DIVISION: Allied Health and Human Services DATE: 2014-2015 COURSE NUMBER AND TITLE: RNSG 1115 Health Assessment
CREDIT HOURS: 2 HRS/WK LEC: 0 HRS/WK LAB: 3 LEC/LAB COMB: 3 I. VERNON COLLEGE GENERAL EDUCATION PHILOSOPHY STATEMENT
General education at Vernon College reflects the institution’s deep conviction that successful, satisfying lives require a wide range of skills and knowledge. Through the Texas Core Curriculum and through support and reinforcement in all non-core courses, students will gain a foundation of knowledge of human cultures and the physical and natural world, develop principles of personal and social responsibility for living in a diverse world, and advance intellectual and practical skills that are essential for all learning.
CORE OBJECTIVES (GENERAL EDUCATION OUTCOMES)
Critical Thinking Skills – to include creative thinking, innovation, inquiry and analysis, evaluation and synthesis of information
Communication Skills– to include effective development, interpretation, and expression of ideas through written, oral, and visual communication
Empirical and Quantitative Skills– to include the manipulation and analysis of numerical data or observable facts resulting in informed conclusions
Teamwork - to include the ability to consider different points of view and to work effectively with others to support a shared purpose or goal
Personal Responsibility – to include the ability to connect choices, actions and consequences to ethical decision making
Social Responsibility – to include intercultural competence, knowledge of civic responsibility, and the ability to engage effectively in regional, national, and global communities
II. CATALOG DESCRIPTION:
Prerequisites: Admission to ADN program or licensed nurse; or consent of the Director of Nursing. Development of skills and techniques for a comprehensive health assessment within a legal/ethical framework. This course lends itself to a blocked approach.
III. REQUIRED BACKGROUND:
Prerequisites: Texas Success Initiative complete in reading, writing and math, admission to ADN program or licensed nurse, or consent of the Director of Nursing.
IV. TEXTBOOKS, EQUIPMENT AND OTHER REFERENCE MATERIAL:
Required texts:
Weber, J., Kelley J. (2014). Health assessment in nursing, (5th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
Additional learning tools (included with text): http://thepoint.lww.com/weber4e
Optional suggested reading and learning tools:
Weber, J., Kelley J., Sprengel A. (2010). Lab manual to accompany health assessment in nursing, (4th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
Weber, J. (2005). Nurses’ handbook of health assessment, (5th ed). Philadelphia, PA: Lippincott
Assessment Made Incredibly Easy, (3rd ed.). Philadelphia,PA: Springhouse. 2005.
Required Equipment:
You will need a stethoscope, a blood pressure cuff, a penlight, and a watch with a second hand to perform your head to toe assessment.
V. METHODS OF INSTRUCTION:
Discussion, labs, demonstration, videos and performance of a physical assessment
Students desiring auxiliary aids and services for this course should make their requests to the instructor and the Special Services Director.
