Download NURS 135 - Great Basin College

ASSOCIATE OF APPLIED SCIENCE NURSING PROGRAM
COURSE SYLLABUS
NURS 135: INTRODUCTION TO THE NURSING PROCESS
8 CREDITS (5 theory (75 hours) credits and 3 Clinical (135 hours) credits)
FALL 2012
GENERAL INFORMATION
A. INSTRUCTOR INFORMATION:
1.
Theory & Clinical :
Tami Gailey, MSN, RN
753-2004 (Office)
934-7432 (Cell)
[email protected]
Peggy Drussel, MSN, RN
753-2020 (Office)
934-3045 (Cell)
[email protected]
2. Clinical:
Tanya Hall, MSN, RN
777-5800 (Cell)
[email protected]
Jennifer Grant, BSN, RN
340-2063 (Cell)
[email protected]
3. Practice Lab:
John Bain, MSN, RN, CCRN
753-2411 (Office)
401-1750 (Cell)
[email protected]
4.
Office and Hours:
Tami:
Health Sciences Room 118
Monday: 1000-1100
Tuesday: 1330-1530
Thursday: 1330–1530
Also by appointment
Peggy:
Health Science Room 124
Monday thru Friday: 0800-0900
Also by appointment
B. COURSE INFORMATION:
1. Catalog Description: Introductory course designed to provide a
Foundation for future courses in nursing. The nursing process is used
as a framework to develop scientific understanding and basic skills
necessary to meet the basic biopsychosocial needs of patients
through the lifespan.
Five credits theory, three credits clinical. Offered Fall Semester only.
2. Schedule:
Theory:
Classroom: Tuesday and Thursday: 0930– 1145
Cooperative Testing: Tuesdays and Thursday (as
scheduled): 0900-1145
Dates: August 27, 2012 – December 14, 2012
Clinical:
Monday, Wednesday, possibly some Fridays, and
Saturdays as indicated on clinical schedule
Practice Lab:
Monday, Wednesday, and Friday as indicated on schedule
COURSE OUTCOMES:
COURSE OUTCOMES
MEASUREMENTS
Provide safe, quality, evidence-based,
patient-centered nursing care at the
basic level in a variety of healthcare
settings to diverse patient populations
across the lifespan.(Program
Outcomes 1, 2, and 4)
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Clinical Evaluation
Patient Care Packet
Manor Assessment Packets
Adult Wellness Comparison
Simulation
Module Exams
Final exam
Nursing Skills Check-off
ATI Modules
Describe the historical factors that have
contributed to current nursing roles and
practice. (Program Outcome 5)
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Library Assignment
Module Exam
Class Discussion
Identify cultural differences that may
impact the nursing care of individuals
with common health care problems.
(Program Outcomes 2 & 6)
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Clinical Evaluation
Patient Care Packet
Adult Wellness Comparison
Manor Assessment Assignments
Module Exams
Final Exam
Demonstrates therapeutic and safe
communication techniques to establish
a trusting relationship when caring for
individuals experiencing common
healthcare problems. (Program
Outcome 4)
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Challenge Course Assignment
Clinical Evaluation
Patient Safety Goal Clinical Activity
Class Activities and Discussion
Module Exams
ATI Modules
Discuss the roles and responsibilities of
the healthcare team members with
whom nurses interact in select
healthcare settings. (Program Outcome
3)
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Nursing Skills Check-off
Clinical Evaluation
Patient Care Packet
Manor Assessment Assignments
Health Assessment Assignment
PT Assignment
Cardiopulmonary Assignment
Speech Assignment
Nutrition/DP/QA Assignment
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Clinical Evaluation
Challenge Course Assignment
Module Exam
Critical Thinking Clinical Activity
Class Discussion/Activities
ATI Modules
Identify the ethical, legal, and
regulatory issues that may affect the
professional role of the Associate
Degree nurse.(Program Outcome 5)
Recognize potential patient
vulnerabilities and seek advocacy on
behalf of the patient.(Program
Outcome 6)
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Adult Wellness Comparison
Clinical Evaluation
Patient Care Packet
Manor Assessment Assignments
Simulation
Module Exam
Final Exam
Adult Wellness Comparison
METHOD OF INSTRUCTION:
Lecture, discussion, demonstration, small group work, videos, assigned readings,
written assignments, computer assisted learning programs, nursing lab
activities and clinical instruction will be utilized.
