COURSE SYLLABUS
1. TITLE OF COURSE: Medical and Surgical Nursing Concepts
PREFIX/NUMBER: NUR 106 CREDIT HOURS: 9.0 Total
CONTACT HOURS: 52.5 Theory
15.0 Lab
150.0 Clinical
2. PREREQUISITE: Admission to Nursing Program and completion of preceding required program course work or permission of the program director.
3. COREQUISITE: Admission to Nursing Program and completion of concurrent coursework or permission of the program director.
4. COURSE DESCRIPTION:
Introduces the student to the role of the nurse in assessing and meeting the medical and surgical nursing needs of adults across the life span in various health care settings. The student learns nursing concepts to assist the patient in achieving optimal functioning. Knowledge from foundational nursing, the sciences, pharmacology, and nutrition along with the continued integration of mental health and cultural concepts provides foundations for nursing care planning for medical and surgical clients.
5. STANDARD COMPETENCIES:
I. Course Competencies
A. Relate etiology and pathophysiology to signs and symptoms and treatment for adult medical and surgical clients.
B. Begin to incorporate diagnostics, dietetics, and pharmacology to plan appropriate nursing care.
C. Use critical thinking skills to explain the nursing process for care of the adult across the life span with medical and surgical health problems.
D. Consider common mental health issues of adults in caring for medical/surgical clients.
E. Demonstrate appropriate teaching/learning strategies utilized with the adult medical and surgical clients.
F. Discuss health promotion and disease prevention for the adult through the life span.
G. Understand the impact of psychosocial and cultural values and practices in caring for the adult client.
II. Clinical Competencies (See Clinical Outline below)
A. Use the nursing process to assess, predict common needs and problems and assist in the development of appropriate nursing care plans. (A)
B. Share responsibility for the care of the adult patient in structured settings utilizing technology, information, and resources effectively (A, B, C)
C. Utilize therapeutic communication techniques and promote therapeutic relationships (A)
D. Formulate nursing care plans based upon outcomes with consideration given to biological, psychological, spiritual, cultural, developmental, environmental, and economic factors (C)
E. Document and communicate positively and appropriately with multidisciplinary team (E)
F. Participate in the evaluation of outcomes in implementing change (E)
G. Promote ethical, legal and professional awareness and responsibility in others (A-E)
H. Use established guidelines in prioritizing and organizing nursing care (B–D)
I. Demonstrate caring (D)
J. Demonstrate knowledge of patient rights and responsibilities (A-D)
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:
1. A 76% test average must be achieved.
2. Grade on nursing care plan or clinical activity must be an average of 76% or higher on 2 nursing care plans or clinical activity
3. In the case of below a 76% score on a nursing care plan, only one additional nursing care plan may be submitted (for a total of 3 nursing care plans)
4. Clinical performance must be evaluated as satisfactory.
Grading Calculation
Upon successful completion of all above items, a course grade will be calculated with percentages as follows:
1. Eight (8) Tests at 10% each 80%
2. Nursing Care Plan (average of two) 15%
3. *Designated ERI Testing 5%
* 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%.
Please note that five (5) medication calculation problems will be included in each test; failure to solve less than three (3) questions correctly per test will result in mandatory remediation.
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 in the nursing program 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 policies 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. Introductory Perspectives in Care of the Medical and Surgical Adult Client
II. General Concepts of Nursing Practice
A. Introductory perspectives in care of the adult client
1. Health and illness
a. Acute and chronic conditions
b. Terminal illness
2. Adult development across the life span
3. Biologic and cultural variations
4. Stress
5. Pain
6. Physiologic impact of substance abuse
7. Common seasonal emergencies
B. Introductory Pathophysiologic Mechanisms of Disease
1. Fluid and Electrolyte balance
2. Acid/Base balance
3. Sexually transmitted diseases
4. Neoplasms
C. Introductory Concepts in Immunity
1. Infection
2. Inflammation
D. Introductory concepts in Shock
E. Introductory Concepts in the Surgical Experience
1. Pre-peri-post operative care
F. Introductory Concepts of Altered Sensory input\
1. Integumentary
2. Visual
3. Auditory
G. Introductory Concepts of Oxygenation
1. Perfusion
2. Transport
3. Ventilation
H. Introductory Concepts in Metabolism
1. Ingestion
2. Digestion
3. Absorption
4. Elimination
I. Introductory Concepts of Regulatory Mechanisms
1. Endocrine
2. Reproductive
J. Introductory Concepts of Movement and Coordination
1. Musculoskeletal disorders
2. Neurologic disorders
K. Introductory Concepts of Elimination
1. Genitourinary
III. Clinical
A. Assess
B. Analyze
C. Plan for appropriate nursing care of medical and surgical clients
D. Implement
E. Evaluate care
8. METHODS OF INSTRUCTION:
To be successful in this course, students are expected to participate in discussions, readings, in-class writing, computer assisted 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.