July 16, 2013
Sub-Committee for NUR 200 Curriculum Review and Revision
Department of Post-Secondary Education, President’s Conference Room
MINUTES
July 16, 2013 10:00am
Attendees:
Welcome
Topic/Issues
Review of previous meeting
minutes:
DPE:
Bevill:
CACC:
Calhoun:
Gadsden:
JDCC:
LBWCC:
NWSCC:
SUSCC:
WSCC/Dothan:
WSCC/Hanceville:
Lynn Hogan
Discussion
Retha Cabiness, Emily Burleson
Susan Kilgore
Lynn Hogan
Ann Lambert
Joy Butler, April Wise
Shelia Smith
Linda North, Elaine McGhee, Interim Chair of Nursing
Jackie Spivey, Tricia Williford, Charlotte Fuller
1. April 17, 2013 Minutes
2. June 12, 2013 Minutes
Admission criteria:
S. Smith states consideration for ‘native grads’ of LPN
program with a gpa <2.5 might want to be given
consideration for admission.
L. North states that at their ACEN visit, the site visitors
were specific that programs with alternate entry points
need same admission criteria.
Our system is piloting new criteria at WSCC Hanceville
and Bevill.
Clinical Hours
S. Kilgore shared the need for clinicals with removal of
the requirement for 500 hrs of work experience.
L. North state the addition of clinicals supports “thru the
lifespan” component of the curriculum
Curriculum: Purpose of the
course
POI: Review of bullet points
Kilgore – emphasis on role change would be of benefit
and make a positive transition into NUR 201.
A. Wise – Last meeting, Ms. Cater was in support of all
students being required to take NUR 200.
Decisions/Actions
planned
Motion/ Second: L. North
/ C. Fuller Approved.
Motion/ Second: R.
Cabiness/L. North
Approved.
No changes to be made
until the system criteria is
finalized.
Cabiness: Motion to
decrease LAB hours to 1,
making a NUR 200 a 5
credit hour course.
July 16, 2013
Should every student take NUR
200?
Instructor Notes con’t
J.Spivey – previously we wanted to give a benefit to our
graduates. We need to see what the data of our CM
students tells us.
L North - This was due to the fact that we came up with a
standardized curriculum. If you require this of everyone,
we must consider the workforce development issue. We
need to look at where we can trim hours. National
average for an AND program is in the 70s and PN is in the
40s – we need to be able to justify why its required.
Hogan – if we need to cut hours, then why can’t we
remove a lab hour – do we need 90 hours of lab?
Smith – if we remove an hour then affects the student’s
PELL eligibility to decrease to 5 hours. Some programs
have few PELL students and some have many PELL
students. Some programs have the students take their
Spivey - Some schools code the program as NUB – nursing
courses toward a BSN . PNB is pre-nursing with BSN focus
is their degree plan. NUR-ACC is used at NWSCC.
North - Need to increase the non-traditional credit to 16
hours so they will have 72 credits at graduation.
McGee – when I teach 102 –if they are strong in skills
they can fly thru it and we can check them off in practice.
Same for LPNs if they have it they can be done, but if they
don’t, then we have the opportunity to get them up to
speed.
WSCC-Dothan – allows the student with an LPN
certificate to apply and then gives credit for the first two
semesters and they can go into NUR 201.
North – we are looking for more than exposure to
clinicals to alleviate the students’ anxiety, but to meet a
student learning outcome.(management, delegation,
prioritization)
A Wise – if we are going to teach clinical decision making
skills and write objectives toward that end.
Cabiness – I feel ethically that students need this info
prior to being expected to complete the program.
Focus –safety and student success.
Spivey – Qualitative and quantitative data needed to
support this change – graduation rate of career mobility
students track 1 and track 2. How many mobility do you
admit, how many pass? Out of N200 what is the ontime
and 150% grad rate? Track 2 – how many pass 201, and
grad ontime and 150%? Data for 3 years…..
