JOHN A. LOGAN COLLEGE ADN 226 B. Patchett – SM 15 NEUROSENSORY NURSING INTERVENTIONS 3 cr. (2-2) COURSE DESCRIPTION: This course is designed to further the student’s knowledge in neurological/sensory function and those associated disorders commonly encountered in nursing practice. PREREQUISITES: Acceptance into the Hybrid Online AAS in Nursing Program Unencumbered active Illinois LPN license Successful completion of ADN 203, 205, 206, 207, 210, 212, 228. COURSE OBJECTIVES: Upon completion of the course, the student should be able to: 1. Demonstrate competency of neurosensory assessment. 2. Discuss the pathophysiology underlying specific neurosensory disorders. 3. Demonstrate an understanding of the diagnostic tests used in the care of patients with neurosensory disorders. 4. Demonstrates an understanding of the pharmacological regimen of medications used in specific neurosensory disorders. 5. Performs safe administration of neurosensory medications. 6. Perform the delivery of nursing care in accordance with the Illinois Nurse Practice Act (2007) and the ANA Scope and Standards of Nursing Practice to individuals experiencing neurosensory disorders. 7. Exhibit professional and ethical behaviors in accordance with ANA Code of Ethics and the National Student Nurse Association (NSNA) Code of Academic and Clinic Professional Conduct. 8. Demonstrate critical thinking skills in the acute care setting. 9. Demonstrate a caring attitude in both theory and practice. 10. Communicate effectively with patients, patient’s families, facility staff, and peers. 11. Individualize nursing care incorporating the values and cultural differences for clients. 2 COURSE OUTLINE: Week 1 (July 12—18) Module1—Neurosensory Assessment, Pain Review syllabus Review Module 1 Weekly Online Guide Review JALC ADN Student Scope and Standards of Practice for Neurosensory Patients Download and print any worksheets ATI Targeted Neurosensory Practice Test Weekly Challenge Discussion Forum Take “Test Your Knowledge” Quiz – Neurosensory Assessment (90%) Take “Test Your Knowledge” Quiz – Pain (90%) READ IGGY MED-SURG Ch 5: Pain: The Fifth Vital Sign Ch 43: Assessment of the Nervous System ADAMS PHARMACOLGY Ch 18: Drugs for the Control of Pain ATI MED-SURG RESOURCE BOOK Ch 3: Neurologic Diagnostic Procedures Ch 4: Pain Management ATI PHARMACOLOGY RESOURCE BOOK Ch 35: Nonopioid Analgesics Ch 36: Opioid Agonists and Antagonists Ch 37: Adjuvant Medications for Pain Ch 38: Miscellaneous Pain Medications Case Study: Spinal Surgery, Day 1 of 2 July 14 (Tuesday) LAB 7pm—8pm Week 2 (July 19—25) Review Syllabus Answer questions about ADN 226 Neurosensory Nursing Interventions Module 2—Problems of the CNS: Brain Review Module 2 Weekly Online Guide ATI Targeted Neurosensory Practice Test Weekly Challenge Discussion Forum Take “Test Your Knowledge” Quiz – Problems with the Brain (90%) READ IGGY MED-SURG Ch 44: Problems with the Central Nervous System, the Brain ADAMS PHARMACOLGY Ch 13: Drugs Affecting the Autonomic Nervous System Ch 15: Drugs for Seizures Ch 19: Drugs for Local and General Anesthesia Ch 21: Drugs for Neuromuscular Disorders 3 ATI MED-SURG RESOURCE BOOK Ch 5: Meningitis Ch 6: Seizures and Epilepsy Ch 7: Parkinson’s Disease Ch 8: Alzheimer’s Disease Ch 9: Brain Tumors Ch 10: Multiple Sclerosis and Amyotrophic Lateral Sclerosis Ch 15; Head Injury ATI PHARMACOLOGY RESOURCE BOOK Ch 13: Chronic Neurologic Disorders Case Study: Spinal Surgery, ETOH, Day 2 July 21 (Tuesday) Neurosensory Exam 1 LAB 5:30pm—8pm Case Study: Spinal Surgery, Day 1 of 2 DUE Week 3 (July 26—August 1) Module 3 - Problems of the CNS: Spinal and Peripheal Neurosensory Disorders Review Module 3 Weekly Online Guide ATI Targeted Neurosensory Practice Test Weekly Challenge Discussion Forum Take “Test Your Knowledge” Quiz – Spinal Problems (90%) READ IGGY MED-SURG Chapter 45: Problems of the CNS: The Spinal Cord Chapter 46: Problems of the Pheripheral Nervous System ADAMS PHARMACOLGY Ch 20: Drugs for Degenerative Diseases of the Nervous System ATI MED-SURG RESOURCE BOOK Ch 11: Guillain-Barré Syndrome Ch 12: Myasthenia Gravis Ch 17; Spinal Cord Injury ATI PHARMACOLOGY RESOURCE BOOK Ch 15: Miscellaneous Central Nervous System Medications Case Study: CVA July 28 (Tuesday) Case