SOUTHERN STATE COMMUNITY COLLEGE PRACTICAL NURSING PROGRAM I. COURSE TITLE: Fundamentals of Nursing I COURSE NUMBER: 101 II. CATALOG PREFIX: PRAC PRE-REQUISITES: Acceptance into the Practical Nursing Program, BIOL 205, BIOL 206 CO-REQUISITES: PRAC 110, PRAC 108, BIOL 207, CSCI 101 (unless previously taken) III. CREDIT HOURS: LABORATORY HOURS: IV. COURSE DESCRIPTION: 6 6 LECTURE HOURS: 3 CLINICAL HOURS: 4 Building on the student's introduction to the program philosophy and organizing framework which was initiated during the orientation, this course introduces fundamental concepts and skills of nursing which are essential to providing adult client care. Gerontologic adaptations for nursing care are emphasized. Using the framework of basic human needs, the nursing process and promotion of health on the continuum, the student learns skills related to the areas of disease prevention, physical well-being, safety, fluids and nutrition, personal hygiene, mobility, elimination, rest, and oxygenation. Guided laboratory and beginning clinical experiences are integrated to complement theory within this course. V. REQUIRED TEXTBOOKS: Potter & Perry. (2007). Basic Nursing: Essentials for Practice, 6th Ed., St. Louis: Elsevier/Mosby. Ehrlich, Ann & Schroeder, Carol L. (2005). Medical Terminology for Health Professions, 5th Ed., Clifton Park, NJ: Thomson Delmar Learning. Williams & Hopper. (2007). Understanding Medical-Surgical Nursing, 3rd Ed., Philadelphia: F.A. Davis. Curren, Anna M. (2006). Dimensional Analysis for Meds, 3rd Ed., Clifton Park, NJ: Thomson Delmar Learning. Mosby’s Dictionary of Medicine, Nursing & Health Professions, (2005) 7th Ed., Elsevier/Mosby. Optional Texts (strongly recommended) DeWit, Susan (2007). Saunders Student Nurse Planner: A Guide to Success in Nursing School, 5th Ed., St. Louis: Elsevier/Saunders. Myers & Hopkins (2004). LPN Notes: Nurse’s Clinical Guide, Philadelphia: FA Davis Co. Poorman, Mastorovich, Webb, & Molcan (2003). Good Thinking: Test Taking and Study Skills for Nursing Students, 2nd Ed. www.statnursing.org SSCC/PRAC 101/SYLLABUS/Fall, 2007 VI. COURSE OBJECTIVES: 1. Identify basic human needs and discuss the role of the nurse in assisting adults of all ages to meet selected needs. 2. Define the health continuum for the client throughout the adult life span. 3. List and define the steps in the nursing process. 4. Show an awareness of the dignity of each person as an individual. 5. Demonstrate beginning communication skills, recalling appropriate medical terminology. 6. Use correct mathematical skills in simple drug calculations required in medication administration. 7. Define the Practical Nursing role in active learning for both student and client. 8. Recognize the ethical-legal responsibilities of the student practical nurse in relation to client rights. 9. Demonstrate beginning client care skills that are conducive to the comfort and safety of the adult client. 10. Recall gerontological adaptations to beginning client care skills. 11. State nursing principles fundamental to beginning procedures. VII. COURSE METHODOLOGY: Lecture-discussion, audiovisual materials, computer assisted instruction, demonstration, laboratory practice, written laboratory assignments, return demonstrations, written exams, clinical practice. VIII. GRADING: Grading scale: 93 - 100 = A 85 - 92 = B 77 - 84 = C 0 - 76 = F A theory grade of at least 77 is required to pass this course. Achieve a "Satisfactory" grade in the evaluation of each written assignment and nursing skill assigned in the laboratory setting and clinical practice. Failure to achieve a satisfactory grade in each of these will result in a course grade of "F" for the entire course, regardless of exam scores. IX. COURSE OUTLINE: Using the framework of basic human needs, the relationship to the health continuum and the steps of the nursing process, each topic listed below is examined within the scope of practice for the LPN. Individual personal dignity, and any significant information related to medication administration, required communication components and ethical or legal significance is integrated in the topic as it is studied. Orientation: Introduction to program philosophy, organizing framework, and definitions of terms. 2 SSCC/PRAC 101/SYLLABUS/Fall, 2007 o o o o o o o o o o o Utilizing Body Mechanics in Meeting Basic Client Needs Client Positioning, Alignment, & Ambulation Principles & Practice of Medical Asepsis Client Environment & Safety Considerations Personal Hygiene Assessing Vital Signs Medical Terminology - Elements of Communications Fluid & Nutritional Needs Meeting Mobility Needs Meeting Needs Imposed by Immobility Meeting Elimination Needs: Urinary & Bowel X. OTHER REQUIRED TEXTS, SOFTWARE, AND MATERIALS: None. XI. EVALUATION: Knowledge is evaluated through performance evaluation of student’s ability to meet objectives related to clinical component of course; other specific grading/evaluation requirements as per instructor will be given to the student the first day of class. XII. OTHER INFORMATION: FERPA: Students need to understand that your work may be seen by others. Others may see your work when being distributed, during group project work, or if it is chosen for demonstration purposes. Students also need to know that there is a strong possibility that your work may be submitted to other entities for the purpose of plagiarism checks. DISABILITIES: Students with disabilities may contact the Disabilities Service Office, Central Campus, at 800.628.7722 or 937.393.3431. 