NURS 2114
“All I ever really needed to know I learned in Kindergarten…”

Course Title: NURS 2114-Pediatric Nursing (Fall)
Course Instructor:
Office:
Office Phone:
Email:
Office Hours:
Cheryl Kinder, MSN, RN
M179
870-391-3561 ckinder@northark.edu
Monday: 9:00 am -2:00pm (on-line)
Tuesday: Clinical Sites ( Baxter Regional Med Center)
Wednesday: 8:00 am – 3:00 pm
Thursday: 2:30 pm – 4:00 pm
Friday: By Appointment
Course Description:
NURS 2114 Pediatric Nursing (4) 4L, 12LL (8 week course)
Pediatric Nursing is an 8 week course that focuses on nursing care of the pediatric patient. Emphasis is placed on the core competencies continued from Medical-Surgical Nursing I and II with the focus of care in the pediatric patient and family in schools, primary, and acute care. The Student Learning Outcomes serve as the basis for course outcomes and are incorporated in theory and clinical experiences. Pre-requisites: NURS 2104
Credit and Time Allotment:

Four Semester Credit Hours

Four hours lecture weekly

Twelve hours of clinical practicum/week

Prep time prior to class and clinical
Course Location: A106
Course Meeting Time: Thursdays 0830-1230 Clinical Practicum on Monday/Tuesday
Prerequisites/Co-requisites:

NURS 1107-Fundamentals of Nursing

NURS 1011-Pharmacology I & NURS 2021 – Pharmacology II

NURS 1114-Medical Surgical Nursing I & NURS 2104 Medical Surgical Nursing II
Course Requirements: Policies and Standards concerning Nursing Programs and both Classroom and Clinical
Expectations are detailed in the Registered Nursing Program Handbook.

The student is expected to attend all classes, laboratory sessions, and clinical.

The student is expected to prepare for class, laboratory activities, and clinical.

The student is expected to complete all written assignments as directed. No late assignments are accepted.

The student is expected to meet course outcomes.
October 6, 2015 is the last date for withdrawal for 1st 8 week classes. The North Arkansas College catalog informs you that you are responsible for officially withdrawing from the course you are no longer attending and that failure to do so will result in an F on your transcript. I will not withdraw you from the course.
Grading/Attendance: Grading, attendance and examination policies for this course and all nursing courses are found in the North Arkansas Registered Nursing Program Handbook

Exams / Assignments:
Unit Exams- Calculations (4).…..………………….. 70%
ATI Comprehensive Final , …………………………. 20%
Written Assignments* …….……………………….... 10%
Grading Scale:
90.5-100 A
83.5-90.4 B
78.5-83.4 C
69.5-78.4 D
< 70 F
*Homework and Written Assignment grades are added only after the student has achieved a 79% average on all
examinations.
Test Review: Unit tests are available for review for 1 week from date of grade posting. Reviewing of multiple tests is not allowed. Review of final exams is not allowed. It is recommended that students make an appointment with the instructor to review unit tests.
General Policies
*Students must have a passing average on unit exams and final before the written assignment score is added. If a student has less than a passing average (79%) on unit tests and the final the student will not progress in the program.
Students must pass the Medical Surgical I clinical component of the course in order to progress in the program. If the student fails the clinical component (see Registered Nursing Handbook for clinical performance expectations) with an unsatisfactory summative evaluation, the theory grade drops to a “D” and the student cannot progress.
Student Responsibilities and Statement of Action for cases of suspected and verified Academic Dishonesty as well as what constitutes academic dishonesty is addressed in the Registered Nursing Program Handbook.
Required Texts:
 Hockenberry, M. & Wilson, D. (Eds.) (2013). Wong’s Essentials of Pediatric Nursing (9 th ed). St. Louis,
MO. Elsevier-Mosby ISBN: 978-0-323-08343-0
 Ignatavicius, D. D. & Workman, M.L. (2013). Medical Surgical Nursing-Patient centered care (7 th ed). St. Louis:
Saunders
 Kee, J., Hayes, E., & McCuistion, L. (2015). Pharmacology: A nursing process approach, (8 th ed). St. Louis:
Saunders.
 Registered Nursing Program Handbook: 2014-2015
 ATI text: RN Nursing Care of Children (9 th ed)

