COURSE TITLE
COURSE NUMBER
PREREQUISITES
CREDIT HOURS CONTACT
HOURS
CLASS MEETING TIMES
Department of Nursing
Course Syllabus
Clinical Nursing II
NUR 2213 C
ENC 1101, MAC 1105, PSY 2012, NUR 1020 C, BSC 1085& 1086, BSC 1085
and1086 L, NUR 1211 C, NUR 1142 , DEP2004.
Co – requisites: MCB 1020 and MCB 1020 L.
EIGHT (8) credits four (4) hours lecture.
Lecture hours = 60
Clinical hours = 108
Thursday 0830-1230
CLASS METHOD
This course blends traditional face-to-face and online learning. Students are
expected to attend classroom sessions on specific dates and times as outlined as
well as participate in online activities as assigned
INSTRUCTOR
Julie Sagan MS, ARNP
Email: julie.sagan@fkcc.edu
Phone: 809-3282
OFFICE HOURS
Office Hours: Wednesday 10 am -5 pm. Office hours also by appointment on
other days.
COURSE DESCRIPTION
Clinical Nursing II is designed to provide the student with additional theory and
practice in more complex and specialized medical/surgical areas of nursing.
Students are expected to apply facts and scientific principles from previous
courses. Utilizing a systems framework, concepts related to gerontology and
holistic care of the older adult are reinforced. Pathological conditions of the
cardiopulmonary, vascular, respiratory, genitourinary, neurological, hepatic, and
biliary systems are covered.
Content related to oncology, fluids and electrolytes, hemodynamics, burns, and
mechanical ventilation are also examined. Ethical decision making, clinical
problem solving, diversity, and holism continue to be keys concepts in this
course.
Students are expected to formulate and apply nursing care plans based on
thorough assessment of patients in the clinical setting and on knowledge of
pathophysiology and psychosocial needs of the patient. Key concepts of nutrition
are integrated into the course content.
1
COURSE OBJECTIVES
Upon completion of the course, the student will be able to demonstrate
knowledge by successfully answering questions on an objective examination
of the following topics:
Utilizes basic scientific principles in identifying/ meeting needs of patients with
complex health problems.
Applies the nursing process with selected patients manifesting complex
psychosocial and physical deviations from health.
Identifies the psychosocial needs of the hospitalized patient.
Applies and modifies principles of normal nutrition in the care of patients with
complex health problems.
Applies concepts and principles of pharmacology in the safe administration of
medications to patients with complex health problems.
Identifies appropriate community agencies that will assist the patient in meeting
own health care needs.
Identifies and utilizes principles of rehabilitation in the care of the patient with
tertiary health care needs.
Utilizes principles of teaching-learning in providing nursing care to patients with
complex health problems.
Utilizes therapeutic communication when interacting with patients/families and
staff in health care settings.
Demonstrates self-directive behavior by utilizing a variety of resources in
preparation for patient care
Demonstrates self- awareness and accountability for one’sactions.
REQUIRED TEXTBOOKS
Ignatavicius, Donna ( 2013) Medical surgical nursing: Patient-Centered
Collaborative Care, (7thed). Saunders. ISBN 97814377-8019.Print
ISBN 9781437728002 Ebook
Ignatavacius, Donna Clinical Decision-Making Study guide for MedicalSurgical Nursing. (7th ed.). Saunders. ISBN 9781455775651Print
ISBN 9781455775736 E book
Lehne, Richard A. (2010). Pharmacology for nursing care (8th ed). Saunders.
ISBN 9781437735826.
ISBN 9781437735840 E book
Adult Medical –Surgical Nursing, (9th ed) Assessment Technologies Institute.
RN Pharmacology for Nursing (6th ed) Assessment Technologies Institute
Recommended
Ignatavicius, Donna (2013) Clinical Companion Medical-surgical Nursing
9781437727975
2
PROPOSED COURSE SCHEDULE
Please note:
DATE
The course and exam schedule is subject to change to meet the needs of the course
and its students. Assignments may be changed or updated and will be reflected on
weekly DTL shells.
TOPICS
IMMUNE SYSTEM AND
UNIT 1
Jan 16 , 2014 IMMUNE RESPONSE
Course
Orientation
Infection and Transmission-based
precautions
Review of the Immune system
The immune response
Vaccines, Tetanus
Textbook chapters and Assignments
I. INFECTION AND TRANSMISSION –BASED PRECAUTIONS
Read and study before class: Scabies , varicella , measles , influenza;
Transmission – based precautions, MRSA, C- Diff, VRE, Contact, Airborne,
Droplet , N- 195 mask, Negative airflow
1. Ignatavicius Ch 25
2. Ignatavicius Ch 19 pgs 305-309
3. ATI Fundamentals Ch 49, 50
II. IMMUNE SYSTEM, IMMUNE RESPONSE and VACCINES
1.Ignatavicius Ch 19
2.Lehne Immune system Ch 67
3.Lehne Ch 68 Vaccines pgs 855 -858. Read and study VPD’s and adult
vaccines .
