SYLLABUS HANDOUT
FOR FALL 2012
ADULT NURSING III
NURS 1130 9A
INSTRUCTOR:
Traci Warren, RN MSN
Kristin Engel, RN BSN
Teresa Champion, RN MSN
“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
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Metropolitan Community College
Course Syllabus – Fall 2012
COURSE IDENTIFICATION
Title:
Prefix/Section:
Begins/Ends:
Meeting Time:
Drop Date:
Delivery Type:
Class Location:
Lab Location:
Course Web Address:
Adult Nursing III
NURS 1130 9A
Saturday, September 8 – Saturday, November 17, 2012
Saturdays, 10:00 a.m. to 3:00 p.m.
Saturday, November 3, 2012
Classroom and Lab
SOC, Mahoney RM 510
SOC, Mahoney RM 505
http://www.mccneb.edu/healthcareers/nursinghandbook.
CONTACT INFORMATION
Instructor Name:
Office Telephone:
Email Address:
Traci Warren, RN MSN
402-738-4622
tjwarren@mccneb.edu
Instructor Name:
Office Telephone:
Email Address:
Kristin Engel, RN BSN
402-738-4782
kaengel2@mccneb.edu
Instructor Name:
Office Telephone:
Email Address:
Teresa Champion, RN MSN
402-738-4648
tmchampion@mccneb.edu
Office Location:
Facsimile:
Office Hours:
Faculty Web Site:
Academic Program Area:
Tutoring:
SOC, Mahoney RM 513
(402) 738-4552
Posted outside office – SOC MHY 513
http://www.mccneb.edu/healthcareers/nursingassociatedegree.asp
Health Careers
Alice Ludwig, RN – SOC-Mahoney RM 513
ALudwig@mccneb.edu (402) 738-4786
COURSE INFORMATION
Course Description
In Adult Nursing III there is a continuation of study of the nursing care and interventions
provided for a client with a specific disease process occurring in the following systems of the
body: neurological system, endocrine system, fluid and electrolytes, the renal system and acid
base balance. Use of the nursing process continues to be an integral part of the course. Content
on professional issues including leadership concepts is discussed.
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Course Prerequisites
Successful completion of Summer Quarter requirements of the PN program.
Course Objectives
At the completion of this course the student will be able to:
1.
Describe the etiology, basic pathophysiology, clinical manefestations, treatments,
and nursing interventions associated with selected diseases of the GI system.
2.
Describe the etiology, basic pathophysiology, clinical manifestations, treatments,
and nursing interventions associated with selected diseases of the endocrine
system.
3.
Describe the etiology, basic pathophysiology, clinical manifestations, treatments,
and nursing interventions associated with selected diseases of the neurological
system.
4.
Describe the etiology, basic pathophysiology, clinical manifestations, treatments,
and nursing interventions associated with selected diseases of the renal system,
fluids and electrolytes and acid-base balance.
Required & Supplemental Materials:
1. Introduction to Medical Surgical Nursing 5th ed. Linton, A. Saunders ISBN:
9781437717082
2. Nursing Diagnosis Handbook: a guide to planning care: 9th ed Ackley ISBN:
9780232071503
3. Laboratory and diagnostic tests, 8th ed, Corbett ISBN: 0132373327
4. Davis’s Drug Guide for Nurses, 13th ED 2013, Vallerand, FA Davis
ISBN:9780803628373
5. Math for Nurses: Stassi, M; Kaplan publishing, 2nd ed ISBN: 9781607140474
6. Mosby’s Dictionary of Medicine, Nursing and Health Professions. Mosby 2007, 8th ed
ISBN: 978032304975
7. Pearson package 0133095940 Kozier + MNL 9th edition text with 9th ed MNL
My Nursing Lab has weekly assignments due. When you log in, look for a clock on the
calendar
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COURSE ASSESSMENT
METHODS OF INSTRUCTION
The instructor will provide lectures to explain the theoretical information. Use of
technology will incorporate the use of the Elmo for visual enhancement of lecture outlines,
overhead transparencies, power point and video presentations. Small group activities will be
utilized to promote critical thinking skills.
METHODS OF ASSESSING STUDENT PROGRESS
Classroom assessment techniques will be utilized periodically to determine the student’s
understanding of the materials being studied. Each unit of study will be assessed with
completion of the study guide and the unit examination.