Remove bullets 1 & 2.
Keep bullet 3 related to valid unencumbered Alabama
LPN license.
Remove bullets 4,5,6,7
Add to motion North:
change the NonTraditional Credit from 15
to 16 hours the POI.
Second: Smith
Vote: 10 in favor
Motion Carries
Motion – Cabiness: All
LPNs should be required
to take the revised NUR
200 course.
Second: Joy Butler
Vote: 7 in favor
3 abstained.
Motion Carries
North – entertain the
notion that there is an
option to ‘clep out’ for
theory and clinical.
North Motion, McGhee
2nd
Remove all bullets and
add pre-requisites to POI
July 16, 2013
Add pre-requiste courses to POI – license, English, math,
A&P I & II.
Course Description
This course is designed to provide the LPN mobility student with
guided opportunities to prepare for placement into the third
semester of the traditional ADN program. Emphasis is on the
knowledge, skills and attitudes for successful transition to the
RN scope of practice. Course content includes basic nursing
care, health assessment, safe medication administration,
dosage calculation, introductory medical-surgical adult health
concepts, care of the normal maternal –child population and
selected complications and selected pediatric disorders.
Students who successfully complete this course are awarded 16
non-traditional hours as determined by institutional policy.
Curriculum, Module A
Refer to NUR 102
Module A
Role Transition:
 Scope of Practice
 Legal & Ethical
 Professional Behaviors
 Self Inventory
 Documentation
Refer to NUR 102 A 1.0 Embody the role of the
professional nurse in the interprofessional team with
special emphasis on scope of practice, personal and
professional responsibilities, legal and ethical practice
considerations.
Curriculum, Module B
NWSCC & CACC reporting
Module B – Fundamentals of Nursing
 Nursing Process
 Critical Thinking and decision making
 Nutrition
o Intake and output
o Therapeutic diets
o Enteral nutrition
o Parenteral therapy
o Nutrients
 Health History for the RN
o Obtaining a health history
o Normal and abnormal assessment
findings
o Documenting the assessment
o Conducting a general survey
o Techniques
 Communication
o Establishing therapeutic nurse-
as stated in discussion.
Vote: Unanimous
July 16, 2013
o
o
o
o
Curriculum, Module C
Curriculum, Module D
client/family relationship
Communication process
Therapeutic/non-therapeutic
communication
Barriers to effective communication
Interdisciplinary communication
Remove Module C
Content moved to Mod B – Health History for the RN and
Head-to-Toe assessment (all sub-bullets) in skills module
LBW & Gadsden reporting
Module D –- Change to Module C - Introduction to
Pharmacology
 Basic Math
o Calculation formulas
o Systems of measurement
 Introduction to Classification of Drugs
o Concept
o Common drug classifications
 Pediatric Dosage Calculation
o Milligrams/kilograms/body weight
o Body surface area
o Formulas for calculating pediatric
dosages
o Safe range
 IV Rate Calculations
Move to skills - Admin Meds (include all sub-bullets)
Curriculum, Module E
Bevil & Calhoun reporting
Module E –- Change to Module D Adult Nursing
 Fluid, electrolyte, and acid-base balance
o Interpretation & management of care for
selected imbalances
 Perioperative Care
o RN role within perioperative settings
o Informed consent
o Pre-operative
o Intra-operative safety
o Post-operative
 IV Therapy
o Roles & responsibilities
o Types & use of IV solutions, TPN
o Patient physical and psychological
preparation for IV therapy
o Flow rate problems
July 16, 2013
o
o
o
o
Curriculum, Module F
IV complications and problems
Monitoring and maintenance of the IV
IV medications, IV push, PCA pumps, IVPB
Blood, blood products, and volume
expanders
o CVL, PICC
 Selected Alterations
(Strike ‘General areas’. Note:
Integumentary has already moved from 105 to NUR
