Spring 2014 Angelina College Health Careers I VNSG 1330 Maternal Newborn Nursing General Syllabus I. COURSE DESCRIPTION: (as stated in the bulletin, including necessary pre-requisite courses, credit hours) VNSG 1330 Maternal Newborn Nursing. Three credit hours, 48 didactic hours. Prerequisites: VNSG 1226, 1304, 1405, 1423, 1361, and a current CPR card. Corequesites: VNSG 1133, 1136, 1331, 1429, and 1362. A student of the biological, psychological, and sociological concepts applicable to basic needs of the family including childbearing and neonatal care. Topics include physiological changes related to pregnancy, fetal development, and nursing care of the family during labor and delivery and the puerperium. Student must demonstrate basic competency in reading, oral and written communication, critical thinking, and computer skills. Students are expected to be an active learning participant by assuming accountability in preparing for each class by completing required readings and/or other learning activities as listed in each unit assignment. Proficiency will be measured by written care plans, oral discussions, CAI and other assignments. INTENDED AUDIENCE: Second semester students working toward educational requirements for a Vocational Nursing Certificate. INSTRUCTOR Name: Jacquelyn McClain, RN, BSN Office Location: Lufkin Campus Office Hours: Tuesdays 0800-1200 Phone: 936-633-5265 E-mail Address: jmcclain@angelina.edu II. INTENDED STUDENT OUTCOMES: A. Core Objectives Required for this Course 1. Critical Thinking: to include creative thinking, innovation, inquiry, and analysis, evaluation and synthesis of information 2. Communication: to include effective development, interpretation and expression of ideas through written, oral and visual communication 3. Empirical and Quantitative Skills: to include the manipulation and analysis of numerical data or observable facts resulting in informed conclusions 4. Teamwork: to include the ability to consider different points of view and to work effectively with others to support a shared purpose or goal 5. Social Responsibility: to include the ability to connect choices, actions and consequences to ethical decision-making 6. Personal Responsibility: to include intercultural competence, knowledge of civic responsibility, and the ability to engage effectively in regional, national, and global communities B. Exemplary Objectives – (Found in the Texas Higher Education Coordinating Board Document. Titled: CORE CURRICULUM: ASSUMPTIONS AND DEFINING CHARACTERISTICS Dated: April 1998) Not applicable for Nursing Program C. Course Objectives – (common to all sections) After completing the course, the student should be able to discuss the concepts of maternal-newborn nursing. * Discuss human reproduction and fetal development as related to the normal aspects of childbearing. * Identify common complications of the mother and newborn during prenatal, antenatal, and postnatal periods. * Relate characteristics of the normal newborn and associated nursing interventions to meet identified health care needs utilizing the nursing process. 1 D. Course Objectives - Student Learning Outcomes After completing the course, the student should be able to: * Discuss historical and contemporary maternal and child health nursing. * Discuss female and male reproduction. * Apply the principles of nursing care to the perinatal client and the newborn client. * Utilize the nursing process in the care of the perinatal client and the newborn client. * Assess abnormal physiological conditions of the perinatal client and the newborn client. * Discuss promotion of health for the perinatal and newborn client. * Discuss commonly administered medications for the perinatal client and the newborn client. 2 III. ASSESSMENT MEASURES OF STUDENT LEARNING OUTCOMES: A. Core Objectives Required for this Course 1. Critical Thinking: Exams 2. Communication: N/A 3. Empirical and Quantitative Skills: N/A 4. Teamwork: STI Paper Project 5. Social Responsibility: OB Drug Cards 6. Personal Responsibility: N/A B. Assessments for the Exemplary Objectives Specific to the Course – Non-applicable for the Nursing Program. C. Assessments for Objectives Specific to the Course – SCANS Skills Assessments Foundation Skills Written assignments Critical Thinking Case Studies Oral Presentations Required Reading Demonstrated Compentency in clinical Workplace Competencies Administer Medications Prepare Written Care Maps, Care Plans, & Windows Interpret physician order Communicate with Clients Communicate with Interdisciplinary health team Demonstrate competency in clinical Use the computer in the work setting Computer Assisted Instruction D. Assessments for the Objectives of the Course as determined by the Instructor – MEMBER OF THE PROFESSION A. Function within the nurse’s legal scope of practice and in accordance with the policies and procedures of the employing health care institution or practice setting. 