NUR 1021 Syllabus Spring 2016 revised 1.04.16

MARION TECHNICAL COLLEGE NURSING EDUCATION DEPARTMENT NUR 1021 – FOUNDATION OF ADULT NURSING CARE II COURSE SYLLABUS FIRST-HALF SESSION SPRING SEMESTER 2016 FACULTY Class and Clinical (full time): Course Coordinators: Carolyn Kaple, MS, RN, CNE; Office: HTC 115, ext 255 – e-mail: kaplec@mtc.edu Office hours: Monday- 0800-1000, 1200-1300; Tuesday - 0800-1000 Eileen Vorst, MS, RN, CNE; Office: HTC 118, ext 292 – e-mail: vorste@mtc.edu Office hours: Monday - 0900-1000, 1200-1300; Tuesday - 0900-1000, 1200-1400 Campus Lab: Lab Coordinator: Aaron Donelson, MSN, RN; Office: HTC 120, ext 286 – e-mail: donelsona@mtc.edu Office hours: TBA Sandy Allen, MSN,RN, BSED; Office: HTC 164, ext 243 – e-mail: allens@mtc.edu Office hours: Tuesday – 1200-1500; Wednesday - 1100-1300 Clinical/Lab (full time): Rebecca Snyder, MSN, RN; Office: HTC 117, ext 304 – e-mail: snyderr@mtc.edu Office hours: See calendar outside office door for office hours Lori Hosack, MS, RN; Office: HTC 134, ext 215 – e-mail: hosackl@mtc.edu Office hours: See calendar outside office door for office hours Clinical Coordinator (full time): Cathy Crum, RN, MSN; Office: HTC 120, ext 308 – e-mail: crumc@mtc.edu Office hours: See calendar outside office door for office hours Clinical (full time – first and second years): Helen Guinther, MSN, RNC; Office: HTC 120, ext 339 – e-mail: guintherh@mtc.edu Office hours: See calendar outside office door for office hours Clinical (part time): Office: HTC 162 (Adjunct Faculty office) Katie Rismiller, MSNED, RN, CPN Julie Daniels, BSN, RN PLACEMENT: Spring Semester - First Year CREDIT HOURS: semester credit hours SUMMATION OF ALL CLOCK HOURS: Theory Lab Lab: Sims Clinical (supervised nursing care) Clinical Observation Clinical Orientation Total Hours 30 14 40 12 20 (includes hours of weekly post-conferences 118 COURSE PREREQUISITES: NUR 1011 COURSE DESCRIPTION: This course continues an introduction to the field of nursing The course is based on an integrated approach of basic nursing content areas that is patient-family centered Special emphasis is placed on the roles of the nurse, utilization of the nursing process, and the categories of human functioning Students will also be assisted in the development of psychomotor skills and pharmacology principles/skills The clinical component of the course provides the student the opportunity to validate nursing skills and content for medical-surgical patients in an acute care setting IN CASE OF EMERGENCY: Dial 9-911 from any office or courtesy phone on-campus COLLEGE GRADUATE COMPETENCIES Assessment begins with a clear understanding of what students are expected to learn College Graduate Competencies (CGC’s) are common to all areas of study and apply to all students The individual sub-skills defined in each CGC are taught, reinforced, and/or periodically measured in various courses throughout the curriculum The six CGC areas and statements are: Communications: Communicate effectively both written and orally Mathematics: Solve problems using mathematics Problem-Solving: Solve problems through analysis, creativity, and synthesis to make informed decisions Professionalism: Demonstrate good work habits, effective interpersonal and teamwork skills, and a high level of professionalism Technology: Use technology tools efficiently and effectively to perform personal and professional tasks Diversity: Exhibit respect and sensitivity for individual and institutional differences GENERAL EXPECTATIONS A Honesty, trust, fairness, respect, and responsibility are expected student classroom behaviors This has been established so that we can recognize the importance of professional behavior in the nurse’s professional role The learning environment is the place that students begin to learn the professional role and behaviors The following guidelines are in effect for all classroom, skills lab, and clinical lab experiences: Respectful attention Respectful dialogue with peers and faculty Quiet when someone else is talking or teaching Come to class on time If entering late, take seat closest to door Refrain from noise or other actions that divert attention from the speaker B The student must complete his/her assignments for class, clinical, and post-conference as designated by instructor C Current cardiopulmonary resuscitation certification is required for entry into all clinical courses D An annual TB skin test is required for entry into all clinical courses E The student is expected to adhere to departmental policies as stated in the Student Handbook F Visitors are not permitted to attend class, laboratory, or clinical settings G Students who have not met