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UNIVERSITY OF FLORIDA COLLEGE OF NURSING COURSE SYLLABUS FALL 2012 COURSE NUMBER NUR 3738C sections 12A5, 12A6 COURSE TITLE Clinical Practice 2: Restoration of Wellness CREDITS 5 (1 credit didactic, 4 credits laboratory/clinical) PLACEMENT BSN Program: 2nd Semester Upper Division PREREQUISITES NUR 3138 Clinical Practice 1: Wellness Promotion and Illness Prevention COREQUISITES NUR 3738 NUR 3145 NUR 3169 Systems of Care 2: Restoration of Wellness Pharmacology for Nursing Inquiry and Evidence in Professional Nursing Practice or Theory and Research for Nursing NGR 6101 CLINICAL COORDINATOR Sheri Curtis, MSN, ARNP, CPNP-BC Clinical Assistant Professor [email protected] HPNP 2222, Phone: 273-6409 Office hours: Thursdays 10:30 – 12:30 FACULTY Michele Taylor Caldwell, DNP, ANP-BC VANA Faculty [email protected] or [email protected] (preferred) HPNP 3238, Phone: 273-6510 Office hours: Wednesday 8:00 – 10:00 Justina “Tina” Chappell, DNP, FNP-BC VANA faculty [email protected] VA office H243-1, Phone: 352-548-6257 Office hours: Fridays 10:30 – 12:30 Becky Weber, MS, RN VANA Faculty [email protected] Office: HPNP 3224 Phone: 352 548-6298 Office hours: Friday 10:30 – 12:30 Michele Brimeyer, MSN, ARNP, WHNP-BC Clinical Assistant Professor [email protected] HPNP-2204, Pager: (888) - 980-3856 Office Hours: By Appointment Anna Kelley, MSN, ARNP Clinical Assistant Professor [email protected] HPNP – 2221, Phone: 273-6422 Office Hours: Monday 9:30 – 11:30 Charlene Krueger, PhD, ARNP Associate Professor [email protected] HPNP – 2228, Phone: 273-6332 Office Hours: Tuesday 1:30 – 2:30 & 5:00 – 6:00 Jane Gannon, DNP, CNM, CNL Clinical Assistant Professor [email protected] HPNP 3081, Phone: 904-244-5166 Office hours: Tuesdays 3:00 – 5:00 Jeanne-Marie R Stacciarini, PhD, RN Assistant Professor [email protected] HPNP 4207, Phone: 273-6499 Office Hours: Wednesday 10:30 – 12:30 Maryann Walker, PhD. ARNP VANA faculty [email protected] HPNP 4215, Phone: 352-376-1611 ext 5281 Office hours: Tuesdays 1:00 – 3:00 Saun-Joo (Sunny) Yoon, PhD Associate Professor [email protected] HPNP - 3223, Phone: 273-6418 Office Hours: Friday 10:30 – 12:30 Bryan Weber, PhD, ARNP Associate Professor [email protected] HPNP - 3221, Phone: (352) 273-6327 Office Hours: Friday 10:00 – 12:00PM by appt. Karen S. Reed, MSN, DHSc, RN Clinical Assistant Professor [email protected] HPNP – 3235, Phone: 273-6097 Office Hours: Monday 1:00 – 3:00 Sandra Wolfe Citty, PhD, ARNP Clinical Assistant Professor [email protected] HPNP - 3221, Phone: 273- 6374 Office Hours: Friday 10:30 – 12:30 Sandra J. Knapp, PhD, MSN, CNL, CCRN Clinical Assistant Professor [email protected] HPNP 3231, Phone: 273-6319 Office hours: Tuesday 1:00 – 3:00 Bonnie Carlin, MSN, RN-BC Adjunct Clinical Assistant Professor [email protected] HPNP 3215, Phone: 273-6322, Cell: 213-8137 Office hours: Wednesday 4:00 – 6:00 Kristen S. Harvey, MSN, RN, CNL Courtesy Clinical Assistant Professor [email protected] HPNP , Phone: 352-733-0952 Office Hours: Monday 1:00 – 3:00 and by appt. Laura Bond Sutton, PhD, RN, ACNS-BC Clinical Assistant Professor [email protected] HPNP 3228, Phone: 273-6358 Office Hours: Friday 10:30 – 12:30 Sally Bethart, MSN, ARNP-BC, APHN-BC Clinical Assistant Professor [email protected] HPNP 4222, Phone: 273-6372 Office Hours: Tuesday 9:30 – 11:30 Sheri Mangueira, MSN, RN, APHN-BC Adjunct Clinical Assistant Professor [email protected] HPNP 4208, Phone: 273-6344 Office Hours: Monday 8:30 – 10:30 Joan Castleman, MS, RN Clinical Associate Professor [email protected] HPNP 4205, Phone: 273-6362 Office hours: Tuesday 8:00 – 10:00 Anita M. Stephen, MSN, RN, CNL Clinical Assistant Professor [email protected] HPNP 1203, Phone: 273-6407 Office hours: Tuesday 2:00 – 4:00 DEPARTMENT CHAIR