VI. COURSE CONTENT:
Critical Thinking in Assessment Trans-cultural Assessment
The Patient Interview/Data collection Documentation
Domestic Violence Complete Health History Mental Status Assessment Assessment Techniques Vital Signs
Pain Assessment – Fifth Vital Sign Skin, Hair and Nails
Head and Neck Eyes
Ears
Nose, Mouth and Throat
Breast and Regional Lymphatics Thorax and Lungs
Heart and Neck Vessels
Peripheral Vascular and Lymphatic System Abdomen
Musculoskeletal System
Neurological System VII. COURSE OUTCOMES:
The Course Outcomes for this course meet the following SCANS and DEC’s Competencies: 1. Use effective interviewing skills with patients of varying ages in order to collect valid
assessment data. SCANS IIA,C,F;IIIA,B,C,D; IVA; VA; VI A,B,C,D,E; VII A,B,C,E,F; VIII A,C,E. DEC’s IB[CJB]6a,7,C [CJB] 5;II A [K]1a, [CJB] 1,2a,b; IIB [K] 1,[CJB]
1,3a,b,4,5,7,9; II D [K]3a; IV A,[CJB] 2a, [K] 1a, B[CJB] 1a,b,2,3 b,c; E [K] 1a,b [CJB] 1a,b,c,2a,b,c
2. Use critical thinking skills to make clinical judgments based on the analysis of a patient’s condition. SCANS IID,E; III A,B,C,D; IV B; VI A, D,E; VII A,B,C,D,E,F; VIII E. DEC’s IA,[CJB] 2,3b, IB, [CJB] 2a, 3c,6b,c; IIA, [K] 1a, 2a,b,3,4[CJB] 1,2a,b, IIB, [K]
1,2,3,4,5,6,7,8,9,10,11,12 [CJB] 1,2,3a,b,4,5,6,7,8,9; IIC [K] 1a,b, [CJB] 2, 3b, IID [CJB] 2a,b,d
3. Integrate knowledge of Pathophysiology with assessment techniques in order to make appropriate clinical decisions and perform a physical assessment. SCANS IIIA,B,C; VI A,B,C,D; VII B,C,D,E,F; DEC’s IIA [K] 1a, b, 2a,b,[CJB] 4; II B [K] 1,2,3,4,5,6,7,8,9,11; [CJB] 2,3a,4,7; II C, [K] 3
4. Integrate teaching/learning principles into patient interviews and physical assessments. SCANS
II C,E,F; III A,B,C,D; IVA,B; V A,B; VI A,B,C,D,E; VII A,B,C,D,E; DEC’s IIG[K]1a b,2a,b,[CJB] 1,2a,b,3,4,5a,b,6,7
5. Discuss the expanded assessment role of the nurse in relation to decision-making/diagnosing, research, and professional nursing practice. SCANS III A,B,C,D; IV A; V B,C; VI
A,B,D,E;VII B,C,D,E,F; VIII A,C,E; DEC’s IA [K] 1a,b,c,3, [CJB] 2, IB, [CJB] 4a,b; IC,[K] 1,2,3,4,5a,b,c,[CJB] 1,2,3a,b,c,4,5,6a,b; ID [K] 4, [CJB]1,2,3,4,5; IIA [K] 1a,2b, [CJB] 4; IIB [K] 2,3,4,5,6,7,8,9,10,11, [CJB] 1,2,3a,b,5,9; IIC [K] 1a,5,7,8, [CJB] 1,2,3a,4,5,7; IIE [CJB] 6a,b
6. Refer patients to appropriate institutions, agencies, professionals, and vendors in order to meet their health care needs. SCANS IA,B,C,D; II A,C,D,E,F; III B,C,F; VIII A,C,E DEC’s IIA [K] 1a,b, [CJB] 3; IIC [K] 4a,b,5,6,7,8,[CJB] 2,3a,b,4,5,6,7; IIF [CJB] 3a,b,4 5c; IVA [K]
1a,b,2,3a,b, [CJB] 1,2a,b, IVB [K] 1a,b, [CJB] 1a,2,5a,b, IVC [K] 1,2,3,4a,b,5,6,7,8, [CJB] 1a,b,c,2a,b,c,3a,3b,4;IVD [K] 1,2,3a,b,4, [CJB] 1a,b,c,2,3a,b,4