THEORY EVALUATION:
Evaluation of student progress will be the successful completion of the course
outcomes which will be evaluated with nine (9) module examinations, a
comprehensive final exam, and a Library/Research assignment, and daily
quizzes and/or assignments. Questions contained in all exams will be based on
application of knowledge acquired in this, as well as previous courses. Questions
may be multiple-choice, fill in the blank, multiple-answer, or other NCLEX®
alternate formats as applicable. All written work (theory and clinical) will be
considered for determination of a course grade.
CLINICAL EVALUATION:
All required skill demonstrations must be completed satisfactorily in the nursing
lab prior to clinical performance. Clinical performance is evaluated mutually by
student and instructor at mid-semester and the end of the semester. Clinical
performance and written clinical assignments (see list below) will be used to
determine clinical competency and the ability to generalize and transfer theory
outcomes to the clinical settings. A grade in clinical performance is considered in
regard to continuing in the course and to pass the course.
Clinical Objectives:
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Please see objectives for individual clinical assignments
Simulation Objectives:
1.
2.
3.
4.
Identify essential information for effective patient care within the EMR.
Demonstrate focused, informative, legally correct nursing documentation
which reflects the nursing process.
Promote safety for patient, self, and others.
Identify factors that influence the quality of care by evaluating patient
5.
response to interventions .
Utilize information technology to support patient care.
REQUIRED MATERIALS:
 Potter, P. A., Perry, A. G., Stockert, P. A., Hall, A. (2013). Fundamentals of
Nursing (8th ed.) St. Louis, MO: Mosby.
 Potter, P. A., Perry, A. G., Stockert, P. A., Hall, A. (2013). Fundamentals of
Nursing Study Guide (8th ed.) St. Louis, MO: Mosby.
 Ladwig, G. B., Ackley, B.J. (2011). Mosby’s guide to nursing diagnoses. (3rd
Ed.). St. Louis, MO: Mosby.
 Silvestri, L. (2011) Comprehensive review for the NCLEX-RN examination.
(5th Ed.). St. Louis, MO: Mosby.
 Ignatavicius, D.D. and Workman, M.L. (2013). Medical-surgical nursing:
Patient-Centered collaborative care (7th ed.). St. Louis, MO: Mosby.
 Doenges, M.E., Moorhouse, M. F., Murr, A.C. (2010). Nursing care plans:
Guidelines for individualizing client care across the life span. (8th
ed.). Philadelphia, PA: F.A. Davis Company.
 Deglin, J. H., Vallerand, A. H., & Sanoski, C. A. (2011). Davis’s drug guide
for nurses. (13th ed.). Philadelphia, PA: F. A. Davis Company.
 Van Leeuwen, A. M., Poelhuis-Leth, D., & Bladh, M. L. (2011). Davis’s
comprehensive handbook of laboratory diagnostic tests with
nursing implications. (4th ed.). Philadelphia, PA: F. A. Davis
Company.
 VandenBos, G. R. (Ed.). (2010). Publication manual of the American
psychological association. (6th ed.) Washington, DC: American
Psychological Association.
 Venes, D. (Ed.). (2012). Taber’s cyclopedic medical dictionary. (22st ed.)
Philadelphia, PA: F. A. Davis Company.
**Please plan on using the drug book, lab & diagnostic book, nursing diagnosis
book, nursing care plan book. You also may find it helpful to use your Med.-Surg.
Book and Pharmacology books as references.
