NUR 102 Practical Nursing II

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NUR 102 Practical Nursing II Instructor Information

Deborah Wiltshire, EdD, RN (Program Director) [email protected]

Phone number: (828) 395-1446 Office Location: RLC 2nd Floor, 302E Best times to contact: Mon-Thurs., 2-4pm

Kim Amos, PhD, RN, CNE (Course Coordinator) [email protected]

Phone number: (828) 395-1762

Office Location: RLC 2nd Floor, 302C Best times to contact: Mon-Thurs., 2-4pm

April Cline, PhD, RN, CNE (Clinical Coordinator) [email protected]

Phone number: (828) 395-1647

Office Location: RLC 2nd Floor, 302B Best times to contact: Mon-Thurs., 2-4pm

Course Description:

This course includes more advanced concepts as related to the practical nurse's caregiver and discipline-specific roles. Emphasis is placed on the nursing process, delegation, cost

effectiveness, legal/ethical/professional issues, and wellness/illness patterns. Upon completion, students should be able to begin participating in the nursing process to promote/maintain/restore optimum health for diverse clients throughout the life span.

Pre-requisites: None Co-requisites: None Credit Hours: 12

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Required Textbooks:

deWit, S. C. (2014). Fundamental Concepts and Skills for Nursing, 4th Edition. St. Louis: Saunders-Elsevier. (ISBN # 978-1-4377-2746-3)

deWit, S. C. (2013). Medical-Surgical Nursing : Concepts and Practice, 2nd Edition. St. Louis: Saunders-Elsevier. (ISBN # 978-1-4377-1707-5)

Leifer, G. (2011). Introduction to Maternity and Pediatric Nursing, 6th Edition. St. Louis: Saunders-Elsevier. (ISBN # 978-1-4377-0824-0)

Myers, E. & Hopkins, T. (2012). LPN notes: Nurse’s clinical pocket guide, 3rd Ed. Philadelphia: F.A. Davis. (ISBN # 978-0-8036-2766-6)

Silvestri, L.A. (2013). Saunders Comprehensive Review for the NCLEX-PN Examination, 4th Ed. St. Louis: Saunders-Elsevier. (ISBN # 978-1-4557-0379-1)

Vallerand, A.H., Sanoski, C. A., Leeuwen, A., Poelhuis-Leth, D., & Deglin, J.H. (2013). The Perfect Package (includes Taber’s Cyclopedic Dictionary, 22nd Ed. (2013), Davis Drug Guide, 13th Ed. (2013), and Davis’s Comprehensive Handbook of Laboratory and Diagnostic Tests with Nursing Implications, 5th_{Ed. (2013). Philadelphia: F.A. Davis. (ISBN # 978-0-8036-3727-6)} Recommended Texts:

Elkin, M., Perry A., & Potter, P. (2012). Nursing Interventions & Clinical Skills, 5th Edition. St. Louis: Saunders-Elsevier. (ISBN # 978-0-323-06968-7)

Nugent, P. M & Vitale, B. A. (2012). Test Success: Test Taking Techniques for Beginning Nursing Students, 6th Edition. Philadelphia: F.A. Davis. (ISBN # 978-0-8036-2818-2)

Holloway, B., Moredich, C., & Aduddell, K. (2011). OB/GYN Peds Notes, 2nd_Edition.

Philadelphia: FA Davis. (ISBN # 978-0-8036-2332-3)

Hopkins, T. & Myers, E. (2011). MedSurg Notes: Nurses Clinical Pocket Guide, 3rd Edition. Philadelphia: F. A. Davis. (ISBN # 978-0-8036-2685-0)

Ralph, S. and Taylor, C. (2013). Spark’s and Taylor’s Nursing Diagnosis Reference Manual, 9th Edition. Philadelphia: Lippincott Williams & Wilkins. (ISBN # 978-1-4511-8701-4)

Zerwekh, J., Claborn, J., Gaglione, T., & Miller, C. (2010). Mosby’s Assessment Memory Note Cards, 2nd_{Edition. St. Louis: Mosby-Elsevier. (ISBN # 978-0-323-06745-4)}

