Texas Concept-Based Curriculum - Kilgore College · Maternal Child Health ... safe nursing...

Texas Concept-Based Curriculum

KILGORE COLLEGE

Associate Degree Nursing

RNSG 1433 – Health Care Concepts 2

Summer 2017

Course Description

In-depth coverage of health care concepts with application through selected exemplars. Concepts include acid-base balance, clotting, cognition, comfort, coping, elimination, fluid and electrolytes, gas exchange, immunity, metabolism, nutrition, and perfusion. The course lends itself to a concept-based

approach. Content includes applicable DEC competencies.

Course Rationale: Provides continuing opportunities for development of clinical judgement

skills to concept-based learning in a second level class in the nursing program. This course

teaches the student to further develop and utilize critical thinking skills. Looking at selected

pathophysiological concepts with nursing applications.

Course Objectives

Upon completion of this course the student will: 1. Utilize a systematic process to analyze selected health care concepts for diverse patients across

the lifespan. 2. Describe nursing management for selected health care concepts. 3. Apply the learned concepts to other concepts or exemplars. 4. Describe the interrelatedness between health care concepts to assist in developing clinical

judgment.

Course Outline

HEALTH CARE CONCEPTS – BIOPHYSICAL Acid Base Balance

Diabetic Ketoacidosis (DKA) – Metabolic Acidosis

Hyperventilation – Respiratory Alkalosis

Gastro-intestinal Losses – Metabolic Alkalosis

Drug Overdose with Hypoventilation – Respiratory Acidosis Clotting

Hemophilia

Deep Vein Thrombosis (DVT)

RNSG 1433 Health Care Concepts 2 Comfort

Pancreatitis Pain

Sickle Cell Pain

Post-operative Pain

Renal Calculi

Peripheral Vascular Disease Elimination

Diverticulitis

Clostridium Difficile

Crohn’s Disease

Neurogenic Bladder – Spastic Fluid & Electrolyte Balance

Dehydration – Gastroenteritis

Extracellular Fluid Volume Excess

Hypokalemia

Hyperkalemia - Chronic Renal Failure

Hyponatremia - Syndrome of antidiuretic Hormone (SIADH)

Hypernatremia – Diabetes Insipidus (DI)

Hypophosphatemia

Hyperphosphatemia

Hypomagnesemia

Hypermagnesemia

Gas Exchange

Asthma

Chronic Obstructive Pulmonary Disease (COPD)

Pneumonia- Aspiration

RSV/Bronchiolitis Immunity

Vaccines

Otitis media

Urinary Tract Infection

Cellulitis

Pneumonia

Appendicitis

Trauma-sprain

RNSG 1433 Health Care Concepts 2 Metabolism

Diabetes Type 1

Diabetes Type 2

Gestational Diabetes

Graves’ Disease – Hyperthyroidism

Hypothyroidism

Addison’s Disease – Hypo-Cortisolism

Cushing’s – Hyper-Cortisolism Nutrition

Cardiovascular

Diabetes Type 2

Malnutrition

Malabsorption Syndromes (Gastrostomy and Enteral Feedings) Perfusion

Congestive Heart Failure

Hypertension

Pregnancy Induced hypertension (PIH)

Mitral Valve Prolapse

Coronary Artery Disease (CAD)

Tetralogy of Fallot (congenital)

Peripheral Vascular Disease (PVD) HEALTH CARE CONCEPTS – PYSCHOSOCIOCULTURAL Cognition

Alzheimer’s Disease/Dementia

Delirium

Down Syndrome Coping

Anxiety Generalized Anxiety Disorder Panic Disorder (Attack) Obsessive Compulsive Personality Disorder Phobia Separation Anxiety (Developmental) Eating Disorders Anorexia Nervosa

RNSG 1433 Health Care Concepts 2 Bulimia

Stress Post-Traumatic Stress Disorder Divorce Pelvic Ulcer Disease (stress related)

Substance Abuse/Addictive Behaviors Alcoholism Maternal/Fetal Cocaine Addiction Neonatal Abstinence Syndrome

Course Credit: (4-3-4) Lecture hours: 3 Lab hours: 4

Prerequisites: BIOL 2401, BIOL 2402, CHEM 1406 and acceptance into the Associate Degree

Nursing Program, RNSG 1125 (Professional Nursing Concepts 1), RNSG 1128 (Introduction to

Health Care Concepts), RNSG 1216 (Professional Nursing Competencies), and RNSG 1161

(Clinical 1)

Co-requisite: RNSG 1126 (Professional Nursing Concepts 2), RNSG 2362 (Clinical 2), and

RNSG 1433Lab. Successful completion of all level courses is required for progression.

Instructor: Dawn Bahr, MSN, RN

Office: HSC 206

Phone: 903.987.8167

E-mail: [email protected]

Office hours: posted on door

List of Instructors which might use this syllabus:

Julie Blundell, MSN, RN

Krystal Bridwell, MSN, RN

Mariane Hastie, MSN, RN

Tracy Hicks, MSN, PMHNP/FNP, RN Jackie Hobbs, MSN, RN

Wendy Lewis, BSN, RN

Educational Materials:

Required Textbooks:

Required for Level I (You should already have)

Required For Level II

mailto:[email protected]

RNSG 1433 Health Care Concepts 2 RNSG 1433 Halter, M.

J., Varcarolis

Required: Foundations of Mental Health Nursing: A Clinical Approach (ebook)

7th Elsevier

RNSG 1433 Ignatavicius, D. &

Workman, M.

