Bolivar Technical College
Professional Nursing Program
Fall, 2008
Course Title:
Course Number:
Medical-Surgical Nursing 2
ADN-RN 220
Date:
Class Schedule:
Starts August 26, 2008
Lecture: Tuesdays, 8:30 am to 12:00 pm
Clinical: Thursdays, 0630 – 1130 OR 1500-2000.
See rotation schedule for assignments.
Instructor:
Cathy Duggan, RN, BSN
Office: 417-777-5062
Home: 870-426-5385
(no calls after 9 pm)
cduggan@bolivarcollege.org
Office hours:
Tuesday, 1300 to 1600
Additional times available by appointment.
Clinical Instructors: Ida Junge, RN, MSN, FNP-C
Brian Roberts, RN, BSN
Cathy Duggan, RN, BSN
Pre-requisites:
BIOL 205, BIOL 206, BIOL 103, LIBR 161, ADN-RN 101,
ADN-RN 110, PSYC 101, ADN-RN 130, ADN-RN 120
Credit hours:
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
Josephson, D.L., (2004). Intravenous Infusion Therapy for
Nurses: Principles and Practice (2nd edition) Clifton Park, NY:
Thomson Delmar Learning
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
PDR Nursing Drug Handbook. Thomson Delmar
ISBN: 1428305319
Optional texts:
Ackley, B.J., & Ladwig, G.B. (2006). Nursing Diagnosis Handbook:
A guide to planning care (7th edition) St. Louis, MO: Mosby.
Kozier, Erb, (2007) Fundamentals of Nursing; Concepts, Process, and
Practice (8th edition) Upper Saddle River, NJ: Pearson Prentice Hall
Perrin, R. (2007). Pocket Guide to APA Style. (2nd edition) Boston, MA;
Houghton Mifflin Company
Stedman, T.L. (2001). Stedman’s Medical Dictionary for the Health
Professions and Nursing. (5th edition) Philadelphia, P.A.: Lippincott
Williams and Wilkins
Required Materials:
Uniforms, lab coats, equipment and shoes as delineated in prior courses.
Clinical notebook; plastic or vinyl with pockets
Clinical log: small lined notebook for keeping journal.
Course Description:
This course is conducted in the third semester of the associate degree
nursing program and focuses on adult medical surgical nursing care. The
curriculum will contain information about advanced IV therapy concepts and
assessment skills will continue to be practiced and perfected. The course
contains information on the following systems:
Loss, grief and death, Substance abuse, genetics, altered immunity, cancer,
integumentary, endocrine, gallbladder, liver and pancreas, kidney, cardiac, heart
failure, peripheral vascular diseases, eye, and ear.
The student will be encouraged to expand knowledge of research and
theory, and will build critical thinking skills. Concept mapping will be used to plan
care, and reflective journaling will enhance the student’s thinking skills. The
student will incorporate evidence-based nursing care when planning care for
adult clients. A holistic approach to care will enhance the student’s ability to
consider all information when assessing, planning, and intervening in client care;
this will include pathophysiology, educational needs, lab results, physical and
subjective assessment, implications and administration of medications, and
diagnostic testing. Collaboration with other health care professionals will be
explored to assist the student to integrate and manage care for complex client
needs.
Clinical skills experience will be available via acute care facilities and
clinical skills lab. Students will be expected to complete skills in a safe and
efficient manner, prioritizing and delegating care appropriately.
Learning Objectives:
Upon completion of this course, the nursing student will be able to:
 Explain pathophysiology and client-centered best practices to prioritize
nursing diagnosis and interventions.
 Integrate theory into care, not limited to: Maslow’s Hierarchy of needs,
Erikson’s Eight Stages of Man, and major nursing theorists.
 Analyze diagnostic tests and identify possible causes for abnormal
findings.
 Integrate psychomotor skills and instruction to allow clients and families to
succeed in meaningful health related lifestyle changes.
 Demonstrate competency with previous skills, and learn additional skills,
including (but not limited to): Central IV care and maintenance, chest tube
care, administration of blood and blood products, TPN, implanted ports
and catheters, and administration of cardiac related IV drips.
 Show competency in pharmacology and evaluate client for expected and
adverse reactions.
 Successfully complete a math for meds test.
 Create an educational plan of care for the client/family to include
medications, health maintenance and promotion, and management of
disease processes.
 Participate and collaborate in multi-disciplinary care planning, discharge
planning, and case management activities.
 Accurately document care provided.
 Demonstrate caring behaviors and professional interactions with clients,
families, other students, and faculty.
 Show increasing skill in therapeutic communication techniques.
Teaching strategies:
The instructor will use teaching strategies that include lecture and
discussion, interactive group activities, multi-media presentations, textbook and
study guide assignments, written assignments, quizzes, and exams, as well as
skills performance practice and return demonstrations.
