COURSE SYLLABUS
RNSG 1443 (4:4:1)
COMPLEX CONCEPTS OF ADULT HEALTH
**********
ASSOCIATE DEGREE NURSING PROGRAM
DEPARTMENT OF NURSING
HEALTH OCCUPATIONS 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.
RNSG 1443
Campuses:
Levelland
COURSE SYLLABUS
COURSE TITLE:
INSTRUCTOR:
RNSG 1443 Complex Concepts of Adult Health
Brenda Jordan, RN, MSN
Sheri Jablonsky, RN, MSN/Ed
Alvin Pommer, RN, MSN
OFFICE LOCATION AND PHONE/E-MAIL:
Brenda Jordan TA 110, 716- 2389, bjordan@southplainscollege.edu
Sheri Jablonsky TA 114, 716-2977, sjablons@southplainscollege.edu
Alvin Pommer TA 128, 716-2383, apommer@southplainscollege.edu
OFFICE HOURS:
Posted on instructors’ door.
SOUTH PLAINS COLLEGE IMPROVES EACH STUDENT’S LIFE
I.
GENERAL COURSE INFORMATION
A. COURSE DESCRIPTION
RNSG 1443 is a medical-surgical nursing course which focuses on the provision
of direct, assigned, and delegated safe nursing care for clients, families, and or/groups
throughout the life span. Integration of previous knowledge and skills related to
common adult health needs into the continued development of the professional nurse
as a provider of care, coordinator of care, and member of a profession in the care of
adult clients/families in structured health care settings with complex medical-surgical
health care needs associated with each body system. Knowledge, judgment, skills,
and professional values within a legal/ethical framework are emphasized. Further,
emphasis is placed on the developmental, physiological, and psychosocial changes of
the older adult in regard to health promotion, maintenance, and restoration. Concepts
of pharmacology, nutrition, gerontology, growth and development, and cultural
aspects are integrated throughout the course. Integration of the five steps of the
nursing process, effective communication skills, and teaching-learning techniques
enables the student to develop problem solving, collaboration and critical thinking
skills. Thus, the student utilizes knowledge, skills, clinical data, and current literature
to meet needs of clients, families, and/or groups and to make appropriate nursing
decisions.
In addition, the course, RNSG 1443, will promote the nurse as an advocate who
can evaluate the effectiveness of community resources, coordinate referral sources,
and coordinate health care teams in the delivery of care on the general hospital floor,
critical care units, and/or community settings. Further, the course will encourage
student self assessment to enhance each as a member of the profession and to help
each become accountable and responsible for professional, personal, ethical, and legal
1
RNSG 1443
growth and development within the practice of nursing. This course must be taken
concurrently with RNSG 2461.
B. COURSE LEARNING OUTCOMES
Upon satisfactory completion of RNSG 1443, the student will meet all Level III
course educational outcomes and Differentiated Entry Level Competencies (ELC's) of
Texas Graduates of Associate Degree Nursing Programs (designated by numbers
within the column headings and correlated in Student Handbook) as specifically. In
addition, the student must pass competencies and foundation skills of SCANS
(designated by letters and numbers under the unit title).
WECM REQUIRED:
1. Utilize critical thinking and systematic problem-solving process as a framework for
providing care for adult clients in structured health care settings with complex health care
needs.
2. Integrate the roles of the professional associate degree nurse in the provision of care for adult
clients and families.
COURSE SPECIFIC:
3. Integrate theoretical concepts with nursing knowledge and skills to meet the basic needs of
clients, families, and/or groups throughout the life span in a variety of settings (Level III,
POC #1).
4. Integrate the five steps of the nursing process into nursing practice (Level III, POC #2).
5. Incorporate effective skills of communication and collaboration with clients, families, and/or
groups in a variety of settings (Level III, POC #3).
6. Formulate safe cost-effective nursing care in collaboration with members of health care team
using critical thinking, problem solving and the nursing process in a variety of settings
through direct care, assignment, or delegation of care (Level III, POC #4).
7. Integrate principles of teaching-learning in providing information to clients, families, and/or
groups regarding promotion, maintenance, and restoration of health or the process of death
and dying (Level III, POC #5).
8. Evaluate clinical data and current literature and responses and outcomes to therapeutic
interventions to make appropriate nursing practice decisions (Level III, POC #6).
9. Evaluate the effectiveness of community resources in the delivery of health care to clients,
families, and/or groups (Level III, MOC #2).
2
RNSG 1443
10. Coordinate appropriate referral sources to meet the needs of clients, families, and/or groups
(Level III, POC #4).
11. Utilize critical thinking and problem solving skills in prioritizing the management and
coordination of all aspects of care (Level III, MOC #5).
12. Evaluate the responsibility for professional and personal growth and development (Level III,
MOP #1)
13. Integrate ethical and legal responsibility and accountability for one's nursing practice (Level
III, MOP #2).
14. Integrate principles of advocacy to provide quality health care for clients, families, and/or
group (Level III, MOP #3).
15. Evaluate one's own caring behavior when interacting with clients, families, and members of
health care profession (Level III, MOP #4).
C. COURSE COMPETENCIES
Successful completion of this course requires a grade of “C” (77%) or better;
satisfactory total grade point average on examinations, satisfactory achievement of
course, unit, and RNSG 2461 clinical objectives; satisfactory completion of math
competency exam with a grade that indicates that no more than 2 questions missed,
completion of standardized tests as applicable to the curriculum, and regular
classroom/clinical attendance.
D. ACADEMIC INTEGRITY
Refer to the SPC College Catalog. Refer to the SPC ADNP Nursing student
handbook “Honesty Policy”.
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.
F. VERIFICATION OF WORKPLACE COMPETENCIES
External learning experiences (clinicals) provide workplace setting in which students
apply content and strategies related to program theory and management of the
workflow. Successful completion of the ELC's statements at the level specified and
correlated with the course (Level Objectives) 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.
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RNSG 1443
II.
SPECIFIC COURSE/INSTRUCTOR REQUIREMENT
A. TEXTBOOK AND OTHER MATERIALS:
Required Texts
Carpenito, L. Handbook of Nursing Diagnosis (Current Edition). Philadelphia, PA:
J. B. Lippincott Company.
Gahart, B. Intravenous Medications (Current Edition). St. Louis, MO: Mosby-Year
Book, Inc.
Kee, J.L. Fluid and Electrolytes with Clinical Applications (Current Edition)
Thomson Delmar Learning
Kee, J.L. Laboratory and Diagnostic Test (Current Edition). Upper Saddle River,
NJ: Prentice Hall Health.
Potter, P. & Perry, A. Fundamentals of Nursing Concepts, Process, and Practice
(Current Edition). St. Louis, MO: Mosby-Year Book, Inc.
Smeltzer, S. & Bare, B. Brunner & Suddarth's Textbook of Medical Surgical Nursing
(Current Edition) Philadelphia. Lippincott, Williams & Williams.
