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 Adult Health Nursing II
Course Number: Nursing 328
Department: Nursing
Credit Hours: 8 (Saglogan) credits
Location: Pine Ridge Nursing Building
Time & Day: Mondays, 9:00-12:00
Tuesdays, 1:00-4:00
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Email: dforster@olc.edu
Mobile: 308-360-1449
Office: 605-867-5856
Instructor’s Name: Darcie Forster, MAN, RN
Instructor’s Name: Michelle Bruns, MSN, RN
Clinical Instructor: Robin White, RN
Email: mbruns@olc.edu
Phones: 308-862-4248
Mobile: 308-360-1733
Office: 605-867-5856
Email: rwhite@olc.edu
Mobile: 605-381-5540
Office: 605-867-5856
Office Hours: Monday 12:00 – 3:00 Tuesday 10:00- 1:00
Breakdown of Clinical Hours:
 40 hours Pine Ridge IHS Clinicals
 14 hours Simulation Labs
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8 hours Rapid City Regional Hospital ICU Observation
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4 hours Rapid City Regional Hospital Outpatient Wound Care Observation
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2 hours online computer training for IHS
 10 hours Nursing Arts Lab
 12 hours ACLS training
____________________________________________________________________________________
Course Description (Waunspe Oyakapi): This course will focus on the chronic and acute health imbalances
of the adult client with health restoration and health maintenance requirements. Students will expand their use of
Critical thinking and the nursing process by providing and planning care, including nursing management skills, to
individuals in the hospital setting. Clinical experiences may include directly supervised clinicals in Fall River
Hospital in Hot Springs, SD, Pine Ridge IHS , VA Medical Center, Hot Springs, SD, and Rapid City Regional
Hospital ICU in Rapid City, SD.
Prerequisites: Nursing 312, N313, & N317
Required Text and Materials: Hinkle, J.L., & Cheever, K. H. (2014).
Brunner & Suddarth’s Textbook of Medical-Surgical Nursing
1
(13th ed.) Philadelphia, PA: Lippincott Williams & Wilkins.
Fischbach, F., & Dunning, M.B. (2009) A Manual of Laboratory
And Laboratory Diagnostic Tests. (8th ed.) Philadelphia,
PA: Lippincott Williams & Wilkins.
Billings, D. M. (2011). Lippincott’s Q&A Review for NCLEX-RN.
Philadelphia, PA: Lippincott Williams & Wilkins
Medication reference book
IV Medication reference book
Course Goal: Students will obtain knowledge on the physiologic, pathophysiologic, and psychosocial concepts
as they relate to the art and science of adult medical-surgical nursing care.
Learning Objectives (Wounspe Taku Unspepi Kte Kin He Le E): Upon completion of this course students
will be able to:
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Apply knowledge of the nursing process along with critical thinking as a framework for
clinical decision making. Lakota value:Woksape-Wisdom [PLO] – 1 – Mastery [M]
Demonstrate cultural competency and caring behaviors for the purpose of providing
culturally appropriate nursing care to diverse populations. Lakota Values : WowaholaRespect, Wacantognaka-Generosity[PLO] – 2– Mastery [M]
Incorporate professional/legal, ethical accountability into practice, embracing the values of
the profession and assuming the various nursing roles of life-long learner, teacher, client
advocate, leader/manager, and care provider. Lakota values:Woohitika- Courage,
Wacanteognaka- Generosity[PLO] – 3– Mastery [M]
Utilize evidence-based practice and technology to provide safe, competent, holistic nursing
care to clients across the life span. Lakota Value: Woksape-Wisdom [PLO] – 4– Mastery [M]
Communicate and collaborate with client, family, healthcare and interdisciplinary teams to
provide holistic health care and promotion and disease prevention. Lakota Value: WowaholaRespect [PLO] – 5– Mastery [M]
Recognize and manage geriatric syndromes common to older adults. Lakota Value:
Woksape - Wisdom
Assessment: These objectives will be assessed through the use of classroom discussions, case studies,
assignments, exams, and clinical assignments.
Instructional Methodology: This course will be taught utilizing a combination of classroom discussion, student
presentation of information in case study format, lecture-discussion format with enhancement
from the use of Moodle, DVDs, nurse arts labs and simulations, concept mapping, computer
software, synthesis paper writing, and journal article reviews.
Course Rationale: The purpose of this course is to assist the nursing student to attain the knowledge necessary
to deliver safe, holistic, evidence-based, and competent nursing care to adult medical-surgical
patients in preparation for becoming an Associate Degree Registered Nurse.
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
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individual skills, educational background, experience, capability and personal goals; so the amount of time you
must dedicate to out of class work can vary significantly from this national average.
Reading Load: Reading will include approximately two (numpa) to three (yamni) chapters per week on average.
Type & Amount of Writing Load: A heavy amount of writing is required in the form of clinical paper work
before, during and after your clinical experience, and charting on your patients in the hospital setting.
Lakota Perspective Provided Through: This course stresses Wolakotakiciapi of “learning Lakota ways of life
in the community”. This course is based on the values of mutual respect and generosity (wooholana
wochantognakapi), seeking to advance each individual’s knowledge through their continuing hard work
(fortitude- wowalitake) and willingness to learn new information and viewpoints, as well as to demonstrate it, by
speaking in front of the group (bravery-woohitike); all undertaken in an environment of complete truthfulness,
