COURSE SYLLABUS
RNSG 1144 (1:0:4)
NURSING SKILLS II
**********
ASSOCIATE DEGREE NURSING PROGRAM
DEPARTMENT OF NURSING
HEALTH OCCUPATION DIVISION
LEVELLAND CAMPUS
SOUTH PLAINS COLLEGE
SPRING 2012
SCANS COMPETENCIES
RESOURCES: Identifies, organizes, plans and allocates resources.
C-1
TIME--Selects goal--relevant activities, ranks them, allocates time, and prepares and follows schedules.
C-2
MONEY--Uses or prepares budgets, makes forecasts, keeps records, and makes adjustments to meet objectives
C-3
MATERIALS & FACILITIES-Acquires, stores, allocates, and uses materials or space efficiently.
C-4
HUMAN RESOURCES--Assesses skills and distributes work accordingly, evaluates performances and provides
feedback.
INFORMATION--Acquires and Uses Information
C-5
Acquires and evaluates information.
C-6
Organizes and maintains information.
C-7
Interprets and communicates information.
C-8
Uses computers to Process information.
INTERPERSONAL--Works With Others
C-9
Participates as members of a team and contributes to group effort.
C-10
Teaches others new skills.
C-11
Serves clients/customers--works to satisfy customer's expectations.
C-12
Exercises leadership--communicates ideas to justify position, persuades and convinces others, responsibly challenges
existing procedures and policies.
C-13
Negotiates-Works toward agreements involving exchanges of resources resolves divergent interests.
C-14
Works with Diversity-Works well with men and women from diverse backgrounds.
SYSTEMS--Understands Complex Interrelationships
C-15
Understands Systems--Knows how social, organizational, and technological systems work and operates effectively with
them
C-16
Monitors and Correct Performance-Distinguishes trends, predicts impacts on system operations, diagnoses systems'
performance and corrects malfunctions.
C-17
Improves or Designs Systems-Suggests modifications to existing systems and develops new or alternative systems to
improve performance.
TECHNOLOGY--Works with a variety of technologies
C-18
Selects Technology--Chooses procedures, tools, or equipment including computers and related technologies.
C-19
Applies Technology to Task-Understands overall intent and proper procedures for setup and operation of equipment.
C-20
Maintains and Troubleshoots Equipment-Prevents, identifies, or solves problems with equipment, including computers
and other technologies.
FOUNDATION SKILLS
BASIC SKILLS--Reads, writes, performs arithmetic and mathematical operations, listens and speaks
F-1
Reading--locates, understands, and interprets written information in prose and in documents such as manuals, graphs,
and schedules.
F-2
Writing-Communicates thoughts, ideas, information and messages in writing, and creates documents such as letters,
directions, manuals, reports, graphs, and flow charts.
F-3
Arithmetic--Performs basic computations; uses basic numerical concepts such as whole numbers, etc.
F-4
Mathematics--Approaches practical problems by choosing appropriately from a variety of mathematical techniques.
F-5
Listening--Receives, attends to, interprets, and responds to verbal messages and other cues.
F-6
Speaking--Organizes ideas and communicates orally.
THINKING SKILLS--Thinks creatively, makes decisions, solves problems, visualizes, and knows how to learn and
reason
F-7
Creative Thinking--Generates new ideas.
F-8
Decision-Making--Specifies goals and constraints, generates alternatives, considers risks, and evaluates and chooses
best alternative.
F-9
Problem Solving--Recognizes problems and devises and implements plan of action.
F-10
Seeing Things in the Mind's Eye--Organizes and processes symbols, pictures, graphs, objects, and other information.
F-11
Knowing How to Learn--Uses efficient learning techniques to acquire and apply new knowledge and skills.
F-12
Reasoning--Discovers a rule or principle underlying the relationship between two or more objects and applies it when
solving a problem.
PERSONAL QUALITIES--Displays responsibility, self-esteem, sociability, self-management, integrity and honesty
F-13
Responsibility--Exerts a high level of effort and preservers towards goal attainment.