Required: Medical Surgical Nursing: Patient Centered Collaborative Care (ebook)

8th Elsevier

RNSG 1433 Ignatavicius,

D. & Workman,

M.

Required: Clinical Nursing Judgment Study Guide for Medical-Surgical Nursing: Patient-Centered Collaborative Care

8th ed.

Elsevier

RNSG 1433

McKinney,

Maternal Child Health

RN Skills Kit 1 (Remaining Items).

(All books should be the most current edition available)

Program Learning Outcomes:

After completion of the program, students will be able to:

Provide a safe and effective care environment for their patients, through appropriate

management of patient care and promotion of safety and infection control.

Provide for patient’s psychosocial integrity.

Provide for patient’s physiological integrity through basic care and comfort,

pharmacological and parenteral therapies, reduction of risk potential, and physiological

adaptation.

Provide for patient health promotion and maintenance.

Provide care for patient’s utilizing the nursing process, including assessment, analysis,

planning, implementation, and evaluation.

Provide patient care utilizing critical thinking to prioritize, set goals, apply knowledge

with inferential and interpretive reasoning, and predict or evaluate outcomes.

Student Learning Outcomes:

After completion of the program, students will be able to:

1. Use clinical reasoning and knowledge based on the nursing program of study, evidenced-based

practice outcomes, and research based policies and procedures as the basis for decision-making

and comprehensive, safe patient care.

2. Demonstrates skills in using patient care technologies and information systems that support

safe nursing practice.

RNSG 1433 Health Care Concepts 2 3. Promotes safety and quality improvement as an advocate and manager of nursing care.

4. Coordinate, collaborate and communicate with diverse patients, families and the

interdisciplinary health care team to plan, deliver, and evaluate care.

5. Adheres to standards of practice within legal, ethical, and regulatory frameworks of the

professional nurse.

6. Demonstrates knowledge of delegation, management, and leadership skills.

7. Demonstrate behavior that reflects the values and ethics of the nursing profession.

Evaluation: The grading system in RNSG 1433 is composed of lecture quizzes, theory exams,

lab quizzes, HESI conversion score and comprehensive final exams. Students must also achieve

successful completion (pass/fail) of the Lab portion of this course and pass the HESI exam.

a. Grades consist of, but are not limited to:

Level 1 HESI Results Remediation Forms and Required NCLEX/HESI style

questions

o Students will be required to work on a minimum of 1,500 practice “NCLEX

style” questions throughout the semester, with additional questions required

based on their Level 1 HESI Results Remediation Form. At least 100

questions should be completed each week. These practice HESI/exam quizzes

(Prep U or similar component) are not optional. Points may be deducted from

an exam grade if the entire question assignment is not completed by the date

they are due. Non-completion of the Level 1 HESI Results Remediation

Form developed and signed by the student at the beginning of Level 2,

students will not be allowed to sit for their Level 2 HESI Exam.

LEVEL2 Grade Calculations are based on the following:

RNSG 1433 HCC2:

Comprehensive Final Exam worth 20%

HESI #1 Conversion Score worth + 20%___ = 40%

EXAM 1 Comfort & Elimination worth 5%

EXAM 2 Coping/Cognition & Nutrition worth 5%

EXAM 3 Immunity & Metabolism worth 6%

EXAM 4 Gas Exchange & Fluid Elect. worth 6%

EXAM 5 Acid/Base & Clotting worth 6%

EXAM 6 Perfusion worth 6%

QUIZ Average (Lecture and Lab) 6%_______= 40%

RNSG 1126 PNC2:

RNSG 1433 Health Care Concepts 2 Comprehensive Final Exam worth 10%_____ = 10%

Unit 1 Exam worth 3%

Unit 2 Exam worth 3%

Quiz Average worth 2%_____ = 10%

Summary of Level II Students Grades:

PNC2 – Lecture grade = 10% of overall grade

PNC2 - Final Exam = 10% of overall grade

HCC2 – Lecture grade = 40% of overall grade

HCC2 - Final Exam = 20% of overall grade

HESI #1 Conversion Score = 20% of overall grade

b. The student will receive the same grade for RNSG 1126 and 1433.

c. The student is expected to participate in:

a. In-class activities

b. Group work

c. Presentations

d. Reports/papers using correct APA format

e. Simulation and other lab activities

d. Learning Lab (pass/fail)

Lab Quizzes

Participation in skills lab

Various assignments: Adaptive Learning assignments/Case Studies/Course Learning

Modules/other assignments

Skills competencies: Satisfactory.

Math Calculation/Pharmacology Policy: The safe administration of medications is one of the

primary objectives of the A.D.N. program. Accurate mathematical computation and

pharmacological knowledge are essential elements of safe medication administration.

Therefore, accuracy of mathematical computations/pharmacology will be assessed before

each clinical course with the mastery (competency) level increasing from simple to complex

during your course of study.

Level I through Level IV must successfully pass the math/medication exam with a score of 100%.

(Attempts for each Level is as follows: Level I – 5 attempts; Level II and Level III – 4 attempts;

and Level IV – 3 attempts).After each attempt, if the student is unsuccessful they must meet with

their Instructor and complete the assigned remediation/tutorials before the next math exam.

However, if the student does not pass the exam with a score of 100% on the final attempt, they will

be required to withdraw failing from ALL clinical and theory courses. The student will not be

eligible for readmission unless a recommended math course has been taken and passed, with a

RNSG 1433 Health Care Concepts 2 grade of “C” or better. The student may then reapply to continue in the nursing program when

space is available.

