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Associate of Science in Nursing Program Substantive Change Prospectus Submitted to Accreditation Commission for Education in Nursing April 2016 TABLE OF CONTENTS PAGE SECTION ONE – BASELINE INFORMATION General Information ............................................................................................. 6 Effective Date of Substantive Change ................................................................. 6 Rationale for Substantive Change ....................................................................... 6 SECTION TWO – ADDITIONAL INFORMATION SPECIFIC TO SUBSTANTIVE CHANGE ................................................................................................................ . 8 Overview ...................................................................................................... …. 8 Out-Dated Curriculum ...................................................................................... . 8 Declining Licensure Examination Pass Rates ................................................... . 9 ACEN Accreditation Warning Status ................................................................. 10 Mississippi IHL Accreditation Warning Status ................................................... 10 Proposed Curricular Revisions.......................................................................... 12 Rationale ........................................................................................................... 12 Reduction in Total Semester Credit Hours ........................................................ 13 Revision and Reorganization of Nursing Course and Nursing Content ............. 16 Impact of Proposed Change on Advanced-Placement Option .......................... 21 Transition to New Curriculum ............................................................................ 22 SECTION THREE – IMPACT OF PROGRAM’S CHANGES ON COMPLIANCE WITH ACCREDITATION STANDARDS/CRITERIA ............................................... 24 STANDARD 1. MISSION AND ADMINISTRATIVE CAPACITY ...................... 24 Criterion 1.1 ............................................................................................... 24 Criterion 1.2 ............................................................................................... 24 STANDARD 2. FACULTY AND STAFF .......................................................... 25 Criterion 2.5 ............................................................................................... 25 Criterion 2.10 ............................................................................................. 26 STANDARD 3. STUDENTS ............................................................................. 26 Criterion 3.3 ............................................................................................... 26 STANDARD 4. CURRICULUM ........................................................................ 27 Criterion 4.1 ............................................................................................... 27 2 PAGE Criterion 4.2 ............................................................................................... 27 Criterion 4.3 ............................................................................................... 33 Criterion 4.4 ............................................................................................... 33 Criterion 4.8 ............................................................................................... 34 Criterion 4.9 ............................................................................................... 34 STANDARD 5. RESOURCES .......................................................................... 35 Criterion 5.1 ............................................................................................... 35 STANDARD 6. OUTCOMES ............................................................................ 36 Criterion 6.1 ............................................................................................... 36 Criterion 6.4 ............................................................................................... 37 SECTION FOUR – STRATEGIES ADOPTED TO IMPROVE NCLEX-RN® PASS RATES .................................................................................................................. 38 Academic Standards ................................................................................. 38 Testing....................................................................................................... 38 Student Support......................................................................................... 39 Teaching Curriculum ................................................................................. 39 SECTION FIVE – APPENDICES ............................................................................ 40 Appendix A Appendix B Appendix C Appendix D Appendix E Appendix F Appendix G Appendix H Appendix I Appendix J Appendix K Appendix L Mississippi Institutions of Higher Learning Approval Status ................................................................................. Notification Sent to Students .............................................. Documentation of Faculty Involvement in Decision Making ................................................................................ Documentation of Internal Approval Process ..................... Documentation of Governing Organization Accrediting Agency Approval................................................................. Mississippi Nursing Model Competency ............................. Documentation of NCLEX=RN® Pass Rates...................... Mississippi Nursing Degree Programs Accreditation Standards Procedure Manual Rules and Regulation Section III C.2 ..................................................................... 2014 Performance Improvement Plan ................................ 2015 Performance Improvement Plan Progress Report ............................................................................................ Course Syllabi..................................................................... Faculty Organization Committee Minutes ........................... 3 PAGE Appendix M Appendix N Appendix O Advisory Council Meeting Minutes ...................................... Systematic Evaluation Plan Template ................................ Weighted Admission Scale ................................................. 4 LIST OF TABLES PAGE Table 1 Associate of Science in Nursing Program NCLEX-RN® Pass Rates (2011-2015……………………………………………….……… 9 Table 2 Comparison of Current to Revised Program Length in Credit/Clock Hours and Academic Terms (Prerequisite Courses) ....................... 14 Table 3 Comparison of Current to Revised Program Length in Credit/Clock Hours and Academic Terms (Nursing Sequence)........................... 15 Table 4 Comparison of ASN Current Curriculum with Revised Curricula (Generic Program Option)............................................................... 18 Table 5 Course Descriptions for Current and Revised Curricula ........................................................................................................ 20 Table 6 Comparison of ASN Current and Revised Curricula (LPN-APO Option) ............................................................................................ 21 Table 7 ASN Transition and Teach-Out Curriculum Plan ............................ 23 Table 8 ASN Program Concepts and Leveled Student Learning Outcomes ........................................................................................................ 29 5 Alcorn State University Associate of Science in Nursing Program Substantive Change Prospectus A. Baseline Information Name and address of governing organization Alcorn State University 1000 ASU Drive Alcorn State, MS 39096-7500 Name and address of the nursing education unit Cora S. Balmat School of Nursing 15 Campus Drive P.O. Box 18399 Natchez, MS 39122 Current Enrollment 37 (26 Generic and 11 LPN Advanced Placement) Enrollment will not change for 20162017 academic year Name, credentials, and contact information of nurse administrator Debra Spring, RN, PhD Dean and Professor of Nursing 15 Campus Drive P.O. Box 18399 Natchez, MS 39122 601-304-4302 [email protected] Effective date of Substantive Change Rationale for Change Fall 2016 The Associate of Science in Nursing (ASN) curriculum has not been reviewed extensively since 2000. Changes have been made to the curriculum in response to changes in accreditation standards, evidencedbased guidelines, and evaluations by students, faculty, and clinical practice partners. The changes that were made only addressed areas of concerns. The overarching reason and the most urgent need for the revision of the ASN 6 Rationale for Change cont… curriculum is the performance of the program’s graduates on the registered nurse licensing examination (National Council Examination for Registered Nurses [NCLEX-RN®]). Over the past three years, the NCLEX-RN® pass rate for first time testers has declined from 77.8% in 2012 to 32% in 2015. The program is expected to achieve a pass rate at or above the national average for first time testers. Our graduates have performed well below the national average. The steady decline in graduates’ licensing rates supports the need for curricular revisions. Moreover, the ASN Program was placed on Warning Status by the Accreditation Commission for Education in Nursing (ACEN) in July 2015, as having been found in non-compliance with Standard 2 – Faculty, Standard 4 – Curriculum, and Standard 6 – Outcomes, which further supports the need for a comprehensive review of the curriculum. The ASN Program will also be placed on Warning Status at the May Board Meeting of the Mississippi Institutions of Higher Learning. State regulatory agency for approval Notification sent to students and/or other constituents Licensure examination pass rates (3 years) See Appendix A Documentation of Faculty Involvement in Decision-Making Documentation of internal approval Processes Documentation of governing organization accrediting agency approval See Appendix C See Appendix B 2015 32.14% See Appendix D See Appendix E 7 2014 36% 2013 55.1% B. Additional information specific to type of substantive change: 8. An increase, decrease, or substitution of 25% or greater of the credit hours or clock hours required for completion of a nursing program from currently accepted/approved courses in a nursing program. The Associate of Science in Nursing (ASN) faculty has been engaged in a comprehensive curriculum review since January 2016. The impetus for the revision of the ASN curriculum is four fold: an out-dated curriculum, continuing decline in graduates’ performance on licensing examination, an accreditation status of Warning by the Accreditation Commission for Education in Nursing (ACEN) effective Spring 2016, and anticipated accreditation status of Warning by the Mississippi Institutions of Higher Learning (IHL), which is the state-level accrediting agency for schools of nursing. The Program will receive official notification of IHL’s action to place the ASN program on an accreditation status of Warning no later than June 2015. Out-Dated Curriculum The last major revision of the ASN curriculum was conducted in the late 1990s. The program experienced a major loss of experienced faculty during the 2005-2006 academic year. There were a total of eight (8) funded full-time faculty 8 positions and a full-time program chair. While the program was able to recruit some new faculty, the majority of the faculty members hired was from a process of “growing our own”. These “grow your own” faculty lacked experience both as educators and as practicing nurses. The new faculty tended to leave after one to two years. Currently, the most experienced full-time faculty member has been teaching in the ASN program since January 2007. The remaining two faculty members have between six (6) and seven (7) years of experience. Because of an unstable faculty in the ASN program, curriculum revisions have been done to address an issue that may have been identified as an area needing improvement through course evaluations or student performances on tests, as well as modifications made to comply with changes in accreditation standards and criteria. Each May, the ASN faculty hold a Curriculum Retreat where all areas of the curriculum are reviewed and recommendations made for modifications in content and/or teaching strategies; but again, because of faculty resignations, the modifications were not implemented. The faculty participated in the Mississippi Education Redesign Gap Analysis (2011-2012) and adopted the Mississippi Nursing Competency Model in 2013, but has not had faculty resources to fully implement the model (see Appendix F). Declining Licensure Examination Pass Rates The ASN Program has experienced a continuous decline in the National Council Licensure Examination for Registered Nurses (NCLEX-RN®) pass rate for first time testers. The ASN Program has not met the 2013 ACEN expected level of achievement for NCLEX-RN® pass rate since the Revised Accreditation 9 Standards and Criteria were adopted in 2014. The ASN Program’s NCLEX-RN® pass rates for the past five (5) years are displayed in Table 1 (see Appendix G). Table 1: ASN NCLEX-RN® Pass Rates for 2011 to 2015 2011 2012 2013 2014 77.8% 73.9 55.6% 36% 2015 32.14% The faculty attributes a variety of factors to the decline in student performance on the licensing examination. Since the loss of Alcorn’s President in 2006, there have been three (3) Interim Presidents and three (3) appointed Presidents. Within that same period, there have been five (5) Chief Academic Officers and two (2) Interim Deans and four (4) appointed Deans in the School of Nursing. The changes in these key leadership areas resulted in changes in resource allocations, pedagogical support, and faculty stability. The changes in leadership at the School of Nursing level resulted in an increased number of resignations of experienced faculty. Faculty also attributes the decline in NCLEX-RN® pass rates to the program’s applicant pool. More than 80% of the applicant pool for the ASN Program is comprised of individuals who are educated in rural Mississippi and Louisiana where the secondary education school systems are ranked 48th and/or 49th in the nation. ACEN Accreditation Warning Status The ASN Program had an ACEN Site Visit for continuing accreditation during the week of January 27 to 29, 2015. The outcome of that visit was Continuing Accreditation with Warning. The program was found to be in 10 noncompliance with Standard 2: Faculty, Standard 4: Curriculum, and Standard 6: Outcomes. IHL Accreditation Warning Status The ASN Program was not been in compliance with the Mississippi Institutions of Higher Learning expected level of achievement for NCLEX-RN® pass rates in 2014 and 2015. According to the Mississippi Nursing Degree Programs Accreditation Standards Procedure Manual (2015), Rules and Regulations for Accreditation (see Appendix H): If the standard(s) is/are not met, the program will submit a performance improvement plan (PIP) by June 30 following official notification after the annual Board meeting in May. If the standard(s) is/are not met by the next year, the program will submit a PIP progress report by June 30 following official notification after the annual Board meeting in May. If the standard(s) is/are not met following two full years on a PIP, a recommendation of Accreditation with Statement of Warning will be made by IHL Director of Nursing Education Office of Academic and Student Affairs, to the Board of Trustees (Section III. C. 2, pp. 11-12). A Performance Improvement Plan was submitted in 2014 (see Appendix I) and a Performance Improvement Plan Progress Report was submitted in December 2015 (see Appendix J). The Dean of the School of Nursing (Dr. Debra Spring) has been notified by the Mississippi IHL Director of Nursing Education that a recommendation of Accreditation with Statement of Warning will be made for the ASN Program at the May 2016 Mississippi Institutions of Higher Learning Board Meeting. Official notification of the Board’s actions will follow. A follow up focus visit will be scheduled within three months of the statement of warning. A combination of the factors presented above has resulted in the faculty’s decision to conduct a comprehensive review of the curriculum with a complete 11 revision. An Assessment Technologies Institute, Inc., Education Consultant was engaged to guide ASN faculty during the curriculum revision process. A 3-day workshop was conducted in early February 2016 to begin the curriculum review and revision process. The faculty has met at 2-week intervals since the initial meeting to continue the revision process. The proposed revisions are presented in the following section. Proposed Curricular Revisions The ASN proposed curricular revisions include: (1) a reduction in the total semester hours required for program completion from 71 to 64 semester hours and (2) revision and reorganization of all courses and course content. These proposed changes have been approved by the ASN Program faculty and the School of Nursing faculty. As the plans for the ASN curricular revisions unfold, consultants from Assessment Technology Institute, Inc., are being engaged in the process to help support the faculty’s efforts. Implementation of the new curriculum will begin fall 2016 with the first nursing course. Rationale The Associate of Science in Nursing curriculum has not been reviewed extensively since 2000. Changes have been made to the curriculum in response to changes in accreditation standards, evidenced-based guidelines, and evaluations by students, faculty, and clinical practice partners. The changes that were made only addressed areas of concerns. The overarching reason and the most urgent need for the revision of the ASN curriculum is the performance of the program’s graduates on the registered 12 nurse licensing examination (National Council Examination for Registered Nurses [NCLEX-RN®]). Over the past three years, the NCLEX-RN® pass rate for first time testers has declined from 77.8% in 2012 to 32% in 2015. The program is expected to achieve a pass rate at or above the national average for first time testers. Our graduates have performed well below the national average. The steady decline in graduates’ licensing rates supports the need for curricular revisions. Moreover, the ASN Program was placed on Warning Status by the Accreditation Commission for Education in Nursing (ACEN) in July 2015, as having been found in non-compliance with Standard 2 – Faculty, Standard 4 – Curriculum, and Standard 6 – Outcomes, which further supports the need for a comprehensive review of the curriculum. The ASN Program will also be placed on Warning Status at the May Board Meeting of the Mississippi Institutions of Higher Learning. Reduction in Total Semester Credit Hours Currently the ASN program requires 71 semester credit hours to earn the Associate of Science in Nursing degree. The program’s faculty proposes to reduce the total credit hour requirement to 64 semester hours, a reduction of seven (7) semester hours or 10%. While the actual semester credit hours decrease in the revised curriculum, the number of clinical practice hours will increase from 585 to 765 hours. The program will continue to require five (5) academic terms for completion: one (1) semester for completion of 12 semester hours of prerequisite course work and four (4) semesters in nursing sequence. A 1:3 theory to clinical 13 hour ratio will be maintained in the revised curriculum. A comparison of the program length in credit/clock hours and academic terms for the current curriculum and the revised curriculum is provided in Tables 2 and 3. Table 2: Comparison of Current to Revised Nursing Program Length in Credit/Clock Hours and Academic Terms (Prerequisite Courses) Course Number Current Curriculum Course Name Prerequisites Requirements BI 114 Anatomy & Physiology I/Lab BI 214 Anatomy & Physiology II/Lab MA 121 College Algebra Credit Hour 4 4 3 11 Course Number Revised Curriculum Course Name Prerequisites Requirements BI 114 Anatomy & Physiology I/Lab BI 214 Anatomy & Physiology II/Lab MA 121 College Algebra UL 101 University Life Credit Hour 4 4 3 1 TOTAL TOTAL 14 12 Table 3: Comparison of Previous to Revised Program Length in Credit/Clock Hours and Academic Terms (Nursing Sequence) Current Curriculum Semester 1 Class hours NU 121 Fundamentals of Nursing 3 NU 129 Health Assessment 2 NU 149 Seminar 1 EN 111 English Composition I 3 PH 132 General Psychology 3 UL 101 University Life 1 TOTAL Semester 2 Class hours NU 130 Care of Clients with Common Recurring Health 3 Needs NU 131 Care of Clients with 2 Psychosocial Needs EN 112 English Composition II 3 PH 320 Developmental Psychology 3 TOTAL Semester 3 Nursing of the Childbearing NU 225 Family Nursing of NU 227 Children/Adolescents BI 325 Microbiology SY 235 Introduction to Sociology Clinical hours 2(6) 0 0 0 0 0 90 Clinical hours Credit hours 5 2 1 3 3 1 15 Credit hours 2(6) 5 2(6) 4 0 0 180 3 3 15 Class hours Clinical hours Credit hours 3 2(6) 5 3 2(6) 5 3 1(2) 4 Semester 4 NU 235 Care of Clients with Complex Health Care Needs NU 238 Leadership Strategies NU 289 Concepts Review Humanities/Creative Arts elective TOTAL OVERALL TOTAL 4 4(12) 8 SY 235 EN 111 Introduction to Sociology English Composition I 3 3 0 0 3 3 Class hours 180 Clinical hours 14 Credit hours TOTAL NU 128 Client-Centered Care I 4 4(12) 8 BI 325 Microbiology/Lab 3 1(2) 4 180 12 Class hours Clinical hours Credit hours TOTAL Semester 3 NU 218 Client-Centered Care II 4 4(12) 8 PH 320 Developmental Psychology Humanities/ Creative Arts Elective TOTAL 3 0 3 0 3 Class hours 180 Clinical hours 17 Credit hours 4 3(9) 7 NU 229 2 1 0 0 2 1 NU 223 3 0 3 135 13 585 60 (11)* 3 0 3 Class hours 180 Clinical hours 14 Credit hours 4 5(15) 9 3 0 3 TOTAL 225 12 OVERALL TOTAL 765 52(12)* Semester 4 15 Credit hours Foundations of ClientCentered Care Semester 2 *Plus Prerequisite hours on previous page Clinical hours NU 118 3 TOTAL Revised Curriculum Class hours Semester 1 Client-Centered Care III Role Transition Anecdotal information from some accrediting and regulatory agencies suggests that the total number of credit hours to earn an associate degree will be limited to 60 credit hours in the near future. In anticipation of potential changes to accreditation and regulatory requirements, many ASN programs across the country are in various stages of actively exploring educationally sound measures to thoughtfully decrease the total number of credit hours. With the recent reduction in Alcorn State University’s credit hour requirement for a Bachelor of Science degree to a maximum of 120 semester credit hours, the ASN faculty decided to proactively reduce the semester hour requirement for the ASN program. The ASN faculty proposes to delete English Composition II and General Psychology from the curriculum. English Composition I and Development Psychology will remain as required courses. It is the belief of the ASN faculty that the English and psychology courses are the logical choices for deletion because knowledge in the biological and social sciences is necessary to provide students with the foundation for nursing coursework and safe client care. Lack of foundational knowledge may also jeopardize the student’s performance on the National Council Licensure Examination for Registered Nurses® (NCLEX‐RN®). Revision and Reorganization of Nursing Courses and Nursing Content In the current ASN Plan of Study, there are a total of 10 required nursing courses. The ASN faculty proposes to reduce the number of required courses by 50%, thereby requiring five courses instead of the current 10 courses. The ASN 16 faculty members meet on a weekly basis, under the leadership of Dr. Rebecca Fairchild, to discuss the revisions and reorganization of the ASN curriculum. The ASN faculty reviewed the content for each nursing course offered in the current curriculum. The faculty made the decision to move the content currently taught in NU 121, NU 129, and NU 149 to the newly created course, NU 118: Foundations of Client-Centered Care. The ASN faculty concluded that the curriculum needed more emphasis in medical/surgical content as evidenced by students’ performances on end-of-course standardized tests, end-of-program standardized tests, and the NCLEX-RN®. A comparison of the current curriculum and the revised curriculum is provided in Table 4. Course syllabi for current and revised curriculum are located in Appendix K. 17 Table 4: Comparison of ASN Current and Revised Curricula (Generic Program Option) Course Number Current Curriculum Course Name Credit Hour Prerequisites Requirements BI 114 Anatomy & Physiology I/Lab BI 214 Anatomy & Physiology II/Lab MA 121 College Algebra Semester 1 NU 121 NU 129 NU 149 EN 111 PH 132 TOTAL 4 4 3 11 TOTAL 5 2 1 3 3 14 Course Number Revised Curriculum Course Name Credit Hour Prerequisites Requirements BI 114 Anatomy & Physiology I/Lab BI 214 Anatomy & Physiology II/Lab MA 121 College Algebra UL 101 University Life TOTAL 4 4 3 1 12 Semester 1 Fundamentals of Nursing Health Assessment Seminar English Composition I General Psychology Semester 2 NU 130 Care of Clients with Common Recurring Health Needs NU 131 Care of Clients with Psychosocial Needs EN 112 English Composition II PH 320 Developmental Psychology TOTAL 4 3 3 15 Semester 3 NU 225 NU 227 BI 325 SY 235 5 5 4 3 Foundations of Client-Centered Care 8 Introduction to Sociology English Composition I TOTAL 3 3 14 NU 128 Client-Centered Care I 8 BI 325 Microbiology/Lab 4 NU 118 SY 235 EN 111 Semester 2 5 TOTAL 12 Semester 3 Nursing of the Childbearing Family Nursing of Children/Adolescents Microbiology Introduction to Sociology TOTAL NU 218 Client-Centered Care II 8 PH 320 Developmental Psychology Humanities/ Creative Arts Elective TOTAL 3 3 17 Semester 4 NU 235 Care of Clients with Complex Health Care Needs NU 238 Leadership Strategies NU 289 Concepts Review Humanities/Creative Arts elective TOTAL 2 1 3 13 OVERALL TOTAL 71 7 14 Semester 4 NU 229 Client-Centered Care III 9 NU 223 3 Role Transition TOTAL OVERALL TOTAL 12 64 The current curriculum offers two courses with only medical/surgical content (NU 130 and 235). There is some redundant medical surgical content being covered in the pediatric and maternal/child (NU 225 and NU 227) courses. In the revised curriculum, the medical/surgical content will be covered in three courses (NU 128, NU 218, and NU 229). Specialty content, which includes 18 pediatric, maternal/child, and psychiatric/mental health, will be included as part of the content in NU 218 (Pediatrics and Maternal/Newborn) and NU 229 (Psychiatric/Mental Health). Content currently being taught in NU 238 and NU 289 will become the content for NU 223 in the new ASN curriculum. A side-byside comparison of nursing course descriptions of the courses currently being offered with the new courses is presented in Table 5. All courses in the revised curriculum will generate higher credit hours when compared to the current curriculum. This will allow additional time for student engagement in the classroom and clinical practice setting. Fewer courses per semester will also alleviate issues related to progression. 19 Table 5: Comparison of Course Descriptions for Current and New Courses (Generic Program Option) Course Number NU 121 NU 129 NU 149 NU 130 NU 130 NU 225 NU 227 NU 131 NU 235 NU 238 NU 289 Course Description (3-6-5) This course is an introduction to the profession of nursing at the technical level. Included are the technical nursing skills necessary to assist individuals across the lifespan in meeting a hierarchy of basic needs, the nursing implications in growth and development, the concept of common health care needs, and the utilization of the nursing process. The supportive elements of the conceptual framework are introduced: communication, ethnic and cultural sensitivity, psychosocial needs, nutrition and diet therapy, pharmacology and moral, ethical, and legal accountability. (2-0-2) This course is an introduction to the essentials of a comprehensive health assessment. Included in the course are the nursing skills necessary to gather data through interview and physical examination of clients throughout the lifespan. This course requires independent skills laboratory practice. Proficiency is evaluated in the laboratory setting. (1-0-1) The course is designed to give the student an opportunity to explore the implications of current issues and trends affecting the nursing profession and begin the process of socialization into the nursing profession. (3-6-5) Emphasis is placed on concepts and supportive elements for clients experiencing common health care needs in the young adult age group. Emphasis is placed on the role of the nurse in utilizing selected nursing skills necessary to assist individuals with health care needs that are common to this age group. (Some content moved to 128) (3-6-5) Emphasis is placed on concepts and supportive elements for clients experiencing common health care needs in the young adult age group. Emphasis is placed on the role of the nurse in utilizing selected nursing skills necessary to assist individuals with health care needs that are common to this age group.(Some content moved to 218) Course Number Course Description NU 118 (4-12-8) This course provides a foundation of nursing with emphasis placed on the knowledge and skills needed to provide safe, quality care. The theoretical foundation for basic assessment and nursing skills is presented, and the student is given an opportunity to demonstrate these skills in a clinical setting. The course introduces the concepts of client-centered care, professionalism, leadership, systems-based practice, informatics and technology, communication, teamwork and collaboration, and quality improvement. NU 128 (3-6-5) The course is a continuation of the concepts and supportive elements presented in the first level nursing and support courses. Emphasis is placed on the common health care needs of the childbearing family. Growth and development in the childbearing family is stressed. (3-6-5) The course is a continuation of the concepts and supportive elements presented in the first Level nursing and support courses. Emphasis is placed on the common health care needs of the pediatric client. This course encompasses infancy through adolescence. Growth and development from infancy through adolescence is stressed. NU 218 (2-6-4) Emphasis is placed on concepts and supportive elements for clients experiencing common psychosocial needs. Included are guided experiences in therapeutic communication and the use of the nursing process in psychiatric/mental health settings. (4-9-7) This course is a continuation of NU130. Presented in this course are those health care needs that are more complex and commonly found in the middle and late maturity age groups. Utilization of the nursing process in planning and implementing care of clients of varied ages is stressed. NU 229 (2-0-2) This course explores the basic principles of leadership and management; trends and issues in nursing; moral, ethical and legal implications; and the process of transition from the role of student to practitioner. (1-0-1) A course designed for candidates for the Associate of Science Degree in Nursing for the review of selected nursing content. Students are provided with an individualized plan of study based on learning needs that have been documented by standardized testing. NU 223 20 (4-12-8) This course focuses on client-centered care of individuals experiencing acute and chronic conditions related to alterations in fluid and electrolyte and acid-base balance, oxygenation, cardiac output and tissue perfusion, and sensory perception. In addition, care of the pre- and postoperative clients and oncology clients is included. The concepts of client-centered care, professionalism, leadership, systems-based practice, informatics and technology, communication, teamwork and collaboration, and quality improvement are integrated in this course. Clinical experiences provide students the opportunity to apply the principles of safe and effective delivery of care in a variety of settings. (4-12-8) This course focuses on the care of clients experiencing acute and chronic conditions related to alterations in regulation and metabolism, excretion, and reproduction across the lifespan. Additionally, this course provides an integrative, family-centered approach to the care of mothers, newborns, and children. The concepts of clientcentered care, professionalism, leadership, systems-based practice, informatics and technology, communication, teamwork and collaboration, and quality improvement are integrated in this course. Clinical experiences provide students the opportunity to apply the principles of safe and effective delivery of care in a variety of settings. (4-15-9) This course focuses on client-centered care of individuals experiencing acute and chronic conditions related to alterations in Ingestion, digestion, absorption, and elimination, cognition and sensation, immunity, integument, mobility and alterations in mental health. The concepts of client-centered care, professionalism, leadership, systemsbased practice, informatics and technology, communication, teamwork and collaboration, and quality improvement are integrated in this course. Clinical experiences provide students the opportunity to apply the principles of safe and effective delivery of care to groups of clients in a variety of settings. (3-0-3) This course focuses on the basic principles of leadership and management, trends and issues in nursing, moral, ethical, and legal implications, and the process of transitioning from the role of student to professional nurse. Emphasis is placed on nursing within the microsystem of a work unit, contemporary issues and management concepts, as well as developing the skills of delegation, conflict management, and leadership. Impact of Proposed Changes on Advanced Placement Option Qualified applicants seeking admission for the Licensed Practical Nurse Advanced Placement Option (LPN-APO) currently being referred to as the LPN FastTrack Program Option, can receive Credit-by-Examination for NU 121: Fundamentals of Nursing if the required score is achieved. Under the current curriculum, students entering the LPN Fast-Track Option enter nursing sequence during the summer semester and can complete the program of study in three (3) semesters. Under the revised curriculum, LPN applicants who successfully challenge NU 118: Foundations of Client-Centered Care will receive eight (8) semester hours of Credit-by-Examination and advance to NU 128: Client-Centered Care I. A comparison of the current curriculum and the revised curricula for the LPN-APO is outlined in Table 6. Table 6: Comparison of ASN Current and Revised Curricula (LPN-APO) Current Curriculum Course Name Course Number Prerequisites Requirements BI 114 Anatomy & Physiology I/Lab BI 214 Anatomy & Physiology II/Lab MA 121 College Algebra PH 132 General Psychology EN 111 English Comp I EN 112 English Comp II PH 320 Development Psychology UL 101 University Life TOTAL Credit hour Prerequisites Requirements BI 114 Anatomy & Physiology I/Lab BI 214 Anatomy & Physiology II/Lab MA 121 College Algebra UL 101 University Life EN 111 English Comp I SY 235 Introduction to Sociology 4 4 3 3 3 3 3 1 24 TOTAL Prior to Admission NU 121 Fundamentals of Nursing (Credit-by-Exam) Credit hour 4 4 3 1 3 3 18 Prior to Admission 5 Semester 1 NU 129 Health Assessment NU 149 Seminar NU 130 Care of clients with Common Recurring Health Needs NU 131 Care of Clients with Psychosocial Needs TOTAL 4 13 Semester 2 NU 225 NU 227 BI 325 SY 235 5 5 4 3 Nursing of the Childbearing Family Nursing of Children/Adolescents Microbiology Introduction to Sociology Revised Curriculum Course Name Course Number NU 118 Semester 1 NU 128 BI 325 2 1 5 Foundations of Client-Centered Care (Credit-by-Examination) 8 Client-Centered Care I Microbiology/Lab 8 4 TOTAL 12 Semester 2 21 NU 218 Client-Centered Care II 8 PH 320 Developmental Psychology Humanities/ Creative Arts Elective 3 3 Course Number Current Curriculum Course Name TOTAL Credit hour Course Number Revised Curriculum Course Name 17 Semester 3 NU 235 Care of Clients with Complex Health Care Needs NU 238 Leadership Strategies NU 289 Concepts Review Humanities/Creative Arts elective TOTAL 2 1 3 13 OVERALL TOTAL 71 Credit hour TOTAL 7 14 Semester 3 NU 229 Client-Centered Care III 9 NU 223 Role Transition 3 TOTAL 12 OVERALL TOTAL 64 Transition to New Curriculum If approved, the revised curriculum for the ASN Program will begin implementation fall 2016. One new course will be implemented each semester, beginning with NU 118: Foundations of Client-Centered Care. Continuing students and new students will progress in the current curriculum as outlined in the Associate of Science in Nursing Transition and Teach-Out Plan shown in Table 7 on the following page. New courses will be implemented as follows: Course 1. 2. 3. 4. 5. Implementation Date NU 118: Foundations of Client-Centered Care NU 128: Client-Centered Care I NU 218: Client Centered Care II NU 229: Client-Centered Care III NU 223: Role Transition 22 Fall 2016 Spring 2017 Fall 2017 Spring 2018 Spring 2018 Table 7: Associate of Science in Nursing Transition and Teach-Out Curriculum Plan Semester Course Spring 2016 NU 121 NU 129 NU 149 Semester 1 NU 118 Summer 2016 Fall 2016 Spring 2017 Summer 2017 Fall 2017 Spring 2018 No Longer Offered 2016 LPN-APO Cohort 2016 LPN-APO cohort No Longer Offered New 2017 admits and students eligible for readmission New admits fall 2016 and 2015 Cohort eligible for readmission First new course implemented 2016 LPN-APO Cohort NU 130 2015 Cohort and students eligible for readmission 2015 Cohort and students eligible for readmission No Longer Offered 2016 LPN-APO Cohort Semester 2 NU 131 NU 128 2015 Cohort and students eligible for readmission 2016 Cohort and 2015 Cohort eligible for readmission Second new course implemented 2015 Cohort and students eligible for readmission 2015 Cohort and students eligible for readmission 2016 LPN-APO 2015 Cohort and students eligible for readmission NU 225 Semester 3 2015 Cohort and students eligible for readmission NU 227 NU 235 2014 Cohort and students eligible for readmission NU 238 2014 Cohort and students eligible for readmission 2016 Cohort 2015 Cohort eligible for readmission 2017 LPN-APO NU 289 2014 Cohort and students eligible for readmission 2016 LPN-APO 2015 Cohort and students eligible for readmission 2014 Cohort who are eligible for readmission 2016 LPN-APO 2015 Cohort and students eligible for readmission 2014 Cohort who are eligible for readmission 2016 LPN-APO 2015 Cohort and students eligible for readmission 2014 Cohort who are eligible for readmission Semester 4 NU 229 No Longer Offered Third new course implemented NU 218 Fourth and fifth new courses implemented NU 223 23 Fall 2017 cohort and students eligible for readmission 2017 LPNAPO Cohort No Longer Offered 2016 Cohort 2015 Cohort 2017 LPN-APO 2016 Cohort 2015 Cohort 2017 LPN-APO Impact of Program’s Change on Compliance with Accreditation Standards/Criteria Only the Standards/Criteria that will be affected by the ASN curricular changes will be included in this section. Standard 1: Mission and Administrative Capacity 1.1. The mission/philosophy and program outcomes of the nursing education unit are congruent with the core values and mission/goals of the governing organization. The Dean of the School of Nursing charged the faculty with the task of reviewing the School of Nursing mission and core values, and modifying as indicated. The School of Nursing faculty met and presented their recommended changes to the School of Nursing mission during the January 2016 Faculty Organization meeting. The Faculty Organization voted unanimously to accept the proposed modifications to the School of Nursing mission and core values. Under the 2014-2015 School of Nursing leadership, the missions for the undergraduate programs were deleted; however, according to the Office of Institutional Effectiveness, each department and/or academic unit is required to have a mission that flows from the School and University missions. After the approval of the modifications made to the School of Nursing’s mission, the ASN faculty developed the program’s mission to reflect congruency with the mission and core values of the School of Nursing and the University. Final approval of the ASN Program’s mission was obtained during the February Faculty Organization meeting (see Appendix L). 