BSN Program NURS 4650 Nursing Care Of Adults II Syllabus .
BSN ProgramNURS 4650 Nursing Care of Adults II SyllabusSummer 2014Instructor: Monica L Tenhunen, DNP, RN, GNP-BC, ANP-CInstructor Email: monica.tenhunen@tamuc.eduOffice Location: Nursing BuildingOffice Hours: as posted on eCollege and by appointmentNursing Department: 903-886-5315Office Fax: 903-886-5729COURSE INFORMATIONMaterials- Textbooks, Readings, Supplementary Readings:Textbook(s) Required:Gahart, B. & Nazareno, A. R. (2014) 2014 Intravenous medications: A handbook for nurses and healthprofessionals (30th ed.) St. Louis, MO: Elsevier. or equivalent textbookLewis, S. L., Dirksen, S. R., Heitkemper, M. M., Bucher, L., & Camera, I. (2011). Medical-surgical nursing:Assessment and management of clinical problems (8th ed.).St. Louis, MO: Elsevier.Ogden, S. (2011). Calculation of drug dosages (9th ed.). St. Louis, MO: Elsevier Mosby.Previous nursing courses textbooksOnline resources and articles as directedRecommended Texts:Hogan, M. A. (2013). Pearson reviews & rationales: Medical-surgical nursing. Saddle River, NJ: PrenticeHall.Silvestri, L. (2011).Saunders comprehensive review for the NCLEX-RN exam (5th Ed.) St. Louis, MO: ElsevierMosby.Prerequisites: NURS 4540, NURS 4541, NURS 4342COURSE DESCRIPTION: (6 credit hours)This course presents critical thinking and problem-solving strategies for care of adults with acute or complexillness and/or injury. The effects of acute illness are examined in relation to the individual’s developmentalstage, culture, and gender. Building on Nursing Care of Adults I, a systems approach is used to analyze andintervene in alterations to the health of the individual and family. The course includes clinical laboratory toallow the student the opportunity to integrate theoretical concepts and clinical practice in diverse populations.1
Student Learning Outcomes:At the end of this course, the student will be able to:1.Examine applicable nursing research and nursing theories related to providing nursing care to culturallydiverse populations with acute and chronic disorders of physiological systems.2.Critically analyze the use of the nursing process while implementing caring and safe nursing skills withindividuals experiencing acute illness.4.Formulate patient teaching plans from evidenced based practice for selected physiological disorders.5.Demonstrate responsibility for own learning at levels consistent with student nurses’ role andprofessional expectations.6.Utilize collaborative skills with members of the interdisciplinary health care team in planning,coordinating, providing and evaluating patient care.7.Identify factors that influence the health of rural residents and their health-seeking behaviors.8.Understand and apply theory related to computer-human interfaces, ethics, confidentiality and privacy,caring, ergonomics and nursing informatics to nursing practice.9.Engage in ethical reasoning and actions to provide leadership in promoting advocacy, collaboration, andsocial justice as a socially responsible citizen.Clinical Objectives:At the end of this course the student will be able to:1.Apply nursing research and theory to the nursing care of the culturally diverse population in a clinicalsetting.2.Demonstrate professional standards of moral, ethical, and legal conduct.3.Assume accountability for personal and professional behaviors.4.Create a safe care environment that results in high quality patient outcomes.5.Utilize organizational skills and time management concepts in setting priorities for clinical performance.6.Demonstrate professionalism, including attention to appearance, demeanor, respect for self and others,and attention to professional boundaries with patients and families as well as among caregivers.7.Demonstrate the ability to critically analyze and problem-solve utilizing the nursing process inincreasingly complex patient care settings.8.Collaboratively perform nursing interventions using safe nursing practice through the integration of thenursing process reflecting caring behaviors in response to physical, emotional, and cultural patientneeds.9.Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patientpreferences, and health literacy considerations to foster patient engagement in care.10.Implement evidence-based nursing interventions as appropriate for managing the acute and chronic careof patients and promoting health for adults.11.Monitor client outcomes to evaluate the effectiveness of psychobiological interventions.12.Demonstrate the application of advanced psychomotor skills for the efficient, safe, and compassionatedelivery of patient care.13.Demonstrate skills in using patient care technologies, information systems, and communication devicesthat support safe nursing practice.COURSE REQUIREMENTSInstructional / Methods / Activities AssessmentsThis is a blended course without lecture requiring students to complete online activities and independent studyto be successful. Course objectives may be met through individual study using suggested resources, activeinvolvement in classroom activities, formal, and informal exchange of ideas with classmates and colleagues2
