SOUTHWESTERN MICHIGAN COLLEGE
SCHOOL OF NURSING AND HUMAN SERVICES
Dowagiac, Michigan
COURSE SYLLABUS
Fall Semester, 2010
COURSE TITLE: Maternal Nursing-Clinical COURSE NO: NURS 181
CREDITS/CONTACTS: Credit Hours: 3
Lecture Hours/week: 0
Laboratory Hours/week 16
A-T Hours/week: 0
FINAL EXAM
INFORMATION: To Be Announced
INSTRUCTOR(s): Debbie Green, RNC, BSN
Theresa Mondovics, RN BSN FACCE CPD
Office Hours: Variable
E-mail: (Debbie Green)
(Theresa Mondovics)
PRE-REQUISITE: NURS164 and previous or concurrent enrollment in NURS 178.
COURSE DESCRIPTION: This course explores the physiological, psychological and social changes which accompany pregnancy and the role of the nurse in nursing management. This course includes clinical experiences in obstetrical nursing.
CORE CURRICULUM: Not applicable
DISTRIBUTION REQUIREMENTS: Required for PN and ADN curricula.
NOTICE: Information in this syllabus, was to the best knowledge of the instructor, considered correct and complete when distributed for use at the beginning of the semester. The instructor, however, reserves the rights, acting within the policies and procedures of Southwestern Michigan College, to make changes in course content or instructional techniques without notice or obligation.
HONESTY POLICY
Cheating or plagiarizing will absolutely not be tolerated at Southwestern Michigan College. Any student found cheating or plagiarizing material in any manner may be assigned a failing semester/session grade in this course. A second such incident while at SMC could result in suspension or expulsion from the institution. A student found in violation of this section of the syllabus will not be allowed to drop this course. Additional detail regarding cheating and/or plagiarism may be found elsewhere in this syllabus. For more detailed information consult
the SMC Student Code of Conduct.
TEXTBOOK(s): London, M., Ladewig, P., Ball, J., Bindler, R., 2007. Maternal and Child
Nursing Care. Upper Saddle River, NJ, Pearson/Prentice Hall. 3rd edition.
Additonal Resources: Southwestern Michigan College Fred L. Mathews Library for references cited in the syllabus.
METHOD OF This course uses discussion, audio-visual materials, clinical conference
INSTRUCTION: presentations, selected readings, written assignments, demonstration and case studies.
EVALUATION: Upon completion of this course, the student will demonstrate achievement of the course objectives by obtaining a final minimum grade of seventy-eight (78%), as measured by teacher made quizzes, written assignments, and the clinical evaluation tool.
The final evaluation is the responsibility of the instructor in assessing the student’s achievement of the course objectives.
EVALUATION All assignments are mandatory. All assignments must be completed to
METHOD: successfully complete the course. Failure to complete one assignment will result in failure of the course.
Clinical Performance 65%
Practicum 35%
Care Plans Included in Clinical Evaluation
Presentation Included in Clinical Evaluation
Total 100%
PROGRESSION Progression in the Nursing Program without interruption is determined
POLICY: academically by achieving a minimal grade of “C” (78%).
ATTENDANCE Attendance is mandatory. Notification of instructor prior to absence/
POLICY: tardiness is mandatory. See the School of Nursing Student Handbook for Specific guidelines.
TESTING Students are expected to take all examinations as they are scheduled.
POLICY: Make-up policy with regard to examinations is described in the School of Nursing Student Handbook.
Representative student work will be used as part of SMC’s on-going
curriculum assessment program
OTHER COURSE The student is expected to have read the material to be covered in class
EXPECTATIONS: PRIOR to class.
Examinations will cover material from audio- visual materials, lecture, reading assignments, and handouts. Therefore, the student is expected to study these sources of material thoroughly.
All phones, iPods, Black Berries, palm pilots, pagers, laptops and other technological devices including devices capable of taking photographs must be turned off or placed on vibrate mode and may not be brought out during class. If you are expecting or receiving an urgent call, you are required to leave the classroom before answering. Violation of this policy will result in your removal from the classroom for the class period. Multiple violations of this policy will be referred to the appropriate dean for disciplinary action. Further details or ramifications of violations maybe found elsewhere in this syllabus. The instructor has the right to modify this policy to meet the needs of your course.
SECTION THREE
GRADING POLICIES
GRADING SCALE: The following grading scale is enforced in the nursing program:
A Excellent 96-100%
A- 93-95%
B+ 90-92%
B Good 87-89%
B- 84-86%
C+ 81-83%
C Average 78-80%
C - 75-77%
D+ 72-74%
D 69-71%
D - 66-68%
F Below 66%
W Withdraw, no credit awarded
X Audit, no credit awarded
I Incomplete, no credit awarded
Grades below 78% ARE NOT considered passing.
