Spring 2015
Angelina College
Health Careers Division
VNSG 1429 Medical-Surgical I
General Syllabus
I. COURSE DESCRIPTION: (as stated in the bulletin, including necessary pre-requisite courses, credit hours)
VNSG 1429 – Medical-Surgical Nursing I. Four hours credit. Application of the nursing process to the care
of adult patients experiencing medical-surgical conditions in the health-illness continuum in a variety of
health care settings. Sixty-four classroom hours. Prerequisites: VNSG 1226, 1304, 1423, 1361, and
1405. Co-requisites: VNSG 1330, 1331, and 1362.
INTENDED AUDIENCE:
Freshman working toward educational requirements for a Vocational Nursing Certificate.
INSTRUCTOR INFORMATION
Instructor
Office Location
Elizabeth Powell, MEd, RN, BS, BSN
Hudson Memorial Health Science Center (at Hudson
High School)
By appointment
(936) 635-8222
epowell@angelina.edu
Office Hours
Telephone
Email
II. INTENDED STUDENT OUTCOMES
A. Core Objectives Required for this Course
1. Critical Thinking: to include creative thinking, innovation, inquiry, and analysis, evaluation
and synthesis of information
2. Communication: to include effective development, interpretation and expression of ideas
through written, oral and visual communication
3. Empirical and Quantitative Skills: to include the manipulation and analysis of numerical data
or observable facts resulting in informed conclusions
4. Teamwork: to include the ability to consider different points of view and to work effectively
with others to support a shared purpose or goal
5. Social Responsibility: to include the ability to connect choices, actions and consequences to
ethical decision-making
6. Personal Responsibility: to include intercultural competence, knowledge of civic
responsibility, and the ability to engage effectively in regional, national, and global
communities
B.
Exemplary Objectives – (Found in the Texas Higher Education Coordinating Board Document. Titled:
CORE CURRICULUM: ASSUMPTIONS AND DEFINING CHARACTERISTICS Dated: April 1998)
(Not applicable for Nursing Program)
C. Course Objectives – (common to all sections))
After completing this course, the student should be able to describe how disease affects the medicalsurgical adult client.
* Identify problems related to the human responses to diseases.
* Utilize the nursing process to describe nursing care for the medical-surgical adult client.
* Explain how disease processes affect the geriatric patient.
* Identify the teaching methods that the nurse can utilize for identified knowledge
deficits surrounding diseases of the medical-surgical adult client.
* Discuss the medical, pharmacological, and nutritional management of various diseases.
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* Explain the legal and ethical considerations of nursing the adult medical-surgical client.
* Develop critical thinking skills as applied to the adult medical-surgical client with various diseases.
* Define and describe maladaptive behavior disorders and related treatment.
D. Course Objectives -
After completing this course the student should be able to meet the following DECs
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.
3. b.
Question orders, policies, and procedures that may not be in
patient’s best interest.
B.
Assume responsibility and accountability for the quality
of nursing care provided to patients and their families.
3. Identify and communicate patient physical and mental health care
problems encountered in practice
PROVIDER OF PATIENT-CENTERED CARE
B. Assist in determining the physical and mental health status,
needs, and preferences of culturally, ethnically, and socially
diverse patients and their families based on interpretation of
health-related data.
7. Differentiate abnormal from normal health data of patients.
8. Recognize healthcare outcomes and report patients status
9. Recognize that economic and family processes affect the health of
patients.
PROVIDER OF PATIENT-CENTERED CARE
A. Assist in determining the physical and mental health status,
needs, and preferences of culturally, ethnically, and socially
diverse patients and their families based on interpretation of
health-related data.
3. Identify and communicate patient physical and mental health care
problems encountered in practice.
B. Assist in determining the physical and mental health status,
needs, and preferences of culturally, ethnically, and socially
diverse patients and their families based on interpretation of
health-related data.
7. Differentiate abnormal from normal health data of patients.
8. Recognize healthcare outcomes and report patients status.
9. Recognize that economic and family processes affect the health of
patients
PROVIDER OF PATIENT-CENTERED CARE
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C. Report data to assist in the identification of problems and
formulation of goals/outcomes and patient-centered plans of care
in collaboration with patients, their families, and the
interdisciplinary health care team.
2. Identify short-term goals and outcomes, select interventions
considering cultural aspects, and establish priorities for care in
collaboration with patients, their families, and the interdisciplinary
team.
PROVIDER OF PATIENT-CENTERED CARE
E. Implement aspects of the plan of care within legal, ethical, and
regulatory parameters and in consideration of patient factors.
2. Implement nursing interventions to promote health, rehabilitation,
and implement nursing care for clients with chronic physical and
mental health problems and disabilities.
5. Foster coping mechanisms of patients and their families during
alterations in health status and end of life.
7. b. Encourage active engagement of patients and their families in
care.
8. Communicate ethical and legal concerns through established
channels of communication.
9. Use basic therapeutic communication skills when interacting with
patients, their families, and other professionals.
