SYLLABUS HANDOUT
for
Fall 2012
Family Nursing I
NURS 1400 7A
Instructors: Nancy Pares, RN, MSN
Angela Wortman, RN, BSN
Kristin Engel, RN, BSN
“Your success is not based on how you are taught, but how
you choose to learn”
- Lois White RN, PhD
WELCOME TO METROPOLITAN COMMUNITY COLLEGE
Metropolitan Community College
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Metropolitan Community College
Course Syllabus – FALL 2012
COURSE IDENTIFICATION
Title:
Prefix/Section:
Credit Hours:
Begins/Ends:
No-Class Days:
Meeting Day/Time:
Last Day to Withdraw :
Class Location:
Lab Location:
Course Web Address:
Family Nursing I
NURS 1400 9A
Theory 2, Clinical 1
September 8, 2012-November 17, 2012
N/A
Saturdays 8:00 a.m. to 10:00 a.m.
Saturday, November 3, 2012
SOC, Mahoney RM 503/511
SOC, Mahoney RM 505
http://www.mccneb.edu/healthcareers/
CONTACT INFORMATION
Instructor Name:
Office Telephone:
Email Address:
Nancy Pares, RN, MSN
402-738-4787
Npares@mccneb.edu
Instructor Name:
Office Telephone:
Email Address:
Kristin Engel, RN, BSN
402-738-782
klengler1@mccneb.edu
Instructor Name:
Office Telephone:
Email Address:
Angela Wortman, RN, BSN
402-738-4075
acwortman@mccneb.edu
Office Location:
Facsimile:
Office Hours:
Faculty Web Site:
SOC, Mahoney RM 513
402-738-4552
Posted outside of office room; RM 513
http://www.mccneb.edu/academics/alliedhealth/index.asp
COURSE INFORMATION
Course Description: This course focuses on the common health/wellness needs of individuals in
the child-bearing and child-rearing years. Topics include the concepts of maternal/child nursing
and the role of the nurse in assessing, communicating, caring, teaching, and utilizing the nursing
process in order to facilitate the attainment of health/wellness for the post partum, normal
newborn, and pediatric clients.
Course Prerequisites: Successful completion of winter quarter requirements of LPN Program.
Course Objectives:
At the completion of NURS 1400, the student will be able to:
1.
Identify select aspects related to the antepartum with emphasis on normal
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2.
3.
4.
5.
6.
7.
developmental changes of pregnancy.
Describe the clinical manifestations, medical management and nursing care of the client
with common obstetrical problems that occur during antepartum.
Identify select normal and abnormal aspects related to intrapartum with emphasis on
nursing care.
Describe the physiologic and emotional changes that occur during the puerperium
including appropriate nursing care related to common postpartum complications.
Describe the physiologic characteristics and care of the newborn.
Describe developmental health promotion for infant through adolescent stages.
Discuss health problems and nursing care related to select body systems for infant
through adolescent.
1. Nursing Diagnosis Handbook: A Guide to Planning Care: 9th ed Ackley ISBN:
9780232071503
2. Laboratory and diagnostic tests, 8th ed, Corbett ISBN: 0132373327
3. Davis’s Drug Guide for Nurses, 13th ED 2013, Vallerand, FA Davis
ISBN:9780803628373
4. Math for Nurses: Stassi, M; Kaplan publishing, 2nd ed ISBN: 9781607140474
5. Mosby’s Dictionary of Medicine, Nursing and Health Professions. Mosby 2007, 8th ed
ISBN: 978032304975
6. Pearson package #0133158225 is Ball peds, and Olds Maternity 9780133158229
7. Pearson package 0133095940 Kozier + MNL 9th edition text with 9th ed MNL
8. Davidson, (2010), Olds Maternity, Newborn Nursing 9th ed., Pearson/Prenhall with My
Nursing Lab
COURSE ASSESSMENT
METHODS OF INSTRUCTION:
The Instructor will provide lectures to explain the theoretical information. Use of technology
resources may include visual enhancement of lecture outlines and video presentation. Small
group activities and classroom assessment techniques will be utilized to promote critical thinking
skills. Correlation with clinical courses will be encouraged.
METHODS OF ASSESSING STUDENT PROGRESS:
Student progress is evaluated using a variety of methods including written examinations, clinical
observation of client care, oral and written process recordings (as assigned), nursing care plans,
charting, student written assignments, and assessment of skills in the clinical setting.
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SELECTED TESTING/ASSESSMENT METHODS:
FINAL COURSE GRADE:
The grading scale for the Nursing Program is as follows:
93 -100
=A
84 – 92
=B
78 – 83
=C
70 – 77
=D
Below 70
=F
Course grades are based on the point system and are as follows:
Unit exams will be assigned points and averaged at the end of the course. The unit exams are
equal to 70% of the final grade. Study guides are equal to 10% of the final grade and the final
exam is equal to 20% of the final grade.