MAXI-LEARN learning system notebook
Suggested Text:
 Current Drug Book
Teaching-Learning Activities may include:

Lecture

Discussion

Group activities

Presentations

Videos, PowerPoint

On-line skills modules

Independent Study







Demonstrations
Skills lab practice and simulation
Role playing
Web links
Clinical practicum application
Case-studies
Guest speakers
ADA Statement: North Arkansas College complies with Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990. Students with disabilities who need special accommodations should make their requests in the following way: (1) talk to the instructor after class or during office hours about their disability or special need related to classroom work; and/or (2) contact Special Services in Room M188 and ask to speak to Kim Brecklein.

Human Flourishing
1.
Utilize therapeutic communication skills to establish and maintain therapeutic nurse-patient relationships with patients, families, significant others, small groups of patients (teaching), and colleagues. (measured by exam, written assignments and clinical experience)
2.
Demonstrate patient centered care while applying the nursing process (measured with exams, written assignments and clinical practice)
3.
Practice culturally competent care to meet the needs of patients, significant support person(s) respecting cultural diversity. (measured by exam, written assignments, case studies, group discussions and clinical experience)
Nursing Judgment
4.
Demonstrate the use of evidence based practice involving assessment and safe performance of nursing skills. (measured by exams, classroom discussion, clinical practice and reflective journaling)
5.
Collaborate with the patient, and the healthcare team (including family, caregivers) to achieve positive patient outcomes. (measured by clinical practice, simulation, case studies)
6.
Appraise the special needs of the pediatric patient related to safety and quality control in both the acute and community settings. (measured by exam, written assignments, post conference review, reflective journaling and successful completion of the Child Maltreatment and Mandated Reporter
Training Module)
7.
Employ the principals of nutrition in developing and teaching dietary needs and compliance.
(measured by exam, clinical post-conference discussion, written assignments)
8.
Examine community and hospital resources available to patients promoting self-care and disease management implementing evidence based practice. (measured by classroom discussionparticipation, clinical assignment)
9.
Interpret the professional nurses’ role and responsibilities in the collaboration and delegation of care to assistive personnel along with the impact on teamwork/management. (measured by reflective journaling, clinical post conference discussion)
Spirit of Inquiry
10. Utilize clinical reasoning skills in planning, implementing, and evaluating holistic nursing care.
(measured by exam, case-studies, clinical/simulation assignment)
10.
Apply clinical decision making skills when managing and developing care of/for patients, families, and communities. (measured by clinical practice, simulation, case studies, reflective journaling and post-conference participation)
Professional Identity
11.
Demonstrate professional behavior by being responsible and accountable for the ethical, legal and
safe provision of nursing care provided to patients, families and communities. (measured by exams, written assignments, Child Maltreatment and Mandated Reporter Training, clinical/simulation practice)
12.
Utilize technology (informatics) to support positive patient outcomes. (measured by clinical experience, case studies and post conference review)
13.
Demonstrate a culture of excellence by continuous learner achievement and progression with a commitment to quality improvement. (measured by class interaction, clinical practice, reflective journaling, written assignments)

Sunday Monday Tuesday
AUGUST 2015
Wednesday Thursday Friday
2
9
16
23
30
3
10
17
Frontloading
8:30-12:20
24
Clinical
31
Clinical
4
11
18
Frontloading
8:30-12:20
25
Clinical
5
12
19
26
6
13
20
2114
8:30-12:20
Exam I
Cardio-
Hematology
27
2114
8:30-12:20
Skin-Eyes-Ears
7
14
21
Eye/Ear Exam
Training
8:30-12:20
28
Clinical Days are subject to change with notice given on Portal and in class. (e.g. Simulation/Speaker vs hospital)
29
22
15
8
1
Saturday

