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ASSOCIATE OF APPLIED SCIENCE NURSING PROGRAM
COURSE SYLLABUS
NURS 158
Spring 2013
NURSING PROCESS THROUGHOUT THE LIFESPAN II
5 CREDITS: 3 theory (45 hours) credits and 2 Clinical (90 hours)
GENERAL INFORMATION
A. INSTRUCTOR INFORMATION:
1. Theory and Clinical Instructor(s):
Peggy Drussel, MSN, RN, NCSN
753-2020 (Office)
934-3045 (Cell)
peggy.drussel@gbcnv.edu
Delene Volkert, MSN, RN
753-2216 (Office)
397-7250 (Cell)
delene.volkert@gbcnv.edu
Jennifer Mahlberg-Grant, BSN, RN
340-2063 (Cell)
jmahlberggrant@yahoo.com
2. Office and Hours:
Peggy:
Tuesday & Thursday 0900-1000 and 1300-1500
OR by appointment
Delene:
By appointment only
Jennifer:
By appointment only
Note: Please use Web Canvas mailbox to communicate with us. We
will respond to your e-mails within 24 hours except on weekends.
We will only check e-mails one day out of the weekend. If it is an
emergency call us on our cell phone or text us.
B. COURSE INFORMATION:
Catalog Description: Emphasis is on meeting bio-psychosocial needs of
patients throughout the lifespan with common, well-defined health
problems utilizing the nursing process..
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Three credits theory, two credits clinical. Offered spring semester
only. Prerequisites: Admission to the Nursing Program and completion
of Nurs 135.
1. Schedule:
Theory: Classroom: Tuesdays & Thursdays 1100-1215
Dates:
January 22, 2013 to May 17, 2013
Clinical:
Monday, Wednesday, Friday as indicated on the
Clinical schedule throughout the semester.
Skills Lab: January 23rd and 24th, 2013 as scheduled in groups.
Simulation as scheduled.
COURSE OUTCOMES:
Course Outcomes:
1. Apply adult/peds health nursing
concepts to provide safe, quality,
evidence-based, patient-centered
nursing care in a variety of healthcare
environments to diverse patients with
common acute health problems.
Measurement:
Design a wellness plan appropriate to the
health status of a specific individual
patient.
Incorporate principles of safety, quality,
and diversity into a care plan for a patient
experiencing a common acute health
problem.
Demonstrate understanding of cultural
aspects of care through the development
of cultural self-assessment and critical
thinking cultural assessment activity.
2. Demonstrate clinical reasoning to make
patient-centered care decisions for
diverse adult/peds patients with
common acute health problems.
3. Participate in quality improvement
processes to improve patient care.
4. Begin to engage in teamwork with
members of the interprofessional team,
the patient, and the patient’s support
persons when managing patient care.
Demonstrate understanding of course
concepts on an objective exam.
Demonstrate clinical reasoning by
answering application level questions on
an objective exam.
Exhibit problem solving skills which
incorporates safety and quality of care
through the use of QSEN and ACES
framework during simulation activities.
Demonstrates understanding of course
concepts on an objective exam.
Demonstrate understanding of principles of
leadership, team collaboration, and
decision making through the completion of
clinical leadership activity.
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5. Begin to apply management, legal,
ethical, and professional guidelines in
the care of diverse adult/peds patients
with common acute health problems.
Demonstrates understanding of course
concepts on an objective exam.
Locate and identify a peer reviewed
article(s) for presentation to their clinical
group on management, legal, ethical, or
professional guidelines r/t diverse patients.
6. Use information management
principles, techniques, and systems, and
patient care technology in the care of
diverse adult patients with common
acute health problems.
Demonstrates understanding of course
concepts on an objective exam.
Describe examples of how
technology and information
management are related to
the quality and safety of
patient care
Use information management
tools to monitor outcomes of care
processes.
Demonstrates understanding of course
concepts on an objective exam.
