NU 26035: Advanced Medical Surgical Nursing I
Associate Degree Nursing
Arkansas Northeastern College
First Day Handout
Term:
Class Meeting Days:
Class Meeting Hours:
Clinical Days:
Clinical Hours:
Spring 2013
Monday, Wednesday
8:30am-11:45am
Tuesday, Thursday, Friday
TBA
Instructor:
Office:
Phone:
Email:
Office Hours:
Kimberly Wallace, MSN, RN
Main Campus
870-780-1237
kwallace@smail.anc.edu
As posted and by appointment
Instructor:
Office:
Phone:
Email:
Office Hours:
April Nutt, BSN, RN
Paragould Campus
870-239-3200 ext. 1755
anutt@smail.anc.edu
As posted and by appointment
Instructor:
Office:
Phone:
Email:
Office Hours:
Judy Martin, BS, RN
Paragould Campus
870-239-3200 ext. 1757
jmartin@smail.anc.edu
As posted and by appointment
I.
Welcome!
The faculty welcomes you into this continuation course of the Associate Degree Nursing program.
II.
Course Catalog Description
Focuses on the signs and symptoms of altered functions of an organ or system for the purpose of
recognizing coping responses designated to maintain integrity of the internal environment. The course
includes nursing theory basic to diagnosis, planning, intervention, and evaluation of client care. The clinical
component is designed to provide integration of nursing theory with clients experiencing moderate to
complex interruption in adaptive modes.
III.
Course Overview
This course focuses on the signs and symptoms of altered functions of an organ or system for the purpose of
recognizing the body’s coping responses designated to maintain integrity of the internal environment.
Nursing theory is used to guide the student in choosing a nursing diagnosis, outcomes, interventions, and
evaluation of client care. The clinical component is designed to provide integration of nursing theory with
clients experiencing moderate to complex interruption in adaptive modes. This enables the student to
progress toward being a manager & provider of care and a member of a profession.
IV.
Course Rationale
This course is to expand knowledge related to nursing concepts previously learned and initiate the
development and utilization of new ideas. To be a successful nurse, one must be able to understand and
apply scientific principles, to practice nursing care safely, and to clearly communicate with a variety of
patients in an empathetic, warm, and honest manner. Topics include physiological changes related to
cardiovascular, pulmonary, neurological, and musculoskeletal changes as the result of a disease process.
V.
Course Objectives
Classroom Objectives
Upon completion of this course the student will be provided the opportunity to:
 Critically analyze the human response to pathophysiological disorders recognizing the signs and
symptoms of disease processes in order to differentiate normal from abnormal responses as related to
the cardiovascular system (Program objective 1, 4).
 Critically analyze the human response to pathophysiological disorders recognizing the signs and
symptoms of disease processes in order to differentiate normal from abnormal responses as related to
the respiratory system (Program objective 1, 4).
 Critically analyze the human response to pathophysiological disorders recognizing the signs and
symptoms of disease processes in order to differentiate normal from abnormal responses as related to
the renal system. (Program objective 1, 4).
 Identify specific nutritional alterations associated with the disease processes as discussed in this course
(Program objective 1, 4).
 Identify specific ethnic, cultural, and socially diverse considerations for clients with the above diseases
from a regional, national, and global perspective (Program objective 4, 7).
Clinical Objectives
Upon completion of this course the student will be provided the opportunity to:
 Support optimal adaptation of ill clients in acute, critical care, emergency, and community care settings
with consideration of physical, psychosocial, spiritual, cultural and family needs (Program objective 5, 6).
 Evaluate the effectiveness of selected therapeutic interventions that promote or restore health as related
to a specific disease process (Program objective 5, 6).
 Demonstrate self-direction in personal and professional growth by making accurate decisions based on
current trends in health care and collaboration among health care disciplines (Program objective 7, 8).
 Demonstrate leadership in professional and collaborate behaviors of the associate nurse as a member of
the health team (Program objective 2, 3, 5, 7).
 Utilize therapeutic communication skills during interactions with others to establish, maintain or restore
interpersonal relationships and to gather and transmit pertinent information in a collaborative
environment (Program objective 2, 3, 5, 7).
 Utilize the professional nurse’s role in assessment, problem identification, planning, implementation,
evaluation and revision of the nursing care for clients with problems of the above disease processes
(Program objective 1, 4).
 Utilize the nursing process to incorporate scientific principles with critical thinking skills necessary for
development of therapeutic interventions that are safe and appropriate within the scope of nursing
practice (Program objective 1, 4).
 Demonstrate proficiency in calculating drug dosages for medication administration and relate
pharmacological therapy to illnesses (Program objective 6, 7).
 Apply teaching learning principles in providing nutritional guidance and interventions related to selected
disease processes (Program objective 6).
VI.
