IVY TECH COMMUNITY COLLEGE Health Sciences Division Associate of Science in Nursing Program Course Syllabus Spring 2006 COURSE TITLE: Paramedic Transition to Associate of Science Nursing COURSE NUMBER: NUR 246 CO-REQUISITE: NUR 247 Transition to Associate of Science Nursing Practicum NUR 154 Pharmacotherapeutics PRE-REQUISITE: Admission to Associate of Science in Nursing Program EMT-P Indiana Certification and or National Registry, Math 111, Anatomy 101 and 102, English 111, and Psychology 101 DIVISION: Health Sciences PROGRAM: Associate of Science in Nursing CREDIT HOURS: 6 CONTACT HOURS: 96 hrs/semester LECTURE HOURS: 96 LAB HOURS: 0 CLINICAL HOURS: 0 TOTAL CLOCK HOURS: Lecture: 96 COURSE SCHEDULE: Tuesday – 09:00 – 11:50 Wednesday – 09:00 – 11:50 ROOM: B146 INSTRUCTOR: Cindi Kreicker, RN,MSN PHONE NUMBER: (812) 298-2246 or 1-800-377-4882 x2246 Pager: (812) 231-9757 E-MAIL ADDRESS: ckreicke@ivytech.edu OFFICE LOCATION: B132-G Lab: 0 Clin/Prac: 0 OFFICE HOURS: Monday 6:30-7:00, 5:00-5:30 Tuesday 12:00-2:00 Wednesday 12:00-2:00 Thursday 9:00-12:00 DATE OF LAST REVISION: Spring 2006 EFFECTIVE DATE OF THIS REVISION: Spring 2006 CATALOG DESCRIPTION Examines the role of the associate degree nurse. Identifies components of the ASN program philosophy. Outlines the facts, concepts, and principles underlying the nursing process. Utilizes the nursing process to describe promotion, maintenance, and restoration of health or support death with dignity. COURSE LEARNING OBJECTIVES: Upon successful completion of this course, the student will be expected to: 1. 2. 3. 4. 5. 6. 7. 8. 9. Describe the basic components of the program philosophy. Discuss universal healthcare needs with rationales for nursing intervention. Describe the five components of the nursing process. Relate and utilize the nursing process, with emphasis on assessment, analysis, planning, and intervention in providing care to adult clients with health deviations Identify basic principles of the teaching/learning process. Utilize principles of the teaching/learning process in assisting adult clients to gain health information. Determine and employ communication principles appropriate in interacting with adult clients and the health care team. Recognize the role of the associate degree nursing student in relation to professional behaviors, communication, assessment, clinical decision making, caring interventions, teaching and learning, collaboration, and managing care. Recognize and apply legal / ethical responsibilities of the nurse in the care of adult clients. COURSE CONTENT: Topical areas of study include Concepts about people, health, nursing, environment, teaching, and learning Influence of the external and internal environment Five components of the nursing process Competencies of the Associate Degree nurse Utilization of facts, concepts, and principles from the biological and social sciences, and nutrition Basic therapeutic communication skills Basic nursing theory/procedures Orem’s concepts of universal, developmental, and health deviation needs Orem’s concepts of universal, developmental, and health deviation needs with emphasis on health deviation needs related to: Elimination: GI, pancreas, biliary, renal, reproductive Rest/Activity: Musculoskeletal Safety: Integumentary, sensory/perceptual, perioperative nursing, pain, infection, inflammation, immunity Homeostasis: Endocrine/diabetes, fluids and electrolytes, acid-base balance, central lines, blood administration Therapeutic communication skills Application of the nursing process and critical thinking skills in promoting, maintaining, and/or restoring health Dosage calculations REQUIRED TEXTS & INSTRUCTIONAL MATERIALS: Black, J. and Hawks J. H. Medical Surgical Nursing Clinical Management for Positive Outcomes. Elsevier / Saunders. 2004. Daniels, R. (2003). Delmars Manual of Lab and Diagnostic Tests , Delmar. Grinslade, S., Ingel, L., Keys, P. Study Guide for Medical Srugical Nursing: Clinical Management for Positive Outcomes. Elsevier / Saunders, 2004. Miller, B. and Keane, C. (2003). Encyclopedia and Dictionary of Medicine and Nursing and Allied Health, Saunders. Myers, E. (2003). RN Notes: Clinical Pocket Guide. FA Davis. Pickar, G. (2004). Dosage Calculations, Thomson. Potter, P., Perry, A.G. (2005); Fundamentals of Nursing. Elsevier/ Saunders. Skidmore, Roth L. (2005). Mosby’s 2005 Nursing Drug Reference. ,Mosby. ACADEMIC HONESTY STATEMENT: The College is committed to academic integrity in all its practices. The faculty value intellectual integrity and a high standard of academic conduct. Activities that violate academic integrity undermine the quality and diminish the value of educational achievement. Cheating on papers, test or other academic works is a violation of College rules. No student shall engage in behavior that, in the judgment of the instructor of the class, may be construed as cheating. This may