Southern State Community College
Curriculum Committee – March 2015
NURS 2221: Advanced Concepts in Medical Surgical Nursing II
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I.
COURSE TITLE:
Advanced Concepts in Medical-Surgical Nursing II
COURSE NUMBER:
2221
PRE-REQUISITES:
NURS 2201, NURS 2210, NURS 2220, and PSYC 1110
CO-REQUISITES:
NURS 1107 and NURS 2205
III.
CREDIT HOURS:
LAB HOURS:
6
LECTURE HOURS:
0.25 (.75 clock hours) CLINICAL HOURS:
IV.
COURSE DESCRIPTION:
This course advances student learning in the area of medical surgical nursing, including the
previous course, NURS 2220, focusing on the multi-faceted role of the nurse in providing patient
centered nursing care across the life span to those who have complex acute care health issues.
The student is expected to integrate knowledge gained from previous learning experiences to
assist the patient and family to achieve optimal health status by providing care in a professional,
safe manner. Using clinical judgment, evidence-based practice and quality improvement
indicators, the student will practice nursing in an interdisciplinary environment. The student will
demonstrate the ability to communicate pertinent information within the health care setting during
the clinical experience. Clinical concepts and pharmacological aspects of care are integrated
throughout the course. Clinical practicum experience including an acute care preceptorship is
designed to progress the nursing student toward professional practice.
II.
V.
CATALOG PREFIX: NURS
2
3.75 (11.25 clock hrs)
GRADING:
To satisfactorily complete this course, the student must achieve a grade of B or above according
to the following system:
90 – 100 = A
80 – 89 = B
0 – 79 = F
VI.
VII.
ADOPTED TEXT(S):
Sole, M. L., Klein, D. G., and Moseley, M. J. (2013). Introduction to critical care nursing, (6th),
St. Louis: Saunders/Elsevier. ISBN: 978-0-323-08848-0
COURSE OBJECTIVES:
1. Synthesize principles learned from previous nursing courses which verify an active
participation in the teaching-learning process.
2. Incorporate clinical judgment into the nursing process to effectively assess, plan, safely
implement, and evaluate patient centered nursing care across the life span to those with
complex acute care health conditions.
3. Examine the development of a collaborative plan of care incorporating proper
interdisciplinary communication to promote optimum patient outcomes.
NURS 2221: Advanced Concepts in Medical Surgical Nursing II, Summer 2015
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4. Correlate knowledge of pathophysiology and evidenced-based practice across the life span in
the nursing care of patients with specific health conditions studied in this course.
5. Utilize knowledge of the ethical and legal principles to guide professional nursing practice for
patients of all age groups.
6. Relate appropriate knowledge of pharmacology and principles of nutrition in the patientcentered care of all age groups with health conditions discussed in this course.
7. Integrate all previous coursework and clinical practicum experiences into the successful
completion of an acute care preceptorship under the guidance of a registered nurse.
VIII.
COURSE METHODOLOGY:
Lecture, discussion, quizzes and tests, hand-in assignments, self-evaluation, reference readings,
audio-visual materials, research summary, Human Patient Simulation scenarios, on-site clinical
instruction, any other type of learning modality determined by faculty to optimize learning. An
acute care preceptorship with clinical objectives created by the student must be completed
satisfactorily.
IX.
COURSE OUTLINE:
The instructor will incorporate the concepts of safety, patient-centered care, communication,
quality improvement, clinical judgment, and ethical-legal concepts while teaching the following
topics:
 The preceptorship experience
 Hematology/Oncology
 Immunology
 Shock
 Sepsis, multiple organ dysfunction syndrome (MODS)
 Trauma and surgical management
 Management of patients with burns
 Renal system
 Gastrointestinal system
Sample course schedule - Weekly topics
Week:
1&2
Preceptorship experience, Hematology/Oncology
3
Immunology
4&5
Shock
6&7
Sepsis, MODS
8&9
Trauma and surgical management
10
Management of patients with burns
11 & 12 Renal system
13
Gastrointestinal system
14 & 15 Review of content, concepts, and pharmacological aspects of care
X.
OTHER REQUIRED TEXTS, SOFTWARE, AND MATERIALS:
All textbooks from prior nursing classes may be used as references in either clinical or classroom.
It is highly recommended that students have a home computer with internet access.
NURS 2221: Advanced Concepts in Medical Surgical Nursing II, Summer 2015
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XI.
EVALUATION:
Theory is evaluated by written examination and assessment of completeness and accuracy of any
additional class related work, including essays, worksheets, quizzes and class participation, as
determined by the classroom instructor. Students will be informed of the specific evaluation tools
and their respective percentage values on the first day of class.
Please note that the student must achieve a grade of satisfactory in each clinical practice objective
to successfully complete the course. If a student fails to achieve a satisfactory in clinical practice,
regardless of lecture grade, the student will receive a grade of “F” for the course.
Clinical practice is evaluated by student knowledge and application of that knowledge in the
clinical setting and in clinically related written work. Students are to demonstrate progress
toward course objectives as evidenced by specific behaviors noted in the clinical evaluation tool
for this course. Successful completion of the preceptorship experience is a required clinical
component for this course.
Use of ATI will be directed per the standardized testing policy.
RN Pharm ATI: Students must pass the ATI at a Level 2 or 3 to successfully complete this
course. The student will have 2 attempts to do so. The student must bring a practice exam with a
score of 90% in order to be eligible to sit for the ATI exam.
RN ATI Comprehensive Predictor: The student must achieve a Predicted Probability of
Passing NCLEX-RN on the First Attempt of 95% or higher. A sample of the results for RN
Comprehensive Predictor is noted below. The findings will be located on the top right side of the
results. The target Predicted Probability of Passing NCLEX-RN on the First Attempt will be
identified on the second and third lines of the results.
Adjusted Individual Total Score: 74.7%
Predicted Probability of Passing
NCLEX-RN® on the First Attempt: 95%
Mean - National: 71.0%
Mean - Program: 71.2%
Percentile Rank - National: 69
Percentile Rank - Program: 69
Instructors reserve the right to modify timing of exams or presentation of units to meet
class objectives.
XII.
XIII.
SPECIFIC MANAGEMENT REQUIREMENTS:
None
OTHER INFORMATION:
FERPA: Students need to understand that your work may be seen by others. Others may see your
work when being distributed, during group project work, or if it is chosen for demonstration
purposes.
Students also need to know that there is a strong possibility that your work may be submitted to
other entities for the purpose of plagiarism checks.
DISABILITIES: Students with disabilities must contact the Disabilities Service Office at
800.628.7722 or 937.393.3431 before arrangements can be made for them in the classroom or
clinical setting.