trust, integrity and humility. We will do this by embracing the teaching of our ancestors as we learn new ways.
(Waunspe wicakiyapi ki iglutanyan ihani unpi kun hena itan waunspe tokeca uha ayin kte.)
Evaluation and Grading:
Nursing Department Grading Scale:
A = 94-100
B = 87-93
C = 80-86
D = 73-79
F = 72 and below
An 80% or better is required by the Nursing Department to pass this course. Any student falling below 80% is
advised to attend tutoring sessions.
Evaluation Methods:
Exams (8)
Final Exam
Prep – U
ICU Observation Worksheet
Wound care clinic observation
ATI Exit Exam
Total Points
800 points
100 points
330 points
50 points
50 points
120 points
1450 points
Total exam percentage must be 80% or better before other work is factored in to pass this course.
Midterm grades will be issued to each student for review with the faculty. Those students having a
cumulative exam average falling below 80% after their second exam will be placed on academic
probation.
A = Superior Quality Work = Demonstrated concept mastery by scoring 94% or better.
B = Good Quality Work = Demonstrated concept mastery by scoring 87-93%.
C = Satisfactory Quality Work = Demonstrated concept mastery by scoring 80-86%.
D = Not acceptable
F = Not acceptable
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.
3
Course Requirements, Expectations or Students: Because OLC offers classes in three-hour blocks once per
week, (for everyone’s travel convenience), if you are absent from one OLC class session, it’s like missing three
classes at another college. (See student handbook).
 Unannounced quizzes and graded in-class exercises will be given; content can include any course
material assigned, up to and including the current session.
 Your homework assignments must be turned in on the dates due to get full credit. All homework
assignments must be completed and turned in to the instructor for approval before the next unit test can
be taken.
 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.
Oglala Lakota College Policies:
http://www.olc.edu/local_links/registrar/docs/student_handbook.pdf
All policies regarding students are fully disclosed in the Oglala Lakota College Student Handbook which may be
accessed at the above link. The following policies should be reviewed as pertinent to this course:
Attendance Policy (81-350)
Tardiness Policy (81-370)
Academic Dishonesty (76-300)
Academic Freedom (76-100)
Disability Policy (85-600)
Standards of Conduct (86-300)
Computer Account and Network Policy (93-500)
Dropping/Adding Courses (81-300)
OLC students will abide by the standards of conduct while on college premises. Every student has the right to a
safe learning environment. To ensure this safety, OLC applies the following as acts of misconduct subject to
disciplinary action:
 Any actual or threatened physical violence
 Gross disorderly conduct
 Verbal abuse or harassment
 Vandalism of OLC premises
 Attending classes under the influence of alcohol or drugs
 Failure to properly supervise children on college premises
 Any other student conduct that causes a disruption in classes or business transactions on college premises
Department Specifics:
Satisfactory performance in the clinical area is required to pass this course. Two consecutive or three
total unsatisfactory clinical performances will cause the student to fail this course. Events that could
result in an unsatisfactory clinical experience are the following:
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Anything that compromises patient safety
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Medication errors
Altercations, harassment, threats and/or inappropriate behavior/comments to instructors, staff, or
other students
Drug or alcohol use
Disrespect or insubordination
Cursing, swearing, abusive or vulgar language
Inappropriate relationships with clients
Breach of confidentiality
Arriving for clinical experience late or unprepared, including pre-clinical paperwork
No call, no show for a clinical experience
Inappropriate use of social media
Verbal or physical altercations of any kind with another student, staff or instructor during a clinical
experience will result in an unsatisfactory clinical for the day for both students and students will be
asked to leave. In addition, the incident will be reviewed with the Nursing Department faculty and one
or both students may be dropped from the program.
If the student misses two clinicals for justified reasons, before the student is allowed to return to
clinicals, the student may be asked to appear before the faculty to discuss the events that have resulted in
missed clinical time. Three or more missed clinical experiences will result in the student being dropped
from the course.
Attendance:
Attendance to nursing arts labs, theory classes, and clinical labs is mandatory. The student must contact the
instructor prior to the experience if they are going to be absent. Theory or lab hours will be made up at the
discretion of the instructor. Absence from an exam without prior notification by the student to the instructor of
the course will result in an automatic 10% reduction in your test score.
Tardiness:
Tardiness does not belong in the realm of professional nursing and will not be tolerated. Students who are tardy
may be dropped from the class. If you believe you will be late for class, please contact your instructor, this is
part of your professional responsibility. Tardiness to class leaves you missing out on vital information for class,
as well as being disruptive and disrespectful to the rest of the class. Tardiness while test taking is particularly
disruptive and chronic tardiness during test taking will result in penalties on your test scores. Upon your 3rd tardy
of 15 minutes or more, your test will be docked 10% - as you have perhaps resulted in this much of a deduction in
everyone else’s scores by disrupting them with your chronic late arrivals. If you are experiencing car trouble
