Bolivar Technical College
Professional Nursing Program
Spring 2009
Course Title:
Course Number:
Medical-Surgical Nursing III
ADN-RN 230 Medical Surgical Nursing III
Date:
Class Schedule:
January 20, 2009
Tuesdays, 8:30 am to 11:30 am
Clinical: Monday or Thursday, 0630 to 1230 - see rotation
schedule
Instructor:
Office Hours:
Cathy Duggan
Tuesdays, 1:00 p.m. to 4 p.m. Other days and times
available on request.
Contact Information: Office: 777-5062
Home phone: 870-426-5385 (no calls after 9 pm, please)
e-mail: cduggan@bolivarcollege.org
Clinical Instructors: Ida Junge
Brian Roberts
Joy Murphy
Pre-requisites:
Co-requisites:
Credit hours:
BIOL 206, CHEM 103, LIBR 161, ADN-RN 101, ADN-RN 110, ADNRN 220
BIOL 206, PSYC 230, ADN-RN 130
5 credit hours
Lecture: 45 clock hours. Clinical: 60 clock hours
Instructional Materials:
Required Textbooks:
Jarvis, C., (2004) Physical examination and health
assessment. (4th edition). St. Louis, MO: Saunders
LeMone, P. H. & Burke, K.M. (2008) Medical-Surgical
Nursing; Critical thinking in Client Care (4th edition) Upper Saddle
River, NJ: Pearson Prentice Hall
LeMone, P. H. & Burke, K.M. (2008) Study Guide for Medical-Surgical
Nursing; Critical thinking in Client Care (4th edition) Upper Saddle River, NJ:
Pearson Prentice Hall
Required Materials:
Uniforms, lab coats, equipment and shoes as delineated in prior courses.
4X6 index cards, filing box, and dividers for medication cards
Clinical notebook; plastic or vinyl with pockets
Course Description:
The focus of this course is on the adaptive responses of the individual and
family to actual or potential threats to internal dimensions of well-being. The nursing
process will be utilized to critically evaluate realistic outcomes based on client priorities in
the areas related to: Acid-Base Balance and Imbalances, Trauma and Shock, Burns,
Disasters, Cardiac Disorders, Hematologic and Lymphatic Disorders, Ventilation Disorders
and Gas Exchange Disorders, Neurological, Intracranial, and Spine Disorders,
Reproductive and Sexually Transmitted Diseases. The student will continue to learn
coordination of healthcare delivery through collaboration in their role as care provider and
client advocate. Students move more into team management and time/organizational skills
as they prepare to graduate.
Learning Objectives:
Upon completion of this course, the nursing student will be able to:
 Critical Thinking: The senior nursing student exhibits critical thinking skills
by problem-solving, verbalizing priorities of patient care, and integrating
assessment findings with clinical actions.
 Time Management: The senior nursing student can arrange patient care to
accomplish goals for the patient, completing tasks on time unless
extenuating circumstances occur, i.e.: unplanned procedures, changes in
patient conditions, or other occurrences on the nursing unit which disrupt
plans.
 Sound Nursing Judgment: The senior nursing student uses sound nursing
judgment based on relevant facts, scientific evidence and nursing principles
to provide safe and efficient care.
 Ethical/Responsible Care: The senior nursing student employs verbal and
non-verbal communication skills to provide non-judgmental care to patients.
The student maintains confidentiality while communicating in a timely fashion
to physicians, staff nurses, and the clinical instructor.
 Respect: The senior nursing student exhibits respect for the patient, family,
visitors, staff and faculty.
 Communication: The senior student provides end-of-shift and hand-off
report in an efficient and timely manner.
 Complex patients: The senior nursing student demonstrates ability to care
for high acuity patients with the assistance of experienced nurses and
instructors.
 Care Planning and Coordination of Care: The senior student develops a
comprehensive plan of care that encompasses all aspects of care, including
patient education, cultural, family, and spiritual needs, referral, and home
care needs. The student functions in the role of case manager.
Teaching strategies:
The instructor will use teaching strategies that include lecture and discussion,
interactive group activities, multi-media presentations, textbook and on-line
assignments, written assignments, quizzes, and exams.
Topical Outline:
Chapter 49: Assessing Clients with Reproductive System and Breast Disorders, p.
1743-1766
Jarvis Text: Chapter 24- Male Genitourinary System
Jarvis Text: Chapter 26- Anus Rectum and Prostate
Chapter 50: Nursing Care of Men with Reproductive System and Breast Disorders.
p. 1767-1792
Chapter 51: Nursing Care of Women with Reproductive System and Breast
Disorders, p. 1793-1835
Jarvis, Chapter 26: Female Genitourinary system
Chapter 52: Nursing Care of Clients with Sexually Transmitted Diseases, p. 18361853
Chapter 43: Assessing Clients with Neurologic Disorders, p. 1503- 1526
Jarvis, Chapter 23- Neurologic System
Chapter 44: Nursing Care of Clients with Intracranial Disorders
Chapter 45 Nursing Care of Clients with Cerebrovascular and Spinal Cord
Disorders, p. 1578- 1615
Chapter 46: Nursing Care of Clients with Neurologic Disorders, p. 1616-1667.