Zerwekh, J., Claborn, J., Gaglione, T., & Miller, C. (2010). Mosby’s Fluid & Electrolytes Memory Note Cards, 2nd Edition. St. Louis: Mosby-Elsevier.(ISBN # 978-0-323-06746-1)

Zerwekh, J., Claborn, J., Gaglione, T., & Miller, C. (2012). Mosby’s Pharmacology Memory Note Cards, 3rd Edition. St. Louis: Mosby-Elsevier. (ISBN # 978-0-323-07800-9)

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Course Overview: Focus / Unit of

Study Topics Covered Weeks Duration Exam Date

Medical Surgical

Unit I:

Surgical Reasons for surgery; Risk factors; Focused data collection; Anesthesia; Surgical complications; Hospitalization/discharge planning; Intraoperative medications

1.5 8-28-13

Unit II:

Respiratory Causes & prevention of disorders; Focused data collection; Nose/sinus disorders, obstruction/trauma; Community care; Infectious diseases; Obstructive disorders; Pulmonary vascular disorders; Chest injuries; Lung disorders; Therapeutic measures; Pediatric disorders; Respiratory medications

2.0 _9-16-13

Unit III:

Gastrointestinal Causes & prevention of disorders; Diagnostic tests; Focused data collection; Eating disorders; Upper GI disorders; Abdominal/lower GI disorders;

Inflammatory disorders; Anorectal disorders; Disorders of the liver, gall bladder, and pancreas; Disorders of motility; Fluid & electrolyte imbalances; Nutritional deficiencies; Infections; Poisoning; Common therapies; GI medications

2.0 _9-30-13

Unit IV:

Musculoskeletal Causes & prevention of disorders; Diagnostic tests; Nursing interventions; Connective tissue disorders; Fractures; Inflammatory disorders; Joint

replacements; Bone tumors; Amputation; Traction; Pediatric disorders/trauma; Child abuse;

Musculoskeletal medications

2.0 _10-14-13

Unit V:

Endocrine Causes of disorders; Diagnostic tests; Focused data collection; Pituitary gland disorders; Thyroid gland disorders; Parathyroid gland disorders; Adrenal gland disorders; Diabetes mellitus; Hypoglycemia; Pediatric disorders; Endocrine medications

2.0 _10-28-13

Unit VI: Math

Competency

Basic math review; Methods of calculation; Systems of measurement; Intake & output; Reading medication labels; Administration of oral medications; Syringes & needles;

Administration of parenteral medications; Reconstitution of powdered medications; IV Calculations; Pediatric calculations; Titration of IV medications

0.25 _11-4-13

Perinatal

Unit VII:

Reproduction Women’s health/Female disorders; Female cancers; Breast disorders; Men’s health/Male disorders; Male inflammations & infections; Male cancers; Sexually transmitted disorders; Nutritional issues for women and men; Reproductive medications

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Focus / Unit

of Study Topics Covered Weeks Duration Exam Date

Perinatal (cont.)

Unit VIII:

Pregnancy Prenatal growth & development; Prenatal care; Diagnosis; Physiological changes; Nutrition during pregnancy; Common discomforts; Psychological adaptation; Prenatal education; Pregnancy and medications; Nursing Implications;

Complications/high risk pregnancies; Lactation; Bottle feeding; Problems in infancy; Postpartum depression

0.5 _11-11-13

Unit IX: Labor / Delivery

The birthing process; Admission of mother/baby; Care of the newborn; Pain management; Obstetric Procedures; Childbirth emergencies; Medications used during childbirth

1.5 _11-20-13

Unit X:

Postpartum The postpartum period; Care of the newborn; Discharge planning; Complications after birth; Postpartum medications

1.5 _12-4-13

Unit XI:

Newborn The term newborn; The preterm & post-term newborn; The high risk newborn; Birth malformations; Metabolic defects; Chromosomal abnormalities; Perinatal injuries

1.5 _12-10-13

Other

ATI- PN Nursing Management

Leadership and management _0.125 _10-28-13

ATI- Maternal Newborn

Reproduction/pregnancy, labor/delivery, postpartum,

newborn nursing 0.125 12-9-13

Final Exam- Medical Surgical

Surgical, respiratory, gastrointestinal.

