CHESAPEAKE COLLEGE/MGW NURSING PROGRAM

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CHESAPEAKE COLLEGE/MGW NURSING PROGRAMSyllabus SPRING 2014Course Number and Title: NUR 120, Dimensions of NursingInstructors: Mrs. Jodi Stein, MSN, RN, Course CoordinatorMrs. Laura Higgs, MSN, BSN, RNBCMs. Holly Hayman MS, RN, CHPNMrs. Crystel L. Farina, MSN, RN, CNE, Director of SimulationMrs. Heather Westerfield, MSN, RN, CMSRN410-822-5400 ext. 2702410-822-5400 ext. 2701410-822-5400 ext. 2719410-822-5400 ext. 2716410-822-5400 ext. 2703Offices in the Faculty Suite of the Center for Nursing Allied Health at Memorial Hospital in EastonMain Office phone numbers 410-770-3511, 410-827-5917, extension 5917Total credits: 9 Credits4 class hours/week (4 credits)2 lab hours/week (1 Credit)12 clinical hours/week (4 Credits)Course Description:Roles of the nurse within the healthcare delivery system are explored with emphasis in the Role ofthe Provider of Care, Manager of Care and a Member within the Discipline of Nursing in relation tomeeting the health care needs of individuals with alterations in patterns of health. Building onprior nursing courses, theoretical knowledge from the humanities, physical, biological andbehavioral sciences and nursing research are incorporated. The development of the students’critical thinking, caring, communication, management skills, and professional behaviors are furtherenhanced. This course provides a variety of clinical settings that support implementation of thenursing process. The Clinical Simulation Lab will be used for the development of intermediatepsychomotor skills.Course Objectives:1. Apply theoretical knowledge from the humanities, physical, biological, and behavioralsciences and nursing research within the nursing process when meeting the health careneeds of individuals and families with alterations in patterns of health.2. Utilize critical thinking when implementing the nursing process to care for individuals andfamilies with alterations in patterns of health.3. Perform therapeutic communication techniques to interact effectively with individuals andfamilies with alterations in patterns of health.4. Demonstrate principles of caring behaviors to plan nursing care to meet the needs ofindividuals and families with alterations in patterns of health.5. Utilize principles of management when providing care to individuals and families withalterations in patterns of health.6. Apply professional, legal and ethical standards into care of individuals and families withalterations in patterns of health.1Updated January 13, 2014

Course placement: Level I, Spring Semester, 15 weeksPre or Co-requisites: NUR 102, NUR 111, PSY 250Topical Course OutlineProvider of care:Theoretical Knowledge and Critical Thinking:Nursing management of the client with alterations of gas transportNursing management of the client with alterations in glucose metabolismNursing management of the client with alterations of reproductive functionNursing management of the client and family with normal pregnancy, birth and newbornNursing management of the perioperative clientNursing management of the client with alterations in sensory/neurologic functionNursing concepts of loss/grief/dying and mgmt. of clients experiencing abuse or violenceNursing management of the client with alterations in coordination and mobilityNursing management of the client with abnormal cell growthNursing management of the client with alterations in urinary/renal functionNursing management of the client with alterations of the gastrointestinal functionCommunication:Education for health promotion, maintenance and restorationEncouraging family involvement in teachingMedication educationPlay therapyCommunicating effectively with members of health care teamEffective communication with clientMaternal-infant bondingCommunication with clients with impairmentsIntroduction to communication concerning grief and dyingCaring:Promoting self-careHealth maintenance for altered functioningNon-pharmacological pain/comfort interventionsCaring behaviors in loss, grief and dyingCaring behaviors in acute, long-term care and community settingsCultural diversityPsychosocial aspects of abuseManager of care:ManagementNursing care delivery systems in a variety of settingsExploring roles of the healthcare team and other disciplinesReferring to community resourcesIncorporating time management principlesCollaboration with other disciplinesDelegation of client care2Updated January 13, 2014

