Class Syllabus
Medical-Surgical Nursing: PTVN- P010B
Porterville College: Vocational Nursing Program – 1st Semester
Units: 5
Instructor: Elizabeth Keele, RN, B.S.N.
Fall 2011
Hours/ Days:
Thursday
8:30 AM – 10:30 AM
10:45 AM – 12:15 PM
1:00 PM - 2:30 PM
One 15 minute break in the morning
45 minutes for Lunch break
Friday
8:30 AM – 10:30 AM
10:45 AM – 12:15 PM
1:00 PM - 2:30 PM
*Wednesday 11/23; Monday 11/28
*Tuesday 11/19 – Final Exam
Course Description:
A study of health and illness using Maslow’s Hierarchy of Basic Needs as a theoretical approach.
The cause of disease and the many factors influencing health/illness are reviewed. Major body systems
are studied with emphasis on assessment, common disorders including etiology, symptoms, medical,
nursing, pharmacological, nutritional and rehabilitation interventions. Education of the patient and
their family is emphasized with sensitivity to cultural needs.
Grading:
75% - 83% = C
84% - 92% = B
93% - 100% = A
Criteria:
Quizzes :
350* pts
Participation
75 pts (5pts/day iClicker)
Midterm Exam:
100 pts
Final Exam:
100 pts__
Total:
625* pts
(*These are approximate numbers subject to change)
Office Hours:
Thursday & Friday: 12:00 PM – 12:30 PM, or by appointment
You may e-mail me at elizabethkeele@sbcglobal.net (if I do not reply within 24 hours, please call me)
I am also available by phone at 559-793-1664
Please do not call after 10:00 PM nor on Sundays
Web Site:
http://www.portervillecollege.edu/eKeele/ or go to go to www.portervillecollege.edu and go to the
instructors web sites and click on Elizabeth Keele. You may obtain power point presentation, handouts
and class syllabus on-line.
Textbook:



Medical Surgical Nursing Care – 3rd edition. Burke, Mohn-Brown, Eby.
o All assigned reading is required and you are responsible for the material contained in it.
iClicker.
o This is a standard iClicker, which is absolutely required for this class. It is an electronic
device used for in-class polling, quizzes, etc. One iClicker can be used by a single student
for any number of classes at the same time and can be used again in future semesters.
Each student MUST have his/her own iClicker and will need to bring it to class daily.
ATI PN edition 8.0 Adult Medical-Surgical Nursing
Quizzes:
A quiz, test or work-sheet will be given on a daily bases. Please bring a scan-tron form #882-ES to all
quizzes and tests. Tests and quizzes are timed – 1 minute for each question. Quizzes and tests are
based on reading and lecture notes. The opportunity to make up one missed exam will only be allowed
if the student informs the instructor prior to the scheduled exam. Pop quizzes may not be made up.
Some quizzes will be administered using the iClicker, you must bring it to class daily.
Quizzes are based predominantly on the subject matter that was taught in the most resent previous
lecture, however they may include information from earlier lectures.
The Mid-term Exam is cumulative from Day One.
The Final Exam is cumulative from Day One.
Students will not be allowed to retake any exam or quiz on which an unsatisfactory grade was earned.
Students may make arrangement with the instructor to review an individual exam up to two (2) weeks
after the exam is returned. The final exam will not be reviewed.
All cell phones, pagers, and/or electronic device must be turned OFF during exams/quizzes unless prior
arrangements are made with the instructor. Electronic devices other than a calculator may not be used
for in-class calculations work (ie. Cell phones, PDA’s, etc).
Participation:
Participation points will be given in this class based on your use of the iClicker during class discussions.
Participation points are awarded as an “all or nothing”; five points per class session. You may miss one
iClicker participation session (during one day) and still get full credit for the day, but if you miss more
than one, you will receive no participation points for the day.
General:
Students are expected to be on time and attend each scheduled class and assume responsibility for
assigned activities, be active in the learning process and meet all established level objectives. Students
are expected to call the instructor is they are unable to attend. If you are unable to attend class, you
must notify the instructor prior to class. Only excused absences will be given an opportunity to make up
quizzes/tests. Homework will not be accepted late unless excused by the instructor. Cell phones and
pagers must be turned off or placed in silent mode. Children are not allowed in classroom.
