Chabot College Fall, 2002 Nursing 70 - Nursing Theory: LVN-RN Transitions

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Chabot College Fall, 2002

Course Outline for Nursing 70

NURSING THEORY: LVN-RN TRANSITIONS

Catalog Description

Nursing 70 - Nursing Theory: LVN-RN Transitions 1.5 units

A review of nursing topics for the LVN who wishes to upgrade to Registered Nurse. Includes the nursing care plan used in Chabot College’s nursing program with clinical applications of the modified Roy Adaptation Model to the steps of the nursing process, principles of therapeutic communication, introduction to the functions of the Board of Registered Nursing, legal-ethical concepts common to the role of the registered nurse, and review of selected psychomotor skills utilized by the nurse in the delivery of health care. Prerequisite: Valid California LVN license and completion of Physiology 1 and Microbiology 1 with a grade of “C” or higher. May be offered in

Distance Education delivery format. 1 hour lecture, 1.5 hours laboratory.

Prerequisite Skills:

Before entering the course, the student should be able to:

1.

2.

3

4. apply principles of human anatomy, physiology, and microbiology in the care of clients; use a computer for word processing; name the five rights of medication administration; discuss principles of safety involved in client care;

5. identify what constitutes safe performance in the following nursing skills:

a. hygienic care (bed bath, bed making, oral care); b. c. assessment of vital signs; nutritional care, including providing oral and enteral feedings; d. e. f. g. h. i. j. c. d. collection of specimens and recognition of findings that are within normal limits; handwashing; principles of body mechanics; positioning/lifting/transferring the client to or from bed/chair; observing and documenting intake and output; administration of oxygen; administration of medications by oral, intramuscular, subcutaneous, topical and

6. k. l. enteral routes; inspection of intravenous sites for proper placement; basic principles of surgical asepsis in the

1) application of sterile dressings;

2) wound care; m.

3) bladder catheterization; application of restraints; pass the clinical skills test.

Expected Outcomes for Students:

Upon completion of the course, the student should be able to:

1. theoretical outcomes: a. identify the process of change in the LVN who is transitioning to RN status; b. define and describe at least twelve Freudian defense mechanisms used to cope with anxiety; assess and differentiate between behaviors of the four levels of anxiety; define the fundamentals of the communication process;

Chabot College

Course Outline for Nursing 70, page 2

Fall 2002 e. f. g. h. identify at least four therapeutic communication principles; describe the basis for using selected interviewing techniques; discuss the implications of ethics applied in health care; differentiate behaviors characteristic o f Erikson’s eight stages of psychosocial development;

2. i. j. m. n. o. p. describe the methods used and purpose of values clarification; describe the responses of the body in the three stages of General Adaptation

Syndrome; define the unique aspects of professional malpractice; k. l. c. define the administrative standards of the Board of Registered Nursing as they reflect on the practice of nursing and student experiences in nursing; identify the elements of the nursing process; identify major nursing theories; describe the conceptual framework used in Chabot College’s nursing curriculum; incorporate scientific principles from Biology, Physiology, and Microbiology in the nursing care plan; devise a nursing care plan, using the nursing process. q. clinical outcomes a. demonstrate ability to accurately perform calculations utilized in medication administration and IV drip rates; b. demonstrate ability to safely administer medications via the oral, enteral, topical, intramuscular and subcutaneous routes; demonstrate ability to incorporate surgical asepsis in

1) dressing change; d. e.

2) catheterization of the urinary bladder; demonstrate ability to safely administer enteral feedings; demonstrate ability to complete minimum criteria for assessment of the abdomen, peripheral vascular, and integument.

Course Content:

1.

2.

3.

Review of medical and surgical asepsis and applications in enteral feedings, dressing changes, and catheterization of the urinary bladder

Review of calculations required for medication administration and IV regulation

Review of safety measures to observe in the administration of medications via the topical, oral, enteral, intramuscular, and subcutaneous routes

4.

5.

6.

7.

8.

9.

10.

11.

Cultural diversity and application to health care delivery

Communication skills

Defense mechanisms

Legal-ethical principles for the registered nurse

Elements of Erikson’s eight stages of psychosocial development

Anxiety: origins, levels, behaviors

Communication process: principles and techniques

Values clarification

12.

13.

14.

