Spring 2015
Angelina College
Health Careers Division
RNSG 2331: Advanced Concepts
General Syllabus
I.
BASIC COURSE INFORMATION
A. Course Description:
Three hours credit. Application of advanced concepts and skills for the development of the professional
nurse's roles with adult patients and families involving multiple body systems. Emphasis on advanced
knowledge, judgment, skills, and professional values within a legal/ethical framework. Forty-eight
classroom hours. Prerequisites: RNSG 1343, 1412, and 2460. Co-requisites: RNSG 2363. Special fee
required.
B. Intended Audience:
Sophomore working toward educational requirements for Associate of Applied Science in Nursing.
C. Instructor:
Name
Office Location Phone Number
Email Address
Alysa Bass
H212
936-633-5273
abass@angelina.edu
Sharon Buffalo
H107
936-633-5445
sbuffalo@angelina.edu
Ellen Duke
H210
936-633-5271
eduke@angelina.edu
Janet King
H215
936-633-3222
jking@angelina.edu
Nancy Rice
H213
936-633-5277
nrice@angelina.edu
Martha Keel
H211
936-633-5278
mkeel@angelina.edu
Office Hours: See office posting
Phone: Instructors may also be reached through the main Health Careers I telephone number at 936633-5265. If the instructor is not available, please leave a message with Kay Gibbs, the Program
Secretary, and she will relay the message to the instructor.
II. INTENDED STUDENT OUTCOMES:
A. Core Competencies – (Basic Intellectual Competencies)
1. Critical Thinking Skills (CT) – to include creative thinking, innovation, inquiry, and analysis, evaluation
and synthesis of information.
2. Communication Skills (COM) – to include effective development, interpretation and expression of ideas
through written, oral and visual communication.
3. Empirical and Quantitative Skills (EQS) – to include the manipulation and analysis of numerical data or
observe facts resulting in informed conclusions.
4. Teamwork (TW) – to include the ability to consider different points of view and to work effectively with
others to support a shared purpose or goal.
5. Personal Responsibility (PR) – to include the ability to connect choices, actions and consequences to
ethical decision-making.
6. Social Responsibility (SR) – to include intercultural competence, knowledge of civic responsibility, and
the ability to engage in regional, national, and global communities.
C. Course Objectives for all sections –
1. Applies the use of clinical reasoning, the nursing process, and evidence based practice outcomes as
the basis for decision making for adult medical surgical patients (PLO #1) (DEC 1 & 2).
2. Identifies behaviors that reflect commitment to the growth and development of the role and function of
nursing consistent with the state and national regulations and with ethical and professional standards;
recognizes continuous need to improve the discipline of nursing and its contribution to society; values
self-assessment and the need for life- long learning (PLO #2) (DEC 1 & 4).
3. Determines safe, compassionate nursing care using a systematic process of assessment, analysis,
planning, intervention and evaluation that focuses on the needs and preferences of adult medical
surgical patients and their families (PLO #3) (DEC 2 & 3).
4. Distinguishes safe practice guidelines for the adult medical surgical patient and family environment by
following scope and standards of nursing practice (PLO #4) (DEC 2)..
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5. Analyzes best practices for the adult medical surgical patients and their families by collaborating,
coordinating and/or facilitating comprehensive patient centered care with an
interdisciplinary/multidisciplinary healthcare team (PLO #5) (DEC 1, 2 & 3).
D. Course Objectives as determined by the instructor –
Cardiovascular Alterations
1. Discuss the assessment findings for the cardiovascular system.
2. Analyze laboratory and diagnostic tests specific to health problems affecting the cardiovascular system.
3. Identify risk factors associated with health problems affecting the cardiovascular system.
4. Plan nursing therapies specific to the care of patients with cardiovascular disease.
5. Discuss cardiovascular medications.
6. Discuss teaching plans for clients regarding cardiovascular health problems.
Pulmonary Alterations
7. Discuss the assessment findings for the pulmonary system.
8. Analyze laboratory and diagnostic tests specific to health problems affecting the pulmonary system.
9. Identify risk factors associated with health problems affecting the pulmonary system.
10. Plan nursing therapies specific to the care of patients with pulmonary disease.
11. Discuss pulmonary medications.
12. Discuss teaching plans for clients regarding pulmonary health problems.
13. Outline the principles of airway management and mechanical ventilation.
Renal Alterations
14. Discuss the assessment findings for the renal system.
15. Analyze laboratory and diagnostic tests specific to health problems affecting the renal system.
16. Identify risk factors associated with health problems affecting the renal system.
17. Plan nursing therapies specific to the care of patients with renal disease.
18. Discuss renal medications.
19. Discuss teaching plans for clients regarding renal health problems.
Shock & Multisystem Alterations
20. Discuss the assessment findings for the patient with shock & multisystem alterations.
21. Analyze laboratory and diagnostic tests specific in shock & multisystem alterations.
22. Identify risk factors associated with shock & multisystem alterations.
23. Plan nursing therapies specific to the care of patients with shock & multisystem alterations.
24. Discuss medications used with shock & multisystem alterations.
25. Discuss teaching plans for clients with shock & multisystem alterations.
Gastrointestinal Alterations
26. Discuss the assessment findings for the gastrointestinal system.
27. Analyze laboratory and diagnostic tests specific to health problems affecting the gastrointestinal
system.