traveling to a clinical site, you will be expected to notify your clinical instructor for the area ASAP. This is part
of your professional responsibility, as you have faculty, fellow students, patients, and facility floor staff counting
on your timely presence.
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Prep-U Assignments These are the online adaptive quizzes to go along with each chapter that we have covered
in class. We are asking that you take the online chapter quizzes to meet a Level 3 (which equates to an adequate
understanding of the chapter material) prior to being allowed to sit for the exam. Each chapter quizzing
competency is worth 10 points each. No points will be issued for each chapter assignment not completed by the
assignment exam date and time.
ATI Med-Surg Exit Exam – You will be expected to take the ATI exam on Med-Surg at the end of the semester.
This exam will be comprehensive for Med-Surg I and II, so it is in your best interest to keep up on the
information you obtained in the Fall semester. We recommend that you go back with the textbook CD, and the
ATI website to complete all of the Med-Surg practice tests that you can in preparation, as well as the ATI book.
You are given points for your score on the ATI med-surg Exit exam. It is worth roughly 10% of your grade. See
ATI Plan for Success document for the specific points earned for the level you achieved on the test.
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 extenuating circumstances. 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.
Classroom conduct:
Students are expected to be respectful in their comments and conduct regarding their instructors and fellow
students. The use of iPods, cell phones, MP3/MP4 players, and texting will not be allowed in the classroom –
TURN THEM OFF – please use the classroom breaks for use of these items. The use of laptops in class for
note-taking is allowed, however, inappropriate use will not be tolerated and may result in your lap-top privileges
being removed. Inappropriate use includes, but is not limited to: surfing the net (unless it is class related – i.e.
looking up diseases, etc), chatting online, and social networking.
Supplement to Syllabus:
1. You are expected to have read the chapters being covered for the week in advance of the class, so
that you may participate in the classroom discussion and case studies, and receive the maximum
benefit from this class. Having read material in advance will reinforce our classroom activities
and discussion – do it for YOU.
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2. Written assignments associated with clinical experiences are due every Monday by 1:00 p.m.
Assignments are to be turned into your clinical instructor only. Late assignments will be
recorded as an unsatisfactory clinical experience (refer to Evaluation Methods regarding number
of unsatisfactory clinicals before being dropped from the course).
3. You will be completing nursing care plans for your clinical experiences with the instructors.
4. You are expected to complete the assigned clinical portfolio work in the clinical area. Your
instructors will be reviewing the notebook periodically. You must receive a passing grade on
your clinical portfolio to pass the clinical portion of this course.
5. Students will adhere to the dress code. Please refer to your student handbook.
6. Should your course average fall below 80%, we will make every effort we can to locate tutoring
services for you. All test scores will be available to view on Moodle.
7. Phone numbers for instructors of this course:
a. Darcie Forster: 308-360-1449 (Cell)
b. Michelle Bruns: 308-862-4248 (Home) Cell 308-360-1733
c. Robin White: 605-381-5540 (Cell)
8. Facility phone numbers for this course – please keep these numbers accessible to you, should you
have car trouble or such, when traveling, which may result in you attending your clinical
experience late:
a. Black Hills VA Medical Center: 605-745-2085
b. Pine Ridge Indian Health Services: 605-867-5131
c. Rapid City Regional Hospital ICUs: Nannette Zoll – 605-719-2267
9. Weather can be an issue during the Spring, use your own judgment during bad weather, but
please be advised all clinicals will need to be made up in some form. Make every effort to
contact your instructor if you are unable to make it to the clinical site. If you are unable to
contact your instructor, please call the facility and leave a message for your instructor there, with
a call back number for your instructor. Should we need to call off clinicals due to weather, your
instructor will contact you, so it is your responsibility to keep us up to date on your contact
information
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Date
Oko Wanci
1/18/2016
&1/19/2016
TOPICAL CONTENT
Objectives by Chapter
Assignments
Chapter 25-Assessment of Cardiovascular 1. Befor Visit the website,
Function
http://wikipedia.org/wiki/electrical_conduction_system
On completion of the unit, the student will:
 Explain cardiac physiology in relation to
cardiac anatomy and the conduction system of
the heart.
 Identify the significant subjective and objective
assessment data related to the cardiovascular
system that should be obtained from the patient.
 Differentiate normal from common abnormal
findings of a physical assessment of the
cardiovascular system.
 Differentiate those clinical conditions that
cause chest pain.
 Compare the various methods of hemodynamic
monitoring (eg. central venous pressure,
pulmonary artery pressure, and arterial pressure
monitoring) with regard to indications for use,
potential complications, and nursing
responsibilities.
_of the heart
on electric conduction system of
the heart.
ATI RN Adult Medical Surgical Nursing – Pg
293-331
Chapter 26-Management of Patients with
Dysrhythmias and Conduction Problems
