SYLLABUS HANDOUT

FOR

Winter 2013

Adult Nursing V

NURS 2150 9A

INSTRUCTOR: Diana Blum, MSN RN

WELCOME TO METROPOLITAN COMMUNITY COLLEGE

MetropolitanCommunity College

Course Syllabus – Winter 2013

COURSE IDENTIFICATION

Title:Adult Nursing V

Prefix/Section: NURS 2150 9A

Credit Hours:5 credits (3 hrlecture/week, 9hrs/wk clinical)

Begins/Ends/No-Class Days:Saturday, December 7, 2013 to February 22, 2014

Meeting Day/Time:Saturdays,8:00 a.m.-11:00 a.m.

Last Day to Withdraw:Saturday, February 8, 2014

No Class Days:December 28, 2013

Delivery Type:Classroom

ClassLocation:SOC-Mahoney Bldg, RM 503/511

Lab Location:SOC-Mahoney Bldg, RM 505

CONTACT INFORMATION

Instructor Names:Diana Blum, MS RN

Office Telephone:402-738-4651

Email Addresses:

Office Location:SOC-Mahoney Bldg, RM 513

Facsimile:402-738-4552

Office Hours:Tuesdays, 11:30 a.m. – 3:00 p.m.

Wednesdays, 10:00 a.m. – 12:30 p.m.

Saturdays, 11:30 a.m. – 1:30 p.m.

Academic Program Area:Health Careers

Nursing Program Tutor:Alice Ludwig

Office Location:SOC-Mahoney, RM 513

Office Telephone:402-738-4786

Email Address:

Office Hours:Tuesdays, Wednesdays & Thursdays, 11:00 a.m. – 3:00 p.m.

COURSE INFORMATION

Course Description: Adult Nursing V is a continuation and advancement of previous content and includes the following content areas as well as treatment modalities, and nursing interventions; perioperative nursing, bariatrics, emergency, trauma, mass casualty, bioterrorism, neurological disorders, musculoskeletal and connective tissue diseases, endocrine disorders, infectious disease, immune dysfunctions, cancer, end of life and transplantation. The critical thinking process will be utilized with subsequent safe decision outcomes. A clinical component is included.

Course Prerequisites: Successful completion of NURS 2140, 2310, 2410, and NURS 2520.

Co-requisite: NURS 2210

Course Objectives: At the completion of this course the nursing student should be able to:

1.Identify the nursing management of the perioperative patient including special needs of

the bariatric patient in relation to roles and responsibilities of the RN.

2.Evaluate the emergency nurse’s role in triaging, critical thinking, and prioritizing patient interventions.

3.Implement assessment and prioritizing in the nursing management of the trauma patient.

4.Identify assessment and nursing interventions in the management of neurological, musculoskeletal and connective tissue disorders..

5.Identify pathophysiological manifestations and nursing interventions for endocrine, infectious,immune dysfunctions, and hepatic disorders.

6.Explain the role of the RN in end of life care incorporating cultural and religious beliefs as appropriate.

7.Explain transplant criteria, potential complications, and prophylaxis treatment for heart, kidney, bone marrow, corneal, and liver organs.

8.Identify the role of the RN in treatment modalities utilizing the nursing process.

9.Demonstrate critical thinking skills with subsequent safe decision outcomes.

10.Demonstrate an understanding of pathophysiological knowledge through safe, competent care, utilization of the nursing process and the evaluation of nursing interventions.

11.Discuss the integration of knowledge from research as it influences current and/or future practice.

Clinical Component:

Clinical experience will take place in the hospital setting and will include medical-surgical units, intensive care units, surgery, emergency room, and recovery room.

Clinical Objectives:

Refer to NURS 2150 Clinical Evaluation Form attached to this syllabus.