Susan Schaffer, PhD, ARNP Associate Professor [email protected] HPNP 2229, Phone: 273-6366 Office Hours: By Appointment JACKSONVILLE CAMPUS DIRECTOR Andrea Gregg, DSN, RN Associate Professor [email protected] Jacksonville Campus, Phone: (904) 244-5172 Office Hours: By Appointment COURSE DESCRIPTION The purpose of this course is to provide the student with laboratory and clinical experiences in the provision of nursing care for clients with common acute and chronic illnesses across the lifespan and for intrapartal women. Emphasis is on the delivery of holistic, safe, and evidence based healthcare for diverse clients in a variety of settings. Focus is on the use of healthcare and information management technologies in the implementation and evaluation of nursing interventions. COURSE OBJECTIVES Upon completion of this course, the student will be able to: 1. Incorporate health/ illness beliefs, values, attitudes, and practices of individuals and families in the development of plans of care. 2. Develop collaborative plans of care that include health determinants, available resources, and activities that restore wellness and prevent illness. COURSE OBJECTIVES (cont’d) 3. Utilize health and information management technologies to provide safe nursing care. 4. Implement evidence-based nursing interventions to manage common acute and chronic illnesses and to promote wellness across the lifespan. 5. Contribute to revisions of plans of care based on healthcare outcomes. 6. Demonstrate accountability for personal and professional behaviors. CLINICAL/LABORATORY SCHEDULE Weekly clinical skills class Mondays from 9:35 – 10:25 am Weekly clinical hours: Lab 3 hours per week Seminar 1 hour per week (2 hours every other week) Clinical 8 hours per week (7 hours clinical 1 hour post conference) Total hours = 88 hours OB simulation lab = 4 hours Community 2 hours per week (actual hours may vary weekly) Mandatory participation in Interdisciplinary Family Health (IFH) activities October 30th *For individual group clinical schedules, see attached grid. E-Learning in Sakai is the course management system that you will use for this course. ELearning in Sakai is accessed by using your Gatorlink account name and password at http://lss.at.ufl.edu. There are several tutorials and student help links on the E-Learning login site. If you have technical questions call the UF Computer Help Desk at 352-392-HELP or send email to [email protected]. It is important that you regularly check your Gatorlink account email for College and University wide information and the course E-Learning site for announcements and notifications. Course websites are generally made available on the Friday before the first day of classes. ATTENDANCE Students are expected to be present for all scheduled clinical practice experiences and seminars. Students who have extraordinary circumstances preventing attendance should explain these circumstances to the course instructor prior to the scheduled clinical practice experience or seminar. Instructors will then make an effort to accommodate reasonable requests. A grade penalty may be assigned for unexcused seminar or clinical absences. The faculty member will advise the method of notification for absences to the clinical site e.g. phone, email, and notification of facility. ACCOMMODATIONS DUE TO DISABILITY Each semester, students are responsible for requesting memorandum from the Disability Resource Center to notify faculty of their requested individual accommodations. This should be done at the start of the semester. STUDENT HANDBOOK Students are to refer to the College of Nursing Student Handbook for information about University & College of Nursing policies, Academic Honesty, and professional behavior. TOPICAL OUTLINE 1. Oxygenation a. Airway