Study: Spinal Surgery, ETOH, Day 2 DUE 4 Week 4 (August 2—8) Module 4 - Neurological Critically ill Assessment of Eye and Vision Review Module 4 Weekly Online Guide ATI Targeted Neurosensory Practice Test Weekly Challenge Discussion Forum Take “Test Your Knowledge” Quiz – CVA (90%) READ IGGY MED-SURG Ch 47: Critically Ill Patients with Neurological Problems Ch 48: Assessment of the Eye and Vision ADAMS PHARMACOLGY Ch 49: Drugs for Eye and Ear Disorders ATI MED-SURG RESOURCE BOOK Ch 16; Cerebrovascular Accident ATI PHARMACOLOGY RESOURCE BOOK Ch 14: Eye and Ear Disorders Case Study: Brain Tumor and ICP August 4 (Tuesday) Neurosensory Exam 2 LAB 5:30pm—8pm Case Study: CVA DUE Week 5 (August 9 – 15) Module 5 - Eye and Ear Problems Review Module 5 Weekly Online Guide ATI Targeted Neurosensory Practice Test Weekly Challenge Discussion Forum Take “Test Your Knowledge” Quiz – Eye and Ear Problems (90%) READ IGGY MED-SURG Ch 49: Patients with Eye and Vision Problems Ch 50: Assessment of Ear and Hearing Ch 51: Patients with Ear and Hearing Problems ADAMS PHARMACOLGY Ch 49: Drugs for Eye and Ear Disorders ATI MED-SURG RESOURCE BOOK Ch 13: Disorders of the Eye Ch 14: Hearing Loss and Middle and Inner Ear Disorders ATI PHARMACOLOGY RESOURCE BOOK Case Study: Craniotomy August 11 (Tuesday) Case Study: Brain Tumor and ICP DUE 5 August 16 – 22 August 25 Break Neurosensory Exam 3 Lab 6:30pm—8:30pm Case Study: Craniotomy DUE COURSE REQUIREMENTS: Welcome to ADN 226 Neurosensory Nursing Interventions. This is a hybrid online computer class. This course is intended to enhance your thinking and nursing care delivery for those patients experiencing neurosensory disorders. There is both a theory component and a laboratory component to this course THEORY PORTION The student is enrolled in a nursing curriculum that leads to State of Illinois (or any state) registration as a “professional registered nurse”. As a profession, there is a legal expectation of “professional duty” to patients. This requires the student to engage in serious study of pathophysiology and nursing interventions. The profession of nursing requires that individuals be self-motivated and self-directed, and be able to use critical thinking skills to make clinical judgments and decisions about the safe and effective delivery of health care to patients. The student will be taking many national nursing achievement exams during the nursing curriculum. The student should review the syllabus to identify which national achievement exams may be a part of the requirements for this course or subsequent course. It is expected that each student actively participants in all aspects of the online course. There are power points, audio power points, theory resources that the student should access and participate in. The student’s participation will be monitored and the student’s participation will be a part of the course grade. Each week there will be a module covering a specific topic of neurosensory nursing practice. Refer to the Course Outline for the specific topic for each week. The Weekly/Module topics are located on Desire 2 Learn (D2L) under “ADN 226 Neurosensory Nursing Interventions”. The student will find the weekly online guide, Discussion Forum, power points, audio, videos, word documents, quizzes, etc. for each module on D2L. Students are expected to review the Weekly Online Guide each week for the specific assignments to be completed for that week. 6 There may be: Pharmacology readings Neurosensory readings Online quizzes Online ATI practice exams Online Videos YouTube videos Weekly Discussion Challenge Forum Your personal video CASE STUDIES The case studies are a two part learning process and experience. For the first part, the student will be engaged in the Discussion Forum on the case study each week. Points will be awarded for thoughtful academic input. For the second part, the student must turn in the full case study handwritten each week. Please see the “Weekly Case Study Rubric” below under “Methods of Evaluation” for the point distribution. A portion of the student’s final grade is dependent upon participation in developing the case study on the Discussion Forum each week. For each case study that is not turned in on the due date, 5 points per day