Scholastic Requirements:

Grades in each nursing course in the KC A.D.N. program will use the following standard with no

rounding:

A = 92 - 100

B = 82 - 91.9

C = 78 - 81.9

D = 60 - 77.9

F = 59.9 and below

Nursing Students must successfully pass both theory and concurrent clinical courses and achieve

a grade of “C” or better to pass each course. An unsatisfactory grade in either theory or clinical

practice will result in failure of the course, and both theory and clinical courses must be repeated.

A student must pass both courses with a grade of “C” or better.

Grade calculation:

Students must achieve 78% as the average of all exam grades in a course before grades on

any papers or extra work may be averaged in. There will be no rounding of grades.

Examinations:

A blueprint of each test/quiz, identifying the topics to be covered, will be provided prior to

each exam/quiz. Unless otherwise stated, the text will be considered as the authority.

Testing will be computerized. You need to look at the “rationales” at this time, as this

counts as part of your post Exam Review.

Additional one-on-one Exam Review (Remediation) must be scheduled with the

Instructor of Content per each exam, within 2 WEEKS following the date of given

Exam. Students may not wait until the end of the semester to go back and look at

previous exams.

Any Student failing an Exam, is required to meet with the Instructor of Content and

the student must notify the lead course instructor of the appointment date/time.

Any Student that has failed a 2nd Exam, MUST MEET WITH the lead Instructor to

set up further tutorials/remediation.

There will be 50 questions on major exams with 60-minute time limit. The final

examination will be comprehensive, consisting of 100 questions and there will be a two (2)

hour time limit.

If a student is unable to be present for a major exam, it is the student’s responsibility to

contact the instructor prior to the examination. A make-up exam will be given at a time

determined by the instructor. The highest grade a student may make on a make-up exam

is 78%.

Students are expected to be on time for all testing; the classroom doors will be locked and

no one will be admitted late. Therefore the student will need to schedule time for a makeup

exam with the instructor and the maximum grade for the makeup exam will be 78%.

RNSG 1433 Health Care Concepts 2

Posting of Grades:

Exams will be graded by the computer and posted on the course website as soon as the faculty that

taught concepts tested have had a chance to review the exam and analysis. Students will not come

to the instructor’s office to seek grades as this will slow the recording of grades. Faculty and staff

are not permitted to give out information regarding student grades/scores over the telephone, or by

e-mail.

Learning Lab:

The purpose of the Learning Lab is to integrate and reinforce theory with practice and to expand

content by implementing a variety of learning activities employing critical thinking, analytical and

logical reasoning necessary to deliver competent, safe, nursing care to clients and families.

Students must remain in skills lab for the full allotted time unless otherwise notified by the

instructor. The minimum number of Level 2 Lab hours mandated per semester is 64

hours. Failure of a student to fulfill these requirements will result as a Failure in Level

2.

Skills Checklist:

The student is expected to pass various skills with a “satisfactory” within two attempts.

Students cannot do any skill in clinical before they have successfully checked off in the

Lab.

If the student is unable to pass, he/she will make an appointment for practice time with the

Clinical Lab Assistant before retesting. It is the responsibility of the student to make

arrangements to remediate. Retesting will be done within the same week and skill must be

completed before student can test on the next skill.

If the student is unsuccessful on the second try, he/she will not be permitted to

continue in the class, lab and clinical.

The student is responsible for being prepared for all skills competency testing on the

assigned day. The student must have available all supplies, equipment, skills competency

check sheets and anything else that is assigned to demonstrate the assigned skill

competency. If the student does not have the needed items to test the student will not be

allowed to test and must reschedule testing, this will be considered the student’s first

attempt at the skill and the student will be given only one more opportunity to pass the

skill.

If a student is unable to be present for a skills competency testing, it is the student’s

responsibility to contact the instructor prior to the testing. A make-up skills competency

test will be given at a time determined by the instructor. This will be considered the

student’s first attempt at the skill and the student will be given only one more opportunity

to pass the skill.

The student will have required “peer review” sign off sheets that are required to be

completed by the date specified.

Students will have a “situational assessment” check off at the end of the semester. Students

will be given two opportunities to successfully complete.

RNSG 1433 Health Care Concepts 2 Standardized Tests:

The A.D.N. program has chosen to participate in a Total Testing Program. Students pay a testing

fee each semester, and will take a standardized test at the completion of each level. The exams

will be given during the two weeks preceding final exams (as scheduling permits). The test score

(% that HESI correlates with your score) will be weighted at 20% of the level grade.

All students will have an individualized remediation plan to complete during the following

semester based on their HESI performance and scores. HESI remediation will be focused on

success on the NCLEX-RN, as well as, the HESI.

If the student is in 4th level and does not make 900 on the RN Exit Exam on the 1st attempt they

must provide proof of completion of an approved NCLEX Review course before repeating the RN

Exit Exam. A score of 900 or higher must be made on the 2nd RN Exit Exam in order for the

Affidavit of Graduation to be sent to the Texas Board of Nursing. If the student does not make

900 or higher on the HESI Exit Exam with their two attempts, but has passed the 4th Level courses,

the student will be allowed to graduate. The student will have one (1) calendar year from

graduation to pass the HESI Exit Exam with a 900 or higher. The student’s Affidavit of Graduation

will be sent to the Texas Board of Nursing when the student passes the HESI Exit Exam.