Sunday
6
13
20
27
Monday
7
Clinical
14
Clinical
21
Clinical
28
Clinical
Tuesday
1
Clinical
8
Clinical
15
Clinical
22
Clinical
29
Clinical
30
16
9
2
23
September 2015
Wednesday Thursday
3
2114
8:30-12:20
Grandma’s House
10
2114
8:30-12:20
Exam II
GI-GU-Endocrine
17
2114
8:30-12:20
Respiratory
24
2114
8:30-12:20
Exam III
Musculoskeletal,
Cognitive
Impairment,
Mental Health
4
11
18
25
Friday
5
Saturday
12
19
26

Sunday
4
11
18
25
19
26
Monday
5
Clinical or
Simulation TBA
12 13
Tuesday
6
Clinical or
Simulation TBA
7
October 2015
Wednesday Thursday
1
2114
8:30-12:20
Exam IV
Presentations of
Concept Maps and
Community Health
Brochures
8
ATI Peds Final
Med Surg II
Orientation
2
9
Friday
20 21
14 15
22
29
23
16
30 27 28
3
Saturday
10
17
24
31






UNIT I- GROWTH & DEVELOPMENT, ASSESSMENT, SOCIAL- LEGAL, FAMILY COPING, MALTREATMENT PEDIATRIC NURSING 2114
COURSE OUTCOMES: 1, 2, 4, 12
COURSE OUTCOMES: 1, 2, 9, 11, 12
UNIT OBJECTIVES
1.
List and describe the characteristics of physical growth and function of body systems of different age groups
2.
Specify the age of critical developmental tasks
3.
Describe and demonstrate three communication techniques used by infants, toddlers, preschool, school-age and adolescent children
4.
Identify common safety concerns and prevention methods for each age group.
5.
Identify and demonstrate proper technique for administering medications.
6.
Read and be able to define concept of informed consent
7.
Describe ways in which the nurse functions as a child and family advocate
8.
Identify major reactions of and effects on the family of a child with special needs.
9.
Discuss differences and application of consent and assent.
CONTENT
1. Overview
2. Physical development-infancy to adolescence
3. Developmental Milestones
4. Physical Assessment
5. Preventing Common Accidents-Infancy to
Adolescence
a. Infants- motor vehicle injuries
drowning, falls
i. poisoning-heavy metals (lead),
acetaminophen, corrosives,
hydrocarbons, plants
c. Preschoolers-pedestrian motor vehicle
injuries, accidents at play
d. School Age-Drowning; Burns, Poisoning;
bodily damage
e. Adolescents-motor vehicles; firearms; sports
6. Nutritional needs-Age Specific
7. Communication
a. play
b. story telling
c. writing and drawing
8. Immunizations a.
Recommended schedule b.
Contraindications
9. Social Legal
READING, LEARNER ACTIVITIES
Hockenberry & Wilson

Read: Chapters 5, 10, 12, 13, 15, 16, 14 pgs.436-445 (Poisoning); 445-454 (Child
Maltreatment)
Compare G &D with summary handout

Chapter 22 pgs. 636-637

Chapter 18
Key, Hayes, McCuistion

Chapter 11-Pediatric Pharmacology

Chapter 5-Medications/Calculations pgs. 99-
106

Chapter 36-Vaccinations pgs. 502-505
ATI


Chapters 1-7 (Practice Exams open)
Review modules
Simulation:
Physical Assessment, Skills
Pediatric Calculations/Conversions
Videos and power points

Mandated Reporter Training (training validation required) Read Hockenberry (pages
435-454)

Barb Bancroft: Pediatric Potpourri (Disc 1)
Handouts:

Growth & Development: Summarized (Portal)

a.
Maltreatment-types of neglect and abuse b.
Nurse’s role
10. Legal Aspects
a. Parental Consent
b. Pediatric Assent
c. Circumstances in which parental consent
may be waived
Certificates of Completion for Mandated Reporters due.
Exam 1 8/20

UNIT II-CARDIOVASCULAR; SKIN DISORDERS; COMMUNICABLE DISEASES; EYES, EARS; HEMATOLOGY PEDIATRIC NURSING 2114
COURSE OUTCOMES:
UNIT OBJECTIVES
1. Incorporate a teaching plan for home care and drug therapy into a comprehensive plan of care for the child with congenital heart disease.
2. Identify the purpose of common drugs used for children with heart disease.
3. Discuss the etiology, predisposing factors, and nursing management of selected cardiac disorders.
4. Select nursing actions appropriate in teaching a child and his or her continued care following discharge from the hospital.
5. Discuss the nursing care of a child undergoing chemotherapy.
6. Develop a plan of care for a child with fever.
7. Identify children at high risk for latex allergy.
CONTENT
A. Stressors interfering with normal Cardiovascular
Function.
1.
Congenital Heart disease
2.
Acquired cardiovascular disorders
3.
Heart Failure
B. Alterations interfering with normal circulatory
clotting function.
1.
Specific pediatric disorders a. RBC disorders
iron-deficiency disorders
sickle cell anemia
B-thalassemia
Aplastic anemia
2. Defects in homeostasis
a. hemophilia
b. ITP, DIC, epistaxis
C. Alterations in cell growth process
1. Specific childhood cancers
a. leukemias
2. Specific neoplasms
a. Wilm’s Tumor-pgs. 917-918
D. Alterations interfering with normal immune function
1. HIV
2. JRA pgs.1084-1086
3. latex allergies pg. 1104
READING, LEARNER ACTIVITIES
Hockenberry & Wilson

Chapter 25-Cardio pgs. 816-866 (reading
guide)

Chapter 30-Integumentary pgs. 1009-30

Chapter 6-Eyes and Ears pgs. 121-127

Chapter 14- Communicable Dz. pgs. 422-436

Chapter 26-Hemotology pgs. 868-886

Chapter 22-Pediatric Variations pgs. 650-652
ATI

30, 31, 32, 20, 21, 36, 37
Videos and Powerpoints

Kawasaki Disease
Handouts:

Cardiac reading guide (have completed before class)
Case Study:

Child with Cardiac Problem
Concept Map:

Communicable Disease
Calculation Practice

UNIT II-CARDIOVASCULAR; SKIN DISORDERS; COMMUNICABLE DISEASES; EYES, EARS; HEMATOLOGY PEDIATRIC NURSING 2114
COURSE OUTCOMES:
UNIT OBJECTIVES
8. Describe nursing care of children with various common childhood diseases.
9. Identify the most common burns seen in various age groups.
10. Describe nursing care related to care of skin disorders.
11. Describe methods for assessing a burn wound
12. Discuss assessment of the eyes and ears specific to the pediatric population.
13. Demonstrate the correct method of administering medications in eyes and ears of pediatric patients.
14. Compare the skin manifestations in pediatric population to age groups
CONTENT
E. Communicable Diseases of childhood
1. Fever (pg. 650-52)
F. Injuries to the skin
1. Thermal injuries-Burns
G. Alterations in skin integrity
1. inflammatory and infectious disorders
a. bacterial
i. impetigo
ii. cellulitis
b. viral
c. fungal
2. Contact Dermatitis
a. poison ivy, oak, sumac
b. drug reactions
3. Bites and Stings
4. Scabies
5. Pediculosis Capitus-Head Lice
6. Diaper Dermatitis
H. Alterations of the eyes and ears
1. assessing the pediatric patient
2. medication administration
3. otitis media
4. conjunctivitis
READING AND LEARNER ASSIGNMENTS
Hockenberry & Wilson
Pgs. 423-432 Infectious disorders
Pgs. 1017-1037 Infections of the skin
Pgs. 118-127 Physical assessment eyes and ears
ATI