Course Prerequisites
Prerequisites include:
Survey of Chemistry or General Chemistry I/Lab
Math for Health Sciences or College Algebra
Anatomy and Physiology I/Lab
Anatomy and Physiology II/Lab
Introduction to Nursing Intervention or LPN to RN Transitions
Sociology or Marriage & Family Relations
Computer Fundamentals
Adaptation in the Childbearing Years
Physiological Adaptation I
Psychiatric Nursing
Pediatric Nursing
VII.
Course Co-requisite
Co-requisite includes:
Advanced Medical Surgical Nursing II
Nursing Concepts
VIII.
Course Credits
This is a 5 Credit hour course
IX.
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X.
Required Texts and Materials
Smeltzer, S. C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2010). Brunner & Saddruth’s Textbook of
Medical-Surgical Nursing (12th ed.) Philadelphia, PA: Lippincott Williams & Wilkins
Boyer, M. (2010). Study Guide to Accompany Brunner & Suddarth’s Textbook of Medical-Surgical
Nursing(12th ed.). Philadelphia, PA: Lippincott Williams & Wilkins
Jones, S. (2008). ECG Success: Exercises in ECG Interpretation. Philadelphia, PA: F.A. Davis Company
Hayes, E.R., Kee, J.L., & McCuistion, L.E. (2009). Pharmacology: A Nursing Process Approach, (6th ed.).
Philadelphia, PA: WB Saunders Co.
Hayes, E.R., Kee, J.L., & McCuistion, L.E. (2009). Pharmacology: A Nursing Process Approach Study Guide,
(6th ed.). Philadelphia, PA: WB Saunders Co.
Taylor, C.M., & Sparks, S.M. (2005). Nursing Diagnosis and Reference Manual, (5th ed.). Hagertown,
Maryland: Lippincott, Williams, & Wilkins.
Ohman, K. A. (2010). Davis’s Q&A for the NCLEX-RN Examination. Philadelphia, PA: Lippincott Williams &
Wilkins
PrepU Acces Code that accompanies Brunner & Saddruth’s Textbook of Medical-Surgical Nursing.
Current Edition of The Davis Drug Guide
Any current Laboratory & Diagnostic Guide
Basis for Final Grade
Unit Exams
Comprehensive Final Exam
Health Assessment with Nursing Diagnoses (1 physiological/1 psychosocial)
& other written work
ATI Assessment
Total
Grading Scale
100-91
A
90- 85
B
84 - 80
C
79- 70
D
Below 69
F
XI.
Grade Dissemination
 Instructors will review unit exams with the class as outlined in the Student Handbook.
50%
25%
20%
5%
100%
 Faculty will utilize the myANC Gradebook, a component of the Learning Management System, to record and
disseminate unit exams, course finals and all other assigned work grades. This system provides students the
opportunity to track and be accountable for their own grade portfolio. Students are responsible for
verifying any questionable grades with the course instructors.
 Following unit exams, instructor/student initiated counseling sessions will be provided after the test have
been reviewed in the classroom for students scoring less than 80%. Students may schedule appointments
with instructors to discuss grades.
 Unofficial mid-term and final grades can be accessed using Campus Connect on myANC.
XII.
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Course Policies
Grades:
Students must achieve an overall 80% average on all unit exams and course final as outlined in the Syllabus
and FDH prior to other written work and assignments being averaged into the grade. Students achieving an
80% average in unit exams and course final must maintain the 80% overall average once other written work
assignments are calculated into the grade to progress to the next nursing course.
Faculty will utilize the myANC Gradebook to record and post grades. Students not achieving an average of
80% or greater on the course unit exams and final exam will receive that score as their final course grade.
Other assigned and written work will not be included in the final grade.
Following unit exams, instructor/student initiated counseling sessions will be provided for students scoring
less than 80%. Students may schedule appointments with instructors only after the exam has been
reviewed in class. Appointments are to discuss study habits, ways to improve next exam score, study tips,
test taking tips, etc. and are not to be used for exam review. The appointment should take no longer than
15 – 20 minutes.
Students must achieve a satisfactory clinical performance. Students failing to achieve satisfactory in clinical
performance will not pass the course and will not be allowed to progress to the next course.
Students terminated from the program due to failing academic or clinical performance may apply for reentry into the program when the course is offered again, pending available space. Students attempting to
reenter the program greater than 1 year following termination must petition the faculty for re-admittance.
Exams:
Unit exams may cover handouts, textbook readings, lecture material, and audiovisual material assigned.
Faculty reserve the right to ask any question based on previous content delivered.
Each Nursing Course builds on content from previous courses; therefore, frequent and periodic testing may
occur in all previous course contents areas.
The Testing Policies noted in the Student Handbook will be enforced with all unit, final, and ATI exams,
along with all Competency Testing.
All tests must be taken at the scheduled time. Students arriving late may take the unit exams for only the
remaining time that the exam is to be administered.
Students absent on a day of a scheduled exam will be allowed to make-up only one exam per course, if the
absence is excused. To be considered for excuse, absences must be accompanied by recognized written
documentation. Illness, death in the immediate family, appearance in court, and automobile accidents are
examples of excused absences. Unexcused absences will result in a score of zero for the exam grade.
