GEORGIA COLLEGE & STATE UNIVERSITYCollege OF HEALTH SCIENCES
School of Nursing
Undergraduate Course
Spring 2015
Course Prefix and Number / NRSG 3440 CRN 21405Prerequisites / NRSG 3340, NRSG 3140, NRSG 3240
Course Title / Adult Health I
Lecture Hours 45 (Equiv.) / Lab Hours: / 90 / Contact Hours: / 3 / Credit Hours: / 6
Hybrid: / 77% Face-to-face & Online 33%
Faculty / Carol Bowdoin PhD, RN, CCRN-Alumnus (Course Coordinator)
Office: 207 Parks Memorial
Cell : 706-338-5726
Office: 478-445-3911
Email:
Matt Roberts MSN, RN
Office: 208 Parks Memorial
Cell: 770-856-2436
Office: 478-445-
Email: matthew.roberts @gcsu.edu
Clinical Faculty:
Kemberly Smith MSN, RN
Cell: 478-456-9792
Email:
Emily Walsh Edwards MSN, APRN, NP-C
Cell: 478-731-2252
Email:
Nathan Wade, BSN, RN Graduate Teaching Assistant
Cell: TBA
Email:
Instructor: Tara Hutchinson Lausch, MSN, RN, FNP-C
Cell: 478-278-4392
Email: TBA
Faculty Office Hours / ▪ Bowdoin & Roberts as posted at offices & on GaView.
▪ Clinical faculty – will advise their clinical groups of availability.
Required Text(s) / ▪ Smeltzer, S. & Bare, B. (2009). Brunner and Suddarth’s textbook of medical
-surgical nursing** (13th ed.). Philadelphia, PA: Lippincott. ISBN –
9781451146660 (2 volume set)
▪ Hesi Review Manual **
HESI. (2013). HESI Comprehensive Review NCLEX-RN (4rd ed.). St. Louis, MO:
Elsevier. ISBN 9781455727520.
This book will be helpful in organizing content to study for HESI tests & Chapter 1 has good test-taking strategies for NCLEX-style questions.
▪ Adaptive Quiz On-line Program**: Elsevier. (2013). Adaptive Quiz NCLEX-RN Exam – Access. ISBN 9780323113397 – will be used to review course concepts by taking practice NCLEX-style questions in preparation for end-of-course HESI exams throughout nursing program. This semester you use this program in all 3 of your courses: MS, OB, & CH to prepare for the end of course Hesi Exam.
▪ All books required for NRSG 3240 and NRSG 3140 last semester**
** Keep these books/programs throughout nursing program – will use for references and for reviewing for HESI Exit in 4980
Recommended Text(s) / Concept Map Reference:
Schuster, P. M. (2011). Concept mapping: A critical-thinking approach to care planning. (3rd ed.). Philadelphia, PA: F. A. Davis ISBN: 978-0-803627437
Recommend use of any NCLEX Review Book for practice review question for course content & Hesi (examples):
* Billings, D. M., & Hensel, D. (2014). Lippincott’s Q &A review for NCLEX-RN (11th ed.). Amber, PA: Wolters Kluwer Lippincott, Williams & Wilkins. ISBN: 9781469887760.
* Silvestri, L. (2013). Saunders Comprehensive review for NCLEX-RN, (6th ed.).** St. Louis, MO: Elsevier Saunders. ISBN: 978-1-4377-0825-7
▪ Silvestri, L.A. (2014). Saunders Q&A Review for the NCLEX-RN®, (6th ed.). **
St. Louis, MO: Elsevier Saunders. ISBN: 978-1455753734
** Both of these books will be helpful to your other clinical courses and in
NRSG 4981.
Recommend obtaining a good Pathophysiology reference book such as:
▪ Huether, S. E. & Mc Cance, K. L. (2008). Understanding Pathophysiology
(4th ed.). St. Louis, MO: Mosby Elsevier. ISBN: 9780323049900
▪ Porth, C. (2011). Essentials of Pathophysiology: Concepts of altered health
states. Philadelphia, PA: Wolters Kluwer/Lippincott, Williams & Wilkins. ISBN: 9781582557243
Patho book will be helpful in studying content, preparing care plans/concept maps, & case presentations. May be able to check out of library or get a used patho book at used book store – ok if published in past 5 years.
Catalog Description: / This course emphasizes theory and practice with adults and families. The focus is on the use of therapeutic nursing interventions in providing holistic care for clients who are experiencing prevalent and complex health problems. This course allows the student to provide care in a variety of health care settings.