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Oko Nunpa
1/25/2016
&1/26/2016
Correlate the components of the normal
electrocardiogram (EKG or ECG) with
physiologic events of the heart.
Analyze elements of an ECG rhythm strip:
ventricular and atrial rate, ventricular and
atrial rhythm, QRS duration, P wave and
shape, PR interval, and P:QRS ratio.
Identify the ECG criteria, causes, and
management of dysrhythmias, including
conduction disturbances.
Compare the different pacemakers, their uses,
possible complications, and nursing
implications.
Describe the key points of using a defibrillator.
Describe invasive methods to diagnose and
treat recurrent dyshythmias and discuss the
nursing implications.
Use the nursing process as a framework for
care of patients with dyshythmias.
Chapter 25 and 26 cont..
Complete ATI Learning System RN Tutorial for
Hematologic and Cardiovascular System
Chapter 27-Management of Patients with Coronary
Vascular Disorders
 Describe the pathophysiology, clinical
manifestations, and treatment of coronary
atherosclerosis.
 Describe the pathophysiology, clinical
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Oko Yamni
02/1/2016
& 02/2/2016
manifestations, and treatment of angina
pectoris.
Describe the pathophysiology, clinical
manifestations, and treatment of myocardial
infarction.
Use the nursing process as a framework for
care of a patient with acute coronary syndrome.
Describe percutaneous coronary interventional
procedure for treatment of coronary artery
disease.
Chapter 28 – Management of Patients with
Structural, Infectious, and Inflammatory Cardiac
Disorders
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Define valvular disorders of the heart and
describe the pathophysiology, clinical
manifestations, and management of patients
with mitral and aortic disorders.
Describe types of cardiac valve repair and
replacement procedures used to treat valvular
problems and the care needed by patients who
undergo these procedures.
Describe the pathophysiology, clinical
manifestations, and management of patients
with cardiomyopathies.
Describe the pathophysiology, clinical
manifestations, and management of patients
with infections of the heart.
Exam on Chapters 25-27
-ATI – RN Adult Medical Surgical Nursing – Pg
350-368
-ATI – RN Adult Medical Surgical Nursing –Pg
371-376
-ATI – RN Adult Medical Surgical Nursing –Pg
427-441
Chapter 29 – Management of Patients with
Complications From Heart Disease
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Oko Topa
02/08/2016
& 02/9/2016
Describe the management of patients with heart
failure (HF.)
Use the nursing process as a framework for
care of patients with HF
Develop a teaching plan for patients with HF.
Describe the management of patients with
pulmonary edema.
Describe the management of patients with
thromboembolism, pericardial effusion, and
sudden cardiac death.
Chapter 30 – Assessment and Management of
Patients with Vascular Disorders and Problems of
Peripheral Circulation
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Identify anatomic and physiologic factors that
affect peripheral blood flow and tissue
oxygenation.
Use the nursing process as a framework of care
for patients with vascular insufficiency of the
extremities.
Compare the various diseases of the arteries
-ATI – RN Adult Medical Surgical Nursing –
Pg391-409
-ATI – RN Adult Medical Surgical Nursing –413424
-ATI – RN Adult Medical Surgical Nursing –478486
9
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and their causes, pathophysiologic changes,
clinical manifestations, management, and
prevention.
Describe the prevention and management of
venous thromboembolism.
Compare the strategies to prevent venous
insufficiency, leg ulcers, and varicose veins.
Use the nursing process as a framework of care
for patients with leg ulcers.
Describe lymphedema.
Chapter 31 – Assessment and Management of
Patients with Hypertension
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Oko Zaptan
02/15/2016
Describe hypertensive crises and their
treatment.
Chapter 14-Shock and Multiple Organ Dysfunction Exam on Chapters 28-31
Syndrome
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02/17/ 2016
Define normal blood pressure and categories of
abnormal pressures.
Identify risk factors for hypertension.
Explain the differences between normal blood
pressure and hypertension and discuss the
significance of hypertension.
Describe treatment approaches for
hypertension, including lifestyle and
medication therapy.
Use the nursing process as a framework for
care of the patient with hypertension.
Describe shock and its underlying pathology.
Compare clinical findings of the compensatory,
progressive, and irreversible stages of shock.
Describe organ damage that may occur with
shock.
Describe similarities and differences in shock
due to hypovolemia, cardiogenic, neurogenic,
anaphylactic, and septic shock.
Identify medical and nursing management
priorities in treating patients in shock.
Identify vasoactive medications used in treating
shock, and describe nursing implications
associated with their use.
Discuss the importance of nutritional support of
patients experiencing shock and emotional
support for their families.
Discuss multiple organ dysfunction syndrome.
Chapter 72 Emergency Nursing
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Discuss priority emergency measures instituted
for any patient with an emergency situation.
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Oko Sakpe
02/22/ 2016
Describe the emergency management of patients
with intra-abdominal injuries.
Identify priorities of care for patients with
multiple injuries.
Compare and contrast the emergency
management of patients with heat stroke,
frostbite, and hypothermia.
Specify the similarities and differences of the
emergency management of patients with
swallowed or inhaled poisons, skin