the physical exam requirements and/or not show appropriate documentation will be unable to attend clinical and will receive absence days until completed and turned in to appropriate personnel H If there is a need for reasonable accommodation or assistance because of mental, physical, or learning disability, the student is requested to contact the instructor, or if preferred, the Student Services counselor, within the first two weeks of class I Eating and drinking are not permitted in any computer classroom or lab All copyright laws will be observed It is illegal to copy software COMMUNICATIONS DEVICE USAGE All personal communication devices, including cell phones, must be set to vibrate or off while in classrooms, labs and participating in other class-related activities, unless the use of such a device is specified in the official course syllabus Infractions will result in warnings and, eventually, grade-related penalties Exceptions must be approved in writing by the instructor Additionally, all personal communication devices, including cell phones, must be deactivated (turned completely off) during exams, quizzes or other evaluations Any student found to be using a communication device during an exam will be given a grade of zero for the exam ACADEMIC MISCONDUCT Examples of dishonest or unacceptable scholarly practice at Marion Technical College include but are not limited to: A Work copied verbatim from an original author; work copied practically verbatim with some words altered from the original without proper credit, i.e., reference citations being given A copyright explanation and more information is available at www.copyright.com B Copying answers (and/or electronic data) from another’s test paper, quizzes, notes, book, etc C Evidence of a deliberate and calculated plan to engage in a dishonest academic practice, such as gaining access to examinations prior to the time the exam was to be given or the extraction of information regarding an examination from other students D Falsification of clinical, practicum, or laboratory records E Plagiarism – using someone else’s ideas or words as your own In an educational setting you can avoid plagiarism by providing appropriate source documentation For more information on plagiarism, visit www.plagiarism.org Note: Please also see the Academic Misconduct section in the Student Handbook on the college website at http://www.mtc.edu/adultstudent/pdfs/StudHdbk.pdf FINANCIAL AID ATTENDANCE REPORTING Marion Technical College is required by federal law to verify the enrollment of students who participate in Federal Title IV student aid programs (Federal grants and student loans) and/or who receive educational benefits through the Department of Veterans Affairs It is the responsibility of the College to identify students who not commence attendance or who stop attendance in any course for which they are registered and paid Non-attendance is reported by each instructor, and can result in a student being administratively withdrawn from the class section Please contact the Financial Aid Office for information regarding the impact of course withdrawals on financial aid eligibility CREDIT HOUR DEFINITION Credit Hour: Marion Technical College subscribes to the federal definition of the “credit hour” endorsed by the Higher Learning Commission that typically requires students to work on out-of-class assignments a minimum of twice the amount of time as the amount of formalized instruction Minimum Homework Hours Per Week for Credit Course (16-Week Term) Delivery Format Homework Per Week Traditional hours Blended 6.75 – 8.25 hours Online hours MAJOR COURSE LEARNING OBJECTIVES A student completing this course will be able to function in the following roles in caring for the adult medicalsurgical patient I PROVIDER OF CARE The student will apply relevant theoretical concepts from biopsychosocial sciences, liberal arts, family, holistic person, society, health, and nursing process in the care of the adult medical-surgical patient: A Assessment Select and apply appropriate communication techniques for data collection Collect subjective and objective biopsychosocial data using the categories of human functioning Identify normal physical assessment data in each patient Apply physical assessment skills and categories of human functioning to distinguish deviations from normal in each patient Recognize physical and psychosocial stressors associated with hospitalization for each patient Recognize and respect cultural, spiritual, and ethnic diversity of families and patients B Analysis Classify data using the categories of human functioning Select nursing diagnoses for one or more adult