Member within the Discipline of Nursing:Professional BehaviorsLegal and ethical considerations in a variety of settingsEvaluates role of nurse in a variety of settingsDelivery of safe careRisk reduction in nursing careCost effective delivery of careCourse Outline:Unit 1Nursing Management of Clients with Alterations in Gas TransportUnit 2Nursing Management of Clients with Alterations in Glucose MetabolismUnit 3Nursing Management of Clients with Alterations in Reproductive FunctionUnit 4Nursing Management of the Client and Family with Normal Pregnancy, Childbirth andNewbornUnit 5Nursing Management of the Perioperative ClientUnit 6Nursing Management of Clients with Alterations in Sensory/Neurologic FunctionUnit 7Nursing Concepts of Clients Experiencing Loss/Dying/Grief and Mgmt. of ClientsExperiencing Violence or AbuseUnit 8Nursing Management of Clients with Alterations Coordination and MobilityUnit 9Nursing Management of Clients with Abnormal Cell GrowthUnit 10 Nursing Management of Clients with Alterations in Urinary and Renal FunctionUnit 11 Nursing Management of Clients with Alterations in Gastrointestinal FunctionMethod of Instruction: Lecture, demonstration, critical thinking exercises, simulations, discussion,assigned readings, technological enhanced aids, pre- and post- clinical conferences, observationalexperiences, On-line Activities, case studies, quizzes, concept maps, clinical simulation, guestspeakers, group activities, computer research, and clinical experiences.3Updated January 13, 2014

Required Texts: Maternal - Newborn Nursing: The Critical Components of Nursing Care, 2nd Edition,Roberta Durham RN, PhD Linda Chapman RN, PhD Pediatric Nursing: The Critical Components of Nursing Care,Kathryn Rudd RNC, MSN, Diane Kocisko RN, BSN, CPN Clinical Simulations for Nursing Education, DavisMarcia L. Gasper EdD, MSN, RN Patricia M. Dillon PhD, RN Medical Surgical Nursing, 9th Edition, Lewis, Dirksen, Heitkemper & Bucher HESI Case Studies 2014Required from NUR 111 Nursing Central Application (2013). Davis Drug Guide; Taber’s 21stEdition; Davis’s Lab and Diagnostic Tests; Diseases & Disorders; MEDLINE Journals; RNotes;and Nurse’s Pocket Guide. Unbound Medicine (n.d.)Math for Nurses; A Pocket Guide to Dosage Calculation and Drug Preparation; LippincottWilliams & WilkinsMary Jo Boyer RN, PhDISBN: 978-1-60913-680-2Introduction to Clinical Pharmacology, 7th Edition; Mosby / ElsevierM. W. Edmunds PhD, ANP/GNPISBN: 978-0-323-07398-1Publication Manual of the American Psychological Association, 6th EditionISBN: 978-1-4-3380561-5Kozier & Erb’s Fundamentals of Nursing, 9th Edition; PearsonAudrey Berman, Shirlee SnyderISBN: 978-0-13-802461-1Method of Evaluation: Combined unit exams, final exam, simulation competencies, clinicalevaluation tools, student self-evaluation, nursing care plans, clinical simulation activities, clinicalactivities, case studies, and projects. All assignments must be completed to pass the course.Professionalism: Demonstrate courtesy and cooperation by turning off cellphones during class,arriving prior to the beginning of a class session, and avoiding leaving the classroom during a classsession.4Updated January 13, 2014

1. Grade calculation (point system): The combined point value of all components is 1000 points.All components are course requirements and must be completed in order to pass the course.a.The components of NUR 120 and their point distribution are as follows:Exams645 pointsClass Participation Points16 pointsHESI Case Study Points16 pointsClinical Simulation33 pointsCritical Thinking Project10 pointsFinal Exam280 pointsTOTAL1000 pointsb. NUR 120 Dimensions of Nursing has 6 unit exams. Each exam has been weightedaccording to the number of theory hours it encompasses. The point value foreach exam is as follows:Exam 1 – Unit 1120 pointsExam 2 – Units 2 & 3105 pointsExam 3 - Units 4105 pointsExam 4 - Units 5 & 6105 pointsExam 5 – Units 7 & 8105 pointsExam 6 – Units 9 & 10105 pointsTotal645 pointsc. Multiple choice and alternative type questions are included on the exams. Theexams will encompass required activities, i.e., textbook readings, clinicalsimulation activities and classroom activities. A scantron sheet with yourrecorded final answers will be used for grading. Therefore, no answers written onthe paper copy of the exam will be accepted.d. One theory hour is allotted for each unit exam. Two theory hours are allotted forthe final exam. All nursing students must complete unit/final exams within thosespecified time frames. Special exam accommodations will be provided for thosestudents with an accommodation plan in place through the Chesapeake CollegeCoordinator for Students with Disabilities.Nursing Exam Protocol Exams will not be scored without accurate student ID number on Scantron. All electronic devices should be turned OFF per Chesapeake College MGWNursing Student Handbook, Electronic Device Policy. All material (purses, book bags, etc.) must be placed at the front or rear ofthe room. Pencil or pen may be left at the desk. Drinks- Only a clear disposable water bottle with the label removed will beallowed. All students should use the bathroom prior to the exam. Erase thoroughly if you change an answer.5Updated January 13, 2014