Remediation Policy: A student, who has failed a lecture exam with a score less than 78, is required to meet with their

lecture Instructor prior to the next exam. After a 2nd exam score of less than 78, the student will also

be referred to a Nursing Department tutor and be required to meet at least once with them before the

next exam. Any student failing to follow this required remediation will not be eligible for re-entry

into the program in the event they fail a course.

Students who have failed a course, must complete RNSG 1293, Special Topics in Nursing, prior to

being eligible to re-enter the Nursing Program. At the 2nd course failure, students will be removed

from the program and will have the option to re-apply to the nursing program, as a first level student,

after five (5) years. After a 2nd failure, students may appeal to the Admission, Re-Admission and

Progression Committee for reinstatement by appearing before the committee, in person, with a formal

request. Acceptance is not guaranteed and may be conditional.

Kilgore College is dedicated to the students accepted to the ADN Program to promote their

success. Our Mission Statement is: The Kilgore College Associate Degree Nursing prepares

students for success in life and in nursing.

According to the Texas Board of Nursing, Differentiated Essential Competencies (DECs) a nurse

is responsible for being (excerpts from DECS’s):

I. Member of the Profession:

B. Assume responsibility and accountability for the quality of nursing care provided to

patients and their families by:


4. Continuing competency and professional development.

5. Self-evaluation, staff evaluation, and peer evaluation processes.

D. Demonstrate responsibility for continued competence in nursing practice, and develop

insight through reflections, self-analysis, self-care, and lifelong learning.

1. Participate in educational activities to maintain/improve competence,

knowledge, and skills.

3. Use self-evaluation, reflections, peer evaluation, and feedback to modify and

improve practice.

5. Demonstrate commitment to the value of lifelong learning.

The American Nurses Association Standards of Practice states that nurses are responsible for

(excerpts follow):

Standard 8. Education

The registered nurse attains knowledge and competency that reflects current nursing

practice.

Standard 14. Professional Practice and Evaluation

The registered nursed evaluates her or his own nursing practice in relation to professional

practice standards and guidelines, relevant statues, rules and regulations.

The Kilgore College Associate Degree Nursing Student Handbook, in the Statement of Unsafe

Clinical Practice; states that a student is unsafe if the students:

3. Assumes inappropriate independence in action or decisions.

5. Fails to recognize own limitation, incompetence and/or legal responsibilities.

Based on these important expectations for the career of nursing, any student who does not contact

their lecture instructor within 48 hours concerning remediation, over any exam where they

scored less than 78, will be placed on Contract for Unprofessional Conduct. If a failure results

from the continued poor performance on lecture exams, the student will not be allowed to re-

enter the Kilgore College Associate Degree Nursing Program based on the unprofessional

conduct demonstrated by the lack of responsibility for their own education.

Accommodations: It is the responsibility of the student, not the instructor, to seek special accommodations when

needed. If you need special accommodations for any reason, please contact the special

populations’ counselor, fill out the necessary forms and bring them to your instructor at the

beginning of the semester.

RNSG 1433 Health Care Concepts 2 ADA Statement: Kilgore College is committed to making reasonable accommodations to assist individuals with

disabilities in reaching their academic potential. If you choose to request accommodations for a

documented disability which may impact your performance, attendance, or grades in this course,

you must first register with the Office of Disability Services. Please note that classroom

accommodations cannot be provided prior to your instructor’s receipt of an accommodation letter

from the Office of Disability Services. For more information about accommodations, please

contact the Disability Services office on the second floor of the Devall Student Center: (903) 983-

8206.

Academic Difficulties: Kilgore College has Student Success Programs at both the Kilgore and Longview campus; i.e.,

The Zone Tutoring Lab, TRIO, Student Support. They provide resources for decreasing test

anxiety and other academic difficulties. The ADN program has established a nursing tutorial

program for students. Both self and faculty referrals can be made. The earlier you seek help, the

less stress you will encounter and the better your prospects for being successful.

Students should plan on studying at least three hours outside of class for every hour spent in

class.

Withdrawal from a course: If a Student chooses to withdraw from a course for personal reasons or due to failing a course, the

Student must go to the Registrar’s Office to withdraw themselves. Faculty will only withdraw

Students for administrative reasons. If a Student withdraws from a lecture course, the

corresponding clinical course must also be withdrawn from at the same time.

Attendance Policy: Students are expected to attend both class and clinical. If a student is unable to attend an assigned

activity, they are required to call and report their absence as listed in each course syllabus. Absent

students are responsible for all announcements, assignments, and course content. Sleeping in class

will be counted as class time missed or as absence from class.

Lecture/Lab: See Kilgore College Catalog for the attendance policy that states that no more

than 12.5% of the total hours of instruction in any term can be missed. Any lab time missed over

12.5% will require make-up activities as designated by the lab instructor. Any lecture time missed

over 12.5% will automatically give reason for the student to be dropped from the course. If you

have any questions about the policy, please ask your Instructor or the Director.

(You cannot miss any more than 6 hours of lecture. Any missed lab time must be made up

with the approval of the lead Instructor)

Make up Examinations: Students are expected to take all tests as scheduled. If a student is unable to take a major exam at

the appointed time, he/she must notify the instructor of the absence prior to the scheduled exam

RNSG 1433 Health Care Concepts 2 time and schedule a make-up time according to the individual course syllabus. However, the

maximum grade that the student may make on the exam is 78.