regarding specific topics as well as utilizing critical thinking skills. Teaching methods include seminar,discussion, small group work, independent study of texts and library resources, computer-assisted instruction,audio-visual aids, return demonstration, clinical assignments and supervision, post clinical conferences andcheck-off of appropriate skills and the assignments listed. While the professor will provide guidance andconsultation, the student is responsible for identification of learning needs, self-direction, seeking consultationand demonstration of course objectives.GradingGrades will be determined as follows:Exams (4)-15% eachOnline Case StudiesGroup PresentationNCLEX QuestionsMedical-Surgical HESI PracticeMedical-Surgical HESI Exam60%21%14%5%Cr/NCCr/NCMedication CalculationSee belowTotalClinical100%Pass/FailSpecifics on course assignments for both class and clinical are in the assignments listed below. The HESIMedical-Surgical Exam must be passed with a score of 850 or greater. If you do not achieve this score, you willhave to undergo remediation and retesting as indicated in the Student Guide.It is expected that you will submit assignments on time. If you need an extension, it should be requested beforethe due date. Unexcused late assignments will be penalized 10% for each of the first three days overdue; on the4th day, the grade will be assigned as 0%. Communication on these matters is the student’s responsibility.Medication Calculation1.2.3.4.5.6.7.A medication calculation 10-question quiz will be given the first week of the semester.Anyone not receiving 100% will be placed on mandatory remediation.Remediation will be every week or every other week as a group for 30 minutes to 1 hour with thecourse instructor.Each examination will include 3-5 medication calculation questions.Anyone not receiving 100% on these questions will be placed on mandatory remediation.If someone is on remediation and receives 100% on the medication calculation questions, theywill no longer have to attend remediation.If a student does not receive 100% on the medication calculation questions on the final exam ofthe semester in the course, they will be on remediation in the following semester. Students will have tocomplete a medication calculation quiz in the final semester at 100% to complete remediation.The clinical component is PASS/FAIL and must be passed in order to pass the course. To receive a passinggrade in clinical you must achieve at least 75% on the clinical assignments and receive a satisfactory clinicalevaluation.3
Grading Scale:A 90-100B 80-89C 75-79D 60-74F Below 60A minimum grade of 75 is required to pass the course.TECHNOLOGY REQUIREMENTSThis course will be enhanced using eCollege, the Learning Management System used by Texas A&M UniversityCommerce. To login to the course, go to: http://leo.tamuc.edu/login.aspx.You will need your CWID and password to log in to the course. If you do not know your CWID or have forgotten yourpassword, contact Technology Services at 903.468.6000 or helpdesk@tamuc.eduThe following hardware and software are necessary to use eCollege.-Internet access/connection-high speed recommended (not dial up)-Word Processor (MS Word, or Word Perfect)Our campus is optimized to work in a Microsoft Windows environment. This means our courses work best if you areusing a Windows operating system (XP, Vista, 7 or 8) and a recent version of Microsoft Internet Explorer (6.0, 7.0, 8.0, or9.0).Your courses will also work with Macintosh OS X or better along with a recent version of Safari (5.1 is now available).Along with Internet Explorer and Safari, eCollege also supports the Firefox browser (3.0) on both Windows, and Macoperating systems.It is strongly recommended that you perform a “Browser Test” prior to the start of your course. To launch a browser test,login to eCollege, click on the “myCourses” tab, and then select the “Browser Test” link under Support Services.COMMUNICATION AND SUPPORTInteraction with Instructor Statement:It is expected that you will check your eCollege course and email at least DAILY for communication from the instructor.Communication between faculty and students is primary and taken seriously. Preferred communication methods areindividualized office hours, email, or via office phone. If a phone call is not answered, please leave a message and send ane-mail using the direct e-mail link on the course home page. You will be treated with collegial respect and you areexpected to communicate likewise in a professional htmlCOURSE AND UNIVERSITY PROCEDURES/POLICIESCLASS1.Class Cancellation: In the event that a class is canceled, the student is expected to do the readings and completethe objectives for that day. The content will still be included on examinations. The material in this syllabus anddates identified in the Course Calendar are subject to change.2.Class attendance is expected. The students should notify course faculty in advance of any absence.4