management, suctioning b. Chest tube management 2. Perfusion a. EKG monitoring b. Fetal monitoring 3. Tissue Integrity a. Wound management: complex dressings, pressure ulcers, suture & staple removal b. IV therapy, venipuncture 4. Nutrition a. Feeding tube care & management b. Total parenteral nutrition 5. Regulation/Safety a. Medication administration (all routes) b. Blood product administration 5. Elimination a. Urinary drainage appliances b. Ostomy appliances TEACHING METHODS Skills class lectures, demonstration, supervised laboratory and clinical simulation, supervised clinical practice experiences and seminars LEARNING ACTIVITIES Selected laboratory and clinical experiences, community based experiences, skill practice and demonstration, participation in clinical, seminars, and assigned activities EVALUATION METHODS/ COURSE GRADE CALCULATION Clinical experience will be evaluated through faculty observation, verbal communication with the student, written work, and agency staff reports using a College of Nursing Clinical Evaluation Form. Faculty reserve the right to alter clinical experiences, including removal from client care areas, of any student to maintain patient safety and to provide instructional experiences to support student learning. Evaluation of clinical performance will be based on achievement of course and program objectives using a College of Nursing Clinical Evaluation Form. All areas are to be rated. A rating of Satisfactory represents satisfactory performance and a rating of Unsatisfactory represents unsatisfactory performance. The student must achieve a rating of Satisfactory in each area by completion of the semester in order to achieve a passing grade for the course. A rating of less than satisfactory in any of the areas at semester end will constitute an Unsatisfactory course grade. The faculty member will hold evaluation conferences with the student and clinical preceptor, if applicable. The faculty member will document or summarize each conference on the Clinical Evaluation Form or Incidental Advisement Record. This summary will be signed by the faculty member and student. Mid-rotation evaluation conferences will be made available to each student. Final evaluation conferences with faculty members are mandatory and will be held during the last week of each clinical rotation. A student may request additional conferences at any time by contacting the faculty member. GRADING SCALE S Satisfactory U Unsatisfactory 11 quizzes will be administered for the didactic/lab portion of the course. The top 10 of these quizzes will be averaged for a final quiz grade. Students must achieve an average quiz grade of 74% to achieve a satisfactory grade in this course. For more information on grades and grading policies, please refer to University’s grading policies: https://catalog.ufl.edu/ugrad/current/regulations/info/grades.aspx REQUIRED TEXTBOOKS Berman, A. & Snyder, S. (2012). Kozier & Erb’s Fundamentals of Nursing: Concepts, process, and practice (9th ed.). Boston: Pearson. Evolve RN Practice Tests: HESI RN Practice Test, Version 3.0 ISBN # 978-0-3230-6867-3 Giddens, J. F. (2010). The Neighborhood. Boston, MA: Pearson. On-line at http://www.pearsonneighborhood.com ISBN-13: 978-0-13-504998-3 Ignatavicus, D., & Workman, M.L. (2010). Medical-surgical nursing: Patient-centered collaborative care (6th ed.). St. Louis, MO: Saunders. ISBN – 978-1-4160-3762-0 REQUIRED TEXTBOOKS (cont’d) Perry, A. G & Potter, P. A. (2010). Clinical nursing skills & techniques. (7th ed.). St. Louis: Mosby/Elsevier. Perry, S., Hockenberry, M., Lowdermilk, D., & Wilson, D. (2010). Maternal child nursing care (4th ed.). Maryland Heights, MO: Mosby. ISBN – 978-0-323-05720-2 Townsend, M.C. (2011). Essentials of psychiatric mental health nursing: Concepts of care in