NURK 307 – Spring 2016
Texas A&M University-Central Texas
NURK 307 Health Assessment
INSTRUCTOR AND CONTACT INFORMATION
Instructor:
Carolyn A. Prosise, MSN, RN, CNOR
Office:
Warrior Hall
Room 420 A
Phone:
254-519-5487
Email:
prosise@tamuct.edu
Office Hours:
Monday, & Wednesday 0900-1230, Thursday 1300-1600 or by appointment
Mode of Instruction and course access:
This course is taught online through the TAMUCT Blackboard Learn system
(http://tamuct.blackboard.com). You will use the Blackboard username and
password communicated to you separately to logon to this system.
You will also use the Shadow Health Virtual patient program you purchased. The course
pin for this semester is January2016-8418-4650-3933-3859. Please copy and paste it
when requested.
Student-instructor interaction:
Emails and messages within Blackboard are checked daily. Students may expect
a response within 24 to 48 hours. Office hours may also include synchronous online
meetings for student’s learning and serving as a resource person to guide the student in
the learning process. Other teaching strategies include online assignments, online
discussion boards, quizzes, and unlimited practice using the Shadow Health software in
assessment and communication skills.
UNILERT:
Emergency Warning System for Texas A&M University – Central Texas
UNILERT is an emergency notification service that gives Texas A&M University-Central
Texas the ability to communicate health and safety emergency information quickly via
email and text message. By enrolling in UNILERT, university officials can quickly pass
on safety-related information, regardless of your location. Please enroll today at
http://TAMUCT.org/UNILERT
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NURK 307 – Spring 2016
COURSE INFORMATION
Course Overview and Description
This Health Assessment Course introduces the concepts and techniques of health
and cultural assessment of individuals and families across the life span, for use
with the nursing process. Emphasis is on history/data collection and critical
analysis in situations of health and deviations from health. Twenty (20) hours of
practical experiences enable students practice of clinical assessment skills,
analysis, and decision-making for nursing practice.
Pre- or co-requisite: NURK 300 (3)
We will be using the Shadow Health Digital Clinical Experience (DCE) software
to practice and complete an adult history and physical assessment. Below are some
resources for your support. You will purchase this product, much like a text book. You
may get it from our bookstore and receive an access code to enter when you register on
the Shadow Health web site, or enter payment at that time with a credit card number.
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Shadow Health Website: http://app.shadowhealth.com/
Student Account Setup Guide: http://bit.ly/How_to_Register
Technical Requirements: http://bit.ly/System_Requirements
Link to Shadow Health Support: http://support.shadowhealth.com
Course Registration PIN for Students: January2016-8418-4650-3933-3859
Course Objective:
By the end of this course the student will be able to demonstrate an adult physical
assessment using designated criteria and document the results.
Student Learning Outcomes
1. Apply concepts of communication theories in conducting a health history
interview.
2. Demonstrate comprehensive knowledge of health assessment and the
appropriate skills in assessing health status of children and adults of all ages.
3. Utilize the components of the nursing process to assist individuals to
obtain/maintain optimal health.
4. Use appropriate nursing role behaviors in assessing an individual.
5. Identify normal physical and psychosocial responses in an individual.
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NURK 307 – Spring 2016
6. Demonstrate a complete and thorough physical assessment incorporating
components of the nursing process, including communication of findings.
Competency Goals Statements from The Essentials of Baccalaureate Education for
Professional Nursing Practice, American Association of Colleges of Nursing (2008).
Essential VI: Interprofessional Communication and Collaboration for Improving Patient
Health Outcomes.
