Course Title: Fundamentals of Nursing
Course Number: NUR 101
Credit Hours: 6 Semester Hours, 3.5 Theory Hours and 7.5 Clinical/Lab Hours
Prerequisites: BIO 210, ENG 101, MAT 101
Corequisites: BIO 211, NUR 106
Course Description: This course facilitates the development of beginning technical competency in
the application of the nursing process to assist in meeting the needs of selected patients of varying
ages.
Textbooks:
Curren, A.M. (2010). Dimensional analysis for meds (4th ed.). Albany, NY: Delmar.
Deglin, J.H. & Vallerand, A.H. (2009). Davis’s drug guide for nurses (11th ed.). Philadelphia,
PA: F.A. Davis.
Carpenito-Moyet, L.J. (2009). Nursing care plans and documentation (5th ed.). Philadelphia,
PA: Lippincott.
Lynn, P. (2011). Taylor’s handbook of clinical nursing skills. Philadelphia, PA: Lippincott.
Taylor, C., Lillis, C., Lemone, P., & Lynn, P. (2011). Fundamentals of nursing: The art and
science of nursing care (6th ed.). Philadelphia, PA: Lippincott.
Taylor, C. (2011). Taylor’s video guide to clinical nursing skills (CD-Rom). Philadelphia, PA:
Lippincott.
ONLINE RESOURCES:
Assessment Technologies Institute. (2011). Retrieved from https://www.atitesting.com/
Taylor, C., Lillis, C., Lemone, P., & Lynn, P. (2011). Fundamentals of nursing: The art and science
of nursing care (6th ed.). Philadelphia, PA: Lippincott. Retrieved from http://thepoint.lww.com/
Prep-U for Taylor Retrieved from http://thepoint.lww.com/
Required Supplemental Materials: NUR 101 Clinical Packet/Course Supplement, Blood
Pressure Cuff, Stethoscope, Pen Light, Bandage Scissors, Watch with a Sweeping Second Hand,
and Nurse Pack (navy blue).
Instructors:
Connie Houser, MS, RNC-OB, CNE
Office Number: Room 189A
F.E. Dubose Career Center, Manning SC 29102
Office Phone: (803) 473-2531 or (803) 778-1961 Ext. 615
Office Email: housercl@cctech.edu
Cheryl DeGraw MSN, RN, CRNP
Office Number: H 150
Office Phone: (803) 778-7808
Office Email: degrawcl@cctech.edu
Judy Whitaker, MSN/ED, RN
Office Number: H 110
Office Phone: (803) 778-6644
Office Email: whitakerjg@cctech.edu
Pam Weinberg, MSN, RN (Lead Instructor)
Office Number: H 114
Office Phone: (803) 778 7826
Office Email: weinbergpk@cctech.edu
Office Hours: As posted by instructor and by appointment.
Teaching/Learning Methodology: Lecture, Class Discussion, Reading and Writing Assignments,
Concept Maps, Clinical Practice, Case Studies, Simulated Clinical Experience, Group Work, ATI
Assessments, Scenarios, Teaching Plan, Computer Assisted Instruction, Audio Visual Media, and
Desire 2 Learn.
Independent Study/Practice: The Health Science Division Skill Lab will be open at scheduled hours
for student use. Computers will also available for computer assisted instruction. The Central Carolina
Technical College library has professional journals and references that are appropriate for student
learning. The resource center is available for additional resources and study rooms.
Evaluation Method: Medication Calculation Exam, Pop Quizzes, Unit Tests and Cumulative Final,
Clinical Performance, Written and Computer Assignments, Teaching Plan, Concept Maps, Case Studies,
Skills Check-off, Skill Scenarios, and Simulated Clinical Experience.
Tabulation of Course Grades:
Theory
Test 1 = 15%
Test 2 = 15%
Test 3 = 15%
Test 4 = 15%
Test 5 = 15%
Pop Quizzes = 10%
Cumulative Final Exam = 15%
CLINICAL – Each clinical section requires a satisfactory grade in order to meet clinical course
student learning outcomes.
Skill 1: Medication Calculation
Skill 2: Communication and Documentation
Skill 3: Vital Signs
Skill 4: Interviewing and Care Plan Development
Written Assignment
Skill 5: Asepsis and Infection Control
Skill 6: Facilitating Hygiene
Skill 7: Physical Exam
Skill 8: Transfer and Ambulation
Skill 9: Wound Care
Skill 10: Medication Administration
Skill 11: Enteral Tubes Management/Enemas
Skill 12: Urinary Catheterization
Test (90% or higher)
Satisfactory/Unsatisfactory
Satisfactory/Unsatisfactory
Satisfactory/Unsatisfactory
Satisfactory/Unsatisfactory
Satisfactory/Unsatisfactory
Satisfactory/Unsatisfactory
Satisfactory/Unsatisfactory
Satisfactory/Unsatisfactory
Satisfactory/Unsatisfactory
Satisfactory/Unsatisfactory
Satisfactory/Unsatisfactory
Simulated Clinical Experience: Skills Validation
Satisfactory/Unsatisfactory
Long Term Care Clinical Performance Evaluation
Pass / Fail
Course grades will be derived from theory and practice (clinical). A grade below 75 in theory or an
unsatisfactory clinical grade constitutes failure of the course regardless of either grade individually.
