Nurr 201 10 Credits Fall 2009 table of contents section a page no



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REGISTERED

NURSING


NURR 201

10 Credits


Fall 2009

TABLE OF CONTENTS

SECTION A PAGE NO.

Course Overview……………………………………………………………….. 4

Topical Outline………………………………………………………………….. 11

Calendar…………………………………………………………………………. 19

Course Objectives……………………………………………………………… 24

Teaching/Learning Lab Objectives…………………………………………… 37

Clinical Objectives……………………………………………………………… 40

SECTION B--ASSIGNMENTS

List of Assignments……………………………………………………………. 43 Case Studies…………………………………………………………………… 44

Care Plan/Concept Map Template………………………………………….. 45

Care Plan Grading Rubric……………………………………………………. 56

Teaching Plan Template …………………………………………………….. 60 Teaching Plan Grading Rubric ……………………………………………… 64 Portfolio………………………………………………………………………… 70

Record of Professional Development………………………………………. 71


SECTION C—CLINICAL

Guidelines for Clinical Activity……………………………………………………. 75

Objectives for Clinical Spinouts…………………………………………………. 76

Criteria for Clinical Journaling……………………………………………………….. 80

Clinical Tally…………………………………………………………. 82

ADN Program Agreement Form………………………………………… 86 Health Insurance Form ………………………………………………… 87

Vehicle Insurance Form…………………………………………………………. 88

Clinical Confidentiality Contract ………………………………….. 89

Dialysis Confidentiality Contract 90

Alcohol/Drug Policy Form 91

Clinical Evaluation Clarification…………………………………………………. 92 Clinical Evaluation Tool…………………………………………………………... 93

SECTION A

ASSOCIATE DEGREE NURSING PROGRAM

MISSION STATEMENT
The Associate Degree Nursing Program, being an integral unit of the College of Southern Idaho, educates graduates from diverse populations who: demonstrates knowledge and caring through the nursing process to respond to the holistic needs of individuals in a variety of settings and interacts professionally with patients, families, and coworkers within the community. The graduate promotes optimum health in a cost-effective manner, as part of a multidisciplinary workforce, and recognizes that learning is a lifelong endeavor.”
COURSE TITLE: ADVANCED NURSING INTERVENTION
COURSE DESCRIPTION: NURR 201

Advanced Nursing Intervention (Fall/Spring) 10 credit hours

(5Theory/5 Clinical)
The focus of this course is the nursing care of patients with medical/surgical health deviations; with emphasis on pathophysiology. This course includes theory, clinical and teaching/learning laboratories. Therapeutic nutrition, pharmacology, and medical terminology are integrated throughout the course
Prerequisites: NURR 103, all science courses.

Corequisites: MATH 143 or 253, humanities, or other required general education courses.


LEVEL OBJECTIVES/OUTCOMES

UPON SUCCESSFUL COMPLETION OF NURR 201 THE LEARNER WILL BE ABLE TO:



  1. PROFESSIONAL BEHAVIORS

Demonstrate with supervision, the role of a professional nurse as a member of the healthcare team including legal/ethical responsibilities, accountability, and identification of evidence-based nursing trends.


  1. COMMUNICATION

Demonstrate with supervision, beginning skills in the use of verbal and nonverbal communication fostering caring relationships with individuals, families, and members of the health-care team. Demonstrate computer knowledge and skill through the utilization of the internet.


  1. ASSESSMENT

Demonstrate application of the principles of assessment through collection, analysis, and synthesis of relevant data to meet the basic needs of individuals.

  1. CLINICAL DECISION MAKING

Demonstrate application of the nursing process, critical thinking skills, and technology to meet the increasingly complex needs of the individual.


  1. CARING INTERVENTIONS

Develop and sustains trusting relationships in a diverse population.


  1. TEACHING AND LEARNING

Apply the steps of the teaching-learning process to patients with more complex needs.


  1. COLLABORATION

Distinguish between members of the healthcare team and their contributions to promote decisions in client care.


  1. MANAGING CARE

Demonstrate the principles of safe, cost-effective, evidence-based, patient-centered nursing care.

REQUIRED FOR NURR 201


  • Lab Kit

  • Clean gloves

  • Blank DVD with recording capability

  • I-Clicker

  • NURR 201 Syllabus

  • The following textbooks:

Brooks, M. L. & Brooks, D. L. (2004). Basic medical language (2nd ed.). St. Louis, MO: Mosby.


