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Department of Nursing

Course Syllabus

COURSE TITLE Clinical Nursing II

COURSE NUMBER NUR 2213 C

PREREQUISITES ENC 1101, MAC 1105, PSY 2012, NUR 1020 C, BSC 1085& 1086, BSC 1085

and1086 L, NUR 1211 C, NUR 1142 , DEP2004.

Co – requisites: MCB 1020 and MCB 1020 L.

CREDIT HOURS CONTACT

HOURS

EIGHT (8) credits four (4) hours lecture.

Lecture hours = 60

Clinical hours = 108

CLASS MEETING TIMES Thursday 0830-1230

CLASS METHOD This course blends traditional face-to-face and online learning. Students are

expected to attend classroom sessions on specific dates and times as outlined as

well as participate in online activities as assigned

INSTRUCTOR

Julie Sagan MS, ARNP

Email: [email protected]

Phone: 809-3282

OFFICE HOURS Office Hours: Wednesday 10 am -5 pm. Office hours also by appointment on

other days.

COURSE DESCRIPTION

Clinical Nursing II is designed to provide the student with additional theory and

practice in more complex and specialized medical/surgical areas of nursing.

Students are expected to apply facts and scientific principles from previous

courses. Utilizing a systems framework, concepts related to gerontology and

holistic care of the older adult are reinforced. Pathological conditions of the

cardiopulmonary, vascular, respiratory, genitourinary, neurological, hepatic, and

biliary systems are covered.

Content related to oncology, fluids and electrolytes, hemodynamics, burns, and

mechanical ventilation are also examined. Ethical decision making, clinical

problem solving, diversity, and holism continue to be keys concepts in this

course.

Students are expected to formulate and apply nursing care plans based on

thorough assessment of patients in the clinical setting and on knowledge of

pathophysiology and psychosocial needs of the patient. Key concepts of nutrition

are integrated into the course content.

mailto:[email protected]

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COURSE OBJECTIVES

Upon completion of the course, the student will be able to demonstrate

knowledge by successfully answering questions on an objective examination

of the following topics:

Utilizes basic scientific principles in identifying/ meeting needs of patients with

complex health problems.

Applies the nursing process with selected patients manifesting complex

psychosocial and physical deviations from health.

Identifies the psychosocial needs of the hospitalized patient.

Applies and modifies principles of normal nutrition in the care of patients with


Applies concepts and principles of pharmacology in the safe administration of

medications to patients with complex health problems.

Identifies appropriate community agencies that will assist the patient in meeting

own health care needs.

Identifies and utilizes principles of rehabilitation in the care of the patient with

tertiary health care needs.

Utilizes principles of teaching-learning in providing nursing care to patients with


Utilizes therapeutic communication when interacting with patients/families and

staff in health care settings.

Demonstrates self-directive behavior by utilizing a variety of resources in

preparation for patient care

Demonstrates self- awareness and accountability for one’sactions.

REQUIRED TEXTBOOKS

Recommended

Ignatavicius, Donna ( 2013) Medical surgical nursing: Patient-Centered

Collaborative Care, (7thed). Saunders. ISBN 97814377-8019.Print

ISBN 9781437728002 Ebook

Ignatavacius, Donna Clinical Decision-Making Study guide for Medical-

Surgical Nursing. (7th ed.). Saunders. ISBN 9781455775651Print

ISBN 9781455775736 E book

Lehne, Richard A. (2010). Pharmacology for nursing care (8th ed). Saunders.

ISBN 9781437735826.

ISBN 9781437735840 E book

Adult Medical –Surgical Nursing, (9th ed) Assessment Technologies Institute.

RN Pharmacology for Nursing (6th ed) Assessment Technologies Institute

Ignatavicius, Donna (2013) Clinical Companion Medical-surgical Nursing

9781437727975

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PROPOSED COURSE SCHEDULE

Please note: The course and exam schedule is subject to change to meet the needs of the course

and its students. Assignments may be changed or updated and will be reflected on

weekly DTL shells.

DATE TOPICS Textbook chapters and Assignments

UNIT 1

Jan 16 , 2014

Course

Orientation

IMMUNE SYSTEM AND

IMMUNE RESPONSE

Infection and Transmission-based

precautions

Review of the Immune system

The immune response

Vaccines, Tetanus

I. INFECTION AND TRANSMISSION –BASED PRECAUTIONS

Read and study before class: Scabies , varicella , measles , influenza;

Transmission – based precautions, MRSA, C- Diff, VRE, Contact, Airborne,

Droplet , N- 195 mask, Negative airflow

1. Ignatavicius Ch 25

2. Ignatavicius Ch 19 pgs 305-309

3. ATI Fundamentals Ch 49, 50

II. IMMUNE SYSTEM, IMMUNE RESPONSE and VACCINES

1.Ignatavicius Ch 19

2.Lehne Immune system Ch 67

3.Lehne Ch 68 Vaccines pgs 855 -858. Read and study VPD’s and adult

vaccines .