evidence-based practice (5th ed.). Philadelphia: FA Davis. ISBN 13: 978-0-8036-2338-5 NUR 3738C Skills Class and NRC Lab Weekly Schedule Week Date Topic Readings/Assignments 1 Course Orientation Inserting a Straight or Indwelling Urinary Catheter: P&P: p. 864-880 Principles of urinary catheterization Performing Catheter irrigation: P&P: p. 882-886 2 Friday NRC Lab 8/24 0730-1030 Monday Skills Class 8/27 0935-1025 QUIZ #1 DUE IN CLASS PRACTICE: Urinary Catheterization CLASS: Medication administration: Safe medication preparation & Oral and topical medications Mosby video skills: Urinary catheter management (view ALL section videos) Skill 33-1 inserting a straight or indwelling urinary catheter K&E ch. 35 P&P ch. 20, 21 Skill 21-1 admin. Oral meds Skill 21-3 admin. Skin applications Skill 21-4 admin. Eye meds Skill 21-5 admin. Ear drops Skill 21-6 admin. Nasal instillations Skill 21-7 using metered dose inhalers Skill 21-8 admin. Nebulized meds Skill 21-9 admin. Vaginal instillations Skill 21-10 admin. Rectal suppositories PG 21-1 using dry powder inhaled meds Mosby videos: Safe medication administration Non-parenteral medication administration 2 2 Monday 8/27 open lab 3-4pm NRC Friday NRC Lab 8/31 0730-1030 CHK OFF: Urinary Catheterization Inserting a Straight or Indwelling Urinary Catheter: P&P: p. 864-880 Skill 33-1 inserting a straight or indwelling urinary catheter Performing Catheter irrigation: P&P: p. 882-886 Mosby video skills: Urinary catheter management (view ALL section videos) 3 Monday Skills Class 9/3 NO Class NO SCHOOL Holiday – Memorial Day Voice-Over PPT on sakai: Medication administration: injectable medication administration P&P ch. 22 Skill 22-1 Preparing injections from ampules and vials Skill 22-2 admin. Intradermal injections Skill 22-3admin. Subcutenous injections Skill 22-4 admin. Intramuscular injections PG 22-1 mixing parenteral medications in one syringe Mosby videos: Injections 3 Friday NRC Lab 9/7 0730-1030 PRACTICE: Medication administration: Oral, topical & injectable medication administration K&E ch. 35 P&P ch. 20, 21 Skill 21-1 admin. Oral meds Skill 21-3 admin. Skin applications Skill 21-4 admin. Eye meds Skill 21-5 admin. Ear drops Skill 21-6 admin. Nasal instillations Skill 21-7 using metered dose inhalers Skill 21-8 admin. Nebulizer meds Skill 21-9 admin. Vaginal instillations Skill 21-10 admin. Rectal suppositories PG 21-1 using dry powder inhaled meds P&P ch. 22 Skill 22-1 Preparing injections from ampules and vials Skill 22-2 admin. Intradermal injections Skill 22-3admin. Subcutaneous injections Skill 22-4 admin. Intramuscular injections PG 22-1 mixing parenteral medications in one syringe 4 Monday Skills Class 9/10 0935-1025 QUIZ #2 DUE IN CLASS CLASS: Intravenous medication/flui d administration & IV insertion and vascular access therapy P&P ch. 22, 28 Skill 22-5 adding medications to IV fluid containers Skill 22-6 admin. IV medications piggyback, intermittent infusion sets, and mini-infusion pumps Skill 22-7 admin. Meds by IV bolus Skill 22-8 admin. Continuous subcutaneous infusions Skill 28-1 initiating IV therapy Skill 28-2 regulating IV flow rate Skill 28-3 changing IV solutions Skill 28-4 changing Infusion tubing Skill 28-5 changing a peripheral IV dressing PG 28-1 discontinuing peripheral IV access Mosby videos: Intravenous fluid therapy administration Management of intravenous fluid therapy Intravenous medication administration Vascular access 4 4 Monday 9/10 open lab 3-4pm NRC Friday NRC Lab 9/14 0730-1030 CHK OFF: Medication Administration: Safe medication preparation & Oral, topical & injectable medications K&E ch. 35 P&P ch. 20, 21 Skill 21-1 admin. Oral meds Skill 21-3 admin. Skin applications Skill 21-4 admin. Eye meds Skill 21-5 admin. Ear drops Skill 21-6 admin. Nasal instillations Skill 21-7 