medical-surgical patients Prioritize nursing diagnoses with assistance C Planning Develop short-term and/or long-term goals with the patient/family for various nursing diagnoses Assist the patient/family in choosing outcome criteria for each goal List appropriate nursing interventions to achieve each goal Participate in discharge planning with patient, family, and community referral D Implementation Safely and accurately execute nursing interventions, clinical judgment, and decision making that are within the scope of first year student’s objectives with the supervision/assistance of the faculty Safely and accurately perform therapeutic measures prescribed by the physician that are within the scope of the first year student’s objectives with the faculty’s supervision/assistance Adapt basic nursing skills to medical-surgical patients, including the developmental and functional level of each patient Incorporate evidence-based practice into the plan of care for assigned patients Recognize emergency situations and notify proper personnel E Evaluation Identify outcome criteria that have not been achieved Recognize portions of the care plan needing change, and report the need to health care personnel/faculty II COMMUNICATOR A Select and adapt appropriate therapeutic communication techniques and concepts B Describe the effects of feelings/values/culture on communication in self C Document data using established forms with assistance/supervision D Communicate effectively with instructor and health care personnel when receiving and giving report regarding patient care and condition III TEACHER A Collect subjective and objective data to identify learning needs B Assess the patient/family member’s readiness, level of development, and ability to learn C Identify the learning needs of the patient/family D Individualize a teaching plan using developmentally appropriate methods to enhance the patient’s learning E Implement teaching plan with assistance F Reinforce the teaching completed by other health team members G Evaluate progress toward goal H Identify noncompliant behavior with assistance IV V MANAGER A Demonstrate ability to plan and organize basic nursing care activities for assigned patients with specific time limits during the day B Identify community agencies available as resources for the patient and family C Recognize own capabilities and limitations, and seek assistance as needed D Begin to use critical thinking skills E Delegate aspects of nursing care MEMBER OF NURSING PROFESSION A Recognize importance of responsibility and accountability for his or her own nursing actions B Identify the ethical and legal parameters of the nursing profession C Relate some ethical dilemmas found in the health care setting D Display responsibility for own learning as evidenced by preparation for class, campus lab and clinical lab E Participate as a member of the health care team to maintain and/or improve the quality of care for patients, families, or significant others (patient advocate) F Evaluate the management of own care G Utilize evidence-based knowledge from professional nursing and scientific resources for continuous learning and self-development COURSE OUTLINE – see course calendar NOTE: This is a tentative schedule and subject to change at the discretion of the instructor If there is a need for reasonable accommodation or assistance because of mental, physical or learning disability, the student is requested to contact the instructor or if preferred, the Director of the Student Resources Center within the first two weeks of class UNITS OF STUDY: I PROTECTIVE FUNCTION A Alterations in peripheral & arterial vascular systems B Health promotion and disease prevention for the patient and family C Care of the peri-operative patient: Pre, intra & post-operative nursing care D Pharmacology: Medications to control blood sugar levels, anticoagulant medications, antibiotics II SENSORY/PERCEPTUAL FUNCTION A Assessment of all senses B Care of patients with health stressors affecting sensory perceptual functions III COMFORT AND REST A Pain control in patients with surgical interventions B Pain control in patients with peripheral and arterial vascular disease C Pharmacology: Medications affecting blood coagulation IV ACTIVITY/MOBILITY FUNCTION A Alteration in mobility of patients with peripheral vascular disease and deep vein thrombosis V NUTRITION A Nutritional and/or therapeutic dietary needs of the adult with alterations in metabolism: Diabetes B Nutritional alterations of the medical-surgical patient: diet progression postop C Pharmacology: Anti-diabetic medications, teaching self-administration of home medications D Nutritional alterations