module f – reproductive system alterations

Revised Spring 2014
Alabama
Department of
Postsecondary Education
Representing Alabama’s Public Two-Year College System
NORTHEAST ALABAMA
COMMUNITY COLLEGE
NUR 201: Nursing Through the Lifespan I
Theory
3 credit hours
Lab
0 credit hour
Clinical
2 credit hours
Total
5 credit hours
I. CLASS MEETING DATES/TIMES/LOCATION
TBA
II. CLINICAL DATES/TIMES/LOCATION
TBA
III. INSTRUCTOR, CONTACT INFORMATION, CONTACT POLICY,
OFFICE HOURS/LOCATION
Mrs. Sheila Gentry, Course Coordinator
Health Education Building, Office 218
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Nursing Through the Lifespan I
NUR 201
IV. COURSE DESCRIPTION:
This course provides opportunities to develop competencies necessary to meet the
needs of individuals throughout the lifespan in a safe, legal, and ethical manner
using the nursing process. Students manage and provide collaborative care to
clients who are experiencing selected alterations in gastrointestinal, reproductive,
sensory, and endocrine systems in a variety of settings. Additional instruction is
provided for oncology, mental health, teaching/learning concepts, and advanced
dosage calculations. Nutrition, pharmacology, communication, cultural, and
community concepts are integrated.
V. PREREQUISITE(S)/CO-REQUISITE(S)
PREREQUISITES:
NUR 105 – Adult Nursing
NUR 106 – Maternal and Child Nursing
BIO 202 – Human Anatomy and Physiology II
ENG 101 – English Composition I
CO-REQUISITES:
BIO 220 – Microbiology
PSY 200 – General Psychology
VI. TEXTBOOK(S) AND OTHER LEARNING RESOURCES
See Reading Assignment
VII. COURSE OBJECTIVES
1. Design a teaching/learning plan for client/support system.
2. Calculate advanced dosage calculations for clients through the lifespan.
3. Utilize the nursing process in providing advanced nursing care for clients
throughout the lifespan with selected alterations.
A. Mental Health
B. Cancer
C. Digestive/Lower Gastrointestinal System
D. Reproductive System
E. Sensory System
F. Endocrine System
VIII. PROFESSIONAL COMPETENCIES
 Develop a teaching/learning plan for client/support system.
 Calculate dosages.
 Provide nursing care for clients with selected system alterations.
 Provide nursing care for clients with cancer.
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MODULE A – INTRODUCTION TO TEACHING AND LEARNING CONCEPTS
A1.0 Develop a teaching/learning plan for client/support system.
A1.1
Develop a teaching/learning plan for a specified situation.
A1.1.1
A1.1.2
A1.1.3
A1.2
Define terms associated with teaching/learning.
Describe elements of a comprehensive teaching/learning plan.
Describe the role of the registered nurse in teaching and learning
activities.
Use a teaching/learning plan to provide instruction to a client and/or
support system.
MODULE B – ADVANCED DOSAGE CALCULATIONS
B1.0 Calculate dosages.
B1.1
This competency is measured cognitively.
B1.1.1
B1.1.2
B1.1.3
Identify information required for calculating dosages.
Validate data for advanced dosage calculations.
Perform dosage calculations using advanced mathematical
formulas.
MODULE C – INTRODUCTION TO MENTAL HEALTH CONCEPTS AND
ISSUES
C1.0 Provide nursing care for clients with selected mental health alterations.
C1.1
Apply the nursing process for clients with selected mental health
alterations.
C1.1.1
C1.1.2
C1.1.3
C1.1.4
C1.1.5
C1.1.6
C1.1.7
C1.1.8
C1.1.9
C1.1.10
C1.1.11
C1.1.12
C1.1.13
C1.1.14
Define terms associated with mental health.
Explain selected mental health concepts.
Survey historical treatments of mental health.
Explain cultural influences on mental health and illness.
State the use of the Diagnostic and Statistical Manual of Mental
Disorders, Text Revised (DSM-IVTR).
Identify the role of mental health team members.
Explain legal and ethical issues related to mental health and
illness.
Explain therapeutic relationships and communication as applied
to clients, support systems, and the multi-disciplinary team.
Explain selected theories related to mental illness.
Explain selected mental health therapies.
Explain health promotion related to mental health.
Describe selected mental health alterations.