will be deducted from the Case Study points. Example (short example) of a Forum Discussion Case Study This is an example of student postings on the Discussion Forum for a case study. This case study discussion is related to Brandy, a 22 month old toddler who drank ½ tsp of soldering flux. You should have your case study with you while reading other student's postings so you can make comments on your case study to help you delineate the problems and use clinical reasoning for developing the nursing care plan. Student A - I feel the data that is clinically relevant to the nurse is that the child vomited 12 times because (rationale) vomiting causes loss of fluids and electrolytes which is important for children. (worth 0.6% percentage points) Student B – While I agree with Student A that fluid and electrolytes are important, I thought “why is this child continuing to gag and retch. So I looked up solder flux and it contains 30 – 36% zinc chloride which could be caustic to mucous membranes. I believe that vomiting is causing that substance to be going up and down the esophagus. (worth 0.6% percentage points) Student C – Wow, Student B, I am impressed but what I am thinking is absorption. In addition to being caustic, is solder flux toxic to the brain? (worth 0.6% percentage points) Student D – I agree with everyone. (worth NO percentage points) Student E – I looked up the Material Safety Data Sheet (MSDS) and it says that soldering flux when ingested causes GI damage and can even cause death. (worth 0.6% percentage points) 7 Student F – I found out that when ingested, it can cause renal insufficiency and neurological impairment. (worth 0.6% percentage points). Student G – Don’t forget the liver and the effects it will have on it because the liver has to detoxify everything. (worth 0.6% percentage points). Student H – I think that ½ tsp of solder flux would have the most effects on the tissue of the esophagus causing scarring and affect the future nutrition of the child. Remember, Dr Patchett showed us a picture of a child in Africa who drank lye which scarred and caused adhesions in his esophagus. He can only drink liquids and now he is a failure to thrive child whose future is in danger. (worth 0.6% percentage points) Student I – This just shows how important it is to have Poison Control numbers ready and nearby. I looked up the number and it is _________________. Put it by your telephone and in your cell phone, you never know when you will need it. (worth 0.6% percentage points) Student J – Do you remember when Dr Patchett told us about her Great Dane eating a box of rat poisoning? Her dog is as big as a horse and it was 9pm on Friday night. She thought, “What do we do with Coumadin (rat poisoning is made with Coumadin) overdose in the hospital – we give them Vit K”. She had Vit K at her house for her grandson, so she gave her dog 50 gtt which was 50 mg – that 10 times the amount usually given to a patient in the hospital. But the dog ate a whole box. So she thought that Poison Control should be able to help. She found Poison Control for Animals number which has a vet and a toxicologist 24 hr/day. They told her, the dog needed Vit K 150mg bid for 30 days. (worth 0.6% percentage points) Student K – Haha, Student J, I remember another story of Dr Patchetts. Do you remember when she told us that she was stripping wooden floors and had a red plastic cup of bleach nearby. It was 2 am and she picked up the cup thinking it was her tea and drank it. She threw out a bouquet of flowers and drank the flower water while trying to dial Poison Control. They made her drink a gallon of milk which she hates. She said she drank the flower water to help to dilute the concentration of the bleach. (worth 0.6% percentage points) Student L – I can’t believe she did that. (worth NO percentage points) Student M – That was a reminder to all of us, Dr Patchett didn’t make a good decision at 2am. When we are working in difficult or late night situations, we need to be alert and hypervigilant or we will make bad decisions or commit unsafe acts. I appreciate the nurses who work ED, they always have to be hyper-vigilant and ready to make good sound decisions. (worth 0.6% percentage points) Thus, you are going to help each other go through the case study each week. The goal is to get 5 academically thoughtful posts or more each week. Help each other to develop the case study. 