COURSE OBJECTIVES
1. Describe the etiology, basic
pathophysiology, clinical manifestations,
treatments, and nursing interventions
associated with selected diseases of the Neuro
systems.
2. Describe the etiology, basic
pathophysiology, clinical manifestations,
treatments, and nursing interventions
associated with selected diseases of the
Renal/Fluid & Elytes system.
3. Describe the etiology, basic
pathophysiology, clinical manifestations,
treatments, and nursing interventions
associated with selected diseases of the
Endocrine system.
4. Describe the etiology, basic
pathophysiology, clinical manifestations,
treatments, and nursing interventions
associated with selected diseases of the GI
System.
ASSESSMENT MEASURES
Study guide and unit examination
Study guide and unit examination
Study guide and unit examination
Study guide and unit examination
Comprehensive Final Examination
SELECTED TESTING/ASSESSMENT METHODS:
1.
Study guide assignments: each unit of study will have a study guide assignment.
2.
A unit examination will be administered at the completion of each unit of study.
3.
In-class projects will be completed with each unit study.
4.
Final examination: a comprehensive final examination will be administered at the
completion of the course.
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STUDY GUIDE
The assignment for the Study Guide is to be completed in class. Study Guides will NOT
be accepted after the class session in which it is assigned and a zero will result.
Evaluation:
FINAL COURSE GRADE
The average of the Study Guides will be determined and have the value of 10% of the
grade. There will be a written test for each unit of study. The average of the unit test grades is
70% of the final grade. The comprehensive final examination is 20% of the final grade. In class
projects: students must be in class, on time, in order to receive credit. If a student is late or
absent, a zero will be assigned as a grade.
Points: Study Guides: 50 points each
Exams 50 points each
Final exam 100 points
Total points
200 points (10% of grade)
200 points (70% of grade)
100 points (20% of grade)
500 points
The grading scale is as follows:
 93 - 100 = A
 84 - 92 = B
 78 - 83 = C
 70 - 77 = D
 Below 70 = F
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.
There will be no rounding of grades, i.e., a 77.7 = 77%. A final course grade of 78% is required
to continue in the program.
The schedule of assignments is listed on the following page. The instructor reserves the right to
modify this as necessary. Changes will be announced in class.
**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 to take the test.
Exceptions to these guidelines may be considered, but only if the student
consults with the instructor in advance.
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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.
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).
MAINTENANCE OF STUDENT RECORDS
The study guides will be returned to the student at the next scheduled class. The test
papers will be reviewed in the following class period IF all makeup exams have been completed.
All test papers are to be returned to the instructor at the completion of the review. The tests will
be kept for one month after the end of the quarter.
Late Assignments:
Assignments are expected to be completed and turned in by the dates stipulated on the course
calendar and the individual instructor due dates. It is the responsibility of the student to notify the
clinical/course instructor of any delay in meeting the stated/written deadlines. Habitual lateness
in handing in assigned work can contribute to course failure.
STUDENT EXPECTATIONS
METHODS OF LEARNING
Students will be expected to read all assigned materials, participate in the lecturediscussion 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
It is expected that each student will attend all classes. 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, see the instructor as necessary. 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
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the quarter may avoid receiving the failing grade by withdrawing from the course before the Last
Date to Withdraw from Class.
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 402457-5231 or 1-800-228-9553. Failure to officially withdraw will result in either an attendancerelated 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/.
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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 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.
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).
INFORMATION SOURCES
The student may refer to the College catalog or the student handbook for general college
information. The booklet of policies distributed at the Orientation for new students does contain
specific policies related to the Practical Nursing Program. Review these as needed.
EDUCATIONAL SERVICES PROGRAM AREA IDENTIFICATION
If the instructor is not able to resolve any questions or problems for the student, the
Director of Nursing Programs, Nancy Pares, is the next person to be contacted. Nancy can be
reached at 738-4787 and is available by appointment only.
The office of the Dean should be contacted with any questions or problems that the
Director of Nursing is not able to resolve to your satisfaction. The Dean is Stacey Ocander and
she can be reached at 738-4789, by appointment only.