F-14
Self-Esteem--Believes in own self-worth and maintains a positive view of self.
F-15
Sociability--Demonstrates understanding, friendliness, adaptability, empathy, and politeness in group settings.
F-16
Self-Management--Assesses self accurately, sets personal goals, monitors progress, and exhibits self-control.
F-17
Integrity/Honesty--Chooses ethical courses of action.
SOUTH PLAINS COLLEGE
ASSOCIATE DEGREE NURSING PROGRAM
-NURSING SKILLS II
TABLE OF CONTENT
Page
COURSE SYLLABUS ............................................................................................. 1
Course Description......................................................................................................................1
Course Learning Outcomes.........................................................................................................2
Course Competencies..................................................................................................................2
Academic Integrity......................................................................................................................2
Scans and Foundations Skills......................................................................................................3
Verification of Workforce Competencies ...................................................................................3
SPECIFIC COURSE/INSTRUCTOR REQUIREMENTS ................................. 3
Attendance Policy .......................................................................................................................3
Grading Policy ............................................................................................................................5
Course Grade Worksheet ............................................................................................................6
Examination Policy .....................................................................................................................7
Assignment Policy ......................................................................................................................7
Grievance Policy .........................................................................................................................9
Course Requirements ..................................................................................................................9
Skills Extension Contract ..........................................................................................................10
COURSE OUTLINE ............................................................................................. 11
Unit I
Unit II
Unit III
Unit IV
Unit V
Introduction to Urinary Elimination ......................................................................12
Introduction to Bowel Elimination ........................................................................13
Introduction to Skin Integrity & Wound Care .......................................................15
Introduction to Oxygenation ..................................................................................17
Introduction to Nutrition ........................................................................................20
ACCOMODATIONS ............................................................................................. 11
Campuses: Levelland
COURSE SYLLABUS
COURSE TITLE:
RNSG 1144 Nursing Skills II
INSTRUCTORS:
Reva Lynn Baldwin, RN, MSN-Level I Semester I Coordinator, Instructor
Emily Rider, RN, MS-Instructor
Hope Alvarado, RN MSN-Instructor
Jan Buxkemper, RN MSN-Course Leader
OFFICE LOCATION, PHONE/ E-MAIL:
Reva Lynn Baldwin TA 106C; 716-2392, lbaldwin@southplainscollege.edu
Emily Rider
TA 106A; 716-2194, erider@southplainscollege.edu
Jan Buxkempe r
TA 108B; 716-2387, jbuxkemp@southplainscollege.edu
Hope Alvarado
TA 108A; 716-2494, jalvarado@southplainscollege.edu
OFFICE HOURS:
Posted on each instructor’s door.
SOUTH PLAINS COLLEGE IMPROVES EACH STUDENT’S LIFE
******************************************************************************
I.
GENERAL COURSE INFORMATION:
A.
COURSE DESCRIPTION:
Overview of nursing and the role of the associate degree nurse as a provider of
care, coordinator of care, and member of a profession. Topics include
knowledge, judgment, skills, and professional values with a legal/ethical
framework.
The student will identify concepts for the provision of nursing care; describe the
roles of the nurse in the delivery of comprehensive care; describe the use of a
systematic problem-solving process; and utilize critical thinking skills. Lab is
required.
This course is designed to provide the learner with basic knowledge and skills to
function within the three roles of nursing (provider of care, manager/coordinator
of care, and member of the profession). RNSG 1144 involves the development of
basic nursing skills essentials in caring for the individual who is influenced by
genetic inheritance, life experiences, and cultural background and is a part of a
larger community. The learner will develop observational, communicative, and
technical skills.
This course allows for basic safe and effective nursing principles and skills to be
demonstrated in practical applications in a variety of settings to the adult client
experiencing stressors of illness.
1
1.
Placement:
Level I
2.
Time Allotment:
Eight ( 8 ) weeks. The course allows one ( 1 ) semester hours credit
including didactic and laboratory instruction.
3.
