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NURS2550: Syllabus Summer 2012 ASSOCIATE DEGREE PROGRAM NURS2550: Variations in Health III& IV Summer 2012 I. II. III. IV. V. VI. COURSE NUMBER NURS 2550 COURSE TITLE Variations in Health III & IV for Students in Transition COURSE CREDITS 4 credits-(Theory:3.0credits;Lab/Clinical:1.0credit) (42 hours classroom & 42 hours lab) PLACEMENT IN Level III, Summer Semester 2012 CURRICULUM CLASS TIME Tuesday and Thursday 1800-2200 Clinical Weekends: June 9&10 or June 16 & 17 June 23 & 24, July 7 & 8, 2012 LOCATION Education- VII. COURSE FACULTY Suzanne Clarke Office 663 Candalee Hill Office 765 Course Coordinator- Candalee Hill 612-819-3752 [email protected] 651-592-5411 [email protected] Welcome to the next course at St. Catherine University for the Minneapolis Mobility Option for LPN’s. We wish you success as you continue your educational endeavors and congratulate you for choosing to continue your nursing education to the RN level of practice. NUR2550 is the third of three transition courses for LPN’s. This course includes material from the two third level courses in the generic nursing program.NUR2440 Variations in Health III & NUR2550: Variations in Health IV VIII Course Description: NUR 2550: The Nursing Role and Variations in Health I for Students in Transition, 4 Credits, This course involves the continuing study of variations in health across the lifespan, building on previous knowledge learned by mobility students. Topics include variations in the production and transport of blood, variations in cellular composition, along with the care of the diabetic, renal and burn patient. Concepts of fluid & electrolytes and IV therapy are further explored and integrated into the care of a variety of acute care patients. Problem solving and communication are further developed. A clinical component provides experiences in the care of clients and is designed to enhance the integration of learning. IX. LEVEL & COURSE OUTCOMES Upon completion of Level III you will be able to: 1. Integrate theoretical concepts, holistic patient-centered care, and evidence-based practice in the management and provision of nursing care. 2. Integrate clinical reasoning with current evidence to direct the nursing process in the care of patients experiencing complex variations in health. NURS2550: Syllabus Summer 2012 3. Integrate communication skills and informatics to support evidence-based, patientcentered, and safe nursing practice 4. Incorporate economic, political, legal, ethical, and demographic factors in nursing and health care delivery to improve the quality and safety of health care systems that impact patient-centered care. 5. Integrate evidence-based practice and quality improvement in the management and provision of safe, collaborative, patient-centered care. 6. Integrate current evidence of safe, collaborative, holistic patient-centered interventions to promote health for patients in medical-surgical settings. Course Outcomes 1. Integrate theoretical concepts, holistic patient-centered care, and evidence -based practice in the management of patients experiencing complex variations in health. 2. Integrate clinical reasoning with current evidence to assess, plan, intervene and evaluate nursing care with patients experiencing complex variations in health. 3. Communicate with faculty members, patients, families, and health care team members to manage knowledge, mitigate error and support clinical decision making in the care of patients with complex variations in health. 4. Incorporate the multiple factors that impact the quality and safety of patient-centered care to direct the nursing process in the care of patients experiencing complex variations in health. 5. Integrate knowledge, technical competence, professional accountability, principles of collaboration, and standards of the nursing profession while providing safe care for patients experiencing complex variations in health. 6. Integrate technical skills and therapeutic interventions in the provision of safe nursing care for patients experiencing complex variations in health in medical-surgical settings. X.TEACHING-LEARNING ACTIVITIES-Teaching-learning activities in NURS 2550 include(a)discussion-based classes about faculty-assigned& student-selected readings,(b)small group work, (c) individual &/or group presentations,(d) experiential learning and practicum, (e) written assignments,&(f) other collaborative learning activities. Please refer to “Roles and Responsibilities in the Teaching-Learning Process” in the Associate Degree Program Student Policies: 2011-2012. XI. Unit I: COURSE OUTLINE Nursing 2550 Fluid & Electrolyte Variations Complex patient Caring for the patient with Fluid & Electrolyte Imbalance Burns-TPN Caring for the Patient with Diabetes Mellitus Urology Variations in Children Adult Renal-Acute Adult Renal – Chronic Associate Degree Program Department of Nursing 2 NURS2550: Syllabus Summer 2012 Unit II Hematology Hypertension Vascular problems Cardiac in children CHF, Valvular Disease, Myopathies CAD: Acute Coronary Syndrome(ACS) Dysrhythmias Unit III: Oncology Overview Adult patients with Cancer PedsOncology Emergency Shock End of life Clinical Decision Making Unit: Care Map IV skill Kaplan XII COURSE ASSIGNMENTS AND GRADING Name of Assignment Exam 1- Unit I(F&E imbalances, Burns, TPN, Diabetes, AGN & RenalFailure, Metabolic Acidosis & Alkalosis Exam 2- Unit II-(Hematology, Hypertension, Vascular, Pediatric cardiac, CHF, Vavular, Myopathies, ACS Exam 3- Unit III(Oncology Adult, Oncology- Peds, Emergency, Shock, End of Life,) Intravenous Medication Administration skill validation Kaplan Integrated exam- Med-surg II Kaplan Integrated exam- Med-surg comp Kaplan Integrated exam- Pharmacology Kaplan focused exam- Pharmacology III Kaplan focused exam- F&E balance Kaplan focused exam –Endocrine system Kaplan focused exam –Renal & Urological systems Kaplan focused exam- Hematology & Immune system Kaplan focused exam- Cardiovascular 1 Kaplan focused exam- Cardiovascular 2 Kaplan focused exam Oncology Kaplan focused exam- Critical Care Math Clinical Performance (Includes preclinical = 3 days) Nursing process Care MAP: (10 points times 3) Care MAP presentation (78% of 180= 140) Total exam points Associate Degree Program Department of Nursing 3 Points (60 points) (60points) (60 points) 6 points 4 points 4 points 4 points S or U S or U S or U S or U S or U S or U S or U S or U S or U S or U 30 points 2 180 NURS2550: Syllabus Summer 2012 Name of Assignment (78% of = 39) Total non-exam points Kaplan Integrated=benchmark or remediating all questions Kaplan Integrated=benchmark or remediating all questions Total Points Possible Points 50 2 points 2 points 200 Grading Scale: The grading scale for nursing courses in the Associate Degree Program is presented in the online Associate Degree Program Student Handbook: 2011-2012. [LINK] A grade of “C” or better must be achieved. Grades are determined as follows: Grade/Points A (220-230) A- (213-219) B+ (207-212) B (200-206) Scale 96,100% 93-95% 90-92% 87-89% Grade B- (193-199) C+ (186-192) C (179-185) Scale 84-86% 81-83% 78-80% XIII. COURSE POLICIES Assignments: Students are responsible for completing all course assignments and learning activities on time. All assignments are to be completed as individual work unless otherwise stated. Course assignments are due at the beginning of class on the scheduled due date. Late assignments will not be accepted unless prior managements have been made with course faculty. Policy on Late Assignment: All assignments are due at the beginning of class on the specified time and due date. Papers that are not turned in on time are considered late papers. Late papers will have ONE POINT deducted for each day that the paper is not turned in. Saturdays and Sundays are counted as late dates. Points lost due to lateness cannot be made up or earned back. Deductions of points due to lateness can be avoided by: 1) turning papers in on time to the Course Coordinator, the clinical instructor or to any other available course instructor; or 2) contacting the clinical instructor BEFORE the paper is due to negotiate an extension on paper’s due date. S/U assignments are due on the date scheduled. All assignments must achieve a satisfactory score (78%) in order for the student to pass the course. Kaplan Integrated Tests are nationally normed, secure exams that are used to assess student learning. The purpose of the tests is to evaluate knowledge of key concepts and major topics in the Associate degree nursing program curriculum. Additionally, remediation resources are available that will assist in enhancing learning outcomes. Each exam has a standardized mean score that has been determined through national norms. You will complete the exams in a campus computer lab. Your score will be determined immediately following the exam. The Critical thinking exam will set a baseline to be compared to at the end of the nursing program. For the integrated exams if you meet the benchmark (mean score) for each exam, you will receive 6 points for this course learning component. If your score is lower than the Associate Degree Program Department of Nursing 4 NURS2550: Syllabus Summer 2012 benchmark, you will be required to complete remediation activities. If all items are remediated you will receive 6 points. You must remediate at a minimum the incorrect answers to receive a Satisfactory and receive 4 points. Remediation is available 24 hours a day, seven days a week in multiple formats. Completed remediation will result in an “S” for the course learning component. Failure to complete remediation will result in a “U” for this learning component. Satisfactory remediation includes at least a minute of review per question. For the NURS2550 course, the following Integrated tests will be required: 1. Med-surg II- 90 items, 108 minutes, benchmark 49% 2. Pharmacology- 75 items, 98 minutes, benchmark 67% 3. Med- surg comp, 75 items, 98 minutes, benchmark 72% To satisfactorily pass this course you MUST: 1. Achieve 78% of cumulative exam points 2. Achieve 78% of cumulative non-exam points 3. Satisfactorily complete all S/U assignments 4. Satisfactorily complete the remediation for the Kaplan Integrated tests 5. Achieve a satisfactory grade in clinical Consequences of failing to meet this expectation: A grade of C- or lower in this course means the student has not met the minimum requirements for progression in the nursing program. If you earn less than 80% or less on an exam, the student is required to meet with the clinical faculty or designated course faculty for remediation in order to be able to move on to the next exam. Academic Integrity: Please refer to the “Academic Integrity Policy” in the Associate Degree Academic Catalog. Students are expected to follow St. Catherine University academic and behavior standards refer to LeGuide Attendance and Testing: Attendance is required for lecture, lab and clinical *, and attendance will be documented. After 2 absences in a course, a 411 alert will be initiated and student must meet with lab/clinical faculty. After 3 absences in a course, a meeting with the course coordinator will be required, and after 4 absences in a course, a meeting with the program director will be required to ensure student success. Students who are unable to attend classroom lab, skills lab, or clinical labs due to infectious illness or personal crisis are required to contact the instructor, and, if scheduled for a clinical experience, the clinical area to which the student is assigned. Notification is required to be made no later than one half hour before the session begins. Failure to attend class sessions results in implementation of the Performance Issue Algorithm/Guided Improvement Plan described in the Associate Degree Nursing Program policy handbook. This policy focuses on ensuring student success. The most significant learning activity is attendance and active participation in all class sessions. Taking initiative in learning is a professional nursing practice. This requires preparation for all class sessions, the belief that students have a unique and valuable perspective to offer to class discussions, and the willingness to enter into to class discussions. Therefore, attendance will be taken and active participation and engagement in class discussions and learning activities will be Associate Degree Program Department of Nursing 5 NURS2550: Syllabus Summer 2012 noted. *The clinical and lab absence policy will be followed. Students who miss in excess of 25% of the total clinical/lab for a course may be required to repeat the entire course.) Students are required to attend all testing activities such as written examinations, quizzes, case study examinations, skills testing and simulation activities. Attendance is taken at all testing activities (exams, quizzes, skills testing, etc.). When a student is unable to attend a scheduled testing activity due to a severe illness or personal crises, the student is required to contact the faculty prior to the testing activity to explain the reason for the absence and arrange with the instructor a time to make-up the missed activity. Failure to notify the instructor prior to the testing activity may mean that the student will not have the opportunity to schedule or complete a make-up testing activity and the student will receive 0 points for that testing activity. When a student misses a written exam, the make-up exam may be in a different format (example: most exams are in the multiple choice questions the make-up exam might be an essay exam). All late tests will be given a 5% penalty from the total points of the exam. For example 5% of a 60 point exam is a 3 point reduction. No extra time is allotted to the student when arriving late to exams. When used, the scannable answer form will be the only official answer sheet accepted. Answers recorded in the test book are not accepted in lieu of the official answer sheet. Students cannot make-up missed quizzes and there is no extra time allotted to the student when arriving late to quizzes. Students are required to attend all laboratory activities. These activities are equivalent to clinical experiences and are expected to be treated as such. Lab activities may include, skills testing, quizzes, exams, and MBN activities. Exam remediation Students who achieve 80% or less on any theory course exam and less than 90% on nursing calculation exams are required to meet with course faculty for remediation. This must be completed to be able to sit for the next exam. Students will use the Loma Linda analysis tool to evaluate their exam and remediate questions that fall in the Insufficient Information category using a remediation documentation form. They will also be required to complete a Theory Improvement Plan at that time. Kaplan -During each course a variety of Kaplan activities will be required. These activities include focused exams, integrated exams and NCLEX readiness activities. Failure to complete all assigned testing and remediation activities in the course will result in failure of that course. Satisfactory completion of all required Kaplan activities will contribute to successful progression in the Associate Degree Nursing Program. Attendance is required for lecture, lab and clinical. Students who are unable to attend classroom lab, skills lab, or clinical labs due to infectious illness or personal crisis must contact the instructor, and, if scheduled for a clinical experience, the clinical area to which the student is assigned. Notification must be made no later than one half hour before the session begins. Associate Degree Program Department of Nursing 6 NURS2550: Syllabus Summer 2012 It is an expectation that students will come to all classroom and lab experiences prepared, having completed the reading assignments prior to class. Student preparation prior to laboratory experiences is outlined course management system and includes written assignments and case studies and practice of skills in the nursing practice lab. The most significant learning activity is attendance and active participation in all class sessions. Taking initiative in learning is a professional nursing practice. This requires preparation for all class sessions, the belief that you have a unique and valuable perspective to offer to class discussions, and the willingness to enter into to our class discussions. Therefore, attendance will be taken and active participation and engagement in class discussions and learning activities will be noted. Please e-mail or call FACULTY NAME prior to class if you will be absent [email protected] or 651.690-7734). Failure to attend class sessions results in implementation of the Performance Issue Algorithm/Guided Improvement Plan described in the Associate Degree Program Student Policies: 2010-2011. Course Communication: Please check your St. Kate’s e-mail for messages and updates related to the course frequently (at least every 2-3 days). The official communication source is the SCU email. Grades will be posted in the online grade book on Blackboard. Accommodations: Students with documented disabilities who believe they would benefit from accommodations in this course are encouraged to contact the Disabilities Coordinator in the Learning Center for Academic Development to ensure that appropriate accommodations are implemented in a timely manner. The Disabilities Coordinator may be contacted at 651.690.6563. Please refer to the student policy in LeGuide: “Services for Students with Disabilities.” Grading Policy:NURS2550 must be taken for a grade and must be satisfactorily completed with a minimum grade of C (78% of the total possible points). A minimum grade of C (78% of total possible points) must also be achieved for each course assignment/component. Assignments may be resubmitted once if not completed satisfactorily the first time. Resubmitted assignments receive a C (78% of total possible points for that assignment). Achievement of the Final Course Grade: A grade of C or higher must be achieved to pass each nursing course. At the end of each course, points are totaled and a student must achieve 78% of accumulated exam points in order to pass the course. If a student does not achieve 78% of accumulated exam points, the course grade will be based only on exam points the student has earned. If a student does achieve 78% of accumulated exam points, then non-exam coursework will contribute to the course grade. Such non-exam coursework may include quizzes, skills testing, written assignments, and other activities as outlined in each course syllabus. Students must attain 78% of available points and a satisfactory level of achievement on all non-exam coursework as defined in each course syllabus. Associate Degree Program Department of Nursing 7 NURS2550: Syllabus Summer 2012 XIV. PROFESSIONAL STANDARDS Faculty in the Department of Nursing use professional nursing standards in the development, implementation, and evaluation of curricula. Professional standards are also used by nursing faculty to promote and evaluate student learning. In the Associate Degree Program, professional standards include: Code of Ethics for Nurses with Interpretive Statements (ANA, 2001) NLNAC 2008 Standards and Criteria: Associate Degree Programs in Nursing (NLNAC, 2008) Nursing’s Social Policy Statement: The Essence of the Profession (ANA, 2010) QSEN Quality and Safety Education for Nurses (2007)) Nursing: Scope and Standards of Practice, 2nd Edition (ANA, 2010) XV. TEXTBOOKS AND COURSE MATERIALS Required Textbooks: Lewis, S., Heitkemper, M. Dirkens, S, O’Brien, P., & Bucher, L. (2011). Medicalsurgical nursing: Assessment and management of clinical problems (8th ed.). St. Louis: Mosby. Taylor, C., Lillis, C., & LeMone, P. Lynn, P. (2011). Fundamentals of nursing: The art & science of nursing care. (7th ed). Philadelphia: Lippincott Williams & Wilkins. Ricci, S. & Kyle, T. (2009). Maternity and pediatric nursing. Philadelphia: Lippincott William & Wilkins. From FNDN0600 or FNDN1000 Pickar, G. (2011). Dosage calculation: A ratio-proportion approach. (3rd ed). Albany, NY: Delmar Thomson Learning. XVI. LEARNING RESOURCES: E-mail and D2L will be used for communication among faculty and students and for distribution of class materials. Nursing Practice Lab: Rooms 670, 680, 690 Rachelle Hansen (Morning courses & lab coverage) Office: EDU 671 Office Phone: 651-690-7785 Associate Degree Program Department of Nursing 8