COLLEGE OF NURSING
COURSE SYLLABUS
Fall 2011
COURSE NUMBER
NGR 6320C section 7740
COURSE TITLE
Neonatal Care I
CREDITS
2
PLACEMENT
First Course in Neonatal Care Track
PRE/Co-REQUISITE
NGR 6101: Theory and Research for Nursing
NGR 6020C: Advanced Neonatal Health Assessment
and Diagnostic Reasoning
NGR 6140: Physiology and Pathophysiology for Advanced
Nursing Practice
NGR 6636: Health Promotion and Role Development
in Advanced Practice Nursing
(1 credit didactic, 1 credit laboratory)
FACULTY
(352) 273-6384
Beeper#:
(352) 413-3212
Cell (352) 215 9360
Thurs., 10:00 – 12:00
Virtual on elluminate
Tues., 12:00-12:30
Sheryl Montrowl, MSN, NNP-BC
montrsj@peds.ufl.edu
Beeper#
352 413-2619
Available by appt
Julie Schultz, MSN, NNP
Julieannschultz@yahoo.com
Cell: 954 260 0071
Available by appt
Jacqui Hoffman, DNP, NNP-BC
Hoffmanjm@ufl.edu
Cell (727) 709 9211
Available by appt
Office 352-273-6366
Available by appt
Leslie A. Parker, PhD, NNP-BC
parkela@ufl.edu
DEPARTMENT CHAIR
Susan Schaffer, PhD, ARNP-BC
Department Chair
sdschaf@ufl.edu
Gainesville Campus
HPNP
2227
HPNP
2229
NGR 6320C
COURSE OUTLINE
PAGE 2
CAMPUS DIRECTOR JAX
Andrea Gregg, DSN, RN
Associate Professor
greggac@nursing.ufl.edu
Jacksonville Campus
JAX
LRC,
3rd
Floor
Office: 904-244-5172
Fax: 352-273-6568
Available by appt
COURSE DESCRIPTION This course provides advanced study of
neonatal intensive care nursing for low risk term and preterm neonates. Emphasis will be on
fetal growth and development, neonatal nursing care, and the role of the neonatal nurse
practitioner in low risk neonatal care.
COURSE OBJECTIVES
Upon completion of this course, the student will be able to:
1.
Analyze the genetic and environmental variables associated with congenital defects
and/or spontaneous abortion.
2.
Integrate theory and current research findings pertaining to fetal and neonatal
physiology and pathophysiology, perinatal development, low risk term and preterm
neonates and families, and therapeutic approaches for the management of neonatal
health problems.
3.
Direct the care of low risk term and preterm neonates, in collaboration with other
members of the health care term.
4.
Provide care to low risk term and preterm neonates in neonatal intensive care settings.
5.
Analyze the influence of ethical, legal, political, economic, and sociocultural factors on
the provision of care to neonates and their families.
COURSE SCHEDULE
Class
Day
On-line
Time
Room
Tuesday 8-12 on elluminate
Clinicals: TBA
E-Learning in Sakai is the course management system that you will use for this course. ELearning in Sakai is accessed by using your Gatorlink account name and password at
http://lss.at.ufl.edu. There are several tutorials and student help links on the E-Learning login
site. If you have technical questions call the UF Computer Help Desk at 352-392-HELP or send
email to helpdesk@ufl.edu.
It is important that you regularly check your Gatorlink account email for College and University
NGR 6320C
COURSE OUTLINE
PAGE 3
wide information and the course E-Learning site for announcements and notifications.
Course websites are generally made available on the Friday before the first day of classes.
ATTENDANCE
Students are expected to be present for all scheduled classes, other learning experiences, and
examinations. Students who have extraordinary circumstances preventing attendance should
explain these circumstances to the course instructor prior to the scheduled class or as soon as
possible thereafter. Instructors will then make an effort to accommodate reasonable requests. A
grade penalty may be assigned for late assignments, including tests. Students are responsible for
responding to online assignments as part of their attendance. Make-up exams may not be
available in all courses.
Students are expected to be present for all scheduled clinical practice experiences and seminars.
Students who have extraordinary circumstances preventing attendance should explain these
circumstances to the course instructor prior to the scheduled clinical practice experience or
seminar. Instructors will then make an effort to accommodate reasonable requests. A grade
penalty may be assigned for unexcused seminar or clinical absences. The faculty member will
advise the method of notification for absences to the clinical site e.g. phone, email, and
notification of facility.