4. ATI Med Surg Ch 86 Immunizations
5. ATI Pharm Ch 41 Vaccines
III. ASSESSMENT OF THE IMMUNE SYSTEM
1. ATI Med Surg Ch 85 Diagnostic tests
UNIT 1
Jan 23, 2014
ALTERED IMMUNE
RESPONSES
Allergy, Latex Allergy,
Immunotherapy , skin testing
Anaphylaxis, Role of Epinephrine
Transfusion reactions, ITP
Lupus and Rheumatoid arthritis
Contact dermatitis, Transplant
rejection , Graft vs Host disease
Pharmacology for the
immune system
IV. ALTERED IMMUNE RESPONSES AND
AUTOIMMUNE DISORDERS
1.
2.
Ignatavicius Ch 22
Transfusion reactions Ignatavicius Ch 42 pgs 897 - 903
3.
4.
Blood transfusions: ATI Pharm Ch 27 or ATI Med Surg Ch 40
ITP Ignatavicius Ch 42 pgs 895-896
Systemic Lupus Erythematosis, Rheumatoid Arthritis, Scleroderma,
Systemic sclerosis
5.
Ignatavicius Ch 20 pgs 333- 356
6.
ATI Med Surg Ch 88
7.
ATI Med Surg Ch 89
V. PHARMACOLOGY IMMUNOSUPPRESSIVE DRUGS, DMARDS,
IMMUNE STIMULANTS
1. Lehne Ch 72 Review of corticosteroids
2. Lehne: Ch 69 Immunosuppressants
3. DMARDS. ATI Pharm Ch 33
4. Lehne Drugs for RA Ch 73
5. Growth factors ATI Pharm Ch 26
VI. APPLICATION
1. Ignatavicius Study Guide for assigned chapters
2. Med- Surg ATI Ch 85,86,40,88,89,—Questions at the end of the chapters
3. Pharm ATI Ch 41,27, 26,33,—Questions at the end of the chapters
4. ATI Learning System Tutorial: Immune and Infectious
5. ATI Targeted : Immune
6. ATI Skills Modules : Infection Control, Blood administration
7. Pharmacology Made Easy : Pain and Inflammation ; Infection, The musculoskeletal
system
3
Jan 23, 2013
LAB #1 KW
UNIT 2
Jan 30, 2014
IMMUNODEFICIENCY
DISORDERS
Application of Nursing Process
Principles of Prioritization and Delegation
1.
2.
3.
4.
Ignatavicius Ch 21
ATI Med Surg Chapter 87
ATI Pharm Ch 48
Review notes on anemia, neutropenia and thrombocytopenia posted on DTL
HIV/AIDS
I Application and Practice
1. Ignatavicious Study guide for assigned chapters
2. Med Surg ATI: Targeted: Immune
3. ATI Learning System Tutorial: Immune and Infectious
5. Pharmacology Made Easy : Immune system
Jan 30, 2014
LAB # 1 CS
Feb 1, 2014
Feb 6, 2014
Application of Nursing Process
Principles of Prioritization and Delegation
Lab Objectives posted on DTL
DISCUSSION QUESTION
DUE
EXAM 1
4
Feb 6, 2014
UNIT 3
CARE OF PATIENTS
WITH CANCER
Stem cell theory, Risk Factors
Prevention and Screening
Surgical treatment, chemotherapy
and radiation Bone marrow
transplant, Nadirs,
Specific Cancers
Blood cancers
Laryngeal and Lung cancer
Colorectal cancer
Testicular
Reproductive cancers
Breast cancer
Skin cancer
Read before class
Review notes on anemia, neutropenia and thrombocytopenia posted
on DTL
I. Cancer Nursing
1. Ignatavicius Ch 23, Ch 24 2. ATI Med Surg Chapters 90, 91,92,93
II. Specific cancers
Leukemia, Lymphoma, Multiple Myeloma
1.Ignatavicious Ch 42 pgs 880-895
2.ATI Med Surg Ch 93 pgs 1017-1022
Head and Neck cancer
1. Ignatavicius Ch 31 pgs 588 -599(Optional )
2. ATI Med Surg Ch 93 pgs 1029- 1034
Lung Cancer
1. Ignatavicius Ch 31 pgs 630 - 639 (Optional )
2. ATI Med Surg Ch 93 pgs 1026-1028.
Colo-rectal cancer
1. Ignatavicius Ch 59 pgs 1245- 1254( Optional )
2. ATI Ch 93 pgs 1034-1036 1059-1062
Testicular cancer
1. ATI Ch 93 pgs 1059-1062
Cervical , Endometrial and Ovarian cancers
1. Ignatavicius Ch 74 pgs 1621- 1628.
2. ATI Med Surg Ch 93 pgs 1053- 1058
3. Hysterectomy Ignatavicius Ch 74 pgs 1618-1619.
4. Hysterectomy ATI pgs
Breast cancer
1. Ignatavicius Ch 73 pgs 1591- 1610
2. ATI Med surg Ch 93 pgs 1049-1053
Skin cancer ATI Ch 93 pgs 1014- 1016
III. Chemotherapy
1. Lehne Ch 101.( Optional)
2. ATI Medical surgical Ch 92
IV. Application and Practice
1. Ignatavicious Study guide for assigned chapters
2. Med Surg ATI : Targeted: Immune
3. ATI Learning System Tutorial: Immune and Infectious
4. ATI Learning System: Oncology
5. Pharmacology made Easy : Immune system
Feb 6, 2014
LAB # 2 KW
Lab Objectives posted on DTL
Care of central venous access devices. Specialized nutritional support
ATI Medical Surgical Ch 47.
