ILLINOIS VALLEY COMMUNITY COLLEGE Course Outline Division: Health Professions Course: NUR 2201 - 01,02,03,04,05 - Holistic Nursing II Date: Fall 2015 Credit Hours: 5.0 Prerequisite: NUR 1201, 1202, 1210, 1211; BIO 1007, 1008, 1009; ALH 1000, 1002; PSY 1000. Concurrent enrollment in or completion of NUR 2200; ENG 1001; SOC 1000 ; and NUR 2200. A minimum grade of C is required for each prerequisite course. Delivery Method: Lecture hours per week: Clinical hours per week: Offered: Fall 3 hrs/wk 6 hr/wk including clinical conferences and discussion of related topics CATALOG DESCRIPTION The focus of this module is the holistic nursing care across the life span of patients with problems related to the biliary, digestive, hematologic and reproductive systems, cancer, burns, and HIV/AIDS. The student is provided the opportunity to utilize critical thinking, the nursing process, nursing skills, theoretical knowledge, and management skills in various health care settings. Lecture, three hours per week; clinical, six hours per week, including clinical conferences and discussion of related topics. GENERAL EDUCATION GOALS ADDRESSED Upon completion of the course, the student will be able: To apply analytical and problem solving skills to personal, social and professional issues and situations. To communicate orally and in writing, socially and interpersonally. To develop an awareness of the contributions made to civilization by the diverse cultures of the world. To understand and use contemporary technology effectively and to understand its impact on the individual and society. To work and study effectively both individually and in collaboration with others. To understand what it means to act ethically and responsibly as an Curriculum Committee – Course Outline Form Revised 10/18/13 Page - 1 individual in one’s career and as a member of society. To develop and maintain a healthy lifestyle physically, mentally, and spiritually. To appreciate the ongoing values of learning, self-improvement, and career planning. EXPECTED LEARNING OUTCOMES AND RELATED COMPETENCIES: Upon completion of the course, the student will be able to: 1. Use the nursing process as a framework to compose and implement a plan of care for clients with selected health conditions. 2. Demonstrate therapeutic communication techniques when interacting with clients, their aggregates, and health care team members in acute care settings. 3. Integrate the client’s biopsychosocial adaptation in response to various therapies used for health promotion, maintenance, and restoration. 4. Integrate appropriate quality and safety initiatives into the client plan of care. 5. Employ principles of leadership and management to organize nursing care for clients/aggregates with complex health problems. 6. Apply the referral process to meet the diverse needs of clients with health care issues. 7. Integrate attributes of professional behavior. Outcome 1 – Students will be able to use the nursing process as a framework to compose and implement a plan of care for clients with selected health conditions. Competency 1.1 – Students will be able to identify abnormal assessment findings in relation to specific health conditions such as clients with oncology, hematology, burns, reproductive and GI and biliary disorders and communicable disorders. Competency 1.2 – Students will be able to determine appropriate nursing diagnosis for clients with a variety of health conditions. Competency 1.3 – Students will be able to utilize evidenced based practice to develop a plan of care for clients with select health conditions. Competency 1.4 – Students will be able to implement a plan of care for clients within specified parameters as overseen by licensed care providers. Competency 1.5 – Students will be able to evaluate a plan of care for clients with select health car need. Competency 1.6 - Students will be able to analyze legal /ethical situations pertinent to clients with specific health conditions. Competency 1.7 - Students will be able to utilize debate to gain an understanding of the ethical issues involved in caring for clients with specific health conditions. Competency 1.8 - Students will be able to explain the law regarding the rights of clients and their significant others to refuse or withdraw treatment. Curriculum Committee – Course Outline Form Revised 10/18/13 Page - 2 Outcome 2 – Students will be able to demonstrate therapeutic communication techniques when interacting with clients, their aggregates, and health care team members in acute care settings. Competency 2.1- Students will be able to discuss appropriate psychosocial support of the client with select health conditions and their aggregates. Competency 2.2- Students will be able to role model effective communication with peers in clinical and classroom settings. Competency 2.3- Students will be able to collaborate effectively with clients in the clinical setting. Competency 2.4- Students will be able to demonstrate a nonjudgmental attitude when communicating with diverse populations. Competency 2.5 - Students will be able to incorporate principles of nursing informatics to document all patient information sequentially, legally, concisely and accurately. Outcome 3 – Students will be able to integrate the client’s biopsychosocial adaptation in response to various therapies used for health promotion, maintenance, and restoration. Competency 3.1- Students will be able to identify alterations in immune system response related to biopsychosocial changes in clients with specific health conditions. Competency3.2-Describe the pathophysiology, clinical manifestations, diagnostic abnormalities, therapeutic, pharmacological, and nursing