EXISTING SYLLABUS:
Northern Arizona University
College of Health and Human Services
School of Nursing
Course Number: NUR 307
Course Title: Health Assessment for Registered Nurses
Semester: Fall, Spring, Summer
Credit Hours: 2 Credit Hours (1 Credit Hour online didactic, 3 Hours Clinical Laboratory time per week)
Faculty: Laura M. Karnitschnig, MN, RN, CPNP
Assistant Clinical Professor
Office Address: NAU, School of Nursing
PO Box 15035
Flagstaff, Arizona 86011
Phone: Office: 928-523-0687
Fax: 928-523-7171
Primary Email Address: Please use message function within Blackboard Learn
Alternate Email Address: only if Blackboard Learn is not available
Office Hours: Call 928-523-0687 or email to reserve a phone and/or consultation/appointment.
Clinical Laboratory Faculty:
Glendale Community College
Laurie Schulz
Office: 623-845-4807
Christina Mooroian-Pennington
Office: 623-845-4806
Mesa Community College
Betty Parisek, Ed.D, MSN, RN
Office: 480-461-7108
Linda Peters, FNP-BC, MSN, RN
Office: 480-461-6335
Scottsdale Community College
Kathy Miller, MSN, RN
Office: 480-423-6717
Mary Johnson, MBA, BSN, RN
Office: 480-388-9991
Kristine Roberts,
Estrella Mountain Community College
Erika Aguirre, MSN, ACNS-BC, RN
Office: 623-935-8953
Shireen Berg, MSN, RN, FNP-C
Office: 623-935-8379
Prerequisites: Admission to concurrent nursing program
Course Description:
Clinical lab course provides cognitive and psychomotor skills in health history, assessments, and physical exams across the life span.
Student Learning Outcomes
By the end of this course, the student will:
Didactic Portion
Clinical Practice and Prevention
· Demonstrate acquired knowledge and skills necessary to perform a health assessment and physical examination on a healthy adult.
· Examine the relationship of health assessment to health promotion while identifying strategies to promote wellness.
· Examine the bio-psycho-social, developmental, cultural and spiritual dimensions of the individual when assessing and planning care.
Communication
· Demonstrate individualized, clear, effective, respectful and compassionate communication while performing the health assessment and physical examination.
· Document assessment findings using correct terminology.
Critical reasoning
· Integrate multiple ways of knowing and the ability to use critical thinking to relate health assessment and physical examination findings to the health status of individuals across the life span.
Leadership
· Examine the importance of environmental factors and constraints in the assessment of health.
Professionalism and professional Values
· Demonstrate professional values through the affective characteristics of caring with compassion, competence, conscience, commitment and comportment while performing the health assessment and physical examination.
· Examine the role of the professional nurse in performing health assessments.
· Demonstrate professional behavior in performing health assessments.
Clinical Portion
Clinical Practice and Prevention
· Demonstrates acquired knowledge and skills necessary to perform a health assessment and physical examination on a healthy adult.
Communication
· Demonstrates individualized, clear, effective, respectful and compassionate communication while performing the health assessment and physical examination.
· Documents assessment findings using correct terminology.
Critical reasoning
· Integrates multiple ways of knowing and the ability to use critical thinking to relate health assessment and physical examination findings to the health status of individuals across the life span.
Professionalism and professional Values
· Demonstrates professional values through the affective characteristics of caring with compassion, competence, conscience, commitment and comportment while performing the health assessment and physical examination.
· Demonstrates professional behavior in performing health assessments.
Global health
· Examines one’s own personal values, beliefs, and practices as compared to diverse populations in a global society.
COURSE STRUCTURE / APPROACH:
Students are expected to proceed through the course in the same way they would in a course offered in any other delivery modality. The course follows a 16 week format.
The didactic course is delivered online and uses print, electronic, video, and multimedia resources.
The 45 clinical hours for the course will be accomplished in weekly clinical labs. The labs will provide active learning to apply acquired knowledge and build assessment skills through repeated practice of system specifichistory taking and physical examinations. Clinical faculty will perform formative evaluations during each weekly lab session and provide students with personalized feedback to facilitate their learning. Students will submit 3 clinical papers, in SOAP format,which document the comprehensive subjective and objective health assessments of 3 different adults. Students will also complete a 30 minute, final physical examination skill check-offduring the final weeks of the course.
Textbooks: Required
D’Amico, D. & Barbarito, C. (2012). Health and physical assessment in nursing (2nd Ed.). Upper Saddle River: Pearson.
Recommended:
· Use of anatomy and physiology text
No online cartridge is required for this course.