Essential IX: Baccalaureate Generalist Nursing Practice
Required Reading and Textbooks:
D’Amico, D. T. & Barbarito, C., (2016), Clinical Pocket Guide for Health & Physical
Assessment in Nursing, 3rd Ed. ISBN: 0-13-400089-7
Shadow Health Digital Clinical Experience (DCE) software:
http://app.shadowhealth.com/
COURSE REQUIRTEMENTS
Flexible Turn In
This option allows students to turn in an assignment attempt of their choosing. Directions on
how to enable this option: http://frc.shadowhealth.com/managing-your-course/manageassignment-options/
Allow Reopening
Here is a link about how to reopen an attempt:
https://shadow.desk.com/customer/portal/articles/1900898-assignment-options-turn-in-reopen
Assignments
Assignment
DCE Orientation
Conversation Concept Lab
Health History
HEENT
Respiratory Concept Lab
Respiratory
Cardiovascular Concept Lab
Cardiovascular
Abdominal Concept Lab
Abdominal
Musculoskeletal
Neurological
Estimated
Time for
Patient Exam
15 min
40 min
70 min
65 min
25 min
40 min
25 min
40 min
25 min
40 min
40 min
60 min
Post-Exam Activities
(general estimated total time at 60 min)
n/a
n/a
Information Processing, Hallway, and Self-Reflection
Hallway, Lifespan, Review Questions, and Self-Reflection
n/a
Hallway, Lifespan, Review Questions, and Self-Reflection
n/a
Hallway, Lifespan, Review Questions, and Self-Reflection
n/a
Hallway, Lifespan, Review Questions, and Self-Reflection
Hallway, Lifespan, Review Questions, and Self-Reflection
Hallway, Lifespan, Review Questions, and Self-Reflection
Grade
Attempted/not attempted
100 points
100 points
100 points
Attempted/not attempted
100 points
Attempted/not attempted
100 points
Attempted/not attempted
100 points
100 points
100 points
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NURK 307 – Spring 2016
Skin, Hair, and Nails
40 min
Comprehensive Assessment
150 min
Hallway, Lifespan, Review Questions, and Self-Reflection
100 points
100 points
Complete the Shadow Health (SH) Orientation (Pass/Fail)
Assignment 1 (100 points)
In Shadow Health (SH) complete the Conversation Concept Lab.
Associated student learning outcomes:
Apply concepts of communication theories in conducting a physical
assessment interview.
Assignment 2 (100 points)
In SH complete a Health History including documentation on an adult.
Associated student learning outcomes:
1. Apply concepts of communication theories in conducting a physical
assessment interview.
2. Identify normal physical and psychosocial responses in an individual.
Assignment 3 (100 points)
In SH, complete an assessment of the Head, Eye, Ears, Nose and Throat of an
adult.
Associated student learning outcomes:
1. Demonstrate comprehensive knowledge of health assessment and the
appropriate skills in assessing health status of children and adults.
2. Use appropriate nursing role behaviors in assessing an individual.
Assignment 4 (100 points)
In SH, complete an assessment of the skin, hair and nails on an adult.
Associates student learning outcomes:
1. Demonstrate comprehensive knowledge of health assessment and the
appropriate skills in assessing health status of children and adults.
2. Use appropriate nursing role behaviors in assessing an individual.
Assignment 5 (Pass/Fail)
In SH, practice the skills in the Respiratory Concept Lab
Associated student learning outcomes:
1. Demonstrate comprehensive knowledge of health assessment and the
appropriate skills in assessing health status of children.
2. Use appropriate nursing role behaviors in assessing an individual.
Assignment 6 (100 points)
In SH, Complete a respiratory assessment on an adult.
Associated student learning outcomes:
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NURK 307 – Spring 2016
1. Demonstrate comprehensive knowledge of health assessment and the
appropriate skills in assessing health status of children.
2. Use appropriate nursing role behaviors in assessing an individual.
Assignment 7 (Pass/Fail)
In SH, practice the skills in the Cardiovascular Concept Lab
Associated student learning outcomes:
1. Demonstrate comprehensive knowledge of health assessment and the
appropriate skills in assessing health status of children.
2. Use appropriate nursing role behaviors in assessing an individual.
Assignment 8 (100 points)
In SH, complete a cardiovascular assessment on an adult.
Associated student learning outcomes:
1. Demonstrate comprehensive knowledge of health assessment and the
appropriate skills in assessing health status of children.
