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MARION TECHNICAL COLLEGE
NURSING EDUCATION DEPARTMENT
NUR 1021 – FOUNDATION OF ADULT NURSING CARE II
COURSE SYLLABUS
FIRST-HALF SESSION SPRING SEMESTER 2016
FACULTY
Class and Clinical (full time):
Course Coordinators:
Carolyn Kaple, MS, RN, CNE; Office: HTC 115, ext. 255 – e-mail: [email protected]
Office hours: Monday- 0800-1000, 1200-1300; Tuesday - 0800-1000.
Eileen Vorst, MS, RN, CNE; Office: HTC 118, ext. 292 – e-mail: [email protected]
Office hours: Monday - 0900-1000, 1200-1300; Tuesday - 0900-1000, 1200-1400.
Campus Lab:
Lab Coordinator:
Aaron Donelson, MSN, RN; Office: HTC 120, ext. 286 – e-mail: [email protected]
Office hours: TBA
Sandy Allen, MSN,RN, BSED; Office: HTC 164, ext. 243 – e-mail: [email protected]
Office hours: Tuesday – 1200-1500; Wednesday - 1100-1300
Clinical/Lab (full time):
Rebecca Snyder, MSN, RN; Office: HTC 117, ext. 304 – e-mail: [email protected]
Office hours: See calendar outside office door for office hours.
Lori Hosack, MS, RN; Office: HTC 134, ext. 215 – e-mail: [email protected]
Office hours: See calendar outside office door for office hours.
Clinical Coordinator (full time):
Cathy Crum, RN, MSN; Office: HTC 120, ext. 308 – e-mail: [email protected]
Office hours: See calendar outside office door for office hours.
Clinical (full time – first and second years):
Helen Guinther, MSN, RNC; Office: HTC 120, ext. 339 – e-mail: [email protected]
Office hours: See calendar outside office door for office hours.
Clinical (part time): Office: HTC 162 (Adjunct Faculty office)
Katie Rismiller, MSNED, RN, CPN
Julie Daniels, BSN, RN
PLACEMENT:
Spring Semester - First Year
CREDIT HOURS:
4 semester credit hours
SUMMATION OF ALL CLOCK HOURS:
Theory
30
Lab
14
Lab:
Clinical
Sims
(supervised nursing care)
2
40
1
Clinical
Observation
Clinical Orientation
Total
Hours
12
20 (includes 8 hours of
weekly post-conferences
118
COURSE PREREQUISITES: NUR 1011.
COURSE DESCRIPTION: This course continues an introduction to the field of nursing. The course is based on
an integrated approach of basic nursing content areas that is patient-family centered. Special emphasis is
placed on the roles of the nurse, utilization of the nursing process, and the categories of human functioning.
Students will also be assisted in the development of psychomotor skills and pharmacology principles/skills. The
clinical component of the course provides the student the opportunity to validate nursing skills and content for
medical-surgical patients in an acute care setting.
IN CASE OF EMERGENCY: Dial 9-911 from any office or courtesy phone on-campus.
COLLEGE GRADUATE COMPETENCIES
Assessment begins with a clear understanding of what students are expected to learn. College Graduate
Competencies (CGC’s) are common to all areas of study and apply to all students. The individual sub-skills
defined in each CGC are taught, reinforced, and/or periodically measured in various courses throughout the
curriculum. The six CGC areas and statements are:
1.
2.
3.
Communications: Communicate effectively both written and orally.
Mathematics: Solve problems using mathematics.
Problem-Solving: Solve problems through analysis, creativity, and synthesis to make informed
decisions.
Professionalism: Demonstrate good work habits, effective interpersonal and teamwork skills, and a
high level of professionalism.
Technology: Use technology tools efficiently and effectively to perform personal and professional
tasks.
Diversity: Exhibit respect and sensitivity for individual and institutional differences.
4.
5.
6.
GENERAL EXPECTATIONS
A. Honesty, trust, fairness, respect, and responsibility are expected student classroom behaviors. This has
been established so that we can recognize the importance of professional behavior in the nurse’s
professional role. The learning environment is the place that students begin to learn the professional role
and behaviors. The following guidelines are in effect for all classroom, skills lab, and clinical lab
experiences:
1.
2.
3.
4.
5.
Respectful attention.