3.4.5.Exam dates are listed in each course syllabus, and the student is expected to be present for exams. In the eventthat the student will be absent, the course instructor must be notified in advance. Failure to do so will result in thestudent receiving a zero for the missed exam or quiz. Review the university catalog for excused absence criteria.As an adult learner and responsible professional, the student is responsible for reading and completingassignments prior to class and for being prepared to participate in discussions over the assigned material. It shouldnot be expected that all material will be covered in class. Students are expected to come to class prepared.Assignments must be handed in on time. Assignments submitted late without prior arrangement with theclassroom instructor will receive a zero.NURSING SKILLS LABORATORY1.2.Students are responsible for assigned readings in textbooks and completing DVD and other assignments prior tolab. Participation in discussions over the assigned material is expected. Failure to prepare will result in anunsatisfactory for the lab session. All lab sessions must be completed satisfactorily to progress to the clinicalsetting.Students must adhere to the clinical dress code for skills laboratory sessions. Refer to the Nursing Student Guidefor policy information.CLINICAL EXPERIENCE1.2.3.4.5.6.7.8.Clinical attendance is mandatory. Refer to the Nursing Student Guide for absence policy information.Immunizations, CPR, and TB status must be current for students to be able to attend clinical experience at theassigned clinical location.Students will be allowed to perform designated nursing skills in the clinical setting only after receiving instructionand successfully demonstrating the skill in the Nursing Skills Laboratory.Students are expected to meet clinical expectations outlined in the clinical evaluation tool.Based on student learning needs, the faculty will determine the appropriate amount of time and clinicalassignments needed to assess student growth. Faculty may require additional assignments and clinical work toensure students have met clinical objectives. Students are expected to comply with any additional assignments orclinical hours assigned.Students are expected to prepare for clinical practice in order to provide safe, competent care.Clinical assignments must be handed in on time to the clinical instructor. No exceptions.Clinical is graded Pass/Fail. If the student fails the clinical component, the entire course must be repeated.UNSATISFACTORY CLINICAL PERFORMANCE1.2.3.There are several infractions that might lead to a student being given a clinical warning for the day, including butnot limited to:AbsencesTardinessViolation of dress codeIncomplete health immunization recordsExpired CPR certificationFailure to turn in written assignments on timeIncomplete hospital orientationLack of preparationAccumulation of two (2) warnings in this clinical course will lead to failure of the clinical rotation and therefore,failure of the entire course.Other offenses which may lead to immediate failure of the course include but are not limited to:A pattern of lack of accountability for class, clinical and lab skills preparationUnsafe or unprofessional practices or behaviorsHIPPA violations5
Inability to pass required clinical assignmentsFalsification of recordsADA StatementStudents with Disabilities:The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civilrights protection for persons with disabilities. Among other things, this legislation requires that all students withdisabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If youhave a disability requiring an accommodation, please contact:Office of Student Disability Resources and ServicesTexas A&M University-CommerceGee LibraryRoom 132Phone (903) 886-5150 or (903) 886-5835Fax (903) 468-8148StudentDisabilityServices@tamuc.eduStudent Conduct Code – Refer to the BSN Student GuideStudents must adhere to standards of professional and academic conduct. Academic misconduct involves any activity thattends to compromise the academic integrity of the University, or subvert the educational process, including, but notlimited to, cheating, plagiarism, falsifying academic records, misrepresenting facts and any act designed to give unfairacademic advantage to the student or the attempt to commit such an act. Students are responsible for their own academichonesty and for reporting violations of academic honesty by others.6