Program Outcomes: / Upon completion of this nursing program of study, the student will:
Program Outcome / Concept
1. Use effective situational communication / Communication
2. Incorporate current evidence with clinical expertise and patient/family preferences and values to maximize health outcomes. / Evidence-based Practice
3. Apply principles of leadership, quality improvement, and safety to monitor and improve outcomes of nursing care. / Leadership
4. Demonstrate professional nursing values of altruism, autonomy, human dignity, integrity and social justice. / Ethics
5. Provide culturally and spiritually sensitive care to maximize health outcomes. / Cultural/Spiritual Diversity
6. Apply principles of health promotion, disease and injury prevention to maximize health outcomes. / Health promotion & disease prevention
7. Recognize the need for advocacy in regulatory, legislative, and public policy changes that influence the health care system. / Advocacy
8. Collaborate with the client/designee and health care team in providing compassionate and coordinated care. / Collaboration
9. Demonstrate competent use of information systems to support decision making. / Health Informatics
10. Apply concepts from liberal arts, sciences, clinical reasoning, and nursing to form the basis for professional practice. / Professional Nursing Practice
Program & Course Outcomes / Upon completion of this course, the student will:
Program Outcomes / Course Outcomes
1. / 1. Use effective situational communication when providing care for adult clients and their families.
2. / 2. Identify best current evidence, research, clinical expertise, and adult patient/family preferences and values to maximize health outcomes
3. / 3. Demonstrate principles of leadership related to patient safety and quality improvement when providing care for adult clients and their families.
4. / 4. Demonstrate professional nursing values when providing care for adult clients and their families
5. / 5. Provide culturally and spiritually sensitive care to maximize health outcomes when providing adult and family centered care.
6. / 6. Apply principles of health promotion, disease and injury prevention to maximize health outcomes for adult clients and their families.
7. / 7. Recognize the need for advocacy when providing care for adult clients and their families
8. / 8. Collaborate with the adult client/designee and health care team in providing compassionate, coordinated care.
9. / 9. Use literature and client data to apply the nursing process for adult client-focused care
10. / 10. Apply concepts from liberal arts, social, and natural sciences, clinical reasoning, and nursing science when caring for adult clients
Class Topic Outline / Clinical Goals: By the end of the clinical experience, the student will be able to:
1. IV Therapy:
a. Prepare primary and secondary IV fluids and tubing for medication administration
b. Calculate IV drip rate and set IV rate at correct rate of infusion.
c. Assess & provide care for client receiving IV therapy
d. Demonstrate correct technique with IV insertion.
2. Demonstrate correct technique with NG tube insertion and manage a client receiving NG decompression or enteric feeding.
3. Complete 1 graded care plan with grade greater than or equal to 75 using concept map format that is specific to assigned client and synthesizes patient information.
4. Present an acceptable clinical group case study that is specific to an assigned client and synthesizes patient information.
5. Demonstrate ability to organize and provide total client care for at least two clients for entire shift.
6. Demonstrate ability to accurately & competently document care provided in assigned clients’ medical record & medication administration record using written and electronic methods.
7. Complete weekly clinical learning activities which are specific to assigned client and synthesizes patient information.
· Fluid & Electrolytes & IV Therapy
· Peri-operative Nursing
· Alterations in the Metabolic System - Diabetes
· Alterations in the Endocrine System
· Alterations in the Circulatory System
· Alterations in the Respiratory System
· Alterations in the Musculoskeletal System
· Alterations in the Hematologic System
· Alterations in the Sensory-neural System
* Unit Learning Objectives, Content Outline, Reading assignments, & on-line Self-Study activities are posted GaView/D2L.
Course Format:
· Classroom:
o Each class will consist of 3 contact hours of nursing theory. The course will be structured with each class consisting of 2 hours of face-to-face classroom/lecture re: adult health theory AND 1 hour minutes of assigned self-study activity. of an assigned on-line self-study module and self-evaluation quiz to be completed by the designated due date posted in GaView.
o Self-study activities will be posted in each Content Folder in GaView.
▪ Each lecturer will provide information to the class about the self-study module & quiz related to that week’s course material.
▪ Student will read the self-study module for directions, any related PowerPoint or other resource prior to attempting the self-study quiz.
▪ A formative self-assessment quiz of content covered in the self-study will be completed by the designated due date and may be taken multiple times until the student achieves mastery of 90% or better..
▪ Self-study quizzes are worth 2.5% of course grade. The average of all attempts for a given quiz during the designated time period will be used to award participation points. Quizzes will be reopened prior to exams for review – these addition scores will not count towards participation points.
o Remember in nursing school, you will need to plan to spend at least 2 hours of study for each hour of class. i.e., 3 hours of class activity will require a minimum of 6 hours of study per week – PLAN THIS TIME in your schedule!