102)
Nursing management of care, assessment, nursing
diagnosis, evaluation of:
 Respiratory System
o Restrictive
o Obstructive
 Cardiovascular System
o Hypertension
 Endocrine
o Diabetes
 Upper GI system alterations
o Infectious/inflammatory
o Surgical procedures
 Musculoskeletal system alterations
o Inflammatory alterations
o Degenerative alterations
o Surgical procedures
o Traction
Wallace, Dothan reporting
Module F –- Change to Module D Maternal and Child
Nursing
Patient assessment and nursing management of care for
the
 Antepartum patient assessment, patient
education and health promotion
 Complications of pregnancy
o Diabetes in pregnancy
o Hypertensive disorders
o Hyperemesis
o Premature labor
o Premature ROM
o Fetal demise
o Infection
 Intrapartum patient assessment, patient
education and complications of the laboring
patient
o Assessment of fetal well-being
o Stages and variables
July 16, 2013
o
o
o
Curriculum, Module G
Curriculum, Module H
Admission of client in labor
Induction/Augmentation of Labor
OB procedures (i.e. rupture of
membranes, internal fetal monitoring,
preparing for c-section)
o Fetal monitoring
 Postpartum patient assessment, nursing
management and patient education
o Discharge planning
o Patient education
o Complications (i.e. infection, bleeding,
post-partum depression, addicition)
 Newborn Care assessment, nursing management
and family education
o Complications (i.e. respiratory disorders,
hyperbilirubinemia, neonatal abstinence,
sepsis)
Jeff Davis reporting
Module G –- Change to Module F – Pediatric Alterations
 Manager of care, scope of practice, prioritization,
 Preparing the pediatric client and family for
hospitalization and discharge
 Pediatric Procedures
 Immunization Updates
 Health Promotion
o Safety
o Nutritional considerations
o Community care
 Death & Dying in the child
 Pediatric System Alterations
o Respiratory (i.e. RSV, CF, Asthma, Croup)
o Cardiovascular (i.e. rheumatic heart
disease, Kawasaki’s disease, sickle cell
anemia, hemophilia)
o Infections/Immune
o Gastrointestinal
o Musculoskeletal
o Endocrine – diabetes
o Integumentary
o Nervous
o Sensory
o Genitourinary
o Psychosocial
Change to - Module G – Skills Assessment
 Catheterization
 Trach care & suctioning
 Starting & maintaining peripheral lines
July 16, 2013


MOTION:
Outcomes
Nasogastric tube insertion and maintenance
Medication administration and dosage
calculations
o Safety issues
o Reading and interpreting medication
orders
o Reading and interpreting labels
o Drug administration equipment/adaptive
equipment
o Reconstitution of medications
o Calculating dosages
o Preparing dosages for administration
o Routes for administering medications
o Insulin administration
o Heparin administration
o The Seven Rights of Medication
Administration
o Client/family teaching
o Documentation medication
administration
 Sterile dressing change
 Vital Signs
 Head-to-Toe Assessment
o HEENT
o Integumentary System
o Respiratory System
o Circulatory/Lymphatic System
o Breast and Axillae
o Abdomen
o Reproductive System
o Musculoskeletal System
o Neurological System
(Removed Ostomy Care, Oxygen administration & enteral
feeding)
Accept proposed changes to Modules A-H as written
above.
Refer to NUR 102 A 1.0 Embody the role of the role
of the professional nurse in the interprofessional team
with special emphasis on scope of practice, personal
and professional responsibilities, legal and ethical
practice considerations.
Next meeting:
1. Graduate Competencies – There are 6 for QSEN
and 4 for NLN – needed for each module.
2. Develop outcomes for each module
Adjourned: 4:53 pm. Submitted: Lynn Hogan, Calhoun Community College
Motion – L. North
Second – A. Wise
Unanimous
Need to develop
outcomes for each
module.
Conference Call August
28, 1:00pm.