Quizzes will be given at the beginning of lecture and lab. At this time the doors will be

locked until everyone is finished with the quiz. Any student who is absent or late to lecture

or lab will not be allowed to make-up the missed quiz. There will be no make-up quizzes.

A missed quiz grade will be documented as a 0.

HESI Exams: Students are expected to take all tests as scheduled. The student will not be able

to take the HESI Exam at any other time than the scheduled day and time.

Policy for Testing and Telephones: Students must turn their phones off and place them out on the indicated front desk or

table during testing.

If the phone is out on the indicated front desk, and not turned off and rings/vibrates, the

first offense will be a verbal warning and the second offense will result in a contract.

During ANY exam or HESI exam, if the phone rings on their person, it will be

considered cheating. The student will be dismissed from the exam and the exam will

closed at that time. The student will make a “0” on the exam.

Academic Integrity: From the Kilgore College Catalog: “It is the responsibility of the students and the faculty to help

maintain scholastic integrity at the college by refusing to participate in or tolerate scholastic

dishonesty. Plagiarism and other forms of academic dishonesty undermine the very purpose of

the college and diminish the value of an education. Specific sanctions for academic dishonesty are

outlined in the Kilgore College Student Handbook available in the Office of the Vice President of

Student Development, located in the Devall Student Center”. Also available on the Kilgore

College Website.

Matters of Academic Dishonesty: From the Kilgore College Student Handbook: “Academic dishonesty matters may first be

considered by the faculty member who may recommend penalties such as withdrawal from the

course, failing the course, reduction or changing of a grade in the course, a test, assignment, or in

other academic work; denial of a degree and/or performing additional academic work not required

by other students in the course. Acceptance of the faculty member’s recommended penalties by

the student shall make the penalties final and constitutes a waiver of further administrative

procedures. If the student does not accept the decision of the faculty member, he/she may have the

case heard by the appropriate department chair, dean and Vice President of Instruction for review.

See Student Complaint, Grievance and Appeal Procedure…… for specific appeal instructions. If

the student is ultimately found not to have been involved in academic dishonesty, the instructor

shall not base his/her evaluation of the student on the alleged but unproven dishonesty. If the

student is ultimately found to have violated matters of academic dishonesty, the appropriate

disciplinary sanction shall be implemented. Any student who believes that a grade has been

inequitably awarded should refer to the academic grade change procedures.” Also available on

the Kilgore College Website.


For the Nursing Program, being in breach of the Academic Honesty Policy will include the

following but is not limited to:

1. Looking at another’s paper

2. Buying papers and exams

3. Illegally accessing a professor’s office

4. Procuring/buying a copy of the instructor’s test or test bank

5. Using cell phones, tablets, and other electronic equipment to find information or record test

questions for others

6. Writing notes on hat brims, skin, shoes, bottles, and other items

The Kilgore College Nursing faculty takes very seriously our obligation to graduate nurses who

embody the values, ethics, and standards of the nursing profession and those of Kilgore College.

We know that integrity as a student correlates with integrity as a nurse and that integrity is essential

for professional success.

Academic honesty must be the foundation for academic success. In order to achieve this success

for our students and the ADN Program, the Standardized Exam vendor will use forensic data to

analyze exams. If an aberrancy is determined, the exam will be invalidated and a retest will be

offered.

When taking the NCLEX Exam, candidates are required to not discuss the exam with anyone when

they depart the testing site. Therefore, while attending the ADN Nursing Program, students will

refrain from discussing exams taken in the program with students who have not taken the exam.

Discussion of the exam will be considered a breach of the Academic Honesty Policy.

In the absence of academic honesty it is impossible to assign accurate grades and to ensure that

honest students are not at a competitive disadvantage. Students share in the responsibility for

maintaining academic honesty. Students are to refrain from acts of academic dishonesty and notify

instructors and/or appropriate administrators about observed incidents of academic dishonesty.

Any student who is suspected of not following the rules of the Kilgore College Associate Degree

Nursing Program during a testing session could be asked to retake the exam.

We believe that you, the student, share our aspirations for academic integrity of the program and

for your success as a professional nurse.

A student will comply with the Kilgore College Associate Degree Nursing Academic Honesty

Policy to insure academic integrity at Kilgore College.

Civility Policy: Per the Kilgore College Catalog, the college reserves the right to withdraw a student from one or

more classes if, in the judgment of the college officials, such action is deemed to be in the interest

RNSG 1433 Health Care Concepts 2 of the student/and or the college. Examples of some reasons for administrative withdrawal are

failure to provide accurate information, excessive absences, or unacceptable student behavior.

The Civility Statement of the Kilgore College Catalog states that students are expected to assist

in maintaining a classroom environment that is conducive to learning. Inappropriate or disruptive

classroom behavior is prohibited in order to assure that everyone has the opportunity to gain from

time spent in class. Should a disruptive classroom incident occur, the faculty member in charge

may remove the student on either a temporary or permanent basis. Students have the right to

appeal through the appropriate channels.

Unprofessional conduct/unacceptable student behavior in this circumstance includes, but is not

limited to the following:

1. Threatening instructors, hospital staff, patients, or other students.

2. Slanderous accusations against faculty, Kilgore College, hospital staff, or other students.

3. Disruption of the classroom or clinical environment. (This includes use of electronic

devices during class or clinical such as texting, iPods, cell phone, and/or computer for other

than specified class activities, etc.)

4. Being disrespectful to instructors, hospital staff, patients, or other students (i.e. tone of

voice, rolling eyes, body language, arguing with instructor).

