Chabot College
Fall, 2004
Course Outline for Nursing 60C
ADULT HEALTH III
Catalog Description
60C Adult Health III
3.5 units
Transitional skills needed by the nursing student who is completing the nursing program.
Includes skills that facilitate entry into today’s nursing practice arena: leadership styles, delivery
of nursing care to groups of clients in the acute and chronic health care setting, supervision of
unlicensed assistive personnel, case management, delegation of assignments, prioritization of
client care, and the health care organization. Prerequisite: Physiology 2, Physiology 2L, Nursing
60B, 66 and all prior nursing courses in the Associate Degree Nursing program (all completed
with a grade of “CR,” “C,” or higher). 2 hours lecture; 24 hours/week clinical. Total weeks – 6
[Typical contact hours: lecture 12, clinical 144]
Prerequisite Skills:
Before entering the course, the student should be able to demonstrate competency in:
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handwashing;
assessing vital signs;
measuring height and weight;
positioning clients;
making occupied and unoccupied beds;
standard precautions;
transferring and ambulating clients;
principles of sterile technique;
mechanical lifts;
feeding clients;
hygienic care;
placement of a bed pan;
medication calculations;
enteral feedings;
medication administration;
finger stick blood sugar;
preparation of insulin;
giving subcutaneous and intramuscular injections;
development of a Nursing Care Plan;
principles of body mechanics;
principles of infection control;
proper charting and reporting skills;
maintenance of client confidentiality;
application of basic organizational skills;
application of principles of professionalism;
monitoring and calculating IV drip rate and IV site assessment for IV infusions;
perform an assessment on an antepartum, intrapartum, postpartum, and newborn client,
as well as children of various ages, identifying high-risk clients through the systematic
collection of data in hospital and community settings;
develop relevant, culturally sensitive, and developmentally appropriate nursing care plans
for childbearing/child rearing families based on assessment data;
identify appropriate psychosocial and physical nursing interventions for childbearing and
child rearing families including health teaching related to childbirth preparation, prenatal
nutrition, postpartum adjustment, infant care, breast and bottle feeding, family planning,
growth and development, and child safety;
facilitate the parent-child relationships of bonding and attachment;
Chabot College
Course Outline for Nursing 60 C, page 2
Fall, 2004
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safely administer medications to a variety of pediatric and obstetric clients using the
developmentally appropriate approach;
appropriately articulate with community resources available for new parents;
identify and describe the steps of the nursing process in the maternity and pediatric
settings, incorporate legally appropriate principles in the care of the obstetric and
pediatric clients;
identify and institute appropriate interventions for family abuse;
identify the conditions associated with genetic patterns of inheritance and correlate
antepartal and pediatric care appropriately;
demonstrate the following nursing skills as adapted to childbearing or child rearing
families:
a.
application of bedside assessment, respiratory, and abdominal;
b.
application of the adaptation model based on Roy’s theory in the formulation of
nursing care plans for the childbearing and child rearing family;
c.
family teaching concepts related to:
1)
physical and emotional care of the hospitalized child;
2)
compliance with therapy or prescribed treatment;
3)
safety factors appropriate for each age;
4)
need for health supervision of the growing child and the childbearing
family;
5)
personal hygiene;
6)
birth control;
7)
newborn care;
8)
newborn feeding;
9)
maternal, antepartal, intrapartal, and postpartal care, including physical
and emotional supports;
d.
the use and/or effectiveness of therapeutic play;
e.
administration of parenteral therapies;
f.
nasogastric feedings;
g.
therapeutic procedures related to respiratory dysfunction (oxygen, mist tent,
clapping vibration, postural drainage);
h.
care for the child with chronic illness;
i.
care of the child with problems related to production and circulation of blood;
j.
care of the child with a life-threatening illness;
k.
care of the child with problems related to gas transport;
l.
care of the immobilized child;
m.
care of the child with fluid and electrolyte disturbance and alteration in nutrition
including calculation of fluid and caloric needs;
n.
care of the normal postpartum mother and the postpartum mother at risk;
o.
care of the normal newborn;
p.
care of the client in labor;
q.
care of the intrapartum and postpartum client having a cesarian delivery;
r.
