ASSOCIATE DEGREE PROGRAM
NURS2100: Variations in Health I
Winter 2012
I.
COURSE NUMBER
NURS 2100 (CRN 20572)
II.
COURSE TITLE
Variations in Health: Part I
III.
COURSE CREDITS
4 credits
(Theory: 3.0 credits; Lab/Clinical: 1.0 credit)
IV.
PLACEMENT IN
CURRICULUM
Level 2, Winter Semester 2012 First Year
V.
CLASS TIME
Monday 0900-1150 and Friday 0800-1150 (theory)
M50: Tuesdays 0800-1150 and Thursdays 08000950 and as announced
Clinical: Week 5 (Tuesday and Wednesday 06301200 as scheduled or as arranged)
M51: Wednesdays 0800-1150 and Thursdays 10001150 and as announced
Clinical: Week 6 (Tuesday and Wednesday 06301200 as scheduled or as arranged)
VI.
PLACE
600 Old Main –Auditorium
and assigned nursing lab rooms
VII.
COURSE FACULTY
*Valinda Pearson PhD, RN, CRRN,CNE (course
coordinator
Office: ED669
Phone: 651.690.7715 E-mail: vipearson@stkate.edu
Teaching Team:
Julie Akason
Cynthia Dols
Isolina Soto
Janelle Theisen
Amy Bro
Teddy Ayele
Val Pearson
651-690-7735
651-690-7720
651-690-8155
651-690-7713
218-790-2055
jlakason@stkate.edu
cldols@stkate.edu
idsoto@stkate.edu
jltheisen@stkate.edu
ajbro@healtheast.org
651-690-7715
vipearson@stkate.edu
1
NURS2100: Syllabus
Winter 2012
VIII. COURSE DESCRIPTION NURS2100: Variations in Health: Part I
Composed of lecture, lab and clinical components, NURS2100 builds on concepts
learned in Level I nursing courses. The course introduces assessment and care of patients
of all age groups experiencing variations in health related to mobility, sensory deficits,
chemical dependency and patients experiencing surgical procedures. Perspectives of
acute, chronic and rehabilitative care and diagnostic testing are considered. Skill
development in safe administration of intramuscular, subcutaneous, and intradermal
medications is emphasized in this course. Nursing practice lab experiences focus on
asepsis and clinical experiences of caring for patients experiencing variations in health
are designed to maximize integration of learning. Clinical experiences emphasize
assessment and delivery of care to the patient in the acute care environment.
Prerequisites: First level nursing courses, American Heart Association CPR certification,
BIOL 2410 or concurrent enrollment.
IX.
LEVEL & COURSE OUTCOMES
Upon completion of Level II you will be able to:
1. Incorporate theoretical concepts, holistic patient-centered care, and evidencebased practice when planning and implementing nursing care.
2. Incorporate clinical reasoning with current evidence while using the nursing
process to provide safe and effective patient care. (EBP; Safety)
3. Employ communication skills and informatics to support evidence-based, patientcentered, and safe nursing practice (Informatics; Teamwork; Safety)
4. Associate economic, political, ethical, and demographic factors in nursing and
health care delivery to improve the quality and safety of patient-centered nursing
care. (PCC, Safety, QI)
5. Employ evidence-based practice and quality improvement in the management and
provision of safe, collaborative, patient-centered care. (Teamwork; safety; EBP,
PCC)
6. Incorporate current evidence of safe, collaborative, holistic patient-centered
interventions to promote health for patients in medical-surgical settings. (PCC;
safety)
Upon completion of NURS2100, you will be able to:
Outcome #1 -Incorporate foundational concepts of evidence-based practice when
planning and implementing care for patients experiencing variations in health.
