NURS 157 - Great Basin College

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ASSOCIATE OF APPLIED SCIENCE NURSING PROGRAM
COURSE SYLLABUS
NURS 157: NURSING PROCESS THROUGHOUT THE LIFESPAN I
4 CREDITS (3 theory (45 hours) credits and 1 Clinical (45 hours) credit)
SPRING 2012
GENERAL INFORMATION
A. INSTRUCTOR INFORMATION:
1.
Theory Instructor(s):
Tami Gailey, MSN, RN
2. Clinical Instructor(s):
Tami Gailey, MSN, RN
Peggy Drussel, MSN, RN
3.
753-2004 (Office)
934-7432 (Cell)
tamarag@gwmail.gbcnv.edu
934-7432 (C)
934-4035 (C)
Office and Hours:
Health Sciences Room 118
Office Hours: TBA
Also by appointment
B. COURSE INFORMATION:
1. Catalog Description: Uses the nursing process to develop knowledge
and nursing skills needed to promote basic biopsychosocial
adaptation of the patient and family during the childbearing
experience.
Three credits theory, one credit clinical. Offered spring semester only.
Prerequisites: Admission to the Nursing Program.
2. Schedule:
Theory:
Classroom: Tuesday 0930 – 1215
Cooperative Testing: Tuesdays 1300 -1430
Dates: January 23, 2012 – May 18, 2012
Clinical:
Monday, Wednesday, & Friday 0645 – 1500, as assigned
and other times as indicated on Clinical Schedule
COURSE OUTCOMES:
COURSE OUTCOMES
MEASUREMENTS
Apply the steps of the nursing process
to ensure safe application of evidence
based nursing interventions to
address the needs of the obstetrical
patient, the newborn, and the family
during pregnancy, labor/delivery,
newborn care, and postpartal care.
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Daily Clinical Evaluation
Postpartum Clinical Packet
Simulation
Newborn Assessment
Virtual Clinicals
Outpatient Clinic Assignment
Webquest Assignment
Module Exams
Final Exam
Differentiate between the needs of the
individual, the newborn and the family
based upon the influence of cultural
and religious beliefs, values and
practices during the process of labor
and birth, and the postpartum phase.
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Daily Clinical Evaluation
Postpartum Clinical Packet
Labor & Delivery Clinical Packet
Virtual Clinicals
Module Exams
Final Exam

Daily Clinical Evaluation
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Daily Clinical Evaluation
Postpartum Clinical Packet
Webquest Assignment
Simulation
Virtual Clinicals
Medication Information Sheets
Module Exams
Employ therapeutic communication
techniques to establish a trusting
relationship when caring for the
obstetrical patient and family.
Assesses the learning needs of the
obstetrical patient and family
regarding maintenance of physical
and mental health as well as
prevention of illness for the obstetrical
patient and newborn.

Final Exam
Examine the role of the nurse and the
health care team in the delivery of
quality and cost effective care in the
maternal-infant health care setting.
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Daily Clinical Evaluation
Outpatient Clinic Assignment
Labor & Delivery Clinical Packet
Module Exams
Final Exam
Identify and discuss the physiological,
psychosocial, ethnocultural, and
emotional factors which affect the
maternal patient and family members
during preconceptual, pregnancy,
labor/delivery, and postpartum
periods.
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Postpartum Clinical Packet
Nursery Clinical Packet
Labor & Delivery Clinical Packet
Virtual Clinicals
Simulation
Webquest Assignment
Module Exam
Final Exams
Analyzes the ethical, legal and
professional role, accountability and
responsibility of the Associate Degree
Nurse within the maternal-infant
health care setting.
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Daily Clinical Evaluation
Module Exams
Final Exam
Demonstrates accountability for self in
the role of the student nurse and
future member of the profession.