Your choice of drug guide from the following list:
Davis Drug Guide
Lippincott Drug Guide
Mosby Drug Guide
* * Medical Dictionary of Choice
* * * Additional Required Material (Purchased through the department)
Recommended
Curren, A., & Munday, L. Math for Meds (Current Edition). San Diego, CA:
Wallcur, Inc.
Lewis & Collier. Medical Surgical Nursing Assessment and Management of
Clinical Problems (Current Edition). St. Louis, MO: Mosby-Year Book, Inc.
Potter, P. Pocket Nurse Guide to Physical Assessment (Current Edition). St. Louis,
MO: Mosby.
Publication Manual of the American Psychological Association (5th ed.). (2001)
4
RNSG 1443
B. ATTENDANCE POLICY
Punctual and regular class attendance, as stated in the SPC Handbook, is required
of all students attending South Plains College. There are no excused absences.
Lecture attendance is mandatory. The instructor will initiate an administrative
withdrawal if a student misses 10 hours (2 days) or more of class. Time tardy will
be cumulative throughout the semester.
Refer to the SPC ADNP Student Nurse Handbook to review this policy. In
addition, refer to the attendance policy found in the South Plains College Catalog.
For scheduled school events (i.e. TNSA), you must be in good standing
academically in order to attend as an excused absence.
C. ASSIGNMENT POLICY
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 will not be accepted unless the
instructor clears the circumstance with the student. Regardless of the
circumstance, late work will be assessed a penalty of five (5) points per day for
each late day. No assignment will be accepted if a week or more late.
D. GRADING POLICY
1. The student will not retain tests or copy any part of the tests or the answers. After
all students have taken a test, feedback will be provided at a scheduled time.
Tests will only be available for review for two weeks after initially taking them.
To review tests, make an appointment with instructor during that two-week
period.
2. A student must communicate with a course instructor if unable to take a test on a
scheduled day. If there is no communication by one week from the date of the
test, a “0” will be given for that test. Alternate tests may be given as make-up
tests.
3. There will be ten (10) tests, two ATI’s (Medical Surgical and Pharmacology),
quizzes, and a comprehensive final. There will also be an ATI Comprehensive
Predictor Exam. You will only be allowed to take this exam (ATI Comprehensive
Predictor Exam) a total of three (3) times. If not passed in these three (3) attempts
5
RNSG 1443
then you will not pass the semester. If you are eligible for re-admit then you may
apply for re-admit.
4. It is recommended that the study guide for the specific unit be completed.
5. A student must receive a minimum course grade of "C" in RNSG 1443 and a "P"
in RNSG 2461 to pass.
6. Grading scale:
A = 90 - 100
B = 80-89.99
C = 77-79.99
D = 70-76.99
F = below 69.99
7. Final Exam
Quiz Average
Tests (10)
ATI MS
ATI PHARM
TOTAL
8.
= 20%
= 5%
= 65%
=5%
= 5%
100%
When a student obtains a test average or 80% or greater and makes a level 2 on
both the ATI Med-Surg and ATI Pharmacology, they may be exempt from the
final. The test average will become the student’s final exam grade and counts for
20% of the overall grade.
9. Participation points will be awarded for practice ATI Exams and classroom
presentations by the instructors. Participation points will not be given if the
student is not passing the course.
10. Failure of either theory or clinical will necessitate repeating all concurrent
courses. When repeating any course, the student is required to retake all aspects
of the course including the required written work.
11. Absolutely NO printing is allowed in the computer lab at Levelland or at the
Simulation Center.
6
RNSG 1443
E. SPECIAL REQUIREMENTS:
Pre-requisites: BIOL 2402, BIOL 2420, RNSG 1513, RNSG 1105, RNSG 1144,
RNSG 1260 RNSG 1115, RNSG 1441, RNSG 2460, RNSG 2213 with a "C" or better
in each. This course must be taken concurrently with RNSG 2461.
Course grade of "C" or better in RNSG 1443 and a "P" in RNSG 2461 is required.
III.
COURSE OUTLINE .............................................................................................. PAGE
Unit I
Nursing Roles in the Management of Burn Injury...................................... 10
Unit II
Nursing Roles in the Management of Shock .............................................. 12
Unit III
Nursing Roles in the Management of Hematologic Disorders ................... 14
Unit IV
Nursing Roles in the Management of Cardiac Disorders ........................... 18
Unit V
Nursing Roles in the Management of Peripheral Vascular Disorders ........ 22
Unit VI
Nursing Roles in the Management of Renal Dysfunction .......................... 26
Unit VII
Nursing Roles in the Management of Respiratory Disorders ..................... 29
Unit VIII
Nursing Roles in the Management of Acquired
Immune-Deficiency Symptoms ............................................................. 32
Unit IX
Nursing Roles in the Management of Neurologic Disorders ...................... 34
Unit X
Nursing Roles in the Management of Hepatic, Biliary
And Pancreatic Disorders ...................................................................... 37
Unit XI
Nursing Roles in the Management of Emergency Trauma, Terrorism,
Mass Casualty and Disaster .................................................................. 42
7
RNSG 1443
IV.
ACCOMMODATIONS
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. In accordance with federal law, a student requesting accommodations
must 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 or 716-2530.
8
RNSG 1443
UNITS CONTENTS
9
UNIT I: NURSING ROLES IN THE MANAGEMENT OF BURN INJURY
SCANS:
C: 1, 3, 4, 5, 6, 7, 15, 16, 18
F: 1-13, 15-17
Provider of Care
Manager/Coordinator of Care
Content
Member of Profession
1,
2,
3,
4,
5,
6
1,
2,
3,
4,
5
Educational Objectives
2, 3
I. Etiology
Describe the courses of burns.
Identify population at risk for Evaluate the need for
II. Epidemiology
burn injury.
major trauma units across
III. Pathophysiology
Differentiate between partialthe nation.
a. Hypovolemic Stage thickness and full-thickness
Discuss preventive measures. Discuss the role of nurses
b. Diuretic Stage
burns.
Describe the burn injury
in the burn units.
IV. Severity of Burns
classification system.
a. Depth
Describe the pathophysiologic
Work with the public in
b. Size
changes that occur during the
Describe special needs of
regard to fire prevention.
c. Age of Victim
two stages following major
nursing staff caring for burn
d. Body part involved
burns.
clients.
e. Mechanism of injury
Evaluate the awareness of
f. History of diseases
Identify the parameters used to Identify resources available in preventive measures
g. Concurrent injuries
determine the severity of burns. the community for burned
federal/state/local agencies
h. Classificationclients.
have provided.
major, moderate,
minor
Propose interventions for
Discuss nursing interventions Evaluate the psychosocial
V. Prevention
replacing body fluids,
for hospital and community
& physiologic aspects of
VI. Pre-hospital Care and preventing infection, promoting nursing care.
burn rehabilitation.