5. Demanding to discuss personal academic issues in a public forum.

6. Spreading of unfounded rumors.

Sexual Harassment Policy Statement Please refer to the Kilgore College Associate Degree Nursing Program Student Handbook and

the KC student handbook.

Alcohol/Intoxicating Substances Policy Please refer to the Kilgore College Associate Degree Nursing Program Student Handbook and

the KC Student Handbook.

Policy for Social Networking Sites Students in the ADN Program at Kilgore College are expected to adhere to the high standards of

the Nursing profession with regard to maintaining confidentiality. This not only includes

guarding patient confidentiality at a clinical site, but, also, in the classroom, at home and on-line.

The following guidelines for behavior involved with cell phone use, FACEBOOK, Twitter,

MySpace and any other social networking site.

Guidelines:

It is the students’ responsibility to keep their site appropriate and profiles clean.

Do not post threats or derogatory remarks about anyone associated with the ADN

Program. This includes fellow students, faculty, staff, college administration, clinical

affiliates, and, above all, patients. This is a violation of the Kilgore College Board policy

and will be reported to the police and disciplinary action, such as dismissal, is likely.

RNSG 1433 Health Care Concepts 2 Posting photos of other students, faculty, staff, etc. without their permission is forbidden.

Taking photos of patients or clients, their body parts, or body fluids or exudates, is

strictly forbidden.

Cell phone use at the clinical site is strictly forbidden. If cell phones are discovered they

will be confiscated for the remainder of the class or clinical day.

Student Contract Policy

Students may be placed on contract in any class, lab, or clinical setting.

A student’s final grade, in a course, will be lowered by a letter grade for each contract

issued.

Students who receive a second contract in a semester will be expelled from the program

at that time.

Students who receive a third contract will be expelled from the program at that time.

Students may apply for readmission to the program. The student will be required to

appear before the Admission/Readmission/Progression Committee.

Readmission will be reviewed on an individual basis.

Student Professional Code of Dress and Hygiene Please refer to the Kilgore College Associate Degree Nursing Program Student Handbook.

Please remember that as a student representing the KC A.D.N. program, you should be

professionally attired in either the khaki pants and official polo shirt or uniform when the

student is on campus as a nursing student in lecture and lab. Student Nurse Association

T-shirts will be allowed with khaki pants on lecture days only.

Whenever you are in “uniform”, you need to adhere to the Dress Code Policy whether on

campus or clinical.

** Kilgore Picture ID’s must be worn at all times when on campus and in the clinical

facility.**

Appearance in Lab or Skills Check-offs (or any other time you are on campus)

Khaki pants and the KCADN polo shirt, with the KC ADN patch, and with shoes that are

closed toe/closed heel and vinyl or leather, will be the official non-clinical hospital

uniform. White shirts (short sleeve, long sleeve or turtleneck) may be worn under the polo

shirt. White shirt tails should not hang below the polo shirt. Sweaters or jackets may be

worn for warmth on campus.

The KC ADN uniform is royal blue top, royal blue skirt or slacks, and shoes must be closed

toe/closed heel and vinyl or leather. The KC ADN patch is placed on the upper left chest above

the students’ nametag. A waist length royal blue scrub jacket with the KC ADN patch on the upper

left chest above the nametag may be worn for warmth. Or a white shirt (short sleeve, long sleeve,

or turtleneck) may be worn under the uniform top. White shirt tails should not hang below the

uniform top. Sweaters or jackets may be worn for warmth on campus.

Please remember that as a student you are representing the KC ADN program.


Appearance in Lecture

Student may wear the royal blue uniform or the polo shirt and khaki pants, following all dress code policies in the student handbook.

Student Nurse Association T-shirts with khaki pants or khaki capris or royal blue uniform

pants with shoes that are closed toe/closed heel and vinyl or leather.

Sweaters or jackets may be worn for warmth on campus.

Please remember that as a student you are representing the KC ADN program.

Drop Date: The Drop Procedure per KC Catalog will be announced the first day of class.

DISCLAIMER:

Your instructor reserves the right to make modifications in content and schedule as necessary to

promote the best education possible within prevailing conditions affecting this course.

STUDENT LEARNING OUTCOMES FOR LEVEL II:

(upon completion of this course the student will):

1. According to the Texas Board of Nursing Differentiated Essential Competencies for

Associate Degree Nursing (DECs) – the student will upon successful completion of this course

be able to:

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 health care institution or practice setting.

Activities: text readings, class lecture, and discussion.

Assessment: exams – multiple choice, written assignments. (SCANS: 1, 2, 4, 5, 6, 7, 8) (PLO: 1-6) (IOM: 2-6)

B. Assume responsibility and accountability for the quality of nursing care provided to patients

and their families.

Activities: text readings, class lecture, and discussion; skills lab.

Assessment: exams – multiple choice, written assignments; skills lab competencies. (SCANS: 1-8) (PLO: 1-6) (IOM: 1-5)

C. Participate in activities that promote the development and practice of professional nursing.

Activities: text readings, class lecture, and discussion; student nurses association.

Assessment: exams – multiple choice, written assignments.

RNSG 1433 Health Care Concepts 2 (SCANS: 1-8) (PLO: 1-6) (IOM: 1-5)

D. Demonstrate responsibility for continued competence in nursing practice, and develop insight

through reflection, self-analysis, self-care and lifelong learning.