3. b. Question orders, policies, and procedures that may not be in patient’s best interest. B. Assume responsibility and accountability for the quality of nursing care provided to patients and their families. 3. Identify and communicate patient physical and mental health care problems encountered in practice 6. a. Follow established policies and procedures. C. Contribute to activities that promote the development and practice of vocational nursing 1. Identify historical evolution of nursing practice and issues affecting the development and practice of vocational nursing 3 PROVIDER OF PATIENT-CENTERED CARE B. Assist in determining the physical and mental health status, needs, and preferences of culturally, ethnically, and socially diverse patients and their families based on interpretation of health-related data. 7. Differentiate abnormal from normal health data of patients. 8. Recognize healthcare outcomes and report patients status 9. Recognize that economic and family processes affect the health of patients. PROVIDER OF PATIENT-CENTERED CARE A. Assist in determining the physical and mental health status, needs, and preferences of culturally, ethnically, and socially diverse patients and their families based on interpretation of health-related data. 3. Identify and communicate patient physical and mental health care problems encountered in practice. 4. Identify predictable and multiple health needs of patients and recognize signs of decompensation B. Assist in determining the physical and mental health status, needs, and preferences of culturally, ethnically, and socially diverse patients and their families based on interpretation of health-related data. 7. Differentiate abnormal from normal health data of patients. 8. Recognize healthcare outcomes and report patients status. 9. Recognize that economic and family processes affect the health of patients PROVIDER OF PATIENT-CENTERED CARE C. Report data to assist in the identification of problems and formulation of goals/outcomes and patient-centered plans of care in collaboration with patients, their families, and the interdisciplinary health care team. 2. Identify short-term goals and outcomes, select interventions considering cultural aspects, and establish priorities for care in collaboration with patients, their families, and the interdisciplinary team. PROVIDER OF PATIENT-CENTERED CARE E. Implement aspects of the plan of care within legal, ethical, and regulatory parameters and in consideration of patient factors. 2. Implement nursing interventions to promote health, rehabilitation, and implement nursing care for clients with chronic physical and mental health problems and disabilities. 5. Foster coping mechanisms of patients and their families during alterations in health status and end of life. 4 7. b. Encourage active engagement of patients and their families in care. 8. Communicate ethical and legal concerns through established channels of communication. 9. Use basic therapeutic communication skills when interacting with patients, their families, and other professionals. 11. Facilitate maintenance of patient confidentiality. 13. Provide direct patient care in disease prevention and health promotion and/or restoration. PROVIDER OF PATIENT-CENTERED CARE A. Identify and report alterations in patient responses to therapeutic interventions in comparison to expected outcomes. 1. Report changes in assessment data. 2. Use standard references to compare expected and achieved outcomes of nursing care. 4. Assist in modifying plan of care. A. Implement teaching plans for patients and their families with common health problems and well-defined health learning needs. 1. Identify health-related learning needs of patients and their families. 2. Contribute to the development of an individualized teaching plan. C. in the formulation of goals and outcomes to reduce patient risks. 2. a. Implement measures to prevent exposure to infectious pathogens and communicate conditions. 2. b. Anticipate risk for the patient. C. Obtain instruction, supervision, or training as needed when implementing nursing procedures or practices. 1. Evaluate individual scope of practice and competency related to assigned task. MEMBER OF THE HEALTH CARE TEAM A. Communicate and collaborate with patients, their families, and the interdisciplinary health care team to assist in the planning, delivery, and coordination of patient-centered 5 care to assigned patients. 1. Involve patients and their families with other interdisciplinary health care team members in patient care across the lifespan. A. Participate in the identification of patient needs for referral to resources that facilitate continuity of care, and ensure confidentiality. 1. a. Identify support systems of patients and their families. 1. b. Identify major community resources that can assist in meeting needs. MEMBER OF THE HEALTH CARE TEAM 4. Identify treatment modalities and cost of health care services for patients and their families. B. Communicate and collaborate in a timely manner with members of the interdisciplinary health care team to promote and maintain optimal health status of patients and their families. 