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NOTICE: This syllabus sets forth a tentative schedule of class topics, learning activities, and
expected learning outcomes. However, the instructor reserves the right to modify this schedule to
enhance learning for students. Any modifications will not substantially change the intent or
objectives of this course and will conform to the policies and guidelines of Metropolitan
Community College.
[Other pertinent college policies are posted on the CDS website www.mccneb.edu/cds; it is
suggested, but not required, that they be attached to your syllabus.]
REQUIRED ATTACHMENTS
1. SCHEDULE OF ASSIGNMENTS
2. IMPORTANT DATES
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1130 Calendar
Fall 2012
Week 1
September 8
Unit I
Neuro
Review Syllabus
Lecture-Neuro
Week 2
September 15
Unit II
Fluid and Electrolytes/Acid/Base
disorders
Math test
Exam 1
Neuro
Neuro Study Guide Due
Week 3
September 22
Week 4
September 29
Unit II
Fluid and
Electrolytes/Acid/Base/Renal/Urinary
Disorders
Unit III
Endocrine
Lecture-FE & Acid Base
Lecture-Fluid &
Electrolytes/Acid
Base/Renal/Urinary
Exam 2
Renal/Fluid and
Electrolytes
Fluid & Electrolytes/Acid
Base & Renal/Urinary
Study Guide Due
Week 5
October 6
Week 6
October 13
Week 7
October 20
Week 8
October 27
Week 9
November 3
Unit III
Endocrine
No class
Unit IV
GI System
Unit IV
GI System
Review for Final Exam
Lecture-Endocrine
Lecture-Endocrine
Bi-National Health Fair
Exam 3
Endocrine
Endocrine Study Guide Due
Lecture-GI
Lecture-GI
Exam 4
GI System
GI System Study Guide
Due
Week 11
November 17
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Final Exam
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Unit I Neurological System
UNIT OBJECTIVES: Upon completion of this unit of study the student will be able to:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
Review the anatomy and physiology of the neurological system.
Identify age-related changes which occur in the neurologic system.
Discuss the importance of neurological assessment, and identify specific equipment used
for this.
Describe altered levels of consciousness which indicate a change in neurologic status.
Explain the purpose of selected diagnostic tests and relate the nursing interventions
necessary for each.
List and define neurological diseases.
Discuss the condition of increased intracranial pressure listing possible causes, the
diagnostic tools used to determine this condition, the signs, the treatment, and the related
nursing responsibilities.
List and define forms of head injury which may occur.
Name surgical interventions which may be done to treat increasing intracranial pressure
and discuss the related nursing observations and interventions.
Describe the seizure classifications, the treatment, and the nursing care of the client with
a seizure disorder.
Define cerebral vascular accident (brain attack), listing possible causes, diagnostic tools
utilized, and typical symptoms.
Identify the major goal of medical treatment for the client who has had a CVA (brain
attack), and explain treatments and nursing responsibilities.
Define complications which may occur with a CVA, and describe related nursing data
collection and interventions.
Discuss the etiology, basic pathophysiology, diagnosis, treatment, nursing data collection,
and nursing interventions associated with Parkinson’s Disease, Multiple Sclerosis, and
Guillain-Barre syndrome.
Discuss the diagnosis, treatment, and related nursing interventions for the following
infectious diseases of the brain: meningitis, encephalitis, and brain abscess.
Define and describe the following neuromuscular conditions: Amyotrophic Lateral
Sclerosis, Huntington’s Chorea, Myasthenia Gravis, Bells Palsy, and Trigeminal
Neuralgia.
Describe the types of spinal cord injuries, the affects of those injuries and the related
nursing care.
Identify diagnostic tests specific to the spinal cord.
Describe the medical treatment in acute phase of spinal cord injury.
Outline signs, symptoms, etiology, treatment, and nursing care for the client with a
ruptured intervertebral disc.
Discuss nutritional concepts specific to the client with neurological disorders.
Demonstrate mastery of mathematical calculations.
Be able to utilize medical terminology and abbreviations.
Define the following terms:
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Aura
Brain abscess
Brain stem
Cerebellum
Cerebrum
Coma
Completed stroke
Craniotomy
Craniectomy
Decerebrate rigidity
Decorticate rigidity
Diplopia
Encephalitis
Epilepsy
Flaccid
Glasgow Coma Scale
Hemianopsia
Hemiparesis
Hemiplegia
Intracranial
Laminectomy
Meningitis
Paraplegia
Perseveration
Quadriplegia
Rabies
Radiculopathy
Spinal fusion
Stroke in evolution
Subarachnoid
Subdural hematoma
Tetanus
Transient ischemic
attack
Learning Activities
Reading: Linton, Chapters 27, 28, and 29/Kozier Chapter 30 pgs 648-657.