4. ATI Med Surg Ch 86 Immunizations

5. ATI Pharm Ch 41 Vaccines

III. ASSESSMENT OF THE IMMUNE SYSTEM 1. ATI Med Surg Ch 85 Diagnostic tests

UNIT 1

Jan 23, 2014

ALTERED IMMUNE

RESPONSES Allergy, Latex Allergy,

Immunotherapy , skin testing

Anaphylaxis, Role of Epinephrine

Transfusion reactions, ITP

Lupus and Rheumatoid arthritis

Contact dermatitis, Transplant

rejection , Graft vs Host disease

Pharmacology for the

immune system

IV. ALTERED IMMUNE RESPONSES AND

AUTOIMMUNE DISORDERS 1. Ignatavicius Ch 22 2. Transfusion reactions Ignatavicius Ch 42 pgs 897 - 903

3. Blood transfusions: ATI Pharm Ch 27 or ATI Med Surg Ch 40

4. ITP Ignatavicius Ch 42 pgs 895-896

Systemic Lupus Erythematosis, Rheumatoid Arthritis, Scleroderma,

Systemic sclerosis

5. Ignatavicius Ch 20 pgs 333- 356

6. ATI Med Surg Ch 88

7. ATI Med Surg Ch 89

V. PHARMACOLOGY IMMUNOSUPPRESSIVE DRUGS, DMARDS,

IMMUNE STIMULANTS

1. Lehne Ch 72 Review of corticosteroids

2. Lehne: Ch 69 Immunosuppressants

3. DMARDS. ATI Pharm Ch 33

4. Lehne Drugs for RA Ch 73

5. Growth factors ATI Pharm Ch 26

VI. APPLICATION

1. Ignatavicius Study Guide for assigned chapters

2. Med- Surg ATI Ch 85,86,40,88,89,—Questions at the end of the chapters

3. Pharm ATI Ch 41,27, 26,33,—Questions at the end of the chapters

4. ATI Learning System Tutorial: Immune and Infectious

5. ATI Targeted : Immune

6. ATI Skills Modules : Infection Control, Blood administration

7. Pharmacology Made Easy : Pain and Inflammation ; Infection, The musculoskeletal

system

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Jan 23, 2013 LAB #1 KW Application of Nursing Process

Principles of Prioritization and Delegation

UNIT 2

Jan 30, 2014

IMMUNODEFICIENCY

DISORDERS

HIV/AIDS


2. ATI Med Surg Chapter 87

3. ATI Pharm Ch 48

4. Review notes on anemia, neutropenia and thrombocytopenia posted on DTL

I Application and Practice 1. Ignatavicious Study guide for assigned chapters

2. Med Surg ATI: Targeted: Immune


5. Pharmacology Made Easy : Immune system

Jan 30, 2014

LAB # 1 CS

Application of Nursing Process

Principles of Prioritization and Delegation

Lab Objectives posted on DTL

Feb 1, 2014

DISCUSSION QUESTION

DUE

Feb 6, 2014

EXAM 1

5

Feb 6, 2014

UNIT 3

CARE OF PATIENTS

WITH CANCER Stem cell theory, Risk Factors

Prevention and Screening

Surgical treatment, chemotherapy

and radiation Bone marrow

transplant, Nadirs,

Specific Cancers Blood cancers

Laryngeal and Lung cancer

Colorectal cancer

Testicular

Reproductive cancers

Breast cancer

Skin cancer

Read before class

Review notes on anemia, neutropenia and thrombocytopenia posted

on DTL

I. Cancer Nursing 1. Ignatavicius Ch 23, Ch 24 2. ATI Med Surg Chapters 90, 91,92,93

II. Specific cancers Leukemia, Lymphoma, Multiple Myeloma

1.Ignatavicious Ch 42 pgs 880-895

2.ATI Med Surg Ch 93 pgs 1017-1022

Head and Neck cancer

1. Ignatavicius Ch 31 pgs 588 -599(Optional )

2. ATI Med Surg Ch 93 pgs 1029- 1034

Lung Cancer

1. Ignatavicius Ch 31 pgs 630 - 639 (Optional )

2. ATI Med Surg Ch 93 pgs 1026-1028.

Colo-rectal cancer

1. Ignatavicius Ch 59 pgs 1245- 1254( Optional )

2. ATI Ch 93 pgs 1034-1036 1059-1062

Testicular cancer

1. ATI Ch 93 pgs 1059-1062

Cervical , Endometrial and Ovarian cancers

1. Ignatavicius Ch 74 pgs 1621- 1628.

2. ATI Med Surg Ch 93 pgs 1053- 1058

3. Hysterectomy Ignatavicius Ch 74 pgs 1618-1619.

4. Hysterectomy ATI pgs

Breast cancer

1. Ignatavicius Ch 73 pgs 1591- 1610

2. ATI Med surg Ch 93 pgs 1049-1053

Skin cancer ATI Ch 93 pgs 1014- 1016

III. Chemotherapy 1. Lehne Ch 101.( Optional)

2. ATI Medical surgical Ch 92

IV. Application and Practice 1. Ignatavicious Study guide for assigned chapters

2. Med Surg ATI : Targeted: Immune


4. ATI Learning System: Oncology

5. Pharmacology made Easy : Immune system

Feb 6, 2014

LAB # 2 KW


Care of central venous access devices. Specialized nutritional support

ATI Medical Surgical Ch 47.

