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Division of Health Sciences

Associate Degree Nursing Department http://www.hccs.edu/programs/areas-of-study/Coleman Health Sciences

Center of Excellence

RNSG 1343: Complex Concepts of Adult Health

CRN’s 15678; 18621 Fall 2019 | August 26, 2019 – December 15, 2019

Face-to-Face | Coleman College for Health Sciences/ Room #473

Wednesdays 8-11 AM

3 Credit Hours | 48 hours per semester

Instructor Contact Information

Instructor: Dr. Rita Callahan, PhD, BSN, RN

HCC Email: rita.callahan@hccs.edu

Instructor: Dr. Charlet Jose, PhD, RN

HCC Email: charlet.jose@hccs.edu

Office Phone: 713-718-7275 Office Hours:

Tuesdays, 9am-2pm

Office Location: Suite #326 Office: # 325

Office Phone: 713-718-7232

Office Hours: Wednesdays, 11am-6pm

Office Location: Suite #326 Office: # 323

Please feel free to contact us at any time concerning any problems that you are

experiencing in this course. Your performance in our class is very important to us. We are available to hear your concerns and/or just discuss course topics.

Instructor’s Preferred Method of Contact

I will answer email within 24 hours on weekdays; Monday morning for weekend

messages. Students may also use Canvas Inbox to communicate with me.

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What’s Exciting About This Course

You will learn integration of previous knowledge and skills related to common

adult health needs into the continued development of the professional nurse as a

provider of a patient-centered care, patient safety advocate, member of health

care team, and member of the profession in the care of adult patients and families

with complex medical-surgical health care needs associated with the body

systems. Emphasis on complex knowledge, judgments skills, and professional

values within a legal/ethical framework. This course lends itself to a Patient-

Centered, Client needs approach.

Our Personal Welcome

Welcome to Medical-Surgical Nursing 2 theory course. We look forward to working with each of you to reach your goals. One of our passions is to be an encouragement to others as they

strive for success. Our intentions for this class are to partner with you to learn the Complex Concepts of Adult Health and prepare yourself to enter into the career of nursing profession.

We will present the information in the most exciting way we know, so that you can grasp

the concepts and apply them now and hopefully throughout your nursing life. As you read and wrestle with new ideas and facts that may challenge you, we are available to support you. The fastest way to reach us is by HCC email. The best way to really discuss issues is in

person and we are available during posted office hours to tackle any questions you might have. Our goal is for you to walk out of the course with a better understanding of Complex

Concepts of Adult Health Nursing. So please visit us or contact us whenever you have a question.

Prerequisites and/or Co-Requisites

The minimum requirements for enrollment in RNSG 1343 are as follows: (1) completed and

passed all pre-requisite courses and requirements. Please refer to the policy in the HCC Student Handbook and the ADN Student Handbook for questions related to failures,

withdrawals, and progression.

Eagle Online Canvas Learning Management System

This course will use Eagle Online Canvas (https://eagleonline.hccs.edu) to supplement in- class assignments, exams, and activities. You are expected to use Eagle Online Canvas

regularly. It is your responsibility to check for updates and/or changes.

HCCS Open Lab locations may be used to access the Internet and Eagle Online Canvas. It is recommended that you USE FIREFOX OR CHROME AS YOUR BROWSER.

HCC Online Information and Policies

Although this is an in-person class, I encourage you to visit the HCC Online information pages. They contain a great deal of useful information about using Canvas. Here is the link to

HCC Online: http://www.hccs.edu/online/.

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Scoring Rubrics, Assignment Instructions, etc.

Look in Eagle Online Canvas for the scoring rubrics for assignments, assignment instructions, exam instructions, and other information to assist you in the course.

https://eagleonline.hccs.edu/login/ldap

Instructional Materials

Textbook Information

The textbook listed below is required for this course.

Lewis, et al, (2017), Medical-Surgical Nursing, 10th Ed The book may be purchased at the HCC Bookstore, http://hccs.bkstore.com

(West Loop Campus)

Other Instructional Resources

See the Fall 2019 Booklist for other resources, required and optional books and references.

INSTRUCTIONAL METHODS

1. Lecture, Discussion, or Flipping the class

2. Computer Assisted Instruction (explanatory and interactive)

3. Critical thinking scenarios

4. Case studies

5. Individual faculty-student remediation

Tutoring

HCC provides free, confidential, and convenient academic support, including writing critiques,

to HCC students in an online environment and on campus. Tutoring is provided by HCC personnel in order to ensure that it is contextual and appropriate. Visit the HCC Tutoring Services website for services provided.