II. Provider of Patient Centered Care:

A. Use clinical reasoning and knowledge based on the associate degree nursing program of study

and evidence-based practice outcomes as a basis for decision making in nursing practice.

Activities: text readings, class lecture and critical decision making class, and discussion; skills lab.


B. Determine the physical and mental health status, needs and preferences of culturally, ethnically

and socially divers patients and their families based upon interpretation of comprehensive health

assessment findings compared with evidence-based health data derived from the associate degree

nursing program of study.


Assessment: exams – multiple choice, written assignments; skills lab competencies. (SCANS: 1, 4-7) (PLO: 1-6) (IOM: 1-6)

C. Analyze assessment data to identify problems, formulate goals/outcomes and develop plans of

care for patients and their families using information from evidence-based practice in collaboration

with patients, their families and the interdisciplinary health care team.


Assessment: exams – multiple choice, written assignments; skills lab competencies. (SCANS: 1-2, 4-7) (PLO: 1-6) (IOM: 1-6)

III. Patient Safety Advocate:

A. Demonstrate knowledge of the Texas Nursing Practice Act 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.

Activities: text readings, class lecture and critical decision making class, and discussion.

Assessment: exams – multiple choice, written assignments. (SCANS: 1-8) (PLO: 1-6) (IOM: 1-6)

E. Comply with mandatory reporting requirements of the Texas Nursing Practice Act.



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.



C. Refer patients and their families to resources that facilitate continuity of care; health promotion,

maintenance, and restoration; and ensure confidentiality.



E. Communicate and manage information using technology to support decision making to improve

patient care.

Activities: text readings, class lecture and critical decision making class, and discussion.

Assessment: exams – multiple choice, written assignments, computer assignments. (SCANS: 1-8) (PLO: 1-6) (IOM: 1-6)

1. According to the Workforce Education Course Manual (WECM) – the student will

upon successful completion of this course be able to:

A. Utilize a systematic process to analyze selected foundational concepts for diverse patients

across the lifespan.

Activities: text readings, class lecture, and discussion.

Assessment: exams – multiple choice, written assignments. (SCANS: ) (PLO:) (DECs: ) (IOM: )

B. Describe nursing management for selected foundational concepts.


Assessment: exams – multiple choice, written assignments; skills lab competencies. (SCANS: ) (PLO:) (DECs: ) (IOM: )

C. Apply the learned concepts to other concepts or exemplars..



D. Describe the interrelatedness between foundational concepts to assist in developing clinical

judgment.



2. General Student Learning Outcomes – the student will upon successful completion of

this course be able to:

RNSG 1433 Health Care Concepts 2 A. Apply basic nursing knowledge, concepts and theory involved in evidence based nursing

practice for: patient safety, infection prevention and control, hygiene, activity and exercise,

nutrition, oxygenation, fluid, electrolyte, and acid-base balance, pain management, bowel and

urinary elimination, mobility and immobility, skin integrity and wound care, sensory alterations.


Assessment: exams – multiple choice, written assignments; skills lab competencies. (SCANS: 1- 8) (PLO: 1- 6) (DECs: I A, I B, I D, II B, II C, II D, II E, II G, II H, III A, III B, III c, III D, IV A, IV D)

(IOM: 1-6)

SCANS MATRIX LEGEND (Competency References)

1 – Reading

2 - Writing

3 - Arithmetic or Mathematics

4 – Speaking and Listening

5 – Thinking Skills

6 – Personal Qualities

7 – Workplace Competencies

8 – Basic Use of Computers

PLO- Program Learning Outcomes in the Kilgore College Associate Degree Nursing Program

Student Handbook.

1. Provide a safe and effective care environment for their patients, through appropriate management

of patient care and promotion of safety and infection control.

2. Provide for patient’s psychosocial integrity.

3. Provide for patient’s physiological integrity through basic care and comfort, pharmacological

and parenteral therapies, reduction of risk potential and physiological adaptation.

4. Provide for patient health promotion and maintenance.

5. Provide care for patients utilizing the nursing process, including assessment, analysis,

planning, implementation and evaluation.

6. Provide patient care utilizing critical thinking to prioritize, set goals, apply knowledge with

inferential and interpretive reasoning and predict or evaluate outcomes.

IOM – Institute of Medicine Core Competencies

1. Patient Centered Care

2. Teamwork and Collaboration

3. Evidence-based Practice

4. Quality Improvement

5. Safety

6. Informatics

Class room Schedule: May be subject to change at the discretion of the Instructor.

Spring 2017 LEVEL 2

JANUARY 17TH – MAY 12TH

CL – Computer Lab **CLIN/SIM – See below

RNSG 1433 Health Care Concepts 2 CLASS LEVEL 2 Day/Time/Room WEEK

#

PNC2

CLIN/SIM

HCC2

LAB

CLIN/SIM

MARTIN LUTHER KING

DAY

Blundell (Orientation)_____

Hobbs (Comfort)_________

Blundell________________

Blundell (Math Ex./Physical

Assessment Check-off)

Monday

1

Jan 16-20

Tues./8am-4pm/Rm254

Weds./8:30-

12:20/RmG87

Weds./1:30-3:20/TBA

Thurs./8am-4pm/Rm254

PNC2

LAB

HCC2

LAB

CLIN/SIM

Davidson (Ethics & Legal)

Blundell

Hobbs (Elimination)

