NURSING III
NUR 130
SYLLABUS
SUMMER 2008
INSTRUCTOR: Mary Briley
252-222-6057
PHONE:
Wayne West 234
OFFICE
LOCATION:
E-MAIL:
OFFICE
HOURS:
brileym@carteret.edu
As posted on office door
INSTRUCTOR: Marilyn Springle
252-222-6053
PHONE:
Wayne West 343
OFFICE
LOCATION:
E-MAIL:
OFFICE
HOURS:
springlem@carteret.edu
As posted on office door
INSTRUCTOR: Cindy Yount
252-222-6112
PHONE:
Wayne West 232
OFFICE
LOCATION:
E-MAIL:
OFFICE
HOURS:
yountc@carteret.edu
As posted on office door
SEMESTER HOURS
CREDIT:
CONTACT HOURS:
7
PREREQUISITES:
NUR 120
13
COREQUISITES:
None
TEXT: Required textbooks:
Adams, M., Josephson, D., & Holland, L. (2005) Pharmacology for Nurses. (2nd Ed.) Upper Saddle
River: Prentice Hall (bundle with workbook)
Lewis, S., Heitkemper, M., & Dirksen, S. O’Brien, P. Bucher, Medical-Surgical Nursing:
Assessment and Management of Clinical Problems, (7th Ed.), (2007). St. Louis: Mosby.
McKinney, E. James, S. Murray, S. and Ashwell, J. (2005). Maternal Child Nursing, (2nd Ed.), St.
Louis: Elsener Saunders.
Recommended textbooks:
Deglin, J. & Vallerand, A. (2007) Davis’s Drug Guide for Nurses, (10th Ed.) Philadelphia: F.A.
Davis Co.
Doenges, M., Moorhouse, & Murr (2006) Nurse’s Pocket Guide: diagnoses, intervention and
rationales, (10th Ed.) Philadelphia: F.A. Davis.
Estes, M. (2006) Health Assessment and Physical Examination. (3rd Ed.) Albany: Delmar
Finkleman, A. (2006) Leadership and Management in Nursing. Upper Saddle River: Prentice Hall.
Kee, J & Marshall, S. (2004) Clinical Calculations (5th Ed.). St. Louis: Saunders.
Lutz, C. & Przytulski, K., (2006) Nutrition and Diet Therapy- Evidence Based Applications. (4th Ed.)
Philadelphia: F.A. Davis Co.
Potter, P. & Perry, A. (2005). Fundamentals of Nursing, (6th Ed.) St. Louis: Mosby.
Potter, P & Perry, A. (2006). Clinical Nursing Skills & Techniques, (6th Ed.) St. Louis: Mosby.
Schuster McHugh, P., (2008), Concept Mapping: A Critical-Thinking Approach to Care Planning,
(2nd Ed.), Philadelphia: F. A. Davis Co.
Tabors Medical Dictionary, (20th Ed.) (2005) Philadelphia: F.A. Davis Co.
Van Seeuwen, A., Kranpitz, T. & Smith, L. (2006) Laboratory and Diagnostic Tests with Nursing
Implications. (2nd Ed.) Philadelphia: F.A. Davis Co.
SUPPLEMENTARY READING:
Hogan, M (2003) Child health nursing: Review and rationales. Upper Saddle River, Prentice Hall.
Hogan, M (2003) Maternal-newborn nursing: Review and rationales. Upper Saddle River, Prentice
Hall.
North Carolina Nursing Practice Act, July 2005
Associate Degree Nursing Student Handbook 2007 – 2009
ATI Standardized Testing Maternal – Newborn
COURSE DESCRIPTION:
This course provides an expanded knowledge base for delivering nursing care to individuals of
various ages. Emphasis is placed in expanding the nurse’s role as provider of care, manager of
care, and member of the discipline of nursing. Upon completion, students should be able to
deliver care to individuals with common alterations in health.
COURSE OBJECTIVES (THEORY AND CLINICAL):
Upon completion of this course, the student will:
1. As a provider of care, perform a history and physical examination with an emphasis on
gynecological and obstetrical patients, the newborn and children.
2. Assess the impact of developmental, psychosocial, cultural and spiritual influences on the
patient’s health status.
3. Assess the patient’s learning strengths, capabilities, barriers, and educational needs.
4. Identify community resources for patient access based on assessed needs.
5. Utilize the nursing process to meet the needs of patients with a focus on the gynecological and
obstetrical patient, the newborn and child.
6. Use clinical judgments and evaluation of outcomes to ensure accurate and safe care.
7. Operate in a collaborative manner with the patient and healthcare team members in the
childbearing, nursery and pediatric setting.
8. Communicate professionally with the patient, healthcare team members, peers and instructor.
9. Employ the nursing process to safely administer pharmacological agents to patients.
10. Practice nursing that is characterized by critical thinking, clinical competence, patient advocacy,
commitment to caring, and attention to environmental factors.
2
TEACHING METHODS TO BE USED:
Reading/preparation assignments, lecture, guest presenters, discussion, demonstration, skills
practice activities, handouts, audio-visuals materials, computer-supported learning activities and
simulations, case study/critical thinking activities, and games, Blackboard, ATI testing. The
primary delivery for this course is via traditional face-to-face method with a requirement that
students have Internet access as a supplemental part of the course. Internet is available free to
enrolled students in the college open computer lab and the LRC.
EVALUATION METHODS:
Theory: Unit tests, final examination
Lab:
Return demonstration/check-off
Clinical: Nursing care plans, medication care plans, student-instructor conferences,
clinical performance, clinical evaluation tool, concept maps.
GRADING CRITERIA:
All nursing courses must be completed with a minimal grade of “C” before progressing into the
next nursing course. Grades are earned and issued according to the following scale:
A= 94-100
B= 87-93
C= 80-86
D= 72-79
F= below 72
Laboratory: Satisfactory/unsatisfactory
Clinical:
Satisfactory/unsatisfactory
THEORY (CLASSROOM:
Unit test
Final exam
Student Presentation
Community Resources paper
70%
24%
3%
3%
Laboratory grade
Laboratory check-off performances must be on a satisfactory level in order to pass the course
regardless of the student’s average in theory work. Students are given opportunities to practice
and repeat an unsatisfactory performance. All performance assessments (check-off) must be
satisfactory by the date determined by the instructor.