contamination, and food poisoning.
Discuss the emergency management of patients
with drug overdose and with acute alcohol
intoxication.
Describe the significance of crisis intervention in
the care of rape victims.
Differentiate between the emergency care of
patients who are overactive, those who are
violent, those who are depressed, and those who
are suicidal.
Chapter 57 – Management of Patients with Female
Reproductive Disorders
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Compare the various types of vaginal infections
and the signs, symptoms, and treatments of
each.
Develop a teaching plan for the patient with a
vaginal infection.
Discuss the signs and symptoms, management,
and nursing care implications of malignant
disorders of the female reproductive tract.
Use the nursing process as a framework for
care of the patient undergoing a hysterectomy.
Exam on Chapters 14 & 72
-ATI – RN Adult Medical Surgical Nursing –
Pg834-843
-ATI – RN Adult Medical Surgical Nursing –845851
Chapter 58 – Assessment and Management of
Patients with Breast Disorders
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Use the nursing process as a framework for
care of the patient undergoing surgery for the
treatment of breast cancer.
Describe the physical, psychosocial, and
rehabilitative needs of the patient who has had
breast surgery for the treatment of breast
cancer.
Chapter 59 – Assessment and Management of
Problems Related to Male Reproductive Processes
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Discuss nursing assessment of the male
reproductive system and identify diagnostic
tests that complement assessment.
Compare the types of prostatectomy with
regard to advantages and disadvantages.
Use the nursing process as a framework for
11
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02/23/2016
Chapter 73 Terrorism, Mass Casualty, and Disaster
Nursing
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Oko
Sakowin
02/29/2016
&3/01/2016
care of the patient undergoing prostatectomy.
Describe the various conditions affecting the
penis, including pathophysiology, clinical
manifestations, and management.
Identify the necessary components of an
emergency operations plan.
Discuss how triage in a disaster differs from
triage in an emergency.
Develop a plan of care for a patient
experiencing short-or-long-term psychological
effects after disaster.
Evaluate the different levels of personal
protection and decontamination procedures that
may be necessary during an event involving
mass casualties or weapons of mass destruction.
Describe isolation precautions necessary for
bioterrorism agents.
Identify the differences among the various
chemical agents used in terrorist events, their
effects, and the decontamination and treatment
procedures that are necessary.
Determine the injuries associated with varying
levels of radiation or chemical exposure
and the associated decontamination
processes.
Chapter 44 – Assessment of Digestive and
Gastrointestinal Function
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ATI – RN Adult Medical Surgical Nursing- Pg 924
Describe the structure and function of the
organs of the gastrointestinal (GI) tract
Describe the mechanical and chemical
processes involved in digesting and absorbing
foods and eliminating waste products
Use assessment parameters appropriate for
determining the status of GI function
Describe the appropriate preparation, teaching
and follow-up care for patients who are
undergoing diagnostic testing of the GI tract
Exam on Chapters 73, &57-59
-ATI – RN Adult Medical Surgical Nursing –
Pg610-625
-ATI – RN Adult Medical Surgical Nursing –629642
Chapter 46 – Management of Patients with Oral
and Esophageal Disorders
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Describe the nursing management of patients
with cancer of the oral cavity.
Use the nursing process as a framework for
care of patients undergoing neck dissection.
Use the nursing process as a framework for
care of patients with various conditions of the
esophagus.
12
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Describe the various conditions of the
esophagus and their clinical manifestations and
management.
Begin Chapter 45 – Gastrointestinal Intubation and
Special Nutritional Modalities
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Oko
Saglogan
03/07/2016
& 03/8/2016
Describe the purposes and types of
gastrointestinal intubation.
Identify the purposes and uses of parenteral
nutrition.
Discuss the nursing management of the patient
who has a nasogastric, gastrostomy, or
jejunostomy tube.
Use the nursing process as a framework for
care of the patient receiving special nutritional
modalities.
Describe the nursing measures used to prevent
complications from enteral and parenteral
nutrition.
Continue Chapter 45 – Digestive and
Gastrointestinal Modalities
Chapter 47 – Management of Patients with Gastric
and Duodenal Disorders
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Compare the etiology, clinical manifestations,
and management of acute gastritis, chronic
gastritis, and peptic ulcer.
Use the nursing process as a framework for
care of patients with peptic ulcer.
Describe the dietary, pharmacologic, and
surgical treatment of peptic ulcer.
Describe the nursing management of patients
who undergo surgical procedures to treat
obesity.
Use the nursing process as a framework for
care of patients with gastric cancer.
Use the nursing process as a framework for
care of patients undergoing gastric surgery.
Identify the complications of gastric surgery
and their prevention and management.
Describe the home health care needs of the
patient who has had gastric surgery.
-ATI – RN Adult Medical Surgical Nursing –645652
-ATI – RN Adult Medical Surgical Nursing –682693
-ATI – RN Adult Medical Surgical Nursing –696700
Chapter 48 – Management of Patients with
Intestinal and Rectal Disorders