2. Identify health care providers and other who can assist in patient care. 4. Use evidence-based clinical practice guidelines to guide critical team communications during transition in care between providers. 5. Recognize and manage conflict through the chain of command. C. Communicate patient data using technology to support decision making to improve patient care. 1. a. Identify, collect, process, and manage data in the delivery of patient care and in support of nursing practice and education. MEMBER OF THE HEALTH CARE TEAM A. Assign nursing care to LVNs or unlicensed personnel based upon an analysis of patient or unit need. 3. a. Document and/or report responses to care or untoward effects. MEMBER OF THE PROFESSION 6 A. 3. a. Function within the nurse’s scope of practice and in accordance with the policies and procedures of the employing health care institution of practice setting. Practice nursing in a caring, nonjudgmental, nondiscriminatory manner. B. Assume responsibility and accountability for the quality of nursing care provided to patients and their families. SCANS Skills Workplace Competencies: Assessments Required Reading Oral Presentation Critical Thinking Assignments Computer Skills Administer medications Prepare written care maps, care plans, & windows Interpret physician orders Communicate with clients Communicate with interdisciplinary health team. Teach clients about medications administered Use the computer in the work setting IV. INSTRUCTIONAL PROCEDURES: Methodologies utilized in this course include classroom teaching, audio visuals, presentations as assigned by the instructor, written assignments as assigned by the instructor, computer assignments, and Web Links. Blackboard is utilized as a resource for application of knowledge, calendar, and syllabi. Other Computer Assisted Instruction may also be utilized. V. COURSE REQUIREMENTS AND POLICIES: A. Required Textbooks and Recommended Readings, Materials and Equipment Leifer, G. (2010). Introduction to Maternity & Pediatric Nursing (6th ed.). St. Louis, MO: Elsevier-Mosby. Leifer, G. (2010). Introduction to Maternity & Pediatric Nursing Study Guide (6 th ed.). St. Louis, MO: Elsevier-Mosby. B. Course Policies – This course conforms to the policies of Angelina College as stated in the Angelina College Handbook. 1. Academic Assistance – If you have a disability (as cited in Section 504 of the Rehabilitation Act of 1973 or Title II of the Americans with Disabilities Act of 1990) that may affect your participation in this class, you should see Karen Bowser, Room 208 of the Student Center. At a post-secondary institution, you must self-identify as a person with a disability; Ms. Bowser will assist you with the necessary information to do so. To report any complaints of discrimination related to disability, you should contact Dr. Patricia McKenzie, Administration Building, Room 105 or 936-633-5201. 2. Attendance – Attendance is required as per Angelina College Policy and will be recorded every day. Any student with three (3) consecutive absences of four (4) cumulative absences may be dropped from the class. Records will be turned in to the academic dean at the end of the semester. Do not assume that non-attendance in class will always result in an instructor drop. You must officially drop a class or risk receiving an F. This is official Angelina College Policy. 7 3. Additional Policies Established by the Instructor VI. COURSE OUTLINE: A. Content/ Topics - (as required by the individual Instructor) Application of the theory, concepts, and skills associated with maternal-newborn nursing as aligned in VNSG 1306 Maternal-Newborn. Course Content VNSG 1306: Maternal-Newborn Chapter 1 The Past, Present, and Future Chapter 2 Human Reproductive Anatomy and Physiology Chapter 3 Prenatal Development Chapter 4 Prenatal Care and Adaptations Chapter 5 Nursing Care of Women With Complications During Pregnancy Chapter 6 Nursing Care of Mother and Infant During Labor and Birth Chapter 7 Nursing Management of Pain During Labor and Birth Chapter 8 Nursing Care of Women With Complications During Labor and Birth Chapter 9 The Family After Birth Chapter 10 Nursing Care of Women With Complications Following Birth Chapter 11 The Nurses's Role in Women's Health Care Chapter 12 The Term Newborn Chapter 13 Preterm and Postterm Newborns Chapter 14 The Newborn With a Perinatal Injury or Congenital Malformation B. Additional Content See attached appendix. VII. EVALUATION AND GRADING: A. Grading Criteria See below. B. Determination of Grade Grading Scale: A = 90 - 100 B = 80 - 89 C = 75 - 79 F = < 74 Grade Distribution: Unit Exams – 70% Final Exam – 20% Assignments - 5 % HESI Test – 5% VIII. SYLLABUS MODIFICATION: The instructor may modify the provisions of the syllabus to meet individual class needs by informing the class in advance as to the changes being made. 8