(You may also contact your instructors for additional information regarding tutoring)

Libraries

The HCC Library System consists of 9 libraries and 6 Electronic Resource Centers (ERCs) that

are inviting places to study and collaborate on projects. Librarians are available both at the libraries and online to show you how to locate and use the resources you need. The libraries maintain a large selection of electronic resources as well as collections of books, magazines,

newspapers, and audiovisual materials. The portal to all libraries’ resources and services is the HCCS library web page at http://library.hccs.edu.

Supplementary Instruction

Supplemental Instruction is an academic enrichment and support program that uses peer-

assisted study sessions to improve student retention and success in historically difficult

courses. Peer support is provided by students who have already succeeded in completion of the specified course, and who earned a grade of A or B. Find details at http://www.hccs.edu/resources-for/current-students/supplemental-instruction/.

Please see your instructor for information regarding these services for your area)

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Course Overview

RNSG 1343 involves the coordination of care, relating to Complex Concepts of Adult Health Needs into the continued development of the professional nurse as a provider of a patient-centered care, patient safety advocate, member of health care team, and member of the

profession in the care of adult patients and families with complex medical-surgical health care needs associated with the body systems. Topics include but are not limited to the nursing role in

management of clients with complex problems/alterations in cardiovascular function, respiratory function, endocrine function, gastrointestinal function, hematology function, reproductive function, neurological function, and renal and urological function.

End of Course Learning Outcomes CSLOs WECM)

Upon completion of RNSG 1343 the student will be able to:

1. Describe the roles of the nurse in delivery of health care

Integrate the roles of the professional nurse in the provision of care of adult patients and families

2. Utilize critical thinking skills and a systematic problem-solving process in providing care for

adult patients and families with complex health care needs

Program Student Learning Outcomes (PSLOs)

Upon graduation student s will be able to:

1. Communicate effectively with patients, families, and members of the health care team.

2. Utilize a systematic problem solving approach in caring for patients with common and complex needs

3. Demonstrate appropriate entry level associate degree nursing program didactic competencies to pass the NCLEX-RN licensure examination

4. Demonstrate safe entry level nursing practice as defined by the four roles of the Differentiated Essential Competencies of Graduates of Texas

Nursing Programs (DECs).

Learning Objectives

1.1 Integrate knowledge of the anatomy and physiology as it relates to

clients with complex medical/surgical problems.

1.2 Describe the pathophysiology and clinical manifestations of complex

medical/surgical problems

1.3 Discuss the various areas of assessment used in clients with complex

medical/surgical problems

2.1 Describe therapeutic interventions used regarding health promotion,

Maintenance and restoration/rehabilitation related to complex

Medical/surgical problems

2.2 Formulate a plan of care using critical thinking for clients and families with

Complex medical/surgical problems in collaboration with other health care

Professionals

2.3 Describe safe nursing practice within legal/ethical parameters when caring for clients

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DIFFERENTIATED ESSENTIAL COMPETENCIES (DECs)

Competencies assigned to RSNG 1343 are based on the TBON

Differentiated Essential Competencies (DECs).

Utilize critical thinking skills and a systematic problem-solving process as a

framework for providing care for adults and families with complex health care needs

related to each body system in health and illness; and explain the roles of the

professional nurse in caring for adult clients.

DECs Four Roles (See the BON website: www.bon.state.tx.us for a list of the DECs)

The competencies are written to guide nursing programs to meet the approval

criteria established by the Texas Board of Nursing (BON) and to ensure that

programs prepare graduates to provide safe, competent care to the people of

Texas. A competency is

described as “An expected level of performance that integrates

knowledge, skills, abilities, and judgment” (American Nurses Association,

2008, p.3).

I. Member of the Profession:

A. Function within the nurse’s legal scope of practice and in accordance with the

policies and procedures of the employing healthcare institutions or practice setting.

II. Provider of Patient-Centered Care:

B. Determining the physical and mental health status, needs, and preferences of

culturally, ethnically, and socially diverse patients and their families based upon interpretation of comprehensive health assessment findings compared with evidence – based health data derived from diploma or associate degree nursing

program of study.