of the patient with vascular stressors: Heart healthy diet VI GROWTH AND DEVELOPMENT A Likely medical management B Likely surgical management C Areas of nursing assessment D Common nursing diagnoses and goals E Expected outcomes, evaluation F Teaching implications G Pharmacology needs VII FLUID/GAS TRANSPORT A Alterations in arterial and venous circulation B Assessing patients with intravenous infusion C Alterations in fluid/electrolyte balance VIII PSYCHO/SOCIAL/CULTURAL/SPIRITUAL FUNCTION A Teaching culturally diverse patient populations B The adult patient experiencing alteration in metabolic function: Diabetes C Diabetic support groups across the life span D Professional accountability E Therapeutic communication IX ELIMINATION A Care of patient with retention catheter X PHARMACOLOGY A Mixing powders B Continuation of dosage and equivalency problems C Medication information incorporated into theory content D Administration of parenteral medications: intradermal, subcutaneous & IM EVALUATION PROCEDURES ATTENDANCE AND PARTICIPATION: Consistent with class attendance Policy #520, the student is responsible for attending every class and for the material presented If a student will not be attending a class, he or she is responsible to contact the instructor and to make sure all assignments are completed prior to the scheduled class The student is expected to come to class prepared to participate by having utilized learning resources such as assigned texts, videotapes, and by answering the objectives Objectives for each unit and class are located in the unit study guides GRADING PROCEDURES / COURSE EVALUATION: Course evaluation will be based on performance in three main areas: (1) theory, (2) skills performance in campus laboratory, and (3) clinical performance and attendance The final NUR 1021 course grade is determined by the theory grade combined with the clinical grade If a student receives an unsatisfactory in the clinical area, regardless of the theory grade, they will receive a “D” for the course If a “D” is received in the course, the student cannot progress to the next nursing course which is NUR 1032 I Theory: A grade of at least “C” must be obtained to pass the course and to be able to continue in the nursing program A The theory grade will be determined as follows: unit tests (50 pts each) Lab Check Off Final Exam (comprehensive) II 100 20 75 195 points points points total pts B The following grading scale will be used: A B C D F = = = = = 90 82 75 67 - 100% 89% 81% 74% 66% (175-195) (160-174) (146-159) (131-145) (below 131) C Due to the structure of this semester, it is essential that unit quizzes, exams, and final be taken at scheduled times To be eligible to make up a missed quiz, exam, or final exam, the student must notify the course coordinator or theory instructor by phone before the quiz or exam with the reason he or she will be unable to attend Then a determination will be made as to whether the exam or quiz may be made up Any student taking a quiz or exam at any time other than the scheduled time for whatever reason will have 5% of the total test or quiz grade subtracted from his or her exam or quiz grade If the student fails to call, an unexcused absence will automatically be recorded, and the student will not be permitted to make up the test or quiz A doctor's statement may be requested after an absence The make-up exam or quiz must be taken on the first day back (this includes clinical days) after an absence; otherwise, only half credit will be given Any student requesting an earlier testing date will also receive the 5% deduction A make-up test may not be taken during scheduled class time or clinical hours D Since the learning process is facilitated by regular class attendance and participation, attendance is expected for all classes Attendance will be taken for each class session as required by federal regulations for student financial aid purposes Skills Performance in Campus Laboratory: A A skills list will be kept in campus lab The student must perform each skill in campus lab before performing the skill in the clinical area Certain skills will require the lab instructor's signature after safe performance of the skills before the student goes to the clinical setting Students must notify the lab instructor by telephone (no texting) if they miss their scheduled lab or check-off times B Satisfactory completion of all campus lab skills as listed on skills check-off board is a requirement for passing the course Students MUST notify the lab instructor by telephone (no texting) prior to missing a scheduled lab time Should the student miss more than two scheduled lab times without proper