ATI medical surgical Ch 27 pages 303 -307 ( Included on DTL )
5
Feb 9, 2014
CARE PLAN # 1 DUE
Feb 12, 1014
Online Cancer Quiz
UNIT 4
HEPATIC AND
BILIARY
Feb 13, 2014 ALTERATIONS
Functions of the liver.
Jaundice, Hepatitis, Ascites,
portal hypertension and
cirrhosis
Paracentesis ; Role of albumin
Acute and chronic pancreatitis
Gallbladder disorders.
Structure and Function
1. Ignatavicius Ch 55 pgs 1179-1180
2. Assessment of the GI system Ignatavicius Ch 55 pgs 1181 -1191
3. Age –related changes Chart 55-1
4. ATI Med- Surg Chapters 46,47
Liver Disorders
1. Liver trauma
2. Hepatitis Ignatavicius Ch 61 pgs 1305 1309
3. Cirrhosis Ignatavicius Ch 61 pgs 1293-1305
4. Med Surg ATI Ch 55
Bilary System and Pancreas
1. Acute and chronic pancreatitis Ch 62 pgs 1321- 1333
2. Gallbladder disorders Ch 62 pgs 1316 -1321
3. Med Surg ATI Ch 53, 54
Application and Practice
1. Ignatavicious Study guide for assigned chapters
2. Med Surg ATI : Targeted Medical-Surgical 2013: Gastrointestinal
3. ATI Learning System RN :Medical Surgical Gastrointestinal
4. Pharmacology Made Easy Gastrointestinal
Lab Objectives posted on DTL Care of central venous access devices and
Specialized nutritional support
ATI Medical Surgical Ch 47.
ATI medical surgical Ch 27 pages 303 -307 ( Included on DTL )
Feb 13, 2014
Lab #2 Coral Shores
6
UNIT 5 RESPIRATORY
FAILURE
Feb 20, 1014
Review of respiratory physiology,
Oxygenation and ventilation,
ABG’s
Definition of respiratory failure
Review of selected respiratory
disorders and how they cause
respiratory failure.
Pulmonary heart disease:
pulmonary hypertension, cor
pulmonale
Drugs for Pulmonary
Hypertension
ARDS
Read and study before class;
Respiratory A&P Ignatavicius Ch 29 pgs 546-548.
ABG’s ATI Med Surg pgs 500-505
Age –related change Ignattavicius page 548 Table 29-5
Diagnostic Assessment pages 556- 562. Pulmonary Function Tests
Oxygen therapy and CO2 narcosis Ch 30 pages 563- 570.
Asthma and COPD Ch 32 pages 601-604 ; Lab assessment; Interventions
to improve oxygenation pages 618 – 620.
ATI Medical Surgical Chapters 17,21,22
1.Pulmonary Hypertension Ignatavicius Ch 32 pgs 626-627
2.Interstitial Lung diseases Ignatavicius Ch 32 pgs 626- 629
3.Pulmonary Embolism Ignatavicius Ch 34 pgs 663 – 669
Mechanical Ventilation
Respiratory Failure
4.Ignatavicius Ch 34 pgs 669- 671.
5.ATI Medical –Surgical Respiratory Failure Ch 26
ARDS
6.Ignatavicius Ch 34 pgs 671 674
Mechanical Ventilation
7.Ignatavicius Ch 34 pgs 674 -682
8. ATI Medical –Surgical Oxygen and Mechanical Ventilation Ch 19
9. Clinical companion Appendix 8 ( Posted on DTL )
10. Clinical companion Appendix 9 ( Posted on DTL)
Application and Practice
Ignatavicious Study guide for assigned chapters
Med Surg ATI : Targeted Medical-Surgical 2013: Respiratory
ATI Learning System RN :Medical Surgical Respiratory
Pharmacology Made Easy : Respiratory
Feb 20, 2014
Heart Failure , Mock code , EKG Interpretation
LAB # 3 KW
7
Feb 27, 2014
EXAM 2
UNIT 6 CONDUCTION
Dysrhythmias and drugs for
dysrhythmias
Pacemakers, ICD”S
Cardioversion ; Asystole, V fib
Review before class :
Ignatavacius Ch 35 pgs 687- 692; 698- 700
Clinical companion Appendix 7
1.
2.
3.
4.
