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UNIVERSITY OF FLORIDA
COLLEGE OF NURSING
COURSE SYLLABUS
SUMMER - 2011
COURSE NUMBER NGR 6243, Section 8452
COURSE TITLE Adult Acute Care Nurse Practitioner 2
CREDITS 04
PLACEMENT DNP Program: Adult Acute Care Nurse Practitioner (ACNP) Track
PREREQUISITES NGR 6241: Common Adult Health Problems
NGR 6242L Adult Acute Care Nurse Practitioner 1
NGR 6052C: Diagnostics & Procedures for Adult Nursing
NGR 6230C: Adult Acute Care Nurse Practitioner: Diagnostics
& Procedures for Acutely III Adults
Current ACLS Certification
CO-REQUISITES NGR 6243L: Adult Acute Care Nurse Practitioner 2
FACULTY / OFFICE / PHONE / OFFICE HOURSRosalyn R. Reischman, DSN, ARNP
Clinical Assistant Professor
/ 3rd Floor
LRC-HSC
Jacksonville / (904) 244-5175
(904) 887-4232 / Mondays
2:00-4:00 PM and
By appointment
Lori Thomas, PhD, ARNP
Clinical Assistant Professor
/ HPNP 3225
Gainesville / (352) 273-6390
(352) 284-1641 / Wednesdays
10:00–12:00 PM and
By appointment
DEPARTMENT CHAIR
Joyce Stechmiller, PhD, ARNP
/ HPNP 3222Gainesville / (352) 273-6370
/ By appointment
JACKSONVILLE CAMPUS DIRECTOR
Andrea Gregg, DSN, RN
/ 3rd Floor
LRC-HSC
Jacksonville / 244-5172 / By appointment
COURSE DESCRIPTION This is one of two courses that provides the student with in-depth knowledge of advanced nursing practice management of acutely and critically ill adults from diverse populations. Emphasis is on the utilization of relevant theories, critical thinking, and evidence-based knowledge to formulate differential diagnoses, diagnoses, treatment plans, and optimal outcome parameters for physiologically unstable adults who have complex acute and critical health problems, are technologically dependent, and are at high risk for developing complications. The focus of this course is complex cardiovascular, pulmonary, hematological, renal, and commonly occurring health care problems in acutely and critically ill adults.
COURSE OBJECTIVES Upon completion of this course, the student will be able to:
1. Apply knowledge from health, psychological, and social sciences to formulate management plans for adults from diverse backgrounds with selected complex acute and critical health care problems.
2. Develop appropriate differential diagnoses and diagnoses based on analysis and interpretation of hypothetical data including history, presenting symptoms, physical findings, and diagnostic information for adults with complex acute and critical health care problems.
3. Formulate treatment plans, with emphasis on safety, cost, invasiveness, and efficacy, for adults with selected acute and critical health care problems.
4. Formulate treatment plans based on current scientific rationale, evidence-based and practice guidelines and standards of care for adults with selected complex acute and critical health care problems.
5. Propose parameters to evaluate the effectiveness of management plans in achieving optimal outcomes for adults with selected complex acute and critical health care problems.
6. Discuss collaborative processes of the interdisciplinary health care team in facilitating the acutely and critically ill client’s progress toward maximum functional health.
7. Critique research related to complex health care problems.
8. Analyze diversity issues related to adults with complex acute and critical health care problems.
9. Discuss client and family issues related to end of life care.
COURSE SCHEDULE
Day Hours Time Room
Exams* 1.5 each 0900-1030 GVL: 1st floor NRC computer lab
JAX: Borland Library
Off site option (see evaluation section)
Weekly 5.75 Student Option Online lectures and learning
experiences
*4 exams on scheduled dates only (see course schedule)
CLASS TIME AND PREPARATION
This is a 4 credit hour theory course offered during the summer semester. The class is scheduled for 5.75 hours per week to compensate for the short 12 week semester (usual length = 16 weeks). As usual, to be successful in the course, it is expected that students spend at least 3 hours weekly preparing for each hour of academic credit, which translates in the summer semester to weekly class/web preparation time of 17.25 hours (including weeks with no classroom meeting due to holidays).