24 1.2. Communities of interest have input into program processes and decision-making. The School of Nursing Advisory Council met on February 29, 2016. During that meeting, the Dean of the School of Nursing presented the program outcomes and proposed strategies to improve attainment of the outcomes. Included in the strategies was revising the undergraduate programs curricula. The Dean reported that the ASN curricular revisions were in progress with an expected implementation date of August 2016 (see Appendix M). Standard 2: Faculty 2.5. The number of full-time faculty is sufficient to ensure that the student learning outcomes and program outcomes are achieved. The ASN Program currently has three full-time and one part-time faculty members. Two full-time faculty members hold terminal degrees, one with a master’s degree in nursing and the other with a terminal degree in nursing. The part-time faculty member holds a terminal degree with a major in nursing. There are currently 38 students enrolled in the ASN program. These data confirm that faculty members are sufficient to ensure that the student learning outcomes and program outcomes are achieved. While the Dean of the School of Nursing is actively recruiting qualified faculty for the ASN Program, student enrollment will not increase for the 2016-2017 academic year. There is sufficient faculty to implement the revised curriculum. Under the current curriculum, Semester 1 has three required nursing courses as compared to one nursing course in the revised curriculum. Semester 3 has two required 25 nursing courses compared to one required nursing course in the revised curriculum. 2.10. Faculty (full- and part-time) engage in ongoing development and receive support for instructional and distance technologies. The ASN Program does not offer any portion of its curriculum via distant education. However, faculty members are engaged in ongoing development related to curriculum development, active learning strategies, test construction, and curricular integration of ATI student resources. Each faculty member has a one-year subscription to Nurse Tim Webinars. These resources are funded through a Title III grant. Standard 3: Students 3.3. Changes in policies, procedures and program information are clearly and consistently communicated to students in a timely manner. Proposed changes to the ASN curriculum will be published in the Alcorn State University General Catalog (2016-2018) as an Erratum after approval is obtained from all accrediting agencies. The new curriculum will be posted on the School of Nursing webpage under the ASN Program link. Advisement sheets for the pre-nursing and nursing students will be revised to reflect all curricular changes. Current students will be provided written information related to the impact of the changes on their progression in the program. There will not be a cohort admitted to the Advanced Placement Option Summer Semester 2016. The 2017 Advanced Placement Option cohort will enter the revised curriculum Summer 2017. 26 Standard 4: Curriculum 4.1. The curriculum incorporates established professional standards, guidelines, and competencies, and has clearly articulated student learning outcomes and program outcomes consistent with contemporary practice. A representative from the ASN Program participated in the Mississippi Education Redesign Curriculum Gap Analysis from 2011 to 2013. Using the Massachusetts Nurse of the Future Competence Model, the ASN faculty reviewed the curriculum to identify content related to the ten competencies. The Massachusetts Model was adopted as the Mississippi Nursing Competency in 2012 and adopted by the ASN program in 2013. Because of a shortage of faculty, the program has not been able to make the necessary curricular changes to fully implement the Model until this curricular revision progress. The Mississippi Nursing Competency is being incorporated in the revised curriculum. This model incorporates Quality and Safety Education for Nurses (QSEN) competencies and the Institute of Medicine (IOM) recommendations. All 10 competencies were utilized to formulate the revised student learning outcomes. The faculty also investigated current standards of practice, educational standards, and evidence-based practice to incorporate current information in the syllabi of revised courses. 4.2. The student learning outcomes are used to organize the curriculum, guide the delivery of instruction, direct learning activities, and evaluate student progress. The ASN faculty identified the 10 competencies (client-centered care, teamwork and collaboration, communication, safety, evidenced-based practice, systems-based practice, professionalism, leadership, quality improvement, and 27 informatics) as the curricular concepts. After accepting the competencies as the program concept, the faculty decided to develop Level 1 and Level 2 Student Learning Outcomes. Level 1 Student Learning Outcomes were used to guide the revision of courses taught the first two semesters of the curriculum. Level 2 Student Learning Outcomes were identified and used to guide the revision of courses taught during semesters three (3) and four (4). The faculty also identified the Level 2 Student Learning Outcomes as the competencies the graduates of the program are expected to possess. Students will be administered a mid-curricular examination at the end of the first year and the Comprehensive Predictor at the end of year two of the program. The students’ performances on these tests will be used as measures to evaluate the curriculum. Table 8 illustrates how the student learning outcomes are used to organize the revised curriculum. 28 Table8: ASN Program Concepts, Student Outcomes and Competencies Concept Client-Centered Care Level 1 Student Outcomes and Competencies Implement nursing care to clients, families, and groups across the lifespan from diverse backgrounds in a variety of settings that is compassionate, age and culturally appropriate and based on a client’s preferences, values and needs. Perform a general health assessment including physiological, psychological, sociological, and spiritual needs of patients and families across the lifespan experiencing (common) (uncomplicated acute and chronic) (stable and unstable acute conditions) health altercations in a variety of settings. Use the nursing process to guide the delivery of patient care to achieve optimal outcomes Provide culturally sensitive care to patients and families from diverse backgrounds. Use clinical decision making when providing nursing care based on evaluation of patient needs. 29 Level 2 Student Outcomes and Competencies Evaluate nursing care provided to clients, families, groups, and communities across the lifespan from diverse backgrounds in a variety of settings to ensure that it is compassionate, age, and culturally appropriate and based on a client’s preferences, values, and needs. Perform a comprehensive health assessment including physiological, psychological, sociological, and spiritual needs of patients, families, groups, populations, and communities across the lifespan experiencing complex (unstable acute conditions) health alterations in variety of settings. Use the nursing process to prioritize the delivery of patient care, with two or more patients, to achieve optimal outcomes. Model culturally sensitive care for patients, families, and groups from diverse backgrounds. Use clinical reasoning and clinical judgment when evaluating nursing care to improve patient Concept Level 1 Student Outcomes and Competencies Advocate for patients and families regarding nursing care issues. Use verbal and nonverbal communication that promotes caring, therapeutic relationships with patients and families. Teamwork and Collaboration Participate as a member of the interprofessional healthcare team in the provision of safe, quality clientcentered care. Participate as a member of the health care team. Teamwork and Collaboration Evidence Based Practice Use communication techniques that support sharing patientrelated information with members of the health care team. Identify best current evidence from scientific and other credible sources as a basis for developing individualized client-centered plans of care. Identify reliable sources for locating best current evidence and clinical practice guidelines. Use best practice resources when developing individualized patient-centered plans of care. 30 Level 2 Student Outcomes and Competencies outcomes. Advocate for patients, families, and groups regarding nursing care issues and health care decisions. Use verbal and nonverbal communication that promotes caring, therapeutic relationships with individuals, families, and groups. Collaborate with members of the interprofessional health care team to manage and coordinate the provision of safe, quality care for clients, families, and groups. Coordinate patient care with members of the interprofessional healthcare team. Integrate input from other members of the heathcare team to improve individual and team performance. Demonstrate use of best current evidence and clinical expertise when making clinical decisions in the provision of client-centered care. Analyze best current evidence for its application to practice when providing and managing patientcentered care. Integrate best current evidence into clinical judgments that indicate the need to modify Concept Quality Improvement Level 1 Student Outcomes and Competencies Participate in data collection process that support established quality improvement initiatives. Identify patient care issues that can impact quality of care. Identify gaps between current patient outcomes and desired patient outcomes. Safety Identify the relationship between Nurse Sensitive Indicators and patient outcomes. Implement strategies that minimize risk and provide a safe environment for clients, self and others. Identify safety risks and environmental hazard in health care settings. Informatics Practice performance of psychomotor skills that minimize safety risks and environmental hazards. List National Patient Safety Goals that promote safety in healthcare settings. Use evidence-based information and client care technology in the provision of safe, quality clientcentered care. Describe the effect that 31 Level 2 Student Outcomes and Competencies clinical practice. Use evidence-based quality improvement processes to effect change in the delivery of client-centered care. Use recognized nursing standards to improve and advance the quality of health care services. Use measurement tools to gather data related to the gap between current and desired patient outcomes. Participate in the collection of data related to a Nurse Sensitive Indicator. Demonstrate effective use of strategies to mitigate errors and reduce the risk of harm to clients, self and others in healthcare, home and community settings. Anticipate safety risks to patients, self and others in healthcare, home, and community settings. Implement actions that minimize safety risks and environmental hazards in healthcare settings. Implement National Patient Safety Goals in healthcare settings. Use evidence-based information and client care technology to communicate relevant client information, manage care and mitigate error in the provision of safe, quality client-centered care. Use patient care Concept Professionalism Leadership Level 1 Student Outcomes and Competencies computerized information management systems have on the role of the nurse. Implement strategies that protect the integrity of patient information when providing patient-centered care. Level 2 Student Outcomes and Competencies technologies effectively when assessing and monitoring patients. Implement strategies that protect the integrity of patient information when managing patientcentered cared. Practice nursing in a professional, Assimilate integrity and ethical, and legal manner while accountability into practices providing client-centered, standard- that uphold established based nursing care. regulatory, legal, and ethical principles while providing client-centered, standardbased nursing care. Identify professional standard Maintain professional of nursing practice that guide standards of nursing practice. practice in the delivery of patient-centered care. Display professional Maintain professional accountability and accountability and responsibility in classroom and responsibility in the laboratory settings. delivery of patientcentered care. Describe ethical principles and Maintain nursing practice legal tenets guide nursing that supports ethical practice. decision making and tort law in the delivery patient-centered care. Describe how regulatory Maintain nursing practice guidelines and institution that supports regulatory policies guide nursing practice. guidelines and institutional policies in the delivery of patientcentered care. Describe how leadership, Use leadership, management management and priority-setting and priority-setting skills in skills are used to support safe, the provision and quality client-centered care. management of safe, quality client-centered care. Identify organizational, time Use organizational, time management and priority setting management, and priority skills necessary to provide safe setting skills in the 32 Concept Systems-Based Practice Communication Level 1 Student Outcomes and Competencies quality patient-centered care. Level 2 Student Outcomes and Competencies provision and management of safe, quality patient-centered care. Identify the nurse’s role in Practice delegating regard to delegating tasks to patient care tasks to appropriate members of the appropriate members of health care team. the health care team. Identify the relationships between Analyze the impact that the microsystems and macrosystems in macrosystem has on the healthcare. provision of safe, quality client-centered care in the microsystem of the work unit. Contrast the macrosystems and Articulate the impact that microsystems that exist in the macrosystem has on healthcare. the microsystem of the work unit. Identify work unit inefficiencies Report work unit encountered in the practice inefficiencies setting. encountered in the practice setting to the appropriate personnel. Identify human and material Use human and material resources needed by the work resources in an efficient unit to provide safe, quality manner in the provision patient-centered care. of safe, quality patient care on the work unit. Use verbal and nonverbal Use verbal and nonverbal communication strategies with communication strategies clients, families, and colleagues with clients, families, from diverse backgrounds that colleagues, and groups from promote an effective exchange of diverse backgrounds that information to enhance client foster mutual respect and satisfaction and health outcomes. shared decision making to enhance client satisfaction and health outcomes. Use verbal and nonverbal Use verbal and nonverbal communication techniques that communication promote caring, therapeutic techniques that promote relationships with patients and caring, therapeutic families. relationships with patients, families, and 33 Concept Level 1 Student Outcomes and Competencies Integrate changes in communication s and use of self, in relation to communication barriers, when caring for patients and families. Communicate effectively with members of the healthcare team and report issues that indicate conflict is impacting patient care. 4.3. Level 2 Student Outcomes and Competencies groups. Integrate changes in communication and use of self, in relations to communication barriers, when caring for patients, families, and groups. Communicate effectively with members of the healthcare team and demonstrate appropriate conflict resolution skills as needed. The curriculum is developed by the faculty and regularly reviewed to ensure integrity, rigor, and currency. The current curriculum was reviewed by the ASN faculty who determined that the student learning outcomes and program outcomes were based on old standards and guidelines. The faculty concluded that the curriculum needed to be revised. As stated in Criterion 4.1, the faculty used the Mississippi Nursing Competency to guide the curriculum revision. If approved, the revised curriculum will roll out NU 118: Foundations of Client-Centered Care the Fall 2016. Each new course will be reviewed at the end of the semester for any needed revisions. This process will continue until the last new courses (NU 229 and 233) are implemented and revised (May 2018). In May 2018, the entire curriculum will be reviewed utilizing data from Mountain Measures Reports, student performances on mid curricular and other standardized tests, as well as performances on unit tests. Curricular revisions will be made as indicated. 4.4. The curriculum includes general education courses that enhance professional nursing knowledge and practice. 34 The revised curriculum includes a request to decrease the total credit hour requirement for the Associate of Science in Nursing degree from 71 to 64 hours, a 10% reduction. The faculty decided to delete English Composition II and General Psychology from the required general education courses. Anecdotal information from some accrediting and regulatory agencies suggests that the total number of credit hours to earn an associate degree will be limited to 60 credit hours in the near future. In anticipation of potential changes to accreditation and regulatory requirements, many ASN programs across the country are in various stages of actively exploring educationally sound measures to thoughtfully decrease the total number of credit hours. With the recent reduction in Alcorn State University’s credit hour requirement for a Bachelor of Science degree to a maximum of 120 semester credit hours, the ASN faculty decided to proactively reduce the semester hour requirement for the ASN program. 4.8. The length of time and the credit hours required for program completion are congruent with the attainment of identified student learning outcomes and program outcomes and consistent with the policies of the governing organization, state, and national standards, and best practices. The ASN faculty made the decision to reduce the credit hours required for program completion from 71 to 64, a 10% reduction. This reduction in credit hour requirement does not change the length of time required to complete the program. The ASN program can still be completed in five (5) semesters. While the total number of credit hours required to complete the ASN program will be decreased by 10%, the time spent in clinical practice will increase by 31% or 180 35 hours. This is the faculty’s effort to improve clinical decision making by providing students additional experiences in clinical practice. 4.9. Practice learning environments support the achievement of student learning outcomes and program outcomes. The revised curriculum will convert the low credit earning nursing courses into one high credit earning nursing course per semester. For example, Semester 1 in the current curriculum requires three (3) nursing courses that earn a total of eight credit hours. In the revised curriculum, there will be one (1) nursing course required that earns a total of eight (8) credit hours. The theory-toclinical ratio will remain 1:3. There will also be an additional medical/surgical course added to the curriculum, thereby increasing the amount of clinical practice experiences in the campus skills and simulation laboratories and the acute care settings. The ASN faculty members believe that this additional time will enhance the students’ abilities in the achievement of student learning outcomes, thereby improving program outcomes. Standard 5: Resources This area will not be impacted by this curriculum. Resources are adequate for the current curriculum and will continue to be adequate for the revised curriculum. The revised curriculum, for the most part, just redistributes where and when content is being presented. Additional resources have been acquired or are in the process of being acquired through Title III funding to improve the teaching/learning environment. These resources include: 36 Laerdal – SimMom Laerdal – SimJunior Laerdal – vSim (subscription for all enrolled students) Laerdal – SimView Med-Dose Medication Administration System DocuCare documentation Program (subscription for all enrolled) Four additional SimPads Two infusion pumps Two Blood pressure trainers – Sims compatible Hospital beds (14) Task trainers (9 new) New desktops (32) – for faculty and computer lab upgrades The Title III funding period is for a period of five (5) years, effective October 2015. The School of Nursing received an additional $414,000 in carry-over Title III funding for October 2015 through September 2016. Standard 6: Outcomes 6.1. The systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of each of the following: Student learning outcomes; Program outcomes; Role-specific graduate competencies; and The ACEN Standards. The ASN faculty reviewed and revised the Systematic Evaluation Plan (SEP) in November 2015 (see Appendix N) to ensure that ongoing assessment and evaluation of the student learning outcomes, program 37 outcomes, and role-specific graduate competencies are being emphasized. The revised curriculum will require an update of the student learning outcomes and the role-specific graduate competencies to reflect the newly adopted leveled student learning outcomes and role specific graduate outcomes. A timeline for evaluation was instituted to ensure that the SEP is being monitored as scheduled. The ASN faculty agree that after the curriculum revisions are complete, the SEP will have to be updated to reflect all changes made in the curriculum, and modifications may need to be made to the evaluation timeline. Student and course evaluations will be closely monitored to identify the effectiveness of the revised courses. Assessment and evaluation of student achievement in meeting student learning outcomes of each course will be closely monitored at the end of each semester. Faculty will monitor progress of students as they matriculate through the revised curriculum. Data, such as retention rates for each semester, as well as overall retention, will be collected and evaluated against data from the current curriculum. Evaluation findings will be compared to those of the old curriculum to observe any adverse trends. Student learning outcomes, which are leveled in the revised curriculum, will continue to be evaluated through activities associated with the courses, as well as a mid-curricular examination at the end of Level 1 and a comprehensive predictor at the end of Level 2. Student learning outcomes will change with the 38 revised curriculum; therefore, a couple of cohorts of data will need to be collected to determine a trend in data. 6.4. The program demonstrates evidence of achievement in meeting the program. The impact of the revised curriculum will have to be closely monitored in the first cohort for any significant differences from the current curriculum. Attention will be directed to all areas that are most influenced by the curricular changes Strategies Adopted to Improve NCLEX-RN® Pass Rate: A variety of strategies are being instituted to improve students’ performances on the NCLEX-RN®. These strategies are being reported in four categories: academic standards, testing, student support, teaching/curriculum. Academic Standards The School of Nursing revised the grading scale from a 75% passing standard to a 77% passing standard. This change became effective Fall 2015. Admission criteria was modified to require a minimum composite score of 10 on the Math and Reading subscales of the American College Test (ACT) to become effective Fall 2016. Prior to this change, the ACT Math and Reading sub-scores were not included as a part of the admission criteria. The Weighted Admission Scale was also modified (see Appendix O). Testing 39 The ASN faculty modified their teacher made test to incorporate NCLEXstyle questions. The 2016 NCLEX-RN® Detailed Test Plan is be utilized by ASN faculty to revise their test blueprint. A custom mid-curricular examination was administered January 2016 and will continue to be an evaluation methodology in the ASN Program. The ASN Program continues to utilize end-of-course and endof-program standardized testing. Prior to January 2016, the HESI testing platform was utilized. Effective January 2016, ATI Total Curriculum Support was implemented for all undergraduate students. The ATI Capstone was also implemented for all undergraduate students in their final semester. Student Support The School of Nursing faculty revised and reinstated the early warning and remediation system for at risk students in 2014. All ATI resource materials are provided for undergraduate students through Title III funding. For incoming students, a New Student Orientation has been instituted to provide prospective students with an overview of the requirements of nursing school and to emphasize the rigors of the nursing programs. The first New Student Orientation was held on March 31, 2016. The ATI Capstone course, the ATI Comprehensive Predictor, as well as the HURST NCLEX Review are provided for all graduating students. Third semester (fall 2015) ASN students were provided Prep-U and HESI Specialty tests for the maternity and pediatric nursing courses. These products are also funded by Title III. Teaching/Curriculum 40 A comprehensive review and revision of the ASN curriculum is the major strategy utilized by faculty to improve students’ performances on the licensing examination. The curriculum revisions will incorporate the Mississippi Nursing Competency, which was adopted from the Massachusetts Nurse of the Future Competency Model and the 2016 NCLEX-RN Test Plan. The ASN faculty also plan to focus on clinical reasoning with an increased emphasis on strategies to incorporate additional simulation in classroom and clinical instruction. Included in the curricular revisions will be modifications of evaluation methodologies to align with revised student learning outcomes. 41 APPENDICES 42 Appendix A Mississippi Institutions of Higher Learning Approval Status Appendix B Notification Sent to Students NOTICE TO ALL ASSOCIATE OF SCIENCE IN NURSING MAJORS Notice of Curriculum Revision April 10, 2016 The Associate of Science in Nursing Program at Alcorn State University has submitted a curriculum revision to the Accreditation Commission for Education in Nursing (ACEN) and Mississippi Institutions of Higher Learning (IHL) for approval. Once approval is received, the revised nursing curriculum will be implemented. The projected start date for the revised nursing curriculum will be the fall 2016 semester and will begin with the first nursing course. One new nursing course will be phased in for new students each semester. New Students: With the implementation of the new curriculum, some admission requirements will also change. Applicants will be required to have a minimum subscore of 18 on the Math and Reading components of the American college Test (ACT). Effective last fall (2015), the passing grade for all nursing courses was changed to 77%. This passing standard will remain in effect. The Assessment Technologies Institute, Inc, Total Curriculum Support, the HESI Mid-Curricular Exam, and the Point was also implemented for all ASN students. You will learn more about these resources your first week of class. Continuing Students: Successful continuing students will complete the ASN Plan of Study as it appears in the ASU General Catalog for the year when you started the nursing sequence in the ASN Program. If you have any questions, please feel free to speak to your nursing advisor or contact the ASN Program Coordinator. The ASN Program will inform students once the approval process is completed. Appendix C ASN Program Council Meeting Minutes Alcorn State University Associate Degree of Nursing Curriculum Consultation Meeting February 2-3, 2016 Presiding: Present: Dr. Debra Spring, Dean Dr. Rebecca Fairchild Dr. Linda Godley Dr. Jacqueline Johnson Mrs. Delores Williams Dr. Ira Sewell Mrs. Theresa Cole Dr. Carolyn Dollar Guest: Denise M. Korniewicz Ph.D., RN, FAAN ATI Curriculum Educational Consultant Call to Order – Dean Spring Minutes Dr. Korniewicz discussed the curriculum development process with faculty An overview of CMAP (Curriculum Development and Management Tool) was discussed and reviewed by the ATI consultant and faculty (See Attachment) The Associate degree of nursing program student outcomes and competencies were reviewed The ASN and SON’s mission was discussed and rewritten to coincide with the Mississippi Nursing Competency Model with the inclusion of patient centered care, professionalism, leadership, system based practice, safety, evidence-based practice, informatics and technology, communication, teamwork and collaboration, and quality improvement (See Attachment) The course syllabi for NU121 (Fundamentals of Nursing), NU149 (Nursing Seminar), and NU129 (Health Assessment) were reviewed. CMAP was used to make changes to the course description, student learning outcomes, and course objectives. For the upcoming academic term (Fall 2016), NU121, NU149, and NU129 will be combined into one course. There will be 4 hours of theory and 12 hours of clinical per week. Changes will be made to first and second year level courses. NU121 content was reviewed by faculty. Faculty noted that content in courses should move from simple to complex Tentative dates for the upcoming virtual ATI curriculum meetings were discussed. Tentative dates were set for March 1 st (10 a.m. to 1 p.m. /2 to 4:30 p.m.), March 23rd, April 6th (9 to 12 p.m. /1 to 4 p.m.), and April 27th, 2016 (9 to 1 p.m.). Next ASN meeting to be held on February 24th, 2016 at 9:00 a.m. to continue to work on course descriptions, objectives, and content in each syllabi (NU130,NU131, NU225, NU227, NU235, NU238,and NU289) Alcorn State University Associate Degree of Nursing Curriculum Meeting February 10, 2016 Presiding: Dr. Debra Spring, Dean Present: Dr. Rebecca Fairchild Dr. Linda Godley Dr. Jacqueline Johnson Mrs. Delores Williams Dr. Ira Sewell Call to Order – Dean Spring (Meeting was called to order at 9:30 a.m.) Minutes Dr. Spring reported she wanted to have the mission voted down to one statement due to length. Report faculty did good work on redoing and revising the curriculum. The amount of work done with CMAP was amazing and the ASN program needs drastic changes. Dr. Godley, Dr. Spring, and Dr. Fairchild looked at new program of study (see attachment). Agreed to decrease the number of credit hours. Dr. Springs reported ACEN is a little lenient and still at 71-72 hours. Changes are to decrease hours to half of the BSN with a possibility of 60 to 64 hours. Dr. Springs reported we need to make sure an elective is offered and need to create titles for units Dr. Fairchild reported we aren’t going to be naming units until we set up CMAP Dr. Springs reported faculty need to think from simple to complex and introduce concepts. We need to include all systems in clinical. Faculty need to think about the most difficult people you have to deal with. May need units in larger courses and teach in blocks. Have to teach mastery of content in order to sit for NCLEX with minimum competency Dr. Spring reported she spoke with director at Southwest Community College. They redid the curriculum and having good results. Dr. Fairchild reported they were looking at the LPN fast-track program. Reported they are looking to see if students can receive credit by validation (currently reviewing products) Dr. Fairchild reported not to keep all of the difficult lectures in the last semester Faculty discussed the content in each Med-Surg course (NU130 and NU235) to determine placement in courses. Content was listed by faculty and reviewed. Dr. Fairchild asked faculty to work on content and course descriptions before next meeting Next curriculum meeting scheduled for February 17th Alcorn State University Associate Degree of Nursing Curriculum Consultation Meeting February 17, 2016 Presiding: Present: Dr. Debra Spring, Dean Dr. Rebecca Fairchild Dr. Linda Godley Dr. Jacqueline Johnson Mrs. Delores Williams Dr. Ira Sewell Dr. Carolyn Dollar Call to Order – Dean Spring Minutes Minutes from the previous meetings were reviewed by faculty Dr. Fairchild reported she will add more information and give minutes to Mrs. Erica Chatman (ASN secretary) to place in correct format Dr. Fairchild reported Mrs. Denise Korniewicz (ATI consultant) will assist faculty with placing curriculum information into CMAP Dr. Spring reported ACEN representative (Dr. Stoll-executive director) pulled together a task force to review standard 6 to make sure it was clear. Dr. Stoll was concerned that a lot of programs have been unable to meet Standard 6. New standards and criteria have been developed Dr. Spring will call Betty Davis for clarity due to some information being unclear. One area lenient is faculty credentials (may hire an exception only if no one else to hire). There were no changes to standard 4. Dr. Spring reported standard 6 consisted of systematic plan only reflecting student learning and program outcomes. Need to get SLO down to bare minimum and envision 10 which coincide with the Mississippi Competency Model. They are only looking at NCLEX pass rates which include the 1 st write, program completion, and job placement rates. All students should be able to pass 1 st writes but there have been a lot of changes. No longer have to track graduate and employee satisfaction Dr. Godley reported she was on the committee for the 2013 Standards and spoke about this issue also. The only state which does not provide faculty credentials is Utah. Some of the schools are unable to get faculty with minimum credentials. Need to make sure we track ELA, assessment, findings, and discussion Dr. Fairchild reviewed content and asked faculty for suggestions for placement into each Med-surg course. Content was reviewed with placement of systems into individual Med-Surg courses (See Attachment) Faculty reviewed and made changes to course descriptions (See Attachment) Reviewed and discussed new titles, prerequisites, and corequisites (See Attachment) Dr. Fairchild asked faculty to review the plan of study for the LPN fast track program for discussion and revisions at next meeting Next meeting to be held on February 24, 2016 Alcorn State University Associate Degree of Nursing Curriculum Consultation Meeting February 24, 2016 Presiding: Dr. Debra Spring, Dean Present: Dr. Rebecca Fairchild Dr. Linda Godley Dr. Jacqueline Johnson Mrs. Delores Williams Dr. Ira Sewell Dr. Carolyn Dollar Mrs. Theresa Cole Call to Order – Dean Spring Minutes Dr. Fairchild reported she was glad the proposed curriculum plan and course descriptions were accepted during the faculty organizational meeting The goal of this meeting was to look at the LPN to RN transition to find a suitable product for credits for the first summer semester and enter into the fall, eliminating the summer entry, and making it appealing for prospective LPNs Dr. Fairchild is still in the process of reviewing products such as HESI and NLN Dr. Fairchild has not heard from Denise regarding virtual setting for next week. Meeting will be a long day Dr. Fairchild reported that the BSN faculty reminded her that courses are blocked this semester. Dr. Fairchild instructed Dr. Sewell to remind first year level students that if unsuccessful in NU 130 (Med-Surg I) they will have to officially withdraw from NU131 (Psych) Mrs. Ursula Brooks-Ware is working on psych clinical rotations. Mrs. Delores Williams reported Mrs. Ware has spoken with representative regarding Jefferson Comprehensive Center and Whitfield clinical sites. Dr. Sewell spoke with Dr. Fairchild regarding payments for upcoming MOADN. Dr. Fairchild reported Dr. Sewell will need to contact representative. They are having trouble with website. Instructed Dr. Sewell to speak with Dr. Spring since she will be attending a meeting on tomorrow with MOADN. Dr. Sewell reported she will follow up with Dr. Spring. Debbie Mizell will be at the MOADN convention as a vendor for ASU. Dr. Sewell asked Dr. Fairchild for suggestions for student/faculty attire to attend the convention. Dr. Fairchild asked Dr. Sewell to discuss uniform with students (T-shirts or professional attire). Dr. Fairchild reported MOADN has an honor society but you have to be in good accreditation standing. There is a lot required when joining the honor society (service project, etc). Dr. Fairchild and faculty reviewed sample uniforms from Prestige Company. Discussed with Mrs. Theresa Cole regarding student kits for the upcoming year. Dr. Fairchild asked Mrs. Theresa Cole to make sure the right size catheters are purchased for the manikins. Dr. Godley reported she will discuss with the advisory committee regarding including faculty in in services and training sessions at the clinical sites Next meeting to be held on March 1, 2016 (Virtual ATI) Alcorn State University Associate Degree of Nursing Curriculum Consultation Meeting March 01, 2016 Present: Dr. Rebecca Fairchild Dr. Linda Godley Dr. Jacqueline Johnson Mrs. Delores Williams Dr. Ira Sewell Dr. Carolyn Dollar Mrs. Theresa Cole Call to Order – Dr. Fairchild (Meeting Began-10:00 a.m.) Minutes Dr. Denise Korniewicz (ATI consultant) conducted a virtual ATI working session with faculty to enter and make curriculum changes in CMAP Worked on course syllabi for NU 128 (Client Centered Care I) and NU 218 (Client Centered Care II). Changes were made to the course objectives, content, course descriptions, and titles. Worked on content to include in NU 118 (Foundations of Client Centered Care) and NU 229 (Client Centered Care III). Dr. Korniewicz reported she will work with faculty on combining Peds and OB content into (NU 218) Med-Surg II. She will work with Dr. Fairchild and Dr. Godley on Friday, March 4th to help with content and demonstrate how to set up Med-Surg III (NU229) for a couple of hours from 9 to 11:30 a.m. Faculty will have to agree to the curriculum changes made in NU128 (Med-Surg I) after the final changes are made. Dr. Korniewicz suggested faculty work on various assignments for curriculum changes before next meeting. Dr. Sewell will be working on content units for acid/base, electrolytes, and preop. Dr. Johnson will be working on which courses nursing skills will be taught along with oncology content Meeting was adjourned at 4:10 p.m. Alcorn State University Associate Degree of Nursing Curriculum Consultation Meeting March 9, 2016 Present: Dr. Rebecca Fairchild Dr. Linda Godley Dr. Jacqueline Johnson Mrs. Delores Williams Dr. Ira Sewell Mrs. Theresa Cole Call to Order – Dr. Fairchild (0915) Minutes Dr. Godley gave deadline overview for report to ACEN. Report had conference call for ACEN last week for substantive change report. The report is due 4 months before implementation date which is April 22, 2016. Currently shooting for April 1, 2016 deadline. Spoke with chairperson of university curriculum committee regarding documents needed for approval. The committee meets every 3rd Tuesday of the month). Committee met and reported the completed course syllabi are needed. Prospectives for SACS, IHL, ACEN and accrediting body are needed with copies of letters from each agency needed Dr. Fairchild reported discussions with ATI representative, Dr. Denise Korniewicz regarding syllabus and contents for units. Dr. Fairchild and Dr. Godley will go back and do CMAP editing Mrs. Theresa Cole reported a new quote was sent by representative for student kits. The total cost for the kit is $155.00. There are no safety needles in kit due to cost of $5.00. Students are responsible for going online and placing orders Dr. Fairchild asked Mrs. Cole will information be available for orientation for kits and uniforms. Mrs. Cole reported she will have quotes available for orientation. Dr. Fairchild reported they will place updated health form online. It will be the student’s responsibility to print documents and turn in Dr. Godley reported we may need to price safety needles and keep them in the skills lab. Dr. Fairchild reported Dr. Spring may have to see if we can charge students a lab fee and make sure it doesn’t roll over in the general fund Dr. Sewell asked what she needs to do about monies for MOADN in order to mail. Dr. Fairchild and Dr. Godley instructed her to ask Mrs. Vanessa Johnson. Dr. Godley said she thought there was a representative for MOADN in the past but no one has been active. Dr. Fairchild reported she is meeting with the BSN faculty to show them uniforms. Report students could possibly get them though the bookstore but do not sell white. Dr. Fairchild reported the purple scrubs look professional Reviewed and discussed course syllabus 218cb (Client Centered Care II combined content). Discussed addition and deletion of content in the syllabus. Dr. Fairchild asked Mrs. Theresa Cole to do content topics for OB since this is her specialty area Discussed placement of oncology content into different syllabus Dr. Fairchild stated administration of the math exam should be a skill at the lower level such as in NU 118 (Foundations of Client Centered Care) Next virtual meeting scheduled for