Running head: SYLLABUS DEVELOPMENT
Syllabus Development: NUR 2945C- Comprehensive Nursing Process I
Laurie Pomella
University of South Florida
November 22, 2011
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SYLLABUS DEVELOPMENT
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Syllabus Development
Comprehensive Nursing Process- NUR 2945C is an existing nursing course offered by
the Polk State College Nursing Program. This program offers Comprehensive Nursing Process
as a 10 credit-hour course currently available at their Lakeland campus as a live class only
meeting from 9a.m.-2p.m. on Tuesday and Thursday (Addendum to Course Syllabus, 2011).
Clinical days are offered Monday, Wednesday, Friday, and Saturday and Practicum experience,
for a minimum of 84 hours, at either Winter Haven Hospital or Lakeland Regional Medical
Center (Addendum to Course Syllabus, 2011). Although the curriculum appears to encompass
fully the necessary knowledge and skills needed for a successful associate program, the lack of
online courses and minimal clinical experience offerings have been identified as possible
changes for improvement. In order to accommodate the time needed to incorporate an additional
clinical day per week and to decrease the credit hour weight it carries, it is suggested that this
course be divided over two semesters. In addition, it is also recommended that this course be
offered as a hybrid class with classroom instruction occurring asynchronously via distance
education modules and live clinical experiences. The existing syllabus for NUR 2945C has been
used as the framework for this syllabus development with the above-suggested modifications
made to create Comprehensive Nursing Process I (Syllabus for, 2011-1012 & Addendum to
Course Syllabus, 2011). These modifications are indicated by the blue highlighted text and/or
with strikethrough text.
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NUR 2945C - Comprehensive Nursing Process I
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Course credit- (5 credits)
Day/Time/Location: Hybrid Web-based practicum with live clinical instruction in the
Nursing Student Practice Laboratory and assigned hospital location.
 Course Faculty:
Office
Office Phone
Office Email
Laurie Pomella CCRN, MSN
#2345
TBA
lpomella@health.usf.edu
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Office hours and location- By appointment only, Winter Haven campus College of
Nursing building
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Phone number, email address, fax number- pager (863)570-5015,
lpomella@health.usf.edu, Fax: (863)570-5267
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Prerequisites- In order to enroll in Nursing Process I, the student must have completed
with a “C” or better all other program courses.
COURSE DESCRIPTION
Comprehensive Nursing Process I focuses on complex pathophysiological imbalances in
homeostasis resulting in multiple unmet needs and physiological crises. Students learn advanced
concepts and skills necessary to assist patients to reestablish homeostasis or meet death with
comfort and dignity. The clinical focus is on the care of the patient in the critical care
environment and on the transition from student to graduate within the roles of provider of care,
manager of care, and member within the discipline.
COURSE OBJECTIVES
Upon completion of this course, the student will be able to:
1. Function effectively as an independent provider of care who uses critical thinking and
the nursing process to provide safe and competent evidenced-based care across health
care settings.
2. Function effectively as a coordinator of care who uses effective delegation and
management strategies to promote positive patient outcomes across health care settings.
3. Function independently as an effective leader who advocates for the health care
organization and the profession.
4. Function effectively as a member within the discipline of nursing who practices with
integrity within the ethical, legal, and regulatory framework of professional nursing and
models professional behavior.
SYLLABUS DEVELOPMENT
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5. Interact with others as an effective, collaborative team member in providing holistic
care for patient with complex health problems, respecting the patient as a unique human
being who is a member of a family, a community, and a society.
6. Exhibit competent clinical decision making and safe performance of skills in
implementing a patient-centered plan of care directed toward restoring, maintaining, or
promoting the patient’s optimal health status in complex patient-care settings.
7. Advocate independently for patients and families to provide for physical,
psychological, sociological, cultural, and spiritual comfort and safety for patients with
complex health problems.
8. Participate in evidence-based practice, quality improvement processes, and/or research
activities leading to quality patient outcomes and system effectiveness.
9. Provide comprehensive nursing interventions that actively support the patient and their
family members to promote comfort and psychosocial support during illness and death.
10. Employ caring behaviors that reflect respect, empathy, & genuineness in providing
care to individuals in order to promote optimal physical, psychological, and psychosocial
health.