ATI medical surgical Ch 27 pages 303 -307 ( Included on DTL )

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Feb 9, 2014

CARE PLAN # 1 DUE

Feb 12, 1014

Online Cancer Quiz

Feb 13, 2014

UNIT 4

HEPATIC AND

BILIARY

ALTERATIONS

Functions of the liver.

Jaundice, Hepatitis, Ascites,

portal hypertension and

cirrhosis

Paracentesis ; Role of albumin

Acute and chronic pancreatitis

Gallbladder disorders.

Structure and Function


2. Assessment of the GI system Ignatavicius Ch 55 pgs 1181 -1191

3. Age –related changes Chart 55-1

4. ATI Med- Surg Chapters 46,47

Liver Disorders

1. Liver trauma

2. Hepatitis Ignatavicius Ch 61 pgs 1305 1309

3. Cirrhosis Ignatavicius Ch 61 pgs 1293-1305

4. Med Surg ATI Ch 55

Bilary System and Pancreas

1. Acute and chronic pancreatitis Ch 62 pgs 1321- 1333

2. Gallbladder disorders Ch 62 pgs 1316 -1321

3. Med Surg ATI Ch 53, 54

Application and Practice 1. Ignatavicious Study guide for assigned chapters

2. Med Surg ATI : Targeted Medical-Surgical 2013: Gastrointestinal

3. ATI Learning System RN :Medical Surgical Gastrointestinal

4. Pharmacology Made Easy Gastrointestinal

Feb 13, 2014 Lab #2 Coral Shores

Lab Objectives posted on DTL Care of central venous access devices and

Specialized nutritional support

ATI Medical Surgical Ch 47.

ATI medical surgical Ch 27 pages 303 -307 ( Included on DTL )

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Feb 20, 1014

UNIT 5 RESPIRATORY

FAILURE

Review of respiratory physiology,

Oxygenation and ventilation,

ABG’s

Definition of respiratory failure

Review of selected respiratory

disorders and how they cause

respiratory failure.

Pulmonary heart disease:

pulmonary hypertension, cor

pulmonale

Drugs for Pulmonary

Hypertension

ARDS

Mechanical Ventilation

Read and study before class;

Respiratory A&P Ignatavicius Ch 29 pgs 546-548.

ABG’s ATI Med Surg pgs 500-505

Age –related change Ignattavicius page 548 Table 29-5

Diagnostic Assessment pages 556- 562. Pulmonary Function Tests

Oxygen therapy and CO2 narcosis Ch 30 pages 563- 570.

Asthma and COPD Ch 32 pages 601-604 ; Lab assessment; Interventions

to improve oxygenation pages 618 – 620.

ATI Medical Surgical Chapters 17,21,22

1.Pulmonary Hypertension Ignatavicius Ch 32 pgs 626-627

2.Interstitial Lung diseases Ignatavicius Ch 32 pgs 626- 629

3.Pulmonary Embolism Ignatavicius Ch 34 pgs 663 – 669

Respiratory Failure

4.Ignatavicius Ch 34 pgs 669- 671. 5.ATI Medical –Surgical Respiratory Failure Ch 26 ARDS

6.Ignatavicius Ch 34 pgs 671 674 Mechanical Ventilation

7.Ignatavicius Ch 34 pgs 674 -682 8. ATI Medical –Surgical Oxygen and Mechanical Ventilation Ch 19

9. Clinical companion Appendix 8 ( Posted on DTL )

10. Clinical companion Appendix 9 ( Posted on DTL)

Application and Practice Ignatavicious Study guide for assigned chapters

Med Surg ATI : Targeted Medical-Surgical 2013: Respiratory ATI Learning System RN :Medical Surgical Respiratory Pharmacology Made Easy : Respiratory

Feb 20, 2014 LAB # 3 KW Heart Failure , Mock code , EKG Interpretation

8

Feb 27, 2014

EXAM 2

UNIT 6 CONDUCTION

Dysrhythmias and drugs for

dysrhythmias

Pacemakers, ICD”S

Cardioversion ; Asystole, V fib

Review before class :

