Download NUR 120 Fundamental Medical-Surgical Nursing I

PIMA MEDICAL INSTITUTE
Nursing Program
NUR 125 Fundamental Medical-Surgical Nursing I
Professional Sequence I Level I
Day Syllabus
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NUR 125 Fundamental Medical- Surgical Nursing I
Monday through Friday, varied 3.0 – 11 hours per week
Professional Sequence I Level I
6.0 (3.0 Credits Didactic/1.0 Credit Lab /2 Credits
Clinical/90 Hours)
Mike Wallace BSN, RN, AN.
Paul Potter BSN, RN, AN
Veronica Dawson BSN RN.
Fundamentals of Nursing
Keys to Student Success
Stedman’s Medical Dictionary
Medical Terminology Systems: A Body Systems
Approach
Test Success: Test Taking Techniques for Beginning
Nursing Students
Nursing Today: Transition and Trends
Clinical Nursing Skills: Basic to Advanced
Concept Mapping: A Critical-Thinking Approach to
Care Planning
Medical-Surgical Nursing: Critical Thinking For
Collaborative Care
Saunders Nursing Guide to Laboratory and Diagnostic
Tests
Course Description:
Fundamental Medical-Surgical Nursing I
This course focuses on fundamental nursing theory, process, scope, and skills related to meeting
the basic human needs of the adult patient. Familiarity with several nursing theorists will
provide the student a framework of caring from which all future patient encounters will be
developed. The student will learn the nursing process of planning patient care; nursing
assessment and prioritization of diagnoses; goal development and evaluation; planning of
therapeutic interventions and actions; care-mapping, care–planning, and critical pathways; and
patient-driven outcome analysis. This course focuses on the common biological, psychological,
and sociological needs and problems encountered with the general stable medical-surgical adult
patient that influence the illness-wellness continuum. Discussions about and familiarity with
treatment modalities, symptomatology, and etiology affecting the respiratory, cardiovascular,
gastrointestinal, and integumentary systems of the adult will be emphasized. Theory is
correlated with laboratory practice throughout the course, and with clinical practice and
observation in appropriate adult health care settings. The course provides the student the
Albuquerque Campus
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Revision Date: 2-27-08
PIMA MEDICAL INSTITUTE
Nursing Program
NUR 125 Fundamental Medical-Surgical Nursing I
Professional Sequence I Level I
Day Syllabus
opportunity via the nursing skills laboratory to practice and validate competency with selected
procedures and skills.
Course Format:
This course will be a combination of lecture, simulation, demonstration, student participation,
role playing, skills lab practice, clinical assignment, individual conferences, and hands-on clinical
experience.
Course Resources:
Required textbook/workbook, visual aids, handouts, test review, and other print and electronic
resources.
Prerequisites: Successful completion of Pre-Professional Sequence 1 with a grade of C or
better.
Course Co-Requirements: Bio 125 Anatomy and Physiology II/ Pathophysiology, NPH 110
Pharmacology I, Nursing 125 Fundamental Nursing 1(Medical Surgical Nursing).
Students are expected to:
1.
Be in attendance.
2.
Actively participate in discussions by contributing ideas, and information, listening, and
responding to others in the class.
3.
Work productively in both group and individual activities.
4.
Achieve a minimum 77% grade average in the course.
Attendance Policy:
Students are expected to notify Pima Medical Institute by phone prior to class time if they are
going to be absent or tardy. Notice of prolonged absence must be made in person or by letter
to the Associate Director. All absences, regardless of reasons, are recorded.
Students with absences in excess of 5% of the total number of classroom hours in the program
are placed on attendance advisement. Students with absences of 10% of the total number of
classroom hours are placed on attendance probation. Students with absences in excess of 15%
may be terminated for unsatisfactory attendance. Made up absences are not deleted from the
15% calculation.
Six percent of the scheduled clinical hours each semester may be considered appropriate
absences without having to make them up. All other absent clinical time must be made-up. The
number of hours in the clinical course (96) multiplied by 0.06 (6%) and divided by 8 hours (a day)
allows 1 clinical absent (0.7 days) without make-up for this semester. Clinical make-up time will
be scheduled at the instructor’s discretion. Factors determining ability to make-up missed
clinical time may be based on, but not limited to, student prior academic performance, time
commitment, faculty availability, faculty permission, and cost to institution. This make-up time
will be during the semester, if possible during study days, weekends, second shifts, or after the
end of the semester if needed.
Albuquerque Campus
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Revision Date: 2-27-08
PIMA MEDICAL INSTITUTE
Nursing Program
NUR 125 Fundamental Medical-Surgical Nursing I
Professional Sequence I Level I
Day Syllabus
Examination Make-Up Policy:
Students absent on examination day are given a make-up examination on the first day they
return to class. The earned score on a make-up examination is reduced by 10%. A grade of zero
is given for examinations not taken on the day of return. It is the responsibility of the student
to contact the instructor for make up exams or any other course work that is missed
Method of Evaluation:
Assessment is based upon the course requirements and is as follows:
Exams 1-3
20% 200 points
Midterm
15% (150 points)
Lab Skills
Pass/No pass
Assignments/Papers
35% (350 points total)
Teaching Assignments
100 of 350
Concept Maps
125 of 350
Life Review
125 of 350
Clinical
Pass/No pass
Final Exam
20% (200 points)
PPS
10% (100 points)
TOTAL…………………………………..1000 points
Transfer of Credit:
Credits earned at Pima Medical Institute may not, at the time of this printing, be guaranteed as
transferable to other institutions of higher learning, colleges and universities in the state of
Arizona. Students wishing to apply for acceptance or transfer into other institutions of higher
learning in the state of Arizona should contact the Nursing Department and/or Admissions
Representative of those institutions for specific information and help on transfer requirements.
Pima Medical Institute does have an articulation agreement with the University of Phoenix
(UOP) that will allow transfer of credits earned in the Associate Degree Program into a UOP
Bachelor Degree Program.
Theory Grade Scale:
Grades for all courses completed and attempted are recorded on students’ permanent
transcripts.
Grade
A
B
C
F
I
X
W
Standing
Percentage
Excellent
93-100%
Good
85-92%
Average
77-84%
Failing
76% or lower
Incomplete
Leave of Absence
Withdrawn
Albuquerque Campus
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PIMA MEDICAL INSTITUTE
Nursing Program
NUR 125 Fundamental Medical-Surgical Nursing I
Professional Sequence I Level I
Day Syllabus
T
Terminated
Evaluation of clinical performance will be based upon the achievement of course objectives.
These objectives are measured by specific outcomes on the Course Performance Evaluation.
Each student will be evaluated using the Course Performance Evaluation each week. Weekly
evaluations will be used for mid-course and final evaluations of student progress and
performance in meeting the course objectives. Students are to demonstrate growth as they
progress through the course and to meet clinical objectives outlined in the Course Performance
Evaluation. A final grade of satisfactory must be achieved for continuation in the program. Preand post-conferences will be used to discuss instructor/student questions or concerns, and to
facilitate evaluation. See section on clinical.
Course Objectives:
Upon completion of this course, the student will have been provided the opportunity to:
1.
Identify factors that shape the nurse’s role as a professional.
2.
Differentiate theories and models of nursing practice.
3.
Categorize information and activities according to the components of the nursing
process.
4.
Prepare a care plan based upon etiology, pathophysiology, clinical manifestations,
medical management, diagnostic testing, and nursing management data for patients
with alterations in health of the respiratory, cardiovascular, gastrointestinal, and
integumentary systems.
5.
Discuss the nurse’s role in assessment and prioritization of biological, psychosocial,
nutritional, and learning needs of patients.
6.
Analyze the etiology, pathophysiology, clinical manifestations, medical management,
diagnostic testing, and nursing management of care for patients with an alteration in
health of the respiratory, cardiovascular, gastrointestinal, and integumentary
systems.
7.
In the skills lab and/or clinical setting, demonstrate common therapeutic procedures
used for diseases of the respiratory, cardiovascular, gastrointestinal, and integumentary
systems.
8.
In the clinical setting, apply knowledge of the anatomy, physiology, function, and
structure of the respiratory, cardiovascular, gastrointestinal, and integumentary systems when
providing care for a client with a health alteration.
9.
Identify laboratory data significant in determining respiratory, cardiovascular,
gastrointestinal, and integumentary health status.
10.
Describe the body’s mechanisms which regulate fluid, electrolyte and acid-base balance.
11.
Discuss the types and influences of values in the nurse-patient relationship.
12.
Define the components and concept of culture.
Reading and Assignment Schedule:
Week
1/
3-3-08
Assignment/Reading
Chapters 1-5
2/
Chapters 6-11
3-10-08
Albuquerque Campus
Due dates
Establish Teaching
Assignment groups
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Revision Date: 2-27-08
PIMA MEDICAL INSTITUTE
Nursing Program
NUR 125 Fundamental Medical-Surgical Nursing I
Professional Sequence I Level I
Day Syllabus
3/
3-17-08
Chapters 20-22
4/
3-24-08
Chapters 23-29
5/
3-31-08
Chapters 30-35
Reflective journal
Concept Map
Reflective journal
Provide Teaching Topic
Reflective journal
Concept Map
EXAM #1 Weeks 1-4
6/
4-7-08
Chapters 36-41
Reflective journal
7/
4-14-08
Chapters 42,43,12,13
8/
4-21-08
Chapters 44-48
9/
4-28-08
Chapters 49-52
Reflective journal
Concept Map
Teaching Assignments Begin
Take home practice exam
Reflective journal
Take home practice exam
Reflective journal
Concept Map
Mid term Exam Weeks 5-8
10/
5-5-08
Chapters 53-55
11/
5-12-08
Chapters 56-64
12/
5-19-08
Chapters 65-68
13/
5-19-08
Chapters 69-75
14/
5-26-08
Chapters 76-80
15/
6-2-08
Review
16/
6-9-08
Final
Albuquerque Campus
Take home practice exam
Reflective journal
Teaching Assignments Due
Take home practice exam
Reflective journal
Concept Map
Take home practice exam
Reflective journal
Life Review
Exam #3 Weeks 9-11
Take home practice exam
Reflective journal
Concept Map
Take home practice exam
Reflective journal
Reflective journal
Concept Map
Comprehensive Exam
includingWeeks 12-14
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Revision Date: 2-27-08
PIMA MEDICAL INSTITUTE
Nursing Program
NUR 125 Fundamental Medical-Surgical Nursing I
Professional Sequence I Level I
Day Syllabus
POP QUIZES: At any point in the semester students may be subject to pop quizzes
on lecture, lab, or clinical information.
Patient Teaching Assignment. (100 POINTS)

Each group will have an instructor approved disease process. INSTRUCTOR WILL ASSIGN
GROUPS. Each group must submit their topic for approval by 3-24-08
 Group members must contribute equally to all aspects of their project. Groups will
present their disease topic. Groups will also prepare a case study with questions to go
along with their assigned topic. Groups will design a patient teaching plan for their
disease topic.
 The project must follow the nursing process and contain at least 2 nursing diagnosis and
concept map. A minimum of 4 current references must be used.
 The project must consider cultural aspects, age related, gender and any special needs or
disability considerations.
 Groups can use any type of teaching ie….. Posters, power point, story-board, audio
visual, handouts….. Etc.
Groups must turn in a final paper in correct APA format, 8 pages including title and reference
pages.
Your presentation will be a minimum of 20 minutes with a 10 minute open session for
questions.
Points will be deducted if you go overtime. You will also lose points for falling short of the
allotted time assigned.
Clinical Skills Laboratory
A. Attendance is same as clinical attendance policy. Absence compromises the successful
completion of the course objectives.
B. Nursing skills will be discussed and demonstrated in relation to basic human needs as they
are studied in the classroom.
C. Each student will be scheduled for a skills lab practice and check off times.
D. Each student is expected to have reviewed the written procedure and viewed any required
audio-visuals prior to practice. Bring criteria for skill performance to the lab. Un-prepared
students will be sent home.
E. Skills performance criteria for each skill is found in the text book or a handout will be given
in the class.
F. Each of the skills on the check list must be demonstrated correctly by the student in the
nursing skills laboratory setting. All the criteria must be satisfactorily demonstrated in check-off.
H. All listed skills must be completed satisfactorily to meet course objectives. It is expected that
this demonstration be correct on the first attempt.
I. The student has a copy of the performance check-off record. This enables the student to be
aware of progress. At the end of the semester the performance check-off record will be kept by
the instructor and placed in the central office file. An unsatisfactory skills laboratory grade will
Albuquerque Campus
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PIMA MEDICAL INSTITUTE
Nursing Program
NUR 125 Fundamental Medical-Surgical Nursing I
Professional Sequence I Level I
Day Syllabus
result if the student: a. does not demonstrate the skill correctly on the second attempt, b. does
not schedule a recheck within one week of an unsatisfactory, or c. receives a total of four
unsatisfactory evaluations on the first attempt. Students may be required to attend open lab if
instructors deem it necessary to improve performance.
Skills laboratory schedule & hours: See attached.
Clinical
Hours: See attached schedule
Attendance: Attendance is required to successfully pass this portion of the course. If
you are ill or have an emergency, you must call your instructor and the facility before
the start of the clinical day. In these cases, every effort will be made to schedule a
make-up day during finals week. You must complete all clinical hours. If you do not call
or the absence is for a reason other than illness or emergency, you may not be allowed
to make up the time and be in jeopardy of failing the course. The make up of unexcused
absences is at the discretion of the instructor and the availability of clinical sites & times.
Preparation: You must arrive on the clinical unit on time and prepared. Being prepared
means: Dressed professionally with proper equipment and name badge. Complete
prep sheet. Have a plan for the day. Know rationale for plan of care and associated
physiologic processes.
Evaluation criteria:
Demonstrates beginning skill in providing nursing care and support to selected adult
patients by:
 Applying principles of physical and psycho-social care to selected patients
 Utilizing appropriate safety measures
 Establish inter-personal/nurse-client relationships with client & family
 Organize clinical activities
 Applying principles of documentation and reporting observations
 Relating diagnostic testing to patient conditions
 Recognizing patient teaching opportunities.
 Using beginning critical thinking skills to notice, interpret, respond and
reflect
 Preparing and safely administering medications via the oral,
nasogastric/gatric tube, and injectable (IM, SQ, intradermal) routes
 Uses proper techniques to gather assessment data
Albuquerque Campus
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Revision Date: 2-27-08
PIMA MEDICAL INSTITUTE
Nursing Program
NUR 125 Fundamental Medical-Surgical Nursing I
Professional Sequence I Level I
Day Syllabus
Demonstrates appropriate behavior as a student nurse apart of the healthcare team by:



Accepting responsibility in relation to attendance, punctuality, and
guidance
Applying knowledge of personal hygiene through appearance & health
Communicating professionally and appropriate content to and with
instructor, nurses and other members of the healthcare team
Demonstrates acceptance of responsibilities relative to role of student nurse by:
 Designing plan of care to meet the needs of the patient on the weeks
assigned. Turned in on time.
 Recognizing and utilizing opportunities for learning experiences with the
instructor’s guidance
 Taking an active part in pre and post conference
 Seeks information from a variety of sources
Written Assignments in Clinical:
Concept Maps (125 points) MUST BE TYPED
A concept map will be turned in weeks 3, 5, 7, 9, 11, 13, and 14 (week 7 and 14 are 62.5 pts
each=125 pts total all other weeks pass/no pass). If any paper if not turned or is turned in late,
you will receive a no pass and will not be eligible to receive points on week 7 & 14. If you
receive a no pass on a paper for academic reasons, you are still eligible for points on week 7 &
14 reflecting the quality of work turned in.
Each concept map needs to include:
Page 1
 Medical diagnosis in the center
 Nursing diagnoses surrounding with supporting evidence (observations,
assessment data, lab data, history, subjective data and treatments-medications
and other), priority of each nursing diagnosis, relationship to other diagnoses
(using arrows)
Page 2-3 (no more than 2 pages in length)
 Select the highest priority nursing diagnosis
 Identify goals and outcomes (one outcome and at least one short term goal)
o Goals need to be appropriate, measurable, and include time frame
Albuquerque Campus
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PIMA MEDICAL INSTITUTE
Nursing Program



NUR 125 Fundamental Medical-Surgical Nursing I
Professional Sequence I Level I
Day Syllabus
Nursing interventions (areas of assessment & monitoring, procedures, patient
teaching, therapeutic communication, etc.)
Evaluation/patient responses (how will you measure/know interventions are
effective? What were the results?-document them if you have this information)
Impressions/reflection (What are your impressions of the patient’s progress?
How effective were your interventions? New ideas for care? What is next?)
Life Review (125 points)
“As people enter late life, they begin the struggle of integrity versus despair, which involves the
process by which people try to make sense of their lives. The struggle of integrity versus despair
requires people to engage in a life review, the process by which people reflect on the events
and experiences they have had over their lifetime.” (from Human Development: A Life-Span
View, 3rd Edition)
Interview a client in your clinical setting.
Include in your narrative:
 General demographics (maintaining confidentiality)
 Narrative life story (try to find out about their whole life yet allowing them to share
what feels important to them).
 Identify the significant events and how they impact the client’s current identity and
health/well being.
 Impact of memory changes, developmental stage (according to Erikson) and cognitive or
physical changes impacting the information gathered.
Reflective Journal & Event Log (Pass/No Pass)
For each week of the clinical rotation, a narrative reflection and event log must be completed
and returned to your instructor the following week. Late papers will not be accepted, and an
Unsatisfactory notation will be documented (this may lead to failing the clinical portion of the
course). The log must be typed with proper spelling, grammar and sentence structure. Each
entry must be at least one page (single spaced), and not more than 2 pages total. The
content/paragraphs should be set up, and completed as follows:




Top right hand corner: Name, clinical site, date, time of arrival & departure, clinical
week, instructor’s name.
Paragraph 1: Brief description of the type of patients cared for without using names,
and a brief description of the reason for admission for each patient.
Paragraph 2: Discuss your clinical day. What happened with patient care and any other
opportunity you had to perform nursing functions. Describe skills that you utilized; how
you organized your day, what went well, and what you can improve on.
Paragraph 3: Describe additional opportunities that you sought out or that you were
included in (not necessarily with your assigned patients).
Albuquerque Campus
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PIMA MEDICAL INSTITUTE
Nursing Program

NUR 125 Fundamental Medical-Surgical Nursing I
Professional Sequence I Level I
Day Syllabus
Paragraph 4: The last paragraph must include a self-assessment/reflection; include any
new awareness or learning; what areas you did well in, what areas you would like to
improve, and your goals for next week. This section is the most important aspect of
your weekly log.
It must clearly demonstrate that you recognize strengths and areas for improvement in
your evolving practice. It needs to be specific. Really look at the things you did, what
your thinking was, how you were feeling, and how you functioned as a member of the
health care team. Try to include at least one skill, one communication or professional
development interaction. (Attached is an example form.)
Albuquerque Campus
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Revision Date: 2-27-08