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Course requirements-
COURSE EXPECTATIONS
This is a hybrid course with Web-based practical and live clinical instruction. It is
necessary that you have access to a computer that has software access to PowerPoint or
PowerPoint Reader. Microsoft Word is the word processing program required for this college
and is the format required for all written assignments submitted for a grade in this course.
It is expected that all learners will enable them to achieve the course objectives. This
includes reviewing all modules, reading required readings, participating in on-line discussions
and completing all requirements by the assigned dates. Each student is responsible for notifying
faculty if unable to meet any of these requirements.
Faculty will be available by email, telephone and by appointment in the Tampa office.
Since this is a web-based class, email will be considered the communication method of
choice. If you want an in-person appointment, please email me with dates and times for inoffice appointments – confirmation will be sent. Phone appointments may also be arranged
using the same email method. Emails will be reviewed daily Monday through Friday. If an
email message requires a response, the student should receive that response within 48 hours. If
the student has not received that response within the 48-hour period, please email again.
A general discussion board will be used to facilitate communication with and among
faculty and students. This discussion board will also be reviewed Monday through Friday unless
student notified otherwise.
SYLLABUS DEVELOPMENT
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EXAMINATIONS
1. Unit Exams: Students must achieve at least 80 % of the total possible percentage points
allocated for Unit Exams I-IV, the HESI Exit Exam, and the Final Examination.
Please see the course Addendum for the weekly schedule for Comprehensive
Nursing Process I which includes the identification of all exam dates and the
material included on each exam. Any changes in this scheduling and/or in the
number of exams, etc., will be announced by the appropriate individual. Exams
are to be completed individually. Any students found collaborating are acting
with academic dishonesty and will receive a grade of ‘0’ on the exam and may be
removed from the Nursing Program.
2. HESI Exam: This exam accounts for 5% of total theory grade. The HESI is a national
examination designed to aid the student in assessing total knowledge of all areas
of nursing including pharmacology, nutrition, medical-surgical, mental health and
maternal-child nursing. This test is used by the student to aid in predicting
success on the NCLEX exam post graduation and identifying areas needing
review before taking the NCLEX. This exam provides both a raw score and a
weighted conversion score. Each students score is highly individualized based on
the weight and difficulty of each test question. This means that raw scores cannot
be compared to percentage scores, nor can individual percentages scores be
compared between students, however the conversion score is a statistically proven
valid score and thus will be recorded as the student’s test grade.
3. Quizzes: Quizzes account for 8% of the total course grade. Quizzes may be online, in
class, take home, announced, as well as unannounced, and can occur anytime
before, during or after a class. Quizzes will be developed from pre-class
assignments found in the course addendum, material that was contained in a class
lecture, or activities that build on previous knowledge. The lowest quiz grade will
be dropped at the end of the semester and the remaining quiz grades will be
averaged for this component of the course grade.
4. Clinical Practice Examination (CPE): The student must achieve a passing evaluation
on the CPE by satisfactorily performing in the allotted time the skills and
behaviors identified in the course materials. The CPE is evaluated on a pass/fail
basis and is administered prior to the practicum. Students must pass the CPE in
order to progress to the transition to practice practicum. Please see the
Comprehensive Nursing Process I Clinical Study Guide (CSG) for further
information.
5. Drug Dosage Calculation Examinations: All students are required to use nonprogrammable calculators for tests and drug dosage computation. Students must
achieve an 80 percent average on three of four Drug Dosage Calculation
Examinations administered in this course. This component of the course is
evaluated on a pass/fail basis and is not incorporated into the calculation of the
numerical course grade. If the student does not achieve an 80 percent average on
SYLLABUS DEVELOPMENT
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the first three examinations, the student will be given the option of a fourth
examination. The lowest grade achieved on the four examinations will be
dropped and the highest three grades averaged. Failure to achieve an 80 percent
average on drug dosage calculation examinations will result in an "F" in the
respective course for a clinical failure until successful completion of NUR 1930 at
which time the “F" will be changed to reflect the calculated academic course
grade. If the student does not successfully complete NUR 1930, the student will
not be allowed to continue in the nursing program. Enrollment in NUR 1930 is a
one-time only option. In Comprehensive Nursing Process I, the Drug Dosage
Calculation Examinations are scheduled to be completed prior to beginning the
transition to practice practicum. If the student has not achieved an 80% average
on this component of the course, the student is permitted to progress to the
practicum; HOWEVER, NO MEDICATIONS MAY BE ADMINISTERED
WITHOUT THE DIRECT SUPERVISION OF THE ASSIGNED
PRECEPTOR. If the student satisfactorily completes all other course
requirements, the student will enroll in NUR 1930 as indicated previously. Upon
successful completion of this course, the student’s grade in Comprehensive
Nursing Process I will be changed accordingly. Each examination will evaluate
continued competency in the ten terminal objectives of the Pharmacology lab.