11. Facilitate maintenance of patient confidentiality.
13. Provide direct patient care in disease prevention and health
promotion and/or restoration.
PROVIDER OF PATIENT-CENTERED CARE
A. Identify and report alterations in patient responses to
therapeutic interventions in comparison to expected
outcomes.
1. Report changes in assessment data.
2. Use standard references to compare expected and achieved
outcomes of nursing care.
4. Assist in modifying plan of care.
A. Implement teaching plans for patients and their families
with common health problems and well-defined health
learning needs.
1. Identify health-related learning needs of patients and their families.
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2. Contribute to the development of an individualized teaching plan.
C.in the formulation of goals and outcomes to reduce
patient risks.
2. a.
Implement measures to prevent exposure to infectious
pathogens and communicate conditions.
2. b.
Anticipate risk for the patient.
C. Obtain instruction, supervision, or training as needed
when implementing nursing procedures or practices.
1. Evaluate individual scope of practice and competency related to
assigned task.
MEMBER OF THE HEALTH CARE TEAM
A. Communicate and collaborate with patients, their families,
and the interdisciplinary health care team to assist in the
planning, delivery, and coordination of patient-centered
care to assigned patients.
1. Involve patients and their families with other interdisciplinary
health care team members in patient care across the lifespan.
A. Participate in the identification of patient needs for
referral to resources that facilitate continuity of care, and
ensure confidentiality.
1. a.
Identify support systems of patients and their families.
1. b.
Identify major community resources that can assist in meeting
needs.
MEMBER OF THE HEALTH CARE TEAM
4. Identify treatment modalities and cost of health care services for
patients and their families.
B. Communicate and collaborate in a timely manner with
members of the interdisciplinary health care team to
promote and maintain optimal health status of patients
and their families.
2. Identify health care providers and other who can assist in patient
care.
4. Use evidence-based clinical practice guidelines to guide critical
team communications during transition in care between providers.
5. Recognize and manage conflict through the chain of command.
C. Communicate patient data using technology to support
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decision making to improve patient care.
1. a.
Identify, collect, process, and manage data in the delivery of
patient care and in support of nursing practice and education.
MEMBER OF THE HEALTH CARE TEAM
A. Assign nursing care to LVNs or unlicensed personnel
based upon an analysis of patient or unit need.
3. a.
Document and/or report responses to care or untoward
effects.
MEMBER OF THE PROFESSION
Function within the nurse’s scope of practice and in
accordance with the policies and procedures of the
employing health care institution of practice setting.
3. a.
Practice nursing in a caring, nonjudgmental, nondiscriminatory
manner.
A.
B.
Assume responsibility and accountability for the quality
of nursing care provided to patients and their families.
6.c. Use nursing judgment to anticipate and prevent patient harm,
including invoking Safe Harbor.
III. ASSESSMENT MEASURES OF STUDENT LEARNING OUTCOMES:
A. Assessments for the Core Objectives:
1. Critical Thinking: Exams and quizzes
2. Communication: In-class discussions with peers and instructor.
3. Empirical and Quantitative Skills: N/A
4. Teamwork: Working in teams/groups on activities and discussions.
5. Social Responsibility: N/A
6. Personal Responsibility: N/A
B. Assessments for the Exemplary Objectives Specific to the Course –
Non-applicable for the Nursing Program.
C. Assessments for Objectives Specific to the Course –
SCANS Skills
Assessments
Required Reading
Oral Presentation
Critical Thinking Assignments
Computer Skills
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Workplace Competencies:
Administer medications
Prepare written care maps, care plans, & windows
Interpret physician orders
Communicate with clients
Communicate with interdisciplinary health team.
Teach clients about disease processes.
Use the computer in the work setting
D. Assessments for the Objectives of the Course as determined by the Instructor –
Non-applicable.
IV. INSTRUCTIONAL PROCEDURES:
Methodologies utilized in this course include classroom teaching, audio visual, presentations as assigned by
instructor, written assignments as assigned by instructor, computer assignments, and guest speakers if
applicable. Computerized clinical and theory enhancers and other C.A.I.'s may also be utilized.
V. COURSE REQUIREMENTS AND POLICIES:
A. Required Textbooks, Materials and Equipment –
Required for this course:
deWit, S. C. & Kumagai, C. K., (2013) Medical- Surgical Nursing Concepts & Practice (2 nd Ed.). St. Louis
MO. Elsevier-Saunders
dewit, Susan C. & Kumagai, Candice K., (2013) Student Learning Guide to Accompany Medical- Surgical
Nursing Concepts & Practice (2nd Ed.).
Lippincott, Williams, and Wilkins. Prep U NCLEX PN-5000.
Optional for this course (may be required for use in other courses in the program):
Ackley, B. J. & Ladwig, G. B. (2011) Nursing Diagnosis Handbook; A Guide to Planning Care (8th ed.) St.
Louis, Mo. Elsevier - Mosby.
