Lake-Sumter Community College
Course Syllabus
Course / CRN: / NUR 1023/ 20005 and 20015Course Title: / Nursing Foundations II
Course Description: / Students will be introduced to the health/illness continuum as they focus on health promotion, illness, and primary, secondary, and tertiary levels of preventative care. Students will explore community care issues and resources as well as the nursing role in disaster preparedness. The nursing process will be applied as students learn to meet end of life client needs.
Term: / SPRING 2013
Instructor: / NURSING FACULTY
Contact Information: / Available at www.lscc.edu/nursing under Department Directory
All students are required to use LakerMail for official college email communications. See the college webpage for instructions on activating LakerMail.
Office Hours: / Please refer to individual posted schedules on office door
Credit: / Three (3) semester hours
Prerequisites: / NUR 1022, NUR 1234, NUR 1234L, NUR 1820
Co-requisites: / NUR 1242C, NUR 1242L, NUR 1823
Required Reading Material: / Deglin, Judith H. and Vallerand, April, H. (2008). Davis’s Drug Guide for Nurses, 11th edition. Philadelphhia: F. A. Davis Company
Doenges, Moorhouse and Murr.(2007) Nurses Pocket Guide. 11th ed. Philadelphia, PA: F. A. Davis Company.
Ignatavicius and Workman. (2010). Medical-SurgicaNursing:. Patient- Centered Collaborative Care. 6th edition. St: Louis, MO: Elsevier Saunders.
Ignatavicius and Workman. (2010). Medical-Surgical Nursing. Patient-Centered Collaborative Care. Clinical Decision -Making Study Guide. 6th edition. St: Louis, MO: Elsevier Saunders.
James and Ashwill. (2007). Nursing Care of Children: Principles & Practice. 3rd edition. St. Louis, MO: Elsevier Saunders.
Lilley, Harrington and Snyder. (2011). Pharmacology and the Nursing Process. 6th edition. St. Louis, MO: Elsevier Mosby.
Pedersen. (2008). Psych Notes. 2nd edition. Philadelphia, PA: F. A. Davis.
Pickar. (2008). Dosage Calculations. 8th edition. Clifton Park, NY: Thomson Delmar.
Taber’s Cyclopedic Medical Dictionary (2009). 21st edition. Philadelphia, PA: F.A. Davis Company.
Townsend, Mary.(2010). Essentials of Psychiatric Mental Health Nursing. 5th edition Philadelphia, PA: F. A. Davis.
VanLeeuwen (2009) Davis’s Comprehensive Handbook of Laboratory and Diagnostic Tests with Nursing Implications 3rd edition. Philadelphia, PA: F. A. Davis
Wilkinson and Treas, (2011). Fundamentals of Nursing Volumes 1 and 2 2nd edition. Philadelphia, PA: F. A. Davis
Optional Texts / Dunham. (2008) How to survive Maybe Even Love Nursing School.
3rd ed. Philadelphia, PA: F. A. Davis.
Nugent. (2008) Test Success: Beginning Nursing Students.
5th ed. Philadelphia, PA: F. A. Davis.
Technology & Online Computer
Access Requirements: / Minimum requirements to access Evolve/Reach/Elsevier testing, remediation, case studies, simulation and textbook support resources. Must have access to IBM Compatible PC or Laptop with Win 2000 or XP, 500Mhz Pentium II-equivalent processor, and 256MB memory.
Student Learning Outcomes / Upon completion of this course of study,
the student will be able to:
1. Identify the roles of the Registered Nurse in a variety of community settings.
2. Develop a client-centered teaching plan to promote self care management and health.
3. Utilize the nursing process to identify the physiological and psychosocial needs of clients and their families at end of life.4. Identify the standards for safe medication administration.
5. Explain the role of the nurse and the interdisciplinary team in disaster planning and response to mass casualty.
Academic Integrity: / The successful functioning of the academic community demands honesty, which is the basis of respect for both ideas and persons. In the academic community, there is an ongoing assumption of academic integrity at all levels. There is the expectation that work will be independently thoughtful and responsible as to its sources of information and inspiration. Honesty is an appropriate consideration in other ways as well, including but not limited to the responsible use of library resources, responsible conduct in examinations, and the responsible use of the Internet. (See college catalog for complete statement.)
Philosophy of Teaching/Learning / It is the mission of this faculty to encourage an environment of active learning in this course material. We will, therefore, offer several modes of instruction to accommodate different learning styles. Our aim is to encourage active nonjudgmental participation in class through case studies, discussion, and experiential sharing. It is, therefore, the expectation that all students will arrive at class prepared to participate. Reading assignments should be completed before scheduled topic is discussed. Supplemental assignments to enhance the subject material are expected to be completed before class.