2. Use appropriate nursing role behaviors in assessing an individual.
Assignment 9 (Pass/Fail)
In SH, practice the skills in the Abdominal concept Lab
Associated student learning outcomes:
1. Demonstrate comprehensive knowledge of health assessment and the
appropriate skills in assessing health status of children.
2. Use appropriate nursing role behaviors in assessing an individual.
Assignment 10 (100 points)
In SH, complete an abdominal assessment on an adult.
Associated student learning outcomes:
1. Demonstrate comprehensive knowledge of health assessment and the
appropriate skills in assessing health status of children.
2. Use appropriate nursing role behaviors in assessing an individual.
Assignment 11 (100 points)
In SH, complete an Musculoskeletal assessment on an adult.
Associated student learning outcomes:
1. Demonstrate comprehensive knowledge of health assessment and the
appropriate skills in assessing health status of children.
2. Use appropriate nursing role behaviors in assessing an individual.
Assignment 12 (100 points)
In SH, complete an Neurological assessment on an adult.
Associated student learning outcomes:
1. Demonstrate comprehensive knowledge of health assessment and the
appropriate skills in assessing health status of children.
2. Use appropriate nursing role behaviors in assessing an individual.
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NURK 307 – Spring 2016
Final Physical Assessment of an adult (100 points)
30% of your final grade. Must pass demonstration to pass the course.
Associated student learning outcomes:
Demonstrate a complete and thorough physical assessment
incorporating components of the nursing process
Grading Criteria Rubric and Conversion-Must earn a grade of “C” or higher to pass the course.
5.1 Assignments
5.2 Concept Labs
5.3 Final assessment demonstration
50%
20%
30%
A=90-100
B=80-89
C=70-79
D=60-69
F=59 or below
Posting of Grades:
All student grades will be posted on the Blackboard Grade book. Students should monitor their
grading status often and report to the instructor any discrepancies. Faculty graded assignments
and will be posted within 72 hours after the due date and time.
TECHNOLOGY REQUIREMENTS AND SUPPORT
Technology Requirements
This course will use the TAMUCT Blackboard Learn learning management system for
class communications, content distribution, and grades. Shadow Health will be used for
practice with the physical assessment skills and testing. Shadow Health works best with
FireFox, Blackboard will also work well in FireFox.
Logon to https://tamuct.blackboard.com to access the course.
Username: Your MyCT username (xx123 or everything before the "@" in your MyCT email address)
Initial password: Your MyCT password
For this course, you will need reliable and frequent access to a computer and to the
Internet. If you do not have frequent and reliable access to a computer with
Internet connection, contact me (prosise@tamuct.edu, 254-519-5487) to discuss your
situation.
Blackboard supports the most common operating systems:
PC: Windows 7, Windows XP, Windows Vista, Windows 2000, Mac: Mac OS 10.6 “Snow
Leopard®”, Mac OS 10.5 “Leopard®”, Mac OS 10.4 “Tiger®”
Check browser and computer compatibility by following the “Browser Check” link on the
TAMU-CT Blackboard logon page. (http://tamuct.blackboard.com) This is a CRITICAL
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NURK 307 – Spring 2016
step as these settings are important for when you take an exam or submit an
assignment.
Upon logging on to Blackboard Learn, you will see a link to Blackboard Student
Orientation under My Courses tab. Click on that link and study the materials in this
orientation course. The new Blackboard is a brand-new interface and you will have to
come up to speed with it really quickly. This orientation course will help you get there.
There is also a link to Blackboard Help from inside the course on the left-hand menubar.
The first week of the course includes activities and assignments that will help you get up
to speed with navigation, sending and receiving messages and discussion posts, and
submitting an assignment. Your ability to function within the Blackboard system will
facilitate your success in this course.
Technology issues are not an excuse for missing a course requirement – make sure
your computer is configured correctly and address issues well in advance of deadlines.