March 23, 2016 Appendix D Documentation of Internal Approval Process Appendix E Governing Organization Accrediting Agency Approval Appendix F Mississippi Nursing Competency Model Background The Mississippi Nurse of the Future Competency Model is the culmination of a collaborative effort of many nursing leaders in the stateand one outcome of the Mississippi Council of Deans and Directors of Schools of Nursing (MCDDSN) Education Redesign Taskforce(ERTF) initiative. The 2011 adoption of this model demonstrates the MCDDSN’s most recent implementation of a successful model that defines core competencies for entry-level nursing practice. The MCDDSN is committed to continuous quality improvement in nursing education, including preparing nurses of the future with competencies for effective nursing practice and leadership to advance health care. In 1997, Mississippi was one of the first states to develop and adopt a competency model. The desired outcomes of this model were to ehance the education and practice of Mississippi nurses, facilitate articulation across nursing education programs, and assist employers in understanding the differences in expected skill sets based on educational degrees. Competencies were identified according to roles of nurses with varying educational backgrounds encompassing LPN, ADN, BSN, and MSN preparation. In 2002, the Mississippi Competency Model was revised to include PhD competencies. Schools of nursing have used the Model as a basis for designing curricula and policies to improve the articulation among educational programs and upward mobility of nurses in Mississippi. The MCDDSN Strategic Plan for Education Redesign, developed in 2009 and updated annually, provides the framework and guidance for Mississippi’s continued work to address the changing demographics and societal needs for nursing and healthcare in an increasingly complex healthcare environment. The Strategic Plan depicts nursing education priorities, resources needed, short-term and long-term outcomes. One track of work emanating from the 2010 strategic plan was the appointment of the Education Redesign Task Force, charged with: 1. Updating the MS Competency Model with core competencies for the nurse of the future: 2. Reviewing best practice models for curriculum redesign 3. Creating models for seamless academic progression across education levels 4. Facilitating voluntary implementation of a state-wide curriculum model that integrates essential competencies for nursing practice The ERTF brought together statewide stakeholders in nursing education and practice to review national recommendations and guidelines for nursing practice, national nursing education accreditation standards and other state competency models. The initialreview by stakeholders spearheaded focus group sessions among practice partners to identify gaps between the 1997 competencies and core competencies for future nursing practice. The outcome of the critical analysis of existing documents and stakeholder meetings led to the eventual adoption of the Nurse of the Future Nursing Core Competencies© (Massachusetts Department of Higher Education Nursing Initiative, 2010) as the Mississippi Nursing Competency Model: Nurse of the Future Nursing Core Competencies, to replace the existing 2002 model. The MS Nursing Competency Model identifies the ten Nurse of the Future (NOF) Nursing Core Competencies and the knowledge, attitudes and skills associated with each. The competencies are designed to guide curriculum development and implementation in pre-licensure nursing programs. The model provides the foundation for further development of depth and scope of the competencies for advanced nursing practice at the master’s and doctoral levels. The nurse of the future will be proficient in a core set of competencies. • There is a differentiation in competencies among practicing nurses at various levels • Competence is developed over a continuum and can be measured Nurse educators in education and in practice settings will need to use a different set of knowledge and teaching strategies to effectively integrate the Nurse of the Future Nursing Core Competencies© into curriculum. The Nurse of the Future Nursing Core Competencies The NOF Nursing Core Competencies emanate from the foundation of nursing knowledge. The competencies, which will inform future nursing practice and curricula, consist of the following: Client-Centered Care Professionalism Leadership Systems-Based Practice Informatics and Technology Communication Teamwork and Collaboration Safety Quality Improvement Evidence-Based Practice (EBP) Appendix G Documentation of NCLEX-RN Pass Rate Appendix H Mississippi Nursing Degree Programs Accreditation Standards Procedure Manual rules and Regulations Section III – C - 2 Appendix I 2014 Performance Improvement Plan Appendix J 2015 Performance Improvement Plan Progress Report Appendix K Course Syllabi (Current and Revised Curriculum ALCORN STATE UNIVERSITY ASSOCIATE DEGREE NURSING PROGRAM NURSING COURSE SYLLABUS NU 129 Essentials of Health Assessment 2 sem hrs Rebecca Fairchild, PhD, RN, Interim Director of Undergraduate Studies Jacqueline Johnson, DHA, RN, ASN Program Coordinator Ira Scott-Sewell, PhD, RN, Faculty Office hours are posted on the door of each faculty office. Students are not allowed in the faculty’s offices unless a faculty or secretary is present due to security reasons. COURSE DESCRIPTION This course is an introduction to the essentials of health assessment. Included in the course are nursing skills necessary to gather data through interview and physical examination of clients throughout the lifespan. The course requires independent skill laboratory practice. Proficiency is evaluated in the laboratory setting. Pre-Requisites: Admission to Upper Level. See Plan of Study. Co-Requisites: NU 121, NU 149 Fall Semester. http://www.alcorn.edu/data/files/gallery/ContentGallery/ASU_Undergraduate_Catalog_2 01420161.pdf COURSE STUDENT LEARNING OUTCOMES (Insert here.) CODE OF CONDUCT The University has established standards and procedures, which shall govern the conduct of students on University property, in University facilities, and away from the University Campus. This code of conduct and disciplinary due process is detailed in the ASU Student Handbook. Disciplinary problems may be referred to a student-faculty discipline committee appointed by the President of the University. A complete description of the Student Code and Standards of Conduct can be found at: http://www.alcorn.edu/data/files/gallery/ContentGallery/Student_Handbook1.pdf In addition to the University standards, nursing students are expected to abide by the SON Integrity Policy. The SON Integrity Policy can be found in the ASU SON Undergraduate Handbook. ALCORN STATE UNIVERSITY NOTICE OF NON-DISCRIMINATION STATEMENT The University complies with all laws regarding affirmative action and equal opportunity in all its activities and programs and does not discriminate against anyone on the basis of age, creed, color, national origin, race, religion, gender, handicap, or military status. http://www.alcorn.edu/data/files/gallery/ContentGallery/ASU_Undergraduate_Catalog_2 01420161.pdf ALCORN STATE UNIVERSITY DISABILITY SUPPORT STATEMENT Students who need disability accommodations should submit an application packet with supporting documentation from a qualified professional to the Director of Health and Disability Services. Upon careful review of the documentation and discussion with the student, the Director of Health and Disability Services will arrange reasonable physical and academic accommodations. The Department of Health and Disability Services is located in the Felix H. Dunn Health Services Center. The telephone number is 601-8776460. Upon admission, a student who discloses a properly certified disability will receive a reasonable accommodation. However, in order to perform safe patient care, students must meet core performance standards and functional abilities for admission and progression, as published by the Southern Council on Collegiate Education for Nursing (SCCEN). A copy is available from the School of Nursing and in the SON Undergraduate Programs Student Handbook. Students are responsible for updating the Director’s office each semester regarding their enrollment status. STUDENT DUE PROCESS A grievance is a student’s claim of unfair and/or non-equitable treatment regarding established policies, procedures, rules, and regulations of ASU. The formal expression of a grievance is a complaint. The SON defines a grievance as a formal allegation against a party or program expressed in a written, signed statement. The student has the right to express grievances without prejudice, penalty, or recrimination. Please refer to the University Student Handbook p. 111 http://www.alcorn.edu/data/files/gallery/ContentGallery/Student_Handbook_Changes_20 15.pdf Grade Appeal A grade other than an incomplete may be changed only if there is an error of calculation or recording as verified by the official roll book. The SON Undergraduate Director, SON Dean, and the Vice President for Academic Affairs approve all change of grades. Course grades may be appealed by submitting the appeal in writing prior to the beginning of the next scheduled term. Following the steps of the Grievance Procedure is required. NURSING STUDENT MANUAL The Alcorn State University School of Nursing Undergraduate Student Manual can be accessed on the SON webpage. The online manual contains the information/policies/guidelines that are applicable for all students enrolled in nursing. After thoroughly reading the manual the student will sign a statement indicating the student has read and understands the SON Undergraduate Student Manual. TEACHING/LEARNING STRATEGIES Lecture/Discussion Electronic Modules Audio-Visual Aids Assigned Readings Case Studies Simulation/Virtual Simulation ATTENDANCE REQUIREMENTS Regular and prompt class attendance is required of all students enrolled in SON programs. Consistent class attendance, for students, applies to all classes whether these are lecture or laboratory sessions. Any student that arrives > 15 minutes late for class or leaves > 15 minutes before class is officially dismissed [by the faculty of record] is documented tardy. Three tardies are equivalent to one unexcused absence. A tardy exceeding 30 minutes will be considered a class absence. Students arriving tardy will not be admitted to class after 30 minutes tardy but may enter the classroom at the next break. Class attendance is regarded as an obligation as well as a privilege and a student is expected to attend all classes in which one is enrolled. Failure to do so may jeopardize the student's scholastic standing and may lead to suspension from the University. No matter how justifiable the circumstances for class absences, students must attend a minimum of 75% of the meetings for a given course in order to be eligible to receive a passing grade. If a student, for any reason, accumulates absences in a course in excess of one-fourth (25%) of a class [when class is administered according to credit hour guidelines], s/he receives the grade of “F” in that course unless the circumstances for absences are deemed extenuating by the Provost. Excused Absences Absences documented by official sources (i.e. medical or death of family member) are excused. Excused absences are counted as absences when computing the 75% minimum. An excused absence allows the student to make up the work and receive a grade for that work if the work is completed within two weeks after the absence. The student is responsible for obtaining assignments, scheduling make-up work, and submitting assignments to the instructor within the two week period after the absence. Periods of absence in excess of one week must be approved and excused by the Office of the Provost Students must present official documentation for an excuse to the instructor, who will make the decision on the classification and acceptability of the excuse. Disagreements as to acceptable excuses are adjudicated by the Dean of the School. CONFIDENTIALITY Students may come in contact with confidential information both clinical and employee related through written records, documents, ledgers, internal verbal correspondence and communications, computer programs and applications. Confidential information cannot be disclosed to anyone other than those designated and/or appropriate persons at the clinical facility, directly or indirectly, either during or after the clinical experience. All students are required to sign a confidentiality statement of the clinical facility and abide by the agency’s policy, rules, and regulations of confidentiality including HIPPA. Violations or breach of confidentiality may be cause for termination of the student’s clinical rotation at the clinical facility in addition to possible legal remedies available and Disciplinary Committee Review by Alcorn State University. MAKE-UP WORK An excused absence allows the student to make up the work and receive a grade for that work if the work is completed within two weeks after the absence. The student is responsible for obtaining assignments, scheduling make-up work, and submitting assignments to the instructor within the two week period after the absence. Tests Make-up tests will be given at the discretion of the faculty. The make-up test can be oral, essay, and/or multiple-choice. A request for all make-up tests must be made on the day the student returns to class following the absence. The student must complete the appropriate form and submit it to the faculty. Make-up tests that are not taken by one week passed the date of the request will not be given. An unexcused absence on the day of a scheduled make-up examination will result in a grade of a zero. Unscheduled quizzes and examinations cannot be made up. A student is allowed only three (3) make-up tests per course. Any test missed thereafter will be graded “zero.” Regardless of the actual score made on the make-up test, the maximum score for make-up tests will be: first make-up test 85%; 2nd make-up test 80%; and third make-up test 75%. If the actual score on any make-up test is lower, the actual score will be recorded. LEARNING LAB GUIDELINES Refer to the Clinical and Virtual Laboratories Handbook for guidelines and procedures related to the skills lab and virtual hospital. Children are not allowed in the skills lab or virtual hospital. LEARNING LAB PRACTICE & REFERRAL Lab hours are 8 am to 5pm Monday – Thursday and 8 am to 4pm on Friday, unless otherwise posted. Any changes in lab hours will be posted on the Skills lab door and Skills lab coordinators office door. The student should notify the Clinical and Virtual Laboratory Coordinator as soon as possible if the student is unable to keep scheduled appointments as everyone’s time is valuable. “NO SHOWS” for scheduled appointments are not acceptable. Call 601-3044353 (office, voice mail) if the cancellation is the same day and follow up with a cancellation request. Submit a cancellation request prior to appointment-reschedule requests must be submitted within 3 days of cancellation. COMMUNICATION The student is responsible for checking for any messages and/or communication from faculty, staff, and/or administration by electronic mail, Blackboard, or designated bulletin boards daily. The approved electronic mail address is the student address assigned through Alcorn.edu. RETURN TO SCHOOL CLEARANCE A student who is hospitalized must present a return to work certificate from their physician to the Director of Undergraduate Studies, before returning to classroom/clinical areas. Other circumstances that may affect a student's or client's safety will also require a return to work certificate. (Examples: communicable disease, pregnancy, accidents.) The Director of Undergraduate Studies will request such certificate when deemed appropriate. COURSE FAILURE See SON Undergraduate Programs Student Handbook and ASU Catalog. COURSE WITHDRAWAL (Dropping a course)/UNIVERSITY WITHDRAWAL Any student wishing to withdraw from a single course or from the university should make an appointment with the Nursing Undergraduate Director to schedule an exit interview. Students wishing to withdraw from a single course must pick up a change-ofschedule form in the Enrollment and Recruitment Coordinator. The complete procedure can be found at http://www.alcorn.edu/academics/registrars-office/dropping-and-addingcourses/index.aspx. Students wishing to withdraw from all courses should complete a withdrawal form obtained from the Enrollment and Recruitment Coordinator and schedule an exit interview with the Nursing Undergraduate Director. Students are not automatically dropped or withdrawn from the institution. The student is responsible for completion the proper forms to make sure the academic record reflects the correct action. The procedure for withdrawal can be found at http://www.alcorn.edu/academics/registrarsoffice/withdrawal/index.aspx. EVALUATION Evaluation Criteria A. Grading Scale 92-100 = A; 83-91 = B; 77-82 = C; 68-76 = D; 0-68 = F B. Course Test Grade Average* The course test grade average for this course will be calculated in the following manner. 1. Unit Test Grade Average 70% 2. Comprehensive Exam 30% *The course test grade average must be 77 or greater in order to pass the course. C. Course Grades The course grade will be calculated in the following manner. 1. Written Examinations/Quizzes 40% 2. Check-Off Examinations 30% 3. Final Comprehensive Assessment 30% The overall course average must be 77% or higher. REQUIRED MATERIALS AND TEXTS See textbook list. Equipment for Health Assessment Experiences: At a minimum, nursing students are required to have the following items for participation in clinical experiences: stethoscope (with bell and diaphragm), manual blood pressure cuff (adult) name tag, Alcorn identification, nursing scissors, penlight, black or blue ink pen, calculator, wrist watch with a second hand, and documents required for nursing clinical affiliation requirements. STUDENT SUPERVISION Students must be supervised when performing skills as designated by agency policy, course Guidelines for Student Supervision and/or the Safety Policy. TESTING GUIDELINES On exam days students are to present to the classroom with two sharpened number 2 pencils only. Backpacks, textbooks, notes, purses, jackets, coats, hats, soft drinks, electronic devices, etc. will not be allowed during the exam. After the exam is complete, students will be allowed ample time to retrieve personal belongings. Students are required to take examinations on the designated dates and at the scheduled time unless the faculty is notified at least one (1) hour prior to the exam. Failure to notify the faculty and to receive official release from the scheduled exam will result in a score of ZERO points for the exam. TEST GRADE REPORTING To protect student confidentiality, grades are NOT given out by telephone or e-mail. Test grades will be reported on the course Blackboard web site within three class days. TEST REVIEWS All students are encouraged to schedule a test review. However, any student scoring less than 77% on any unit exam will be required to schedule a test review with the faculty. Students will have a two-week time period to review tests. After the two-week time period, no test will be reviewed and no grades will be changed. If there is less than two weeks until the end of the semester, the student will have until the end of the semester to review the test. TEST SECURITY Tests and test items are considered the property of the nursing programs. Only answers marked as directed will be scored. Test items are analyzed by faculty to provide students with valid, reliable tests. Students are strictly prohibited from disclosing test items or response choices to anyone, including using language that is substantially similar to the test item or response choice. The disclosure of any information about the nature or content of test items, before, during, or after a test is considered cheating and will result in a grade of “F” in the course. This includes, but is not limited to possession of test questions outside of a testing situation unless supervised or approved by a faculty member, any oral or written disclosure, or any paper or electronic distribution. Additional penalties could occur if the student is referred for disciplinary action. EMERGENCY GUIDELINES Emergency guidelines are posted to the SON website. Students should review the guidelines each semester. RELEASE OF INFORMATION See School of Nursing Undergraduate Handbook. Clinical agencies may request the student’s social security number and phone number as needed for agency requirements. Please note that remediation for this course is mandatory for any student scoring 80 or below on any teacher made exam. It is strongly recommended that students utilize all available resources for remediation. Please contact faculty to schedule time and date for remediation. Date/Time August 25, 2015 Introduction to Health Assessment Syllabus Grading Policies Unit and Content Course Orientation Learning Objectives Reading Assignments Learning Activities Course Expectations Simple Neurological Assessment Date/Time September 1, 2015 Assessment of Integumentary Function Anatomic and Physiologic Overview Assessment Diagnostic Evaluation 1. Describe ways to prepare the physical environment and make it conducive to a physical examination. 2. Explain ways to prepare the client for a physical examination. 3. Describe the various positions used to perform the physical examination 4. Demonstrate the correct method used for inspection during the physical examination. 5. Explain the purpose and differences between light, deep, and bimanual palpation. 6. Demonstrate correct direct, indirect, and blunt percussion techniques used during the physical examination. 7. Explain the correct use of the stethoscope and the purpose of the bell and the diaphragm. 8. Survey the various pieces of equipment used to perform a physical examination. Unit and Content Assessment of Integumentary Function (Skin, Hair, Nails) Learning Objectives The learner will be able to: 1. Discuss the functions of the skin and its appendages 2. Discuss the normal anatomy and physiology of the skin and its appendages. 3. Identify the appropriate questions to use to elicit an accurate health history Weber and Kelley Perform two health histories with the forms Chapter(s) 8,9 provided. Document your findings and turn the assignment in to faculty the next class meeting. Reading Assignments Kelley & Weber Chapter 14 Learning Activities Practice health assessment skills for the skin, hair, and nails in the laboratory setting. of the client’s skin and appendages. 4. Identify the various configurations of the skin lesions as well as the types and color s of lesions. 5. Perform a health assessment of a client’s skin, hair, and nails. Date/Time September 15, 2015 Head and Neck Structure and Function Health Assessment Date/Time September 22, 2015 Assessment of the Eye Diagnostic Evaluation Unit and Content Learning Objectives The learner will be able to: 1. Identify the major structures of the face, head, and neck. 2. List the cranial and facial bones. 3. Identify the two major muscles of the neck. 4. Describe the size, shape, and consistency of the thyroid gland. 5. Identity appropriate questions to use to elicit an accurate assessment of the face, head, and neck. 6. Identity the location of the lymph glands of the head and neck. 7. Perform a health assessment of a client’s face, head, and neck. Unit and Content Assessment and Management of Patients With Eye and Ear Disorders Learning Objectives The learner will be able to: Reading Assignments Kelley & Weber Chapter 15 Reading Assignments Chapter(s) 16, 17, 18 Kelley & Weber Learning Activities Practice health assessment skills for head and neck in the laboratory setting. Learning Activities Practice health assessment skills for eyes and ears in the laboratory setting. Impaired Vision Ocular Medication Administration Infectious and Inflammatory Conditions Assessment of the Ear Diagnostic Evaluation Hearing Loss Conditions of the External Ear Conditions of the Inner Ear Aural Rehabilitation September 29, 2015 Examination of the Nose Examination of the Mouth (Throat) Examination of the Sinuses Date/Time October 6, 2015 Assessment of Respiratory Function Anatomic and 1. State the purpose of the examination of the eyes. 2. Distinguish the structure of the eye. 3. Discuss the structures of the eye. 4. Discuss the relationship of the cranial nerves to the structure and function of the eye. 5. Specify those aspects of the health history that are essential to perform an examination of the eyes. 6. Perform a health assessment on a client’s eyes. 7. Identify the structures of the external ear. 8. Differentiate between conductive hearing loss, sensorineural hearing loss, and mixed hearing loss. 9. Identify structures of the nose, nasal cavities, and paranasal sinuses. 10. Identify the structures of the mouth and oropharynx. 11. Describe the variations in health found on a physical examination of the ears, nose, mouth, and throat. 12. Perform a health assessment of a client’s eyes, ears, nose, mouth, and throat. Unit and Content (Thorax and Lungs) Assessment of Respiratory Function Learning Objectives Reading Assignments Kelley & Weber Chapter 19 Learning Activities Practice health assessment skills for the respiratory Physiologic Overview Assessment Diagnostic Evaluation October 13, 2015 Assessment of Cardiovascular Function Anatomic and Physiologic Overview The learner will be able to: 1. State the purpose of examining the client’s respiratory system. 2. State the major functions of the respiratory system. Discuss the anatomy and physiology of the respiratory system. 3. Use surface landmarks to describe the location of the lung borders, lung fissures, the diaphragm, and the trachea. 4. State the components of the health history necessary to complete examination of the respiratory system. 5. State the purpose of palpation, percussion, inspection, and auscultation in the examination of the respiratory system. 6. Distinguish the tones of hyperresonance, resonance, tympany, dullness, and flatness. 7. Compare the characteristics of normal and abnormal breath sounds. 8. Perform a health assessment of a client’s respiratory system. (Heart & Neck Vessels; Peripheral Vascular System) Assessment of Cardiovascular Function Learning Objectives The learner will be able to: 1. State the purpose of the system in the laboratory setting. Chapter 21,22 Kelley & Weber Practice health assessment skills for the cardiovascular system in the laboratory setting. Assessment of Cardiovascular System Diagnostic Evaluation 2. 3. 4. 5. 6. 7. 8. cardiovascular system. Describe the anatomic landmarks important in the cardiovascular assessment. Describe the three components of the cardiovascular system: the heart and great vessels, neck vessels, and peripheral vessels. Discuss the concept of sound transmission with regard to the four heart valves. Identify the location where the sound of each heart valve is best heard. Discuss the components of the cardiac cycle that produces S1 and S2 heart sounds. Describe the components of the health history that should be elicited during the assessment of the cardiovascular system. Perform a health assessment of a client’s cardiovascular system. June 11, 2015 Assessment of Digestive and Gastrointestional Function Anatomic and Physiologic Overview Assessment of the Gastrointestion al System Diagnostic Evaluation (Abdomen) Assessment of Digestive and Gastrointestinal Function Date/Time Unit and Content Learning Objectives The learner will be able to: 1. Discuss the examination of the abdomen. 2. Identify the vital organs contained in the abdomen 3. Identify the components of the health history necessary to do an examination of the abdomen 4. Locate the abdominal organs and assess the areas of pain and tenderness. 5. Perform an abdominal health assessment on a client. 6. Discuss the major goals and components for conducting a nutritional assessment. 7. Describe various methods of obtaining a dietary history. 8. Perform a nutritional assessment on a client. 9. Evaluate nutritional assessment data for adequacy. Assessment of October 20, 2015 Musculoskeletal Function Anatomic and Learning Objectives Physiologic The learner will be able to: Overview 1. Describe the purpose of the Assessment of musculoskeletal Musculoskeleta examination. l System 2. Describe the Chapter 23 Kelley & Weber Reading Assignments Potter and Perry Chapter 24 Practice health assessment skills for digestive and gastrointestinal in the laboratory setting. Learning Activities Practice health assessment skills for the musculoskeletal system in the laboratory setting. Document your Diagnostic Evaluation October 27, 2015 components of the musculoskeletal system. 3. Distinguish the seven types of joint motion (flexion, extension, abduction, adduction, internal rotation, external rotation, and circumduction. 4. Identify the components of the health history that are necessary to perform a complete assessment of the musculoskeletal system. 5. Perform a health assessment of a client’s musculoskeletal system. findings using correct terminology and turn in to faculty by the next class period. Pulling It All Together: Integrated Head-To-Toe Assessment Demonstration Date/Time Unit and Content November 3, 2015 Assessment of Neurological System Anatomic and Physiologic Overview The Peripheral Nervous System Cranial Nerves Spinal Nerves Autonomic Nervous Assessment of Neurological Function Learning Objectives The learner will be able to: 1. Describe the structures and functions of the central and peripheral nervous systems. 2. Describe the components of the spinal cord. 3. Differentiate Reading Assignments Chapter 25 Potter and Perry Learning Activities Practice Health Assessment skills for the Neurological System in the laboratory setting. System Assessment of the Nervous System Diagnostic Evaluation November 3, 2015 Integrated Check-Off Time: Students must sign up for appointment times. between deep tendon reflexes, superficial reflexes and pathological reflexes. 4. List the cranial nerves, their function and whether they are motor, sensory, or mixed nerves. 5. Perform a health assessment of a client’s neurological system. At successful completion of the unit, the student will be able to: Perform a complete comprehensive health assessment on a client. Document assessment findings using correct terminology. Final Comprehensive Check-Off ALCORN STATE UNIVERSITY ASSOCIATE OF SCIENCE IN NURSING PROGRAM NURSING COURSE WITH CLINICAL COMPONENT SYLLABUS Course Information: Course Number and Title: NU 118 - Foundations of Client Centered Care Total Credit/Contact Hours: 8.00 Clinical Credit/Contact Hours: 4.00 (12 clock hours weekly) Theory Credit/Contact Hours: 4.00 Course Description: This course provides a foundation of nursing with emphasis placed on the knowledge and skills needed to provide safe, quality care. The theoretical foundation for basic assessment and nursing skills is presented, and the student is given an opportunity to demonstrate these skills in a clinical setting. The course introduces the concepts of patient-centered care, professionalism, leadership, systems-based practice, informatics and technology, communication, teamwork and collaboration, and quality improvement. Pre-requisites: Admission to ASN Program, Bi 114, BI 114L; BI 214, BI 214L; MA121; UL 101: Co-requisites: EN 111, SY 235. Course Objectives: 1. Discuss the role of the nurse and scope of practice, in both macro- and microsystems, and supporting guidelines including standards of nursing practice, code of ethics, nurse practice acts, regulatory and institutional policies, and professional registrations/certifications. 2. Review the spectrum of health care settings across which client care is provided. 3. Review the importance of selected concepts related to professionalism as they pertain to providing and directing safe, quality client care. 4. Discuss the importance of selected concepts related to client-centered care as they pertain to providing and directing safe, quality client care. 5. Describe the nurse’s role in identifying and supporting physiologic and psychosocial needs of clients taking into account their diverse backgrounds, preferences, and values. 6. Discuss the nurse’s role in implementing strategies to promote an environment that is safe for the client, self, and others. 7. Demonstrate basic nursing skills using proper techniques and measures to promote safe, quality client-centered care. 8. Apply the various elements of the nursing process to clinical decision-making. 9. Perform a general assessment that includes the psychological, sociological, cultural, and spiritual aspects of clients across the lifespan. 10. Discuss the use of information systems, informatics, and technology within the healthcare system. Content Units: Nursing Role and Scope of Practice Unit Objectives: 1. Define nursing and relate its current state to historical events and leaders. 2. Compare the various roles of contemporary nurses today. 3. Review the different educational paths to professional nursing and their implications for career mobility and advancement. 4. Discuss the scope of practice of unlicensed personnel, licensed/vocational nurses, professional nurses, and advanced practice nurses. 5. Describe how state nurse practice laws define the legal scope of nursing practice. 6. Review an established code of ethics and its role in guiding nursing practice and ethical decision making. 7. Recognize competencies related to knowledge, skills, and attitudes that nurses are expected to integrate into their practice. 8. Differentiate between healthcare-related macro- and microsystems and their relationship to the nurses' role. 9. Compare nurse behaviors related to accountability and responsibility within the healthcare system. Content Topics: a. Definitions of nursing b. Historical events and leaders (Florence Nightingale, Clara Barton, Mary Mahoney, Eliza Pillars, Mildred Montag, Bobbie Anderson, Cora Balmat, Civil War, World War I and World War II, Korean and Vietnam Conflicts c. Nursing roles and educational preparation d. Scope of practice and the Mississippi Nurse Practice Law e.Licensure and certification f.Competencies and standards of care (Nurse of the Future, American Nurses Association, The Joint Commission, National League for Nursing) g.Definitions and examples of healthcare microsystem and macrosystem h. Nurse behaviors related to accountability and responsibility within the healthcare system Profession Related Concepts/ Professionalism Unit Objectives: 1. Define the concept of professionalism and its relationship to nursing practice. 2. List professional behaviors that are consistent with those of a nurse. 3. Discuss the relationship of ethical and legal practice to the role of nurses. Content Topics: a. Definition of professionalism b. Professional behaviors of nurses grounded in personal values and ethical and legal tenets c.Resolution of ethical dilemmas d. Legal issues related to client care (malpractice, neglience, assault, battery, false imprisonment, confidentiality, common law, civil law, criminal law, torts, Healthcare proxies, Good Samaritian Law, informed consent) Spectrum of Healthcare Unit Objectives: 1. Differentiate between the terms health and illness and the impact that lifestyle and risk factors has on one’s health status. 2. Define the terms health promotion and wellness and discuss the nurse’s role in supporting the client's movement towards optimal health. 3. Differentiate between primary, secondary, and tertiary care as well as the role of the nurse when providing these levels of care. 4. Differentiate between the goals of acute and chronic care and examples of client conditions in each category. 5. Discuss the principles of restorative or rehabilitative care, its goals, and the role of the nurse when working with clients undergoing rehabilitation. 6. Describe palliative and hospice care and the role of the nurse in providing end of life care. 7. Describe the various health care settings within which client care is delivered. 8. Discuss the roles of state and federal governments in regulating health care agencies. Content Topics: a. Influences on definitions of health and wellness (World Health Organization definition, Health Models, Healthy People 2020) b. Internal and external variables influencing health and wellness c. Definitions and examples of primary, secondary, and tertiary care d. Role of the nurse in primary, secondary, and tertiary care e. Definitions and examples of acute and chronic conditions f. Restorative care and rehabilitation g. Types of healthcare facilities according to the five levels of care h. Federal and state regulatory agencies Profession Related Concepts/ Client-Centered Care Unit Objectives: 1. Discuss the meaning of client-centered care. 2. Describe concepts of holistic health and nursing. 3. Describe the concept of caring as a foundation for nursing practice. 4. Review the professional skills inherent in providing client-centered care. Content Topics: a. Nursing process/ Define the nursing process and discuss its use as a tool for identifying actual and potential client problems and planning client-centered care. a. Clinical judgment/ Define clinical judgment and its relationship to nursing practice. b. Clinical judgment/ Compare and contrast clinical judgment and critical thinking. c. Clinical judgment/ Differentiate between decision making and problem solving. d. Clinical judgment/ Discuss the significance of the scientific method for determining best nursing practices. a. Advocacy/ Define advocacy and its relationship to nursing practice. b. Advocacy/ Discuss the relationship between the nurse’s role as advocate and the client's right to information and make informed health care decisions. c. Advocacy/ Review the Patient’s Bill of Rights and the Self Determination Act and their association with the nurse’s role as client advocate. a. Cultural sensitivity/ Define cultural sensitivity and its relationship to nursing practice. b. Cultural sensitivity/ Discuss the term culture and the various components that contribute to its definition (ethnicity, spiritual beliefs, social practices). c. Cultural sensitivity/ Compare and contrast the terms cultural sensitivity and cultural competence in relation to the role of the health care provider. d. Cultural sensitivity/ Recognize the influence culture has on health, health practices, illness, and caring patterns. a. Communication/ Define communication and its relationship to nursing practice. b. Communication/ Describe the four components of the communication process. c. Communication/ Differentiate between verbal and nonverbal communication. d. Communication/ Discuss characteristics of varied types of communication. e. Communication/ Differentiate between non therapeutic and therapeutic communication. f. Communication/ Discuss the use of technology in the communication process. g. Communication/ Describe how nursing documentation is a written form of communication. h. Communication/ Identify potential barriers to effective communication. i. Caring/Describe caring behaviors in nursing Profession Related Concepts/ Interdisciplinary Collaboration Unit Objectives: 1. Define the concept of interdisciplinary care. 2. Describe the essential aspects of collaborative health care. 3. Discuss the benefits of an interdisciplinary health care team providing client care. Content Topics: Define teamwork and collaboration according to the Mississippi Competency Model Identify members of the interdisciplinary team Describe strategies for facilitating interdisciplinary team communication Understand the impact of effective team functioning on the quality and safety of client care Profession Related Concepts/ Evidence-Based Practice Unit Objectives: 1. Define the concept of evidence-based practice. 2. Identify available resources for evidence-based nursing practice. 3. Discuss how evidence-based practice provides optimum care for individuals and their families. Content Topics: Steps for establishing evidence-based practice including development of an appropriate question using the Picot format Searchable scientific literature databases and sources for evidence-based practices Role of the nurse in establishing evidence-based practice Hierarachy of evidence Profession Related Concepts/ Quality Improvement Unit Objectives: 1. Define the concept of quality improvement. 2. Discuss the role of the nurse in identifying client concerns related to quality care. Content Topics: Definition of quality improvement Tools utilized to facilitate the process of quality improvement (The Hospital Consumer of Assessment of Healthcare Providers and Systems (HCAHPS, 2010), National Nursing Quality Indicators (NDNQ), The American Nurses Credentialing Center (ANCC) Magnet Rec Role of the nurse Profession Related Concepts/ Safety Unit Objectives: 1. Define the concept of client safety. 