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ASSOCIATE OF APPLIED SCIENCE NURSING PROGRAM

COURSE SYLLABUS

NURS 135: INTRODUCTION TO THE NURSING PROCESS8 CREDITS (5 theory (75 hours)) credits and 3 Clinical (135 hours) credits)

FALL 2015GENERAL INFORMATION

A. INSTRUCTOR INFORMATION:

1. Theory & Clinical :

Professor Mette, MSN, RN 753-2004 (Office) [email protected]

Professor Drussel, MSN, RN 753-2020 (Office) (I will check voice messages and e-mail each morning, including

weekends) [email protected]

Instructor Husbands, MSN, FNP-BC 753- 2212 (office)[email protected]

2. Clinical: WinnemuccaInstructor Rust 775-623-1823 (Office)

[email protected]

Pahrump 775-727-2010Instructor Conton [email protected]

Professor Sutherland, MSN, RN 753-2017 (office)[email protected]

Instructor Lino, BSN, RN 753-2020 (Peggy’s office)[email protected]

mailto:[email protected]







3. Practice Lab: TBA (Currently various instructors)

4. Office and Hours:

Prof. Mette:Health Sciences Room 118First 8 WeeksMonday & Wednesday0930-1200Second 8 Weeks

Monday 3:30-4:30 PMTuesday & Thursday 1:30-3:30 PM

Also by appointment

Prof. Drussel:Health Science Room 116

Office HoursTues and Thursday 0800-0900 & 1400-1600Also by appointment

Instructor Husbands:Health Science Room 125

Office Hours Tuesday and Thursday 0800-0900 & 1400-1600 Also by appointment

Instructor Rust: Winnemucca Campus- Check in with front desk Office Hours

Monday: 08:00 -= 09:00 AM Tuesday and Thursday: 8 AM-09:30 AM Wednesday: 3-4 PMPlease call before stopping by. There are some days I am not available.

Instructor Conton: Pahrump Center- Room 101C Tues. and Thursday: 08:00-09:00 AM & 2:30-4:00 PM

Also by appointment

B. COURSE INFORMATION:

1. Catalog Description: Introduction to basic concepts and competencies for the application of the nursing process in the care of diverse

patients with common health alterations and to promote the health of individuals. Introduction of basic concepts of safe, patient-centered, evidence-based nursing care considering legal and ethical responsibilities of the nurse. Also, introduces caring, clinical reasoning, quality improvement, communication, and teamwork when interacting with patients and members of the interprofessional team. Emphasis on essential psychomotor skills and obtaining patient information relevant to care planning.

Five credits theory, three credits clinical. Offered Fall Semester only.

2. Schedule:

Theory:Classroom: Tuesday and Thursday: 0930– 1145Dates: August 31, 2015– December 18, 2015

Clinical: Monday, Wednesday, & possibly some Fridays as indicated on clinical schedule

Practice Lab:See practice lab schedule

COURSE OUTCOMES:

STUDENT LEARNING OUTCOMES/COMPETENCIES MEASUREMENTS

Provide safe, quality, evidence-based, patient-centered nursing care at the basic level to diverse patients with common health alterations

Clinical Evaluation Clinical Packets Diversity Assignment Manor Assessment Packets Adult Wellness Assessment &

Comparison Simulation Module Exams Final Exam Nursing Skills Check-off ATI Modules

Discuss clinical reasoning used to make patient-centered care decisions at the fundamental level.

Simulation RN Comparison ATI NurseLogic 2.0 module tests Module Exams Final Exam

Explain how quality improvement processes are used to improve patient care.

Class participation in discussion Post-clinical discussion Critical Thinking Activity ATI NurseLogic 2.0 module tests Module Exams Final Exam

Recognize the importance of teamwork with members of the interprofessional team, the patient, and the patient’s support persons when working with diverse patients with common health alterations.

Challenge Course Assignment RN Comparison Auxiliary Clinical Post-Clinical

Assignment Class Activities and Discussion Module Exams Final Exam

Explain how management, legal, ethical, and professional guidelines are used in nursing practice.

RN Comparison Clinical Evaluation Legal/Ethical Class Activity ANA Standards of Practice

Discussion Clinical Care Packets

Summarize how information management principles, techniques, and systems, and patient care technology are used in the healthcare setting.

Class Discussion Chart Search EMR Training Discussion Module Exam Simulation Final Exam

METHOD OF INSTRUCTION:

Lecture, discussion, demonstration, small group work, videos, assigned readings,written assignments, computer assisted learning programs, nursing labactivities and clinical instruction will be utilized.