In event of absence or tardiness from an exam, the student must notify the classroom instructor and the
ADN secretary at the Blytheville Campus.
Students with an excused absence from an exam must make-up the exam by the next scheduled class or a
date approved by the course instructors.
Instructors will review unit exams one time a semester within one week of taking the exam and only after all
students have completed the exam. Test reviews will take place at the end of the scheduled class time.
Students arriving late may take the exam for only the remaining time that the exam is to be administered.
Testing Process:
 No personal belongings or textbooks, book bags, purses, cell phones, pagers, PDA’s, etc. will be allowed in
the classroom during the exam. Leave all personal belongings in your vehicle or in the clinical lab. The
college is not responsible for any lost or stolen items.
 Students must dress comfortably without wearing coats or garments that have pockets.
 Bring only two pencils into the classroom.
 Seating arrangements may be assigned by the instructors.
 Students will be issued an exam booklet, an answer sheet, and a cover/scratch sheet which will require the
student’s signature. Cover sheets will be used at all times by students.
 Students are encouraged to use restroom facilities before and after testing. If a student must be excused,
he/she will quietly ask permission.
 When the student completes the exam or when time is called, the student will leave all testing material
faced down and covered and quietly leave the area.
 Once the student exits the room, the student may not re-enter to complete any portion of the scantron
answer sheet. NO EXCEPTIONS.
 Students will not congregate in the hallways after completing their test.
 Students will keep their voices low while in the hallways on their way outside.
 When all students are finished testing, access to the classroom will be allowed for the beginning of lecture.
 Students are discouraged from discussing test questions until all students have tested and the test has been
reviewed.
 Test scores will be posted on the ANC-Learning Management Systems (LMS) following the thorough review
of the Exam Item Analysis by course instructors. Grades will be posted by nursing course by the next
scheduled class day or as soon as possible. Test scores WILL NOT be released over the phone.
ATI Progressive Testing Policy:
 The first ATI attempt is recorded as 5% of the course grade, and will only be calculated into the grade once
the 80% average is achieved on the unit exams/final exam average.
 The second ATI attempt is used to calculate earned bonus points (to be added to the Final Exam grade). The
ATI bonus points are only calculated using the second ATI attempt. The second attempt can be voluntary or
mandatory, based on the first attempt score.
ATI Computerized Testing
Progressive testing is completed within each course of the ADN program. It is used as a valuable teaching
tool and to measure student learning outcomes prior to progressing to the next course. The ATI exam for
each course is recorded as a percentage of the overall course grade.
The ATI exams are scored with both a percentage grade as well as “level.” The percentage grade earned by
the student is recalculated/converted, using a formula, prior to recording the score in the grade book. The
student’s ATI first attempt is recorded as their grade in the grade book. Students are required to score a
minimum of a Level 3 on ATI exams to opt out of testing a second time. If a second attempt is required, the
student must score a minimum of Level 2. If this is not achieved the student will continue to test using ATI
until a Level 2, or the equivalent, is achieved.
Students not achieving a Level 2 or Level 3 after the second attempt will be given an “Incomplete” or “I” in
the course. The third attempt will be given within one week of the course/semester ending. Students not
meeting the Level 2 or Level 3 score will be required to provide proof of remediation prior to testing a third
time.
ATI Remediation
It is recommended that each student use the results of ATI to better prepare for the Final Exam in the
course as well as preparing for NCLEX. However, a student that does not successfully pass the ATI, following
the second attempt, is required to complete the following remediation:
 Using the results of the ATI exam taken, the student will create a “Focused Review” in their ATI account.
 Students will remain logged into the ATI website and complete the recommended course of study
according to the “Focused Review“ that was generated according to the student’s areas of weakness.
 Students requiring remediation must complete a minimum of eight (8) hours using the “Focused Review”
on the ATI website.
 Students must submit an ATI “Transcript” to the proctor of the ATI exam prior to beginning the third
attempt, or any additional attempt following.
Mathematics Competency Testing:
Due to the need for accuracy in preparing medications, the mathematics competency testing will be given
each semester of the nursing program. Students will be required to demonstrate basic mathematical skills
in computing drug dosages and must achieve 90% accuracy. During the first course in nursing (Fundamental
of Nursing) the student will have three chances to achieve the required 90% accuracy. If the student does
not achieve this requirement, he/she will be given an “F” for the course (regardless of a passing grade
average) and not be allowed to progress to the next nursing course. Math competency testing in each
course following Fundamentals of Nursing the student will have to pass the competency prior to entering
the clinical facility. Any days missed by the student as a result of not passing the competency will be madeup and cannot exceed the 12 hours. Computing drug dosages will be part of each test in all nursing courses
remaining. Only calculators issued by the ADN program may be used for competency testing or on exams.
Written Work Standards:
 All written work unless specified by an instructor is to be submitted on standard 8 ½ x 11 inch paper.