musculoskeletal, and endocrine nursing 0.25 10-30-13

Final Exam-

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Course & Practicum Outline: Will be provided by your instructor during the first week of class. How to be Successful in This Class: Read the chapters in the textbook; Take notes in class;

Study every day, do not wait until the night before an exam; Review handouts and study guides on Moodle; Review content in ATI textbooks; Complete ATI practice exams and remediate as needed; Practice math calculations; study in groups with other students

Program Learning Outcomes (PLO)

Graduates will be able to demonstrate:

1. The ability to protect clients and health care personnel from health and environmental hazards.

2. The ability to provide nursing care for clients that incorporates knowledge of

expected stages of growth and development and prevention and/or early detection of health problems.

3. The ability to provide care that assists with promotion and support of the emotional, mental, and social well-being of clients.

4. The ability to assist clients with the management of health alterations.

5. The ability to recall and comprehend information and concepts foundational to quality nursing practice.

6. The ability to apply the nursing process to delivery of client care. 7. The ability to apply nursing knowledge to perinatal nursing care.

General Education Competencies Addressed: (GEC)

Your achievement of competency in general education skills is incorporated into all the courses you take at Isothermal. This course will focus on the skills listed below. For information on how they will be evaluated, review the criteria that have been established by the college. These are available on the college website and in the Student Handbook under “Academic Information.”

1. Written Communication 2. Presentation Skills 3. Information Literacy 4. Critical Thinking 5. Quantitative Skills 6. Technology Skills

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Student Learning Outcomes

Upon completion of NUR 102 coursework (theory), the advanced beginner nursing student should begin to demonstrate understanding in:

1. Discussing human needs and evidence-based practices including pharmacological management in caring for clients with alterations of function due to surgical

procedures. (PLO 1-6; GEC: 3; 4)

2. Discussing human needs and evidence-based practices including pharmacological management in caring for clients with alterations of function related to the

respiratory system. (PLO 1-6; GEC: 3; 4)

gastrointestinal system. (PLO 1-6; GEC: 3; 4)

musculoskeletal system. (PLO 1-6; GEC: 3; 4)

endocrine system. (PLO 1-6; GEC: 3; 4)

6. Applying math principles and problem-solving in medication calculations, preparation and administration. (PLO 1-5; GEC: 5)

7. Identifying the physiological changes and the psychological needs of the obstetrical client and newborn. (PLO 7; GEC: 3; 4)

Assessment of Learning Outcomes

Outcomes 1-7 relate to NUR 102 and are measured by unit exams and clinical assignments. The benchmark will be that students will score a minimum or 77 or higher on each

assessment.

Portfolio Assignment(s): A cumulative reflection paper is submitted at the end of NUR 103.

Students should keep examples of their written, graded work from NUR 101 to NUR 103 to use when writing this paper.

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Policies and Statements

General Class Policies: Cellphones and laptops are allowed in the classroom but should be

silenced. Recording devices are not allowed in the classroom. Arriving late or leaving early for a scheduled learning opportunity (class/lab or clinical) is disruptive to the learning process and any time missed will be reflected in the cumulative attendance record for the semester. Three separate

incidences of arriving late or leaving early reflect a pattern of unprofessional behavior related to attendance and will count as one absence. An episode of arriving late/leaving early is defined

as one fifteen minute increment or less. Examples of how time missed will be recorded in the

attendance record are: 1-15 minutes = 1 episode; 16-30 minutes = 2 episodes, and 31-45 minutes = 3 episodes (Refer to the Practical Nursing Student Policy Manual).

All assignments must be completed and submitted by indicated deadlines in order to pass the course.

Submission of late assignments will result in a deduction of 5 points for each day late. Failure to submit an assignment will result in a zero. However, the student will still be required to

complete and submit the assignment as specified by the instructor, even though the grade will remain a zero (Refer to the NUR 102 Course & Practicum Outlines for detailed assignments).