Reasonable Accommodation:
If you have a disability that may require assistance or accommodation, or you have questions related to
any accommodation for testing, note takers, readings, etc., please speak with the instructor as soon as
possible. Students may also contact the Disability Resource Center (559) 791-2215 with questions
about such services.
Instructor’s Intellectual Rights:
Individual instructors retain intellectual property rights to lectures and class presentations and related
material; notes or other class materials may not be exchanged or distributed for commercial purposes,
for compensation or for any other purpose other than study by the individual student enrolled in the
class. Unauthorized use of class notes or recordings is subject to the federal Copyright Act, California
Civil Code, and Program policy and may subject an individual to failure of the course and/or legal
proceedings brought by the instructor, as well as the Nursing Department. Examples of violation of this
policy include, but not limited to, audio recording, and any electronic posting such as YouTube, blogging,
podcasting, etc. Students may not tape record during any test preview or review
Attendance:
This class is a positive attendance class and roll will be taken daily (by iClicker). If you miss any class
time, you will be required to make that time up. Arrangements are to be made with the instructor.
Students are responsible for material presented during their absence.
Honesty:
I require honesty on tests and assignments. Following Porterville College policy, if a student cheats on a
test or assignment, or plagiarizes, I will give an “F” grade on that assignment and I will report the
incident to the Dean. The student will have to meet with the Dean of Students to determine whether
further disciplinary action is necessary.
Student Behavioral Objectives:
1.
2.
3.
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.
Describe the application of the nursing process to basic medical-surgical nursing.
Identify specific concepts when teaching the patient about health/ illness and basic medicalsurgical issues.
Discuss the importance of safety for medical-surgical patients.
State the basic needs of all people as formulated by psychologist A.H. Maslow.
Discuss the relationship between Maslow’s basic needs, homeostasis and nursing.
Discuss the concept of holistic health.
Define stress and discuss its relationship to pathophysiology.
Discuss cultural beliefs that may affect an individual’s response to health/ illness.
Identify factors that predispose an individual to infection.
Discuss the inter-relationship between the agent, host, transmission (major methods of),
and environment in the development of infectious diseases.
Identify the various body defense mechanisms, which function to provide protection and
discuss the means by which they accomplish it.
Identify various infectious diseases, the etiologies, treatments, related nursing
interventions, and preventative methods for the diseases.
Identify the diagnostic tests and procedures used to determine specific infectious diseases.
Define the term nosocomial infections. Explain
a. individuals at high risk
b. methods acquired
c. most common sites
d. most frequently encountered pathogens
e. nursing interventions
Describe the process of antigen-antibody interactions.
Differentiate between B cells and T cells and their roles in response to antigens.
Describe emotional needs and appropriate nursing interventions for a patient with
infectious diseases.
Describe the steps of the inflammatory process as they relate to the symptoms of
inflammation.
Describe normal changes of aging relevant to pathophysiology.
Describe basic rehabilitation concepts appropriate for the medical-surgical patient.
Identify the structure and function of the skin.
Describe the important factors to consider when making an assessment of the skin.
Describe the various types of skin lesions
Describe treatment used for skin disorders including open and closed wet dressing, soaks,
and therapeutic baths.
Discuss factors that affect the emotional health of the patient with skin diseases.
Explain the various types of wound healing.
Describe the cause, stage, treatment and prevention of decubitus ulcers.
Differentiate between decubitus ulcers and stasis ulcers.
Describe the types of skin cancer symptoms, treatment and prognosis of each.
Identify the following common skin disorders including the etiology, symptoms, treatment
and nursing interventions:
a. Acne
b. Impetigo
c. Psoriasis
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
d. Eczema
e. Pediculosis
f. Scabies
g. lupus erythematosus of the skin
Discuss nutritional needs of the patient with a skin disorder.
Discuss pharmacological interventions appropriate in treatment for skin disorders.
Differentiate between the classifications of burns and explain the assessment of a patient
with a burn.
Describe the medical, surgical and nursing management for the burn patient.
Identify the structure and function of the cardiovascular system.
Describe important factors to consider in the assessment of a cardiac patient.
Describe the risk factors associated with heart disease.
Describe the normal sequential function of the electrical conduction system of the heart.
Discuss common diagnostic tests, procedures and related nursing responsibilities for the
cardiovascular patient.
Differentiate between angina pectoris and myocardial infarction. Explain the etiology, signs
and symptoms, treatment and nursing interventions.