 All written work is expected to be neat, legible and written according to the APA (American Psychological
Association) format.
 Written work should either by typed or in black ink and follow the instructions provided by the instructor or
indicated on the Course Syllabus or First Day Handout.
 Written work completed in pencil will not be accepted.
 Assigned work is due at the beginning of class on the assigned day. Anything handed in after that time will
result in a 10% grade deduction for each scheduled school day the assignment is late, Saturday and Sunday
excluded. Assignments submitted more than five (5) days late will not be accepted.
 Work must be submitted in appropriate college level format (APA). Correct spelling, grammar, and sentence
structure are important and must be of a quality acceptable for college level students.
Late Work and Make-up Policy:
 Assigned work is due at the beginning of class on the assigned day. Anything handed in after that time will
result in a 10% grade deduction for each scheduled school day the assignment is late, Saturday and Sunday
excluded. Assignments submitted more than five (5) days late will not be accepted.
 Students absent on a day of a scheduled exam will be allowed to make-up only one exam per course, if the
absence is excused. To be considered for excuse, absences must be accompanied by recognized written
documentation. Illness, death in the immediate family, appearance in court, and automobile accidents are
examples of excused absences. Unexcused absences will result in a score of zero for the exam grade.
 In event of absence or tardiness from an exam, the student must notify the classroom instructor and the
ADN secretary at the Burdette Campus.
 There will be no make-up quizzes.
Extra Credit Policy:
 Typically no extra credit assignments are given.
Grades of “Incomplete”:
 The current College policy concerning incomplete grades will be followed in this course. Incomplete grades
are given only in situations where unexpected emergencies prevent a student from completing the course
and the remaining work can be completed the next semester. Your instructor is the final authority on
whether you qualify for an incomplete. Incomplete work must be finished by the mid-term of the
subsequent semester or the “I” will automatically be recorded as an “F” on your transcript.
XIII.
Course Policies: Technology and Media
Email: Arkansas Northeastern College has partnered with Google to host email addresses for ANC students.
myANCmail accounts are created for each student enrolled in the current semester and is the email address
your instructor will use to communicate with you. Access your email account by going to
http://mail.google.com/a/smail.anc.edu and using your first and last names, separated by a period for your
username. Your default password is your Student ID, no hyphens. If you cannot access your student email,
contact the MITS department at 762-1020 ext 1150 or ext 1207 or send an email to
ANChelp@smail.anc.edu.
Internet: This course has a web component on MyANC. Students are encouraged to login to myANC
everyday as course assignments may be posted. The internet is used to view videos as related to specific
units within the course. Students may access online videos by logging on to
http://www.medcomrn.com/anc/ . User ID is the student’s first initial, last name. The password is
“anc123”.
Laptop Usage: Students requesting use of a laptop/tablet in class for note taking will be evaluated on an
individual basis. Students may be allowed to utilize computer devices for note taking purposes only in the
classroom.
Cell phone Usage: Cell phones must be silenced (vibrate is not acceptable) or turned off and not visible in
the classroom and are prohibited in the clinical setting. Cell phones are not permitted during exams (ATI
computerized exams or written unit exams). Cell phones are not permitted during the review of exams. In
the classroom, students whose cell phone rings during class or who is text messaging during class time will
be asked to leave the class and not allowed to return until the next scheduled break. A student who utilizes
a cell phone in the clinical setting will receive a clinical absence for the day to be made-up according to the
department policy for clinical absences. The nursing faculty recognizes that in certain emergency situations
the student may need to be available by cell phone – permission must be obtained from the instructor prior
to sending or receiving calls or text messages.
A student may utilize a smart phone to record lecture. If this is done the cell phone must be placed on the
instructor’s podium prior to class starting. If the cell phone is not on the podium prior to class beginning,
then the student must wait until a break is offered to place the cell phone in the appropriate location for
recording.
Classroom Devices: Tape recorders or other audio devices maybe used to audio record lectures. Only
calculators provided by instructors are permitted during exams.
Computer Labs: In addition to general-purpose classrooms, a number of computer laboratories are
provided for instructional and student use. These networked laboratories are state-of-the-art and fully
equipped with computers, printers, Internet connections and the latest software. The labs are open to
students enrolled in one or more credit hours at the College.
Technology Support: A lab assistant is generally present in the computer lab in B202 for assistance in using
the College computers. These assistants cannot help you with course assignments; specific questions
regarding the technology requirements for each course should be directed to the instructor of the course.
Problems with myANC or College email accounts should be addressed by email to ANCHelp@smail.anc.edu
Clinical Simulation Laboratory Experiences: Clinical experiences may be supplemented and enhanced
through use of clinical simulation. The simulation laboratory experiences will be facilitated by a designated
instructor.
Compressed Video for Distance Learning: In order to provide simultaneous and equivalent learning
experiences for all nursing campuses, lecture and other learning experiences are transmitted via
compressed video to all locations. A qualified nursing instructor is available in addition to the compressed
video system.
XIV.