These objectives are as follows:
I. Convert units of drug dosage within the same system and from one system of
measurement to another.
II. Measure appropriate volume of medication to be administered in syringes,
medicine cups, and droppers.
III. Calculate the amount of oral medication to be administered.
IV. Calculate the amount of parenteral medication to be administered.
V. Calculate the safe dosage of medication based on body weight or body surface
area.
VI. Convert IV flow rates from mL/hr to gtt/min and from gtt/min to mL/hr.
VII. Calculate IV flow rates in mL/hr and gtt/min.
VIII. Calculate IV infusion times.
IX. Calculate IV flow rates in gtt/min or mL/hr based on medication dose rate.
X. Calculate medication dose rate based on IV flow rate in gtt/min or mL/hr.
SYLLABUS DEVELOPMENT
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PATIENT CARE STUDY (PCS)
1. The student must submit one completed Patient Care Study (PCS) by the due date
indicated in the weekly schedule and/or by the appropriate faculty. The Care Study is to
be developed according to the guidelines found in the Clinical Study Guide (CSG).
2. The grade achieved on the PCS will account for 30% of the total clinical grade for the
course.
3. It is a violation of patient confidentiality to make a copy of any portion of a patient’s
chart.
4. Failure to complete this assignment will result in failing clinical.
HEALTH CARE POLICY ASSIGNMENT
Each student will collaborate in a group project on the health care system or systems
within healthcare organization. This is to be completed in groups of 3 - 4 students, based
on clinical group placement. Each group will be tasked with conducting an interview,
developing a paper, and presenting to the clinical group their finding. This assignment
will account for 5% if the course grade. Specific details for this assignment will be
handed out in class.
EVALUATION OF CLINICAL PRACTICE
1.
Students must meet expectation on at least an 80% of each of the performance
outcomes listed on the Clinical Evaluation Tools (CETs) according to the criteria
described in the Clinical Study Guide (CSG) during the regular clinical portion of
the course with the assigned clinical instructor, and the simulation modules I - IV.
Separate tools developed specifically for the practicum are utilized for evaluation
of the student by the clinical instructor and the preceptor for the practicum
experience. No student may begin practicum if they do not meet expectations on
at least an 80% of each of the performance outcomes listed on the Clinical
Evaluation Tools (CETs), thus constituting a clinical failure.
2.
The student must have achieved at least 80% “meets expectation” on each of the
performance outcomes listed on the CET during the regular portion of the clinical
and have passed the CPE in order to be assigned for the practicum experiences.
Students not achieving an 80 percent average on the Drug Dosage Calculation
Evaluation will be permitted to be assigned for the practicum but may not
calculate a drug dosage nor administer medications without the direct
supervision of the assigned preceptor. This will be put in writing to the
respective preceptor and Clinical Manager of the student's assigned unit.
SYLLABUS DEVELOPMENT
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3.
Each student is required to meet the mandatory practice time in the Nursing
Student Practice Laboratory as identified during course orientation. These hours
must be completed as directed. Inadequate hours will result in a “does not meet
expectations” for Objectives 10 and 11 on the Clinical Evaluation Tool (CET) for
those weeks. Consistent deficiencies in mandatory nursing practice hours can
result in a clinical failure.
4.
Student Log: The log contains clinical learning objectives and various other
assignments to focus and enhance the clinical experience and to evaluate the
student’s ability to apply theory to practice. This log is to be turned in to the
clinical instructor as indicated in the course addendum and the student’s
performance on the log will be considered in determining if the student met
expectations for the clinical day. Failure to complete log assignments will result
in a “does not meet expectation” on the CET.
5.
Clinical Simulation Modules: There will be clinical simulation modules due in .