Required & Supplemental Materials:

Required textbooks:

  1. Nursing Diagnosis Handbook: A Guide to Planning Care: 9th ed Ackley ISBN: 9780232071503
  1. Laboratory and diagnostic tests, 8th ed, Corbett ISBN: 0132373327
  1. Davis’s Drug Guide for Nurses, 13th ED 2013, Vallerand, FA Davis ISBN:9780803628373
  1. Math for Nurses: Stassi, M; Kaplan publishing, 2nd ed ISBN: 9781607140474
  1. Mosby’s Dictionary of Medicine, Nursing and Health Professions. Mosby 2007, 8th ed ISBN: 978032304975
  1. Pearson package #0133158217 Ball ped, olds maternity, Osborn med/surg, Kozier ISBN: 9780133158212
  1. Pearson package #013313475X Osborn
  1. 2013 Intravenous Medications. Gahart, B. Mosby ISBN: 9780323084819
  1. Flip and See ECG, Cohn 4th ed Mosby 2012 ISBN: 9780323084529
  1. Pearson package 0133095940 Kozier

COURSE ASSESSMENT

Methods of Instruction:

Classroom – A variety of teaching strategies may be used in presenting theory content, such as: case study, discussion, exams, guest speakers, lecture-discussion, concept mapping and questioning. Instructional strategies to be used may include: Handouts, video, powerpoints, and study guides.

Methods of Assessing Student Progress:

Student progress is evaluated using a variety of methods including written examinations/quizzes, clinical observation of client care, written process recordings, nursing care plans, charting, and assessment of skills in clinical settings.

Selected Testing/Assessment Methods:

Examinations/quizzes include multiple choice or essay. Written assignments include written nursing careplans or concept maps, and other written assignments appropriate to the clinical setting. Faculty observation of student completion of skills are primary methods of evaluating students in the clinical practicum setting.

Evaluation:

FINAL COURSE GRADE

300 Points 65% of grade= 6 Unit Exams, 50 questions each

100 Points 20% of grade= Final exam, 100 questions

160 Points 5% of grade= ATI

100 Points 5% of grade= OR Paper

100Points 5% of grade= Megacode

760 Points 100%

Final course grades are based on the following letter scale:

93-100 = A

84-92 = B

78-83 = C

70-77 = D

Below 70 = F

There will be no rounding of grades, i.e., a 77.7 = 77%. A final course grade of 78% is required to continue in the program.

Clinical will be graded on a satisfactory/unsatisfactory basis. Refer to clinical evaluation attached to this syllabus. Students must obtain satisfactory on all assignments, and skills performances to obtain a satisfactory evaluation for the clinical component. Students must pass the math exam with a 100% before they can pass medications on the unit. Students are allowed three attempts to pass the math exam with a 100%. Failure to pass the exam after three attempts will result in failure of the course.

To satisfactorily complete a nursing course, the student must receive a “C” (78%) or above in the theory course and a pass in the corresponding clinical component. Failure by a student in either theory or clinical will necessitate repeating the entire course (both theory and clinical components).

Make-up Test Procedures:

If it is necessary to be absent during an assigned test/quiz period, the student must make-up that exam/quiz prior to the next scheduled class date (i.e., if the missed test is on Wednesday, the test must be made up PRIOR to the next Wednesday). Failure to do so will result in a zero for the examination. The student may miss one exam/quiz without penalty, as long as the test is made up within the specific time period. If the student misses more than one exam/quiz, the exam/quiz may be made up, but the maximum score allowed is an 80%. Any further exams missed will be a maximum of 50%. The instructor may choose to administer an essay exam to those students who miss exams on the scheduled time. The final examination must be taken on the scheduled date and at the scheduled time.

Students may not enter the classroom after the testing has begun. If the student is not in the classroom when tests are being distributed the student must follow the provision for make up test procedures.

When necessary to make up an examination, it will be placed in the testing center. It is the student’s responsibility to make an appointment and take the test within the specified period of time.

Exceptions to these guidelines may be considered, but only if the student consults with the instructor in advance.

Late Assignments:

Assignments are expected to be completed and turned in by the dates stipulated on the course calendar and the individual instructor due dates. It is the responsibility of the student to notify the clinical/course instructor of any delay in meeting the stated/written deadlines. Habitual lateness in handing in assigned work can contribute to course failure.

Maintenance of Student Records:

Examination reviews will be held following all student completion and/or grading of scheduled exams. Courteous and respectful behavior is expected of every student present to facilitate the learning experience afforded by the review. Students may request to review the exams individually, by appointment. Appointments must be made individually with faculty of the course. Course faculty will keep all exams/quizzes.