Teaching Strategies:
Team teaching, demonstrations, independent assignments, Nursing
Resource Learning Laboratory, simulated labs, audiovisual media, group
presentations, and small discussions.
4.
Teaching Personnel:
Associate Degree Nursing faculty and guest speakers.
B.
COURSE LEARNING OUTCOMES
Upon satisfactory completion of RNSG 1144, the student will meet:
1. Level I course educational outcomes (designated by numbers within the
column headings) as specifically applied to Medical-Surgical nursing.
2. Competencies and foundation skills of SCANS (designated by letters and
numbers under the unit title)
3. Differentiated Entry Level Competencies of Graduates of Texas Nursing
Program. See Student Handbook and or Level I Semester I for Level I course
outcomes (designated by numbers within each role column) are found throughout
the unit content within the syllabus.
C.
COURSE COMPETENCIES
Successful completion of this course requires a grade of “77” or better;
satisfactory total grade point average on examinations; satisfactory
achievement of unit and clinical outcomes; and regular classroom/laboratory
attendance, successful completion of all assigned skills. Upon successful
completion of this course, each student will have demonstrated accomplishment
of the level outcomes for the course, through a variety of modes (prelims, roleplay, case studies, individual presentations, group presentations, laboratory
performance).
D.
ACADEMIC INTEGRITY
Refer to the SPC College Catalog. Refer to
the SPC ADNP Nursing Student Handbook “Honesty Policy.”
Examples of violations to the Honesty Policy in this course may include, but are
not limited to the following:
2
Student coaching during the check-off of skills (this includes ANY
communication, verbal or nonverbal to the SN that is not necessary for the
completion of the actual skill).
Presenting work as your own when you have worked in pairs or groups to
complete it. All work in this course is intended to be completed on your own
unless it is specified by the instructor as group work.
E.
SCANS AND FOUNDATION SKILLS
Scans and foundation skills found within this course are listed below the unit title
(and above the content column of each unit presented).
F.
VERIFICATION OF WORKPLACE COMPETENCIES:
No external learning experiences are provided but learning experiences in the lab
provides the setting in which the student applies workplace competencies.
Successful completion of the Differentiated Entry Level Competencies of
Graduates of Texas Nursing Program statements at the level specified by the
course (Level Outcomes) will allow the student to continue to advance within the
program. Upon successful completion of the program, students will be eligible to
apply to take the state board exam (NCLEX) for registered nurse licensure.
II.
SPECIFIC COURSE/INSTRUCTOR REQUIREMENTS:
A.
ATTENDANCE POLICY
The SPC ADNP policy must be followed. Refer to the SPC ADNP Nursing
Student Handbook to review this policy. In addition, refer to the attendance
policy found in the South Plains College Catalog.
Punctual and regular class and lab attendance, as stated in the SPC handbook, is
required of all students attending South Plains College. There are no excused
absences. The instructor and/or ADNP has the prerogative of dropping the
student from the course for any absences.
1. Skills Lecture
Skills lecture attendance is mandatory. The instructor may initiate a student’s
withdrawal if a student misses 3 hours or more of class. Reinstatement is
handled on an individual basis by the course leader.
*Do not be tardy for lecture. If lecture has began before you enter the
classroom, you must wait until the break period to enter the classroom.
3
Pagers and cellular phones must be turned off during the lecture period. Cell
phones found to be turned on during the lecture period or while in the NLRL
will be confiscated and given to the ADN Program Director.
2. Skill/Computer Lab
a.
Students are expected to attend all scheduled days of skills/lab
experience. In the event of illness, it is the student’s responsibility to
notify his/her instructor. Should the student miss two skill/lab hours,
a Formal Learning Contract Record may be completed. This contract may
become a part of the student's permanent record. This record may
indicate any additional work required and dates for completion.
b.