Study Guide: Neurological Conditions
Complete unit objectives
Participate in classroom activities
Suggested video: Stoke: Today’s Preventable Disease (Here’s To Your Health series)
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Unit II: Disorders of the Renal System, Fluid and Electrolyte Balance,
and Acid-Base Balance
UNIT OBJECTIVES: At the completion of this unit of study the student will be able to:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
Review the anatomy and physiology of the renal and urinary systems.
Describe changes in the urinary system that occur with aging.
Discuss the normal constituents of urine and list abnormal constituents.
Explain factors which influence the amount of urine output.
Explain the purpose and related nursing interventions for selected diagnostic tools used to
diagnose urological disorders.
List common causes of urinary tract disorders.
Identify causes of discomfort commonly experienced by clients with disease of the
urinary system, and describe appropriate nursing interventions.
List risk factors that may lead to urinary tract infections.
Discuss the etiology, diagnostic tools, symptoms, treatment, and related nursing
interventions for the following disorders of the urinary tract: cystitis, pyelonephritis,
glomerulonephritis, renal calculus, and cancer of the urinary system.
Define the following types of treatments and surgical procedures, and compare the
nursing observations and interventions used post-operatively: ureteral catheter,
nephrostomy tube, cystostomy tube, urinary stent, nephrectomy, cystectomy,
pyelolithotomy, nephrolithotomy.
List indications for urinary diversion and describe possible diversions.
Compare acute and chronic renal failure in the following manner: etiology, signs and
symptoms, treatment, nursing observations, and interventions.
Compare and contrast renal dialysis vs. peritoneal dialysis.
Describe the perioperative nursing care for a client receiving a kidney transplant.
Define homeostasis and list its components.
Recall extracellular and intracellular fluid compartments, and the fluids contained therein.
Discuss the mechanisms of fluid transport and fluid balance.
Identify the causes, signs and symptoms, and treatment of fluid imbalance.
Name the types of acid-base imbalance and explain the etiology of each.
Describe the nursing interventions commonly implemented when caring for a client with
each form of acid-base imbalance.
Discuss nutritional concepts specific to the client with renal, urinary, and electrolyte
disorders.
Demonstrate mastery of mathematical calculations.
Be able to utilize medical terminology and abbreviations.
Define the following terms:
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Acid
Acid-base balance
Active transport
Alkaline or base
Anuria
Azotemia
Calculus
Creatinine
Cystectomy
Diffusion
Diuretic
Diuresis
Dysuria
Electrolyte
Extracellular fluid
Filtration
Fluid volume deficit
Fluid volume excess
Glomerulus
Hemodialysis
Homeostasis
Hydronephrosis
Hyperkalemia
Hypernatremia
Hypocalcemia
Hypokalemia
Required Learning Activities
Reading: Linton, Chapters 14 and 40/Kozier Chapter 52.
Kozier—Chapter 52, Chapter 48 (review)
Study Guide: Renal/Urinary and Fluid Balance
Complete unit objectives
Participate in classroom activities
Complete unit exam.
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Hyponatremia
Intracellular fluid
Ileal conduit
Lithotripsy
Micturition
Nephrotoxic
Osmolality
Osmosis
Permeable membrane
pH
Selectively permeable
membrane
Uremia
UNIT III ENDOCRINE SYSTEM
UNIT OBJECTIVES: Upon completion of this unit of study the student will be able to:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
Review the endocrine system anatomy and physiology.
Explain the pathophysiology of diabetes mellitus.
Identify selected diagnostic tests to determine the presence of diabetes mellitus and
discuss the related nursing interventions.
List the symptoms of diabetes mellitus and explain why each one occurs.
Describe how activity/exercise can impact the blood sugar.
Discuss the treatment of diabetes mellitus.
Review “sliding scale insulin administration” and discuss the related nursing
interventions;
List the principles of self-care the nurse would teach to the client and family.