COURSE OUTLINE / CALENDARWeek1234ContentOrientation to CoursePulmonaryGUED/ICU veRural/Types of g Assignments-Lewis TextbookCh 27--528-535Ch 28--566-571Ch 66--1698-1713Ch 68--1744-1763Ch 17—301-331Ch 26—501, 513Ch 46—1127-1129, 1131-1141Ch 47—1170-1195Ch 66—1681-1685Ch 69—1765-1772Ch 34—allCh 36—allCh 37—841-846Ch 38—867-873Ch 66—1685-1698Ch 67—1717-1739Ch 2—allCh 11—159-160Ch 31—705-710Ch 50—1259-1262, 1276-1284Ch 54—1343-56Ch 14—allCh 15—241-256Ch 16—allCh 28—560-564Ch 43—1035-1038Ch 52—1311-1319Ch 55—1386-1391Ch 67—1739-1743Ch 40—allCh 43—1020-1021Ch 44—1059-1070, 1072-1085, 10881094Activities/AssignmentsClass Meeting 6/2Class Meeting 6/9NCLEX-50 6/9CKD Case Study 6/13Exam #1 6/13Class Meeting 6/20NCLEX-100 6/20CAD Case Study 6/20Group Topic Approval Due 6/20Class Meeting 6/27NCLEX-50 6/27Group Paper Outline Due 6/27Exam #2 6/27HIV Case Study 7/4Breast CA Case Study 7/4Class Meeting 7/11NCLEX-100 7/11Cirrhosis Case Study 7/11Group Paper Due 7/11Poster Outline Due 7/117Neurological/Sensory8MusculoskeletalSkinCh 9—allCh 57—1425-1445, 1452-1455Ch 59—1485-1506, 1514-1515Ch 61—1546-1565Ch 24—454-455Ch 25—allCh 63—1590-1618Exam #3 7/11Class Meeting 7/18NCLEX 50-7/18SCI Case Study 7/18Seizure Case Study 7/18Class Meeting 7/25NCLEX-50 7/25Poster Due 7/25910Continuity of CareAdmits/ReferralsHESI ExamCh 1—allExam #4 7/25Class Meeting 8/1NCLEX-50 8/1HESI Practice 8/4NCLEX-50 8/6HESI Exam 8/67
Lecture Assignments1.Examinations60% total, 15% each6/13, 6/27, 7/11, 7/25There are a total of four examinations in this class on the dates identified. They will cover all thetopics covered as of the current week of the examination. The examinations will include terminology from theapplicable chapters in the textbook. The questions will be in multiple formats: multiple choice, multiple answer,matching, etc.2.Online Case Studies21% of grade, 3% eachVariesThere are seven case studies to be completed and submitted on Evolve by 2359 on the date indicated. You willreceive the score that you receive when you complete the case study.Chronic Kidney DiseaseCoronary Artery DiseaseCirrhosisHIV with TuberculosisBreast CancerSpinal Cord InjurySeizures3.Group PaperJune 11June 20June 27July 4July 4July 18July 1814%7/11Students will be divided into groups of three. Group assignment will be chosen related to clinical assignment.Each group will choose a client that one of you had in the ICU for a case study that you want to investigate. Thecase study must be approved by your course instructor by the end of the third week of the course. The group willresearch their issue and find current evidence, at least three (3) peer-reviewed nursing research articles related totheir condition/issue.Two weeks prior to the due date of the paper as indicated on the schedule, the group will submit an outline of theirpaper to their course instructor that includes the group members, what each group member is contributing to thepaper, case study overview, nursing practice issue, and references in APA format.The paper must include the following items:1.Title Page with group members2.Client HPI/PMH3.Client FMH/ROS4.Client Medications/Allergies5.Client PE that you completed6.Client Laboratory/Diagnostic Test results7.Nursing Practice Issue related to client situation8.Short summary of the three research articles related to condition/issue9.ReferencesThe paper is to be 3-5 pages in length, not including the title paper and reference page, written in APA format. Atitle page and reference page are required. See rubric on eCollege. The paper is to be uploaded on eCollege by2359 on the due date.This paper is a group or team project. All members of the group will receive the same grade on the paper.However, a student can be removed from his/her team if the other student in the group comes to the instructorand report that a student is not doing his/her fair share of the work. If that happens, the student will be notified inwriting by the instructor. The student will then be responsible for doing the assignment on his/her own.8
4.NCLEX Review Questions5%VariesTo assist in preparing students for the HESI examinations and the NCLEX examination, you are required tocomplete a minimum of 500 NCLEX questions related to medical-surgical nursing during the semester. Thesequestions must be completed on a computer and come from either the Evolve case studies, the Lewis textbook orthe Silvestri NCLEX review text. You must provide proof of completion of the questions each week in class to thecourse instructor per the following schedule.Class Day6/96/206/277/117/187/258/18/65.Required # of questions501005010050505050HESI Medical-Surgical Practice ExaminationCr/NC8/4Complete online non-proctored exam by August 4th with a score of 90% or better to receive credit.6.HESI Medical-Surgical ExaminationCr/NC8/6Complete proctored exam on August 6th with a score of 850 or better to receive credit. If you receive below 850,you will have to complete remediation and re-take the examination to receive credit. For initial scores on theHESI of 900-949, you will receive 1 extra
Medical-Surgical HESI Practice Cr/NC Medical-Surgical HESI Exam Cr/NC Medication Calculation See below Total 100% Clinical Pass/Fail Specifics on course assignments for both class and clinical are in the assignments listed below. The HESI Medical-Surgical Exam must be passed with a score of 850 or greater.