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Daily Clinical Evaluation
Module Exams
Final Exam
METHOD OF INSTRUCTION:
Lecture, discussion, demonstration, small group work, videos, assigned readings,
written assignments, computer assisted learning programs, nursing lab
activities and clinical instruction will be utilized.
THEORY EVALUATION:
Evaluation of student progress will be the successful completion of the course
outcomes which will be evaluated with module examinations, a comprehensive
final exam, and a WebQuest assignment. Questions will be based on utilization
of critical thinking skills and application of knowledge acquired in this, as well as
previous courses. Questions may be multiple-choice, fill in the blank, multipleanswer, or other NCLEX® alternate formats as applicable. All written work
(theory and clinical) will be considered for determination of a course grade.
CLINICAL EVALUATION:
All required skill demonstrations must be completed satisfactorily in the nursing
lab prior to clinical performance. Clinical performance for each clinical day is
evaluated mutually by student and instructor using the Daily Clinical Evaluation
form. Clinical performance and written clinical assignments (Postpartum Clinical
Packet, OB/GYN Outpatient Clinic Assignment, Nursery Clinical Packet, Labor
and Delivery Clinical Packet, Medication Information Sheets, Virtual Clinicals) will
be used to determine clinical competency and the ability to generalize and
transfer theory outcomes to the clinical settings. An average score of 2 or better
on the Daily Clinical Evaluations is required to pass the course. This average will
be figured from the Daily Evaluations of 3 clinical days.
Clinical Objectives:
1.
2.
3.
4.
5.
6.
7.
Provide safe, effective, total family-focused care for one or two
postpartum patients.
Asses, analyze, and participate in the plan of care for the “pregnant
family” during childbirth and the neonates in the nursery.
Demonstrate nursing skills in a safe and effective manner.
Demonstrate an understanding and appreciation of the family’s unique
reaction to pregnancy, labor, delivery, and parenting.
Participate as a team member in planning and initiating action to meet the
needs of mothers, neonates, and families.
Formulate clinical packets that will evidence quality client care and
promote understanding of the total client.
Identify the roles of the various health care providers during the
continuum of pregnancy, childbirth and the postpartum period.
Simulation Objectives:
1.
2.
3.
4.
5.
6.
Provide individualized patient-centered care.
Function as an effective member of the health care team.
Apply best available standards of care for a pregnant patient experiencing
a variety of at-risk conditions by recognizing abnormal assessment
findings and prioritizing and implementing appropriate interventions.
Promote safety for patient, self, and others.
Identify factors that influence the quality of care by evaluating patient
response to interventions.
Utilize information technology to support patient care.
REQUIRED MATERIALS:
 Perry, S., Hockenberry, M.J., Lowdermilk, & D.L. Wilson, D.
(2010). Maternal child nursing care (4th ed.). St. Louis, MO: Mosby
Publishing. (ISBN:
)
 Perry, S., Hockenberry, M.J., Lowdermilk, & D.L. Wilson, D.
(2010). Virtual Clinical Excursions: Pacific View Regional Hospital
(4th ed.). St. Louis, MO: Mosby Publishing. (ISBN:
)
 Perry, S., Hockenberry, M.J., Lowdermilk, & D.L. Wilson, D. (2010).
Maternal child nursing care study guide (4th ed.). St. Louis,
MO: Mosby Publishing. (ISBN:
)
***Please plan on using the Drug book, Lab & Diagnostic book, and Nursing
Diagnosis Book . You also may find it helpful to use your Fundamentals and
Pharmacology books as references.
REQUIRED VIDEOS:
 Examination of the Pregnant Abdomen - only need to view Leopold’s
Maneuver
 The Rh Negative Mother
 Reducing Risk Factors
 Nursing Assessment of Postpartum Patient
 The Stages of Labor
 Gestational Diabetes
 www.breastfeeding.com
o Go to drop-down menu under “Breastfeeding” and click on “Video Clips”
GRADING POLICY AND CRITERIA:
Course grade will be based on a percentage of the total possible points of theory
and clinical assignments according to the following scale:
100 - 94.00
93.99-90.00
89.99-87.00
86.99-84.00
83.99-80.00
79.99-77.00
=
=
=
=
=
=
A
AB+
B
BC+
76.00 =C (needed to pass)
75.99-70.00 = C69.99-67.00 = D+
66.99-64.00 = D
63.99-60.00 = DBelow 60.00 = F
Theory and clinical work must each be completed with an average of 76% or
better to pass the course.