SUPPLEMENTAL VIDEO RESOURCES:
 The Helping Interview – Enhancing Therapeutic Communication
Basic Components, Helper Qualities, and Attending Skills – 19
min
o Opening, Questioning, and Use of Silence – 20 min
Communicating With Older Adults and People With Dementia –50 min
A Friend Named Lyle – 30 min
Beginning Physical Assessment – 17 min
Effective Interviewing: Three Function Model – 24 min
The Cognitively Impaired Geriatric Patient:
o Characteristics and Behavior – 20 min
o Disruptive Behavior – 17 min
o Behavior Management and Support – 18 min
Assessing Breath Sounds – 30 min
Exam of Head and Neck – 19 min
Exam of Eyes and Visual System – 20 min
Exam of Thorax and Lungs – 15 min
Cardiac Exam – 13 min
Examination of Abdomen – 9 min
Neurological Assessment – 20 min
Exam Musculo-Skeletal System – 21 min
**These resources are available in the GBC Library
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GRADING POLICY AND CRITERIA:
Course grade will be based on a percentage of the total possible points of theory
and clinical assignments according to the following scale:
100 - 94.00
93.99-90.00
89.99-87.00
86.99-84.00
83.99-80.00
79.99-77.00
=
=
=
=
=
=
A
AB+
B
BC+
76.00 =C (needed to pass)
75.99-70.00 = C69.99-67.00 = D+
66.99-64.00 = D
63.99-60.00 = DBelow 60.00 = F
 The classroom course work must be completed on time and with an
average of 76% or better to pass the course.
 All clinical rotation paperwork must be completed on time and with either
a Pass or an average of 76% or better to pass the course.
 Late theory and clinical assignments will be worth 50% of the actual
grade. If an assignment is more than one week late, a zero will be given
for the assignment but submission of the assignment is still required.
Theory Assessments: 60% of Total Grade
 7 Cooperative/Collaborative Module Exams = 700 possible points (100
points X 7 Exams)
 Comprehensive Final = 100 points
 1 Library Assignment = 50 Points
 4 ATI NURSELOGIC Modules = 5 points each
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Infection Control Assignment = 20 points
Daily assignments/quizzes TBA
Clinical Assessments: 40% of Total Grade
 M1 & H1 – RN Comparison = 50 points
 M2 & M3 – Health Assessment = 50 points each
 M4 – Speech = 15 points
 H2 – Clinical care packet = 100 points
 H3 – Clinical care packet = 100 points
 H4 – Critical Thinking Activity = 100 points
 H5– Nutrition/Discharge planning/Quality Improvement assignment = 20
points
 H7 – Cardiopulmonary assignment = 50 points
 H8 – Physical Therapy = 50 points
 Challenge Course assignment = 50 points
 Adult Wellness Comparison assignment= 200 points total
DOSAGE CALCULATIONS:
First semester nursing students will be required to complete the first four
components of one of three ATI modules, Dosage and Calculations, at the ATI
website. The difference between these three modules is the mathematical
process that is used to determine correct dosages. Each student should do a
quick review of each modality to determine which mathematical process is
easiest for them to understand, then complete the module that focuses on that
modality. The first four parts of the module (Safe Dosage, Medication
Administration, Oral Medications, and Injectable Medications) must be completed
by November 30, 2012. Testing to determine dosage calculation proficiency date
TBA.
ATTENDANCE POLICY:
Students are expected to attend all classroom, lab, and clinical hours.
(See Student Handbook)
STUDENT CONDUCT:
Great Basin College considers academic honesty one of its highest values. A
student who obtains academic credit for work that is not the product of his or her
own effort is being dishonest and undermining the academic integrity of the
college. Students are expected to be the sole authors of their work. Use of
another’s ideas must be accompanied by specific citation and reference. In
addition, a learner may not submit the same work for credit in more than one
course. The disciplinary consequences of plagiarism and other forms of
academic dishonest include non-acceptance of work submitted, a failing grade in
the course, and/or or other disciplinary action as outlined in Great Basin
College’s Student Conduct Policy.
ADA STATEMENT:
Great Basin College is committed to providing equal educational opportunities to
qualified students with disabilities in accordance with state and federal laws and
regulations, including the Americans with Disabilities Act of 1990 and Section
504 of the Rehabilitation Act of 1973. A qualified student must furnish current
verification of disability. The Students with Disabilities Office, located in Berg
Hall, will assist qualified students with disabilities in securing the appropriate and
reasonable accommodations, auxiliary aids, and services. For more information
or further assistance, please call 775.753.2271
COURSE SCHEDULE:
MODULE
WEEK 1
SUBJECT
ASSIGNMENTS
Welcome! We expect this
will be the beginning of a
wonderful adventure…
It is your responsibility to
have read the required
chapters that will be
covered in class BEFORE
the date they are
scheduled to be covered.