management of clients with specific health conditions. Competency 3.3 – Describe the purpose of and the nursing responsibilities related to a client with a central venous access device Competency 3.4 - Describe the purpose for and nursing responsibilities related to caring for a client receiving a blood transfusion. Outcome 4- Students will be able to integrate quality and safety initiatives into the patient plan of care. Competency 4.1- Demonstrate safe client care practices in the clinical setting. Competency 4.2 - Value the use of data to support and improve the quality and safety of client care outcomes. Outcome 5 – Students will be able to employ principles of leadership and management to organize nursing care for clients/aggregates with complex health problems. Competency 5.1- Students will be able to analyze an acute care clients needs and report which needs take priority in providing care. Competency 5.2- Students will be able to identify appropriate therapeutic treatment for clients with select health care needs. Curriculum Committee – Course Outline Form Revised 10/18/13 Page - 3 Competency 5.3- Students will be able to care for client(s) according to established clinical guidelines. Competency 5.4- Students will be able to describe the nurse’s role in prevention of disease. Competency 5.5- Students will be able to define the role of the nurse regarding complementary, alternative, and unproven methods of treatment. Competency 5.6- Students will be able to compare the role of the nurse/physician in caring for the client with a variety of health care needs. Competency 5.7- Students will be able to discuss appropriate nursing management for clients with selected health needs. Competency 5.7- Students will be able to observe and analyze leadership behaviors noted in fellow students, instructors, and health care workers in the community and health care settings. Outcome 6 – Students will be able to apply the referral process to meet the needs of client(s) with health related issues. Competency 6.1- Students will be able to identify appropriate support services to meet the specific needs of a client and their aggregates, effectively utilizing health care resources. Competency 6.2- Students will be able to explain the referral process. Competency 6.3- Students will be able to recognize the impact of socioeconomic and cultural factors in the client’s utilization of health care resources. Outcome 7 – Students will be able to integrate attributes of professional behavior. Competency 7.1 - Students will practice within the scope of practice of a student nurse in accordance with the nurse practice act. Competency 7.2 - Students will conduct both their personal and professional lives with integrity. Competency 7.3 - Students will demonstrate accountability to clients, their aggregates, professional peers and the community. Competency 7.4 – Students value characteristics of life-long learning. COURSE TOPICS AND CONTENT REQUIREMENTS: Unit I Unit II Unit III Unit IV Unit V Unit VI Malignant Neoplasms Hematology/Leukemia Skin Cancer/Burns HIV/AIDS/STD’s Reproductive Disorders Gastrointestinal/Biliary Disorders Curriculum Committee – Course Outline Form Revised 10/18/13 Page - 4 INSTRUCTIONAL METHOD: Lecture Discussion Assigned Readings Computer Aided Instruction Videos Demonstrations Return Demonstrations Clinical Laboratory Practice and Evaluation Case Studies Clinical Correlation Projects Guest Speakers Written Assignments Reflective Journaling Group Projects Student Oral Presentations Special Projects as assigned INSTRUCTIONAL MATERIALS: Required Textbooks: Nursing Med/Surg Fall Custom Package (includes the following texts) Harding, Snyder & Preusser (2016). Winningham’s Critical Thinking Cases in Nursing, 6th edition. Elsevier. Lewis, Dirksen & Bucher (2014). Study Guide for Medical-Surgical Nursing, 9th edition. Elsevier. Lewis, Dirksen, Heitkemper & Bucher (2014). Clinical companion for Medical-Surgical Nursing, 9th edition. Elsevier. Lewis, Dirksen, Heitkemper & Bucher (2014). Medical Surgical Nursing, 9th edition. Elsevier. (Comes in 2 volume set and includes e-book) Lewis, Dirksen, Heitkemper , Bucher & Elsevier (2014). Medical Surgical Nursing with Adaptive Learning and Adaptive Quizzing, 9th edition. Elsevier. Additional purchase required. Class notes/Handouts available for purchase in the bookstore based on section and lecture instructor for both OB and Med/Surg Nursing. Additional Required Texts From 1st year. Josephson (2004). Intravenous Infusion Therapy for Nurses: Principles and Practice, 2nd edition. Delmar Learning. LaCharity, Kumagai, & Bartz (2014). Prioritization, Delegation, and Assignment, 3rd edition. Elsevier. Ackley & Ludwig (2014). Nursing Diagnosis Handbook, 10th edition. Mosby. Pagana & Pagana (2010). Manual of Diagnostic and Laboratory Tests, 4th edition. Mosby. Wilson & Giddens (2013). Health Assessment for Nursing Practice, 5th edition. Mosby. Curriculum Committee – Course Outline Form Revised 10/18/13 Page - 5 Hockenberry, M.J., & Wilson, D. (2013). Wong’s Essentials of Pediatric Nursing, 8th edition. Elsevier. Lilley, L.L., Rainforth-Collens, S., & Snyder, J.S. (2014). Pharmacology and the Nursing Process, 7th edition. Elsevier. Additional Resources From 1st year. Evolve Case Studies Mosby’s Nursing Skills Videos Recent Drug Guide NCLEX Review Book/Online Review Recent Nutrition Book ****All of these texts will be required for you to be successful in all of your second year classes. If you have an edition that is older, please consult with your instructor Study guides Computer/Lab materials Assignment handouts Videos STUDENT REQUIREMENTS AND METHODS OF EVALUATION: The student must meet