(Phenomena of Nursing; “Critical and Creative Inquiry” and “Discipline-Based
Competence”)
Outcome #2-Use clinical reasoning to develop a plan of care to meet priority needs of
a patient experiencing a variation in health. (Critical Thinking; “Critical and Creative
Inquiry”)
Associate Degree Program
Department of Nursing
2
NURS2100: Syllabus
Winter 2012
Outcome #3-Communicate using oral, written, and electronic methods to support
patient-centered care and safe nursing practice (Communication; “Effective
Communication in a Variety of Modes”)
Outcome #4-Relate the multiple factors that impact the quality and safety of patientcentered care to the experience of patients with variations in health
(Systems; “Leadership and Collaboration”)
Outcome #5-Employ technical skills and standards of the nursing profession while
providing safe care for patients experiencing variations in health.
(Role; “Discipline-Based Competence” and “Purposeful Lifelong Learning”)
Outcome #6. -Perform a focused assessment to identify priority and safety needs for
medical-surgical patients experiencing variations in health.
(Therapeutic Interventions; “Diversity and Global Perspectives”)
Please note. Department of Nursing “curricular threads” are identified in italics;
University “Goals of a Liberal Arts Education” are identified in quotes.
X.TEACHING-LEARNING ACTIVITIES
Teaching-learning activities in NURS 2100 include(a)discussion-based classes about
faculty-assigned readings,(b) small group work, (c) individual &/or group
presentations,(d) experiential learning and clinical, (e) written assignments,(f) case
studies and simulations, and (g) other collaborative learning activities. Please refer
to“Roles and Responsibilities in the Teaching-Learning Process” in the Associate Degree
Program Student Policies: 2011-2012.
XI.
COURSE OUTLINE
Foundational Concepts Related to Health & Illness
The Patient within Health care
Infection Control: Variations
Variations in Patients with Allergic Responses
The Patient experiencing Chemical and Substance Dependency
Visual & Auditory Variations
Overview: Visual and Auditory Variations
Acute Variations in Vision & Hearing: Children
Acute Chronic Variations in Vision & Hearing: Adult
The Patient in the Perioperative Experience
The Preoperative Patient
The Intra-operative Patient
The Post-operative Patient
Skeletal Variations
Overview: Skeletal Review
Congenital Skeletal Variations
Management of Acute Skeletal Variations
Management of Chronic Skeletal Variations
Associate Degree Program
Department of Nursing
3
NURS2100: Syllabus
Winter 2012
Skills:
Infection Control Learning Lab
Mini-assessment and Priority Setting (MAPS) Learning Lab
Medication administration Learning lab
Nursing math
Routes of administration: Parenteral
Pediatric medication administration
Wound management Concepts Learning Lab
Mobility Concepts Learning Lab Learning Lab
Clinical
XII.
COURSE ASSIGNMENTS AND GRADING
Name of Assignment
Exam 1- Unit 1
Exam 2- Unit II & III
Exam 3- Unit IV
Collaborative exam 1
Collaborative exam 2
Nursing Math Exam-(90% or > = S)
Allergy simulation
Musculo-skeletal simulation
Kaplan Integrated exam- Fundamentals
Kaplan Integrated exam remediation
Kaplan focused exam- Sensory system with remediation
Kaplan focused exam-Musculo-Skeletal system with
remediation
Kaplan focused exam-fundamentals 1 with remediation
Kaplan focused exam—fundamentals 2 with
remediation
Dosage Calculation Module 4
Sterile vs Clean Technique (in class)
Sterile gloving
Medication scenarios
Parenteral injections skill test
Parenteral medication site selection
MAPS Skill test
Self-Check Off- Personal Protective Equipment
Self-Check Off -Intradermal Injection
Self-Check Off—Tubex and Carpuject
Self-Check Off—Mixing two medications in one
Associate Degree Program
Department of Nursing
4
Related to
course
outcome
1,2,3,4,5,6
1,2,3,4,5,6
1,2,3,4,5,6
1,2,3,4,5,6
1,2,3,4,5,6
4,5
2,3,4
2,3,4
4
3,4
4
4
Points
60 points
60 points
60 points
2 points
2 points
S or U
4 points
4 points
S or U
S or U
S or U
S or U
4
4
S or U
S or U
1,5
1,5
1,2,3
5
5
5
5
5
5
5
S or U
S or U
S or U
S or U
6 points
S or U
13 points
S or U
S or U
S or U
S or U
NURS2100: Syllabus
Winter 2012
Name of Assignment
Related to
course
outcome
syringe
Case Study: Chemical Dependency
Case Study: Post-operative (in class)