Ignatavacius Ch 35 pgs 687- 692; 698- 700

Clinical companion Appendix 7

1. Ignatavacius Ch 36

2. ATI Med surg Ch 28, 29 Lehne Ch 49;

3. Lehne Ch 45

4. ATI Pharm Ch 23


2. Med Surg ATI : Targeted Medical-Surgical 2013: Cardiovascular 3. ATI Learning System RN :Medical Surgical Cardiovascular

4.Pharmacology made Easy : Cardiovascular

Feb 27, 1014

LAB # 3 Coral Shores

Lab Objectives posted on DTL Heart Failure , Mock code , EKG Interpretation

March 2,

2014 CARE PLAN # 2 DUE

March 6,

2014

UNIT 7

CIRCULATORY FAILURE Hemodynamics and

hemodynamic monitoring

Shock, sepsis and DIC.

Circulatory failure;

Types of shock

Treatment for shock

Drugs for shock, vasopressors

Review and study before class :

Ignatavacius Ch 35 pgs 687- 692; 698- 700

1. Hemodynamic Monitoring Ignatavicius Ch 35 pgs 708-710


3. ATI Ch 37

4. Lehne Drugs for Shock Ch 17



4. Pharmacology Made Easy: Cardiovascular

9

March 6,

2014

LAB # 4 KW

ANTICOAGULANT SAFETY


March 13,

2014

UNIT 8 VESSELS AND

VALVES

Review before class: ATI Med Surg Ch 31

Inflammatory and Structural conditions

1. Ignatavicius Ch 37 pgs 763- 771.

2. ATI Med –Surg Ch 34

Valvular heart disease

1. Ignatavicius Ch 37 pgs 758 -763.

2. ATI Med – Surg Ch 33

Vascular disorders

1. Atherosclerosis Ignatavicius Ch 38 pgs 772 – 775

2. Interventions for Coronary arteries Ignatavicius Ch pgs

3. ATI Med Surg Ch 31 pgs 351-354

4. ATI Ch 30 pages 331-341

5. ATI Ch 35 MI, thrombolytics, antiplatelets

6. ATI Ch 34 Angiography, CABG, Bypass

7. Lehne: Anticoagulants and Antiplatelets Ch 52

8. Lehne Management of STEMI Ch 53

9. Aneurysms Ignatavicius pgs 792 -798;

10. ATI Med -Surg Ch 35

11. Peripheral venous disease: Ignatavicius pgs 798 807

12. ATI Med Surg Ch 30 pgs 341-346

Application and Practice

1. Ignatavicious Study guide for assigned chapters


4. Pharmacology Made Easy : Cardiovascular

March 20,

2014

EXAM 3

UNIT 9 RENAL

Physiology of urine formation

Diagnostic Tests and renal labs

Read and study before class Ignatavicius Ch 68 ATI med Surg Ch 45

10

March 20,

2014

LAB # 4 CORAL SHORES

ANTICOAGULANT SAFETY Lab Objectives posted on DTL

March 23,

2014

CARE PLAN # 3 DUE

April 3,

2014

UNIT 9 RENAL FAILURE

Acute and chronic renal

failure; Peritoneal and

hemodialysis

Diuretics

Other renal Disorders

URINARY DISORDERS

Urinary diversion; Prostate

surgeries and Bladder irrigation

Urinary incontinence; Drugs for

overactive bladder


2. ATI chapters 60, 56,57,58.

3. Lehne Ch 41 ATI Pharm Ch 19 4. ATI Med Surg Ch 59, 61,62


2. ATI Chapters 67,68,69,70,71 3. Lehne pg 165-168 Alpha Blockers

4. Lehne pg 128-132 Muscarinic Antagonists


2. Med Surg ATI : Targeted Medical-Surgical 2013: Renal and Urinary

3. ATI Learning System RN :Medical Surgical Renal and Urinary

4. Pharmacology Made Easy Genitourinary system

April 3,

2014

LAB # 5 KW


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April 10,

2014

UNIT 10 ENDOCRINE

Anterior and Posterior Pituitary

gland

SIADH and Diabetes Insipidus

Thyroid disorders, Parathyroid

disorders.