Unit Exams (50 pts each)………………………………175 points (70%)
Study Guides (50 pts each)………………………………………………….300 points (10%)
Final Exam…………………………………………………………………..100 points (20%)
Total…………………550 points
There will be NO rounding of grades, i.e., a 75.8 = 75%. A final course grade of C (78%) is
required to continue in the program. The student must earn a minimum grade of 78% in theory
and a satisfactory in clinical at the end of the quarter to remain in the Practical Nursing Program.
An assigned Study Guide will be completed for each unit of study, most often from my nursing
lab.
A unit examination will be administered at the completion of each unit of study.
A comprehensive final examination will be administered at the completion of the quarter.
The bubble sheet is the final answer. The student is responsible to mark the appropriate side and
spot that corresponds to the chosen answer. The student must identify themselves on the bubble
sheet. Failure to follow appropriate use will result in a zero for the exam.
MAKE-UP TEST PROCEDURES:
If it is necessary to be absent during an assigned test period, the student must make up the
exam prior to the next scheduled class date. Failure to do so will result in a zero for the exam.
The student may miss one exam without penalty, as long as the test is made up within the
specified time period. If the student misses more than one exam, the exam may be made up,
but the maximum score allowed is 80% for the second missed exam, 50% for all others missed.
The final examination must be taken on the scheduled date and at the scheduled time.
Students may not enter the classroom after the testing has begun. If the student is not in the
classroom when tests are being distributed the student must follow the provision for make up test
procedures.
When it is necessary to make up an examination, it will be placed in the testing center. It is the
student’s responsibility to make an appointment and take the test within the specified period of
time.
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The student must keep the instructor apprised of the need for alternate testing when an exam is
missed.
LATE ASSIGNMENTS:
The assignment for the Study Guide is to be submitted at the time noted on my nursing lab or as
designated in class. Failure to submit at the appropriate time will result in a zero.
MAINTENANCE OF STUDENT RECORDS:
The examinations will be reviewed in the following class period. All test papers are to be
returned to the instructor at the completion of the review. The tests will be kept until the end of
the quarter. Bubble sheets are kept for one year.
ASSESSMENT OF STUDENT LEARNING PROGRAM:
Metropolitan Community College is committed to continuous improvement of teaching and
learning. You may be asked to help us to accomplish this objective. For example, you may be
asked to respond to surveys or questionnaires. In other cases, tests or assignments you are
required to do for this course may be shared with faculty and used for assessment purposes.
STUDENT EXPECTATIONS
METHODS OF LEARNING:
Students will be expected to read all assigned material, participate in the lecture-discussion
classes, and participate in small group activities as assigned. Objectives for each unit of study are
provided in this syllabus. Students will be expected to prepare for activities related to the
assigned objectives.
ATTENDANCE STATEMENT:
You are expected to attend the entire class. Breaks will be provided periodically during the
scheduled class time. Promptness and dependability are traits that are valued in our Code of
Ethics and expected by the employers of our graduates.
If it is necessary to be absent from class the student is responsible for all assignments and
materials covered in class. It will be necessary to obtain a fellow classmate’s notes or have a
classmate tape-record the lecture for you. If there are questions or handouts needed see the
instructor. Students who attend no class meetings up to and including the Section Census Date
published in the Class Schedule at www.mccneb.edu/schedule/ may be disenrolled from the
class. There is no appeal for this disenrollment.
WX: After the first class meeting and through the Census Date, the instructor will disenroll
(WX) students who have never attended. The Census Date is listed under the Important Dates for
the course in the official Class Schedule at http://www.mccneb.edu/schedule/.
FX: A student who fails to meet class attendance expectations will receive a final grade of FX,
indicating an absence-related failure. A student earning an FX grade prior to the end of the
quarter may avoid receiving the failing grade by withdrawing from the course before the Last
Date to Withdraw from Class.
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COMMUNICATION EXPECTATIONS:
When you communicate with others in this course, you must follow the Student Code of Conduct
(http://www.mccneb.edu/catalog/studentinformation.asp), which calls for responsible and
cooperative behavior. Please think critically, ask questions, and challenge ideas, but also show
respect for the opinions of others, respond to them politely, and maintain the confidentiality of
thoughts expressed in the class. You may also wish to review information at
http://www.albion.com/netiquette/.
RECORDING IN THE CLASSROOM:
Students may not video or audio record class sessions without the instructor’s knowledge and
permission. If recording of class sessions is authorized as a reasonable accommodation under
Americans with Disabilities Act (ADA), the instructor must have the appropriate documentation
from College Disability Support Services. Permitted recordings are to be used only for the
individual student’s educational review of the class session and may not be reproduced, posted,
sold or distributed to others. Students who violate this policy are subject to disciplinary
procedures as outlined in the Student Conduct Code.