Case Study: Immobility
Reflective Journal #1
Reflective Journal #2
Clinical Performance (Includes preclinical = 3 days)
Nursing process clinical paper
(78% of 180= 140)
Total exam points
(78% of 54= 42)
Total non-exam points
Total Points Possible
1,2,3,4
1,2,3,4
1,2,3,4
3
3
1,2,3,4,5,6
1,2,3,4,5,6
Points
4 points
S or U
S or U
S or U
S or U
S or U
19 points
180
54
234
Grading Scale:
The grading scale for nursing courses in the Associate Degree Program is presented in the
online Associate Degree Program Student Handbook: 2010-20111. [LINK] A grade of
“C” or better must be achieved. Grades are determined as follows:
Grade/Points
A (224-234)
A- (217-223)
B+ (210-216)
B (203-209)
Scale
96-100%
93-95%
90-92%
87-89%
Grade
B- (196-202)
C+ (189-195)
C (182- 188)
C- (181-175)
Scale
84-86%
81-83%
78-80%
75-77%
Grade
D+ (168-174)
D (161-167)
F (<161)
Scale
72-74%
69-71%
<69%
Grading Policy:
NURS2100 must be taken for a grade and must be satisfactorily completed with a
minimum grade of C (78% of the total possible points). A minimum grade of C (78% of
total possible points) is required for each course assignment/component. Assignments
may be resubmitted once if not completed satisfactorily the first time. Resubmitted
assignments receive a C (78% of total possible points for that assignment).
XIII. COURSE POLICIES
Attendance and Testing
Attendance is required for lecture, lab and clinical *, and attendance will be documented.
After 2 absences in a course, a 411 alert will be initiated and student must meet with
lab/clinical faculty. After 3 absences in a course, a meeting with the course coordinator
will be required, and after 4 absences in a course, a meeting with the program director
will be required to ensure student success. Students who are unable to attend classroom
lab, skills lab, or clinical labs due to infectious illness or personal crisis are required to
contact the instructor, and, if scheduled for a clinical experience, the clinical area to
which the student is assigned. Notification is required to be made no later than one
half hour before the session begins. Failure to attend class sessions results in
Associate Degree Program
Department of Nursing
5
NURS2100: Syllabus
Winter 2012
implementation of the Performance Issue Algorithm/Guided Improvement Plan described
in the Associate Degree Nursing Program policy handbook. This policy focuses on
ensuring student success. The most significant learning activity is attendance and active
participation in all class sessions. Taking initiative in learning is a professional nursing
practice. This requires preparation for all class sessions, the belief that students have a
unique and valuable perspective to offer to class discussions, and the willingness to enter
into to class discussions. Therefore, attendance will be taken and active participation and
engagement in class discussions and learning activities will be noted. Please email or call
your course/clinical/lab faculty prior to class if you will be absent. The clinical and lab
absence policy will be followed. Students who miss in excess of 25% of the total
clinical/lab for a course may be required to repeat the entire course.
Students are required to attend all testing activities such as written examinations, quizzes,
case study examinations, skills testing and simulation activities. Attendance is taken at all
testing activities (exams, quizzes, skills testing, etc.). When a student is unable to attend a
scheduled testing activity due to a severe illness or personal crises, the student is required
to contact the faculty prior to the testing activity to explain the reason for the absence and
arrange with the instructor a time to make-up the missed activity. Failure to notify the
instructor prior to the testing activity may mean that the student will not have the
opportunity to schedule or complete a make-up testing activity and the student will
receive 0 points for that testing activity. When a student misses a written exam, the makeup exam may be in a different format (example: most exams are in the multiple choice
questions the make-up exam might be an essay exam). All late tests will be given a 5%
penalty from the total points of the exam. For example, 5% of a 60 point exam is a 3
point reduction. No extra time is allotted to the student when arriving late to exams.