Make sure to bring your laptop and headset to each class for activities and group work.

THEORY EVALUATION:

Evaluation of student progress will be the successful completion of the course outcomes which will be evaluated with four (4) module examinations, a comprehensive final exam, and a Library/Research assignment, and daily quizzes and/or assignments. Questions contained in all exams will be based on application of knowledge acquired in this, as well as previous courses. Questions may be multiple-choice, fill in the blank, multiple-answer, or other NCLEX® alternate formats as applicable. All written work (theory and clinical) will be

considered for determination of a course grade. Students must obtain a 76% on all module examinations and assignments. Students receiving less than a 76% on one module examination will receive an unsatisfactory notification. (See student handbook.)

CLINICAL EVALUATION:

All required skill performance check-offs must be completed satisfactorily in the nursing lab prior to clinical performance. Clinical performance is evaluated mutually by student and instructor at mid-semester and the end of the semester. Clinical performance and written clinical assignments (see list below) will be used to determine clinical competency and the ability to generalize and transfer theory outcomes to the clinical settings. A grade in clinical performance is considered in regard to continuing in the course and to pass the course.

Clinical Objectives:

Please see objectives for individual clinical assignments

Simulation Objectives:

1. Identify essential information for effective patient care within the EMR.2. Demonstrate focused, informative, legally correct nursing documentation

which reflects the nursing process.3. Promote safety for patient, self, and others.4. Identify factors that influence the quality of care by evaluating patient

response to interventions .5. Utilize information technology to support patient care.

REQUIRED AND RECOMMENDED MATERIALS:

Potter, P. A., Perry, A. G., Stockert, P. A., Hall, A. (2013). Fundamentals of Nursing (8th ed.) St. Louis, MO: Mosby.

Potter, P. A., Perry, A. G., Stockert, P. A., Hall, A. (2013). Fundamentals of Nursing Study Guide (8th ed.) St. Louis, MO: Mosby. (Recommended)

Ladwig, G. B., Ackley, B.J. (2013). Mosby’s guide to nursing diagnoses. (4th Ed.). St. Louis, MO: Mosby.

Lewis, S., Dirksen, S., Heitkemper, M., Bucher, L., & Harding, M. (2014). Medical-surgical nursing: Assessment and management of clinical problems (9th Ed.). St. Louis, MO: Elsevier/Mosby.

Silvestri, L. (2014) Comprehensive review for the NCLEX-RN examination. (6th Ed.). St. Louis, MO: Mosby.

Doenges, M.E., Moorhouse, M. F., Murr, A.C. (2013). Nursing care plans:Guidelines for individualizing client care across the life span. (9th ed.). Philadelphia, PA: F.A. Davis Company. (Recommended)

Deglin, J. H., Vallerand, A. H., & Sanoski, C. A. (2011). Davis’s drug guidefor nurses. (14th ed.). Philadelphia, PA: F. A. Davis Company.

Van Leeuwen, A. M., Poelhuis-Leth, D., & Bladh, M. L. (2013). Davis’scomprehensive handbook of laboratory diagnostic tests with nursing implications. (6th ed.). Philadelphia, PA: F. A. Davis Company.

VandenBos, G. R. (Ed.). (2010). Publication manual of the Americanpsychological association. (6th ed.) Washington, DC: AmericanPsychological Association.

Venes, D. (Ed.). (2012). Taber’s cyclopedic medical dictionary. (22st ed.)Philadelphia, PA: F. A. Davis Company.

**Please plan on using the drug book, lab & diagnostic book, nursing diagnosis book, nursing care plan book. You also may find it helpful to use your Med.-Surg. Book and Pharmacology books as references.

GRADING POLICY AND CRITERIA:

Course grade will be based on a percentage of the total possible points of theory and clinical assignments according to the following scale:

100 - 94.00 = A 76.00 =C (needed to pass)93.99-90.00 = A- 75.99-70.00 = C-89.99-87.00 = B+ 69.99-67.00 = D+86.99-84.00 = B 66.99-64.00 = D83.99-80.00 = B- 63.99-60.00 = D-79.99-77.00 = C+ Below 60.00 = F

The classroom course work must be completed on time and with an average of 76% or better to pass the course.

All clinical rotation paperwork must be completed on time and with either a Pass or an average of 76% or better to pass the course.

Late theory and clinical assignments will be worth 50% of the actual grade. If an assignment is more than one week late, a zero will be given for the assignment but submission of the assignment is still required.

