ASSOCIATE OF APPLIED SCIENCE NURSING PROGRAM
COURSE SYLLABUS
NURS 135: INTRODUCTION TO THE NURSING PROCESS
8 CREDITS (5 theory (75 hours) credits and 3 Clinical (135 hours) credits)
FALL 2013
GENERAL INFORMATION
A. INSTRUCTOR INFORMATION:
1. Theory & Clinical :
Tami Gailey, MSN, RN
753-2004 (Office)
934-7432 (Cell)
tamara.gailey@gbcnv.edu
Peggy Drussel, MSN, RN
753-2020 (Office)
934-3045 (Cell)
peggy.drussel@gbcnv.edu
2. Clinical:
Jennifer Grant, BSN, RN
340-2063 (Cell)
jennifer.grant@gbcnv.edu
3. Practice Lab:
Staci Warnert, BSN, RN
753-2411 (Office)
781-4055 (Cell)
staci.warnert@gbcnv.edu
4. Office and Hours:
Tami:
Health Sciences Room 118
Monday 1530-1630
Tuesdays & Thursdays 1330-1530
Also by appointment
Peggy:
Health Science Room 116
Office Hours
Tues and Thursday 0800-0900
Friday
0800-0900
Tues and Thursday 1600-1700
Also by appointment
B. COURSE INFORMATION:
1. Catalog Description: Introduction to basic concepts and competencies
for the application of the nursing process in the care of diverse
patients with common health alterations and to promote the health of
individuals. Introduction of basic concepts of safe, patient-centered,
evidence-based nursing care considering legal and ethical
responsibilities of the nurse. Also, introduces caring, clinical
reasoning, quality improvement, communication, and teamwork when
interacting with patients and members of the interprofessional team.
Emphasis on essential psychomotor skills and obtaining patient
information relevant to care planning.
Five credits theory, three credits clinical. Offered Fall Semester only.
2. Schedule:
Theory:
Classroom: Tuesday and Thursday: 0930– 1145
Dates: August 26, 2013 – December 13, 2013
Clinical:
Monday, Wednesday, possibly some Fridays, and
Saturdays as indicated on clinical schedule
Practice Lab:
Monday, Wednesday, and Friday as indicated on schedule
COURSE OUTCOMES:
COURSE OUTCOMES
Provide safe, quality, evidence-based,
patient-centered nursing care at the
basic level to diverse patients with
common health alterations
MEASUREMENTS









Clinical Evaluation
Clinical Packets
Manor Assessment Packets
Adult Wellness Assessment &
Comparison
Simulation
Module Exams
Final Exam
Nursing Skills Check-off
ATI Modules
Discuss clinical reasoning used to
make patient-centered care decisions
at the fundamental level.





Simulation
RN Comparison
ATI NurseLogic 2.0 module tests
Module Exams
Final Exam
Explain how quality improvement
processes are used to improve patient
care.






Class participation in discussion
Post-clinical discussion
Critical Thinking Activity
ATI NurseLogic 2.0 module tests
Module Exams
Final Exam






Challenge Course Assignment
RN Comparison
Auxiliary Clinical Post-Clinical
Assignment
Class Activities and Discussion
Module Exams
Final Exam





RN Comparison
Clinical Evaluation
Legal/Ethical Class Activity
ANA Standards of Practice Discussion
Clinical Care Packets
Recognize the importance of teamwork
with members of the interprofessional
team, the patient, and the patient’s
support persons when working with
diverse patients with common health
alterations.
Explain how management, legal,
ethical, and professional guidelines are
used in nursing practice.
Summarize how information
management principles, techniques,
and systems, and patient care
technology are used in the healthcare
setting.






