University of Arkansas at Little Rock Plan No



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1505: Adult Nursing I

Course Content

Medications

Learning Activities

Evaluation Methods

Implement actions that demonstrates the knowledge, skills, and attitudes of basic principles of patient centered care for older adults. (PCC)


Unit I. Fundamental Clinical Decision Making:

  • Needs

  • Nursing Process

  • Prioritization

  • Legal/Ethical/Standards of Practice


Unit II. Fundamental Nursing Knowledge

  • Health Assessment & Pulse Oximetry

  • Documentation

  • Change of Shift Report

  • Pharmacology (Focus on changes in aging affecting pharmacologic processes)

  • Fluid/Electrolytes: Na, K, Ca, Glucose, CBC (WBC, RBC, H/H, Plt), BUN, Creatinine, PT/PTT, INR


Unit III. Nursing Care of the Older Adult with Comfort Needs

  • Pain Assessment and Management

  • CRHP: Osteoarthritis



Unit IV. Nursing Care of the Older Adult with Psychosocial Needs

  • End of life/postmortem care

  • CRHP: Basic distinction between Delirium, Dementia, Depression


Unit V. Nursing Care of the Older Adult with Rest and Activity Needs

  • Immobility/Physical Impairment Management

  • Sleep & Rest

  • CRHP:

    • Osteoporosis

    • Parkinson’s Dz,

    • Hip Fx & Replacement


Unit VI. Nursing Care of the Older Adult with Safety Needs

  • Skin Integrity & Wound Care

  • Infection Control & Isolation Protocols

  • Restraints

  • CRHP:

    • Nosocomial Infections

    • Decubitus ulcers



Unit VII. Nursing Care of the Older Adult with Oxygenation Needs

  • CRHP:

    • COPD

    • Chronic HF

    • Pneumonia

    • TB

    • Chronic Hypertension

    • CAD



Unit VIII. Elimination

  • Bowel & Bladder Training

  • CRHP:

    • Pylonephritis

    • Cystitis

    • Bowel/Bladder Dysfunction

    • Constipation, Diarrhea

    • Urinary

Incontinence

  • BPH


Unit IX. Sensory Perception & Impairment

  • CRHP:

    • CVA

    • TIA

    • Cataracts

    • Glaucoma

    • Macular degeneration

    • Hearing loss


Unit I. Fundamental Clinical Decision Making:

No meds


Unit II. Fundamental Nursing Knowledge

No meds


Unit III. Nursing Care of the Older Adult with Comfort Needs

    • NSAIDS: Ibuprofen, ASA

    • Analgesics: Tylenol

    • Opioids: Demerol, Percocet


Unit IV. Nursing Care of the Older Adult with Psychosocial Needs

No meds



Unit V. Nursing Care of the Older Adult with Rest and Activity Needs

No meds



Unit VI. Nursing Care of the Older Adult with Safety Needs

No meds
Unit VII. Nursing Care of the Older Adult with Oxygenation Needs



    • Statins: Lipitor, Lovastatin, Zocor

    • Steroids: Solu-Medrol

    • TB Meds: INH, Rifampin


Unit VIII. Elimination


  • Anti-BPH: Finasteride (Proscar)



Unit IX. Sensory Perception & Impairment

  • Benadryl

  • Percocet

  • Ibuprofen

  • Tylenol

  • Demerol

  • Nitrostat

  • Timolol

  • Lovastatin

  • Lipitor

  • Zocor

  • ASA

  • Reclast

  • Fosamax

  • Caltrate

  • Systane

  • Proventil

  • Vasotec

  • Lisinopril

  • Captopril

  • Levodopa

  • Cardura

  • Atenolol

  • Metoprolol

  • Coreg

  • Digoxin

  • Metamucil

  • Colace

  • Dulcolax

  • Metformin

  • Proscar

  • INH

  • Rifampin

  • Rocephin

  • Cipro

  • Amoxicillin

  • Levaquin

  • Zosyn

  • Flagyl

  • Vancomycin

  • Gentamycin

  • Penicillin

  • Coumadin

  • Plavix

  • Lovenox

  • Heparin

  • Lasix

  • HCTZ

  • Potassium Supplements

  • Aricept

  • Cognex

  • Namenda

  • Exelon

  • Razadyne




  • Lecture content & case studies

  • Designated lecture on QSEN Competencies

  • Geriatric Portfolio

  • Evaluate patient’s medical history to plan for client care with optimal outcomes

SKILLS LAB:



DAY 1:

50 minutes: Tube Feedings (N/G, Peg)

10 minutes: Specimen collection/C&S Protocol

2 hours: N1300 Skill Review



3 hours: Health Assessment

DAY 2:

  • IV Management

Medication Math Calculations (pump & gravity for primary & secondary IVs)

  • Testing

  • Testing

  • Grading rubric and instructor feedback




Communicate with health care team members in a professional manner in a variety of health care settings. (T/C)


Demonstrated through learning activities/clinical

No specific medications here.

