Course Syllabus

Title of Course: Nursing 1116, The Client & the Nursing Process

Instructors: A. Jones J.Spurgin K. Williams

Ext. 330 Ext. 336 Ext. 335

E Mail: ajones@mscok.edu jspurgin@mscok.edu kwilliams@mscok.edu

School: Murray State College

Tele. # (580)- 371-2371

E Mail: www.mscok.edu

Dates of Syllabus Preparation: May 2004

Instructional Time: 64 Theory; 96 Laboratory

Number Lecture hours per week: 4

Number Laboratory hours per week: 6

Pre-requisite: 1) Acceptance into Nursing Program

2) Psychology 1113 or concurrent

3) Anatomy & Physiology 1124 enrollment

Course Description: This course is designed to provide the student with an introduction to the field of nursing as a profession. Students will learn about the history of nursing, legal aspects related to the practice of nursing, effective communication methods, and the nursing practice with a focus on assessment and data analysis. The student will have the opportunity to learn and practice basic nursing skills for clients throughout the life span utilizing a holistic approach.

Competency: Student shall be considered competent whenever he/she demonstrates subject matter, knowledge and skills on competency achievement tests and scores a minimum of 77% on the cognitive test in addition to a satisfactory clinical grade. Skill performance will be 100% of those required skills (see Skill Checklist and Clinical Evaluation Tool).

Course Learner Outcomes: In each nursing course, students are expected to complete the outcomes for the course in which they are currently enrolled and to continue meeting the outcomes from the prerequisite nursing courses.

Murray State College is committed to providing equal access to College programs and services for all students. Under College policy and federal and state laws, students with documented disabilities are entitled to reasonable accomodation to ensure the student has an equal opportunity To perform in class. If any member of the class has such a disability and needs special academic accomodation, please report to the Counseling Center, MSC or AHEC, before the end of week one of the semester. Reasonable accommodation may be arranged after verification of your situation. Do not hesitate to contact the Vice President for Academic Affairs if any assistance is needed in this process.

Murray State College Mission Statement:

“Murray State College provides educational opportunities and services to individuals for an enhanced quality of life.”

Summary of Course Content:

Unit I. A. Topics:

1. Nursing, Nursing Education and Nursing History

2. Self-Care Deficit Theory

3. Legal and Ethical Responsibilities

4. Health Promotion/Health Care Systems

5. Vital Signs

6. Introduction to the Nursing Process

7. Nursing Process: Assessment

8. Prefixes, Suffixes, and Root Words

9. Critical Thinking: Approaches & Analysis

B. Skills:

1. Blood Pressure Clinic

2. Respiratory Care

3. Assessment

Unit II. A. Topics

1. Communication

2. Dietary Regimes/Feeding/Swallowing

3. Medical Abbreviations4.

4. Decubitus Ulcer Care

5. Effects of Aging

6. Sensory Deficits

a. Glaucoma

b. Cataracts

c. Age-related Macular Degeneration

d. Hearing Deficits

6. CVA Patient

7. Parkinson's Disease

8. Alzheimer's Disease

9. Integumentary Disorders

10. CHF

11. Diabetes Mellitus—patho/types

B. Skills:

1. Finger Stick Blood Sugar

2. Urine Specimens

Unit III. A. Topics

1. Cultural & Religious Influences on Health

2. Socioeconomic Implications of Health

3. General Principles of Pharmacology

4. Medication Administration

5. Diabetes Mellitus --Medications

6. Nursing Process: Diagnosis and Planning

B. Skills

1. Calculation of Medication Dosages

2. Non-parenteral Medications

3. Injections

4. Mixing Medications in a Syringe

5. DC IV

Unit IV. A. Topics

1. Pain

2. Documentation

7. Principles of Heat and Cold

8. Sleep

9. Adult Growth and Development

6. Nursing Process: Intervention & Evaluation

B. Skills

1. Heat and cold

2. Bandages, Binders, and Slings

3. Stump Wrapping

4. Catheterization

5. Sterile Gloving

Unit V A. Topics

1. Anxiety

2. Stress & Adaptation

3. Crisis

4. Posttraumatic Stress Disorder

5. Grief

6. Death & Dying

7. Chronic Illness & Disability

8. Family Violence

9. Workplace Violence

10. Sexual Assault

11. Forensic Nursing

B. Skills

1. Postmortem Care

2. NG Tubes—insertion and Removal

3. NG Tubes—Feeding and Medications

4. Gastrostomy Care

5. Ostomy Care (colostomy, ileostomy, urostomy)

6. Enemas/Stool specimens

Unit VI. A. Topics

1. Growth and Development Through Adolescence

2. The Family

3. Communicating with Children

4. Vaccine Preventable Diseases

5. Injury Prevention

6. Child Abuse & Neglect

B. Skills

1. Pediatric Medications and Calculations

2. Pediatric Assessment

3. DDST

See Learning Guides for additional information.