Grading Scale: The minimum overall passing course grade for this course is a 75.
A
B
C
F
=
=
=
=
91 - 100
81 - 90
75 - 80
Below 75
Attendance: See the Health Sciences Division Supplement to Central Carolina Technical
College Student Handbook for attendance policy.
SNA members interested in attending state and/or national conventions will need to notify the lead
instructor at the beginning of the semester. Students who are approved to attend state and/or national
SNA conventions that occur during the scheduled clinical experience will be given credit for one
clinical day only. Should convention participation require absence from clinical for more than one day,
the clinical must be made up before the end of the course. No more than 2 clinical days per course will
be made up. Students will be required to complete the “Permission to Attend Convention” form at least
2 weeks prior to attending the convention and submit documentation of convention attendance on the
“Convention Attendance Signature” form.
Conferences: Instructor will be available for individual student conferences by appointment or
whenever the student and/or instructor determines that such assistance is desirable.
Laboratory Facilities: Health Sciences Division Skill Lab, Patient Simulation Lab and Community
Long Term Care Facilities.
Clinical Experiences: Clinical schedules and assignments will be posted prior to the clinical experiences.
Clinical experiences will include but are not limited to:
1.
2.
3.
4.
5.
6.
7.
8.
Basic nursing care of adults in the long-term care setting
Completion of databases/concept maps
Pre and post clinical conferences
Skills/Skills Scenarios
Simulated Clinical Experience in Patient Simulation Lab
Teaching plan
Computer Assisted Instruction (ATI, Prep-U, The Point)
Medication calculation test
Clinical Evaluation: College Practice Lab/CheckOff: The student is responsible for being prepared for
all skills/laboratory/clinical experiences. Lack of preparation may result in the student's dismissal from the
lab or clinical.
1. The student must bring the procedure checklist to lab to receive a satisfactory on
demonstrations/check-offs.
2. The student must satisfactorily demonstrate each required skill or procedure in the college practice
lab on or before the scheduled deadline.
3. A grade of unsatisfactory means the student must schedule a second demonstration of the skill or
procedure.
4. The student must wait at least one day but no longer than a week to perform the second
demonstration.
5. A grade of unsatisfactory on the second demonstration means that the student is unable to meet the
objectives for the course and will receive a failing grade for the course.
Patient Care Areas: The faculty reserves the rights to determine that a student has earned a
clinical course grade of failure if a student jeopardizes patient safety or engages in unethical
or illegal behavior. (See Clinical Evaluation- Patient Care Areas in the Health Sciences Division
Supplement to the Central Carolina Student Handbook)
Professional Attire: Follow guidelines in the Health Sciences Division Supplement to Central
Carolina Student Handbook.
Course Entrance Competencies to NUR 101:
1. The student will have the scientific understanding necessary for success in developing the
technical skills and essential knowledge to safely practice nursing.
2. The student will have the basic math skills necessary to calculate dosages for safe drug
administration.
3. The student will demonstrate the application of written communication competencies.
Course Student learning Outcomes: Upon completion of NUR 101, the student is expected to:
1. Discuss the historical development of nursing.
2. Define health, illness, and healthcare team member roles with a focus on nursing roles
and RN/LPN differentiation.
3. Identify critical thinking strategies for evidenced nursing practice.
4. Discuss psychosocial developmental theories and how these are utilized in planning
patient care.
5. Delineate principles of adaptation for health promotion and management of illness.
6. Identify healthcare practices that relate to cultural diversity.
7. Distinguish legal and ethical implications in nursing practice.
8. Identify medical terminology, abbreviations, and symbols for application in nursing
practice.
9. Explain the steps of the nursing process for application in nursing practice.
10. Describe the teaching learning process and application for a teaching learning plan of
care.
11. Describe principles and practices which promote a safe environment for the patient and
nurse.
12. Describe the consequences of immobility on body systems and interventions to prevent
complications.
13. Identify nutritional needs for the adult patient for health promotion and management of
illness.
14. Explain the roles of the patient and nurse in the promotion of health.
15. Describe health assessment, diagnosing, planning, implementation, and evaluation
activities related to hygiene, sleep, and comfort needs.
16. Delineate health assessment, diagnosing, planning, implementation, and evaluation
activities related to self- concept, sexuality, spirituality, loss, and grief.