2. Discuss personal and environmental factors that impair a client's ability to protect themselves from injury. 3. Review interventions that can assist in reducing risk of client injury (properly identifying client, using six rights of medication administration, performing fall risk assessment, communicating client information to appropriate team member). 4. Discuss how proper and effective use of technology and standardized policies and procedures support safe, quality care. 5. Recognize the role of the nurse in monitoring own care and that of others in promoting a safe environment for the client. 6. Review the National Patient Safety Goals developed by the Joint Commission and their relationship to the development of national safety standards and accreditation of health care institutions. 7. Review the components of the Quality Safety Education for Nurses and its impact on client safety. Content Topics: Nursing interventions specific to a clients’ age for reducing risk of falls, fires, poisonings, electrical hazards, and medication and/or treatment errors. Personal and environmental factors that may result in injury to the client or healthcare provider National Patient Safety Goals Quality Safety Education for Nurses (QSEN) Client Related Concepts/ Body Mechanics and Ergonomics (includes Body Mechanics Skills Lab) Unit Objectives: 1. Review principles of good body mechanics and ergonomics when positioning, moving, lifting, and ambulating clients. 2. Identify assistive devices that can be used when moving patients to aid in the prevention of injury. 3. Examine the relationship between using good body mechanics and preventing injuries. 4. Discuss appropriate interventions to take to minimize injury to client and self during a client fall. 5. Demonstrate proper body mechanics and ergonomics when positioning, moving, lifting and ambulating patients. Content Topics: a. Body mechanics skills lab/ turning client, moving client up in bed, and use of draw sheet b. Body mechanics skills lab/ gait belts c. Body mechanics/ transfers Profession Related Concepts/ Informatics Unit Objectives: 1. Define the concept of informatics. 2. Describe the uses of computers in nursing education and practice. 3. Discuss the computer skills and computer applications necessary for monitoring and documenting client information. Content Topics: Definitions related to informatics (Information technology, nursing informatics, clinical information systems, electronic health records) Models of nursing information systems (nursing process model and clinical decisionmaking support systems) Advantages of a nursing information system Effects on client outcomes Protection of the client (Access, confidentiality, disposal of records) Use of computers in nursing education programs Profession Related Concepts/ Client Education Unit Objectives: 1. Define the concept of client education. 2. Identify the role of the nurse in relation to client education. 3. Describe the three domains of learning. 4. Review basic principles of learning. 5. Discuss how to identify educational needs of clients. 6. Describe the various elements of a teaching plan for clients. Content Topics: a. Standards for client education (The Joint Commission) b. Role of the nurse according to the American Hospital Association, 2003 c. Purposes of client education (Healthy People 2020) d. Domains of learning and appropriate teaching strategies for each domain according to the client's age and developmental level e. Factors influencing the client's ability to learn f. Health literacy and the impact on client education g. Comparison of the nursing process with creation of an appropriate teaching plan for a client h. Evaluation of the teaching plan Profession Related Concepts/ Leadership Unit Objectives: 1. Define the concept of leadership. 2. Identify the characteristics of effective leaders. 3. Describe various leadership roles assumed by nurses. 4. Discuss how nurses as leaders can influence provision of safe client care. Content Topics: a. Definitions (leadership, management, empowerment) b. Characteristics of effective leaders c. Management responsibilities d. Delegation and priority setting Client Related Concepts/ Rest and Sleep Unit Objectives: 1. Review the role played by rest and sleep in maintaining good physical and mental health. 2. Discuss the effect that lack of sleep has on a client's physical and mental health. 3. Discuss developmental variations in sleep patterns. 4. Describe the functions, physiology, and stages of sleep. 5. Identify conditions that interfere with a client's rest and sleep pattern. 6. Recognize the characteristics of common sleep disorders. 7. Review nursing interventions that can help improve a client's quality of rest and sleep. Content Topics: a. Mechanism of sleep regulation b. Normal sleep patterns c. Stages of sleep d.Factors that promote or disrupt sleep e. Nursing interventions to promote sleep f. Common sleep disorders Client Related Concepts/ Spirituality Unit Objectives: 1. Compare and contrast the concepts of spirituality and religion. 2. Review the religious practices of selected religions and their relationship to health promotion and health care. 3. Determine factors that contribute to spiritual distress and resulting manifestations. 4. Review the nurses’ role when caring for clients who are experiencing spiritual distress. Content Topics: a. Definitions (spirituality, religion, spiritual well-being, faith, atheist, agnostic) b. Factors affecting spirituality c. Assessment of the client's spiritual health d.Standards of care related to spiritual health (The Joint Commission, 2010; American Nurses Association Code of Ethics e.Health care beliefs and implications for nursing (Hinduism, Sikhism, Buddhism, Islam, Judaism, Christianity, Navajos, Appalachians) Client Related Concepts/ Growth and development Unit Objectives: 1. Review selected theories of human development and their respective stages. 2. Discuss the impact that successful and unsuccessful achievement of developmental tasks has on the ability of an individual’s to progress to a higher level of development. 3. Ascertain the personal and environmental factors that can influence an individual’s successful achievement of developmental tasks. 4. Review indicators of successful and delayed task resolution. Content Topics: a. Definitions (growth and development) b. Theoretical foundations for planning nursing interventions for clients across the lifespan (Erikson, Piaget, Freud, Kohlberg) c. Developmental tasks according to Erikson and nursing implications d.Physical, psychosocial, and cognitive development Client Related Concepts/ Sensory Perception Unit Objectives: 1. Review the role played by sensory perception in maintaining good physical health. 2. Describe the anatomical and physiological components of the sensory-perceptual process. 3. Discuss factors that affect a client's sensory perceptual processes. 4. Identify conditions that interfere with clients' ability to process sensory input. 5. Differentiate between sensory deficits, overload, and deprivation. 6. Review nursing interventions that can facilitate or maintain a patient’s sensory perceptual processes. Content Topics: a. Causes and effects of alterations in sensory perceptual processes b. Assessment for sensory perceptual alterations c. Nursing implications r/t sensory perceptual alterations d. Environmental safety for clients with sensory perceptual processes e. Sensory overload Client Related Concepts/ Hygiene (includes Hygiene Skills Lab) Unit Objectives: 1. Review the role played by the skin, mucous membranes, teeth, and nails in maintaining the body’s first line of defense against pathogens. 2. Describe conditions and activities that place clients at risk for altered skin integrity. 3. Discuss hygienic practices that support healthy skin integrity. 4. Discuss the effect that cultural practices and developmental stage has on hygiene practices. 5. Determine a patient’s need for assistance with hygiene-related care. 6. Describe the procedures for providing hygiene-related care in a safe, comfortable environment. 7. Demonstrate proper techniques that support client hygiene. Content Topics: a. Hygiene skills lab/ mouth, skin, hair, nail, foot and perineal care b. Hygiene skills lab/ baths and bed making Client Related Concepts/ Activity and Exercise (includes Mobility Skills Lab) Unit Objectives: 1. Review the role played by the musculoskeletal and neurological systems in providing and regulating movement. 2. Relate the effect exercise has on proper functioning of body systems and activity tolerance. 3. Identify the elements of an exercise program that serves to maintain proper functioning and prevent lifestyle diseases. 4. Discuss the effect lack of movement has on bones, muscles, and joints. 5. Discuss the effect developmental stage has on bones, muscles, and joints. 6. Demonstrate proper techniques that support patient mobility and prevent complications of immobility. Content Topics: a. Mobility skills lab/ walking with a crutch/cane/walker b. Mobility skills lab/ wheelchair assembly/disassembly and use c. Mobility skills lab/ patient positioning d. Mobility skills lab/ pressure ulcer prevention measures and equipment e. Mobility skills lab/ range of motion Client Related Concepts/ Infection Control (includes Infection Control Skills Lab) Unit Objectives: 1. Compare and contrast the various elements of the chain of infection. 2. Review the anatomical and physiological barriers that protect an individual against infections. 3. Describe the signs and symptoms of an inflammatory response, local and systemic infections, and related diagnostic tests. 4. Discuss the etiology of nosocomial infections. 5. Differentiate between medical and surgical asepsis. 6. Relate principles of asepsis and their application to client care. 7. Differentiate between standard precautions and various types of isolation precautions. 8. Review nursing interventions that can protect a client against infections. 9. Demonstrate proper techniques that support infection control. Content Topics: a. Infection control skills Lab/ hand hygiene and universal precautions b. Infection control skills Lab/ isolation precautions c. Infection control skills Lab/ medical and surgical asepsis and applying sterile gloves d. Infection control skills Lab/ wound care Client Related Concepts/ Elimination (includes Urinary and Bowel Elimination Skills Lab) Unit Objectives: 1. Review the role played by elimination in maintaining good physical health. 2. Describe the process of urine and feces production and subsequent elimination patterns. 3. Differentiate between normal and abnormal elimination patterns. 4. Discuss developmental and other factors that affect a client's elimination status. 5. Identify conditions that interfere with clients' normal elimination patterns. 6. Compare and contrast normal and abnormal characteristics of urine and feces. 7. Identify diagnostic tests related to elimination and the nurse’s role in obtaining specimens. 8. Review nursing interventions that can facilitate or maintain a client's elimination patterns. 9. Demonstrate proper techniques that support a client's elimination needs. Content Topics: a. Bowel elimination skills Lab/ bedpans and urinals b. Bowel elimination skills Lab/ collecting urine and stool specimens c. Bowel elimination skills Lab/ catheter insertion and removal d. Bowel elimination skills Lab/ enemas Client Related Concepts/ Nutrition (includes Nutrition Skills Lab) Unit Objectives: 1. Review the role played by nutrition in maintaining good physical health. 2. Describe normal processes related to digestion, absorption, and metabolism of carbohydrates, proteins, and fats. 3. Describe the role water, vitamins, minerals, and electrolytes play in supporting body functions and processes. 4. Determine the significance of the balance between caloric intake and energy expenditure in relation to weight gain and loss. 5. Discuss physical, psychological, developmental, and cultural factors that affect a client's nutritional status. 6. Identify norms for body weight and BMI based on established standards. 7. Use guidelines based on the USDA Food Pyramid when determining dietary recommendations for clients. 8. Differentiate between various alternative and therapeutic diets. 9. Review nursing interventions that can assist clients in meeting their nutritional needs. 10. Demonstrate proper techniques that support a client's nutritional needs Content Topics: a. Nutrition skills lab/ tray setup and feeding b. Nutrition skills lab/ special diets c. Nutrition skills lab/ intake and output d. Nutrition skills lab/weight, BMI measurements e. Nutrition skills lab/enteral tube feeding/Nasogastric tubes, PEG Client Related Concepts/ Comfort/Pain (includes Comfort Skills Lab) Unit Objectives: 1. Review the role played by pain, as a symptom of a health issue, and its impact on basic physiological needs. 2. Review theories related to the physiology of pain. 3. Discuss physical, psychological, developmental, and cultural factors that affect the perception and expression of pain. 4. Differentiate between the various types and characteristics of pain. 5. Determine a client's need for pain relief using established subjective tools and objective data. 6. Review pharmacologic and non-pharmacologic nursing interventions that can assist clients in managing their pain. 7. Review alternative and complementary methods of pain relief that clients may consider (acupressure, acupuncture, biofeedback). 8. Demonstrate proper techniques that support a client's comfort needs. Content Topics: a. Skills Lab/ application of heat and cold b. Skills Lab/ pain rating scales c. Pharmacology/Opoid agonists (morphine, merperidine, codiene) d. Pharmacology/Nonsteroidal anti-inflammatory drugs (aspirin, iburopfen, naproxen, indomethacin, diclofenac, ketorolac, celecoxib) Client Related Concepts/ Medication Administration (includes Medication Skills Lab) Unit Objectives: 1. Discuss the role of the nurse in safely and legally administering medications to clients. 2. Discuss factors that can increase the risk of making a medication error. 3. Identify the six rights of medication administration. 4. Determine the various routes by which medication can be administered. 5. Perform basic apothecary to metric conversions and drug calculations. 6. Discuss the role of the nurse related to educating clients about their medications. 7. Demonstrate proper techniques that support safe medication administration Content Topics: a. Medication skills lab/ intramuscular, subcutaneous, oral, nasal, ear, rectal, topical, inhaled and vaginal medications for clients across the lifespan b. Medication skills lab/ proper medication preparation using six rights c. Medication skills lab/ basic drug calculation (conversion of measurements, methods for dose calculation) d. Medication skills lab/ medication administration charting Client Related Concepts/ Documentation (includes Documentation Skills Lab) Unit Objectives: 1. Describe the significance of nursing documentation as a written form of communication. 2. Discuss the use of technology in the communication process. 3. Identify the purpose and various elements of the client record. 4. Review the legal parameters that guide documentation and the maintenance of client records. 5. Review proper guidelines for effective documentation. 6. Apply principles of effective documentation to an actual or simulated client record. 7. Demonstrate proper documentation techniques that support accurate, thorough, and timely charting. Content Topics: a. Documentation skills lab/ subjective and objective data b. Documentation skills lab/ narrative charting including problem-oriented documentation and SOAP format c. Documentation skills lab/ flow sheets and trending records d. Documentation skills lab/ computer information systems and computerized records Client Related Concepts/ Nursing Process (includes Nursing Process Lab) Unit Objectives: 1. Identify the steps of the nursing process. 2. Review the use of the nursing process as a tool for planning client care. 3. Differentiate between subjective and objective data and various data collection methods. 4.Describe potential and actual client problems. 5. Apply principles of the nursing process to an actual or simulated client record. Content Topics: a. Collecting objective and subjective data b. Nursing process/ Compare and contrast the various steps of the nursing process and the role of the nurse. c. Nursing process/ Discuss the purpose of a client plan of care, its developmental process, its implementation, and role in determining attainment of client outcomes. d. Documentation Physical Assessment Unit Objectives: 1. Review and practice the assessment skills of inspection, auscultation, palpation, and percussion. 2. Determine the sequence for performing a full body assessment. 3. Differentiate between normal and abnormal findings during the physical assessment 4.Differentiate between age-related normal and abnormal findings during the physical assessment. 5.Identify self screening exams that should be done and the time parameters for their performance. 6. Identify preventive screening exams that should be done and the time parameters for their performance. 7. Review and practice the assessment skills for blood pressure, pulse, respiration and temperature. Content Topics: a. Basic assessment skills (inspection, auscultation, palpation, and percussion) b. Components of a head-to-toe physical assessment c. Normal assessment findings according to age for head, eyes, ears, skin, hair, nails, cardiovascular system, respiratory system,neurological system, abdomen, peripheral pulses, d. Self-screening exams (Breast, skin, testicular) e. Skill for measuring vital signs/Temperature, pulse, respirations, blood pressure f. Normal parameters for vital signs according to age groups g. Factors affecting temperature, pulse, respirations, and blood pressure Skills assessment Unit Objectives: 1. Review principles related to the skills listed below. 2. Practice assessment skills while maintaining patient privacy, confidentiality, and safety. Content Topics: a.Lab/ Health history and review of systems b. Lab/ Skin, hair, and nails c. Lab/ Eyes, ears, nose (internal structures and use of oto/ophthalmoscope d. Lab/ Mouth, oropharynx, and thyroid e. Lab/ Heart and peripheral pulses f. Lab/ Lungs and tissue perfusion indicators g. Lab/ Abdominal organs h. Lab/ Musculoskeletal (tone, strength, and reflexes) . Lab/ Cognition (cranial nerves, cognitive functioning, coordination, sensation) Clinical Objectives: A. Implement nursing care to clients, families, and groups across the lifespan from diverse backgrounds in a variety of settings that is compassionate, age and culturally appropriate and based on a patient's preferences, values and needs. A.1. Client-centered care A.1.a. Perform a general health assessment including physiological, psychological, sociological, and spiritual needs of clients and families across the lifespan experiencing (common) (uncomplicated acute and chronic) (stable and unstable acute conditions) health alterations in a variety of settings. / A.1.b. Use the nursing process to guide the delivery of client care to achieve optimal outcomes. / A.1.c. Provide culturally sensitive care to clients and families from diverse backgrounds. / A.1.d. Use clinical decision making when providing nursing care based on evaluation of client needs. / A.1.e Advocate for clients and families regarding nursing care issues. / A.1.f. Use verbal and nonverbal communication that promotes caring, therapeutic relationships with clients and families. B. Participate as a member of the interprofessional healthcare team in the provision of safe, quality client-centered care B.1. Teamwork and Collaboration B.1.a. Participate as a member of the health care team. / B.1.b. Use communication techniques that support sharing client-related information with members of the healthcare team. C. Identify best current evidence from scientific and other credible sources as a basis for developing individualized client-centered plans of care. C.1. Evidence based practice C.1.a. Identify reliable sources for locating best current evidence and clinical practice guidelines. / C.1.b. Use best practice resources when developing individualized client-centered plans of care D. Participate in data collection processes that support established quality improvement initiatives. D.1. Quality improvement D.1.a. Identify client care issues that can impact quality of care. / D.1.b Identify gaps between current client outcomes and desired client outcomes. / D.1.c Identify the relationship between Nurse Sensitive Indicators and client outcomes. E. Implement strategies that minimize risk and provide a safe environment for clients, self, and others. E.1. Safety E.1.a. Identify safety risks and environmental hazards in health care settings. / E.1.b. Practice performance of psychomotor skills that minimize safety risks and environmental hazards. / E.1.c. List National Patient Safety Goals that promote safety in healthcare settings. F. Use evidence-based information and client care technology in the provision of safe, quality client-centered care. F.1. Informatics F.1.a. Describe the effect that computerized information management systems have on the role of the nurse. / F.1.b. Implement strategies that protect the integrity of client information when providing client- centered care. G. Practice nursing in a professional, ethical, and legal manner while providing client-centered, standard-based nursing care G.1. Professionalism G.1.a. Identify professional standards of nursing practice that guide practice. / G.1.b. Display professional accountability and responsibility in classroom and laboratory settings. / G.1.c. Describe how ethical principles and legal tenets guide nursing practice. / G.1.d. Describe how regulatory guidelines and institution policies guide nursing practice. H. Describe how leadership, management, and priority-setting skills are used to support safe, quality client-centered care. H.1. Leadership H.1.a. Identify organizational, time management and priority setting skills necessary to provide safe, quality client-centered care. / H.1.b. Identify the nurse’s role in regard to delegating tasks to appropriate members of the health care team. I. Identify the relationship between microsystems and macrosystems in healthcare. I.1. Systems-Based Practice I.1.a. Contrast the macrosystems and microsystems that exist in healthcare. / I.1.b. Identify work unit inefficiencies encountered in the practice setting. / I.1.c. Identify human and material resources needed by the work unit to provide safe, quality client-centered care. J. Use verbal and nonverbal communication strategies with clients and families from diverse backgrounds that promote an effective exchange of information, development of therapeutic relationships. J.1. Communication J.1.a. Use verbal and nonverbal communication techniques that promote caring, therapeutic relationships with clients and families. / J.1.b. Integrate changes in communication and use of self, in relation to communication barriers, when caring for clients and families. / J.1.c. Communicate effectively with members of the healthcare team and report issues that indicate conflict is impacting client care. K. Provide health-related information to clients and families that facilitate their acquisition of new knowledge and skills. K.1. Client education K.1.a. Collect data to determine health-related education needs of real and simulated clients. / K.1.b. Develop a health-related teaching plan that addresses an identified education need for real and simulated clients. / K.1.c. Practice providing health-related education to real and simulated clients. ALCORN STATE UNIVERSITY ASSOCIATE OF SCIENCE IN NURSING PROGRAM NURSING COURSE WITH CLINICAL COMPONENT SYLLABUS Course Information: Course Number and Title: NU128 - Client Centered Care I Total Credit/Contact Hours: 8.00 Clinical Credit/Contact Hours: 4.00 Theory Credit/Contact Hours: 4.00 Course Description: This course focuses on client-centered care of individuals experiencing acute and chronic conditions related to alterations in fluid and electrolyte and acid-base balance, oxygenation, cardiac output and tissue perfusion, and sensory perception. In addition, care of the pre and postoperative clients and oncology clients is included. The concepts of client-centered care, professionalism, leadership, systems-based practice, informatics and technology, communication, teamwork and collaboration, and quality improvement are integrated in this course. Clinical experiences provide students the opportunity to apply the principles of safe and effective delivery of care in a variety of settings. Pre-requisites: NU 118; Bi 114; Bi 114L; Bi 214; BI 214L; MA 121;UL 101; EN111; SY 235 Co-requisites: BI 325; BI 325L Course Objectives: 1. Perform a basic health assessment of clients across the lifespan to identify deviations from normal that can contribute to alterations in health. 2. Assist in the development of evidence-based plans of care that include cultural, spiritual, and developmentally appropriate interventions and health promotion recommendations for clients across the lifespan. 3. Participate as a member of the interprofessional healthcare team in the provision of safe, quality nursing care for clients across the lifespan. 4. Apply the nursing process to clinical decision making when participating in the provision of care to clients across the lifespan.. 5. Apply knowledge of pharmacology, pathophysiology, and nutrition in the provision of care for clients across the lifespan. 6. Recognize verbal and nonverbal communication skills that promote caring, therapeutic relationships with clients and their families, as well as professional relationships with members of the healthcare team. 7. Use health information systems and client care technologies in an effective and secure manner when assessing and monitoring clients. 8. Provide health and safety related education based on the identified needs of clients. 9. Use organizational and time management skills in the provision of client-centered care. 10. Report environmental hazards, client safety concerns and participate in activities that promote quality improvement. 11. Adhere to ethical, legal and professional nursing standards. Content Units: Fluids, Electrolytes Acid Base Balances Unit Objectives: 4. Identify priority nursing actions for clients with respiratory and metabolic acidosis or alkalosis. 5. Recognize the indications for administration of potassium supplements, Kayexalate, and sodium bicarbonate. 1. Recognize alterations in the laboratory values of arterial pH, CO2, HCO3, and O2 indicative of respiratory and metabolic acidosis or alkalosis. 2. Differentiate between the clinical manifestations indicative of respiratory and metabolic acidosis or alkalosis. 3. Apply knowledge of pathophysiology when planning care for clients across the lifespan with respiratory or metabolic acidosis or alkalosis. 6. Apply knowledge of pathophysiology in planning care for clients across the lifespan with fluid and electrolyte imbalances. 7. Recognize alterations in the laboratory values of electrolytes, significant weight change parameters, physiologic manifestations, and changes in behavior that indicate dehydration or overhydration. 8. Compare and contrast the amount of body surface of individuals across the lifespan. 9. Identify priority actions for clients with dehydration or overhydration. Content Topics: a. Pathophysiology/nursing implications/alterations in acid-base balance b. Pathophysiology/nursing implications/alterations related to electrolyte balance (sodium, potassium, calcium, magnesium, phosphorus, chloride) c. Pathophysiology/nursing implications/alterations in fluid balance (dehydration, overhydration) d. Interpretation of arterial blood gases e. Pharmacology/potassium supplements f. Pharmacology/Kayexalate g. Pharmacology/sodium bicarbonate h. Pharmacology/calcium supplements i. Pharmacology/magnesium j. Pharmacology/chloride k. Pharmacology/sodium chloride Alteration in Oxygenation Unit Objectives: 1. Recognize components of a focused assessment that should be included when collecting data on clients who have an alteration in oxygenation. 2. Apply knowledge of anatomy, physiology, pathophysiology, nutrition, and developmental variations when helping to plan care for clients who have an alteration in oxygenation. 3. Identify priority actions for clients who have an alteration in oxygenation. 4. Apply knowledge of the actions, potential side effects, and nursing implications when administering medications to clients who have an alteration in oxygenation. 5. Recognize alterations in pulse oximetry and other laboratory values related to alterations in oxygenation. 6. Discuss the correct use and functioning of therapeutic devices that support oxygenation. 7. Describe the role of the nurse in providing quality care to clients who have an alteration in oxygenation. 8. Identify health care education and safety needs for clients who have an alteration in oxygenation. Content Topics: a. Pathophysiology/nursing implications/ obstructive disorders (COPD) b. Pathophysiology/nursing implications/ Trauma related disorders (pneumothorax, tension pneumothorax, hemothorax) c. Pathophysiology/nursing implications/ Abnormal cell proliferation disorders (laryngeal cancer, lung cancer) d. Pharmacology/ Glucocorticoids (oral and inhaled) (PME Mod 4) e. Pharmacology/ Methylxanthines f. Pharmacology/ Mast cell stabilizers g. Pharmacology/ Anticholinergics (inhaled) h. Pharmacology/ Leukotriene modifiers i. Pharmacology/ Beta 2-adrenergic agonists j. Pharmacology/ Monoclonal antibody k. Nutrition/ Diet for patients with nutritional deficits (high calorie, high protein diet with limitation of empty liquids) l. Nutrition/ Diets for patients with dyspnea (soft diet, small frequent meals) m. Nutrition/ Nutritional supplements (high calorie, low carbohydrate) b. Pathophysiology/nursing implications/inflammatory disorders (tuberculosis, pneumonia) Perioperative Care Unit Objectives: 1. Differentiate between the various phases of the perioperative experience and the role of the nurse. 2.List the responsibilities of the nurse when caring for clients across the lifespan in the immediate pre- and postoperative period. 3. Differentiate between general and regional anesthesia and conscious sedation. 4. Compare and contrast potential complications and nursing indications of local, general anesthesia, and conscious sedation. 5. Analyze the needs of clients across the lifespan during the pre, intra, and postoperative phases of the surgical experience. 6. Ascertain priority actions for clients undergoing surgery. 7. Analyze the nurse’s role in obtaining informed consent and discuss the legal and ethical issues related to ensuring informed consent. 8. Integrate knowledge of actions, contraindications, potential side effects, and nursing implications of medications used in the plan of care for clients undergoing surgery. 9. Describe the impact drugs used during a surgical procedure can have on drugs given in the immediate postoperative period. 10. Provide pre- and postoperative education. 11. Intervene to provide a safe environment for the surgical client. 12. Discuss potential post surgical and immobility complications and the nurses’ role in preventing them (thromboemboli, pneumonia, atelectasis, wound infection, wound dehiscence and evisceration). 13. Intervene to provide a safe environment for the surgical client. 14. Compare and contrast medications commonly given for postoperative pain, nausea, and vomiting. Content Topics: a. Postoperative pain/ Opioid agonists b. Postoperative pain/ Agonists-antagonists opioids c. Postoperative/ Opioid antagonists d. Postoperative nausea and vomiting/ Serotonin antagonists e. Postoperative nausea and vomiting/ Dopamine antagonists f. Postoperative nausea and vomiting/ Anticholinergics g. Postoperative nausea and vomiting/ Antihistamines h. Diagnostic procedures/nursing implications/ Urinalysis, blood type and cross match, complete blood count, Hemoglobin and Hematocrit, pregnancy test, clotting studies, electrolytes, creatinine, BUN, ABG's, Chest x-ray, EKG i. Preoperative Assessment/Pre-operative nursing actions/interventions (ex. enema) j. Preoperative Teaching (diet, incentive spirometer, pain management, sequential compression device, TED hose, invasive devices) k. Informed Consent Alterations in Cardiac Output and Tissue Perfusion Unit Objectives: 1. Recognize components of a focused assessment that should be included when collecting data on clients who have an alteration in cardiac output and tissue perfusion. 2. Apply knowledge of anatomy, physiology, pathophysiology, nutrition, and developmental variations when helping to plan care for clients who have an alteration in cardiac output and tissue perfusion. 3. Identify priority actions for clients who have an alteration in cardiac output and tissue perfusion. 4. Apply knowledge of the actions, potential side effects, and nursing implications when administering medications to clients who have an alteration in cardiac output and tissue perfusion. 5. Recognize alterations in laboratory values related to alterations in cardiac output and tissue perfusion. 6. Discuss the correct use and functioning of therapeutic devices that support cardiac output and tissue perfusion. 7. Describe the role of the nurse in providing quality care to clients who have an alteration in oxygenation. 8. Identify health care education and safety needs for clients who have an alteration in cardiac output and tissue perfusion. Content Topics: a. Pathophysiology/nursing implications/ischemic disorders (angina, coronary artery disease, myocardial infarction) b. Pathophysiology/nursing implications/decreased cardiac output disorders (heart failure, pulmonary edema, cardiomyopathy, valvular disorders, aneurysms) c. Pathophysiology/nursing implications/electrical conduction disorders (arrhythmias and electronic pacing, cardioversion) d. Pathophysiology/nursing implications/infectious and inflammatory disorders (endocarditis, pericarditis, arteritis, septic shock) e. Pathophysiology/nursing implications/peripheral vascular disorders (peripheral vascular disease, peripheral arterial disease) f. Pathophysiology/nursing implications/hematologic disorders /RBC and platelets(anemias, polycythemia, thrombocytopenia, DIC) g. Pathophysiology/nursing implications/hematologic disorders/WBC and lymphatic (agranulocytosis, multiple myeloma, lymphedema, lymphomas) h. Pathophysiology/nursing implications/decreased arterial pressure disorders (hypertension, postural hypotension, hypovolemic shock) i. Pharmacology/ Organic nitrates j. Pharmacology/ Beta and alpha adrenergic blockers k. Pharmacology/ Centrally acting alpha agents l. Pharmacology/ Calcium channel blockers m. Pharmacology/ Atropine n. Pharmacology/ Antilipemics o. Pharmacology/ Antiplatelets p. Pharmacology/ Anticoagulants q. Pharmacology/ Low-dose heparin r. Pharmacology/ Thrombolytics s. Pharmacology/ Renin-angiotansion-aldosterone system (RAAS) inhibitors (ACE inhibitors, ARBs, angiotension II receptor blockers, aldosterone antagonists) t. Pharmacology/ Iron, Vitamin B12, folic acid supplements u. Nutrition/ Dietary Approaches to Stop Hypertension (DASH) diet v. Nutrition/ Therapeutic Lifestyle Changes (TLC) diet w. Nutrition/ Diets rich in iron, Vitamin B12, and folic acid Oncology Unit Objectives: 1. Review etiological factors and physiology of cancers arising from various cell and tissue types. 2. Differentiate between the characteristics of normal and cancer cells. 3. Discuss cancer cells’ ability to proliferate and metastasize to surrounding tissue and distant sites. 4. Compare and contrast various grading and staging systems. 5. Review the basic principles of chemotherapy, immunotherapy, hormonal, and radiation therapy. 6. Review genetic and environmental factors that increase an individual’s risk for cancer. 7. Describe primary and secondary cancer prevention activities that can aid clients in the prevention and early detection of cancer. 8. Compare and contrast medications commonly given for nausea and vomiting associated with chemotherapy. Content Topics: a. Medications for nausea and vomiting associated with chemotherapy/ Serotonin antagonists b. Medications for nausea and vomiting associated with chemotherapy/ Dopamine antagonists c. Medications for nausea and vomiting associated with chemotherapy/ Cannabinoids Alterations in Sensory Perception Unit Objectives: 1. Recognize components of a focused assessment that should be included when collecting data on clients who have an alteration in cognition and sensation. 2.Apply knowledge of anatomy, physiology, pathophysiology, nutrition, and developmental variations into the plan care for adults who have complex alterations in cognition and sensation. . 3.Identify priority actions for adults who have common alterations in cognition and sensation 4. Apply knowledge of the actions, contraindications, potential side effects, and nursing implications when administering medications to adults who have complex alterations in cognition and sensation. 5. Interpret diagnostic tests and perform related nursing intervention when providing care to adults who have alterations in cognition and sensation. 6. Discuss the correct use and establish proper functioning of therapeutic devices that support cognition and sensation. 7.Describe the role of the nurse when providing quality care to adults who have an alteration in cognition and sensation. 8. Identify health- and safety-related education to adults who have an alteration in cognition and sensation. Content Topics: a. Pathophysiology/ Vision related disorders (Retinal detachments, corneal transplants, glaucoma, cataracts) b. Pathophysiology/ Hearing related disorders (Meniere’s Disease) c. Pharmacology/ Antiemetics/antivertigo (antihistamines, anticholinergics) Nursing Care - Medical Surgical I Unit Objectives: 1. Review principles related to the selected skills. 