If the student misses 3 hours of skills/lab, the student may be referred to
the Program Director or the ADNP Admission/Academic Standards
Committee with the instructor’s recommendations. The course leader has
the prerogative of dropping the student from the course. If the student is
in good standing has properly notified the instructor when absent, and
resolved the problem causing the absences, the course leader has the
option to allow the student to continue in the course. Assignments for
missed experiences will be determined by the instructor. Assignments
must be completed within two weeks of the date of the absence. If the
student fails to complete the assignment during specified time, a Formal
Learning Contract may be written. This contract may become a part of the
student’s permanent record. Failure to complete the assignment by the
date specified in the Formal Learning Contract will result in the student
being brought before the Program Director or the ADNP
Admission/Academic Standards Committee for disciplinary action. The
student’s right of appeal is through the ADNP Admission/Academic
Standards Committee.
c.
Any absence over 3 skills/lab hours, the student may be
given a failing grade in RNSG 1144.
d.
Extenuating problems such as surgery, severe illness, pregnancy, delivery
or emergencies of immediate family may be requested as a hardship case
by appointment with the ADNP Admission/Academic Standards
Committee.
e.
Tardiness to Clinical or Skill Lab
Tardiness in the skills lab will be cumulative. When a student exhibits
inappropriate behavior, i.e., tardiness to skills/computer lab, the
instructor will handle the situation with his/her discretion.
In most situations, the student may be counseled verbally the first time.
The second time a contact record may be completed, signed by the
4
student and placed in the student’s file. The third time, the student may be
given a Formal Learning Contract.
B.
GRADING POLICY: Refer to SPC ADNP Nursing Student Handbook Grading
System.
1.
2.
3.
4.
There will be three (3) preliminary tests.
The final exam will be administered at the end of the semester.
A student course grade worksheet can be found on the following page.
A student must receive a minimum course grade of "77" to progress to the
next nursing course.
5. Grading Scale:
A = 90% - 100%
B = 80% - 89.99%
C = 77% - 79.99%
D= 60% - 76.99%
F= below 60%
6. Student must pass the didactic component and all skills to pass RNSG 1144.
7. Failure of either RNSG 1144 or RNSG 1160 will necessitate repeating Level I
Semester I Courses. When repeating any course, the student is required to
complete all aspects of the course including the required written work.
5
SOUTH PLAINS COLLEGE
ASSOCIATE DEGREE NURSING PROGRAM
COURSE GRADE WORKSHEET
FOR
NURSING SKILLS II
Student’s Name:_______________________________________________________________
1.
Prelims:
1.
_________
X 0.25 = ________
2.
_________
X 0.25 = ________
3.
_________
X 0.25 = ________
2.
Final Exam Grade x 0.25 =
__________
3.
Final Grade (add all the above) =
__________
6
C.
EXAMINATION POLICY:
a) Exams will not be retained by the student. After all students have
taken an exam, feedback will be provided at a scheduled time. Exams
may be reviewed by students upon requested, under direct supervision.
b) A student must communicate with the course leader if unable to take
an exam on a scheduled day. If there is no communication by 2 days
from the date of the exam, a “0” will be given.
c) Alternate exams may be given as make up exams.
d) Name badge must be worn when testing in the computer lab.
e) The student is responsible for coordinating with the lab director for
skills practice, checking off and/or video taping of the skill. In the
event the student cannot keep the appointment, the student must give
1 hour cancellation notice. Failure to cancel a skill check off/video
taping 1 hour in advance will constitute a clinical lab absence.
D.
ASSIGNMENT POLICY:
1. All required work must be in on time in order that the student may benefit
from the corrections and study for future examinations. Assigned outside
work is due on the dates specified by the instructor. Assignments turned in
later than the due date may not be accepted unless the student clears the
circumstances with the instructor. Late work may be assessed penalty points
by the instructor. The assignment may be docked five (5) points per day for
each late day. Students should keep a copy of all assignments turned in
2. Laboratory Component:
A.
B.
All skills lab experiences must be passed by the assigned date.
Failure to successfully pass the skill by the assigned date will
result in course failure.