  • Lecture content & case studies

  • Designated lecture on QSEN Competencies

  • Geriatric Portfolio

  • Identify tasks that can be delegated

  • Identify dynamics of health care team, noting when conflict management is necessary

  • Identify barriers and facilitators of team functions on the Clinical Decision Making Tool

  • Testing

  • Testing

  • Grading rubric and instructor feedback

  • Grading and feedback from instructor

  • Grading and feedback from instructor




  • Grading and feedback from instructor




Demonstrate best practice at a basic level for the care of older adults in acute, long term care, and the community. (EBP)


Demonstrated through learning activities/clinical

No specific medications here.

  • Lecture content & case studies

  • Designated lecture on QSEN Competencies

  • Geriatric Portfolio

  • Clinical Exemplars require an EBP Internet resource

  • Testing

  • Testing

  • Grading rubric and instructor feedback

  • Instructor grading and feedback

Recognize and begin to use national patient safety goals and institution/practice standards to reduce harm to patients and providers in a variety of settings. (S)

Demonstrated through learning activities/clinical

No specific medications here.

  • Lecture content & case studies

  • Designated lecture on QSEN Competencies

  • Geriatric Portfolio

  • Patient care in Clinical setting

  • Clinical Exemplar: must list interventions performed to maintain a safe environment for the patient

  • Simulation lab for skills

  • Testing

  • Testing

  • Grading rubric and instructor feedback

  • Grading and feedback from instructor

  • Grading and feedback from instructor

  • Grading and feedback from instructor

Recognize indicators of quality and safety in nursing care of the older adult. (QI)



Demonstrated through learning activities/clinical

No specific medications here.

  • Lecture content & case studies

  • Designated lecture on QSEN Competencies

  • Geriatric Portfolio




  • Testing

  • Testing

  • Grading rubric and instructor feedback




Demonstrate ability to navigate institution’s information systems and medication delivery systems. (I)


Demonstrated through learning activities/clinical

No specific medications here.

  • Lecture content & case studies

  • Designated lecture on QSEN Competencies

  • Geriatric Portfolio

  • Clinical Exemplars require an EBP Internet resource

  • Testing

  • Testing

  • Grading rubric and instructor feedback

  • Instructor grading and feedback



1410: Adult Nursing II

Course Content

Medications

Learning Activities

Evaluation Methods

Recognize processes in place to promote quality improvement in the acute care setting (QI)


Unit I. Fundamental Psychomotor Skills:

  • Glucometer

  • Starting IVs

  • Dressing changes

  • Reconstitution


Unit II. Nursing Care of the Perioperative Patient

Complications:

  • DVT

  • PE

  • Dehiscence

  • Evisceration

  • Hemorrhage

  • Blood administration

  • Staple removal

  • Drain care/removal

  • Basic ABG interpretation

  • Advance directives

    • Living wills

    • Power of attorney

  • Informed consent

  • Type and cross

  • Fasting glucose

  • ALT/AST, LDH, Bilirubin



Unit III. Nursing Care of the Middle Aged Adult with Nutrition/Elimination Needs:

  • CRHP:

    • Crohn’s

    • Ulcerative colitis

    • Diverticulitis

    • Hernias

    • Polyps

    • Hemorrhoids

    • Appendicitis

    • Ulcers

    • Fecal ostomy

    • Cholelithiasis

    • Cholecystitis

    • Renal calculi

    • EGD

    • Colonscopy


Unit IV. Nursing Care of the Middle Aged Adult with Fluid/Electrolyte Needs:

  • Diabetes Insipidus

  • SIADH

  • Hyperthyroid

  • Hypothyroid

  • Hyperparathyroid

  • Hypoparathyroid

  • Addison’s

  • Cushing’s

  • DM

  • DKA

  • HHNS

  • Neuropathies

  • Hgb A1C

  • Amylase

  • Lipase

  • TSH, T3, T4

  • Phosphorous

  • Pheochromocytoma


Unit V. Nursing Care of the Adult with Cancer (Comfort) Needs:

  • Tumor staging and grading, detection, prevention, causes, treatments, side effects of treatment

  • Cancers:

    • Breast

    • Colorectal

    • Bladder

    • Lung

    • Prostate

    • Leukemia

    • Hodgkin’s/non-Hodgkin’s

    • Multiple Myeloma

    • CT biopsy

  • Mylanta

  • Reglan

  • Ginger

  • Carafate

  • FiberCon

  • Tagamet

  • Pepcid

  • Zantac

  • Protonix

  • Prilosec

  • Lovenox

  • Restoril

  • Demerol

  • Stadol

  • Morphine

  • Fentanyl

  • Phenergan

  • Vistaril

  • Atropine

  • Robinul

  • Narcan

  • Romazicon

  • Rolaids

  • Prevacid

  • Nexium

  • Garamycin

  • Biaxin

  • Flagyl

  • Cisplatin

  • Cytoxan

  • 5-FU

  • Trexal

  • Adriamycin

  • Idamycin

  • Vincristine

  • Taxol

  • Zofran

  • Emend

  • Versed

  • Ativan

  • Valium

  • Zoladex



  • Testing

  • Grading and feedback from instructor

  • Grading and feedback from instructor

  • Grading and feedback from instructor

Communicate effectively in verbal and written manner, adapting to the needs of the team and situation (T/C)


Demonstrated through learning activities/clinical

No specific medications

  • Lecture content and case studies

  • Perioperative Case Study

  • Requirement to identify two QI projects to improve patient outcomes

  • Identify delegated tasks that can be delegated

  • Identify dynamics of health care team, noting when conflict management is necessary

  • Identify barriers and facilitators of team functions on the Clinical Decision Making Tool

  • Assignment for essays to compare/contrast OR, PACU, and floor nurses’ roles and level of autonomy

  • Clinical: include teaching interventions plus one health care team teaching intervention

  • Collaborative project for an oncology presentation

  • Testing

  • Grading and feedback from instructor

  • Grading and feedback from instructor

  • Grading and feedback from instructor

  • Grading and feedback from instructor

  • Grading and feedback from instructor

  • Grading and feedback from instructor

  • Grading and feedback from instructor

  • Grading and feedback from instructor, team member evaluation

Provide compassionate care that recognizes patient and family preferences, values, and needs (PCC)


Demonstrated through learning activities/clinical

No specific medications

  • Lecture content and case studies

  • Perioperative Case Study

  • Requirement to identify two QI projects to improve patient outcomes

  • Identify special accommodations in PACU to decrease patient anxiety levels

  • Designate priority short- and long-term goals

  • Prioritize six nursing interventions, including EBP rationales

  • Clinical: include teaching interventions plus one health care team teaching intervention

  • Evaluate patient’s medical history to plan for client care with optimal outcomes

  • Testing

  • Grading and feedback from instructor

  • Grading and feedback from instructor

  • Grading and feedback from instructor

  • Grading and feedback from instructor

  • Grading and feedback from instructor

  • Grading and feedback from instructor




  • Grading and feedback from instructor

Navigate the institution’s information systems and medication delivery systems (I)


Demonstrated through learning activities/clinical

No specific medications

  • Lecture content and case studies

  • Perioperative Case Study (Internet resources)

  • In Clinical, use of: PYXIS medication and supply station, facility Intranet, patient monitoring equipment, electronic medical record

  • Testing

  • Grading and feedback from instructor

  • Grading and feedback from instructor




Differentiate between evidence-based and experience based practices in the delivery of care to middle aged adults with acute and/or chronic health problems (EBP)


Demonstrated through learning activities/clinical

No specific medications

  • Lecture content and case studies

  • Perioperative Case Study

  • Requirement to identify two QI projects to improve patient outcomes

  • Designate priority short- and long-term goals

  • Prioritize six nursing interventions, including EBP rationales

  • Post-conference in clinical: Deliver presentations on assigned content topics

  • Collaborative project for an oncology presentation

  • Testing

  • Grading and feedback from instructor

  • Grading and feedback from instructor

  • Grading and feedback from instructor

  • Grading and feedback from instructor

  • Grading and feedback from instructor

  • Grading and feedback from instructor

Practice safe nursing care through the use of national patient safety goals and institution and practice standards to reduce harm to patients and providers in acute care settings (S)


Demonstrated through learning activities/clinical

No specific medications

  • Lecture content and case studies

  • Perioperative Case Study

  • Requirement to identify two QI projects to improve patient outcomes

  • Patient care in Clinical setting

  • Clinical Exemplar: must list interventions performed to maintain a safe environment for the patient

  • Simulation lab for skills

  • Describe time-out process used in clinical procedures

  • Testing

  • Grading and feedback from instructor

  • Grading and feedback from instructor

  • Grading and feedback from instructor

  • Grading and feedback from instructor




  • Grading and feedback from instructor

  • Grading and feedback from instructor


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