Chapter 7: Disasters
Chapter 10: *Nursing Care of Clients with Altered Fluid, Electrolytes, and Acid-Base
Balance, p. 238-251
Chapter 11: Nursing Care of Clients Experiencing Trauma and Shock, p. 254-285
Chapter 17: Nursing Care of Clients with Burns, p. 486-515
Chapter 32: Nursing Care of Clients with Cardiac Disorders, p. 1021- 1073
Chapter 33: * Assessing Clients with Hematologic, Peripheral Vascular and
Lymphatic Disorders, p. 1074-1100
Jarvis Chapter 17 Breasts and regional Lymphatics
Jarvis Chapter 20: Peripheral Vascular System and Lymphatic System
Chapter 34: Nursing Care of Clients with Hematologic Disorders
Chapter 38: *Nursing Care of Clients with Ventilation Disorders, p. 1297 - 1319
Chapter 39: * Nursing Care of Clients with Gas Exchange Disorders, p. 1346-1378
*Indicates partial chapter coverage. Other material covered in previous classes.
Course requirements:
Classroom:
 The student is responsible for reading all assigned material and taking
adequate notes on lectures, including guest speakers.
 Student must complete all assignments for success in the course.
 Student must be an active learner, seeking out information, and contacting
the instructor if questions or concerns exist.
 Attention: MyNursingLab completion will now be graded. You are required
to complete the pre and post test on the computer for each chapter of the
LeMone Med-Surg text. The day the test for those chapters is given, the
grades will be taken from the listing in the MyNursingLab. You will get a
percentage of 10 points, based on your grade on the post-test. Example: If
you make 50% on the post test, you will receive 5 points on the assignment.
Clinical:
 The student must successfully complete 60 assigned, scheduled clock hours
of clinical experience. Successful completion is defined as: adequate
preparation for clinical, proper conduct (see handbook), safe and prudent
nursing care, adherence to agency and school policies and procedures, and
conveyance of a caring attitude. Completion of written assignments and care
plans is also a requirement for success.
 Clinical Skills Checklist: Each student is responsible for maintaining and
completing a skills checklist. This checklist is kept with the clinical folder.
Students need to obtain observer’s initials on skills that they perform with the
goal of completing all skills by the end of Med-Surg 3. (end of program)
 A copy of the skills checklist will be reviewed and turned in at mid-semester
and at the end of the semester. A clinical skills test off will be done at midsemester. This will be done in the clinical skills lab, by appointment and on
your own time. EACH STUDENT IS RESPONSIBLE FOR SIGNING UP AND
ATTENDING THIS SKILLS CHECK. Failure to do so can result in you being
placed on probation and required to do remediation (on your own time).
 If opportunities do not occur in the clinical setting, the clinical skills lab at the
school provides simulated practice. A schedule of skills lab availability will be
posted.
 Near the end of the semester students will participate in a capstone
experience where they will manage care in a simulated patient in the skills
lab. More information will be given in class.
Assessment criteria and methods of evaluation:
Grading scale:
94-100%
A
86-93%
B
80-85%
C
Below 80% F
Grading procedures:
Possible points:
Theory exams (4X50 points)
200
MyNursingLab assignments (19 X 10)
190
Clinical paperwork (2 Care Plans @ 20points each and 4 Concept
Maps @ 10 points each)
80
Quizzes (announced or unannounced)
60
Written Assignment:
75
Clinical- Pass/Fail
Skills Lab Capstone – Pass/Fail
Final- Medical Surgical HESI
100
Scores of 900 and above receive 100 points, scores below 900 are
calculated proportionately using 100 possible points.
TOTAL POINTS POSSIBLE FOR THIS SEMESTER: 705
Examination Policy:
 Once the door is closed no one will be allowed to leave and then re-enter the room
until the exam is finished.
 Purses, backpacks, cell phones, Blackberries and similar electronics must be left in
a specified location inside the class room.
 It will be at the instructor’s discretion whether or not makeup tests will be allowed.
Attendance:
Refer to the student handbook for attendance policy. Attendance at lecture and
clinical is required. Make-up opportunities for lecture will be at the instructor’s discretion.
Clinical make-up fees may be charged per college policy. Late assignments may be
assessed a 10% reduction in grade, and will not be accepted after a due date agreed upon
by the instructor and student.
Plagiarism:
Plagiarism is defined as taking someone else’s work and presenting it as
your own. Plagiarism will result in a failing grade for the assignment and may result in
dismissal from the class with subsequent failure of the course.
Conduct:
Student conduct expectations are listed in the college handbook. Students
will be required to adhere to those listed expectations and the ones listed below:
 Insubordination to school officials, instructors or staff (including personnel at
clinical sites) is not allowed, and can result in expulsion from the professional
nursing program.
 Students are expected to conduct themselves as adult learners in a college
setting. Disruptive behavior, such as talking or leaving and re-entering the
room excessively will not be tolerated. If you disrupt the class, you will be
asked to leave and 10 points will be deducted from your overall grade.
 During tests, do not leave the room unless with permission of the instructor.