7. Describe legal and ethical responsibilities of the nurse in diagnosing and managing care.
SCANS II C,D,E,F; III A,B; VII B,C;VIII A,C,D,E; DEC’s IA [K] 1a,b,c,2,3,4,[CJB]
1,2,3,a,b; IB [K] 3,7,a,b,c, [CJB] 2a,b,[CJB] 1, 2a,b,c,5a,b,6a,b,c; IID [K] 1b,c,d,e,[CJB] 1,2a,b,c,d; IIE [K] 3a,b,8,9,10,11a,b,c,12,[CJB] 7a,b,c,8,11,12a,b; IIH,[K] 3a,b,7,[CJB] 1,2,3,4,5a,b;IIIA [K] 1,2,3,4,5,6, [CJB] 1,2,3,4,5a,b,6;IIIB [K] 1a,b,2,3,4,5,[CJB]
1,2,3a,b,c,4,5,6,7,8,9; IIID [K] 1a,b,c, [CJB] 1,2,3; IIIE [K] 1a,b,2,[CJB] 1,2,3,4; IVA [K] 4a, b,5a,b; IVB [K] 1a,b,2a,b,3a,4, [CJB] 1a,b,3a,b,c,5a,b,IVC [K] 1,[CJB] 1b,c,2a,b,3a,b, IVD [K] 4, [CJB] 1a,b; IVE [K] 2, [CJB] 2b,c,4;IVG [K] 3a,b,c,[CJB] 3a,b
8. Describe appropriate screening programs for the health promotion of specific populations.
SCANS IC; II C,E,F; IV A; VII B,C,F; VIIIE; DEC’s IB [K] 3, [CJB] 3b,c; IIB [K] 4,5,6,9,
[CJB] 1,5,6,7,8,9; IIC [K] 1a,4a, [CJB] 2; IVB [K] 1a,2b,3b, [CJB] 1a,b,3a,b,c5a,b,IVC [K] 1,5,7,8,[CJB] 1a,c,4
[K] Knowledge, [CJB] Clinical Judgments and Behaviors VIII. ASSESSMENT:
During the semester 6 exams will be administered, which will include a final exam. Also, the student must successfully complete a head to toe physical assessment and the vital sign lab. Students will be evaluated based upon their performance of 6 total examinations, including the final examination, computer assignments, vital signs assessment, and a physical assessment evaluation. *The Physical Examination and vital signs assessments must be passed in order to pass the class.
Grades will be weighted as follows:
Module examinations: (5) at 12% each (60%)
Computer assignments: 5%
Final Examination: 25%
Final Physical Examination evaluation: * 10% Vital Signs assessment (P/F) ---
Examination Policy:
Each examination will be taken individually “on your own” unless specified otherwise by the instructor(s). Each module exam will consist of 50 multiple choice/ multiple answer questions. The instructor will provide an individual Scantron® with each exam. The final examination will consist of 100 questions in the same format as the module exams. The physical
examination evaluation times will be assigned after the first exam. Instructions for signing up will be provided on Blackboard®. It is necessary that each student choose a partner in class to accomplish this task. Each student will be evaluated by the instructor and must pass this task in order to pass the requirements for the class. If a student fails to pass the assessment, then they will be given a chance to repeat the assessment at a later time which will be evaluated by two instructors. The result of the second attempt will be graded by each instructor individually and averaged with the first score to obtain the final score. This score must be passing in order to pass the class. The computer assignments will be taken at the students convenience prior to assigned due dates which will be posted on blackboard®.
The Associate Degree Nursing Grading Scale is as follows: (ADN Handbook) A= 90-100
B= 84-89 C= 78-83 F= 77 or below
Expectations of Students:
Students are expected to attend class and contribute to discussions related to the lecture topic as needed. Students should not enter the classroom after the lecture has started. Cell phones calls or texting will not be permitted in class during lecture or testing.
If a student is observed with a cell phone or device during testing time, then that student will be asked to leave and the test score will be subject to what is completed at the time of expulsion. No exceptions! During testing time, students will place their cell phones/devices either in off or
silence position. Distraction of classmates with cell phone/device noise while testing will not
be tolerated. A testing policy outlining these requests will be signed by each student and instructor and kept on file in the ADN department while the student remains enrolled at Vernon College.
Please refer to the Associate Degree Nursing Handbook regarding the attendance policy. A student requiring alternative assessment methods and accommodations needs to notify the faculty member within one week after the beginning of each semester term.
Vernon College does not discriminate on the basis of color, race, gender, age, religion, national origin, or disability.