First Aid
nutrition and mobility, and
VII. Management of
providing emotional support for Evaluate cost involved in
Burns
the client and family.
preparation of client’s return
A. Emergent period
home.
1. ED care
Assess the teaching needs of
a. Airway
the patient and family with
Discuss how care could be
b. Fluids
burns.
coordinated with other
c. Medications
departments.
d. Initial would care Describe the emergency care
for major burns and initial
inpatient therapy.
RNSG 1443
Learning
Activities/Evaluation
GROUP
Lecture/discussion
Simulations
ASSIGNMENTS
Annotated Guide to NPA
Brunner & Suddarth's
Chap. 57 (appropriate areas)
Carpenito: See appropriate
diagnosis.
Kee: See appropriate lab.
Potter & Perry: See
appropriate areas.
Review skin A & P
Evaluation
Computer Test
10
UNIT I
Content
Educational Objectives
B. Acute Phase
1. Treatment of wound
a. Hydro therapy
b. Debridement
c. Antibacterial
agents
d. Dressings
e. Grafting
2. Pain Management
3. Nutrition
4. Prevention of
Complications
a. Infections
b. Scars
c. Keloids
d. Failure to heal
e. Contractures
C. Rehabilitation Phase
1. Prevention of
Hypertrophic Scaring
2. Teaching Home
Care
a. Wound
b. Pain
c. Exercise
d. Jobst garment
e. Nutrition
Provider of Care
Research medications used in
burn therapy.
Determine the percentage of the
body surface area burned by the
rule of nines from a given
example.
Describe the effect of carbon
monoxide and smoke
poisoning.
Determine the need for
community resources with the
burn patient.
Differentiate among the three
periods of a major burn.
Calculate the amount of fluid a
patient with a major burn will
need in 8 hours and 24 hours.
Calculate the kilocalories a
patient with a major burn will
require.
Manager/Coordinator of Care
Member of Profession
RNSG 1443
Learning
Activities/Evaluation
11
UNIT II: NURSING ROLES IN THE MANAGEMENT OF SHOCK
C: 5, 6, 7, 16, 18
F: 1, 2, 3, 4, 5, 7, 8, 9, 12, 13
Provider of Care
Manager/Coordinator of Care
Content
Member of Profession
1, 2, 5, 6
1, 3, 4
Educational Objectives
3
SCANS:
I. Types of Shock
A. Hypovolemic
1. Causes
2. S/S
3. Treatment
B. Cardiogenic
1. Causes
2. S/S
3. Treatment
C. Distributive
1. Neurogenic
a. Causes
b. S/S
c. Treatment
2. Anaphylactic
a. Causes
b. S/S
c. Treatment
3. Septic
a. Causes
b. S/S
c. Treatment
II. SIRS
III. MODS
IV. Hemodynamic
Monitoring
V. Sepsis
Analyze the shock syndrome.
Describe the nursing
management for a client
experiencing shock.
Compare early and late
pathophysiologic changes that
occur with shock.
Compare general shock
management therapies to
specific types of shock.
Identify patients at risk in the
community.
Discuss what information
should be given in a
seminar presentation for
public awareness of shock
prevention.
RNSG 1443
Learning
Activities/Evaluation
GROUP
Lecture/discussion
Simulations
ASSIGNMENTS
Annotated Guide to NPA
Predict the organ damage that
may occur with shock.
Brunner & Suddarth's
Chapter 15 & 26
(appropriate areas)
Analyze different methods of
monitoring for shock.
Carpenito: See appropriate
diagnosis.
Describe methods of fluid
replacement during shock.
Kee: See appropriate lab.
Evaluate effect of
pharmacologic agents used to
treat shock and nursing
measures for patients receiving
drug therapy.
Describe the signs and
symptoms of the different types
of shock.
Potter & Perry: See
appropriate area.
Evaluation
Computer Test
12
UNIT II
Content
Educational Objectives
Provider of Care
Contrast three major types of
shock.
Describe therapeutic measures
for shock other than fluids and
drug therapy.
Devise methods of support for
client and family.
Prioritize nursing interventions
for the patient in shock.
Assess for symptoms of
impending shock.
Monitor fluid balance for the
patient at high risk for shock.
Review current articles about
shock.
Manager/Coordinator of Care
Member of Profession
RNSG 1443
Learning
Activities/Evaluation
13
UNIT III: NURSING ROLES IN THE MANAGEMENT OF HEMATOLOGIC DISORDERS
SCANS:
C: 2, 3, 4, 5, 6, 7, 14, 18
RNSG 1443
F: 7, 8, 9, 10, 12, 17
Provider of Care
Manager/Coordinator of Care
Learning
Content
Member of Profession
1,
2,
6
1,
2,
3,
4
Activities/Evaluation
Educational Objectives
2, 3, 4
A. Blood & Blood
Describe the different types of
Evaluate the cost and alternate Discuss the nursing role in GROUP
Components
blood cells and their function.
methods available for blood & the administration of
blood components.
blood & blood
Lecture/discussion
B. Anemia’s
Describe the nursing
components.
Simulations
management for the patient
Evaluate the community for
C. Leukemia's
receiving blood and blood
clients at risk for iron
Identify the national
ASSIGNMENTS
components.
deficiency anemia.
population at risk for
Brunner & Suddarth's Chap.
hematologic disorders.
33 (appropriate areas)
D. Clotting Factor
Discuss the mechanisms and
Provide scenarios in which
Defects
clinical manifestations of blood blood transfusion reactions
Evaluate cultural and
Carpenito: See appropriate
transfusion reactions.
occur.
religious differences when diagnosis.
dealing with the
E. Multiple Myelomas
Discuss the procedure for
Describe nursing interventions hematologic disorders.
Kee: See appropriate lab.
administering a blood
involving hospital and
transfusion.
community nursing care.
Collaborate with others to
F. Lymphomas
achieve health goals for
Potter & Perry: see
Describe the nursing actions for
clients with inherited
appropriate areas.
a transfusion reaction.
Evaluate community
hematologic anemias.
Review normal blood
resources for patients with
components.
Describe age-related changes in Hematologic disorders.
Analyze the genetic
the hematologic system.
factors of sickle cell
disease within the national Evaluation
Computer Test
Describe the general clinical
Evaluate resources available
population.
manifestation and
for counseling for a genetic
complications of anemia.
disorder.
Identify National Health
Goals regarding clients
Differentiate between the
with genetic disorders.
etiologic and morphologic
classification of anemia.
14
UNIT III
Content
Educational Objectives
Provider of Care
Describe the etiologies, specific
clinical manifestation,
diagnostic findings, and
therapeutic, pharmacologic, and
nursing management of anemia
caused by decreased
erythrocyte production: iron
deficiency, megaloblastic, and
aplastic anemias and anemia of
chronic disease.
Explain the nursing
management of anemia
secondary to blood loss.
Describe the pathophysiology,
clinical manifestations and
therapeutic and nursing
management of anemia caused
by increased erythrocyte
destruction: sickle cell disease.