Differentiate between insulin shock and ketoacidosis, hypoglycemia and hyperglycemia
and describe the symptoms, treatments and nursing interventions for each.
Identify chronic complications which may occur with diabetes mellitus and discuss the
related nursing interventions.
Prioritize nursing diagnoses with guidance of instructor, which are common among
clients with diabetes mellitus.
Name diagnostic tests utilized to determine thyroid disease describing the purpose and
the related nursing care for each.
Discuss hyperthyroidism, listing other names for this condition, the data collection,
medical treatment, surgical treatment, and the related nursing interventions.
List and describe complications which may occur following a thyroidectomy.
Discuss the condition of hypothyroidism, identifying the names utilized, data collection,
treatment, and related nursing interventions.
Compare and contrast a goiter and thyroid cancer.
Compare the signs and symptoms and nursing interventions for hypoparathyroidism and
hyperparathyroidism.
Describe the following conditions and indicate which endocrine gland is involved;
gigantism, acromegaly, dwarfism, diabetes insipidus, Addison’s disease, and Cushing’s
syndrome.
Determine specific nursing diagnosis with guidance from the instructor, to selected
endocrine illnesses.
Discuss nutritional concepts specific to the client with endocrine disorders.
Demonstrate mastery of mathematical calculations.
Be able to utilize medical terminology and abbreviations.
Define the following terms:
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Chovestek’s sign
Endocrine
Enzyme
Euglycemia
Exocrine
Exophthalmos
Glucagon
Glycogenesis
Gluconeogenesis
Goiter
Hormone
Hypoglycemia
Hypoglycemic agent
Insulin
Ketones
Kussmaul’s respirations
Lipodystrophy
Macrovascular
Microvascular
Myxedema
Nephropathy
Neuropathy
Polydipsia
Polyphagia
Polyuria
Retinopathy
Somogyi phenomenon
Tetany
Thyrotoxicosis
Trousseau’s sign
Required Learning Activities
Reading: Linton, Chapters 44, 45, and 46.
Study guide: Endocrine System
Complete the unit objectives and written assignments.
Participate in lecture/discussion correlating classroom theory with clinical experiences.
Utilize the nursing process when studying the selected disease processes identified in the unit
objectives.
Complete the unit exam.
Compare and contrast the clinical manifestations demonstrated with hyperglycemia and
hypoglycemia.
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UNIT IV GASTROINTESTINAL SYSTEM
UNIT OBJECTIVES: Upon completion of this unit of study the student will be able to:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Recall the normal anatomy and physiology of the Liver, pancreas, and gallbladder.
Describe the pathophysiology, symptoms, data collected, diagnostic studies, medical
treatment and nursing interventions for a client with gall bladder disease.
Describe the basic pathophysiological changes, symptoms, data commonly collected,
diagnostic studies, medical treatment, and nursing interventions for the following
conditions: Hepatitis, cirrhosis, cancer of the liver, acute and chronic pancreatitis, cancer
of the pancreas
Discuss the data to be collected from the client with a disorders of the liver, pancreas, and
gallbladder.
Describe the basic pathophysiological changes, symptoms, data commonly collected,
diagnostic studies, medical treatment, and nursing interventions for the following
conditions: cholelithiasis, cholecystitis, and gallbladder cancer.
Discuss the surgical procedure and ramifications of liver transplantation.
List the indications for Ostomy surgery to divert urine or feces.
Explain the types of procedures used for urine and fecal diversion.
Describe nursing interventions to prepare the patient for ostomy surgery
Explain the care of the Ostomy site.
Define each of the following terms and describe the nursing interventions related to the
care of a client with certain diversions: Ileostomy, continent ileostomy, ileoanal
reservoir, colostomy.
Discuss the nursing process as it relates to the pancreas, gallbladder, and liver.
Demonstrate mastery of mathematical calculations.
Utilize medical terminology and abbreviations related to the pancreas, gallbladder, and
liver.
Define the following vocabulary terms:
Anastamosis
Ascites
Cholelithiasis
Cholecystitis
Cirrhosis
Colostomy
Continent
Continent
Eructation
Gluconeogenesis
Glycogenesis
Hepatic Coma
Hepatomegaly
Icterus
Ileal conduit
Ileoanal Reservoir
Ileostomy
Internal Reservoir
Jaundice
Nephrostomy
Ostomy
Peritoneal Venous Shunt
Prolapse
Stoma
Ureterostomy
Vesicostomy
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Required Learning
Reading assignment: Linton, Chapters 26 and 39 / Kozier—Chapter 49 (review) and pg 813
Participate in classroom activities
Fulfill the unit objectives
Complete the unit examination
Study Guide
SUGGESTED LEARNING ACTIVITIES
1.
