulatory Mechanisms A. The Child with Genitourinary Dysfunction Lab: Chemotherapy Administration/Monitoring The Child With Problems Related To The Transfer Of Oxygen And Nutrients A. The Child with Respiratory Dysfunction B. The Child with Gastrointestinal Dysfunction Lab: Nursing Care of Burn Patients The Child With Problems Related To Production And Circulation of Blood A. The Child with Cardiovascular Dysfunction B. The Child with Hematologic or Immunologic Dysfunction Lab: Nursing Care of Child with Cardiac/Renal Problems The Child With A Disturbance Of Regulatory Mechanisms A. The Child with Cerebral Dysfunction B. The Child with Endocrine Dysfunction C. The Child with Integumentary Dysfunction X. The Child With A Problem That Interferes With Locomotion A. The Child with Musculoskeletal or B. The Child with Neuromuscular or Muscular Dysfunction Revised: 1/15