E-Learning is the course management system that you will use for this course. E-Learning is accessed by using your Gatorlink account name and password at http://lss.at.ufl.edu. There are several tutorials and student help links on the E-Learning login site. If you have technical questions call the UF Computer Help Desk at 352-392-HELP or send email to .
It is important that you regularly check your Gatorlink account email for College and University wide information and the course E-Learning site for announcements and notifications.
Course websites are generally made available on the Friday before the first day of classes.
The student is responsible for accessing the course web page several times per week. Important announcements and online materials related to the course activities and requirements will be continuously updated.
ATTENDANCE
Students may choose to watch video-streamed lecture content online or attend classes “live”. All classroom lecture content will be video recorded and placed on the course website (as soon as technically feasible) as video-streamed files for student viewing.
ACCOMMODATIONS DUE TO DISABILITY
Each semester, students are responsible for requesting a memorandum from the Disability Resource Center to notify faculty of their requested individual accommodations. This should be done at the start of the semester.
STUDENT HANDBOOK
Students are to refer to the College of Nursing Student Handbook for information about College of Nursing policies, honor code, and professional behavior.
TOPICAL OUTLINE
A. Each specific health problem listed below is addressed focusing on hospitalized acutely and critically ill adults and using the following approach as relevant:
1. Symptom cluster presentation
2. Objective findings: physical exam, history, diagnostic testing
3. Diagnosis/Differential diagnoses
4. Therapeutic plan
a. Evidence-based practice
b. Standards of care (practice guidelines)
TOPICAL OUTLINE (Continued)
4. Therapeutic plan (continued)
c. Health promotion and disease prevention, including screening tests
d. Safety
e. Cost
5. Acuity scoring system
6. Appropriate outcome parameters
7. Use of interdisciplinary collaboration and referral
8. Legal and ethical issues
9. Diversity issues
10. Pharmacotherapeutics
11. Health promotion and prevention of complications
12. Client and family issues related to end of life care
13. Elderly adult client issues
14. Genomics
B. Specific Health Problems
1. Common Problems in Acute and Critical Care
a. Fever
b. Sepsis
c. Sedation and analgesia
d. Nutrition
2. Cardiovascular Health Problems
a. Myocardial Infarction
b. Emergent Hypertension
c. Heart Failure
d. Pericarditis/Tamponade
e. Interventional devices and therapies
f. Arrhythmia management
3. Pulmonary Health Problems
a. Complex Community Acquired and Nosocomial Pneumonias
b. Acute Respiratory Failure
c. ARDS
d. Pulmonary vascular disease
e. Mechanical ventilation
f. Inhalation injury
4. Hematology Health Problems
a. Acquired bleeding disorders
b. Thrombocytopenia and platelet dysfunction
c. Blood components and transfusion therapies
5. Renal Health Problems
a. Fluid and electrolyte disorders
b. Acid-base abnormalities
c. Acute failure
TEACHING METHODS
Online lecture, group discussion, case studies, audiovisuals, and student presentations.
LEARNING ACTIVITIES
Online participation, student presentations, written assignments, scheduled examinations.
EVALUATION
ASSIGNMENT/EXAM / PERCENTAGEExam 1 / 15
Exam 2 / 15
Exam 3 / 15
Exam 4 / 15
Journal Article / 20
Pharmacology Assignment
Presentation 15%
Questions 5% / 20
Total / 100
EXAMS: The four (4) objective exams are proctored, either on the Gainesville and Jacksonville campuses, or at an external pre-approved location/center. Exams will be offered in a computerized delivery format through the “Assessment” function on the E-Learning website.
Make up exams will not be offered. Faculty will work with students who experience extreme and unanticipated extenuating circumstances preventing examination attendance on an individual basis.
Location: The exams will be held in the Nursing Resource Center (1st Floor, HPNP) in Gainesville and in the Borland Library (2nd Floor, HSB, LRC) in Jacksonville on the scheduled dates and at the scheduled times (see course schedule).
