Syllabus Handout
for
Winter2013
Adult Nursing IV
NURS 21407A & 7AN
INSTRUCTORS:Diana Blum, RN, MSN
Jane Miller, RN, MSN
1
Metropolitan Community College
Course Syllabus – 2013 Winter
COURSE IDENTIFICATION
Title:Adult Nursing IV
Prefix/Section: NURS 21407A
Credit Hours:5 credit hours, 3.5 hour lecture a week, 8 hours clinical per week.
Begins/Ends:Tuesday, December 3, 2013 to Tuesday, February 25, 2014
No-Class Days:December 24th and 31st
Meeting Day/Time:Tuesdays, 8:00 a.m. to 11:30 a.m.
Clinical, see clinical schedule for clinical times
Last Day to WithdrawTuesday, February 11, 2014
ClassLocation:SOC-Mahoney Bldg, RM 503/511
Lab Location:SOC-Mahoney Bldg, RM 505
Course Web Address:
CONTACT INFORMATION
Instructor Name:Diana Blum, RN, MSN
Office Telephone:402-738-4651
Cell Phone:402-320-7544
Email Address:
Website:/dblum3
Office Hours:Tuesdays, 11:00 a.m. – 3:00 p.m.
Wednesdays, 10:00 a.m. - 12:30 p.m.
Saturdays, 11:30 a.m. – 1:30 p.m.
Instructor Name:Jane Miller, RN, MSN
Office Telephone:402-738-4785
Email Address:
Office Hours:Mondays, 9:30 a.m. – 11:30 a.m.
Tuesdays, 11:30 a.m. – 4:30 p.m.
Nursing Program Tutor:Alice Ludwig
Office Telephone:402-738-4786
Email Address:
Office Hours:Tuesdays, Wednesdays & Thursdays, 11:00 a.m. – 3:00 p.m.
Office Location:SOC, Mahoney RM 513
Facsimile:402-738-4552
Academic Program Area:Health Careers
COURSE INFORMATION
Course Description
Adult Nursing IV is a continuation and advancement of pathophysiological manifestations treatment modalities, and nursing interventions through utilization of the critical thinking process and subsequent safe decision outcomes.
Course Prerequisites
NURS 2520, NURS 2410.
Course Objectives
1.Demonstrate an advanced understanding of each pathophysiological
manifestation, treatment modality, and advanced physiological realms through
case studies, discussion, lecture, and examinations by obtainment of 76% or
higher grades.
2.Demonstrate advancement toward critical thinking skills with subsequent safe
decision outcomes.
3.Demonstrate mastery of medication math calculations by obtainment of 100% on
exam (with total 3 attempts).
4.Demonstrate an understanding of pathophysiological modalities through safe,
competent care and the utilization of the nursing process.
5.Integrate knowledge from research as influences current and/or future practice.
Clinical Objectives
Refer to “NURS 2140 Clinical Evaluation” attached to this syllabus.
Required & Supplemental Materials:
Required textbooks:
- Nursing Diagnosis Handbook: A Guide to Planning Care: 9th ed Ackley ISBN: 9780232071503
- Laboratory and diagnostic tests, 8th ed, Corbett ISBN: 0132373327
- Davis’s Drug Guide for Nurses, 13th ED 2013, Vallerand, FA Davis ISBN:9780803628373
- Math for Nurses: Stassi, M; Kaplan publishing, 2nd ed ISBN: 9781607140474
- Mosby’s Dictionary of Medicine, Nursing and Health Professions. Mosby 2007, 8th ed ISBN: 978032304975
- Pearson package #0133158217 Ball ped, olds maternity, Osborn med/surg, Kozier ISBN: 9780133158212
- Pearson package #013313475X Osborn
- 2013 Intravenous Medications. Gahart, B. Mosby ISBN: 9780323084819
- Flip and See ECG, Cohn 4th ed Mosby 2012 ISBN: 9780323084529
- Pearson package 0133095940 Kozier + MNL 9th edition text with 9th ed MNL
ASSESSMENT OF STUDENT WORK
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, role-play, and questioning. Instructional strategies to be used may include: handouts, videos, and PowerPoints.