2. Practice client care skills using proper techniques while ensuring client safety. Content Topics: a. Theory/Lab/ Wound care (Sterile dressing changes, specialized wound dressings, suture and staple removal, drains and documentation) b. Theory/Lab/ IV insertion, types of access devices, administration tubing, continuous, bolus and intermittent infusions, assessment for infiltration and phlebitis, determining and maintaining patency, IV medications, blood transfusions, TPN, PCA pumps, c. Theory/Lab/ Drug calculation (intermediate or advanced) d. Theory/Lab/ Oxygenation and airway (oxygen therapy, oxygen delivery systems, tracheostomy suctioning and care, spirometry, ventilator monitoring, chest tube monitoring and management and documentation). e. Theory/Lab/ EKG (lead placement, reading normal strips, reading paced strips and documentation). g. Theory/Lab/ Complications of immobility (sequential compression devices, pressure relief mattresses/beds and documentation. h. Theory/Lab/ Perioperative care (NPO status, preoperative checklist/teaching, informed consent, surgical asepsis, postoperative monitoring, postoperative diets, vital sign monitoring, safety measures for patient with altered LOC and documentation) Clinical Objectives: A. Implement nursing care to clients, families, and groups across the lifespan from diverse backgrounds in a variety of settings that is compassionate, age and culturally appropriate and based on a client's preferences, values and needs. A.1. Client-centered care A.1.a. Perform a general health assessment including physiological, psychological, sociological, and spiritual needs of clients and families across the lifespan experiencing (common) (uncomplicated acute and chronic) (stable and unstable acute conditions) health alterations in a variety of settings. / A.1.b. Use the nursing process to guide the delivery of client care to achieve optimal outcomes. / A.1.c. Provide culturally sensitive care to clients and families from diverse backgrounds. / A.1.d. Use clinical decision making when providing nursing care based on evaluation of client needs. / A.1.e Advocate for clients and families regarding nursing care issues. / A.1.f. Use verbal and nonverbal communication that promotes caring, therapeutic relationships with clients and families. B. Participate as a member of the interprofessional healthcare team in the provision of safe, quality client-centered care. B.1. Teamwork and Collaboration B.1.a. Participate as a member of the health care team. / B.1.b. Use communication techniques that support sharing client-related information with members of the healthcare team. C. Identify best current evidence from scientific and other credible sources as a basis for developing individualized client-centered plans of care. C.1. Evidence based practice C.1.a. Identify reliable sources for locating best current evidence and clinical practice guidelines. / C.1.b. Use best practice resources when developing individualized client-centered plans of care. D. Participate in data collection processes that support established quality improvement initiatives. D.1. Quality improvement D.1.a. Identify client care issues that can impact quality of care. / D.1.b Identify gaps between current client outcomes and desired client outcomes. / D.1.c Identify the relationship between Nurse Sensitive Indicators and client outcomes. E. Implement strategies that minimize risk and provide a safe environment for clients, self, and others. E.1. Safety E.1.a. Identify safety risks and environmental hazards in health care settings. / E.1.b. Practice performance of psychomotor skills that minimize safety risks and environmental hazards. / E.1.c. List National Patient Safety Goals that promote safety in healthcare settings. F. Use evidence-based information and client care technology in the provision of safe, quality client-centered care. F.1. Informatics F.1.a. Describe the effect that computerized information management systems have on the role of the nurse. / F.1.b. Implement strategies that protect the integrity of client information when providing client- centered care. G. Practice nursing in a professional, ethical, and legal manner while providing client-centered, standard-based nursing care. G.1. Professionalism G.1.a. Identify professional standards of nursing practice that guide practice. / G.1.b. Display professional accountability and responsibility in classroom and laboratory settings. / G.1.c. Describe how ethical principles and legal tenets guide nursing practice. / G.1.d. Describe how regulatory guidelines and institution policies guide nursing practice. H. Describe how leadership, management, and priority-setting skills are used to support safe, quality client-centered care. H.1.a. Identify organizational, time management and priority setting skills necessary to provide safe, quality client-centered care. / H.1.b. Identify the nurse’s role in regard to delegating tasks to appropriate members of the health care team. I. Identify the relationship between microsystems and macrosystems in healthcare. I.1. Systems-Based Practice H.1. Leadership I.1.a. Contrast the macrosystems and microsystems that exist in healthcare. / I.1.b. Identify work unit inefficiencies encountered in the practice setting. / I.1.c. Identify human and material resources needed by the work unit to provide safe, quality client-centered care. J. Use verbal and nonverbal communication strategies with clients and families from diverse backgrounds that promote an effective exchange of information, development of therapeutic relationships. J.1. Communication J.1.a. Use verbal and nonverbal communication techniques that promote caring, therapeutic relationships with patients and families. / J.1.b. Integrate changes in communication and use of self, in relation to communication barriers, when caring for clients and families. / J.1.c. Communicate effectively with members of the healthcare team and report issues that indicate conflict is impacting client care. K. Provide health-related information to clients and families that facilitate their acquisition of new knowledge and skills. K.1. Client education K.1.a. Collect data to determine health-related education needs of real and simulated clients. / K.1.b. Develop a health-related teaching plan that addresses an identified education need for real and simulated clients. / K.1.c. Practice providing health-related education to real and simulated clients. ALCORN STATE UNIVERSITY ASSOCIATE OF SCIENCE IN NURSING PROGRAM NURSING COURSE WITH CLINICAL COMPONENT SYLLABUS Course Information: Course Number and Title: NU 218 - Client-Centered Care II Total Credit/Contact Hours: 8.00 Clinical Credit/Contact Hours: 4.00 (12 clock hours weekly) Theory Credit/Contact Hours: 4.00 Course Description: This course focuses on the care of clients experiencing acute and chronic conditions related to alterations in regulation and metabolism, excretion, and reproduction across the lifespan. Additionally, this course provides an integrative, family-centered approach to the care of mothers, newborns, and children. The concepts of client-centered care, professionalism, leadership, systems-based practice, informatics and technology, communication, teamwork and collaboration, and quality improvement are integrated in this course. Clinical experiences provide students the opportunity to apply the principles of safe and effective delivery of care in a variety of settings. Pre-requisites: NU 118; NU 128; BI 114; BI 114L; BI 214; BI 214L; MA 121; UL 101; EN111; SY 235; BI 325; BI 325L Co-requisites: PH 320 : Elective Course Objectives: 1. Perform a general health assessment of clients across the lifespan to interpret deviations from normal that contribute to alterations in health. 2. Develop individualized, evidence-based plans of care that include cultural, spiritual, and developmentally appropriate interventions and health promotion recommendations for clients across the lifespan. 3. Collaborate with members of the interprofessional health care team while acting as an advocate in the provision of safe, quality care for clients across the lifespan. 4. Demonstrate clinical judgment when providing direct care to clients across the lifespan. 5. Integrate knowledge of pharmacology, pathophysiology, nutrition, established evidence-based practices and concepts from previous nursing courses when caring for clients across the lifespan. 6. Use verbal and nonverbal communication skills that promote caring, therapeutic relationships with clients and their families across the lifespan, as well as professional relationships with members of the healthcare team. 7. Use healthcare information systems and client care technology to manage care, mitigate error, and communicate relevant client information with members of the healthcare team. 8. Apply evidence based knowledge in the provision care to clients across the lifespan. 9. Evaluate the efficacy of health-related education that has been provided to clients across the lifespan. 10. Use organizational, time management, priority-setting, and decision-making skills in the provision of care across the lifespan. 11. Implement strategies that provide a safe environment for clients across the lifespan while supporting quality improvement initiatives. 12. Adhere to ethical, legal, and professional nursing standards in the provision of the care clients across the lifespan. Content Units: Trends in maternal health care Unit Objectives: 1. Identify current trends in maternal health care 2. Discuss the effect of current trends on maternal health care 3. Discuss the role of the nurse in women’s/maternal health care 4. Describe the role of the family during the perinatal experience Content Topics: Maternal and infant mortality rates Cultural and religious influences on maternal and child care Alternative care modalities for maternal care Role of the family during the perinatal experience Legal/ethical issues Unit Objectives: 1. Identify current legal/ethical issues in reproductive health care. 2. Discuss the nurse’s role in caring for clients who have had a therapeutic abortion, invitro fertilization, or have had a baby through a surrogate pregnancy. 3. Identify current legal/ethical issues related to child abuse/neglect and domestic partner abuse. Content Topics: Client rights. Technological influences/stem cell research, cord banking, reproductive assistance, abortions, malpractice and neglect in the perinatal environment Mississippi law related to healthcare responsibilities for reporting suspected abuse/neglect Alterations in Reproductive health care Unit Objectives: 1. Describe various methods of female and male contraception. 2. Discuss advantages and disadvantages of identified methods of contraception. 3. Identify the most common sexually transmitted diseases (STDs) that affect the male and female reproductive systems, including gonorrhea, chlamydia, syphilis, genital herpes, hepatitis B and HIV. 4. Describe the pathophysiology, clinical manifestations, medical management and nursing care of clients who have common STDs. 5. Identify the diseases known as TORCH infections. 6. Describe the implications TORCH infections may have on women and their fetuses/infants during the perinatal experience. 7. Describe the potential effects of Group B streptococcus on the mother and fetus/infant. 8. Discuss the medical and nursing management of mothers/babies affected with one of the TORCH infections or Group B streptococcus. 9. Perform a comprehensive assessment with a focus on collecting data on clients who have complex alterations in reproduction. 10. Integrate knowledge of anatomy, physiology, pathophysiology, nutrition, and developmental variations into the plan care for clients who have complex alterations in reproduction. 11. Ascertain priority actions for clients who have complex alterations in reproduction. 12. Integrate knowledge of the actions, contraindications, potential side effects, and nursing implications when administering medications to clients who have complex alterations in reproduction. 13. Interpret diagnostic tests and perform related nursing intervention when providing care to clients who have alterations in reproduction. 14. Demonstrate correct use and establish proper functioning of therapeutic devices that support reproduction. 15. Ascertain the role of the nurse when providing quality care to clients who have an alteration in reproduction. 16. Provide health- and safety-related education to clients who have an alteration in reproduction. 17. Integrate cultural, ethical, and legal tenets into the plan of care for clients who have alterations in reproduction. Content Topics: a. Pathophysiology/ Abnormal cell proliferation disorders (breast cancer, uterine cancer, cervical cancer, ovarian cancer, testicular cancer, endometriosis). c. Pharmacology/ Antibiotics (penicillins, cephalosporins, tetracycline, quinolones) d. Pharmacology/ Selective Estrogen Receptor Modulators (SSERMs) e. Pharmacology/ Hormone Replacement Therapy (HRT) h. Pharmacology/ Antiestrogens i. Pharmacology/ Gonadal releasing hormone agonists j. Pharmacology/ Androgen receptor blockers k. Pharmacology/Oral contraceptives l. Pharmacology/Follicular maturation drugs m. Pharmacology/Ovulatory stimulation drugs n. Pathophysiology and nursing implications/sexually transmitted diseases (gonorrhea, chlamydia, syphillis, genital herpes, hepatitis B and HIV o. Pathophysiology and nursing implications/TORCH diseases (toxoplasmosis, other (hepatitis B), rubella, cytomegalovirus, herpes simplex), Group B streptococcus Antepartum care Unit Objectives: 1. Discuss the components in the physical and psychosocial assessment of the pregnant woman. 2. Describe physiological changes that occur in women during the normal antepartum period 3. Discuss nutritional needs of the pregnant woman and the effects of poor nutrition on the mother and baby. 4. Describe common diagnostic procedures/tests that may be used during the antepartum experience. 5. Identify commonly prescribed and over-the-counter medications used during the antepartum period. 6. Discuss the effects of medications used during the antepartum period and their nursing implications. 7. Describe health education needs of the pregnant woman during the antepartum period. 8. Describe common complications of pregnancy identified during the antepartum experience and appropriate nursing interventions. Content Topics: Pathophysiology/Pregnancy induced hypertension, gestational diabetes, placenta previa, hyperemesis gravidarium, intrauterine growth restriction, pre-term labor, incompetent cervix, ectopic pregnancy, hydatiform mole, spontaneous/elective abortion, Diagnostic Tests/ Non-stress test, stress test, alpha fetal protein, amniocentesis (L/S ratio or genetic karotype), CVS, ultrasound, complete blood count, varacilla titer, biophysical profile, rapid plasma reagin, fetal fibronectin, beta hcg, blood ty Over-the counter medications/ antacids, analgesics, antitussives, decongestants, laxatives Nutritional needs/pica, supplemental vitamins, recommended weight gain Health education needs r/t pregnancy/relief of common discomforts associated with pregnancy, health promotion activities, preparation for delivery and care of the newborn Intrapartum care Unit Objectives: 1. Describe the four stages of labor. 2. Describe the nursing assessment components for each stage of labor. 3. Discuss the nursing interventions for each stage of labor. 4. Discuss fluid and nutritional needs during active labor. 5. Differentiate between internal and external fetal monitoring during active labor. 6. Discuss the significance of fetal monitoring during active labor. 7. Identify common medications often administered during the labor process. 8. Discuss the use of individual medications during labor, their actions, potential side effects, and related nursing interventions. 9. Discuss common methods of anesthesia used during labor, their side effects, and related nursing interventions. 10. Discuss the potential use of imagery and hypnosis during labor. 11. Discuss potential complications of labor and delivery and appropriate nursing interventions. 12. Describe nursing interventions in the preparation of a client for a Caesarean Section. 13. Discuss the nurse’s role in providing comfort and support to family during the intrapartum experience. Content Topics: Characteristics of active labor (contraction pattern, cervical effacement, station, cervical dilitation, and fetal status)/Braxton Hicks contractions Nursing assessments and interventions including breathing techniques, hypnosis, and imageryfor each stage of labor Fetal monitoring/Care of the mother r/t type of monitoring (internal vs. external), FHR patterns (nursing implications) Pharmacology/pitocin, cervadil, magnesium sulfate, brethine, corticosteriods, ephedrine, lidocaine, demerol, stadol, phenergan Common methods of anesthesia used during labor, their side effects, and related nursing interventions (epidural, spinal, pudendal blocks, analgesic agents, local anesthesia Complications of labor and nursing interventions/premature rupture of membranes/preterm labor, abruptio, dystocia, prolapsed cord, uterine rupture, cephalopelvic disproportation, fetal malpresentation, amniotic fluid embolism, precipitious labor/delivery Preparation for a Caesarean Section/Emotional support, consent form, anesthesia Postpartum care Unit Objectives: 1. Describe the physiological changes that occur during the postpartum experience. 2. Describe the nursing assessment components and interventions appropriate for the care of the postpartum patient. 3. Identify common medications used for the postpartum patient. 4. Discuss the use of medications commonly used by the postpartum patient, their actions, potential side effects, and related nursing interventions. 5. Identify complications that may occur during the postpartum experience. 6. Discuss appropriate nursing interventions while caring for patients experiencing complications. 7. Describe the role of the nurse in promoting the bonding experience between mother and baby. 8. Discuss health education needs of the mother and family as well as the role of the nurse in providing the teaching. 9. Describe nursing interventions in the care of a patient following a Caesarean Section. Content Topics: Physiological changes/uterine involution, lactation, blood volume changes Assessment and nursing interventions/Breast, bowel, fundal height, bladder function, lochia, episiotomy/incision, hemoglobin, vital signs, pain Pharmacology/methergine, dermaplast, tucks, lanoline, colace, anaprox, toradol, RhoGam, Tdap and rubella immunizations Complications and nursing interventions/post-partal hemorrhage, infection, thrombolytic diseases, depression Role of the nurse in bonding Education/health promotion needs/breast care and breast feeding, nutrition, pericare, activity and exercise (limitations), resumption of sexual relations, pain management, care of the infant, signs and symptoms of infection Nursing care of the client experiencing a Caesarean Section/pain management, care of the incision, ambulation, activity and rest Newborn care Unit Objectives: 1. Describe the physiological needs of the normal newborn. 2. Discuss newborn assessment, including use of Apgar scores, pain assessment, and the importance of testing reflexes. 3. Describe physical criteria for determining gestational age. 4. Describe common diagnostic tests used for newborns including the purpose of the tests and nursing implications. 5. Discuss care of the normal newborn. 6. Discuss nutritional needs of the newborn. 7. Explain advantages of breast feeding versus bottle feeding. 8. Describe characteristics of preterm, post-term, and low birth weight infants. 9. Describe the role of the nurse in providing support to parents of preterm or low birth weight infants as well as term infants who may be in special care nurseries. 10. Describe common potential complications that may occur during the neonatal period and nursing implications. 11. Identify common medications given during the neonatal period. 12. Discuss the use, actions, potential side effects, and nursing interventions for common medications given to newborns. 13. Describe the role of the nurse in promoting bonding of the parents with special needs newborns. Content Topics: Physiological needs/transition to extrauterine life (oxygenation, perfusion, temperature, regulation of metabolism, meconium) Assessment/ Gestational age, vital signs, Apgar, skin, weight, length, reflexes, head circumference, chest circumference, head-to-toe assessment Diagnostic tests/glucose, newborn screenings (PKU and other disorders), hearing screening, transcutaneous bilirubin Care/erythromycin ointment, Vitamin K, Hepatitis B, Triple Dye (cord care), circumcision care, skin care, safety and health promotion, elimination needs Nutritional needs/Nutrients (carbohydrates, proteins, fats), feeding intolerances, feeding schedules Breast and Bottle Feeding/Advantages and disadvantages of each, cultural implications Assessment/Large for gestational age, small for gestational age, premature infants, post term infants Potential complications and nursing implications/Jaundice, meconium aspiration, respiratory distress syndrome, hypoglycemia, infectious disease exposure Pharmacology/erythromycin, Vitamin K, Hepatitis B vaccine, ampicillin, surfactant, acetaminophen, Vitamin D Nurse's role in promotion of bonding Basic Concepts of Pediatric Nursing Unit Objectives: 1. Identify current trends in child health. 2. Review the principles of growth and development and nursing implications in caring for children of all age groups. 3. Describe physical and psychosocial assessments for children of all age groups. 4. Describe the role of play for children of all age groups. 5. Discuss ingestion, digestion, absorption, and elimination needs for children of all age groups. 6. Describe the role of the nurse in caring for children and their families of different cultures and ethnicities. 7. Identify types of families, their purpose, and implications in caring for children. 8. Identify the most common safety issues for children of all age groups. 9. Identify methods of communication with children of all age groups and their families. 10. Describe well-child and preventive care provided for children of all age groups. 11. Demonstrate techniques for safe administration of medications to children of all age groups. 12. Discuss principles of pain management for children of all age groups. 13. Discuss the child and family’s response to illness and ability to cope with the stressor of hospitalization. 14. Apply knowledge of physiological, psychosocial, and developmental variations when planning care for children of all ages. Content Topics: Issues in child health Standards of practice Genetic considerations Theories and principles of growth and development/implications for nursing care Physical assessment of a child with age-appropriate modifications Denver II Development Test Selection of safe, age appropriate toys and play activities Types of families, cultural and religious influences Nutritional needs of children of all ages Medication administration to children of all age groups Needs of the hospitalized child and the family Communication techniques Communicable diseases Unit Objectives: 1. Define the term communicable disease. 2. Relate the incidence and transmission of a communicable disease to the chain of infection. 3. Review measures that can be taken to prevent transmission of communicable diseases. 4. Discuss common communicable diseases of childhood, their signs and symptoms, and appropriate nursing interventions. 5. Review the CDC’s schedule for immunizations to protect against communicable diseases. 6. Describe the nurses’ role in promoting scheduled immunizations of children. Content Topics: a. Varicella/signs and symptoms, prevention of transmission, nursing care c. Rubella/signs and symptoms, prevention of transmission, nursing care d. Rubeola/signs and symptoms, prevention of transmission, nursing care e. Fifth disease/signs and symptoms, prevention of transmission, nursing care f. Roseola/signs and symptoms, prevention of transmission, nursing care g. Mumps/signs and symptoms, prevention of transmission, nursing care h. Whooping cough/signs and symptoms, prevention of transmission, nursing care i. Polio/signs and symptoms, prevention of transmission, nursing care j. Infectious mononucleosis/signs and symptoms, prevention of transmission, nursing care k. Hepatitis A/signs and symptoms, prevention of transmission, nursing care l. Hepatitis B/signs and symptoms, prevention of transmission, nursing care m. Lyme disease/signs and symptoms, prevention of transmission, nursing care n. Diphtheria/signs and symptoms, prevention of transmission, nursing care o. Immunization schedules Pediatric emergencies and accident prevention Unit Objectives: 1. Identify risk factors and injuries consistent with child and sexual abuse and neglect. 2. Identify appropriate persons/agencies to whom suspected abuse and neglect should be reported. 3. Describe the role of the nurse in providing family-centered care for children who have sustained an accident. 4. Identify health education and safety needs for children who sustained an accident and their families. 5. Describe the pathophysiology, clinical manifestations, emergency management and nursing interventions for children involved in an accident such as: Content Topics: a. Drowning b. Poisoning c. Burns d. Choking and suffocation e. Electrical shock f. Abuse/neglect Alteration in Oxygenation –Child Unit Objectives: 1. Recognize components of a focused assessment that should be included when collecting data on children who have an alteration in oxygenation. 2. Apply knowledge of anatomy, physiology, pathophysiology, nutrition, and developmental variations when helping to plan care for children who have an alteration in oxygenation. 3. Identify priority actions for children who have an alteration in oxygenation. 4. Apply knowledge of the actions, potential side effects, and nursing implications when administering medications to children who have an alteration in oxygenation. 5. Recognize alterations in pulse oximetry and other laboratory values related to alterations in oxygenation. 6. Discuss the correct use and functioning of therapeutic devices that support oxygenation. 7. Describe the role of the nurse in providing quality care to children who have an alteration in oxygenation. 8. Identify health care education and safety needs for children who have an alteration in oxygenation. Content Topics: a. Pathophysiology/nursing implications/ Infectious and inflammatory disorders tonsillitis, Respiratory Syncytial Virus,) b. Pathophysiology/nursing implications/ Obstructive disorders (croup syndromes, cystic fibrosis) c. Pathophysiology/ nursing implications/Unknown etiology disorders (Sudden Infant Death Syndrome) d. Pharmacology/ Antihistamines e. Pharmacology/ Sympathomimetics (decongestants) f. Pharmacology/ Expectorants and mucolytics g. Pharmacology/ Antitussives i. Pharmacology/ Antivirals j. Pharmacology/ Beta agonists m. Pharmacology/ Pancreatic enzyme replacements n. Nutrition/ High protein, high calorie diet o. Nutrition/ Water miscible fat soluble vitamins Alteration in Cardiac Output and Tissue- Child Unit Objectives: 1. Recognize components of a focused assessment that should be included when collecting data on children who have an alteration in cardiac output and tissue perfusion. 2. Apply knowledge of anatomy, physiology, pathophysiology, nutrition, and developmental variations when helping to plan care for children who have an alteration in cardiac output and tissue perfusion. 3. Identify priority actions for children who have an alteration in cardiac output and tissue perfusion. 4. Apply knowledge of the actions, potential side effects, and nursing implications when administering medications to children who have an alteration in cardiac output and tissue perfusion. 5. Recognize alterations in laboratory values related to alterations in cardiac output and tissue perfusion. 6. Discuss the correct use and functioning of therapeutic devices that support cardiac output and tissue perfusion. 7. Describe the role of the nurse in providing quality care to children who have an alteration in cardiac output and tissue perfusion. 8. Identify health care education and safety needs for children who have an alteration in cardiac output and tissue perfusion. Content Topics: a. Pathophysiology/nursing implications/ Congenital heart disorders (tetralogy of fallot, patent septal defects) d. Pathophysiology/nursing implications/ Hematologic disorders/RBC and WBC (iron deficiency anemia, Sickle Cell, hemophilia, leukemias) e. Pharmacology/ Cardiac glycosides h. Nutrition/ Iron supplements and iron rich foods i. Nutrition/ Caffeine restricted diet j. Nutrition/ Vitamin C, E, folate, zinc supplements Alteration in Cognition and Sensation – Child Unit Objectives: 1. Recognize components of a focused assessment that should be included when collecting data on children who have an alteration in cognition and sensation. 2. Apply knowledge of anatomy, physiology, pathophysiology, nutrition, and developmental variations when helping to plan care for children who have an alteration in cognition and sensation. 3. Identify priority actions for children who have an alteration in cognition and sensation. 4. Apply knowledge of the actions, potential side effects, and nursing implications when administering medications to children who have an alteration in cognition and sensation. 5. Recognize alterations in laboratory values related to alterations in cognition and sensation. 6. Discuss the correct use and functioning of therapeutic devices that support cognition and sensation. 7. Describe the role of the nurse in providing quality care to children who have an alteration in cognition and sensation. 8. Identify health care education and safety needs for children who have an alteration in cognition and sensation. Content Topics: a. Pathophysiology/ Infectious and inflammatory disorders (meningitis, encephalitis, Reye syndrome) b. Pathophysiology/ Electrical conduction disorders (cerebral palsy) f. Pathophysiology/ Vision related disorders (conjunctivitis) g. Pathophysiology/ Hearing related disorders (otitis media, otitis externa) i. Pharmacology/ Skeletal muscle relaxants j. Pharmacology/ Ophthalmic antibiotics k. Pharmacology/ Otic antibiotics l. Pharmacology/ Acetaminophen m. Nutrition/ High caloric with no empty calories diet n. Nutrition/ Dysphagia diets (pureed, ground, soft, modified general diets) o. Pathophysiology/Environmental hazards/related disorders (Lead Ingestion) Alteration in Immunity – Child Unit Objectives: 1. Recognize components of a focused assessment that should be included when collecting data on children who have an alteration in immunity. 2. Apply knowledge of anatomy, physiology, pathophysiology, nutrition, and developmental variations when helping to plan care for children who have an alteration in immunity. 3. Identify priority actions for children who have an alteration in immunity. 4. Apply knowledge of the actions, potential side effects, and nursing implications when administering medications to children who have an alteration in immunity. 5. Recognize alterations in laboratory values related to alterations in immunity. 6. Discuss the correct use and functioning of therapeutic devices that support immunity. 7. Describe the role of the nurse in providing quality care to children who have an alteration in immunity. 8. Identify health care education and safety needs for children who have an alteration in immunity. Content Topics: a. Pathophysiology/ nursing implications/Infectious and inflammatory disorders (juvenile rheumatoid arthritis) c. Pharmacology/ Non-steroidal anti-inflammatory drugs (NSAIDs – first and second generation) d. Pharmacology/ Disease modifying anti-rheumatic drugs (DMARDs – I, II, III, IV) f. Pharmacology/ Corticosteroids Alteration in Integument - Child Unit Objectives: 7. Describe the role of the nurse in providing quality care to children who have an alteration in integument. 8. Identify health care education and safety needs for children who have an alteration in integument. 1. Recognize components of a focused assessment that should be included when collecting data on children who have an alteration in integument. 2. Apply knowledge of anatomy, physiology, pathophysiology, nutrition, and developmental variations when helping to plan care for children who have an alteration in integument. 3. Identify priority actions for children who have an alteration in integument. 4. Apply knowledge of the actions, potential side effects, and nursing implications when administering medications to children who have an alteration in integument. 5. Recognize alterations in laboratory values related to alterations in integument. 6. Discuss the correct use and functioning of therapeutic devices that support integument. Content Topics: a. Pathophysiology/ nursing implications/Infectious and inflammatory disorders (dermatitis, impetigo, parasitic disorders, MRSA, fungal infections) c. Pharmacology/ Topical corticosteroids d. Pharmacology/ Antihistamines e. Pharmacology/ Topical antimicrobials f. Pharmacology/ Topical antifungals Alteration in Mobility – Child Unit Objectives: 1. Recognize components of a focused assessment that should be included when collecting data on children who have an alteration in mobility. 2. Apply knowledge of anatomy, physiology, pathophysiology, nutrition, and developmental variations when helping to plan care for children who have an alteration in mobility. 3. Identify priority actions for children who have an alteration in mobility. 4. Apply knowledge of the actions, potential side effects, and nursing implications when administering medications to children who have an alteration in mobility. 5. Recognize alterations in laboratory values related to alterations in mobility. 6. Discuss the correct use and functioning of therapeutic devices that support mobility. 7. Describe the role of the nurse in providing quality care to children who have an alteration in mobility. 8. Identify health care education and safety needs for children who have an alteration in mobility. Content Topics: a. Pathophysiology/nursing implications/ Trauma related disorders (simple fractures and casting) b. Pathophysiology/ nursing implications/Degenerative muscular disorders (muscular dystrophy) d. Pathophysiology/nursing implications/ Spinal malalignment disorders (torticollis, scoliosis) e. Pathophysiology/ nursing implications/Abnormal cell proliferation disorders (osteosarcoma, Ewing’s sarcoma) f. Pharmacology/ Antibiotics (penicillins, cephalosporins, flouroquinolones, monobactams) g. Pharmacology/ Antitumor antibiotics h. Pharmacology/ Antineoplastics Alteration in Ingestion, Digestion, Absorption, and Elimination -Child Unit Objectives: 1. Recognize components of a focused assessment that should be included when collecting data on children who have an alteration in ingestion, digestion, absorption, and elimination. 2. Apply knowledge of anatomy, physiology, pathophysiology, nutrition, and developmental variations when helping to plan care for children who have an alteration in ingestion, digestion, absorption, and elimination. 3. Identify priority actions for children who have an alteration in ingestion, digestion, absorption, and elimination. 4. Apply knowledge of the actions, potential side effects, and nursing implications when administering medications to children who have an alteration in ingestion, digestion, absorption, and elimination. 5. Recognize alterations in laboratory values related to alterations in ingestion, digestion, aborption, and elimination. 6. Discuss the correct use and functioning of therapeutic devices that support ingestion, digestion, absorption, and elimination. 7. Describe the role of the nurse in providing quality care to children who have an alteration in ingestion, digestion, absorption, and elimination. 8. Identify health care education and safety needs for children who have an alteration in ingestion, digestion, absorption, and elimination. Content Topics: a. Pathophysiology/ nursing implications/Congenital disorders (cleft lip, cleft palate, tracheoesophageal fistula, pyloric stenosis, imperforate anus) b. Pathophysiology/nursing implications/ Infectious and inflammatory disorders (thrush, celiac disease, intestinal parasites) c. Pathophysiology/ nursing implications/Structural disorders (intussusceptions, hernias) d. Pathophysiology/nursing implications/ Nutritional deficiency disorders (failure to thrive, rickets, scurvy) e. Pharmacology/ Antifungals g. Nutrition/ Needs of the infant with cleft lip h. Nutrition/ Gluten free diet i. Nutrition/ Fluid replacement, electrolyte solutions Alteration in Excretion – Child Unit Objectives: 1. Recognize components of a focused assessment that should be included when collecting data on children who have an alteration in excretion. 2. Apply knowledge of anatomy, physiology, pathophysiology, nutrition, and developmental variations when helping to plan care for children who have an alteration in excretion. 3. Identify priority actions for children who have an alteration in excretion. 4. Apply knowledge of the actions, potential side effects, and nursing implications when administering medications to children who have an alteration in excretion. 5. Recognize alterations in laboratory values related to alterations in excretion. 6. Discuss the correct use and functioning of therapeutic devices that support excretion. 7. Describe the role of the nurse in providing quality care to children who have an alteration in excretion. 8. Identify health care education and safety needs for children who have an alteration in excretion. Content Topics: a. Pathophysiology/nursing implications/ Congenital disorders (hypo/hyperspadias, cryptorchidism) b. Pathophysiology/nursing implications/ Infectious and inflammatory disorders (acute glomerulonephritis, nephrotic syndrome) c. Pathophysiology/nursing implications/ Abnormal cell proliferation (Wilms’ tumor) d. Pharmacology/ Antibiotics (penicillins, cephalosporins, tetracyclines, macrolides, flouroquinolones, monobactams) e. Pharmacology/ Corticosteroids f. Pharmacology/ Diuretics g. Pharmacology/ Antineoplastics (alkylating agents) Alterations in Regulation and Metabolism Unit Objectives: 1. Perform a comprehensive assessment with a focus on collecting data on adults who have complex alterations in regulation and metabolism. 2. Integrate knowledge of anatomy, physiology, pathophysiology, nutrition, and developmental variations into the plan care for clients who have complex alterations in regulation and metabolism. 3. Ascertain priority actions for clients who have complex alterations in regulation and metabolism. 4. Integrate knowledge of the actions, contraindications, potential side effects, and nursing implications when administering medications to clients who have complex alterations in regulation and metabolism. 5. Interpret diagnostic tests and perform related nursing intervention when providing care to clients who have alterations in regulation and metabolism. 6. Demonstrate correct use and establish proper functioning of therapeutic devices that support regulation and metabolism. 7. Ascertain the role of the nurse when providing quality care to clients who have an alteration in regulation and metabolism. 8. Provide health- and safety-related education to clients who have an alteration in regulation and metabolism. 9. Integrate cultural, ethical, and legal tenets into the plan of care for clients who have alterations in regulation and metabolism. Content Topics: a. Pathophysiology/nursing implications/ alterations in endocrine/exocrine function/ (Diabetes Mellitus, SIADH, diabetes insipidus, thyroid and parathyroid disorders, pituitary disorders) b. Pathophysiology/nursing implications/alterations in adrenal function/ (Addison’s disease, Cushing’s disease) c. Pharmacology/ Thyroid hormones d. Pharmacology/ Thyrotropin-releasing hormone e. Pharmacology/ Thyroid hormone synthesis inhibitor f. Pharmacology/ Radioactive and nonradioactive iodine g. Pharmacology/ Antidiuretic hormone preparation h. Pharmacology/ Posterior pituitary hormones i. Pharmacology/ Anterior pituitary hormones/growth hormones j. Pharmacology/ Glucocorticoid and mineralcorticoid hormones k. Nutrition/ Addison’s diet (high caloric, high sodium, low potassium diet, small, frequent meals) l. Pharmacology/ Insulins m. Pharmacology/ Oral hypoglycemic agents n. Pharmacology/ Glucagon Alterations in Excretion Unit Objectives: 1. Perform a comprehensive assessment with a focus on collecting data on clients who have complex alterations in excretion. 2. Integrate knowledge of anatomy, physiology, pathophysiology, nutrition, and developmental variations into the plan care for clients who have complex alterations in excretion. 3. Ascertain priority actions for clients who have complex alterations in excretion. 4. Integrate knowledge of the actions, contraindications, potential side effects, and nursing implications when administering medications to clients who have complex alterations in excretion. 5. Interpret diagnostic tests and perform related nursing intervention when providing care to clients who have alterations in excretion. 6. Demonstrate correct use and establish proper functioning of therapeutic devices that support excretion. 7. Ascertain the role of the nurse when providing quality care to clients who have an alteration in excretion. 8. Provide health- and safety-related education to clients who have an alteration in excretion. 9. Integrate cultural, ethical, and legal tenets into the plan of care for clients who have alterations in excretion. Content Topics: a. Pathophysiology/nursing implications/ Infectious and inflammatory disorders (pyelonephritis, acute and chronic renal failure) b. Pathophysiology/nursing implications/ Abnormal cell proliferation (prostate cancer, beneign prostatic hypertrophy, kidney cancer, bladder cancer) c. Pharmacology/ Osmotic diuretics d. Pharmacology/ Erythropoetic growth factors e. Nutrition/ Low sodium, low potassium, low protein diet f. Nutrition/ Low purine diet Nursing Care - Women Unit Objectives: 1. Review principles related to the selected skills. 2. Practice patient care skills using proper techniques while ensuring patient safety. 3. Integrate the following skills into theory or clinical Content Topics: a. Calculation of delivery date b. Auscultation of fetal heart rate c. Palpation of contractions d. Maternal and newborn assessment e. Palpation of fundal height f. Teach how to give a baby bath g. Teach breast feeding techniques h. Umbilical cord and circumcision care i. Discharge teaching Nursing Care - Children Unit Objectives: 1. Review principles related to the selected skills. 2. Practice patient care skills using proper techniques while ensuring patient safety. 