ACADEMIC HONESTY STATEMENT:
Students are reminded that materials they use as sources for classwork may be subject to
copyright protection. Additional information about copyright is provided on the library website
at http://www.mccneb.edu/library or by your instructor. In response to incidents of student
dishonesty (cheating, plagiarism, illegal peer-to-peer file sharing, etc.), the College imposes
specific actions that may include receiving a failing grade on a test, failure in the course,
suspension from the College, or dismissal from the College. Disciplinary procedures are
available in the Advising/Counseling Centers or at http://www.mccneb.edu/procedures/V4_Student_Conduct_and_Discipline.pdf.
STUDENT WITHDRAWAL:
If you cannot participate in and complete this course, you should officially withdraw through
WebAdvisor at http://webadvisor.mccneb.edu or by calling Central Registration at 402-457-5231
or 1-800-228-9553. Failure to officially withdraw will result in either an attendance-related
failure (FX) or failing (F) grade. The last date to withdraw is noted in the CLASS
IDENTIFICATION section of this syllabus.
LEARNING SUPPORT
MCC's Academic Resource Centers, Math Centers, and Writing Centers offer friendly,
supportive learning environments that can help students achieve educational success. Staff
members in these centers provide free drop-in assistance with basic computing, reading, math,
and writing skills. Self-paced, computer-assisted instructional support in reading, vocabulary,
typing, English as a Second Language, and online course orientation is also available.
Detailed information about the Academic Resource, Math, and Writing Centers is in the Student
Handbook, College Catalog, and online at http://www.mccneb.edu/arc/.
ACCOMMODATIONS FOR STUDENTS WITH DISABILITIES:
Metropolitan Community College will provide reasonable accommodations for persons with
documented qualifying disabilities. It is the student’s responsibility to request accommodations
from Disability Support Services (DSS) located in each Student Services Office. After students
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have arranged for accommodations with DSS, the student and instructor should privately discuss
these accommodations. For further information, please contact DSS or visit
http://www.mccneb.edu/dss/.
TECHNOLOGY SUPPORT
For assistance with student email, passwords, and most other MCC technology, contact the Help
Desk at 457-2900 or mcchelpdesk@mccneb.edu.
TECHNOLOGY RESOURCES:
By using the information technology systems at MCC (including the computer systems and
phones), you acknowledge and consent to the conditions of use as set forth in the Metropolitan
Community College Procedures Memorandum on Acceptable Use of Information Technology
and Resources. It is your responsibility as a student to be familiar with these procedures. The full
text of the Procedures Memorandum may be found at the following website:
http://www.mccneb.edu/procedures/X-15_Technology_Resources_Use.pdf.
USE OF STUDENT WORK:
By enrolling in classes offered by Metropolitan Community College, the student gives the
College license to mark on, modify, and retain the work as may be required by the process of
instruction, as described in the course syllabus. The institution shall not have the right to use the
work in any other manner without the written consent of the student(s).
Notice: This syllabus is written as an expectation of class topics, learning activities, and
expected learning outcomes. However, the instructor reserves the right to make changes in this
schedule that may result in enhanced or more effective learning for students. These
modifications will not substantially change the intent or objectives of this course and will be
done within the policies and guidelines of Metropolitan Community College.
COLLEGE POLICIES
College policies, such as student rights and responsibilities, academic standards, plagiarism, and
etc. are outlined in the College Catalog and Student Handbook. This information can be
accessed via the online catalog at http://www.mccneb.edu/academics/catalog.asp.
STUDENT CODE OF CONDUCT: The college has a standard code of conduct that involves
consequences for specific academic and non-academic behavior that may result in a failing
grade, probation, or suspension from the college. More complete information about the code of
conduct is located in the Student Services portion of the online catalog
(http://www.mccneb.edu/catalog/studentinformation.asp).
REQUIRED ATTACHMENTS
IMPORTANT DATES Note: You may want to include a link Metro’s Academic Calendar at
http://www.mccneb.edu/academics/calendar.asp?Theme=2 )
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SCHEDULE OF ASSIGNMENTS
The schedule of assignments is listed below. The instructor reserves the right to modify this as necessary.
Changes will be announced in class.
TOPIC
Antepartum Period, Intrapartum Period
Exam I Units I and II
Postpartum Period, Newborn
Exam 2 Units III and IV
Growth & Development, Select Illnesses Infancy
Exam 3 Units V and VI
throught Adolescence
Final Examination
Final
The following pages contain the specific unit objectives.
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UNIT I: Conception Through the First and Second Trimesters of Pregnancy
Unit Objectives: Upon completion of this NURS 1400, the student will utilize knowledge from nursing
and other disciplines when applying the nursing process to promote health/wellness to families in the
childbearing period by identifying select aspects related to the antepartum period with emphasis on
normal developmental changes of pregnancy. The student will:
1. Describe the process of fertilization and implantation.
2. Identify the major developmental characteristics and functions of the placenta, umbilical
cord, fetus and fetal circulation.