Course Policies: Student Expectations
Disability Access: Arkansas Northeastern College is committed to providing reasonable accommodations
for all persons with disabilities. This First Day Handout is available in alternate formats upon request.
Students with disabilities who need accommodations in this course must contact the instructor at the
beginning of the semester to discuss needed accommodations. No accommodations will be provided until
the student has met with the instructor to request accommodations. Students who need accommodations
must be registered with Dr. Blanche Hunt or Suzanne Robinson at the Academic Success Center, Room L104.
Attendance Policy:
Classroom Attendance
 Students must give their scholastic obligations first priority. The student must notify both the instructor
by phone and the ADN secretary on the Blytheville campus prior to the start of class in the event of an
absence or tardiness.
 Because important knowledge is delivered in each classroom lecture, the student is expected to attend all
lectures. If a student is absent, he/she assumes the responsibility and is accountable for information
given during absence. Absence(s) may result in a low test score which might prevent progression in the
nursing program. Students exceeding more than three absences will meet with their academic advisor or
course instructor to identify issues that might impact the student’s ability to attend class or the student’s
ability to complete the nursing program.
 Students reporting to class lecture more than ten (10) minutes after the lecture has started will be
permitted to enter at the instructor’s discretion. Quizzes missed during the student’s tardiness will not be
made up (no exceptions).
 Students absent on a day of a scheduled exam will be allowed to make-up only one exam per course, if
the absence is excused. To be considered for excuse, absences must be accompanied by recognized
written documentation. Illness, death in the immediate family, appearance in court, and automobile
accidents are examples of excused absences. Unexcused absences will receive a zero for the exam grade.
 In the event of an absence or tardiness from an exam, the student must notify the course instructor and
the ADN secretary by phone prior to the beginning of the exam. Failure to provide notification as
outlined above will result in an unexcused absence.
Clinical/Campus Laboratory Attendance
 Regular and prompt attendance for all clinical assignments is required. Absence prevents achievement of
course and clinical objectives and will result in unsuccessful completion of the course. Two (2) excused 6hour clinicals or one (1) excused 12-hour clinical day per semester may be allowed. All excused absences
will be made up prior to the end of the semester.
 Students exceeding 12 hours of excused clinical absence may present an exception form for faculty
review. The exception form and required documentation must be presented on the first day of class
following the absence. To be considered for exception, clinical absence in excess of 12 hours must be
excused and be accompanied by acceptable written documentation. Illness, death in the immediate
family, appearance in court, and automobile accidents are examples of excused absences. Unexcused
absences will result in an unsatisfactory clinical grade. A clinical exception request will be allowed only
once during the program. Clinical absence in excess of 24 hours will not be considered for exception.
 In the event of an absence or tardiness from any clinical assignment, the student must make every
attempt to notify the clinical instructor, facility assigned, and the ADN secretary by phone prior to the
beginning of clinical.
1. Contact the ADN secretary first, to leave a message.
2. Contact the clinical instructor and assigned clinical facility.
Unexcused Absences
No unexcused absences will be allowed. Any student with an unexcused absence will receive a grade of “F”
for the course (regardless of average) and dismissal from the program.
Professionalism Policy: Registered Nursing students are expected to exhibit professional behavior. The
Code of Ethics for Nurses applies to any setting the student may find themselves in.
Academic Integrity Policy:
Academic dishonesty in any form will not be tolerated. If you are uncertain as to what constitutes academic
dishonesty, please consult the Academic Integrity Policy in ANC’s Student Handbook
(http://www.anc.edu/docs/Academic_Integrity_Policy.pdf) for further details. Students are expected to do
their own work. Plagiarism, using the words of others without express permission or proper citation, will not
be tolerated. Any cheating (giving or receiving) or other dishonest activity will, at a minimum, result in a
zero on that test or assignment and may be referred, at the discretion of the instructor, to the Department
Chair and/or Vice President of Instruction for further action.
Additional Information:
 All students must comply with the uniform code as designated by the ANC Department of Nursing. No
jeans or shorts are allowed in the clinical area. While in the clinical area preparing for clinical, lab coats
and street clothes are required.
 Students are to go the assigned clinical area the day before each clinical experience. Each student is
expected to meet the assigned client(s), review the chart, medication record, and become familiar with
procedures planned for the following clinical day. The student will then prepare a nursing care plan and
medication cards for each medication. The care plans and medication cards are to be turned into the
clinical instructor the day of the clinical experience. Failure to adequately prepare will result in an
unsatisfactory clinical grade and/or dismissal of the student from the assigned clinical experience. Under
no circumstances should a student ask another student, hospital employee, or any other person to obtain
clinical information for them.
 Prior to the administration of any medication in the clinical area, the student must have thorough
knowledge of the medication. Failure to do so will result in an unsatisfactory an unsatisfactory clinical
grade and/or dismissal of the student from the assigned clinical experience.
 All students are responsible for maintaining an accurate record of their addresses and telephone numbers
with the nursing department.
