Chabot College Fall 2008 Replaced Fall 2011 Course Outline for Nursing 55 FUNDAMENTALS OF NURSING PRACTICE Catalog Description: 55 - Fundamentals of Nursing Practice 8.5 units Introduction to fundamental concepts and practices in nursing care across the life span. Application of the nursing process to the care of adult clients with the following chronic disorders: Hypertension, Cancer, Diabetes Mellitus, Coronary Artery Disease, Cerebrovascular Accidents, Congestive Heart Failure, Thyroid Disorders and Influenza. Beginning nursing skills include: principles of medical asepsis, body mechanics, standard precautions, hygienic and nutritional care, administration of medications, interpretation of laboratory results and beginning IV skills. Theoretical content provides overview of the care of clients with diverse cultural backgrounds and spiritual needs, principles of therapeutic communication and mental health, and legal and ethical considerations in the provision of nursing care. Prerequisite: Acceptance into the Nursing Program. 4 hours lecture; 13.5 hours clinical practice. [Typical contact hours: lecture 70, clinical 236.25] Prerequisite Skills: None Expected Outcomes for Students: Upon completion of the course, the student should be able to: Theoretical: 1. Identify and describe the scientific principles that form the basis for assessments and nursing interventions which assist the clients’ adaptation to the following conditions: a. hypertension b. cerebrovascular accident c. diabetes mellitus d. cancer e. coronary artery disease f. congestive heart failure g. Thyroid disease h. Influenza and Pneumonia 2. Discuss specific issues related to diverse cultural and racial populations across the life span and their impact on development and treatment of the following illnesses: hypertension, cerebrovascular accident, diabetes mellitus, cancer, coronary artery disease; 3. Describe and apply the components of the nursing process; 4. Discuss principles of safety involved in client care; 5. Identify and apply principles of medical asepsis and infection control; 6. Integrate concepts related to cultural diversity, spirituality and therapeutic communication in client care; 7. Describe principles of administration of medications with implications for the elderly client; Chabot College Course Outline for Nursing 55, Page 2 Fall 2008 8. Discuss principles of mental health, defense mechanisms and stress management. 9. Identify essential legal and ethical considerations in the provision of nursing care Expected Outcomes for Students (continued): Clinical: Demonstrate the following nursing skills in the Skills Laboratory or Clinical area: a. Hygienic care (bed bath, bed making, oral care); b. Assessment of vital signs; c. Nutritional care, including providing oral and enteral feedings; d. Beginning IV skills (IV set-up, changing IV fluids, fluid administration) e. Collection of specimens and analysis of findings; f. Handwashing; g. Principles of body mechanics; h. Positioning/lifting/transferring the client to or from bed/chair; i. Observe and document intake and output; j. Basic physical assessment skills; l. Administration of medications by oral, intramuscular, subcutaneous, topical and enteral routes; m. Interpretation of laboratory results n. Administration of oxygen therapy o. Principles of surgical and medical asepsis; p. Safe application of restraints; q. Ability to work with chronically ill older clients of diverse cultural and racial background in the clinical area. Course Content: 1. 2. 3. 4. 5. 6. 7. Nursing process Safety and mobility of clients Asepsis and infection control Provision of nursing care to the client Introduction to cultural diversity and communication issues in the clinical setting Selected medical diagnoses Legal and ethical issues in the provision of nursing care Methods of Presentation: 1. 2. 3. 4. 5. Lecture/discussion Audiovisual aids Assignments Skills laboratory simulations Clinical practice Chabot College Course Outline for Nursing 55, Page 3 Fall 2008 Assignments and Methods of Evaluating Student Progress: 1. Typical Assignments a. Write a research paper on patient safety b. Write a nursing care plan or mind map on each patient assigned. c. List priority nursing interventions for patients assigned d. Analyze a research article on a patient with diabetes mellitus. 2. Methods of Evaluating Student Progress a. Written exams b. Research project c. Satisfactory performance in Skills Lab and clinical practice d. Final exam Textbooks (typical): 1. Fundamentals of Nursing Practice, Potter and Perry, Elsevier/Mosby, 8th edition, 2005 or most recent edition 2. Medical-Surgical Nursing: Critical Thinking for Collaborative Care, Elsevier/Mosby, Ignatavicius & Workman, 5th edition, 2006 or most recent edition Special Student Materials: 1. 2. 3. 4. 5. 6. Lab coat and uniforms Stethoscope Watch with second-hand Goggles Provide own transportation to clinical sites Access to computer, internet and printer