Georgia Baptist College of Nursing
of
Mercer University
Health Assessment NUR 211
FALL 2005
Course Coordinators
Kelli Shugart RN, MN
Deonna Storey RN, MSN
GEORGIA BAPTIST COLLEGE OF NURSING
OF
MERCER UNIVERSITY
NUR 211 Course Syllabus
Fall 2005
Course Website: faculty.mercer.edu/shugart_kp
Course Title: Health Assessment (NUR 211)
Course Credit: 2 semester hours (1.5 lecture, 5 lab, 2 credit hours)
Total course hours:
Course placement:
Prerequisites:
Total weeks:
10
Total classroom hours:
24
Total laboratory hours:
24
Level 2 first semester, second year
All level one courses
Course description:
Health assessment is a vital part of data gathering in
the nursing process and thus is a foundation for the clinical practice of nursing.
Building on the introductory courses, which focus on Nursing Concepts,
Processes, and Skills, the Health Assessment course offers the student
theoretical content and laboratory practice for the learning and development of
specialized assessment skills. Utilizing a holistic approach, the student learns to
assess the health status of clients of diverse cultures and to relate the
significance of this assessment data to health needs.
Course Coordinator:
Kelli Shugart, RN, MS
Deonna Storey, RN MSN
Office
270
254
Phone
678-547-6759
678-547-6731
Course Faculty:
Catherine Horat, RN, CS, MSN, CFNP
Kathleen Hancock, RN, MN, IBCLC
Curlissa Mapp, RN, MN
Ginger Mize RN, MN
Sandra Rayburn RN, PhD
Mary Sharpe, RN, MSN, FNP
John Summerville, RN, MN
Jill Ray, RN, MSN
231
256
272
257
267
253
268
230
678-547-6781
678-547-6744
678-547-6776
678-547-6766
678-547-6769
678-547-6738
678-547-6745
678-547-6768
Guest Lecturers:
Sara Mitchell, RN, PhD, CPNP
214
678-547-6765
Course Objectives: At the completion of NUR 211 the student will:
1.
Explain the relationship of holistic health assessment to the overall nursing
process.
2.
Utilize effective communication techniques when gathering data during
client interviews and physical exams.
3.
Recall concepts and theories from the natural and behavioral sciences as
these apply to health assessment findings.
4.
Demonstrate appropriate expertise in techniques and use of equipment in
a systematic health assessment.
5.
Recognize individual variations of normal assessment findings in relation
to age, sex, and race.
Alter the approach to data gathering as necessary in response to
characteristics or needs of the client.
6.
7.
Conduct health assessment sessions with a gentleness and respect for
the dignity of the client.
8.
Compare the results of assessment data to expected normal findings.
9.
Communicate health assessment findings accurately and appropriately to
other health team members and to the client.
10.
Demonstrate self-direction in the learning and practicing of required skills.
Content Outline:
1.
Unit I Assessment of the whole person
1.1 Concept of health
1.1.1 Transcultural considerations
1.2 Developmental assessment
1.3 Interviewing skills
1.4 Complete health history
1.5 Nutritional assessment
2.
Unit II Physical Examination
2.1 Assessment techniques
2.2 General assessment, measurement, & measuring vital signs
2.3 Systematic assessment
2.3.1 Cardiovascular assessment
2.3.2 Thorax/respiratory assessment
2.3.3 Integumentary assessment
2.3.4 Breast assessment
2.3.5 Abdominal assessment
2.3.6 Neurologic/mental assessment
2.3.7 Head, eyes, ears, nose, throat assessment
2.3.8 Cranial nerve assessment
2.3.9 Musculoskelatal assessment
2.3.10 Genitalia, rectum, and anus assessment
3. Unit III Integration of the Health Assessment
3.1 The complete health assessment
3.2 The focused health assessment
Clinical component:
1.
Assessment labs – each student will participate in weekly laboratory
sessions to practice the skills taught in class.
2.
Documentation – documentation of the review of physiological system and
the physical examination performed in the skills laboratory is required for
each lab.
3.
Final performance examination – the learner will perform and document a
final physical examination in the laboratory to demonstrate physical
assessment and documentation skills (see attached guidelines).
Evaluation of student learning:
1.
2.
3.
4.
5.
Written examinations.
Written comprehensive final examination.
Written health history.
Performance of lab physical assessment exam and a comprehensive
performance exam.
Written documentation of health data and physical assessment performed
in lab.
Course evaluation methods:
1.
Comprehensive course evaluation tool
2.
Evaluation of clinical faculty
Requirements for successful completion of course:
1.
2.
Minimum average of test scores 75%.
To receive a satisfactory grade in the clinical component of the course the
student must:
a) receive a satisfactory on professional performance evaluation.
b) receive a minimum of 75% on final physical assessment performance.
c) receive a minimum of 75% on final physical assessment
documentation.
Students who fail to achieve 75% on the final physical assessment performance
or documentation of the final physical assessment performance will be allowed
one additional attempt to achieve a satisfactory score. The maximum possible
grade on a repeat final physical assessment performance or a repeat
documentation of the final physical assessment performance will be 75%.