 Students with problems or concerns in the clinical/classroom are to discuss the concern with the
instructor first. If the problem or concern is unresolved following the discussion with the instructor, the
student will schedule an appointment with the instructor and the program director. If the
problem/concern remains unresolved, the student will schedule an appointment with the program
director and the dean of nursing.
 In keeping with classroom etiquette, mobile phones, iPods, etc. must be silenced during all classroom
lectures and are prohibited during clinical rotations. Students failing to adhere to these guidelines may be
dismissed from lecture/clinical for the remainder of the day.
 Students should arrive on time and be seated at the scheduled class time. Students arriving late may find
the door to the classroom locked and may not be permitted to enter until the class takes a break. Quizzes
missed during that time will not be made up.
Academic Conduct Policy: Academic dishonesty in any form will not be tolerated. If you are uncertain as to
what constitutes academic dishonesty, please consult ANC’s Student Handbook
(http://www.anc.edu/docs/anc_handbook.pdf ) for further details. Students are expected to do their own
work. Plagiarism, using the words of others, without express permission or proper citation, will not be
tolerated. Any cheating (giving or receiving) or other dishonest activity will, at a minimum, result in a zero
on that test or assignment and may be referred, at the discretion of the instructor, to the Department Chair
and/or Vice President of Instruction for further action.
Academic Success Center: The Academic Success Center (ASC) is a free resource for ANC students. The ASC
provides drop-in assistance, computer tutorials and audio/visual aids to students who need help in
academic areas. Learning labs offer individualized instruction in the areas of mathematics, reading, writing,
vocabulary development and college study methods. Tutorial services are available on an individual basis
for those having difficulty with instructional materials. The ASC also maintains a shelf of free materials
addressing specific problems, such as procedures for writing essays and term papers, punctuation reviews,
and other useful materials. For more information, visit the ASC website at http://www.anc.edu/ASC or stop
by room L104 in the Adams/Vines
Other Student Support Services: Many departments are ready to assist you reach your educational goals.
Be sure to check with your advisor; the Learning Assistance Center, Room L104; Student Support Services,
Room S145; and Student Success, Room L101 to find the right type of support for you.
Disclaimer: This First Day Handout was prepared under certain limited assumptions. Therefore, if the
students in the class seem to "fit" the design for the course and if events occur as planned, the schedule,
assignments, and assessments will be followed. The instructor has the option, however, to eliminate or add
assignments and/or assessments if he/she feels it is in the best interest of the students.
XV.
Important Dates to Remember
Classes Begin:
Targeted Med-Surg ATI Due:
Martin Luther King Day:
Renal Exam:
NCLEX Questions Due:
Nutrition ATI Practice Test:
Clinical Orientations:
Targeted Med-Surg ATI Due:
Pharmacology ATI Practice Test:
NCLEX Questions Due:
Cardiac Exam:
President’s Day:
Health Assessment Due:
Targeted Med-Surg ATI Due:
NCLEX Questions Due:
Nutrition ATI Exam:
Monday, January 14, 2013
Thursday, January 17, 2013
Monday, January 21, 2013, College Closed
Tuesday, January 22, 2013
Tuesday, January 22, 2013
Monday, January 28, 2013
Tuesday, January 29, 2013
Wednesday, January 30, 2013
Monday, February 4, 2013
Wednesday, February 6, 2013
Monday, February 11, 2013
Monday, February 18, 2013, College Closed
Wednesday, February 20, 2013
Wednesday, February 20, 2013
Wednesday, February 27, 2013
Wednesday, February 27, 2013
Respiratory Exam:
Monday, March 4, 2013
Pharmacology ATI Exam:
Monday, March 4, 2013
Nutrition/Pharmacology ATI Retakes: Wednesday, March 6, 2013
Advanced Med/Surg I Final:
Monday, March 11, 2013
Refer to the course schedule and course calendar on the learning management system (LMS) as dates listed
above are subject to change.
XVI.
Unit and Instructional Objectives
See course calendar for assigned reading and videos and dates for assignments and exams.
Unit 1: Renal Diseases and Urinary Disorders
Rationale: Knowledge of the renal system is needed to identify alterations in kidney and urinary tract
function to determine the appropriate nursing diagnosis, planning, intervention, and evaluation of client
care.
 Lesson 1: Nursing Management : Patients with Renal Disorders
Upon completion of learning activities, participation in lecture/discussion, and clinical activities, the
student will be provided the opportunity to:
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Understand and explain hemodialysis and peritoneal dialysis in terms of underlying principles,
procedures, complications, and nursing considerations.
Describe nursing management, including medication dosages based on client weight, of the
hospitalized dialysis patient.
Use the nursing process as a framework for care of patients undergoing kidney surgery.
Identify factors contributing to urinary tract infections.
Compare and contrast pyelonephritis, glomerulonephritis, and the nephrotic syndrome; causes,
pathophysiologic changes, clinical manifestations, pharmacologic management, and nursing care.