CLINICAL:
Clinical performance must be on a satisfactory level in order to pass the course regardless of the
numerical grade in the theory work.
3
Sample grading:
Average of 5 unit exam
=
Final exam
=
Student Presentation
=
Community Resource paper =
Total
=
Laboratory
Clinical
87 x 0.70 = 60.9
82 x 0.24 = 19.68
95 x 0.03 = 2.85
93 x 0.03 = 2.79
86.22 = final grade of 86 = C
S
S
Drug Calculation Test: During the first week of lab the student will take a 20-item drug
calculation test. You will have 45 minutes to complete the test. A student who does not earn a
grade of “90” or better will be required to complete a remediation plan of action. The student
will be allowed one retest after remediation. If the student is unable to obtain the minimal grade
of “90,” then the student is unable to progress and is dropped from the course and the nursing
program.
Other: Calculators (or other technological support) are not allowed to be used during
testing or lab check-off.
Testing Policy:
Review of testing policy in the Nursing Student Handbook.
Attendance Policy:
As applied to all Health Science Programs, the student enrolled in the Associate Degree Nursing
Program is required to attend a minimum of 80% of the total class, lab, and clinical hours in the
nursing (NUR) courses. Absences in excess of 20% may result in being dropped from the
program.
The nursing profession values individuals that demonstrate responsibility, accountability, and the
ability to be punctual. As students of nursing, take pride in being prompt and dependable. Class,
lab and clinical will start on time. Students entering after the instructor has started the scheduled
class/lab/clinical will be considered tardy. Tardies are monitored by faculty, as are absences.
Faculty is held accountable for providing an environment that is conducive for learning. Late
arrivers are disruptive to the instructor and class members. Therefore, once the class has started,
late arrivers will be admitted on the first class/lab break.
When the student is going to be tardy or absent from clinical, the student is expected to notify the
clinical instructor and clinical site.
Example
Class
NUR 120
5 hours x 16 weeks = 80 hours
80 x 20% = 16 hours
Allowed absence for NUR 130
Class
12.8 hours
Lab
9.6 hours
Clinical
19.2 hours
Required attendance
Class
51.2 hours
Lab
38.4 hours
Clinical
76.6 hours
4
NC COMMUNITY COLLEGE SYSTEM COMBINED COURSE LIBRARY
DESCRIPTION: (http://www.ncccs.cc.nc.us/Programs/common_course_library.htm)
CARTERET COMMUNITY COLLEGE
POLICIES
The details of the following policies are in the Student Handbook, which is available on
the college web-page.
Click on the link below, and then scroll to the page number listed.
http://www.carteret.edu/AcademicResources/Publications/0708StudentHandbook.pdf
Policy
Page
INCLEMENT WEATHER POLICY
7
ATTENDANCE POLICY
8
WITHDRAWAL POLICY
10
SPECIAL NEEDS POLICY
14-16
BUILDING EVACUATION POLICY
INCOMPLETE GRADE POLICY
26
30 (see college catalog for more
information)
ACADEMIC INTEGRITY & PLAGIARISM POLICY
31
CARTERET COMMUNITY COLLEGE
RESOURCES
Resource
Page
CAREER & ACADEMIC PLANNING SERVICES
19
ACADEMIC SUPPORT SERVICES TUTORING INFORMATION 19
LIBRARY
20
ACADEMIC COMPUTER LAB
26
COLLEGE WEBSITE Visit the College website at http://www.carteret.edu
5
Unit Objective
Unit I.
1. Discuss the historical background of maternity nursing and
health care.
2. Discuss the use of evidence-based practice and nursing
theory as they related to maternal-child health practices.
3. Describe the role of the nurse in contemporary maternalchild nursing.
4. Discuss the ethical and legal considerations of maternalchild nursing.
5. Discuss trends in maternal, infant, and childhood mortality
and morbidity rates.
6. Explain the importance of family when caring for maternity
and pediatric patients.
7. Compare Western cultural values with those of other
cultural groups.
Unit II.
1. Discuss the functions of the placenta, amniotic fluid, and
umbilical cord.
2. Analyze the effects of teratogens on fetal development.
3. Identify criteria for viability.
4. Summarize the significant changes in growth and
development of the fetus.
Content
Teaching/Learning
Activities & Student
Prep
Unit I. Introduction to Women’s
and Newborn Health
A. Historical background
B. Evidenced-base practice
C. Role of the nurse in
maternal-child nursing
D. Ethical and legal
considerations
E. Mortality and morbidity
rates
F. Family involvement
G. Cultural awareness
Read Maternal-Child
Nursing (MCN) Ch.
1,2,3
Unit II. Conception and Fetal
Development
A. Fertilization
B. Placenta
C. Amniotic fluid
D. Umbilical cord
E. Teratogens
1. Types
2. Effects
3. Nursing implications
F. Fetal development
Read on own: the
anatomy &
physiology of the
reproductive system
by reading MCN Ch.
11
6
Evaluation
Test 1
Instructor led lecture
Read MCN Ch. 12
Instructor led lecture
Examine fetal models
Test 1
Unit III.
1. Explain the expected maternal anatomic, physiologic, and
III. Changes and Adaptations
psychological alterations occurring with pregnancy.
During Pregnancy
2. Discuss the production and function of maternal hormones
A. Anatomy and physiology
during pregnancy.
of pregnancy
3. Describe gravity and parity.
B. Maternal hormones
4. Identify the presumptive, probable and positive
C. Gravida and para
manifestations related to pregnancy.
classification
5. Describe Nagele’s Rule.
D. First trimester
6. Employ the nursing process to provide nursing care during 1.
diagnosis of
the first, second and third trimesters.
pregnancy
7. Describe the nutritional needs of the woman during the
2. signs of pregnancy
antepartum period.