Describe the pharmacological agents and/or treatments for
selected mental health alterations.
Describe nutritional considerations for clients experiencing
selected mental health alterations.
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Nursing Through the Lifespan I
C1.1.15
C1.1.16
C1.1.17
NUR 201
Use critical thinking to manage nursing care for culturally
diverse clients experiencing selected mental health alterations.
Evaluate expected outcomes of nursing care of clients
experiencing selected mental health alterations.
Identify the impacts of mental health alterations on maternal and
pediatric clients.
MODULE D – ONCOLOGY NURSING
D1.0 Provide nursing care for clients with cancer.
D1.1
Apply the nursing process for clients with cancer.
D1.1.1
D1.1.2
D1.1.3
D1.1.4
D1.1.5
D1.1.6
D1.1.7
D1.1.8
D1.1.9
D1.1.10
D1.1.11
D1.1.12
D1.1.13
Define terms associated with treatment of cancer.
Describe legal and ethical issues related to cancer.
Describe the pathophysiology associated with cancer.
Describe the role of the nurse in prevention and detection of
cancer.
Interpret clinical manifestations of cancer.
Interpret diagnostic tests and staging for cancer.
Describe oncological agents and treatments for cancer.
Evaluate nutritional considerations for clients with cancer.
Identify expected outcomes of treatment modalities.
Describe psychosocial needs of clients, families, and support systems.
Use critical thinking to manage nursing care for culturally diverse clients
with cancer.
Evaluate expected outcomes of nursing care of clients with cancer.
Identify impacts of cancer on maternal and pediatric clients.
MODULE E – GASTROINTESTINAL SYSTEM ALTERATIONS
E1.0 Provide nursing care for clients with selected alterations.
E1.1
Apply the nursing process for clients with selected gastrointestinal system
alterations.
E1.1.1
E1.1.2
E1.1.3
E1.1.4
E1.1.5
E1.1.6
E1.1.7
E1.1.8
E1.1.9
Define terms associated with selected gastrointestinal system alterations.
Describe selected gastrointestinal system alterations.
Describe the pathophysiology associated with selected gastrointestinal
system alterations.
Describe the role of the nurse in providing care for clients experiencing
selected gastrointestinal system alterations.
Interpret clinical manifestations of selected gastrointestinal system
alterations.
Interpret diagnostic tests for selected gastrointestinal system alterations.
Describe the pharmacological agents and/or treatments for selected
gastrointestinal system alterations.
Evaluate nutritional considerations for clients experiencing selected
gastrointestinal system alterations.
Explain health promotion related to selected gastrointestinal system
alterations.
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E1.1.10
E1.1.11
E1.1.12
E1.1.13
E1.1.14
NUR 201
Identify expected outcomes of treatment modalities for clients
experiencing selected gastrointestinal system alterations.
Evaluate the psychosocial needs of clients, family, and/or support
systems.
Use critical thinking to manage nursing care for culturally diverse clients
experiencing selected gastrointestinal system alterations.
Evaluate expected outcomes of nursing care for clients experiencing
selected gastrointestinal system alterations.
Identify impacts of selected gastrointestinal system alterations on
maternal and pediatric clients.
MODULE F – REPRODUCTIVE SYSTEM ALTERATIONS
F1.0 Provide nursing care for clients with selected system alterations.
F1.1
Apply the nursing process for clients with selected reproductive system
alterations.
F1.1.1
F1.1.2
F1.1.3
F1.1.4
F1.1.5
F1.1.6
F1.1.7
F1.1.8
F1.1.9
F1.1.10
F1.1.11
F1.1.12
F1.1.13
F1.1.14
Define terms associated with selected reproductive system alterations.
Describe selected reproductive system alterations.
Describe the pathophysiology associated with selected reproductive
system alterations.
Describe the role of the nurse in providing care for clients experiencing
selected reproductive system alterations.
Interpret clinical manifestations of selected reproductive system
alterations.
Interpret diagnostic tests for selected reproductive system alterations.
