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SOUTHSIDE COLLEGE OF HEALTH SCIENCES
NURSING PROGRAM
NURSING OF ADULTS COURSE SYLLABUS
SUMMER 2022
DELIVERY MODE: Residential COURSE TITLE : Nursing of Adults I COURSE NUMBER : NURS 120 CREDITS: 8 CLOCK HOURS : 75 theory hours, 30 lab hours, 4 simulation hours, 86 clinical hours PREREQUISITES : NURS 110, Nutrition, and Anatomy & Physiology I. CO-REQUISITES : Developmental Psychology and Anatomy & Physiology II. COURSE DESCRIPTION This course provides an expanded knowledge base for delivering nursing care to client systems. Emphasis is placed on developing the nurse’s role as a provider of care, manager of care, and member within the discipline of nursing. Upon completion, students will be able to demonstrate beginning competence in caring for client systems with common alterations in health. The focus of this course is utilizing the nursing process to meet the needs of client systems adapting to alterations in health-related to surgery and cardiovascular, integumentary, sensorineural, hematological, homeostasis, and respiratory function. COURSE OUTCOMES
- Demonstrates knowledge of the roles and responsibilities of the registered nurse when organizing and performing nursing care.
- Demonstrates beginning ability to communicate therapeutically with clients.
- Demonstrates knowledge of the nursing process to meet the needs of clients who are adapting to alterations in health related to surgery, cardiovascular, integumentary, sensorineural, hematological, homeostasis, and respiratory function.
- Applies basic pharmacological principles when meeting the common needs of clients.
- Utilizes human needs theory to begin to prioritize the physical, psychosocial, cultural, and spiritual needs of clients.
- Demonstrates beginning ability to practice nursing that is characterized by critical thinking, increased competence in nursing skills, client advocacy, caring behavior, and attention to environmental factors.
- Demonstrates beginning knowledge of ethical-legal issues related to the role of the registered nurse. This syllabus is intended to give the student guidance in what may be covered during the semester and will be followed as closely as possible. However, the professor reserves the right to
modify, supplement and make changes as the course needs arise.
INSTRUCTIONAL RESOURCES :
Ackley, B.J., Ladwig, G.B., Makic, M.B.F. (2020). Nursing diagnosis handbook and evidence- based guide to planning care , ( th ed.). St. Louis, MO: Elsevier. ISBN: 9780323551120 American Psychological Association (2019). Publication manual of the American Psychological Association ( th ed.). Washington, DC: American Psychological Association. ISBN: HESI Comprehensive Review for the NCLEX-RN Examination (2020). ( th ed.). St. Louis, MO: Elsevier. ISBN: 9780323582452 Lewis, S.L., Bucher, L., Heitkemper, M.M, & Harding, M.M. (2020). Medical-surgical nursing: Assessment and management of clinical problems ( th ed.). St. Louis, MO: Elsevier. ISBN: Lilley, L. L., Collins, S.R., & Snyder, J.S. (2020) Pharmacology and the nursing process , ( th ed.). St. Louis, MO: Elsevier. ISBN: Morris, D.G. (2018). Calculate with confidence ( th ed.). St. Louis, MO: Elsevier. ISBN: Mosby’s dictionary of medicine, nursing & health professions ( th ed.). (2017). St. Louis, MO: Elsevier. ISBN: 9780323222051 Pagana, K.D., Pagana, T.J. (2021). Mosby’s diagnostic and laboratory test reference ( th ed.). St. Louis, MO: Elsevier. ISBN: Perry, A.G., Potter, P.A., & Ostendorf, W.R. (2022). Clinical nursing skills and techniques ( th ed.). St. Louis, MO: Elsevier. ISBN: Potter, P.A., Perry, A.G, Stockert, P.A., & Hall, A.M. (2020). Fundamentals of Nursing. ( th ed.). St. Louis, MO: Elsevier. ISBN: Silvestri, L.A. (2020). Saunders comprehensive review for NCLEX-RN examination ( th ed.). St. Louis, MO: Elsevier. ISBN: 97803233588414 Skidmore-Roth, L. (2022). Mosby’s 2022 nursing drug reference ( th ed.). St. Louis, MO: Elsevier. ISBN: 9780323826075 Wilson, S.F., Giddens, J.F. (2022). Health assessment for nursing practice ( th ed.). St. Louis, MO: Elsevier. ISBN: 9783233661195 Zerwekh, J. & Garneau, A. (2021). Nursing today: Transitions and trends ( th ed.). St. Louis, MO: Elsevier. ISBN: 9780323642088 COURSE CONTENT Role as manager/provider of care Diagnostic Assessment Fluid and Electrolytes Diabetes Mellitus Surgical Nursing Orthopedic Disorders Cardiovascular Disorders Hypertension Respiratory Disorders
Anemia Integumentary Disorders Sensorineural Disorder
previous and concurrent courses. See above criteria. Unsatisfactory (U): the student does not consistently perform the competency, objective, or outcome. They are performing in such a manner which expresses that knowledge and skills reflected in the current course content and from previous courses are not being applied in the clinical area. However, if a student is a danger to self or others as judged by the nursing faculty member, the student may be removed immediately from the clinical setting and may be dismissed from the nursing program. In some situations, at the bedside, it may be necessary for the faculty member to correct a student verbally or physically to prevent a student from following through with an action that is potentially harmful to a client. This action will be followed by a private discussion. SAMPLE GRADE DETERMINATION *Exam #1 80 *Exams = 80.5 x 0.60 = 48. *Exam #2 77 *Quizzes = 90 x 0.05 = 4. *Exam #3 86 *IPR = 95 x 0.05 **= 4. *** Exam #4 75 * Fundamental HESI = 84 x 0.05 = 4. *Exam #5 85 * Journal Article Paper = 88 x 0.05 = 4. *Exam #6 80 * HESI Practice = 100 x 0.05 = 5. 483 = 80.5 (avg.) * Final Exam = 80 x 0.15 = 12. FINAL GRADE: 48.3 + 4.5 + 4.75 + 4.2 + 4.4 + 5.0 + 12.0 = 83.15 (C) COURSE COMPLETION REQUIREMENTS In order to pass NURS 120, the student MUST :
