Revised Spring 2014 Alabama Department of Postsecondary Education Representing Alabama’s Public Two-Year College System NORTHEAST ALABAMA COMMUNITY COLLEGE NUR 200: Nursing Career Mobility Assessment Theory 3 credit hours Lab 3 credit hours Total 6 credit hours I. CLASS MEETING DATES/TIMES/LOCATION TBA II. CLINICAL DATES/TIMES/LOCATION TBA III. INSTRUCTOR, CONTACT INFORMATION, CONTACT POLICY, OFFICE HOURS/LOCATION The Alabama College System Copyright 2004 All Rights Reserved Nursing Career Mobility Assessment NUR 200 IV. COURSE DESCRIPTION: This course is designed to provide LPN mobility students self-directed opportunities to prepare for placement into the third semester of the ADN program. Emphasis is on assessment and validation of selected theory, process, and skills covered in NUR 102, 103, 104, 105, and 106. Upon successful completion of assessments, students are eligible for progression into NUR 201. Students who successfully complete this course are awarded 15 non-traditional hours at the completion of the LPN mobility curriculum. This course supports CIP code 51.1601. V. PREREQUISITE(S)/CO-REQUISITE(S) CO-REQUISITE COURSES: BIO 201 – Anatomy and Physiology I BIO 202 – Anatomy and Physiology II MTH 100 – Intermediate College Algebra ENG 101 – English Composition I VI. TEXTBOOK(S) AND OTHER LEARNING RESOURCES See Reading Assignment VII. COURSE OBJECTIVES 1. Demonstrate knowledge of content taught in NUR 102. 2. Demonstrate competency in performing skills taught in NUR 102. 3. Demonstrate knowledge of content taught in NUR 103. 4. Demonstrate competency in performing skills taught in NUR 103. 5. Demonstrate knowledge of content taught in NUR 104. 6. Demonstrate competency in performing skills taught in NUR 104. 7. Demonstrate knowledge of content taught in NUR 105. 8. Demonstrate competency in performing skills taught in NUR 105. 9. Demonstrate knowledge of content taught in NUR 106. 10. Demonstrate competency in performing skills taught in NUR 106. VIII. PROFESSIONAL COMPETENCIES Demonstrate competencies and skills of Fundamentals of Nursing. Demonstrate competencies and skills of Health Assessment. Demonstrate competencies and skills of Introduction to Pharmacology. Demonstrate competencies and skills of Adult Nursing. Demonstrate competencies and skills of Maternal and Child Nursing. Demonstrate competencies and skills of Selected Pediatric Alterations. Demonstrate competencies in performing selected skills. The Alabama College System Copyright 2004 All Rights Reserved 2 Nursing Career Mobility Assessment NUR 200 MODULE A - ORIENTATION A1.0 Describe NUR 200 course requirements. A1.1 Verbalize understanding of NUR 200 course requirements. A1.1.1 A1.1.2 Review nursing program policies as described in the College Catalog. Discuss NUR 200 course requirements. MODULE B – FUNDAMENTALS OF NURSING B1.1 Demonstrate competencies and skills of Fundamentals of Nursing. B1.1 Demonstrate knowledge of content taught in NUR 102. B1.2 Demonstrate competency in performing skills taught in NUR 102. B1.1.1 B1.1.2 B1.1.3 B1.1.4 B1.1.5 B1.1.6 B1.1.7 B1.1.8 B1.1.9 B1.1.10 B1.1.11 Identify measures that promote a safe and secure environment. Review activities of daily living. Demonstrate accuracy in performing vital sign assessments. Use therapeutic communication skills. Demonstrate professional behavior. Describe needs-based care according to Maslow. Demonstrate understanding of the nursing process and critical thinking skills. Identify nursing measures to promote comfort, sleep and rest. Analyze nutritional/fluid balance of clients throughout the life cycle. Demonstrate knowledge of skills related to oxygenation. Demonstrate skills related to elimination. MODULE C – HEALTH ASSESSMENT C1.0 Demonstrate competencies and skills of Health Assessment. C1.1 Demonstrate knowledge of content taught in NUR 103. C1.2 Demonstrate competency in performing skills taught in NUR 103. C1.1.1 C1.1.2 C1.1.3 Explain the characteristics of growth and development of individuals throughout the lifespan. Document findings of a health history. Demonstrate a physical assessment on a partner in the campus lab. The Alabama College System Copyright 2004 All Rights Reserved 3 Nursing Career Mobility Assessment NUR 200 MODULE D –INTRODUCTION TO PHARMACOLOGY D1.0 Demonstrate competencies and skills of Introduction to Pharmacology. D1.1 Demonstrate knowledge of content taught in NUR 104. D1.2 Demonstrate competency in performing skills taught in NUR 104. D1.1.1 D1.1.2 D1.1.3 