METHOD OF INSTRUCTION:
Lecture, discussion, demonstration, small group work, videos, assigned readings,
written assignments, computer assisted learning programs, simulation, nursing
lab activities and clinical instruction will be utilized.
THEORY EVALUATION:
Evaluation of student progress will be the successful completion of the course
outcomes this will be evaluated by the completion of 7 modules. Each module
will be evaluated by class activities (quizzes may be given) and an exam. Module
exams will be taken as outline on the syllabi.
The final exam will be a multiple choice exam worth 100 points and will be
monitored. NO collaborative exam will occur after the final exam.
Questions will be based on utilization of critical thinking skills and application of
knowledge acquired in this, as well as previous courses.
After each exam, the students have an option of attending Cooperative
testing where they will randomly be divided into groups. Each group will be
given a retest of the exam and allowed to collaborate to form their answers.
The students can earn up to 3 points each that will be added to their test
scores. Points for collaborative testing will be: 3 points if receiving a 90%100% on the cooperative test; 2 points for 80%-89% on the cooperative
test; 1 point for 76%- 79% on the cooperative exam.
CLINICAL EVALUATION:
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Clinical evaluation is done mutually by the student and instructor twice a
semester using a summative evaluation. A midterm evaluation and final
evaluation on clinical performance will be completed and reviewed with each
student by their instructor. Actual clinical performance and written assignments
will be used to determine clinical competency and the ability to generalize and
transfer theory outcomes to the clinical settings. Safe clinical practice and
demonstration of personal and associate degree nursing practice attributes
at the second semester level are mandatory for progression in the
program.
Clinical care packets will be completed during the clinical assignment and
handed in on that day. Patient assignments will be done by the instructors on the
day before actual clinical and posted on the bulletin board at NNRH.
Clinical Objectives:
1. Provide appropriate care of all ages of patients in the community and acute
care setting with complex healthcare needs.
2. Successful completion of all clinical rotations.
3. Successful completion of all clinical assignments.
4. Successful completion of skills in nursing skills lab.
Simulation Objectives:
1. Perform an assessment based on the patient's complaint and/or reason for
admission and recognize abnormal assessment findings for a variety of complex
healthcare problems.
2. Use SBAR communication with various members of the healthcare team to
report findings and obtain new patient care orders.
3. Prioritize patient care and medical orders.
4. Implement and evaluate prescribed interventions.
5. Identify discharge educational needs.
6. Individualize and adjust the plan of care to accommodate change in the patient's
condition.
7. Utilize the EMR before and during simulation.
*See the Outcome and Assessment area of the syllabus for further specific
information.
REQUIRED MATERIALS:
 Ignatavicius, D. & Workman, M. (2011). Medical-surgical nursing: Patientcentered collaborative care. (7th edition). St. Louis, MO:Elsevier.
 Perry, S., Hockenberry, M., Lowdermilk, D., & Wilson, D. (2010)
Maternal child nursing care. (4th ed.) Maryland Heights, MO:Mosby.
**Please plan on using the Drug book, Lab & Diagnostic book, APA manual and
Nursing Diagnosis Book. You also may find it helpful to use our Fundamentals
and Pharmacology books as references.
SUPPLEMENTAL VIDEO RESOURCES:
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There are multiple video resources in the library for your use.
Videos will be posted on the Web Canvas site for review before specific topics and
should be completed before lecture on that specific topic.
Other video resources may be posted as part of an assignment on certain topics.
Announcements will be made on Web Canvas regarding these viewing requirements.
Please note: Students will not be allowed to audio/video tape any of the lectures or
demonstrations provided during the entire 158 course.
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 60%
7 Modules Exams - (100 points each)
Final Comprehensive Exam
Group Review Game
700 points
100 points
50 points
Clinical 40%
3 Med/Surg Packets = (100 points each)
1 Clinical Leadership Rotation
1 Critical Thinking Cultural Activity
2 Simulations= (50 Points each)
1 School Nurse Assignment
1 Occupational Nurse Brochure
1 Preschool Vision and Hearing Screening Assignment
300 points
100 Points
100 Points
100 Points
50 Points
50 Points
50 Points
Total = 1600 Points
DOSAGE CALCULATION EXAM:
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



Students will have three attempts to pass the foundations and calculations
content areas with 100% on the dosage calculation test. Failure to pass either
area on the test with a 100% on the third attempt will result in a referral to the
Admissions and Progressions Committee for further evaluation.