3. Nagele’s rule
4. discomforts
5. psychological
6. application of the
nursing process
E. Second trimester
1. ongoing prenatal care
2. discomforts
3. psychological
4. warning signs
5. application of the
nursing process
F. Third trimester
1. ongoing prenatal care
2. self-care
3.
home preparation for
baby
4. child birth classes
5. discomforts
6. psychological
7. warning signs
8. impending labor
9. application of the
nursing process
7
Read MCN Ch. 13,14,
15
Instructor led lecture
Handouts
In class view CD: “
Maternal-Newborn &
Women’s Health
Nursing Skills
Read Lutz &
Przytulsk; (L&P) Ch.
11.
Homework
Complete the case
study “11-1” in (L&P)
and be prepared to
discuss your responses
to the 3 case study
questions in class
Test 2
Unit IV.
1. Explain the essential factors that affect the labor process.
2. Employ the nursing process to provide care for the mother
and fetus during the first, second and third stages of the labor
process.
3. Employ the nursing process to care for the woman during the
fourth stage of the labor process.
Unit V.
1. Explain the physiological and emotional changes of the
postpartum period.
2. Apply the nursing process in caring for the woman during
the postpartum period.
3. Discuss the use and nursing management of
pharmacological agents during the postpartum period.
Unit IV. Labor and Delivery
A. Process of labor
B. Essential factors
1. passageway
2. passenger
3. power
4. psyche
5. position
C. First stage of labor
D. Second stage of labor
E. Third stage of labor
F.
Procedures
1. amniotomy
2. induction
3. version
4. assisted vaginal
delivery
5. C/S
Read MCN Ch. 17, 20
Reference: Adams
Text
Instructor led lecture
Handouts
In class view DVD “
assisted delivery and
C/S”
In Class view CD
“Maternal-Newborn
& Women’s Health
Nursing Skills”
Test3
Unit V. Postpartum
A. Physical changes
B. Emotional changes
C. Pharmacological agents
D. Application of the
nursing process
Read MCN Ch. 21
Instructor led lecture
Handouts
In Class view: “
Maternal-Newborn &
Women’s Health
Nursing Skills
Test 3
8
Unit VI.
1. Identify immediate nursing care responsibilities for the
newborn.
2. Discuss the principles behind bonding.
3. Discuss nutritional needs of the newborn.
4. Apply the nursing process to care for the newborn.
5. Discuss the use and nursing management of
pharmacological agents for the newborn.
Unit VII
1. Discuss the etiology, clinical manifestations,
complications, collaborative care and nursing
management for the newborn at risk.
Unit VIII.
1. Discuss the etiology, clinical manifestations, collaborative
care and nursing management for the patient experiencing
complications of child bearing.
Unit VI. Newborn Care
A. Immediate nursing
responsibilities
B. Characteristic findings
C.
Bonding
D. Nutritional needs
E.
Pharmacological agents
F.
Application of the
nursing process
In class view CD: “
Maternal-Newborn &
Women’s Health
Nursing Skills”
Unit VII. Newborns at risk
A. Respiratory distress
B. Gestational age issues
C. Hypoglycemia
D. Hyperbilirubinemia
E. Anomalies
F.
Neonatal infections
G. Substance abuse
H. Impending death
I.
Nursing management
Read MCN Ch. 25,
29, 30
Instructor led lecture
Test 4
Unit VIII. Complications of Child
Bearing
A. Maternal hemorrhagic
conditions
B. Hydatidiform mole
C. Hypertensive disorders
D. HELLP
E. Rh & ABO
incompatibility
F.
Gestational diabetes
G. Maternal infections
H. High risk labor
I.
PP complications
Read MCH Ch.
26,27,28
Instructor led lecture
Test 5
9
Test 4
Read MCN Ch. 22-24
Instructor led lecture
In class view VC “The
nurses: battling for
babies”
Unit IX.
1. Relate knowledge of the normal anatomy and physiology of
the female reproductive system and breast and its
assessment to female reproductive and breast disorders.
2. Discuss the etiology, clinical manifestations, complications,
collaborative care and nursing management for common
disorders of the female reproductive system and the breast.
3. Employ the nursing process to care for the woman
experiencing health alterations of the reproductive system
and breast.
Unit IX. Health Alterations in the
Reproductive System and Breast
A. Menstrual problems
B. Ectopic pregnancy
C. Menopause
D. Pelvic inflammatory
disease
E. Endometriosis
F.
Benign and cancerous
tumors of the
reproductive organs
G. Cystocele, rectocele, and
recto-fistula
H. Breast conditions
1. Fibrocystic
2. Mastitis
3. Breast cancer
4. Mastectomy nursing
care
I.
Application of the
nursing process
10
Read MCN Ch. 31
Read Lewis Ch. 51,52
Reference Adams
Text
View on own:
Pelvic inflammatory
disease & ectopic
pregnancy (LRC)
Instructor led lecture
Test 5
Unit Objective
Content
Lab Objectives
11
Teaching/Learning
Activities & Student Prep
Evaluation
Unit Objective
Lab A.
1. Perform a newborn assessment.
2. Perform a postpartum assessment using the “Bubble He”
format.
Lab B.
1. Discuss the objectives of childbearing classes for the expectant
woman and their support person.
2. Discuss the role of the student nurse in the labor room as it relates
to childbearing, coaching and support.
Lab C.
1. Identify indications and purpose for common fetal diagnostic
procedures during the first, second and third trimesters.
2. Discuss the purpose of fetal surveillance during labor.
3. Discuss the methods used to perform fetal assessment during
labor.
4. Interpret electronic fetal data from given scenarios.
5. Use the nursing process to plan care for a woman having fetal
diagnostic well-being tests and fetal monitoring during labor.
Content
I.
Newborn
assessment
II. Postpartum
assessment
I.