D1.1.4. D1.1.5 D1.1.6 D1.1.7 Review foundational concepts associated with pharmacology. Demonstrate competency in calculating drug dosages. Demonstrate competency in administering medications in the campus lab Demonstrate competency in calculating pediatric dosages. Demonstrate competency in performing intravenous calculations. Demonstrate competency in administering medications through tubes in the campus lab. Differentiate drug classifications. MODULE E – ADULT NURSING E1.0 Demonstrate competencies and skills of Adult Nursing. E1.1 Demonstrate knowledge of content taught in NUR 105. E1.2 Demonstrate competency in performing skills taught in NUR 105. E1.1.1 E1.1.2 E1.1.3 E1.1.4 Review the physiology of fluid, electrolyte, and acidbase imbalance. Demonstrate competency in performing IV therapy. Utilize the nursing process in providing perioperative care. Utilize the nursing process in providing care to clients with selected health alterations. MODULE F – MATERNAL AND CHILD NURSING F1.0 Demonstrate competencies and skills of Maternal and Child Nursing. F1.1 Demonstrate knowledge of content taught in NUR 106. F1.2 Demonstrate competency in performing skills taught in NUR 106. F1.1.1 F1.1.2 F1.1.3 F1.1.4 F1.1.5 F1.1.6 Utilize the nursing process in providing care for the antepartum client. Analyze complications of pregnancy. Utilize the nursing process in providing care to the intrapartum client. Utilize the nursing process in providing care to the postpartum client. Utilize the nursing process in providing care to the newborn. Utilize the nursing process in providing care to the pediatric client The Alabama College System Copyright 2004 All Rights Reserved 4 Nursing Career Mobility Assessment NUR 200 MODULE G – SELECTED PEDIATRIC ALTERATIONS G1.0 Demonstrate competencies and skills of Maternal and Child Nursing. G1.1 Demonstrate knowledge of content taught in NUR 106. G1.1.1 Utilize the nursing process to provide care to pediatric clients with selected alterations. G1.1.2 Review the pathophysiology, clinical manifestations, diagnostic tests, pharmacological agents/treatments, nutritional considerations, and health promotions for pediatric clients with health alterations. MODULE H – SKILLS ASSESSMENT H1.0 Demonstrate competency in performing selected skills. H1.1 Demonstrate competency in performing selected skills. H1.1.1 Demonstrate competency in performing selected skills in the campus lab. OUTLINE OF MODULES MODULE A – *ORIENTATION Review of school of nursing policies Minimum mobility admission requirements o License o CPR o Health forms o GPA o Alternative options Testing policies Course enrollment in generic programs Self-assessment o Individual knowledge and skills inventory o Resources o Lab schedules Testing dates Testing requirements/procedures o Knowledge Successful cognitive assessment before skills validation Pass/fail standards Advisement and analysis o Skills validation Pass/fail standards Advisement and analysis The Alabama College System Copyright 2004 All Rights Reserved 5 Nursing Career Mobility Assessment NUR 200 MODULE B – FUNDAMENTALS OF NURSING (Lab) Safety o Risk factors o Body mechanics o Mobility o Environmental hazards o Medical and surgical asepsis o Safety devices (restraints) o Disaster management o Risk management issues Activities of daily living o Hygiene o Toileting o Mobility o Skin Integrity o Therapeutic environment Vital signs o Temperature o Pulse (central and peripheral) o Respiration o Blood Pressure o Pain Communication skills o Establishing therapeutic nurse-client/family relationship o Communication process o Therapeutic/Non-Therapeutic communication o Barriers to effective communication o Documentation/reporting o Communication among healthcare team members Professional behaviors o History of nursing o Nursing educational career paths o Competencies of the nurse o Standards of nursing practice o Legal/Ethical Providing needs-based care o Maslow’s Hierarchy of Needs o Client/family lifespan o Impact of culture, ethnicity, spirituality, and sexuality o Effects of anxiety, stress and adaptation on homeostasis o The impact of grief and loss o Recording client care Nursing process and critical thinking o Nursing process o Critical thinking and decision making The Alabama College System Copyright 2004 All Rights Reserved 6 Nursing Career Mobility Assessment NUR 200 Comfort, pain, sleep and rest o Comfort measures o Pain management o Sleep promotion o Rest promotion Nutrition/fluid balance o Intake and