Nursing Program Manual - Cochise College

PROGRAM MANUAL – 2019/2020NURSING PROGRAM EDUCATIONAL PHILOSOPHYMISSIONThe Cochise College Nursing Program is committed to offering a quality educational experience andresources to promote meaningful nursing careers, enhance constructive citizenship and promote lifelonglearning to meet the healthcare needs of a diverse population.VisionThe Cochise College Nursing Program will strive to become a learning community that places its highestpriority, resources and energy on student learning. This is done by creating an environment andexperiences: in clinical, simulation, virtually and in the classrooms to become active members of thislearning community. The program makes learning possible in the classroom but through othermodalities and activities and experiences that enhance learning. This is done for students as well asfaculty and other members of the college community so that a feeling of collegiality abounds. Thisvision empowers students, faculty and staff to create a personally meaningful learning environmentwhere each person accepts responsibility for contributing.PhilosophyThe philosophy of the Cochise College Nursing Program is to create a learning environment in which thestudent transforms from a novice into an entry‐level generalist nurse who cares for diverse populationsacross the lifespan. The nursing faculty and staff respect the students as adult learners who demonstrateintegrity in the classroom and the clinical environments. The philosophy (The Tree) is based on thenursing process and related concepts as a solid foundation for the entry level nurse generalist. The nursegeneralist is able to collaborate with other members of the health care team to provide and managepatient care at any point along the health/illness continuum.THE CORE VALUES OF THE NURSING PROGRAMQuality: The program is committed to excellence in the community and helps students strive toachieve their highest potential through adult learning.Integrity: Decisions and interactions are based on honesty, trust, respect, responsibility,accountability, and other aspects of ethical behavior.Diversity: Respecting differences between and among members of the community by embracingand encouraging the expression of ideas, opinions, and thoughts that are exchanged freely,respectfully, and civilly.Lifelong Learning: An attitudinal approach to learning in which the person is open to new ideas,decisions, skills, and behaviors based on scientific evidence and research to promote scientificand technological progress improving patient outcomes.11

PROGRAM MANUAL – 2019/202012

PROGRAM MANUAL – 2019/2020NURSING PROGRAM OUTCOMESThe nursing program provides students with the knowledge and skills necessary to administer nursingcare to patients in a variety of settings. Courses include content related to the nurse’s role as a providerof nursing care, as a manager of care, a member of the discipline of nursing, and as a member of theinterdisciplinary team. As the nursing student progresses through the curriculum, each semester buildsupon the previous semester in regards to complexity. This is evidenced by end of semester HESIstandardized tests, increasingly complex written assignments, more complex skills lab evaluations andincreased critical thinking in both Simulation and Clinical evaluations.The Cochise College Nursing graduate will deliver safe, competent and quality patient centered nursingcare within the role of the Associate Degree Nurse as a:1. 2. PROVIDER of CARE: Integrate biopsychosocial and scientific principles when providingtechnically competent care to groups of individuals and families within a variety of healthcaresettings. The provider of care utilizes the following elements:Nursing process (M measured)Quality Care and Safety (M)CaringWellness ContinuumLifespan DiversityManager of Care: Collaborate as a member of the healthcare team to manage the care ofgroups of individuals and families in a variety of healthcare settings. Appropriately delegateactivities to manage the care of groups of individuals and families in a variety of healthcaresettings. The manager of care utilizes the following:Critical Thinking (M)Evidence Based Practice (M)Communication and Collaboration/TeamworkInformatics3. Member of the Discipline of Nursing: Acculturate professional values and behaviors as ADNgraduates through the following: Legal‐Ethical (M)AccountabilityLife‐Long LearningRoles and ResponsibilitiesThe Cochise college nursing program outcomes are evidenced by:1.2.3.4.5.Licensure pass ratesJob placementProgram completion ratesEmployer program satisfactionGraduate program satisfaction13