Class Discussion
Chart Search
EMR Training Discussion
Module Exam
Simulation
Final Exam
METHOD OF INSTRUCTION:
Lecture, discussion, demonstration, small group work, videos, assigned readings,
written assignments, computer assisted learning programs, nursing lab
activities and clinical instruction will be utilized.
THEORY EVALUATION:
Evaluation of student progress will be the successful completion of the course
outcomes which will be evaluated with seven (7) module examinations, a
comprehensive final exam, and a Library/Research assignment, and daily
quizzes and/or assignments. Questions contained in all exams will be based on
application of knowledge acquired in this, as well as previous courses. Questions
may be multiple-choice, fill in the blank, multiple-answer, or other NCLEX®
alternate formats as applicable. All written work (theory and clinical) will be
considered for determination of a course grade.
CLINICAL EVALUATION:
All required skill performance check-offs must be completed satisfactorily in the
nursing lab prior to clinical performance. Clinical performance is evaluated
mutually by student and instructor at mid-semester and the end of the semester.
Clinical performance and written clinical assignments (see list below) will be used
to determine clinical competency and the ability to generalize and transfer theory
outcomes to the clinical settings. A grade in clinical performance is considered in
regard to continuing in the course and to pass the course.
Clinical Objectives:

Please see objectives for individual clinical assignments
Simulation Objectives:
1.
2.
3.
4.
5.
Identify essential information for effective patient care within the EMR.
Demonstrate focused, informative, legally correct nursing documentation
which reflects the nursing process.
Promote safety for patient, self, and others.
Identify factors that influence the quality of care by evaluating patient
response to interventions .
Utilize information technology to support patient care.
REQUIRED AND RECOMMENDED MATERIALS:
 Potter, P. A., Perry, A. G., Stockert, P. A., Hall, A. (2013). Fundamentals of
Nursing (8th ed.) St. Louis, MO: Mosby.
 Potter, P. A., Perry, A. G., Stockert, P. A., Hall, A. (2013). Fundamentals of
Nursing Study Guide (8th ed.) St. Louis, MO: Mosby. (Recommended)
 Ladwig, G. B., Ackley, B.J. (2013). Mosby’s guide to nursing diagnoses. (4th
Ed.). St. Louis, MO: Mosby.
 Silvestri, L. (2014) Comprehensive review for the NCLEX-RN examination.
(6th Ed.). St. Louis, MO: Mosby.
 Ignatavicius, D.D. and Workman, M.L. (2013). Medical-surgical nursing:
Patient-Centered collaborative care (7th ed.). St. Louis, MO: Mosby.
 Doenges, M.E., Moorhouse, M. F., Murr, A.C. (2013). Nursing care plans:
Guidelines for individualizing client care across the life span. (9th
ed.). Philadelphia, PA: F.A. Davis Company. (Recommended)
 Deglin, J. H., Vallerand, A. H., & Sanoski, C. A. (2011). Davis’s drug guide
for nurses. (13th ed.). Philadelphia, PA: F. A. Davis Company.
 Van Leeuwen, A. M., Poelhuis-Leth, D., & Bladh, M. L. (2013). Davis’s
comprehensive handbook of laboratory diagnostic tests with
nursing implications. (5th ed.). Philadelphia, PA: F. A. Davis
Company.
 VandenBos, G. R. (Ed.). (2010). Publication manual of the American
psychological association. (6th ed.) Washington, DC: American
Psychological Association.
 Venes, D. (Ed.). (2012). Taber’s cyclopedic medical dictionary. (22st ed.)
Philadelphia, PA: F. A. Davis Company.
**Please plan on using the drug book, lab & diagnostic book, nursing diagnosis
book, nursing care plan book. You also may find it helpful to use your Med.-Surg.
Book and Pharmacology books as references.
SUPPLEMENTAL VIDEO RESOURCES:
 The Helping Interview – Enhancing Therapeutic Communication
o Basic Components, Helper Qualities, and Attending Skills – 19
min
o Opening, Questioning, and Use of Silence – 20 min
 Communicating With Older Adults and People With Dementia –50 min
 A Friend Named Lyle – 30 min
 Beginning Physical Assessment – 17 min
 Effective Interviewing: Three Function Model – 24 min
 The Cognitively Impaired Geriatric Patient:








o Characteristics and Behavior – 20 min
o Disruptive Behavior – 17 min
o Behavior Management and Support – 18 min
Assessing Breath Sounds – 30 min
Exam of Head and Neck – 19 min
Exam of Eyes and Visual System – 20 min
Exam of Thorax and Lungs – 15 min
Cardiac Exam – 13 min
Examination of Abdomen – 9 min
Neurological Assessment – 20 min
Exam Musculo-Skeletal System – 21 min
**These resources are available in the GBC Library
GRADING POLICY AND CRITERIA:
Course grade will be based on a percentage of the total possible points of theory
and clinical assignments according to the following scale:
100 - 94.00
93.99-90.00
89.99-87.00
86.99-84.00
83.99-80.00
79.99-77.00
=
=
=
=
=
=
A
AB+
B
BC+
76.00 =C (needed to pass)
75.99-70.00 = C69.99-67.00 = D+
66.99-64.00 = D
63.99-60.00 = DBelow 60.00 = F
 The classroom course work must be completed on time and with an
average of 76% or better to pass the course.
 All clinical rotation paperwork must be completed on time and with either
a Pass or an average of 76% or better to pass the course.
 Late theory and clinical assignments will be worth 50% of the actual
grade. If an assignment is more than one week late, a zero will be given
for the assignment but submission of the assignment is still required.
Theory Assessments: 60% of Total Grade
 3 Exams = 300 possible points (100 points X 3 Exams)
 Comprehensive Final = 100 points
 1 Library Assignment = 50 Points
 Infection Control Assignment = 20 points
 4 ATI NURSELOGIC Modules = 5 points each
 ATI Learning System Practice Exams (2) and Final = 45 possible points
(15 x 3)
Team Based Learning: 10 % of Total Grade
 Daily quizzes = 240 possible points (10 points X 24 quizzes)
 Daily collaborative testing = 240 points (10 points X 24 collaborative)
Clinical Assessments: 30% of Total Grade
 M1 & H1 – RN Comparison = 50 points
 M2 Health Assessment = 50 points
 H3 Clinical care packet = 100 points
 H4 Clinical care packet = 100 points
 H5 Critical Thinking Activity = 100 points
 H7 Nutrition/Discharge planning/Quality Improvement assignment = 20
points
 H6 Cardiopulmonary assignment = 50 points
 Challenge Course assignment = 50 points
 Adult Wellness Comparison assignment= 200 points total
DOSAGE CALCULATIONS:
Students will be required to pass a dosage calculation exam each semester.
These will be short, paper and pencil exams that will be scheduled by the
instructor. Students will take the dosage calculation exam after completing the
required ATI Modules and corresponding module post-tests. The required
modules for NUR 135 are as follows:





Safe Dosage
Medication Administration
Oral Medications
Injectable Medications
Case Study – Diabetes: Oral medications
Students must pass the ATI Safe Dosage module post-test with a 100%. The
additional ATI module post-tests listed will require a 90% pass rate. Transcripts
are required prior to taking the dosage calculation exam. Students will submit
transcripts of module (lesson and test) on the date of the dosage calculation
exam which will be September 27, 2013. To pass the exam, students may miss
no more than one question. Students may bring a copy of the conversion table
found in the back of the Davis’s Drug Guide to the exam. Copies of this table will
not be provided. Please see the Medication Dosage Calculations Testing policy
in your Student handbook for additional information.
DROP/WITHDRAW POLICY:
According to GBC policy, if you do not complete the course and do not formally
withdraw by the set drop deadline, your instructor will automatically assign you a
grade of “F” for the course. The drop deadline for Fall 2013 is Monday,
October 28, 2013. If you are dismissed from the program after this date, this rule
will also apply.
ATTENDANCE POLICY:
Students are expected to attend all classroom, lab, and clinical hours.
(See Student Handbook)
STUDENT CONDUCT:
Great Basin College considers academic honesty one of its highest values. A
student who obtains academic credit for work that is not the product of his or her
own effort is being dishonest and undermining the academic integrity of the
college. Students are expected to be the sole authors of their work. Use of
another’s ideas must be accompanied by specific citation and reference. In
addition, a learner may not submit the same work for credit in more than one
course. The disciplinary consequences of plagiarism and other forms of
academic dishonest include non-acceptance of work submitted, a failing grade in
the course, and/or or other disciplinary action as outlined in Great Basin
College’s Student Conduct Policy.
ADA STATEMENT:
Great Basin College is committed to providing equal educational opportunities to
qualified students with disabilities in accordance with state and federal laws and
regulations, including the Americans with Disabilities Act of 1990 and Section
504 of the Rehabilitation Act of 1973. A qualified student must furnish current
verification of disability. The Students with Disabilities Office, located in Berg
Hall, will assist qualified students with disabilities in securing the appropriate and
reasonable accommodations, auxiliary aids, and services. For more information
or further assistance, please call 775.753.2271
COURSE SCHEDULE:
MODULE
WEEK 1
SUBJECT
ASSIGNMENTS
Welcome! We expect this
will be the beginning of a
wonderful adventure…
It is your responsibility to
have read the required
chapters and reviewed the
required course content
that will be covered in
class BEFORE the date
they are scheduled to be
covered.
Monday
August 26
Tami
Peggy
0900-1200:
General orientation to
nursing program- HSC room
108
1300-1500
Introduction/Orientation:
 Canvas
 Practice Lab
 Syllabus
 Clinical schedule
 Skills Lab schedule
(please have printed out
Not all content that you
are responsible for will be
covered in class.
Your instructor reserves
the right to add other
sources that maybe
required to be read prior
to class.
**Unless otherwise stated,
syllabus or your laptop with
you so you can access the
syllabus)
Tuesday
August 27
0930-1145
ATI training—HTC139
all listed reading chapters
are out of your
Fundamentals of Nursing
text
Start reading
Chapter 2, 6
Module 1: Health
Care Environment
Wednesday
August 28
0900-1145
Required reading:
Topics:
Chapter 2 and 6
1. Health Care Delivery
System -- Tami
2. Health and Wellness -Peggy
Thursday
August 29
Required reading:
0930-1145
Chapter 7, 9, 10, and 35
Topics:
1. Patient-centered Care
Culture/Spirituality – Peggy
2. Caring--Tami
Friday
0930-1145: Tami
August 30
Topic:
Evidence-based practice
Required reading:
Chapter 5
Due: ATI Nurse Logic:
Knowledge and Clinical
Judgment module and
test (submit printed
transcript before class)
WEEK 2
Labor Day Holiday
Monday
Relax!
September 2
Tuesday
September 3
Wednesday
September 4
0930-1145
Library
orientation/introduction;
EBP assignment
Start work on Library
Assignment: Due
September 10, 2013
Module 2: Safety
0930-1145
Topics:
Required reading:
Chapters 27 and 28
1. Infection Control --Peggy
2. Patient safety--Tami
1300-1330
Pictures with Laura
Gallegos –in scrubs!
Module 3: Health and
Physical Assessment
Thursday
September 5
0930-1145: Peggy
Topic:
Physical assessment
 Introduction
 Preparation
 Initial interview
 Nursing history
 Vital signs
Friday
September 6
See Practice Lab and
Clinical Schedules
Required reading:
Chapters 29 and 30
WEEK 3
Monday
September 9
Tuesday
September 10
See Practice Lab Schedule
Clinical Schedule
0930-1145: Peggy
Topic:
Physical assessment
 Techniques
 General survey
 Integumentary