8 You will turn in your individual Case Study of the Week on the next Lab Day in handwritten format. NIH STROKE ASSESSMENT VIDEO You are to get a volunteer who accepts being your subject to be videotaped to do this assignment.. Your volunteer should receive a sealed envelope that will instruct them how to act while you are assessing them for a stroke. ABSENCES FROM COMPREHENSIVE EXAMS If an ADN student is absent from a comprehensive exam, a 3 point penalty on the Exam will be assessed, and then one (1) additional point for each day the student tarries in taking the exam. LABORATORY PORTION Study NCLEX-RN type questions on neurosensory nursing NIH Stroke Assessment Video Case studies Quizzes Clinic CLINICAL OBJECTIVES: 1. Demonstrate critical thinking skills in the acute care setting. 2. Provide for the delivery of nursing care in accordance with Illinois Nurse Practice Act (2007) for adults with neurosensory disorders. 3. Develop caring relationships with ill adults in the health care setting. 4. Communicate effectively with patients, patient’s families, facility staff, and peers. 5. Exhibit professional behaviors in accordance with ANA standards of professional performance in delivery of care for ill adults. 6. Individualize nursing care according to the values and cultural differences of clients. 7. Provide age specific care. 8. Demonstrate competent care of clients with neurosensory disorders. 9. Provide safe competent care of clients during clinical experience. DRUG TESTING Drug testing will be required at the start of school before clinics and may also be required prior to each semester before the student is allowed to do their clinical experience. Drug testing is at the expense of the student and at this time is $45.00. Refer to the Nursing Handbook for more information. CRIMINAL BACKGROUND CHECK Students are required to have a criminal background check which will be done by John A. Logan College and costs $20 which will be on the student’s tuition lab fees. If the student has had criminal activity in their past, they should contact Marilyn Falaster, DON to assess the possible impact that activity may have upon the student’s ability to take the NCLEX-RN ® and the student’s ability to obtain a professional registered nursing license. 9 Student Success Center (Room C219). Services available for students include tutoring (both scheduled one-on-one tutoring and walk-in tutoring) and Disability Support Services. Students can drop in during the hours of operation for tutoring in the Math Help Room (C219 and C223) or the Biology Help Room (C243A). To receive one-onone tutoring, students should make a request early in the semester in the Student Success Center. The Student Success Center is also the place to arrange accommodations. John A. Logan College will make reasonable accommodations for students with documented disabilities. Contact the coordinator of Disability Support Services, Room C219B, ext. 8516, for more information. The coordinator must determine eligibility and arrange appropriate academic accommodations. However, it is the student’s responsibility to register in advance of a school term with Disability Support Services and to turn in a class schedule each term to ensure accommodations are arranged. Free educational workshops are also provided by the Student Success Center throughout the semester. For more information, visit the Student Success Center website at www.jalc.edu/student-success-center. English Writing Center/Tutoring. For assistance with writing assignments in any college courses, students are encouraged to visit the Writing Center in C214. English instructors are available for one-on-one tutoring each semester during hours posted at the center. Financial Aid. Students who receive financial assistance and completely withdraw from classes prior to 60% of the semester being completed (approximately 2-3 weeks after midterm) could be responsible to return a portion of their Federal Pell Grant award. Prior to withdrawing from courses, students should contact the Financial Aid Office. Course Withdrawal Information. It is expected