implementing the nursing process in the care of the patient with the following
nursing diagnoses:
1)
pain, acute and chronic;
2)
self-care deficit;
3)
impaired physical mobility;
4)
altered bowel/urinary elimination;
5)
activity intolerance;
6)
sexual dysfunction;
7)
decreased cardiac output;
8)
post-trauma response;
9)
sensory/perceptual alteration;
10)
altered thought processes;
11)
anxiety;
12)
body image disturbance;
13)
sleep pattern disturbance;
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alteration in nutrition: less/more than body requirements;
Chabot College
Course Outline for Nursing 60 C, page 3
Fall, 2004
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impaired social interaction;
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ineffective individual coping;
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impaired gas exchange;
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alteration in tissue perfusion;
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ineffective airway clearance;
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memory, impaired;
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fluid volume deficit/excess;
22)
risk for infection;
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risk for injury;
24)
risk of violence: self/others;
25)
social isolation;
using self as a therapeutic agent in the delivery of health care;
principles and methods of teaching involved in the care of the patient in acute
and chronic settings;
legal-ethical concepts as they relate to clients in medical-surgical and psychiatric
settings;
successfully demonstrate the following skills:
1)
peripheral-vascular assessments;
2)
ostomy care;
3)
sterile dressing change;
4)
surgical asepsis: scrubbing, gowning, gloving;
5)
insertion and care of the nasogastric tube;
6)
administration of intravenous fluids and medications;
7)
assessment and care of portable suction devices;
perform an appropriate sequence of cardiac assessment;
perform advanced techniques of abdominal and thoracic assessment;
perform appropriate sequence of neurological assessment;
perform breast examination and testicular examination;
interpret basic cardiac dysrhythmias and explain standard principles of treatment;
demonstrate interpretation of arterial blood gas analysis;
interpret pulse oximetry in view of the oxyhemoglobin dissociation curve;
interview patients utilizing the health data base with problem list development;
collaborate with the client, family, and staff in developing a teaching plan for
clients with identified knowledge deficits;
administration of oxygen;
tracheostomy care and suctioning;
test tubes: assisting with insertion and removal of, care of tubes and assorted
equipment;
administration of blood components;
administration of intravenous medications by central and implanted venous
access devices;
assisting with selected diagnostic tests;
apply principles of therapeutic communication in delivery of client care;
apply principles of group dynamics in working with and through health care staff
in delivery of client care
identify the nurse’s role in a disaster;
list at least four responsibilities of the nurse in avoiding lawsuits in the delivery of
health care;
discuss the nurse’s role in organ transplantation;
list at least four roles of the nurse who functions in specialized or critical care
settings in the hospital or community-based agencies;
identify four styles of conflict resolution;
Chabot College
Course Outline for Nursing 60 C, page 4
Fall, 2004
Expected Outcomes for Students:
Upon completion of the course, the student should be able to:
Theoretical Outcomes:
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Identify principles of leadership/management theory necessary to provide client care:
a.
principles of effective leadership;
1)
leadership styles;
2)
using group process in team building;
b.
principles of effective management;
1)
supervision of staff;
2)
evaluation of patient care;
3)
case management;
4)
effective decision making;
5)
legal/ethical issues;
Identify principles of organizational theory to the hospital setting;
List criteria for effective time management strategies;
a.
priorities in patient care;
b.
assignment of staff;
Discuss and problem-solve the following areas in nursing practice;
a.
reality shock;
b.
stress management;
c.
writing a resume;
d.
strategies for the successful job interview;
Clinical Outcomes: Collaborate with a nurse preceptor in:
1.
applying the nursing process to deliver nursing care to groups of clients;
2.
utilizing therapeutic communication skills to coordinate client care with members of the
health care team;
3.
delegating responsibility for client care;
4.
evaluating the quality of care delivered;
5.
fulfilling nursing and health care team roles;
6.
demonstrating critical thinking skills.
Course Content:
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The hospital as an organization
Principles of effective leadership
a.
styles of leadership
b.
group process/team building
c.
conflict resolution
Principles of effective management
a.
supervision of staff
b.
evaluation of patient care
c.
case management
d.
effective decision making
Legal-ethical issues related to staffing
Time management concepts
Preparation for nursing practice
Methods of Presentation:
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Lecture/discussion
Case studies
Clinical practice
Chabot College
Course Outline for Nursing 60 C, page 5
Fall, 2004
Assignments and Methods of Evaluating Student Progress:
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Typical assignments:
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b.
2.
Critical thinking assignments in seminar and classroom
In-class mock job interviews
Methods of evaluating student progress:
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b.
c.
d.
Written assignments
Student/instructor conferences
Clinical performance
Written final exam
Textbook(s) (Typical):
Medical-Surgical Nursing: Health & Illness, Phipps, Monahan, Sands, Marek, Mosby. 2003.
Intravenous Medications, Gahart, Mosby, 2004.
Essentials of Nursing Leadership and Management, Tappen, et al., Davis, 2001.
Special Student Materials:
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nc: wordn60C.01
Revised: 9/03/slj
Student uniform
Stethoscope
Watch with sweep second-hand
Student will provide own transportation to and from clinical setting