using metered dose inhalers Skill 21-8 admin. Nebulized meds Skill 21-9 admin. Vaginal instillations Skill 21-10 admin. Rectal suppositories PG 21-1 using dry powder inhaled meds P&P ch. 22 Skill 22-1 Preparing injections from ampules and vials Skill 22-2 admin. Intradermal injections Skill 22-3admin. Subcutenous injections Skill 22-4 admin. Intramuscular injections PG 22-1 mixing parenteral medications in one syringe 5 Monday Skills Class 9/17 0935-1025 5 Monday 9/17 open lab 3-4pm NRC Friday NRC Lab 9/21 0730-1030 5 6 Monday Skills Class 9/24 0935-1025 QUIZ #3 DUE IN CLASS CLASS: See sakai for readings Medication administration (continued) *Voice-over ppt PRACTICE: Intravenous medication/flui d administration & IV insertion and vascular access therapy P&P ch. 22, 28 Skill 22-5 adding medications to IV fluid containers Skill 22-6 admin. IV medications piggyback, intermittent infusion sets, and mini-infusion pumps Skill 22-7 admin. Meds by IV bolus Skill 22-8 admin. Continuous subcutaneous infusions CLASS: Oxygen therapy and respiratory suctioning P&P ch. 23, 25 Skill 23-1 applying a nasal cannula or oxygen mask Skill 23-2 admin. Oxygen to a patient with an artificial airway Skill 23-3 using incentive spirometer Skill 28-1 initiating IV therapy Skill 28-2 regulating IV flow rate Skill 28-3 changing IV solutions Skill 28-4 changing Infusion tubing Skill 28-5 changing a peripheral IV dressing PG 28-1 discontinuing peripheral IV access Skill 25-1 oropharyngeal suctioning Skill 25-2 Airway suctioning PG – 25-1 Closed (in-line) suction catheter Mosby Video skills: Respiratory care & suctioning Performing oralpharyngeal suctioning Performing nasopharyngeal suctioning Suctioning an artificial airway 6 Monday 9/24 open lab 3-4pm NRC 6 Friday NRC Lab 9/28 0730-1030 CHK OFF: IV insertion and IV therapy Skill 28-1 initiating IV therapy Skill 28-2 regulating IV flow rate Skill 28-3 changing IV solutions Skill 28-4 changing Infusion tubing Skill 28-5 changing a peripheral IV dressing PG 28-1 discontinuing peripheral IV access 7 Monday Skills Class 10/1 0935-1025 CLASS: Airway management & Tracheostomy care P&P ch. 25 Skill 25-3 Endotracheal tube care Skill 25-4 Tracheostomy care Skill 25-5 Inflating the cuff on an endotracheal or tracheostomy tube QUIZ #4 DUE IN CLASS 7 7 Monday 10/1 open lab 3-4pm NRC Friday NRC lab 10/5 0730-0930: Groups 3 & 4 Mosby Videos: Maintaining an airway Providing tracheostomy care PRACTICE: Communication Lab See sakai site for readings CLASS: Closed Chest drainage P&P ch. 26 Skill 261- caring for patients with chest tubes connected to disposable drainage systems Skill 26-2 assisting with removal of chest tubes Skill 26-3 reinfusion of chest tube drainage 0930-1130: Groups 1 & 2 (*note time change) 8 Monday Skills Class 10/8 0935-1025 QUIZ #5 DUE IN CLASS 8 Monday 10/8 open lab 3-4pm NRC 8 Friday NRC Lab 10/12 0730-1030 PRACTICE: Airway, Respiratory, Suction, Chest Tube and Tracheostomy Care P&P ch. 23, 25 Skill 23-1 applying a nasal cannula or oxygen mask Skill 23-2 admin. Oxygen to a patient with an artificial airway Skill 23-3 using incentive spirometer Skill 25-1 oropharyngeal suctioning Skill 25-2 Airway suctioning Skill 25-3 Endotracheal tube care Skill 25-4 Tracheostomy care Skill 25-5 Inflating the cuff on an endotracheal or tracheostomy tube PG – 25-1 Closed (in-line) suction catheter Mosby Video skills: Respiratory care & suctioning Maintaining an airway Providing tracheostomy care Performing oralpharyngeal suctioning Performing nasopharyngeal suctioning Suctioning an artificial airway 9 Monday Skills Class 10/15 0935-1025 QUIZ #6 DUE IN CLASS 9 Monday 10/15 open lab 3-4pm NRC CLASS: ECG interpretation See sakai site for additional readings Lewis: p. 818-840 Principles of basic EKG interpretation and nursing considerations