notification, this will be reflected on the student’s clinical evaluation C Two hours of lab experience are required for every scheduled week throughout the semester Students who miss a lab have until Wednesday during the scheduled lab hours to complete the make-up Students who fail to complete the make-up by this deadline will not be allowed to attend clinical on that week’s assigned clinical days D Skills for each unit must be completed in campus lab before attending clinical E A total of 20 points can be obtained for lab participation which include lab quizzes, coming prepared to lab, being on time, having the appropriate skill sheet and successful lab skill check-offs The student must earn 75% of the available points for a skill on the first attempt in order to pass the skill All red rules for a skill must be performed correctly the first time in order to receive points for that skill Skills for scheduled lab check-offs must be satisfactorily performed in order for the student to attend clinical that week Students scoring below 75% for a skill must make an appointment for return check-off on the Wednesday open lab (See Lab Guideline for conversion of earned points to course points for the lab.) F III If a student is late for the scheduled lab time, the student will attend the next available lab session as determined by the lab coordinator Clinical Performance: A The student will receive a grade of Satisfactory or Unsatisfactory in the clinical environment (healthcare setting) The evaluation will be based on achievement of stated clinical objectives and enabling behaviors as stated on the clinical evaluation tool A satisfactory grade is required to successfully complete the course B The clinical instructor has the right to dismiss an unprepared student from the clinical area This dismissal will constitute an absent clinical day, which must be made up Absences of greater than 12 hours will result in an unsatisfactory clinical grade C An evaluation of Satisfactory as stated on the clinical evaluation tool is a requirement for passing the course An unsatisfactory clinical grade will result in no higher than a “D” grade for the course and the student will not be able to progress to the next nursing course, NUR 1032 D If a student is experiencing an area of difficulty that could be remedied with an intervention of additional guidance from a faculty member the procedure of “Steps for Success” will be implemented If performance is not maintained at a satisfactory level at any time throughout the half semester, the student may be placed on progress alert The procedure of “Steps for Success” may or may not precede a progress alert See policy “Progression from Progress Alert to Program Probation.” E A student may also be placed on progress alert for not showing continuous progress in writing a satisfactory nursing process assignment All clinical work must be turned in to the instructor on the designated date/time and by the designated method as assigned by the clinical instructor Failure to turn in completed work (or to contact instructor prior to due date) will result in an unsatisfactory grade for that week's clinical written work F Clinical Attendance The student is expected to attend all clinical sessions Absences in excess of two days (or 12 hours) will result in an unsatisfactory grade for the course A student who is ill and comes to clinical will be considered unsafe for clinical practice, sent home, and counted as absent If unable to attend, the student must notify the clinical instructor as arranged at the beginning of the semester The student is expected to arrive at all clinical sessions on time (See “Clinical Absence Without Notice” policy G Physical Exam Requirements Students must present his/her documentation of physical exam requirements to the clinical coordinator prior to the first clinical day Students are not permitted in the clinical area without this documentation H Clinical Conferences/Evaluations Individual conferences with students will be scheduled during the half semester as deemed needed by the instructor or the student The student is required to complete a self-evaluation and bring the evaluation to a scheduled conference with the instructor or turn in with homework The evaluation will include strengths, areas that need improvement, and goals for the next semester Final clinical performance evaluations will be completed by the instructor for each student by the end of NUR 1021 Each student will be expected to read and sign his or her evaluation in the presence of a clinical instructor I To maintain patient safety and to meet clinical evaluation criteria, students are advised not to work