Download Nursing Theory - Chabot College

Chabot College
Fall, 2002
Course Outline for Nursing 70
NURSING THEORY: LVN-RN TRANSITIONS
Catalog Description
Nursing 70 - Nursing Theory: LVN-RN Transitions
1.5 units
A review of nursing topics for the LVN who wishes to upgrade to Registered Nurse. Includes the
nursing care plan used in Chabot College’s nursing program with clinical applications of the
modified Roy Adaptation Model to the steps of the nursing process, principles of therapeutic
communication, introduction to the functions of the Board of Registered Nursing, legal-ethical
concepts common to the role of the registered nurse, and review of selected psychomotor skills
utilized by the nurse in the delivery of health care. Prerequisite: Valid California LVN license and
completion of Physiology 1 and Microbiology 1 with a grade of “C” or higher. May be offered in
Distance Education delivery format. 1 hour lecture, 1.5 hours laboratory.
Prerequisite Skills:
Before entering the course, the student should be able to:
1.
2.
3
4.
5.
6.
apply principles of human anatomy, physiology, and microbiology in the care of clients;
use a computer for word processing;
name the five rights of medication administration;
discuss principles of safety involved in client care;
identify what constitutes safe performance in the following nursing skills:
a.
hygienic care (bed bath, bed making, oral care);
b.
assessment of vital signs;
c.
nutritional care, including providing oral and enteral feedings;
d.
collection of specimens and recognition of findings that are within normal limits;
e.
handwashing;
f.
principles of body mechanics;
g.
positioning/lifting/transferring the client to or from bed/chair;
h.
observing and documenting intake and output;
i.
administration of oxygen;
j.
administration of medications by oral, intramuscular, subcutaneous, topical and
enteral routes;
k.
inspection of intravenous sites for proper placement;
l.
basic principles of surgical asepsis in the
1)
application of sterile dressings;
2)
wound care;
3)
bladder catheterization;
m.
application of restraints;
pass the clinical skills test.
Expected Outcomes for Students:
Upon completion of the course, the student should be able to:
1.
theoretical outcomes:
a.
identify the process of change in the LVN who is transitioning to RN status;
b.
define and describe at least twelve Freudian defense mechanisms used to cope
with anxiety;
c.
assess and differentiate between behaviors of the four levels of anxiety;
d.
define the fundamentals of the communication process;
Chabot College
Course Outline for Nursing 70, page 2
Fall 2002
e.
f.
g.
h.
i.
j.
k.
l.
m.
n.
o.
p.
q.
2.
identify at least four therapeutic communication principles;
describe the basis for using selected interviewing techniques;
discuss the implications of ethics applied in health care;
differentiate behaviors characteristic of Erikson’s eight stages of psychosocial
development;
describe the methods used and purpose of values clarification;
describe the responses of the body in the three stages of General Adaptation
Syndrome;
define the unique aspects of professional malpractice;
define the administrative standards of the Board of Registered Nursing as they
reflect on the practice of nursing and student experiences in nursing;
identify the elements of the nursing process;
identify major nursing theories;
describe the conceptual framework used in Chabot College’s nursing curriculum;
incorporate scientific principles from Biology, Physiology, and Microbiology in the
nursing care plan;
devise a nursing care plan, using the nursing process.
clinical outcomes
a.
demonstrate ability to accurately perform calculations utilized in medication
administration and IV drip rates;
b.
demonstrate ability to safely administer medications via the oral, enteral, topical,
intramuscular and subcutaneous routes;
c.
demonstrate ability to incorporate surgical asepsis in
1)
dressing change;
2)
catheterization of the urinary bladder;
d.
demonstrate ability to safely administer enteral feedings;
e.
demonstrate ability to complete minimum criteria for assessment of the
abdomen, peripheral vascular, and integument.
Course Content:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Chabot College
Review of medical and surgical asepsis and applications in enteral feedings, dressing
changes, and catheterization of the urinary bladder
Review of calculations required for medication administration and IV regulation
Review of safety measures to observe in the administration of medications via the topical,
oral, enteral, intramuscular, and subcutaneous routes
Cultural diversity and application to health care delivery
Communication skills
Defense mechanisms
Legal-ethical principles for the registered nurse
Elements of Erikson’s eight stages of psychosocial development
Anxiety: origins, levels, behaviors
Communication process: principles and techniques
Values clarification
Medico-legal aspects of professional practice
Conceptual framework applied to Chabot College’s nursing curriculum
Implementing the evidence-based nursing process
Development of the nursing care plan
Course Outline for Nursing 70, page 3
Fall 2002
Methods of Presentation
1.