- Achieve a final passing score of 80% for the theory portion of the course;
- Achieve a passing score of 80% (satisfactory) on the medication calculation competency;
- Achieve an overall evaluation score of satisfactory for the clinical portion of the course;
- Achieve satisfactory performance for each critical mastery skill. TIME COMMITMENT NECESSARY TO EARN COURSE CREDIT SCHS subscribes to a philosophy commonly held by institutions across higher education: achievement of success with the college-level study will necessitate that the student devotes both scheduled ‘in-class’ time as well as significant ‘out-of-class’ time to meeting course outcomes. In order to successfully achieve all outcomes for this 8-credit hour course, it is expected that each student will participate in the scheduled ‘in-class’ lecture and dedicate an approximate total of 340 hours during the session for class preparation and work time. Out-of-class time will be necessary for completing textbook readings and related assignments, preparing for course exams, the final exam, course projects, and other assignments.
Tasks & Time Allocation for this 8 Credit Hour Course Based on a 15 Week Semester: Tasks Approximate Time Hours* Participation in class In classroom learning 60 Preparation for CLC Minimum of 3 hours per week 21 Preparation for clinical Minimum of 5 hours per week 40 Completion of textbook readings, non-graded and graded assignments Minimum of 10 hours per week 150 Preparation for course test Minimum of 9 hours for each test (total of 6 tests) 54 Preparation for the final exam Minimum of 15 hours 15 **Minimum Hours per Semester 340 Note: This is intended to be a time management tool only. The approximate times listed above are for planning purposes, as you prepare your week as a student. Time must be allocated appropriately to achieve maximum results during your time in this class. Failure to plan may yield less than desirable outcomes. ** ATTENDANCE A student who has an acute illness that is contagious to others in the healthcare setting should not participate in class or clinical. Examples of an acute illness may include, but are not limited to influenza, gastroenteritis, open and/or draining wounds, shingles, etc. The clinical attendance policy will apply to these situations. A student who is ill or otherwise unable to attend a class as scheduled should notify the faculty via email or text prior to the start of class. No texting, emails, or sending messages via other students will be accepted as notification of an absence unless there are extenuating circumstances. REMINDER: The student is responsible for missed assignments and material during an absence. Class Attendance Information regarding class attendance can be found in the College Catalog at https://www.schs.edu/wp-content/uploads/2020/12/2019-2020-SCHS-Catalog.pdf Clinical/Simulation Attendance Due to the nature of clinical, lab, and simulation, students are expected to arrive on time and be present for each assigned clinical or simulation experience in its entirety. Students are permitted to miss one (1) clinical, lab, or simulation day and have one (1) tardy each semester. If a student arrives to the clinical or simulation experience within 15 minutes of the scheduled start time, the student will receive a tardy. If the student is more than 15 minutes late, they may be sent home, counting this occurrence as an absence. Any subsequent tardy of any kind may result in the student being dismissed
CLINICAL ORIENTATION
Students are required to complete the in-class clinical preparation. Clinical Rotation Total*^ Hours Clinical Preparation NURS120 Clinical Orientation (1.5 hours) Epic Training (1.5 hours) 3 Adult Medical-Surgical SMC Unit:
- 0630-1600 (30min lunch) x 8 day
- 0630- 1300 (30min lunch) x 1 day Petersburg Library
- 1000-1530 (30min lunch) x 1 days (5) 83 Simulation (CLC) (^4) Direct Care Hours (SMC, library + SIM) (^87) Total Clinical Hours (^90) *See Canvas for clinical schedule for assigned sites and days. Students will complete a Daily Clinical Evaluation for all clinical experiences and submit via https://www.trajecsys.com/ and all daily clinical paperwork must be submitted no later than 2359 the day following clinical. Students will complete the NURS 120 Clinical Formal Evaluation at the end of the semester and submit via https://www.trajecsys.com/ Adult Medical-Surgical Clinical Experiences Bon Secours - Southside Medical Center 200 Medical Park Blvd Petersburg, VA 23805 Main phone: (804) 765- Students will be assigned clinical assignments by the clinical instructor. Petersburg Public Library 201 West Washington Street Petersburg, VA 23803 Main Phone: (804) 733- Clinical Assignments Students are required to complete one (1) satisfactory concept map in order to successfully pass the clinical rotation. Failure to complete one (1) satisfactory concept map by the end of the clinical rotation will result in course failure.