III. Patient Safety Advocate:

A. Demonstrate knowledge of the Texas Nursing Practice Act [NPA] and the Texas Board of Nursing rules that emphasize safety, as well as all federal, state, and local

government, and accreditation organization safety requirements and standards.

IV. Member of the Health Care Team:

B. Serve as a health care advocate in monitoring and promoting quality and access

to health care for patients and their families.

Student Success

Expect to spend at least twice as many hours per week outside of class as you do in class studying the course content. Additional time will be required for written assignments. The

assignments provided will help you use your study hours wisely. Successful completion of this course requires a combination of the following:

Reading the textbook Attending class in person and/or online

Completing assignments

Participating in class activities

There is no short cut for success in this course; it requires reading (and probably re-reading) and

studying the material using the course objectives as your guide.

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Instructor and Student Responsibilities

As your Instructor, it is my responsibility to:

Provide the grading scale and detailed grading formula explaining how student grades are to be derived

Facilitate an effective learning environment through learner-centered instructional techniques

Provide a description of any special projects or assignments Inform students of policies such as attendance, withdrawal, tardiness, and make up

Provide the course outline and class calendar which will include a description of any special projects or assignments

Arrange to meet with individual students before and after class as required

As a student, it is your responsibility to:

Attend class in person and use online resources

Participate actively by reviewing course material, interacting with classmates, and responding promptly in your communication with me

Read and comprehend the textbook Complete the required assignments and exams

Ask for help when there is a question or problem

Keep copies of all paperwork, including this syllabus, handouts, and all assignments

Be aware of and comply with academic honesty policies in the HCCS Student Handbook and

the ADN Student Handbook

Assignments, Exams, & Activities

Please carefully review all of the information in this section and don’t hesitate to ask questions if

anything is unclear to you. Be assured that we have thoughtfully designed all assignments, exams, and activities in this course to enable you to learn the course material and to be

successful. By providing due dates, we are helping you stay on track and accomplish your goal of getting the best grade you can in this course.

Register or sign in at the Evolve to access online resources. Please utilize the quizzes in

Evolve online resources during your study time. The Evolve online resources are for self-

study only and may be utilized as assignments for students’ learning purposes by the

faculty.

Exams

Master each unit exam with a 75% or greater. The exams will include course content and consist of 50 questions (including two math questions). The HESI specialty exam will be

utilized as a benchmark and final exam for the course. A HESI practice exam will be administered prior to the final HESI exam. Read the textbook, study for the exams using all the available resources, participate in face-to-face classroom activities, utilize the online

component of the course, and enjoy yourself throughout the experience.

Any student unable to pass clinical math testing by the third attempt will not be allowed to

continue in the clinical rotation and therefore will be counted as failing the clinical co-requisite

course. The student will also be dropped from this course.

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In-Class Activities

” In-Class activities will not be graded; however, the degree of your class participation and class attendance will be noted.” We will conduct exams that you can use to determine how successful you are at achieving the

course learning outcomes (mastery of course content) as outlined in the syllabus. If you find, you are not mastering the material, you are encouraged to reflect on how you study and prepare for each class. We welcome your observations on what you discover and may be able to assist you in

finding resources that will improve your performance.

Comprehensive Final Exam

There will be a comprehensive HESI final exam in this course at the end of the semester. All

students in RNSG 1343 are required to take a comprehensive final exam. The exam will be administered in the computer lab in accordance with the class schedule (See Course Calendar for date and time). The comprehensive departmental HESI final exams consist of

55 questions. All of the information students need to prepare for the exam will be found in the resources in Canvas and text book, also will be discussed in class.

Grading Formula

The course must be completed with a 75% or higher passing score

Exam 1 15%

Exam 2 20%

Exam 3 20%

Exam 4 20%

Hesi Specialty Exam Practice 05%

HESI Final 20%

Total

100%

HCC AND Grading Scale

A= 100-90 4 points per semester hour

B= 89-80 3 points per semester hour

C= 79-75 2 points per semester hour

D= 74-60 1 point per semester hour

59 and below = F 0 points per semester hour

W (Withdrawn) 0 points per semester hour

I (Incomplete) 0 points per semester hour

AUD (Audit) 0 points per semester hour

Note: All nursing courses (RNSG) require a C to be considered passing.

A 74.5 and above will be rounded to a 75.