3 SSCC/PRAC 101/SYLLABUS/Fall, 2007 4 PRAC 101 FUNDAMENTALS OF NURSING I CLINICAL EXPERIENCE The purpose of clinical practice in this first Nursing course is to introduce the student to the environment of the health care facility and to begin the transition of nursing skills learned in the college lab to the actual performance of nursing care in a facility. One day each week of the quarter is planned as a clinical experience at an assigned facility with instructor supervision. Students are introduced to beginning-level client care experiences which focus on: -client safety -nutrition and fluid needs -assessment skills -hygiene -mobility -elimination -therapeutic communication The student must demonstrate to the clinical instructor that he/she has made progress in the transition of practicing nursing skills in the college lab to the actual client care experience by the end of the quarter in order to achieve a "satisfactory" grade for required skills. Failure to achieve a satisfactory grade in this area will result in a course grade of "F" regardless of the theory grade in this course. WEEKLY LAB RELATED TO DRUG CALCULATION To introduce the student to safe administrative techniques of pharmacological and therapeutic agents, the primary focus first quarter will include the following in lab each week: Applying basic mathematic principles of the calculation of problems associated with medication dosages. Learning to use formulas as a basis for performing calculations. Working conversion problems related to medication administration using household, apothecary, and metric equivalents. The student will be given a review of mathematics pre-test at the beginning of the quarter and a post-test at the end of the quarter to demonstrate that learning has taken place. SSCC/PRAC 101/SYLLABUS/Fall, 2007 SOUTHERN STATE COMMUNITY COLLEGE PRACTICAL NURSING PROGRAM Policies For Use of the Nursing Practice Lab Required Lab: The purpose of the Practice Lab is to allow the student a simulated patient care experience in order to become familiar with the required psychomotor skills for a course. The student is scheduled for supervised practice labs with an instructor according to the requirements of a course. Attendance at supervised labs is required. Specific lab objectives written for each lab session must be satisfactorily achieved in order to successfully complete the course. Open Lab: The lab is available for self-directed student practice during the hours posted on the Lab door as "Open Lab". The student should use the Open Lab Practice to become proficient in a skill BEFORE requesting an evaluation of the skill by the instructor. Students should sign in and out of the Open Lab. The "sign-in" book is located on the counter of the lab and requests date, time, name, and procedure. Equipment and Lab Maintenance: All equipment and supplies should be returned to the appropriate place after they are used for practice. No equipment may be removed from the lab at any time. Students are expected to leave the laboratory in order, which means cleaning up lab surfaces, making and straightening beds and returning models and equipment to appropriate spaces. All students are responsible for maintaining order in the lab as follows: See that the room is in order at the end of each class. 1. beds neat and in proper place 2. bed side furniture in proper place 3. all equipment returned to proper place 4. lights off 5 SSCC/PRAC 101/SYLLABUS/Fall, 2007 NURSING LAB PERFORMANCE EVALUATION--SKILLS CHECKOFF Lab participation is an important factor in lab performance evaluation. Students are to take individual responsibility for learning laboratory procedures BEFORE evaluation by an instructor. The laboratory will be open for individual practice during the hours posted. The initial skills checkoff will be scheduled by the instructor. Follow-up checkoffs will be done according to the procedure listed below. A. Students are required to successfully demonstrate skill mastery within 3 performance exams. Performance will be graded satisfactory (S) or unsatisfactory (U). B. If unsuccessful in 3 attempts, or unsuccessful completion of a skill within a 10 day period, an unsatisfactory lab performance will result. Unsatisfactory lab performance at completion of the quarter will result in the grade of "F" for the entire course regardless of the theory grade. C. Only one attempt to perform the same lab procedure may be made each proficiency day. If the lab procedure is not completed successfully, the student will be required to reschedule the proficiency at an available time with the lab instructor before the date it is due. D. Checkoffs are to be scheduled during lab time and at other assigned times as scheduled by instructor. Each student may sign up only once for a skill until all students have had an opportunity to sign up for that skill. E. No books or notes are to be available during tests. "Patients" and assistants may not give clues or any verbal assistance during the tests. Before beginning the test, each student testing needs to: a. get own assistant if needed. b. get own patient if needed. c. be ready to start at the appropriate time. d. pull checkoff papers and have name on all of them and give to evaluating instructor. e. place checkoff papers in order of performance. F. Students are asked not to watch others being evaluated. Skill checkoff sheets are to be given to instructor before evaluation, and will be marked as satisfactory or unsatisfactory. G. All procedures listed with an * on the syllabus must be completed with a grade of (S) to successfully complete this portion of the course. Skill checkoffs must be successfully completed in the lab before a student is permitted to perform them in the clinical setting. H. All written lab assignments must be satisfactorily completed and submitted on due date to pass the nursing fundamentals skills course. 6 SSCC/PRAC 101/SYLLABUS/Fall, 2007 MEDICAL TERMINOLOGY Ehrlich, Ann, Medical Terminology for Health Professions: 1. Three computer quizzes will be required to be completed for each chapter. Need to turn in the score sheets and must receive a passing grade of 77 or greater. 2. Each chapter in the book needs to be completed. 3. Time schedule: September 24: Chapters 1, 2, 3, 4, 5 October 15: Chapters 6, 7, 8, 9, 15 October 29: Chapters 10, 11, 12, 13, 14 November 12: Comprehensive medical terminology (in book only) 7