Childbearing
classes
II. SN role
Teaching/Learning
Activities & Student Prep
Read MCN Ch. 21& 22
Instructor led lecture
Demonstration
practice
Handouts
DVD: In class Observation
“Mosby’s Care of Infant:
Obtaining vs Measurement of
an Infant
Instructor led lecture
Demonstration
practice
Handouts
Evaluation
Return
demonstration;
Clinical
Test 1
Test 1,
Clinical
Test 2
I.
Indications &
purpose
II. First trimester
tests
III. Second trimester
tests
IV. Third trimester
tests
V. Antepartum fetal
surveillance
VI. Intrapartum fetal
surveillance
VII. Nursing process
12
Read MCN Ch. 16, 18
Instructor led lecture
Practice strip analysis
Handouts
In class activity: DVD
“Electronic Fetal Monitoring”
(LRC)
Clinical
Lab D.
1. Discuss the use and nursing management of non-pharmacological
and pharmacological agents during the labor process.
2. Apply the nursing process in providing pain management for the
woman in labor.
Lab E.
1. Interpret information for management of a pregnant woman with
complications based on given scenarios.
2. Use the nursing process to plan care for a pregnant woman with
complications based on given scenarios.
Lab F.
1. Explain factors that impair a couples’ ability to conceive.
2. Explain methods used to aid a couples’ ability to conceive.
3. Compare and contrast contraceptive methods in terms of
safety, effectiveness, convenience, expense, and preference.
4. Discuss the nurse’s role in helping individuals & couples
choose contraceptive devises.
Read MCN Ch. 19
I. Assessment
II. Nursing
diagnosis
III. Planning
IV. Implementation
a. epidural
b. pudendal
c. spinal
d. paracervical
block
e. non
pharmacological
management
V. Evaluation
In lab activity: view video:”
Epidural techniques in
childbirth”
Examine alternative methods
to manage pain associated
with child birth.
Test 3
Clinical
Case Studies
Test 5
I.
II.
III.
IV.
V.
Assessment
Nursing diagnosis
Planning
Implementation
Evaluation
Read MCN Ch. 10
Reference Adams Text
Test 5
I.
Factors impairing
conception
II. Management of
fertility and
infertility
III. Contraceptive
methods
VI. Nurse’s role
13
Instructor led lecture
Instructor:
Student Name:
Date:
NEWBORN ASSESSMENT
SKILLS CHECKLIST
Understands
Physiology
General Profile:
1. Weight
a. normal at birth
b. loses 5-10% first few days
2. Normal measurements
a. head circumference
b. length
c. chest circumference
3. Vital Signs
a. temperature
b. heart rate
c. respiratory rate
d. blood pressure
e. apgar scores (one minute & five minutes)
4. Complications
5. Feeding choice
Assessment of Body Systems:
1. Cardiovascular
a. cord vessels/number/appearance/care of
b. acrocyanosis
2. Respiratory
a. rhythm, depth
b. presences of abnormalities
1. grunting
2. flaring nares
3. retractions
4. noisy, labored respirations
5. breath sounds
14
Demonstrates
on Newborn
Understands
Physiology
3. Gastrointestinal
a. fusion of upper lip, palates
b. patency of anus
c. stool cycle
1. meconium
2. transitional
3. breast fed
4. bottle fed
d. bowel sounds
3. Urinary
a. color
b. amount
c. occurrence within first 24 hours
3. Reproductive
a. Breasts
1. edematous
2. discharge
b. Vaginal discharge
c. Edematous labia/scrotum
d. Testes descended
e. Penis
1. urinary meatus placement
2. circumcised
Neurological
3. Reflexes
a. rooting
b. sucking
c. swallowing/gag
d. Moro
e. Babinski’s
Musculoskeletal
1. Ortolani maneuver
2. Fontanels
a. anterior
1. shape/site
b. posterior
1. shape/site
3. Spinal fusion
4. Cranial molding
15
Demonstrates
on Newborn
Understands
Physiology
Integumentary
1. Cranium
a. caput succedaneum
b. cephalhematoma
c. significance/implications
2. Lanugo
3. Vernix caseosa
4. Desquamation
5. Milia
6. Jaundice
a. before 24 hours
b. after 24 hours
7. Mongolian spots
16
Demonstrates
on Newborn
Post-Partum Physical Assessment Skills Checklist
Student Name:
Date:
Instructor:
Before beginning assessment: Vital signs taken. Have patient to empty bladder, then position patient in supine position.
Areas to Assess
Breast/Nipples
Physiological Changes
S
U
General Appearance breasts:
Soft/Firm
Engorged (2 to 4 days after delivery)
Tender/Painful
Nodules
Nipples
Sore
Cracked
Inverted/Erect
Draining
Areas to Assess
Lochia (perineal
area)
Physiological Changes
Inspect/Assess:
Amount of bleeding
Number of pads
Color
Consistency
Odor
Clots
(presence of colostrum or milk)
Uterus
General Appearance Fundus:
Palpate: Firm
Soft/Boggy
Location:
Episiotomy
Inspect/Assess:
Edema
Ecchymosis
Redness
midline, lateral, fingerbreaths
If C-Section: Assess abdominal incision
Type: midline, mediolaterally,
laceration, approximation
Bladder
Inspect and palpate bladder simultaneously
while checking the height of the fundus
Homans Sign
Location: midline, lateral
Bowel Function
Distended
Burning/Pain
Measure 1st three voidings
General Appearance (rectum):
Hemorrhoids
Pain/Swelling
Emotional Status
Inspect/Assess:
Legs
Varicosities
Assess for sensation & mobility
with epidural or spinal anesthesia
Tenderness/Pain
Warmth
Edema
Leg straight, press down on
knee, flex foot
Throughout physical assessment note:
Emotional state: elation,
despondent, independent/dependent
Bleeding
Bowel function by 2nd or 3rd day
17
S
U
CARTERET COMMUNITY COLLEGE
ASSOCIATE DEGREE NURSING
NUR 130
STUDENT PRESENTATIONS



Here is a list of student presentation topics. You will choose one of these topics for at least a 30
minute presentation in class. NOTE: Only 2 people per topic. If your topic of choice gets
selected by somebody else, choose another. You may get creative and present the material in
your own style. You will be working with a partner. Grades will be awarded as a group, not
individually. (So be mindful and respectful of each other).