HCC Grading Scale can be found on this site under Academic Information:

http://www.hccs.edu/resources-for/current-students/student-handbook/

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Course Calendar RNSG 1343 Fall 2019

Course Calendar (Also Available via Eagle Online) is reviewed during course orientation. Changes are sometimes necessary and will be announced in class and/or via Eagle Online

*Placement of content may vary during semester. Refer to your calendar on Eagle Online for specific dates and content changes. The sequencing is subject to changes as deemed necessary by faculty. Students will be notified of changes as soon as possible. Course calendar is available on Canvas.

RNSG 1343 Calendar – Fall 2019

Week # Day/Time Topics & Chapters

1 Wednesday, 8/28/19 8am – 11am

Orientation to course/syllabus Math Review Math Practice Questions

2 Wednesday, 9/4/19 8am – 11am

Chap. 33 - Cardiovascular Nursing (ACS, MI), Chap. 35 - EKG’s (Rhythm Strips & Dysrhythmias)

Math Exam 1

3 Wednesday, 9/11/19 8am – 11am

Chap. 66/Chap. 68 - Shock/Triage, ER Nursing Chap. 24 - Burns/Integumentary

Math Exam 2

4 Wednesday, 9/18/19 8am – 11am

Chaps. 26, 27, 67 - Respiratory Nursing (Upper Resp., Lung Ca, Chest Trauma/Drainage, Pneumonia, Pulmonary Embolism, ARDS)

Math Exam 3

5 Wednesday, 9/25/19 9am – 11am

Exam # 1 Cardiovascular - 14 questions EKG’s – 6 questions, ER/Triage – 12 questions Shock - 8 questions, Burns - 8 questions

Math - 2 questions

6 Wednesday, 10/2/19 8am – 11am

Chap. 49 Endocrine Nursing (Addison’s Disease, Cushing Syndrome, Hyperthyroidism/Hypothyroidism, Endocrine Problems

7 Wednesday, 10/9/19 9am – 11am

Exam # 2 Respiratory-25 questions Endocrine-23 questions Math - 2 questions

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8 Wednesday, 10/16/19 8am – 11am

Chaps. 41, 42 - Gastrointestinal Nursing (GI Disorders, Esophageal Ca, Colorectal Ca, Stomach Ca)

9 Wednesday, 10/23/19 8am – 11am

Chap. 30 Hematology Nursing

10 Wednesday, 10/30/19 8am – 11am

Chaps. 51, 53, 54 - Reproductive/Oncology, Female/Male Ca

11 Wednesday, 11/6/19 9am – 11am

Exam # 3 GI - 20 questions Hematology - 14 questions

Repro/Oncology - 14 questions Math - 2 questions

12 Wednesday, 11/13/19 8am – 11am

Chaps. 56, 59, 60 - Neurological Nursing (Delirium, Dementia, Alzheimer’s)

13 Wednesday, 11/20/19 8am – 11am

Chaps. 45, 46 - Renal Nursing

14 Wednesday, 11/27/19 9am – 11am

Exam # 4 Neuro-25 questions

Renal- 23 questions Math - 2 questions

15 Wednesday, 12/4/19 9am – 11am

Hesi Practice

16 Tuesday, 12/10/19 9am – 11am

Med Surg Hesi Final

Syllabus and Calendar Modifications

The instructor reserves the right to modify the syllabus and/or course calendar at any time

during the semester and will promptly notify students in writing, typically by e-mail, of any such changes.

A.D.N. HANDBOOK

Please refer to the ADN Handbook that is provided to you by the program/instructor.

This contains important information regarding the nursing program that is pertinent

for students to be responsible for reading within 7 days of start of semester and

complying with the policies and procedures listed in the current Associate Degree

Nursing Program Student Handbook.

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Computer Based Testing:

All Houston Community College System ADN program exams will be computer

based to prepare the student to meet the NCLEX testing requirements. Paper-pencil

versions of exams would constitute a security risk and is not available for

standardized exams. This is an intentional design of the exams so that our

computerized exams more closely emulate the

NCLEX exams. Keep in mind that the NCLEX is a CAT (Computer Adaptive Test) and is not

delivered in paper form.