PROGRAM MANUAL – 2019/2020NursingAssociate Degree Nursing (Major Code – ADN)Associate of Applied ScienceCurriculum – 2016‐2017Pre Nursing:Fall / Spring Semester . 17 CreditsComposition I ENG 101 3Composition II . ENG 102 3Update to Pharmacology** . NUR 203 . 3Human Anatomy & Physiology I* BIO 201 . .4Human Anatomy & Physiology II* . BIO 202 .41st Year Nursing:1st Semester . 13 CreditsNursing 1 NUR 122 8Medication Math I . NUR 121‐A . .2Introduction to Psychology . PSY 101 32nd Semester 13 CreditsNursing II A . NUR 123 5Nursing II B . . NUR 124 . . .5Developmental Psychology . .PSY 240 . .32nd Year Nursing:3 Semester . 12 CreditsNursing III NUR 232 10Medication Math II NUR 121‐B .2rd4th Semester 14 CreditsNursing IV NUR 233 .10Microbiology* . BIO 205 . 4Total Degree Requirements .69 Credits*BIO 201 / 202 requires pre‐requisite courses*Cochise College Policy 3004.1 allows students the opportunity to waive a prerequisite course. Studentsseeking a prerequisite waiver should consult with an academic advisor and should understand fullresponsibility for the outcome of the course taken will be on the student.*Science courses must have been completed within the last seven (7) years prior to admission to theCochise College Nursing Program with a grade of “B” or better.**NUR 203 must have been completed within the last five (5) years prior to admission to the CochiseCollege Nursing Program with a grade of “B” or better.*Science courses taken fall 2013 or later must have a B or better14

PROGRAM MANUAL – 2019/2020NURSING PROGRAM STRUCTURE The RN option for the Cochise College Nursing program is comprised of seven core nursing classesin four semesters.NUR 121‐A (Medication Math One) and NUR 122 (Nursing One) are both in semester one. NUR122 is comprised of Fundamentals of Nursing related to the well adult client.NUR 123 (Nursing Two A) is comprised of Common/Chronic Conditions in the Adult client. NUR124 (Nursing Two B) is comprised of the childbearing family, obstetrics and pediatrics. These twocourses are completed in semester two.Completion of the first four (4) nursing courses (NUR 122, NUR 121‐A, NUR 123 and NUR 124) andthe required pre‐ and co‐requisite general education courses are required to achieve eligibility totake the NCLEX‐PN.NUR 121‐B (Medication Math Two) and NUR 232 (Nursing Three) are offered in semester three.The focus of the NUR 232 content is related to Psychiatric and acute conditions in the adult client.NUR 233 (Nursing Four) is offered in semester four. Complex and critical conditions in the adultclient, as well as a final Preceptorship experience, complete the fourth semester of the nursingprogram.Completion of all seven (7) nursing classes and the required general education classes arerequired to achieve eligibility to take the NCLEX‐RN.For LPN to RN Advanced Placement Students, a current Arizona LPN license in good standing andwritten proof of at least one year work experience as an LPN are required and will grant credit forNUR 122, NUR 123 and NUR 124. LPN to RN Advanced Placement students are required to takeNUR 130 (Transition to Professional Nurse), NUR 121 A (Medication Math One), NUR 121 B(Medication Math Two), NUR 232 (Nursing Three), NUR 233 (Nursing Four) and the requiredgeneral education classes to achieve eligibility to take the NCLEX‐RN.15

PROGRAM MANUAL – 2019/2020CAREER LADDER CONCEPTThe Cochise College Nursing Program RN option is designed on the Career Ladder Concept to permitstudents several points of exit and reentry. Recognizing that many students pause in their education forfinancial or family reasons, the current program was developed so those students could achievedifferent levels of competency throughout the Program. This permits the student to obtain employmentin the health field while working in stages toward the final goal of Registered Nurse.At the end of the first year, students are eligible to take the National Counsel Licensing Exam forLicensure Practical Nurse (NCLEX‐PN). At the end of the second year, students are eligible to take theNational Counsel Licensing Exam for Registered Nurse (NCLEX‐RN).While this concept has worked to the benefit of many students over the years, it does cause someconfusion on the part of potential students. Students misinterpret the Career Ladder Concept to meanthat the first year is an LPN program. This is not the case. This Nursing Program option is an RN optionand the entire curriculum is focused toward this goal.NUR 120 Transition to Practical NurseFor first‐year re‐entering nursing students who have been out of nursing studies at Cochise College forless than one year. Provides an update of the philosophy, policies, and procedures of the CochiseCollege nursing program. Emphasis is on the nursing process, patient care planning, therapeutic use ofself, clinical expectations, and basic nursing skills.NUR 220 Transition: Practical Nurse to Registered NurseFor second‐year re‐entering nursing students who have been out of nursing studies at Cochise Collegefor less than one year. Provides a review and an update of the philosophy, policies, and procedures ofthe Cochise College nursing program. Emphasis is on the nursing process, patient care planning,therapeutic use of self, clinical expectations, and more advanced nursing skills.16