A copy of the grading criteria will be provided to you.
This material will be reflected on Unit tests.
TOPICS
DATE
1. Ethical/Legal Considerations of Maternal/Child Nsg.
06/03/08
2. Cultural Awareness in the Childbirth Experience
06/03/08
3. Prepared Childbirth Techniques
06/03/08
4. Postpartum Blues/Depression
06/10/08
5. Breast/Bottle Feeding
06/10/08
6. Loss of A Baby – Abortions, Stillbirths, Infant Death
06/17/08
7. Infertility
06/17/08
8. Breast Cancer Awareness: Include Emotional Aspects
06/24/08
9. Family Planning/Contraceptives
06/24/08
18
STUDENT
CARTERET COMMUNITY COLLEGE
ASSOCIATE DEGREE NURSING
PRESENTATION GRADING FORM
Date:
Course:
Group Member Names:
EVALUATION CRITERIA
Content & Organization
Possible Points
Earned Points
50
Introduces subject topic area
Covers objectives & content points for the assignment
Displays knowledge of topic
Uses time well to keep group within time frame
Provides handouts of key points
Uses effective closure of presentation
DELIVERY
Content & Organization
Possible Points
30
Presents with enthusiasm & conviction
Has effective eye content
Does not read report
Has appropriate voice tone & volume
Involves audience
Uses distinct enunciation & verb tense
Creative in presentation
19
Earned Points
TIME FRAME
Content & Organization
Possible Points
Earned Points
5
Used allotted time
Stayed within time frame (30 minutes – 45 minutes)
PROFESSIONALISM
Content & Organization
Possible Points
Earned Points
10
Dressed in professional manner
(or customary dress of the culture)
Addressed audience questions
REFERENCE & RESOURCES
Content & Organization
Possible Points
5
Provided handouts
References are appropriate
References are current to practice (5 year)
Reference (Bib) list provided
20
Earned Points
Carteret Community College
Associate Degree Nursing
NUR 130 – Nursing III
Quality Improvement: Assessing Community Resources for Women of Childbearing Age
Nursing’s involvement in quality improvement activities can occur on different levels and take a
variety of approaches to address issues facing health promotion, disease prevention, and patient
centered health care issues. The following activity will help the learner address the issue of
access to health care and disease prevention strategies for a selected population.
Directions: Write a two to three page paper addressing the following objectives. It must be
double-spaced, 12 point font, and stapled. It must be in essay style. Organization, grammar, and
spelling will be considered in grading. References are to be included to support your paper and
response to the objectives. Please turn in to your clinical instructor by 0800 AM June 25, 2008.
For every day it is late 10 points will be deducted.
Objectives:
1. Assess what resources are available in your county of residences that addresses the needs of
childbearing women.
2. Are the resources adequate based on class discussions and readings to meet the health needs
of the childbearing woman?
3. If yes, explain what and how these services are provided.
4. If no, what services are lacking and what are your recommendations for improving access to
identified resources?
21
EVALUATION OF QUALITY IMPROVEMENT PAPER
NUR 130
Content: Meet objectives, content appropriate, contemporary, scientific, submitted on time:
25 points
Synthesis: Pulls literature together, variety of resources evident.
25 points
Reflective/critical thinking: Problem solving, recommendations/implications
25 points
Communication: Written communication with appropriate English, typing, spelling, and
grammar.
10 points
Referencing: Comprehensive with the use of internet sites, textbooks, and journals, APA format
10 points
Organization: Well organized, flows well.
5 points
22
Clinical
23
Clinical Guidelines
NUR 130
Nursing III
I.
Be prompt for clinical experience. If you are going to be tardy or absent, you must call
the clinical instructor and clinical facility within 30 minutes of the start of clinical.
II.
Be prepared for your clinical learning experience.
III.
You are expected to follow facility policies and procedures.
IV.
Show respect for staff during shift change when obtaining your clinical patient
assignment and information.
V.
Pre-conference and post conferences are part of the clinical experience and your
attendance and participation is expected.
VI.
Obtain report from responsible nurse (as directed by your instructor) on assigned patient
prior to beginning nursing care and give report at the end of the clinical day (and as
directed by your instructor).
VII.
Document nursing care rendered as directed by your instructor.
VIII.
You are expected to follow the dress code policy for clinical experiences.
IX.
Do not bring valuables to the clinical area. Small amounts of cash are recommended for
breaks and meal expenses.
X.
Complete a self-evaluation of performance by using the clinical evaluation tool in this
syllabus and bring with you for a mid-term evaluation with your clinical instructor.
XI.
Submit completed assigned paperwork/homework at due date/time. Failure to submit
paperwork on time or in an incomplete manner will result in an unsatisfactory grade.
XII.
Each student will rotate into different nursing care areas of women’s, newborn and
children’s health. The student will receive his/her actual patient care assignment at
the beginning of the clinical day. However, in preparation for the clinical day, the
student should read appropriate nursing care material based on assigned area of the
master clinical rotation schedule, i.e., if the student is assigned to NB (newborn), the
student should read the general nursing care of the newborn regardless if it has
been covered in class or not.
Written assignments
1.
Completed medication care plans for each patient clinical experience. Due via
assignments on Bb as directed and to be submitted with other written assignments.
2.
Satisfactory completion of concept maps for L/D, NBN, and PP. Due via assignments
section on Blackboard with other assignments.
3.
On your own, research a related topic of this course involving evidenced based nursing
practice. Be prepared to discuss in post conference with your clinical group members and
instructor. Be prepared to cite your sources. Each student will be assigned a week to
present.
24
4.