The skill laboratory component serves the following functions:
1) Provides the opportunity for students to practice their skills
prior to clinical performance of those skills. The nursing
faculty expects the nursing student to develop a beginning safe
level proficiency with procedures by utilizing the Nursing
Learning Resource Lab. This will maximize positive
productive outcomes for both the client and the nursing
student.
2) Provide the opportunity for students to be evaluated according
to the criteria of adequacy.
7
C. Required skills will be demonstrated during class time. Students must
arrange to be checked off on all required skills prior to performing
these skills in clinical. Students must validate practice time with
learning lab faculty before arrangement for skill competency
validation can be made. Skills competency validation must be
completed successfully within two weeks of the date of skills
demonstration.
D. The student will have one opportunity to validate skill competency or
turn in the video of the required skill. If the skill is failed, a second
opportunity will be allowed following documented lab practice as
determined by the instructor. A Skills Enhancement Record will be
made and completed before the student is allowed to schedule a
second appointment. If the skill is failed on the second attempt, a third
opportunity will be allowed following completion of a second Skills
Enhancement Record. The skill must be passed by the scheduled pass
date. Therefore, the three opportunities to pass the skill must be used
before the pass date scheduled. Failure of the third attempt of
validation of skill competency will result in the student’s failure of the
course.
E. Questions regarding the skill needs to be addressed to the instructor
demonstrating the skill.
F.
A student may negotiate with the course leader an extension skill due
date. An extension contract must be presented by student to the course
leader (see Skill Extension Contract). No more than one skill may be
negotiated for an extension. Skills nonnegotiable for extension include
group demonstrations.
G. The instructor grading a skill tape may stop the grading process of the
tape at the point of the first failure and is not obligated to continue
grading the tape. Any additional infractions of the taped skill are the
responsibility of the student to identify. If the tape is not cued
appropriately, the instructor is not obligated to grade the tape and the
results into a failure of the taping.
H. Laboratory experience will be graded on a Pass/Fail (P/F) basis. The
student must pass all skills, a minimum grade of 77% in the didactic
component to pass the course.
I. Lab/clinical evaluation session will be scheduled based on
student/instructor identified need and/or at the end of semester.
J. The student must wear the SPC ADNP lab coat, or SPC ADNP
uniform while in the skills lab. Long hair must be contained. Failure
8
to comply with the lab dress code will result in the student being
required to leave the NLRL. The student is expected to be in total
compliance with the uniform dress code at anytime the SPC uniform is
worn.
E.
GRIEVANCE POLICY:
The student is responsible for scheduling an appointment with the instructor of the
course to discuss the final grade or discipline action. If the student is not
satisfied, he/she should schedule an appointment with the Level I Semester I
Coordinator. The next course of action is to make an appointment with the
Program Director. The procedure will follow the same as found in the student
handbook.
F.
COURSE REQUIREMENTS:
a.
b.
c.
d.
e.
f.
Prerequisites: Chemistry 1406, Psychology 2301, Biology 2401,
and English 1301. Concurrent enrollment in RNSG 1513, RNSG
1160, and RNSG 1115. If RNSG 1115 has been successfully
completed it is not required for concurrent enrollment.
Meet all requirements for admission into the Associate Degree
Nursing Program.
Completion of student contract for Level I Semester I.
Regular classroom/skills laboratory attendance.
Satisfactory grade average on written examinations (77 or above).
Satisfactory achievement of behavioral course outcomes (see unit
outcomes) and all skills.
9
Level I Semester I
SPC ADNP
Skill Extension Contract
RNSG 1144
Date:
I,
am entering into a contract for the purposes of
completing
, a required skill of RNSG 1144. I am aware
that this specific skill was a negotiable skill and the dead line for successfully passing the skill
was
in which case I am negotiating a new pass date. I have not
yet used all three opportunities allowed to pass the skill. I understand that I can only use the
remaining opportunities due to me to pass. I have until 1200 noon on
to use
any remaining opportunities to pass the skill. If the skill is not successfully completed by
, I understand I will fail and thus will receive an "F" in RNSG 1144.
I understand and agree to the above terms:
Student Signature:
Print Name: ______________________________
Faculty Signature:
10
III.