Testing Protocol and Guidelines:

Students will have 75 minutes to take the exam and the exam review will be

completed within 7 days after the test analysis. Each unit exam will consist

of 50 questions. The HESI Specialty Exam will be 120 minutes. HCC picture ID

is required for entrance into all exams. The instructor controls the options of seating

arrangement, movement, leaving the room, and stopping of exam for violation of

scholastic dishonesty. Late entry will not be permitted. In extenuating circumstances

with proper notification and/or documentation, and at the sole discretion of the

instructor, makeup exams will be administered within five days of the missed exam.

A different exam will be administered for makeup. Final test grades will be distributed

within one week after the exam analysis. Students may also review exam by

appointment with the instructor. The HESI exam will be reviewed independently.

1. A graded unit exam may only be reviewed up to the day before the next exam. All

students have the option to review exams regardless of the results.

2. If “scratch paper” is requested during an exam, the paper must be returned to the proctor after finishing the exam. The scratch paper will be immediately shredded

after the exam. All questions or concerns about the test must be formally submitted in writing/email to the instructor(s) prior to the next exam.

3. Grades will not be available until the faculty/teaching team has reviewed the exam and analysis. The official exam grade will be available to students within

a working week.

Make-up Exam Policy

Make-up exams are not acceptable except in the most extenuating circumstances and at the Instructor’s discretion.

It is an expectation that exams will be taken at the scheduled date and time. If an

exam is missed or taken at a time other than the student’s scheduled class/testing

time, one and only one makeup or rescheduled exam will be considered on an

emergency basis. If a second exam is missed a zero will be recorded. The missed exam

must be made up within 5 business days of the scheduled exam in the testing center.

Appropriate documentation will be required for the missed exam, and must be

submitted to the instructor of record and the Dean of the ADN Program within two

days of the missed exam. Emergencies will be defined by The Nursing Program.

All books, papers, notebooks, etc. should NOT be brought into the testing area. No

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personal belongings will be allowed. No electronic devices including watches, cell

phones are prohibited in the testing area. Students are not permitted to wear hats in

the testing area. Any verbal or nonverbal communication between students during

testing will be grounds for the termination of testing. A grade of zero (0) will be

recorded and averaged into the final grade. Should a student need to communicate

with the instructor, remain seated and raise your hand. Any infraction of scholastic

dishonesty is grounds for dismissal from the program.

Remediation Policy and Procedure:

Policy: Any student who fails an exam with a score of less than 75% shall be required to participate in remediation before taking the next exam. To remediate is to remedy the deficiencies. Remediation procedure is as follows;

Remediation/Retention Procedure:

1. Upon the initial failure the instructor shall submit an early alert notification

2. It is mandatory that student meets with the instructor to remediate the failed test

(the student may be referred to remediation/retention specialist or designate as

needed). Remediation must be completed 48 hours prior to the next exam

3. The student will schedule and attend a meeting with the

Advisor/Counselor if recommended by the instructor

4. The student will meet with the retention remediation coach or designate for

study skills, time management, test-taking strategies, and/or content-specific

tutorials for the next exam as appropriate if referred by the faculty.

5. If a remediation is not done, the student will be required to complete a waiver form

acknowledging that the opportunity was given to the student and the student

declined it. The student will be required to sign the waiver form 48 hours

prior to the next exam.

6. Student shall be required to repeat the above steps for each exam failure.

7. Faculty/peer tutoring will be provided if requested by the student or if

deemed necessary.

Academic Integrity

Students are responsible for conducting themselves with honor and integrity in fulfilling course requirements. Penalties and/ or disciplinary proceedings may be initiated by college district officials against a student accused of scholastic dishonesty. “Scholastic Dishonesty” includes,

but is not limited to, cheating on a test, plagiarism and collusion. Any instance of scholastic dishonesty may be reported to the Maxiant system. Possible punishments for scholastic

dishonesty include a grade of “0” or “F” on the particular assignment, failure in the course, and/or recommendation for probation or dismissal from the college district. A recommendation for suspension or expulsion will be referred to the college Dean of Students for disciplinary

disposition. Students have the right to appeal the decision.

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Here’s the link to the HCC information about academic integrity (Scholastic Dishonesty and Violation of Academic Scholastic Dishonesty and Grievance):

http://www.hccs.edu/about-hcc/procedures/student-rights-policies--procedures/student-

procedures/

Attendance Policy

Students are expected to attend in-person course regularly.

A student is expected to attend all classes in order to meet course objectives. In RNSG prefix courses, absences will not exceed the designated number as listed in the course

syllabus. The A.D.N. program follows the policy that a student may be administratively dropped after absences exceeding 12.5% of scheduled class time. This is in accordance with the HCCS policy. The instructor will monitor attendance.