Describe the pharmacological agents and/or treatments for selected
reproductive system alterations.
Evaluate nutritional considerations for clients experiencing selected
reproductive system alterations.
Explain health promotion related to selected reproductive system
alterations.
Identify expected outcomes of treatment modalities for clients
experiencing selected reproductive system alterations.
Evaluate the psychosocial needs of clients, family, and/or support
systems.
Use critical thinking to manage nursing care for culturally diverse clients
experiencing selected reproductive system alterations.
Evaluate expected outcomes of nursing care for clients experiencing
selected reproductive system alterations.
Identify impacts of selected reproductive system alterations on maternal
and pediatric clients.
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NUR 201
MODULE G – SENSORY SYSTEM ALTERATIONS
G1.0 Provide nursing care for clients with selected system alterations.
G1.1
Apply the nursing process for clients with selected sensory system
alterations.
G1.1.1
G1.1.2
G1.1.3
G1.1.4
G1.1.5
G1.1.6
G1.1.7
G1.1.8
G1.1.9
G1.1.10
G1.1.11
G1.1.12
G1.1.13
G1.1.14
Define terms associated with selected sensory system alterations.
Describe selected sensory system alterations.
Describe the pathophysiology associated with selected sensory system
alterations.
Describe the role of the nurse in providing care for clients experiencing
selected sensory system alterations.
Interpret clinical manifestations of selected sensory system alterations.
Interpret diagnostic tests for selected sensory system alterations.
Describe the pharmacological agents and/or treatments for selected
sensory system alterations.
Evaluate nutritional considerations for clients experiencing selected
sensory system alterations.
Explain health promotion related to selected sensory system alterations.
Identify expected outcomes of treatment modalities for clients
experiencing selected sensory system alterations.
Evaluate the psychosocial needs of clients, family, and/or support
systems.
Use critical thinking to manage nursing care for culturally diverse clients
experiencing selected sensory system alterations.
Evaluate expected outcomes of nursing care for clients experiencing
selected sensory system alterations.
Identify impacts of selected sensory system alterations on maternal and
pediatric clients.
MODULE H – ENDOCRINE SYSTEM ALTERATIONS
H1.0 Provide nursing care for clients with selected system alterations.
H1.1
Apply the nursing process for clients with selected endocrine system
alterations.
H1.1.1
H1.1.2
H1.1.3
H1.1.4
H1.1.5
H1.1.6
H1.1.7
H1.1.8
H1.1.9
H1.1.10
Define terms associated with selected endocrine system alterations.
Describe selected endocrine system alterations.
Describe the pathophysiology associated with selected endocrine system
alterations.
Describe the role of the nurse in providing care for clients experiencing
selected endocrine system alterations.
Interpret clinical manifestations of selected endocrine system alterations.
Interpret diagnostic tests for selected endocrine system alterations.
Describe the pharmacological agents and/or treatments for selected
endocrine system alterations.
Evaluate nutritional considerations for clients experiencing selected
endocrine system alterations.
Explain health promotion related to selected endocrine system
alterations.
Identify expected outcomes of treatment modalities for clients
experiencing selected endocrine system alterations.
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Nursing Through the Lifespan I
H1.1.11
H1.1.12
H1.1.13
H1.1.14
NUR 201
Evaluate the psychosocial needs of clients, family, and/or support
systems.
Use critical thinking to manage nursing care for culturally diverse clients
experiencing selected endocrine system alterations.
Evaluate expected outcomes of nursing care for clients experiencing
selected endocrine system alterations.
Identify impacts of selected endocrine system alterations on maternal and
pediatric clients.
OUTLINE OF MODULES
MODULE A – INTRODUCTION TO TEACHING AND LEARNING
CONCEPTS