*Failure to achieve either of these will result in failure in the course,
necessitating retaking the entire course.
Course grading system: Theory grade:
Clinical grade:
1.
2.
Theory grading system:
Two exams (20% each)
Comprehensive Final Exam
70%
30%
40%
30%
Clinical grading system
Final written health history
Final physical assessment performance
Final physical assessment documentation
7.5%
15%
7.5%
Required textbook:
Jarvis, C. (2004). Physical examination and health assessment. (4th ed.).
St. Louis: Saunders
Suggested resource books:
Jarvis, Carolyn. (2004). Student laboratory manual for physical examination and
health assessment. (4th ed.). St. Louis: Saunders.
GEORGIA BAPTIST COLLEGE OF NURSING
OF
MERCER UNIVERSITY
INCLEMENT WEATHER CLOSING ACTION PLAN
In cooperation with the overall inclement weather plan of
Mercer’s Cecil B. Day Campus/Atlanta and the off-campus
centers in Griffin, Douglas County, and Covington, the COLLEGE
OF NURSING will follow a predetermined plan to disseminate
information to students, faculty and staff:
1.
The decision to close any one (or all) of the multiple Atlanta
area campuses will be made by Dr. Bartling (School of
Pharmacy) in consultation with Dr. Dattilo (College of Nursing).
Dr. Bartling will consult with designated administrative
individual(s) to determine how each school will respond to the
weather crisis. For example, morning clinical experiences for
nursing may be affected differently from evening business or
education classes.
2.
Dr. Bartling will notify the University Relations and Marketing
Office and a staff member in this office will do the following:
 A message for each school will be recorded on the
University Weather Hot-line telephone number (see below).
 An e-mail broadcast message will be sent to faculty, staff
and students
 A scrolling red message bar will appear on the home page of
Mercer’s web site at www.mercer.edu
 A general message will be given to WSB TV (channel 2) and
WSB radio (AM 750) to put on the air.
IMPORTANT: Faculty, staff, and students should rely on
the phone hot-line message, the web page or their email to get the most accurate information about the
specific plan for our college.
MERCER UNIVERSITY
WEATHER HOT-LINE:
(678) 547-6111
Georgia Baptist College of Nursing Required Annual Update
Tuberculosis Screening & Healt h Insurance Verification
Student Name:______________________________________ SSN:_________________
Home Phone: _____________________________ Work Phone: __________________
Emergency Contact: ________________________ Phone: _______________________
Health Insurance
Attach a copy of your insurance card and complete this section:
Insurance company:
Name and Address
Policy Holder: ____________________________ SS# of Policy Holder: _________________
Tuberculosis Screening
Circle all that apply:
Positive reaction for TB*
Medication for TB (INH)
Known Exposure to TB
Family member with
TB
History of BCG Vaccine
PPD Test Administration Information:
Date given: ________________
Site of test: Right Forearm
None of these
Left Forearm
Administered by:
Date Read: ___________________________ Name of Reader: ________________________
Address of Reader:
_________________________________________________________________
Results: NEGATIVE
_____________________
POSITIVE
mm of induration
Previous history of positive? NO
YES
*If previously positive, you are required to
have a copy of a negative chest x-ray on file with Campus Health.
Comments:
_________________________________________________________________________
H.I.P.A.A. Statement
It is the policy of Georgia Baptist College of Nursing of Mercer University to adhere to all Health Insurance Portability
and Accountability Act (H.I.P.A.A.) guidelines. All discussions and/or documents related to confidential patient/client
health information shall be held in strict confidence. Information will only be written or electronically transmitted using
the client/patient initials. Further, this information will only be shared with faculty involved in the student’s education
process. Client/patient discussions will only be held in designated areas of the university or clinical facility.
I hereby authorize Georgia Baptist College of Nursing of Mercer University permission to release this and
all immunization information to clinical faculty and clinical sites that are directly related to my educational
process.
I herby specify that this authorization extend to cover release of information to and from Campus Health to
the Georgia Baptist College of Nursing Administrative Staff for filing purposes.
Student Signature ________________________________ Date: _________________
GEORGIA BAPTIST COLLEGE OF NURSING OF
MERCER UNIVERSITY
STUDENT NAME:
COURSE:
DATE:
HONOR SYSTEM CREED
As a member of the Georgia Baptist College of Nursing community, I am bound by honor to
uphold standards of honesty and integrity; to pursue full intellectual, ethical, spiritual, and moral
development; and to accept my personal, academic, professional responsibilities in the
community. To attain these ideals, I embrace this Honor System as my way of life.
H.I.P.A.A. Statement
It is the policy of Georgia Baptist College of Nursing of Mercer University to adhere to all Health
Insurance Portability and Accountability Act (H.I.P.A.A.) guidelines. All discussions and/or
documents related to confidential patient/client health information shall be held in strict
confidence. Information will only be written or electronically transmitted using the client/patient
initials. Further, this information will only be shared with faculty involved in the student’s
education process. Client/patient discussions will only be held in designated areas of the
university or clinical facility.