that you will attend this class regularly. If you stop attending for any reason, you should contact your advisor and withdraw officially to avoid the posting of a failing grade (an E) to your transcript. It is also advisable to discuss the situation with your instructor before dropping. Administrative Withdrawal. A student may be withdrawn from a class for lack of attendance/participation as defined below. Logging into an online course is not sufficient to be considered participation. Participation for online courses is defined as an active process and may include posting/sending assignments to the drop box or instructor’s email, participating in online discussion boards, taking quizzes or exams, or otherwise communicating and/or participating in some manner that is approved by the instructor. A student who has been administratively withdrawn from class will receive an email notification from the Admissions Office. This notification will outline the student’s appeal options if the student wishes to re-enroll in the course. 10 Face-to-Face Class (8 or 16 weeks) Online Class (8 week) Online Class (16 week) Student may be withdrawn from class if the student has missed four (4) consecutive class periods without prior notification to the instructor of the absences. Student may be withdrawn from class if the student has not participated (as indicated by activity reports) in the online class for the equivalent of one week. Student may be withdrawn from class if the student has not participated (as indicated by activity reports) in the online class for the equivalent of two weeks. Safety Review Request. Our safety at JALC is everyone’s responsibility! Faculty, staff, and students are encouraged to use the Safety Review Request, https://www.jalc.edu/safety-review-request-form link on the JALC home page or contact Campus Safety directly (Ext. 8218 or Room E105) to report safety concerns or questions. This statement comes from the John A. Logan College Campus Violence Prevention Committee. Academic Dishonesty Individuals are expected to demonstrate integrity in their academic endeavors throughout their college careers. Practices such as cheating on examinations, plagiarism, fraud, misrepresentation or falsification of data, theft, destruction of examinations or papers, alteration of records and/or communication of examination questions and other acts of academic dishonesty are not acceptable behavior. Any of these practices will result in failure of the course and will result in dismissal from the nursing program for one year. At the end of one year, the Re-entry policy will be followed in the Nursing Handbook. Patient Data All patient data is sensitive and falls under the federal law titled HIPAA (Health Insurance Portability and Accountability Act). Therefore, ALL patient data including beginning shift/clinical reports in clinical agencies, lab reports, process notes and recordings, care plans must be destroyed by shredding and may not be in possession of a student after the class/clinical. Violation may result in failing the class/clinical and may include removal from the nursing program for one year. All PowerPoint material, tests, handouts, pictures, instructional (written and computerized) materials including Blackboard notes are the property of the Instructor and John A. Logan College and are forbidden to be sold or copied for other students. Violation will result in removal from the program and/or possible legal repercussions. Power Points All power point material, tests, handouts, pictures, instructional (written and computerized) materials including Moodle notes are property of the Instructor and John A. Logan College and are forbidden to be sold or copied for other students. Violation will result in removal from the program and/or possible legal repercussions. 