Deadline for 100% on the dosage calculation exam is Feb. 18, 2013, by
1700. It is expected that all students will complete their first attempt at the
exam by Feb. 11, 2013.
Students will be required to take the dosage calculation Medical-Surgical Exam
with the following ATI modules to study: Parenteral (IV) Medications, Powdered
medications, & Case Study-Leukopenia.
Students are encouraged to review the following ATI Modules: Safe Dosage,
Medication Administration, Oral Medications, and Injectable medications.
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
Module
Subject/Week
This semester is all about
building on what you learned in
Nursing 135. We will learn in
Activities/Exams
It is your
responsibility to have
read the chapters that
will be covered in
class BEFORE the
week they are
scheduled to be
covered.
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greater detail about various body
system disorders and the
pediatric population. You will
continue to grow and advance in
the function of nursing.
Not all content that
you are responsible
for will be covered in
class.
**Unless otherwise
stated, all stated
reading chapters are
out of your
Ignatavicius
MODULE 1
Management of
Fluid/Electrolytes &
Acid Base and Infusion
Therapy
(Peggy) 1/22, 1/24, 1/29
& 1/31
Week 1
Tues – Chapter 13
Assessment and Care of
Patients with Fluid and
Electrolyte Imbalances
Required reading:
Chapter 13:
Pages 165- 195
Thurs – Chapter 14
Assessment and Care of
Patients with Acid-Base
Imbalances
Chapter 14:
Pages 196- 209
Week 2
Tues – Chapter 15
Infusion Therapy
Chapter 15:
Pages 210- 238
Maternal Child Text:
Common Lab.
Appendix Page
Thurs – EXAM 1
MODULE 2
Foundations &
Introduction to MedicalSurgical Nursing
(Delene) 2/5, 2/7, 2/12 &
2/14
Week 3
Tues - Chapter 1 &
Chapter 3
Introduction to MedicalSurgical Nursing &
Common Health Problems of
Older Adults
Thurs - Chapter 2 &
Chapter 4
Introduction to
Complementary and
Alternative Therapies &
Cultural Aspects of Health and
Illness
EXAM 1: CH. 13, 14,
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Required reading:
Chapter 1:
Pages 1-7
Chapter 3:
Pages 15-29
Chapter 2:
Pages 8-14
Chapter 4:
Pages 30-37
Maternal Child Text:
Chapter 34:
Pages 866-875
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Module 3
Evidence-Based
Practice AND
Inflammation/Immune
System
(Peggy) 2/19, 2/21, 2/26
& 2/28
Week 4
Tues - Chapter 5
Pain: The Fifth Vital Sign
Chapter 5:
Pages 39-49
Maternal Child Text:
Chapter 35:
Pages 929-935
Thurs – EXAM #2
EXAM 2: Chapters 1,
2, 3, 4, 5 & Pediatric
info listed above
Required reading:
Chapter 7:
Pages 79-88
Week 5
Tues – Chapter 7
Evidence-Based Practice in
Medical Surgical Nursing
Thurs – Chapter 19
Inflammation/Immune
Response
Week 6
Tues- Chapter 21
Care of the Patient with
HIV Disease and Other
Immune Deficiencies
Chapter 22
Care of the Patient with
Immune Function Excess
Chapter 19:
Pages 302-317
Chapter 21:
Pages 357evaluation
section
on page 380.
Chapter 22:
Pages 383-Latex
allergy on page
391.