· Clinical/Lab: Clinical & related lab experiences are scheduled each clinical day to learn & apply class content. Expected clinical outcomes can be found in the NRSG 3440 Clinical Evaluation Form posted in GaView.
· Course Calendar: Reflects the course schedule.
o The course calendar will provide a schedule for class content, sequence, and related assignments; clinical and laboratory experiences; and exam dates.
o The calendar is subject to change at the discretion of the course coordinator with due notice to accommodate unexpected changes in schedule, weather, facility needs, etc.
Course calendar, Unit Outlines, & other course related materials will be posted in GaVIEW
Teaching/Learning Methods / Lecture, discussion, case studies, simulation lab, video, audiovisuals, self-learning modules with self-evaluation quizzes, campus lab activities, clinical learning experiences, assigned readings, pre-and-post conferences, weekly clinical learning journals &/or concept care maps, operative summary posting, and medication cards.
Evaluation Methods / · Student achievement of the course objectives will be evaluated by the use of: clinical evaluation tools; exam test items; self-assessment quizzes; care plans; concept maps; simulation &/or lab performance; physical assessment forms; bib cards; student self-evaluation; course evaluation and faculty evaluation.
· This course also includes a Medication Calculation Exam as a method of evaluation prior to beginning clinical experience.
GRADING SUMMARY:
Course Grade
5%
Grading Scale / The course grade for the theory component of the course will be based on three unit examinations and a comprehensive final examination, weighed as follows:
Exam # 1 - 20%*
Exam # 2 - 20%*
Exam # 3 - 20%*
Final - 20%*
10% of grade will be based on the Hesi Exam
10% of grades will be based on the following:
· Care Plans – 5%
o 1 Graded Concept Map Care Plan– Worth 2.5%
(Students will have one opportunity to remediate a CP scoring less than 75). The remediated CP’s 1st & 2nd attempt scores will be averaged & this will be used to compute the overall CP grade)
o Weekly Written Clinical Assignments – worth 2.5%
· Clinical Group Case Study Presentation –2.5%
· Unit Self-study Activities – 2.5%
*SON policy must have a 75 or better average on all four exams to pass course
** Points added to final grade after 75 or > test average reached
* See Course policies regarding test make-ups & criteria for exempting Final.
A = 91-100
B = 83-90
C = 75-82
D = 66-74
F = < 65
Prior to mid-semester, you will receive feedback on your academic performance in this course.
Rounding Policy: Rounding for this course follows the GCSU SON Grading Policy. Rounding will occur only with the final average grade for the course. There will be no rounding of exam grades or other written assignments during the semester. If the final course average to the nearest tenth is .5 or more, the final course grade will be rounded up to the next whole number (i.e. 88.5 would be rounded to 89; 88. 45 would not be rounded).
The clinical component of the course will be based on clinical instructor’s evaluation of student performance using:
· TThe clinical component grade will be either Satisfactory (S) or Unsatisfactory (U)
· TTo receive a grade of Satisfactory student must:
o CEarn an overall evaluation of S using criteria in the Clinical Evaluation Form and
o EEarn a grade of 75 or better on the graded care plan.
· . Students who are rated as clinically unsatisfactory (U) at the end of the course will be assigned a course grade of “F”.
• Certain inappropriate, unprofessional, &/or unacceptable behaviors listed in course policies can result in a clinical U.
· 2 clinical U’s will result in dismissal from the course & a course grade of F.
Course Policies / All policies in the current Georgia College & State University Undergraduate Catalog and the Undergraduate Nursing Student Handbook are applicable. Please consult web site for handbook at the following sites: http://www.gcsu.edu/registrar/catalog.htm and http://www.gcsu.edu/nursing/bs/admission.htm
In addition to these University and School policies, students are expected to comply with the following course policies:
o GaView/D2L
§ All students must regularly check bobcats email & GaView/D2L email to receive official communication from university faculty and staff.
§ Students are expected to check GaView daily for course announcements & for course-related emails.
§ Students are expected to set their GaView Notifications so that they will receive a text or email when an announcement or other important information is posted. If GaView is down notification will be by Bobcats email.
o All students must have an activated Bobcat identification card. The Bobcat card is required to use all library services, including the computer lab for testing, or use of printers.
o Recording of Lectures/Presentations – Per the SON Student Handbook, audio &/or video recording of lectures or case presentations is NOT ALLOWED using any type of recording device due to the sensitive and potentially confidential client health care information which may be discussed as an learning example of the medical-surgical content being discussed, and, to prevent unintentional HIPPA violations. Failure to comply will be handled as an unacceptable behavior (page 8) – breaching confidentiality resulting in an immediate failure of the course.