3. Identify and describe the physiological/psychosocial effects, signs and symptoms of
pregnancy and body system changes.
4. Describe medical, nursing and client care regimen from the initial recognition of pregnancy, the
first prenatal visit and routine procedures done on subsequent visits of the antepartum period.
5. List the normal discomforts associated with pregnancy, and the measures to alleviate the
discomforts. State signs and symptoms that an expectant mother should report immediately to
her physician.
6. List signs and symptoms that a pregnant woman should report immediately to her physician.
7. Define the terms on the vocabulary list.
Learning Activities:
Reading Assignment: Davidson, London, Ladewig Chapters 10 (review), 11, 14, 15, 16, 21
Complete Unit Objectives and utilize ‘My Nursing Lab’ activities
Complete Study Guide assignment:
My Nursing Lab: Chap 14 & 15, 16 pre & post tests
Vocabulary List
Abortion
Amnion
Asthma
Cardiac Decompensation
Chorion
Conception
Ductus Arteriosus
Ductus Venosus
Embryo
Fetus
Foramen Ovale
Gestation
Gravida
Group B Streptococcus
Hyperemesis Gravidarum
Hyperglycemia
Hypoglycemia
Implantation
Ketoacidosis
Lanugo
Leukorrhea
Lunar Month
Multigravida
Multipara
Nagele’s Rule
Para
Patellar Reflex
Polyhydramnios
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Primigravida
Proteinuria
Pyelonephritis
Rhogam
Rubella
Sexually Transmitted Diseases
Sickle Cell Anemia
Toxplasmosis
Trimester
Tuberculosis
Vernix Caseosa
Viable
Villi
Zygote
UNIT II: THIRD TRIMESTER, LABOR, DELIVERY AND IMMEDIATE CARE OF THE
NEWBORN
Unit Objectives: At the completion of NURS 1400, the student will utilize knowledge from nursing and
other disciplines when applying the nursing process to promote health/wellness to families in the
childbearing period by identifying select aspects related to the intrapartum period with emphasis on
nursing observations and nursing care. At the completion of this unit of study the student will be able to:
1.
Identify the various fetal presentations in the third trimester of pregnancy.
2.
Describe the factors, which may contribute to the onset of labor and explain the signs and
mechanisms of labor.
3.
Identify each stage of labor, the medical management and nursing care for each stage.
4.
Discuss selected pharmacological and non-pharmacological techniques of pain control during
labor and the postpartum period.
5.
Describe the nursing care and observations for the mother during the recovery period.
6.
Explain the immediate care of the newborn.
7.
Define the terms on the vocabulary list.
Learning Activities:
Reading Assignment: Davidson, London, Ladewig, Chapter 22, 23, 24, 25.
Complete Study Guide Assignment:
My Nursing Lab: Pre & post tests Chap 22, 23, 24.
Vocabulary List
Amniotomy
Apgar Scoring
Cephalopelvic disproportion
Contractions
Crowning
Dilation
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Duration of Contractions
Dystocia
Effacement
Episiotomy
Fetal Attitude
Fetal Lie
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Fetal Position
Fetal Presentation
Hydramnios
Labor
Station
UNIT III: THE POSTPARTUM PERIOD
Unit Objectives: At the completion of NURS 1400, the student will utilize knowledge from nursing and
other disciplines when applying the nursing process to promote health/wellness to families in the
childbearing period by describing physiological and emotional changes that occur during the puerperium
including appropriate nursing care related to common postpartum complications with emphasis on
nursing care. At the completion of this unit of study the student will be able to:
1.
Describe the physiological changes, which take place during the puerperium in the following:
breasts, uterus, cervix, vagina, and perineum.
2.
Describe nursing care in the immediate postpartum period.
3.
Describe psychosocial aspects of the postpartum period.
4.
Describe methods to promote parent-infant attachment.
5.
Identify select topics of instruction for the mother.
6.
Identify the selected complications of the puerperium including, hemorrhage, puerperal
infection, mastitis, cystitis, and thromboembolic disorders.
7.
Define the terms on the vocabulary list.
Learning Activities:
Study Guide Assignment
My Nursing Lab: Pre & Post Chap tests Chap 35, 36, 39.
Reading Assignment: Davidson, London, Ladewig Chapters 35, 36, 39.
Complete unit objectives.
Vocabulary List
Afterpains
Colostrum
Cystitis
Involution
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Lochia
Mastitis
Puerperal Infection
Puerperium
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Pulmonary Embolism
Rooming In
Sibling Visitation
UNIT IV: THE NEWBORN
Unit Objectives: At the completion of NURS 1400, the student will utilize knowledge from nursing and
other disciplines when applying the nursing process to promote health/wellness to families in the
childbearing period by describing the physiologic characteristics and care of the newborn. At the
completion of this unit of study the student will be able to:
1.
Discuss nursing care of immediate needs of the normal newborn.
2.