Failure to abide by this will result in a 0 (zero) for the exam/quiz. Cell
phones must be kept out of sight.
 NO CELL PHONE USE during class time. Please place you cell phone on
vibrate or silence and use it only on breaks or at lunch.
Library/Computer:
Computers may be used for school assignments only. Students have free
access to LIRN, a computer based library reference system. Written materials are
available for check out in the library.
The college provides an e-mail account for each student’s use. All announcements
and official business will use this e-mail address. Students must adhere to the Bolivar
Technical College computer usage policy.
ADA Students:
Bolivar Technical College is committed to providing a sound learning environment to
academically qualified students with disabilities and to comply fully with section 504 of the
Rehabilitation Act and Americans with Disabilities Act.
Disclaimer:
Dates, textbooks, materials, and assignments on this syllabus are subject to change by the
instructor and/or the institution. All efforts will be made to notify students in a timely fashion
of any changes made.
The course calendar is a guideline to help students plan their work and assignments.
Variations from the schedule may be necessary depending upon progression through the
material.
Created: September 29, 2008
Revised: January 12, 2009
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COURSE CALENDAR
Medical Surgical Nursing III
Proposed schedule, subject to change upon announcement in class.
DATE
January 20, 2009
January 27
February 3
February 10
February 17
February 24
ASSIGNMENT
Welcome back! Review Syllabus
Review Chapter 31, pg 994-1020
Chapter 32: Nursing Care of Clients with
Cardiac Disorders, p. 1021- 1073
Chapter 33: * Assessing Clients with Hematologic,
Peripheral Vascular, and Lymphatic Disorders, p.
1074-1100
Jarvis Chapter 20: Peripheral Vascular System and
Lymphatic System
Chapter 34: Nursing Care of Clients with
Hematologic Disorders
Concept Map #1 due
Test 1
Chapter 10: *Nursing Care of Clients with
Altered Fluid, Electrolytes, and Acid-Base
Balance, p. 238-251
Concept Map #2 due
Chapter 38: *Nursing Care of Clients with
Ventilation Disorders, p. 1297 - 1319
Chapter 39: * Nursing Care of Clients with
Gas Exchange Disorders, p. 1346-1378
Test 2
Chapter 49: Assessing Clients with
Reproductive System and Breast Disorders,
p. 1743-1766
Jarvis Chapter 17 Breasts and regional
Lymphatics
March 3
March 10
March 17
March 24
March 31
April 7
April 14
April 21
Care Plan # 1 Due
Chapter 50: Nursing Care of Men with
Reproductive System and Breast Disorders., p.
1767-1792
Jarvis Text: Chapter 24- Male Genitourinary
System
Jarvis Text: Chapter 25- Anus Rectum and
Prostate
Chapter 51: Nursing Care of Women with
Reproductive System and Breast Disorders,
p. 1793-1835
Jarvis, Chapter 26: Female Genitourinary
system
Chapter 52: Nursing Care of Clients with
Sexually Transmitted Diseases, p. 1836-1853
Concept Map #3 Due
Test 3
Chapter 43: Assessing Clients with Neurologic
Disorders, p. 1503- 1526
Jarvis, Chapter 23- Neurologic System
Written Assignment: Medical Errors in
Nursing Due
Chapter 44: Nursing Care of Clients with Intracranial
Disorders.
Chapter 45 Nursing Care of Clients with
Cerebrovascular and Spinal Cord Disorders, p.
1578- 1615
Concept Map #4 Due
Chapter 46: Nursing Care of Clients with Neurologic
Disorders, p. 1616-1667.
Test 4
Chapter 7: Disasters
Care Plan # 2 Due
Chapter 17: Nursing Care of Clients with
Burns, p. 486-515
Chapter 11: Nursing Care of Clients Experiencing
Trauma and Shock, p 245-285
May 5
Final Exam
Bolivar Technical College
Professional Nursing Program
ADN-RN230-Medical Surgical Nursing III
Written Assignment: Medical Errors in Nursing
DUE: March 17, 2009
General Instructions:
This assignment is a written paper. The requirements are:
 APA format.
 Word count: 1000 to 1250 words. (Words are counted in the body of the
paper, excluding the title page and reference list.)
 Topic: Medical Errors in Nursing see grading rubric for expectations.
 A minimum of five (5) articles that are taken from research or professional
journals specific to nursing. A website that is nursing specific and recognized
as authoritative may also be used. Check with instructor if any questions.
Please include articles with paper.
Requirements
1. The paper introduces the subject and summarizes
the extent of the problem, using research that
supports the facts.
2. The paper discusses 3 organizations that are
involved in regulating nursing practice and their
efforts to improve the safety, accuracy and efficiency
of nursing care. (Supported by research)
3. The paper lists and describes 4 actions that can be
taken to improve nursing care efficiency, safety, and
accuracy. (supported by research)
Possible Your
points
points
10
15
20
4. The summary gives the writer’s view of the issue,
and summarizes the progress (or lack of progress)
being made in this area.
5. The paper meets the word count requirements
6. APA format is correct
7. Spelling and grammar is correct.
TOTAL
10
5
10
5
75