Course and Clinical/Lab Outline
Week, Date: / Module: / Topic: / Required Reading & Review: / Quizzes/ Case Study:Due Sunday by midnight
1
8/26-9/1 / 1 / Introduction to Health Assessment
Wellness and Health Promotion
Health Assessment Across the Lifespan
Cultural Considerations / D’Amico text:
Chapters 1, 2, 3, and 4
2
*9/3 Holiday
9/2- 9/8 / 1 / General Survey
Psychosocial Assessment
Techniques & Equipment
Vital Signs (VS) Start / D’Amico text:
Chapters 5, 6,
and 7 / On-line Syllabus Quiz Due 9/2/12
(2 points)
3
9/9- 9/15 / 1 / The Health History
Pain & Nutritional Assessment
VS
Health History Documentation / D’Amico text:
Chapters 8, 9,
and 10 / none
4
9/16- 9/22 / 2 / Skin, Hair & Nails
VS
Skin, Hair & Nails Documentation / D’Amico text:
Chapter 11 / On-line Quiz #1
Due 9/16/12
(5 points)
5
9/23- 9/29 / 2 / Head, Neck & related Lymphatics
VS
Head, Neck & related Lymphatics Documentation / D’Amico text:
Chapter 12 / none
6
9/30- 10/6 / 2 / Eye, Ear, Nose, Mouth, and Throat
VS
Eye, Ear, Nose, Mouth, and Throat Documentation / D’Amico text:
Chapters 13 and 14 / On-line Case Study #1 Due 9/30/12
(5 points)
7
10/7- 10/13 / 3 / Respiratory System
Beasts and Axillae
VS
Respiratory System and Beasts and Axillae Documentation / D’Amico text:
Chapter 15 and 16 / Paper #1
Documentation
Due 10/7/12
(10 points)
8
10/14- 10/20 / 3 / The Cardiovascular (CV) System
Peripheral Vascular (PV) System
VS
CV and Peripheral Vascular (PV) System Documentation / D’Amico text:
Chapter 17 and 18 / On-line Case Study #2 Due 10/14/12
(5 points)
9
10/21- 10/27 / 4 / Abdomen
VS
Abdomen Documentation / D’Amico text:
Chapter 19 / On-line Quiz #2
Due 10/21/12
(5 points)
10
10/28- 11/3 / 4 / Urinary System
Male and Female Reproduction Systems
* NO physical exam in clinical on Reproductive Systems!
VS
Urinary System and Reproductive System Documentation / D’Amico text:
Chapter 20, 21,
and 22 / On-line Case Study #3 Due 10/28/12
(5 points)
11
11/4- 11/10 / 5 / Musculoskeletal (MS) System
And Neurological System
VS
Musculoskeletal (MS) System
And Neurological System Documentation / D’Amico text:
Chapter 23 and 24 / Paper #2
Documentation
Due 11/4/12
(10 points)
12
11/11- 11/17 / 6 / The Hospitalized Client
Nursing Assessment of Infants, Children, Adolescents and the Older Adult.
MS and Neurological Assessment & Documentation Review
VS / D’Amico text:
Chapter 25, 27,
and 29 / On-line Quiz #3
Due 11/11/12
(5 points)
13
11/19- 11/25
*Thanksgiving
11/22 / 6 / The Complete Health Assessment
VS
Complete Health Assessment Documentation / D’Amico text:
Chapter 28 / none
14-16
11/25- 12/1,
12/2- 12/7 &
12/9- 12/14 / Final Documentation Paper
Final Assessment Check-offs / none / Final Paper Documentation
Due 11/25/12
(10 points)
Comprehensive Health Assessment
(25 points)
ASSESSMENT OF STUDENT LEARNING
Grading System for Didactic and Lab Coursework
On-line Quizzes:Syllabus quiz (2 points) &
3 Quizzes @ 5 points each / 17 points
On-line Case Studies:
3 Case Studies @ 5 points each / 15 points
Course and Clinical Accountability / 13 points
Documentation Papers
3 Nursing Documentation @ 10 points each / 30 points
Final Clinical Check-off / 25 points
Total Didactic and Lab/Clinical Points = / 100 points
Timeline for Assessment: see detailed course outline for due dates.
Grading System for NUR 307
93-100% A
84-92% B
78%-83% C
Less than 78% F
· Course must be completed to progress in the program
· A total score of 78% or better is required to pass the NUR 307 course.
· You must pass the final assessment with 78% or better to pass the course.
COURSE POLICIES:
Retests/makeup tests:
· There are NO make-ups – please plan accordingly. No late assignment or assessment will be accepted, except under exceptional circumstances, with advance approval by faculty. Exceptional is defined as an extreme situation, such as a life-threatening illness. Approval of any such request is at the discretion of the clinical and lead faculty. The student must have confirmation of approval, from the instructor, in writing, before assuming that delayed submission of an assignment is acceptable.
Attendance: Attendance in the clinical laboratory is mandatory. Refer to the nursing clinical attendance policies in the student handbook. You need to bring your stethoscope, pen, text, penlight, and watch with second hand/readout to every lab.