Maternal Child Text:
Immunizations
Page 980-991
HIV
Pages 790-792
Pages 877-878
Pages 1516-1520
Vital Signs
Pages 1762-1766
Thurs – EXAM #3
Module 4
(Delene) 3/5, 3/7, 3/12 &
3/14
Respiratory System &
Cardiovascular System
Week 7
Tues - Chapter 29
Assessment of the Respiratory
System
Thurs – Chapter 33
Care of Patients with
Infectious Respiratory
Problems
Exam 3: Ch. 7, 19, 21,
22, & Pediatric Info.
Listed above
Required reading:
Chapter 29:
Pages 543-561
Chapter 33:
Pages 640-658
Maternal Child Text:
Pages 1303-1326
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Week 8
Tues – Chapter 35
Assessment of the
Cardiovascular System
Chapter 35:
Pages 686 – 710
Thurs – EXAM #4
Exam 4: Ch 29, 33, 35
& pediatric info listed
above
Module 5
Week 9
Tues – Chapter 43
Assessment of Nervous Assessment of the Nervous
System
System and
Ear/Hearing
Assessment &
Thurs – Chapter 48 &
Problems
Chapter 49
Assessment
of the Eye and
(Peggy) 3/19, 3/21, 4/2 &
Vision
&
Care
of Patients with
4/4 (3/25 – 3/29 Spring
Eye
and
Vision
problems
Break)
Spring Break!!
Week 10
Tues – Chapter 50 & 51
Assessment of the Ear &
Hearing and Care of the
Patient with Ear and Hearing
Problems
Thurs – EXAM #5
Module 6
Musculoskeletal
Trauma,
Malnutrition/Obesity,
Skin Problems, and
Kidney Injury
(Delene) 4/9, 4/11, 4/16
& 4/18
Week 11
Tues – Chapter 27
Care of Patients with Skin
Problems
Thurs – Chapter 54
Care of Patients with
Musculoskeletal Trauma
Week 12
Tues – Chapter 63 &
Chapter 71
Chapter 43
Pages 905-926
Chapter 48:
Pages 1039-1051
Chapter 49:
Pages 1052-1076
Maternal Child Text:
Pages 1186-1105
(Vision & hearing)
Chapter 50
Pages 1077-1087
Chapter 51
Pages 1088-1105
EXAM #5: Ch. 48,
49,50, & 51. Vision &
hearing Maternal
Child pages
Chapter 27
Pages 471-494
Chapter 54
Pages 1143 – 1173
Maternal Child Text:
Pages 1676 - 1691
Chapter 63
Pages 1335-1357
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Care of Patients with
Malnutrition and Obesity &
Care of Patients with Acute
Kidney Injury
Thurs – EXAM #6
Module 7
Glandular Problems &
Diabetes Mellitus
(Peggy/Delene) 4/23,
4/25, 4/30 & 5/2
Week 13/Peggy
Week 14/Delene
Week 13
Tues – Chapter 65
Pituitary & Adrenal Problems
Chapter 71
Pages 1537-1546
Exam 6: Ch 27, 54, 63,
71 & pediatric info
listed above
Chapter 65:
Pages 1371 -1391
Do not focus on
specific disease
processes, rather
focus on safe
effective care,
prevention, and
health promotion
Page1366Gordon’s Functional
Health Patterns
Thurs – Chapter 66
Thyroid & Parathyroid
Problems
Week 14
Tues – Chapter 67
Care of Patients with Diabetes
Mellitus
Thurs – EXAM #7
Review
(Peggy/Delene – 5/7 & 5/9)
Finals
Week of 5/13 – 5/17
Week 15
Tues and Thurs – Review
NO CLASS
Chapter 66:
Pages 1393- 1409
Once again, do
not focus on specific
disease processes,
rather on safe
effective care,
prevention, and
health promotion
Chapter 67:
Pages 1411-1458
Maternal Child Text:
Pages 1616- 1630
As in week 13, focus
on safe effective care,
prevention, and
health promotion for
adults & children with
diabetes mellitus
EXAM 7: Ch. 65, 66,
67 & pediatric info
listed above
Final Exam: Thursday
5/16/13 at 0900
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