A concept map will be submitted to the clinical instructor each clinical week until one satisfactory concept map have been achieved. Each student will be given feedback and recommendations for improvement on submitted concept maps. Students are expected to utilize the feedback and recommendations for improvement on subsequent concept maps. Concept maps are due 48 hours from the end of scheduled clinical via Canvas. Only one revision will be allowed. The revision due date will be set by the clinical instructor. Failure to submit within the established time frame will not be graded. See concept map rubric for grading. The concept map template is available on Canvas. CLINICAL PROCEDURES PERFORMED BY STUDENTS Students MUST be supervised by clinical faculty prior to performing any procedure that the student has not performed satisfactorily. Students WILL discuss, with clinical faculty, if they feel uncomfortable performing any procedure prior to performing the procedure. Students MUST notify the faculty member immediately if any untoward effects occur; especially if an occurrence report needs to be completed. Examples of untoward effects include medication error, harm to patient, student injury, or student error in judgment. Clinical preparation MUST include looking up any procedures that might be part of the assigned patient’s care. When performing procedures, students MUST follow proper policy and procedure. Students will be familiar with where to locate policies and procedures on each assigned unit(s). Students MAY NOT: Access Port-a-cath Accompany patient being transported to another facility Administer blood or blood products Administer chemotherapy agents Discontinue a central line Initiate or adjust administration rates of PCA and epidural infusions Insert an external jugular intravenous device Insert oral airway Obtain arterial blood gases Perform screening on infants Refuse to care for an assigned patient Remove packing from any body orifice/cavity (this does not include wound care) Ride to a clinical site with a nurse or agency representative Serve as a signature witness to any form Titrate critical IV drips
If a clinical procedure is not included on the following list, the student must clarify with the faculty member the level of supervision required. NURS 120 Students may perform the following independently after satisfactory performance with faculty Students may perform the following after satisfactory performance check-off either independently or dependently after consultation with faculty Students may perform only under DIRECT SUPERVISION of faculty Accuchecks Bathing & Hygiene Collection of stool specimen Collection of voided urine specimen Feeding patient Incentive spirometry Intake & Output Making occupied/unoccupied bed Patient positioning Precautions and personal protective equipment Pulse oximetry TED hose or Sequential Compression Device placement Transferring patient to bed/chair Transporting specimen to lab Vital signs Weighing patient Condom catheter, application Documentation in electronic medical record Doppler, auscultation of pulses Dressing change, non- sterile Evaluation of patient’s response to care Hourly urine output via urometer Indwelling urinary catheter (m/f), removal IV site care *(NURS120/NURS130) Mental status exam (NURS130) Oxygen via nasal cannula, application Patient teaching Patient transporting Physical assessment Reporting abnormal findings to primary nurse Restraints monitoring Suctioning, oropharyngeal *(NURS120/NURS130) Telemetry, applying and removing Throat, Wound, Urine & Respiratory Culture collection Transport patient to another unit, with assigned nurse Dressing change, sterile Enema, administration Feeding tube, placement check *(NURS120/NURS130) Insertion of indwelling urinary or straight catheter (m/f) IV fluids, hanging of *(NURS120/NURS130) IV pump, programming rate *(NURS120/NURS130) IV, start/removal *(NURS120/NURS130) Medication administration, all routes except IV push *(NURS120/NURS130) NG tube, suctioning *(NURS120/NURS130) NG/OG tube, insertion/removal *(NURS120/NURS130) Ostomy care Post-mortem care Pre-procedure checklist *(NURS120/NURS130) Surgical drainage tubes, removal *(NURS120/NURS130) Sutures a/o staples, removal *(NURS120/NURS130) Tube feeding (NG/OG or PEG), administration (NURS120/NURS130) Tubing disconnect/reconnect when connected to a patient(NURS120/NURS130) Wound measurement Wound vac, care of *(NURS120/NURS130)
TURNITIN ®