Compare the conditions of malabsorption with
regard to their pathophysiology, clinical
manifestations, management.
Use the nursing process as a framework for
care of patients with diverticular disease.
Compare Crohn’s disease (regional enteritis)
13
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



and ulcerative colitis with regard to their
pathophysiology; clinical manifestations;
diagnostic evaluation; and medical, surgical
and nursing management.
Use the nursing process as a framework for
care of the patient with inflammatory bowel
disease.
Describe the responsibilities of the nurse in
meeting the needs of the patient with an
intestinal diversion.
Describe the various types of intestinal
obstructions and their management.
Describe nursing management of the patient
with an
anorectal condition.
Oko
Chapter 53-Assessment of Renal and Urinary Tract
Napcinyunka Function
 Review the anatomy and physiology of the
03/21/2016
renal and urinary systems.
& 3/22/2016


Discuss the role of the kidney in regulating
fluid and electrolyte balance, acid–base
balance, and blood pressure.
Describe the diagnostic studies used to
determine upper and lower urinary tract
function.
Spring Break Next
Week!!!!!
March 13th – 19th
Exam on Chapters 44-48
ATI – RN Adult Medical Surgical Nursing – Pg
628-699
Chapter 54-Management of Patients with Renal
Disorders



Describe the causes of acute and chronic renal
failure and compare and contrast treatment
options: hemodialysis, peritoneal dialysis, and
continuous renal replacement therapy.
Describe the pathophysiology, clinical
manifestations, medical management, and
nursing management of pylonephritis,
glomerulonephritis, renal/urinary tract trauma,
urinary tract infection, and neurotic syndrome
group of symptoms.
Compare and contrast the renal replacement
therapies including hemodialysis, peritoneal
dialysis, and kidney transplantation.
Chapter 55-Management of Patients with Urinary
Disorders