Describe the pathophysiology
and therapeutic and nursing
management of polycythemia.
Describe the etiology, clinical
manifestations and therapeutic
and nursing management of
neutropenia.
Manager/Coordinator of Care
Member of Profession
RNSG 1443
Learning
Activities/Evaluation
15
UNIT III
Content
Educational Objectives
Provider of Care
Compare and contrast the
major types of leukemia
regarding age at onset and
distinguishing clinical and
laboratory findings.
Explain the therapeutic and
nursing management of acute
and chronic leukemia.
Discuss the pathophysiology,
clinical manifestations, and
therapeutic and nursing
management of various types
of thrombocytopenia.
Describe the types, clinical
manifestations, diagnostic
findings, and therapeutic and
nursing management of
hemophilia.
Describe the pathophysiology,
clinical manifestation, and
management of DIC.
Describe the pathophysiology,
clinical manifestations, and
therapeutic and nursing
management of multiple
myeloma.
Manager/Coordinator of Care
Member of Profession
RNSG 1443
Learning
Activities/Evaluation
16
UNIT III
Content
Educational Objectives
Provider of Care
Compare Hodgkin and nonHodgkin’s lymphomas in terms
of clinical manifestations,
staging, and therapeutic and
nursing management.
Manager/Coordinator of Care
Member of Profession
RNSG 1443
Learning
Activities/Evaluation
17
UNIT IV: NURSING ROLES IN THE MANAGEMENT OF CARDIAC DISORDERS
SCANS:
C: 1-5, 6, 7, 8, 15, 15, 18
F: 1-13
Provider of Care
Manager/Coordinator of Care
Content
Member of Profession
1,
2,
5,
6
1
Educational Objectives
3
A. Cardiovascular
Relate studies utilized to assess
Describe the management of
Explain the nurses’ role in
Assessment
cardiovascular function to the
patients with temporary and
health promotion and
care of the client with
permanent pacemaker.
maintenance related to risk
B. Physiologic Changes cardiovascular dysfunction.
factors for CAD.
with Aging
Describe the management of a
Identify life-threatening
patient with an implantable
Identify the etiologies of
C. Diagnostic Tests
arrhythmias.
cardioverter-defibrillator or a congenital and acquired
pacing cardiovertervalvular heart disease.
D. Cardiac Arrhythmias Identify the clinical chardefibrillator.
acteristics and elecrocardioE. Coronary Artery
graphic patterns of common
Describe nurses’ role in
Disease
dysrhythmias.
rehabilitative management of
a patient following a MI.
F. Angina Pectoris
Describe the therapeutic and
nursing management of common Describe therapeutic and
G. Unstable Angina
dysthymias.
nursing management valvular
heart disease.
H. Myocardial
Differentiate between
Infarction
defibrillation and cardioversion,
identifying indications for use
I. Congestive Heart
and physiologic effects.
Failure
Describe etiology and
J. Inflammatory Heart pathophysiology of CAD.
Diseases
Compare the precipitating
K. Cardiomyopathies
factors, types, clinical
manifestations, and therapeutic
L. Valvular Disorders
and pharmacologic management
of stable and unstable angina.
M. Cardiac Surgery
RNSG 1443
Learning
Activities/Evaluation
LEARNING ACTIVITIES
GROUP
Lecture/Discussion
Guest Speakers
Simulations
ASSIGNMENTS
Annotated Guide to NPA
Brunner & Suddarth's
Chap. 26, 27, 28, 29, 30
(appropriate areas)
Carpenito: See appropriate
diagnosis.
Kee: See appropriate lab
values and tests.
Review the cardiovascular
system assessment.
EVALUATION
Computer Test
18
UNIT IV
Content
Educational Objectives
Provider of Care
Explain the pathophysiologic
basis, therapeutic modalities,
and nursing interventions for
myocardial infarction, and
congestive heart failure.
Identify teaching needs of
patients with angina,
myocardial infarction, and
congestive heart failure.
Identify teaching needs of
patients with angina,
myocardial infarction, CHF,
and patients undergoing cardiac
surgery.
Discuss drugs used in
management of cardiovascular
problems.
Compare the pathophysiology
of systolic and diastolic failure.
Discuss compensatory
mechanisms involved in CHF.
Discuss dietary interventions
for clients with CHF and MI.
Discuss drug therapy for
inflammatory heart diseases.
Manager/Coordinator of Care
Member of Profession
RNSG 1443
Learning
Activities/Evaluation
19
UNIT IV
Content
Educational Objectives
Provider of Care
Describe the etiology,
pathophysiology, and clinical
manifestations of infective
endocarditis and pericarditis.
Discuss the therapeutic,
pharmacologic, and nursing
management of infective
endocarditis and pericarditis.
Explain the importance of
prophylactic antibiotic therapy
in infective endocarditis.
Discuss the etiology clinical
manifestations, and
management of myocarditis.
Describe the etiology,
pathophysiology, and clinical
manifestations of rheumatic
fever and rheumatic heart
disease.
Discuss the therapeutic and
nursing management of the
patient with rheumatic fever
and rheumatic heart disease.
Compare the different types of
cardiomyopathy regarding
pathophysiology, clinical
manifestations, and therapeutic
and nursing management
Manager/Coordinator of Care
Member of Profession
RNSG 1443
Learning
Activities/Evaluation
20
UNIT IV
Content
Educational Objectives
Provider of Care
Differentiate between different
valvular replacements.
Describe surgical intervention
for repair of cardiac valves and
the pre/post operatives nursing
care required.
Discuss the pathophysiology,
clinical manifestations, and
diagnostic studies for various
types of valvular heart
problems.
Describe surgical interventions
used in management of patient
with valvular heart problems
Describe the indications for
cardiac transplantation and
nursing management of cardiac
transplant recipients.
Describe pre and postoperative
management of cardiac surgery.
Discuss the principle of the
Intra aortic Balloon Counterpulsation Pump.
Manager/Coordinator of Care
Member of Profession
RNSG 1443
Learning
Activities/Evaluation
21
UNIT V: NURSING ROLES IN THE MANAGEMENT OF PERIPHERAL VASCULAR DISORDERS
SCANS:
C: 4, 5-7, 9-14, 15, 16, 18
RNSG 1443
F: 1-12, 13, 15
Provider of Care
Manager/Coordinator of Care
Learning
Content
Member of Profession
1,
2,
3,
4,
5,
6
2
Activities/Evaluation
Educational Objectives
3
A. Nursing Assessment
Describe the locations of
Analyze community resources Promote National
LEARNING ACTIVITIES
Peripheral Vascular
structures of peripheral vascular for PVD education.
awareness of risk factor of
System (PVS)
system (PVS).
PVS.