Respectful dialogue with peers and faculty.
Quiet when someone else is talking or teaching.
Come to class on time. If entering late, take seat closest to door.
Refrain from noise or other actions that divert attention from the speaker.
B. The student must complete his/her assignments for class, clinical, and post-conference as designated by
instructor.
C. Current cardiopulmonary resuscitation certification is required for entry into all clinical courses.
D. An annual TB skin test is required for entry into all clinical courses.
E. The student is expected to adhere to departmental policies as stated in the Student Handbook.
F. Visitors are not permitted to attend class, laboratory, or clinical settings.
G. Students who have not met the physical exam requirements and/or do not show appropriate documentation
will be unable to attend clinical and will receive absence days until completed and turned in to appropriate
personnel.
H. If there is a need for reasonable accommodation or assistance because of mental, physical, or learning
disability, the student is requested to contact the instructor, or if preferred, the Student Services counselor,
within the first two weeks of class.
I.
Eating and drinking are not permitted in any computer classroom or lab. All copyright laws will be observed.
It is illegal to copy software.
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COMMUNICATIONS DEVICE USAGE
All personal communication devices, including cell phones, must be set to vibrate or off while in classrooms,
labs and participating in other class-related activities, unless the use of such a device is specified in the official
course syllabus. Infractions will result in warnings and, eventually, grade-related penalties. Exceptions must be
approved in writing by the instructor.
Additionally, all personal communication devices, including cell phones, must be deactivated (turned completely
off) during exams, quizzes or other evaluations. Any student found to be using a communication device during
an exam will be given a grade of zero for the exam.
ACADEMIC MISCONDUCT
Examples of dishonest or unacceptable scholarly practice at Marion Technical College include but are not
limited to:
A. Work copied verbatim from an original author; work copied practically verbatim with some words altered
from the original without proper credit, i.e., reference citations being given. A copyright explanation and
more information is available at www.copyright.com.
B. Copying answers (and/or electronic data) from another’s test paper, quizzes, notes, book, etc.
C. Evidence of a deliberate and calculated plan to engage in a dishonest academic practice, such as
gaining access to examinations prior to the time the exam was to be given or the extraction of
information regarding an examination from other students.
D. Falsification of clinical, practicum, or laboratory records.
E. Plagiarism – using someone else’s ideas or words as your own. In an educational setting you can avoid
plagiarism by providing appropriate source documentation. For more information on plagiarism, visit
www.plagiarism.org.
Note: Please also see the Academic Misconduct section in the Student Handbook on the college website at
http://www.mtc.edu/adultstudent/pdfs/StudHdbk.pdf
FINANCIAL AID ATTENDANCE REPORTING
Marion Technical College is required by federal law to verify the enrollment of students who participate in
Federal Title IV student aid programs (Federal grants and student loans) and/or who receive educational
benefits through the Department of Veterans Affairs. It is the responsibility of the College to identify students
who do not commence attendance or who stop attendance in any course for which they are registered and paid.
Non-attendance is reported by each instructor, and can result in a student being administratively withdrawn from
the class section. Please contact the Financial Aid Office for information regarding the impact of course
withdrawals on financial aid eligibility.
CREDIT HOUR DEFINITION
Credit Hour: Marion Technical College subscribes to the federal definition of the “credit hour” endorsed by the
Higher Learning Commission that typically requires students to work on out-of-class assignments a minimum of
twice the amount of time as the amount of formalized instruction.
Minimum Homework Hours Per Week
for 3 Credit Course (16-Week Term)
Delivery Format
Homework Per
Week
Traditional
6 hours
Blended
6.75 – 8.25 hours
Online
9 hours
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MAJOR COURSE LEARNING OBJECTIVES
A student completing this course will be able to function in the following roles in caring for the adult medicalsurgical patient.
I.
PROVIDER OF CARE
The student will apply relevant theoretical concepts from biopsychosocial sciences, liberal arts, family,
holistic person, society, health, and nursing process in the care of the adult medical-surgical patient:
A. Assessment
1. Select and apply appropriate communication techniques for data collection.
2. Collect subjective and objective biopsychosocial data using the categories of human functioning.
3. Identify normal physical assessment data in each patient.
4. Apply physical assessment skills and categories of human functioning to distinguish deviations
from normal in each patient.