Technology Support
For technological or computer issues, students should contact the TAMU-CT Blackboard
Support Services 24 hours a day, 7 days a week:
Support Portal: http://www.ct.tamus.edu/bbsupport
Online chat (through the support portal at:
http://www.ct.tamus.edu/bbsupport)
Phone: (855)-661-7965
For issues related to course content and requirements, contact your
instructor.
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NURK 307 – Spring 2016
COURSE SCHEDULE AND CALENDAR
8.0
Complete Course Schedule
NURK 307 Health Assessment for the RN
Date
Wk
Assignments
Due
Readings
1-19-16
1
Shadow Health Digital Clinical Experience Orientation
Complete orientation and exercises at the end.
1-27-16
1-26-16
2
Shadow Health Conversation concept Lab
2-3-16
Chap. 1, 2, 3, 4
2-2-16
3
Shadow Health, Health History
2-10-16
Chap. 5
2-9-16
4
HEENT
2-17-16
Chap. 7, 8 & 9
2-16-16
5
Skin, Hair & Nails Assessment
2-24-16
Chap. 6
2-23-16
6
Respiratory Concept Lab
3-2-16
Chap. 10
3-1-16
7
Respiratory Assessment
3-9-16
Chap.10
3-15-16
8
3-22-16
9
Cardiovascular Concept Lab
3-30-16
Chap. 12
3-29-16
10
Cardiovascular Assessment
4-6-16
Chap. 12
4-5-16
11
Abdominal Concept Lab
4-13-16
Chap. 14
4-12-16
12
Abdominal Assessment
4-20-16
Chap.14
4-19-16
13
Musculoskeletal Assessment
4-27-16
Chap. 18
4-26-16
14
Neurological Assessment
5-4-16
Chap. 19
5-3-16
15
Final Complete Assessment
5-11-16
Chap. 21
Spring Break
Practicum Log Due,
Turn in under Log in Bb.
5-10-16
16
Course and Instructor Evaluations
4-13-16
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NURK 307 – Spring 2016
NURK 307 Physical Assessment
Practicum Experience Log
In the following table, please record the date, your activities, and the practicum work hours that are related to
this course: You must complete a minimum of 15 hours to successfully complete the course. Please type into
form and save for submission. You may include all practice sessions and submission of assignments which will
automatically be recorded and timed each time you are in the system. The times are a guide, you may spend
more time in one area than another, as long as the total is at least 15 hours.
Date
Activity
Practicum
Minutes/Hours
Student’s
Initials
Orientation
Conversation concept Lab
Health History
HEENT
Skin, Hair, & Nails
Respiratory Lab
Respiratory Assess
CV Lab
CV Assessment
Abdominal Lab
Abdominal Assess
Musculoskeletal
Neurological
TOTAL HOURS
I verify that I, __________________________________________, have completed the above practicum
hours.
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NURK 307 – Spring 2016
COURSE AND UNIVERSITY PROCEDURES AND POLICIES
Drop Policy
If you discover that you need to drop this class, you must go to the Records Office and ask for the
necessary paperwork. Professors cannot drop students; this is always the responsibility of the student. The
record’s office will provide a deadline for which the form must be returned, completed and signed. Once you
return the signed form to the records office and wait 24 hours, you must go into Duck Trax and confirm that you
are no longer enrolled. Should you still be enrolled, FOLLOW-UP with the records office immediately? You
are to attend class until the procedure is complete to avoid penalty for absence. Should you miss the deadline
or fail to follow the procedure, you will receive an F in the course.
Academic Integrity
Texas A&M University - Central Texas expects all students to maintain high standards of personal and
scholarly conduct. Students found responsible of academic dishonesty are subject to disciplinary action.
Academic dishonesty includes, but is not limited to, cheating on an examination or other academic work,
plagiarism, collusion, and the abuse of resource materials. The faculty member is responsible for initiating
action for each case of academic dishonesty and report the incident to the Director of Student Affairs. More
information can be found at http://www.ct.tamus.edu/departments/studentaffairs/student-conduct.php.