Adrenal gland disorders

Pheochromocytoma

Glucocorticoids in Non endocrine

disorders


2. Ignatavicius Ch 65,66

3. ATI chapters 77,78,79,90,81,82

4. Lehne Ch 59,58, 60

5. Lehne Ch 72


2. Med Surg ATI: Targeted Medical-Surgical 2013 Endocrine

3. ATI Learning System RN :Medical Surgical Endocrine

4. Pharmacology Made Easy : Endocrine System

April 12,

2013

NURSING PROCESS

PAPER DUE

April 17,

2014

EXAM 4

April 17,

2014

UNIT 11

SPINAL CORD AND

NEURO

1. Ignatavicius Ch 46 Guillain- Barre 987-991

2. Med –Surg ATI Guillain Barre – posted on DTL

3. Myasthenia Gravis Ignatavicius pg 991-997; Med Surg ATI Ch 10

4. Multiple Sclerosis Ignatavicius Ch 45 pgs 978-983, ATI Med Surg

Ch 10

5. Trigeminal Neuralgia Ignatavicius pg 100

6. Seizures and epilepsy Ignatavicius Ch 44 pgs 932-937; ATI Med

Surg Ch 6

7. Parkinson’s Disease Ignatavicius pgs 941-946; ATI med surg Ch 7

SPINAL CORD INJURY


2. ATI Ch 16

Application and Practice

1. Ignatavicious Study guide for assigned chapters

2. Med Surg ATI : Targeted Medical-Surgical 2013: Neurosensory

3. ATI Learning System RN :Medical Surgical Neuro and

Musculoskeletal

4. Pharmacology Made Easy: Neurological System Parts 1 and 2

April 17,

2014

LAB # 5 CORAL SHORES


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April 18,

2014

Journal Due

April 24,

2014

UNIT 11 TRAUMATC

BRAIN INJURY AND

STROKE

Intracranial pressure and

cerebral pressure

Head injury; Cranial surgical

procedures

Brain attack;

Meningitis and Encephalitis

Read and study before class: Ignatavicius Ch 43 Asignments 1.Ignatavicius Ch 47

2. Med Surg ATI Ch 14, 15 3.Meningitis pgs 937-941 Med Surg ATI Ch 5 4. Brain tumor ATI Med Surg ch 9


2. Med Surg ATI : Targeted Medical-Surgical 2013: Neurosensory

3. ATI Learning System RN :Medical Surgical Neuro and Musculoskeletal

4.Pharmacology Made Easy : Neurological System Parts 1 and 2

April 28 and

April 29,

2014

ATI TESTING

ATI Transcripts and Drug Cards Due

May 1, 2014

FINAL EXAM

COURSE METHODS

A variety of teaching methods will be utilized in this course. Classroom experiences will include

use of WebEx. Instructions and requirements for WebEx may be obtained from the FKCC

homepage under Distance learning. Check the computer you will be using to make sure it has what it

needs to participate in a class using WebEx. A camera is required to participate in a Web Ex

class. https://fkcc.webex.com/fkcc/meetingcenter/mcsetup.php. In addition, classroom, lab and clinical

settings may offer a traditional lecture format, videoconferencing, case studies, group discussion,

guest speakers and computer- assisted learning. Clinical and /or laboratory experiences may

include participant-observation, small group discussion, return demonstration and simulation

ATTENDANCE POLICY Attendance is taken in all lectures, labs and clinicals. 100 % of attendance at clinical is required. Missed

clinical experiences cannot be made up due to limited clinical space and time. All absences must be

reported to the course instructor and/or clinical instructor in advance as directed by the course instructor.

All absences must be excused. An unexcused absence in lecture, lab or clinical will warrant a course

https://fkcc.webex.com/fkcc/meetingcenter/mcsetup.php

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incident report . See absence policy in the nursing student handbook. Students who miss more than 20 %

of lecture time will receive a course grade of “D”.

Situations that commonly constitute an excused absence include personal or family illness, jury duty,

military commitments, or other legal circumstances that cannot be rescheduled. Documentation is

required to support the excused absence. For consideration as an excused absence, the student must notify

clinical instructor prior to absence. Situations that constitute an unexcused absence include failure to

notify lead instructor of absence, missing an exam for vacation or work time or absence due to illness

without health care provider verification.

METHOD OF STUDENT EVALUATION The theoretical / didactic grade for the course will be derived from written examinations. 85 % of the student’s

course grade is determined through objective written examinations. Examinations are focused on helping

the student pass the NCLEX-RN examination and to help faculty evaluate student learning. Missing exams

is discouraged and make-ups will be given only for extreme emergencies at the discretion of the instructor.

Make-up exams will be considered only if the instructor has been notified in advance. Total points possible

for missed exams will be 90 %. Cell phones, food and drinks, wristwatches, sunglasses, hooded sweatshirts

or sweaters are not allowed in the classroom while an exam is being given and may be collected by the

proctor at the start of an exam.

Examinations utilize formats similar to what is utilized on the NCLEX-RN licensing examination. This

may include multiple answer questions, alternative –format items, matching, ranking, and short answer

questions. The questions will be challenging and utilize various aspects of the nursing process. Critical

thinking will also be incorporated. Students will be tested on information and concepts presented in

lecture, lab, the textbook and the study guide as well as information covered in the ATI books and

practice online tests. Math questions are often included on exams. Exams are timed using a limit of 90

seconds per test question. It is the student’s responsibility to keep track of time spent and the time

remaining on the exam.

A comprehensive final examination will be given at the completion of the course. At the end of the

course, all exam grades, including the final exam must average 77 % (65.45 points) or better to pass the

class. A student who scores less than 77.0 % on any exam must contact the nursing faculty for

remediation. ATI practice exams are utilized consistently as a remediation tool.