Please allow a minimum of one week for correction of assignments.

Theory Assessments: 60% of Total Grade 3 Exams = 300 possible points (100 points X 3 Exams) Comprehensive Final = 100 points 1 Library Assignment = 50 Points 4 ATI NURSELOGIC Modules = 5 points each ATI Learning System Practice Exams (2) and Final = 45 possible points

(15 x 3)

Team Based Learning: 10 % of Total Grade Daily quizzes = 1440 possible points (60 points X 24 quizzes) Daily collaborative testing = 480 points (20 points X 24 collaborative)

Clinical Assessments: 30% of Total Grade M1 & H1 – RN Comparison = 50 points M2 Health Assessment = 50 points H3 Clinical care packet = 100 points H4 Clinical care packet = 100 points H5 Critical Thinking Activity = 100 points H7 Nutrition/Discharge planning/Quality Improvement assignment = 20

points H6 Cardiopulmonary assignment = 50 points Challenge Course assignment = 50 points Diversity assignment= 50 points Adult Wellness Comparison assignment= 200 points total

DOSAGE CALCULATIONS:

Students will be required to pass a dosage calculation exam each semester. These will be short, paper and pencil exams that will be scheduled by the instructor. Students will take the dosage calculation exam after completing the required ATI Modules and corresponding module post-tests. The required modules for NUR 135 are as follows:

Safe Dosage Medication Administration Oral Medications Injectable Medications Case Study – Diabetes: Oral medications

Students must pass the ATI Safe Dosage module post-test with a 100%. The additional ATI module post-tests listed will require a 90% pass rate. Transcripts are required prior to taking the dosage calculation exam. Students will submit transcripts of module (lesson and test) on the date of the dosage calculation exam which will be September 24, 2015. To pass the exam, students may miss no more than one question. Students may bring a copy of the conversion table found in the back of the Davis’s Drug Guide to the exam. Copies of this table will

not be provided. Please see the Medication Dosage Calculations Testing policy in your Student handbook for additional information.

DROP/WITHDRAW POLICY:

According to GBC policy, if you do not complete the course and do not formally withdraw by the set drop deadline, your instructor will automatically assign you a grade of “F” for the course. The drop deadline for Fall 2015 is Monday, November 2, 2015. If you are dismissed from the program after this date, this rule will also apply.

ATTENDANCE POLICY:

Students are expected to attend all classroom, lab, and clinical hours. (See Student Handbook)

STUDENT CONDUCT :

Great Basin College considers academic honesty one of its highest values. A student who obtains academic credit for work that is not the product of his or her own effort is being dishonest and undermining the academic integrity of the college. Students are expected to be the sole authors of their work. Use of another’s ideas must be accompanied by specific citation and reference. In addition, a learner may not submit the same work for credit in more than one course. The disciplinary consequences of plagiarism and other forms of academic dishonest include non-acceptance of work submitted, a failing grade in the course, and/or or other disciplinary action as outlined in Great Basin College’s Student Conduct Policy.

ADA STATEMENT:

Great Basin College is committed to providing equal educational opportunities to qualified students with disabilities in accordance with state and federal laws and regulations, including the Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. A qualified student must furnish current verification of disability. The Students with Disabilities Office, located in Berg Hall, will assist qualified students with disabilities in securing the appropriate and reasonable accommodations, auxiliary aids, and services. For more information or further assistance, please call 775.753.2271

COURSE SCHEDULE:

MODULE SUBJECT ASSIGNMENTS

WEEK 1

Monday August 31

Welcome! We expect this will be the beginning of a wonderful adventure…

It is your responsibility to have read the required

chapters and reviewed the required course content that will be covered in

Prof. Mette & DrusselInstructor Husbands

0930-1200:General orientation to nursing program- HSC room 108

1300-1600

Introduction/Orientation: Canvas Practice Lab Syllabus Clinical schedule Skills Lab schedule Team Based

Learning (TBL) How to use your

textbook NCLEX Style

Questions(please have printed out syllabus or your laptop with you so you can access the syllabus)

class BEFORE the date they are scheduled to be

covered.

Not all content that you are responsible for will be

covered in class.

Your instructor reserves the right to add other sources that maybe

required to be read prior to class.

**Unless otherwise stated, all listed reading chapters

are out of your Fundamentals of Nursing

text

TuesdaySeptember 01

Prof. Mette Inst. Husbands

0930-1145ATI training—Classroom108

Start reading Chapter 2, 6

Bring ear phones or a headset for this training.