No Beepers or cell phones are allowed to "sound" in class. They must be set for "vibration" only. No class time is to be used to return calls or pages unless prior arrangements have been made with the instructor. All other returned calls must be taken care of before or after class , or at break.

Methods of Instruction and Evaluation:

Methods of instruction/learning for student achievement of the course outcomes may include: lecture, discussion, demonstration, clinical laboratory experiences, role playing, conferences, written assignments, reading assignments, audio-visual aids, CAIs, examinations, and field trips.

Methods of evaluation for student achievement of the course outcomes will include: written examinations, clinical performance, nursing care plans, written assignments, and campus laboratory skill performance.

Students who fail a posttest must make an appointment to conference with the instructor of that unit. Students must come to the conference with the Test Review Counseling Form completed.

Test and Test Schedule:

Written examinations include unit posttests, medication quizzes, terminology quizzes, pop quizzes, and a final examination. Medication quizzes and terminology quizzes will be given during specified units. Unit posttests are given at the end of each unit of learning and test the outcomes included in the unit learning guide. A final examination is given the last week of the semester as scheduled by the MSC administration. The final examination tests outcomes from each of the learning units in the course. (See the Student Calendar Study Guide for exact dates of written examinations.) It is recommended that the student record his/her grades for each examination in order to identify those units, which may require additional study in preparation for the final examination.

Students who miss a scheduled posttest, for any reason, will make up that test on Monday, December 6.

Calculation of Grade

An average grade of 77 or above on the classroom theory grades must be attained in order to pass Nursing 1116. If the classroom theory average is 77 or higher, then the clinical theory grades are averaged with the classroom theory grades for the final grade for the course. This grade must also be 77 or higher in order to pass NUR-1116.

NOTE: CLINICAL PERFORMANCE MUST BE SATISFACTORY IN ORDER TO SUCCESSFULLY COMPLETE THE COURSE REGARDLESS OF PERFORMANCE ON EXAMINATIONS AND OTHER WRITTEN WORK.

The letter grade scale for this course is:

A = 90 - 100

B = 83 - 89

C = 77 - 82

D = 70 - 76 (automatically means failure in Nursing)

F = Below 70

All written assignments are evaluated according to criteria given to the student at the time of the assignment. Written assignments must be submitted in legible handwriting using black ink or typed. Correct spelling must be used and the assignment must be submitted on the scheduled date. All written work must be turned in prior to taking the final exam.

One point will be deducted for each misspelled word on any written assignment. The maximum number of misspelled words may reach the total number of possible points, for example: 100 points possible- 100 misspelled words (1 point each) = 0 points attained.

Ten (10) points will be deducted from the total grade of any written assignment for each weekday (including vacations) it is overdue. The maximum number of points deducted for papers turned in late may reach the total number of possible points, for example: 100 points possible - 10 days late (10 points each) = 0 points attained.

Classroom Theory Grades:

Unit Posttests: Terminology Quizzes:

Unit I 9% Unit I 1%

Unit II 9% Unit II 1%

Unit III 9% Unit III 1%

Unit IV 9% Unit IV 1%

Unit V 9% Unit V 1%

Unit VI 9% Unit VI 1%

Pop Quizzes: Medication Quizzes:

Unit I 1% Unit III 1%

Unit II 1% Unit IV 1%

Unit III 1% Unit V 1%

Unit IV 1% Unit VI 1%

Unit V 1%

Final Exam 15%

Clinical Theory Grades

Nursing Diagnosis Assignments: Care Plans:

Unit IV 1% NH Care Plan 1%

Unit V 1% Med/Surg Care Plan 1% Unit VI 1%

Lifespan Development Assessments: Cultural Assessment 1%

Late Adulthood 1% DDST 1%

Adult (19-69) 1%

Pediatric 1%

Virtual Clinical Excursions:

Unit 1----- 1% Unit lV---1%

Unit 11--- 1% Unit V—1%

Unit 111—1% Unit Vl—1%

Clinical Performance Grade

To apply newly acquired skills and knowledge to actual client situations, arrangements for clinical experiences have been made with hospitals within the area. Students participate in clinical lab Tuesday and/or Thursday (see Clinical Laboratory Schedule for specific times). Students are responsible for their own transportation to the clinical facilities. Orientation to the clinical areas will be scheduled during hospital orientation.