Exam Review

Exam review is at the sole discretion of the instructor. Test review will not be done at the expense of

lecture time. Students are not allowed to copy or write down test questions or answers. The instructor

may limit the questions that may be reviewed. Individual or small group test reviews are permitted only

within one week of the exam. The final exam, pre and post- tests, and online exams are not subject to test

review under any conditions.

Grading Scale

The following grade scale will apply to this class. This is consistent with the grading scale used in all

NUR courses as outlined in the nursing student handbook.

90.0-100 =A

80.0-89.9 =B

77.0-79.9 =C

Below 76.9 = D

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ATI PRACTICE AND PROCTORED EXAMS

This course utilizes the ATI RN Content Mastery Series® and two ATI proctored exams to assist students

in preparing for the NCLEX-RN® exam. Through practice and proctored examinations, students are able

to assess their own knowledge and receive feedback and direction for content review throughout the

program of study. Regular and focused use of online practices tests is strongly encouraged. Use the

appropriate class code when signing into ATI.

The code for the class of 12/14 is CDN002996329. The student should log in once using this

code and all of the assessments and tutorials will be available for unlimited use. Please do not

log in using a code for an individual assessment test.

Practice Tests

Learning System/ Tutorials 1. Medical-Surgical: Immune and Infectious *

2. Medical –Surgical: Oncology *

3. Medical –Surgical: Gastrointestinal *

4. Medical-Surgical: Respiratory *

5. Medical –Surgical: Cardiovascular and Hematology *

6. Medical-surgical: Renal and Urinary *

7. Medical-Surgical: Endocrine *

8. Medical-Surgical: Neurosensory *

9. Medical –Surgical Final *

10. Pharmacology Final

11. Pharmacology Made Easy

Targeted Practice Assessments 1. Targeted Medical-Surgical 2010: Perioperative

2. Targeted Medical-Surgical 2010: Fluid, Electrolyte, and Acid-Base*

3. Targeted Medical-Surgical 2010: Immune *

4. Targeted Medical-Surgical 2010: Gastrointestinal*

5. Targeted Medical-Surgical 2010: Respiratory*

6. Targeted Medical-Surgical 2010: Cardiovascular*

7. Targeted Medical-Surgical 2010: Renal and Urinary*

8. Targeted Medical-Surgical 2010: Endocrine*

9. Targeted Medical-Surgical 2010: Neurosensory and Musculoskeletal*

10. RN Adult Medical Surgical Online practice 2013 A* and Online practice 2013B *

11. RN Pharmacology Online Practice 2013 A

12. RN Pharmacology Online Practice 2013 B

Test taking- Skills NurseLogic 2.0 – Advanced Level Student *

1. Knowledge and Clinical Judgment

2. Nursing Concepts

3. Priority Setting Frameworks

4. Testing and Remediation

ATI TRANSCRIPT

Each student will bring a copy of his or her completed ATI transcript (*) at the designated time on the

course calendar.

15

Transcripts that demonstrate a grade of 70 % or above on 20 of the assigned practice tests will accrue an

additional 4 points toward the final exam score.

15-19 Practice tests with score of 70 % or higher = 3 points

5-15 Practice tests with score of 70 % or higher = 2 points

< 5 Practice tests with score of 70 % or higher = 1 points

0 Practice tests = 0 points

All proctored ATI (standardized testing) assigned for the course must be completed in order to pass the

course. Failure to take a proctored ATI test will result in a course failure of “ D”. Cell phones are

prohibited during an ATI proctored exam. Students are expected to successfully achieve a level 2 or

greater on ATI proctored exams.

BREAKDOWN OF EXAMS AND WRITTEN ASSIGNMENTS All assignments in the course as listed below must be completed in order to pass the course. This includes exams,

quizzes, written assignments, clinical assignments and all S/U assignments. All S/U assignments must receive a

grade of “ S”.

Exam 1 = 15%

Exam 2= 15%

Exam 3= 15%

Exam 4 = 15%

Post test =5 % * (Proctored Adult Medical Surgical ATI test = 3 %. Proctored RN Pharmacology = 2 %)

Comprehensive final exam = 20 %

Online Oncology Quiz = 5 %. Points obtained from this quiz may be applied toward ONE exam score.

After the final exam, the points obtained from the above exams and/or quizzes must average a 77 % ( 65.45 points)

or better. The points from the process paper and formal weekly care plans will apply toward the course grade only

after the exam average is 77 % or better.