Late theory and clinical assignments will be worth 50% of the actual grade.
If an assignment is more than one week late, a zero will be given for the
assignment but submission of the assignment is still required.
Theory assignments:
11Module Tests = Points will vary depending on the amount of content covered
in each exam (100 points max. per test)
1 Final exam = 100 points
1 WebQuest Assignment = 50 points
Clinical assignments:
1 OB/GYN Outpatient clinic assignment = 40 points
1 Postpartum clinical packet = 90 points
1 Nursery clinical packet = 60 points
1 Labor & Delivery clinical packet = 30 points
3 Medication Information sheets = 30 points (10 points for each clinical area)
3 Virtual Clinicals = 60 points (20 X 3 VCEs)
1 Simulation day = 20 points
PROCALC EXAM:

See NURS158 Syllabus
ATTENDANCE POLICY:
Students are expected to attend all classroom, lab, and clinical hours.
(See Student Handbook page 35)
STUDENT CONDUCT:
Great Basin College considers academic honesty one of its highest values. A
student who obtains academic credit for work that is not the product of his or her
own effort is being dishonest and undermining the academic integrity of the
college. Students are expected to be the sole authors of their work. Use of
another’s ideas must be accompanied by specific citation and reference. In
addition, a learner may not submit the same work for credit in more than one
course. The disciplinary consequences of plagiarism and other forms of
academic dishonest include non-acceptance of work submitted, a failing grade in
the course, and/or or other disciplinary action as outlined in Great Basin
College’s Student Conduct Policy.
ADA STATEMENT:
Great Basin College is committed to providing equal educational opportunities to
qualified students with disabilities in accordance with state and federal laws and
regulations, including the Americans with Disabilities Act of 1990 and Section
504 of the Rehabilitation Act of 1973. A qualified student must furnish current
verification of disability. The Students with Disabilities Office, located in Berg
Hall, will assist qualified students with disabilities in securing the appropriate and
reasonable accommodations, auxiliary aids, and services. For more information
or further assistance, please call 775.753.2271
COURSE SCHEDULE:
MODULE
SUBJECT
ASSIGNMENTS
***It is your responsibility to have
read the chapters that will be
covered in class BEFORE the
date they are scheduled to be
covered.
Module 1
WEEK 1
Tuesday
Not all content that you are
responsible for will be covered in
class. ***
Introduction to
Maternity Nursing
and Reproductive
Years
January 24
Maternal Nursing
Enviornment
Required reading:
Chapter 1: Contemporary
Maternity Nursing
Chapter 4: Health
Promotion and
Prevention
Study for Exam #1:
February 7, 2012
Virtual Clinical #4 due
WEEK 2
Tuesday
January 31
Preconceptual Care
Required reading:
Chapter 5: Health
Assessment
Chapter 6: Common
Health Problems
WEEK 3
0930-1100
Tuesday
EXAM 1: Module 1;
Chapters 1, 4, 5, 6
Cooperative Testing
Testing Center
February 7
1115-1215
Module 2
Pregnancy
Prenatal Assessment
Required reading:
Chapter 8: Conception
and Fetal Development,
pp 172-183 only
WEEK 4
Prenatal Assessment
Tuesday
(Cont.)