11 CRITICAL NOTE ON ATI TESTING AND PROGRAM CONTINUATION The student is enrolled in a nursing curriculum that leads to State of Illinois (or any state) registration as a “professional registered nurse”. As a professional, there is a legal expectation of “professional duty” to patients. This requires the student to engage in serious study of pathophysiology and nursing interventions. The profession of nursing requires that individuals be self-motivated and self-directed, and be able to use critical thinking skills to make clinical judgments and decisions about the safe and effective delivery of health care to patients. The student will be taking many national nursing achievement exams during the nursing curriculum. The student should review each syllabus to identify which national achievement exams are a part of the requirements for each course METHOD OF EVALUATION: There are certain characteristics expected of a “professional registered nurse” by the public we serve. The following characteristics are expected of ADN nursing students to pass this course: integrity, honesty, ethical beliefs and values, caring, compassion, self-direction, self-m5otivation, commitment, and respect. Quizzes – must have a 80% on each quiz by the final exam. ATI Targeted Neurosensory Practice Test (score of 90% or above) Exam scores greater than 70% on each exam Average of exam scores are 78% or higher Case Studies (Satisfactory/Unsatisfactory)* Neurosensory Assessment Video Online theory modules and assignments (Satisfactory/Unsatisfactory)* Clinical Practice/lab simulation (Satisfactory/Unsatisfactory)* *If written clinical and/or theory assignments are unsatisfactory, they must be revised and turned in within one week. Exams Exam I Exam 2 Exam 3 NIH Stroke Assessment Video Weekly Case Study (5 x 3%) 25% 25% 25% 10% 15% 100% 12 NIH STROKE ASSESSMENT VIDEO FINAL GRADE PERCENTAGE POINTS STROKE ASSESSMENT ACTIVITY 1% Assessment of LOC 0.5 % Assessment of Best Gaze 1% Assessment of Visual Fields 1% Assessment of Facial Palsy 0.5 % Assessment of Motor Arm 1% Assessment of Motor Leg 1 % Assessment of Limb Ataxia 1 % Assessment of Sensory Sensation 1 % Assessment of Best Language 1 % Assessment of Best Gaze 0.5 % Assessment of Dysarthria 0.5 % Assessment of Extinction and Inattention WEEKLY CASE STUDY RUBRIC (EACH WEEK’S CASE STUDY IS WORTH 3% of Final Grade or 30 points out of 1000) CASE STUDY POINTS COURSE ACTIVITY 5 points For each Weekly Discussion Forum entry for a maximum of 20 points 10 points For completed Case Study turned in on time. PENALTY 5 points deducted for each day Case Study not turned in. 13 GRADING SCALE: 94-100 -A 85-93 -B 78-84 -C 77 and below - E ATI Competency Testing After completion of ADN 225 Orthopedic – Dermatological Nursing Interventions, the student will be required to take the proctored ATI Comprehensive RN Medical-Surgical Nursing Exam and pass it with a score of Level II Proficiency or above in order to receive a grade for ADN 225 Orthopedic – Dermatological Nursing Interventions. The student should be taking and remediating the ATI RN Medical-Surgical Practice Tests in order to get prepared to take the proctored exam. ATI is a national nursing testing program. The ATI Medical-Surgical Exam will cover questions in all areas of medical and surgical nursing, including nursing process, providing a safe, effective care environment, maintain physiological integrity, maintain psychological integrity, and promotion of health. The student should review their scores in all areas and seek remediation in those areas identified by ATI as areas of “focused remediation”. Students who do not meet the required standard of Level II competency will have one (1) more opportunity to pass the proctored ATI RN Medical-Surgical Exam. The second ATI RN MedicalSurgical Exam will be a different exam than the first ATI RN Medical-Surgical Exam. If the student is unable to pass the proctored ATI RN Medical-Surgical Exam after the second attempt, then the student will receive a failing grade for ADN 225 Orthopedic – Dermatological Nursing Interventions In addition, the student will be required to take the proctored ATI RN Comprehensive RN Predictor Exam and achieve a score at the National Average or above in order to receive a grade for ADN 225 Orthopedic – Dermatological Nursing Interventions and to be able complete the ADN Program. If the student does not achieve a score at the National Average or above on the ATI RN Comprehensive Predictor Exam, the students should consider registering for the National Council of State Boards Review (www.learningext.com) and seriously review before taking the ATI RN Comprehensive Predictor Exam for the second time. The