5. Recognize physical and psychosocial stressors associated with hospitalization for each patient.
6. Recognize and respect cultural, spiritual, and ethnic diversity of families and patients.
B. Analysis
1. Classify data using the categories of human functioning.
2. Select nursing diagnoses for one or more adult medical-surgical patients.
3. Prioritize nursing diagnoses with assistance.
C. Planning
1. Develop short-term and/or long-term goals with the patient/family for various nursing diagnoses.
2. Assist the patient/family in choosing outcome criteria for each goal.
3. List appropriate nursing interventions to achieve each goal.
4. Participate in discharge planning with patient, family, and community referral.
D. Implementation
1. Safely and accurately execute nursing interventions, clinical judgment, and decision making that
are within the scope of first year student’s objectives with the supervision/assistance of the
faculty.
2. Safely and accurately perform therapeutic measures prescribed by the physician that are within
the scope of the first year student’s objectives with the faculty’s supervision/assistance.
3. Adapt basic nursing skills to medical-surgical patients, including the developmental and functional
level of each patient.
4. Incorporate evidence-based practice into the plan of care for assigned patients.
5. Recognize emergency situations and notify proper personnel.
E. Evaluation
1. Identify outcome criteria that have not been achieved.
2. Recognize portions of the care plan needing change, and report the need to health care
personnel/faculty.
II.
COMMUNICATOR
A. Select and adapt appropriate therapeutic communication techniques and concepts.
B. Describe the effects of feelings/values/culture on communication in self.
C. Document data using established forms with assistance/supervision.
D. Communicate effectively with instructor and health care personnel when receiving and giving report
regarding patient care and condition.
III.
TEACHER
A. Collect subjective and objective data to identify learning needs.
B. Assess the patient/family member’s readiness, level of development, and ability to learn.
C. Identify the learning needs of the patient/family.
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D. Individualize a teaching plan using developmentally appropriate methods to enhance the patient’s
learning.
E. Implement teaching plan with assistance.
F. Reinforce the teaching completed by other health team members.
G. Evaluate progress toward goal.
H. Identify noncompliant behavior with assistance.
IV.
V.
MANAGER
A. Demonstrate ability to plan and organize basic nursing care activities for assigned patients with
specific time limits during the day.
B. Identify community agencies available as resources for the patient and family.
C. Recognize own capabilities and limitations, and seek assistance as needed.
D. Begin to use critical thinking skills.
E. Delegate aspects of nursing care.
MEMBER OF NURSING PROFESSION
A. Recognize importance of responsibility and accountability for his or her own nursing actions.
B. Identify the ethical and legal parameters of the nursing profession.
C. Relate some ethical dilemmas found in the health care setting.
D. Display responsibility for own learning as evidenced by preparation for class, campus lab and clinical
lab.
E. Participate as a member of the health care team to maintain and/or improve the quality of care for
patients, families, or significant others (patient advocate).
F. Evaluate the management of own care.
G. Utilize evidence-based knowledge from professional nursing and scientific resources for continuous
learning and self-development.
COURSE OUTLINE – see course calendar
NOTE: This is a tentative schedule and subject to change at the discretion of the instructor.
If there is a need for reasonable accommodation or assistance because of mental, physical or learning
disability, the student is requested to contact the instructor or if preferred, the Director of the Student
Resources Center within the first two weeks of class.
UNITS OF STUDY:
I.