Discuss the differences in pathophysiology of iron deficiency anemia, pernicious anemia and
sickle cell anemia. Explain the etiology, signs and symptoms, treatment and nursing
interventions
Describe the etiology, signs and symptoms, treatment and nursing interventions for the
following cardiovascular disorders:
a. Arteriosclerosis
b. Atherosclerosis
c. Hypertension
d. Thrombophlebitis
e. leukemia (two types)
f. congestive heart failure (CHF)
Discuss the nutritional needs of the patient with a cardiovascular disorder.
Discuss pharmacological interventions appropriate in treatment of cardiovascular disorder.
Identify the structure and function of the respiratory system.
Describe important factors to consider in the assessment of respiratory patients.
Identify the signs and symptoms that indicate a patient is experiencing hypoxia, carbon
dioxide retention or both.
Discuss common diagnostic tests, procedures and related nursing responsibilities for the
respiratory patient.
Describe the etiology, signs and symptoms, treatment and nursing interventions for the
following respiratory disorders:
a. chronic obstructive pulmonary disease (COPD)
b. pneumonia
c. communicable respiratory diseases
d. lung cancer
Discuss nutritional needs of the patient with respiratory diseases
Discuss pharmacological interventions appropriate in treatment of respiratory disorders.
Identify the structure and function of the renal system.
Describe important factors to consider in the assessment of renal patients.
Discuss common diagnostic tests, procedures and related nursing responsibilities for the
renal patient.
55.
56.
57.
58.
59.
60.
61.
62.
63.
64.
65.
66.
67.
68.
69.
70.
71.
72.
Explain the importance of intake and output. Discuss methods of measurement and
documentation of I & O.
List the symptoms of dehydration and explain the nursing responsibilities in the care of the
dehydrated patient.
Describe the etiology, signs and symptoms, treatment and nursing interventions for the
following renal disorders:
a. Nephrosis
b. Glomerulonephritis
c. Cysititis
d. Pyelonephritisis
e. Renal failure
f. Renal calculi
g. Cancer
Explain the purpose of renal dialysis. Compare hemodialysis and peritoneal dialysis.
Discuss nutritional needs of a patient with a renal disease.
Discuss pharmacological interventions appropriate for the treatment of a patient with a
renal disorder.
Identify the structure and function of the reproductive system.
Describe important factors to consider in the assessment of patient with a reproductive
disorder.
Discuss common diagnostic tests, procedures and related nursing responsibilities for the
patient with a reproductive system disorder.
Describe the etiology, signs, symptoms, treatment and nursing interventions for the
following reproductive system disorders:
a. Endometriosis
b. Orchitis/ prostatitis
c. Pelvic inflammatory disease (PID)
d. Phimosis
e. Cryptorchism
f. Cancer
Compare and contrast the post operative care of the patient having abdominal
hysterectomy with that of the patient having hysterectomy.
Discuss the physical and psychological care of the mastectomy patient.
Discuss the etiology for the patient needing a prostatectomy and describe the pre and
postoperative care for the transurethral and suprapubic method of treatment.
Describe the etiology, signs and symptoms, treatment and nursing interventions for the
following sexually transmitted diseases:
a. Chlamydia
b. Gonorrhea
c. Syphilis
d. genital herpes infection
e. aids
Discuss nutritional needs of the patient with a reproductive disorder.
Discuss pharmacological interventions appropriate for the treatment of the patient with a
reproductive disorder.
Identify the structure and function of the endocrine system.
Describe important factors to consider in the assessment of a patient with an endocrine
disorder.
73.
74.
75.
76.
77.
78.
79.
80.
81.
82.
83.
84.
85.
86.
87.
88.
89.
90.
91.
92.
93.
94.
Discuss common diagnostic tests, procedures and related nursing responsibilities for the
patient with an endocrine disorder.
Describe the symptoms of glandular malfunction to hyposecretion or hypersecretion of the
endocrine glands.
Describe the classifications, etiology, signs and symptoms, treatment and nursing
interventions for diabetes.
Outline the information to be covered in patient education for the diabetic patient.
Discuss the nutritional needs of a patient with an endocrine disorder.
Discuss pharmacological interventions appropriate for the treatment of a patient with an
endocrine disorder.
Identify the structure and function of the neurological system.