Ignatavacius Ch 36
ATI Med surg Ch 28, 29 Lehne Ch 49;
Lehne Ch 45
ATI Pharm Ch 23
Application and Practice
1. Ignatavicious Study guide for assigned chapters
2. Med Surg ATI : Targeted Medical-Surgical 2013: Cardiovascular
3. ATI Learning System RN :Medical Surgical Cardiovascular
4.Pharmacology made Easy : Cardiovascular
LAB # 3 Coral Shores
Feb 27, 1014
March 2,
2014
March 6,
2014
Lab Objectives posted on DTL Heart Failure , Mock code , EKG Interpretation
CARE PLAN # 2 DUE
UNIT 7
CIRCULATORY FAILURE
Hemodynamics and
hemodynamic monitoring
Shock, sepsis and DIC.
Circulatory failure;
Types of shock
Treatment for shock
Drugs for shock, vasopressors
Review and study before class :
Ignatavacius Ch 35 pgs 687- 692; 698- 700
1.
2.
3.
4.
Hemodynamic Monitoring Ignatavicius Ch 35 pgs 708-710
Ignatavicius Ch 39
ATI Ch 37
Lehne Drugs for Shock Ch 17
Application and Practice
1. Ignatavicious Study guide for assigned chapters
2. Med Surg ATI : Targeted Medical-Surgical 2013: Cardiovascular
3. ATI Learning System RN :Medical Surgical Cardiovascular
4. Pharmacology Made Easy: Cardiovascular
8
March 6,
2014
LAB # 4 KW
ANTICOAGULANT SAFETY
Lab Objectives posted on DTL
Review before class: ATI Med Surg Ch 31
March 13,
2014
UNIT 8 VESSELS AND
VALVES
Inflammatory and Structural conditions
1. Ignatavicius Ch 37 pgs 763- 771.
2. ATI Med –Surg Ch 34
Valvular heart disease
1. Ignatavicius Ch 37 pgs 758 -763.
2. ATI Med – Surg Ch 33
Vascular disorders
1. Atherosclerosis Ignatavicius Ch 38 pgs 772 – 775
2. Interventions for Coronary arteries Ignatavicius Ch pgs
3. ATI Med Surg Ch 31 pgs 351-354
4. ATI Ch 30 pages 331-341
5. ATI Ch 35 MI, thrombolytics, antiplatelets
6. ATI Ch 34 Angiography, CABG, Bypass
7. Lehne: Anticoagulants and Antiplatelets Ch 52
8. Lehne Management of STEMI Ch 53
9. Aneurysms Ignatavicius pgs 792 -798;
10. ATI Med -Surg Ch 35
11. Peripheral venous disease: Ignatavicius pgs 798 807
12. ATI Med Surg Ch 30 pgs 341-346
Application and Practice
1. Ignatavicious Study guide for assigned chapters
2. Med Surg ATI : Targeted Medical-Surgical 2013: Cardiovascular
3. ATI Learning System RN :Medical Surgical Cardiovascular
4. Pharmacology Made Easy : Cardiovascular
March 20,
2014
EXAM 3
UNIT 9 RENAL
Physiology of urine formation
Diagnostic Tests and renal labs
Read and study before class
Ignatavicius Ch 68
ATI med Surg Ch 45
9
March 20,
2014
LAB # 4 CORAL SHORES
March 23,
2014
April 3,
2014
ANTICOAGULANT SAFETY Lab Objectives posted on DTL
CARE PLAN # 3 DUE
UNIT 9 RENAL FAILURE
Acute and chronic renal
failure; Peritoneal and
hemodialysis
Diuretics
Other renal Disorders
URINARY DISORDERS
Urinary diversion; Prostate
surgeries and Bladder irrigation
Urinary incontinence; Drugs for
overactive bladder
1.
2.
3.
4.
Ignatavicius Ch 70
ATI chapters 60, 56,57,58.
Lehne Ch 41 ATI Pharm Ch 19
ATI Med Surg Ch 59, 61,62
1. Ignatavicius Ch 69
2. ATI Chapters 67,68,69,70,71
3.
4.
Lehne pg 165-168 Alpha Blockers
Lehne pg 128-132 Muscarinic Antagonists
Application and Practice
1. Ignatavicious Study guide for assigned chapters
2. Med Surg ATI : Targeted Medical-Surgical 2013: Renal and Urinary
3. ATI Learning System RN :Medical Surgical Renal and Urinary
4. Pharmacology Made Easy Genitourinary system
April 3,
2014
LAB # 5 KW
Lab Objectives posted on DTL
10
UNIT 10 ENDOCRINE
April 10,
2014
April 12,
2013
April 17,
2014
Anterior and Posterior Pituitary
gland
SIADH and Diabetes Insipidus
Thyroid disorders, Parathyroid
disorders.
Adrenal gland disorders
Pheochromocytoma
Glucocorticoids in Non endocrine
disorders
1.
2.
3.
4.
5.