GROUP
1. Structure of the
PV System
Describe the functions of the
Evaluate the necessity for
Lecture/Discussion
2. Function of
PVS.
teaching about hypertension in Teach the risk factors of
Peripheral
the community.
hypertension whenever
ASSIGNMENTS
Vascular System
Explicate the processes of
possible.
3. Gerontologic
peripheral vascular disease.
Annotated Guide to NPA
Considerations of
PVS
Identify age-related changes
Brunner & Suddarth's
4. Diagnostic Tests
and differences in the
Chap. 31, 32, 69
and Procedures of assessment findings of PVS.
(appropriate areas)
PVS
Identify the risk factors
associated with development of
Carpenito: See appropriate
a peripheral vascular disorder.
diagnosis.
B. Disorders of the PVS
1. Arterial Disorders
2. Venous Disorders
3. Lymph System
Disorders
4. Hypertension
Describe the nursing
responsibilities in caring for
clients experiencing peripheral
ischemia.
Describe the pathophysiology,
clinical manifestations, and
surgical management of
aneurysms.
Kee: See appropriate lab.
Evaluation
Computer Test
22
UNIT V
Content
Educational Objectives
Provider of Care
Discuss the perioperative
nursing care of a patient having
an aortic aneurysm repair.
Identify the risk factors most
closely associated with
atherosclerosis.
Describe the pathophysiology,
clinical manifestations, and
therapeutic and surgical
management of peripheral
arterial occlusive disease.
Discuss the nursing
management of the patient with
acute arterial insufficiency
affecting the lower extremities.
Differentiate between the
arterial disorders include
pathos, signs & symptoms, and
treatment modalities.
(Atherosclerosis,
Arteriosclerosis,
Thromboangitis obliterans,
Raynaud’s, Arterial embolism,
aneurysm, Arteriovenous
fistula)
Describe the prevention and
management of venous
thrombosis.
Manager/Coordinator of Care
Member of Profession
RNSG 1443
Learning
Activities/Evaluation
23
Unit V
Content
Educational Objectives
Provider of Care
Describe the pathophysiology,
nursing diagnoses, and interventions for patients and
venous disorders.
Identify three risk factors
predisposing to the
development of
thrombophlebitis
Differentiate between the
clinical characteristics of
superficial and deep vein
thrombophlebitis.
Describe the nursing management of the patient with deep
vein thrombophlebitis.
Explain the purpose and actions
of commonly used
anticoagulants and the nursing
role for patients receiving them.
Describe the pathophysiology,
clinical manifestations, and
therapeutic and nursing
management of pulmonary
emboli.
Describe the pathophysiology
and nursing management of
venous stasis ulcers.
Manager/Coordinator of Care
Member of Profession
RNSG 1443
Learning
Activities/Evaluation
24
Compare the pathophysiology
and management of venous
insufficiency, leg ulcers and
varicose veins.
Compare anticoagulant and
fibrinolytic uses.
Describe the relationship
between lymphangitis and
lymphedema.
Explain the disease process of
hypertension.
Expound on major classification of hypertension.
Evaluate primary and
secondary prevention measures
for hypertension.
Evaluate the dietary needs and
formulate a dietary teaching
plan for the patient with
hypertension.
Describe the nursing
responsibilities for clients
experiencing hypertension.
List (3) medications used in the
treatment of hypertension.
Describe the “stepped care”
approach to medication therapy
for hypertension.
25
UNIT VI: NURSING ROLES IN THE MANAGEMENT OF RENAL DYSFUNCTION
SCANS:
C: 1, 3, 4, 5, 6, 7, 15, 18
F: 1, 2, 5, 7, 8, 9, 10, 11, 12
Provider of Care
Manager/Coordinator of Care
Content
Member of Profession
1,
2,
3,
4,
5,
6
2
Educational Objectives
1
A. Acute Renal Failure
Differentiate among the causes Identify appropriate sources of Evaluate ones knowledge
of prerenal, intra renal and post assistance in the community.
of principles of dialysis.
B. Chronic Renal
renal acute renal failure.
Failure
Describe the course of
C. Dialysis
reversible acute renal failure.
RNSG 1443
Learning
Activities/Evaluation
LEARNING ACTIVITIES
GROUP
Lecture/discussion
Guest Speakers
ASSIGNMENTS
D. Surgery
Explain the therapeutic and
nursing management for a
patient in the oliguric and
diuretic phases of acute renal
failure.
Monitor the intake an output
accurately and document
appropriately on all assigned
clients.
Annotated Guide to NPA
Brunner & Suddarth's
Chap. 43-44, Ch 14
(appropriate areas)
Carpenito: See appropriate
diagnosis.
Kee: See appropriate lab.
Differentiate between acute and
chronic renal failure.
Differentiate between the
different drugs given for renal
disorders.
Potter & Perry: See
appropriate area.
EVALUATION
Computer Test
Compare dietary consideration
for the different renal disorders.
26
Explain the conservative
management and related
nursing management of chronic
renal failure.
Explain the physiologic
principles of dialysis.
Differentiate between the types
(hemo & peritoneal) of dialysis
and related care.
Compare common vascular
access sites used for
hemodialysis.
Develop a plan of care for the
nursing management for a
hemodialysis and peritoneal
dialysis client including diet,
access care, lifestyle changes,
activity restrictions, and
community resources.
Compare and contrast
Continuous Ambulatory
Peritoneal Dialysis (CAPD) and
Continuous Cyclic Peritoneal
Dialysis (CCPD).
Describe Continuous Renal
Replacement Therapy(CRRT)
Compare dialysis and renal
transplantation as methods of
treatment for chronic kidney
disease.
27
Describe nursing management
of patients in the preoperative,
intra operative, and post
operative stages of kidney
transplantation.
Explain the long-term problems
of the patients with a kidney
transplant.
Differentiate between four (4)
types of transplant rejections.
Discuss Immuno-suppression
drugs.
28
UNIT VII: NURSING ROLES IN THE MANAGEMENT OF RESPIRATORY DISORDERS
C: 5, 6, 7, 15, 18
RNSG 1443
F: 1, 2, 5, 7, 8, 9, 10, 11, 12, 13, 17
Provider of Care
Manager/Coordinator of Care
Learning
Content
Member of Profession
1, 2, 3, 4, 5, 6
Activities/Evaluation
Educational Objectives
1, 3
A. Tuberculosis
Describe incidence, preventive
Evaluate updated
LEARNING ACTIVITIES
measures, nutritional
information on TB and
B. Fungal Infections
considerations, therapeutic, and
management modalities.
GROUP
nursing management of TB.
Collaborate with other
Lecture/discussion
C. Occupational Lung
Describe the drug therapy used
health care providers in
Simulations
Diseases
with clients with TB.
preventive management of
fungal infections.
ASSIGNMENTS
Compare fungal infections of
D. Severe Acute
the respiratory tract. (Causes,
Describe the role of the
Annolated Guide to NPA
Respiratory
clinical manifestations,
nurse in teaching in the
Syndrome (SARS)
therapeutic and nursing
community s/s of cancer.