Describe the physical and behavioral characteristics of the newborn and compare to potential
complications in extrauterine life adaptation.
3.
Describe topics of instruction for care of the infant, including bathing, circumcision, and
nutrition.
4.
Define the terms on the vocabulary list.
Learning Activities:
Study Guide Assignment
My Nursing Lab: Pre/Post tests for Chap 29, 30, 31, 32, 37.
Reading Assignment: Davidson, London, Ladewig, Chapters 29, 30, 31, 32.
Complete unit objectives.
Utilize My Nursing Lab activities
Vocabulary List
Acrocyanosis
Caput Succedaneum
Cephalohematoma
Circumcision
Erythema Toxicum
Fontanels
Gestational Age
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Hypothermia
Lanugo
Meconium Ileus
Milia
Molding
Mongolian Spots
Pathological Jaundice
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Petechiae
Phototherapy
Physiologic Jaundice
Respiratory Retractions
Serum Bilirubin
UNIT V: GROWTH AND DEVELOPMENT INFANCY THROUGH ADOLESCENCE
Unit Objectives: Upon completion of NURS 1400, the student will utilize knowledge from nursing and
other disciplines when applying the nursing process to promote health/wellness to families in the
childrearing period by describing developmental health promotion for infant through adolescent stages.
The student will
1.
Review growth and development from infancy through adolescence.
2.
Indicate developmental milestones for gross motor skills, fine motor skills, cognitive skills,
self-care skills, and language skills from infant to beginning school age child.
3.
Discuss topics related to anticipatory guidance for parents of infants through adolescents.
4.
Discuss environmental safety, including accident and injury prevention as it relates to the
nursing process.
5.
Describe the nurse’s role as it relates to child abuse.
6.
Describe the nursing process as it relates to common communicable diseases and related
immunizations.
7.
Define the terms on the vocabulary list.
Learning Activities:
Study Guide: see attached.
Reading Assignment: Ball, Bondler, Cowen Chapters 5, 18--Unit III (9, 10, 11, 12, 13, 14)
Complete Study Guide.
Complete unit objectives.
Utilize ‘My Nursing Lab’ activities
Supplemental Information to be supplied by instructor.
Participate in classroom activities.
Vocabulary List
Acting Out Behavior
Cephalocaudal Development
Cognitive Development
DDST-II
Hero Worship
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Maltreatment
Parallel Play
Prehension
Proximodistal Development
Psychosocial Development
Ritualism
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Study Guide Unit V
NURS 1400
Please type answers. DUE: ____________
1.
Identify the four age groups for this unit. Give two examples for each of the following
developmental categories…(i.e. two gross motor, two fine motor, two safety for infant…you
could make a table if you like…)
Gross motor
Fine motor
Safety
2.
List the required immunizations for school age children in Nebraska. (Kindergarten
entrance).
3.
Identify three health promotion activities for adolescents.
4.
Identify nursing interventions for a child who has been abused. What are the legal
responsibilities of nursing related to abuse?
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Unit VI: COMMON CHILDHOOD ILLNESSES
Unit Objectives: Upon completion of this unit of NURS 1400, the student will utilize knowledge from
nursing and other disciplines when applying the nursing process to promote health/wellness to families in
the childrearing period by discussing common childhood health problems and nursing care related to
select body systems from the infant through adolescence. At the completion of this unit of study the
student will be able to:
1.
Discuss medical treatment and nursing interventions of common infections and infestations of
the integumentary system to include: pediculosis capites, scabies, acne vulgaris, and
ringworm.
2.
Discuss data collection, nursing care and medical management for hearing disorders, and
visual impairments to include: amblyopia, strabismus, and visual acuity.
3.
Discuss data collection, nursing care and medical management of the following respiratory
disorders: Asthma, laryngotracheobronchitis, epiglottitis, strep throat, RSV, and sudden
infant death (SIDs).
4.
Describe the incidence, signs and symptoms, medical treatment and relate to the nursing
process the following neuromuscular disorders: meningitis, encephalitis, contusion,
laceration, concussion, and scoliosis.
5.
Discuss data collection, nursing care and medical management of the following:
gastrointestinal disorders; gastroesophageal reflux (GER), and parasitic infection.
6.
Discuss identification and treatment of select urinary system disorders and psychosocial
problems; and urinary tract infections.
7.
Define the terms on the vocabulary list.
Learning Activities:
Study Guide Assignment:
My Nursing Lab Pre & Post tests Chap 19 & 24.
Reading Assignment: Ball, Bindler, Cowen Chapter 19; pp. 1501-1520; Chapter 24; pp. 856-871,
892, 878-884, 1143-1146, 1174-1178, 1200-1203, 1211-1213, 1333-1342, 1455-1461,
Complete Study Guide. Complete unit objectives.