WednesdaySeptember 02

Prof. Drussel

Module 1: Health Care Environment

0930-1145

Topics:

1. Health Care Delivery System -- 2. Health and Wellness

Required reading:

Chapter 2 and 6

ThursdaySeptember 03

Prof. Drussel

0930-1145

Topics:

1. Patient-centered CareCulture/Spirituality

Required reading:

Chapter 7, 9, 10, and 35

2.Caring

1330-1630 ATI Self-Assessment Inventory – Classroom(Practice test)

FridaySeptember 04

Prof. Drussel

0930-1145:

Topic:

Evidence-based practice

Required reading:Chapter 5

Due: ATI Nurse Logic: Knowledge and

Clinical Judgment module and test (submit printed

transcript before class)

WEEK 2

MondaySeptember 7

Labor Day Holiday

Relax!

TuesdaySeptember 8Prof. Drussel

Module 2: Safety

0930-1145

Topics:

1. Infection Control

2. Patient safety

Required reading:

Chapters 27 and 28

WednesdaySept 9

Professor Drussel

0930-1145:

Documentation Review: CCP

Required Reading:

Adult Wellness Packet

Test Taking Tips

How to Best Use Your Textbook

Due: ATI Nurse Logic: Testing and

Remediation module and test (submit printed transcript

before class)

ThursdaySept 10

Prof. Drussel

0900-NOONORIENTATION TOMANOR- ELKOGROUP ONLY

FridaySept 11

All Instructors

0800Pictures with Laura for badges- (wear scrubs) All students

0900-1400Challenge Course(Lunch will be provided)

Required readingChapters 21 and 24

WEEK 3MondaySeptember 14

0930-1145Library orientation/introduction; EBP ASSIGNMENT

Begin working on you EBP assignment. It is due Sept.

21.

Tuesday September 15Prof. Drussel

0930-1145Documentation Review:

CCP Adult

Wellness Packet

Test Taking Tips

How to Best Use Your Textbook

Wednesday See Clinical and Practice

September 16 Lab schedules


Instructor Husbands

Module 3: Health and Physical Assessment

0930-1145: Topic:

Physical assessment Vital Signs Inspection,

Palpation, Percussion, & Ausculation

General Survey Health History Pain

Required reading:Chapters 29, 16 Health

Hx. Only Pages (215-216), 30, & 43

Ticket to classATI Vital Sign

Transcript & ATI Pain Management Transcript

Bring your stethoscope and pen light to all Physical

Assessment Days

FridaySeptember 18

See Clinical and Practice Lab Schedules

WEEK 4Monday September 21


EBP AssignmentDUE TODAY

TuesdaySeptember 22

Instructor Husbands

0930-1145: Topic: Physical Assessment

Skin Hair Scalp Nails Head & Neck Thorax Lungs Vascular system

Required reading:Chapters 29, 16 Health

Hx. Only Pages (215-216), 30, & 43




Instructor Husbands

0930-1145: Topic: Physical Assessment

Lymphatic System Abdomen Reproductive

System

Musculoskeletal Neurological System Documentation

Required reading:Chapters 30

FridaySeptember 25

See Clinical and Practice Lab Schedule

WEEK 5MondaySeptember 28

See Clinical and Practice Lab Schedules.

TuesdaySeptember 29

Prof. Drussel

0930-1100:Exam #1:

1115-1145:APA Refresher

Start reading:Chapters 15 and 16



ThursdayOctober 1

Prof. Drussel

Module 4: Clinical reasoning

0930-1145: Topic:1. Critical thinking10:30-11:30 ATI Critical Thinking Entrance Exam -- Proctored


FridayOctober 2 Prof. Drussel

1330:Dosage Calculation ExamRoom 110

Ticket to exam is theATI Transcript for

Dosage Calculations

WEEK 6 See Clinical and Practice

MondayOctober 5

Lab Schedule

TuesdayOctober 6

Prof. Drussel

0930-1145: Topics:1. Nursing process – Assessment2. Nursing Process – Diagnosis

Required reading:Chapters 16 and 17

Bring your nursing diagnosis book to class

WednesdayOctober 7 See Clinical and Practice

Lab Schedule

ThursdayOctober 8

Prof. Drussel

0930-1145:

Topics:1. Nursing process- planning.2. Nursing process- Implementation3. Nursing process – Evaluation

Required reading:Chapters 18, 19, and 20

Bring back your concept map from last week

Due: ATI Nurse Logic: Nursing Concepts module and test (submit printed

transcript before class)