Students agree that, by taking this course, all work submitted for a grade is subject to submission for textual similarity review to Turnitin.com for the detection of plagiarism. All submitted papers will be included as source documents in the Turnitin.com reference database solely for the purpose of detecting plagiarism of such papers. Use of the Turnitin.com service is subject to the Terms and Conditions of Use posted on the Turnitin.com site. Turnitin®^ is a web-based resource that Southside College of Health Sciences makes available to students and faculty to comprehensively check written work to identify a similarity index for matching text with a database of existing written work, web pages, and electronic journals. Turnitin®^ assists students to identify potential plagiarism and supports the student toward academic integrity and originality in order to further develop their scholarly writing skills. Student assignments that are submitted to Turnitin®^ generate a Turnitin®^ Originality Report that students use to further edit their written work prior to submitting to faculty for feedback and evaluation. A similarity index of more than 25% will not be accepted and will result in a grade of zero (0). COURSE ASSIGNMENTS Quizzes Quizzes will be given throughout the course: One “1” quiz will be given and correspond with each course test for didactic content. Quizzes will be completed and submitted online through Canvas. Quizzes consist of 10 questions and students will have 13 minutes to complete each quiz. Quizzes will open on the specified due date at 1205 and close at 2359. If quizzes are not submitted on the due date by 2359, a grade of zero “0” will be recorded. If a student anticipates being late or absent for a scheduled assignment, they will need to work with the faculty to negotiate a time to complete the assignment. See “Testing Scheduling” information in the Nursing Program Student Handbook. HESI Practice Exams and Review Students in NURS120 are required to take a Health Education Systems Incorporated (HESI) Exam. Adequate preparation is essential. The use of HESI Practice Exams is utilized for preparation for the proctored examinations. The Fundamentals Practice Exam is comprised of 50 questions. Each question that is answered incorrectly on the practice exam requires addressing three critical points related to the missed topic. As an example, if the topic missed is Angina, one critical point would be to educate the client to lie down if experiencing dizziness. The three critical points must be submitted by the due date in order to receive credit for completing the practice exam. See course calendar for due date. HESI Fundamentals Examination
based evidence through a written review. (C.O. 3)
- Submit a quality assignment that reflects the acquired depth of knowledge, critical thinking, and analysis of scholarly nursing practice. (C.O. 1) Guidelines: Choose one full-length article in a peer-reviewed journal pertaining to nursing care of clients with health alterations related to surgery, cardiovascular, and/or respiratory conditions. o Selected article must be submitted for approval via Canvas assignments as an attachment to the course coordinator by Friday, May 27th, 2022 by 2359. o The article must be current within the last 5 years for the publication date. Write paper using clear, comprehensive, and professional language and tone. CINAHL may be used to access articles; link is posted on RES 100 on Canvas. Submit paper using TurnItIn to check similarity index. Submit assignment with a direct link to the article reviewed or the article as an attachment. Putting it all Together: The assignment is to include a cover page and reference page including page numbers formatted according to 7 th^ edition APA style. o Page 1: Cover page. o Page 2-3 ( or 4 depending on length ): Journal Article Review. o Page 4 ( or 5-7 depending on length of review ): Reference page. Do not include an abstract. Be sure to properly cite according to APA format, any quotes, data, evidence, or ideas that are not your own. Citing once at the end of the paragraph is not acceptable practice according to APA 7 th^ edition. Written Submission: See rubric for specific paper requirements and grading. Individual student papers must be submitted via Canvas assignments by Friday, July 1 st, 2022 at 2359. Late submissions are subjected to a penalty on the assignment grade: o 10% deduction if received after 11:59pm (Eastern Time). An additional 10% deduction for every 24 hours late thereafter. After 3 days, no work (assignment) will be accepted and the student will receive a zero. The document is to be submitted as a Word document (12 font, Times New Romans), written in third person, following 7 th^ edition APA guidelines for style and referencing. o Students may use the phrase “The author …” to make statement as the author of this paper; this replaces any “I” statements. Minimum of 2 pages and maximum of 4 pages, excluding title page and reference page.