Pediatric Review modules
Key, Hayes, McCuistion

Pgs. 37-39 Medication administration
CDC-Current Vaccination schedule http://www.cdc.gov/vaccines/schedules/downloads/adult/adultschedule-easy-read.pdf
EXAM II-9/10

UNIT III-RESPIRATORY; GI; GU; ENDOCRINE PEDIATRIC NURSING 2114
COURSE OUTCOMES: 1-14
UNIT OBJECTIVES
1. Identify characteristics that make children more vulnerable than adults to upper respiratory infections.
2. Differentiate between bronchiolitis, croup, epiglottitis, bronchitis; and asthma.
3. Contrast nursing care priorities for a child with epiglotitis, laryngotracheobronchitis (LTB), and asthma.
4. Identify preventative interventions for reducing the incidence of SIDS.
5. Identify keys assessment signs of GI disordersdehydration.
6. Explain nursing care and teaching of patient and family with a child suffering from dehydration, vomiting and diarrhea.
7. Discuss medical surgical management of children with selected GI disorders
8. Describe the various factors that contribute to urinary tract infections in infants and children
9. Discuss teaching for patient and families concerning management of enuresis.
10. Develop a diet for a school age child with diabetes
11. Compare and contrast the nursing management of hypo/hyper function of the endocrine system.
CONTENT
1. Stressors interfering with oxygen-CO2 exchange
A. Infectious-bronchiolitis; croup; epiglottitis,
RSV; tonsillitis, Otitis media
B. Acquired-Asthma
C. Accidents and injuries-Foreign body
aspiration
D. Heredity-cystic fibrosis
E. Idiopathic-Sudden Infant Death (SIDS)
2. Gastrointestinal-Alterations related to fluid and electrolyte balance-Pediatric differences
A. Electrolyte imbalance
a. dehydration
b. vomiting
c. diarrhea
d. constipation
3. Alterations related to congenital and acquired disorders interfering with nutrition and/or elimination.
A. congenital
a. cleft palate/lip
b. celiac disease
B. acquired
a. acute appendicitis
b. intussusception
C. malabsorption
D. obstruction
4. Genitourinary
A. Urinary tract infections
B. Miscellaneous Renal disorders
a. Wilm’s tumor
C. Enuresis
READING AND LEARNER ASSIGNMENTS
Hockenberry & Wilson

Chapter 23-Respiratory Dysfunction pgs. 706-760 (Reading Guide)

Chapter 27-Genitourinary

Chapter24-Gastrointestinal

Chapter 29- Endocrine
ATI

Chapters 18 & 19

Chapter 42

Chapter 33, 24, 25, 22

Videos and Powerpoints

Asthma
Handouts:

Reading Guide –Respiratory

Reading Guide-Chapter 27
Case Study:

Child with Diabetes

Lauren Harper-Gastroenteritis

Sick day management for the Pediatric patient… http://www.endocrineweb.com/guides/type-1children/sick-day-management-tips-when-yourchild-has-type-1-diabetes
Calculation Practice

12. Distinguish between a hypo/hyperglycemic reaction.
13. Describe the treatment and rationale for early recognition of juvenile hypothyroidism.
14. Formulate teaching plan for pediatric patients with diabetes and their parents .
5. Endocrine
A. Alterations in endocrine function
a. thyroid
b. pituitary
c. pancreas
6. Diabetes
A. Clinical manifestations in the pediatric patient
a. ketoacidosis
b. therapeutic management
c. Types of insulin (review)
7. Hypothyroidism
A. Clinical manifestations
B. treatment
8. Hyperthyroidism
A. Grave’s disease EXAM III-9/24