2.
3.
4.
Lecture/discussion
Skills Lab demonstration/return demonstration
Audio-visual aids
Computer assisted training package(s)
Assignments and Methods of Evaluating Student Progress
1.
Typical assignments
a.
Practice in Skills Lab
b.
Case study assignments (take-home)
c.
Critical thinking assignments
d.
Nursing Care Plan
2.
Methods of Evaluating Student Progress
a.
Written tests
b.
Take-home assignments
c.
Practice in skills lab
d.
Final examination
e.
Nursing Care Plan
Textbook(s) (typical):
Fundamentals of Nursing, Potter and Perry, 5th ed. Mosby. 2000
From LPN to RN Role Transitions, Ham, 1st ed. Saunders. 2002
Nursing Diagnosis Handbook: A Guide to Planning Care. Ackley and Ladwig, C.V. Mosby, 5th
ed. 2001
The Nursing Process in Nursing Care: A Guide Book for Written Assignments. Chabot College
Nursing Program,7th ed. 2001.
Special Student Materials:
Stethoscope
Watch with sweep second hand
Revised: 2/8/02
CONTENT REVIEW FORM A
PREREQUISITE COURSES
TARGET COURSE ____________________Nursing 70: Nursing Theory: LVN-RN Transitions_________
PREREQUISITE COURSES____Physiology 1, Microbiology 1, possession of valid California LVN license
Instructions:
1.
List exit competencies from Prerequisite course. These skills are listed in the Student Outcomes
section of the course outline of record.
2.
Indicate which of the listed exit competencies (skills) are necessary entering skills for the target
course.
3.
Indicate the degree of importance of each entering course with the following rating Scale:
1 = Critical
2 = Very helpful
3 = Desirable
SKILLS ANALYSIS:
EXIT SKILLS FROM THE PREREQUISITE CLASS
1. Demonstrate competency in:
1a. applying principles of apply principles of human anatomy,
physiology, and microbiology in the care of clients
1b. naming the five rights of medication administration
1c. using a computer for word processing
1d. discussing principles of safety involved in client care
1e. identifying what constitutes safe performance in the
following nursing skills:
hygienic care (bed bath, bed making, oral care)
assessment of vital signs;
nutritional care, including providing oral and enteral
feedings;
collection of specimens and recognition of findings that
are within normal limits;
handwashing;
principles of body mechanics;
positioning/lifting/transferring the client to or from
bed/chair;
observing and documenting intake and output;
administration of oxygen;
administration of medications by oral, intramuscular,
subcutaneous, topical and enteral routes;
inspection of intravenous sites for proper placement;
basic principles of surgical asepsis in the application of
sterile dressings;
wound care;
bladder catheterization;
1f. application of restraints
“X” FOR NEEDED
ENTERING SKILLS
1, 2, OR 3
INDICATES
IMPORTANCE
X
1
X
X
X
X
1
2
1
1
1
1
1
1
1
1
1
1
1
1
1
X
1
1
2
Statement of Rationale
TO:
Curriculum Committee
FROM:
Nancy Cowan
DATE:
December 18, 2001
SUBJECT:
Revision of NURSING 70
RATIONALE:
This proposal asks that the following be changed:
1.
Nursing 70 revised to include a skills lab component consisting of ½ unit and decreasing the
lecture to 1 unit for the semester.
2.
The format is updated.
3.
Completion of prerequisites added to facilitate admission to the nursing program in a more timely
manner.
Instructor Name
Dean, Health and Natural Sciences
ABBREVIATED COURSE DESCRIPTION FOR THE CLASS SCHEDULE:
Nursing 70 - Nursing Theory : LVN-RN Transitions
1 ½ units
Review of selected nursing topics for the LVN wishing to upgrade to RN. Includes the nursing care plan,
nursing process, communication principles, legal-ethical concepts common to the role of registered
nursing, functions of the California Board of Registered Nursing, and selected psychomotor skills utilized
by the registered nurse in the delivery of patient care. Prerequisite: Valid California LVN license and
completion of Physiology 1 and Microbiology 1 with a grade of “C” or higher. May be offered in Distance
Education delivery format.