Describe important factors to consider in the assessment of the patient with a neurological
disorder.
Discuss the assessment of pain.
Discuss common diagnostic tests, procedures and related nursing responsibilities for the
patient with a neurological disorder.
Identify signs and symptoms of increased intracranial pressure and appropriate nursing
interventions.
Describe the etiology, signs and symptoms, treatment and nursing interventions for the
following neurological disorders:
a. Meningitis
b. Encephalitis
c. cerebral vascular accident (CVA)
d. epilepsy
e. head injury
f. spinal cord injury
g. cerebral palsy
h. cancer
List the risk factors that contribute to making an individual “at risk” for a CVA.
Describe the types of rehabilitation available to the patient that has had a CVA.
Describe the following types of seizures and the treatment for each:
a. Generalized
b. Partial
c. status epilepticus
List the specific details of seizures, which should be recorded and reported.
Discuss nutritional needs of a patient with a neurological disorder.
Discuss pharmacological interventions appropriate for the treatment of a patient with a
neurological disorder.
Identify the structure and function of the eye and ear.
Describe important factors to consider in the assessment of the patients with a disorder of
the eye and/ or ear.
Discuss common diagnostic tests, procedures and related nursing responsibilities for the
patient with an eye and/ or ear disorder.
Describe the etiology, signs and symptoms, treatment and nursing interventions for the
following eye and ear disorders:
a. Conjunctivitis
b. Glaucoma
c. Cataract
95.
96.
97.
98.
99.
100.
101.
102.
103.
104.
105.
106.
107.
108.
109.
110.
111.
d. Eye trauma injuries
e. Ear trauma injuries
f. Otitis media
Describe methods to provide sensory stimulation and increase sensory awareness.
Identify community resource agencies to assist those with vision or hearing deficits.
Discuss nutritional needs of a patient with an eye and/ or ear disorder.
Discuss pharmacological interventions appropriate for the treatment of a patient with eye
and/ or ear disorder.
Identify the structure and function of the gastrointestinal system.
Describe important factors to consider in the assessment of patients with a gastrointestinal
disorder:
Discuss common diagnostic tests, procedures and related nursing responsibilities for the
patient with a gastrointestinal disorder:
Describe the etiology, signs and symptoms, treatment and nursing interventions for the
following gastrointestinal disorders:
a. Ulcers
b. Cancer
c. Appendicitis
d. Hernia
e. Hepatitis
f. Cholecystitis
g. inflammatory disorders
Discuss nutritional needs of a patient with gastrointestinal disorder.
Discuss pharmacological interventions appropriate for the treatment of the patient with a
gastrointestinal disorder.
Identify the structure and function of the musculoskeletal system.
Describe important factors to consider in the assessment of patients with a musculoskeletal
disorder.
Discuss common diagnostic tests, procedures and related nursing responsibilities for the
patient with a musculoskeletal disorder.
Describe the etiology, signs, and symptoms, treatment, and nursing interventions for the
following musculoskeletal disorders:
a. Fractures
b. Sprains
c. Dislocations
d. Osteomyelitis
e. Osteoporosis
f. Amputations
g. Degenerative joint disease (DJD)
h. cancer
Discuss the use of crutches and braces for patients including gait patterns, teaching plans
and individual fitting.
Discuss nutritional needs of a patient with a musculoskeletal disorder.
Discuss pharmacological interventions appropriate for the treatment of a patient with a
musculoskeletal disorder.
Student Learning Outcomes: Student Learning Outcomes Matrix
Student Learning
Objectives
1.The student will be
able to explain and
demonstrate
behaviors consistent
with those of a
successful student
learner.
Context and Tasks to Achieve
Outcomes
Context in which
achievement of this outcome
will occur include:
 Reviewing course
objectives
 Attending lecture
 Reading text & handout
materials
 Participating in class
discussions
 Taking notes
Evidence of Success
Measurement Criteria
Students will
demonstrate effective
learning/work
behaviors
Effective learning behaviors
to be demonstrated by the
student to include:
 Daily attendance
 Punctuality
 Prior instructor
notification of absences
and tardiness
 Respectful conduct
 Participation in class
discussions
Students must achieve a
grade of 75% or higher on all
exams
2.The student will be
able to describe and
explain the concept of
disease transmission
and prevention.