The due date for these modules is posted in the course addendum. Each module
will consist of a pre-test, post-test, and written post-simulation assignment in
addition to the completion of the time spent with the human patient simulator. In
order to receive credit all four parts of the assignment must be completed. Failure
to complete Simulation Modules will result in a “does not meet expectation” on
the CET.
RESEARCH PROJECT 1%
This is an individual assignment. Each student is to read two research articles available
on reserve in the library and TLCC on both campuses. Through the online portal, the
student is to complete two quizzes about the article that the student selected.
RESUME ASSIGNMENT 1%
Each student will present for graded evaluation a resume by the due date specified in the
Course Addendum. The guidelines and tools to complete this assignment will be given
during the Leadership and Management lecture.
DISCUSSION BOARD ASSIGNMENTS 3%
There are three mandatory online discussion board assignments worth 1% each. Students
are required to make an initial posting regarding the discussion topic and meaningfully
reply to two classmates’ postings. Meaningful replies are approximately one page in
length and stimulate conversation on the discussion board about topic at hand. There will
be no partial credit given and late entries will not be graded.
SYLLABUS DEVELOPMENT
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EVALUATION METHODS (assignments)
In order to have a grade calculated for this course based on the components and
percentages identified in the syllabus, the student must:
1. Achieve at least 80 percent of the total possible points allocated for Unit Tests
I-IV, the HESI Exit Exam, and the Final Examination.
2. Achieve a grade of at least an 80 percent on each of the performance outcomes
listed on the Clinical Evaluation Tools (CET) according to the criteria
described in the Comprehensive Nursing Process I Clinical Study Guide
(CSG).
3. Achieve at least an 80 percent for the combined (i.e., CETs/Care Study, clinical
instructor evaluations, practicum evaluation, etc.) clinical components of
the course.
4. Achieve a passing evaluation on the Clinical Practice Examination (CPE) by
satisfactorily performing the skills and behaviors identified in the course
materials.
5. Achieve at least an 80 percent average on the Drug Dosage Calculation
Examinations as described previously.
6. Submit all written assignments by the due date. Students are to be reminded of
the penalties for repeatedly submitting late assignments- 10 (ten) points
deducted from the total grade per day that the assignment is late.
***If the student successfully meets the standards/provisions identified in this section of the
Syllabus as well as all others previously described, then the total course grade will be
determined as follows:
Unit Test I
Unit Test II
Unit Test III
Unit Test IV
Unit Test V
HESI Exit Exam
Unit Test V (Comprehensive Final)
Research Project
Resume Assignment
Patient Care Study
Health Policy Assignment
Discussion Board Assignments
Quizzes
9%
9%
9%
9%
9%
5%
20%
1%
1%
12%
5%
3%
8%
100%
9
9
9
9
9
5
20
1
1
12
5
3
8
100
SYLLABUS DEVELOPMENT
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Grading scale
The grading scale for this course is as follows:
A= 92-100
B= 85-91.9
C= 80-84.9
D= 75-79.9
F= Below 75
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Topical outline
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Unit I: Introductory Concepts
Unit II: Care of the Patient with Imbalances in Nutrition and Oxygenation:
Complex Fluid and Electrolyte Disorders
Unit III: Care of the Patient with Imbalances in Oxygenation: Complex
Respiratory Disorders
Unit IV: Professional Socialization: Nurses' Roles in Research SBAR
Unit V: Nursing Process: Care of the Patient With Complex Imbalances in
Oxygenation: Cardiovascular Disorders
Unit VI: Care of the Patient with Imbalance In Elimination: Renal Disorders
Unit VII: Care of the Client with Imbalances in Oxygenation: Complex
Hematological Disorders
Unit VIII: Professional Socialization: Leadership and Management in Nursing
Teaching strategies
Comprehensive Nursing Process I will be taught through a variety of methods including
lectures and discussions, role-playing, demonstrations, supervised clinical practice,
audiovisual and multimedia materials, simulation, and independent study as well as webbased lectures, online discussions, and curriculum-based projects. Independent study will
involve the use of the nursing lab for practice and the use of available audiovisual
materials and computer-assisted instruction modules in the nursing AV Lab and the
College’s Teaching Learning Computer Center (TLCC). Students are also expected to
utilize the Library and the Internet and on-line resources for reference reading as needed.
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Permission/non-permission to sell notes or tape of classes- The sale of class recordings or
notes is not permitted.