Vocabulary List
Acne Vulgaris
Amblyopia
Asthma
Concussion
Deformity
Epiglottitis
Epistaxis
Laryngotracheobronchitis
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Myringotomy
Otitis Media
Pediculosis Capititis
Scabies
Scoliosis
Strabismus
Strep Throat
Visual Acuity
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Nursing 1400 Clinical
SECTION VI: CLINICAL FOCUS
Students are assigned 33 hours of clinical practice in care of the client during the postpartum
period, including care of the newborn and the young pediatric age client. Emphasis is placed on
utilization of the nursing process, communication skills, pharmacology, and the role of the nurse
in promoting wellness. Enrichment experiences in community settings will be included.
SECTION VII: INSTRUCTOR RESPONSIBILITIES:
CLINICAL METHODS OF INSTRUCTION WILL INCLUDE:
Group discussion, post conferences, individual supervision and teaching dictated by needs of the
client(s).
FOR ASSESSING CLINICAL STUDENT PROGRESS:
The instructor will observe the student’s performance in the clinical area or community setting.
Post conferences will be utilized to assess student’s knowledge. Written assignments will be
given. A written nursing care plan may be assigned to assess student’s knowledge of the nursing
process. Medications may be administered at specific times.
ASSESSMENT METHODS:
The student will receive a satisfactory (S), unsatisfactory (US), needs improvement (NI), or not
observed (NO) or not applicable (NA) based on the quality of clinical performance. The
instructor will rate the student’s performance weekly. The student must achieve a satisfactory
for each objective by the end of the clinical course. If the student does not achieve a satisfactory
for each objective by the end of the quarter the course grade will be an unsatisfactory for the
objective. An unsatisfactory in any one objective at the end of the quarter indicates that the
objective has not been met and therefore constitutes a clinical failure. (Any unsatisfactory for
any clinical objectives must be followed by a satisfactory). The student must pass clinical to
pass the course. The student will participate in self-evaluation during the quarter.
SECTION VIII: STUDENT RESPONSIBILITIES:
METHODS OF LEARNING IN THE CLINICAL SETTING:
Students will utilize the nursing process as a problem solving mechanism when caring for the
mother and newborn or child. Students will prepare written assignments according to specified
guidelines. The student will learn to administer medications to the pediatric client.
The student will participate in self-evaluation. Students are totally and completely responsible
for all assignments.
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UNIFORMS:
Uniforms must be worn, and must be clean and pressed. The instructor reserves the right to
dismiss a student from the clinical area if the student’s dress and personal hygiene does not meet
the standards of the program, and the hours missed will be reflected on the attendance record of
the student.
ATTENDANCE:
Refer to the Nursing Program Policy and Procedure attendance policy.
EQUIPMENT:
Watch that calculates time with seconds.
Stethoscope
Penlight
Scissors
Basic Calculator
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CLINICAL OBJECTIVES:
At the completion of this clinical experience each student will be able to:
1.
Maintain standards of ethical, professional and legal behavior while functioning as a
safe and competent member of the health care team under the supervision of a
registered nurse or licensed practitioner. Demonstrates responsibility and
accountability for nursing practice with an awareness of the need for continued
personal learning and self-development.
a. Protects confidential information.
b. Demonstrates accountability for own actions..
1.
Accepts constructive criticism and utilizes suggestions for selfimprovement..
2.
Identifies own strengths and limitations.
3.
Demonstrates industry and self-discipline
4.
Demonstrates reliable clinical attendance
5.
Notifies clinical instructor in a timely manner when unable to attend
clinical course.
6.
Maintains good personal hygiene.
7.
Adheres to regulations regarding acceptable clinical dress.
8.
Reports promptly and participates in conferences.
9.
Documents nursing care in an accurate manner, with minimal guidance.
c. Successfully completes all assignments on time and with appropriate minimum
score when applicable.
1.
Record for physical assessment of the pediatric client.
2.
Data collection on a pediatric client.
3.
Nursing Care Plan with four functional health patterns.
4.
Written drug information for each medication administered.
d. Functions within the Scope of Practice and in accordance with educational level.
e. Independently records data on graphic sheet/client’s care record/flow sheet, I & O
sheets.
f. Maintains safe environment at all times.
1.
Uses siderails appropriately.
2.
Call light is within reach.
3.
Practices appropriate body mechanics consistently.
g. Adheres to institutional policies regarding standard precautions.
1.
Handwashing.
2.
Utilize barrier protectors.
3.
Cleaning client area.
4.
Handling linen correctly.
2.
Display caring behaviors in the delivery of nursing care to individuals and families..
a. Accepts differences of race and culture
b. Demonstrates a respectful attitude towards others.
c. Uses appropriate title and tone of voice.
d. Spends time with client beyond the time spent providing physical care.
e. Provides privacy for the client when appropriate.
f. Uses measures to enhance client’s self-esteem and integrity.
g. Accepts client’s communications without judging.
h. Demonstrates an awareness of client’s religious and cultural needs.
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3.