PROGRAM MANUAL – 2019/2020COURSE OUTCOMESFIRST YEARNUR 122CaringNursing ProcessIdentify attributes ofcaring for a client‐centeredenvironmentDisplay attributes ofcaring in a client‐centered environmentWrite a nursing careplan for a client withspecific healthneed/problem(s)Implement theprinciples of safemedicationadministrationDifferentiate a plan ofcare for clients / familiesbased on priority nursingdiagnosesDemonstrate safemedicationadministrationconsidering the effect onthe individual throughoutthe lifespanDemonstrate the abilityto provide safe andeffective care to allclientsSafety/ Quality CareProvider of CareDescribe factors thatinfluence a culture ofsafetyManager of CareWellness ContinuumLife SpanDiversityCommunicationCollaboration, Teamwork& InformaticsNUR 123Identify potentialresources for clientsacross the adult lifespanIdentify concepts ofhealth and wellnessacross the adultlifespanIdentify life spanvariables that impactthe health of clientsAnalyze internal andexternal resources basedon client needsDescribe theinteraction of humandiversity with health,illness, and caringbehaviors andattitudes.Identify factorsinvolved incommunication andcollaboration,teamwork andinformatics foreffectivemanagement of care.Provide patient centeredcare with sensitivity andrespect for humandiversityApply health and illnessconcepts to client careApply concepts related tolife span variables withnursing practiceParticipate incommunication andcollaboration, teamworkand using informaticswhen delivering qualitycare.17NUR 124Display attributes of caring in aclient‐centered environmentrelated to members of thechildbearing family, and topediatric and adolescent clientsDifferentiate a plan of care forfamilies based on prioritynursing diagnosesDemonstrate safe medicationadministration considering theeffect on members of thechildbearing family, and onpediatric and adolescent clientsDemonstrate the ability toprovide safe and effective careto members of the childbearingfamily, and to pediatric andadolescent clientsAnalyze internal and externalresources based on the needs ofthe childbearing family, and ofpediatric and adolescent clientsApply health and illnessconcepts based on the needs ofthe childbearing family, and ofpediatric and adolescent clientsApply concepts related to lifespan variablesProvide patient‐centered carewith sensitivity and respect forhuman diversity related tomembers of the childbearingfamily, and to pediatric andadolescent clientsParticipate in communicationand collaboration, teamworkand using informatics, whendelivering quality care

Member of Profession (Integrity)PROGRAM MANUAL – 2019/2020Evidence‐Based PracticeDescribe thecomponents ofevidence‐basedpractice as it relatesto patient careDifferentiate reliablesources for evidencereports and clinicalpractice guidelinesDifferentiate reliable sources forevidence reports and clinicalpractice guidelines related tomembers of the childbearingfamily, and to pediatric andadolescent clientsCritical ThinkingIdentify componentsof critical thinkingand clinical reasoningat the novice levelIdentifycompetencies forlegal, ethical andprofessional conductof a nurseDemonstrate criticalthinking abilities andsound clinical reasoning.Demonstrate critical thinkingabilities and sound clinicalreasoningDiscuss legal, ethical andprofessional conduct of anurseDiscuss legal, ethical andprofessional conduct of a nurseExplain the roles andresponsibilities of theprofessional nurseDemonstrate knowledgeof the roles andresponsibilities of theprofessional nurseDemonstrate knowledge of theroles and responsibilities of theprofessional nurseRecognize theimportance ofaccountability forone’s own nursingpractice andprofessional growthApply accountability toown nursing practice andprofessional growthApply accountability to ownnursing practice andprofessional growthLegal‐EthicalRoles & ResponsibilitiesAccountability Life LongLearningSECOND YEARNUR 232CaringProvider of CareNursing ProcessSafety/ Quality CareWellness ContinuumLife SpanDiversityNUR 233Distinguish appropriate caringbehavior for a client‐centeredenvironmentIntegrate attributes of caring for a client‐centeredenvironmentApply the nursing process toindividual and groups in theinpatient, outpatient, home orcommunity settingManage safe & effectivepractice related topharmacology, medication andtreatment regimensUse national patient safetyresources for own professionaldevelopment with a focus onsafety in careImplement referrals incollaboration with health careteam based on client needsEvaluate nursing and multi‐disciplinary plans ofcare for clients18Evaluate medication administration systems andprocesses collaboratively with the health careteam.Critiques and modifies own nursing practice with afocus on safetyImplement referrals and access resources incollaboration with health care team based onclient needs