Oko
Wikcemna
Explain the pathophysiology, function, and care
for various urinary diversions.
Utilize effective teaching strategies and clinical
knowledge in dealing with patients and families
impacted by renal/urinary diseases.
Differentiate between the various adult
dysfunctional voiding patterns and treatment
for each.
Chapter 65- Assessment of Neurologic Function
Exam on Chapters 53-55
14
03/28/2016
03/29/2016





Describe the structures and functions of the
central and peripheral nervous systems.
Differentiate between pathologic changes that
affect motor control and those that affect
sensory pathways.
Compare the functioning of the sympathetic
and parasympathetic nervous system.
Describe the significance of physical
assessment to the diagnosis of neurologic
dysfunction
Describe diagnostic tests used for assessment
of suspected neurologic disorders and the
related nursing implications.
-ATI – RN Adult Medical Surgical Nursing –
Pg31-44
-ATI – RN Adult Medical Surgical Nursing –6774
Chapter 66 – Management of Patients with
Neurologic Dysfunction










Describe the nursing needs of patients with
various neurologic dysfunctions.
Describe the multiple needs of the patient with
altered level of consciousness.
Use the nursing process as a framework for
care of the patient with altered level of
consciousness.
Identify the early and late clinical
manifestations of increased intracranial
pressure.
Use the nursing process as a framework for
care of the patient with increased intracranial
pressure.
Describe the needs of the patient undergoing
intracranial surgery.
Use the nursing process as a framework for
care of the patient undergoing intracranial
surgery.
Identify the various types and causes of
seizures.
Use the nursing process to develop a plan of
care for the patient experiencing seizures.
Identify the needs of the patient experiencing
headaches.
Chapter 67 – Management of Patients with
Cerebrovascular Disorders



Describe the incidence and social impact of
cerebrovascular disorders.
Identify the risk factors for cerebrovascular
disorders and related measures for prevention.
Compare the various types of cerebrovascular
disorders: their causes, clinical manifestations,
and medical management.
15




Oko Ake
Wanci
04/4/2016&
04/5/2016
Apply the principles of nursing management to
the care of a patient in the acute stage of an
ischemic stroke.
Use the nursing process as a framework for
care of a patient recovering from an ischemic
stroke.
Use the nursing process as a framework for
care of a patient with a hemorrhage stroke.
Identify essential elements for family teaching
and preparation for home care of the patient
who has had a stroke.
Chapter 68 – Management of Patients with
Neurologic Trauma







Describe the mechanisms of injury, clinical
signs and symptoms, diagnostic testing, and
treatment options for patients with traumatic
brain and spinal cord injuries.
Describe the nursing management of patients
with brain injury.
Use the nursing process as a framework for
care of patients with traumatic brain injury.
Identify the population at risk for spinal cord
injury.
Describe the clinical features and management
of the patient with neurogenic shock.
Discuss the pathophysiology of autonomic
dysreflexia and describe the appropriate
nursing interventions.
Use the nursing process as a framework for
care of patients with spinal cord injury.
-ATI – RN Adult Medical Surgical Nursing –Pg
59-64
-ATI – RN Adult Medical Surgical Nursing –104111
-ATI – RN Adult Medical Surgical Nursing –165173
Chapter 69 – Management of Patients with
Neurologic Infections, Autoimmune Disorders,
and Neuropathies