3. Integrate the following skills into theory or clinical Content Topics: a. Pediatric assessment b. Temperature measurement options c. Toys/activities appropriate for developmental stage d. Restraints during hospitalization e. Medication administration skills f. Transporting infants/children g. Specimen collection h. Safety measures Clinical Objectives: A. Evaluate nursing care provided to clients, families, groups, populations, and communities across the lifespan from diverse backgrounds in a variety of settings to ensure that it is compassionate, age and culturally appropriate and based on a client's preferences, values and needs. A.1. Client-centered care A.1.a. Perform a comprehensive health assessment including physiological, psychological, sociological, and spiritual needs of clients, families, groups, populations, and communities across the lifespan experiencing complex (unstable acute conditions) health alterations in a variety of settings. / A.1.b. Use the nursing process to prioritize the delivery of client care, with two or more clients, to achieve optimal outcomes. / A.1.c. Model culturally sensitive care for clients, families, and groups from diverse backgrounds. / A.1.d. Use clinical reasoning and clinical judgment when evaluating nursing care to improve client outcomes. / A.1.e. Advocate for client, families, and groups regarding nursing care issues and health care decisions. / A.1.f. Use verbal and nonverbal communication that promotes caring, therapeutic relationships with individuals, families, and groups. B. Collaborate with members of the interprofessional health care team to manage and coordinate the provision of safe, quality care for clients, families, and groups. B.1. Teamwork and Collaboration B.1.a. Coordinate client care with members of the interprofessional healthcare team. / B.1.b. Integrate input from other members of the healthcare team to improve individual and team performance. C. Demonstrate use of best current evidence and clinical expertise when making clinical decisions in the provision of client-centered care. C.1. Evidence based practice C.1.a. Analyze best current evidence for its application to practice when providing and managing client-centered care. / C.1.b. Integrate best current evidence into clinical judgments that indicate the need to modify clinical practice. D. Use evidence-based quality improvement processes to effect change in the delivery of clientcentered care. D.1. Quality improvement D.1.a. Use recognized nursing standards to improve and advance the quality of health care services. / D.1.b Use measurement tools to gather data related to the gap between current and desired client outcomes. / D.1.c Participate in the collection of data related to a Nurse Sensitive Indicator. E. Demonstrate effective use of strategies to mitigate errors and reduce the risk of harm to clients, self and others in healthcare, home, and community settings. E.1. Safety E.1.a. Anticipate safety risks to clients, self and others in healthcare, home, and community settings. / E.1.b. Implement actions that minimize safety risks and environmental hazards in healthcare settings. / E.1.c. Implement National Patient Safety Goals in healthcare settings. F. Use evidence-based information and client care technology to communicate relevant client information, manage care and mitigate error in the provision of safe, quality client-centered care. F.1. Informatics F.1.a. Use client care technologies effectively when assessing and monitoring clients. / F.1.b. Implement strategies that protect the integrity of client information when managing client-centered care. G. Assimilate integrity and accountability into practices that uphold established regulatory, legal, and ethical principles while providing client-centered, standard-based nursing care. G.1. Professionalism G.1.a. Maintain professional standards of nursing practice in the delivery of client-centered care. / G.1.b. Maintain professional accountability and responsibility in the delivery of client-centered care. / G.1.c. Maintain nursing practice that supports ethical decision making and tort law in the delivery of client-centered care. / G.1.d. Maintain nursing practice that supports regulatory guidelines and institutional policies in the delivery of client-centered care. H. Use leadership, management and priority-setting skills in the provision and management of safe, quality client-centered care. H.1. Leadership H.1.a. Use organizational, time management, and priority setting skills in the provision and management of safe, quality client-centered care. / H.1.b. Practice delegating client care tasks to appropriate members of the health care team. I. Analyze the impact that the macrosystem has on the provision of safe, quality client-centered care in the microsystem of the work unit. I.1. Systems-Based Practice I.1.a. Articulate the impact that the macrosystem has on the microsystem of the work unit. / I.1.b. Report work unit inefficiencies encountered in the practice setting to the appropriate personnel. / I.1.c. Use human and material resources in an efficient manner in the provision of safe, quality client care on the work unit. J. Use verbal and nonverbal communication strategies with clients, families, and groups from diverse backgrounds that promote an effective exchange of information, development of therapeutic relationships. J.1. Communication J.1.a. Use verbal and nonverbal communication techniques that promote caring, therapeutic relationships with clients, families, and groups. / J.1.b. Integrate changes in communication and use of self, in relation to communication barriers, when caring for clients, families, and groups. / J.1.c. Communicate effectively with members of the healthcare team and demonstrate appropriate conflict resolution skills as needed. K. Provide health-related information to clients and families using varying teaching methods, which facilitate the acquisition of new knowledge and skills. K.1. Client education K.1.a. Assess the learning needs of clients, families, and groups across the lifespan. / K.1.b. Assess learning style and preferences of clients and families to guide the selection and delivery of teaching methods / K.1.c. Provide health-related education to client and families that include the use of varying teaching methods. ALCORN STATE UNIVERSITY ASSOCIATE OF SCIENCE IN NURSING PROGRAM NURSING COURSE SYLLABUS Course Information: Course Number and Title: NU 223 - Role Transition Total Credit/Contact Hours: 3.00 Theory Credit/Contact Hours: 3.00 Course Description: This course focuses on the basic principles of leadership and management, trends and issues in nursing, moral, ethical, and legal implications, and the process of transitioning from the role of student to professional nurse. Emphasis is placed on nursing within the microsystem of a work unit, contemporary issues and management concepts, as well as developing the skills of delegation, conflict management, and leadership. Pre-requisites: NU 118; NU128; BI 114; BI 114L; BI 214; BI 214L; MA 121; UL 101; EN 111; SY 235; BI 325; BI 325L; PH 320; Elective; Corequisites: NU 229. Course Objectives: 1. Defend opinions using evidence-based literature about selected contemporary issues and their effect on the profession of nursing, healthcare delivery system, and system-based practice. 2. Examine the organizational structure of a macrosystem, its governance structure, potential impact on the role of the nurse, and provision of healthcare within the microsystem of a work unit. 3. Analyze selected leadership styles and theories and their effect on the management of employees. 4. Integrate principles of group process and teamwork into the operation of the interprofessional healthcare team. 5. Apply leadership skills and empowerment strategies when managing the care of clients, families, and groups. 6. Delegate tasks within the legal parameters of that entity’s scope and practice, ensuring safe, quality client-centered care. 7. Act as an advocate for clients, families, and groups regarding healthcare and health-related decisions. 8. Use healthcare information systems and client care technology to manage client care, support clinical judgments, mitigate error, and communicate relevant client information with members of the healthcare team. 9. Manage the care of clients, families, groups, communities, and populations while adhering to ethical, legal, and professional standards and maintaining accountability and responsibility for care provided. 10. Evaluate the effectiveness of quality improvement strategies using client outcome data to improve health care services. 11. Assist in the implementation of mass casualty plans in the event of an emergency. 12. Analyze personal career goals and additional education or certification needed to achieve these goals. Content Units: Contemporary Issues Unit Objectives: 1. Evaluate health policies and their impact on the allocation and delivery of health care. 2. Explore system stressors such as chronic illness, technologically complex care, and poor patient outcomes and the effect they have on the provision and cost of health care. 3. Review seminal documents such as IOM reports, National Patient Safety Goals, National Health Care initiatives and other related documents in light of their recommendations for changes in the current health care system. 4. Examine the current Healthy People document and its implications for the health care needs of society. 5. Debate the challenges the health care industry faces in providing accessible, equitable care to U.S. citizens. 6. Explain how “parity” legislation protects the health care consumer. 7. Analyze current issues that impact the professional practice of nursing and its ability to actualize its mission. 8. Compare and contrast positions taken by professional and special interest groups on current issues 9. Select a current issue and evaluate the literature for evidence upon which to formulate an opinion. 10. Propose a resolution for the selected issue that is viable within the current parameters and constraints of the health care system. Content Topics: a. Challenges facing the delivery of healthcare b.Economics of healthcare delivery c. Political influences on healthcare delivery d. Institute of Medicine reports e. National Patient Safety Goals, f. Healthy People 2020 Organizational Structure and Governance Unit Objectives: 1. Examine the mission statement and related philosophy and goals of an institution. 2. Critique a macrosystem's organizational structure of an institution and its impact on the nurse's role, dissemination of power and decision making. 3. Compare and contrast various levels of management. 4. Investigate the role of the stakeholders of an organization. 5. Discuss the implication of unions representing nursing in a collective bargaining capacity. 6. Apply systems theory to a health care organization and analyze the factors that affect the output. Content Topics: a. Purpose of mission statement and goals b. Organizational design (division into departments etc.) c. Organizational theories and organizational structure (how departments interact)/Impact on organizational functioning and outcomes d. Definition/stakeholders e. Unions and collective bargaining Management, Leadership, and Power/Empowerment Unit Objectives: 1. Compare and contrast the concepts of management and leadership. 2. Analyze selected leadership theories and their perspective of the employer and employee. 3. Examine the use of transactional, interactional, and transformational leadership in contemporary health care settings. 4. Analyze selected leadership styles and the subsequent role of the manager. 5. Differentiate between the various types of power. 6. Discuss power-based strategies that RNs can employ. 7. Investigate the concept of influence and its relationship to the control and balance of power. Content Topics: a. Management versus leadership b. Leadership theories (transactional, interactional, and transformational) c.Leadership styles d. Types and use of power e. Shared governance Leadership Skills Unit Objectives: 1. Differentiate between decision making, problem solving, and clinical judgment. 2. Analyze selected change theories and their application to institutional change. 3. Analyze selected change strategies and their relationship to the change process. 4. Examine the process and implications of planned and unplanned change on staff and institutional integrity. 5. Evaluate the use of time management skills when providing, managing, and researching patient care based on best practices. 6. Apply the five rights of delegation in relation to appropriately delegating tasks to licensed and unlicensed personnel. 7. Compare and contrast the scope of practice of licensed and unlicensed personnel that make up the health care team. 8. Investigate the concepts of accountability and responsibility of the professional nurse in relation to delegated assignments and delegated tasks. 9. Analyze various conflict management/resolution strategies and their use in resolving intra/interpersonal conflict. 10. Examine the use of assertive and other communication skills during the process of conflict resolution and negotiation. 11. Analyze selected theories related to motivation. 12. Differentiate between internal and external motivating factors and their impact on creating a motivating work environment. Content Topics: Group Process and Teamwork Unit Objectives: 1. Compare and contrast various methods of organizing human resources for the provision of client care. 2. Analyze the role of the case manager and his or her relationship with the coordination of client care in meeting established goals of the institution and external entities. 3. Investigate the concept of professional socialization and the role of mentors/preceptors in facilitating this process. 4. Examine the stages of group process and the various roles of group members. 5. Discuss the concept of group syntality and its relationship to the manager’s leadership style and a group’s sense of collegiality. 6. Analyze team building strategies that can be used to enhance collaboration and cooperation between team members. 7. Examine the role of group decision making and brainstorming when attempting to resolve practice or patient care related issues. 8. Compare and contrast between assertive, passive, aggressive, and passiveaggressive communication 9. Examine various types of conflict and conflict management strategies. 10. Analyze the implications of generational differences on the development of effective teams that maximize each individual’s strengths. Content Topics: a. Staffing patterns and nurse-client ratios b. Case management and continuity of care c. Transitioning to the role of graduate/Preceptors, mentors, nurse residency programs Staff Development Unit Objectives: 1. Differentiate between the focus and goals of orientation, inservice, and staff development. 2. Analyze strategies that address the socialization and educational needs of culturally and ethnically diverse nurses. 3. Examine the underlying philosophy of adult learning theory and instructional strategies specific to this theory. 4. Ascertain the sequence of steps that should be followed when planning an educational program and evaluate its outcomes. 5. Use literature to maintain practice that is based on current evidence based literature. Content Topics: a. Goals for orientation, inservice, and staff development b. Diversity in the nursing workforce (needs and advantages) c. Adult learning theory d. Strategies for teaching adults e. Development of a teaching plan for an educational activity for a specific nursing unit. (Assessment, objectives, teaching strategies, evaluation) Quality Improvement Unit Objectives: 1. Analyze the concept of quality improvement in relation to the provision of safe, high quality patient care. 2. Investigate the cyclical nature of quality improvement. 3. Investigate the role of quality improvement in relation to external constituents (Joint Commission, Prospective Payment Systems, Professional Standards Review Organizations). 4. Examine the role of institutional and professional standards as well as evidence based practice when establishing best practices. 5. Differentiate between process, outcome, and structure audits. 6. Ascertain the role of the staff nurse in the quality improvement process. Content Topics: a. Quality improvement process b. Standards utilized in the quality improvement process c. Definitions/process, outcome, benchmark d. Types of audits e. Role of the staff nurse in the quality improvement process Legal and Ethical Issues Unit Objectives: 1. Analyze the relationship between advocacy and client rights. 2. Evaluate the role of the nurse in relation to ensuring informed decision making by the client regarding advance directives, procedural consent, and other legal issues. 3. Justify the importance of maintaining HIPAA and the Privacy Acts’ regulations related to confidentiality in all oral, written, and electronic communications. 4. Integrate ANA’s Standards of Practice, Code of Ethics, and state mandated scope of practice directives into client care provided either directly or indirectly. 5. Analyze the relationship between policies, procedures, and standards set by an institution. 6. Analyze the nurse’s role in ensuring the provision of safe client care that meets institutional and professional standards. 7. Review organizational resources available and proper solicitation of these resources when issues related to safe, ethical, and legal nursing practice arise. 8. Examine the five elements of liability necessary to prove negligence. 9. Compare and contrast the torts of false imprisonment, assault, battery, and defamation. 10. Explore the purpose of incident reports as well as proper handling and disposition of these reports. 11. Determine the responsibility of the nurse in relation to mandatory reporting. 12. Review the Human Genome Project's website to determine its goals and outcomes. 13. Understand the process of evaluation of the human genome project related to accuracy and reliability. 14. Discuss the legal and ethical implications of individual and societal access to genetic information. Content Topics: a. Client's Rights b. Informed consent and the nurse's role c. Confidentiality of client information d. Sources for standards of care e. Scope of practice according to the Mississippi Nurse Practice Law f. Legal responsibilities of health care providers including mandatory reporting g. Genomics (Human Genome Project, legal and ethical considerations) Personal Development Unit Objectives: 1. Analyze personal career goals and additional education or certification needed to achieve these goals. 2. Examine the path nurses take when transitioning from a novice nurse to an expert nurse. 3. Appreciate the role that preceptors and mentors have in assisting new graduates in becoming competent in their practice and socialized into their new role. 4. Discuss how lifelong learning is necessary to maintain practice that is current and protects the welfare of patients. 5. Research certifications available to nurses who work in specialized areas and the additional education and practice required to obtain these certifications. 6. Analyze the various causes of occupational stress in nursing and personal strategies that can be used to minimize its effects. 7. Debate the causes and characteristics of burnout and measures that can be taken to reduce the likelihood of its development. Content Topics: a. Certification of nurses in speciality areas b. Benner's model (Novice to Expert) c. Role of preceptors and mentors d. Lifelong learning and sources for continuing education/learning e. Factors contributing to burnout f. Management of factors contributing to burnout Computer Information Systems Unit Objectives: 1. Analyze the integral role that health care informatics plays in delivering safe, quality client care. 2. Investigate strategies for transforming information into practice. 3. Examine databases that provide evidence based information for health care providers and their patients. 4. Ascertain methods for validating that information found on the Internet is accurate, reliable, and free from error. 5. Analyze the advantages, disadvantages, and legal issues related to maintaining and using electronic client records. 6. Investigate the use of electronic records for promoting quality improvement. 7. Determine the value of accessing healthcare and practice related information in a mobile format. Content Topics: a. Definition of informatics b. Uses of informatics in healthcare (Electronic health record, electronic medical record) c. Databases for reliable sources for evidence-based care d. Electronic health records and quality improvement e.HIPPA and the use of mobile devices (including phones, tablets, computers) Emergency and Disaster Management Unit Objectives: 1. Review the Joint Commission’s emergency preparedness management standards for health care facilities. 2. Identify the roles and responsibilities of various members of the interdisciplinary team during the planning and implementation of an emergency preparedness plan. 3. Review the elements of a mass casualty plan necessary for effective use of human and material resources during an emergency. 4. Ascertain the nurse’s role in the initial management of a suspected bioterrorist attack. 5. Integrate principles of triage and the ABCDE priority setting framework when classifying patients into priority levels. 6. Ascertain priority actions of the nurse during a suspected biological or chemical exposure situation. Content Topics: a. Levels of prevention in disaster management b. Examples of the levels of prevention c. Triage color code system d. Role of The Joint Commission and the National Incident Management System (NIMS) in emergency preparedness e. Signs and symptoms of biologic, radiation, and chemical agents used in a terroist attack f. Community susceptibility to various types of emergencies Career building Unit Objectives: 1. Analyze current trends in the employment of nurses. 2. Develop a professional career plan that outlines short- and long-term educational and certification goals. 3. Develop a plan on how you intend to maintain your competence in nursing after graduation. 4. Create a resume’, cover letter and portfolio and participate in a mock interview. Content Topics: 1. Current employment trends 2. Projected employment trends 3. Maintaining professional competence 4. Job seeking skills (resume', cover letter, portfolio, interviews) NCLEX Prep Unit Objectives: 1. Complete the NCLEX registration process. 2. Practice test-taking strategies using test items from selected resources. 3. Develop and Implement a remediation plan based on identified areas of weakness. Content Topics: 1. Registering with Pearson VUE and the Mississippi State Board of Nursing 2. Test-taking strategies 3. NCLEX-RN test blueprint 4. Content review for the NCLEX-RN examination 5. Pre-NCLEX-RN examination assessment tests 6. Remediation plans Clinical Objectives: A. Evaluate nursing care provided to patients, families, groups, populations, and communities across the lifespan from diverse backgrounds in a variety of settings to ensure that it is compassionate, age and culturally appropriate and based on a patient's preferences, values and needs. A.1. Patient-centered care A.1.a. Perform a comprehensive health assessment including physiological, psychological, sociological, and spiritual needs of patients, families, groups, populations, and communities across the lifespan experiencing complex (unstable acute conditions) health alterations in a variety of settings. / A.1.b. Use the nursing process to prioritize the delivery of patient care, with two or more patients, to achieve optimal outcomes. / A.1.c. Model culturally sensitive care for patients, families, and groups from diverse backgrounds. / A.1.d. Use clinical reasoning and clinical judgment when evaluating nursing care to improve patient outcomes. / A.1.e. Advocate for patients, families, and groups regarding nursing care issues and health care decisions. / A.1.f. Use verbal and nonverbal communication that promotes caring, therapeutic relationships with individuals, families, and groups. B. Collaborate with members of the interprofessional health care team to manage and coordinate the provision of safe, quality care for patients, families, and groups. B.1. Teamwork and Collaboration B.1.a. Coordinate patient care with members of the interprofessional healthcare team. / B.1.b. Integrate input from other members of the healthcare team to improve individual and team performance. C. Demonstrate use of best current evidence and clinical expertise when making clinical decisions in the provision of patient-centered care. C.1. Evidence based practice C.1.a. Analyze best current evidence for its application to practice when providing and managing patient- centered care. / C.1.b. Integrate best current evidence into clinical judgments that indicate the need to modify clinical practice. D. Use evidence-based quality improvement processes to effect change in the delivery of patientcentered care. D.1. Quality improvement D.1.a. Use recognized nursing standards to improve and advance the quality of health care services. / D.1.b Use measurement tools to gather data related to the gap between current and desired patient outcomes. / D.1.c Participate in the collection of data related to a Nurse Sensitive Indicator. E.1. Safety E.1.a. Anticipate safety risks to patients, self and others in healthcare, home, and community settings. / E.1.b. Implement actions that minimize safety risks and environmental hazards in healthcare settings. / E.1.c. Implement National Patient Safety Goals in healthcare settings. F. Use evidence-based information and patient care technology to communicate relevant patient information, manage care and mitigate error in the provision of safe, quality patient-centered care. F.1. Informatics F.1.a. Use patient care technologies effectively when assessing and monitoring patients. / F.1.b. Implement strategies that protect the integrity of patient information when managing patientcentered care. G.1. Professionalism G.1.a. Maintain professional standards of nursing practice in the delivery of patient-centered care. / G.1.b. Maintain professional accountability and responsibility in the delivery of patient-centered care. / G.1.c. Maintain nursing practice that supports ethical decision making and tort law in the delivery of patient-centered care. / G.1.d. Maintain nursing practice that supports regulatory guidelines and institutional policies in the delivery of patient-centered care. H. Use leadership, management and priority-setting skills in the provision and management of safe, quality patient-centered care. H.1. Leadership H.1.a. Use organizational, time management, and priority setting skills in the provision and management of safe, quality patient-centered care. / H.1.b. Practice delegating patient care tasks to appropriate members of the health care team. I. Analyze the impact that the macrosystem has on the provision of safe, quality patient-centered care in the microsystem of the work unit. I.1. Systems-Based Practice I.1.a. Articulate the impact that the macrosystem has on the microsystem of the work unit. / I.1.b. Report work unit inefficiencies encountered in the practice setting to the appropriate personnel. / I.1.c. Use human and material resources in an efficient manner in the provision of safe, quality patient care on the work unit. J. Use verbal and nonverbal communication strategies with patients, families, and groups from diverse backgrounds that promote an effective exchange of information, development of therapeutic relationships. E. Demonstrate effective use of strategies to mitigate errors and reduce the risk of harm to patients, self and others in healthcare, home, and community settings. G. Assimilate integrity and accountability into practices that uphold established regulatory, legal, and ethical principles while providing patient-centered, standard-based nursing care. J.1. Communication J.1.a. Use verbal and nonverbal communication techniques that promote caring, therapeutic relationships with patients, families, and groups. / J.1.b. Integrate changes in communication and use of self, in relation to communication barriers, when caring for patients, families, and groups. / J.1.c. Communicate effectively with members of the healthcare team and demonstrate appropriate conflict resolution skills as needed. K. Provide health-related information to patients and families using varying teaching methods, which facilitate the acquisition of new knowledge and skills. K.1. Patient education K.1.a. Assess the learning needs of patients, families, and groups across the lifespan. / K.1.b. Assess learning style and preferences of patients and families to guide the selection and delivery of teaching methods / K.1.c. Provide health-related education to patient and families that include the use of varying teaching methods. ALCORN STATE UNIVERSITY ASSOCIATE OF SCIENCE IN NURSING PROGRAM NURSING COURSE WITH CLINICAL COMPONENT SYLLABUS Course Information: Course Number and Title: NU 229 - Client-Centered Care III combined Total Credit/Contact Hours: 9.00 Clinical Credit/Contact Hours: 5.00 (15 clock hours/week) Theory Credit/Contact Hours: 4.00 Course Description: This course focuses on client-centered care of individuals experiencing acute and chronic conditions related to alterations in Ingestion, digestion, absorption, and elimination, cognition and sensation, immunity, integument, mobility and alterations in mental health. The concepts of clientcentered care, professionalism, leadership, systems-based practice, informatics and technology, communication, teamwork and collaboration, and quality improvement are integrated in this course. Clinical experiences provide students the opportunity to apply the principles of safe and effective delivery of care to groups of clients in a variety of settings. Pre-requisites: NU 118; NU 128; BI 114; BI 114L; BI 214; BI 214L; MA 121;UL 101; EN111; SY 235; BI 325; BI 325L: PH 320 : Elective Co-requisites: NU 223. Course Objectives: 1. Perform a comprehensive assessment with a focus on collecting data on clients across the lifespan who have an alteration in Ingestion, digestion, absorption, elimination, cognition and sensation, immunity, integument, mobility, or alterations in mental health. 2. Develop individualized, evidence based plans of care that demonstrate an appreciation of a client's cultural, spiritual, and developmental variations and includes recommendations for the adoption of health-promoting behaviors. 3. Collaborate with members of the interprofessional health care team while acting as a client advocate in the provision of safe, quality care for clients across the lifespan. 4. Demonstrate clinical judgment when participating in the provision of care to clients across the lifespan. 5. Integrate knowledge of pharmacology, psychopathology, nutrition, and established evidencebased practices in the provision of care for clients experiencing alterations in ingestion, digestion, absorption, and elimination, cognition and sensation, immunity, integument, mobility, or alterations in mental health. 6. Use verbal and nonverbal communication that promotes caring, therapeutic relationships with clients and their families, as well as professional relationships with members of the healthcare team. 7. Use health information systems and client care technologies in an effective and secure manner to manage care, mitigate error, and communicate relevant client information with members of the healthcare team. 8. Apply evidence based knowledge in the provision of care to clients across the lifespan. 9. Provide health and safety related education using a variety of teaching methods based on the identified needs of clients across the lifespan and their families. 10. Employ organizational, time management, priority-setting, and decision-making skills in the provision of care to clients experiencing alterations in Ingestion, digestion, absorption, and elimination, cognition and sensation, immunity, integument, mobility, or alterations in mental health. 11. Implement strategies that provide a safe environment for clients across the lifespan, self, and other while supporting quality improvement initiatives. 12. Adhere to ethical, legal and professional standards in the provision of care to clients across the lifespan. Content Units: Role of the nurse and standards of practice for mental health nursing Unit Objectives: 1. Discuss the role and responsibilities of mental health/psychiatric nurses 2. Identify major trends in mental health nursing. 3. Describe the standards of practice of psychiatric and mental health nursing according to the American Nurses Association Statement on the Scope and Standards of Psychiatric Mental Health Nursing Practice. Content Topics: a. Role and responsibilities of the generalist nurse in provision of mental health care b. Advanced Practice Nurses in the psychiatric setting c. Standards of care and evidence-based practices found in The Psychiatric-Mental Health Nursing: Scope and Standards of Practice, 2007 d. Nursing organizations specializing in mental health care: the American Psychiatric Nurses Association (APNA), and the International Society of Psychiatric-Mental Health Nurses (ISPN) Mental Health and Mental Health Issues Unit Objectives: 1. Compare and contrast criteria for mental health and mental illness. 2. Discuss legal issues that may arise during mental health treatment such as, the client's right to receive treatment, the client's right to refuse treatment, the client's right to informed consent. 3. Describe factors that affect an individual’s mental health. 4. Identify attributes or signs of mental health issues. 5. Discuss how age, ethnicity, gender, education, culture, and belief system can affect developing, experiencing, and recovering from psychiatric disorders. 6. Identify settings in which mental health treatment if offered. 7. Discuss each category of the Diagnostic and Statistical Manual of Mental Disorders multiaxial system. 8. Compare and contrast a DSM-V-TR diagnosis with a nursing diagnosis. 9. Identify how cultural influences could affect making an accurate DSM-V-TR diagnosis Content Topics: a. Continuium of mental health and mental illness including attributes and signs of mental illness of mental health b. Legal issues related to mental health treatment (informed consent, client's rights, voluntary committment, involuntary committment) c. Factors contributing to an individual's mental health d. The Diagnostic and Statistical Manual (DSM) (Structure and purpose) e. Social and political issues affecting care and treatment of mentally ill individuals f. The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD9-CM) (WHO, 2011) purpose and description g. Societal perceptions of mental illness including cultural influences Principles of Therapeutic Communication and Application in the Mental Health Setting Unit Objectives: 1. Describe the nature and goals of the therapeutic nurse-client relationship. 2. Identify three factors that can interfere with accurate communication between nurse and client. 3. Demonstrate four techniques that can enhance communication, and discuss what makes them effective during the communication process. 4. Discuss differences between verbal and non-verbal communication. 5. Discuss the effect on the communication process when there is a lack of understanding of cultural differences. 6. Discuss how confrontation, immediacy, nurse self-disclosure, and role playing can be used by the nurse in a therapeutic relationship. 7. Identify when there is a need for boundaries set between nurse and client. 8. Describe the importance of self-awareness in the nurse-client relationship. Content Topics: a. Establishing a therapeutic nurse-client relationship b. Principles of therapeutic communication c. c. Differences in verbal and nonverbal communication of various cultural groups in the areas of (a) communication style, (b) eye contact, and (c) touch. d. Specific techniques/skills to enhance communication: silence; active listening; paraphrasing; exploring; reflecting; open-ended questions; e. Boundaries Therapeutic Modalities Unit Objectives: 1. Describe the tenets behind the following therapeutic models 2. Identify three types of crises and give an example of each 3. Discuss primary goals and phases of crisis intervention. 4. Compare differences between primary, secondary, and tertiary intervention and appropriate interventions. 5. Identify areas to assess during crisis. 6. Identify basic principles of group work 7. Describe the phases of group development. 8. Describe roles group members may adopt. 9. Discuss therapeutic factors that operate in all groups 10. Identify facilitating techniques used by the group leader. 11. Compare the characteristics of a healthy family functioning with a dysfunctional family functioning. 12. Identify several strategies for family intervention. 13. Describe the role of the nurse in family therapy. 14. Describe integrative care. 15. Describe various complementary and/or alternative therapies such as - massage, herbal medications, aromatherapy, acupuncture, acupressure, homeopathy, and chiropractic medicine. 16. Discuss how psychotropic drugs are used in mental health care. 17. Describe how functions of the brain are altered by psychotropic drugs. 18. Identify major categories of psychotropic drugs and discuss the use, action, potential adverse and side effects, and nursing implications of the following: Content Topics: a. Antipsychotics (conventional, atypical) b. Antidepressants (tricyclics, selective serotonin reuptake inhibitors (SSRIs) serotonin/norepinephrine reuptake inhibitors (S/NRIs), monoamine oxidase inhibitors (MAOIs), atypical antidepressants) c. Bipolars (mood-stabilizers, antichotics) d. Sedative/hypnotics (benzodiazepines, benzodiazepine-like drugs, melatonin agonists, barbiturates) e. Antianxiolytics (benzodiazepines) f. Attention-deficit/hyperactivity disorder drugs (amphetamines/dextroamphetamines, methylphenidate/dexmethylphenidate, methylxanthines, CNS stimulants, g. Crisis intervention (types, phases, goals, and nursing interventions) Personality Development Unit Objectives: 1. Discuss the relationship between personality development and mental/behavioral disorders. 2. Describe the main theories of personality development. Content Topics: a. Psychoanalytic theory—Freud b. Human motivation—Maslow c. Interpersonal theory—Sullivan d. Psychosocial development--Erikson e. Object relations development—Mahler f. Cognitive development—Piaget g. Moral development—Kohlberg h. Nursing interpersonal—Peplau Anxiety Disorders Unit Objectives: 1. Identify predisposing factors of anxiety disorders. 2. Describe outcome criteria for each of the identified anxiety disorders. 3. Discuss the action, side effects, potential adverse reactions, and nursing implications for benzodiazepine medications. 4. Discuss coping strategies in the management of stress. 5. Describe clinical manifestations, goals, nursing interventions, and treatment of clients with: Content Topics: a. Obsessive compulsive disorder b. Post Traumatic Stress Syndrome c. Panic disorder d. Phobias e. Generalized anxiety disorders f. Pharmacology/Benzodiazepines g. Pharmacology/Nonbenzodiazepines Mood Disorders Unit Objectives: 10. Identify the main characteristics of the following mood disorders: 1. Describe biologic and psychosocial theories about the etiology of mood disorders. 2. Differentiate between normal grief reactions and pathological grief behaviors. 3. Describe the emotional, cognitive, behavioral, and physical symptoms associated with depression. 4. Describe three phases of treatment for mood disorders. 5. Identify outcomes, goals and planning for each phase of treatment for mood disorders. 6. Describe risk factors and clues that might signal suicidal thoughts. 7. Develop nursing interventions and communication strategies for clients with depression, mania, and suicide ideation. 8. Compare advantages, actions, side effects and nursing implications for mood stabilizing medications and antidepressants. 9. Discuss electroconvulsive therapy including Content Topics: a. Major depression b. Bipolar disorders c. Mania/hypomania d. Seasonal affective disorder e. Premenstrual dysphoric disorder f. Pharmacology/Tricyclic drugs g. Pharmacology/ MAO-Inhibitors (Monoamine Oxidase Inhibitors h. Pharmacology/SSRIs (Selective Serotonin Reuptake Inhibitors i. Pharmacology/SINRIs (Serotonin/Norepinephrine Reuptake Inhibitors) j. Pharmacology/NDRIs (Norepinephrine Dopamine Reuptake Inhibitors k. Pharmacology/Atypical antidepressants (trazodone) Personality Disorders Unit Objectives: 1. Compare and contrast the main characteristics of the three clusters of personality disorders 2. Describe current treatment modalities for clients with personality disorders. 3. Describe the limitations in the use of medications to relieve symptoms associated with personality disorders. 4. Develop nursing interventions and communication strategies for clients with personality disorders. 5. Discuss the importance of setting and keeping clear boundaries when working with persons with personality disorders. Content Topics: Cluster A/ paranoid, schizoid, and schizotypal personality disorders Cluster B/ antisocial, borderline, and narcissistic personality disorders Cluster C/ dependent, obsessive-compulsive, avoidant personality disorders Psychotic Disorders Unit Objectives: 1. Define schizophrenia. 2. Describe the progression of symptoms from prodromal to the acute phase of schizophrenia. 