Graduate students are required to submit a written calendar of planned clinical practice dates
and times to the course faculty member prior to beginning the clinical rotation. Any changes to
the calendar (dates and times) must be submitted in writing to the course faculty member before
the change is planned to occur. Clinical hours accrued without prior knowledge of the faculty
member will not be counted toward the total number of clinical hours required for the
course.
ACCOMMODATIONS DUE TO DISABILITY
Each semester, students are responsible for requesting a memorandum from the Disability
Resource Center to notify faculty of their requested individual accommodations. This should be
done at the start of the semester.
STUDENT HANDBOOK
Students are to refer to the College of Nursing Student Handbook for information about College
of Nursing policies, honor code, and professional behavior.
TOPICAL OUTLINE
1.
Patterns of embryological and fetal growth and development and the genetic and
environmental variables which influence those patterns (Obj.# 2,3,4)
NGR 6320C
COURSE OUTLINE
PAGE 4
2.
3.
4.
5.
Health maintenance and anticipatory care of the low risk term and preterm neonate,
pharmacologic and nutritional variations related to those clients (Obj.# 4,5,6)
Intrapartal adaption from intrauterine fetal physiology, resuscitation measures at time
of delivery (Obj.# 1,4,5)
The perinatal family and their adaptation to the crisis of the birth and possible
hospitalization of a healthy neonate (Obj.# 4,5)
Immunological factors related to the neonate, neonatal sepsis, antibiotic therapy, and
infection control in neonatal care units (Obj.# 1,2,4,5)
TEACHING METHODS
Lecture, discussion, case studies and case presentations, faculty supervised clinical practice,
written materials, computer assisted instruction and audiovisual materials, and individual
conferences.
LEARNING ACTIVITIES
Case studies and case presentations, discussions, exams, faculty supervised clinical practice
EVALUATION
Minimum Required Contact Hours: 48
Clinical experience will be evaluated through faculty observation, verbal communication
with the student, written work, and agency staff reports using a College of Nursing Clinical
Evaluation Form. Faculty reserve the right to alter clinical experiences, including removal from
client care areas, of any student to maintain patient safety and to provide instructional
experiences to support student learning.
Clinical evaluation will be based on achievement of course and program objectives using
a College of Nursing Clinical Evaluation Form. All areas are to be rated. A rating of
Satisfactory represents satisfactory performance and a rating of Unsatisfactory represents
unsatisfactory performance. The student must achieve a rating of Satisfactory in each area
by completion of the semester in order to achieve a passing grade for the course. A rating of
less than satisfactory in any of the areas at semester end will constitute a course grade of E.
Regardless of the classroom grade, the student receiving an Unsatisfactory evaluation in the
clinical component of the course will be assigned a course grade of E or U.
The faculty member will hold evaluation conferences with the student and clinical
preceptor, if applicable, at each site visit. The faculty member will document or summarize each
conference on the Clinical Evaluation Form or Incidental Advisement Record. This summary
will be signed by the faculty member and student. Mid-rotation evaluation conferences will be
made available to each student. Final evaluation conferences with the faculty member are
mandatory and will be held during the last week of each semester. A student may request
additional conferences at any time by contacting the faculty member.
NGR 6320C
COURSE OUTLINE
PAGE 5
Students enrolled in advanced practice courses with a clinical component will use
Clinical Experience Form F to document clinical experience including hours, practice location
and preceptor for their personal records. Students also assess their learning experiences using
Clinical Site Assessment Form G. Completed Form G is collected by the faculty member and
submitted to the Coordinator of Clinical Resources at the College. At the end of the clinical
experience the student completes a self-evaluation and the faculty member completes a student
evaluation using the College of Nursing Clinical Evaluation Form.
Course work will be evaluated by written examinations and written assignments. Clinical
performance will be graded on satisfactory/unsatisfactory basis. Students must achieve a
satisfactory grade in the clinical area in order to successfully complete the course.
Test I
Test II
Test III
Class Participation
25%
25%
25%
25%
September 27th 2:00
November 8th 2:00
December 13th 2:00
Testing must be scheduled and proctored through a testing center such as Sylvan or proctored by
a UF faculty person. All tests will be graded and returned to the student within 2 weeks.