CLINICAL
EXPECTATIONS
LEVEL ONE:
1. Provides direct care, based on the nursing process, for clients with common well-defined nursing diagnoses, within a structured health care setting, under the supervision of an experienced registered nurse, doctor, or dentist.
2. Utilizes basic therapeutic communication skills when interacting with clients, families, and other health care team members along the continuum of care.
3. Implements and modifies standard teaching plans for clients under the supervision of a registered nurse.
4. Organizes basic aspects of care for clients with common health needs within structured care settings.
5. Demonstrates responsibility and accountability to the profession of nursing as well as utilizing nursing research findings
GUIDELINES FOR
WRITTEN WORK:
1. Assignments are neatly typed, with proper grammar and spelling, following college level requirements for written work. Written work that is below a college level of performance regarding grammar, punctuation, spelling, or sentence structure will not be acceptable.
2. Assignments are due on the day designated or before if preferred. See the School of Nursing Student Handbook for rules regarding late written assignments.
3. Clinical presentations must include a written paper that will be
submitted to the instructor at time of presentation. Paper will
be in APA format.
NURSING 181
MATERNAL NURSING
CLINICAL RESPONSIBILITIES FOR THE STUDENT
1. The student will report to hospital clinical institution scrubbed and in appropriate dress by 6:30 am.
2. After receiving the assignments for the assigned clinical time, the student will check the unit cardex for client information. It will be helpful to read the assigned client's chart for the past twenty-four hours.
3. The student should check to see if the client has any laboratory tests or procedures scheduled. The student is responsible for gaining information about any test or procedure ordered for the assigned clients.
4. Bedrails are to be up at all times unless otherwise designated by the clinical agency's policies. Any student leaving a bedrail down for an occupied bed will be subject to discipline and/or dismissal from the program.
5. Students are not allowed to leave the floor for any reason without first obtaining permission from the instructor. It is the student's responsibility to find another student who will be responsible for their client's care if the student leaves the floor with permission from the instructor.
6. Students should refer all questions to the instructor for clarification unless in extreme emergencies and then consult with the head or charge nurse.
7. No medicines will be passed without direct supervision by the nursing instructor. No medicine will be passed by the student when those medicines have been set up by another nurse. No medicines will be given by the student until he/she either has passed Pharmacology, or has shown proficiency in the Pharmacology lab (has been given permission from the Pharmacology instructor to pass medications.)
8. Students are to chart off for their shift, report off to the appropriate personnel, and be dismissed by their instructor from the clinical instruction.
9. No more than thirty minutes is allowed for lunch. Students are not to leave the premises during this time.
10. Charting must be checked by the instructor before being entered into the assigned client's chart and must be signed by student.
11. The student is expected to maintain good rapport with the clinical institution's personnel.
12. Any student leaving the assigned clinical area and leaving his/her client unattended (during break or lunch) or in a compromising situation will be subject to disciplinary action.
13. The student is responsible to check the client's chart often for possible changes in orders. The student will not take any verbal or telephone orders from a physician or any other health personnel.
14. The student is not permitted to leave the clinical institution during clinical hours unless released by his/her instructor.
NURSING 181
MATERNAL NURSING
CLINICAL EVALUATION OBJECTIVES
AREA ONE: Direct Care Competency
1. Theory Application
Applies theory knowledge on a beginning level.
-Demonstrates a basic knowledge of client's disease process.
-Identifies basic scientific principles when performing procedures.
-Identifies Nursing Implications
2. Safety
Demonstrates application of safety principles.
-Provides a safe environment for clients and other members of the health care team
-Uses medical and surgical aseptic principles and techniques during client care.
Prepares medication safely on a beginning level
-Uses the five rights of medication administration
-Identifies the medication classification
-Identifies the medication action
-Identifies the medication side effects
-Identifies nursing implications
Administers medication safely on a beginning level
-Charts medication after administration
-Evaluates effectiveness of the medication
-Charts the effectiveness of the medication
-Verifies the time the last dose has been given
-Identifies appropriate lab data as related to meds
3. Nursing Process
Uses the nursing process on a beginning level.
-Collects subjective and objective data from various sources (physical assessment, psychological assessment, client family, record, etc.).
-Assists in selecting an appropriate nursing diagnosis from the established list.
-Prioritizes selected nursing diagnoses using knowledge from nursing and
supporting courses
-Implements plan of care.
-Assists in evaluating developed plan of care.