Brunner & Suddarth's
management)
Chap. 21, 23, 25, Ch 14
Describe the role of the
(appropriate areas)
Identify the causative factors,
nurse in assisting clients to
clinical features, and
stop smoking
management of occupational
Carpenito: See appropriate
lung diseases.
Evaluate current
diagnosis.
information on modes of
Determine clinical features,
mechanical ventilation and Kee: See appropriate lab.
diagnostics, treatment, and
nursing management.
preventative management of
Potter & Perry: See
SARS.
appropriate area.
SCANS:
Describe care of a client with
HPS including the clinical
symptoms, mode of
transmission, exposure
precautions, and treatment.
Review the A & P of
respiratory system.
Review the mechanics of
ventilation.
EVALUATION
Computer Test
29
E. Hantavirus
Pulmonary
Syndrome (HPS)
Identify flu by pathology,
clinical manifestations, medical
treatment and nursing
responsibilities.
F. Identify Flu Varieties
G. Acute Respiratory
Distress Syndrome
H. Chest Trauma
Describe the causative factors,
clinical features and
management of ARDS.
Describe the risks associated
with smoking.
I. Pulmonary Embolism
J. Pulmonary Edema
Describe the maintenance of
chest tubes and trouble
shooting procedures with the 3
bottle drainage system.
List five precautions to be
observed in care of chest tubes.
K. Pleural Effusion
L. Respiratory
Insufficiency
M. Mechanical
Ventilation
Identify the mechanisms
involved, clinical manifestations, and management of
pneumothorax, hemothorax,
fractured ribs, flare chest, and
penetrating wounds.
Differentiate between a closed,
open, and tension pneumothorax.
N. Acid-Base Balance
Describe the pathophysiology,
clinical manifestations, and
management of pulmonary
emboli.
30
UNIT VII
Content
Educational Objectives
Provider of Care
Discuss pathophysiology,
clinical manifestations, and
management of pulmonary
edema.
Distinguish between the
medical treatment, underlying
factors, and nursing
responsibilities for a client with
pleural effusion.
Describe measures to promote
oxygenation, facilitate
breathing, and provide
ventilation and hydration.
Assess and document each
patient’s respiratory status by
observation and auscultation.
Describe the indications for
mechanical ventilation modes
of mechanical ventilation, and
related nursing management.
Describe the significance of
arterial blood gas values.
Compare assessment finding of
ABG’s.
Interpret various ABG patterns.
Manager/Coordinator of Care
Member of Profession
RNSG 1443
Learning
Activities/Evaluation
31
UNIT VIII: NURSING ROLES IN THE MANAGEMENT OF ACQUIRED IMMUNE-DEFICIENCY SYNDROME
C: 2, 3, 5-7, 9
RNSG 1443
F: 1-12, 14, 16
Provider of Care
Manager/Coordinator of Care
Learning
Content
Member of Profession
1, 2, 5, 6
1, 2
Activities/Evaluation
Educational Objectives
1, 2, 3
A. HIV(+)
Describe universal blood and
Explicate nursing problems
Act as an advocate to
LEARNING ACTIVITIES
body fluid precautions.
and interventions for patients
promotion of quality
B. AIDS
with HIV opportunistic
health care for clients
GROUP
Explain the diagnostics tests for infections in the hospital and
that are HIV+.
Lecture/discussion
C. AIDS Related
AIDS.
in the community.
DVD
Infections
Collaborate with other
Identify the population at risk.
Identify community resources health care providers,
ASSIGNMENTS
D. AIDS Related
available for the HIV (+)
institutions, and
Cancers
Plan a diet to include the
client.
organizations to solve
Annatolated Guide to NPA
nutritional needs of the AIDS
health care problems for
patient.
clients with AIDS,
Brunner & Suddarth's
participate in HIV+
Chap. 50 & 52 (appropriate
Evaluate the drugs used for the
preventative
areas)
patient with AIDS.
management teaching.
SCANS:
Describe the following
characteristics of HIV
infection: definition, incidence,
and etiology.
Describe the various
opportunistic infections
according to causative agent,
symptomatology, and
treatment.
List HIV associated
malignancies.
Evaluate your attitude
towards patients with
AIDS.
Carpenito: See appropriate
diagnosis.
Kee: See appropriate lab.
Review the immune system
EVALUATION
Computer Test
32
UNIT VIII
Content
Educational Objectives
Provider of Care
Correlate the pathophysiology
and resulting clinical
manifestations of HIV
infections.
Discuss education needed for
the client with HIV infection at
home.
Assess cultural needs for the
HIV (+) client.
Manager/Coordinator of Care
Member of Profession
RNSG 1443
Learning
Activities/Evaluation
33
UNIT IX: NURSING ROLES IN THE MANAGEMENT OF NEUROLOGIC DISORDERS
SCANS:
C: 5-7, 9-14, 15, 18
RNSG 1443
F: 1-13, 15, 16, 17
Provider of Care
Manager/Coordinator of Care
Learning
Content
Member of Profession
1,
2,
5,
6
4
Activities/Evaluation
Educational Objectives
1, 3
A. Degenerative
Discuss four physiologic
Discuss the major goals for
Explain the potential
LEARNING ACTIVITIES
Diseases
changes in the nervous system
clients with chronic,
impact of chronic
1. Multiple Sclerosis that occur with aging.
progressive neurologic disease neurologic diseases in
GROUP
2. Parkinson’s
with multi departmental
society.
Lecture/discussion
3. Huntington’s
Explain the importance of
consultations.
Simulations
Disease
primary, secondary and tertiary
Evaluate updates on
4. Myasthenia
prevention in problems of the
Evaluate community risks and degenerative diseases
ASSIGNMENTS
Gravis
nervous system.
resources in relation to
affecting society.
Annotated Guide to the
5. Amyotrophic
infectious diseases.
NPA
Lateral Sclerosis
Discuss common neurologic
Brunner & Suddarth's
6. Alzheimer’s
problems. Include
Lobby for legislation for
Chap. 60-61, 63-65
pathophysiology, diagnostic
safety measures against
(appropriate areas)
B. Infections/
testing and medical/surgical
head injuries.
Inflammation
management.
Carpenito: See appropriate
1. Meningitis
Research new treatment
diagnosis.
2. Encephalitis
Describe the nursing
modalities used with spinal Kee: See appropriate labs.
3. Brain Abscess
implications of common
cord injuries.
4. Poliomyelitis
neurologic problems.
Review common neurologic
5. Guillian-Barre`
Act as advocate to promote manifestations.
Syndrome
Describe medications used in
provision of quality health
6. Neurosyphilis
each of the common neurologic
care.
Review CVA, ICP.
7. Herpes Zoster
problems.
8. West Nile Virus
Review the neurologic
Identify dietary considerations
system.
in each of the common
neurologic problems.
Review the neurologic
tests/procedures.
Compare two degenerative
diseases.
