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1. TITLE OF COURSE: Advanced Concepts of Medical Surgical Nursing II for Transition
PREFIX/NUMBER: NUR 277 CREDIT HOURS: 4.0 Total
CONTACT HOURS: 52.5 Theory
22.5 Clinical
2. PREREQUISITE: Admission to Nursing Program and successful completion of preceding nursing program course work or permission of the program director.
3. CO-REQUISITE: Admission to Nursing Program and successful completion of concurrent nursing program course work or permission of the program director.
4. COURSE DESCRIPTION:
This course continues to focus on the role of the registered professional nurse as care provider, teacher, manager, professional, and advocate in meeting the complex medical and surgical health care needs of adult clients. Utilizing the nursing process, the student is expected to integrate previous learning to assist the patient and family in achieving optimal functioning in various complex health care situations and settings.
5. STANDARD COMPETENCIES:
I. Course Competencies
A. Explain in depth and breadth etiology and pathophysiology related to signs and symptoms and treatment modalities for adult patients across the life span. (I-VII)
B. Integrate prior and current learning concepts about diagnostics, dietetics, and pharmacology with nursing care. (I-VII)
C. Integrate critical thinking skills with the nursing process for care of the adult across the life span with multiple and/or complex health problems. (I-VII)
D. Compare and contrast appropriate teaching/learning strategies utilized with the adult patient. (I-VII)
E. Discriminate between focusing on disease versus optimal functioning when planning nursing care for adult patients across the life span. (I-VII)
F. Analyze and predict the impact of psychosocial and cultural values and practices in caring for the adult patient across the life span. (I-VII)
II. Clinical Competencies:
In selected complex medical and surgical nursing care units, the learner will:
A. Use the nursing process to analyze complex needs and develop nursing care plans in consultation with the client and the multidisciplinary delivery team.
B. Assume responsibility for the care of adult patients in settings across the health care continuum using technology, analyzing information, and selecting and integrating resources effectively.
C. Analyze the effect of complex variables on the communication process to establish and guide therapeutic relationships.
D. Design a teaching/learning plan based upon outcomes appropriate for the situation, with consideration given to biological, psychological, spiritual, cultural, developmental, environmental, and economic factors using principles of teaching and theoretical approaches to learning.
E. Collaborate with multidisciplinary team through documentation and communication to promote client optimal wellness.
F. Using indicators and interdisciplinary resources, evaluate outcomes of care and modify the plan of care as needed.
G. Foster ethical, legal and professional awareness and responsibility in self and others.
H. Demonstrate professional and accountable behavior.
I. Demonstrate flexibility in prioritizing and organizing nursing care for patients with complex health needs.
J. Demonstrate caring.
K. Advocate for patient rights and responsibilities.
L. Apply knowledge and administer IV therapy safely and accurately.
6. EVALUATION PROCEDURES:
Grading Scale
Raw Score Range Letter Grade
93 to 100 A
85 to 92 B
76 to 84 C
69 to 75 D
0 to 68 F
To pass this course a student must:
a. achieve an average of 76% or above on exams given in the theory portion of the course.
b. achieve an average of 76% or above on all clinical/academic papers which will be calculated into the theory portion of the grade once the theory portion has been achieved at 76% or above.
c. receive a satisfactory evaluation for clinical performance.
d. complete all skill check offs with a grade of Satisfactory (S). Students must practice on their own time prior to check offs. Students may repeat a check off only one time; after the second time the same check off is failed, a grade of Unsatisfactory (U) will be recorded, resulting in failure of the course. Unsatisfactory check offs (first time) of more than two different check off skills, resulting in multiple repeat check offs, may also result in a failing grade for the course. If a check off must be repeated, it is the responsibility of the student to make an appointment with the faculty member, at the faculty member's discretion, to repeat the check off.