the criteria outlined in the student handbook and the objectives of the course outlined in the syllabus and study guides. Email Accounts - Please note: Effective Summer 2011, all students will be responsible for checking their IVCC email. All electronic college correspondence will only be sent to the IVCC email. For information on accessing this account, go to the Learning Commons. Attendance: Students are to attend lecture, seminar, clinical lab, and alternate experiences as scheduled. Absenteeism and tardiness are strongly discouraged and will be dealt with according to policies as stated in the Nursing Handbook. Students must inform the instructor by phone if circumstances prevent attendance at lecture, on the day of an exam, or at a scheduled clinical experience. Notification is expected prior to the exam or reporting to clinical. See Nursing Handbook regarding makeup of missed exams, assignments, etc. Please note that each instructor has voicemail and email, which will record messages at any time of day! Participation: Students are expected to attend class, seminar, and clinical with readings/assignments completed. Active participation in discussions, seminar activities, simulations, and clinical are expected. Grading policies: The student must attain the following: 80% average on theory exams and any specified quizzes (Some quizzes may be given for practice only. These will not be included in the final grade.) Passing (satisfactory) grade on all written work (Ex: case studies; assigned clinical papers). Passing (satisfactory) evaluation of clinical performance. Passing grade of 100% on Math Quiz as outlined in the Nursing Handbook. Curriculum Committee – Course Outline Form Revised 10/18/13 Page - 6 Note: A failure to attain any one of the above criteria will result in failure of the course. Evidence of unsafe, ineffective, unethical, or unreliable nursing care will result in failure of the course regardless of exam scores or written assignments. A completed, up-to-date portfolio must be presented to your clinical instructor at the time of clinical evaluations. Failure to do so will result in an “Incomplete” for the course. See the Nursing Handbook for portfolio guidelines. Grading Scale: Students’ final grade will be a percentage of the total points earned on theory exams and quizzes. The sum of the # of questions correct on theory exams/quizzes The sum of the # of questions on theory exams/quizzes = % of grade The grading scale is in accordance with the Nursing Handbook: 93-100 = A 86-92 = B 80-85 = C 70-79 = D Below 70 = F Failure to attain satisfactory scores in theory exams, math tests, on the class project, nursing clinical paper work, written assignments, or on the clinical evaluation will result in failure of the course. 1. Exams: Exams are based on course objectives as they are applied to the course material. Study guides should be used as references to complete course objectives and study for exams. Comprehensive test questions covering previously learned material may be included on each exam. Students are expected to take all exams on the assigned days. If a situation arises and you are not able to take the exam on the assigned date, you must contact the instructor prior to the exam. You must also make arrangements with the instructor to make up the exam within 24 hours of the scheduled exam. It is at the discretion of the instructor to give a different exam for makeup exams. It is the student’s responsibility to contact the instructor regarding rescheduling of the exam. See the Nursing Handbook. Due to the amount of material to be learned, all unit objectives may not be addressed in class. However, all assigned content may be tested on during an exam. The student will be expected to independently complete or address objectives not discussed in class. All assignments are important and pertinent to the student’s learning needs. Students are responsible for all material covered in their absence. It is advisable to make arrangements to obtain notes from another student in advance of an absence (possibly “buddy up” at the start of the eight week session). When taking exams on the computer it is highly recommended to review the exam immediately after submitting the exam. The computer program will show the correct answer. Exams can only be reviewed for one week (date established by the instructor) after each exam. Curriculum Committee – Course Outline Form Revised 10/18/13 Page - 7 If a student prematurely ends the exam, the grade computed is the final grade. Students will not be allowed to retake the exam or complete the test items not answered. No exceptions will be made. Dishonesty/cheating are not accepted. The college policy regarding academic dishonesty/cheating will be followed. If a student strongly disagrees with the answer to a specific test question, a written explanation of the answer that the student feels is correct with 3 current sources and page numbers must be given to the instructor for review. This must be presented to the instructor in writing within one week following the exam review. Grades will be posted according to instructor preference. See individual instructor for details. Grades will not be given over the telephone. 