PROTECTIVE FUNCTION
A. Alterations in peripheral & arterial vascular systems
B. Health promotion and disease prevention for the patient and family
C. Care of the peri-operative patient: Pre, intra & post-operative nursing care
D. Pharmacology: Medications to control blood sugar levels, anticoagulant medications, antibiotics
II. SENSORY/PERCEPTUAL FUNCTION
A. Assessment of all senses
B. Care of patients with health stressors affecting sensory perceptual functions
III. COMFORT AND REST
A. Pain control in patients with surgical interventions
B. Pain control in patients with peripheral and arterial vascular disease
C. Pharmacology: Medications affecting blood coagulation
IV. ACTIVITY/MOBILITY FUNCTION
A. Alteration in mobility of patients with peripheral vascular disease and deep vein thrombosis
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V. NUTRITION
A. Nutritional and/or therapeutic dietary needs of the adult with alterations in metabolism: Diabetes
B. Nutritional alterations of the medical-surgical patient: diet progression postop
C. Pharmacology: Anti-diabetic medications, teaching self-administration of home medications
D. Nutritional alterations of the patient with vascular stressors: Heart healthy diet
VI. GROWTH AND DEVELOPMENT
A. Likely medical management
B. Likely surgical management
C. Areas of nursing assessment
D. Common nursing diagnoses and goals
E. Expected outcomes, evaluation
F. Teaching implications
G. Pharmacology needs
VII. FLUID/GAS TRANSPORT
A. Alterations in arterial and venous circulation
B. Assessing patients with intravenous infusion
C. Alterations in fluid/electrolyte balance
VIII. PSYCHO/SOCIAL/CULTURAL/SPIRITUAL FUNCTION
A. Teaching culturally diverse patient populations
B. The adult patient experiencing alteration in metabolic function: Diabetes
C. Diabetic support groups across the life span
D. Professional accountability
E. Therapeutic communication
IX.
ELIMINATION
A. Care of patient with retention catheter
X.
PHARMACOLOGY
A. Mixing powders
B. Continuation of dosage and equivalency problems
C. Medication information incorporated into theory content
D. Administration of parenteral medications: intradermal, subcutaneous & IM
EVALUATION PROCEDURES
ATTENDANCE AND PARTICIPATION:
Consistent with class attendance Policy #520, the student is responsible for attending every class and for the
material presented. If a student will not be attending a class, he or she is responsible to contact the instructor
and to make sure all assignments are completed prior to the scheduled class.
The student is expected to come to class prepared to participate by having utilized learning resources such as
assigned texts, videotapes, and by answering the objectives. Objectives for each unit and class are located in
the unit study guides.
GRADING PROCEDURES / COURSE EVALUATION: Course evaluation will be based on performance in
three main areas:
(1) theory, (2) skills performance in campus laboratory, and (3) clinical performance and attendance.
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The final NUR 1021 course grade is determined by the theory grade combined with the clinical grade. If a
student receives an unsatisfactory in the clinical area, regardless of the theory grade, they will receive a “D” for
the course. If a “D” is received in the course, the student cannot progress to the next nursing course which is
NUR 1032.
I.
Theory: A grade of at least “C” must be obtained to pass the course and to be able to continue in the
nursing program.
A.
The theory grade will be determined as follows:
2 unit tests (50 pts. each)
Lab Check Off
Final Exam (comprehensive)
II.
100
20
75
195
points
points
points
total pts.
B.
The following grading scale will be used:
A
B
C
D
F
=
=
=
=
=
90
82
75
67
0
-
100%
89%
81%
74%
66%
(175-195)
(160-174)
(146-159)
(131-145)
(below 131)
C.
Due to the structure of this semester, it is essential that unit quizzes, exams, and final be taken at
scheduled times. To be eligible to make up a missed quiz, exam, or final exam, the student must
notify the course coordinator or theory instructor by phone before the quiz or exam with the reason he
or she will be unable to attend. Then a determination will be made as to whether the exam or quiz
may be made up. Any student taking a quiz or exam at any time other than the scheduled time for
whatever reason will have 5% of the total test or quiz grade subtracted from his or her exam or
quiz grade. If the student fails to call, an unexcused absence will automatically be recorded, and the
student will not be permitted to make up the test or quiz. A doctor's statement may be requested
after an absence. The make-up exam or quiz must be taken on the first day back (this includes
clinical days) after an absence; otherwise, only half credit will be given. Any student requesting an
earlier testing date will also receive the 5% deduction. A make-up test may not be taken during
scheduled class time or clinical hours.
D.
Since the learning process is facilitated by regular class attendance and participation, attendance is
expected for all classes. Attendance will be taken for each class session as required by federal
regulations for student financial aid purposes.
Skills Performance in Campus Laboratory:
A.
A skills list will be kept in campus lab. The student must perform each skill in campus lab before
performing the skill in the clinical area. Certain skills will require the lab instructor's signature after
safe performance of the skills before the student goes to the clinical setting. Students must notify the
lab instructor by telephone (no texting) if they miss their scheduled lab or check-off times.
B.