Attendance will be taken at the beginning of each class. A student, in order to be counted as

present, must sign the attendance sheet or indicate presence when roll is called. The student may be marked absent if not present after the first thirty minutes of class. An instructor may also elect to take attendance at any time during the class. Failure to sign the attendance

roster or indicate presence when roll is called will result in being marked absent for the day. A student signs only his/her own name and never signs the attendance sheet for another

student.

Signing for another student is a form of academic dishonesty will result in dismissal from the

Program.

The instructor controls the classroom. Students arriving late to the class in progress will refrain from walking across the front of the group. The instructor has the option of denying entrance until break- time.

Remain quiet during class. If there is a need to communicate with the instructor or to ask a question, the student is to raise his/her hand.

When speaking, address faculty and fellow students in a professional and respectful manner.

Refrain from interrupting when someone else is speaking. If a student is disruptive, the

instructor is authorized to ask the student to leave the classroom. Turn-off all personal communication devices (cell phones, pagers, etc) prior to start of class.

Have only water, if desired, in the classroom or lab.

Appropriate street clothing or the uniform of the A.D.N. program should be worn in class.

No children are permitted in the classroom. Children should not be left unattended on any part of the campus.

Student Conduct

Students are expected to come prepared to fully participate and learn. Group work and projects should be completed in a timely manner.

Instructor’s Course-Specific Information

All grades and announcements will be posted weekly in Canvas. Be sure to check for daily updates before coming to class.

Electronic Devices

Students are expected to bring their laptop or tablet to access online activities and in-class

discussions.

Nursing Program Information

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Majoring in Nursing

Visit the Associate Degree Nursing Program pages on the Learning Web for information about our faculty and courses. You will also find information about majoring in nursing.

Student Organizations

Student Nursing Associateon (SNA)

All students are invited to join the SNA an organization that can help students learn about n u r s i n g a n d t h e n u r s i n g p r o f e s s i o n . F o r m o r e i n f o r m a t i o n p l e a s e

c o n t a c t t h e N u r s i n g D e p a r t m e n t .

HCC Foundation:

Please contact for any available scholarships

HCC Policies Here’s the link to the HCC Student Handbook http://www.hccs.edu/resources-for/current-

students/student-handbook/ In it you will find information about the following:

Academic Information Incomplete Grades

Academic Support International Student Services

Attendance, Repeating Courses, and

Withdrawal

Health Awareness

Career Planning and Job Search Libraries/Bookstore

Childcare Police Services & Campus Safety

disAbility Support Services Student Life at HCC

Electronic Devices Student Rights and Responsibilities

Equal Educational Opportunity Student Services

Financial Aid TV (FATV) Testing

General Student Complaints Transfer Planning

Grade of FX Veteran Services

EGLS3

The EGLS3 (Evaluation for Greater Learning Student Survey System) will be available for most courses near the end of the term until finals start. This brief survey will give invaluable information to your faculty about their teaching. Results are anonymous and will be available to faculty and division chairs after the end of the term. EGLS3 surveys are only available for the

Fall and Spring semesters. EGLS3 surveys are not offered during the Summer semester due to logistical constraints. http://www.hccs.edu/resources-for/current-students/egls3-evaluate-your-professors/

Campus Carry Link

Here’s the link to the HCC information about Campus Carry: http://www.hccs.edu/departments/police/campus-carry/

HCC Email Policy

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When communicating via email, HCC requires students to communicate only through the HCC

email system to protect your privacy. If you have not activated your HCC student email account, you can go to HCC Eagle ID and activate it now. You may also use Canvas Inbox to

communicate.

Housing and Food Assistance for Students Any student who faces challenges securing their foods or housing and believes this may affect

their performance in the course is urged to contact the Dean of Students at their college for support. Furthermore, please notify the professor if you are comfortable in doing so. This will

enable HCC to provide any resources that HCC may possess.