nursing care to these patients, with an emphasis on the childbearing family. This course is 2 hours of theory and 6 hours of practicum per week. 84 hours total practicum are required in this course. Prerequisites: NURS 3310, NURS 3410, NURS 3412, NURS 3613, NURS 3614 and NURS 4310. Corequisites: NURS 4410 and NURS 4614.
NURS 333 (Fundamentals) NURS 334 (Fund. Clinical) 3 3 1 3 2 NURS 329 (Pharm. I) NURS 341 (Med-Surg I) NURS 342 (MS I Clinical) NURS 343 (Mental Health) NURS 344 (Mental Health Clinical) NURS 413 (Evidence Based Practice) 2 3 3 3 1 3 Total Hours 12 Total Hours 15 3rd Semester Nursing Hours 4th Semester Nursing Hours NURS 429 (Pharm II)
BSN Curriculum BSN Coursework BSN 302 Concepts of Professional Nursing Practice (3) BSN 306 Cultural Diversity and Healthcare (3) BSN 346 Human Pathophysiology (3) BSN 382 Health Assessment (2) BSN 381 Health Assessment Skills Seminar (1) BSN 422 Community-Based Nursing (3) BSN 423 Community-Based Nursing Role Performance (2)
RN-to-BSN Semester 2 NURS 4414 Evidence Based Research NURS 4502 Nursing Leadership & Management (mentorship) RN-to-BSN Semester 3 NURS 4503 Nursing In the Community (mentorship) If I live outside of Texas, can I apply to the RN-to-BSN Program at UTEP? Only students living in authorized states are eligible to enroll in the UTEP RN-to-BSN Program.
Comprehensive Care in Advanced Practice Nursing 3 NURS 713: Evaluating Evidence for Advanced Nursing Practice 3 NURS 714: Practice Evaluation 3 NURS 716: DNP Integration Seminar 1 NURS 701: Policy and Population Based Care 3 NURS 733: Health Systems, Organization, & Change 3 NURS 735: Applied Health Care Economics & Finance
NURS 103 Medical‐Surgical Nursing II 3 NURS 113 Skills Lab II 1 NURS 123 Nursing Practice II 4 PHIL 132 Ethics and Policy in Healthcare II 2 PSYC 132 Psychosocial Issues in Healthcare I 2 Total: 12 Fourth Quarter NURS 204 Medical‐Surgical Nursing III 5 NURS 214 Nursing Pra
diploma, ADN, and BSN. An RN-to-BSN completion graduate is a nurse whose basic level of nursing education was something less than a BSN, i.e., LPN, ADN, or diploma, who had returned to school for a BSN. A generic BSN graduate is a nurse whose basic level of nursing education was a BSN. Critical nursing activities are those
J1" First semester juniors › NURS 300 Foundations: course, clinical & labs › NURS 313 Health assessment: course & lab › NURS 304 & L Nursing Leadership/Pt-Centered Care #1: course & seminar › NURS 308 Genetics/Genomics: course › NURS 312 Palliative/End of Life Care Volunteer time "J2" Second semester juniors › NURS 320 Patho/Pharm #1: course