Instructional guides – will be used to stress important points for each lecture. The guides may be in various forms which may include critical thinking scenarios, questions, prioritizing, and concept mapping, for example.
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, assessment of skills in clinical settings.
Selected Testing/Assessment Methods:
Examinations/quizzes include multiple choice and more than 1 answer type questions. Written assignments include written nursing careplans or concept maps, and other written assignments appropriate to the clinical setting or classroom. Faculty observation of student completion of skills are primary methods of evaluating students in the clinical practicum setting.
Evaluation:
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
Student’s course grade will be determined as follows: / ATI – See ScheduleExam # 1 Diabetes (in class) 25 points / Renal paper – see schedule
Exam # 2 Renal (take home) 25 points / Tele project – see schedule
Exam # 3 ACS/Vascular 50 points
Exam # 4 Shock and Burn 25 points
Exam #5 Heme Exam 25 points
Exam # 6 Acid/Base Exam 50 points
Exam # 7 Respiratory Exam 50 points
Comprehensive Final 100 points
Unit exams are equivalent to 65% of the grade.ATI is equivalent to 5% of the grade.Renal Paper is equivalent to 5% of the grade. Tele project is equivalent to 5% of the grade. The final exam is worth 20% of the grade = 100 pts.
There will be no rounding of grades, i.e., a 75.7 = 75%. 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 period, the student must make up the exam prior to the next scheduled class date. Failure to do so will result in a zero for the exam. The student may miss one exam without penalty, as long as the test is made up within the specified time period. If the student misses more than one exam, the exam may be made up, but the maximum score allowed is 80% for the second missed exam, 50% for all others missed. 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.
ASSESSMENT OF STUDENT LEARNING PROGRAM:
MetropolitanCommunity College is committed to continuous improvement of teaching and learning. You may be asked to help us to accomplish this objective. For example, you may be asked to respond to surveys or questionnaires. In other cases, tests or assignments you are required to do for this course may be shared with faculty and used for assessment purposes.
INSTRUCTOR’S EXPECTATIONS OF STUDENTS
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:
Promptness: This is of high importance for success in this class. 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.]
REQUIRED ATTACHMENTS
1.SCHEDULE OF ASSIGNMENTS
2.IMPORTANT DATESNote: You may want to include a link Metro’s Academic Calendar at )
NURS 2140 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, journaling, and concept mapping.
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 assess knowledge base through observation, 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. 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.
NURS 2140
Class Schedule
Please Note for Exams: Expect incorporation of delegating, prioritizing and pharmacology questions throughout all exams. Exam questions may be obtained from all sources (textbook, study guides, lecture, powerpoints, videos, concept maps, and handouts).
Please Note for Lectures: Concept mapping may be utilized in the classroom. The class schedule is used as a guide and may need to be adjusted per Instructor discretion.
WEEK
1Dec. 3 Introduction to class. Diabetes Lecture/Renal Lecture.
2Dec. 10Diabetes Exam. Renal paper due. ACS Lecture. Pass out take home.
3Dec. 17Vascular Lecture. Take home due
4 Jan. 7ACS/Vascular Exam/Tele Lecture Project discussed/handed out.
5 Jan. 14IV & Shock & Burn Lecture. Tele project due.
6Jan. 21Shock exam/heme lecture.
7 Jan. 28Heme Exam. Fluid/Electrolyte Lecture.
8 Feb. 4Acid base Lecture.
9Feb. 11Fluid/Electrolyte & Acid Base Exams/Respiratory Lecture.
10Feb. 18Respiratory Exam/Review for Final
11Feb. 25Comprehensive Final
UNIT I – Critical Thinking, Prioritizing Patient Care, Diabetes,
and Biliary Disorders.
Objectives:
1.Differentiate pathophysiology, clinical manifestations of diabetic ketoacidosis (DKA) and
hyperosmolar hyperglycemic state (HHS).
2.Identify treatment modalities for DKA and HHS.
3.Review types of insulin, onset/duration, and precautions.
4.Identify differences in insulin absorption as to site of injection for subcutaneous administration.