COURSE SYLLABUS VNSG 1400.501 (4:3:3) NURSING IN HEALTH AND ILLNESS I Vocational Nursing Program Health Occupations Department Technical Education Division Plainview Campus South Plains College Fall 2014 1 Plainview COURSE SYLLABUS COURSE TITLE: VNSG 1400.501 NURSING IN HEALTH AND ILLNESS I INSTRUCTORS: Suzanne Griffin, AAS, ADN, RN Toy Long, BSN, RN, CCHP OFFICE LOCATION & PHONE / E-MAIL: PC 104 F / 806-296-9611 EXT. 4405 / sgriffin@southplainscollege.edu PC 104 E / 806-296-9611 EXT. 4408 / tlong@southplainscollege.edu OFFICE HOURS: Griffin: M 1PM – 4PM, T 10AM - 12PM and 1PM - 4PM, W TR F By Appointment Long: M 9AM – 12 PM, T 1PM – 4PM, W 9 AM – 12 PM, TR F By Appointment SOUTH PLAINS COLLEGE IMPROVES EACH STUDENT’S LIFE COURSE DESCRIPTION: This course is an introduction to the general principles of growth and development, primary health care needs of the patient across the lifespan, and therapeutic nursing intervention. STUDENT LEARNING OUTCOMES: The student will describe and discuss the uniqueness of the gerontologic patient related to physical, mental, and emotional changes associated with the aging process; describe the psychosocial, growth and development, and physiological needs of patients across the lifespan; Identify primary health care needs of the client; and identify the basic interventions to support the patient and family during life stages including death and dying. COURSE COMPETENCIES (Learning Outcomes): The student must complete this course with a 75% or above based on the following objectives: 1. 2. 3. Demonstrate a basic understanding of the physiological mechanisms that alter the function of individual body organs in the aging adult. Recognize the integrated whole being and how a change in one organ system affects other body systems. Identify implications for nursing interventions to assist the older adult to adapt to the problems associated with functional decline. 2 4. 5. 6. 7. 8. 9. 10 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Identify means by which the nurse can assist the aging adult and his family in health/wellness promotion and maintenance. Describe the components of a systematic assessment of the geriatric client, both in terms of wellness and functional disability. Recognize the role of rehabilitation in restoring the infirmed geriatric client to as full and independent a life as possible. Demonstrate modified nursing approaches to assist to meet the physiological and psychological needs of the older adult. Identify community resources available to assist the older adult in maintaining independence to buffer effects of restrictions imposed by aging. Identify lab tests and normal values for each system and integrate into geriatric plan. Demonstrate an understanding of pharmacology using the nursing process approach. Be familiar with basic terminology in classification of medications, both by action and by body system. Identify the essential nutrients and their functions. Identify the components of the Food Pyramid and Recommended Daily Allowances. Identify the ways in which the consumer benefits from regulations governing the food industry. Discuss ways in which the nurse can contribute to nutritional wellness as a preventive against disease. Discuss nursing responsibilities and interventions integral in nutrition. Prepare a therapeutic diet plan using principles of good basic nutrition and assessment of the dietary needs: prepare therapeutic diet teaching plans and implement them in simulated clinical situations. Apply principles of nutrition essentials to food selection and preparation. State the origin and definition of pharmacology Distinguish differences in definitions, names, standards and information sources in pharmacology. Explain nursing assessments necessary to evaluate potential problems associated with the absorption of medications. Discuss nursing interventions that can enhance drug absorption. Differentiate between selective and general types of drugs. Discuss the effects of drug actions across the life span with focus on geriatrics. Differentiate among cognitive, affective and psychomotor learning domains with the emphasis on patient education and health promotion. Define and demonstrate competency of the six rights of drug administration and knowledge of equipment and basic administration procedure techniques. Demonstrate a workable knowledge of conversion tables and calculation of dosages. Describe safe practices for care and storage of medications. Demonstrate knowledge of standard abbreviations used in medication therapy. Demonstrate appropriate documentation of a drug order and medication administration. 