Context in which
achievement of this outcome
will occur include:
 Reviewing course
objectives
 Attending lecture
 Reading text & handout
materials
 Participating in class
discussions
 Taking notes
Evidence of success
will be measured by
passing an exam
consisting of multiple
choice questions.
The student will be able to
describe the process of
disease transmission and
prevention by explaining the
following:
 The different types of
pathogens
 The chain of infection
 Methods used to break
the chain of infection
 Application of standard
precautions
Students must achieve a
grade of 75% or higher in
order to pass the exam.
3.The student will be
able to describe the
structure and
functioning of various
body systems.
Context in which
achievement of this outcome
will occur include:
 Reviewing course
objectives
 Attending lecture
 Reading text & handout
materials
 Participating in class
discussions
 Taking notes
Evidence of success
will be measured by
passing an exam
consisting of multiple
choice questions.
Students will be able to
describe and explain the
structure and functioning of
the following body systems:
Integumentary,
Cardiovascular, Respiratory,
Nervous, Hematologic,
Endocrine, Gastrointestinal,
Urinary, Musculoskeletal,
Sensory, and Reproductive
Students must achieve a
grade of 75% or higher in
order to pass the exam.
4.The student will be
able to explain and
describe the
pathophysiology of
disease processes in
various body systems.
5.The student will
select a body system
and be able to deliver
a presentation on a
disease process
related to that body
system.
Context in which
achievement of this outcome
will occur include:
 Reviewing course
objectives
 Attending lecture
 Reading text & handout
materials
 Participating in class
discussions
 Taking notes
Context in which
achievement of this outcome
will occur include:
 Reviewing course
objectives
 Attending lecture
 Reading text & handout
materials
 Participating in class
discussions
Taking notes
Evidence of success
will be measured by
passing an exam
consisting of multiple
choice questions.
Evidence of success
will be measured by
through the use of an
evaluation rubric.
Students will be able to
describe and explain the
pathophysiology of disease
process in the following
body systems:
Integumentary,
Cardiovascular, Respiratory,
Nervous, Hematologic,
Endocrine, Gastrointestinal,
Urinary, Musculoskeletal,
Sensory, and Reproductive
Students must achieve a
grade of 75% or higher in
order to pass the exam.
Student will be able to
deliver a comprehensive
presentation on a selected
body system and will include
a description of the disease,
morbidity and mortality
statistics, risk factors and
prevention measures.
Presentations have a
maximum point value of 50.
A rubric will be used for
scoring
Course Outline, Schedule and Assignments Fall 2011:
Date
Text
Topic
Day 1
10/06/11: Thursday
MS: Ch 1; 3 & 9
Day 2
10/07/11: Friday
Day 3
10/13/11: Thursday
Day 4
10/14/11: Friday
Day 5
10/20/11: Thursday
Day 6
10/21/11: Friday
Day 7
10/27/11: Thursday
Day 8
10/28/11: Friday
Day 9
11/03/11: Thursday
Day 10
11/04/11: Friday
Day 11
11/10/11: Thursday
Veteran’s Day
11/11/11: Friday
Day 12
11/17/11: Thursday
Day 13
11/18/11: Friday
Day 14
11/23/11:
Wednesday
Day 15
11/28/11: Monday
11/29/11: Tuesday
MS: Ch 7; 44-45
Patient care concepts;
cultural concepts
Disease transmission/
prevention
Fluid & Electrolytes
Integumentary system
Cardio-Vascular System
MS: Ch 15-18
Assignments
Quiz #1
Quiz #2
Quiz #3
MS: Ch 21-23
Cardio-Vascular System
cont.
Hematology
Immune system
Respiratory System
Quiz #6
MS: Ch 41-43
Respiratory System
cont.
Skeletal –muscle system
MS: Ch 40
Sensory systems
Quiz #7
MS: Ch 28-29
Urinary System
Quiz #8
MS: Ch 30-33
Quiz #9
NO CLASS
Reproductive System
STD’s
HOLIDAY
MS: Ch 34-35
Endocrine system
Quiz #10
MS: Ch 36
Diabetes Mellitus
Quiz #11
MS: Ch 37-39
Nervous system
Quiz #12
MS: Ch 24-27
Gastrointestinal system
Quiz #13
MS: Ch 19-20
Quiz #4
Quiz #5
Mid-term Exam
FINAL EXAM
0830-10:30