Office of Institutional Equity

Use the link below to access the HCC Office of Institutional Equity, Inclusion, and Engagement (http://www.hccs.edu/departments/institutional-equity/)

Disability Services

HCC strives to make all learning experiences as accessible as possible. If you anticipate or experience academic barriers based on your disability (including mental health, chronic or temporary medical conditions), please meet with a campus Abilities Counselor as soon as

possible in order to establish reasonable accommodations. Reasonable accommodations are established through an interactive process between you, your instructor(s) and Ability Services. It is the policy and practice of HCC to create inclusive and accessible learning

environments consistent with federal and state law. For more information, please go to http://www.hccs.edu/support-services/disability-services/

Title IX

Houston Community College is committed to cultivating an environment free from inappropriate

conduct of a sexual or gender-based nature including sex discrimination, sexual assault, sexual

harassment, and sexual violence. Sex discrimination includes all forms of sexual and gender-based misconduct and violates an individual’s fundamental rights and personal dignity. Title IX prohibits discrimination on the basis of sex-including pregnancy and parental status in

educational programs and activities. If you require an accommodation due to pregnancy please contact an Abilities Services Counselor. The Director of EEO/Compliance is designated as the

Title IX Coordinator and Section 504 Coordinator. All inquiries concerning HCC policies, compliance with applicable laws, statutes, and regulations (such as Titl e VI, Title IX, and Section 504), and complaints may be directed to:

David Cross Director EEO/Compliance

Office of Institutional Equity & Diversity 3100 Main (713) 718-8271

Houston, TX 77266-7517 or Institutional.Equity@hccs.eduhttp://www.hccs.edu/departments/institutional-equity/title-ix-know-your-rights/

Department Chair Contact Information Dr. Tyrone Sharp

Tyrone.sharp@hccs.edu

713 718 7476

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COURSE EXPECTATIONS CONTRACTUAL AGREEMENT

RNSG 1343 - CARE OF THE CLIENT WITH COMPLEX HEALTH CARE NEEDS

Print last name

Print first name

I have read the syllabus and fully understand the expectations of me as a student in

this course. My signature below signifies my willingness to comply with all course

requirements.

SIGNATURE:

DATE:

In addition to the course expectations, I agree to neither give nor receive any

information about exam content in this course.

SIGNATURE:

DATE:

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Course Outline-RNSG 1343

All Reading Assignments: Lewis, Sharon, & et al, Medical-Surgical Nursing (10th ed.)

1. Nursing role in management of clients with complex problems/alterations in

Cardiovascular function.

2. Nursing role in management of clients with complex problems/alterations

related to Shock/Triage/Emergency Care in ER.

3. Nursing role in management of clients with complex problems/alterations in

Integumentary function and Burns.

4. Nursing role in management of clients with complex problems/alterations in

Respiratory function.

5. Nursing role in management of clients with complex problems/alterations in

Endocrine function.

6. Nursing role in management of clients with complex problems/alterations in

Gastrointestinal function

7. Nursing role in management of clients with complex problems/alterations in

Hematology function.

8. Nursing role in management of clients with complex problems/alterations in

Reproductive function and Cancers.

9. Nursing role in management of clients with complex problems/alterations in

Neurological function.

10. Nursing role in management of clients with complex problems/alterations in

Renal and urological function.

15

UNIT LEARNING OUTCOMES AND RELATED CONTENT

Module 1: Nursing role in management of clients with complex

problems/alteration in Cardiovascular Function

Chapters Contents

33 Coronary Artery Disease and Acute Coronary Syndrome pp. 702-734

35 Management of Patients with Dysrhythmias, EKGs pp. 757-779

37 Management of Patients with Vascular Disorders:

Aneurysms pp.810-814

Dissecting Aorta p. 814-816

Module 2: Nursing roles in management of clients with

complex problems/alterations related to Shock

Chapter Contents

66 Shock: pp. 1587-1604 Anaphylactic, Hypovolemic, Septic, Cardiogenic, Neurogenic

Nursing roles in management of clients with complex problems/alterations related to Triage

and Emergency Care

Chapters Contents

68 Triage pp. 1628-29

Primary /Secondary Survey pp. 1630-1634

Cardiac arrest pp. 1634

Heat Stroke pp. 1637

Frostbite pp. 1637-1638

Hypothermia pp. 1638-1639

Drowning-Submersion pp. 1639-1641

Animal and Human Bites pp. 1641-1642

Poisoning pp. 1642-1644

Sexual Assault-Violence pp. 1644 Psychiatric Emergencies-Suicidal Terrorism pp. 1645

Emergency and Mass Casualty p. 1645-1646

16

Model 3: Nursing role in management of clients with complex problems/alterations in