Important Information for
Students With Disabilities: / Any student with a documented disability who requires assistance or academic accommodations should contact the Office for Students with Disabilities immediately to discuss eligibility. The Office for Students with Disabilities (OSD) is located on the Leesburg Campus, but arrangements can be made to meet with a student on any campus. An appointment can be made by calling 352-365-3574 and specific information about the OSD and potential services can be found at www.lscc.edu, then go to “Quick Links” and click on Disability Services.
Privacy Policy (FERPA): / The Family Educational Rights and Privacy Act (FERPA) (20 U.S.C. § 1232g; 34 CFR Part99) is a Federal law that protects the privacy of a student’s education records. In order for your information to be released, a form must be signed and in your records located in the Admissions/Registrar’s Office.
Attendance /
Withdrawal Policies:
WITHDRAWAL
DATE: / Although attendance in class is not mandatory, the nursing program faculty believes that classroom attendance and active participation is critical to your educational success. Research findings demonstrate the educational efficacy of consistent class attendance. Many studies confirm a positive relationship between attendance and grades and conversely, class absences negatively affecting grades. Students will be asked to sign an attendance roster at the start of each class for purposes of program record keeping.
MARCH ___ 2013
Methods of Teaching-Learning / Study guide assignment sheets
Lecture / Discussion
Group participation & individual presentations
Reading & written assignments
Multi-media assignments
Online assignments
Guest speakers
Case Studies
Methods of Evaluation /
Four Exams – 16.75% each (total 67% of course grade)
Nine Discussions – 1 point each (total 9% of course grade)
Nine Online Assignment/ Quiz Submissions – 1 point each
Course Project- 5% of course grade
(Health Promotion/Teaching Learning Project)
MID-CURRICULAR HESI EXAM- 10% of course grade
Assessment & Grading: / 90%-100% = A
80%-89.9% = B
75%-79.9% = C
70%-74.9% = D
BELOW 70% = F
NOTE: YOU MUST OBTAIN A CUMULATIVE AVERAGE OF 80% ON ALL EXAMINATIONS INCLUDING THE HESI EXAM IN ORDER TO ADVANCE IN THE NURSING PROGRAM.
Exam Policy / ABSENCE FROM AN EXAM
In the event you must be absent from an exam or quiz you must notify your instructor prior to the exam time. Failure to notify the instructor prior to exam time will eliminate the opportunity to take a make-up and will result in a zero for that exam/quiz. With the above PRIOR notification the student will be allowed to schedule a make-up exam with the instructor. The make-up exam will be scheduled as soon as possible, but no longer than one week after the original exam date.
Failure to take the make-up exam as scheduled will result in a zero for that exam. The make-up exam will test the same content as original exam but will include different questions.
Any make-up exam taken after a scheduled exam will receive an automatic deduction of ten (10) points regardless of excused absence.
TARDINESS TO AN EXAM
Once an exam session has begun, students will not be allowed to enter the testing session, will be counted as absent, and will be required to schedule a make-up exam (see above policy)
Classroom Rules & Policies: / Arrive to class on time: Common courtesy requires that you arrive on time so as not to disrupt your instructor or fellow students. Faculty retains the right to refuse you entry to the classroom if you are late.
Arrive prepared for class: You will have class preparation assignments that will include textbook readings and may include other assignments as announced by the instructor. It is an expectation that you have completed those assignments before class and come to class prepared to participate actively.
Attire per your handbook: “Dress is to be appropriate to the learning environment and should not cause distraction to fellow students. Skimpy or suggestive clothing is unacceptable. Short shorts, short tops, halter tops, and jeans riding below boxer shorts are examples of inappropriate attire.”
Behavior: All students are expected to exhibit courteous, respectful, and attentive behavior in all classes and with all interactions with instructors and fellow students. Students exhibiting disruptive behavior will be dismissed from the classroom. Professionalism entails keeping an open mind and nonjudgmental attitude in academic and clinical interactions.
Electronics: Cell phones and beepers will be turned off during class. You may check your calls during class breaks. You may not be texting during class. You may use a computer in class for note-taking and classroom work only.
Syllabus Disclaimer: / Information contained in this syllabus is, to the best knowledge of this instructor, considered correct and complete when distributed to the student. The instructor reserves the right, acting within policies and procedures of Lake-Sumter Community College, to make necessary changes in course content or instructional techniques without prior notice or obligation to the student.
Course Content / Following are specific unit outcomes and content outlines for this course. Please refer to www.lscc.edu/nursing for course schedule and reading assignments.
MEDICATION MANAGEMENT
Unit Outcomes: Upon completion of this unit of study, the student will be able to:
Safe, Effective Care Environment
1. Interpret terms and abbreviations frequently used in medication administration.
2. Describe the Registered Nurse's legal responsibilities and liabilities in preparation and
administration of medications.