Ignatavicius Ch 64
Ignatavicius Ch 65,66
ATI chapters 77,78,79,90,81,82
Lehne Ch 59,58, 60
Lehne Ch 72
Application and Practice
1. Ignatavicious Study guide for assigned chapters
2. Med Surg ATI: Targeted Medical-Surgical 2013 Endocrine
3. ATI Learning System RN :Medical Surgical Endocrine
4. Pharmacology Made Easy : Endocrine System
NURSING PROCESS
PAPER DUE
EXAM 4
1.
2.
3.
4.
April 17,
2014
UNIT 11
SPINAL CORD AND
NEURO
Ignatavicius Ch 46 Guillain- Barre 987-991
Med –Surg ATI Guillain Barre – posted on DTL
Myasthenia Gravis Ignatavicius pg 991-997; Med Surg ATI Ch 10
Multiple Sclerosis Ignatavicius Ch 45 pgs 978-983, ATI Med Surg
Ch 10
5. Trigeminal Neuralgia Ignatavicius pg 100
6. Seizures and epilepsy Ignatavicius Ch 44 pgs 932-937; ATI Med
Surg Ch 6
7. Parkinson’s Disease Ignatavicius pgs 941-946; ATI med surg Ch 7
SPINAL CORD INJURY
1. Ignatavicius Ch 45 pgs 967-976
2. ATI Ch 16
Application and Practice
1. Ignatavicious Study guide for assigned chapters
2. Med Surg ATI : Targeted Medical-Surgical 2013: Neurosensory
3. ATI Learning System RN :Medical Surgical Neuro and
Musculoskeletal
4. Pharmacology Made Easy: Neurological System Parts 1 and 2
April 17,
2014
LAB # 5 CORAL SHORES
Lab Objectives posted on DTL
11
April 18,
2014
Journal Due
Read and study before class: Ignatavicius Ch 43
April 24,
2014
April 28 and
April 29,
2014
May 1, 2014
UNIT 11 TRAUMATC
BRAIN INJURY AND
STROKE
Intracranial pressure and
cerebral pressure
Head injury; Cranial surgical
procedures
Brain attack;
Meningitis and Encephalitis
Asignments
1.Ignatavicius Ch 47
2. Med Surg ATI Ch 14, 15
3.Meningitis pgs 937-941 Med Surg ATI Ch 5
4. Brain tumor ATI Med Surg ch 9
Application and Practice
1. Ignatavicious Study guide for assigned chapters
2. Med Surg ATI : Targeted Medical-Surgical 2013: Neurosensory
3. ATI Learning System RN :Medical Surgical Neuro and Musculoskeletal
4.Pharmacology Made Easy : Neurological System Parts 1 and 2
ATI TESTING
ATI Transcripts and Drug Cards Due
FINAL EXAM
COURSE METHODS
A variety of teaching methods will be utilized in this course. Classroom experiences will include
use of WebEx. Instructions and requirements for WebEx may be obtained from the FKCC
homepage under Distance learning. Check the computer you will be using to make sure it has what it
needs to participate in a class using WebEx. A camera is required to participate in a Web Ex
class. https://fkcc.webex.com/fkcc/meetingcenter/mcsetup.php. In addition, classroom, lab and clinical
settings may offer a traditional lecture format, videoconferencing, case studies, group discussion,
guest speakers and computer- assisted learning. Clinical and /or laboratory experiences may
include participant-observation, small group discussion, return demonstration and simulation
ATTENDANCE POLICY
Attendance is taken in all lectures, labs and clinicals. 100 % of attendance at clinical is required. Missed
clinical experiences cannot be made up due to limited clinical space and time. All absences must be
reported to the course instructor and/or clinical instructor in advance as directed by the course instructor.
All absences must be excused. An unexcused absence in lecture, lab or clinical will warrant a course
12
incident report . See absence policy in the nursing student handbook. Students who miss more than 20 %
of lecture time will receive a course grade of “D”.
Situations that commonly constitute an excused absence include personal or family illness, jury duty,
military commitments, or other legal circumstances that cannot be rescheduled. Documentation is
required to support the excused absence. For consideration as an excused absence, the student must notify
clinical instructor prior to absence. Situations that constitute an unexcused absence include failure to
notify lead instructor of absence, missing an exam for vacation or work time or absence due to illness
without health care provider verification.
METHOD OF STUDENT EVALUATION
The theoretical / didactic grade for the course will be derived from written examinations. 85 % of the student’s
course grade is determined through objective written examinations. Examinations are focused on helping
the student pass the NCLEX-RN examination and to help faculty evaluate student learning. Missing exams
is discouraged and make-ups will be given only for extreme emergencies at the discretion of the instructor.
Make-up exams will be considered only if the instructor has been notified in advance. Total points possible
for missed exams will be 90 %. Cell phones, food and drinks, wristwatches, sunglasses, hooded sweatshirts
or sweaters are not allowed in the classroom while an exam is being given and may be collected by the
proctor at the start of an exam.