Permission for Posting Grades
In accordance with the Buckley Amendment to the Family Educational Rights and Privacy Act of
1974, we cannot post any exam or course grades without the express permission of the student.
Therefore, we would like to ask each of you to indicate whether or not you desire to have your
grades posted in a public place.
I would like to have grades for the above course posted by an identification number on a
designated bulletin board. YES__________ NO___________
Signature:__________________
Code Number:______________
(Choose a four digit number; which
will be followed by three (3) zeros.)
Disability Statement
Any student with a documented disability who desires to be considered for special
accommodations should read the information in the student handbook which begins on page 33.
A request for accommodations is initiated with Richard Stilley in the Office of Student Life. In
order to receive accommodations, a student needs to provide the completed papers from Richard
Stilley to the course coordinator for signature each semester. This process can be initiated at any
time in a semester; however for accommodations to be provided for an examination, this
paperwork must be completed at least 7 days prior to the examination date.
Statement of Understanding
I have read the Course Outline for the above stated course. I understand the objectives and
requirements of this course and have no questions regarding them. I also have read the Honor
System Creed, the H.I.P.A.A. Statement, Disability Statement, and the Permission for Posting
Grades Statement. I understand the purposes and requirements of the above statements.
Signature:____________________________________
GEORGIA BAPTIST COLLEGE OF NURSING OF
MERCER UNIVERSITY
H.I.P.A.A. Background Information
In 1996, Congress enacted the Health Insurance Portability and Accountability
Act, or H.I.P.A.A. The primary purpose was continuity of health insurance
coverage if you change jobs, but it also provided standards for health information
transactions and confidentiality and security of patient data. This confidentiality
portion affects the day-to-day education process of nursing students. Permission
must be received from the patient prior to ANY disclosure.
H.I.P.A.A. Enforcement
The Privacy Rule was published in April 2001 and will be enforceable in April
2003. The Office of Civil Rights will enforce it. There are civil penalties of
$100/violation up to $25,000/year. Criminal penalties are also possible including
$50,000 and/or 1 year in prison for wrongful disclosure or $250,000 and/or 10
years in prison for the intent to sell information.
As health care providers, we all have a responsibility to uphold confidentiality for
patients. In a busy education or hospital setting it can be difficult. Classroom
discussions and clinical conferences and assignments lead to discussions of
client's confidential health information. While these oral and written discussions
are acceptable in the educational setting, they are not acceptable in common
areas such as the cafeteria, or in the written form without preventing the
disclosure of the patient's name. The person next to you in line could be a
patient's friend, relative, or media member that is not entitled to this privileged
information. If clinical/classroom papers are lost or transmitted electronically
without safeguards, the general public would have access to confidential patient
information.
Confidentiality is the basis of the nurse-patient relationship. If the patient is
uneasy about disclosing pertinent and privileged information, the ability of the
nurse to provide holistic adequate care is severely compromised. It should be
made clear to the patient that this information will not be disclosed unless
required by law. The medical record is to be kept private with certain exceptions
including:
- Treatment of minors
- Transportation Safety
- HIV+ Patients
- Abuse of a Child or Adult
- Duty to report harm/wound
Georgia Baptist College of Nursing
of
Mercer University
NUR 211
Health Assessment
IMPORTANT INFORMATION YOU NEED TO KNOW
* Lab is mandatory! Missed lab make-up is arranged between
lab faculty and student. Lab includes the practice lab with your
individual instructor as well as videos shown during class time.
Anyone not viewing videos prior to practice lab will be
considered not prepared for lab. That student will be asked to
go the library to view the video before starting lab practice.
* In order to pass NUR 211 a student must accomplish two
things.:
(1) A grade of 75 or better on the average of your exam grades
and final. Once you meet the criteria of passing exams all other
grades will be added to determine your final course grade.
(2) The second thing a student must pass is the lab practice
section of the course with a 75%.
Both lab and classroom must be passed in order to pass this
course.
If any of this is not clear please see your individual lab instructor
for clarification.
Exam Blueprint Fall 2005
Exam I:
Faculty:
Topic
September 19
# of Questions
Assessment Tech
Interviewing Tech
Health History
Nutritional Assess/Ht & Wt
Musculoskeletal
Genitalia
TOTAL
Exam II:
Faculty:
Topic
Due to Secretary: September 2
5
10
12
5
12
7
Faculty
Final
Mitchell
Mapp
Horat
Horat
Shugart
Shugart
2
4
5
2
5
3
51
21
October 24
Due to Secretary: October 3
# of Questions
Integumentary
Breast Assessment
Respiratory/
Cardiovascular
Abdomen
Neurological Assessment
HEENT/ Cranial Nerves
TOTAL
Faculty
Final
5
5
20
Mize
Hancock
Ray
2
2
10
10
7
17
Mize
Sharpe
Sharpe
4
3
7
64
28
New Material on Final
Putting it all together
COMPRHENSIVE FINAL EXAM:
Due to Secretary October 10
Faculty:
Hancock
October 31
Total # of question on the final exam =59
10