Monday
August 27
Tami
Peggy
0900-1200:
General orientation to
nursing program- HSC room
108
1300-1500
ATI training- HTC 107
Not all content that you
are responsible for will be
covered in class.
Your instructor reserves
the right to add other
sources that maybe
required to be read prior
to class.
**Unless otherwise stated,
all listed reading chapters
are out of your
Fundamentals of Nursing
text
Tuesday
August 28
0930-1145
Introduction/Orientation:
 Canvas
 Practice Lab
 Syllabus
 Clinical schedule
 Skills Lab schedule
(please have printed out
syllabus or your laptop with
you so you can access the
syllabus)
Start reading
Chapter 2, 6
Module 1: Health
Care Environment
Wednesday
August 29
0900-1145
Required readings:
Topics:
Chapter 2 and 6
1. Health Care Delivery
System -- Tami
2. Health and Wellness -Peggy
Study for Exam #1 on
September 4, 2012
1330-1500
See Practice Lab Schedule
Thursday
August 30
0930-1145
Patient-centered Care
Culture/Spirituality – Peggy
Caring--Tami
1300-1600:
See Practice Lab Schedule
0900-1030
Required readings:
Chapter 7, 9, 10, and 35
Study for Exam #1 on
September 4, 2012
Required reading:
Friday
Chapter 5
Topic:
August 31
WEEK 2
Monday
September 3
Evidence-based practice -Tami
Study for Exam #1 on
September 4, 2012
1045-1215
Library
orientation/introduction;
EBP assignment
Start work on Library
Assignment: Due
September 10, 2012
1330-1530
See Practice Lab Schedule
Labor Day Holiday
Relax!
Due: ATI Nurse Logic:
Tuesday
September 4
0930-1000
Test-taking considerations
1015-1145:
Exam #1: Health Care
Environment
Testing and Remediation
module and test (submit
printed transcript before
class)
1300-1600:
See Practice Lab Schedule
Module 2: Safety
Wednesday
September 5
Required readings:
0900-1145
Chapters 27, 28
Topics:
1. Infection Control --Peggy
2. Patient safety--Tami
Study for Exam #2 on
September 18, 2012
1300-1330
Pictures with Laura
Gallegos –in scrubs!
See Practice Lab schedule
Module 3: Health
and Physical
Assessment
Thursday
September 6
0930-1145
Physical assessment -Peggy
 Introduction
 Preparation
 Initial interview
 Nursing history
 Vital signs
1300-1600:
See Practice Lab Schedule
Required reading:
Chapters 29 and 30
Study for Exam #2 on
September 18, 2012
Friday
September 7
See Practice Lab and
Clinical Schedules
Study for Exam #2 on
September 18, 2012
WEEK 3
Monday
September 10
See Practice Lab Schedule
Clinical Schedule
Tuesday
0930-1145
September 11
Physical assessment-Peggy
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Techniques
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General survey
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Integumentary
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Head and neck
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Vascular
Library Assignment Due
Required readings:
Chapters 29, 30, and
“assessment” portion of 43
Study for Exam #2 on
September 18, 2012
1300-1600:
See Practice Lab Schedule
Wednesday
September 12
See Clinical and Practice
Lab schedules
Thursday
0930-1145
September 13
Physical assessment-Peggy
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Thorax/Lungs
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Abdomen
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Genitalia
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Digestive
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Muscular/skeletal
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Neurological
Required readings:
Chapters 29, 30, and
“assessment” portion of 43
Study for Exam #2 on
September 18, 2012
Due: ATI Nurse Logic:
Knowledge and Clinical
Judgment module and
1300-1600:
See Practice Lab Schedule
test (submit printed
transcript before class)
Friday
September 14
ALL DAY
College of Southern Idaho
Challenge Course
Twin Falls, Idaho
Required reading:
Chapter 21 and 24
Challenge Course
Assignment due
September 21, 2012
WEEK 4
Monday
September 17
Module 4: Clinical
reasoning
Tuesday
See Clinical and Practice
Lab Schedules
Start reading:
0930-1100:
Chapters 15 and 16
Exam #2: Safety and
Health/Physical
Assessment
September 18
1115-1145:
APA with Jessica Russell
1300-1600:
See Practice Lab Schedule
Wednesday
September 19
See Clinical and Practice
Lab Schedules
Thursday
0930-1145 --Tami
September 20
Topics:
Study for Exam #3: October
2, 2012
Required reading:
Chapters 15 and 16
1. Critical thinking
2. Nursing process -Assessment
Study for Exam #3: October
2, 2012
1300-1600:
See Practice Lab Schedule
Friday
September 21
See Clinical and Practice
Lab Schedule
Challenge Course
Assignment due
Study for Exam #3: October
2, 2012
WEEK 5
Monday
See Clinical and Practice
Lab Schedules.