UNIT IV: MUSCULOSKELETAL; NEURO; DEVELOPMENTAL, PSYCHOSOCIAL AND MENTAL HEALTH PEDIATRIC NURSING 2114
COURSE OUTCOMES 1-14
UNIT OBJECTIVES
1. Discuss plan of care for an immobilized child.
2. Develop a teaching plan of care for a child with
JIA.
3. Discuss home care management of a child with a neuromuscular disease.
4. List the 5 goals of therapy for the child with CP.
5. Formulate a plan of care for an unconscious child
6. Outline a plan of care for a child with bacterial meningitis.
7. Differentiate between the various types of seizure disorders.
8. Describe pre/post op care of the child with hydrocephalus.
9. Discuss the teaching needs of the child with an eating disorder.
10. Discuss the manifestations and nursing management of selected emotional or behavioral problems in school children and adolescents.
CONTENT
1. Immobilization
A. physiologic and psychologic effects
2. Traumatic injury
A. soft tissue
B. fractures
C. casts and traction
3 Sports Injuries and Overuse syndromes
4. Birth and Congenital defects
A. Developmental Dysplasia of the hip
B. Clubfoot
C. Osteogeneisis Imperfecta
5. Acquired defects
A. Legg-Calvé–Perthes Disease
B. Kyphosis and Lordosis
C. Idiopathic Scoliosis
6. Infections
A. osteomyelitis
B. septic arthritis
7. Bone / Tissue tumors
A. osteosarcoma
B. rhabdomyosarcoma
8. Joints
A. Juvenile Idiopathic Arthritis
9. Congenital Neuromuscular dysfunction
A. CP
B. Muscular Dystrophy
C. Duchenne’s
D. neural tube defects
a. spina bifida
b. myomenigiocele
10. Acquired Neuromuscular Disorders
A. Guillain-Barré Syndrome
READING, LEARNER ACTIVITIES
Hockenberry & Wilson

Chapter 31-Musculoskeletal

Chapter 31-Neuro Muscular Dysfunction

Chapter 28-Cerebral Dysfunction

Chapter 17-School Age Child-517-533

Chapter 19-Cognitive Impairment pg. 570-
578
ATI

Chapters 19, 27, 28, 41

Pediatric Review modules
Videos and Powerpoints
 http://youtu.be/FHn_QEW6rq0
 http://www.youtube.com/watch?v=g-J4-
Wcncbg
Handouts

Guillian-Barré Syndrome

Reading Guides-musculoskeletal and neuro muscular

11. Cerebral Dysfunction
A. Neurologic Examination
B. Care of Unconscious child
1. suctioning
2. nutrition and hydration
3. elimination
C. Hygienic care
D. Stimulation
12. Nervous system tumors
A. brain tumors
B. neuroblastomas
13. intracranial Infections
A. meningitis
B. encephalitis
14. seizure disorders
A. classifications
B. febrile seizures
15. cerebral malformations
A. Hydrocephalus
Alterations in Mental Development
A. Mental Retardation
a. Definition/Classification
b. physiologic causes
B. Down Syndrome
C. Alteration in Attention/Interaction Patterns
A. ADD and ADHD
B. Autism Spectrum
C. Eating disorders
a. bulimia
b. anorexia nervosa
D. Behavioral
a. substance abuse
b. suicide
E. Depression
Handouts

Pediatric Glasgow Coma Scale

Mental Health
EXAM IV-10/1
PEDIATRIC ASSESSMENT DUE 10/1
Presentations 10/1
FINAL-ATI COMPREHENSIVE (TIME AND PLACE TO
BE ANNOUNCED)

SYLLABUS ACKNOWLEDGEMENT
Course: NURS 2114-Pediatric Nursing___________________________
Semester: Fall___ _______________________________________
I acknowledge by signing below that I have received the syllabus for the course indicated above. I have reviewed the syllabus and understand the objectives of this course. Further, I understand how my performance will be evaluated and how my final grade will be determined. I am aware of my instructor’s office hours, and I know how to contact him or her for help with and/or clarification of course contents or procedures.
________________________________________
(Student Signature)
_________________________________________
(Date)