During the quarter, care for a client with an pancreas, gallbladder, or liver disorder.
NURS 1130 Clinical
SECTION VI: CLINICAL FOCUS:
Students are assigned 115.5 hours of direct client care in the care of adult clients with a specific
disease process occurring in select body systems. The course helps to increase the student’s ability to
function in more complex nursing situations utilizing the nursing process as they care for several
clients. Use of the nursing process continues to be an integral part of the course. Medication
administration and therapeutic communication are expanded while professional issues are integrated.
Emphasis is placed on the need for the student to function more independently with minimal
supervision.
SECTION VII: INSTRUCTOR RESPONSIBILITIES
CLINICAL METHODS OF INSTRUCTION WILL INCLUDE:
Group discussion, post conferences, individual supervision and teaching dictated by needs of the
clients.
FOR ASSESSING CLINICAL STUDENT PROGRESS:
The instructor will observe the student’s performance in the clinical area. Post conferences will be
utilized to assess student’s knowledge. Written assignments will be given. A written nursing care plan
will be assigned to assess student’s knowledge of the nursing process. Medications will be
administered.
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 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 must be followed by a satisfactory). The student
must pass clinical to pass clinical to pass the course. The student will participate in self-evaluation
during the course.
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 several
clients in the acute care and/or long term care setting. Students will prepare written assignments
according to specified guidelines.
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The student will participate in self-evaluation. The student must complete all assigned pre-lab
requirements before the assigned clinical experience. Students are totally and completely responsible
for all assignments.
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
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 interdisciplinary team under the supervision of a registered
nurse or licensed practitioner.
a.
Functions within the Scope of Practice and in accordance with educational
level.
1.
Protects confidential information.
b.
Independently documents nursing care in an accurate manner with minimal
assistance.
c.
Maintains safe environment at all times.
1.
Uses siderails appropriately.
2.
Call light is within reach.
3.
Uses gait belt when ambulating client.
4.
Practices appropriate body mechanics consistently.
5.
Applies and maintains restraints correctly and follows institutional
policies regarding same.
d.
Adheres to institutional policies regarding standard precautions.
1.
Handwashing.
2.
Utilizing barrier protectors.
3.
Cleaning client area.
4.
Handling linen correctly.
2.
Demonstrate responsibility and accountability for nursing practice with an awareness of the
need for continued personal learning and self-development.
a.
Demonstrates accountability for own actions.
1.
Accepts constructive criticism and utilizes suggestions for selfimprovement.
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2.
3.
4.
Identifies own strengths and limitations with demonstrated
improvement.
3.
Demonstrates industry and self-discipline.
4.
Demonstrates reliable clinical attendance.
a.
Notifies clinical instructor in a timely manner when unable to
attend clinical course.
5.
Maintains good personal hygiene.
6.
Adheres to regulations regarding acceptable clinical dress.
7.
Reports promptly and participates in conferences.
8.
Attends all scheduled observational and interactional experiences.
9.
Serves as role model for unlicensed assistive personnel.
b.
Successfully completes all assignments on time and with appropriate minimum
score when applicable.
1.
Concept map with 3 nursing diagnoses, 5 nursing interventions, and 5
rationales.
2.
Written drug information for each medication administered.
3.
Daily prelab sheet.
4.
Phlebotomy/IV Fluids Lab.
5.
Completes math exam with 100% (only three attempts per
policy).
6.
Completes two NCLEX practice tests as scheduled in post conference.
7.
Presents group project in post conference as scheduled.
8.
Completes pharmacology review exam in post conference.
Display caring behaviors in the delivery of nursing care to clients.
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 clients psycho-social integrity.
g.
Accepts client’s communications without judging.
h.
Demonstrates an awareness of client’s religious needs.
i.
Demonstrates a positive attitude through one’s behavior.
j.
Behaves in an empathetic manner.
k.
Permits significant others to participate in client’s care when appropriate.