3. Describe five basic categories of schizophrenia. 4. Differentiate among the three phases of schizophrenia regarding symptoms, focus of care, and needs for intervention. 5. Discuss non-pharmacological treatment modalities for clients with schizophrenia that may be beneficial. 6. Describe effective strategies of individual, group, and family therapies that may helpful for clients with schizophrenia and their families. 7. Describe three common problems associated with severe mental illness. 8. Discuss behavioral and psychological manifestations of severe mental illness in relation to the person’s ability to function, their families, and others. 9. Identify evidence-based practices for the care of the severely mentally ill. 10. Discuss the importance of medication and the need for the severely mentally ill to adhere to the regimen 11.Discuss properties of the traditional and atypical antipsychotic drugs such as: Content Topics: a. Target symptoms b. Indications for use c. Adverse effects/toxic effects d. Patient/family teaching e. Pharmacology/Phenothiazines f. Pharmacology/Nonphenothiazines (haloperidol, thiothixene, pimozide) g. Pharmacology/atypical antipsychotic drugs (risperdal, olanzapine, quetiapine, aripiprazole, ziprasidone, clozapine) Addiction Unit Objectives: 1. Compare and contrast substance abuse and substance dependence. 2. Discuss the components of assessment of a chemically dependent person. 3. Discuss current treatment modalities for persons who abuse substances. 4. Discuss short term outcomes for the client and family relating to withdrawal, treatment and health maintenance, including use of self-help groups. 5. Discuss legal and ethical responsibilities of nurses who observe impaired colleagues. 6. Describe aspects of enabling behaviors. 7. Identify potential indications that a person is successfully recovering from substance abuse. 8. Identify behaviors of use, overdose, and withdrawal in persons who use drugs such as:Inhalants/solvents, barbiturates, opiates, cannabis, hallucinogens, PCP, benzodiazepines, alcohol, cocaine, amphetamines. Content Topics: a. Pathophysiology/substance abuse (alcoholism, drug abuse) b. Nursing assessment c. Treatment modalities/support groups, detoxification, pharmacological intervention d. Symptoms of alcohol withdrawal e. Symptoms of drug withdrawal and drug overdose :Inhalants/solvents, barbiturates, opiates, cannabis, hallucinogens, PCP, benzodiazepines, cocaine, amphetamines) f. Pharmacology/alcohol deterrents (disulfiram, acamprosate) g. Pharmacology/Vitamin B1 and B complex h. Pharmacology/benzodiazepines Abuse and Violence Unit Objectives: 1. Describe the cycle of violence in reference to individual violence and family violence. 2. Describe personality characteristics of an abusive adult. 3. Identify factors that predispose a child or spouse to physical violence. 4. Describe legal responsibilities of health care providers in documentation and reporting of suspected or known family abuse. 5. Discuss assessment indicators and interventions for child, adult, and elder abuse. 6. Idetify common reactions and nursing interventions for acute and long-term phases of rape-trauma syndrome. 7. Describe nursing interventions for prevention and management of aggressive behaviors. 8. Identify factors that may be useful in predicting violent behavior. Content Topics: a. Types of abuse (mental, physical, sexual abuse, neglect) b. Child abuse c. Intimate-Partner Violence d. Elder abuse e. Rape and sexual assault f. Legal responsibilities of health care providers g. Preventative measures Cognitive Impairment Disorders in the Older Adult Unit Objectives: 1. Discuss the demographics of the older population and the impact on mental health care. 2. Identify components of an assessment of the healthy geriatric client and the client with cognitive impairment. 3. Identify the clinical manifestations of a client with Alzheimer’s disease. 4. Discuss identified behaviors, goals, and nursing interventions associated with mental health problems in the older adult including 5. Describe potential barriers to mental health care for the older adult. Content Topics: Psychiatric Disorders of Children and Adolescents Unit Objectives: 1. Discuss factors that contribute to child and adolescent psychiatric disorders. 2. Describe treatment modalities for selected disorders of childhood and adolescence 3. Describe the nurse’s role in administering medications used to treat psychiatric disorders in children and adolescence. 4. Describe clinical manifestations and intervention strategies for: Content Topics: a. Autism spectrum disorders b. Attention deficit hyperactive disorder c. Separation anxiety disorder d. Mood disorders e. Conduct disorder f. Adjustment disorders Community-based Mental Health Nursing Unit Objectives: 1. Distinguish between goals and interventions of mental health care in the hospital and the community. 2. Describe the role of the nurse as a member of the interdisciplinary team in caring for chronically ill and/or homeless mentally ill in the community. 3. Discuss the continuum of psychiatric care from the acute care setting to the community setting. 4. Identify community resources for the chronically and/or homeless mentally ill. 5. Discuss barriers to mental health treatment in the community setting. Content Topics: Alterations in Ingestion, Digestion, Absorption, and Elimination Unit Objectives: 1. Perform a comprehensive assessment with a focus on collecting data on clients across the lifespan who have complex alterations in ingestion, digestion, absorption, and elimination. 2. Integrate knowledge of anatomy, physiology, pathophysiology, nutrition, and developmental variations into the plan of care for clients across the lifespan who have complex alterations in ingestion, digestion, absorption, and elimination. 3. Ascertain priority actions for clients across the lifespan who have complex alterations in ingestion, digestion, absorption, and elimination. 4. Integrate knowledge of the actions, contraindications, potential side effects, and nursing implications when administering medications to clients across the lifespanwho have complex alterations in ingestion, digestion, absorption, and elimination. 5. Interpret diagnostic tests and perform related nursing interventions when providing care to clients across the lifespan who have alterations in ingestion, digestion, absorption, and elimination. 6. Demonstrate correct use and establish proper functioning of therapeutic devices that support ingestion, digestion, absorption, and elimination. 7. Ascertain the role of the nurse when providing quality care to clients across the lifespan who have an alteration in ingestion, digestion, absorption, and elimination. 8. Provide health- and safety-related education to clients across the lifespan who have an alteration in ingestion, digestion, absorption, and elimination. 9. Integrate cultural, ethical, and legal tenets into the plan of care for clients across the lifespan who have alterations in ingestion, digestion, absorption, and elimination. Content Topics: a. Pathophysiology/ Infectious and Inflammatory disorders (peptic ulcer disease, Crohn’s disease, ulcerative colitis, pancreatitis, hepatitis, cirrhosis) b. Pathophysiology/ Abnormal cell proliferation disorders (Oral/esophageal cancer, colorectal cancer, liver cancer c. Pathophysiology/ Increased arterial pressure (esophageal varices) d. Pharmacology/ Antacids e. Pharmacology/ H2 receptor antagonists f. Pharmacology/ Proton pump inhibitors g. Pharmacology/ Prostaglandin analogs h. Pharmacology/ Mucosal barrier fortifiers i. Pharmacology/ IBS specific drugs j. Pharmacology/ Antispasmodics k. Pharmacology/ Antidiarrheals l. Pharmacology/ Prokinetic agents m. Pharmacology/ Hepatitis A, Hepatitis B Vaccinations n. Pharmacology/ Interferon o. Pharmacology/ Nucleoside analogs p. Nutrition/ Dietary measures to decrease esophageal reflux q. Nutrition/ Low fiber, low lactose, high protein, high calorie diet r. Nutrition/ Limited fat, high protein, high carbohydrate diet s. Nutrition/ High carbohydrate and calories, moderate fat and protein diet Alterations in Cognition and Sensation Unit Objectives: 1. Perform a comprehensive assessment with a focus on collecting data on clients who have complex alterations in cognition and sensation. 2. Integrate knowledge of anatomy, physiology, pathophysiology, nutrition, and developmental variations into the plan care for clients who have complex alterations in cognition and sensation. 3. Ascertain priority actions for clients who have complex alterations in cognition and sensation. 4. Integrate knowledge of the actions, contraindications, potential side effects, and nursing implications when administering medications to clients who have complex alterations in cognition and sensation. 5. Interpret diagnostic tests and perform related nursing intervention when providing care to clients who have alterations in cognition and sensation. 6. Demonstrate correct use and establish proper functioning of therapeutic devices that support cognition and sensation. 7. Ascertain the role of the nurse when providing quality care to clients who have an alteration in cognition and sensation. 8. Provide health- and safety-related education to clients who have an alteration in cognition and sensation. 9. Integrate cultural, ethical, and legal tenets into the plan of care for clients who have alterations in cognition and sensation. Content Topics: a. Pathophysiology/ Trauma related disorders (head injuries, spinal cord injuries) b. Pathophysiology/ Degenerative neurological disorders (multiple sclerosis) c. Pathophysiology/ Ischemic disorders (TIA, cerebrovascular accident, cerebral aneurysm) d. Pathophysiology/ Abnormal cell proliferation (brain tumors, spinal cord tumors) e. Pharmacology/ Centrally acting muscle relaxants f. Pharmacology/ Disease modifying drugs for MS (immunomodulators, immunosuppressants, glatiramer acetate g. Pharmacology/ Thrombolytics h. Nutrition/ Dysphagia diets (pureed, ground, soft, modified general diets) i. Nutrition/ Nutritional supplements and tube feedings Alterations in Immunity Unit Objectives: 1. Perform a comprehensive assessment with a focus on collecting data on clients across the lifespan who have complex alterations in immunity. 2. Integrate knowledge of anatomy, physiology, pathophysiology, nutrition, and developmental variations into the plan care for clients across the lifespan who have complex alterations in immunity. 3. Ascertain priority actions for clients across the lifespan who have complex alterations in immunity. 4. Integrate knowledge of the actions, contraindications, potential side effects, and nursing implications when administering medications to clients across the lifespan who have complex alterations in immunity. 5. Interpret diagnostic tests and perform related nursing interventions when providing care to clients across the lifespan who have alterations in immunity. 6. Demonstrate correct use and establish proper functioning of therapeutic devices that support immunity. 7. Ascertain the role of the nurse when providing quality care to clients across the lifespan who have an alteration in immunity. 8. Provide health- and safety-related education to clients across the lifespan who have an alteration in immunity. 9. Integrate cultural, ethical, and legal tenets into the plan of care for clients across the lifespan who have alterations in immunity. Content Topics: a. Pathophysiology/ Immunosuppression disorders (HIV/AIDS) b. Pathophysiology/ Autoimmune disorders (Guillain Barre’, myasthenia gravis, systemic lupus erythematosis) c. Pharmacology/ Corticosteroids d. Pharmacology/ Antiretroviral drugs (NRTIs, NNRTIs, PIs, fusion inhibitors) e. Pharmacology/ Immunosuppressants (calcineurin inhibitors, cytotoxic, antibodies) f. Nutrition/ High calorie, high protein diet Alterations in Integument Unit Objectives: 1. Perform a comprehensive assessment with a focus on collecting data on adults who have complex alterations in integument. 2. Integrate knowledge of anatomy, physiology, pathophysiology, nutrition, and developmental variations into the plan care for adults who have complex alterations in integument. 3. Ascertain priority actions for adults who have complex alterations in integument. 4. Integrate knowledge of the actions, contraindications, potential side effects, and nursing implications when administering medications to adults who have complex alterations in integument. 5. Interpret diagnostic tests and perform related nursing intervention when providing care to adults who have alterations in integument. 6. Demonstrate correct use and establish proper functioning of therapeutic devices that support integument. 7. Ascertain the role of the nurse when providing quality care to adults who have an alteration in integument. 8. Provide health- and safety-related education to adults who have an alteration in integument. 9. Integrate cultural, ethical, and legal tenets into the plan of care for adults who have alterations in integument. Content Topics: a. Pathophysiology/ Abnormal cell proliferation disorders (melanoma) b. Pharmacology/ Topical chemotherapy c. Nutrition/ High calorie, high protein diet d. Nutrition/ Enteral nutrition e. Nutrition/ Nutritional supplements f. Pathophysiology/Trauma (burns) Alterations in Mobility Unit Objectives: 1. Perform a comprehensive assessment with a focus on collecting data on adults who have complex alterations in mobility. 2. Integrate knowledge of anatomy, physiology, pathophysiology, nutrition, and developmental variations into the plan care for adults who have complex alterations in mobility. 3. Ascertain priority actions for adults who have complex alterations in mobility. 4. Integrate knowledge of the actions, contraindications, potential side effects, and nursing implications when administering medications to adults who have complex alterations in mobility. 5. Interpret diagnostic tests and perform related nursing intervention when providing care to adults who have alterations in mobility. 6. Demonstrate correct use and establish proper functioning of therapeutic devices that support mobility. 7. Ascertain the role of the nurse when providing quality care to adults who have an alteration in mobility. 8. Provide health- and safety-related education to adults who have an alteration in mobility. 9. Integrate cultural, ethical, and legal tenets into the plan of care for adults who have alterations in mobility. Content Topics: a. Pathophysiology/ Degenerative musculoskeletal disorders (osteoarthritis and joint replacement) b. Pathophysiology/ Trauma related disorders (complex fractures and tractions) c. Pathophysiology/ Ischemia related disorders (amputations) d. Pharmacology/ Corticosteroid injections e. Pharmacology/ Glucosamine chondroitin f. Nutrition/ Low calorie diet Clinical Objectives: A. Implement nursing care to clients, families, and groups across the lifespan from diverse backgrounds in a variety of settings that is compassionate, age and culturally appropriate and based on a client's preferences, values and needs. A.1. Client-centered care A.1.a. Perform a comprehensivel health assessment including physiological, psychological, sociological, and spiritual needs of clients and families across the lifespan experiencing (common) (uncomplicated acute and chronic) (stable and unstable acute conditions) health alterations in a variety of settings. / A.1.b. Use the nursing process to guide the delivery of client care to achieve optimal outcomes. / A.1.c. Provide culturally sensitive care to clients and families from diverse backgrounds. / A.1.d. Use clinical decision making when providing nursing care based on evaluation of client needs. / A.1.e Advocate for clients and families regarding nursing care issues. / A.1.f. Use verbal and nonverbal communication that promotes caring, therapeutic relationships with clients and families. B. Participate as a member of the interprofessional healthcare team in the provision of safe, qualityvclient-centered care. B.1. Teamwork and Collaboration E.1.a. Identify safety risks and environmental hazards in health care settings. / E.1.b. Practice performance of psychomotor skills that minimize safety risks and environmental hazards. / E.1.c. List National Patient Safety Goals that promote safety in healthcare settings. B.1.a. Participate as a member of the health care team. / B.1.b. Use communication techniques that support sharing client-related information with members of the healthcare team. C. Identify best current evidence from scientific and other credible sources as a basis for developing individualized client-centered plans of care. C.1. Evidence based practice C.1.a. Identify reliable sources for locating best current evidence and clinical practice guidelines. / C.1.b. Use best practice resources when developing individualized client-centered plans of care. D.1. Quality improvement D. Participate in data collection processes that support established quality improvement initiatives. D.1.a. Identify client care issues that can impact quality of care. / D.1.b Identify gaps between current client outcomes and desired client outcomes. / D.1.c Identify the relationship between Nurse Sensitive Indicators and client outcomes. E. Implement strategies that minimize risk and provide a safe environment for clients, self, and others. E.1. Safety F.1. Informatics F.1.a. Describe the effect that computerized information management systems have on the role of the nurse. / F.1.b. Implement strategies that protect the integrity of client information when providing client-centered care. G. Practice nursing in a professional, ethical, and legal manner while providing client-centered, standard-based nursing care. G.1. Professionalism G.1.a. Identify professional standards of nursing practice that guide practice. / G.1.b. Display professional accountability and responsibility in classroom and laboratory settings. / G.1.c. Describe how ethical principles and legal tenets guide nursing practice. / G.1.d. Describe how regulatory guidelines and institution policies guide nursing practice. F. Use evidence-based information and patient care technology in the provision of safe, quality client-centered care. H. Describe how leadership, management, and priority-setting skills are used to support safe, quality client-centered care. H.1. Leadership H.1.a. Identify organizational, time management and priority setting skills necessary to provide safe, quality client-centered care. / H.1.b. Identify the nurse’s role in regard to delegating tasks to appropriate members of the health care team. I. Identify the relationship between microsystems and macrosystems in healthcare. I.1. Systems-Based Practice I.1.a. Contrast the macrosystems and microsystems that exist in healthcare. / I.1.b. Identify work unit inefficiencies encountered in the practice setting. / I.1.c. Identify human and material resources needed by the work unit to provide safe, quality client-centered care. J. Use verbal and nonverbal communication strategies with clients and families from diverse backgrounds that promote an effective exchange of information, development of therapeutic relationships. J.1. Communication. J.1.a. Use verbal and nonverbal communication techniques that promote caring, therapeutic relationships with clients and families. / J.1.b. Integrate changes in communication and use of self, in relation to communication barriers, when caring for clients and families. / J.1.c. Communicate effectively with members of the healthcare team and report issues that indicate conflict is impacting client care. K. Provide health-related information to clients and families that facilitate their acquisition of new knowledge and skills. K.1. Client education K.1.a. Collect data to determine health-related education needs of real and simulated clients. / K.1.b. Develop a health-related teaching plan that addresses an identified education need for real and simulated clients. / K.1.c. Practice providing health-related education to real and simulated clients. Appendix L Faculty Organization Committee Minutes ALCORN STATE UNIVERSITY SCHOOL OF NURSING Faculty Organization Meeting Friday, January 8, 2016 Present: D. Spring, Dean of Nursing J. Baker L. Baskin D. Blanchard U. Brooks-Ware T. Cole B. Collins R. Fairchild L. Godley G. Hathcox J. Johnson Y. Powell-Young√ I. Sewell B. Smith S. Ware D. Williams G. Young √ Denotes absence I. Call to Order: Dr. Spring. II. Dr. Spring welcomed all in attendance to the New Year and hoped all had a good/restful holiday season. III. Approval of Agenda The agenda was approved with revisions. IV. Reading and Approval of Minutes. The minutes for November 30, 2015 were deferred to the next meeting. V. New Business TOPIC Copy of Offer Letters Student Scholarships DISCUSSION Some faculty offer letters did not specify tenure track and some faculty did not receive offer letters. Information was sent to the coordinators in Fall 2015 regarding student scholarships. ACTION Tenure track faculty offer letters are ok. Dr. Spring requested to see the offer letters for Ms. Collins and Ms. Baskins. Dr. Spring will follow-up with faculty offer letters not received. Dr. Spring requested the coordinators to follow-up on the MNF scholarship letters and give her feedback during the week of 1/11/16. Dr. Spring requested Dr. Sewell to move on the MOADN scholarship letters and give her feedback during the week of 1/11/16. Ms. Ware will follow-up with Ms. Israel [CHMI – Adams County, MS] regarding Maternal and Child Health Internships Opportunities for nursing students. The student scholarships are needed to get ASU SON back in the public eye. TOPIC ATI Materials DISCUSSION ATI resource materials were received. ACTION Ms. Golmon and Ms. BridgesChatman separated the ATI books for the students on 1/4/16 and 1/5/16. The students are to see Ms. Golmon and Ms. BridgesChatman the week of 1/11/16 to pick up their complete packet of ATI books. Faculty are to notify the students that all books may not be used at this time but assignments will be made as needed. Faculty are to encourage the students to use the ATI resource materials and to remind them of the $800 cost associated with purchasing the materials. Dr. Spring encouraged faculty to incorporate ATI into their resource list. ATI will count as 1 unit test grade. Student for Advisory Committee/Advisory Committee Meeting Student representatives are needed to serve on the ASU SON Advisory Committee. Orientation for Dr. Sewell’s and Ms. Ware’ students is scheduled for 1/21/16 with Mr. Clark [ATI]. Dr. Fairchild will do the orientation for Dr. Johnson’s students. Dr. Spring shared with faculty that several students have voiced praises for ASU SON purchasing ATI software. The ASU SON Advisory Committee will convene on 2/29/16 at noon in the library on the Natchez Campus. Faculty are expected to be in attendance at the said meeting. One student is needed from each track. Program Outcomes will be shared with the members of the ASU SON Advisory Committee. ASU SON Pinning Ceremony Dr. Lee and others from administration will be invited to the said meeting. The ASU SON Pinning Ceremony is scheduled for 5/5/16 at 1 p.m. Dr. Spring will convene a pinning ceremony committee to provide recommendations and suggestions for the location. TOPIC Application for Degree DISCUSSION Admission Criteria Application for Mr. Vaughn Cindy Clark Computer In-Service Training for Faculty/Staff T-Shirt Design for SON Dates Needed ATI-CMAP ACEN Reminders ACTION Faculty are to remind the students to complete their Application for Degree. Mr. Vaughn hand carried his application for admission to ASU SON and it was misplaced. Dr. Spring will allow Mr. Vaughn to apply after the deadline to avoid confusion. Dr. Clark [ATI Consultant] will be visiting ASU SON on 5/3/16 and 5/4/16 to speak with faculty on teaching strategies. Ms. Chatman will do a computer in-service for faculty/staff regarding trouble shooting, etc. Dr. Spring will get with Ms. Chatman to determine her available dates/times. Dr. Spring suggested that the Faculty/Student Committee decide on 1 generic t-shirt design for the SON to be used as a fundraiser. The coordinators are to work with faculty to decide on the dates for the 2 day workshop on item writing and dates for the Hurst Review. Dr. Spring requested the dates be submitted to her during the week of 1/11/16. The MSN Department is welcome to attend the workshop on item writing. ATI-CMAP is scheduled for 2/2/16 and 2/3/16 for ASN faculty. Dr. Spring shared with faculty an email she received from the ACEN Board of Commissioners to review Standard 6. ACEN is allowing schools of nursing who were in non-compliance with Standard 6 and is now in compliance to resubmit Standard 6 before 1/20/16. Students need to have the clinical supervision guidelines. Dr. Fairchild needs to see the course syllabi prior to the start of class [1/11/16]. The main focus is the evaluation component. The syllabi have to be sent to main campus. Grade calculation should not be included as part of the syllabus. This section can be given to students separately. TOPIC DISCUSSION Announcements ACTION Parscore has been loaded to the server to assist faculty. Ms. Collins will follow-up with Mr. Reed from ASU Extension Services regarding his request for nursing students to do health screenings on 1/20/16. Dr. Spring requested faculty to complete the following NurseTim webinars: - Alternate Format and Innovative Test Items [Critical Thinking Matters] - NCLEX® Across the Curriculum Part 1 & 2 - NCLEX® Update - Accreditation Success - Systematic Program Evaluation - Test Blue Prints [Formula for Success] - Test Item Writing [From Knowledge to Success] - Teaching Strategies VI. Other Reports Dr. Blanchard reported planning a Disaster Drill to include hospitals and ASU SON. Career Fair [2/15/16, 1:00 p.m. – 3:00 p.m., MBA] Dr. Baker reported purple and gold day at the State Capitol is scheduled for 1/13/16. Graduate students will accompany her to this event. Dr. Spring stated that next year activities [Summit, State Capitol, etc.] will be built into the curriculum for students. Spring 2016 Program Numbers: As of January 8, 2016 ASN ASN ASN BSN BSN BSN BSN MSN MNS MNS Total Level Level Total Junior Senior RNTotal Nurse Nurse I II Level Level BSN Pract Educator Started 38 11 27 46 19 21 6 24 22 2 with: Currently: *Less than 77 test avg *Dr. Spring asked the Directors/Program Coordinators to report the number of students who have a less than 77 test average at the FOC meetings. VII. Adjournment Respectfully submitted, __________________________________________ Angela Pittman, Recorder Program Total 108 ALCORN STATE UNIVERSITY SCHOOL OF NURSING Faculty Organization Meeting Monday, February 22, 2016 Present: D. Spring, Dean of Nursing J. Baker L. Baskin D. Blanchard U. Brooks-Ware T. Cole B. Collins C. Dollar R. Fairchild L. Godley G. Hathcox J. Johnson Y. Powell-Young I. Sewell B. Smith S. Ware D. Williams G. Young VIII. Call to Order: Dr. Spring. IX. X. Approval of Agenda The agenda was approved as written. Reading and Approval of Minutes. The minutes for January 8, 2016 were approved with the necessary revisions. XI. New Business TOPIC Faculty and Staff Employee Performance Review and Evaluation DISCUSSION Update Advisory Committee Update ACTION The Dean, Associate Dean, and Director will evaluate their direct reports. Deadline extended until 3/31/16. The Advisory Committee will convene on 2/29/16 at 12:00 p.m. in the MBA Multi-purpose Room. Agenda items: - Dr. Spring - Outcomes - Dr. Fairchild - ASN/BSN Curriculum Development - Dr. Baker - MSN Outcomes - Dr. Godley - Resources Dr. Spring urged all faculty to attend. Pinning Updates Update Dr. Sewell reported: - Undergraduate Pinning Ceremony will be held on 5/5/16 at 1 p.m. in the Davey L. Whitney Complex on the Lorman Campus. - Quotes for the cake/punch have been requested from Sodexo. - Invites will be sent to the undergraduate students electronically. - Student representatives have been attending the TOPIC DISCUSSION Graduate Hooding/White Coat Ceremony Update Breastfeeding Room Breastfeeding Room for faculty only Documentation of Faculty Competency Development of a Faculty Competency tool ACEN Update Communication received from Dr. Stoll [CEO, ACEN] regarding possible standards and criteria revisions. ACTION meetings. - Contact has been made with the photographer. - Faculty needed to assist with checking of uniforms [dates TBA]. Ms. Baskins reported: - Graduate Hooding/White Ceremony will be held on 5/5/16 at 9:30 a.m. in the MBA Lecture Hall. The speaker is TBA. Room 176 has been identified as the Breastfeeding Room for faculty only. Dr. Spring stated all hospitals are requiring documentation to note faculty competency. Dr. Blanchard, Dr. Sewell, and Ms. Baskin will develop a competency checklist for the Dean’s review. Dr. Spring reported: - Standard 2 [Faculty/Staff] faculty/staff credentials are whatever is allowed by the governing body and state agencies. - Faculty/staff are evaluated based on the university requirements. - Standard 4 [Curriculum] total number of semester hours is congruent with the program of study, student learning outcomes, and state and governing organization policies and accrediting agencies. - Standard 5 [Resources] no revisions. - Standard 6 [Outcomes] SEP no longer encompasses all ACEN standards and criteria. - SEP to reflect student learning outcomes and program outcomes, NCLEXRN® pass rates, program completion, and job placement. - Deletion of graduate/employer satisfaction as part of the required program outcomes. NCLEX pass rates are 3 year mean at or above national average on 1st and TOPIC DISCUSSION Student Scholarships Available scholarships ACTION 2nd writes. This gives a little breathing room if students are not successful on the 1st write. - Need to continue to have a mechanism in place for validation and evidence to support where the information was obtained. Eliza Pillars has a scholarship available to 1 BSN student and 1 ASN student. The scholarship information is sent out in April and awarded in August. Dr. Godley stated she thinks Vicksburg Medical Center provides $50,000 in scholarship monies to ASU and will follow-up to see how the monies are dispersed. Mission Statement Review of Mission Statements for the SON [attached] and ASN [attached] Dr. Godley will be the contact person for the students regarding available scholarships. A motion was made by Ms. Ware to accept the Mission Statement for the SON as written. Dr. Godley seconded the motion. Faculty voted unanimously to accept this motion. Faculty unanimously accepted the recommendation for the Mission for ASN to be approved as written. BSN Curriculum BSN proposed generic curriculum [attached] and RN-BSN curriculum [attached] discussed The mission for MSN and BSN is a work in progress. Dr. Fairchild reported: Generic Curriculum - Elimination of 2 required PEs, chemistry/chemistry lab, and intro to computers. - Add 1 hour to N462 [Synthesis] - 120 hours are needed to graduate. RN-BSN Curriculum - Reduce to 120 hours. - Add Synthesis as a 3 hour elective instead of a 2 hour elective. - Add N462 on-line as a 1 hour course. Elimination of courses did not interfere with the required university course semester TOPIC ASN Curriculum DISCUSSION ASN Proposed Plan of Study [attached] ACTION hours. Faculty voted unanimously to accept the recommended changes to the BSN Curriculum. Dr. Fairchild reported: - University of Life [UL101] be moved to a pre-requisite. - Remove English Comp II and General Psychology. - Move Growth and Development to Fall Level 2. - Clinical rotation would be 1:3 ratio. - Lecture will meet 4 hours of theory p/week and 12 hours of clinical p/week. Accrediting bodies are encouraging the requirement for an Associate Degree be between 60 and 64 credit hours. Faculty voted unanimously to accept the recommended ASN Proposed Plan of Study. MSN Curriculum GAP Analysis Remediation Curriculum changes in MSN Status of GAP Analysis Remediation for students with a less than 77% test average The ASN Proposed Plan of Study must go before the ASU Curriculum Committee for approval. Dr. Baker asked faculty if they had questions/concerns pertaining to the MSN curriculum, please address them to her directly. NE track may be suspended for 1 semester. Only 1 application has been received. The application deadline is March 15th for summer admission. Dr. Godley wanted to know where BSN is with the GAP Analysis. Ms. Hathcox reported 2 competencies were issued out but never reconvened. Ms. Hathcox stated she will keep Dr. Godley updated regarding the same. ASN has completed their GAP Analysis. Dr. Spring requested the faculty to devise a plan of action for students who do not come in for remediation with a less than 77% test average. Further discussion regarding the same will continue at the next FOM. TOPIC DISCUSSION Announcements ACTION Ms. Hathcox will share with faculty the remediation form that the students complete when they meet with her for remediation. Ms. Collins will speak at the Heart Health Go Red for Women Event [component of the American Heart Association] on 2/24/15. The event is sponsored by the Mississippi Homemaker Volunteers [Adams County Council]. SON Advisory Committee will convene on 2/29/16 at 12:00 p.m. in the MBA Multi-purpose Room. Item Writing Workshop is scheduled for 4/7-8/16. Hurst Review for the undergraduate nursing students is scheduled for 4/25-27/16. Teaching strategies is scheduled for 5/3-4/16. The Undergraduate Pinning Ceremony is scheduled for 5/5/16 at 1:00 p.m. on the Lorman Campus. The Hooding/White Coat Ceremony for the graduate nursing students is scheduled for 5/5/16 at 9:30 a.m. on the Natchez Campus. V. Spring 2016 Program Numbers: As of February 22, 2016 ASN ASN ASN BSN BSN BSN BSN MSN MNS MNS Total Level Level Total Junior Senior RNTotal Nurse Nurse I II Level Level BSN Pract Educator Started 38 11 27 45 19 21 5 24 22 2 with: Currently: 38 11 27 44 19 20 5 23 22 1 *Less than 77 6 14 5 10 test avg *Dr. Spring asked the Directors/Program Coordinators to report the number of students who have a less than 77 test average at the FOC meetings. VI. Adjournment Respectfully submitted, __________________________________________ Angela Pittman, Recorder Program Total 107 105 35 Appendix M ASU SON Advisory Council Meeting Minutes School of Nursing Advisory Council Meeting February 29, 2016 12:00 p.m. – 1:00 p.m. MBA Multi-Purpose Room Welcome Dr. Spring welcomed all in attendance. Introductions The advisory council, faculty, staff, and student representatives from the graduate and undergraduate programs introduced themselves [list is attached]. The advisory council was asked to give their job title, place of employment, and a brief description of the services provided by their institution. Program Outcomes [report attached] Dr. Spring reported: - Enrollment numbers are down to help stabilize the program. - SON is doing fairly well with completion rates. - SON is experiencing difficulty with NLCEX-RN® pass rates for the BSN and ASN students. - Job placement is going well for the SON graduates. There is a need to receive feedback response forms from the graduates regarding the same. - ACEN may possibly eliminate the graduate/employer satisfaction as a part of the required program outcomes. There were no question/comments from the Advisory Council. Undergraduate Programs Dr. Fairchild reported: - ATI resources have been provided to all students at no cost. - The Revised Proposed Plan of Study for the ASN will start in Fall 2016. - Work on the BSN curriculum will start in Fall 2016. There were no questions/comments from the Advisory Council. Graduate Program [report attached] Dr. Baker reported: - Graduate program is no longer on conditions with ACEN, Mississippi IHL [will be reflected on website in May 2016], and Louisiana State Board of Nursing [reapproved to continue clinical experiences in the State of Louisiana]. - Curriculum revisions have been made to make it more competitive and aligned with other graduate programs state and nationwide. - Eighteen [18] students graduated in May 2015. All students have passed the National Examination for Advance Practice Nurse FNP and Psych Mental Health on the 1st write giving a pass rate of 100%. There were no questions/comments from the Advisory Council. Greetings Dr. John Igwebuike [Vice Provost for Academic Affairs] brought greetings on behalf of Dr. Donzell Lee [Provost/Executive Vice President for Academic Affairs]. Resources [report attached] Dr. Godley updates: - Hurst Review will be offered in April 2015 to all graduating nursing students. - Items on hand in the Virtual Clinical Laboratories: Birthing lab 6-bed virtual hospital 3-G Sim 2 Regular SimMan Manikins Virtual Sims Child Meti Man 2 Adult Vital Sim Manikins and 2 children Noelle - Items in the process of being purchased for the Virtual Clinical Laboratories: Medi-dose Dispenser Laerdal Mom Laerdal Junior Sim View VSims [interactive classroom activities for each subject area] Questions Regarding poster design, Dr. Hoover asked if there was a design resource person in place and is this resource person available to graduate students? Dr. Hoover further stated a design resource person could help the students with community presentations. Dr. Godley stated design resource is available to graduate students but there is no design resource person. Dr. Hoover stated there are available resources on-line. Dr. Hinson asked what resources are available to the students in preparation for the interview process. Dr. Spring stated the students are enrolled in a leadership course and their professionalism is a work in progress. Comment Dr. Hoover shared with all in attendance that it is rare to see this kind of support/turnout at a mid-day SON Advisory Council Meeting and thanked Dr. Spring for inviting them. Virtual Hospital A tour of the virtual hospital was available to all in attendance. Adjournment Meeting adjourned at 1:03 p.m. Appendix N ASN Systematic Evaluation Plan Template STANDARD 1: Mission and Administrative Capacity The mission of the nursing education unit reflects the governing organization’s core values and is congruent with its mission/goals. The governing organization and program have administrative capacity resulting in effective delivery of the nursing program and achievement of identified program outcomes. 1.1 The mission/philosophy and program outcomes of the nursing education unit are congruent with the core values and mission/goals of the governing organization. Expected Level of Achievement Mission: 80% of faculty agree that the mission, philosophy and program outcomes are congruent with the core values and mission/goals of the Alcorn State. 1. Planning Frequency Every 3 years or as indicated September 1. 2. Method of Assessment Analysis of faculty vote. Comparative analysis table which demonstrates congruency between University’s mission, core values, goals and School of Nursing mission, philosophy, and program outcomes. Implementation and Evaluation Results of Data Identify if Goal was met or not met. Explain how you met or did not meet the Goal. What data did you collect? What was your analysis of the data? Faculty Meeting Minutes Date Action Plan If Goal was not met: Write an ACTION PLAN for Program Development or Revision. If Goal was met: Write how you will MAINTAIN or CONTINUE to measure the Goal. 2014/2015: 2014/2015: 2015/2016: 2015/2016: 2016/2017: 2016/2017: 1.2 The governing organization and nursing education unit ensure representation of the nurse administrator and nursing faculty in governance activities; opportunities exist for student representation in governance activities. 1. 2. 3. 4. Expected Level of Achievement Faculty: 50% of full-time faculty will serve on university-wide committees. Faculty: 100% of faculty will serve on School of Nursing committees. Nursing Unit Administrator: School of Nursing Dean and/or Associate Dean will serve on at least one University-wide committee. Students: One student from each level and from each program type (3 students) will serve on the Student/Faculty Committee. Results of Data Planning Frequency Each August Method of Assessment 1. 2. 3. 4. Faculty Meeting Minutes Date Faculty: Analysis of minutes from meetings to confirm membership and record of attendance. Nursing Unit Administrator: Analysis of minutes from meetings to confirm membership and record of attendance. Students: Analysis of minutes from meetings to confirm membership and record of attendance. Students: Review of Smoke Signals, which is the official for students to voice their issues and concerns. Action Plan 1.3 Communities of interest have input into program processes and decision- making. Planning Expected Level of Achievement 1. Advisory Board: 60% of Advisory Council members who respond to a survey will agree or strongly agree that they have input into the nursing processes and decision-making. 