2. Required Written Work or Projects Required written work/projects have been developed as learning tools to assist the student to learn the material expected in this course. The written work/projects are evaluated on a pass/fail basis. A satisfactory grade must be obtained on the required written work/projects to pass the course. See guidelines for instructions on each assignment. Late papers will not be accepted. The following written work and/or projects are required: a. Clinical Correlation Project – One satisfactorily written nursing Clinical Correlation Project on a patient cared for during clinical in this course. The patient’s main problem must cover a health disorder discussed in this course. The Clinical Correlation Project is due on the 1st Monday after the student has provided care for the patient or as directed by the clinical instructor. The instructor must approve the patient prior to completing the project. If the Clinical Correlation Project is not satisfactory, the student will be required to write a second Clinical Correlation Project. b. Recommend students to review NCLEX style questions and rationales as they pertain to the units being studied. c. Students will be required to satisfactorily complete written work as assigned in the form of a reflective journal. See guidelines for details. d. Students will be required to do an assignment involving Evidence Based Practice. This will be turned into their clinical instructor as part of the Clinical Correlation Project. Dues dates will be determined by individual clinical instructors. e. Students will be required to complete assignments prior to seminar to enhance their learning on specific content, ie, case studies, central venous access devices and blood transfusion worksheets, simulation preparation. These will be evaluated on a pass/fail basis. The faculty will assume NO responsibility for assignments that get lost in the mail or that pass the hands of people in between the student and the instructor. As a precaution, consider making a duplicate copy of assignments. 3. Clinical performance Achievement of SATISFACTORY clinical performance is: a. Set forth by the clinical evaluation tool and course objective used for this course. b. Satisfactory demonstration of the nursing process and all the nursing skills necessary to provide safe, holistic patient care within the time frame allowed for clinical. c. Integrate knowledge of legal/ethical standards and institutional policies into nursing practice. d. Demonstrate personal growth and development for appropriate professional behavior. e. Submit satisfactory written assignments on time. Curriculum Committee – Course Outline Form Revised 10/18/13 Page - 8 f. Students in the preceptor program (last 8 weeks of 4th semester) will be required to keep a daily journal/log of their experiences. Important: Evidence of unsafe, ineffective, or unreliable nursing care will result in failure of the course regardless of exam scores or written assignments. Students must maintain satisfactory status in the clinical area as outlined on the clinical evaluation form. The student’s level of personal professionalism, ability to effectively implement the nursing process, and mature interactions with the health care team are evaluated by the clinical instructor. Students are encouraged to make an appointment with their clinical instructor to periodically review their clinical progress. 3. Special Needs/Honors: You may be eligible for academic accommodations if you have a documented physical, psychiatric, or cognitive disability such as a learning disability or ADD/ADHD. If you have a disability and need more information regarding possible accommodations, please contact Tina Hardy at 224-0284 or Judy Mika at 224-0350, or stop by office B-204. Any student with a special learning need must present the documentation to their lecture instructor on the first day of class (or as soon as it has been documented). Any student involved in the honors program must present their contract within the first 2 weeks of the course. 4. Grievances: Note: The Nursing Handbook policy should be followed for all grading and other problems. Discuss the issue first with the instructor then, if necessary proceed to the next step in the appeal process. 5. Plagiarism and Cheating: Any student caught cheating on an exam, quiz or other assignment will automatically receive a score of zero for the exam, quiz, or assignment and may fail the course. Cheating or plagiarism will not be tolerated in this course and will result in disciplinary action as outlined in the Nursing Handbook and the IVCC Student Code of Conduct. 6. Student Initiated Withdrawals: Effective Summer 2011, students will have the ability to initiate a withdraw from classes through WebAdvisor. IVCC has the right to rescind a withdrawal in cases of academic dishonesty or at the instructor's discretion. For information on accessing this account, go to http://.ivcc.edu/studentshelpdesk.aspx?id=16712. All fields must be completed accurately in order to process the withdrawal. Entering the student ID number serves as the student’s electronic signature. Students will receive an email upon the receipt of this withdrawal. Students are encouraged to check their schedule on WebAdvisor to be sure their withdrawal was processed. If you are still on an active roster 2 business days after processing the withdrawal request, please contact the Records office at 224-0447. Inaccurate or incomplete information will result in a failure to complete the withdrawal and the student will be notified via email of the need to re-submit the form. 7. Rules of class decorum: No food will be allowed in the classroom. Drinks with lids are allowed. Cell phones need to be turned off in the classroom. No cell phones, iPods, or headphones may be used during exams. Calculators may be used during exams. If the back of Curriculum Committee – Course Outline Form Revised 10/18/13 Page - 9 the calculator is removable it must be removed and not brought to the exam. Children are not allowed in the classroom. REFERENCES: Curriculum Committee – Course Outline Form Revised 10/18/13 Page - 10