4.
i. Demonstrates a positive attitude through one’s behavior.
j. Behaves in an empathetic manner.
Utilize knowledge from nursing and related disciplines when applying the nursing
process in the provision of nursing care for individuals and families.
a. Collects basic data related to assigned client(s).
1.
Data is collected from the chart, kardex, nursing care plan, physical
examination, and client interview, significant others, nursing staff.
2.
Records the results of pertinent laboratory and diagnostic tests.
3.
Defines diagnostic tests and provides rationales.
b. Record and define the nursing diagnosis as identified on the plan of care.
1.
Uses references to look up current medical condition.
2.
Relates the nursing diagnosis to the appropriate functional health pattern.
c. Develops a plan of care based on the nursing diagnosis with guidance from the
clinical instructor.
1.
Establishes short term goals based on the existing care plan.
2.
Identifies nursing interventions related to established goals.
3.
Expresses appropriate rationale for each nursing intervention.
d. Implements the plan of care in a thorough manner under the supervision of the
clinical instructor.
1.
Initiates basic care without direct supervision of the clinical instructor.
2.
Utilizes an organized plan of care.
3.
Reviews procedures in procedure manual as necessary.
e. Participates in the evaluation of care with manual as necessary.
1.
Talks with the client or caregiver to determine client response to care.
2.
Observes and describes changes in client’s status.
3.
States how well goals were met.
4.
Describe modification necessary in plan care.
f. Manage the nursing care of individuals and families with selected health needs in
structured settings in collaboration with other health team members.
1.
Discusses plan of care with appropriate nursing staff.
2.
Informs appropriate staff member if client assignment requires nursing
action above level of responsibility.
3.
Utilizes an organized plan of care.
4.
Follows instructions provided by instructor or appropriate health team
member.
5.
Directs questions or problems regarding nursing care to the instructor.
6.
Actively participates in client care discussion in post conferences.
7.
Participates in an observational experience in assigned clinical areas.
Follow the hierarchy of needs when providing nursing care to individuals and
families.
a. Meets the physiologic needs of the client.
1.
Evaluates nutritional needs and state of hydration
a.
Measure and record I & O.
b.
Observe insertion site for IV’s for symptoms of infiltration or
phlebitis.
c.
Observe rate of IV infusion.
d.
Report symptoms of fluid imbalance.
2.
Successfully perform the following daily assessment on each client:
a.
Lung sounds.
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5.
6.
b.
Circulation check.
c.
Neurological check.
d.
Abdominal assessment.
e.
Apical pulse.
f.
Fundus check for postpartum client.
b. Meets the safety needs of the client.
1.
Demonstrate safe and competent nursing practice.
2.
Identifies factors related to client’s current condition which may put
them at risk for complications.
c. Meets the love and belonging needs of the client.
1.
Provides for oral hygiene.
2.
Acknowledges the individual with respect and dignity.
d. Meets the self-esteem needs of the client.
1.
Encourages the client to adapt to health status.
e. Meets the self actualization needs of the client.
1.
Assists the client to move forward each day.
Employ therapeutic communication to establish relationships with individuals,
families, and other heath team members.
a. Introduces self and initiates conversation with client.
b. Begins to note client’s verbal and nonverbal communication.
c. Explains procedures before beginning.
d. Records data on all appropriate institutional documents.
e. Reports client concerns and pertinent observations to appropriate health team
member and instructor in a timely manner.
f. Gives a concise and comprehensive report to appropriate health team member at
the end of clinical hours.
g. Communicates effectively with all clients, families and health care team members
at all times.
Instruct clients regarding health maintenance based on client’s needs and nurse’s
knowledge level.
a. Instructs client on health promotion measures.
1.
Develops written report for Developmental Observational Experience
2.
Prepares one Teaching Planning Project on a health or safety topic to
present to a self-selected children’s group.
b. Administers medications utilizing safe practices to at least 2 clients daily.
1.
Three check method when preparing medications.
2.
“Six Rights” when administering medications.
3.
Administers oral and injectable medications with supervision.
4.
Verbalizes the following information regarding each medication
administered.
a.
Name(s) of drug.
b.
Classification of drug.
c.
Action.
d.
Usual dose.
e.
Side effects.
f.
Nursing interventions that are within the LPN Scope of practice
and are relevant to the nursing care provided.
5.
Instructs client on:
a.
Name of drug.
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6.
7.
1.
2.
3.
4.
5.
6.
b.
Why the client is receiving this drug.
c.
Pertinent nursing observations.
Identifies client’s needs regarding PRN medications.
a.
Provide basic information regarding health care practices with
guidance from instructor.
Determines and documents the effectiveness of PRN medications.
c.
Identifies situations that require client teaching:
Explain to client the importance of postpartum visits to her physician after
dismissal from the hospital.
Discuss postpartum blues with mother and family.
Review the immunization schedule for the baby with the mother and stress
the importance of following it.
