OGLALA LAKOTA COLLEGE
COURSE SYLLABUS & ADMINISTRATION
Spring 2016
Rebuilding the Lakota Nation through Education
Wounspe Ihuniyan Hci Lakota Oyate Kin Akta Ic’icakagapi Kte lo
Name of Course: Holistic Maternal & Child Health
Course Number: N226
Department: Nursing
Credit Hours: Six (sakpe)
Location: Pine Ridge Nursing Building
Time & Day: Tuesdays 10:00-12:00 & 13:00-15:00
Instructor’s Name: Robin White, RN
Email: rwhite@olc.edu
Office: 605-867-5856
Mobile: 605-381-5540
Home: 605-833-2240
Office Hours: Tuesdays 0900-1630
__________________________________________________________________________________________
Course Description (Waunspe Oyakapi):
This course will introduce the student to psycho-social-cultural health beginning with the childbearing individual and then the
child from conception to adolescence. Included are concepts of pregnancy, labor and delivery, post-partum, newborn, child
growth and development, health maintenance, assessment, nursing care, health education and prevention from infancy
through late adolescence within the contest of the family as a whole. Sub-concepts include nutrition, communication, and
pharmacology in this population. Common childhood illnesses and health imbalances will b introduced. The student will
build on skills using the nursing process and critical thinking/clinical judgment to meet maternal/child helath care needs
within the family system in well child and acute care settings. The maternal child unit is viewed as a member of the
tiwahe/.tiospay (family) as well as child and acute care settings. Lakota values of respect-wowaohola, courage,-woohitika,
wisdom-soksape, and generosity-wacantgnaka are integrated into the didactic and clinical components. Facilities utilized
include I.H.S Hospital, Pine Ridge, Women’s Clinic, Maternity Unit, and Well-Child Clinic, and Rapid City Regional
Hospital Pediatric Unit.
Prerequisites: Nursing 218 Foundations of Holistic Nursing
Required Text and Materials:
Durham, R., Chapman, L. (2014). Maternal-Newborn Nursing: The Critical Components of Nursing Care. (2nd Edition)
Davis: Philadelphia, PA
ATI: RN Maternal Newborn Nursing (9.0 Edition).
Course Goal: The Holistic Maternal Child Health course is designed for the entry level nurse to develop and enhance
their knowledge enabling them to provide appropriate, quality nursing care to mothers and their newborns. At the
completion of the course the student will be able to provide safe and competent nursing care at entry level to women
during the childbearing cycle and children from birth to adolescence.
1
Student Learning Objectives (Wounspe Taku Unspepi Kte Kin He Le E): Upon completion of this course students
will be able to:
1. Demonstrate an understanding of and application of the nursing process using critical thinking skills to
identify client needs in order to provide basic nursing care, promote and maintain maternal-child health
and restore balance for the mother of child with acute and chronic imbalances.
2. Identify cultural determinants and caring behaviors essential to the development of values, beliefs,
lifestyle, and learning style preference for the maternal child unit as they relate to health promotion,
maintenance, and restoration.
3. Identify values, roles, and behaviors of the professional nurse and begin to demonstrate these behaviors
when providing care for the maternal-child unit.
4. Identify legal requirements and ethical standards of the professional nurse and demonstrate these
behaviors when providing care for the maternal-child unit.
5. Begin to assume the roles of lifelong learner, teacher, advocate, care provider and manager of care.
6. Identify how evidence guides practice and understand the rational for utilizing EBP in providing care for
the maternal-child unit.
7. Assess the role of technology in providing safe and competent nursing care for the maternal-child unit.
8. Utilize therapeutic communication and collaborative techniques when promoting health care for the
maternal-child unit, family (tiospaye) and interdisciplinary team members.
Assessment: Student will complete reading, study questions, and or computer/video assignments prior to the beginning
of class; self-assess clinical competencies and instructor clinical assessment, exams, clinical paperwork, projects, and
ATI exit exams @ level 2 performance.
Instructional Methodology: The method in of instruction will vary at the discretion of the instructor in order to best fit
the learner’s knowledge base and level of skill. The methods will include some of all of the following: lecture,
discussion, videotapes, computer/internet activities, seminars, small group activities, critical-thinking exercises, case
studies, ATI computerized learning, and NCLEX-style questions.
Course Rationale: This course will assist students in the basic knowledge and skills necessary for care of the maternalchild unit and pediatric client/family and builds on knowledge and skills from Nursing 218.
Homework: Each student should expect to spend two (nunpa) to three (yamni) hours out of class on reading and
homework assignments each week, for every hour of class time (each credit hour), in order to perform satisfactorily.
Therefore, if a course is three (yamni) credit hours you should spend approximately six (sakpe) hours outside of the
course room on required readings and homework. However, every student differs in their individual skills, education
background, experience, capability and person goals; so the amount of time you must dedicate to out of class work can
vary significantly from this average.
Reading/Assignments: Reading will include approximately one (wanji) to two (nunpa) chapters per week, plus
handouts and homework as assigned.
Email addresses: All communication in regards to this course (outside of the classroom) will be via email. You will be