Satisfactory completion of all campus lab skills as listed on skills check-off board is a requirement for
passing the course. Students MUST notify the lab instructor by telephone (no texting) prior to
missing a scheduled lab time. Should the student miss more than two scheduled lab times without
proper notification, this will be reflected on the student’s clinical evaluation.
C.
Two hours of lab experience are required for every scheduled week throughout the semester.
Students who miss a lab have until Wednesday during the scheduled lab hours to complete the
make-up. Students who fail to complete the make-up by this deadline will not be allowed to attend
clinical on that week’s assigned clinical days.
D.
Skills for each unit must be completed in campus lab before attending clinical.
E.
A total of 20 points can be obtained for lab participation which include lab quizzes, coming prepared
to lab, being on time, having the appropriate skill sheet and successful lab skill check-offs. The
student must earn 75% of the available points for a skill on the first attempt in order to pass the skill.
All red rules for a skill must be performed correctly the first time in order to receive points for that skill.
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Skills for scheduled lab check-offs must be satisfactorily performed in order for the student to attend
clinical that week. Students scoring below 75% for a skill must make an appointment for return
check-off on the Wednesday open lab. (See Lab Guideline for conversion of earned points to course
points for the lab.)
F.
III.
If a student is late for the scheduled lab time, the student will attend the next available lab session as
determined by the lab coordinator.
Clinical Performance:
A.
The student will receive a grade of Satisfactory or Unsatisfactory in the clinical environment (healthcare setting). The evaluation will be based on achievement of stated clinical objectives and enabling
behaviors as stated on the clinical evaluation tool. A satisfactory grade is required to successfully
complete the course.
B.
The clinical instructor has the right to dismiss an unprepared student from the clinical area. This
dismissal will constitute an absent clinical day, which must be made up. Absences of greater than 12
hours will result in an unsatisfactory clinical grade.
C.
An evaluation of Satisfactory as stated on the clinical evaluation tool is a requirement for passing the
course. An unsatisfactory clinical grade will result in no higher than a “D” grade for the course and
the student will not be able to progress to the next nursing course, NUR 1032.
D.
If a student is experiencing an area of difficulty that could be remedied with an intervention of
additional guidance from a faculty member the procedure of “Steps for Success” will be implemented.
If performance is not maintained at a satisfactory level at any time throughout the half semester, the
student may be placed on progress alert. The procedure of “Steps for Success” may or may not
precede a progress alert. See policy “Progression from Progress Alert to Program Probation.”
E.
A student may also be placed on progress alert for not showing continuous progress in writing a
satisfactory nursing process assignment.
All clinical work must be turned in to the instructor on the designated date/time and by the designated
method as assigned by the clinical instructor. Failure to turn in completed work (or to contact instructor
prior to due date) will result in an unsatisfactory grade for that week's clinical written work.
F.
Clinical Attendance
1.
The student is expected to attend all clinical sessions. Absences in excess of two days (or 12
hours) will result in an unsatisfactory grade for the course.
2.
A student who is ill and comes to clinical will be considered unsafe for clinical practice, sent
home, and counted as absent.
3.
If unable to attend, the student must notify the clinical instructor as arranged at the beginning of
the semester. The student is expected to arrive at all clinical sessions on time. (See “Clinical
Absence Without Notice” policy.
G.
Physical Exam Requirements
Students must present his/her documentation of physical exam requirements to the clinical
coordinator prior to the first clinical day. Students are not permitted in the clinical area without this
documentation.
H.
Clinical Conferences/Evaluations
1. Individual conferences with students will be scheduled during the half semester as deemed
needed by the instructor or the student.
2.
The student is required to complete a self-evaluation and bring the evaluation to a scheduled
conference with the instructor or turn in with homework. The evaluation will include strengths,
areas that need improvement, and goals for the next semester.
3.
Final clinical performance evaluations will be completed by the instructor for each student by the
end of NUR 1021. Each student will be expected to read and sign his or her evaluation in the
presence of a clinical instructor.
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I.
To maintain patient safety and to meet clinical evaluation criteria, students are advised not to work
within the 24-hour period preceding the clinical experience. (See student handbook)
J.
The student must obtain a satisfactory clinical grade in order to successfully complete NUR 1021 and
progress to NUR 1032.
TEACHING METHODS:
A.
Classroom
1.