Discuss baby care with the family and include skin/diaper care, thrush,
sibling rivalry, feeding techniques, and circumcision care (if applicable).
Stress the importance of safe usage of car seat for the baby when driving.
Prepare one Teaching Planning Project on any of the above topics to share
at Conference.
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Course evaluation and outcome measurements:
Listed below are the course objectives and the assessment measures.
Course Objective
1. Maintain standards of ethical,
professional, and legal behavior while
functioning as a safe and competent member
of the interdisciplinary team under the
supervision of the registered nurse or
licensed practitioner. Demonstrate
responsibility and accountability for nursing
practice with an awareness of the need for
continued personal learning and selfdevelopment.
2. Demonstrate responsibility and
accountability for nursing practice with an
awareness of the need for continued learning
and self-development.
3. Display caring behaviors in the delivery of
nursing care to clients.
4. Utilize knowledge from nursing and
related disciplines when applying the nursing
process in the provision of nursing care to
clients
5. Manage the nursing care of clients with
selected health needs in structured settings in
collaboration with the interdisciplinary team.
6. Employ effective communication to
establish relationships with clients and the
interdisciplinary team.
7 Utilize the teaching-learning process to
assist clients to reach a higher level of health.
8 Follow the hierarchy of needs when
providing nursing care to clients in
collaboration with the interdisciplinary team.
Metropolitan Community College
Assessment Measure
Demonstrates those behaviors/skills/requirements
designated in this course syllabus and on the
evaluation form, as essential for this objective.
Demonstrates those behaviors/skills/requirements
designated in this course syllabus and on the
evaluation form, as essential for this objective.
Demonstrates those behaviors/skills/requirements
designated in this course syllabus and on the
evaluation form, as essential for this objective.
Demonstrates those behaviors/skills/requirements
designated in this course syllabus and on the
evaluation form, as essential for this objective.
Demonstrates those behaviors/skills/requirements
designated in this course syllabus and on the
evaluation form, as essential for this objective.
Demonstrates those behaviors/skills/requirements
designated in this course syllabus and on the
evaluation form, as essential for this objective.
Demonstrates those behaviors/skills/requirements
designated in this course syllabus and on the
evaluation form, as essential for this objective.
Demonstrates those behaviors/skills/requirements
designated in this course syllabus and on the
evaluation form, as essential for this objective.
22
2012 Fall Quarter Important Dates
Classes Begin ......................................................................................................................... Sept 4 Tu
Current Student (greater than 50 hours) Winter 2012 (12/WI) Registration begins ............... Sept 12 W
***Census Date/Tenth Day* .................................................................................................. Sept 17 M
Current Student (less than 50 hours) Winter 2012 (12/WI) Registration begins .................... Sept 19 W
General Winter 2012 (12/WI) Registration begins .................................................................Sept 26 W
Summer Quarter Term Incomplete “I” Grades Due ................................................................. Nov 5 M
Classes end ............................................................................................................................. Nov 19 M
Fall grades due and posted by 11:59 p.m. ................................................................................ Nov 21W
Student Withdrawal Deadline to “drop” a class without receiving a grade ............... Varies by Class**
Student Withdrawal Deadline to “drop” a class with a refund varies **.......... See Refund Policy****
Fall grades due and posted by 11:59 p.m. ................................................................................ Nov 21W
Thanksgiving Day Recess/College closed .................................................................. Nov 22-25 Th-Su
* Tenth Day is the date on which your enrollment level is checked.
**To view the last day to withdraw “drop” a class to prevent receiving a grade, go to the class schedule
found on line at http://www.mccneb.edu/schedule/classschedule.asp . Then, find the course section and
click on the Important Dates link on the same line as the course title. Dates for each course section are
automatically calculated based on the start and end dates and the number of sessions for a course. A
student must withdraw by this date to avoid an “F” grade.
Note: Schedule changes may have implications for students on Financial Aid. Check with the
Financial Aid Office prior to any schedule changes at 402-457-2330. The Census Date*** is the date on
which Financial Aid Student’s enrollment is checked to determine the type and amount of authorized
funds for the quarter. Payment is based on enrollment as of that date.
****REFUND POLICY for Credit Courses
A student is responsible for withdrawing “dropping” from a course(s) if unable to attend. Nonattendance or non-payment does not relieve a student from the obligation to pay. To withdraw “drop”
from a course, log into WebAdvisor, soon to be named “My Services”, https://webadvisor.mccneb.edu
and click “Register and Drop Sections”.
An official schedule change that reduces or terminates a student’s academic credit load may entitle the
student to a refund. The eligibility and amount of a refund is automatically calculated by the date of the
withdrawal.
A student may see the refund percentage received through midnight of the same day by logging into
WebAdvisor, soon to be named “My Services”, and clicking on the Tuition Refund Calculator/Modeler.
A link to the Student Information Calendar is available once logged in on WebAdvisor, soon to be
named “My Services”.
6/17/2012