RNSG 2402 CONCEPTS OF NURSING PRACTICE III for THE ARTICULATING STUDENT Course Description: The course provides the articulating student the opportunity to synthesize the roles of the professional nurse as provider of patient-centered care, patient safety advocate, member of health care team, and member of profession nurse; apply systematic problem solving processes and critical thinking skills; focuses on the care of patients throughout the life span with continued emphasis on leadership and management skills in the provision of care to small groups of adult patients and their families in multiple settings and competency in knowledge, judgment, skills, and professional values within a legal/ethical framework.. Course Objectives: Upon completion of the course the student will be able to: 1. Utilize clinical reasoning and the nursing process guided by evidence based practice as a framework for nursing decisions in meeting the health care needs of small groups of patients and their families throughout the lifespan. 2. Integrate the etiology, pathophysiology, risk factors, signs and symptoms, complications, therapeutic interventions for small groups of patients and their families throughout the lifespan. 3. Integrate the four roles of the professional nurse when providing patient-centered care for small groups of patients and their families throughout the lifespan. 4. Modify teaching plans that assist small groups of patients and their families throughout the lifespan to meet their needs for health maintenance, promotion, and /or restoration. 5. Integrate legal principles from governing and accrediting agencies and ethical guidelines when planning patient-centered nursing care for small groups of patients and their families throughout the lifespan. 6. Formulate goals and outcomes that promote quality and a risk free, safe environment for all individuals. 7. Demonstrate competence and safety in the performance of selected nursing skills. 8. Analyze the role of a health care advocate when collaborating with members of the interdisciplinary health team determining resources that facilitate continuity of care; health promotion, maintenance, and restoration. 9. Integrate the principles of therapeutic communication that facilitate interactions with small groups of patients and health care members. 10. Analyze use of technology when communicating and managing information to support decision making to improve care for small groups of patients and their families throughout the lifespan. 11. Analyze the guidelines and responsibilities associated with delegation of nursing care. 12. Analyze measures that promote the development and practice of professional nursing. Page 1 of 6 4/2013 COURSE CONTENT Obstetric Modules: Module – Conception and Prenatal Development Reproductive anatomy and physiology Fetal development Module – Providing Patient-Centered Care for the Individual during Normal Pregnancy Antepartum Nursing Assessment Physical and Psychological Changes of Pregnancy Patient Teaching Substance abuse Teenage pregnancy Module – Providing Patient-Centered Care for the Individual during Fetal Assessment Ultrasound Amniocentesis NST / OCT Biophysical profile Module – Providing Patient-Centered Care for the Individual during Normal Labor and Delivery Process and Stages of Labor and Delivery Physiology of Labor Signs of Labor Nursing care for the laboring patient Pain management Module – Providing Patient-Centered Care for the Individual during Intrapartum Fetal Monitoring Normal and Abnormal patterns Nursing care Module – Providing Patient-Centered Care for the Individual during Normal Postpartum Physiological changes of involution by body system Nursing care Module – Providing Patient-Centered Care for the Normal Newborn Transition to extrauterine life Admission to the Nursery Nursing assessment of the Newborn Nursing Care Module– Providing Patient-Centered Care for the Individual with Complications of Pregnancy Bleeding Disorders o Abortions Page 2 of 6 4/2013 o Ectopic pregnancy o Hydatiform mole o Placenta previa o Abruptio placenta o DIC Preeclampsia/ Eclampsia / HELLP Fetal Demise Hyperemesis Gravidarum Diabetes Heart Disease Infections o Urinary Tract o TORCHA Module – Providing Patient-Centered Care for the Individual with Complications of Labor and Delivery Uterine dystocia; Pelvic dystocia; Fetal dystocia Premature Rupture of Membranes Preterm Labor Precipitous delivery Prolapse of the Umbilical Cord Amniotic fluid embolism Uterine Rupture Chorioamnioitis Module – Providing Patient-Centered Care for the Individual with Complications of Postpartum Postpartum Hemorrhage Puerperal Infection o Urinary Tract infection o Mastitis o Breast Abscess Puerperal mental health disorders o Depression o Schizophrenia Module – Providing Patient-Centered Care for the High Risk Neonate Characteristics of the Preterm and Postterm baby Respiratory Distress Syndrome Necrotizing Enterocolitis Opthalmia neonatorium Fetal alcohol syndrome Hyperbilirubinemia Infant of diabetic mother Drug addicted baby Hyperbilirubinemia TORCHA infections Page 3 of 6 4/2013 Module– Providing Patient-Centered Care for the Individual with Infertility Assessment of the Male and Female reproductive systems Diagnostic testing for the Male and Female Treatment modalities for infertility Module – Providing Patient-Centered Care for the Individual seeking Contraception Natural Family Planning Chemical barriers Mechanical barriers Hormonal therapy Nursing Care Pediatric Modules: Module – Providing Patient-Centered Care for the Hospitalized Child Module - Growth and Development/ Safety and Prevention Module – Providing Patient-Centered Care for the Child with a Respiratory Disorder Otitis media / serous otitis media Tonsillitis / Adenoiditis Croup Epiglotitis Bronchiolitis Apnea Sudden Infant Death Syndrome Asthma / Reactive airway disease (RAD) Cystic Fibrosis Module – Providing Patient-Centered Care for the Child with a Cardiovascular Disorder Congestive Heart Failure Congenital Heart Disease o Types o Open heart surgery Acquired cardiac diseases o Kawasaki disease o Rheumatic fever Module– Providing Patient-Centered Care for the Child with a Gastrointestinal Disorder Cleft lip and palate Esophageal atresia / tracheophageal fistula Gastroesophageal reflux disease(GERD) Diarrhea/ gastroenteritis / metabolic acidosis/ dehydration Appendicitis Pyloric stenosis Intussusception Vovolus Page 4 of 6 4/2013 Hirschsprung Disease Failure to Thrive Celiac disease Umbilical hernia Imperforate anus Omphalocele Module – Providing Patient-Centered Care for the Child with a Genitourinary Disorder Vesicoureteral reflux Defects (define only) o Hypospadias / epispadias o Cryptorchidism Acute Glomerulonephritis Nephrotic syndrome Module – Providing Patient-Centered Care for the Child with a Neurological Disorder Increased intracranial pressure Spina bifida/ Myelomeningocele Hydrocephalus Cerebral Palsy Seizure disorders / Epilepsy Meningitis Downs syndrome Module– Providing Patient-Centered Care for the Child with a Hematologic disorder or Cancer Sickle cell anemia Hemophilia Leukemia o Cancer treatment modalities Wilms tumor Module– Providing Patient-Centered Care for the Child with a Musculoskeletal Disorder Clubfoot Dysplasia of the hip Fractures Muscular dystrophy Scoliosis Module– Providing Patient-Centered Care for the Child with an Integumentary Disorder Impetigo Candidiasis Tinea infections / ringworm Pediculosis / Lice Scabies Acne Page 5 of 6 4/2013 Medical-Surgical Modules: Module 1 – Providing Patient-Centered Care of the Individual with Acute Respiratory Failure Hypercpanic respiratory failure Hypoxemic respiratory failure ARDS Module 2 – Providing Patient-Centered Care of the Individual with Burns Classifications Burn types: thermal, chemical, electrical, smoke/inhalation Phases: emergent, acute, rehabilitation Module 3 – Providing Patient-Centered Care of the Individual experiencing Cardiac Surgery Myocardial revascularization Ventricular Septal Defect Ventricular aneurysmectomy Complications Module 4 – Providing Patient-Centered Care of the Individual with Renal Failure Acute Chronic Surgical interventions Peritoneal dialysis Hemodialysis Page 6 of 6 4/2013