Mennonite College of Nursing
at Illinois State University
COURSE NUMBER: NUR 317
COURSE TITLE: Nursing Care of Children
COURSE CREDIT: 2.5 hours theory, 1.5 hours clinical (48 hours)
PRE/COREQUISITE
PREREQUISITES: NUR 231, 316, 336, 339; NUR 329, 314 concurrent registration
SEMESTER/YEAR: Spring 2016
COURSE LEADER(S): Lynn Kennell MS, RN, Instructional Assistant Professor, Course Leader
Office: Edwards Hall #212
Office Hours: T 10:30-11:30am Th 2:30-4:00pm; others by app’t
Office: 438-2365 Cell: 309-370-5896
E-Mail:
Rachael Hudgins, MSN, RN, Instructional Assistant Professor
Office: Edwards Hall, 222A
Office Hours: By appointment, & Tuesday, 12-1pm
Office Phone: 438-2467 Cell: 309-531-3759
E-mail:
Mary Volle Cranston, MS, RN, Instructional Assistant Professor,
Clinical Course Leader-- America’s Promise School Project
Office: #203 Edwards Hall e-mail:
Office phone: (309) 438-2381 Cell: 309-825-6869
America’s Promise Clinical Instructors: (in alphabetical order)Mary Volle Cranston, MS, RN, (as above)
Unit 5, Pepper Ridge and Fox Elementary Schools (Wednesday)
Unit 5, Normal Community and Normal West High Schools (Friday)
Denise Hammer, RNC, MSN, Instructional Assistant Professor
CUSD #19: Ridgeview School System(Wednesday )
Unit 5, Oakdale and Colene Hoose Elementary Schools (Friday)
Cell: 815-419-5676 Home: 815 692-3175
Office: Edwards 226 Phone: 309-438- Email: ;
Peggy Jacobs, RNC, CNM, DNP Assistant Professor
District 87: Bent Elementary and Raymond Early Childhood Center (Friday)
Cell: 309-825-8807 Home: 309-661-9148
Office: Edwards 215 Phone: 309-438-0843 Email:
Lynn Canal Kennell, RN, MS (as above)
CUSD #140—Davenport Elementary, Eureka Middle and High Schools(Wednesday)
Yvette Pigman, RN, MSN, APRN, Clinical Instructor America’s Promise School Project
District 87: Sheridan and Oakland Elementary Schools (Wednesday)
District 87, Bloomington High School (Friday)
Phone: (0ffice) 309-438-3023 (cell) 309-256-4576
Office: Edwards 111J Email:
Carla Pohl, CNM, DNP, Assistant Professor America’s Promise School Project
Unit 5: Parkside Junior High and Fairview Elementary Schools (Friday )
Office: #111D Edwards Hall Phone: (309) 438-2319
E-mail:
Nina Posada, RN, MSN, Instructional Assistant Professor
Unit 5: Brigham and Cedar Ridge Elementary Schools (Wednesday)
Phone: (Office) 309-438-3016 (Cell)
Office: Edwards: 111E Email:
Children’s Hospital of IL Clinical Faculty for Participative Observational Experience: these faculty will grade your care plan for this observational day. Whichever instructor you have will grade your nursing care plan.
Jenna Ford, MSN, APRN, CPN, PCNS-BC Clinical Instructor
OSF Children’s Hospital, Peoria, Ass’t Manager, General Peds
Office at CHOI: 309.624.0758 | cell: 309.645.3402:
No office on campus email: ; ;
Jessica M Fulton, MSN, APRN, NNP-BC Clinical instructor
OSF Children’s Hospital of Illinois, Neonatal Nurse Practitioner, NICU, Peoria
Cell: 309.624.0629
No office on campus E-mail: or
Jennifer Stouffer, APN, MSN, PCNS-BC Clinical Instructor
University of IL College of Medicine-Peoria Advanced Practice Nurse Pediatric Neurology
Cell: 815.530.4682
No office on campus Email: ;
Catalog Description:
Nursing care of children and families during the childrearing periods with emphasis on normal growth and development, and selected health problems of infants through adolescents.
Course Description:
This course focuses on the nursing care of children and families during the childrearing periods. Emphasis is placed on theory-based therapeutic nursing interventions for toddlers through adolescents and their families, and interventions that promote, maintain and restore health. Key content also includes child development theory, family theory, and selected health problems of children from infancy through adolescence.
COURSE OBJECTIVES:
By the end of the semester, you will:
1. Develop a holistic and individualized plan of care involving the child, family, and other members of the health care team.
2. Effectively communicate using all available information modes for assurance of quality nursing care to children and families.
3. Identify the significance of appropriate safety measures in the delivery of care for children and families in the hospital, home and community environment.
4. Design teaching-learning strategies that provide for anticipatory guidance and the health promotion needs of children and families.
5. Apply the critical thinking process to create developmentally appropriate, evidence-based, nursing interventions for children and families.
6. Explain the relationship of culturally competent nursing care to the pathophysiology, pharmacology, medical and nursing management across the pediatric health-illness continuum.