Teaching/learning terms
Elements of a teaching/learning plan
Role of the registered nurse in teaching/learning
MODULE B - ADVANCED DOSAGE CALCULATIONS


Review of basic dosage calculations
Advanced dosage calculations
MODULE C - INTRODUCTION TO MENTAL HEALTH CONCEPTS AND
ISSUES







Mental health terms and concepts
o Mental health vs. mental illness
o Coping and adaptation
o Stress and anxiety
History of the care of the mentally ill
Cultural influences
Diagnostic and Statistical Manual IV-TR
Mental health team
Legal and professional issues
o Client advocacy
o Promoting and maintaining psychosocial integrity based on American Nursing
Association standards
o Role of the registered nurse
o Legal and ethical issues
 Reporting incidents
 Using restraint devices
 Client confidentiality
 Informed consent
 Refusing treatment
 Reporting client abuse
Therapeutic relationship and communication
o Client
o Family
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
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NUR 201
o Multi-disciplinary health team
o Incorporating an interpersonal relationship record (IPR) into care plan development
Selected theories
Selected therapies
Health promotion
Common mental health alterations
o Crisis
o Cognitive disorders
o Anxiety disorders
o Suicide
Pharmacological agents and treatments
Nutrition
Nursing process
MODULE D – ONCOLOGY NURSING





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
Terminology and anatomy and physiology review
o Overview of common cell types
Diagnostic tests
Tumor staging
Role of the RN in prevention and detection
o Health promotion and prevention
o Clinical manifestations
Legal and ethical issues
o Role of the nurse
o Client/family decisions related to care and treatment
Overview of treatment modalities across the lifespan
o Pharmacological agents
o Radiation
o Others
Nutrition
Psychosocial
o Hospice care
o Client/family education
o Community resources
o Pain management
Nursing process
Impacts on maternal and pediatric clients
MODULE E - DIGESTIVE AND GI SYSTEM ALTERATION (LOWER)


Terminology and anatomy and physiology review
Lower GI
o Acute and chronic abdominal pain
o Peritonitis
o Inflammatory bowel disease
 Ulcerative colitis
 Crohn’s disease
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o
o
o
o
o
o
o
o
o
NUR 201
Intestinal obstruction
Polyps
Hernia
Diverticulosis/diverticulitis
Sprue
Short Bowel Syndrome (SBS)
Hemorrhoids
NEC
Analrectal abscess
o Fistula







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
o Pilonidal sinus
o Cancers
Accessory organs
o Jaundice
o Hepatitis
o Cirrhosis
 Esophageal varices
 Ascites
 Hepatic encephalopathy
o Liver transplant
o Acute and chronic pancreatitis
o Cholelithiasis
o Cholecystitis
o Cancers
o Biliary atresia
Role of the nurse
Clinical manifestations
Diagnostic tests
Pharmacological agents and treatments
Nutritional considerations
Health promotion
Nursing process
Impacts on maternal and pediatric clients
MODULE F – REPRODUCTIVE SYSTEM ALTERATIONS



Terminology and anatomy and physiology review
Sexuality issues
o Family planning
o Sexually Transmitted Diseases
o PMS
o Menopause
o Safe sex
o Toxic shock
o Precocious puberty
Uterine
o Fibroids
o Prolapse
o Hysterectomy
o Anterior and Posterior (A&P) repairs
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
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NUR 201
Cervical
o Inflammatory diseases
Ovarian
o Polycystic disease
Breast
o Fibrocystic disease
o Mastectomies
o Cancer of the breast (male and female)
Cancers of the female reproductive system
Infertility
Erectile dysfunction
Role of the nurse
Clinical manifestations
Diagnostic tests
Pharmacological agents and treatments
Nutritional considerations
Health promotion
Nursing process
Impacts on maternal and pediatric clients
MODULE G – SENSORY SYSTEM ALTERATIONS