February 14
Required reading:
Chapter 9: Assessment
for Risk Factors
Chapter 10: Anatomy and
Physiology of Pregnancy
WebQuest presentation:
Group Beta Strep
WEEK 5
Tuesday
February 21
Nursing Process:
Prenatal
Required reading:
Chapter 11: Nursing Care
During Pregnancy
Chapter 12: Maternal and
Fetal Nutrition
WebQuest presentation:
Gestational Diabetes
1300-1430
EXAM 2: Module 2;
Chapters 8, 9, 10
Cooperative Testing
Testing Center
WEEK 6
High Risk Pregnancy
Tuesday
Required reading:
Chapter 13: Pregnancy at
Risk: Preexisting
Conditions
February 28
Chapter 14: Pregnancy at
Risk: Gestational
Conditions
WebQuest presentation:
Preeclampsia & Eclampsia
WebQuest presentation:
Abruptio Placentae
WebQuest presentation:
Placenta Previa
1300-1430
EXAM 3: Module 2;
Chapters 11 & 12
Cooperative Testing
Testing Center
WEEK 7
Tuesday
March 6
Module 3
Childbirth
Labor and Birth
Required reading:
Chapter 15: Labor and
Birth Processes
Management
Chapter 16: Management
of Discomfort
Chapter 17: Fetal
Assessment during Labor
1300-1430
EXAM 4: Module 2;
Chapters 13 & 14
Cooperative Testing
Testing Center
WEEK 8
Tuesday
March 13
Labor and Birth
Management
(Cont.)
Required reading:
Chapter 18: Nursing Care
during Labor and Birth
Chapter 19: Labor and
Birth at Risk
Webquest presentation:
Preterm Labor
Virtual Clinical #11 due
1300-1430
EXAM 5: Module 3;
Chapters 15, 16, 17
Cooperative Testing
Testing Center
WEEK 9
Tuesday
March 20
Module 4
Postpartum
Required reading:
Nursing Process:
Postpartum
Chapter 20: Maternal
Physiologic Changes
Chapter 21: Nursing Care
During the Fourth
Trimester
Chapter 22: Transition to
Parenthood
Chapter 23: Postpartum
Complications
Virtual Clinical #9 due
1300-1430
EXAM 6: Module 3:
Chapters 18 & 19
Cooperative Testing
Testing Center
WEEK 10
SPRING BREAK!
WEEK 11
Tuesday
April 3
Module 5
Newborn
Nursing Process:
Newborn Focused
Assessment and Basic
Intervention
Required reading:
Chapter 24: Physiologic
and Behavioral
Adaptations of the
Newborn
Chapter 25: Nursing Care
of the Newborn
1300-1430
EXAM 7: Module 4;
Chapters 20-23
Cooperative Testing
Testing Center
WEEK 12
Tuesday
April 10
Nursing Process:
Intervention and High
Risk Assessment of the
Newborn
Required reading:
Chapter 26: Newborn
Nutrition and Feeding
Chapter 27: Infants with
Gestational Age-Related
Problems
1300-1430
EXAM 8: Module 5;
Chapters 24 & 25
Cooperative Testing
Testing Center
WEEK 13
Tuesday
High Risk Newborn
April 17
Module 6
Required reading:
Chapter 28: The Newborn
at Risk: Acquired and
Congenital problems
Reproductive Years
Reproductive
Assessment
Required reading:
Chapter 8: Genetics, pp.
160-172
1300-1430
EXAM 9: Module5;
Chapters 26 &27
Cooperative Testing
Testing Center
WEEK 14
Tuesday
April 24
Nursing Process:
Reproductive Years
Required reading:
Chapter 2: The Family
and Culture
Chapter 3 Community
and Home Care
Chapter 7: Infertility,
Contraception, and
Abortion
1300-1430
EXAM 10: Module 5;
Chapter 28
Cooperative Testing
Testing Center
WEEK 15
0930-1100
Tuesday
EXAM 11: Module 6;
Chapters2, 3, 7, 8
Cooperative Testing
Testing Center
May 1
WEEK 16
Final Exam/Review
Tuesday
May 8
WEEK 17
May 14-18
Finals Week/HESI
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