output o Therapeutic diets o Enteral nutrition o Nutrients o Parenteral therapy Maintaining oxygenation o Oxygen administration o Nasopharyngeal suctioning o Oxygen maintenance o Pulse oximetry o Emergency procedures Maintain elimination o Bowel/bladder elimination procedures o Catheterization o Urinary diversions o Ostomy care o Enema o Specimen collection MODULE C – HEALTH ASSESSMENT (Lab) Growth and development throughout the life span o Pediatric o Adult o Geriatric Health history o Obtaining a health history o Normal and abnormal assessment findings o Documenting assessment o Conducting a general survey o Techniques Physical assessment O HEENT o Integumentary System o Respiratory System o Circulatory/Lymphatic System o Breast and Axillae o Abdomen o Reproductive System o Musculoskeletal System o Neurological System The Alabama College System Copyright 2004 All Rights Reserved 7 Nursing Career Mobility Assessment NUR 200 MODULE D – INTRODUCTION TO PHARMACOLOGY (Lab) Introduction to pharmacology o Sources of drugs and drug information o Legal and ethical issues o Pharmacodynamics o Pharmacokinetics Basic math for pharmacology o Calculation formulas o Systems of measurement Administering medications o Safety Issues o Reading and interpreting medication orders o Reading and interpreting labels o Drug administration equipment/adaptive equipment o Reconstitution of medications o Calculating dosages o Preparing dosages for administration o Routes for administering medications o Insulin administration o Heparin administration o The six rights o Client/family teaching o Documenting medication administration Calculating pediatric dosages o Milligrams/kilograms/body weight o Body surface area o Formulas for calculating pediatric dosages o Safe range Intravenous calculations o Calculation of rates Administering medications through tubes o Gastrointestinal tubes o Genitourinary tubes Introduction to classification of drugs o Concept o Common drug classifications The Alabama College System Copyright 2004 All Rights Reserved 8 Nursing Career Mobility Assessment NUR 200 MODULE E – ADULT NURSING *Fluid, electrolyte, and acid-base balance o Fluid and electrolyte homeostasis o Disturbances in fluid and electrolyte balance o Acid-base homeostasis o Acid-base alterations *IV therapy (Lab) o Roles and responsibilities o Types and use of intravenous solutions o Equipment and supplies o Patient physical and psychological preparation for IV therapy o Venipuncture process o Flow rate problems o IV Complications and problems o Monitoring and maintenance of the IV o IV medications o Blood, blood products, and volume expanders Perioperative care (Lab) o Nurses role within perioperative settings o Informed consent o Pre-operative o Intraoperative o Post-operative *System alterations o General areas Diagnostic tests Alterations Nursing process Pharmacological agents o Integumentary system Pressure ulcers (Decubitus) Inflammatory Infections Skin Cancers o *Respiratory system Acute Upper Chronic Upper Acute Lower Chronic Lower Occupational lung Diseases The Alabama College System Copyright 2004 All Rights Reserved 9 Nursing Career Mobility Assessment NUR 200 o *Cardiovascular system alterations Hypertension Peripheral Vascular Alterations Hematological Congestive heart failure (left and right) Aneurysms o *Endocrine system alterations Diabetes Acute and Chronic Complications o Upper gastrointestinal system alterations Infectious/Inflammatory Hiatal hernias Gastrostomy tube reinsertion and management Surgical procedures Cancers of upper GI o Musculo-skeletal system alterations Musculo-skeletal traumas Inflammatory alterations Degenerative alterations Gout Lyme disease Osteomylacia disease Surgical procedures MODULE F – MATERNAL AND CHILD NURSING Antepartum (Lab) o Family dynamics o Preconception health promotional considerations o Fetal development o Signs of pregnancy o Physiological changes of pregnancy o Psychological adaptation to pregnancy o Prenatal education and care o Diagnostic tests o Pharmacological agents o Nutrition o Discomforts of pregnancy o Childbirth education The Alabama College System Copyright 2004 All Rights Reserved 10 Nursing Career Mobility Assessment NUR 200 *Complications of pregnancy o Nursing roles o Assessment of fetal well-being o Complications of pregnancy o Pathophysiology/Clinical manifestations o Diagnostic tests o Pharmacological agents/treatments o Nutritional considerations o Health promotion Intrapartum (Lab) o Onset of labor o