Written Assignments

Nursing Process Paper = 9 % ( See description below). A minimum grade of 77 % is required on the nursing

process paper. Weekly Med- Surg Care Plans 3 @ 2% each (See description below) Three (3) will be formally evaluated = 6 %

Off – Unit Clinical Objectives = S/U

Discussion Question = S/U

Clinical journal = S/U

Drug Cards = S/U

Signed course contract = S/U

Self -evaluation on CET =S/U

The points from the nursing process paper and medical-surgical care plans will apply toward the course

grade only after the exam average is 77 % or better. All assignments included in this course must be

completed in order to pass the course. Failure to complete all of the assignments for the course will result

in a course grade of “D.”

EXAMPLE OF HOW THE COURSE GRADE IS CALCULATED Sample student scores : Calculation:

Exam 1 = 77 %

77% X .15 = 11.55 points

Exam 2 = 75 % 75 % X .15 = 11.25 points

Exam 3 = 79 % 79% X .15 = 11.85 points

16

Exam 4 = 80 % 80 % X .15 = 12 points

Post test =

ATI Med Surg = 80 %

RN Pharmacology =70 %

80 X .03% = 2.4 points

70 X .02% = 1.4 points

Final = 80 % 80 % X .20 = 16 points

Add all the points of the above sample scores. If the total sum is equal to or greater than 65.45 points, then add:

Process paper = 80 % X .09= 7.2 points.

Weekly Care Plans (3) = Each one = 80% X .02% = 4.8 points.

Add all of the points: 66.45 + 7.2 points +4.8 points = 78.45 points = Course grade of “ C”

Note: Final course grades are not rounded up.

THREADED DISCUSSION ACTIVITY

A threaded discussion question will be posted on D2L. A total of 4 posts in response to the question are

required. One post should directly address the question and be a minimum of 4 paragraphs (300 words).

At least one nursing reference for this response should be included and referenced in APA style. The

other 3 responses should be in response to classmates and each should be a minimum of 2 paragraphs

(150 words). All responses should be factually correct and have proper spelling and grammar

Copying and pasting from any source is not acceptable.

MATH TEST

A math test may be given at mid semester. Students are expected to earn 100 % on this test with a

maximum of two attempts. If unsuccessful at mid-semester, the student may retake the math test at the

time of the final exam.

CLINICAL ASSIGNMENTS

Specific clinical assignments will be made prior to the clinical experience whenever possible.

The student is responsible for doing an initial patient assessment and formulating a plan of care for each

assigned patient. In addition, the student is responsible for researching the patient’s pathophysiology,

medications, nutritional needs, learning needs, and treatments. In the event that the assignment cannot be

made prior to clinical, the student will prepare the assignment after the clinical experience.

WEEKLY NURSING CARE PLANS

Nursing Care Plans provide the student with the opportunity to apply the nursing process, in written form,

to specific patient situations. It is expected that the student will complete a working care plan for every

assigned patient experience. Weekly care plans assist the student in understanding the nursing process.

These care plans incorporate pathophysiology, diagnostic tests and lab data, assessment, nursing

diagnosis, goals, interventions, rationales, and a teaching plan. Part of the clinical experience will be

spent learning how to write a care plan with medical-surgical patients—identifying the various data

sources, and devising specific nursing interventions. Evaluation of the care given is also an essential

portion of the nursing care plan. The weekly care plans will be utilized in evaluating overall clinical

performance. Completed care plans are due weekly as directed by the course and/or clinical instructor.

Although care plans are due weekly as assigned, only a total of three will be submitted for formal

evaluation.

OFF UNIT OBJECTIVES

Off – unit objectives are to be completed whenever the student is rotated to a specialty clinical site or

unit. Completed objectives are to be submitted to the clinical or lead instructor as directed by the due

date.

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NURSING PROCESS PAPER All papers, writing assignments, and references are to written using current APA style. APA style papers

always should have a title page, running headers, and a reference page.The most recent Publication

Manual of the American Psychological Association (in library and online @ www.apa.org) must be used

as the source for organizing this paper. All students should have an APA reference book. All papers

must be typed. All references should be from nursing sources and be less than 5 years old. All references

must be appropriately documented and cited. Correct spelling, grammar, and punctuation are considered

to be essential components of all clinical papers. Limit papers to 10 typed pages. The professional

process paper is a clinical requirement and is used, in part, to evaluate clinical performance. A weekly

care plan that has been formally evaluated cannot be utilized a second time to formulate the nursing

process paper. All papers must be submitted by the due date.

The student is required to use the grading rubric as a guide in developing and meeting the objectives

for the nursing process paper. The rubric used to evaluate the process paper and care plans is posted on

DTL.

SUGGESTED PROCESS PAPER CONTENT:

1. Personal, social, family history

2. Presenting Problem; Medical- surgical diagnosis.

3. Previous Medical-Surgical History

4. Pathophysiology

5. Assessment Data

6. Diagnostic/ Laboratory studies (include all abnormal trends significant to the patient)

7. Analysis of medications; includes listing the classification, nursing interventions and evaluation of the

effects of the medications.