September 24
Tuesday
0930-1145--Tami
September 25
Topics:
Required reading:
Chapters 17, 18, 19
1. Nursing Process –
Diagnosis
2. Nursing Process –
Planning
3. Nursing ProcessImplementation
1300-1600:
See Practice Lab Schedule
Wednesday
September 26
0930-1145—Tami
September 27
Topics:
1. Nursing processImplementation
2. Nursing process –
Evaluation
1300-1600:
See Practice Lab Schedule
September 28
WEEK 6
Monday
Due: ATI Nurse Logic:
Nursing Concepts module
and test (submit printed
transcript before class)
See Clinical and Practice
Lab Schedules.
Thursday
Friday
Study for Exam #3:
October 2, 2012
See Clinical and Practice
Lab Schedules
See Clinical Schedule
Required reading:
Chapters 19 and 20
Study for Exam #3:
October 2, 2012
October 1
Module 5:
Communication
0930-1100
Exam #3: Clinical
Reasoning
Start reading:
Chapter 26
Tuesday
October 2
1115-1145
Communication activity
1300-1600:
See Practice Lab Schedule
Wednesday
October 3
See Clinical and Practice
Lab Schedule
Thursday
0930-1145--Tami
October 4
Topics:
Required reading:
Chapters 26
1. Documentation
2. Informatics
3. SBAR
Study for Exam #4 on
October 16, 2012
Due: ATI Nurse Logic:
Priority Setting
Frameworks module and
test (submit printed
transcript before class)
Friday
October 5
WEEK 7
Monday
See Clinical and Practice
Lab Schedule
Study for Exam #4 on
October 16, 2012
See Clinical and Practice
Lab Schedule
Study for Exam #4 on
October 16, 2012
October 8
Module 6:
Professionalism
0930-1145 -Peggy
Topics:
Required reading:
Chapers 21, 24, and 25
1. Patient education
Tuesday
October 9
2. Teamwork
Study for Exam #4 on
October 16, 2012
Wednesday
October 10
See Clinical and Practice
Lab Schedule
Thursday
0930-1145--Tami
Required reading:
October 11
Topics:
Chapters22 and 23
1. Legal Principles
2. Ethics
Friday
October 12
Study for Exam #4 on
October 16, 2012
See Clinical and Practice
Lab Schedules
WEEK 8
Monday
October 15
See Clinical and Practice
Lab Schedules
Module 7:
Physiological Integrity
0930-1100:
Exam #4: Communication
and Professionalism
Start reading:
Chapter 40
Tuesday
October 16
1115-1145
Activity
1300-1600:
See Practice Lab Schedule
Wednesday
October 17
See Clinical and Practice
Lab Schedule
Thursday
0930-1145 -- Peggy
October 18
Topic:
Required reading:
Chapter 44
Oxygenation
Cardiopulmonary- speak???