Describe acute and chronic renal failure.
Use the nursing process as a framework for the care of patients with chronic renal failure.
Develop a postoperative plan of nursing care and a teaching plan for the patient undergoing
kidney transplantation.
 Lesson 2: Nursing Management: Patients with Urinary Disorders
Upon completion of learning activities, participation in lecture/discussion, and clinical activities, the
student will be provided the opportunity to:
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Understand and explain urinary retention and urinary incontinence in terms of their clinical
manifestations, complications, and medical and nursing management.
Outline the principles of management of a patient with an indwelling urinary catheter.
Identify factors contributing to urinary tract infections.
Describe management strategies for renal calculi (kidney stones), including nutritional and
pharmacological therapies.
Formulate preoperative and postoperative nursing diagnoses for the patient undergoing surgery
for urinary diversion.
Describe interstitial cystitis and its physical and psychological effects on the patient.
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Lesson 3: Nursing Management: Patients with Urinary Disorders
Upon completion of learning activities, participation in lecture/discussion, and clinical activities, the
student will be provided the opportunity to:
o Describe men’s health issues related to the urinary system.
o Compare the types of prostatectomy with regard to advantages and disadvantages.
o Use the nursing process as a framework for care of the patient undergoing prostatectomy.
Unit 2: Cardiac Diseases and Disorders
Rationale: Knowledge of the cardiovascular system is needed to identify alterations in organ function to
determine the appropriate nursing diagnosis, planning, intervention, and evaluation of client care.
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Lesson 1: Management of Patients with Dysrhythmias and Conduction Problems
Upon completion of learning activities, participation in lecture/discussion, and clinical activities, the
student will be provided the opportunity to:
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Compare central venous pressure, pulmonary artery monitoring and intra-arterial pressure
monitoring with regard to clinical usefulness, complications and nursing responsibilities.
Correlate the components of the normal ECG with physiologic events of the heart.
Define ECG waveform related to electrode placement and cardiac monitoring.
Analyze elements of a rhythm strip including calculating atrial and ventricular rate, P wave, PR
interval, QRS duration, ST segment and T wave.
Identify criteria, causes, diagnosis and management of various dysrhythmias, especially those
that result in or predispose the client to sudden death or hemodynamic instability.
Compare types of pacemakers and their utilization for controlling heart blocks.
Describe key points for use of a cardiac defibrillator, automated external defibrillator (AED) and
implantable cardioverter defibrillator (ICD).
Lesson 2: Management of Patients with Coronary Vascular Disorders
Upon completion of learning activities, participation in lecture/discussion, and clinical activities, the
student will be provided the opportunity to:
o Use the nursing process as a framework for care of the client with a dysrhythmia.
o Describe the pathophysiology, clinical manifestations, and treatment of coronary atherosclerosis,
including pharmacologic treatment.
o Describe the pathophysiology, clinical manifestations, and treatment, including pharmacologic
treatment, of angina pectoris.
o Describe the pathophysiology, clinical manifestations, and treatment of myocardial infarction,
including pharmacologic treatments calculated on client’s weight.
o Use the nursing process as a framework of care for clients with coronary artery disease, angina or
myocardial infarction (acute coronary syndromes).
o Describe nursing implications related to invasive interventional procedures for treatment or
diagnosis of heart or coronary disorders.
o Describe treatment modalities for coronary revascularization and nursing implications for caring
for clients who have undergone these procedures.
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Lesson 3: Management of Patients with Structural, Infectious, and Inflammatory Cardiac Disorders
Upon completion of learning activities, participation in lecture/discussion, and clinical activities, the
student will be provided the opportunity to:
o Define cardiac valvular disorders and discuss pathophysiology, clinical manifestations and
management of clients, including pharmacology, with mitral and aortic valvular disorders.
o Describe procedures and treatments used to treat anatomic anomalies.
o Use the nursing process as a framework for care of clients with valvular disorders or repair.
o Describe the pathophysiology, clinical manifestations and management of clients with
cardiomyopathies, including pharmacologic and nutritional management.
o Describe the pathophysiology, clinical manifestations, and management of clients with cardiac
infections, including calculation of medications according to client weight.
o Describe the rationale for prophylactic antibiotic therapy for clients with valvular disease,
infective or rheumatic endocarditis, and myocarditis and nursing implications for prevention of
complications.
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Lesson 4: Management of Patients with Complications from Heart Disease
Upon completion of learning activities, participation in lecture/discussion, and clinical activities, the
student will be provided the opportunity to:
o Describe the clinical manifestations and management, including pharmacologic and nutritional
management, of chronic heart failure.
o Differentiate between chronic and acute heart failure.
o Describe nursing and medical management, including pharmacologic management, of
cardiogenic shock.
o Know the correct procedures for basic cardiopulmonary support and resuscitation (CPR).
o Describe management and nursing implications related to clients who experience
thromboembolic episodes, pericardial effusion, cardiac tamponade, and myocardial rupture.
o Use the nursing process as a framework for care of clients, including but not limited to nutritional
changes, pharmacologic changes, and education topics associated with heart failure or shock.
o Develop culturally sensitive teaching plans for clients with heart failure.
o Identify anatomic and physiologic factors that affect peripheral blood flow and tissue
oxygenation.