EVALUATION
Computer Test
34
UNIT IX
Content
Educational Objectives
C. Cranial Nerve
Disorders
1. Trigeminal
Neuralgia
2. Bell’s Palsy
D. Traumatic Lesions
1. Head Injury
2. Spinal Cord
Injury
Provider of Care
Compare three infectious
related diseases of the nervous
system.
Discuss the pathophysiology,
clinical manifestations,
population at risk, medical &
nursing interventions of
infections/inflammation related
diseases: meningitis,
encephalitis, brain abscess,
polio, Guillian-Barre`
Syndrome, neurosyphilis, and
herpes zoster.
Identify West Nile Virus by
pathology, clinical
manifestations, medical
treatment, and nursing
responsibilities
Describe the pharmacological
intervention with each disorder.
Describe clinical manifestation,
pathophysiology, and
diagnostic evaluations, medical,
surgical, and nursing
interventions with Trigeminal
Neuralgia and Bell’s Palsy.
Describe nursing interventions
for the client with spinal cord
injuries and brain trauma.
Manager/Coordinator of Care
Member of Profession
RNSG 1443
Learning
Activities/Evaluation
35
UNIT IX
Content
Educational Objectives
Provider of Care
Explain the clinical
manifestation and nursing
interventions for a person in
spinal cord shock.
Describe the population at risk
for spinal cord injuries.
Manager/Coordinator of Care
Member of Profession
RNSG 1443
Learning
Activities/Evaluation
36
UNIT X: NURSING ROLES IN THE MANAGEMENT OF HEPATIC, BILIARY AND PANCREATIC DISORDERS
SCANS:
C: 5, 6, 7, 15, 18
RNSG 1443
F: 1, 2, 5, 6, 7, 8, 9, 10, 11, 12, 13
Provider of Care
Manager/Coordinator of Care Member of Profession
Learning
Content
1,
2,
3,
4,
5,
6
1,
2,
3,
4,
5
Activities/Evaluation
Educational Objectives
1, 2, 3
A. Hepatic Disorders
Describe the role of the liver in
GROUP
1. Focal
metabolic and maintenance of
Discussion
Hepatocellular
energy balance.
Disorders
2. Diffuse
Correlate subjective and objective
ASSIGNMENTS
Hepatocellular
data with hepatic system problems.
Disorders
Annotaated Guide to NPA
3. Hepatic
Describe various lab and
Transplant
diagnostic tests used to identify
Brunner & Suddarth's
B. Biliary and
pathophysiological change status
Chap. 39, 40 (appropriate
Gallbladder
in the liver.
areas)
Disorders
Describe the medical and nursing
C. Pancreatic Disorders needs of a patient with liver
Carpenito: See appropriate
abscesses, tumor & trauma.
diagnosis.
Contrast the signs and symptoms
of focal vs. diffuse hepatocellular
disorders.
Differentiate between viral and
toxic hepatitis.
Differentiate between hepatitis A,
B, C, D and E.
Evaluate the pathophysiology
bases of the clinical manifestations
in cirrhosis and the complications
of cirrhosis.
Kee: See appropriate lab.
Review A & P of liver
system.
Review the functions of the
liver.
Review the blood vessels leading
to and from the liver. How does
the portal circulation differ from
other venous systems?
Review isolation procedures and
precautions for enteric and
blood/body fluids.
37
UNIT X
Content
Educational Objectives
Provider of Care
Describe the common medical
and nursing needs of a patient
with ascites, esophageal
varices, portal-systemic
encephalopathy, and
heptatorenal syndrome.
Identify three groups of drugs
to be avoided by the client who
has a malfunctioning liver.
Discuss the nursing
implications for care of a client
undergoing liver biopsy.
List the signs of jaundice.
Describe the liver dysfunction
which produces increased
bleeding tendency.
Describe the liver dysfunction
which can produce nutritional
deficiencies.
Explain the cause of fluid
imbalance in the client with
liver disequilibrium.
Explain the symptoms that may
occur when the various
functions are impaired.
List some drugs that you have
learned are toxic to the liver.
Manager/Coordinator of Care
Member of Profession
RNSG 1443
Learning
Activities/Evaluation
Review A & P of pancreatic
system.
Review the anatomy of the
biliary system. What are
the important constituents of
bile? What are its functions
in digestion?
EVALUATION
Computer Test
38
UNIT X
Content
Educational Objectives
Provider of Care
Utilize the nursing process to
develop a plan of care for the
client with hepatitis.
Identify the nurse’s role in
prevention of hepatitis.
Define infectious and serum
hepatitis giving mode of
transmission.
Utilize the nursing process to
develop a plan of care for the
client with cirrhosis.
Explain the pathophysiological
basis for the symptoms of
cirrhosis.
List four early signs of
cirrhosis.
Discuss the nurse’s role in diet
therapy for liver disorders.
Describe the role of the biliary
system.
List two main functions of bile.
Identify changes in the biliary
system due to aging.
Manager/Coordinator of Care
Member of Profession
RNSG 1443
Learning
Activities/Evaluation
39
UNIT X
Content
Educational Objectives
Provider of Care
Correlate lab and diagnostic
tests with biliary system
problems.
Contrast the etiology,
signs/symptoms and pathophysiology of choleceptitis,
choledocholithiasis and cancer
of the biliary tract.
Describe the primary and
secondary preventive
techniques for gallbladder
disease.
Formulate the nursing care
needs of patients with disorders
of the biliary system.
Describe nursing management
of the client with pruritus.
Describe the role of the
pancreas.
Identify changes in the pancreas
due to aging.
Correlate lab and diagnostic
tests with pancreatic disorders.
Compare the causes of acute
and chronic pancreatitis.
Manager/Coordinator of Care
Member of Profession
RNSG 1443
Learning
Activities/Evaluation
40
UNIT X
Content
Educational Objectives
Provider of Care
Evaluate primary and
secondary preventive
techniques for pancreatic
disease.
Differentiate the patho basis for
sign/symptoms of acute and
chronic pancreatitis and
pancreatic tumors.
Describe pseudocyst.
Manager/Coordinator of Care
Member of Profession
RNSG 1443
Learning
Activities/Evaluation
41
UNIT XI NURSING ROLES IN THE MANAGEMENT OF EMERGENCY TRAUMA
AND TERRORISM, MASS CASUALTY, AND DISASTER
SCANS
C: 1, 3, 4, 5, 6, 7, 15, 18, 19
F: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13
Content
Member of Profession
Provider of Care
Manager/Coordinator of Care
Educational Objectives
I. Emergency Trauma
Describe preventive methods
for accidents.
A. Nursing in
Identify activities to improve
Discusses the different
Emergency
Identify legal ramifications in
health care delivery.
roles in ER.
Conditions
reference to emergency care.
Promote cost containment and Identify the necessary
B. Priorities of
Describe the nature of delivery quality improvement in ER.
components of an
Emergency
of emergency care
emergency operations plan
Management
Coordinate human and
Identify principles of general
material resources for
C. Emergency
management for accidental
provision of care.