second ATI RN Comprehensive Predictor Exam will be a different exam than the first exam. If the student does not achieve a score of National Average or above by the second attempt, then the student will receive a failing grade for ADN 225 Orthopedic – Dermatological Nursing Interventions. After completing the ATI RN Comprehensive RN Predictor Exam and achieving a score at the National Average or above, the student is required to register for the ATI Virtual Review (www.atitesting.com). Cost for the ATI Virtual Review is approximately $250 and the student will be assigned a master’s in nursing test review coach. The test review coach will notify the student when they have determined that the student is ready 14 and prepared to take the NCLEX-RN® Exam. The student’s application for NCLEXRN® will not be signed by the Director of Nursing until the ATI coach has given the student the “green light” to take the NCLEX-RN Exam®. METHOD OF PRESENTATION: Online power points, online study guide, online worksheets, computerized instruction, audio power points, ATI online exams, ATI Medical-Surgical Resource book, SimMan scenarios and presentations, clinical supervision of nursing care delivery, case studies, care plans, online quizzes, online exams, discussion board. TEXT: Ackley, B., and Ladwig, G. (2014). Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care (9th ed.). St. Louis: Mosby. ISBN-10: 0323085490. ISBN-13: 978-0323085496. Adams, M., Josephson, D. & Holland, L. (2013). Pharmacology for nurses: A pathophysiologic approach, (4th ed.). Upper Saddle River, NJ: Prentice Hall. ISBN-13: 978-0133026184 ISBN-10: 0133026183 ATI. (2010). Adult Medical Surgical Nursing , (Version 8.0). Stilwell, KS: Assessment Technologies Institute. www.atitesting.com. ATI. (2010). Adult Pharmacology for Nursing , (Version 5.0). Stilwell, KS: Assessment Technologies Institute. www.atitesting.com. Ignatiavicius, D. D. and Workman, M. L. (2013). Medical-Surgical Nursing: PatientCentered Collaborative Care (7th ed.). Saunders. ISBN: 9781437727982. Jarvis, C. (2012). Physical examination and health assessment (6th ed.). St. Louis:Saunders. ISBN: 978-1-4377-0151-7. Pagana. K. Pagana. T. (2013). Mosby’s diagnostic and laboratory test reference, (11th ed.). Elsevier Health Sciences. ISBN-10:0323084680. ISBN-13:978-0-323-08468-0. Springhouse. (2012). Lippincott Nursing Procedures (6th edition). Philadelphia: Lippincott, Williams & Wilkins. ISBN 10: 1451146337. ISBN 13: 9781451146332. State of Illinois. (2007). “Nursing Practice Act”. Springfield, IL. http://ilga.gov/legislation/ilcs/ilcs3.asp?ActID=1312&ChapAct=225 ILCS 65/&ChapterID =24&ChapterName=PROFESSIONS+AND+OCCUPATIONS&ActName=Nurse+Practic e+Act. 15 State of Illinois. (2009) Rules and Regulations. “Administrative Code”. Rules and Regulations. Springfield, IL. http://www.ilga.gov/commission/jcar/admincode/068/06801300sections.html Vallerand, A. H. and Sanoski, c. (2015). Davis's Drug Guide for Nurses (14th ed.). Philadelphia: F. A. Davis Company. ISBN-10: 0803628331 | ISBN-13: 978-08036-3976-8. INSTRUCTOR: Barbara Patchett, RN, MSN, PhD Office G218, Desk #4 Ext. 8664 Home: 751-1918 barbarapatchett@jalc.edu Office Hours: available through email and phone CLINIC INSTRUCTOR: Cindy Henley DATE: Summer, 2015 John A. Logan College Telephone Numbers Carterville Campus Carterville and Williamson County ................................. (618) 985-2828, (618) 985-3741 Carbondale and Jackson County .................................. (618) 457-7676, (618) 549-7335 Du Quoin area .......................................................................................... (618) 542-8612 West Frankfort area.................................................................................. (618) 937-3438 Crab Orchard, Gorham, and Trico Areas ................................................. 1-800-851-4720 Alongi DQ Extension Center ................................................................. (618) 542-9210 West Frankfort Extension Center........................................................... (618) 932-6639 John A. Logan College does not discriminate on the basis of race, religion, color, national origin, disability, age, sexual orientation, or gender orientation. 07-13-15-1d SM 15