When used, the scannable answer form will be the only official answer sheet accepted.
Answers recorded in the test book are not accepted in lieu of the official answer sheet.
Assignments: Students are responsible for completing all course assignments and
learning activities on time. All assignments are to be completed as individual work unless
otherwise stated. Course assignments are due at the beginning of class on the scheduled
due date. Late assignments will not be accepted unless prior arrangements have been
made with course faculty.
Exam remediation
Students who achieve 80% or less on any theory course exam and less than 90% on
nursing calculation exams are required to meet with course faculty for remediation. This
must be completed to be able to sit for the next exam. Students will use the Loma Linda
analysis tool to evaluate their exam and remediate questions that fall in the Insufficient
Information category using a remediation documentation form. They will also be
required to complete a Theory Improvement Plan at that time.
Policy on Late Assignment: All assignments are due at the beginning of class on the
specified time and due date. Papers that are not turned in on time are considered late
papers. Late papers will have ONE POINT deducted for each day that the paper is not
turned in. Saturdays and Sundays are counted as late dates. Points lost due to lateness
cannot be made up or earned back. Deductions of points due to lateness can be avoided
Associate Degree Program
Department of Nursing
6
NURS2100: Syllabus
Winter 2012
by: 1) turning papers in on time to the Course Coordinator, the clinical instructor or to
any other available course instructor; or 2) contacting the clinical instructor BEFORE the
paper is due to negotiate an extension on paper’s due date. S/U assignments are due on
the date scheduled. All assignments must achieve a satisfactory score (78%) in order for
the student to pass the course.
Kaplan Integrated testing benchmark: Kaplan Integrated Tests are nationally normed,
secure exams that are used to assess student learning. The purpose of the tests is to
evaluate knowledge of key concepts and major topics in the curriculum. Additionally,
remediation resources are available that will assist in enhancing learning outcomes. Each
exam has a standardized mean score that has been determined through national norms.
For the NURS 2100 course, the following tests will be required:
Kaplan integrated Tests:
A. Fundamentals Integrated Test (Benchmark 66%, raw score 49.5).
B. Kaplan Focused tests and remediation: Satisfactory upon completion
1. Fundamentals focused test 1
2. Fundamentals focused test 2
3. Sensory focused test
4. Musculoskeletal focused test
You will complete the integrated tests in a campus computer lab. Your score will be
determined immediately following the exam. If you meet the benchmark (mean score)
you are required to remediate only those items answered incorrectly for one minute per
item within 48 hours to receive an “S” for this course learning component.
If your score is lower than the benchmark, you are required to remediate all Integrated
Exam questions for a minimum of 1 minute per item. Remediation includes reviewing
both correct and incorrect items. Remediation must be completed within the time
frame designated by the course faculty. Remediation is available 24 hours a day, seven
days a week at the Kaplan website. Completed remediation will result in an “S” for the
course learning component. Failure to complete remediation will result in a “U” for this
learning component, and subsequent failure of the course. Late assignment policy will
apply to late remediation. Focused test remediation is required only on those items
answered incorrectly.
Nursing Math Exam: Math competency is necessary for successful completion of
nursing course work and for safe practice after graduation. Students will be evaluated on
basic nursing math skills by taking the Nursing Math Exam. Students are expected to
pass the nursing math exam at 90% within 2 attempts in all nursing courses in which the
exams are administered. Students who are unable to demonstrate math competency at
90% within 2 attempts will receive a grade of F for the course. It is the responsibility of
students to schedule tutoring and be prepared to meet the calculation requirements in the
nursing coursework. In NURS2100, the nursing math exam is a 30-item, S/U exam. It
must be passed at 90% within 2 attempts to be successful in the course.
Associate Degree Program
Department of Nursing
7
NURS2100: Syllabus
Winter 2012
Attire for Skills testing and simulations
Students are required to wear their St Kate’s lab coat and name tag or their St Kate’s
uniform (purple top and white pants) and name tag for all skills testing and simulations.
