COURSE SYLLABUS

1.         TITLE OF COURSE:          Advanced Concepts of Medical Surgical Nursing II

            PREFIX/NUMBER:            NUR 216        CREDIT HOURS:                    6.0 Total

                                                                                  CONTACT HOURS:             30.0 Theory

                                                                                                                                 120.0 Clinical

2.         PREREQUISITE:                Admission to nursing program and successful completion of preceding nursing program course work or program director permission.

3.         CO-REQUISITE:                 Successful completion of concurrent nursing program course work or program director permission

4.         COURSE DESCRIPTION:

            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.    Examine the scope and significance of issues, trends, and evidence based practice which impact health care for adults.

B.     Analyze the interdisciplinary team’s contributions and the nurse’s role as a manager, provider, teacher, advocate, member of the profession and member of the healthcare team in the care of adults.

C.     Explain the impact of legal, ethical, and cultural issues in adult care and their integration in the management of individuals and families across the health continuum.

D.    Evaluate client response to pharmacological therapy in the treatment of complex adult health conditions.

E.     Incorporate knowledge of pathophysiological and evidence based practice while providing holistic care to individuals and families with medical/surgical conditions/disorders in high acuity situations.

F.      Correlate assessment data with diagnostic findings for integration into holistic professional nursing care.

G.    Utilize critical thinking skills in the application of the nursing process to promote optimum health of individuals and families across the lifespan.

H.    Differentiate treatment modalities utilized in caring for individuals or families with medical/surgical conditions/disorders in high acuity situations.

I.       Analyze health teaching strategies in the provision of education to promote optimal levels of wellness and positive outcomes.

J.       Synthesize knowledge in planning care for clients with multi-system disorders.

II.           Clinical Competencies:

A.    Revise the nursing care plan for complex clients in collaboration with the client and multidisciplinary delivery team.

B.     Manage the care of adult clients in settings across the health care continuum using technology, analyzing information, and selecting and integrating resources effectively

C.     Evaluate the impact of complex variables and stressors on the interpersonal relationships with clients and families.

D.    Evaluate a teaching/learning plan based upon established outcomes with consideration given to biological, psychological, spiritual, cultural, developmental, environmental, and economic factors.

E.     Collaborate with multidisciplinary team through documentation and communication to promote individual optimal wellness.

F.      Assess ethical, legal and professional issues related to the client care situation.

6.         EVALUATION PROCEDURES:

            Grading Scale

            Raw Score Range                   Letter Grade

                  90 to 100                                  A

                  83 to   89                                  B

                  77 to   82                                  C

                  69 to   76                                  D

                    0 to   68                                  F

            To pass this course a student must:

1.      Achieve an average of 77% or above on exams given in the theory portion of the course.  If 77% is not achieved, the exam grade will be recorded as the final course grade.

2.      Achieve an average of 77% or above on all clinical/academic papers which will be calculated into the final course grade once the exam portion has been achieved at 77% or above.

3.      Receive a satisfactory evaluation for clinical performance. 

            Once the above requirements are met, the course grade will be calculated as follows:

Exams = 70% of course grade		Other = 30% of course grade
Test 1   Test 2   Test 3   Test 4	15%   15%   20%   20%	Care Plan (adult med-surg)   Teaching plan  (OB or pediatric)   Clinical Evaluation *ATI Testing   **NCLEX Questions and/or Other assignments     Final Course Grade = 100%	10%     5%     S/U S/U   15%

   *Students passing (achieve at or above benchmark score) ATI testing on first attempt will receive a Satisfactory.

·         If a passing score is not achieved, the student will be placed on academic warning.  The student must provide evidence of remediation and meet with either the instructor or nursing advisor before a Satisfactory rating is recorded.

·         Failure to achieve a passing score and to comply with the remediation plan will result in an incomplete course grade and the student will be placed on academic probation. Depending on the course sequence, program completion may be delayed.

**Homework assigned and/or exams of any kind must not be duplicated.  If any student is found to have procession of “copied” exam questions, the academic dishonesty policy will be enforced.  See Nursing Student Handbook.

Exams may be administered outside of scheduled class time.  See course schedule for dates and times.

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.

Teaching methods may include: lecture/discussion; guest speakers; audio visual aids; case studies; demonstration/practice skill checks in lab; group presentations; and papers.

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. 

            3.         Papers or extra assignments cannot be completed to raise a test grade, test average, or course grade to 77%.

 7.        ATTENDANCE POLICY

            Students are expected to attend all scheduled academic, clinical, and/or laboratory for which they are enrolled unless excused by the instructor. Instructors will maintain an official attendance record for all scheduled activities.  Any time missed in the academic, clinical, and/or laboratory area must be made up, at faculty discretion and when time permits.  If more than twenty percent (20%) of the academic or clinical or laboratory scheduled time is missed, the result will be either the student being withdrawn from the course or failure of the academic, clinical, and/or laboratory portions of the course, depending on the drop/add schedule of the college.  If greater than 15 minutes is missed per hour of lecture, a one hour absence will be recorded. In no case can a student miss more than 20% of the course time and receive a passing grade.  For additional information see Nursing Student Handbook.

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 77% or above is necessary to pass the course.  When a student has failed (less than 77%) 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.

8.         TOPICAL OUTLINE

            I.          Outline View

                        A.        Advanced Pathophysiologic Mechanisms of Disease

                              1.         Sexually transmitted diseases

                              2.         Neoplasms

                        B.        Advanced Concepts of Regulatory Mechanisms

                              1.         Endocrine

                              2.         Reproductive

                        C.        Advanced Concepts of Oxygenation

            1.         Transport (hematologic disorders)

                        D.        Advanced Concepts of Altered Sensory Input

                              1.         Integumentary

                              2.         Visual

                              3.         Auditory

                        E.         Advanced Concepts of Movement and Coordination

            1.         Musculoskeletal

                        F.         Advanced Concepts of Elimination

            1.         Genitourinary

                        G.        Advanced Perspectives in Care of the Adult Client

                                     1.         Concepts of Emergency Nursing

                                                a.  Environmental emergencies

                                                b.  Disaster preparedness

            II.        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.

9.         SEARCHABLE KEYWORDS:  nursing; adult nursing; advanced nursing, medical nursing; surgical nursing

10.       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.

11.       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.

12.       ADA NOTICE: