Course
Prefix/Number: NURS121
Course
Title: Nursing Care of the Adult I
Division: Nursing
Credit
Hours: 5
Theory
Hours: 3
Clinical
Hours: 2
Initiation/
Revised Date: Fall 2008
Assessment Goal per Outcome: Outcomes
# 1-7 64.4% (PN Adult Medical-Surgical 2.0 ATI exam)
Outcome
#8 60% (PN Nutrition 2.0 ATI exam)
Freshman
level course. This course is offered
during the second half of the first semester of the first year of the nursing
program.
This
course is designed for the student to use the nursing process in promoting functional
health patterns of the bio-psychosocial, spiritual state of adult patients in
conditions of fluids and electrolytes, neurological function, oncology, surgery,
blood & lymphatics, immune system, cardiovascular system and musculoskeletal
system. The primary clinical emphasis is
with the adult patient in the acute health care setting. Students are introduced to medication
administration and perioperative nursing care.
Successful
completion of all previous courses of the bi-level nursing program.
Ackley,
Betty J. and Ladwig, Gail B.
Burke,
Karen; LeMone, Priscilla; and Mohn-Brown,
Elaine. Medical-Surgical
Curren, Anna M.
Dimensional Analylsis for Meds, 3rd
ed., Delmar,
Elkin,
Martha Keene; Perry, Anne Griffin; & Potter, Patricia A.
4rd ed., Mosby, Inc.,
McHugh-Schuster, Pamela. Concept Mapping, 2nd
ed., F.A. Davis, Philadelphia, PA, 2008.
Mosby’s Dictionary of Medicine, Nursing
and Health Professions, 7th
ed., Mosby-Year Book, Inc.,
Course
Syllabus
NURS
121
Page 2
Mosby’s
Pagana, Kathleen and Pagana,
Timothy. Diagnostic and Laboratory
Test Reference, 8th ed., Mosby, Inc.,
Potter,
Patricia Ann and Perry, Anne Griffin. Fundamentals
of
Schlenker, Eleanor D and Long, Sara.
Williams’ Essentials of Nutrition & Diet Therapy, 9th
ed., Mosby, Inc.,
Weber,
Janet. Nurses' Handbook of Health
Assessment, 6th ed., J. B. Lippincott,
As a
practical nursing student, objectives reflect the role of provider of
care. At the completion of Nursing Care
of the Adult I & II, the student must pass a PN nationally normed
Medical-Surgical Nursing Exam on the following outcomes. The student will:
1. Apply critical thinking skills to solve nursing problems.
2. Use components of the nursing process in promoting functional health patterns of adult and surgical patients in conditions of fluids and electrolytes, neurological, cardiovascular, oncological, blood & lymphatics, musculoskeletal and immune function when planning and providing nursing care during the acute and chronic phases of illness.
3. Apply safety & infection control procedures to protect patients and staff when applying the nursing process in the workplace.
4. Provide for the needs of the patient in the prevention and early detection of health problems and illness.
5. Diminish the patient’s risk of developing complications and/or dysfunctional health patterns related to treatments, procedures or existing conditions.
6. Determine and report life-threatening phases of illness.
7. Demonstrate knowledge of medications, safe medication preparation and administrations skills.
8. Demonstrate knowledge of nutritional assessment and therapeutic nutrition.
UNIT
UNIT II. INTRODUCTION TO THE NUTRITIONAL-METABOLIC
PATTERN: FLUID AND ELECTROLYTES
UNIT III. INTRODUCTION TO THE ACTIVITY-EXERCISE
PATTERN: CARDIOVASCULAR DISORDERS
Course
Syllabus
NURS121
Page 3
UNIT IV. INTRODUCTION TO THE ACTIVITY-EXERCISE
PATTERN: MUSCULOSKELATAL DISORDERS
UNIT V. INTRODUCTION TO THE COGNITIVE-PERCEPTUAL PATTERN: NEUROLOGICAL DISORDERS
UNIT VI. INTRODUCTION TO THE NUTRITIONAL-METABOLIC PATTERN: IMMUNE, WBC AND LYMPHATIC DISORDERS
UNIT VII. INTRODUCTION TO THE ACTIVITY-EXERCISE PATTERN: BLOOD DISORDERS
UNIT VIII. INTRODUCTION TO ONCOLOGICAL NURSING
Lectures and discussions
Demonstrations
Audio-visual aids
Self-study with aids and programmed materials
Activities
Scheduled classroom laboratory
Post-clinical conferences
Scheduled hospital clinical
Non-scheduled self-study laboratory
Contracted hospitals:
Mercy Hospital – Independence, KS; St. John’s – Tulsa, OK; OSU Medical
Center – Tulsa, OK
Audio-visuals
Overheads/PowerPoint presentations
Models
Personnel of cooperating agencies
Ø
Skill performance and oral tests in
classroom lab
Ø
Attendance (both theory and clinical)
Ø Written/computerized quizzes
Ø
Unit exams/comprehensive final exam
Ø
Written assignments
Ø
Performance evaluation in clinical area
Ø
Final course grade will be based on
theory and clinical performance
Course
Syllabus
NURS121
Page 4
GRADING SCALE/REQUIREMENTS
Each
nursing course has a theory and clinical component. The student must complete all course
objectives to successfully pass the course.
The grade will be determined at the end of the course on the basis of
the work completed. All objectives must
have been completed at a satisfactory level in order to receive a grade of
"C" or better for the course.
All grades are computed according to the following scale:
91 - 100% A
83 - 90% B Good
76 - 82% C Average
67 - 75% D Poor
0 - 66% F Failure
XF Failure due to academic dishonesty
I Incomplete
NCCC
expects every student to demonstrate ethical behavior with regard to academic
pursuits. Academic integrity in the
classroom is a specific requirement.
Consequences of violation of the Academic Integrity policy can range
from redoing the assignment for partial credit to course dismissal at the
discretion of the instructor.
Definitions and examples of Academic Integrity, as well as the appeals
process, can be found in the
The
nursing student MUST ACHIEVE at least 76% in theory and pass clinical to
successfully complete the course. The
nursing program does NOT round off
grades. Cheating will NOT be
tolerated in any form and will be grounds for dismissal from the program. Lecture notes, textbooks, etc. will be placed
in designated areas during testing.
Any question regarding a grade received for a
test, paper, etc., must be brought to the instructor's attention within seven
(7) days of receiving the grade or it will be recorded as is.
In order to fulfill course requirements, all written assignments (clinical and
theory) must be submitted to the instructor before the student can take the
final exam, unless the student has received special permission from the
instructor. If the student fails to
submit required written work, the course will be considered incomplete.
Theory Grade
The student's theory grade will be based on unit exams, ATI exam, final exam, quizzes, and written assignments specific to that course.
The following assignments will comprise the student’s total theory grade for Nursing Care of the Adult I:
95% Unit exams, ATI exam, and final exam
5% Other papers, quizzes, and assignments
It
is the student’s responsibility to attain an average of 76% or better in order
to pass the course.
Late Testing: Scheduled tests and pre-announced quizzes
must be taken on the scheduled date, at the scheduled time. If a student is tardy or absent for any reason
and unable to test at the scheduled time, an alternate test may be given and 5% will be deducted from the score for
taking late then 1% will be deducted per day for each day not taken, up to a
maximum of 10%. If not taken before the next test/quiz
is given, then
the score will be recorded as zero. Special
circumstances will be subject to review and faculty discretion. Pop quizzes are to be taken at the scheduled
time or the score is recorded as zero.
Pop quizzes cannot be made up.
Once testing has started, no one will be admitted to the testing room.
Course
Syllabus
NURS121
Page 5
Late Papers: If a paper is not turned in at the scheduled
time, 5% will be deducted from the paper’s score for being turned in late then
1% will be deducted per day for each day not turned in, up to a maximum of 10%,
then score recorded as zero. Special
circumstances shall be subject to review and at instructor’s discretion.
MASTERY OF THEORY CONTENT
The
ATI PN Nutrtion CMS 2.0 assessment exam will be
equally weighted to other unit exams.
The student will receive the following grade percentage based on the cut
score level achieved:
Level III Cut Score (75% or above)
the student will earn 100%
Level II Cut Score (60%) the student
will receive 83%
Level I Cut Score (50%) the student
will receive 76%
When
the Level I Cut Score is not reached, a plan of remediation will be
initiated. Upon completion of the
remediation plan, the student will be allowed to retake the ATI exam. The student can earn a maximum of 76% when they meet the Level I Cut Score or above
on the retake. Failure to meet the Level
I Cut Score on the second exam results in a “0” (zero) for the assignment.
The
medical-surgical content of this course will be assessed at the end of Nursing
Care of the Adult II. At that time the
student will be required to take the PN Adult Medical-Surgical Nursing 2.0
assessment exam. The Level II cut score
for that exam will be 64.4%.
Clinical Grade
Satisfactory
clinical performance will be based on both learning lab and clinical
proficiency. The nursing student must
attain at least 76% on learning lab criteria and 76% or “pass” on clinical
assignments, including the weekly clinical evaluation, to successfully complete
the nursing course. Total clinical grade
will be on a pass/fail basis.
Learning
Lab
1.
Evaluation of Learning Lab procedural
skills will be by means of a checklist.
The student will demonstrate with satisfactory performance, all
procedure skills in Learning Lab for which there are performance checklists
before being allowed to do the skill in the clinical area.
Proficiency of procedural skills will be ranked according to
the following scale:
1st
test 100%
2nd test 80%
3rd
test 60%
4th
test 40%
5th
test 20%
6th
test 0%
2. To successfully
complete the clinical component, the procedure checklists must be completed
satisfactorily regardless of the number of times attempted.
3. The student will
complete all associated assignments such as audiovisuals, lab quizzes, etc. for
each procedural skill before the procedure is considered to be completed.
4. The student will complete procedural skills by the dates designated by the instructor and all procedural skills must be completed at least one week before finals. In order to earn 100% proficiency, the skill must be successfully completed the first time and be done on or before the designated date.
Course
Syllabus
NURS121
Page 6
The nursing student must average 76% on procedural skills in order to pass the clinical component of the nursing course.
Clinical
Assignments
1. Pass with a
minimum of 76% average competence on concept maps and nursing care plans. (See concept map and nursing care plan
criteria.)
2. Pass on all
written clinical observation assignments as specified by criteria for clinical
observations.
3. Pass on post
conference presentations. (See criteria
for post conference presentations.)
4. Pass clinical
evaluation. (See criteria for clinical
evaluation.)
A pass
grade for the clinical component is based on successful completion of each of
the above items.
Late Papers: If a paper is not turned in at the scheduled
time, 5% will be deducted from the paper’s score for being turned in late then
1% will be deducted per day for each day not turned in, up to a maximum of 10%,
then score recorded as zero. Special
circumstances shall be subject to review and at instructor’s discretion.
Concept Maps & Nursing Care Plans: A specific number of nursing concept maps and
care plan modes will be required of each student in each clinical area. These will be checked for completeness during
the experience and are to be turned in (to the clinical instructor) at the
end of the last day of clinical the week the assignment is made. (See Grading criteria.)
Clinical Proficiency: Clinical performance will be evaluated by
using a weekly clinical evaluation tool.
(See weekly clinical evaluation form and criteria.) In addition, clinical assignments and
post-conference presentations will be evaluated.
Pre- and Post-Conferences: Pre-conferences and post-conferences will be
held as outlined in the clinical handouts.
Conduct: We are guests of the clinical facilities and
strict adherence to professional ethics is expected. This includes professional conduct, punctuality,
abiding by the school uniform policy, and avoidance of any substance
abuse. Any suggestions of unprofessional
conduct will result in the dismissal of the student from the clinical area for
that day. In the event a clinical
facility requests that a student not be allowed to do clinical there, the
student will be dismissed from the program.