Study for Exam #5 on
October 30, 2012
1300-1600:
See Practice Lab Schedule
Friday
October 19
WEEK 9
Monday
See Clinical and Practice
Lab Schedule
See Clinical and Practice
Lab Schedule
October 22
Tuesday
0930-1145 -- Tami
October 23
Topic:
Required reading:
Chapter 44
Nutrition
1300-1600:
See Practice Lab Schedule
Study for Exam #5 on
October 30, 2012
Wednesday
October 24
See Clinical and Practice
Lab Schedules
Thursday
0930-1145--Peggy
October 25
Topics:
Required reading:
Chapters 43, 48, and 49
1. Skin integrity
2. Sensory alterations
3. Pain management
(management part of
chapter 43)
1300-1600:
See Practice Lab Schedule
Friday
Nevada Day
October 26
WEEK 10
Monday
October 29
See Clinical and Practice
Lab Schedules.
Study for Exam #5 on
October 30, 2012
Tuesday
0930-1100:
October 30
Exam #5: Physiological
Integrity (Part 1):
Oxygenation, nutrition,
skin integrity, sensory
alterations
1115-1145
Activity
1300-1600:
See Practice Lab Schedule
Wednesday
October 31
See Clinical and Practice
Lab Schedules
Thursday
0930-1145 --Tami
November 1
Topic:
Required reading:
Chapter 45
Urinary Elimination
1300-1600:
See Practice Lab Schedule
Friday
November 2
WEEK 11
Monday
Study for Exam #6 on
November 15, 2012
See Clinical and Practice
Lab Schedule
See Clinical and Practice
Lab Schedule
November 5
Tuesday
0930-1145 --Peggy
November 6
Topic:
Required reading:
Chapters 46
Bowel elimination
1300-1600:
See Practice Lab Schedule
Wednesday
November 7
Thursday
Study for Exam #6 on
November 15, 2012
See Clinical and Practice
Lab Schedules
0930-1145 -- Tami
Required reading:
November 8
Topics:
Chapters 39 and 42
1. Hygiene
2. Sleep
1300-1600:
See Practice Lab Schedule
Friday
November 9
WEEK 12
Study for Exam #6 on
November 15, 2012
.
Please see Clinical and
Practice Lab Schedules
Veteran’s Day
Monday
November 12
Tuesday
0930-1145 --Peggy
November 13
Topics:
Required reading:
Chapters 38 and 47
1. Exercise and Activity
2. Mobility/Immobility
Study for Exam #6 on
November 15, 2012
1300-1600:
See Practice Lab Schedule
Wednesday
November 14
See Clinical and Practice
Lab Schedule
Thursday
0930-1100:
November 15
Exam #6: Physiological
Integrity (Part 2): Urinary
elimination, bowel
eliminations, hygiene,
sleep, activity/exercise,
mobility/immobility
1115-1145:
Activity
1300-1600:
Required reading:
Chapter 50
See Practice Lab Schedule
Friday
November 16
See Clinical and Practice
Lab Schedules
WEEK 13
Monday
November 19
See Clinical and Practice
Lab Schedules
Tuesday
0930-1145 --Tami
November 20
Topics:
Required reading:
Chapter 50
Perioperative care
1300-1600:
See Practice Lab Schedule
Wednesday
November 21
Thursday & Friday
Study for Exam #7 on
December 4, 2012
See Clinical and Practice
Lab Schedules
Happy Thanksgiving!
November 22 & 23
WEEK 14
Monday
See Clinical and Practice
Labe Schedules
November 26
Tuesday
0930-1145--Peggy
November 27
Topics:
Required reading:
Chapter 41
Acid/Base balance
Study for Exam #7 on
December 4, 2012
Wednesday
November 28
See Clinical and Practice
Lab Schedule
Thursday
0930-1145--Tami
November 29
Topics:
Required reading:
Chapter 41
Fluid/Electrolytes
Study for Exam #7 on
December 4, 2012
Friday
November 30
Monday
See Clinical and Practice
Lab Schedule
See Clinical Schedule
December 3
Tuesday
0930-1100:
December 4
Exam #7: Physiological
integrity (Part 3):
Perioperative care and
fluid/electrolytes and
acid/base balances
1115-1145
Activity
Wednesday
December 5
See Clinical and Practice
LabSchedule
Thursday
0930-1145
December 6
Final exam review
Tuesday
Final/ATI Exam Time to be
announced
December 10