Complete the Terminology Lists prior to the start of clinical. (i.e.: L/D list would be due
the first day of your L/D experience prior to the start of clinical).
5.
Write a two to three page paper that addresses what resources are available to women of
childbearing age in your county of residence. Due date: 6/25/08 at 0800.
25
TERMINOLOGY LIST FOR LABOR AND DELIVERY
Student Name:
1. Presentation:
2. Effacement:
3. Dilation:
4. Station:
5. Induction:
6. Augmentation:
7. Pitocin:
8. Magnesium Sulfate:
9. Contraction:
10. Placenta:
11. Amniotic Fluid:
12. Episiotomy:
13. Nuchal Cord:
14. Cephalic:
15. Breech:
16. Fundal Height:
17. Doppler:
18. Amniotomy:
19. Ballotment:
20. Bloody Show:
21. Braxton Hicks Contraction:
22. Chadwick’s Sign:
23. Cholasma:
26
24. Nonstress Test:
25. Oxytocin Challenge Test:
26. Multigravida:
27. Nullipara:
28. PICA:
29. Quickening:
30. Rhogam:
31. Engagement:
32. Apgar Score:
33. PARA:
34. Gravida:
35. Gestation:
36. Forceps:
37. Eclampsia:
38. Pre-eclampsia:
39. Effleruage:
40. Leopold’s Maneuvers:
41. Oligohydramnios:
42. Polyhydramnios:
43. Placenta Previa:
44. Abruptio Placenta:
45. Rupture of Membranes:
46. Spotting:
47. Trimester:
48. Hegar’s Sign:
27
TERMINOLOGY FOR NEWBORN NURSERY
Student Name:
1. Fontanelle:
2. Vernix:
3. Lanugo:
4. Strabismus:
5. Nystagmus:
6. Meconium:
7. Nuchal Cord:
8. Aquamephyton:
9. Erythromycin:
10. Range of Average Head Circumference:
11. Range of Average Chest Circumference:
12. Triple Dye:
13. Meconium Aspiration:
14. Acrocyanosis:
15. Cradle Cap:
16. Circumcision:
17. Bili – Light/Blanket:
18. Umbilical Cord & Vessels:
28
TERMINOLOGY LIST FOR POSTPARTUM
Student Name:
1.
Uterus:
2.
Engorgement:
3.
Lochia (include types and approximate amounts – scant, large, etc.):
4.
Episiotomy:
5.
Homan’s Sign:
6.
Bonding:
7.
Hemorrhoids:
8.
Ecchymosis:
9.
Fundus:
10.
Colostrum:
11.
Striae Gravidarum:
12.
Involution:
13.
Kegel Exercises:
14.
Inverted Uterus:
15.
Peri-Pads:
16.
Sitz Bath:
17.
Cesarean Section:
Revised: 05/08
29
Carteret Community College
Associate Degree Nursing
Labor & Delivery Record
Students assigned to L&D will complete the following L&D Record and submit to the clinical
instructor at the conclusion of the clinical day.
Student Name______________________________________ Date______________________
Antepartal History:
Gravida______
Para________
Abortions_______
EDC/EDD_______
As of today, Weeks of Gestation____________ Fetal Presentation_______________________
Record notable features and findings of pregnancy for this pt.
______________________________________________________________________________
______________________________________________________________________________
______________
Assessment of Progress of Labor
Membranes:
Intact_____
Broken______
Comments____________________
Cervical Dilation: Start of care_______________
Effacement: Start of care_______________
Comments____________________
Time broken________
End of care___________
End of care___________
Station: Start of care_______________ End of care_______________
Comments____________________
Contractions: Frequency Start of care _________________ End of care _________________
Duration
Start of care _________________ End of care _________________
Intensity Start of care _________________ End of care _________________
Comments: ______________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________
30
Treatment: ___________________________________________________________
Method of pain management
_____________________________________________________________
Method of delivery: ____________________________________________________________
Anesthesia: ___________________________________________________________________
Course of delivery: _____________________________________________________________
Nursing management
From your assessment and clinical experience today with your patient, complete this form and
the following:
a. A medication care plan
b. An intervention/goals/evaluation form
c. Final edition concept map with problems and at least 3 nursing diagnoses
d. Anecdotal form

Terminology sheets are due the first day of that particular experience. (Example:
Newborn is due the day you are scheduled in the nursery.)

This assignment is due by Thursday at 0800 for Monday clinical group with your
anecdotal. For Thursday clinical groups it should be submitted by Sunday at 0800
to assignment via Blackboard. No late assignments will be accepted it will result in
an unsatisfactory for the clinical experience.
31
Carteret Community College
Associate Degree Nursing
Postpartum Record
Students assigned to the postpartum unit will complete the following Postpartum Record and
submit it to the clinical instructor at the conclusion of the clinical day.
Student Name _____________________________________Date___________________
Client’s Initials_______________Age______Race________EDC/EDD______________
Delivery Date/Time_____________________ Gravida ________ Para__________
Blood Type/RH_______________Infant Gender/Condition________________________
Delivery Method__________________________________________________________
Prenatal Course___________________________________________________________
Length of Labor_________________________________________
Incision Type/Episiotomy______________________Breast/Bottle feeding___________
8 Point Assessment:
Date Breasts Fundus Lochia Perineum Bladder Bowel Homan’s Emotions Incision
32
Summary of Vital Signs: ___________________________________________________
Nursing Management
From you assessment and clinical experience today with your patient, complete this form and the
following:
a. A medication care plan
b. An intervention/goals/evaluation form
c. Final edition concept map with problems and at least 3 nursing diagnoses
d. Anecdotal form

Terminology sheets are due the first day of that particular experience. (Example: Newborn is
due the day you are scheduled in the nursery)

This assignment is due by Thursday at 0800 for Monday clinical group with your anecdotal.
For Thursday clinical it should be submitted by Sunday at 0800 to assignment via
Blackboard. No late assignments will be accepted it will result in an unsatisfactory for the
clinical experience.