Dress: For clinical experiences, the uniform,
overlay, and shoes must be clean and neat.
Proper dress guidelines are outlined in the Student Nurse Handbook
under the uniform section.
Assessment of student gain is based on
the assumption that the student has no previous knowledge about
Medical/Surgical Nursing. This
assessment will be done via a PN nationally normed
Medical-Surgical Exam given at the end of Nursing Care of the Adult II. The
passing score on the Medical/Surgical exam is 64.4%. An
assessment of student gain in the content area of nutrition will be conducted
at the completion of Nursing Care of the Adult I, using separate PN nationally normed Nutrition exam.
Course
Syllabus
NURS121
Page 7
Regular
attendance and punctuality are considered essential in meeting the objectives
of the nursing program and for successful completion of the course. A schedule of class and clinical hours will
be given to each student and one will be posted on Inside NC. Each student is responsible for checking the
schedule and for being at the proper place at the proper time. The nursing instructor responsible for that day’s student learning
activity is to be notified by the student in case of absence. Notification is to take place at the
beginning of the missed day. (See late quizzing and late testing
policies). If the absence involves a
clinical experience, the clinical instructor should be notified in advance of
the scheduled assignment. Instructors may be
reached in their respective clinical areas.
Minimum time is allowed for clinical
experience each day. A student may best
utilize this time by coming to the clinical area prepared. All homework, studying and preparations for
medications, concept maps and care plans should be done prior to arriving in
the clinical area. If the instructor
judges preparation for clinical to be incomplete, the student will be sent home
and counted absent for that clinical period.
Frequent
absences will be subject to review by the nursing faculty for purposes of
counseling. After 3 times the
number of credit hours absence (15 hours for this course), the student will be
required to meet
with the nursing faculty to discuss the
problem of absences and be placed on contract for the remainder of
the program.
Any student may be placed on contract at the
discretion of the instructor. Excessive absences
may result in termination from the program.
Students with excessive absences may be
administratively withdrawn from the course (see College Catalog – Attendance).
Students are expected to be in the clinical
area at the appointed time. If a student
has an emergency and will be late, the clinical instructor is to be notified at
the clinical facility. If the student
does not call the instructor and is tardy, the student will be sent home and
the clinical period will be counted as a clinical absence. If the student does not have access to a
phone, the decision of sending the student home will be left up to the
discretion of the clinical instructor.
See late test taking policy for information
on tardies for exams.
After missing theory, the student is personally
responsible for contacting the instructor to make arrangements for make-up
and securing all missed lecture materials.
The student is responsible for securing missed lecture notes from
another student. It is the student’s
responsibility to complete ALL written make-up, unit assignments,
and unit videos before the scheduled unit exam.
For each absence from the clinical area, the
student will attend a make-up session and submit a concept map and NCP. Clinical make up shall be hour for hour with
the time, place and date to be determined by the course coordinator. The Concept Map and Nursing Care Plan will be
due at the post-conference of the last clinical day of the week it was
assigned. If the clinical absences are
not made up, the student will receive an incomplete grade. (See nursing policy on removal of incomplete
grade.)
CELL
PHONE POLICY
Student
cell phones and pagers must be turned off during class times. Faculty may
approve an exception for special circumstances.
No cell phones or other electronic devices will be allowed in the
testing area.
Course
Syllabus
NURS121
Page 8
NOTE:
If
you are a student with a disability who may need accommodation(s) under the
Americans with Disabilities Act (ADA), please notify the Dean of Student Development, Chanute Campus, Student Union,
620-431-2820, Ext. 213., or the Dean, Ottawa Campus, 785-242-2607 ext
312, as soon as possible. You will
need to bring your documentation for review in order to determine reasonable
accommodations, and then we can assist you in arranging any necessary accommodations.
NOTE: Information and statements in this document are subject to
change at the discretion of NCCC.
Changes will be published in writing and made available to students.
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