include, but is not limited to, plagiarism or other forms of academic dishonesty such as the acquisition without permission of tests or other academic materials and/or distribution of these materials and other academic work. This includes students who aid and abet as well as those who attempt such behavior. ADA STATEMENT: Ivy Tech Community College seeks to provide effective services and accommodations for qualified individuals with documented disabilities. The goal of Disability Support Services (DSS) is to provide opportunities for equal access in college programs, services, and activities. DSS assists students with disabilities in achieving their educational goals through such services as academic and career counseling, adaptive testing, tutoring, note taking, interpreting, and test proctoring. If you need an accommodation because of a documented disability, you are required to register with Disability Support Services at the beginning of the semester. The Disability Service Coordinator – can be located in the Admissions Office on the Main Campus. If you will require assistance during an emergency evacuation, notify your instructor immediately. COPYRIGHT STATEMENT: Students shall adhere to the laws governing the use of copyrighted materials. They must insure that their activities comply with fair use and in no way infringe on the copyright or other proprietary rights of others and that the materials used and developed at Ivy Tech Community College of Indiana contain nothing unlawful, unethical, or libelous, and do not constitute any violation of any right of privacy. METHOD(S) OF EVALUATION: Grading standards and methodologies will be provided to students in writing and in the syllabus at the beginning of the course. Evaluation of student progress is continuous. Methods will ensure that objectives of the course are met. METHOD(S) OF INSTRUCTIONAL DELIVERY: Lecture, discussion, audiovisuals, presentations. FACULTY CREDENTIALS: Associate of Science in Nursing: A qualified faculty member in Nursing is one who has an earned Master’s Degree in Nursing from a regionally accredited institution, is a Registered Nurse licensed in Indiana, and has two years of directly related work experience. EVALUATION OF STUDENT PROGRESS: Evaluation of student progress is continuous. Methods will ensure that objectives of the course are being met. THEORY COURSE GRADING: TESTING: One unit exam excluding the final may be made up if missed. Any test not taken at the time of the scheduled exam will be subject to the late testing policy. The student is responsible for making all arrangements. Make up exams must be completed within 5 days. Day 1 begins on the original day of the exam. Holidays and weekends are counted in the 5 days. Make up exams are taken in the Testing Center. It is the responsibility of the student to understand and comply with the hours, rules and regulations of the testing center. You must show picture ID at the time of test. All exams must be completed prior to taking the final exam. The exam may not be the same as the original exam. A 5% deduction will be assessed for the make up exam (starting grade 95%). Students arriving more than 10 minutes after the start of an exam may not be allowed to test and will face the late exam penalties. Additional time to complete the exam will not be provided to students arriving at class after the exam has begun. In order to adequately review and score exams, instructors may not complete and post results on the date of the exam. Quizzes/assignments may be given but may not be made up if missed. Homework must be handed in at the time collected to receive credit. No late homework will be accepted. Faxed and e-mailed assignments will be accepted if sent to the instructor at or before the course time. EXTRA CREDIT: Extra Credit is not available MATH EXAM POLICY: Calculating medication dosages and intravenous rates accurately are necessary competencies in the Ivy Tech State College ASN Programs. There will be a medication calculation exam at the beginning of each semester in the nursing program. Below are the guidelines for this policy. NUR 151: The competency criterion for this level is set at 80%; the student will have three attempts to meet this criterion. If the student does not pass the math test with a 80% by the third attempt, the student will receive a failing grade for NUR 151. NUR 153, NUR 246, NUR 248: The competency criterion for this level is set at 80%; the student will have three attempts to meet this criterion. If the student does not pass the math test with an 80% by the third attempt, the student will receive a failing grade for the course (NUR 153 or NUR 248). NUR 251 and NUR 253: The competency criterion for this level is set at 90%; the student will have two attempts to meet this criterion. If the student does not pass the math test with a 90% by the second attempt, the student will