Examinations utilize formats similar to what is utilized on the NCLEX-RN licensing examination. This
may include multiple answer questions, alternative –format items, matching, ranking, and short answer
questions. The questions will be challenging and utilize various aspects of the nursing process. Critical
thinking will also be incorporated. Students will be tested on information and concepts presented in
lecture, lab, the textbook and the study guide as well as information covered in the ATI books and
practice online tests. Math questions are often included on exams. Exams are timed using a limit of 90
seconds per test question. It is the student’s responsibility to keep track of time spent and the time
remaining on the exam.
A comprehensive final examination will be given at the completion of the course. At the end of the
course, all exam grades, including the final exam must average 77 % (65.45 points) or better to pass the
class. A student who scores less than 77.0 % on any exam must contact the nursing faculty for
remediation. ATI practice exams are utilized consistently as a remediation tool.
Exam Review
Exam review is at the sole discretion of the instructor. Test review will not be done at the expense of
lecture time. Students are not allowed to copy or write down test questions or answers. The instructor
may limit the questions that may be reviewed. Individual or small group test reviews are permitted only
within one week of the exam. The final exam, pre and post- tests, and online exams are not subject to test
review under any conditions.
Grading Scale
The following grade scale will apply to this class. This is consistent with the grading scale used in all
NUR courses as outlined in the nursing student handbook.
90.0-100 =A
80.0-89.9 =B
77.0-79.9 =C
Below 76.9 = D
13
ATI PRACTICE AND PROCTORED EXAMS
This course utilizes the ATI RN Content Mastery Series® and two ATI proctored exams to assist students
in preparing for the NCLEX-RN® exam. Through practice and proctored examinations, students are able
to assess their own knowledge and receive feedback and direction for content review throughout the
program of study. Regular and focused use of online practices tests is strongly encouraged. Use the
appropriate class code when signing into ATI.
The code for the class of 12/14 is CDN002996329. The student should log in once using this
code and all of the assessments and tutorials will be available for unlimited use. Please do not
log in using a code for an individual assessment test.
Practice Tests
Learning System/ Tutorials
1. Medical-Surgical: Immune and Infectious *
2. Medical –Surgical: Oncology *
3. Medical –Surgical: Gastrointestinal *
4. Medical-Surgical: Respiratory *
5. Medical –Surgical: Cardiovascular and Hematology *
6. Medical-surgical: Renal and Urinary *
7. Medical-Surgical: Endocrine *
8. Medical-Surgical: Neurosensory *
9. Medical –Surgical Final *
10. Pharmacology Final
11. Pharmacology Made Easy
Targeted Practice Assessments
1. Targeted Medical-Surgical 2010: Perioperative
2. Targeted Medical-Surgical 2010: Fluid, Electrolyte, and Acid-Base*
3. Targeted Medical-Surgical 2010: Immune *
4. Targeted Medical-Surgical 2010: Gastrointestinal*
5. Targeted Medical-Surgical 2010: Respiratory*
6. Targeted Medical-Surgical 2010: Cardiovascular*
7. Targeted Medical-Surgical 2010: Renal and Urinary*
8. Targeted Medical-Surgical 2010: Endocrine*
9. Targeted Medical-Surgical 2010: Neurosensory and Musculoskeletal*
10. RN Adult Medical Surgical Online practice 2013 A* and Online practice 2013B *
11. RN Pharmacology Online Practice 2013 A
12. RN Pharmacology Online Practice 2013 B
Test taking- Skills NurseLogic 2.0 – Advanced Level Student *
1. Knowledge and Clinical Judgment
2. Nursing Concepts
3. Priority Setting Frameworks
4. Testing and Remediation
ATI TRANSCRIPT
Each student will bring a copy of his or her completed ATI transcript (*) at the designated time on the
course calendar.
14
Transcripts that demonstrate a grade of 70 % or above on 20 of the assigned practice tests will accrue an
additional 4 points toward the final exam score.
15-19 Practice tests with score of 70 % or higher = 3 points
5-15 Practice tests with score of 70 % or higher = 2 points
< 5 Practice tests with score of 70 % or higher = 1 points
0 Practice tests = 0 points
All proctored ATI (standardized testing) assigned for the course must be completed in order to pass the
course. Failure to take a proctored ATI test will result in a course failure of “ D”. Cell phones are
prohibited during an ATI proctored exam. Students are expected to successfully achieve a level 2 or
greater on ATI proctored exams.
BREAKDOWN OF EXAMS AND WRITTEN ASSIGNMENTS
All assignments in the course as listed below must be completed in order to pass the course. This includes exams,
quizzes, written assignments, clinical assignments and all S/U assignments. All S/U assignments must receive a
grade of “ S”.
Exam 1 = 15%
Exam 2= 15%
Exam 3= 15%
Exam 4 = 15%
Post test =5 % * (Proctored Adult Medical Surgical ATI test = 3 %. Proctored RN Pharmacology = 2 %)
Comprehensive final exam = 20 %
Online Oncology Quiz = 5 %. Points obtained from this quiz may be applied toward ONE exam score.
After the final exam, the points obtained from the above exams and/or quizzes must average a 77 % ( 65.45 points)
or better. The points from the process paper and formal weekly care plans will apply toward the course grade only
after the exam average is 77 % or better.