2. Accrediting bodies: 100% of Annual Reports to IHL and ACEN are completed and submitted by due date. Frequency Annually February Annual Reports are submitted by due date Implementation and Evaluation Results of Data 1. 2. Faculty Meeting Minutes Date 3. Method of Assessment Advisory Council: Analysis of Advisory Council survey results. Advisory Council: Analysis of Advisory Council meeting minutes for evidence of input from membership. Official communication from accrediting bodies regarding accreditation status. Action Plan 1.4 Partnerships that exist promote excellence in nursing education, enhance the profession, and benefit the community. 1. Expected Level of Achievement Partnerships: At least two active partnerships exist annually to promote nursing education and enhance the nursing profession. Planning Frequency Annually February 1. 2. Method of Assessment Partnerships: Quantitative analysis of active partnerships. Partnerships: Review of table outlining partnerships and School of Nursing involvement. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 1.5 The nursing education unit is administered by a nurse who holds a graduate degree with a major in nursing. Expected Level of Achievement 1. Administrator: The Dean holds a graduate degree in nursing. Planning Frequency Verified prior to hire. 1. Method of Assessment Administrator: Analyses of official transcripts, curriculum vitae, and nursing license. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 1.6 1. 2. The nurse administrator is experientially qualified, meets governing organization and state requirements, and is oriented and mentored to the role. Planning Expected Level of Achievement Frequency Nurse Administrator: The nurse administrator has at least 5 years of At the time of hire 1. recent administrative experience in nursing education. Orientation: Nurse administrator is oriented and mentored to the Annual evaluation 2. role for two semesters from the time of hire. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Method of Assessment Experience: Analysis of curriculum vitae and position description. Verification of state and currency of Registered Nurse license. Orientation: Annual evaluation. Action Plan 1.7 When present, nursing program coordinators and/or faculty who assist with program administration are academically and experientially qualified. 1. Expected Level of Achievement Coordinators are credential faculty with a minimum of five (5) years of experience in teaching in nursing education within the past two year. Planning Frequency Annually 1. Method of Assessment Program Coordinators: Analysis of curriculum vitae, transcripts, and position description. March Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 1.8 The nurse administrator has authority and responsibility for the development and administration of the program and has adequate time and resources to fulfill the role responsibilities. Expected Level of Achievement 1. 2. 3. Planning Frequency Position description supports the role of the Dean in developing and Annually 1. administrating the School of Nursing. 2. The Dean has 100% release time for the administration of the School May of Nursing. 3. 80% of the faculty agree or strongly agree that the Dean has sufficient time and support staff to fulfill the responsibilities of the Dean./ Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Method of Assessment Analysis of the Dean’s CV and position description. Analysis at yearly evaluation that Dean has sufficient time to fulfill responsibilities. Analysis of faculty survey. Action Plan 1.9 The nurse administrator has the authority to prepare and administer the program budget with faculty input. Planning Expected Level of Achievement 1. 2. Position Description supports the role of the Dean in preparing and administering the program budget. 80% of faculty will agree or strongly agree that faculty have input into the budget. Frequency Annually 1. March 2. Method of Assessment Comparative analysis with position description and authority to administer the budget. Analysis of faculty survey results. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 1.10 Policies for nursing faculty and staff are comprehensive, provide for the welfare of faculty and staff, and are consistent with those of the governing organization; differences are justified by the goals and outcomes of the nursing education unit. Planning Expected Level of Achievement 1. 2. Frequency Annually 80% of faculty agree or strongly agree that Policies of faculty of the 1. nursing unit are congruent with university policies, or differences are 2. May justified. 80% of staff agree that policies of the School of Nursing are congruent with university policies. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Method of Assessment Comparative analysis of policies. Differences justified in a table. Comparative analysis of School of Nursing staff policies with University staff policies. Action Plan 1.11 Distance education, when utilized, is congruent with the mission of the governing organization and the mission/philosophy of the nursing education unit. Planning Expected Level of Achievement Frequency Method of Assessment Implementation and Evaluation Results of Data Faculty Meeting Minutes Date 2014-2015: The ASN program does not utilize distance education. Action Plan STANDARD 2: Faculty and Staff Qualified and credentialed faculty are sufficient in number to ensure the achievement of the student learning outcomes and program outcomes. Sufficient qualified staff are available to support the nursing education unit. 2.1 Full-time faculty hold a minimum of a graduate degree with a major in nursing. Full- and part-time faculty include those individuals teaching and/or evaluating students in classroom, clinical, or laboratory settings. 1. Expected Level of Achievement 100% of full-time faculty hold a master’s degree with a major in nursing. Planning Frequency At the time of hire 1. Method of Assessment Comparative analysis of current official transcript and curriculum vitae. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 2.2 Part-time faculty hold a minimum of a baccalaureate degree with a major in nursing; a minimum of 50% of the part-time faculty also hold a graduate degree with a major in nursing. Planning 1. Expected Level of Achievement 100% of part-time faculty hold a master’s degree with a major in nursing. Frequency At the time of hire. Method of Assessment 1. Comparative of current official transcript and curriculum vitae. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 2.3 Faculty (full- and part-time) credentials meet governing organization and state requirements. Planning 1. 2. Expected Level of Achievement 100% of full- and part-time faculty meet University and IHL’s credentialing requirements. 100% of faculty will document an annual Professional Development Plan. Frequency At time of hire and annually. Method of Assessment 1. 2. 3. Analysis of University and IHL requirements for faculty credentials. Review of current transcript and RN license Review of Professional Development Plan. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 2.4 Preceptors, when utilized, are academically and experientially qualified, oriented, mentored, and monitored, and have clearly documented roles and responsibilities. Planning 1. 2. Expected Level of Achievement 100% of preceptors are academically and experientially qualified as verified by the signed Preceptor Agreement. 100% of preceptors are oriented and mentored to roles and responsibilities. Frequency Annually 1. December 2. Method of Assessment Analysis of preceptor agreement for education, clinical experience, and validation of licensure. Review of preceptor packet for inclusion of roles and responsibilities and acknowledgement of being mentored to roles and responsibilities. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 2.5 1. The number of full-time faculty is sufficient to ensure that the student learning outcomes and program outcomes are achieved. Expected Level of Achievement 80% of faculty agree or strongly agree that full-time faculty are sufficient to maintain faculty-to-student ratios of 1:10 clinical and 1:25 classroom. Planning Frequency August, January, and May 1. 2. Method of Assessment Table displaying faculty workload. Table displaying faculty teaching assignments with classroom and clinical ratios Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 2.6 1. 2. Faculty (full- and part-time) maintain expertise in their areas of responsibility, and their performance reflects scholarship and evidence-based teaching and clinical practices. Planning Expected Level of Achievement Frequency 100% of faculty will maintain expertise in teaching area by earning at 1. least 10 CEUs annually. Each March 2. Faculty will identify evidence of at least two (2) evidence-based 3. classroom and clinical strategies implemented annually. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Method of Assessment Definition of Scholarship. Continuing Education Certificates or transcripts Curriculum Vitae and Professional Development Plan Action Plan 2.7 The number, utilization, and credentials of staff and non-nurse faculty within the nursing education unit are sufficient to achieve the program goals and outcomes. Expected Level of Achievement 1. Staff: 80% of Faculty agree or strongly agree that staff are sufficient in numbers to achieve program goals and outcomes. Planning Frequency April Method of Assessment 1. Analysis of item on Faculty Survey. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 2.8 1. 2. Faculty (full and part-time) are oriented and mentored in their areas of responsibility. Expected Level of Achievement Orientation: 100% of new full-and part-time faculty participate in University and School of Nursing orientation. Mentored: 100% of new faculty are assigned a nurse mentor for a minimum of two semesters. Planning Frequency At the time of hire and ongoing 1. 2. Method of Assessment Orientation: Complete Checklist form University Orientation Program. Mentoring: Complete School of Nursing Orientation and Mentoring checklist. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 2.9 Systematic assessment of faculty (full- and part-time) performance demonstrates competencies that are consistent with program goals and outcomes. 1. 2. Expected Level of Achievement 100% of full- and part-time faculty are evaluated annually. 80% of students responding to Student Evaluation of Instruction rate faculty performance in the classroom at 3.5 or higher. Planning Frequency Annually (March) After each course (December, May, July) 1. 2. 3. Method of Assessment Faculty Annual Performance Evaluation Results of Student Evaluation of Instruction Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 2.10 Faculty (full and part-time) engage in ongoing development and receive support for instructional and distance technologies. Planning 1. Expected Level of Achievement 100% of faculty teaching online are required to complete certification for teaching online. Frequency Annually (March) Method of Assessment 1. Review of Online Teaching Certificate of Completion. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan STANDARD 3: Students Student policies and services support the achievement of the student learning outcomes and program outcomes of the nursing education unit. 3.1 Policies for nursing students are congruent with those of the governing organization, publicly accessible, non-discriminatory, and consistently applied; differences are justified by the student learning outcomes and program outcomes. 1. 2. 3. Planning Expected Level of Achievement Frequency Annually (June) 80% of faculty agree or strongly agree that policies for nursing students 1. are congruent with those of the University. 80% of faculty agree or strongly agree that policies for nursing students 2. are publicly accessible, non-discriminatory, and consistently applied. 80% of faculty agree or strongly agree that differences in policies are 3. justified by student learning or program outcomes. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Method of Assessment Comparative analysis of table displaying School of Nursing and University Student policies. Review of Website for updated policies and current University and School of Nursing Handbooks. Analysis of Faculty Survey Action Plan 3.2 Public information is accurate, clear, consistent, and accessible, including the program’s accreditation status and the ACEN contact information. 1. 2. 3. Expected Level of Achievement 80% of ASN faculty agree or strongly agree published public information is accurate, clear, consistent, and accessible. 80% of ASN faculty agree or strongly agree the published program’s accreditation status is published accurately. 80% of ASN faculty agree or strongly agree published accrediting agencies contact information is accurate. Planning Frequency Annually (June) Method of Assessment All printed materials (including website) related to the program is reviewed annually in June for accuracy and functionality of links. 1. Analysis of Faculty Survey 2. Analysis of Faculty Survey 3. Analysis of Faculty Survey Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 3.3 Changes in policies, procedures, and program information are clearly and consistently communicated to students in a timely manner. 1. Goal Expected Level of Achievement 80% of student agree or strongly agree that changes in policies, procedures, and program information are communicated in a timely manner. Planning Frequency Ongoing – as policies and procedures change Method of Assessment 1. Analysis of Student Survey data. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 3.4 Student services are commensurate with the needs of nursing students, including those receiving instruction using alternative methods of delivery. 1. Expected Level of Achievement On Exit Survey, 80% of ASN students agree or strongly agree the following services meet the needs of nursing students. o o o o o o o o o Planning Frequency Annual (At end of ASN students last semester – May) Method of Assessment 1. Analysis of Student Exit Survey Financial Aid Business Office Bookstore Counseling Library Services Admissions Advisement Placement Natchez Campus Student Access Center Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 3.5 1. 2. Student educational records are in compliance with the policies of the governing organization and state and federal guidelines. Planning Expected Level of Achievement Frequency 1. Records: 100% of ASN student educational records are in compliance with the University’s policy, which follows state and federal guidelines. 2. 100% of nursing students educational files are kept in locked file cabinets in a secure room. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Method of Assessment Verify with University Registrar that policies are in place for maintenance of student records. Verify nursing student files (Natchez Campus) are kept in locked file in secure room. Action Plan 3.6 Compliance with the Higher Education Reauthorization Act Title IV eligibility and certification requirements is maintained, including default rates and the results of financial or Compliance audits. 3.6.1 A written, comprehensive student loan repayment program addressing student loan information, counseling, monitoring, and cooperation with lenders is available. 3.6.2 Students are informed of their ethical responsibilities regarding financial assistance. 3.6.3 Financial aid records are maintained in compliance with the policies of the governing organization, state, and federal guidelines. 1. 2. 3. Planning Goal Expected Level of Achievement Frequency Each September Loan Info: 100% of students receiving loans will receive written, and May comprehensive student loan repayment information addressing counseling, monitoring, and cooperation with lenders. Repayment: 100% of ASN students will receive information on the students’ responsibilities in relation to loan repayment. Compliance: Director of Financial will attest that 100% of Financial Aid records are in compliance with ASU, IHL, and federal guidelines. financial aid records Implementation and Evaluation Results of Data Faculty Meeting Minutes Date 1. 2. 3. 4. Method of Assessment Loan Info: Review of policies related to loan repayment. Repayment: Verification with Director of Financial Aid that students receive exit counseling. Compliance: Verification of 100% compliance with ASU, IHL, and Federal requirements by Director of Financial Aid. Default Rate: Verify with Director ASU Default Rate. Action Plan 3.7 1. 2. Records reflect that program complaints and grievances receive due process and include evidence of resolution. Goal Expected Level of Achievement Complaints/Grievance: 100% of ASU student complaints and grievances follow the SON and ASU grievance policies receive due process. Resolution: 100% of ASN student complaints/grievances are resolved. Planning Frequency As the need arise 1. 2. Method of Assessment Quantitative analysis: Table of complaints and grievances in previous year with record of resolution. Review of Grievance policy annually. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 3.8 1. 2. Orientation to technology is provided, and technological support is available to students. Expected Level of Achievement 80% of students will agree or strongly agree that orientation to technology is provided annually. 80% of students will agree or strongly agree that technology support is available to students, Planning Frequency Annually (May) 1. 2. Method of Assessment Quantitative analysis of Graduate Exit Survey. Quantitative analysis of Graduate Exit Survey. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 3.9 Information related to technology requirements and policies specific to distance education are accurate, clear, consistent, and accessible. Expected Level of Achievement The ASN program does not offer distance education. Planning Frequency Method of Assessment Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan STANDARD 4: Curriculum The curriculum supports the achievement of the identified student learning outcomes and program outcomes of the nursing education unit consistent with safe practice in contemporary healthcare environments. 4.1 The curriculum incorporates established professional standards, guidelines, and competencies, and has clearly articulated student learning outcomes (SLO’s) and program outcomes (PO) consistent with contemporary practice. 1. 2. Expected Level of Achievement The ASN curriculum incorporates at least three (3) professional standards/guidelines/competencies. 80% of the ASN faculty agree or strongly agree Planning Frequency Every 3 years (August) 1. 2. Method of Assessment Using side by side analysis, the ASN Council will compare program SLOs for congruency with the following standards: o Mississippi Competency Model Analysis of Faculty Survey Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 4.2 The student learning outcomes (SLOs) are used to organize the curriculum, guide the delivery of instruction, direct learning activities, and evaluate student progress. Expected Level of Achievement 1. 2. Planning Frequency 80% of ASN faculty will agree or strongly agree each program level SLO Annually (May) is threaded through the nursing courses. 80% of ASN faculty will agree or strongly agree each program level SLO learning activities and evaluation methods to measure student progress. Method of Assessment 1. 2. 3. Table displaying the leveling of program and course student learning outcomes across the curriculum. Table displaying program and course SLOs, learning activities and evaluation methods for each course. Analysis of Faculty Survey . Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 4.3 The curriculum is developed by the faculty and regularly reviewed to ensure integrity, rigor, and currency. Planning Frequency Expected Level of Achievement 1. 2. 3. 4. 80% of ASN faculty agree or strongly agree that the curriculum is developed with input from the faculty. Rigor: The curriculum is compared to the results of the comprehensive Exit Exam (HESI EXIT Exam or Comp Predictor) and Mountain Measurement. Areas where students scored less than the expected levels of achievement are reviewed and analyzed for inclusion in the curriculum. The curriculum is compared to the Detailed NCLEX® Test Plan every 3 years and updated as needed. 80% of classroom tests will follow prescribed test blueprints. Test questions will be reviewed based on analysis of test statistics. Method of Assessment 1. Annually (September) 2. Annually (September) 1 . Review of ASN Council Meeting minutes. Faculty Survey. 2. Review of summary reports of Comprehensive Exit Exam and Mountain Measurements. 3. Every 3 years (September) 4. Each Semester 3. Comparison of Detailed NCLEX-RN® Test Plan to ASN curriculum. 4. Table showing percent of classroom test with test blue prints developed and analyzed with item analysis and actions taken based on analyses. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 4.4 1. The curriculum includes general education courses that enhance professional nursing knowledge and practice. Expected Level of Achievement On Exit Survey, 80% of students agree or strongly agree that the general education courses for the ASN Program enhance nursing knowledge and practice. Planning Frequency Annually (May) 1. 2. Method of Assessment Review of General Education Course Syllabi Analysis of Exit Survey Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 4.5 The curriculum includes cultural, ethnic, and socially diverse concepts and may also include experiences from regional, national, or global perspectives. 1. 2. Planning Expected Level of Achievement Frequency 80% nursing faculty agree or strongly agree that 90% of nursing Annually 1. course syllabi include cultural, ethnic, and socially diverse (September) concepts. 2. On Exit Survey, 80% of ASN students responding to the survey Annually (May) 3. agree or strongly agree that nursing courses included cultural, ethnic, and social diverse concepts. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Method of Assessment Review of table displaying leveled SLOs for courses across the across the curriculum. Analysis of Faculty Survey . Analysis of Exit Survey. Action Plan 4.6 1. The curriculum and instructional processes reflect educational theory, interprofessional collaboration, research, and current standards of practice. Expected Level of Achievement 80% of ASN faculty agree or strongly agree that interprofessional collaboration, evidenced-based practice, current standards of practice and educational theory are reflected in the curriculum. Planning Frequency Annually (May) 1. 2. 3. Method of Assessment Analysis of ASN Council Meeting minutes. Analysis of assignments for inclusion of interprofessional collaboration, evidence-based practice, and current standards of practice. Analysis of Faculty Survey. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 4.7 Evaluation methodologies are varied, reflect established professional and practice competencies, and measure the achievement of the student learning outcomes. Expected Level of Achievement 1. Each faculty will identify on a faculty survey at least 3 different evaluation methods they use throughout the program to measure student learning outcomes. Planning Frequency Annually (May) 1. 2. Method of Assessment Analysis of Faculty Survey Aggregate and trend data Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 4.8 The length of time and the credit hours required for program completion are congruent with the attainment of identified student learning outcomes and program outcomes and consistent with the policies of the governing organization, state and national standards, and best practices. Expected Level of Achievement Length: Program length is congruent with A. ASU and state standards B. national standards C. and best practices. Semesters: 70% of students will complete the program in six (6) semesters. 1. Planning Frequency Every 3 years (September) 1. 2. Method of Assessment Analysis of program length. Comparative analysis of length of comparable programs across the state. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 4.9 Practice learning environments support the achievement of student learning outcomes and program outcomes. Planning 1. 2. Expected Level of Achievement Frequency 80% of ASN students agree or strongly agree that the practice learning Each semester 1. environments are appropriate for learning and achievement of student (December, May, learning and program outcomes. July) 2. 80% of faculty agree or strongly agree that the practice learning environments are appropriate for learning and achievement of student learning and program outcomes. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Method of Assessment Quantitative analysis of Evaluation of Clinical sites complete by students. Quantitative analysis of Evaluation of Clinical Site completed by faculty. Action Plan 4.10 Students participate in clinical experiences that are evidence-based and reflect contemporary practice and nationally established patient health and safety goals. Expected Level of Achievement 1. 2. Clinical: Faculty identify on a faculty survey at least two evidence based practices and nationally established patient health and safety goals at each clinical site. On a clinical assignment 80 % of students will identify two evidence based practice and nationally established patient health and safety goals at the clinical site. Planning Frequency Annually (May) 1. Method of Assessment Analysis of table that list clinical site, contemporary practice and national patient health and safety goals that are implemented at each site. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 4.11 Written agreements for clinical practice agencies are current, specify expectations for all parties, and ensure the protection of students. Planning 1. Expected Level of Achievement 100% of clinical contracts have specific expectations of all parties and are current, signed, and ensure the protection of students. Frequency Annually (June) Method of Assessment 1. Review of Table of current clinical. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 4.12 Learning activities, instructional materials, and evaluation methods are appropriate for all delivery formats and consistent with the student learning outcomes. 1. Expected Level of Achievement 80% of faculty agree or strongly agree that instructional materials and evaluation methods are appropriate and consistent with SLOs for all delivery formats. Planning Frequency Annually (May) 1. 2. Method of Assessment ASN faculty will review educational materials and evaluation methods to ensure appropriateness with SLOs for face-to-face format. Quantitative analysis of Faculty Survey Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan STANDARD 5: Resources Fiscal, physical, and learning resources are sustainable and sufficient to ensure the achievement of the student learning outcomes and program outcomes of the nursing education unit. 5.1 Fiscal resources are sustainable, sufficient to ensure the achievement of the student learning outcomes and program outcomes, and commensurate with the resources of the governing organization. Planning 1. 2. Expected Level of Achievement The School of Nursing budget is sufficient to ensure achievement of SLOs and program outcomes The School of Nursing budget is commensurate with the resources of the University. Frequency Annually (July) 1. 2. Method of Assessment Compare needs of the School of Nursing with actual budgetary allocations. Compare nursing budget with two other University programs. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 5.2 Physical resources are sufficient to ensure the achievement of the nursing education unit outcomes, and meet the needs of the faculty, staff, and students. Planning 1. 2. Expected Level of Achievement Frequency Method of Assessment 80% of ASN students responding to the Exit Survey agree or Annually (May) 1. Quantitative analysis of Exit Survey (Item ___). strongly agree the classrooms, computer labs, skills laboratories are Annually (May) 2. Quantitative analysis of Faculty Survey. sufficient for the achievement of SLOs. 80% of faculty agree or strongly agree office, classroom, and laboratory space are sufficient to meet the needs of faculty staff, and students. Implementation and Evaluation Results of Data Action Plan Faculty Meeting Minutes Date 5.3 Learning resources and technology are selected with faculty input and are comprehensive, current, and accessible to faculty and students. Planning 1. 2. 3. Expected Level of Achievement 80% of students responding to the Exit Survey agree or strongly agree that learning resources are current, comprehensive, and accessible. 80% of students responding to the Exit Survey agree or strongly agree that technologies are current, comprehensive, and accessible. 80% of faculty agree or strongly agree learning resources and technology are selected with faculty input. Frequency Annually (May) 1. Method of Assessment Quantitative analysis of Exit Survey Annually (May) 2. Quantitative analysis of Exit Survey Annually (May) 3. Quantitative analysis of Faculty Survey Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 5.4 Fiscal, physical, technological, and learning resources are sufficient to meet the needs of the faculty and students engaged in alternative methods of delivery. Planning 1. 2. Expected Level of Achievement 80% of students responding to Exit Survey agree or strongly agree that physical, technological, and learning resources are sufficient to meet their needs. 80% of faculty agree or strongly agree that physical, technological, and learning resources are sufficient to meet faculty needs. Frequency Annually (May) 1. Method of Assessment Quantitative analysis of Exit Survey Annually (May) 2. Quantitative analysis of Faculty Survey Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan STANDARD 6: Outcomes Program evaluation demonstrates that students and graduates have achieved the student learning outcomes, program outcomes, and role-specific graduate competencies of the nursing education unit. 6.1 The systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of each of the following: • Student learning outcomes; • Program outcomes; • Role-specific graduate competencies; and • The ACEN Standards. The systematic plan of evaluation contains specific, measurable expected levels of achievement; appropriate assessment methods; and a minimum of three (3) years of data for each component within the plan. Planning Expected Level of Achievement SEP: The systematic evaluation plan for which includes all 6 standards and criteria are reviewed and updated yearly for measureable/applicable goals and analysis and trending of data. SLO & Competencies: 80% of students will achieve Level 1 Student Learning Outcomes (SLO) at the end of Semester 2 and Role Specific Competencies (RSC) in the last semester of the program as evidenced by a minimum score of 850 on the midcurricular examination. 80% of students will achieve Level 2 Student Learning Outcomes (SLO) and Role Specific Competencies (RSC) at the end of Semester 2 as evidenced by a passing score on the Comprehensive Predictor in the last semester of the program. POs: The Program Outcomes are reviewed and updated yearly for measureable goals, analysis and trending of data. Frequency Annually – May Method of Assessment SEP: Analysis of SEP and monthly calendar with standing agenda items. Faculty minutes document review, analysis, trending of data and changes made. SLOs/Competencies: Table displaying the SLOs and Competencies. Faculty minutes document review, analysis, trending of data and changes made. POs” Table of Program Outcomes. Faculty minutes document review, analysis, trending of data and changes made. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 6.2 Evaluation findings are aggregated and trended by program option, location, and date of completion and are sufficient to inform program decision-making for the maintenance and improvement of the student learning outcomes and the program outcomes. Planning Expected Level of Achievement 1. The following are trended and analyzed to improve student outcomes and program outcomes: 1. Student evaluations of courses 2. Math competency testing outcomes 3. Clinical site surveys 4. Student exit survey 5. Scores on ATI testing throughout program 6. Scores on ATI comprehensive predictor 7. NCSBN program reports, (Mountain Measurement), etc. 8. Faculty survey 9. Mid-curricular Exam outcomes 10. Admission requirements 11. Final numeric averages in courses. 12. Faculty survey Frequency At the end of each course and/or annually as indicated Method of Assessment Table displaying analysis of faculty minutes which reflect the discussion, action plan and follow through for evaluation findings by program option and date of completion. -Faculty Meetings -Committee minutes- curriculum, outcome -Advisory Board Meetings -Administrative Program Review Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 6.3 Evaluation findings are shared with communities of interest. Planning Expected Level of Achievement 1. 2. 3. Advisory: Advisory Council minutes will show discussion related to program outcomes (NCLEX results, program completion, satisfaction surveys, job placement) are shared with the advisory board on a yearly basis. Website: The job placement, NCLEX pass rates and completion rates are shared with students on the college website. Regulatory: Reports are sent to Mississippi Institutions of Higher Learning, and ACEN yearly and/or as mandated (if currently accredited by ACEN). Frequency Annually February Annually February 1. Method of Assessment Analysis of minutes. 2. Analysis of survey data. Aggregate and trend data. 3. Monitor program website for inclusion and accuracy of information. 4. Complete all require annual surveys prior to due dates. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 6.4 The program demonstrates evidence of achievement in meeting the program outcomes. 6.4.1 Performance on licensure exam: The program's 3-year mean for the licensure exam pass rate will be at or above the national mean for the same 3year period. Planning Expected Level of Achievement NCLEX: ASN graduates’ first time NCLEX-RN® 3-year mean will be at or above the national mean for the same 3 year period. Frequency Quarterly and annually in February 1. Method of Assessment Monitor Mississippi Board of Nursing Quarterly and Cumulative Statistical Reports Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 6.4 The program demonstrates evidence of achievement in meeting the program outcomes. 6.4.2 Program completion: Expected levels of achievement for program completion are determined by the faculty and reflect student demographics and program options. Planning Expected Level of Achievement 70% of ASN students at will successfully complete the nursing program within 150 % (6 semesters) of the time from entry into the program. Frequency Annually - May 1. Method of Assessment Quantitative Analysis of student completion rate at 150% from time of entry into program. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 6.4 The program demonstrates evidence of achievement in meeting the program outcomes. 6.4.3 Graduate Program Satisfaction: Qualitative and quantitative measures address graduates six to twelve months post-graduation. Planning Expected Level of Achievement 1. Surveys: 80%% of ASN graduates at 6 to 12 months postgraduation will agree or strongly agree with the preparation for nursing practice provided by the program. 2. SLO’s: 80% of ASN graduates at 6 to 12 months post-graduation will agree or strongly agree in their ability to perform the student learning outcomes of the program. Qualitative: Data is analyzed from the comment section of the graduate satisfaction survey and changes made as needed. Frequency Annually May Method of Assessment Satisfaction: Qualitative Analysis of Graduate Survey Results SLO’s: Quantitative analysis of graduate survey result Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 6.4 The program demonstrates evidence of achievement in meeting the program outcomes. 6.4.4 Employer Program Satisfaction: Qualitative and quantitative measures address employer satisfaction with graduate preparation for entry-level positions six to twelve months post-graduation. Planning Expected Level of Achievement 1. 2. 3. SLO’s: 75% of Employers of ASN graduates who respond to the graduate follow-up survey will report satisfaction (agree or strongly agree) with the competency of graduates from as defined by the student learning outcomes and/or graduate competencies. Satisfaction: 75 % of Employers of ASN graduates who respond to the graduate follow-up survey will state that nursing program prepared the graduates adequately for entry level practice as a registered nurse (RN). Qualitative: Data is analyzed from the comment section of the employee satisfaction survey and/or the advisory committee and changes made as needed. Frequency Annually Method of Assessment Analysis of survey results (quantitative and qualitative) Review of Nursing Advisory Committee Minutes. Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan 6.4 The program demonstrates evidence of achievement in meeting the program outcomes. 6.4.5 Job Placement Rates: Expected levels of achievement are determined by the faculty and are addressed through quantified measures six to twelve months post-graduation. Planning Expected Level of Achievement 1. Job Placement: 80% of graduates will be employed or continuing in their education within 6 -12 months of program completion as a registered nurse. Frequency Annually - May Method of Assessment Job Placement: Quantitative Analysis of Graduate Survey Implementation and Evaluation Results of Data Faculty Meeting Minutes Date Action Plan Appendix O ASN Weight Admission Scale Used for admission prior to Fall 2016 ALCORN STATE UNIVERSITY SCHOOL OF NURSING DEPARTMENT OF ASSOCIATE DEGREE NURSING WEIGHTED ADMISSION SCALE Name________________________________________ Last 4 digits of SS#______________ CATEGORY WEIGHT Out of Mississippi 5_______________ Mississippi Resident 10_______________ ACT *Enhanced after 11/1989- add 3 points to comp score 18-20 (15-17*) 10_______________ 21-23 (18-20*) 15_______________ 24-26 (21-23*) 20_______________ 27 and above (24 and above*) 25_______________ ACT less than 18, 12 semester hours completed w/2.5 GPA, with “C” or above in A&P courses 2.5-2.99 10_______________ 3.0-3.49 15_______________ 3.5-3.99 20_______________ 4.0 25_______________ Prior Baccalaureate or higher degree, completing all course prerequisites with a grade of “C” or better, having an overall GPA of 2.5 2.5-2.99 10________________ 3.0-3.49 15________________ 3.5-3.99 20________________ 4.0 25________________ High School GPA 2.0-2.49 5_________________ 2.5-3.0 10________________ 3.1-3.49 15________________ 3.5-4.0 20_________________ OR 40-54% = D 5__________________ 55-69% = C 10_________________ 70-84% = B 15_________________ 85-99% = A 20_________________ COLLEGE CUMMULATIVE GPA 2.0-2.49 5__________________ 2.50-3.0 10________________ 3.10-3.49 15________________ 3.5-4.0 20________________ PREREQUISITES For the following prerequisites, points are awarded based on grade earned and number of times the course was taken. GRADE 1st 2nd 3rd A 15 10 5 B 10 5 2.5 C 5 2.5 0 College Algebra _____ _____ ______ Anatomy/PHY I _____ _____ ______ Anatomy/PHY II _____ _____ ______ Prepared BY: _____________________________________ Date: ______________________________ ASU/SON/DADN: Revised 4/93,3/95,2/00,4/06,3/08,3/10,1/11,6/12,2/14 Used for Fall 2016 admission Fall 2016 Alcorn State University School of Nursing LPN Fast Track and AD Nursing Selection Sheet 2016 Applicant: ________________________________________________ Date: ___________________ Individuals who have submitted all required admission documents will be considered for program admission based on the following rating scale: 1. ACT points will be based on the point system listed in the box below; an ACT composite of 18 is required for admission. Math Reading Composite Score Points Earned ______ ______ ______ ______ ______ ______ ACT Points Subtotal: ______ ACT Composite or Sub-score 18-19 1 point 20-21 2 points 22-23 3 points 24-25 4 points 26-27 5 points 28-29 6 points 30 or greater 7 points 2. Academics – Cumulative College GPA GPA Points Subtotal: ______ 2.00 – 2.50 GPA 2.51 – 2.75 GPA 2.76 – 3.00 GPA 3.01 – 3.50 GPA 3.51 – 4:00 GPA 3. 1 point 2 points 3 points 4 points 5 points Certificate/Degree – Points may be earned with the following certificates or degrees. (Points only for highest degree) Military Service Health Related Technical Associate Degree Bachelor Degree Master’s Degree Certificate/Degree Subtotal: 4. Alcorn Student ______ 1 point 1 point 2 points 3 points 4 points ______ Add Additional Point: TOTAL POINTS EARNED: _____________