Academic Classroom Conduct
The School of Nursing has a responsibility to the public and to the nursing profession; thus, it reserves the privilege of retaining only those students who, in the judgment of the faculty, demonstrate high academic standards.
1. These academic standards include honesty, accountability and accepting responsibility for one's own work.
2. Examples of unacceptable behavior are plagiarism and cheating.
3. Refer to School of Nursing Student Handbook for further clarification of these concepts, Arizona State Board of Nursing regulations and/or Code of Ethics for information on academic integrity, confidentiality statement and professional conduct. http://jan.ucc.nau.edu/~nurse-p/docs/BSN_Handbook.pdf
Classroom Management:
· All individuals working in this course are expected to maintain respectful and professional behaviors in all aspects of their work and interpersonal communications. Faculty, fellow students, and other individuals associated with this course should not be subjected to words, actions, or behaviors that are, in any way, disruptive, rude, disrespectful, or challenging to others. Inappropriate behavior includes things such as rude, confrontational, threatening, or abusive verbal or electronic communications; arriving late or leaving early from classes; using cell phones during class; aggressive or disrespectful nonverbal behaviors such as eye-rolling or glaring. These behaviors are not acceptable in professional nursing activities or educational settings.
· Upon observing or being informed of such behavior, faculty will intervene to stop the behavior and counsel individuals as appropriate. The lead faculty for the course may be contacted for assistance, if needed.
· Due to the private and personal nature of information being discussed in the clinical lab, confidentiality andprivacy will be consistently maintained.
· The syllabus is subject to change only with advance notice and in accordance with NAU policies.
Boundaries: No GU/GYN, rectal, or breast exams are to be done with anyone at any time. This is a boundary violation and will not be allowed under any circumstances. If any of these exams are done or documented, a failing grade for the entire course will be posted. The student will also be referred to the NAU School of Nursing Assistant Dean and Student Affairs Committee due to a breach of the Code of Ethics for professional nursing.
Northern Arizona University
Policy Statements
Safe Environment Policy
NAU’s Safe Working and Learning Environment Policy seeks to prohibit discrimination and promote the safety of all individuals within the university. The goal of this policy is to prevent the occurrence of discrimination on the basis of sex, race, color, age, national origin, religion, sexual orientation, disability, or veteran status and to prevent sexual harassment, sexual assault or retaliation by anyone at this university.
You may obtain a copy of this policy from the college dean’s office or from the NAU’s Affirmative Action website http://home.nau.edu/diversity/. If you have concerns about this policy, it is important that you contact the departmental chair, dean’s office, the Office of Student Life (928-523-5181), or NAU’s Office of Affirmative Action (928-523-3312).
Students with Disabilities
If you have a documented disability, you can arrange for accommodations by contacting Disability Resources (DR) at 523-8773 (voice)or 523-6906 (TTY), (e-mail)or 928-523-8747 (fax).Students needing academic accommodations are required to register with DR and provide required disability related documentation. Although you may request an accommodation at any time, in order for DR to best meet your individual needs, you are urged to register and submit necessary documentation (www.nau.edu/dr) 8 weeks prior to the time you wish to receive accommodations. DR is strongly committed to the needs of student with disabilities and the promotion of Universal Design. Concerns or questions related to the accessibility of programs and facilities at NAU may be brought to the attention of DR or the Office of Affirmative Action and Equal Opportunity (523-3312).
Institutional Review Board
Any study involving observation of or interaction with human subjects that originates at NAU—including a course project, report, or research paper—must be reviewed and approved by the Institutional Review Board (IRB) for the protection of human subjects in research and research-related activities.
The IRB meets monthly. Proposals must be submitted for review at least fifteen working days before the monthly meeting. You should consult with your course instructor early in the course to ascertain if your project needs to be reviewed by the IRB and/or to secure information or appropriate forms and procedures for the IRB review. Your instructor and department chair or college dean must sign the application for approval by the IRB. The IRB categorizes projects into three levels depending on the nature of the project: exempt from further review, expedited review, or full board review. If the IRB certifies that a project is exempt from further review, you need not resubmit the project for continuing IRB review as long as there are no modifications in the exempted procedures.
A copy of the IRB Policy and Procedures Manual is available in each department’s administrative office and each college dean’s office or on their website: http://www.research.nau.edu/compliance/irb/index.aspx If you have questions, contact the IRB Coordinator in the Office of the Vice President for Research at 928-523-8288 or 523-4340.
ACADEMIC INTEGRITY
The university takes an extremely serious view of violations of academic integrity. As members of the academic community, NAU’s administration, faculty, staff and students are dedicated to promoting an atmosphere of honesty and are committed to maintaining the academic integrity essential to the education process. Inherent in this commitment is the belief that academic dishonesty in all forms violates the basic principles of integrity and impedes learning. Students are therefore responsible for conducting themselves in an academically honest manner.