3 ACADEMIC INTEGRITY: Refer to the SPC catalog and the VNP Student Handbook. SCANS AND FOUNDATION SKILLS: C – 1, 2, 3, 4, 5, 6, 7, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 F – 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17 VERIFICATION OF WORKPLACE COMPETENCIES: NCLEX – PN Licensure Examination eligibility following successful completion of the one-year vocational nursing program. TEXTBOOKS: Lutz, C., Przytulski, K. S. (2011). Nutrition and Diet Therapy, 5th Ed. Philadelphia, PA. FA Davis Anderson, MA. (2011). Caring for Older Adults Holistically, 5th Ed. Philadelphia, PA. FA Davis Williams, Linda S., MSN, RN and Hopper, Paula D., MSN, RN (2011). Understanding Medical Surgical Nursing, 4th Ed. Philadelphia, PA. FA Davis Study Guide to accompany text Curren, Anna M., RN, MA and Witt, Margaret, BSN, RN, MPT, DPT (2015). Math for Meds, 11th Ed. Stamford, CT. Delmar Cengage Learning SPC Levelland Math Department (2014) Fundamental Arithmetic for Nurses, Levelland, TX. SPC Publications Burton, Marti A., R.N., B.S. and Ludwig, Linda J. May, R.N., B.S., MEd (2011). Fundamentals of Nursing Care – Concepts, Connections, and Skills, F. A. Davis Company, Philadelphia Occasionally, the student will be required to utilize outside references. ATI Support Materials: Pharmacology Made Easy 3.0, and Skill Modules: Medication Administration # 1, Medication Administration # 2, & Medication Administration # 3. Assessment Technologies Institute, Leawood, KS. ATTENDANCE POLICY: Refer to the SPC catalog and the VNP Student Handbook. This course is a 4 credit hour course with 8 hours allowable absence. Three tardies count as one hour absence. 4 COURSE REQUIREMENTS: 1. 2. 3. 4. 5. 6. 7. 8. 9. Completion of assigned reading. Participation in class discussion. Following provided rubrics for all assignments. Completion of all assignments, quizzes, and exams administered. Seek instructor guidance and follow student handbook when absences occur. Completion of scheduled ATI assessments and CAI programs assigned. Completion of drug summaries and diagnosis summaries as assigned. Completion of ATI support materials as assigned. Utilization of assigned class time and VNP PM Lab Hours for medication administration skill practice. Written assignments are to be neat and legible. Follow specific rubrics provided by instructors. Basic guidelines for computer generated work includes using black as font color and 12 as font size or the assignment may be hand written using black ink, and each must be double spaced and on one side of the paper only. Paper edges must be without frayed edges. Points will be deducted accordingly as per instructor discretion. ** Site all resources** on a separate sheet and include as last sheet of collection of paperwork using the following guidelines: For textbooks Author, (Copyright date), Title of Text, Edition, Publisher, City and State of Publisher. For website addresses (appropriate time frame for nursing resource – 5 years) Website address, retrieval date ** All paperwork pages should be numbered, in correct numerical order, and submitted in an enclosed folder with student name clearly visible. 5 GRADING: Content Exams / Abbreviations & Equivalents and Dosage Calculations Competencies / Final Exam …………………………………………………………………………………………………….75% Drug Summaries / Diagnosis Summaries / Nutrition Group work ……………………………………………………………………………………20% Class Participation ………………………………………………………………………………………. 5% Grading Scale: A ………. 90 – 100 B ………. 80 – 89 C ………. 75 – 79 D ………. 70 – 74 F ……….. 