CRITERIA FOR CLASS PARTICIPATION
You are expected to complete the following assignments.
1.
Logs
A weekly log is expected and is due each Friday by 5:00pm on the course Sakai web
site. This log should include:
a.
b.
c.
d.
e.
f.
g.
A short description of your patients
What care you provided each patient
Procedures
Ethical dilemmas (if any were encountered)
Problems with staff, preceptor, faculty
Problems which may need discussion with faculty preceptor
Goals for next week
Assigned clinical faculty will respond to each log on the Sakai web site. It is
expected that you respond via Sakai E-mail to all Questions. Failure to complete logs in a
timely manner may result
in an unsatisfactory Clinical evaluation.
NGR 6320C
COURSE OUTLINE
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2.
Case Studies
There will be (5) case study assignments which you will be required to analyze. I will
distribute these via e-mail on the following dates: September 5th, September 26th,
October 3rd, October 17th, and November 7th. You will have 2 weeks to complete. This is
a clinical tool; therefore, there is no need for APA format. Please answer the questions as
if you were the NNP caring for the patient. Each student will return this assignment for
feedback from the instructors. The student will then incorporate this feedback into the
case study. This process will continue until the case study is in an acceptable format.
3. You will also be required to place an entry at least 4 times per week on the Sakai
discussion board. This may include submitting new items for discussion or to discuss an
issue already introduced. This is a required aspect of the class participation grade.
4. The student’s attendance sheet must be completed and returned prior to ALL scheduled
evaluations.
5. All clinical experiences need to be scheduled through me. If you schedule clinical on an
unauthorized day you will not receive credit for those hours.
GRADING SCALE
A
AB+
B
BC+
95-100 (4.0)
93-94 (3.67)
91- 92 (3.33)
84-90 (3.0)
82-83 (2.67)
80-81 (2.33)
C
CD+
D
DE
74-79* (2.0)
72-73 (1.67)
70-71 (1.33)
64-69 (1.0)
62-63 (0.67)
61 or below (0.0)
* 74 is the minimal passing grade
REQUIRED TEXTS
Kenner, C. and Lott J.W. (2007). Comprehensive Neonatal Care. (5th ed). Elsevier.
ISBN:978-1-4160-2942-7
Gomella, T. L. , Cunninham, M.D., & Eyal, F.G. (2003). Neonatology management,
procedures, on call problems, diseases and drugs. McGraw-Hill Professional Publishing. ISBN:
9780071389181.
Moore, K. Persuad, T.V.D. (2008). The developing human (8th ed.). Elsevier.
ISBN: 10-0721601316.
NGR 6320C
COURSE OUTLINE
PAGE 7
WEEKLY CLASS SCHEDULE
Date
Topic
Reading/ Online Lectures
August 15th , 16th and 17th
(All day classes)
Orientation
Week 1-3
August 23rd and 30th
Sept 6th
THE PREGNANCY AT
RISK: Perinatal Risk
Factors, Evaluation of Fetal
Maturity and Well-Being,
Fetal Distress, Intrauterine
Resuscitation, Congenital
Infections
Askin, D.F. (2001).
Intrauterine infections. Neonatal
Network. 23(5). 23-30.
Chang, M.H. (2007). Hepatitis
B virus infection. Seminars in
Fetal and Neonatal Medicine.
12(3), 160-167.
Kenner and Lott Chpt 37
Gomella. Chapter 1, 61.
Walker (2007). Congenital
syphilis: a continuing but neglected
problem. Seminars in fetal and
neonatal medicine, 12(3), 198
Week 4-6
Sept 13th, 20st, and 27th
NEONATAL SEPSIS:
Risk Factors, Immune
Response, Early and Late
Onset, Infection Control in
NICUs
Human Development: The
beginnings of human
development: The first
week
Clark, R. (2004). Prevention
and treatment of nosocomial
infections. Journal of
Perinatoology, 24, 446-453/
Kenner and Lott chp 9
Gomella. Chapter 61.