Resuscitations
injuries or sudden illness
Measures
(cardiac arrest, MI, nearDiscuss how triage in a
drowning, electrical injuries,
disaster differs from triage in
D. Trauma
poisoning, excess heat or cold,
an emergency.
radiation, wounds, fractures and
E. Temperature
snakebites).
Evaluate the different levels
Emergencies
of personal protection and
Discuss the nurses’ role in
decontamination procedures.
F. Poisoning
documenting and handling
potential criminal evidence.
G. Bites
List three (3) nursing
H. Violence, Abuse
interventions in the care of
Neglect
accidental injuries or sudden
illness (cardiac arrest, MI, neardrowning, electrical injuries,
I. Near drowningpoisoning, excess heat or cold,
Drowning.
radiation, wounds, fractures and
snake bites).
RNSG 1443
Learning
Activities/Evaluation
GROUP
Lecture/Discussion
Role play
DVD
Simulations
ASSIGNMENTS
Annotated Guide to NPA
Brunner & Suddarths
Chap. 71-72 (appropriate
areas)
EVALUATION
Computer Test
42
UNIT XI
Content
Educational Objectives
II.
Terrorism, Mass
Casualty, and
Disaster Nursing
A. Emergency
Preparedness
Provider of Care
Describe the effects of
disasters.
Design appropriate roles of the
nurse during disasters.
Describe triage.
B. Components of
Emergency
Operations
Identify principles of general
management for near
drowning/drowning.
C. Triage of Disaster
Victims
Differentiate between wet and
dry drowning
D. Weapons of Terror
Compare the pathophysiology
of a person drowning in fresh
water versus salt water.
1) Biological Weapons
2) Chemical Weapons
3) Radiation Exposure
4) Decontamination
Identify the differences among
the various chemical agents
used in terrorist events, their
effects, and the
decontamination and treatment
procedures that are necessary
Describe isolation precautions
necessary for bio-terrorism
agents
Determine the injuries
associated with varying levels
of radiation or chemical
exposure and associated
decontamination processes.
Manager/Coordinator of Care
Member of Profession
RNSG 1443
Learning
Activities/Evaluation
43
RNSG 1443
APPENDIX
44
RNSG 1443
SOUTH PLAINS COLLEGE
ASSOCIATE DEGREE NURSING PROGRAM
RNSG 1443
STUDENT CONTRACT
TO MEET THE COURSE OBJECTIVES, RNSG 1443
STUDENTS WILL:
TO ASSIST STUDENTS TO MEET THE COURSE
OBJECTIVES, THE INSTRUCTOR WILL:
Be in attendance and be punctual for lectures.
Be in the classroom lectures at the scheduled time.
Satisfactorily pass written tests and final with an average grade of
77 or above.
Provide a multiple choice, essay and/or short answer make-up
exam for students absent from a scheduled exam if the student
has made arrangements with the instructor within one week of
the date of the missed exam.
Satisfactorily complete all course and clinical assignments as
assigned by the instructor with a grade of 77 or above.
Contact course instructor if not able to take exam on the
scheduled date.
Take a make-up exam if the regularly scheduled exam is missed.
The make-up exam will be taken within one week of the regularly
scheduled exam or at the discretion of the instructor. Prearrangement will be made with the instructor. Make-up exams
will be in essay, multiple choice, and/or short-answer form.
REFERRAL MAY BE MADE TO THE ADN PROGRAM
DIRECTOR AND THE ADN ADMISSION/ACADEMIC
STANDARDS COMMITTEE.
Test may be reviewed in office for only two (2) weeks after
taken.
Complete a standardized test covering Advanced Med/Surg
nursing at the end of the semester with a .93 or better, predicted
probability of passing NCLEX-RN or remediation is
recommended.
Follow SPC, SPC ADNP, and affiliated institutional policies and
procedures and Texas State Board Regulations.
I have read and understand the above RNSG 1443 policies and,
the current ADNP handbook.
DEVIATION FROM THE STUDENT CONTRACT WILL
BE EVALUATED ON AN INDIVIDUAL BASIS WITH THE
INSTRUCTOR AND COULD RESULT IN COURSE
FAILURE.
____________________________________
STUDENTS SIGNATURE
___________
DATE
___________________________________
INSTRUCTORS SIGNATURE
___________
DATE
____________________________________
INSTRUCTORS SIGNATURE
___________
DATE
____________________________________
INSTRUCTORS SIGNATURE
___________
DATE
____________________________________________________
STUDENTS PRINTED NAME
45
RNSG 1443
SOUTH PLAINS COLLEGE
ASSOCIATE DEGREE NURSING PROGRAM
RNSG 1443
STUDENT CONTRACT
TO MEET THE COURSE OBJECTIVES, RNSG 1443
STUDENTS WILL:
TO ASSIST STUDENTS TO MEET THE COURSE
OBJECTIVES, THE INSTRUCTOR WILL:
Be in attendance and be punctual for lectures.
Be in the classroom lectures at the scheduled time.
Satisfactorily pass written tests and final with an average grade of
77 or above.
Provide a multiple choice, essay and/or short answer make-up
exam for students absent from a scheduled exam if the student
has made arrangements with the instructor within one week of
the date of the missed exam.
Satisfactorily complete all course and clinical assignments as
assigned by the instructor with a grade of 77 or above.
Contact course instructor if not able to take exam on the
scheduled date.
Take a make-up exam if the regularly scheduled exam is missed.
The make-up exam will be taken within one week of the regularly
scheduled exam or at the discretion of the instructor. Prearrangement will be made with the instructor. Make-up exams
will be in essay, multiple choice, and/or short-answer form.
REFERRAL MAY BE MADE TO THE ADN PROGRAM
DIRECTOR AND THE ADN ADMISSION/ACADEMIC
STANDARDS COMMITTEE.
Test may be reviewed in office for only two (2) weeks after
taken.
Complete a standardized test covering Advanced Med/Surg
nursing at the end of the semester with a .93 or better, predicted
probability of passing NCLEX-RN or remediation is
recommended.
Follow SPC, SPC ADNP, and affiliated institutional policies and
procedures and Texas State Board Regulations.
I have read and understand the above RNSG 1443 policies and,
the current ADNP handbook.
DEVIATION FROM THE STUDENT CONTRACT WILL
BE EVALUATED ON AN INDIVIDUAL BASIS WITH THE
INSTRUCTOR AND COULD RESULT IN COURSE
FAILURE.
____________________________________
STUDENTS SIGNATURE
___________
DATE
____________________________________
INSTRUCTORS SIGNATURE
___________
DATE
____________________________________
INSTRUCTORS SIGNATURE
___________
DATE
____________________________________
INSTRUCTORS SIGNATURE
___________
DATE
____________________________________________________
STUDENTS PRINTED NAME
46