7. Evaluate health trends (ethical, legal, and regulatory) and their relationship to professional
nursing practice.
MCN’s Philosophy on Writing that supports ISU’s Writing Across the Curriculum Initiative.
MCN values writing as a critical thinking and communication skill for professional nurses. Clinical/theory assignments and clinical documentation need to be clear in meaning, with correct grammar and effective mechanics. All writing is evaluated as part of student grades and progression through the program. Students should recognize professional writing is a process which requires multiple drafts and the use of resources to improve the quality of the writing, such as peer reviews, faculty feedback, the APA Manual, the ISU Writing Center and self-assessment strategies.
Content Outline
CARE OF THE CHILD
I. Introduction to Nursing Care of Infants and Children
A. Nursing Roles
B. Standards of Care
C. Informed consent
D. Epidemiology in pediatric
E. Safety and health promotion
F. Variations in assessment of the child
G. Variations in Nursing Techniques for the Child
H. Pharmacology in children
I. Pain assessment of the child
J. Teaching-Learning Principles Related to the Child-Learner
K. Family Theory and Family-Centered Care
L. Cultural Influences on childbearing and childrearing roles
M. Political, ethical,, legal concerns in parent child nursing
II. Infancy
I. Infancy Problems—skeletal, developmental, GI & neural
A. Development Dysplasia of the Hip
B. Clubfoot
C. Cleft Lip and Palate
D. Down Syndrome
E. Tay-Sachs Disease
F. Skin abnormalities
G. Failure to thrive
H. SIDS
I. congenital GI defects
1. Pyloric stenosis
2. Tracheoesophageal fistula (TEF)
3. Hirschsprung’s disease
4. Intussusceptions
5. Gastroesophageal reflux disease in infants
6. Omphalocele & gastroschisis
7. Esophageal atresia & trachea-esophageal fistula
J. Neural tube Defects
1. Spina bifida
2. Meningocele & Myelomeningocele
3. Anencephaly
K. Alterations in Cardiac Status
1. Congenital Heart Defects
a) variations in physical assessment related to congenital heart defects
b) diagnostic procedures
c) acyanotic defects
d) cyanotic defects
e) nursing care of the family and child with a heart defect
2. Acquired heart disease
a) Kawasaki’s Disease
b) Nursing care of the child
II. . Toddler
A. Developmental milestones
B. Health assessment and promotion
C. Alterations in health during the toddler years
1. effects of illness
2. nurse’s role -- principles of care
D. Alteration in Respiratory Status
1. general principles of care of child with respiratory infection
2. upper airway obstruction/infection
a) otitis media, tonsillitis, epiglottitis, acute laryngeotracheobronchitis
3. lower respiratory infections: brochiolitis, RSV, pneumonia
E. Alteration in neurological status
1. Meningitis-- viral and bacterial
2. Seizure Disorders—Epilepsy
F. Alteration in elimination status: nursing care of the child
1. encopresis
2. enuresis
G. Alteration in fluid/electrolyte status: nursing care of the child
1. Vomiting
2. diarrhea
H. Alteration in hematologic status: nursing care of the child
1. Sickle Cell Anemia
2. Aplastic Anemia
3. Hemophilia
4. Idiopathic Thrombocytopenia Purpura
I. Health Problems of Early childhood
1. child neglect/ failure to thrive
2. child abuse—physical and sexual
3. nurse’s role in identification and reporting
III. Preschool Age
A. Developmental milestones
B. Health assessment and promotion
C. Alterations in health in the preschool years
1. Effects of illness
2. Nurse’s role
D. Chronic respiratory conditions
1. Asthma
2. Cystic Fibrosis
E. Renal and genitourinary conditions
1. Nephrotic syndrome
2. Hypospadias
3. Glomerulonephritis
F. Alteration in immunologic status
1. AIDS in children
2. AIDS in pregnancy
IV. School Age
A. Developmental Milestones
B. Health assessment and promotion
C. Alterations in health in the school age child
1. Effects of illness
2. Nurse’s role
D. Prevention care of children with communicable diseases
1. Varicella
2. Fifth’s Disease
3. Rubella
4. Rubeola
5. Roseola
6. Strep infection
E. Disorders affecting the skin
1. Scabies
2. Pinworm
3. Bacterial infections: impetigo & MRSA
4. Fungal infections: dermatophytoses (ringworm)
F. Cancer in children and the nurse’s role in planning care
1. Acute Lymphocytic Leukemia
2. Brain tumors
3. Osteosarcoma (bone tumors)
4. Wilm’s Tumor (tumor of the kidney)
G. Care of the dying child
H. Impact of attention deficit disorder/attention deficit hyperactive disorder (ADD/ADHD) on the school-age child
I. Alteration in musculoskeletal systems:
1. Muscular dystrophy
2. Cerebral palsy
J. Alteration in Immunological status:
1. Juvenile rheumatoid arthritis
V. Adolescence
A. Developmental milestones: physical changes, and psychosocial development
B. Health assessment and promotion
C. Alterations in health in the adolescent
1. Effects of illness
2. Nursing care management
3. Adolescent Pregnancy
a) Physical and psychosocial changes
b) Factors contributing to adolescent pregnancy
c) Risks to the adolescent mother
d) Nursing care management
4. Smoking
5. Substance abuse
6. Suicide
7. Scoliosis
CLINICAL SITES & EXPERIENCES
Nursing Care of Children is a course that offers a combined clinical experience with Public Health Nursing called the America’s Promise School Project. You are all in a school-based pediatric clinical setting, and your clinical experience will be a blended pediatric/public health clinical involving care of children in an assigned school over a 14 week period that comprises 112 clinical hours. Some of those hours will take place outside of the weekly 7 hour clinicals in a variety of settings and activities. You will each have one clinical day at the Children’s Hospital of Illinois (CHOI) in Peoria as a participative observational experience. Day care center participative observational experiences are also included. Clinical groups may have different experiences and activities depending on the community and school.