e. Grades for the exam will be posted no later than the next class day. After examreturn, all exams and answer sheets will be collected. Copying of examquestions is not permitted. A student may submit a scholarly discussion of examquestions, in writing, within one week of the exam return.Class time will not be used for individual exam review. A comprehensive examreview session is available after each exam (refer to NUR 120 class schedule forthese sessions).Students unsuccessful in achieving a 75% or better on any unit examare required to attend the comprehensive exam review sessions. Thesubsequent exam grade will not be posted if the student does not complywith this requirement. After attending a comprehensive review session,students may contact their advisor, within one week of exam return, for anappointment to discuss specifics.f. Refer to the Nursing Student Handbook for the policy on make-up exams.g. Final Exam- The final exam includes unit 11 and is a comprehensive evaluationof all course content. Multiple choice and alternative type questions will be usedand the final exam is worth 280 points.2. Clinical Simulation Laba. To pass clinical simulation, a satisfactory completion of all assigned learningactivities is required. Attendance is mandatory.b. The grade is based on the student’s simulation participation and satisfactorycompletion of assigned learning activities. The student may earn a maximum of33 points in this category.c. Unsatisfactory completion of a competency will prevent the student fromperforming that competency in the clinical area which will result in anunsatisfactory grade on the clinical evaluation tool until that competency hasbeen completed in a satisfactory manner.d. Identified competencies must be completed by specified dates to pass thesimulation component of the course.3. Critical Thinking Projecta. The critical thinking project is a nursing care plan based on a clinical simulation.The project will be assigned and turned in via Canvas into the designated folder.The project is worth 10 points. The project will be graded using the associatedrubric. 75% of the total points allotted for the project are required to pass theproject.6Updated January 13, 2014

4. Class Points/Activitiesa. Points are based on the student's class participation, quizzes and/or thecompletion of class activities assigned by the instructor. The student may earn amaximum of 32 class points during the semester. There are (8) class periods thatwill have (4) class points assigned. Each of those (8) class periods, (2) points willbe associated with class participation and (2) points will be associated with theassigned HESI case studies. In order to receive the (2) HESI case study points youmust complete ALL of the assigned HESI case studies by the designated time.The student’s class participation and completion of assigned learning activities isexpected behavior. (See nursing student handbook for guidelines).b. Students are expected to visit Canvas daily for postings related to the course.5. Clinicala. Evaluation of clinical:Satisfactory (S) – clinical behaviors are meeting clinical objectivesNeeds Improvement (NI) – clinical behavior needs to be improvedUnsatisfactory (U) – unfavorable clinical behaviors, not meeting clinicalobjectives, showing no/little improvement in meeting clinical objectives or anyunsafe clinical behavior (see nursing student handbook).Unsatisfactory in one of more objectives on the rotational or midtermevaluation will result in placement of the student on clinical probation andrequire a meeting with the course coordinator. Each situation will be evaluatedon and individual basis to determine if the student has met the clinical criteria.b. To pass clinical:1. All clinical objectives must be met consistently and in a satisfactory mannerto pass the course.2. Complete all weekly clinical activities and related documentation whichincludes the clinical tool, disease process sheets, perinatal assessment, andone satisfactory nursing care plan during the assigned rotation.c.Policy in the clinical areas:1. Clinical experiences are planned throughout the course for the applicationof theory. These experiences will be in a variety of settings. General clinicaldays and hours have been designated on the class schedule. The descriptionof the specific activities, times and objectives will be provided by the clinicalinstructor.2. Dress Code Policy – See Nursing student handbook.3. Attendance Policy – See Nursing student handbook.4. Students are not to administer medications without their instructor’sknowledge. This may result in immediate dismissal from the program.7Updated January 13, 2014