33
Associate Degree Nursing
Carteret Community College
Newborn Nursery Record
Students assigned to care for the newborn will complete the following record and submit to the
clinical instructor at the end of the day.
Student Name________________________________
Baby Gender _____ F _____ M
Date __________________
DOB _________ Time of birth _______________
Wt. @ birth _________ Lbs.
Today’s Wt. _______________Lbs.
__________Kg.
_______________Kg.
Feeding: ___________Breast or ________Formula (Type) _________________
Today’s feeding amount _________________________________________________
Today’s vital signs:
T____________; HR ____________; RR_____________
Today’s bowel/bladder function # stool__________ Description________________
# voids __________
Status of cord/care describe:
______________________________________________________________________________
______________________________________________________________________________
Birth data:
Apgar Score:
1 min.
_______ 5 min.
Number of cord vessels: ____________
Vaginal _______ or C/S ______
Forceps? _________ Vacuum Extractor ? ______
Complications or other pertinent data:
______________________________________________________________________________
______________________________________________________________________________
Vit. K administered On/At: ______________
EES Administered On/At: ________________
Hepatitis Vaccine On/At: ________________
34
Nursing Management:
From your assessment and clinical experience today, complete the above and the following:
a. A medication care plan
b. An intervention/goals/evaluation form
c. Final edition concept map with problems and at least 3 nursing diagnoses
d. Anecdotal form
Terminology sheets are due the first day of that particular experience. (Example: Newborn is
due the day you are scheduled in the nursery.)
This assignment is due by Thursday at 0800 for Monday clinical group with your
anecdotal. For Thursday clinical groups it should be submitted by Sunday at 0800 to
assignment via Blackboard. No late assignments will be accepted it will result in an
unsatisfactory for the clinical experience.
35
ALLERGIES:
MEDICATION CARE PLAN
CLIENT INITIALS
MEDICATION
CLIENT DIAGNOSIS
CLASS & ACTION
OF DRUG
INDICATION OF
USE FOR THIS
CLIENT
STUDENT
INTERVENTIONS
36
EVALUATION & SPECIFIC
CLIENT RESPONSE TO
INTERVENTIONS
TEACHING TO BE DONE
WITH THIS CLIENT;
BEGIN NUR 210
STUDENT NAME:
CARTERET COMMUNITY COLLEGE
ASSOCIATE DEGREE NURSING
ANECDOTAL NOTES
DATE
CLINICAL SITUATION
STUDENT’S COMMENTS
Self-Evaluation of Performance
Daily Grade
Grade definition:
S=Satisfaction
P=Progressing
U=Unsatisfactory
INSTRUCTOR’S COMMENTS
On Student’s Performance
Student’s signature represents review of instructor’s comments.
Student Signature:
To be stapled to Clinical Evaluation Tool upon completion of semester.
Date:
37
SHUSTER CONCEPT MAPPING
A CRITICAL THINKING: APPROACH TO CARE PLANS
Step 4:
Identification of goals, outcomes, and interventions; night before clinical
Step 5:
Evaluation of patient responses: day of clinical
On the day of care
Nursing Intervention
Patient Responses to Intervention
1.
1.
2.
2.
3.
3.
4.
4.
5.
5.
6.
6.
7.
7.
8.
8.
Evaluation: Summarize patient progress toward outcome objectives:
38
Final Edition
Key Problem#
I don’t know how this fits with
the problems
Key Problem#
Reason for Needing Health Care: Medical Diagnosis/ Surgical Procedure:
Key Assessment:
Key Problem#
Key Problem#
39
Key Problem#
Carteret Community College
Associate Degree Nursing
Clinical Evaluation Definitions
Performance in the clinical component will be evaluated using the following
definitions:
S = Satisfactory Demonstrate behavior and/or procedures/interventions related to
core competencies and course objectives with efficiency, coordination,
consistency, and confidence; usually independent; needs occasional supportive
cues; accurate eat time, consistently applies knowledge and skills from course
content and integrated knowledge and skills from previous courses; is safe in
actions and performs at the expected level of competence.
U = Unsatisfactory Unable to demonstrate behavior and/or
procedure/interventions related to core competencies; lacks efficiency,
coordination, consistency, and confidence; requires frequent verbal and physical
directives cues and support; requires unusual amount of supervision; unprepared
for clinical experience; demonstrates difficulty in the application of knowledge and
skills from course objectives and from previous courses; does not perform at the
expected level of competence.
NOTE:
The student must earn a satisfactory (S) evaluation grade by in all
criteria of the clinical evaluation tool by the final evaluation period in order to pass
the clinical component.
40
CARTERET COMMUNITY COLLEGE
NUR 130-NURSING III
CLINICAL EVALUATION TOOL
Student:
Rotation Dates:
Clinical Facility:
Semester/Year:
Instructor:
Mid-Term
Evaluation
S
U
ROLE AS PROVIDER OF CARE
I. Assessment
A. Performs a patient health history and physical assessment.
B. Identifies patient needs and responds appropriately.
C. Interprets the physiological, psychosocial, developmental, cultural and
spiritual factors which influence health, and impacts care.
D. Assesses patient’s learning strengths, capabilities, barriers and educational
needs.
E. Identifies available community resources for patient access.
II. Nursing Process
A. Utilizes the nursing process to meet the needs of patients with common
conditions and/or needs with a focus on gynecological and obstetrical
patients, newborns, and children.
B. Modifies patient care as indicated by the evaluation of outcomes.
C. Examines clinical judgments to ensure accurate and safe care.
41
Final
Evaluation
S
U
Mid-Term
Evaluation
S
U
III. Planning
A. Writes a nursing care plan for assigned patients based on prioritized
needs.
B. Addresses physical, spiritual, cultural, developmental and psychosocial
needs in plan of care.
C. Organizes nursing care according to schedules and within time frame.
IV. Implementation
A. Demonstrates measures to promote safety and prevent accident/injuries.
B. Demonstrates safe implementation of care.
C. Performs nursing skills competently to meet patient needs.
D. With assistance, uses appropriate technology in the provision of nursing
care.