17. Summarize health assessment, diagnosing, planning, implementation, and evaluation
activities related to nutrition, elimination, and oxygenation.
18. Describe health assessment, diagnosing, planning, implementation, and evaluation
activities related to skin integrity and wound healing.
19. Specify adult stages of growth and development in relation to health and illness.
20. Delineate cognitive, physiologic, and psychosocial changes in the older adult and the
influence of these changes on health promotion.
21. Discuss the importance of family in relation to health promotion.
The student must satisfactorily demonstrate knowledge and skill sets at the expected level
of student performance (ELSP) in the laboratory/clinical setting by:
22. Using the nursing process to assess, diagnose, plan, implement, and evaluate care to meet
basic physiologic needs of the adult and older adult patient while providing a safe,
comfortable environment.
23. Applying basic theoretical concepts to clinical situations in order to set priorities and
implement individualized care.
24. Using computers as an effective tool in nursing education and practice.
25. Washing hands, donning clean gloves, and removing dirty gloves using principles of
asepsis.
26. Collecting vital signs, recognizing and reporting variations from normal ranges.
27. Using inspection, palpation, and auscultation assessment techniques.
28. Applying the principles of body mechanics in providing care.
29. Turning, moving, positioning, and transferring patients safely.
30. Performing active and passive range of motion (ROM).
31. Using isolation guidelines.
32. Making an occupied and unoccupied bed.
33. Providing hygiene measures and giving a bed bath.
34. Promoting bowel elimination by assisting a patient on and off a bedpan, collecting a stool
specimen, hemocculting a stool specimen, and administering an enema.
35. Promoting urinary elimination by collecting midstream and 24-hour urine specimens,
inserting, irrigating, collecting a sterile specimen from, and removing a closed indwelling
catheter system.
36. Teaching patient proper techniques for coughing deep breathing, use of an
incentive spirometer, and initiating and maintaining 02 delivery systems safely.
37. Inserting, irrigating, and removing a nasogastric tube; collecting a gastric specimen from
an enteral tube, and providing an enteral feeding.
38. Performing a sterile dressing change.
39. Administering and/or simulating medication administration via
SL, PO, ID, SC, IM, rectal, topical, optic, otic, nasal, transdermal, and NG/GT routes.
40. Documenting subjective and objective data and timely reporting.
41. Computing correct medication doses for enteral, parental, and percutaneous medication
administration.
42. Completing a medication calculation test at a 90% proficiency level.
43. Completing the skills validation simulated clinical experience in the Patient Simulation
Lab.
44. Selecting and applying communication skills which facilitate therapeutic relationships.
45. Demonstrating principles of medical and surgical asepsis.
Topical Outline:
UNIT
CONTENT
Course Overview
Unit 1:
Foundations of Nursing Practice
A. Introduction to Nursing Roles
B. Health of the Individual and Family/Delivery Systems
C. Ethics, Values and Advocacy
D. Legal Implications of Nursing
Skill 1 Medication Calculation
Skill 2 Communication and Documentation
Skill 3 Vital Signs
Unit 2:
Critical Thinking in Nursing Practice
A. Critical Thinking/Nursing Process/Assessment
B. Diagnosis (Analysis of Data & Diagnostic Reasoning)
C. Outcome Identification and Promoting Asepsis
D. Implementing Nursing Care
E. Evaluating Nursing Care
Skill 4 Interviewing and Care Plan Development
Skill 5 Promoting Asepsis and Infection Control
Skill 6 Facilitating Hygiene
UNIT 3:
Activities Basic to Nursing Care
A. Health Assessment: Physical Exam
B. Activity, Exercise and Sensory
C. Skin Integrity and Wound Healing
D. Oxygenation
Skill 7 Physical Exam
Skill 8 Activity, Safety, Security and Sensory Stimulation
Skill 9 Skin Integrity and Wound Care
Unit 4:
Promoting Healthy Physiological Responses
A. Gastrointestinal System and Bowel Elimination
B. Genitourinary System and Urinary Elimination
C. Nutrition
D. Loss, Grief and Dying
Skill 10 Medication Administration
Skill 11 Enteral Tube Care, Placement, and Feedings. Enemas
Skill 12 Urinary Elimination and Catheterization
Unit 5
Promoting Healthy Psychological Responses
A. Self Concept and Sexuality
B. Stress and Adaptation
C. Spiritual Health
D. Cultural Diversity
E. Rest and Sleep
F. Comfort/Pain
Skill 13 Teaching Patients
Organizing Framework Concepts: (Approved 05/09)
Major Concepts:
A. NURSING ROLES
B. NURSING PROCESS
C. HUMAN RESPONSES
Subconcepts:
1. Competent Practice
2. Critical Thinking
3. Caring
4. Communication Skills
5. Cultural Diversity
6. Teaching Learning Process
7. Health Promotion
Effective: Fall 2011 (201110)