responsible for checking your OLC email several times weekly. I can be reached at rwhite@olc.edu
Lakota Perspective: This course stresses Wolakotakiciapi of “learning Lakota ways of life in the community” to
enhance health care and health outcomes of individuals and families on the Pine Ridge Reservation and beyond,
instructor-student relationships, clinical assignments, transcultural emphasis on balance/imbalances, childbearing, and
child-rearing practices and principles, family values/beliefs, communications and therapeutic relationships, spirituality, as
well as death and dying.
2
Missed Exams/Late Assignments:
Students are expected to schedule and make up a missed exam within three days. The instructor may make exceptions to
this rule in the event of an extenuating circumstance. Exams taken late (after the scheduled date) will result in an
automatic 10% reduction on your test score. If the test has not been taken in a week, then an additional 10% will be
deducted every week. No further tests can be taken until this test has been made up. Every effort needs to be made to
make up the test within three days of the missed test.
Students unable to complete their work must make arrangements to speak with their instructor regarding the late
assignment. Chronically late assignments may result in the student being placed on academic probation. 10 points will
be deducted daily from any late assignment as determined by your instructor.
All assignments are required and not optional in order to receive a final grade in this course! If a student has course work
that is overdue, that student will not be allowed to take the next scheduled exam, until the course work is turned in,
regardless of the anticipated grade. Late exam rules and deductions will then apply to the exam.
Evaluation and Grading: Exams, scholarly completion of assignments, and class participation of the nursing student
aids the faculty in evaluating the student’s knowledge of the course content.
Grading Method
1.
2.
3.
4.
5.
6.
7.
8.
Unit Exams (4 Exams: 50 points each)
Final Exam-Comprehensive
Vocabulary Preparation
Weekly Journals (5 pts each x 6 submissions)
Medication Quiz
Evidence-Based Presentation
Class Discussion/Participation (5 pts week)
ATI
200 pts
100 pts
50 pts
30 pts
30 pts
60 pts
40 pts
40 pts
Total points
550 pts
Nursing Department Grading Scale
A = 94% or better = Superior Quality Work = Demonstrated concept mastery
B = 87-93% = Good Quality Work = Demonstrated concept understanding
C = 80-86% = Satisfactory Quality Work = Demonstrated concept understanding
D = 80% and below = Unacceptable Quality Work = Demonstrated weak understanding
F = No credit = Unacceptable Quality Work for last year of nursing courses.
W = Withdrawal = A student may withdraw from a course by filling out a Drop Card to be recorded by the Registrar.
The student must sign this form if you drop yourself. A Drop Card may/can be filled out and signed by a
counselor/instructor for lack of attendance.
ATI Testing- All students will be required to take specific standardized tests as part of the nursing curriculum. ATI
resources and course materials are used to facilitate student learning and assure success through individualized and
systematic feedback of student progress.
In order for the results of the ATI exam to provide useful information to students and faculty, students are expected to
study for each exam and strive to do their best. Faculty use exam results to evaluate overall student mastery of content
areas and to evaluate the nursing program as a whole, frequently modifying courses based on student performance on the
exams.
The ATI exam results provide students with a Proficiency Level ranking based on national normative data that predicts
the student’s likelihood of passing the NCLEX exam in the content areas covered by each exam. Proficiency Levels are
defined as follows:
3
Level 3: Student is very likely to exceed NCLEX standards in this content area
Level 2: Student is fairly likely to exceed NCLEX standards in this content area
Level 1: Student is likely to just meet NCLEX standards in this content area
Below Level 1: Student did not meet criterion established for the Proficiency 1 Level cut score
Points awarded for the ATI exam are based on the achievement of the proctored version of the exam as follows:
Level 3: 40 points +10 points for 1 hour remediation=50 points
Level 2: 30 points +10 points for 2 hours remediation=40 points
Level 1: 20 points +10 points for 4 hours remediation=30 points
Below Level 1: 10 points +10 points for 6 hours remediation=20 points
The ATI Maternal Child exit exam must be taken and remediation completed before the student is allowed to
progress to the next semester.
Evidence-Based Research Presentation:
1. The student will decide on the content of the evidence-based project which will be based on any
aspect of nursing care for the pregnant woman, reproductive or women’s health issues, woman during
labor and delivery, post-partum period or the care of the newborn infant
2. You will need to research for existing hospital policies related to your project content.
3. You must include supporting data from at least 6 scholarly sources (nursing/medical journals, text
books).
4. Written portion should be at least 5-6 pages in length.
5. PowerPoint presentation must be inviting and informative
6. Assignment must include:
 the current standards of care related to your topic
 necessary nursing interventions for this topic with rationale
 potential ethical implications related to your topic
 reference page in APA format
Grading Rubric
Appropriate Content
Competent Presentation
Utilization of Scholarly Resources
Submitted in APA format
TOTAL
20%
40%
20%
20%
100%
Course Requirements, Expectations or Students:




Your homework assignments must be turned in on the dates due to get full credit.
You may not take your next unit test until that week’s assignments are turned in to your instructor.
You are expected to participate in class discussion; this provides evidence of your interest in and preparation for
the class. It also helps gauge the effectiveness of the instruction and everyone’s level of comprehension of the
material presented. Most importantly, fellow class members benefit from your opinions and insights; in addition,
the questions you ask may be about the same topic with which other students are having difficulty, so by helping
yourself you also help them.
If the Instructor is not present at the beginning of the class, and the College Center Staff has not heard from the
Instructor, you should wait at least 30 minutes past the normal start-time and then if the Instructor has still not
arrived, you may leave.
4



Exam tardiness (over 15 minutes late) 10 % of your test score will be subtracted (per instructor discretion)
If a scheduled exam is missed, the student must contact the instructor that day to reschedule the test. At the
discretion of the instructor, deductions for late test taking are 10% of your test score.
All classroom assignments are required for completion of the course. If late, you are still responsible for
submission, even without credit. Assignments given are not optional at this level of nursing education.
Clinical Requirements:
The student must perform satisfactorily in the clinical area and complete all the required written assignments.
Attendance: to nursing arts labs and hospital, and other clinical hours are MANDATORY. All absences will be made up
at the discretion of the instructor. It is the student’s responsibility to inform the instructor of their absences before the
scheduled time of clinical. This means the student is responsible for contacting the instructor at home, in the office, or at
the clinical site PRIOR to the start time of the clinical. You must be on time for clinicals. Students arriving more than 15
minutes late for clinical may be sent home and the clinical is counted as an absence. Personal emergencies may
necessitate being absent. Clinical hours are tightly scheduled. Efforts will be made by the instructor to help the student
make up clinical time; however, are not guaranteed. In this case, the student will be given a failing grade for clinicals
and the course.
Dress Code: The student will adhere to the Nursing Department dress code (nursing uniform, shoes, and nametag) for
all of the clinical experiences. Professionalism must be adhered to. For infection control purposes, minimal jewelry
should be worn (such as small-dainty earrings, and wedding bands). Finger nails must be kept short and clean, and
unpolished. No artificial nails will be allowed. Tattoos must be unobtrusively covered (see nursing student handbook).
Skills: Students must test out on lab skills checklists and medication knowledge. Lab skills checklists may be repeated
once. If there is some doubt about skill performance, the student will be asked to retest on that skill.
Student Discipline/Unsatisfactory final clinical evaluation will result in failure of the entire course. Two consecutive
unsatisfactory clinical or three total unsatisfactory clinical weeks will result in failure of the course. Events that could
result in an unsatisfactory experience include but are not limited to: compromising patient safety, medication errors,
altercations with or threats to instructors, staff, or other students, drug or alcohol use, disrespect or insubordination,
cursing/swearing, abusive or vulgar language, inappropriate relationships with clients, leaving the clinical site without
authorization, abuse or neglect of your client, breach of confidentiality, and arriving for the clinical experience late or
unprepared. Verbal or physical altercations of any kind with another student, staff or instructor during a clinical will
result in an unsatisfactory clinical for the day for both students, and you will be asked to leave. In addition, the incident
will be reviewed with the faculty and one or both students may be dropped from the program.
Clinical paperwork: must have a passing grade (80%) on all required paperwork. Late paperwork will have an
automatic 10% deduction each week it is late. Unsatisfactory grades may result in failing of the course. If you have
unsatisfactory clinical paperwork or experience, you will fail the course.
College Policy on Grading and Change of Grades:
http://www.olc.edu/~wwhitedress/studentservices/Docs/OLC_Handbook.pdf see page 9 and 10
Attendance and Tardiness
http://www.olc.edu/~wwhitedress/studentservices/Docs/OLC_Handbook.pdf see page 8
Policies on Academic Honesty
http://www.olc.edu/~wwhitedress/studentservices/Docs/OLC_Handbook.pdf see page 43
5
Standards of Conduct Policy
http://www.olc.edu/~wwhitedress/studentservices/Docs/OLC_Handbook.pdf see page 38
ADA Policy
http://www.olc.edu/~wwhitedress/studentservices/Docs/OLC_Handbook.pdf see page 37
Electronic Information Resources Acceptable Use Guidelines
http://www.olc.edu/~wwhitedress/studentservices/Docs/OLC_Handbook.pdf
TOPICAL CONTENT
DATE/TIME
TOPIC
ASSIGNMENTS AND/OR CLASS
DISCUSSIONS
 Chapters: 1-2