Langford, R.W. (2008). Nursing PDQ for LPN (2ND Ed.). St. Louis Mo. Elsevier- Mosby.
Leonard, Peggy C. (2014) Quick and Easy Medical Terminology, (7th Ed.). St. Louis Mo. Elsevier-Mosby.
B. Assignments – (Appropriate due dates, schedules, deadlines)
Suggested activities assigned per instructor include getting acquainted with textbook, reading each
chapter as assigned per the Black Board calendar, reviewing the vocabulary for each chapter, and
completing the review questions at the end of each chapter.
Each module will have an accompanying assignment on Prep U. Students will be required to log into Prep
U and complete the associated assignment before the due dates. Assignments will be due no later than 8 a.m. on
the morning of the associated exam.
No late assignments will be accepted.
C. Course Policies – (This course conforms to the policies of Angelina College as
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stated in the Angelina College Handbook.)
Academic Assistance – If you have a disability (as cited in Section 504 of the Rehabilitation Act of 1973
or Title II of the Americans with Disabilities Act of 1990) that may affect your participation in this class, you should
see Karen Bowser, Room 208 of the Student Center. At a post-secondary institution, you must self-identify as a
person with a disability; Ms. Bowser will assist you with the necessary information to do so. To report any
complaints of discrimination related to disability, you should contact Dr. Patricia McKinzey, Administration Building,
room 105, or 936-633-5401.
Attendance – See the Angelina College Vocational Nursing Handbook
Additional Specific Requirements for this Course – (Withdrawal and Dismissal) Students considering
Withdrawal from the program should talk to the Nursing Program Coordinator for withdrawal and re-entry
Information. When a student does not officially withdraw in the Office of Admissions, an "F" will appear
on the transcript for the courses in progress at the time.
All exams (and written assignments) become the property of the Nursing Program.
VI. COURSE CONTENT:
A. Content/ Topics - (as required by the individual Instructor)
Course content VNSG 1429 Medical- surgical nursing 1
DATE
January 20, 2015
January 27, 2015
February 3, 2015
February 10, 2015
February 17, 2015
February 24, 2015
CONTENT COVERED
Introduction to Medical-Surgical Nursing
deWit & Kumagai
Ch 1 – Caring for Med-Surg Patients
Ch 2 – Critical Thinking
Ch 3 – Fluid/Electrolyte-Acid/Base
Continue From Ch 3
Ch 4 – Preop and Intraop Nursing
Exam 1 Review
Exam 1 Ch 1-4
Lecture:
Ch 5 – Post op Care
Ch 6 – Infection Control
Ch 7 – Pain
Prep U Assignment 1 due by 0800
Exam 2 Ch 5-7
Lecture:
Ch 10- Immune System
Ch 11-HIV
Ch 12- Care of Patients with
Immune/Lymphatic Disorders
Prep U Assignment 2 due by 0800
Exam 3 Ch 10-12
Lecture:
Ch 13 –Respiratory System
Ch 14 –Upper Resp Disorders
Ch 15 – Lower Resp Disorders
Prep U Assignment 3 Due by 0800
Exam 4 Ch 13-15
Lecture:
Ch 16-Hematologic System
Ch 17-Hematologic Disorders
Prep U Assignment 4 Due by 0800
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March 3, 2015
Mid-Term
March 10, 2015
March 17 , 2015
March 24, 2015
March 31, 2015
April 7, 2015
April 14, 2015
April 21, 2015
April 28, 2015
Lecture:
Ch 18 –Cardiovascular System
Ch 19- Hypertension and PVD
Spring Break
Lecture:
Ch 20 –Cardiac Disorders
Ch 21 –CAD/Cardiac Surgery
Exam 5 Review
Exam 5 Ch 16-21
Lecture:
Ch 22 – Neurologic System
Prep U Assignment 5 due by 0800
Lecture:
Ch 23 – Head/Spine Injuries
Ch 24 – Disorders of the Brain
Continue Ch 23-24
Lecture:
Ch 25 – Peripheral Nerve and Degenerative
Neurologic Disorders
Lecture:
Ch 26 – Eye and Ear
Ch 27 – Eye and Ear Disorders
Exam 6 Ch 22-27
Final Exam Review
Prep U Assignment 6 Due by 0800
Make Up Exams
Final Exam
B. Additional Content
Understanding of interpretation of lab values, care maps, care plans and utilization of assessment skills.
VII. EVALUATION AND GRADING:
A. Grading Criteria
Exams for this course will be administered through Black board or scantron tests. Written assignments will
be graded according to the criteria for written assignments. Oral presentations will be graded according to the oral
presentation criteria.
B. Determination of Grade
Grading Scale:
A= 90-100
B= 80-89
C= 75-79
F= <74
Grade Distribution
Exams – 75%
Final exam – 20%
Assignment 5%
VIII. SYLLABUS MODIFICATION:
The instructor may modify the provisions of the syllabus to meet individual class needs by informing the class
in advance as to the changes being made.
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