In NURS2100, the skills tests are the MAPS skills test and Parenteral medication
administration skills test. There are also two simulations during this course.
Achievement of the Final Course Grade:
A grade of C or higher must be achieved to pass each nursing course. At the end of each
course, points are totaled and a student must achieve 78% of accumulated exam points
in order to pass the course. If a student does not achieve 78% of accumulated exam
points, the course grade will be based only on exam points the student has earned. If a
student does achieve 78% of accumulated exam points, then non-exam coursework will
contribute to the course grade. Such non-exam coursework may include quizzes, skills
testing, written assignments, and other activities as outlined in each course syllabus.
Students must attain 78% of available points and a satisfactory level of achievement on
all non-exam coursework as defined in each course syllabus.
To satisfactorily pass this course you MUST:
1. Achieve 78% of cumulative exam points
2. Achieve 78% of cumulative non-exam points
3. Achieve 90% on the Nursing Math Exam within 2 attempts
5. Satisfactorily complete all S/U assignments
6. Satisfactorily complete all required Kaplan tests and associated remediation
7. Achieve a satisfactory grade in clinical
Consequences of failing to meet this expectation: A grade of C- or lower in this course
means the student has not met the minimum requirements for progression in the nursing
program. If you earn less than 80% or less on an exam, the student is required to meet
with the clinical faculty or designated course faculty for remediation in order to be able to
move on to the next exam.
Academic Integrity: Please refer to the “Academic Integrity Policy” in the Associate
Degree Academic Catalog. Students are expected to follow St. Catherine University
academic and behavior standards refer to LeGuide
Course Communication:
Please check your St. Kate’s e-mail for messages and updates related to the course
frequently (at least every 2-3 days). The official communication source is the SCU email.
Grades will be posted in the online grade book on D2L.
Accommodations:
Students with documented disabilities who believe they would benefit from accommodations
in this course are encouraged to contact the Disabilities Coordinator in the Learning Center
for Academic Development to ensure that appropriate accommodations are implemented in a
timely manner. The Disabilities Coordinator may be contacted at 651.690.6563. Please refer
to the student policy in LeGuide: “Services for Students with Disabilities.”
Associate Degree Program
Department of Nursing
8
NURS2100: Syllabus
Winter 2012
XIV. PROFESSIONAL STANDARDS
Faculty in the Department of Nursing use professional nursing standards in the
development, implementation, and evaluation of curricula. Professional standards
are also used by nursing faculty to promote and evaluate student learning.
In the Associate Degree Program, professional standards include:
 Code of Ethics for Nurses with Interpretive Statements (ANA, 2001)
 NLNAC 2008 Standards and Criteria: Associate Degree Programs in Nursing
(NLNAC, 2008)
 Nursing’s Social Policy Statement: The Essence of the Profession (ANA,
2010)
 QSEN Quality and Safety Education for Nurses (2007))
 Competencies for Graduate of Associate and Diploma Programs (NLN, 2010)
 Nursing: Scope and Standards of Practice, 2nd Edition (ANA, 2010)
Accreditation:
St. Catherine University nursing programs are accredited by the National League for
Nursing Accrediting Commission (NLNAC). NLNAC is acknowledged by the U.S.
Department of Education as the national accrediting body for a variety of nursing
education programs. (http://www.nlnac.org/home.htm)
NLNAC helps to support the well-being of nursing education, safety of nursing practice,
and protection of the public by the functions of accreditation. The process of
Accreditation is self-regulatory and voluntary. Non-governmental associations (such as
NLNAC) recognize educational institutions or programs that have been found to meet or
exceed standards or criteria for educational quality. (http://www.nlnac.org/home.htm).
The Associate Degree program in nursing has established Program outcomes, which are
based, in part, on the core curriculum guidelines supported by NLNAC.
XV.
TEXTBOOKS AND COURSE MATERIALS
Required texts, DVDs for course: Which textbooks should be purchased new.