General Clinical Policies: Students are expected to be prepared for each assigned clinical day by

adhering to the following guidelines: maintain appropriate hygiene/appearance and dress code as outlined in PNE Handbook; complete clinical preparation tools according to program guidelines; arrive on time and with appropriate clinical equipment (uniform, reference texts, paper, pens, etc.) and completion of any prep work pertaining to clinical; and skill competency must be demonstrated satisfactorily in lab before the skill can be performed in the clinical area.

During each clinical experience, students shall adhere to the following guidelines: students may not leave the clinical facility unless approved by the instructor; students will eat lunch as designated by the instructor at the clinical facility; breaks will be given as time allows; students are expected to participate in pre and post conference; no food or drink is allowed in a patient care area; and smoking is not allowed in clinical facilities. If you are in an observation experience and leave the campus for lunch, measures must be taken to eliminate the smoke odor as this

compromises the respiratory status of many patients. Students are also expected to adhere to the policies of the clinical facility and to adhere to the Technical Standards Policy, the Incivility Policy, and the Social Media Policy (Refer to the Practical Nursing Student Policy Manual).

Attendance Policy: You are expected to be present and on time for all scheduled classes, labs, or

clinical experiences. Extenuating circumstances or emergencies will be handled on an individual basis. (Refer to the Practical Nursing Student Policy Manual)

Academic Integrity Statement: You are expected to rely only on your own knowledge when

taking tests and completing independent assignments. Cheating in any form, including plagiarism (the use of an author’s words or ideas without providing proper documentation), will not be tolerated and may result in loss of academic credit for the course and/or a failing grade on the assignment. See Student Rights, Responsibilities, and Judicial Procedures, Section VIII, of the Student Handbook ((Refer to the Academic Dishonesty Policy in Practical Nursing Student Policy Manual).

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Grading Policy: The final course letter grade will be assigned according to the following:

93-100 Total Points ………..A 85-92 Total Points ………..B 77-84 Total Points ………..C 76-0 Total Points ………..………F The final course grade is calculated based on the following percentages:

Unit Exams/Pop Quizzes ……….85% Final Exams ………...10% Wound Paper ………5%

How to compute NUR 102 grades:

Assignment Multiply by percentage Points earned

Unit Exam average ______

X 0.85 = Final Exam average ______

X 0.10 = Wound Paper grade ______

X 0.05 =

Total Points earned: ______ Course letter grade: ______

• Students are responsible for all materials covered in class/clinical and must earn their grade. Any unannounced (pop) quizzes given on a day that a student is absent cannot be made up, and a grade of “0” will be received for that quiz.

• The clinical grade is not used to compute the above course grade. However, students must pass both the course and clinical components of the course in order to pass the course. (See the Practicum Outline for the clinical grading scale)

• All PNE students are required to make at least a “C” in each course of the program curriculum to continue to progress in the program.

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Further Information

ADA Statement: If you have a documented disability, it is your responsibility to contact

Disability Support Services (828-395-1732) to discuss classroom accommodations.

Inclement Weather/ Alternate Assignment: In case of unplanned class cancellation, you are expected to read your textbook chapters and complete the Moodle Create a Question assignment pertaining to the current unit of study.

What Students Can Expect of Isothermal What Isothermal Expects of Students

In their commitment to learning and to the achievement of a true learning-centered community, Isothermal personnel will: Meet student needs by demonstrating professional, friendly, and courteous service in all aspects of student life

Maintain high professional and academic standards

Serve as role models in the development of leadership skills

Respect diversity and treat all students fairly Be available to students and helpful with student problems

Communicate clear learning objectives and expected outcomes

Provide timely feedback in the assessment of learning outcomes

Stay current in subject matter Practice effective teaching/learning strategies that promote critical thinking

In their commitment to learning, students will:

Accept responsibility for learning Attend and participate in all classes Complete required exercises and assignments as directed

Develop a time management plan that includes adequate time for study Maintain an open-minded attitude toward learning

Strive to become independent critical thinkers

Seek help as needed from appropriate sources

Be respectful and considerate of others Assume responsibility for knowing and adhering to all college policies

Acknowledge that learning how to learn is the ultimate objective of education

Recognize that struggle and discomfort often precede the rewards that

accompany goal completion and success