Terminology and anatomy and physiology review
Visual alterations
o Refractive errors
 Amblyopia
 Strabismus
 Astigmatism
 Presbyopia
 Myopia
 Hyperopia
o Blindness
o Trauma
 Hematoma
 Chemical burns
 Corneal abrasions
 Penetrating wounds
 Foreign bodies
o Infection/inflammation
 Conjunctivitis
 Blepharitis
 Keratitis
Disorders
o Cataracts
o Retinal detachment
o Glaucoma
o Retinitis pigmentosis
o Macular degeneration
o Cancers
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
NUR 201
Hearing alterations
o Hearing loss
 Conductive loss
 Sensorineural loss
 Mixed hearing loss
 Otosclerosis
 Tinnitis
o Trauma
o Foreign body
o Infection/inflammation

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 Otitis
 Labrynthitis
o Inner ear disorders
 Meniere’s
Role of the nurse
Clinical manifestations
Diagnostic tests
Pharmacological agents and treatments
Nutritional considerations
Health promotion
Nursing process
Impacts on maternal and pediatric clients
MODULE H – ENDOCRINE SYSTEM ALTERATIONS





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


Terminology and anatomy and physiology review
Alterations
o Thyroid (hyper/hypo)
o Addison’s
o Cushing’s
o Pheochromocytoma
o Pituitary disorders
o Parathyroid
o Cancers
Role of the nurse
Clinical manifestations
Diagnostic tests
Pharmacological agents and treatments
Nutritional considerations
Health promotion
Nursing process
Impacts on maternal and pediatric clients
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IX. EVALUATION AND ASSESSMENT
A. Theory
1. Tests announced or unannounced may be given throughout the course and
may incorporate various teaching/learning methods (for example: situational,
multiple choice, discussion, performances, etc).
2. All nursing exams should be taken on the day they are scheduled. In the event of
illness, bereavement, or court attendance, the student is required to notify the
course coordinator or clinical instructor PRIOR to the test. Immediately upon
return to campus, the student is required to submit documentation which supports
the absence. A make-up exam will be given at the end of the semester IF
appropriate documentation has been provided at the time of the absence.
3. Prior to each unit exam, the student will complete PrepU Pre-tests on the topic
areas being tested. A minimum grade of 80% or mastery level must be achieved
for admission to the unit exam. If the student does not complete the assignments
according to posted deadlines, the student will not be allowed to take the exam
and a make-up exam will be taken at the end of the semester.
4. All students are required to attend test reviews following exams. Students who
score less than 75% on unit exams are required to complete a remediation
assignment in the computer lab on a designated day. Students must score a
minimum of 80% on the remediation assignment. Remediation assignments must
be submitted to the instructor on the day of remediation.
STUDENTS WHO DO NOT COMPLETE REQUIRED REMEDIATION
ASSIGNMENTS WILL NOT BE ALLOWED TO TAKE THE NEXT UNIT
EXAM AND WILL TAKE A MAKE-UP EXAM AT THE END OF THE
SEMESTER.
5. If a make-up exam is to be taken for any reason, the student must complete a
PrepU Pre-test assignment on the modules being tested before the exam can be
taken. A minimum grade of 80% or mastery level must be achieved for
admission to the make-up exam. Failure to complete the assignment with a
minimum score of 80% or mastery level will result in a zero (0) for that make-up
exam.
6. Required written assignments are due by the end of the scheduled class period.
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B. Clinical
1. Performance in the clinical setting is evaluated according to the form, Evaluation
of Clinical Performance.
A final evaluation of satisfactory in clinical
performance is required to progress in nursing. A rating of unsatisfactory in
clinical performance will result in a grade of “F” for the nursing course regardless
of any other grading component in the course.
2. Students may not attend clinical lab until they have successfully completed all
required assignments in order to provide safe client care.
C. Computerized Tests
Students will be required to pay a testing fee to cover the expense of the Health
Education Systems (HESI) tests. The HESI tests are scheduled throughout the
nursing curriculum.
D. Course Grade
1. The course grade is a composite grade based on the following:
a. Unit tests
b. Comprehensive final examination (HESI)
c. Clinical performance evaluation
Student must achieve a grade of 75% or above in each course to continue in the
nursing program. A grade below 75% will result in a “D” or an “F” depending on
the numerical score.
2. Course and instructor evaluation by each student is required.
3. Conference with the clinical instructor is required each semester.
4. In the event of a failing grade, students are urged to see their instructor for a
conference.
X. ATTENDANCE