Manager of CarePROGRAM MANUAL – 2019/2020Integrate population, family,individual and national goals topromote healthIntegrate population, family, individual andnational goals to promote healthIntegrate life spanconsiderations into nursing forindividuals, families andpopulationsIntegrate respect for humandiversity into nursing practiceIntegrate complex nursing care across the life spanof individuals, families and populationsCommunicationCollaborationTeamwork & InformaticsEvaluate own communication,collaboration and team workwithin the health care teamand environment, utilizinginformatics.Adapt own communication and collaboration,teamwork to the needs of the health care teamand system(s). and utilizing informatics.Evidence‐Based PracticeAnalyze evidence‐based reportsto substantiate nursinginterventions in collaborativeclient careSynthesize evidence‐based practice and thenursing process to provide quality care for a groupof patients under the supervision of anexperienced registered nurseAppraise own critical thinkingabilities and clinical reasoningdecisionsEvaluate critical thinking abilities and clinicalreasoning of self and other health careprofessionalsExhibit competencies of legal,ethical and professionalconduct of a nurseEvaluate legal, ethical and professional issueswhich impact the professional nurse and patientoutcomesDemonstrate accountability forown nursing practice andprofessional developmentCritique personal and professional development ofnursing practice(s).Differentiate professionalbehaviors related to the care ofpatients provided by otherteam membersIntegrate professional accountability and life‐ longlearning into own professional practice.Member of Profession (Integrity)Critical ThinkingLegal‐EthicalRoles & ResponsibilitiesAccountabilityLife Long Learning19Integrates understanding of multiple dimensionsof patient centered care

PROGRAM MANUAL – 2019/2020Arizona State Board of NursingQualifications for Professional Registered NurseAn applicant for a license to practice as a graduate, professional, or registered nurse shall file a verifiedelectronic application with the board and complete the electronic NCLEX Registration accompanied by theprescribed fees and submit proof that the applicant:1.2.Has completed satisfactorily the basic professional curriculum in an approved professional nursingprogram and holds a diploma or degree from that school. This is done by Cochise Collegeelectronically after graduation.If convicted of one or more felonies, has received an absolute discharge from the sentences forall felony convictions three or more years before to the date of filing an application pursuant tothis chapter (Sec. 8, Section 32‐1632, Arizona Revised Statutes).Arizona State Board of NursingQualifications for Practical NurseAn applicant for a license to practice as and assume the title of a licensed practical nurse shall file a verifiedelectronic application with the board and complete the electronic NCLEX Registration accompanied by theprescribed fees and submit proof that the applicant:1.2.Has satisfactorily completed the basic curriculum in an approved practical or professional nursingprogram and holds a diploma, certificate, or degree from that program. This is done by CochiseCollege electronically after graduation.If convicted of one or more felonies, has received an absolute discharge from the sentences forall felony convictions three or more years before the date of filing the application (Sec. 15, Section32‐1637, Arizona Revised Statutes).20

PROGRAM MANUAL – 2019/2020NURSING DEPARTMENT CODE of ACADEMIC INTEGRITYAcademic integrity is essential in setting and maintaining the standards of an educational institution. It isthe obligation of students and faculty to uphold the values of honesty and ethical behavior in order tosafeguard the quality of education both given and received. This code of Academic Integrity is congruentwith the Cochise College Academic Policy 3010,http://www.cochise.edu/cfiles/files/policies

BSN 1993 Thomas Jefferson University, College of Allied Health MSN 2000 University of Phoenix Med-Surg ED Emergency Department Orthopedics Dialysis Nephrology . The Cochise College Nursing Program is committed to offering a quality educational experience and .