Exemplars: Heart rate calculation Identifying common EKG patterns: NSR SB ST A-Fib A-Flutter V-Fib V-Flutter PAC PVC Idioventricular rhythm Junctional rhythms Heart Blocks Ventricular and atrial pacing 9 Friday NRC Lab 10/19 0730-1030 PRACTICE: ECG Interpretation Lewis: p. 818-840 Principles of basic EKG interpretation and nursing considerations Exemplars: Heart rate calculation Identifying common EKG patterns: NSR SB ST A-Fib A-Flutter V-Fib V-Flutter PAC PVC Idioventricular rhythm Junctional rhythms Heart Blocks Ventricular and atrial pacing 10 Monday Skills Class 10/22 0935-1025 CLASS: Complex Wound care, VAC therapy, Drains, Suture & Staple removal P&P ch. 38 & 39 Skill 38-1 performing wound irrigation Skill 38-2 performing suture and staple removal Skill 38-3 managing drainage evacuation PG 38-1 performing a wound assessment QUIZ #7 DUE IN CLASS Skill 39-1 applying a dressing (dry and moist-to-dry) Skill 39-2 applying a pressure bandage Skill 39-3 Applying a transparent dressing Skill 39-4 Applying a hydrocolloid, hydrogel, foam, or absorption dressing Skill 39-5 Negative pressure wound therapy Skill 39-6 Applying gauze and elastic bandages Skill 39-7 Applying abdominal and breast binder Mosby video skills: Wound and pressure ulcer care (view ALL section videos) Please complete the following two training NDNQI modules related to pressure ulcers. • Module One: Pressure Ulcers and Staging • Module Two: Other Wound Types and Skin Injuries Website: https://www.nursingquality.org/ndnqipressureulcertraining/ default.aspx 10 10 11 11 11 Monday 10/22 open lab 3-4pm NRC Friday NRC Lab 10/26 0730-1030 Monday Skills Class 10/29 0935-1025 QUIZ #8 DUE IN CLASS Monday 10/29 open lab 3-4pm NRC Friday NRC Lab 11/2 0730-1030 PRACTICE: Complex Wound care, VAC therapy, Drains, Suture & Staple removal P&P ch. 38 & 39 Skill 38-1 performing wound irrigation Skill 38-2 performing suture and staple removal Skill 38-3 managing drainage evacuation PG 38-1 performing a wound assessment CLASS: Central venous line (CVL) care and management & Blood collection P&P ch. 28 Skill 28-6 insertion and care of central venous access devices CHK OFF: Wound Care P&P ch. 38 & 39 Skill 38-1 performing wound irrigation Skill 38-2 performing suture and staple removal Skill 38-3 managing drainage evacuation PG 38-1 performing a wound assessment Skill 39-1 applying a dressing (dry and moist-to-dry) Skill 39-2 applying a pressure bandage Skill 39-3 Applying a transparent dressing Skill 39-4 Applying a hydrocolloid, hydrogel, foam, or absorption dressing Skill 39-5 Negative pressure wound therapy Skill 39-6 Applying gauze and elastic bandages Skill 39-7 Applying abdominal and breast binder Skill 43-8 p. 1145-1153 collecting blood specimens and culture by venipuncture (syringe method and vacutainer method) Skill 39-1 applying a dressing (dry and moist-to-dry) Skill 39-2 applying a pressure bandage Skill 39-3 Applying a transparent dressing Skill 39-4 Applying a hydrocolloid, hydrogel, foam, or absorption dressing Skill 39-5 Negative pressure wound therapy Skill 39-6 Applying gauze and elastic bandages Skill 39-7 Applying abdominal and breast binder 12 Monday Skills Class 11/5 0935-1025 Class: Blood product administration P&P ch. 29 Skill 29-1 initiating blood therapy Skill 29-2 monitoring for adverse reactions to transfusion QUIZ #9 DUE IN CLASS 12 Monday 11/5 open lab 3-4pm NRC 12 Friday NRC Lab 11/9 NO lab NO SCHOOL 13 Monday Skills Class 11/12 NO Class NO SCHOOL Veteran’s day 13 Friday NRC Lab 11/16 0730-1030 PRACTICE: CVL dressing change, blood administration and blood collection UF HOMECOMING P&P ch. 28 Skill 28-6 insertion and care of central venous access devices Skill 43-8 p. 1145-1153 collecting blood specimens and culture by venipuncture (syringe method and vacutainer