AREA TWO: Communication Competency
1. Communicates effectively with clients on a beginning level
-uses appropriate communication techniques to initiate and maintain the nurse/client relationship
-uses clear, understandable, appropriate language when communicating with client
2. Communicate effectively with health care team on a beginning level
-collaborates with health care team in planning and evaluating client care
-initiates interaction with the instructor and/or staff.
-reports significant changes in client’s health status to health care team
members during assigned clinical time
-appropriately reports client’s health care status information at the end assigned clinical time
3. Documentation
Documents pertinent information in the client’s health care record on a beginning level
-records data that is complete, concise, descriptive and relevant to the client and disease process
-maintains accurate and current data on pm client’s flow, graphic, and/or medication sheets
-uses correct grammar, spelling and punctuation
AREA THREE: Teaching Competency
Implements and modifies standard teaching plans
-assesses client’s need for teaching
-follows appropriate steps in correct order
-demonstrates smooth and efficient performances
AREA FOUR: Management Competency
1. Demonstrates basic management skills
-prepares for clinical experience prior to assigned clinical time
-completes assigned care prior to or in allotted time
-prioritizes care according to client’s needs
2. Performs technical skills according to standards of care
-organizes equipment in advance to promote efficiency
-follows appropriate steps in correct order
-demonstrates smooth and efficient performance
AREA FIVE: Professional Competency
1. Demonstrates responsibility and accountability to the profession of nursing.
-seeks input to improve performance and utilizes suggestions to improve performance
-assumes responsibility for maintaining own clinical competence
-conveys a professional attitude
-delivers all written assignments on due date
-practices within the legal and ethical parameters of nursing
TERMS USED ON THE O. B. FLOOR
1. Antepartum/Intrapartum 22. Umbilical Cord
2. Postpartum/Puerperium 23. Bag of Waters (BOW)
3. Perineum 24. Rupture of membrances (ROM)
4. Episiotomy 25. Amniotomy
5. M. L. – midline 26. SROM (spontaneous rupture of membranes)
6. LML or (left or right mediolateral 27. AROM (artificial rupture of membranes)
7. Fundus 28. PROM (premature ruptured membranes)
8. Lochia (rubra, serosa, alba) 29. Perineal prep
9. Homan’s Sign 30. Show
10. Tubal ligation 31. Fetal heart tones (FHT) 120-160
11. LMP 32. Circumcision
12. EDC 33. SVE (Sterile vaginal exam)
13. Sitz bath 34. Amniocentesis
14. Cesarean Section 35. Bonding/enface
15. Gravida 36. Apgar score
16. Para 37. Birthing room
17. AB 38. Dilation/effacement
18. LC (Living children) 39. Involution
19. SB (Stillbirth) 40. Molding
20. Contraction 41. Naegele’s rule
21. Fetus
DRUGS USED IN OBSTETRICS
Please be familiar with the following drugs. Should you administer any of them while in the clinical area you will be expected to know the action, side effects, and usual dosage.
Ferrous sulfate Dermoplast/Americaine
Compazine Sufenta
Darvon Dulcolax
Demerol Fleet’s Enema
Phenergan Colace
Vistaril Doxidan
Tylenol Keflex (Kefzol)
Toradol Ampicillin
Lidocaine (Xylocaine) Aqueous Penicillin
Apresoline Meruvax (Rubella vaccine)
Magnesium sulfate D-Immune (Rho-Gam)
Phenobarbital Terbutaline (Brethine)
Tylenol #3 and #4 Hepatitis B vaccine
Methergine Hepatitis B immunoglobin
Reglan Aqua Mephyton
Cytotec Erythromycin Ophthalmic ointment
Pitocin Sodium Bicarbonate
Hemabate Motrin
Stadol Dextrose
Nubain Narcan
Cervidil Calcium Gluconate
LABOR AND DELIVERY NURSERY
Observe and assist ONLY……
Admission History Admission
Cleansing Enema Weight
Time contractions Measurements
Take Vital Signs Apical pulse & Respiration
Give emotional support Shift assessment
Gestational age assessment
Initial bath
Daily care
Observe Delivery
May assist … Bathing Baby
Immediate care of newborn Charting
Footprints Temperature
Admission medications Weight
I. D. bands Bottle Feeding
Suctioning Observe circumcision
Assist with Breast Feeding Bilirubin light
Incubator with oxygen
Bath demonstration
Discharge teaching
Apical pulse & resp
POSTPARTUM
Admission form delivery
8-point assessment
Pass Medications
Post-op care of C-section
Catheterization
Suppository
Enema
Sitz Bath
Pre-op check list
Discharge Summary A-V MATERIALS
Video on newborn assessment
Video on fetal monitoring
Video on the post-partum period
Video on Labor and Delivery
NURSING 181