Written Assignments
Nursing Process Paper = 9 % ( See description below). A minimum grade of 77 % is required on the nursing
process paper.
Weekly Med- Surg Care Plans 3 @ 2% each (See description below) Three (3) will be formally evaluated = 6 %
Off – Unit Clinical Objectives = S/U
Discussion Question = S/U
Clinical journal = S/U
Drug Cards = S/U
Signed course contract = S/U
Self -evaluation on CET =S/U
The points from the nursing process paper and medical-surgical care plans will apply toward the course
grade only after the exam average is 77 % or better. All assignments included in this course must be
completed in order to pass the course. Failure to complete all of the assignments for the course will result
in a course grade of “D.”
EXAMPLE OF HOW THE COURSE GRADE IS CALCULATED
Sample student scores :
Exam 1 = 77 %
Calculation:
77% X .15 = 11.55 points
Exam 2 = 75 %
75 % X .15 = 11.25 points
Exam 3 = 79 %
79% X .15 = 11.85 points
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Exam 4 = 80 %
80 % X .15 = 12 points
Post test =
ATI Med Surg = 80 %
RN Pharmacology =70 %
Final = 80 %
80 X .03% = 2.4 points
70 X .02% = 1.4 points
80 % X .20 = 16 points
Add all the points of the above sample scores. If the total sum is equal to or greater than 65.45 points, then add:
Process paper = 80 % X .09= 7.2 points.
Weekly Care Plans (3) = Each one = 80% X .02% = 4.8 points.
Add all of the points: 66.45 + 7.2 points +4.8 points = 78.45 points = Course grade of “ C”
Note: Final course grades are not rounded up.
THREADED DISCUSSION ACTIVITY
A threaded discussion question will be posted on D2L. A total of 4 posts in response to the question are
required. One post should directly address the question and be a minimum of 4 paragraphs (300 words).
At least one nursing reference for this response should be included and referenced in APA style. The
other 3 responses should be in response to classmates and each should be a minimum of 2 paragraphs
(150 words). All responses should be factually correct and have proper spelling and grammar
Copying and pasting from any source is not acceptable.
MATH TEST
A math test may be given at mid semester. Students are expected to earn 100 % on this test with a
maximum of two attempts. If unsuccessful at mid-semester, the student may retake the math test at the
time of the final exam.
CLINICAL ASSIGNMENTS
Specific clinical assignments will be made prior to the clinical experience whenever possible.
The student is responsible for doing an initial patient assessment and formulating a plan of care for each
assigned patient. In addition, the student is responsible for researching the patient’s pathophysiology,
medications, nutritional needs, learning needs, and treatments. In the event that the assignment cannot be
made prior to clinical, the student will prepare the assignment after the clinical experience.
WEEKLY NURSING CARE PLANS
Nursing Care Plans provide the student with the opportunity to apply the nursing process, in written form,
to specific patient situations. It is expected that the student will complete a working care plan for every
assigned patient experience. Weekly care plans assist the student in understanding the nursing process.
These care plans incorporate pathophysiology, diagnostic tests and lab data, assessment, nursing
diagnosis, goals, interventions, rationales, and a teaching plan. Part of the clinical experience will be
spent learning how to write a care plan with medical-surgical patients—identifying the various data
sources, and devising specific nursing interventions. Evaluation of the care given is also an essential
portion of the nursing care plan. The weekly care plans will be utilized in evaluating overall clinical
performance. Completed care plans are due weekly as directed by the course and/or clinical instructor.
Although care plans are due weekly as assigned, only a total of three will be submitted for formal
evaluation.
OFF UNIT OBJECTIVES
Off – unit objectives are to be completed whenever the student is rotated to a specialty clinical site or
unit. Completed objectives are to be submitted to the clinical or lead instructor as directed by the due
date.
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NURSING PROCESS PAPER
All papers, writing assignments, and references are to written using current APA style. APA style papers
always should have a title page, running headers, and a reference page.The most recent Publication
Manual of the American Psychological Association (in library and online @ www.apa.org) must be used
as the source for organizing this paper. All students should have an APA reference book. All papers
must be typed. All references should be from nursing sources and be less than 5 years old. All references
must be appropriately documented and cited. Correct spelling, grammar, and punctuation are considered
to be essential components of all clinical papers. Limit papers to 10 typed pages. The professional
process paper is a clinical requirement and is used, in part, to evaluate clinical performance. A weekly
care plan that has been formally evaluated cannot be utilized a second time to formulate the nursing
process paper. All papers must be submitted by the due date.
The student is required to use the grading rubric as a guide in developing and meeting the objectives
for the nursing process paper. The rubric used to evaluate the process paper and care plans is posted on
DTL.
SUGGESTED PROCESS PAPER CONTENT:
1. Personal, social, family history
2. Presenting Problem; Medical- surgical diagnosis.
3. Previous Medical-Surgical History
4. Pathophysiology
5. Assessment Data
6. Diagnostic/ Laboratory studies (include all abnormal trends significant to the patient)
7. Analysis of medications; includes listing the classification, nursing interventions and evaluation of the
effects of the medications.