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Policy re: missed work; religious observance; incompletes; withdrawal, academic
integrity-
MANDATORY CHECK-IN POLICY FOR WEB-BASED CLASSES
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o Students enrolled in web-based classes must check in by Friday at 5 pm in the
first week of the semester. Failure to do so will result in the student being
dropped from the class.
RELIGIOUS OBSERVANCE
o Students who anticipate the necessity of being absent from class due to the
observation of a major religious observance must provide notice of the date (s) to
the instructor, in writing, by the second-class meeting.
CLASS ATTENDANCE
o
The nursing faculty believes that class attendance and module completion are a
critical part of the teaching/learning process. Students are expected to attend
synchronized classes promptly and regularly, and to complete all assigned reading
materials and learning activities as scheduled. Beepers, telephones, etc., and
guests including children are not permitted in class. Students are not permitted to
switch classes, class labs, or clinicals without prior approval of the course
coordinator.
CLINICAL ATTENDANCE
o
To enhance the learning experience and facilitate confidence in the clinical arena,
clinical laboratories are scheduled twice per week in addition to the mandatory
practice time in the Nursing Student Practice Laboratory as identified during
course orientation mandatory Learning Laboratory hours.
o
The student is expected to attend all clinical laboratories and all clinical absences
must be made up as scheduled by the course coordinator. In the event an absence
is necessary, the student must notify the clinical instructor at least l hour prior to
the beginning of the clinical by calling the unit to which the student is assigned
and leaving a message for the clinical instructor regarding the absences. A
Comprehensive Nursing Process I student who misses four Clinical Days will
be withdrawn from Comprehensive Nursing Process I.
o
If the student fails to notify the instructor, a clinical grade of zero will be assigned
for that day in all objectives on the CET and the make-up day will be evaluated as
described in the ADN Manual. Make-up days completed by students who follow
the notification policy will be evaluated as usual. It is the student's responsibility
to make arrangements for the clinical make-ups according to the procedures
outlined in the ADN Manual.
CLINICAL COMPETENCE
o
In the event the student demonstrates deficiency in theoretical knowledge and/or a
skill during a clinical laboratory of any procedure and/or competency that has
SYLLABUS DEVELOPMENT
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been previously taught in a preceding course or in the current course, the student
will be directed by the clinical instructor to immediately return to the campus
laboratory for remediation and practice until proficiency is demonstrated to the
laboratory supervisor and/or the designated faculty member. The student’s
deficiency will be reflected in the pertinent areas of the CET. Upon the third
return to the campus laboratory for lack of knowledge or competency, the student
will have earned an "F" for the course for a clinical failure. Comprehensive
Nursing Process I students must be passing clinically in order to proceed to
the practicum and clinical competence will continue to be evaluated.
ACADEMIC INTEGRITY
o
Student assignments are to be completed by each individual student unless
otherwise specified. Students are not to collaborate with classmates or other
colleagues on assignments. Failure to follow the class guidelines on collaboration
will be considered academically dishonest.
o
Any student found to have cheated or plagiarized any assignment in this course
will fail the course and will have ‘F’ as the assigned grade for the course.
MISSED/INCOMPLETE WORK
o The penalty for submitting late assignments is a deduction of ten points for every
day that the assignment is late. If an assignment is not submitted, a grade of ‘0’
will be entered. Instances of extreme hardship can be discussed with the
instructor to evaluate if an exception can be made (i.e. death in the family, student
giving birth, etc.). If a test is missed, a written exam must be taken in its place if
student has proven hardship or the instructor has been notified in advance- please
see ‘UNIT TESTS’ for further details.
o Incomplete work will not be accepted and given a grade of ‘0’.
WITHDRAWAL
o Withdrawal from the course before the drop/add/withdrawal deadline will result
in a grade of ‘W’ and possible ejection from the Nursing Program, please speak to
your advisor and the Nursing Program Administrator prior to withdrawal.
Withdrawal from the course after the deadline will result in a grade of ‘F’ and
immediate ejection from the Nursing Program.