FridayOctober 9


WEEK 7MondayOctober 12

Prof. Drussel

Module 5: Communication

0830-1230S1 SimulationCommunication & SBAR


Please reviewVideo on nursing

Communication and SBAR

TuesdayOctober 13 0930-1145:

Topic:Required reading:

Chapters 24

Prof. Drussel Professional Communication

WednesdayOctober 14


ThursdayOctober 15

Instructor Husbands

0930-1145: Topics:1. Documentation2. Informatics3. SBAR


FridayOctober 16


WEEK 8MondayOctober 19 See Clinical and Practice

Lab Schedules

TuesdayOctober 20

Prof. Drussel

Module 6: Professionalism

0930-1145: Topics:1. Patient education2. Teamwork


Ticket to class ATI transcript for HIPPA and

Health Care Fraud, Waste, and Abuse Prevention

WednesdayOctober 21


ThursdayOctober 22

Prof. Drussel

0930-1145: Topics:1. Legal Principles2. Ethics

Required reading:Chapter 22 and 23

FridayOctober 23


WEEK 9MondayOctober 26


TuesdayOctober 27

Prof. Mette

0930-1145:Exam #2: Midterm ATI Learning System RN

Fundamentals Practice Test #1 completion due

WednesdayOctober 28 See Clinical and Practice

Lab Schedules

ThursdayOctober 29

Prof. Mette

Module 7: Physiological Integrity

0930-1145: Topic:Oxygenation


Ticket to class- Transcript from ATI Oxygen Therapy

Classroom activity using O2 and suction

FridayOctober 30

Nevada Day

WEEK 10MondayNovember 02


TuesdayNovember 03

Prof. Mette

0930-1145: Topic:Oxygenation (continued)Cardiopulmonary-NNRH Guest Speaker

Ticket to class- Transcript for Airway Management


WednesdayNovember 04


ThursdayNovember 05

Prof. Mette

0930-1145: Topics:1. Skin integrity2. Sensory alterations3. Pain management (management part of chapter 43)

Required reading:Chapters 48, 49, 43

WEEK 11Monday November 09


TuesdayNovember 10

Prof. Mette

0930-1145: Topic:Urinary Elimination


WednesdayNovember 11

HOLIDAY

Veterans Day

ThursdayNovember 12

Prof. Mette

0930-1145: Topic:1. Nutrition2. Sleep

Required reading:Chapter 42 & 44

Ticket to class is ATI Transcript on Nutrition,

Feeding and Eating

FridayNovember 13

Please see Clinical and Practice Lab Schedules



Tuesday November 17

Prof. Mette

0930-1145: Topic:Bowel Elimination


Due: ATI Nurse Logic: Priority Setting

Frameworks module and test (submit printed transcript

before class)WednesdayNovember 18


ThursdayNovember 19

Prof. Mette

0930-1145 Topics:1. Exercise and Activity2. Mobility/Immobility


Ticket to class is ATI transcript for Ambulation,

transferring, and ROM

Friday November 20


WEEK 13Monday November 23


Tuesday November 24

Prof. Mette

0930-1145:Exam #3

Start reading:Chapter 41

RN CMS Fundamentals Practice Assessment Due—Start remediation work

Wednesday November 25


ATI Learning System RN Fundamentals Practice Test #2 completion due

Thursday & FridayNovember 26 & 27

Happy Thanksgiving!



TuesdayDecember 01

Instructor Husbands

0930-1145: Topic:Fluid/Electrolytes


WednesdayDecember 02


ThursdayDecember 03

Instructor Husbands

0930-1145: Topic:Fluid/Electrolytes (continued)


WEEK 15Monday December 07


ATI Learning System RN Fundamentals Final

completion due

Tuesday December 08

Instructor Husbands

0930-1145: Topic: Acid/Base balance


WednesdayDecember 09


ThursdayDecember 10

Prof. Mette

0930-1145 Topics:Perioperative care


WEEK 16TuesdayDecember 14

Final: ATI RN CMS Fundamentals Proctored Assessment (Exam #4) Time to be announced

ATI Remediation Templates and Focused Review transcripts due

before the final

ThursdayDecember 15

Final Retake See Final grading policy for information

All attempts will be made to maintain the posted theory and clinical schedule. However, please note that in the event of an unforeseen emergency or circumstances beyond our

control, faculty may schedule class and/or clinical times on other days as a means to ensure every opportunity for students to successfully complete the course. The faculty

also may make changes to the syllabus at any time throughout the semester. All attempts will be made to inform the students of any changes in a timely manner when

possible.

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