Once the above requirements are met, the course grade will be calculated as follows:
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Theory = 85% of course grade: |
Clinical = 15% of course grade: |
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Test 1
Math |
15%
2.5% |
Care Plan |
10% |
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Test 2
Math |
15%
2.5% |
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Test 3
Math |
15%
2.5% |
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Test 4
Math |
15%
2.5% |
Teaching plan |
5% |
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Other
*Designated ERI Testing |
10%
5% |
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* Students passing (achieve at or above national average) ERI testing on first attempt will receive the full 5%.
Students passing on the second attempt along with written documentation of remediation to the instructor will receive 3%.
Students not passing after 2 attempts will receive 0%.
5 - 10 Medication and nutrition calculation problems will be included on each test. Student must maintain > 90% on these calculations. Documentation of math remediation is necessary if < 90% on math calculations.
Special Remarks:
It is the philosophy of the nursing faculty that students are adult learners. Conferences are available on request for enhancing theory comprehension, clinical interventions and test review.
A passing grade of 76% or above is necessary to pass the course. When a student has failed (less than 76%) or withdrawn from a course, the student is ineligible to continue in the program or until the course is repeated and a satisfactory grade is achieved.
For complete information regarding failure/continuation/readmission see Failure/Continuation/Readmission Policies in the Nursing Student Handbook.
Each exam grade will be calculated as a percent and carried out to the nearest hundredth. The final course grade will be rounded off to an even number.
The tardiness policy as listed in the Nursing Student Handbook will be followed.
Punctuality is essential. Students must report to the class/clinical site at or before the time designated for the experience. In the case of tardiness, students are required to notify the instructor prior to the time scheduled for the class/clinical experience.
Assignments/Missed Exams: It is the student's responsibility to obtain all material presented and to complete all course assignments. If prior arrangements are made or extenuating circumstances exist, makeup of tests may be allowed. Late homework papers will not be accepted unless those same extenuating circumstances exist.
Test Taking:
1. Retaking the same test, for any reason, is not permitted.
2. Ten percent will be deducted from original grade if a test is taken after the scheduled time. Final exams must be taken at scheduled time.
3. Papers or extra assignments cannot be completed to raise a test grade, test average, or course grade to 76%.
7. TOPICAL OUTLINE
I. Advanced Pathophysiologic Mechanisms of Disease
A. Sexually transmitted diseases
B. Neoplasms
II. Advanced Concepts of Regulatory Mechanisms
A. Endocrine
B. Reproductive
III. Advanced Concepts of Oxygenation
A. Ventilation
IV. Advanced Concepts of Altered Sensory Input
A. Integumentary
B. Visual
C. Auditory
V. Advanced Concepts of Movement and Coordination
A. Musculoskeletal
VI. Advanced Concepts of Elimination
A. Genitourinary
VII. Advanced Perspectives in Care of the Adult Client
VII. CLINICAL OUTLINE:
A. In complex medical and surgical settings, the learner will:
1. Integrate Assessment.
2. Integrate Analysis.
3. Integrate and Modify Planning.
4. Integrate and Modify Implementation.
5. Integrate Evaluation and Revise the Plan of Care.
8. METHODS OF INSTRUCTION:
To be successful in this course, students are expected to participate in discussions, readings, guest speakers, in-class writing and computer assessment testing. The instructor may assign point values to such activities.
9. ACADEMIC INTEGRITY:
The very nature of higher education requires that students adhere to accepted standards of academic integrity. Therefore, Pueblo Community College has adopted a policy of academic conduct as described in the Student Handbook and outlined in the Nursing Student Handbook. Violation of academic integrity may be defined to include the following: cheating, fabrication, facilitating academic dishonesty, plagiarism and unauthorized collaboration, falsification, abuse of academic materials, and personal misrepresentation. It is the student’s responsibility to be aware of the behaviors that constitute academic dishonesty. If an instructor determines that an act of academic/ clinical dishonesty has taken place, the student(s) will receive a zero for the test or assignment. This grade penalty will result in a failing grade in lecture or clinical and dismissal from the program. Conditions for readmission to the program may be specified by the Department Chair/Coordinator.
10. ADA NOTICE:
Students who have a documented disability may be eligible to receive accommodations for this class. Please contact the Disability Resources Center at 549-3446 for further information. |