69 or below * 75% is passing for all nursing courses SCHEDULE OF CLASSES: 8 – 26 – 14 (Long) Geriatrics – Chapter 1 Nutrition – Chapter 1 EMA – ATI Intro to Pharmacology, Drug Categories, Generic vs Trade Name, Therapeutic Equivalence 8 – 28 – 14 (Long) Geriatrics – Chapter 2 Nutrition Chapter 2 EMA – ATI- Prescription vs Non-Prescription, Pharmaceutics, Pharmacokinetics, Pharmacodynamics/ Body Systems 9 – 2 – 14 (Long) Geriatrics- Chapter 3 Nutrition – Chapter 3 start demonstrations EMA – ATI – Expected Pharmacological Action and Therapeutic Uses, Side Effects and Adverse Reactions 9 – 4 – 14 (Long) Geriatrics- Chapter 4 Nutrition – Chapter 4 cont. demonstrations EMA – ATI Tolerance, Cumulative Effect and Toxicity 9 – 9 – 14 (Long) Geriatrics Chapter 6 Nutrition Chapter 5 cont. demonstrations EMA – ATI – Precautions and Contraindications 9 – 11 – 14 (Long) Geriatrics Unit Interactive Discussion Nutrition Chapter 7 cont. demonstrations EMA- ATI – Drug-Drug- Drug- Food- Drug Herbal Interactions 6 9 – 16 – 14 (Long) Geriatrics- Unit Exam 1 Nutrition Chapter 8 cont. demonstrations EMA- ATI – Drug Therapy across the Lifespan 9 – 18 – 14 (Long) Geriatrics- Chapter 7 Nutrition Chapter 6 EMA – ATI – Patient Instructions and Patient Administration Safety 9 – 23 – 14 (Long) Geriatrics Chapter 9 Nutrition Chapter 9 EMA – STI – Drills 9 – 25 – 14 (Long) Geriatrics Chapter 10 Nutrition Exam 1 EMA – ATI- Pharm. Exam 1 9 – 30 – 14 (Long) Geriatrics Chapter Unit Interactive Review Nutrition Chapter 12 EMA – Med- Surg Nursing Book, Chapter 1 Critical Thinking 10 – 2 – 14 (Long) Geriatrics Exam 2 Nutrition Dietary Analysis Discussion EMA – Med- Surg Nursing Book, Chapter 1 Nursing Process 10 – 7 – 14 (Long) Geriatrics Chapter 11 Nutrition Dietary Group Discussion Analysis 10 – 9 – 14 (Long) Geriatrics Chapter 13 Nutrition Dietary Analysis Paper Due by 1000 Math for Meds: Chapter 4 Metric/International (SI) System Chapter 5 Unit, Percentage, Milliequivalent, Ratio, & Household Measure Fundamentals of Nursing Care: Electronic Study Guide Abbreviation Tables ATI support materials for abbreviations and equivalents Handout Activity # 1 (Due date TBA) (Griffin) 10 – 14 – 14 (Long) (Griffin) 10 – 16 – 14 (Long) (Griffin) Geriatrics – Chapter 14 Nutrition – Chapter 12 Handout Activity # 2 (Due date TBA) Physician Order Transcriptions Geriatrics - Chapter 16 Nutrition – Chapter 13 Handout Activity # 3 (Due date TBA) 7 10 – 21 – 14 (Long) (Griffin) 10 – 28 – 14 (Long) (Griffin) 11 – 6 – 14 (Long) (Griffin) 11 – 13 – 14 (Long) (Griffin) 11 – 18 – 14 (Long) (Griffin) Geriatrics – Interactive Discussion Nutrition – Exam 2 Review of Handout Activity Questions and Math for Meds Chapter Concerns ATI Skills Module Medication Administration # 1 Geriatrics Exam 3 Nutrition Chapter 14 Abbreviations & Equivalents Competency COMPETENCY OF 90% OR ABOVE MUST BE ACHIEVED ON ABBREVIATIONS & EQUIVALENTS AND DOSAGE CALCULATIONS COMPETENCY ADMINISTERED LATER IN THE SEMESTER. YOUR INITIAL SCORE WILL BE THE SCORE RECORDED. YOU WILL HAVE THREE OPPORTUNITIES TO ACHIEVE THIS LEVEL OF COMPETENCY BY FRIDAY, DECEMBER 5, 2014. IF 90% OR ABOVE IS NOT ACHIEVED (FIRST AND SECOND ATTEMPTS), ARRANGEMENTS MUST BE MADE WITH MRS. GRIFFIN FOR RETAKES. THE RETAKES MAY NOT BE COMPLETED DURING CLASS TIME. SHOULD AFTER THE THIRD ATTEMPT COMPETENCY IS NOT MET, THE OBJECTIVES FOR THIS COURSE WILL NOT BE MET AND A FAILING GRADE WILL BE ISSUED. Geriatrics Chapters 17 & 18 Nutrition Chapter 15 Math for Meds: Chapter 6 Oral Medication Labels and Dosage Calculation ATI Tutorial: Dosage Calculation 2.0 – Ratio and Proportion ATI Skills Modules: Medication Administration # 2 AND Medication Administration # 3 Geriatrics Chapter 19 Nutrition Chapter 16 Math for Meds Exam (Chapters 4, 5, and 6; ATI support materials) Geriatrics Chapter 19 Nutrition Exam 2 Math for Meds: Chapter 7 Safe Medication Administration Chapter 8 Hypodermic Syringe Measurement Chapter 9 Parenteral Medication Labels and Dosage Calculation Chapter 10 Reconstitution of Powdered Drugs Chapter 11 Measuring Insulin Dosages 8 11 – 25 – 14 (Long) (Griffin) 12 – 2 – 14 (Long) (Griffin) 12 – 9 – 14 Geriatrics Chapter 21 Nutrition Interactive Discussion Math for Meds: Chapter 14 Formula Method Chapter 15 Adult & Pediatric Dosages Based on Body Weight Chapter 16 Adult & Pediatric Dosages Based on Body Surface Area Chapter 22 Pediatric Oral & Parenteral medications Video Presentation: Pediatric Medication Administration-Principles & Calculations Summary Self-Tests and ATI Support Materials Review & Completion Geriatrics – Interactive