Maternal responses to labor o Variables affecting labor o Stages of labor o Admissions of client in labor o Psychosocial care during intrapartum o Diagnostic tests o Nutritional considerations o Obstetric procedures o Induction/augmentation of labor o *Complications of Intrapartum o Pharmacology o Immediate newborn/mother care Postpartum (Lab) o Family adaptation o Physiologic changes o Psychosocial changes o Newborns’ and Mothers’ Health Protection Act of 1995 o Health promotion o Vaginal/Cesarean birth o Diagnostic tests o Nutritional considerations o Pharmacological/treatments o Postpartal procedures o Complications o Teaching and learning for postpartal care and discharge Newborn care (Lab) o Care needs of the newborn o Physical characteristics of the newborn o Reflexes o Behavioral characteristics o Gestational age o Diagnostic tests o Nutritional considerations o Pharmacological agents/treatments for the newborn o Selected procedures The Alabama College System Copyright 2004 All Rights Reserved 11 Nursing Career Mobility Assessment NUR 200 Circumcision Hearing screens Heel sticks Serology screening o Complications o Cultural diversity o Teaching and learning Pediatric care o Teaching and learning strategies o Preparing the pediatric client and family for hospitalization o Developmental assessments o Pediatric procedures o Scheduled immunizations o Nutritional considerations o Cultural diversity o Health promotion o End of life issues MODULE G – *SELECTED PEDIATRIC ALTERATIONS Pathophysiology Clinical manifestations Diagnostic tests Pharmacological agents/treatments Nutritional considerations Health promotion Selected pediatric alterations o *Respiratory system o *Cardiovascular system and Blood Disorders o *Infectious disorders, Lymphatic and Immune systems o Gastrointestinal system o Musculoskeletal system o *Endocrine system o Integumentary system o *Nervous system o *Sensory system o *Genitourinary system o Psychosocial disorders The Alabama College System Copyright 2004 All Rights Reserved 12 Nursing Career Mobility Assessment NUR 200 MODULE H – SKILLS ASSESSMENT (Lab) Catheterization Trach care Starting and maintaining peripheral lines Nasogastric tube insertion and maintenance Suctioning o Oral o Nasopharyngeal o Tracheal Medication administration and calculations Oxygen administration Ostomy care Dressing change Head-toe assessment Vital signs Enteral feeding * - Indicates content presented in lecture format Lab - Indicates content presented in a lab setting or in a self-directed format XI. EVALUATION AND ASSESSMENT A. Theory 1. Tests will be given throughout the course and may incorporate various teaching/learning methods (for example: situational, multiple choice, discussion, performances, etc). 2. Students must pass knowledge assessment for each course (NUR 102, 103, 104, 105, and 106) with a minimum score of 75% with two attempts before attempting skills validation. B. Campus Lab 1. Students must pass all knowledge assessments before performing skills validation. 2. Students are expected to complete required computer programs and view assigned video programs prior to performing skills validation. 3. Students have two opportunities to successful perform all required skills in the campus lab. The Alabama College System Copyright 2004 All Rights Reserved 13 Nursing Career Mobility Assessment NUR 200 C. Course Grade Students must pass each content validation exam with a minimum score of 75%. The course grade will be determined by averaging the grades received on validation exams. The student must pass both knowledge assessments and all skills validation for progression into Nursing 201. XII. ATTENDANCE Students are expected to attend all classes for which they are registered. Students who are unable to attend class regularly, regardless of the reason or circumstance, should withdraw from that class before poor attendance interferes with the student’s ability to achieve the objectives required in the course. Withdrawal from class can affect eligibility for federal financial aid. Withdrawal from class can prohibit progression in nursing and allied health programs. XIII. STATEMENT ON DISCRIMINATION/HARASSMENT The College and the Alabama Board of Education are committed to providing both employment and educational environments free of harassment or discrimination related to an individual’s race, color, gender, religion, national origin, age, or disability. Such harassment is a violation of State Board of Education policy. Any