STUDENT RESPONSIBILITIES
1. Classroom participation is a part of your grade in this course. To participate you must attend class having prepared the materials for the day. There are unannounced class quizzes or case studies with points affiliated with them. (These points contribute to the Critical Thinking Exercises and Quizzes portion of your grade). Questions and comments made in class must be relevant to the topic at hand. Reading assignments must be completed prior to the class period. Certain class days have activities that must be completed before class in order to receive credit.
2. You are expected to be on time. Class starts promptly at 12:00AM. You should be in your seat and ready to begin class at this time. We will have a break in the middle of class. Class ends at 2:15pm. Packing up your things early is disruptive to others around you and to me.
3. Turn off and store away cells phones and all electronic devices (except laptops) unless permission has been granted.
4. Strong emphasis is placed on the application of theory to the clinical setting. A strong effort is made to correlate both to the school and hospital settings.
5. Clinical attendance is required. Clinical absences, injuries or accidents are handled according to policies stated in the Mennonite College of Nursing at Illinois State University Student Handbook. Please note that ALL community experiences are required clinical hours and must be accounted for.
6. Transportation to and from all clinical facilities is to be provided by the student. Due to the variety of facilities used, access to a car is essential.
7. Nursing care is to be planned for each child for whom the student gives care. Whether or not a written care plan is required is irrelevant. The student should have a mental plan of the child’s needs and priorities based on assessed patient/family data and knowledge of theory. Written work will be completed as directed by the clinical setting and instructor (see Course Calendar).
8. Students are expected to come to clinical prepared to be quizzed in both oral and written form. Common topics are meds, growth and development, and current classroom theory.
9. The America’s Promise School Project offers students scheduled opportunities to be in the school nurse’s office. Students are encouraged to participate actively in ‘acute encounters’ with students in the nurse’s office setting. On your day at CHOI, you will collaborate with clinical faculty in getting assignments on day of care. You will complete a physical assessment on at least one hospitalized child.
10. Guidelines are provided for the various clinical activities. Students are expected to become familiar with all guidelines provided, prior to clinical activities.
11. Patient information is considered confidential. Therefore this information may not be duplicated or discussed in any public setting for any purpose. Remember the HIPPA and FERPA Law!
12. The student is expected to demonstrate initiative and self- direction and to be active in the process of self-evaluation. This will be evident in reflection journals, a mid-term and final Clinical Practice Evaluation Tool (CPET).
13. ATTIRE for students in the clinical day at CHOI: The uniform for pediatrics is the MCN white polo or white top with black pants or skirt, MCN name tag, white socks/hose, and white shoes. The white lab coat may be worn if desired. Remember to wear a watch, bring scissors, hemostat, penlight, and stethoscope to every clinical in the hospital. In all settings, picture ID must be worn at all times. ALWAYS REMEMBER YOU ARE REPRESENTING THE COLLEGE WHEN YOU ARE OUT IN THE COMMUNITY AT ANY CLINICAL AGENCY, AND SHOULD BE DRESSED PROFESSIONALLY!
14. ATTIRE for America’s Promise School Project Clinical--Dress for this clinical will be dictated by the site. Either professional uniforms with white top, black pants, and lab coat or professional dress which does not include jeans or yoga pants. Standards for appearance are the same as prior clinicals regarding hair, dress, jewelry, etc. Remember to wear a watch with a second hand, bring your stethoscope, BP cuff, black ink pen, penlight and drug book with you for each clinical. Unless otherwise indicated, off-site visits are to be made in clinical uniforms with black scrub pants, white top, and white lab coats. In all settings, picture ID must be worn at all times. Purses should not be brought in to clinical. Lab coats over neat dress clothes and name pins are necessary on the clinical unit when doing assessments outside of clinical hours. Different school districts will have different ID badge requirements—please follow rules for your school district. ALWAYS REMEMBER YOU ARE REPRESENTING THE COLLEGE WHEN YOU ARE OUT IN THE COMMUNITY AT ANY CLINICAL AGENCY, AND SHOULD BE DRESSED PROFESSIONALLY! Sweatshirts and hoodies are NOT acceptable attire.