 Lesson 5: Assessment and Management of Patients with Vascular Disorders and Problems of Peripheral
Circulation
Upon completion of learning activities, participation in lecture/discussion, and clinical activities, the
student will be provided the opportunity to:
o Compare various diseases of the arteries, causes, clinical manifestations, management and
prevention.
o Describe prevention and management of venous thrombosis.
o Compare preventive management of venous insufficiency, leg ulcers and varicose veins.
o Use the nursing process as a framework for care of the client with peripheral vascular disease.
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Lesson 6: Assessment and Management of Patients with Hypertension
Upon completion of learning activities, participation in lecture/discussion, and clinical activities, the
student will be provided the opportunity to:
o Discuss the significance of control of hypertension.
o Describe pharmacologic treatment and medical management of hypertensive crisis.
o Describe treatment approach for hypertension including behavioral changes and medication
therapy.
o Use the nursing process as a framework for care of the client with hypertension.
o Interpretation of normal and abnormal ECG rhythms and common ECG lead placement used for
continuous cardiac monitoring.
Unit 3: Respiratory Diseases and Disorders
Rationale: Knowledge of the respiratory system is needed to identify alteration in organ function to identify
the appropriate nursing diagnosis, planning, intervention, and evaluation of client care.
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Lesson 1: Management of Patients with Upper Respiratory Tract Disorders
Upon completion of learning activities, participation in lecture/discussion, and clinical activities, the
student will be provided the opportunity to:
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Lesson 2: Management of Patients with Chest and Lower Respiratory Tract Disorders
Upon completion of learning activities, participation in lecture/discussion, and clinical activities, the
student will be provided the opportunity to:
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Identify the nursing implications of various procedures used for diagnostic evaluation of
respiratory function.
Describe the nursing management, for clients with upper respiratory disorders.
Understand and explain various respiratory disorders in regard to cause, incidence, clinical
manifestations, nursing and medical management and prevention.
Describe the nursing management of the client with epistaxis.
Use the nursing process as a framework for care of the client with upper respiratory infections,
including pharmacologic and nutritional needs.
Use the nursing process as a framework for care of the client undergoing a laryngectomy.
Identify clients at risk for atelectasis and nursing interventions related to prevention and
management.
Compare various pulmonary infections related to cause, clinical manifestations, complications,
nursing management and prevention.
Relate pleurisy, plural effusion and empyema to pulmonary infection.
Describe the relation between smoking and air pollution to pulmonary disease.
Discuss the pathophysiology of acute respiratory distress syndrome and related therapeutic
management.
Describe risk factors for and prevention of pulmonary embolus.
Describe preventive measures for controlling and eliminating occupational lung disease.
Describe various modalities used in the treatment of lung cancer.
Describe the complications of chest trauma, clinical manifestations and nursing and medical
management.
Describe education and preventive nursing measures related to aspiration.
Lesson 3: Management of Patients with Chronic Pulmonary Disease and Respiratory Care Modalities
Upon completion of learning activities, participation in lecture/discussion, and clinical activities, the
student will be provided the opportunity to:
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Use the nursing process as a framework for nursing care of the client with pulmonary disorders.
Describe the pathophysiology and risk factors related to the development of chronic obstructive
lung disease (COPD).
Describe education and nursing interventions to minimize or eliminate these risk factors.
Use the nursing process as a framework for care of the client with COPD.
Develop a teaching plan for a client with COPD.
Describe the pathophysiology, medical management, including pharmacologic, and selfmanagement strategies for a client with asthma.
Describe the pathophysiology of cystic fibrosis. Describe nursing management for clients
receiving oxygen therapy, intermittent positive-pressure breathing, mini-nebulizer therapy,
incentive spirometry, chest physiotherapy and breathing retraining.
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XVII.
Describe education and home care considerations for clients receiving oxygen therapy and
develop a culturally sensitive plan of care.
Describe nursing implications for care of the client with an endotracheal tube or a tracheostomy.
Describe the process of weaning a client from mechanical ventilation.
Describe the significance of preoperative teaching for a client who is to have thoracic surgery.
Explain the concepts related to chest drainage and nursing implications for care of a client with a
chest tube.
Describe education and home care considerations for clients who have undergone thoracic
surgery.
Use the nursing process as a framework for clients who are experiencing respiratory disorders or
procedures.
Disclaimer: This First Day Handout was prepared under certain limited assumptions. Therefore, if the
students in the class seem to “fit” the design for the course and if events occur as planned, the schedule,
assignments, and assessments will be followed. The instructor has the option; however, to eliminate or
add assignments and/or assessments if he/she feels it is in the best interest of the students.
Reviewed/revised 12/12KAW