E. Demonstrates ability to practice nursing that is characterized by:
1. promoting patient rights
2. caring behaviors
3. attention to providing a safe physical and psychosocial environment
4. adapting care appropriately according to patient values, habits, and
culture
5. communicating accurate information to patients, family members, and
significant others.
F. Report and record implementation and evaluation of nursing care.
G. Implements teaching plan.
H. Applies knowledge from nursing, sciences, nutrition and pharmacology
to address the patient’s needs in a holistic manner.
I. Demonstrates knowledge of the application of pharmacological principles.
42
Final
Evaluation
S
U
Mid-Term
Evaluation
S
U
V. Evaluation
A. Evaluates patient’s response to nursing actions.
B. Identifies need to revise plan of care.
C. Uses course objectives and clinical tool to evaluate own strengths and
areas for improvement.
ROLE AS MANAGER OF CARE
A. Shows skill in planning for care of assigned patients in order to complete
care in organized and timely manner.
B. Contributes to plan of care by collaborating with healthcare team
members regarding patients care needs.
C. Uses effective and therapeutic communication skills in the provision of
care and when working with healthcare providers, peers, and instructor.
D. Demonstrates proper reporting and recording concepts as evidenced by
written documentation and verbal report.
E. Maintains patient confidentiality.
F. With assistance as appropriate, identifies what care can be delegated to
unlicensed assistive personnel.
ROLE AS MEMBER WITHIN THE DISCIPLINE OF NURSING
A. Practices within the ethical, legal, and regulatory frameworks and
standards when providing nursing care to patients.
B. Applies the American Nurses Association Code of Ethics when working
with patients.
C. Demonstrates accountability and responsibilities for own actions when
preparing for and delivering patient care.
D. Demonstrates adequate preparation for clinical experiences.
43
Final
Evaluation
S
U
Mid-Term
Evaluation
S
U
E. Reports errors of omission/commission in caring for patients.
F. Seeks guidance appropriately from instructor or other resources to achieve
patient outcomes, self-improvement and professional growth.
G. Uses evaluation process to enhance/improve clinical performance by
developing written plan of action.
H. Practices within the parameters of own knowledge and experiences.
I. Assists others in providing care or achieve patient outcomes.
J. Demonstrates competency in meeting objectives of clinical experiences.
K. Consistently applies previously taught principles and skills as a member
within the discipline.
L. Discusses in post-conference the contribution of evidenced-based nursing
research in advancing care.
44
Final
Evaluation
S
U
Mid-Term Clinical Evaluation
Overall performance based on criteria:
S
U
Instructor Comments and Recommendations:
Instructor Signature:
Date:
Student Signature:
Date:
Student Comments: (Optional)
45
Final Clinical Evaluation
Overall performance in meeting course/clinical objectives:
S
Instructor Comments:
Instructor Signature:
Date:
Student Signature:
Date:
Student Comments: (Optional)
46
U
NUR 130
Nursing III
Lab: Tues – 8:00 – 11:00, 11:30 – 2:30
Class: Wed – 8:00 – 12:00 & 12:30 – 4:30
Clinical : Mon or Thurs 7:00 am – 7:00 pm
May
Sun
Mon
Tue
Wed
Thu
1
Fri
2
Sat
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
22
23
24
21
8:00 – Course
Orientation
9 – 12 Unit I
12:30 Lab A
25
26
Holiday
27
8:00 – Pharmacology
Test
9 – 11 Lab A Check
Offs
11:30 – 2:30 Lab A
Check off Continue -
28
8 – 11- Lab B
11:30 – 4:30: Lab C
29
0830 – Clinical
Orientation Carteret
General or Onslow
Hospital
Unit II
College Closed
30
31
College Closed
2008
47
June
Sun
1
Mon
2
7a – 7p Clinical
Carteret General
Hospital
8
9
7a – 7p Clinical
Carteret General
Hospital
15
16
7a – 7p Clinical
Carteret General
Hospital
22
23
Clinical Simulation
Day on Campus
8:30 – 12:30
1:30 – 3:30
29
Tue
3
0800 Student
Presentations
Ethical Issues,
Cultural Awareness,
Prepared Childbirth,
Unit III
Wed
4
0800 Test 1 (Units I
& II Labs A & B)
11
17
18
Test 2 (Unit III, Lab
C)
Unit IV and V
24
12
7a – 7p Clinical
Onslow or Carteret
General Hospital
Unit IV
Student Presentations
Loss of Baby
Infertility
Lab E
MT Clinical
Evaluations
Student Presentations
Family Planning
Breast Cancer
Unit V
7a – 7p Clinical
Onslow or Carteret
General Hospital
Fri
6
Sat
7
College Closed
Unit III continue
10
Student Presentations
Breast/Bottle Feeding
PP Blues/Depression
Lab D
Thu
5
25
Unit VI
**Community
Resource Paper
Due**
19
7a – 7p Clinical
Onslow or Carteret
General Hospital
26
Alternate Clinical
Assignment—Case
Study Blackboard
(EVERYONE)
13
14
College Closed
20
21
College Closed
27
28
College Closed
30
Clinical Simulation
Day on Campus
8:30 – 12:30
1:30 – 3:30
2008
48
July
Sun
Mon
Tue
1
Test 3 (Unit IV, V,
Lab D)
Unit VI & VII
6
7
Clinical
13
14
0830- ATI Test
20
8
Unit VIII
21
Wed
2
15
22
Fri
4
Sat
5
Unit VII & Unit VIII
Holiday
9
Test 4 (Unit VI, VII)
Unit IX
Unit IX – (Testing on
Final Exam)
Thu
3
16
Test 5 (Unit VIII
Lab E and F)
Final Clinical
Evaluation
23
10
College Closed
11
12
Clinical
College Closed
17
9 – 11
Final Exam
24
18
19
College Closed
25
26
College Closed
27
28
29
30
31
2008
49