28. Identify risk factors associated with health problems affecting the gastrointestinal system.
29. Plan nursing therapies specific to the care of patients with gastrointestinal disease.
30. Discuss gastrointestinal medications.
31. Discuss teaching plans for clients regarding gastrointestinal health problems.
Trauma Alterations
32. Discuss legal-ethical issues in the patient with trauma.
33. Discuss the assessment findings for the patient with trauma.
34. Analyze laboratory and diagnostic tests specific to trauma.
35. Identify risk factors associated with trauma.
36. Plan nursing therapies specific to the care of patients in trauma.
37. Discuss medications used with trauma patients.
38. Discuss teaching plans for patients with trauma.
Neurologic Alterations
39. Discuss the assessment findings for the neurological system.
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40.
41.
42.
43.
44.
Analyze laboratory and diagnostic tests specific to health problems affecting the neurological system.
Identify risk factors associated with health problems affecting the neurological system.
Plan nursing therapies specific to the care of patients with neurological disease.
Discuss neurological medications.
Discuss teaching plans for clients regarding neurological health problems.
Endocrine Alterations
45. Discuss the assessment findings for the endocrine system.
46. Analyze laboratory and diagnostic tests specific to health problems affecting the endocrine system.
47. Identify risk factors associated with health problems affecting the endocrine system.
48. Plan nursing therapies specific to the care of patients with endocrine disease.
49. Discuss endocrine medications.
50. Discuss teaching plans for clients regarding endocrine health problems.
Burns
51.
52.
53.
54.
55.
56.
Discuss the assessment findings for the patient with burns.
Analyze laboratory and diagnostic tests specific to health problems affecting the patient with burns.
Identify risk factors associated with health problems affecting the patient with burns.
Plan nursing therapies specific to the care of patients with burns.
Discuss medications used with the patient with burns.
Discuss teaching plans for clients with burns.
III. ASSESSMENT MEASURES OF STUDENT LEARNING OUTCOMES:
A. Assessments for the Core Intellectual Competencies –
1. Critical Thinking Skills (CT) – Competency in critical thinking is assessed through student's ability to
discuss patient case studies, identify patient care needs and complete written assignments.
2. Communication Skills (COM) Competency in speaking is assessed through oral contribution in smallgroup activities and interpersonal communication with patients, staff, instructors and peers.
3. Empirical and Quantitative Skills (EQS) – Competency in empirical and quantitative skills is assessed
through administration of a dosage calculation exam prior to clinical.
4. Teamwork (TW) – Competency in teamwork is assessed through student's ability to participate in
various group assignments.
5. Personal Responsibility (PR) –C
Competenc y in personal responsibility will be assessed through the
student's preparedness for exams and class assignments.
6. Social Responsibility (SR) – Competency in social responsibility will be assessed through the student's
performance on computerized exam questions relating to cultural and global health issues.
B. Assessments for Course Objectives for all sections –
SCANS (Secretary of Labor‘s Commission of Achieving Necessary Skills):
Students are expected to demonstrate basic competency in academic and workforce skills. The following
competencies with evaluation are covered in RNSG 2331:
SCANS Skills
Evaluation
Foundation Skills
Examinations
Required and suggested readings
Critical Thinking Case Studies
Peer evaluations
Workplace Competencies
Computer assisted Instruction
Completion of Independent Study Projects
C. Assessments for the Course Objectives as determined by the instructor – Same as above.
IV. INSTRUCTIONAL PROCEDURES:
A. Methodologies common to all sections
Audio-visual aids
Computer assisted instruction
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Educational games
Group discussion
Role playing
Independent study
Lecture
Blackboard instruction
B. Methodologies determined by the instructor
Not applicable for this course.
V. COURSE REQUIREMENTS AND POLICIES:
A. Required Textbooks, Materials, and Equipment –
Angelina College. ACNP Student Handbook 2014-2015
Pagana, Mosby's Diagnostic and Laboratory Test Reference, 11th Edition
Gahart, B.L. (2012). Intravenous medications (28th ed.). St. Louis: Mosby.
Lewis, S., Heitkemper, M., & Dirksen, S. (2011). Medical-surgical nursing: Assessment and
management of clinical problems. (8th ed.). St. Louis: Mosby.
Recommended Textbooks, Materials, and Equipment –
Lewis, S. & O’Brien, P. (2011). Study Guide for Medical-surgical nursing: Assessment and
management of clinical problems. (8th ed.). St. Louis: Mosby.