5. Students may not administer medications until they have attained 100%on the Math Exam within three attempts. Students will earn anUnsatisfactory in Theoretical Knowledge each clinical day until the MathExam is passed at 100%.d. Preparation for clinical:Complete assigned readings related to clinical activities. Preparation includesunderstanding of concepts and nursing skills associated with clinical experienceassignment. If a student is not adequately prepared, they may be asked to leavethe clinical site. This will be considered an unsatisfactory clinical day. Theinstructor will inform the student of activities necessary to complete prior to thenext clinical day. All required written activities are due with the clinical tool forthe week.e. Written Assignments:One comprehensive nursing care plan is to be completed during the course thatreflects the care given to an assigned client during an assigned clinical rotation.The written NCP should demonstrate the use of the nursing process, reflectingcontent from NUR 120, in the correct format, including the assessment of theclient in the five dimensions, prioritized nursing diagnoses (at least, but notlimited to 3), expected outcomes, nursing interventions (at least, but not limitedto 5) with rationales for each nursing intervention and an evaluation of eachnursing intervention with data to support the evaluation. Medications must beintegrated into the nursing interventions to include administration, nursingconsiderations and teaching. A medication sheet is required for each medicationadministered to the client. Specific diagnostic test and labs (with results)should be included in assessments and nursing interventions. Nursing diagnosesshould be actual, risk for and potential complications and encompass alldimensions of the client. See grading criteria rubric. The nursing care plan mustbe completed during the assigned rotation. If the care plan is unsatisfactoryafter the assigned rotation, the student will be given an opportunity on the nextrotation and will be placed on clinical probation. If the care plan is unsuccessfulafter the second rotation, the student will meet with the course coordinators todiscuss ability to continue in the nursing program. Discussion about a nursingcare plan may occur with the instructor on the clinical unit, but no “just look atmy NCP for review” will occur. Students will have one week to return the NCPwith revisions if they are needed for it to be accepted as Satisfactory. Studentsare allowed only one revision. If the nursing care plan is not satisfactory afterthe one revision, the student will need to start over with a new client. The NCPmust be submitted the week care is provided for the client. All clinicalassignments to include clinical tools, NCP, Disease Process Sheets, PerinatalAssessment and any other assignments requested by the instructor are due forsection 501 day clinical, by Thursday mornings at 0900, section 501 eveningclinical by Thursday 2000; Section 502 day clinical, by Saturday at 0900, Section502 evening clinical are due by Saturday 2000.8Updated January 13, 2014

f. Clinical Evaluation Tool:The purpose of the clinical evaluation tool is to develop self-awareness of theroles of the Provider of care, Manager of Care and Member of the professionusing student’s self-evaluation and instructor’s evaluation to documentdemonstration of consistency in meeting clinical objectives. Students areexpected to document an example, for each clinical objective, of the student’sclinical action that demonstrated meeting each clinical objective. There must beat least one behavior documented for each clinical objective (6) over the full 2day clinical experience. All written clinical assignments, including the weeklyclinical evaluation tool, must be submitted to the clinical instructor, as notedabove via Canvas into the assigned folder, with all other clinical assignments(disease process sheet, care plans, medication sheets for care plan, andperinatal assessment. Students are expected to respond to comments andquestions written by the instructor.g. Medication Sheets - Medication Sheets- Using the CC/MGW format, are aneffective way to learn medications. The most common medication list will bedistributed prior to the start of the course. It is the student’sresponsibility to know the medication that is being administered to a client. Lackof knowledge about a medication is a safety violation and may lead to dismissalfrom the clinical learning experience. Students may use the Nursing CentralApp. prior to presenting medications to their instructor for administration.If a student is unaware of a common medication, they may receive anunsatisfactory in professional behaviors and be dismissed from the clinicallearning experience.h. Disease Process Sheet- For each client (include client information): Definition ofthe current disease/problem, the etiology (cause) of the disease,pathophysiology at the cellular level of the disease and how it is affecting theclient’s health and the nursing plan of care. List the common symptoms anddiagnostic tests related to disease, potential complications of the disease andhow they will affect the plan of care. This is due at preconference. After caringfor the client, highlight the symptoms the client experienced, describe brieflythe results of any diagnostic tests the client had and resubmit the diseaseprocess sheet with the clinical tool. Please remember to site references. Anydisease process sheet without references will be considered to be plagiarism andwill be subject to the Chesapeake College Student Code of

Kozier & Erb’s Fundamentals of Nursing, 9th Edition; Pearson Audrey Berman, Shirlee Snyder ISBN: 978-0-13-802461-1 Method of Evaluation: Combined unit exams, final exam, simulation competencies, clinical evaluation tools, student self-evaluation, nur

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