Blundell

Assigned Instructor

Mon. 9am-11:20am/G54

Mon. 12:30-3:20pm/CL

Weds. 8:30-

12:20/RmG54

Weds. 1:30-3:20/CL

Tues/Thur.**

2

Jan 23-27

EXAM

PNC2

LAB

HCC2

LAB

CLIN/SIM

HCC2 EXAM 1

Comfort-Elimination Lewis (Pt.Ctrd Care/Safety)

Blundell

Hicks (Coping, Cognition)

Blundell

Assigned Instructor

Mon. 8am-9:20


Mon. 12:30-3:20pm/CL

Weds. 8:30-

12:20/RmG54

Weds. 1:30-3:20/CL

Tues/Thur.**

3

Jan 30-

Feb 3

PNC2

LAB

HCC2

LAB

CLIN/SIM

Hicks (Communication)

Blundell

Hobbs (Nutrition)

Blundell

Assigned Instructor


Mon. 12:30-3:20pm/CL

Weds. 8:30-

12:20/RmG87

Weds. 1:30-3:20/CL

Tues/Thur.**

4

Feb 6-10

EXAM

PNC2

LAB

HCC2

LAB

CLIN/SIM

HCC2 EXAM 2

Coping-Cog-Nutri

Hicks (Teamwork & Collab.

)

Blundell

Bahr or Bridwell

(Immunity)

Blundell

Assigned Instructor

? Bridwell has clinical on

Wed so she will have to

switch with PNC if she is

teaching it

5

Feb 13-17

RNSG 1433 Health Care Concepts 2 EXAM

PNC2

LAB

HCC2

LAB

CLIN/SIM

PNC2 Exam 1

(Teamwork, Safety,

Ethics, & Comm.)

Davidson (Professionalism)

Blundell

Blundell (Metabolism)

Blundell

Assigned Instructor

Mon. 8am-9:30am


Mon. 12:30-3:20pm/CL

Weds. 8:30-

12:20/RmG87

Weds. 1:30-3:20/CL

Tues/Thur.**

6 Feb 20-24

EXAM

PNC2

LAB

HCC2

LAB

CLIN/SIM

HCC2 EXAM 3 Immun-

Met

Davidson (Leader&Mngt)

Blundell

Hastie (Gas Exchange)

Blundell

Assigned Instructor


Mon. 12:30-3:20pm/CL

Weds. 8:30-

12:20/RmG87

Weds. 1:30-3:20/CL

Tues/Thur.**

7 Feb 27-

Mar 3

PNC2

LAB

HCC2

LAB

CLIN/SIM

Bridwell (EBP)

Blundell

Blundell (Fluid/Elect.)

Blundell

Assigned Instructor


Mon. 12:30-3:20pm/CL

Weds. 8:30-

12:20/RmG87

Weds. 1:30-3:20/CL

Tues/Thur.**

8 Mar 6-10

SPRING BREAK SPRING BREAK 9

Mar 13-

17

EXAM

PNC2

LAB

HCC2

LAB

CLIN/SIM

HCC2 EXAM 4 GasEx-

FE

Davidson Clin. Judg.)

Blundell

Blundell (Acid-Base)

Blundell

Assigned Instructor

Mon. 8am-9:30am


Mon. 12:30-3:20pm/CL

Weds. 8:30-

12:20/RmG87

Weds. 1:30-3:20/CL

Tues/Thur.**

10 Mar 20-

24

EXAM

PNC2

PNC2 Exam 2 (Pro., Pt.

Cent. Care, Leadership,

EBP)

Davidson (Clin. Judg.)

Mon. 8am-9:30am


11 Mar 27-

31

RNSG 1433 Health Care Concepts 2 LAB

HCC2

LAB

CLIN/SIM

Blundell

Bahr/Blundell (Clotting &

Blood Products)

Blundell

Assigned Instructor

Mon. 12:30-3:20pm/CL

Weds. 8:30-

12:20/RmG87

Weds. 1:30-3:20/CL

Tues/Thur.**

EXAM

PNC2

LAB

HCC2

LAB

CLIN/SIM

HCC2 EXAM 5 AB-Clot-

BP

Final Review

Blundell

Hastie (Perfusion)

Blundell

Assigned Instructor

Mon. 8am-9:20am


Mon. 12:30-3:20pm/CL

Weds. 8:30-

12:20/RmG87

Weds. 1:30-3:20/CL

Tues/Thur.**

12

Apr 3-7

EXAM

LAB

HCC2

LAB

CLIN/SIM

PNC2 FINAL EXAM

Blundell

Hastie (Perfusion)

Blundell

Assigned Instructor

Mon. 9am-11:20am

Mon. 12:30-3:20pm/CL

Weds. 8:30-

12:20/RmG87

Weds. 1:30-3:20/CL

Tues/Thur.**

13 Apr 10-

14

EXAM

LAB

CLIN/SIM

HCC2 Exam Perfusion

FINAL EXAM REVIEWS

Assigned Instructor

Mon. 8am-9:30am

TBA

Tues/Thur.**

14 Apr 17-

21

EXAM

LAB

SIM

HCC2 FINAL EXAM

HESI PRESENTATIONS

Assigned Instructors

Mon. 8am-10:30am

TBA

Tues/Thur.**

15 Apr 24-

28

EXAM

SIM

HESI #1

Assigned Instructors

TBA

Tues/Thur.**

16 May 1-5

HESI #2 TBA 17

RNSG 1433 Health Care Concepts 2 May 8-

10

Level II Lab Schedule Outline:

Texas Concept-Based Curriculum - Kilgore College · Maternal Child Health ... safe nursing...

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