method) P&P ch. 29 Skill 29-1 initiating blood therapy Skill 29-2 monitoring for adverse reactions to transfusion 14 Monday Skills Class 11/19 0935-1025 QUIZ #10 DUE IN CLASS CLASS: Enteral nutrition Parenteral nutrition Management of enteral tubes & Medication administration by nasogastric or enteral tube P&P ch. 30, 31 Skill 21-2 admin. meds by nasogastric or enteral tube Skill 31-1 inserting a nasogastric or nasoenteric feeding tube Skill 31-2 verifying feeding tube placement Skill 31-3 irrigating a feeding tube Skill 31-4 Administering enteral nutrition: nasogastric, nasoenteric, gastrostomy, or jejunostomy tube PG 31-1 care of gastrostomy or jejunostomy tube Skill 32-1 administering central parenteral nutrition Skill 32-2 admin. Peripheral parenteral nutrition with lipid (fat) emulsion Nutritional support – Lewis: p. 931-940 Enteral Nutrition – Lewis p. 931-935 Parenteral Nutrition – Lewis p. 935-940 Mosby video skills: Parenteral nutrition 14 Monday 11/19 open lab 3-4pm NRC 14 Friday NRC Lab 11/23 0730-1030 NO SCHOOL – THANKSGIVING HOLIDAY 15 Monday Skills Class 11/26 0935-1025 CLASS: Ostomy management and care P&P ch. 30, 31, 35 Skill 21-2 admin. meds by nasogastric or enteral tube Skill 31-1 inserting a nasogastric or nasoenteric feeding tube Skill 31-2 verifying feeding tube placement Skill 31-3 irrigating a feeding tube Skill 31-4 Administering enteral nutrition: nasogastric, nasoenteric, gastrostomy, or jejunostomy tube PG 31-1 care of gastrostomy or jejunostomy tube QUIZ #11 DUE IN CLASS Skill 32-1 administering central parenteral nutrition Skill 32-2 admin. Peripheral parenteral nutrition with lipid (fat) emulsion Skill 35-1 pouching a colostomy or ileostomy Skill 35-2 pouching a urostomy Skill 35-3 catheterizing a urinary diversion 15 Monday 11/26 open lab 3-4pm NRC 15 Friday NRC lab 11/30 0730-1030 PRACTICE: Enteral Tubes and Ostomy Care P&P ch. 35 Skill 35-1 pouching a colostomy or ileostomy Skill 35-2 pouching a urostomy Skill 35-3 catheterizing a urinary diversion 16 Monday Skills Class 12/3 0935-1025 CLASS: ECG interpretation practice See sakai site for additional readings Lewis: p. 818-840 Principles of basic EKG interpretation and nursing considerations Exemplars: Heart rate calculation Identifying common EKG patterns: NSR SB ST A-Fib A-Flutter V-Fib V-Flutter PAC PVC Idioventricular rhythm Junctional rhythms Heart Blocks Ventricular and atrial pacing Women’s Health Faculty: Brimeyer & Krueger Simulation Faculty: Gannon Community Faculty: Bethart, Castleman, Mangueria Child Health Curtis Blue Team Gibson Kendall Rawley Shannon Sutherland Dana Swails Eva Torres Hector Watson Susannah Williams Rashnell York Julia Brooke Sydney Grace Jaunita Danielle Michelle Morgan Rachael Child Health Curtis Batten Gould Kang Klim LeBlanc Loewenherz Naylor Pendleton Dalby Davis Estrella Hand Morris Rowely Sapp Smith Jaimee Amanda Angelica Kimberly David Lori Allison Marta Mental Health Walker VA Blue 1 Shands Reab Reed Mental Health Stacciarini Vista NF B. Weber SUF Carlin 54 SUF Knapp 10-5 Sylvia Genesis Stephanie Timothy Amanda Thomas Michael Alexandra 3rd Benavides Calzado Curtis Gaffud Gonzalez Irby Lo Mikhak Blue 2 Erin Rachel Dominique Hannah Katherine Jordan Shanna Shannon Blue 3 Berg Bush Ferro Greene Gregorits Gross Whiteside Wilson Blue 4 Child Health Curtis Robin Anna Kyle Elizabeth Jenny Jessica Sara Amanda Mental Health Stacciarini Vista Axtell-Crane Benton Chacon Ennis Hoeg Prasse Pullen Rigney Child Health Curtis Orange Team Brooke Calinai Lauren Jeong Samantha Marcus Jennifer Sera Mental Health Walker VA SUF Citty 7E NF Yoon 5th SUF Harvey 5E SUF Sutton 5W Orange 1 Orange 2 Orange 3 Orange 4 Blasser Blay Heil Kang Matos Moore Soltis Stevens Barrios Forde Gross Llamozas Paz Pereira Skelton Sucar Michael Yonnette Joslyn Erika