Castillo, S. L. & Werner-McCullough, M. (2002). Calculating drug dosages: An interactive approach to learning nursing math. Philadelphia, PA: F.A. Davis.
Evolve select. (2007). St. Louis, MO: Elsevier.
Grodner, M., Long, S., & Walkingshaw, B. C. (2007). Foundations and clinical applications of nutrition: A nursing approach (3rd ed.). St. Louis, MO: Mosby.
Hockenberry, M. J., & Wilson, D. (2009). Wong’s essentials of pediatric nursing (8th ed.). St. Louis, MO: Mosby.
Hockenberry, M. J., & Wilson, D. (2009). Study guide to accompany Wong’s essentials of pediatric nursing (8th ed.). St. Louis, MO: Mosby.
Lewis, S. M., Heitkemper, M. M., Dirksen, S. R., O’Brien, P. G., & Bucher, L. (2007). Medical-surgical nursing: Assessment and management of clinical problems (7th ed.). St. Louis, MO: Mosby.
Lilley, L. L., Harrington, S., & Snyder, J. S. (2007). Pharmacology and the nursing process (5th ed.). St. Louis, MO: Mosby.
Lilley, L. L., Harrington, S., & Snyder, J. S. (2007). Study guide for pharmacology and the nursing process (5th ed.). St. Louis, MO: Mosby.
Mosby’s dictionary of medicine, nursing, and health professions (7th ed.). (2006). St. Louis, MO: Mosby.
Mosby’s comprehensive review of NCLEX-RN (19th ed.). St. Louis, MO: Mosby.
Mosby’s nursing drug reference (22nd Ed.). (2009) St. Louis, MO: Mosby.
O’Brien, P. G., Dirksen, S. R., Lewis, S. L., Heitkemper, M. M., & Bucher, L. (2007). Clinical companion to medical-surgical nursing (7th ed.). St. Louis, MO: Mosby.
O’Brien, P. G., Lewis, S. M., Heitkemper, M. M., & Dirksen, S. R., & Bucher, L. (2007). Study guide for medical-surgical nursing (7th ed.). St. Louis, MO: Mosby.
Pagana, K. D. & Pagana, T. J. (2007). Mosby’s diagnostic and laboratory test reference (8th ed.). St. Louis, MO: Mosby.
Potter, P. A. & Perry, A. G. (2009). Fundamentals of nursing (7th ed.). St. Louis, MO: Mosby.
Preusser, B. A. (2009). Winningham and Preusser’s critical thinking in medical-surgical settings (4th ed.). St. Louis, MO: Mosby.
Publication manual of the American psychological association (5th ed.). (2002). Washington DC: American Psychological Association.
Sole, M. L., Klein, D. G., & Moseley, M. J. (2009). Introduction to critical care nursing (5th ed.). St. Louis, MO: Elsevier.
Yoder-Wise, P. S. (2007). Leading and managing in nursing (4th ed.). St. Louis, MO: Mosby.
Zerwekh, J., Claborn, J. C., & Gaglione, T. (2005). Mosby’s pharmacology note cards: Visual, mnemonic, and memory aids for nurses. St. Louis, MO: Elsevier.

CREDIT/HOURS ALLOCATION

Ten (10) hours credit: Theory, clinical experience, experience laboratory class, and practice labs are included in the ten credits. Lab credits are at a ratio of 3 hours of lab/week per one credit

5 credits = 5 theory hours/week

5 lab credits = 14 clinical hours/week and

2 hour teaching/learning lab class hours x 7 weeks during the semester

The clinical learning experiences will be obtained in various settings: Campus laboratory, various community facilities, and out-patient settings.


METHOD OF INSTRUCTION
Lecture, discussion, small group work, role playing, games, videotaping, selected computer assisted instruction, power point, reference readings, written assignments workbooks, study guides, simulation, films and clinical instruction, personal journals, poster presentations, and computer assignments.
ACADEMIC POLICIES
Policies regarding: attendance, plagiarism, required assignments, lateness, uniform dress, and others are identified in the Associate Degree Nursing Program Student Handbook.
METHOD OF EVALUATION AND COMPUTATION OF FINAL GRADE
The learning for each semester encompasses a variety of assignments designed to develop a sound knowledge/performance foundation for the student. Computation of a final grade for a semester is a multi-step process. Step One requires that the student achieve a minimum of a 70.0% average on theory tests. Step Two averages in quizzes with theory tests; and this must once again average 70.0% or higher. Step Three requires that the student achieve a 70.0% or higher in all written work and an "S" in all clinical performance behaviors (see clinical evaluation form). Step Four requires that the student achieve a minimum of 90.0% on a Dosage Calculation Exam (the student is allowed three attempts at passing a dosage calculation exam during the semester following remediation). Step Five is the final calculation of the semester grade.
THEORY
STEP ONE

Six Exams 260 points total

Comprehensive Final exam 75 points 70% or higher average
****STUDENTS MAY MAKE AN APPOINTMENT TO VIEW THEIR EXAMS WITH THEIR CLINICAL INSTRUCTOR. EACH UNIT EXAM CAN ONLY BE VIEWED UNTIL THE NEXT UNIT EXAM. STUDENTS WILL NOT BE ALLOWED TO VIEW EXAMS BEFORE THE FINAL
STEP TWO

Having achieved a 70% or higher

average on all tests, the final theory

grade is based on:


Theory tests average 90 %

Quiz average: 120 points 10 %



STEP THREE

Written Work 70% or higher average

Journaling S

Portfolio S

Clinical Application S

T & L Labs S


Having achieved a 70% or higher average on all written work, and all "satisfactory" in lab and clinical performance and assignments, the final clinical grade is computed. Please note that Pass/Fail assignments not submitted on time can result in an ‘Unsatisfactory’ grade and the student may not be successful in completing the semester.