3. Identify the responsibilities of the nurse for each type of medication order.
4. Discuss principles of safe medication administration across the lifespan, including the six rights of medication administration.
Health Promotion and Maintenance
5. Develop teaching guidelines for clients regarding self administration of medications in
the home.
Physiological Integrity
6. Explain the principles of pharmacokinetics, including absorption, distribution,
metabolism, and excretion of drugs.
7. Describe factors that can affect a drug’s action.
8. Differentiate between allergic reactions, side effects, toxic effects, and idiosyncratic
reactions to medications.
9. Calculate appropriate dosage for medications as prescribed.
10.Explain the procedures for different methods of medication administration
including the choice of route and site.
CONTENT FOR MEDICATION MANAGEMENT
I. Legal aspects/regulation
A.controlled substances
B. prescription
C.OTC
D. investigational
E.MD orders
1. telephone
2.verbal
3. written
F. Documentation
1. routines
2. PRN's
3. MAR's
4. Kardex
5. Computerized
II. Basic Concepts
A. actions
B. pharmocokinetics
C. reading drug labels
D. classes of drugs
III. Preparing and Administering Meds
A.Forms of medications
1. powders
2.creams
3.solutions
4. ointments
5. gels
6. lotions
7.suspensions
8. tablets
9. emulsions
10. elixirs
11. granules
12. troches
13.time released / sustained release/extended release
14. pastes
15. patches
B. Routes
1. Oral
2.topical
3. intradermal
4.intramuscular
a.Z-track
5. subcutaneous
a. insulin administration
6.nasal
7. rectal
8. otic and opthalmic
9. inhalations
10.vaginal
IV. Monitoring drug therapy
A. Assessment
1. therapeutic effect
2.adverse effects
3.peaks and troughs
V. Intravenous (IV) therapy, peripheral
A. Equipment
1. administration sets
2. IV catheters
3.saline locks
4. solutions
B. Assessing intravenous sites
1. complications
C. Dressing changes
D.Accessing IV
1. flushing
2. hanging fluids
3. IV Piggy backs
4. setting infusion rates
a. flow control devices
E.Discontinuing IV therapy
F. Documentation
OXYGENATION
Unit Outcomes: Upon completion of this unit of study, the student will be able to:
Safe, Effective Care Environment
1. Describe physiological processes affecting the client's ventilation,
perfusion, and exchange of respiratory gases.
2. Assess the client’s oxygenation status.
Health Promotion and Maintenance
3. Develop nursing interventions that promote oxygenation.
4. Describe the impact of a client's level of health, age, lifestyle, and environment on tissue oxygenation.
Physiological Integrity
5. Interpret diagnostic testing related to oxygenation, breathing, circulation, and gas exchange
CONTENT FOR OXYGENATION
I. Respiratory Gas Exchange
A. Oxygen transport
B. Carbon dioxide transport
C. Regulation of respiration
II. Factors affecting oxygenation
A. Physiological factors
B. Conditions affecting chest wall movement
C. Alterations in cardiac functioning
D. Alterations in respiratory functioning
1. hyperventilation
2. hypoventilation
3. hypoxia
E. Developmental factors
F. Lifestyle factors
III.Assessment
A. Nursing history
1.fatigue
2. dyspnea
3. cough
4. wheezing
5. pain
6. environmental exposures
7.respiratory infections
8. risk factors
9. medications
B. Physical examination
C. Diagnostic tests
1. Ventilation and oxygenation studies
a.Pulmonary Function Tests
b. Arterial Blood Gas Tests
c.Pulse Oximetry
2. Visualizing Respiratory system
a. chest x-ray
b. bronchoscopy
c. lung scan
3. Basic cardiac monitoring
a. lead placement
b. cardiac cycle/wave form
IV. Acute Care
A. mobilization of pulmonary secretions
1. hydration
2. humidification
3. nebulization
4. chest physiotherapy
a.chest percussion
b. vibration
c. postural drainage
B. artificial airways
1. oral
2. tracheal
C.Promotion of lung expansion
1.positioning
2. incentive spirometry
3.chest tubes
D.Promotion of oxygenation
1.oxygen therapy
a. safety precautions
2. methods of oxygen delivery
a.nasal cannula
b.nasal catheter
c.transtracheal
d. masks
3. Breathing exercises
a. pursed-lip breathing
b.diaphragmatic breathing
VI. Home Oxygen Therapy
A. compressed gas cylinders
B. liquid oxygen systems
C.concentrators
NURSING CARE OF THE CLIENT AT THE END OF LIFE
Unit Outcomes: Upon completion of this unit of study, the student will be able to:
Safe Effective Care Environment
1. Discuss the legal and ethical obligations of the nurse with regards to end of life care.