Those tasks required of the student correspond to the skills he or she is mastering in each unit of the course. If the student is unable to participate in the clinical experience, the policy for absenteeism is followed (see Nursing Program Survival Manual).

To broaden learning experiences of students in the Clinical Laboratory, written assignments are required.

Clinical performance is evaluated as “Satisfactory” or “Unsatisfactory” utilizing the Nursing Program Clinical Evaluation Tool. This tool will be reviewed prior to clinical laboratory experience.

Dosage Calculation Examination: Students must pass one of the four dosage calculation examinations in order to successfully pass nursing 1116. (See calendar for a specific test dates). Failure to pass one of the four dosage examinations will result in an unsatisfactory clinical performance grade.

Performance of assigned skills that have been adequately demonstrated in the campus laboratory will be further evaluated in the clinical area. The clinical instructor will evaluate skill performance as one of the following:

N Needs additional skills lab practice and repeat demonstration;

AG Adequate, still requires guiding presence of clinical instructor;

AP Adequate, requires presence of clinical instructor or RN staff member;

ML Mastery with Limitations (able to perform without guidance, but student status requires presence of instructor or RN staff member);

M Mastery (able to perform independently).

Each student is responsible for bringing his/her skill performance evaluation form to clinical post conference. The clinical instructor will document skill performance during post conference. Failure to bring the Cumulative Skills Performance evaluation form to the campus skills lab or clinical lab will result in an unsatisfactory clinical grade.

Clinical Performance will be evaluated as described in the Survival Manual and the Clinical Evaluation Tool.

The Daily Clinical Evaluation Tool is to be turned in prior to class the day following the clinical experience. Students who fail to turn in the evaluation tool without prior notice of absence to the instructor will be given an unsatisfactory clinical grade.

NURSING PROGRAM

Required Textbooks for Class of 2006

Title of Book	Ed.	Author	Publisher	ISBN #
Medical Surgical Nursing – Critical Thinking for Collaborative Care With Virtual Clinical Excursion	4^th	Ignatavicius – Workman	Saunders	0721696783
Maternal-Newborn Nursing & Women’s Health Care	7^th	Olds, London, Ladewig, Davidson	Printice Hall	0130990094
Handbook of Nursing Diagnosis	10^th	Carpenito	Lippincott	0781743559
Pharmacology: A Nursing Process Approach	4^th	Kee & Hayes	Saunders	0721693458
Davis Drug Guide for Nurses	9^th	Deglin & Vallerand	F. A. Davis	0803611528
Taber’s Cyclopedic Medical Dictionary	19^th		F. A. Davis	0803606540
Psychiatric Mental Health Nursing Concepts of Care	4^th	Townsend	F. A. Davis	0803610122
Essentials of Pediatric Nursing & Virtual Clinical Excursion	6^th	Wong	Mosby	0323020186
Essential of Nursing Leadership & Management	3^rd	Tappen/Weiss/ Whitehead	F. A. Davis	0803611242
Fundamental & Advanced Nursing Skills	2nd	Altman, Buchsel & Coxon	Delmar Publisher	0803610564
MedNotes: Nurse Pocket Pharmacology Guide		Deglin Vallerand	FA Davis	0803611099
RNotes Nurse Clinical Pocket Guide		Myers	FA Davis	080361062
Fundamentals Success		Nugent, Vitale	FA Davis	0803610564
LPN to RN Transition LPNs Only		Claywell, Corbin	Mosby
NCLEX RN		HESI	HESI	www.hesitest. Com

Resource Reference List

2004-2005

(Optional)

Math for Nurses a pocket guide

Boyer

Lippincott

Mosby's Basic Skills and Procedures a pocket guide, (newest edition)

Potter & Perry

Nursing Care Plans & Documentation, Nursing Diagnosis and Collaborative Problems, (newest edition)

Lippincott

Davis's Manual of Nursing Therapeutics for Diseases and Disorders

Sommers & Johnson

Intravenous Medications

Gahart & Nazareno

Nurse's Manual of Laboratory Tests and Diagnostic Procedures

Malarkey & McMorrow

Published by Mosby

How to Survive and Maybe Even Love Nursing School

Dunham, Kelli S.

Published by F.A. Davis

CD ROM-

Essentials of Cardiac Rhythm Recognition

Fenstermacher

Medi Sim (Wilkins & Wilkins)

Phone Number- 1-800-527-5597

Arterial Blood Gas Interpretation: A systematic Approach

Williams & Wilkins

Auscultation of Breath Sounds

Williams & wilkins

Delmar’s Nursing Skills Basic & Intermediate Care

Altman, Buchsel, Coxon

www.delmarnursing.com

NURSING JOURNALS

Nursing Made Incredibly Easy

Nursing 2004