Utilize knowledge from nursing and related disciplines when applying the nursing
process in the provision of nursing care to clients.
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.
Defines diagnostic tests and provide 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 appropriate nursing diagnosis daily.
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 with minimal supervision of the
clinical instructor.
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5.
6.
7.
1.
Initiates care with minimal supervision of the clinical instructor.
2.
Reviews procedures in procedure manual as necessary.
e.
Participates in the evaluation of care with guidance from the clinical instructor.
1.
Talks with the client to determine client response to care.
2.
Observes and describes changes in client’s status.
3.
States how well goals were met.
4.
Describes modification necessary in plan care.
Manage the nursing care of clients with selected health needs in structured settings in
collaboration with the interdisciplinary team.
a.
Discusses plan of care with appropriate nursing staff.
b.
Informs appropriate staff member if client assignment requires nursing action above
level of responsibility.
c.
Follows instructions provided by instructor or appropriate health team member.
d.
Directs questions or problems regarding nursing care to the instructor.
e.
Actively participates in client care discussion in post conferences.
f.
Executes all assigned responsibilities.
g.
Observes unit manager and the principles of supervision.
Employ effective communication to establish relationships with clients and the
interdisciplinary team.
a.
Introduces self and initiates conversation with client.
b.
Utilizes therapeutic communication techniques in all interactions.
c.
Explains procedures before beginning.
d.
Reads 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.
h.
Completes one process recording.
Utilize the teaching-learning process to assist clients to reach a higher level of health.
a.
Instructs client on health promotion measures.
1.
Identifies changes to decrease risk factors associated with current
condition/lifestyle.
2.
Identifies support groups and community resources that may be of
assistance to the client/family.
3.
Provides discharge instructions to clients in structured settings with
supervision.
b.
Administers medications utilizing safe practices to several 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
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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.
b. Why the client is receiving this drug.
c. Pertinent nursing observations.
6.
Identifies clients needs regarding PRN Medications.
7.
Determine and documents the effectiveness of PRN Medications.
c.
Teach clients about potential laboratory and diagnostic tests.
d.
Provide basic information regarding health care practices with guidance from
instructor.
8.
Follow the hierarchy of needs when providing nursing care to clients in collaboration with
the interdisciplinary team.
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 of 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 assessments daily on each client:
a.
Lung.
b.
Circulation.
c.
Neurological.
d.
Abdominal.
e.
Apical pulse.
3. Able to successfully organize and prioritize client cares daily.
a.
Meets the safety needs of the client.
b.
Demonstrates safe and competent nursing practice.
c.
Identifies factors related to client’s current condition which may
put them at risk for implications.
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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.
2. Demonstrate responsibility and
accountability for nursing practice with an
awareness of the need for continued personal
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.
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During this quarter each student must successfully complete a concept map in acute care demonstrating
the ability to utilize the nursing process. The instructor will evaluate the concept map and return them
as soon as possible. The concept map will be evaluated based on the following rubric:
Metro Community College
Concept Map grading Rubric
Student Name ________________________________ Course ________________ Date __________
Topic
Pts
Comments
Concept map includes appropriate number of
nursing diagnosis. (2)
Nursing diagnosis are prioritized (2)
Meaningful relationships are shown with
cross links between and among nursing
diagnoses (2) For NURS 1130 or higher
Five Nursing interventions and five rationale
are listed for each nursing diagnosis and are
appropriate to current clinical course ( 4)
Collaborative interventions including
medications are included on the concept map
(4)
All components of nursing process are
present and appropriate to level of program
(6)
Total Points
18-20 pts= excellent, all documentation complete, accurate, individualized for client and appropriate to
Current clinical course
14-17 pts= satisfactory; shows good working knowledge of nursing process, but missing some
Information; not appropriate for current clinical course
< 14 pts= unsatisfactory; incomplete, unable to follow, minimal understanding of client picture
Concept maps with unsatisfactory will be given back to the student for corrections. Concept maps must have
satisfactory grade for student to pass clinical course successfully.
Nursing Dx for each course as follows:
NURS 1110
1
NURS 1120
2
NURS 1130
3
NURS 2410
3
Metropolitan Community College
NURS 2410
NURS 2310
NURS 2140
NURS 2150
3
4
4
5
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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. Non-attendance 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”
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