COURSE OUTLINE
Unit I
Unit II
Unit III
Unit IV
Unit V
IV.
Introduction to Urinary Elimination
Introduction to Bowel Elimination
Introduction to Skin Integrity & Wound Care
Introduction to Oxygenation
Introduction to Nutrition
ACCOMMODATIONS
Diversity Statement:
In this class, the teacher will establish and support an environment that values and
nurtures individual and group differences and encourages engagement and interaction.
Understanding and respecting multiple experiences and perspectives will serve to
challenge and stimulate all of us to learn about others, about the larger world and about
ourselves. By promoting diversity and intellectual exchange, we will not only mirror
society as it is, but also model society as it should and can be.
Disabilities Statement:
Students with disabilities, including but not limited to physical, psychiatric, or learning
disabilities, who wish to request accommodations in this class should notify the Special
Services office early in the semester so that the appropriate arrangements may be made.
In accordance with federal law, a student requesting accommodations musty provide
acceptable documentation of his/her disability to the Special Services Coordinator. For
more information call or visit the Special Services Office in the Student Services building
716- 2529.
11
Unit I – Introduction to Urinary Elimination
SCAN COMPETENCIES:
C1, C2, C3, C5, C9, C10, C12, C13, C14, C16, C18, C19, C20
F1, F2, F3, F4, F6, F7, F8, F9, F11, F12, F13, F15, F16
CONTENT
PROVIDER OF CARE
1,3, 4
I. Urinary Elimination
a) Physiology
b) Factor influencing urination
c) Alterations in urination
d) Using the Nursing Process
1. Assessment
a. nursing history
b. physical assessment
c. review of
diagnostic
2. Nursing diagnosis
3. Planning
Discuss teaching method use for
instructing client in urinary
control. (4)
Discuss the information gathered
in a nursing history of urinary
problems. (1)
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVAULATION
Assignments
1.
2.
3.
4.
Potter & Perry: Chapter 45.
Potter & Perry Study Guide Chap 45
Define key terms.
CAI – Clinical Skills 3
Urinary Catheters
5. Abrams: Diuretics
Describe the physiology of
urination. (1)
Identify factors that commonly
influence urinary elimination.
(6)
Describe the physiological
alterations involved in problems
or urinary elimination. (1)
4. Implementation
a. Catheterization
1) indwelling
2) straight
3) condom
catheter
4) irrigation
5) removal
5. Evaluation
MANAGER/
COORDINATOR
OF CARE
Evaluation
Return Demonstration
Pen & Paper or Computer Test
Identify nursing measures that
stimulate the micturition reflex.
(5)
Explain the steps involved in a
catheterization procedure. (6)
12
Unit II – Introduction to Bowel Elimination
CONTENT
PROVIDER OF CARE
1, 6
MANAGER/
COORDINATOR OF
CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVAULATION
AV’s:
I.
Bowel Elimination
A. Physiology
B. Influencing
elimination
C. Alterations in
bowel elimination
Identify factors that
commonly influence bowel
elimination. (1)
Lecture/Discussion/
Demonstration
Discuss the different types of
ostomies. (1)
State the name and function
of the organs in the bowel
elimination system. (1)
Assignments
1. Potter & Perry: Chapter 46.
2. Potter & Perry Study Guide
Chap 46
3. Define key terms.
4. Abrams: Drugs Affecting
the Digestive System
Evaluation
Return Demonstration
Pen & Paper or Computer Test
13
UNIT II
CONTENT
PROVIDER OF CARE
1,3,4,6
D. Using the nursing
process to assess and
develop a plan of care
1. assessment
a. nursing
history
b. physical
assessment
c. fecal
assessment
d. review of
diagnostic
test results
2. nursing diagnosis
3. planning
4. implementation
5. evaluation
E. Enemas
a. types
b. procedure
F. Fecal impaction
MANAGER/
COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVAULATION
Discuss the information gathered in a
nursing history of a bowel problem.