STEP FOUR

The student must successfully complete a dosage calculation exam at a 90% level or higher. The student will be afforded three (3) attempts to accomplish the 90% level and a remediation process will be put in place after each failed attempt. Should the student not pass the dosage calculations exam at a 90% level or higher after remediation and completion of the third exam, Step Five of the computation of the final semester grade will not be completed and the student will not be successful in completing the semester.


STEP FIVE

Having achieved the above, step five of this process for computation of the final grade is based on:

THEORY 70%

} = FINAL GRADE

CLINICAL 30%

**At any step in the grading process, 69.5% to 69.9% will not be rounded to a 70%


STEP SIX

After a student has achieved a 70% exam grade average, if the student passes the proctored exam at the benchmark, one percentage point per ATI exam will be added to the students’ exam grade average.



CLINICAL EVALUATION
Evaluations of the student are given at the end of each clinical rotation and at other times as deemed necessary. (See Clinical Evaluation Sheet, Section D). Students will complete a self evaluation and clinical instructor will complete a student evaluation to be discussed during an evaluation meeting, scheduled individually at the end of each clinical rotation. The student will present the Portfolio, including printed journal entries and the Record of Professional Development (Section C) and Clinical Experience Tally (Section D) during the evaluation as well. A Satisfactory or Unsatisfactory clinical evaluation is based on demonstration of skills and applied knowledge. Any student receiving an ‘Unsatisfactory’ final clinical evaluation grade at the end of the second clinical rotation will receive a failing grade for the course. Separate credit is not given for clinical. All written work required for clinical must average 70% for the student to progress. Exception: The Intermediate Nursing Interventions Course (NURR 103) is one individual course with two separate clinical components: Medical-Surgical and Mental Health. A student who does not achieve a satisfactory clinical evaluation from either one or both of these clinical components will receive a failing grade for the course.
OTHER EVALUATIONS
Evaluations for guest speakers, clinical sites, and clinical spin outs are required for each course and can be found under the evaluation tab on individual course blackboard sites.
COURSE EVALUATION
Course evaluations and instructor evaluations are posted on Blackboard and each student is encouraged to evaluate each instructor as well as the course for future modifications and improvements.
COMPUTER USAGE
Computers are available for students in the computers labs (Aspen 144 and Library). Internet access is available to students in the library, the computer lab, and the Outreach Centers. All students are required to maintain a CSI e-mail address. Since email is the primary source of written communication with students, all registered CSI students get a college email account. Student e-mail addresses have the following format:
@eaglemail.csi.edu where
is a name selected by the student as a part of activating his/her account. Students activate their accounts and check their CSI e-mail online at http://eaglemail.csi.edu.   Instructors and various offices send messages to these student accounts. Students must check their CSI e-mail accounts regularly to avoid missing important messages and deadlines.  At the beginning of each semester free training sessions are offered to students who need help in using their accounts.         
LIBRARY USAGE
The college library contains many recent acquisitions both in book form and current subscriptions to professional journals. This resource is for student utilization for study or when writing required papers. Books and articles in great demand are placed on reserve "for library use only" to make them available to a greater number of students.
DISABILITIES:
Any student with a documented disability may be eligible for related accommodations. To determine eligibility and secure services, students should contact the coordinator of Disability Services at first opportunity after registration for a class. Student Disability Services is located on the second floor of the Taylor Building on the Twin Falls Campus. 208-732-6260 (voice) or 209-734-9929 (TTY)
ATI EXAMS
Total Testing Program

The ADN program utilizes a total testing program from Assessment Technologies Institute (ATI), Inc. to help the student and the program evaluate the effectiveness with which they are meeting the objectives of the educational program. The cost of these exams is the student's responsibility and payable with tuition each semester. These required exams must be completed by the deadline dates listed in course syllabi. The student will take the proctored exam and attempt to pass at the benchmark proficiency level. If the Level II benchmark is not met, a written remediation plan must be submitted to the course coordinator and completed before another exam is administered. Attempts to pass exams at the benchmark must be taken at least 24 hrs. apart. The benchmark is 90% for the nonproctored exams. Failure to complete the ATI test requirements specified in each individual course calendar will result in a failing grade for the course. Various exams, including a Virtual ATI NCLEX success package, are part of the total testing program.



TOPICAL OUTLINE AND CALENDAR
NURR 201

Advanced Nursing Intervention


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