Every effort will be made to return all tests and written assignments in a timely manner for review.

STUDENT EXPECTATIONS

Methods of Learning:

Students are expected to participate in all theory and clinical sessions. Assigned readings are to be completed prior to attending the class/clinical session scheduled for the specific topic. Written assignments, theory, and clinical assignments must be completed by specified dates. Due dates for written theory assignments and some clinical assignments will be on the class schedule. Due dates for written clinical assignments will be given with clinical information if not on class schedule. Assignments not handed in by the due date will receive a zero, and will not be accepted.

Pre-clinical lab preparation is a must. Students are expected to come to the clinical practicum setting prepared to give care to their clients. Being prepared includes such things as looking up medications, knowing the diagnosis of the clients, being prepared to do procedures/treatments, having data related to prior laboratory and previous assessments completed before clinical, and having a written plan of care. Faculty will provide students with clinical expectations the day of orientation to the clinical facility. Students not prepared for clinical assignment, will be sent home and will be subject to the clinical attendance policy per the Nursing Program Policy/Procedure Student Manual.

Class Attendance:

Each student is expected to recognize the importance of class attendance and promptness. If a student should miss a class for any reason he/she is expected to cover, on his/her own, the material he/she missed. All work must be made up to the satisfaction of the instructor involved. For absences on days when exams/quizzes are given, refer to section related to “makeup test procedure”. It is the student’s responsibility to notify the Instructor immediately if the student is unable to attend class. If a student demonstrates unprofessional behavior in the classroom, the student will be asked to leave. Frequent tardiness and early departures from class can contribute to course failure.Students who attend no class meetings up to and including the Section Census Date published in the Class Schedule at may be disenrolled from the class. There is no appeal for this disenrollment.

Clinical Attendance:

Refer to Attendance Policy in the Nursing Policy/Procedure Student Manual

WX: After the first class meeting and through the Census Date, the instructor will disenroll (WX) students who have never attended. The Census Date is listed under the Important Dates for the course in the official Class Schedule at

FX is a final grade given to a student who stops attending a class (participating in a class if it's an online class), does not return, and fails.

COMMUNICATION EXPECTATIONS:

When you communicate with others in this course, you must follow the Student Code of Conduct ( which calls for responsible and cooperative behavior. Please think critically, ask questions, and challenge ideas, but also show respect for the opinions of others, respond to them politely, and maintain the confidentiality of thoughts expressed in the class. You may also wish to review information at

RECORDING IN THE CLASSROOM:

Students may not video or audio record class sessions without the instructor’s knowledge and permission. If recording of class sessions is authorized as a reasonable accommodation under Americans with Disabilities Act (ADA), the instructor must have the appropriate documentation from College Disability Support Services. Permitted recordings are to be used only for the individual student’s educational review of the class session and may not be reproduced, posted, sold or distributed to others. Students who violate this policy are subject to disciplinary procedures as outlined in the Student Conduct Code.

ACADEMIC HONESTY STATEMENT:

Students are reminded that materials they use as sources for classwork may be subject to copyright protection. Additional information about copyright is provided on the library website at or by your instructor. In response to incidents of student dishonesty (cheating, plagiarism, illegal peer-to-peer file sharing, etc.), the College imposes specific actions that may include receiving a failing grade on a test, failure in the course, suspension from the College, or dismissal from the College. Disciplinary procedures are available in the Advising/Counseling Centers or at

STUDENT WITHDRAWAL:

If you cannot participate in and complete this course, you should officially withdraw through My Services on the MCC My Way portal at or by calling Central Registration at 402-457-5231 or 1-800-228-9553. Failure to officially withdraw will result in either an attendance-related failure (FX) or failing (F) grade. The last date to withdraw is noted in the CLASS IDENTIFICATION section of this syllabus.

LEARNING SUPPORT

MCC's AcademicResourceCenters, MathCenters, and WritingCenters offer friendly, supportive learning environments that can help students achieve educational success. Staff members in these centers provide free drop-in assistance with basic computing, reading, math, and writing skills. Self-paced, computer-assisted instructional support in reading, vocabulary, typing, English as a Second Language, and online course orientation is also available.