(1)
Assess normal and abnormal fecal
characteristics. (5)
Identify the nursing implications
involved in caring for clients
undergoing diagnostic examination of
GI structures. (5)
List nursing measures that promote
normal bowel elimination. (6)
14
Unit III - Introduction to Skin Integrity & wound Care
SCAN COMPETENCIES:
C1, C2, C3, C5, C8, C10, C11, C15, C18, C19
F1, F2, F5, F6, F7, F8, F9, F12, F13
CONTENT
PROVIDER OF CARE
1,2,4
I.
Skin Integrity & Wound
A. Normal Integument
1. epidermis
2. dermis
B. Wound Classifications
1. status of skin
integrity
2. cause of wound
3. severity of wound
4. cleanliness of
wound
5. descriptive
qualities of wound
C. Wound Healing
1. primary intention
2. secondary
intention
3. complications
a)
hemorrhage
b) infection
c)
dehiscence
d) evisceration
e)
fistulas
4. factors influencing
wound healing
D. Nursing Process
Application
Describe the relationship
of normal integument to
wound healing. (1)
Compare wound healing
by primary and secondary
intention. (1)
MANAGER/
COORDINATOR
OF CARE
MEMBER OF PROFESSION
LEARNING
ACTIVITIES/EVAULATION
Group
1. Lecture/Discussion/
Demonstration
Assignments
1. Potter & Perry Chapter 48.
Discuss complications of
wound healing. (1)
Explain factors that can
impair or promote wound
healing. (6)
2. Define key terms.
3. Potter & Perry Study Guide
Chap 48
Evaluation
Return Demonstration
Pen & Paper or Computer Test
15
UNIT III
CONTENT
PROVIDER OF CARE
1,2,3,4,5,6,7
E.
F.
Procedures Related to
Wound Care
1. Dressing changes
2. Wound cleaning
3. Irrigations
4. Suture care
5. Drainage
evacuation
6. Bandages and
binders
7. hot and cold
applications
Nutritional Support
MANAGER/
COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVAULATION
2,3
Discuss the purpose of wound
irrigation and name the types of
irrigation. (6)
Explain the principles behind
proper application of bandages and
binders. (6)
List the nursing responsibilities
involved when applying hot or cold
therapy in at least five different
ways. (5)
Relate the importance of nutritional
support to augment wound healing.
(5)
16
Unit IV – Introduction to Oxygenation
CONTENT
PROVIDER OF CARE
1,2,4,6
I.
Oxygenation
A. Respiratory Physiology
1. ventilation
2. perfusion
3. respiratory gas
exchange
4. regulation of
respiration
B. Factors Affecting
Oxygenation
1. level of health
2. age
3. life-cycle
4. environmental
exposure
C. Alterations in
Respiratory Functioning
1. hypoventilation
2. hyperventilation
3. hypoxia
D. Nursing Process
Application
1. Assessment
a)
nursing
history
b) physical
examination
c)
collection of
lab data and
specimens
MANAGER/
COORDINATOR OF
CARE 3
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVAULATION
Group
Explain the information
assessed during a nursing
history for respiratory
function. (5)
Discuss the role of the
respiratory department.
(3 )
1. Lecture/Discussion/
Demonstration
2. AV’s
Describe a physical
examination of the
cardiovascular system to
assess tissue oxygenation. (1)
Describe the physiology
involved in oxygenation. (1)
Define hyperventilation,
hypoventilation, and hypoxia.
(2)
Assignments
1.
2.
3.
4.
5.
Potter & Perry: Chapter 40
Define key terms.
Review the oxygen
information accompanying
this section.
Potter & Perry Study Guide
Chapter 40.
Abrams: Drugs Affecting the
Respiratory Systems
Evaluation
Return Demonstration
Pen & Paper or Computer Test
17
UNIT IV
CONTENT
PROVIDER OF CARE
1,2, 6
2.
3.
4.