Discussion Nutrition – Prep for Final Exam Continued Review of Medication Administration with Math for Meds and ATI Skills Modules Medication Administration # 1, #2, & #3 with lab practice. Dosage Calculations Competency (Due to Mrs. Griffin on Thursday, December 4th by 1600) FINAL EXAM 9 COURSE OUTLINE: Caring for Older Adults Holistically Unit I Foundations of Care for the Older Adult I. II. III. IV. V. VI. VII. VIII. IX. Holistic Caring The Aging Experience Supporting Life transitions The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Promoting Wellness Focus on Nutrition for Older Adults Activity, Rest and Sleep as a Criteria for Health End of Life issues in older Adults Environments of Care Unit II Clinical Practice in Geriatric Nursing X. XI. XII. XIII. XIV. Common Infectious Diseases Common Medical Diagnosis Common Clinical Problems: Psychological Rehabilitation and Restorative Care Laboratory Values and Older Adults Nutrition Essentials for Nursing Practice Unit I The Role of Nutrients in the Human Body I. II. III. IV. V. VI. VII. VIII. IX. Introduction to Nutrition Client Care Carbohydrate Fats Protein Vitamins Minerals and Water Energy balance Digestion, Absorption, Metabolism, Excretion 10 Unit II Family and Community Nutrition I. Life Cycle Nutrition the Mature Adult II. Food Management Unit III Clinical Nutrition I. Nutrient Delivery II. Interactions: Food and Nutrients vs. Medications and Supplements ATI Support Materials for Essentials of Medication Administration Pharmacology Made Easy 3.0 Math for Meds Section 2 I. II. Section 3 I. II. III. IV. V. VI. Section 4 I. II. III. Section 5 I. II. Section 7 I. Introduction to Drug Measures Metric/International (SI) System Unit, Percentage, Milliequivalent, Ratio, and Household Measures Reading Medication Labels and Syringe Calibrations Oral Medication Labels and Dosage Calculation Safe Medication Administration Hypodermic Syringe Measurement Parenteral Medication Labels and Dosage Calculation Reconstitution of Powdered Drugs Measuring Insulin Dosages Dosage Calculations Ratio and Proportion Dimensional Analysis / Units Conversion Formula Method Dosage Calculation from Body Weight and Body Surface Area Adult and Pediatric Dosages Based on Body Weight Adult and Pediatric Dosages Based on Body Surface Area Pediatric Medication Calculations Pediatric Oral and Parenteral Medications 11 ATI Skills Modules Medication Administration # 1 The purpose/goal of this module is to provide comprehensive information about safety, care, and patient teaching during medication administration. Medication Administration # 2 The purpose/goal of this module is to provide comprehensive information about administering oral, ophthalmic, otic, nasal, vaginal, and rectal medications. This module also includes administering medications through a nasogastric tube. Medication Administration # 3 The purpose/goal of the module is to provide comprehensive information about the safe and accurate administration of injections. 12 SCANS COMPETENCIES RESOURCES – Identifies, Organizes, Plans, and Allocates Resources C-1 C-2 C-3 C-4 TIME – Selects goal – relevant activities, ranks them, allocates time and prepares and follows schedules. MONEY - Uses or prepares budgets, makes forecasts, keeps records, and makes adjustments to meet objectives. MATERIALS & FACILITIES – Acquires, stores, allocates and uses materials or space efficiently. HUMAN RESOURCES – Assesses skills and distributes work accordingly, evaluates performance and provides feedback. INTERPERSONAL – Works With Others C-5 C-6 C-7 C-8 C-9 C-10 Participates as a member of a team - contributes to group effort. Teaches others new skills. Serves Clients/Customers – works to satisfy customer’s expectations. Exercise Leadership – Communicates ideas to justify position, persuades and convinces others responsibility challenges existing procedures and policies. Negotiates – works toward agreements involving exchanges of resources; resolves divergent interests. Works With Diversity – Works well with men and women from diverse backgrounds. INFORMATION – Acquires and Uses Information C-11 C-12 C-13 C-14 Acquires and evaluates information. Organizes and maintains information. Interprets and communicates information. Uses computers to process information. SYSTEMS – Understands Complex Interrelationships C-15 C-16 C-17 Understands Systems – Knows how social, organizational, and technological systems work and operate effectively with them. Monitors and Corrects Performance – Distinguishes trends, predicts impacts on system operations, diagnoses deviations in systems’ performance, and corrects malfunctions. 