Topical Outline:
Chapter 5 – Nursing Care of Clients Experiencing Loss, Grief, and Death
Chapter 6 - Nursing Care of Clients with Substance Abuse
Chapter 8 - Genetic Implications of Adult Health Nursing
IV Therapy text:
Chapter 16- Intravenous therapy for the Elderly Patient: Special
Considerations
Test One
Chapter 47- Assessing Clients with Eye and Ear Disorders
Chapter 48- Nursing Care of Clients with Eye and Ear Disorders
IV Therapy text
Chapter 15 - Intravenous therapy for the Pediatric Patient
Test Two
Chapter 13- Nursing Care of Clients with Altered Immunity
Chapter 14- Nursing Care of Clients with Cancer
IV Therapy text
Chapter 12 – Central and Peripherally Placed Vascular Access
Devices and Advanced Medication Delivery Systems
IV Therapy text
Chapter 14 Blood and Blood Product Administration
Test three
Chapter 15- Assessing Clients with Integumentary Disorders
Chapter 16- Nursing Care of Clients with Integumentary Disorders
Chapter 24- Nursing Care of Clients with Gallbladder, Liver, and
Pancreatic Disorders
Chapter 12 – Jarvis Assessment text
Test four
Chapter 18- Assessing Clients with Endocrine Disorders
Chapter 19- Nursing Care of Clients with Endocrine Disorders
Chapter 20- Nursing Care of Clients with Diabetes Mellitus
Chapter 21 – Jarvis Assessment text
Test five
Chapter 29- Nursing Care of Clients with Kidney Disorders
*Chapter 35- Nursing Care of Clients with Peripheral Vascular Disorders,
page 1170 – 1207.
Test six
Chapter 30- Assessing Clients with Cardiac Disorders
Chapter 31- Nursing Care of Clients with Coronary Heart Disease
Test seven
* Indicates coverage of partial chapter.
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.
 The student should contact the instructor with any questions related
to grading or testing by making an appointment with the instructor
to discuss the issue.
Clinical:
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The student must successfully complete 60 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.
Students should exhibit interest and enthusiasm for completing all
clinical skill opportunities, whether in the acute care setting or
clinical skills lab.
Clinical Skills Checklist – We will be using a clinical skills checklist
for the next two semesters. Student is responsible for keeping track
of and completing the skills. See instructions with the checklist.
Students are encouraged to use the skills lab when available to
review and improve skills already covered (such as catheterization
or NG insertion) and learn new skills (such as advanced IV therapy
and medication administration)
Student is responsible for keeping track of Clinical assignments and
turning them in. There are 6 concept maps required and 2 case
studies and/or written clinical assignments required for this course.
Assessment criteria and methods of evaluation:
Grading scale:
94-100%
86-93%
80-85%
Below 80%
A
B
C
F
Grading procedures:
Possible points:
Theory exams (7 X 30 points)
210
My Nursing Lab assignments
85
(17 chapters X 5)
Clinical paperwork (6 X 10 Concept Maps
and 2 X 20 Case Studies/Exercises) 100
Quizzes (announced or unannounced)
30
“Caring” assignment
15
“Research” assignment
15
Final Exam
100
Clinical (pass/fail)
Math for Meds: pass with 95% or higher in 3 attempts or less.
TOTAL POINTS POSSIBLE FOR THIS SEMESTER: 555
Attendance:
Refer to the student handbook for attendance policy. Attendance at lecture
and clinical is required. Make-up opportunities 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.
Tardiness – per the student handbook, if you are tardy 3 times, it equals one
absence. Further, if you are tardy and a test or quiz is given, you may either lose
10% or not be able to make up the test/quiz, depending on circumstances of
tardiness.
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 and on vibrate or
silence.
 NO CELL PHONE USE during class time. Please place you cell
phone on 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.
COURSE CALENDAR
Medical Surgical Nursing 2 Fall semester, 2008
Proposed schedule, subject to change upon announcement in class.
DATE
ASSIGNMENT
Aug. 26, 0830 to 1200 noon
Review Syllabus and changed/new
program information.
Chapter 5
Chapter 6
September 2
Chapter 8
IV Therapy Text: Chapter 15 & 16
September 9
Test One
Chapter 47
Jarvis- Chapter 14 & 15
September 16
Chapter 48
September 23
Test 2
Chapter 13
September 30
“Caring” Assignment due
Chapter 14
IV Therapy – Chapter 12
October 7
Test 3
Chapter 15
Chapter 16
October 14
Chapter 24
Jarvis text – Chapter 12
October 21
Test 4
Chapter 18
Chapter 19
October 28
Chapter 20
Jarvis – Chapter 21
November 4
Test 5
Chapter 29
November 11
Chapter 35 (pp. 1170 -1207)
November 18
Test 6
Chapter 30
Jarvis – Chapter 18 & 19
November 24 – 28 Thanksgiving
Break – No school!
December 2
December 9
December 16
Research Assignment Due
Chapter 31
Test 7
Review for final
Final exam
Created: May 6, 2008
Revised: July 8, 2008
REVISED: August 20, 2008
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