Detailed information about the Academic Resource, Math, and WritingCenters is in the Student Handbook, College Catalog, and online at

ACCOMMODATIONS FOR STUDENTS WITH DISABILITIES:

Metropolitan Community College will provide reasonable accommodations for persons with documented qualifying disabilities. It is the student’s responsibility to request accommodations from Disability Support Services (DSS) located in each Student Services Office. After students have arranged for accommodations with DSS, the student and instructor should privately discuss these accommodations. For further information, please contact DSS or visit

TECHNOLOGY SUPPORT

For assistance with student email, passwords, and most other MCC technology, contact the Help Desk at 457-2900 or .

TECHNOLOGY RESOURCES:

By using the information technology systems at MCC (including the computer systems and phones), you acknowledge and consent to the conditions of use as set forth in the Metropolitan Community College Procedures Memorandum on Acceptable Use of Information Technology and Resources. It is your responsibility as a student to be familiar with these procedures. The full text of the Procedures Memorandum may be found at the following website:

[Other pertinent college policies are posted on the CDS website ; it is suggested, but not required, that they be attached to your syllabus.]

*Note: If you have not logged in before, your initial password is the first initial of your first name (in UPPERCASE), the first initial of your last name (in lowercase), followed by your student ID number with leading zeros to make the password 9 characters long. For example, if your name is Chris Doe and your student ID number is 1234, your initial password will be Cd0001234.

Notice: This syllabus is written as an expectation of class topics, learning activities, and expected learning outcomes. However, the instructor reserves the right to make changes in this schedule that may result in enhanced or more effective learning for students. These modifications will not substantially change the intent or objectives of this course and will be done within the policies and guidelines of MetropolitanCommunity College.

NURS 2150 Clinical Component

Location:

Assignments to clinical facility in the acute care setting.

Clinical focus:

Hierarchy of needs, the nursing process, communication, safety, advancement of clinical skills, advancement of assessment skills, along with advancement of the understanding of pathophysiology to include medications, labs, diagnostic tests, and other significant data.

Preceptor Experience:

Students may be assigned clinical experience with an RN preceptor. Refer to following page for specifics.

Clinical Methods of Instruction:

A variety of teaching strategies applicable to the clinical experience will be utilized such as patient care, case study, demonstration, return demonstration, discussions group and/or individual, individual supervision, pre/post conferences, and journaling.

Emphasis in Clinical Experience:

Safety is the emphasis in all areas of patient care to include but not limited to; medication administration and physiological cares.

Assessment of Clinical Student Progress:

The instructor will observe and assess knowledge base through discussion and questioning during patient care. Pre and post conferences will be utilized to assess knowledge base through discussion. The written patient care plan, pre-lab data and ongoing patient care data will be assessed. Medication administration safety will also be an important area of patient care that will include verbal questioning and direct observation as to action, therapeutic response, side effects, and proper administration.

Assessment Methods:

The student will be evaluated daily/weekly and will receive a satisfactory (S), or not observed (NO) or not applicable (NA) on the clinical assessment sheet based on quality of clinical performance by your clinical instructor. The student must achieve a satisfactory for each objective by the end of the clinical components. If the student does not achieve a satisfactory for each objective by the end of the clinical experience this indicates that the objectives was not met and therefore constitutes a clinical failure. Pre-lab requirements must be completed before the clinical experience. Pre-lab forms and clinical forms must be completed and submitted weekly. Students are responsible for completion of all assignments. The student must successfully complete clinical to pass the course. The student will participate in self-evaluation during the quarter.

Metropolitan Community College

Clinical Experience/Preceptor Supervision

Goal: -Enhance learning on the clinical site, increase collegiality with staff nurses, smooth

transition to RN role.

-Build self-confidence

-Develop problem-solving, critical thinking, and application of theory to practice

-Develop time management and organizational skills

Student nurse role:

-formulate individualized learning objectives and share such with staff RN

-self-directed learner along with self-assessment development

-develop effective communication skills

-develop critical thinking, problem solving skills

-develop clinical skills and prioritizing skills

Assigned staff RN role:

-develop learning experiences congruent to student’s objectives

-communicate with faculty as to student’s progress