practice or behavior that constitutes harassment is a violation of State Board of Education policy. Any practice or behavior that constitutes harassment or discrimination will not be tolerated. XIV. AMERICANS WITH DISABILITIES The Rehabilitation Act of 1973 (Section 504) and the American with Disabilities Act of 1990 state that qualified students with disabilities who meet the essential functions and academic requirements are entitled to reasonable accommodations. It is the student’s responsibility to provide appropriate disability documentation to the College. Please contact the ADA representative. XV. COURSE CALENDAR Course Calendar will be provided to student by the first day of class. The Alabama College System Copyright 2004 All Rights Reserved 14 Nursing Career Mobility Assessment NUR 200 XVI. STUDENT ACKNOWLEDGEMENT FORM I have received the Course Syllabus for NUR 200: Nursing Career Mobility Assessment. My signature indicates that I have read and understand the contents. ___________________________________ Student’s Signature ___________________________________ Date The Alabama College System Copyright 2004 All Rights Reserved 15 Nursing Career Mobility Assessment NUR 200 Northeast Alabama Community College Evaluation of Learning Outcomes for Career/Technical Courses Student Learning Outcomes Form 1 Faculty regularly review the extent to which the course and program learning outcomes identified in a course syllabus are being attained by students who complete the course. Each syllabus identifies the assessment method that will be used to demonstrate student mastery of the desired learning outcomes for that course. Before teaching a course, faculty should review the syllabus to understand how the learning outcomes will be evaluated. Once the course is complete, this form is used by the instructor to report how well students demonstrated mastery of those course learning (and by extension, program learning) outcomes. Course Prefix & No.: NUR 200 Instructor: Cindy Jones Semester: Type of Delivery – Mark One*: Course Title: Nursing Career Mobility Assessment Date: Section Number(s): Dual Enrollment Online Traditional *Double click on the appropriate box. When the form field menu appears, select “checked” under Default value. Note: To insert or delete rows on the table, click on Table on the tool bar. Learning Outcome (Industry or Professional Competency) Evaluation Method Explain how each learning outcome for this course is assessed. Demonstrate competencies and skills of Fundamentals of Nursing Demonstrate competencies and skills of Health Assessment. Demonstrate competencies and skills of Introduction to Pharmacology. Demonstrate competencies and skills of Adult Nursing. Demonstrate competencies and skills of Maternal and Child Nursing. Demonstrate competencies and skills of selected pediatric alterations. The student will score >75% on NUR 102 Final exam with two attempts. Evaluation Results Of the students who earned a grade of C or better for the course, what percentage demonstrated attainment of the stated outcomes? The student will score >75% on NUR 103 Validation Exam with two attempts. The student will score >75% on NUR 104 Validation Exam with two attempts. The student will score >75% on NUR 105 Validation Exam with two attempts. The student will score >75% on NUR 106 Validation exam with two attempts. The student will score >75% on the NUR 106 Validation exam with two attempts. SLO FORM 1 Student Learning Outcomes Committee. Copyright © 2005. [Northeast Alabama Community College]. All rights reserved. Revised 05/04/10. Permission for use of this form by other institutions may be requested via email to the Office of Institutional Planning & Assessment. Nursing Career Mobility Assessment NUR 200 Demonstrate competencies in performing selected skills. The student will perform the skills of catheterization, medication administration, venipuncture, and a head-to-toe physical assessment with 100% accuracy with two attempts. Use of Evaluation Results Explain how evaluation results will be used to improve the course. *Reviewed: Cindy Jones, EdD, RN Division Director or Program Supervisor Date *To be completed by Division Director or Program Supervisor Only SLO FORM 1 Student Learning Outcomes Committee. Copyright © 2005. [Northeast Alabama Community College]. All rights reserved. Revised 05/04/10. Permission for use of this form by other institutions may be requested via email to the Office of Institutional Planning & Assessment.