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. 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. Daily Clinical Evaluation Postpartum Clinical Packet Labor & Delivery Clinical Packet Virtual Clinicals Module Exams Final Exam Daily Clinical Evaluation 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. 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. 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. Daily Clinical Evaluation Module Exams Final Exam Demonstrates accountability for self in the role of the student nurse and future member of the profession. 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