Introduction to Holistic
Maternal Health
Nursing
1300-1500

Introduction to
Evidence Based
Medicine
3/29/2016

1000-1200

Normal Postpartum/
Breastfeeding
Skills Lab (30 min)



Chapters: 12-13
ATI: 17-18
Appendix A
1300-1400

Postpartum
Complications


Chapter 14
ATI: 20-22
1400-1500

Skills Lab (30 min)
4/5/2016

Exam 1
1000-1100
1100-1200

1300-1500

Introduction Normal
Newborn
Newborn
Complications/
Perinatal Death
Skills Lab (ATI Real
Life Scenario)
3/22/2016
1000-1200

4/12/2016

Exam 2
1000-1100
1100-1200

Pregnancy/
Antepartum
EXAM/QUIZ
Exam 1
(Postpartum/
breastfeeding)




Chapters: 15-16
ATI: 23-26
Chapters: 17
ATI: 17
Exam 2
(Newborn)


Chapters: 4-6
ATI: 5
6
1300-1500

Pregnancy
Complications
4/19/16

Exam 3
1000-1100
1100-1200

Labor & Birth Into
1300-1500

Labor & Birth
Complications
Skills Lab
(Fetal Monitoring)
Exam 4

4/26/16
1000-1100
1100-1200



Chapter 7
ATI: 6-10
Exam 3
(Pregnancy)




Chapter 8
ATI: 11-13
Chapters: 10-11
ATI: 15-16

Chapter 9
Exam 4
(Labor, Birth, Fetal
Monitoring)


Contraception
Reproductive Health/
Menstrual Disorders


ATI 1
ATI 2

STD’s/GYN Issues

Chapter 18-19

Review/ ATI Real-Life
Scenarios
4/28/16


ATI EXAM
MEDICATION QUIZ
5/3/16

1000-1200
1300-1500

Evidence Based
Research
Presentations
Review
5/5/16

FINAL EXAM
1300-1500
ATI EXAM &
MEDICATION QUIZ
FINAL EXAM
(Time yet to be
determined)
Disclaimer: Information contained in this syllabus was, to the best knowledge of the instructor, considered correct and
complete when distributed for use at the beginning of the semester. However, this syllabus should not be considered a
contract between Oglala Lakota College and any student. The instructor reserves the right to make changes in course
content or instructional techniques without notice or obligation. Students will be informed of any such changes.
Additional student rights and responsibilities are outlined in the Student Handbook.
http://www.olc.edu/~wwhitedress/studentservices/Docs/OLC_Handbook.pdf
7