OR
Lewis, S., Heitkemper, M., & Dirksen, S. (2014). Medical-surgical nursing: Assessment and
management of clinical problems. (9th ed.). St. Louis: Mosby.
Recommended Textbooks, Materials, and Equipment –
Lewis, S. & O’Brien, P. (2014). Study Guide for Medical-surgical nursing: Assessment and
management of clinical problems. (9th ed.). St. Louis: Mosby.
B. Assignments –
Computer Assisted Instruction (CAI) and Blackboard Resources:
This is a Blackboard enhanced course. Students will be expected to log on to Blackboard to receive
calendars, course information and other materials. Please sign the Blackboard agreement and return it
to the instructor by the end of the first class week.
C. Course Policies – (This course conforms to the policies of Angelina College as stated in the
Angelina College Nursing Program Student Handbook and the Angelina College Student
Handbook.)
Progression Policy:
A student must earn a minimum grade of “C” or “P” in all required courses in order to progress within the
nursing program. All nursing courses must be taken in the appropriate sequence.
Withdrawal and Dismissal:
Students who wish to withdraw from the nursing program must do so with both the Nursing Program
Coordinator and the Office of Admissions. If the student does not officially withdraw in the Office of
Admission, an “F” will appear on the transcript for the course in progress at that time.
Examinations:
Students must be present and on time for all examinations which will be administered on-line in the
computer lab or by paper and pencil. If absent, student must call the nursing office @ 936-633-5265
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and leave a message, BEFORE the exam begins to make arrangements for a make-up exam or no
makeup exam will be scheduled. (See ACNP Student Handbook 2014-2015 for makeup exam policy.)
(Updated 1/12/2015)
Attendance at the final examination is required and may be rescheduled ONLY with the approval of the
Vice President of Instruction. All exams (and written assignments) become the property of the Nursing
Program.
Academic Assistance – If you have a disability (as cited in Section 504 of the Rehabilitation Act of 1973
or Title II of the Americans with Disabilities Act of 1990) that may affect your participation in this class, you
should see Karen Bowser, Room 208 of the Student Center. At a post-secondary institution, you must selfidentify as a person with a disability; Ms. Bowser will assist you with the necessary information to do so.
Angelina College (AC) admits students without regard to race, color, religion, natural origin, sex, disability,
or age. Inquiries regarding the non-discrimination policies of AC should be directed to: Dr. Patricia
McKenzie, Vice president and Dean of Instruction, 3500 South First, Lufkin, TX 75904, telephone is 936633-5201.
Attendance – See ACNP Student Handbook 2014-2015
Additional Policies Established by the Individual Instructor – None
VI. COURSE CONTENT:
A. Required Content/Topics –
Content
Cardiovascular Alterations
(King, J.)
Reading Assignment
Read: Lewis Chapters 34, 35, 37, (8th pp.1685-1698) (9th pp.
1602-1613)
Review: Lewis Chapter 32
Pulmonary Alterations
(Bass, A.)
Read: Lewis Chapters 68 & (8th)577-585 (9th)551-557
Review: Lewis Chapter 26, 28, 29 & (8th)1698-1713(9th)1610-1628
Exam 1
Renal Alterations
(Bass, A.)
Read: Lewis Chapter 47
Review: Lewis Chapters 45, 46
Shock & Multisystem Alterations
(Duke, E.)
Read: Chapter 67
Review: Lewis Chapter 17
Exam 2
Gastrointestinal Alterations
(Rice, N.)
Read: Lewis Chapter 43 (8th) pages 1072-1102 &
Lewis Chapter 43 (9th) pages 1017-1040
Trauma
(Duke, E.)
Read: Chapter 69;
Review: Lewis Chapter 17
Exam 3
Neurologic Alterations
(Keel, M.)
Read: Lewis Chapters 57(8th) 1425-1445 & (9th) 1357-1375 & 61
Review: Lewis Chapters 56 & 58
Endocrine Alterations
(Rice, N.)
Burns
(King, J.)
Exam 4
Comprehensive Final
Read: Lewis Chapters 48, 49, 50
Read: Lewis Chapter 25
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B. Additional Content – None
VII. EVALUATION AND GRADING:
A. Grading Criteria: The course grade is based on examination scores
Methods of Evaluation: Written examinations
Grade Distribution:
Unit Exams (4 total)
80%
Final Exam
15%
HESI Specialty Exam
5%
There will be NO rounding test grades. After averaging, the final grade is the only grade rounded.
B. Determination of Grade
Grading Scale:
A = 90-100
B = 80-89
C = 75-79
F = Less than 74.5
VIII. SYLLABUS MODIFICATION:
The instructor may modify the provisions of the syllabus to meet individual class needs by informing the class in
advance as to the changes being made.
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