Integumentary Function and Burns

Chapters Contents

24 Burns pp. 429-449

Module 4: Nursing role in management of clients with complex problems/alterations in

Respiratory Function

Chapters Contents

26 Head & Neck Cancer pp. 491-497

27 Lung cancer pp. 513-519

Chest Trauma & Thoracic Injuries pp. 519-524

27 Chest Surgery pp.524-527

27 Vascular Lung Disorders pp.529-533 Includes - Pulmonary edema, Pulmonary emboli,

Pulmonary hypertension, Cor Pulmonale

67

65

Acute Respiratory Failure pp.1609-1620; Acute Respiratory Distress Syndrome pp.1620-1626

Mechanical Ventilation, Nursing management pp. 1574-1584

Module 5: Nursing role in management of clients with complex problems/alterations in

Endocrine Function

Chapter Contents

49 Pituitary Gland and Specific Disorders: pp. 1156-1162

Includes Syndrome of Inappropriate A.D.H., Diabetes Insipidus

Thyroid Gland & Specific Disorders

Hyperthyroidism & Hypothyroidism pp. 1163-1170

Thyroiditis pp. 1163, Thyroid Storm pp. 1164

Hyperparathyroidism & Hypoparathyroidism pp. 1171-1174

Adrenal Glands and Specific Disorders: Includes

Cushing’s Syndrome pp. 1174-1178

Adrenocortical Insufficiency pp. 1178-1179

HyperAldosteronism pp. 1180-1181

17

Module 6: Nursing role in management of clients with complex problems/alterations

in Gastrointestinal Function.

Chapters Contents

41 Oral and Esophageal cancer pp. 898-900 & pp. 905-907

43 Liver Failure & Cancer, Liver Transplantation, Pancreas, and Biliary Tract Problems, Cirrhosis pp. 986-998

Portal hypertension pp. 988 Ascites pp. 988 Esophageal Varices pp. 988 Hepatic Encephalopathy pp. 990

Acute Pancreatitis pp. 999-1003 Chronic Pancreatitis pp. 1003-1004

Pancreatic Cancer pp. 1004-1005 Cholecystitis pp. 1005-1010

Module 7 Nursing roles in management of clients with complex problems/alterations

in Hematological Function

Chapters Contents

30 Thrombocytopenia pp. 622-626 Disseminated Intravascular Coagulation (DIC) pp. 629-631

Neutropenia pp. 632-634

Leukemias pp. 635-640

Lymphomas: Hodgkin’s Lymphoma, Non-Hodgkin’s Lymphoma pp. 640-

645

Multiple Myeloma pp. 645-647 Blood Component Therapy/Blood Transfusion reactions pp. 647-652

Module 8: Nursing role in management of clients with complex problems/alterations in

Reproductive Function

Chapters Contents

51 Breast Cancer and Radical Mastectomy pp. 1204-1222 Breast Reconstruction pp. 1222-1224

53 Leiomyomas (Fibroids) pp. 1254-1255

Endometrial Cancer pp. 1257-1258

Cervical/Ovarian/Uterine Cancer pp. 1256-1259 Vaginal/Vulvar Cancer pp. 12591261

Cystocele & Rectocele pp. 1262-1263

54 Prostate/ Testicular Cancer pp. 1275-1282 & pp. 1285-1286

Acquired Problems: Hydrocele/Spermatocele/Variocele/Testicular Torsion pp. 1285

18

Module 9 Nursing role in management of clients with complex

problems/alterations in Neurological Function

Chapters Contents

56 Increased Intracranial Pressure pp. 1314-1326

59 Dementia pp. 1399-1401 Alzheimer’s Disease pp. 1401-1414 Delirium pp. 1414-1417

60 Neurologic Trauma-Head and Brain Injuries pp. 1326-1332

Brain tumors pp. 1333-1336

Intracranial Surgery pp. 1336-1338

Spinal Cord Injury pp. 1419-1436

Module 10 Nursing role in management of clients with complex

problems/alterations in Renal and Urological Function

Chapters Contents

45 Renal Trauma pp. 1050

Kidney Cancer pp. 1052-1053

Bladder Cancer pp. 1053-1055

46 Dialysis: Peritoneal and Hemodialysis pp. 1084-1091 Chronic Kidney Disease/ End-Stage Renal Disease pp. 1075-1084

Kidney Transplantation pp. 1092-1097