Speakers
2.
Multimedia
3.
Group discussions
4.
Lecture
B.
Supplemental independent learning experiences
1.
College laboratory simulation
2.
Multimedia
3.
Library and reading resources
C.
Clinical experiences
1. Acute care facility experiences.
2. Observations in selected specialty areas of acute care facilities. Learning experiences are
planned to provide correlation between theory and practice.
Available Support Services
Service(s)
Day(s)
Time
Location
Contact
Labs
Tutoring
Will be provided to students at the beginning of the half-term.
Other
ADDITIONAL INFORMATION:
- Eating and drinking is not permitted in any computer classroom or lab.
- All copyright laws will be observed.
- It is illegal to copy software.
ADDENDUM(s)
1. PC Addendum (attached)
2. SRC Addendum - website
BIBLIOGRAPHY: A bibliography, audiovisual resources, and specific assignments will be provided for each class.
REQUIRED TEXTS:
1. Brunner and Suddarth’s Handbook of Laboratory and Diagnostic Tests. (2014). 2nd Ed.
2. Docu-Care charting system.
3. Gulanick and Myers. Nursing Care Plans: Diagnoses, Interventions, and Outcomes. (2014). 8th Ed.
4. Hinkle and Cheever. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. (2014). 13th Ed.
5. Karch. Focus on Nursing Pharmacology. (2013). 6th Ed.
6. Lynn. Taylor’s Clinical Nursing Skills. 4th Ed. (North American)
7. Taylor. Fundamentals of Nursing. (2015). 8th Ed. (North American)
8. Wilson. Nurse’s Drug Guide. 2015.
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REQUIRED EQUIPMENT:
1. Laptop computer: You can use any of the following: Laptop, Mac, Surface Pro 1/2/3
2. PC Requirements: (see following information ):
PC Syllabus Addendum – 2015/16 School Year
•
SofTest (ExamSoft) is a testing program nursing students will be required to use beginning this Fall,
2015. SofTest can be used on most modern Microsoft Windows based computers (i.e. purchased within
the last 3-4 years). Please see specific system requirements as noted below.
•
SofTest (ExamSoft) cannot be used on virtual operating systems such as Microsoft's Virtual Machine,
Parallels, VMware, VMware Fusion or any other virtual environments.
•
For exam taking best practices (including disabling antivirus programs).
https://customered.s3.amazonaws.com/QRGs/BestPractices/Q_SFT101_BestPracticesforExamTakers.
pdf
PC Requirements:












Operating System: 32-bit and 64-bit Versions of Windows Vista, Windows 7, and Windows 8.
The plan is for Windows 10 to be supported by September, 2015.
Office 2010 is supported.
Only genuine, U.S.-English, French, Portuguese, Swedish, and British versions of Windows Operating
Systems are supported.
SofTest (ExamSoft) does not support Tablet or Convertible devices other than Surface Pro 1, 2 & 3. See
below for those Minimum System Requirements.
CPU Processor: 1.86Ghz Intel Core 2 Duo or greater
RAM: highest recommended for the operating system or 2GB
Hard Drive: highest recommended for the operating system or 1GB of available space.
Internet connection for SofTest Download, Registration, Exam Download and Upload.
Screen Resolution must be 1024x768 or higher.
Adobe Reader (Version 9 or 11) is required for exams containing PDF attachments.
Administrator level account permissions
Surface Pro Requirements:
 Surface Pro 1, 2 & 3 (Surface RT tablets are not supported).
 External Keyboard (USB or Bluetooth) required. Bluetooth keyboards must be paired prior to launching
exam.
 Hard Drive: Minimum of 1GB available space.
 Adobe Reader XI is required for exams containing PDF attachments.
 Internet connection for SofTest Download, Registration, Exam Download and Upload.
 Screen Resolution must be 1920x1080.
 Administrator level account permissions.
Exam Soft Support-My Support
http://support.examsoft.com/
Please note: Notebooks are not supported
MTC Syllabus Addendum – 2015/16 School Year
Student Resource Center Support Services and Tutoring addendum information is available on the
college website at the following link: http://www.mtc.edu/mymtc/pdfs/Syllabus_New%20Addendum.pdf
12-06-15/NUR 1021 Syllabus Spring 2016 CK
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