American Nurses Association (ANA). (2001). Code of ethics for nurses with interpretive
statements. Washington, DC: Nursesbooks.org.
Deglin, J., & Vallerand, A. (2010). Davis’s drug guide for nurses. (12th ed.). Philadelphia: F. A.
Davis.
Doengens, M., Moorhouse, M., & Murr, A. (2008). Nurse’s pocket guide: Diagnoses, prioritized
interventions, and rationales. (11th ed). Philadelphia: FA Davis.
Erickson, H., Tomlin, E., & Swain, M. (1983). Modeling and role-modeling: A theory and
paradigm for nursing. Englewood Cliffs, NJ: Prentice-Hall.
Lewis, S., Heitkemper, M. Dirkens, S, O’Brien, P., & Bucher, L. (2011). Medicalsurgical nursing: Assessment and management of clinical problems (8th ed.).
Associate Degree Program
Department of Nursing
9
NURS2100: Syllabus
Winter 2012
St. Louis: Mosby.
Lilley, L., Harrington, S, & Snyder, J. (2011). Pharmacology and the nursing process. (6th ed). St
Louis: Mosby.
Lynn, P.. (2011). Taylor’s Clinical nursing skills: A Nursing process approach. (3nd ed).
Philadelphia: Lippincott Williams & Wilkins.
Pickar, G. (2011). Dosage calculation: A ratio-proportion approach. (3rd ed). Albany, NY:
Delmar Thomson Learning.
Ricci, S. & Kyle, T. (2009). Maternity and Pediatric Nursing. (1st ed.). Philadelphia: Lippincott
Williams & Wilkins.
Taylor, C., Lillis, C., & LeMone, P. Lynn, P. (2011). Fundamentals of nursing: The art & science
of nursing care. (7th ed). Philadelphia: Lippincott Williams & Wilkins.
Recommended Texts
Bickley, L. (2007). Bates’ pocket guide to physical examination and history taking. (5th
ed.). Philadelphia: Lippincott William & Wilkins.
Dirkson, S., O’Brien, P., Lewis, S., Heitkemper, M., & Bucher, L. (2011). Clinical
companion medical-surgical nursing: Assessment and management of clinical
problems. (8th ed.). St. Louis: Mosby.
Hacker, Diana (2002) The Bedford Handbook (6th ed.). Boston: Beckford St. Martin
Townsend, M.C. (2009). Psychiatric mental health nursing: Concepts of care. (6th ed).
Philadelphia: F. A. Davis
Medical Dictionary: Choose a current edition of one of the following:
Dorland: Dorland's Medical Dictionary.
Miller & Kean: Encyclopedia and Dictionary of Medicine, Nursing and Allied Health .
Mosby: Medical, Nursing, and Allied Health Dictionary.
Note: Has complete NANDA list of Nursing Diagnosis & Nursing Interventions
Taber: Taber's Cyclopedic Medical Dictionary.
Note: Has excellent NANDA list of Nursing Diagnosis
XVI. LEARNING RESOURCES
E-mail and Desire2Learn (D2L) will be used for communication among faculty and
students and for distribution of class materials.
Nursing Practice Lab: Rooms 670, 680, 690
Rachelle Hansen
Office: E671
Sandy Morisette
Office: E683
Dilshad Pirani
Office: E683
Associate Degree Program
Department of Nursing
10
Phone 651-690-7724
Phone: 651-690-7785
Phone: 651-690-7754
Phone: 651-690-7814
NURS2100: Syllabus
Winter 2012
Academic Coaches: Kim Jensen Office # 671
Administrative Faculty and Staff
Suellen Campbell, AD Program Director
Juliann Brown, Administrative Assistant
Michael Gibba, Administrative Staff
Phone 651-690-8128
Office #755
Office #755
Office #755
Phone 651-690-7733
Phone 651-690-7712
Phone 651-690-7788
Please contact Course Coordinator, Val Pearson, if you have any questions about our
course syllabus.
Have a good learning experience!
Associate Degree Program
Department of Nursing
11