receive a failing grade for the course. Students are allowed to use non-programmable calculators for the math tests and are expected to show their work for each problem. A Capstone math exam will be given in the final semester in order to comply with Ivy Tech State College policy. SPECIAL NOTES: Math skills are taught in semester one (1). Students are required to purchase the designated math textbook. Math is considered a cumulative skill. Once taught it is the responsibility of the student to retain the knowledge between testing dates. Self study utilizing the text throughout the program is strongly encouraged. Students needing additional assistance are encouraged to utilize the following resources: Math Lab College Library math text/Nurse Calculation Test Books PNU 287 Math for Nurses Nursing faculty Web based resources ATI TESTING POLICY: ATI (Assessment Technologies Institute) examinations will be administered to students enrolled in NUR course each semester. The following policies will apply: ATI (Assessment Technologies Institute) examinations will be administered to students enrolled in NUR course each semester. The following policies will apply: 1. Students must demonstrate mastery of content 2. Mastery of content is defined as the 50th percentile 3. Students who score below the 50th percentile (national) will be required to remediate. 4. Remediation scores must be at or above 90% 5. Remediation must occur at least 24 hours from the date of the original exam and subsequent remediation must be spaced at least 24 hours apart. 6. 7. 8. 9. Tests will be given between 50% and 75% of the course/component completion. ATI exams and any indicated remediation must be completed prior to the first day of the following semester or the student will receive the grade of “F” for the course. Students will be assessed testing fees through the Business Office It is the responsibility of the student to print and present the instructor with the remediated results. Testing plan to be followed: Traditional: Fundamentals – NUR 150 Medical – Surgical – NUR 250 Mental Health – NUR 250 Pharmacology – NUR 154 Maternity/PEDS – NUR 252 Transitional: Fundamentals - NUR 246/NUR 248 Pharmacology – NUR 246/NUR 248 Medical – Surgical – NUR 250 Maternity / PEDS – NUR 252 Non-proctored: available at the beginning of the 3rd semester: Nutrition Management Leadership Critical Thinking Entrance – 1st semester, NUR 150, NUR 246, or NUR 248 Critical Thinking Exit – final semester, last didactic course Critical Thinking should be listed as a course requirements but not counted in a course grade GRADING SCALE: Unit Tests – 70% Quizzes and homework – 10% Final Exam (comprehensive) – 20% To complete this course, a grade of “C” or better must be achieved. A = 100 – 93 B = 92 – 83 C = 82 – 75 D = 74 – 70 F = 69 – 0 The student must achieve a passing grade of 75% (cumulative) on exams (unit & final) BEFORE homework assignments/quizzes and the journal summary will be considered in the final grade in order to successfully pass the course. The scores will be totaled by utilizing the weights as assigned by the course. The test scores will be 70% and the final exam will count as 20%. Then when tallied the total scores must reflect 74.5% or greater to receive credit for the homework points. ROUNDING STATEMENT: Scores will be rounded from the tenths place. For example, a score of 74.5 will be rounded to a 75.0. A score of 74.45 will be rounded to a 74.0. Rounding will only be done after the final computation stage of the grading process, not after each individual assignment or test score. INCLEMENT WEATHER: For your information, class cancellation notices that may occur will be announced on the following stations: WACF – WPRF – radio WBOW – WZZQ – radio WMGI – radio WCBH – radio WSDM – radio WTHI – TV/radio WTWO – TV WJNZ – FM LAST DATE TO DROP COURSE WITHOUT A GRADE: APRIL 7, 2006 RIGHT OF REVISION: The above schedule and procedure are subject to change in the event of extreme circumstances. Every effort will be made to notify the students of any changes. STUDENT RESPONSIBLITY: If you have any questions or need clarification about the content of this syllabus, it is your responsibility to ask. All cell phones and beepers must be shut off. In case of emergency, set to “vibrating” mode only. Students are expected to read syllabi posted and course topics prior to the start of class. Students are expected to observe common courtesies Hold items for trash until break times. Do not take or make cellular calls during class periods. During class discussions allow peers the respect and time to express comments without being judgmental. ATTENDANCE POLICY: Theory: NUR 150, 152, 154, 246, 248, 250, 252, 254 Attendance is expected. It is the student’s responsibility to make up missed material. Students should confer with instructors in advance if absences are anticipated. If the option