8. Nursing diagnoses and outcomes. A minimum of two (2) patient- centered diagnoses with two (2)

outcomes and 4 interventions are required. In addition, a minimum of one (1) student- centered outcome

must be included.

10. Nursing Interventions.

11. All nursing interventions must be supported by rationales utilizing the textbooks used in the class .

12. Evaluation of nursing interventions

13. Relevant nursing research/ journals/ articles. * A minimum of two (2) references are required .

12. Patient -Family Teaching

13. Discharge Planning

14. Summary of Student Learning

CLINICAL JOURNAL

Students are expected to maintain a clinical journal that reflects concerns, feelings, and observations that

are germane to the development of nursing/caring behaviors. The journal will be reviewed by the clinical

instructor or lead course instructor for review and feedback. Patients should not be identified in these

journals and patient confidentiality must be maintained. These journals are a way to help develop

affective behavior and should be student-centered.

MEDICATION CARDS Use of the ATI Pharmacology learning template will further guide the

student in learning and reviewing nursing knowledge. Drug cards are designed to assist the student in

learning and reinforcing pharmacological classifications, therapeutic uses, adverse effects and important

patient/family teaching regarding medications. Each student will pick 6 medications each week from a

list of medications supplied by the instructor. The student is required to use the medication card template

found on DTL. All medication cards are to be hand – written and turned in by the date specified in the

course calendar. Use of RN Pharmacology for Nursing (6th ed) Assessment Technologies Institute

as a resource for this assignment is highly recommended .

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CLINICAL PERFORMANCE:

In the clinical area, students are evaluated on a pass/fail basis using the clinical evaluation tool. Students

are required to complete a written self-evaluation as evidence of their identification of their strengths and

weaknesses. Instructors will complete a written summation of the student’s performance in the clinical

area with specific comments as to whether or not they met course objectives. Instructor evaluations of

student clinical performance supersede student’s evaluations. Students are expected to be open to

constructive feedback from instructors and modify behavior accordingly. Each student will be evaluated

at mid-term (formative) and at the end of the term (summative) for clinical performance.

A passing clinical grade is achieved when the student:

1. Consistently meets all the clinical objectives with 3.5- 4.5 scores.

2. Meets clinical requirements for each agency. The ability to safely and professionally apply theory to

clinical experiences is the essence of nursing. Therefore, the clinical grade supersedes the theoretical

grade. In order to pass the course and receive a theory grade, the student must be passing clinically. A

clinical failure requires repeat of the total class including theory and clinical.

Students will receive a mid- term and final formative and summative evaluation. Students will be asked to

perform a self-evaluation and clinical site evaluation. Students also will complete a course and faculty

evaluation.

LATE WORK

All written work must be submitted to the dropbox by the due date on the calendar or as directed by the

course or clinical instructor. Submissions past the due date without an extension by the course or clinical

instructor will receive a grade of “U”and will need to be re-submitted until a grade of “ S” is earned.

Unexcused late submissions for written work that is graded will incur a 10 % reduction in the grade .

SUCCESS IN THE COURSE

Completing and understanding the assigned readings and ATI online assignments

is strongly recommended for success in the course. Lecture time is not spent explaining basic concepts

covered in the readings. Lecture is used to facilitate learning and help the student with application and

critical thinking skills applicable to the course. In addition, the unit objectives are designed to help

students pass the exams and function well in clinical. Students are encouraged to know what the unit

objectives are and refer to them while reading the text and studying.

COMMUNITY SERVICE

Each student will donate 15 hours to a community health service this term, and submit documentation that

is signed and verified to authenticate these hours. The location and type of volunteer hours must be pre-

approved by the course instructor.

ACADEMIC HONESTY Students are expected to respect and uphold the standards of honesty in taking exams and in submitting

written work to instructors. Any cheating or plagiarism will result in disciplinary action to be determined

by the instructor based on the severity and nature of the offense. It is the student’s responsibility to review

the College’s policy on Academic Honesty.

SPECIAL NEEDS

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Students with special needs as addressed by the Americans with Disabilities Act (ADA) who need

assistance may notify the Office for Students with Disabilities at 305-809-3292 or via email at:

[email protected]. Reasonable efforts will be made to accommodate special needs.

Students are expected to familiarize themselves with FKCC Policies, which can be found in the current Student Handbook.

The Class Contract assignment is a method of ensuring that the student knows what is expected from the

instructor and also clarifies what the instructor expects from the student. The Class Contract should be

submitted via the dropbox by the date published in the Course Calendar By returning the Class Contract

to the instructor, the student acknowledges the following:

a. Understanding of the policies detailed in this Syllabus.

b. Understanding of the expectations and due dates listed in the Course Calendar.

c. Understanding the accountability to the standards published in this document.

By signing my name I acknowledge the above.

Print Name: Date:

Signature:

Revised: December, 2013

mailto:[email protected]

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