Medico-legal aspects of professional practice

Conceptual framework applie d to Chabot College’s nursing curriculum

Implementing the evidence-based nursing process

15.

Chabot College

Development of the nursing care plan

Course Outline for Nursing 70, page 3

Fall 2002

Methods of Presentation

1.

2.

3.

4.

Lecture/discussion

Skills Lab demonstration/return demonstration

Audio-visual aids

Computer assisted training package(s)

Assignments and Methods of Evaluating Student Progress

1. Typical assignments a. b. c. d.

Practice in Skills Lab

Case study assignments (take-home)

Critical thinking assignments

Nursing Care Plan

2. Methods of Evaluating Student Progress a. Written tests b. Take-home assignments c. d. e.

Textbook(s) (typical):

Practice in skills lab

Final examination

Nursing Care Plan

Fundamentals of Nursing , Potter and Perry, 5 th ed. Mosby. 2000

From LPN to RN Role Transitions , Ham, 1 st ed. Saunders. 2002

Nursing Diagnosis Handbook: A Guide to Planning Care.

Ackley and Ladwig, C.V. Mosby, 5th ed. 2001

The Nursing Process in Nursing Care: A Guide Book for Written Assignments.

Chabot College

Nursing Program,7th ed. 2001.

Special Student Materials :

Stethoscope

Watch with sweep second hand

Revised: 2/8/02

CONTENT REVIEW FORM A

PREREQUISITE COURSES

TARGET COURSE ____________________Nursing 70: Nursing Theory: LVN-RN Transitions_________

PREREQUISITE COURSES____ Physiology 1, Microbiology 1, possession of valid California LVN license

Instructions:

1. List exit competencies from Prerequisite course. These skills are listed in the Student Outcomes section of the course outline of record.

2.

3.

Indicate which of the listed exit competencies (skills) are necessary entering skills for the target course.

Indicate the degree of importance of each entering course with the following rating Scale:

1 = Critical 2 = Very helpful 3 = Desirable

SKILLS ANALYSIS:

EXIT SKILLS FROM THE PREREQUISITE CLASS “X” FOR NEEDED

ENTERING SKILLS

1, 2, OR 3

INDICATES

IMPORTANCE

X 1

1. Demonstrate competency in:

1a. applying principles of apply principles of human anatomy, physiology, and microbiology in the care of clients

1b. naming the five rights of medication administration

1c. using a computer for word processing

1d. discussing principles of safety involved in client care

1e. identifying what constitutes safe performance in the following nursing skills:

hygienic care (bed bath, bed making, oral care)

assessment of vital signs;

nutritional care, including providing oral and enteral feedings;

collection of specimens and recognition of findings that are within normal limits;

handwashing;

principles of body mechanics;

positioning/lifting/transferring the client to or from bed/chair;

observing and documenting intake and output;

administration of oxygen;

administration of medications by oral, intramuscular, subcutaneous, topical and enteral routes;

inspection of intravenous sites for proper placement;

basic principles of surgical asepsis in the application of sterile dressings;

wound care;

bladder catheterization;

1f. application of restraints

X

X

X

X

X

1

2

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

2

Statement of Rationale

Curriculum Committee TO:

FROM:

DATE:

SUBJECT:

Nancy Cowan

December 18, 2001

Revision of NURSING 70

RATIONALE:

2.

3.

This proposal asks that the following be changed:

1. Nursing 70 revised to include a skills lab component consisting of ½ unit and decreasing the lecture to 1 unit for the semester.

The format is updated.

Completion of prerequisites added to facilitate admission to the nursing program in a more timely manner.

Instructor Name

Dean, Health and Natural Sciences

ABBREVIATED COURSE DESCRIPTION FOR THE CLASS SCHEDULE:

Nursing 70 - Nursing Theory : LVN-RN Transitions 1 ½ units

Review of selected nursing topics for the LVN wishing to upgrade to RN. Includes the nursing care plan, nursing process, communication principles, legal-ethical concepts common to the role of registered nursing, functions of the California Board of Registered Nursing, and selected psychomotor skills utilized by the registered nurse in the delivery of patient care. Prerequisite: Valid California LVN license and completion of Physiology 1 and Microbiology 1 with a grade of “C” or higher. May be offered in Distance

Education delivery format.

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