5.
nursing history
planning
implementation
evaluation
MANAGER/
COORDINATOR
OF CARE 5
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVAULATION
State the major categories of nursing
diagnoses for clients with an altered
level of oxygenation. (2)
Describe nursing interventions to
maintain or promote mobilization of
pulmonary secretions, maintain a
patent airway, promote oxygenation,
and restore cardio-pulmonary function.
(5)
State the purpose of oxygen therapy.
(5)
Develop evaluation criteria for the
nursing care plan of the client with
altered oxygenation. (5)
Discuss safety
precautions to
observe when oxygen
is being used. (2)
18
OXYGEN ADMINISTRATION DEVICES
Oxygen Delivery Device
Nasal Cannula
Simple face mask
Venturi mask
Mask with reservoir bag –
Rebreather
Face Tent
Required Liter flow
(l/min)
1-2L/min
Approximate
Percent Oxygen
3-4L/min
32-36
5-6L/min
40-44
5-6Lmin
6-7L/min
40
50
7-8L/min
60
2
3
4
6
8
10
24
28
30
35
40
50
14
55
10L/min
8-10L/min
24-28
Advantages &/or
Disadvantage
Simple, comfortable, flow
rates>4L/min generally not
used due to drying of nasal
mucosa, can eat & move
around
Short term 02 therapy,
contraindicated for clients
with C02 retention, must
remove to eat
Provide low levels of
supplemental 02, precise
Fi02, must remove to eat
70%
High concentration of 02
supply in the reservoir bag.
Inspect bag to make sure it is
not deflated – pt breathing
large amts of exhaled C02,
must remove to eat
30-100%
Good humidity, fairly
accurate Fi02, bulky &
cumbersome
19
Unit V – Introduction to Nutrition
CONTENT
PROVIDER OF CARE
Describe the importance
of nutrition. (1)
MANAGER/
COORDINATOR OF
CARE 3, 4
Identify the role of the
nutrition counselor
educator in health care
settings. (3)
Discuss briefly the major
categories of nutrients and
their importance. (1)
Describe the role of
nutrition in the aging
process. (2)
1,2,4,6,
II.
Overview of the Study
And Principles of
Nutrition.
A. The Study of
Nutrition
1. nutrition in the
practice of
health
profession
2. application of
nutrition to
human health
worldwide
3. relationship of
nutrition to
major U.S.
health problems
B. Categories of
Necessary Nutrients
1. water
2. carbohydrates
3. proteins
4. lipids
5. vitamins
6. minerals
MEMBER OF PROFESSION LEARNING
3
ACTIVITIES/EVAULATION
Identify the major world health
problems. (3)
1. Lecture/Discussion/
Demonstration
Assignments
Discuss the development
of a basic guide for
planning an adequate diet.
(1)
1. Potter & Perry: Ch 44
2. Appropriate Chapters on
course topic from
Nutrition Book of choice.
3. Pottery & Perry Study Guide
Chapter 44.
4. Abram: Nutritional Support
Products and Drugs for
Obesity.
20
UNIT IV
CONTENT
PROVIDER OF CARE
1,2,4,6,7
C. Basic Requirements
for Adequate Diet
1. Food groups
2. RD’s
3. Other dietary
guidelines
4. Alternative food
patterns
D. Developmental
Variables in Nutrition
E. Cultural Variations
III. Assessing the Client’s
Nutritional Status
A. Data Collection
B. Nutritional history
C. Psychosocial Needs
Describe variations in dietary
needs based on age. (1)
Identify possible nursing diagnoses
related to malnutrition. (2)
MANAGER/
COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVAULATION
4
Evaluation
Pen & Paper or Computer Test
Return Demonstration
Discuss the major areas of
nutritional assessment. (1)
Identify problems that may
accompany enteral feeding
methods. (5)
Identify physiology and
psychosocial causes of malnutrition.
(1)
IV. Assisting the Client to
Obtain Nourishment
A. Assisting Motivation
Counseling
B. Alternative Feeding
1) nasogastric
2) gastrostomy
V. Malnutrition
A. Incidence & Types
B. Physiologic & Causes
C. Nursing Process In
malnutrition
21