A. Students are expected to attend all classes for which they are registered. The student
must be present 80% of the scheduled class dates in order to demonstrate the expected
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course outcomes and successfully apply theoretical concepts to the clinical practicum.
Students who are unable to attend class regularly, regardless of the reason or
circumstance, should withdraw from that class before poor attendance interferes with
the student’s ability to achieve the objectives required in the course. Withdrawal
from class can affect eligibility for federal financial aid. Withdrawal from class can
prohibit progression in nursing and allied health programs.
B. Students are expected to attend all clinical rotations required for each course. Only
excused absences (a maximum of one) will be considered for make up. However, due
to limited clinical space and time, clinical make up days cannot be guaranteed.
Failure to complete clinical rotations will prohibit progression in nursing and allied
health programs
XI. STATEMENT ON DISCRIMINATION/HARASSMENT
The College and the Alabama Board of Education are committed to providing both
employment and educational environments free of harassment or discrimination related to
an individual’s race, color, gender, religion, national origin, age, or disability. Such
harassment is a violation of State Board of Education policy. Any practice or behavior
that constitutes harassment is a violation of State Board of Education policy. Any
practice or behavior that constitutes harassment or discrimination will not be tolerated.
XII. AMERICANS WITH DISABILITIES
The Rehabilitation Act of 1973 (Section 504) and the American with Disabilities Act of
1990 state that qualified students with disabilities who meet the essential functions and
academic requirements are entitled to reasonable accommodations. It is the student’s
responsibility to provide appropriate disability documentation to the College. Please
contact the ADA representative.
COURSE CALENDAR
Course Calendar will be provided to student by the first day of class.
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XVI. STUDENT ACKNOWLEDGEMENT FORM
I have received the Course Syllabus for NUR 201: Nursing Through the
Lifespan I.
My signature indicates that I have read and understand the contents.
___________________________________
Student’s Signature
___________________________________
Print Name
___________________________________
Date
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NUR 201
Northeast Alabama Community College
Form 1: Learning Outcomes Attachment for Career/Technical Courses
(Instructor Evaluation of Course)
Faculty regularly review the extent to which the course and program learning outcomes identified in a
course syllabus are being attained by students who complete the course. Each syllabus identifies the
assessment method that will be used to demonstrate student mastery of the desired learning outcomes
for that course. Before teaching a course, faculty should review the syllabus to understand how the
program learning outcomes will be evaluated. Once the course is complete, this form is used by the
instructor to report how well students demonstrated mastery of those course learning (and by extension,
program learning) outcomes.
Course Prefix & No.: NUR 201
Instructor: Sheila Gentry
Semester: Summer
Course Title: Nursing Through Lifespan I
Date:
Section Number(s):
Type of Delivery – Mark One*:
Dual Enrollment
Online
Traditional
*Double click on the appropriate box. When the form field menu appears, select “checked” under Default value.
Note: To insert or delete rows on the table, click on Table on the tool bar.
Learning Outcome
(Industry or Professional
Competency)
Develop a
teaching/learning
plan for
client/support
system.
Calculate dosages.
Evaluation Method
Evaluation Results
Explain how each learning outcome for this course is
assessed.
Of the students who earned a grade of C or
better for the course, what percentage
demonstrated attainment of the stated
outcomes?
The student will use a teaching/learning
plan to provide instructions to clients/
support system in the clinical setting.
The student will correctly calculate
dosages in the clinical lab setting.
Provide nursing care Clinical Lab:
for clients with
The student will perform satisfactorily
selected system
in the clinical setting while providing
alterations.
nursing care for clients with health
alterations. Refer to Evaluation of
Clinical Performance. (Students must
score 80% or greater in the clinical lab
to progress in the nursing program.)
Provide nursing care The student will complete a concept
for clients with
map for a client with cancer in clinical
cancer.
lab.
Use of Evaluation Results
Explain how evaluation results will be used to improve the course.
*Reviewed:
Division Chair or Program Supervisor
Date
*To be completed by Division Chair or Program Supervisor Only
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