Disability Support Services
At Texas A&M University – Central Texas, we value an inclusive learning environment where every
student has an equal chance to succeed and has the right to an education that is barrier-free. The Office of
Disability Support and Access is responsible for ensuring that students with a disability enjoy equal access to
the University's programs, services and activities. Some aspects of this course or the way the course is taught
may present barriers to learning due to a disability. If you feel this is the case, please contact Disability
Support and Access at (254) 501-5831 in Warrior Hall, Ste. 212. For more information, please visit their
website at http://www.tamuct.edu/DisabilitySupport. Any information you provide is private and confidential and
will be treated as such.
Tutoring
Tutoring is available to all TAMUCT students, both on-campus and online. Subjects tutored include
Accounting, Finance, Statistics, Mathematics, and Writing (APA and MLA). Tutors are available at the Tutoring
Center in Founder’s Hall, Room 204, and also in the Library in the North Building. Visit
www.ct.tamus.edu/AcademicSupport and click “Tutoring Support” for tutor schedules and contact info. If you
have questions or if you’re interested in becoming a tutor, contact Ryan Thompson at 254-519-5796 or by
emailing rthomp8@ct.tamus.edu.
Tutor.com is an online tutoring platform that enables TAMU-CT students to log-in and receive FREE
online tutoring and writing support. This tool provides tutoring in Mathematics, Writing, Career Writing,
Chemistry, Physics, Biology, Spanish, Calculus, and Statistics. Chat live with a tutor 24/7 for any subject on
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NURK 307 – Spring 2016
your computer. To access Tutor.com, click on www.tutor.com/tamuct. If you have trouble logging in, contact
Student Success at 254-519-5796.
Library Services
Library distance education services aims to make available quality assistance to A&M-Central Texas
students seeking information sources remotely by providing digital reference, online information literacy
tutorials, and digital research materials. Much of the A&M-CT collection is available instantly from home. This
includes over half of the library's book collection, as well as approximately 25,000 electronic journals and 200
online databases. Library Distance Education Services are outlined and accessed at:
http://www.ct.tamus.edu/departments/library/deservices.php
Information literacy focuses on research skills which prepare individuals to live and work in an
information-centered society. Librarians will work with students in the development of critical reasoning, ethical
use of information, and the appropriate use of secondary research techniques. Help may include, but is not
limited to: the exploration of information resources such as library collections, the identification of appropriate
materials, and the execution of effective search strategies. Library Resources are outlined and
accessed at: http://www.ct.tamus.edu/departments/library/index.php
Instructor Policies
1. Late work may have up to 10 points a day deducted.
2. Follow instructions carefully, using rubrics provided will assure you have mastered the content.
3. You will need to have your textbook for the first class day.
The Operation of the Online Course and Being an Online Student
Online learning requires students to be very self-disciplined. For this course, Friday will be considered
the class day. Assignments, discussion assignments, and quizzes will be posted on or before each Friday,
and will be due by midnight (2400) the following Thursday. Points may be taken off for late submissions.
Since this is a three semester credit hour course, expect to spend at least three hours a week on your
computer and reading. Study time and time for assignment completion will be in addition to that time. The
course should be accessed at least 3-4 times a week.
Quizzes for this course are used as “learnings” more than testing knowledge. You will have an
unlimited amount of time to complete, but only one attempt. So, plan ahead, complete the readings first, and
set aside time to complete the quiz.
Be sure to submit assignments, discussions, or any other types of assignments in the correct place in
Black Board from the menu bar on your left.
Instructor’s Personal Statement
Welcome to Physical Assessment. This assessment course is a step above what you probably had in
your Associates program. The course is not designed to be on the level of an independent nurse practitioner,
but somewhere in between. The final assessment will be more involved than an inpatient daily assessment and
will be completed on a virtual patient in the Shadow Health program.
Please let me know if I can be of assistance.254-519-5487, or prosise@tamuct.edu
Carolyn A. Prosise (pro-size) MSN, RN, CNOR
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NURK 307 – Spring 2016
Graduation Application Deadline for Spring:
January 22, 2016
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