NURS 120: Nursing of Adults I Journal Article Review Paper Rubric Paper Requirements Specific Criteria Possible Points Points Awarded Introduction Provide the importance of addressing the selected health alteration. (5 points) Discuss the purpose of the article and any pertinent background information. (5 points)
Literature Review Identify the article’s main points and how it is connected to the selected health alteration. ( points) Present a summary and analysis of the evidence supporting the article’s main points. (15 points)
Nursing Implications Identify how the key implications or findings of the article are applicable to nursing practice. (15 points) Explain how this knowledge and key findings apply to individual growth and practice as an emerging nursing professional. (15 points)
Discussion Discuss at least 2 limitations or areas of improvement of the selected article. (5 points) Discuss at least 2 strengths of the selected article. (5 points)
Conclusion Review main points of paper, important findings or concepts/ideas learned. (10 points)
Paper (^) Follows APA guidelines for style and referencing with no errors = 5 pts Follows APA guidelines for style and referencing with 1 - 2 errors = 4 pts Follows APA guidelines for style and referencing with 3 -4 errors = 2 pts Follows APA guidelines for style and referencing with > 5 errors = 0 pts
1 -2 grammar/spelling errors = 5 pts 3 -4 grammar/spelling errors = 3 pts Greater than 5 grammar/spelling errors = 0 pts
Submitted on time. (Late submissions are subjected to a penalty on the assignment grade.) Total Points 100
Analysis of student/client interaction/self-reflection Identify therapeutic communication techniques used and the rationale. Discuss if these techniques were successful to reach the goal of the communication. Identify any personal emotional response(s) to the client responses or actions. Discuss if these responses were expressed in verbal or nonverbal behaviors. Identify any personal values, beliefs, biases or prejudices that may influence development of therapeutic relationship with this client. Evaluate effectiveness of each of your communication techniques with the client. Discuss if the goals were met or not met. Include techniques that may have worked in improving this interaction. Nursing Implications: Discuss how the environment impacted the communication and results Discuss ethical concepts and concerns in relation to this environment, the client and the outcomes. Written Submission: See rubric for specific paper requirements and grading. Maintain confidentiality according to the Health Insurance Portability and Accountability Act (HIPAA). Upload to Canvas assignments. This assignment is submitted via TurnItIn®. Word document (size 12 font, Times New Romans) using 7th^ APA guidelines for style and referencing. May use first person for IPR. Minimum of 2 pages and maximum of 4 pages, excluding title page and reference page. Individual student papers must be submitted via Canvas assignments by Friday, July 29th, 2022 at 2359. Late submissions are subjected to a penalty on the assignment grade: o 10% deduction if received after 11:59pm (Eastern Time). An additional 10% deduction for every 24 hours late thereafter. After 3 days, no work (assignment) will be accepted and the student will receive a zero.
NURS 120: Nursing of Adults I Interpersonal Process Recording (IPR) Rubric Assignment Requirement Specific Criteria Possible Points Points Awarded Introduction Summarize the setting where the conversation took place including place, date and time. Include pertinent patient information. (Omit protected health information). Identify the goals of this communication. 10 Student Communication Transcribe what you said in direct quotes. Describe and analyze your side of the conversation, including verbal and nonverbal responses and behaviors. Discuss the communication techniques used and why these techniques were chosen. 20 Client Communication Transcribe what the client said in direct quotes. Describe and analyze the clients’ verbal and nonverbal responses and behaviors during this conversation. Discuss the communication techniques used by the client. 20 Self-Reflection Analysis Identify therapeutic communication techniques used and the rationale. Evaluate effectiveness of your communication techniques. Discuss if the goals were met or not met. Include additional techniques that may have improved this interaction. Identify any personal emotional responses that may have impacted communication with this client. Identify any personal values, beliefs, biases or prejudices that may influence development of therapeutic relationship with this client. 20 Nursing Implications Identify how the environment impacted the interaction(s) and communication(s). Discuss ethical concepts or concerns related to nursing practice and client communication. 15 Conclusion Review the main points of the paper. 5 Paper Follows APA guidelines for style and referencing with no errors = 5 pts Follows APA guidelines for style and referencing with only 1-2 errors = 4 pts Follows APA guidelines for style and for referencing with 3-4 errors = 2 pts Follows APA guidelines for style and for referencing with > 5 errors = 0 pts 5 1-2 grammar/spelling errors = 5 pts 3-4 grammar/spelling errors = 3 pts Greater than 5 grammar/spelling errors = 0 pts 5 Submitted on time. (Late submissions are subjected to a penalty on the assignment grade.) Total 100