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 C-19 C-20 Selects Technology – Chooses procedures, tools, or equipment, including computers and related technologies. Applies Technology to Task – Understands overall intent and proper procedures for setup and operation of equipment. Maintains and Troubleshoots Equipment – Prevents, identifies, or solves problems with equipment, including computers and other technologies 13 FOUNDATION SKILLS BASIC SKILLS – Reads, Writes, Performs Arithmetic and Mathematical Operations, Listens and Speaks F-1 F-2 F-3 F-4 F-5 Reading – Locates, understands and interprets written information in prose and in documents such as manuals, graphs and schedules. Writing – Communicates thoughts, ideas, information and messages in writing and creates documents such as letters, directions, manuals, reports, graphs and flow charts. Arithmetic/Mathematics – Performs basic computations; approaches practical problems by choosing appropriately from a variety of mathematical techniques. Listening – Receives, attends to, interprets, and responds to verbal messages and other cues. Speaking – Organizes ideas and communicates orally. THINKING SKILLS – Thinks Creatively, Makes Decisions, Solves Problems, Visualizes, Knows How to Learn, and Reasons F-6 F-7 F-8 F-9 F-10 F-11 Creative Thinking – Generates new ideas. Decision Making – Specifies goals and constraints, generates alternatives, considers risks, evaluates and chooses best alternative. Problem Solving – Recognizes problems, devises and implements plan of action. Seeing Things in the Mind’s Eye – Organizes and processes symbols, pictures, graphs, objects and other information. Knowing How to Learn – Uses efficient learning techniques to acquire and apply new knowledge and skills. 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, and Integrity and Honesty F-12 F-13 F-14 F-15 F-16 Responsibility – Exerts a high level of effort and perseveres toward goal attainment. Self-Esteem – Believes in own self-worth and maintains a positive view of self. Sociability – Demonstrates understanding, friendliness, adaptability, empathy and politeness in group settings. Self-Management – Assesses self accuracy, sets personal goals, monitors progress and exhibits self-control. Integrity / Honesty – Chooses ethical courses of action. SCANS FOUNDATION AND COMPETENCY SKILLS (by course) Foundations; (F) ECON 230: 1, 2, 3, 4, 5, 8, 9, 10, 11, 12, 17 Competencies: (C) 2, 15 ENGL 5, 6, 7, 8 5, 6, 7 1301 1302 1, 2, 5, 7, 8, 9, 11, 12, 13, 15, 16, 17 1, 2, 5, 7, 8, 9, 11, 12, 13, 15, 16, 17 14 GOVT 2301 1, 2, 10, 11, 12, 17 15 HIST 1, 2, 5, 10, 11, 12, 17 15 MATH 1314 3, 4, 9, 10, 11, 12 – PSYC 2301 1, 2, 10, 11, 12, 15, 16, 17 4, 14 READ 1314 1, 2, 5, 7, 8, 9, 10, 11, 12, 15, 17 1, 5, 6, 7, 8, 9, 10, 12, 13, 14, 15 SPCH 1321 2, 4, 5, 6, 7, 8, 9, 10, 13, 14 1, 5, 6, 7, 14 SOC 1301 1, 2, 5, 8, 9, 10, 11, 12, 15, 16, 17 4, 14 PHYS 1315 1, 2, 4,10,11,12 – 1302 Example for PSYC: Scans: Foundation Skills: Competencies: 1, 2, 10, 11 4, 13 15 4.1.1 Syllabus Statements: Each syllabus should include the following Diversity Statement and the Disabilities Statement appropriate to the location of the course. 4.1.1.1 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 large 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 can be. 4.1.1.2. Disabilities Statement: ADA 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 Disability Services Office early in the semester so that the appropriate arrangements may be made. In accordance with federal law, a student requesting accommodations must provide acceptable documentation of his/her disability to the Disability Services Office. For more information, call or visit the Disability Services Office through the Guidance and Counseling Centers at Reese Center (Building 8) 716-4606, or Levelland (Student Services Building) 716-2577. 16