Enright, (2002) Neonatal
herpes infection: diagnosis,
treatment & prevention. Seminars
in neonatology 7 283-291
Moore: Chp 1 and 2
Procedure lab
NGR 6320C
COURSE OUTLINE
PAGE 8
Week 7,9,10
Oct 4th, 18th, 25th
MANAGEMENT OF
RESPIRATORY
PROBLEMS I:
Respiratory Function;
Problem Identification,
Management, and
Evaluation; Respiratory
Distress Syndrome;
Meconium Aspiration;
TTN; Airleaks.
Embryology: Formation of
the bilaminar embryonic
disc and chorionic sac: The
second wk
Kenner and Lott chp 1
Gomella. Chapters 6, 9,
67.Moore: Chapter 3
Wiedemann (2008). Meconium
aspiration syndrome. Neonatal
Network, 27(2), 81-7.
Aly, H. (2004). Respiratory
Disorders in the Newborn:
Identification and Diagnosis.
Pediatr. Rev. 25, 201-208
Week 8
October 11th
No Class: Work on Case
studies
FANNP Conference
Week 11, 12, 13
Nov 1st, 8th and 15th
PERINATAL
ADAPTATION: Delivery
Room Resuscitation,
Transition to Extrauterine
Life,
Kenner and Lott Chpt 38
Gomella. Chapter 2.
Moore Chapter 4
Sansoucie,(1997). Transition
from fetal to extrauterine
circulation. Neonatal Network,
16(2), 5-12.
Parker, L. (2005). Early
recognition and treatment of birth
trauma: injuries to the head and
face. Advances in Neonatal Care.
5(6):288-97.
Bradshaw (2006). A nurses
guide to early detection of UVC
catheter complications in infants.
Advances in Neonatal Care, 6(3),
127-138
Human Development:
Formation of germ layers
and early tissue and organ
differentiation: The third
week
Week 14, 15, 16
Nov 22nd, 29th, Dec 6th
PROBLEMS OF
IMMATURITY:
Nutritional Support, Health
Maintenance, Apnea, PDA.
Chow, (2008). Fluid and
electrolyte management in the
premature infant, Neonatal
Network, 27(6), 379
Evans, N. (2003) . Current
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NGR 6320C
COURSE OUTLINE
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Human Development: The
organogenic period
controversies in the diagnosis and
treatment of patent ductus
arteriosus in preterm infants. Adv
Neonatal Care. 2003, 3(4):168-77.
Kenner and Lott chpt 15
Gomella. Chapters 7, 8, 10.
Moore Chpt 5
Stokowski, (2005). A primer on
apnea of prematurity. Adv
Neonatal Care.5(3), 155-70.
Hantroll, G. Basic principles
and practical steps in the
management of fluid balance in
the newborn. Seminars in
neonatology 2003. 8, 307-313
Kuzma-O’reilly (2003).
Evaluation, development and
implementation of potentially
better practices in neonatal
intensive care nutrition.
Pediatrics, 111(4). E461.
Week 17
Week of Dec 12th
Finals week
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NGR 6320C
COURSE OUTLINE
PAGE 10
Student Attendance Sheet
Name:
Date
Hours in
Clinical
Unit
# of
Critically
Ill Patients
# of
moderately
ill infants
# of
Stable
Patients
# of
convalescing
infants
Preceptor
Signature
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COURSE OUTLINE
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Definitions for types of patients cared for
1. Convalescing infant: An infant requiring minimal care. Examples: infants on full feedings,
newborn infants, full term infants on antibiotic therapy, late preterm infants working on po
feedings, stable infants with uncomplicated hyperbilirubinemia
2. Stable infants: An infant requiring critical care but is stable. Examples: Infants on nasal cannula,
infants on nasal cannula and TPN.
3. Moderately ill infants: An infant requiring significant amounts of critical care: post op infants,
infants admitted with significant illness. Examples: infants on CPAP, infants on stable vent
settings
4. Critically ill infants: An infant requiring extensive care. Examples: infants on ventilators
requiring frequent vent changes, infants on pressor support, infants with rapidly changing clinical
status
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NGR 6320C
COURSE OUTLINE
PAGE 12
Procedure Log
Procedure
Date/preceptor initial
Intubation
UAC placement
UVC placement
CT insertion
Needle aspiration of
pneumothorax
Suprapubic bladder aspiration
Delivery room attendance
PICC line placement
Lumbar puncture
PAL placement
Arterial blood draw
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