Students who would rather not take exams on campus may elect to take exams on scheduled exam days off campus at any commercial learning center with prior approval/scheduling through faculty. Off campus proctored exams are available for a fee. For example, Sylvan Learning Center will proctor the exam for a cost per exam of approximately $50.00. If you elect this type of off-campus testing, please discuss with either Dr. Thomas or Dr. Reischman. Off-campus testing must occur on the same date as the scheduled exam.
GRADING SCALE/QUALITY POINTS
A 95-100 (4.0) C 74-79* (2.0)
A- 93-94 (3.67) C- 72-73 (1.67)
B+ 91- 92 (3.33) D+ 70-71 (1.33)
B 84-90 (3.0) D 64-69 (1.0)
B- 82-83 (2.67) D- 62-63 (0.67)
C+ 80-81 (2.33) E 61 or below (0.0)
NOTE: Students must earn a minimum of 74% overall AND a minimum average examination score of 80% to pass the course. Students earning an average exam score below 80% will automatically be assigned an overall course grade of C-.
TEXTS
Required:
Gabrielli, A., Layon, A.J., Yu, M. (2009). Civetta, Taylor, & Kirby’s Critical Care (4th ed.).
Philadelphia: Lippincott Williams & Wilkins. (ISBN #978-0-7817-6869-6).
Marino, P. (2007). The ICU Book (3rd ed.). New York: Lippincott, William & Wilkins. (ISBN #
078174802X).
AND
All texts required for all previous courses
Optional (suggested for baseline critical care nursing content as needed):
Grif Alspagh, J. (Ed.). (2006). AACN Core Curriculum for Critical Care Nursing (6th ed.). USA:
Saunders. (ISBN # 9780721604503)
Approved: Academic Affairs Committee: 12/07
Faculty: 01/08
UF Curriculum: 10/08
NGR 6243
WEEKLY CLASS SCHEDULE
SUMMER 2011
FACULTY: ROSALYN REISCHMAN (RR) AND LORI THOMAS (LT)
Date / Week / LECTURES / PHARM POSTINGS (P) & QUESTIONS (Q)* / JOURNAL ARTICLE / EXAMSMay 11 / 1 / · Introduction to Course (LT)
· ACNP Emerging Role (LT)
· Oxygen & CO2 Transport (RR)
May 18 / 2 / · Circulatory Blood Flow (RR)
· Acid Base (RR) / Journal topic due
May 25 / 3 / · Fluids & Electrolytes (RR) / (P) 1 & 2 / May 25: Exam 1
Covers wks 1 & 2
June 1 / 4 / · Renal Failure (RR) / (Q) 1 & 2
(P) 3 & 4
June 8 / 5 / · Inhalation Injury (LT)
· Mechanical Ventilation (LT) / (Q) 3 & 4
(P) 5 & 6 / Journal outline due
June 15 / 6 / · Complex Community Acquired & Nosocomial Pneumonia (LT)
· Acute Resp. Failure, ALI & ARDS (LT) / (Q) 5 & 6 / June 15: Exam 2
Covers wks 3, 4 & 5 plus Ques. 1, 2, 3 & 4
June 22 / Summer Break Week
June 29 / 7 / · Nutrition (LT)
· Emergent Hypertension (LT)
· Pericarditis/Tamponade (RR) / (P) 7 & 8
July 6 / 8 / · Pulmonary Vascular Disease (RR)
· Myocardial Infarction (LT) / (Q) 7 & 8
(P) 9 & 10
July 13 / 9 / · Heart Failure (RR) / (Q) 9 & 10 / Journal article assignment due / July 13: Exam 3
Covers wks 6, 7 & 8
plus Ques. 5, 6, 7 & 8
July 20 / 10 / · Acquired Bleeding Disorders (LT)
· Thrombocytopenia/Platelet Dysfunction (LT)
· Blood Components & transfusion Therapies (LT) / (P) 11 & 12
July 27 / 11 / · Fever & Sepsis (RR) / (Q) 11 & 12
Aug 3 / 12 / August 3: Exam 4
Covers wks 9, 10 & 11
plus Ques. 9, 10, 11 & 12
NGR 6243 – Summer 2011 – Reischman/Thomas -DRAFT