within the 24-hour period preceding the clinical experience (See student handbook) J The student must obtain a satisfactory clinical grade in order to successfully complete NUR 1021 and progress to NUR 1032 TEACHING METHODS: A Classroom Speakers Multimedia Group discussions Lecture B Supplemental independent learning experiences College laboratory simulation Multimedia Library and reading resources C Clinical experiences Acute care facility experiences Observations in selected specialty areas of acute care facilities Learning experiences are planned to provide correlation between theory and practice Available Support Services Service(s) Day(s) Time Location Contact Labs Tutoring Will be provided to students at the beginning of the half-term Other ADDITIONAL INFORMATION: - Eating and drinking is not permitted in any computer classroom or lab - All copyright laws will be observed - It is illegal to copy software ADDENDUM(s) PC Addendum (attached) SRC Addendum - website BIBLIOGRAPHY: A bibliography, audiovisual resources, and specific assignments will be provided for each class REQUIRED TEXTS: Brunner and Suddarth’s Handbook of Laboratory and Diagnostic Tests (2014) 2nd Ed Docu-Care charting system Gulanick and Myers Nursing Care Plans: Diagnoses, Interventions, and Outcomes (2014) 8th Ed Hinkle and Cheever Brunner and Suddarth’s Textbook of Medical-Surgical Nursing (2014) 13th Ed Karch Focus on Nursing Pharmacology (2013) 6th Ed Lynn Taylor’s Clinical Nursing Skills 4th Ed (North American) Taylor Fundamentals of Nursing (2015) 8th Ed (North American) Wilson Nurse’s Drug Guide 2015 REQUIRED EQUIPMENT: Laptop computer: You can use any of the following: Laptop, Mac, Surface Pro 1/2/3 PC Requirements: (see following information ): PC Syllabus Addendum – 2015/16 School Year • SofTest (ExamSoft) is a testing program nursing students will be required to use beginning this Fall, 2015 SofTest can be used on most modern Microsoft Windows based computers (i.e purchased within the last 3-4 years) Please see specific system requirements as noted below • SofTest (ExamSoft) cannot be used on virtual operating systems such as Microsoft's Virtual Machine, Parallels, VMware, VMware Fusion or any other virtual environments • For exam taking best practices (including disabling antivirus programs) https://customered.s3.amazonaws.com/QRGs/BestPractices/Q_SFT101_BestPracticesforExamTakers pdf PC Requirements:             Operating System: 32-bit and 64-bit Versions of Windows Vista, Windows 7, and Windows The plan is for Windows 10 to be supported by September, 2015 Office 2010 is supported Only genuine, U.S.-English, French, Portuguese, Swedish, and British versions of Windows Operating Systems are supported SofTest (ExamSoft) does not support Tablet or Convertible devices other than Surface Pro 1, & See below for those Minimum System Requirements CPU Processor: 1.86Ghz Intel Core Duo or greater RAM: highest recommended for the operating system or 2GB Hard Drive: highest recommended for the operating system or 1GB of available space Internet connection for SofTest Download, Registration, Exam Download and Upload Screen Resolution must be 1024x768 or higher Adobe Reader (Version or 11) is required for exams containing PDF attachments Administrator level account permissions Surface Pro Requirements:  Surface Pro 1, & (Surface RT tablets are not supported)  External Keyboard (USB or Bluetooth) required Bluetooth keyboards must be paired prior to launching exam  Hard Drive: Minimum of 1GB available space  Adobe Reader XI is required for exams containing PDF attachments  Internet connection for SofTest Download, Registration, Exam Download and Upload  Screen Resolution must be 1920x1080  Administrator level account permissions Exam Soft Support-My Support http://support.examsoft.com/ Please note: Notebooks are not supported MTC Syllabus Addendum – 2015/16 School Year Student Resource Center Support Services and Tutoring addendum information is available on the college website at the following link: http://www.mtc.edu/mymtc/pdfs/Syllabus_New%20Addendum.pdf 12-06-15/NUR 1021 Syllabus Spring 2016 CK 10 ... college website at the following link: http://www.mtc.edu/mymtc/pdfs /Syllabus_ New%20Addendum.pdf 12-06-15 /NUR 1021 Syllabus Spring 2016 CK 10 ... of nursing care MEMBER OF NURSING PROFESSION A Recognize importance of responsibility and accountability for his or her own nursing actions B Identify the ethical and legal parameters of the nursing... cannot progress to the next nursing course which is NUR 1032 I Theory: A grade of at least “C” must be obtained to pass the course and to be able to continue in the nursing program A The theory