CLINICAL COMPETENCE
o In the event the student demonstrates deficiency in theoretical knowledge and/or a
skill during a clinical laboratory of any procedure and/or competency that has
been previously taught in a preceding course or in the current course, the student
will be directed by the clinical instructor to immediately return to the campus
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laboratory for remediation and practice until proficiency is demonstrated to the
laboratory supervisor and/or the designated faculty member. The student’s
deficiency will be reflected in the pertinent areas of the CET. Upon the third
return to the campus laboratory for lack of knowledge or competency, the student
will have earned an "F" for the course for a clinical failure. Students must be
passing clinically in order to proceed to the practicum and clinical
competence will continue to be evaluated.
UNIT TESTS
o Unit tests will primarily consist of multiple-choice questions, along with several
alternate question formats being included in the total number of items on these tests.
These formats may be fill-in-the-blank, matching, and variations of an essay
question. For an example, the essay variation may be short answer (2-3 sentences),
discussion (three or more paragraphs), or a more in-depth exploration of a topic,
such as a short care plan, etc. IN ACCORDANCE WITH THE NCLEX-RN
LICENSURE EXAMINATION POLICY, NO PARTIAL CREDIT WILL BE
AWARDED FOR THE ALTERNATIVE FORMAT QUESTIONS. THE ANSWER
MUST BE COMPLETELY CORRECT IN ORDER TO RECEIVE CREDIT FOR
THE ITEM.
o Students are expected to be present and on time for all tests. If the instructor is
notified prior to the scheduled test regarding the need for the student to be absent, an
alternate test may be taken within l week of the regular exam. It is the student's
responsibility for making arrangements for taking make-up exams. The alternate test
may be an essay exam. Students must call the course coordinator or 727-8134 or
297-1039, the nursing staff assistant’s number, and leave a message for the instructor
regarding a missed examination per the instructions in the ADN Policy and
Requirements Manual.
COMPREHENSIVE PRACTICE EVALUATION (CPE)
o Students unable to demonstrate mastery of skills tested in CPEs will be directed to
the nursing lab for practice time (minimum of 2 hours, additional times to be
determined by the initial evaluator) prior to being re-tested. CPE retakes will not be
on the same day as originally tested, but will be rescheduled following practice time.
The documentation of practice time must be by nursing lab instructors or a nursing
instructor. Students arriving to retake the CPE without the indicated documentation
will have earned a failing evaluation for the CPE and will subsequently receive an
"F" for the course for a clinical failure. The skills to be re-tested will be the same
skills plus three additional skills and will be evaluated by an instructor other than the
original evaluator. A student must successfully pass the CPE to proceed to the
transition to practice practicum.
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Required Textbook/s: All previously required nursing textbooks including pharmacology
and nutrition texts plus:
SYLLABUS DEVELOPMENT
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American Psychological Association. (2009). Publication manual of the American
Psychological Association. (6th ed.). Washington, D.C.: Author.
www.apastyle.org
Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2005). Nurses Pocket Guide:
Diagnoses, Interventions and Rationales (10th ed.). Philadelphia: F.A.
Davis.
Lewis, S. L., Heitkemper, M. M., & Dirksen, S. R. (2007). Medical Surgical
Nursing. (7th ed.). St. Louis: Mosby.
HESI (2008). Comprehensive Review for NCLEX RN. (2nd ed.). St. Louis: Mosby.
Smith, S. F., Duell, D., & Martin, B. (2008). Clinical Nursing Skills: Basic to
Advanced Skill (7th ed.). New Jersey: Prentice Hall.
OPTIONAL TEXTBOOKS (Recommended)
Perrin, K. (2009). Understanding the Essentials of Critical Care Nursing. New
Jersey: Prentice Hall.
ADDITIONAL RESOURCES
Resources and Updates will be included in individual modules
ADN Policy and Requirements Manual. (2011-2012). Winter Haven, Florida:
Polk Community College. Available Online in Course Documents.
Clinical Study Guide for Comprehensive Nursing Process I. (CSG) (2011-2012).
Winter Haven, Florida: Polk Community College. Available Online in
Course Documents.
Syllabus for Comprehensive Nursing Process I. (2011-2012). Winter Haven,
Florida: Polk State College. Available Online in Course Documents.
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Required Readings, Websites and Videos
o
Required readings, Websites, and videos are included within the individual course
modules- please refer to the weekly calendar with learning activities.
o
The schedule, policies, and assignments are subject to change in the event of
extenuating circumstances or by mutual agreement between the faculty and
students.