8. Nursing diagnoses and outcomes. A minimum of two (2) patient- centered diagnoses with two (2)
outcomes and 4 interventions are required. In addition, a minimum of one (1) student- centered outcome
must be included.
10. Nursing Interventions.
11. All nursing interventions must be supported by rationales utilizing the textbooks used in the class .
12. Evaluation of nursing interventions
13. Relevant nursing research/ journals/ articles. * A minimum of two (2) references are required .
12. Patient -Family Teaching
13. Discharge Planning
14. Summary of Student Learning
CLINICAL JOURNAL
Students are expected to maintain a clinical journal that reflects concerns, feelings, and observations that
are germane to the development of nursing/caring behaviors. The journal will be reviewed by the clinical
instructor or lead course instructor for review and feedback. Patients should not be identified in these
journals and patient confidentiality must be maintained. These journals are a way to help develop
affective behavior and should be student-centered.
MEDICATION CARDS
Use of the ATI Pharmacology learning template will further guide the
student in learning and reviewing nursing knowledge. Drug cards are designed to assist the student in
learning and reinforcing pharmacological classifications, therapeutic uses, adverse effects and important
patient/family teaching regarding medications. Each student will pick 6 medications each week from a
list of medications supplied by the instructor. The student is required to use the medication card template
found on DTL. All medication cards are to be hand – written and turned in by the date specified in the
course calendar. Use of RN Pharmacology for Nursing (6th ed) Assessment Technologies Institute
as a resource for this assignment is highly recommended .
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CLINICAL PERFORMANCE:
In the clinical area, students are evaluated on a pass/fail basis using the clinical evaluation tool. Students
are required to complete a written self-evaluation as evidence of their identification of their strengths and
weaknesses. Instructors will complete a written summation of the student’s performance in the clinical
area with specific comments as to whether or not they met course objectives. Instructor evaluations of
student clinical performance supersede student’s evaluations. Students are expected to be open to
constructive feedback from instructors and modify behavior accordingly. Each student will be evaluated
at mid-term (formative) and at the end of the term (summative) for clinical performance.
A passing clinical grade is achieved when the student:
1. Consistently meets all the clinical objectives with 3.5- 4.5 scores.
2. Meets clinical requirements for each agency. The ability to safely and professionally apply theory to
clinical experiences is the essence of nursing. Therefore, the clinical grade supersedes the theoretical
grade. In order to pass the course and receive a theory grade, the student must be passing clinically. A
clinical failure requires repeat of the total class including theory and clinical.
Students will receive a mid- term and final formative and summative evaluation. Students will be asked to
perform a self-evaluation and clinical site evaluation. Students also will complete a course and faculty
evaluation.
LATE WORK
All written work must be submitted to the dropbox by the due date on the calendar or as directed by the
course or clinical instructor. Submissions past the due date without an extension by the course or clinical
instructor will receive a grade of “U”and will need to be re-submitted until a grade of “ S” is earned.
Unexcused late submissions for written work that is graded will incur a 10 % reduction in the grade .
SUCCESS IN THE COURSE
Completing and understanding the assigned readings and ATI online assignments
is strongly recommended for success in the course. Lecture time is not spent explaining basic concepts
covered in the readings. Lecture is used to facilitate learning and help the student with application and
critical thinking skills applicable to the course. In addition, the unit objectives are designed to help
students pass the exams and function well in clinical. Students are encouraged to know what the unit
objectives are and refer to them while reading the text and studying.
COMMUNITY SERVICE
Each student will donate 15 hours to a community health service this term, and submit documentation that
is signed and verified to authenticate these hours. The location and type of volunteer hours must be preapproved by the course instructor.
ACADEMIC HONESTY
Students are expected to respect and uphold the standards of honesty in taking exams and in submitting
written work to instructors. Any cheating or plagiarism will result in disciplinary action to be determined
by the instructor based on the severity and nature of the offense. It is the student’s responsibility to review
the College’s policy on Academic Honesty.
SPECIAL NEEDS
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Students with special needs as addressed by the Americans with Disabilities Act (ADA) who need
assistance may notify the Office for Students with Disabilities at 305-809-3292 or via email at:
suzy.parks@fkcc.edu. Reasonable efforts will be made to accommodate special needs.
Students are expected to familiarize themselves with FKCC Policies,
which can be found in the current Student Handbook.
The Class Contract assignment is a method of ensuring that the student knows what is expected from the
instructor and also clarifies what the instructor expects from the student. The Class Contract should be
submitted via the dropbox by the date published in the Course Calendar By returning the Class Contract
to the instructor, the student acknowledges the following:
a. Understanding of the policies detailed in this Syllabus.
b. Understanding of the expectations and due dates listed in the Course Calendar.
c. Understanding the accountability to the standards published in this document.
By signing my name I acknowledge the above.
Print Name:
Date:
Signature:
Revised: December, 2013
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