for making up work exists for anticipated or unexpected absences, the student is responsible for consulting with the instructor immediately upon return. CLINICAL ATTENDANCE: Absences affect the ability of the student to learn. Further, it may hinder the ability of the faculty to evaluate student progression. In an effort to reduce the impact of absences on the learning experience, students missing a clinical day will face the loss of an assigned clinical rotation. The determination of which rotation to be deleted will be decided by the clinical instructor. CLINICAL POLICIES: BODY PIERCING – visible NON ear piercing must be covered or removed. (One pair of small plain post earrings may also be worn. No other jewelry is to be visible). NO DRINKING OF ALCOHOLIC BEVERAGES IN UNIFORM. PHYSICAL EXAMINATION FORMS It is the responsibility of the student to keep health records updated. Physical examination forms not turned in by the deadline will result in exclusion from the clinical experience. Students having expired CPR and TB status will not be allowed to attend clinical. Resulting absences will be held to the course’s clinical attendance policy. SMOKING POLICY: There will be no smoking allowed at any clinical facility. Smoking anywhere on the campus of the agency including parking lots is prohibited. Students violating this policy will be given a status report and will be counted absent for the full day. If the college is notified by the facility after completion of the clinical day that a student was found smoking, the full day penalty will still be enforced. To promote safety and availability, students are not allowed to leave the clinical facility campus during the scheduled clinical time. CRIMINAL HISTORY CHECK: All students will be required to have a completed criminal history check on file in the nursing office. Failure to have the completed check in by the deadline will result in exclusion from the clinical site until the results are returned to the department. CELL PHONE POLICY: Cell phones are not to be used or tuned on while on the clinical unit. If you are expecting calls, the phone must be turned off and the calls routed to your personal voice mail. Emergency contacts may be routed through the nursing secretary or the clinical instructor. PERSONAL HYGEINE: Any student who is prohibited from caring for a patient due to personal hygiene concerns (body odor, smoke odor, perfume, lotions, etc.) will be sent home for the day and counted as absent. The loss of time will not be made up. STUDENT IDENTIFICATION: Students must arrive at clinical with the appropriate identification (as deemed by the agency) and attire. Students in violation may be disciplined or sent home if deemed necessary by the clinical instructor or agency. Students sent home will face the penalties of the attendance policy. LIBRARY ACCESS: How to Access the Ivy Tech State College Library: The Ivy Tech Virtual Library is available to students on- and off-campus, offering full-text journals and books and other resources essential for course assignments. Go to http://www.ivytech.edu/library/terrehaute. CLASS ACTIVITIES NUR 246 Week one Jan 10&11 Philosophy of the ASN program History of Nursing Orem’s theory Teaching / Learning Cultural Sensitivity APA format Handbook film Week two Jan 17&18 Roles of Nursing Therapeutic Communication Values/Ethics/Legalities film] pp.424-444 pp.388- 419 Week Three Jan 24 & 25 Hygiene & comfort issues pp.1002-1063 pp. 1129-1267 pp.1421-1479 pp.960-999 pp.260-386 Mobility/immobility Safety/Hazards Start Nursing process pp. 119- 136 Handout Week four Jan 31& Feb 1 Test on the above except nursing process Finish Nursing process Sexuality pp.522-541 Stress/adaptation pp. 595- 614 Spirituality pp.544- 565 Death and dying pp. 568- 592 Week five Feb 7 & 8 Nutritional overview Peri-operative consideration Wound care pp.1272- 1319 pp.1484-1561 Week 6 Feb 14 & 15 Test on above information Musculoskeletal pp.559- 655 Week 7 &8 Feb 21-March 1 Test on Musculoskeletal GI system and Biliary disorders pp.658-854 Week 9 Week 10 Mar 7-15 Test on GI System and Biliary disorders Endocrine disorders pp.1144-1242 pp.1289-1366 Week 11& 12 Mar 21-Apr 5 Test on Endocrine Renal disorders pp.857-971 Week 13 April 11&12 Test on Renal disorders Reproduction Week 14 April 18&19 Hematology Immunology pp.2271-2314 pp. 2315-2374 Week 15 Week 15 April 25-26 Test on above information Sensory system disorders Integumentary pp.1919-1988 pp.1370- 1432 pp.1091-1142 pp.1003-1050 Final is May 3, 2005 the final will include the information in week 15 This schedule is subject to change to meet the demands of the classroom This workforce solution was funded by a grant awarded under the President’s Community-Based Job Training Grants as implemented by the U.S. Department of Labor’s Employment and Training Administration. 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