Head and neck

Vascular
Wednesday
September 11
See Clinical and Practice
Lab schedules
Thursday
September 12
0930-1145: Peggy
Topic:
Physical assessment
 Thorax/Lungs
 Abdomen
 Genitalia
 Digestive
 Muscular/skeletal
 Neurological
Friday
September 13
ALL DAY
College of Southern Idaho
Challenge Course
Twin Falls, Idaho
WEEK 4
Monday
September 16
Tuesday
September 17
Required reading:
Chapters 29, 30, and
“assessment” portion of
43
Library Assignment Due
Required reading:
Chapters 29, 30, and
“assessment” portion of
43
Required reading:
Chapter 21 and 24
Challenge Course
Assignment due
September 20, 2013
See Clinical and Practice
Lab Schedules
0930-1145: Peggy
Topic:
Physical Assessment (Cont)
Required Reading:
Chapters 29, 30, and
“assessment” portion of
43
Due: ATI Nurse Logic:
Testing and Remediation
module and test (submit
printed transcript before
class)
Wednesday
September 18
Thursday
September 19
See Clinical and Practice
Lab Schedules
0930-1100:
Exam #1:
Start reading:
Chapters 15 and 16
1115-1145:
APA with Russ from English
Dept.
Friday
September 20
See Clinical and Practice
Lab Schedule
WEEK 5
Monday
September 23
Tuesday
September 24
See Clinical and Practice
Lab Schedules.
Module 4: Clinical
reasoning
0930-1145: Tami
Topic:
1. Critical thinking
Wednesday
September 25
Challenge Course
Assignment due
Required reading:
Chapters 15
10:30-11:30 ATI Critical
Thinking Entrance Exam -Proctored
See Clinical and Practice
Lab Schedules.
Thursday
September 26
0930-1145: Tami
Topics:
1. Nursing process –
Assessment
2. Nursing Process –
Diagnosis
Friday
September 27
1330:
Dosage Calculation Exam
Required reading:
Chapters 16 and 17
WEEK 6
Monday
September 30
Tuesday
October 1
See Clinical Schedule
0930-1145: Tami
Topics:
1. Nursing processplanning.
2. Nursing processImplementation
3. Nursing process –
Evaluation
Wednesday
October 2
Thursday
October3
Wednesday
October 9
Thursday
October 10
Due: ATI Nurse Logic:
Nursing Concepts module
and test (submit printed
transcript before class)
See Clinical and Practice
Lab Schedule
Module 5:
Communication
0930-1145: Tami
Topic:
Professional
Communication
Friday
October 4
WEEK 7
Monday
October 7
Tuesday
October 8
Required reading:
Chapters 18, 19, and 20
Required reading:
Chapters 24
See Clinical and Practice
Lab Schedule
See Clinical and Practice
Lab Schedule
0930-1145: Tami
Topics:
1. Documentation
2. Informatics
3. SBAR
Required reading:
Chaper 26
See Clinical and Practice
Lab Schedule
Module 6:
Professionalism
0930-1145: Peggy
Topics:
Required reading:
Chapters 21 and 25
1. Patient education
2. Teamwork
Friday
October 11
WEEK 8
Monday
October 14
Tuesday
October 15
Wednesday
October 16
See Clinical and Practice
Lab Schedules
See Clinical and Practice
Lab Schedules
0930-1145: Tami
Topics:
1. Legal Principles
2. Ethics
Required reading:
Chapter 22 and 23
See Clinical and Practice
Lab Schedule
0930-1145:
Exam #2: Midterm
Thursday
October 17
Friday
October 20
WEEK 9
Monday
October 21
See Clinical and Practice
Lab Schedule
See Clinical and Practice
Lab Schedule
Tuesday
October 22
Module 7:
Physiological Integrity
0930-1145: Peggy
Topic:
Oxygenation
Wednesday
October 23
Thursday
October 24
ATI Learning System RN
Fundamentals Practice
Test #1 completion due
Required reading:
Chapter 40
See Clinical and Practice
Lab Schedules
0930-1145: Peggy
Topic:
Oxygenation (continued)
Cardiopulmonary-NNRH
Guest Speaker
Required reading:
Chapters 40
Friday
October 25
Nevada Day
WEEK 10
Monday
October 28
Tuesday
October 29
See Clinical and Practice
Lab Schedules.
Wednesday
October 30
Thursday
October 31
See Clinical and Practice
Lab Schedules
0930-1145: Tami
Topic:
1. Nutrition
2. Sleep
Friday
November 1
WEEK 11
Monday
November 4
Tuesday
November 5
See Clinical and Practice
Lab Schedule
See Clinical and Practice
Lab Schedule
Wednesday
November 6
Thursday
November 7
See Clinical and Practice
Lab Schedules
0930-1145: Peggy
Topics:
1. Skin integrity
2. Sensory alterations
3. Pain management
(management part of
chapter 43)
0930-1145: Tami
Topic:
Urinary Elimination
0930-1145: Peggy
Topic:
Bowel elimination
Required reading:
Chapters 48, 49, 43
Required reading:
Chapters 42 and 44
Required reading:
Chapter 45
Required reading:
Chapter 46
Due: ATI Nurse Logic:
Priority Setting
Frameworks module and
test (submit printed
transcript before class)
.
Friday
November 8
Please see Clinical and
Practice Lab Schedules
WEEK 12
Monday
November 11
Veteran’s Day
Tuesday
November 12
0930-1145 --Peggy
Topics:
1. Exercise and Activity
2. Mobility/Immobility
Required reading:
Chapters 38 and 47
Guest speaker: Greg
Barker-NNRH Physical
Therapist
Wednesday
November 13
Thursday
November 14
See Clinical and Practice
Lab Schedule
Friday
November 15
WEEK 13
Monday
November 18
Tuesday
November 19
See Clinical and Practice
Lab Schedules
Wednesday
November 20
See Clinical and Practice
Lab Schedules
Thursday
November 21
0930-1145: Peggy
Topic:
Acid/Base balance
WEEK 14
Monday
See Clinical and Practice
Lab Schedules
0930-1145:
Exam #3
Start reading:
Chapter 50
See Clinical and Practice
Lab Schedules
0930-1145 --Tami
Topics:
Perioperative care
Required reading:
Chapter 50
ATI Learning System RN
Fundamentals Practice
Test #2 completion due
Required reading:
Chapter 41
November 25
Tuesday
November 26
0930-1145: Peggy
Topic:
Acid/Base balance
(continued)
Required reading:
Chapter 41
RN CMS Fundamentals
Practice Assessment
Due—Start remediation
work
Wednesday
November 27
Thursday & Friday
November 28 & 29
See Clinical and Practice
Lab Schedule
Happy Thanksgiving!
WEEK 15
Monday
December 2
Tuesday
December 3
See Clinical Schedule
Wednesday
December 4
See Clinical and Practice
Lab Schedule
Thursday
December 5
0930-1145: Tami
Topic:
Fluid/Electrolytes
0930-1145: Tami
Topic:
Fluid/Electrolytes
(continued)
Required reading:
Chapter 41
ATI Learning System RN
Fundamentals Final
completion due
Required reading:
Chapter 41
WEEK 16
Tuesday
December 10
Final: ATI RN CMS
Fundamentals Proctored
Assessment (Exam #4)
Time to be announced
ATI Remediation
Templates and Focused
Review transcripts due
before the final
Thursday
December 12
Final Retake
See Final grading policy
for information
All attempts will be made to maintain the posted theory and clinical schedule. However,
please note that in the event of an unforeseen emergency or circumstances beyond our
control, faculty may schedule class and/or clinical times on other days as a means to
ensure every opportunity for students to successfully complete the course. The faculty
also may make changes to the syllabus at any time throughout the semester. All
attempts will be made to inform the students of any changes in a timely manner when
possible.