Differentiate among the infectious disorders of
the nervous system according to the causes,
manifestations, medical care, and nursing
management.
Describe the pathophysiology, clinical
manifestations, and medical and nursing
management of multiple sclerosis, myasthenia
gravis, and Guillain-Barre` syndrome.
Describe disorders of the cranial nerves, their
manifestations, and indicated nursing
interventions.
Develop a plan of nursing care for the patient
with a cranial nerve disorder.
Chapter 70 – Management of Patients with
Oncologic or Degenerative Neurologic Disorders
16




Oko Ake
Nunpa
04/11/2016
& 4/12/2016
Identify the pathophysiologic processes
responsible for various degenerative neurologic
disorders.
Use the nursing process as a framework for
care of patients with Parkinson’s disease.
Identify resources for patients and families with
oncologic and degenerative neurologic
disorders.
Use the nursing process as a framework for
care of patients following a cervical
discectomy.
Chapter 17 Preoperative Nursing Management
 Define the three phases of perioperative
nursing.
 Describe a comprehensive preoperative
assessment to identify surgical risk factors.
 Identify health factors that affect patients
preoperatively.
 Identify legal and ethical considerations
related to informed consent.
 Describe preoperative nursing measures
that decrease the risk for infection and
other postoperative complications.
Chapter 18 Intraoperative Nursing Management






Exam on Chapters 65-70
ATI – RN Adult Medical Surgical Nursing – Pg –
1082-1104
Describe the principles of surgical asepsis.
Describe the roles of the surgical team
members during the intraoperative phase of
care.
Identify adverse effects of surgery and
anesthesia.
Compare types of anesthesia with regard to
uses, advantages, disadvantages, and nursing
responsibilities.
Identify the use of the nursing process for
optimizing patient outcomes during the
intraoperative period.
Describe the role of the nurse in ensuring
patient safety during the intraoperative period.
Chapter 19 Postoperative Nursing Management



Oko Ake
Yamni
04/18/2016
& 4/19/2016
Describe the responsibilities of the
postanesthesia care unit nurse in the prevention
of immediate postoperative complications.
Identify common postoperative problems and
their management.
Identify assessment parameters appropriate for
the early detection of postoperative
complications.
Chapter 60 Assessment of Integumentary Function



Identify the structures and functions of the skin.
Differentiate the composition and function of
each skin layer: epidermis, dermis, and
subcutaneous tissue
Describe the components of physical
Exam on Chapters 17, 18, 19
ATI – RN Adult Medical Surgical Nursing – Pg
811-829
17



assessment that are most useful when
examining the skin, hair, and nails.
Identify and describe primary and secondary
skin lesions and their pattern and distribution.
Recognize common skin eruptions and
manifestations associated with systemic
disease.
Discuss common skin tests and procedures used
in diagnosing skin related disorders.
Chapter 61 Management of Patients with
Dermatologic Problems








Describe the management of the patient with a
wound, pruritus, or a dermatologic secretory
disorder
Describe the management and nursing care of
the patient with infections of the skin and
parasitic skin diseases.
Describe the management and nursing care of
the patient with noninfectious inflammatory
dermatoses, including contact dermatitis or
psoriasis.
Use the nursing process as a framework for
care of patients with blistering disorders,
including toxic epidermal necrolysis and
Stevens-Johnson syndrome.
Describe the management and nursing care of
the patient with skin tumors (benign, malignant,
and metastatic).
Use the nursing process as a framework for
care of the patient with melanoma.
Compare the various types of dermatologic and
plastic reconstructive procedures.
Describe the management and nursing care of
patients undergoing plastic and cosmetic
procedures.
Chapter 62 Management of Patients with Burn
Injury








Discuss the incidence of burn injury in the
United States.
Describe the factors that affect the severity of
burn injury.
Describe the local and systemic effects of a
major burn injury.
Identify priorities of care and potential
complications for each phase of burns
Identify fluid replacement requirements during
the emergent/resuscitative and acute phases of a
burn injury.
Discuss the nurse’s role in burn wound
management during the acute/intermediate
phase of burn care.
Use the nursing process as a framework of care
for the patient with burns during the
emergent/resuscitative and rehabilitation phases
of burn care.
Describe the psychosocial challenges
18
Oko Ake
Topa
04/25/2016
& 4/26/2016
associated with burn injuries and identify
strategies for intervention.
Prepare for ATI Exit exam -
Final Exam (including Integumentary Chapters)
Prepare for Med-Surg Exit exams and RN Predictor
Oko Ake
ATI med-surg Exit Exam and RN PredictorsZaptan
what date??????
05/02/2016
&
05/03/2016
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
19