Yeisy Katiuska Jennifer Vanessa FALL 2012 Period 1 2 Time Monday Tuesday 4 Wednesday Thursday 3738C CLINICAL PRACTICE 3738C CLINICAL PRACTICE Friday 7:25-8:15 NUR 3738C LAB 8:30-9:20 Clinical Practice 2 7:30 – 10:30 NRC (Citty) NUR 3738 Systems of Care 2 HPNP G-114 (Kelley - Citty & Snider assist) 3 NUR 3738C Schedule 9:35-10:25 NUR 3738C NUR 3738 Clinical Practice 2 G-114 (Citty) Systems of Care 2 HPNP G-114 (Kelley - Citty & Snider assist) 10:40-11:30 Various Clinical Experiences in Community Health, Women’s Health, Adult Health, and either Child Health or Mental HealthSee Clinical Grid for Schedule Various Clinical Experiences in Community Health, Women’s Health, Adult Health, and either Child Health or Mental Health – See Clinical Grid for Schedule NUR 3738C Seminar Clinical Practice 2 5 11:45-12:35 NUR 3145 6 7 12:50-1:40 1:55-2:45 Pharmacology For Nursing G-312 (Jessup) 8 3:00-3:50 10:40 – 12:35 NGR 6101 Theory and Research G-312 (Stechmiller) * IFH 10/30 1PM – 4PM 9 4:05-4:55 10 5:10-6:00 11 6:15-7:05 DATE AH Citty SUF 7E CH Curtis SUF 44 8/22 O1 8/23 8/29 C CH C O12 2P10P CH 2P10P 8/30 9/5 C CH C 2P10P CH 2P10P 9/6 9/12 9/13 C CH C C 2P10P CH 2P10P 9/19 9/20 9/26 9/27 10/3 10/4 10/10 10/11 10/17 10/18 10/24 10/25 10/31 11/1 C C C AH AH AH AH C AH AH AH AH C AH AH AH AH 11/7 11/8 11/14 11/15 11/28 OB OB OB SIM OB OB OB SIM 11/29 12/5 Castleman AH Yoon NF 5 MH Stacciarini Vista O2 C MH C MH O22 C MH C OB MH CH Curtis SUF 44 O3 C C C O32 C C C Castleman AH Sutton SUF 5W MH Walker VA Castleman O4 AH O42 C C AH AH AH C C MH C AH C CH CH 2P10P 2P10P 2P10P CH CH CH 2P10P 2P10P 2P10P MH AH MH AH OB OB C AH MH AH AH C C CH MH MH MH OB SIM AH AH C OB OB Mangueiri a AH Harvey SUF 5E MH OB OB SIM C OB C C C AH AH 1PM 9PM AH AH 1PM 9PM C AH AH AH AH 1PM 9PM AH AH 1PM 9PM C AH AH C C OB SIM AH AH C OB OB SIM AH AH C OB SIM OB OB OB SIM OB C C OB AH AH C C C C AH AH AH AH DATE AH Reed SUF Rehab CH Curtis STH 44 8/22 8/23 8/29 8/30 9/5 9/6 9/12 9/13 9/19 9/20 9/26 9/27 10/3 10/4 10/10 10/11 10/17 10/18 10/24 10/25 OB SIM OB OB OB OB SIM 10/30 10/31 11/1 CH AH 11/7 11/8 11/14 11/15 11/28 11/29 12/5 CH AH CH AH AH AH AH AH AH B1 C C C C C C C C C C 2P10P 2P10P B12 CH C C OB 2P10P 2P10P CH CH 2P10P AH 2P10P AH AH AH AH C AH C AH AH AH AH C AH C AH AH OB SIM OB OB OB OB SIM AH Bethart AH Weber NF 3 MH Stacciarini Vista MH B2 MH MH C MH B22 MH C OB SIM OB OB OB SIM MH C C OB CH Curtis SUF 44 B3 AH AH AH AH B32 C C AH C AH C AH C AH C C AH C AH Tues AH C 1PM9PM Bethart AH Carlin SUF 54 C OB C AH AH Tues AH C 1PM9PM C C C C CH CH CH 2P10P 2P10P 2P-10P CH CH CH 2P10P 2P10P 2P-10P OB Mangueiria AH Knapp SUF 10-5 MH Walker VA Bethart MH B4 OB OB OB SIM C OB OB OB SIM C MH C MH B42 MH MH C C AH C AH C AH AH AH AH C C AH C AH C AH AH AH AH MH C 8/22 Krueger SUF DATE OB W Brimeyer NF OB W Gannon OBSIM CG-67 8/23 8/29 8/30 9/5 9/6 9/12 O2 2, B22 , B42 B4 9/13 9/19 9/20 O2 2, B22 , B42 B4 W 8-12 A.M. O2 W 15P.M. B2 9/26 9/27 B2 10/3 10/4 B2 O2 O2 10/10 10/11 10/17 O3 2.O 42, B12 O32, O42, B12 O3 B4 O2 2, B22 , B42 10/18 10/24 10/25 10/31 11/1 11/7 11/8 OB: Brimeyer O1, O2, O3, B1, B3, B4 NFR Days Krueger O12, O22, O32, O4, O42, SUF B12, B2,, B22, B32, B42 Approved: Academic Affairs Committee: General Faculty: UF Curriculum Committee: 09/09; 02/12 09/09; 03/12 10/09; 04/12 MH: 11/28 O4 O1 2, B32 O12, B32 O3 B1 B1 O1 O1 B3 B1 O3 B3 O1 O4 Community: Castleman Bethart Mangueiria 11/15 O4 O3 2, O4 2, B12 O1 2, B32 For OB & OBSIM: O1, B1, O2, B2, etc. = Students #1 – 6 O12, B12, O22, B22, etc. = Students #7 & 8 = Available for Community Students = 8 hrs/in-pt. day x 11 days; ½ day OBSIM 2 hrs. community/wk. 3 hrs. lab/wk. 2 hrs. seminar every other wk. 11/14 O1, O3, O4 B1, B2, B4 O2, B3 Stacciarini O2, B2 Vista Walker O4, B4 VA CH: Curtis O1, O3, B1, B3 SUF 11/29 12/5 B3