ASSOCIATE OF APPLIED SCIENCE NURSING PROGRAM
COURSE SYLLABUS
NURS 135: INTRODUCTION TO THE NURSING PROCESS
8 CREDITS (5 theory (75 hours) credits and 3 Clinical (135 hours) credits)
FALL 2014
GENERAL INFORMATION
A. INSTRUCTOR INFORMATION:
1. Theory & Clinical :
Tami Gailey, MSN, RN
753-2004 (Office)
934-7432 (Cell)
tamara.gailey@gbcnv.edu
Peggy Drussel, MSN, RN
753-2020 (Office)
934-3045 (Cell)
peggy.drussel@gbcnv.edu
2. Clinical:
Jennifer Grant, BSN, RN
340-2063 (Cell)
jennifer.grant@gbcnv.edu
3. Practice Lab:
Sarah Line BSN, RN
753-2216 (Office)
388-3033 (Cell)
sarah.lino@gbcnv.edu
4. Office and Hours:
Tami:
Health Sciences Room 118
First 8 Weeks
Monday & Wednesday
0930-1200
Second 8 Weeks
Monday 3:30-4:30 PM
Tuesday & Thursday 1:30-3:30 PM
Also by appointment
Peggy:
Health Science Room 116
Office Hours
Tues and Thursday 0700-0900
Friday
0800-0900
Also by appointment
B. COURSE INFORMATION:
1. Catalog Description: Introduction to basic concepts and competencies
for the application of the nursing process in the care of diverse
patients with common health alterations and to promote the health of
individuals. Introduction of basic concepts of safe, patient-centered,
evidence-based nursing care considering legal and ethical
responsibilities of the nurse. Also, introduces caring, clinical
reasoning, quality improvement, communication, and teamwork when
interacting with patients and members of the interprofessional team.
Emphasis on essential psychomotor skills and obtaining patient
information relevant to care planning.
Five credits theory, three credits clinical. Offered Fall Semester only.
2. Schedule:
Theory:
Classroom: Tuesday and Thursday: 0930– 1145
Dates: August 25, 2014– December 12, 2014
Clinical:
Monday, Wednesday, possibly some Fridays, and
Saturdays as indicated on clinical schedule
Practice Lab:
See practice lab schedule
COURSE OUTCOMES:
STUDENT LEARNING
OUTCOMES/COMPETENCIES
Provide safe, quality, evidence-based,
patient-centered nursing care at the
basic level to diverse patients with
common health alterations
MEASUREMENTS






Clinical Evaluation
Clinical Packets
Manor Assessment Packets
Adult Wellness Assessment &
Comparison
Simulation
Module Exams



Final Exam
Nursing Skills Check-off
ATI Modules
Discuss clinical reasoning used to
make patient-centered care decisions
at the fundamental level.





Simulation
RN Comparison
ATI NurseLogic 2.0 module tests
Module Exams
Final Exam
Explain how quality improvement
processes are used to improve patient
care.






Class participation in discussion
Post-clinical discussion
Critical Thinking Activity
ATI NurseLogic 2.0 module tests
Module Exams
Final Exam



Challenge Course Assignment
RN Comparison
Auxiliary Clinical Post-Clinical
Assignment
Class Activities and Discussion
Module Exams
Final Exam
Recognize the importance of teamwork
with members of the interprofessional
team, the patient, and the patient’s
support persons when working with
diverse patients with common health
alterations.
Explain how management, legal,
ethical, and professional guidelines are
used in nursing practice.
Summarize how information
management principles, techniques,
and systems, and patient care
technology are used in the healthcare
setting.








RN Comparison
Clinical Evaluation
Legal/Ethical Class Activity
ANA Standards of Practice
Discussion
Clinical Care Packets






Class Discussion
Chart Search
EMR Training Discussion
Module Exam
Simulation
Final Exam
METHOD OF INSTRUCTION:
Lecture, discussion, demonstration, small group work, videos, assigned readings,
written assignments, computer assisted learning programs, nursing lab
activities and clinical instruction will be utilized.
THEORY EVALUATION:
Evaluation of student progress will be the successful completion of the course
outcomes which will be evaluated with seven (7) module examinations, a
comprehensive final exam, and a Library/Research assignment, and daily
quizzes and/or assignments. Questions contained in all exams will be based on
application of knowledge acquired in this, as well as previous courses. Questions
may be multiple-choice, fill in the blank, multiple-answer, or other NCLEX®
alternate formats as applicable. All written work (theory and clinical) will be
considered for determination of a course grade.
CLINICAL EVALUATION:
All required skill performance check-offs must be completed satisfactorily in the
nursing lab prior to clinical performance. Clinical performance is evaluated
mutually by student and instructor at mid-semester and the end of the semester.
Clinical performance and written clinical assignments (see list below) will be used
to determine clinical competency and the ability to generalize and transfer theory
outcomes to the clinical settings. A grade in clinical performance is considered in
regard to continuing in the course and to pass the course.
Clinical Objectives:

Please see objectives for individual clinical assignments
Simulation Objectives:
1.
2.
3.
4.
5.
Identify essential information for effective patient care within the EMR.
Demonstrate focused, informative, legally correct nursing documentation
which reflects the nursing process.
Promote safety for patient, self, and others.
Identify factors that influence the quality of care by evaluating patient
response to interventions .
Utilize information technology to support patient care.
REQUIRED AND RECOMMENDED MATERIALS:
 Potter, P. A., Perry, A. G., Stockert, P. A., Hall, A. (2013). Fundamentals of
Nursing (8th ed.) St. Louis, MO: Mosby.
 Potter, P. A., Perry, A. G., Stockert, P. A., Hall, A. (2013). Fundamentals of
Nursing Study Guide (8th ed.) St. Louis, MO: Mosby. (Recommended)
 Ladwig, G. B., Ackley, B.J. (2013). Mosby’s guide to nursing diagnoses. (4th
Ed.). St. Louis, MO: Mosby.
 Silvestri, L. (2014) Comprehensive review for the NCLEX-RN examination.
(6th Ed.). St. Louis, MO: Mosby.
 Ignatavicius, D.D. and Workman, M.L. (2013). Medical-surgical nursing:
Patient-Centered collaborative care (7th ed.). St. Louis, MO: Mosby.
 Doenges, M.E., Moorhouse, M. F., Murr, A.C. (2013). Nursing care plans:
Guidelines for individualizing client care across the life span. (9th
ed.). Philadelphia, PA: F.A. Davis Company. (Recommended)
 Deglin, J. H., Vallerand, A. H., & Sanoski, C. A. (2011). Davis’s drug guide
for nurses. (13th ed.). Philadelphia, PA: F. A. Davis Company.
 Van Leeuwen, A. M., Poelhuis-Leth, D., & Bladh, M. L. (2013). Davis’s
comprehensive handbook of laboratory diagnostic tests with
nursing implications. (5th ed.). Philadelphia, PA: F. A. Davis
Company.
 VandenBos, G. R. (Ed.). (2010). Publication manual of the American
psychological association. (6th ed.) Washington, DC: American
Psychological Association.
 Venes, D. (Ed.). (2012). Taber’s cyclopedic medical dictionary. (22st ed.)
Philadelphia, PA: F. A. Davis Company.
**Please plan on using the drug book, lab & diagnostic book, nursing diagnosis
book, nursing care plan book. You also may find it helpful to use your Med.-Surg.
Book and Pharmacology books as references.
SUPPLEMENTAL VIDEO RESOURCES:
 The Helping Interview – Enhancing Therapeutic Communication
o Basic Components, Helper Qualities, and Attending Skills – 19
min
o Opening, Questioning, and Use of Silence – 20 min
 Communicating With Older Adults and People With Dementia –50 min
 A Friend Named Lyle – 30 min
 Beginning Physical Assessment – 17 min
 Effective Interviewing: Three Function Model – 24 min
 The Cognitively Impaired Geriatric Patient:
o Characteristics and Behavior – 20 min
o Disruptive Behavior – 17 min
o Behavior Management and Support – 18 min
 Assessing Breath Sounds – 30 min
 Exam of Head and Neck – 19 min
 Exam of Eyes and Visual System – 20 min
 Exam of Thorax and Lungs – 15 min
 Cardiac Exam – 13 min
 Examination of Abdomen – 9 min
 Neurological Assessment – 20 min
 Exam Musculo-Skeletal System – 21 min
**These resources are available in the GBC Library
GRADING POLICY AND CRITERIA:
Course grade will be based on a percentage of the total possible points of theory
and clinical assignments according to the following scale:
100 - 94.00
93.99-90.00
89.99-87.00
86.99-84.00
83.99-80.00
79.99-77.00
=
=
=
=
=
=
A
AB+
B
BC+
76.00 =C (needed to pass)
75.99-70.00 = C69.99-67.00 = D+
66.99-64.00 = D
63.99-60.00 = DBelow 60.00 = F
 The classroom course work must be completed on time and with an
average of 76% or better to pass the course.
 All clinical rotation paperwork must be completed on time and with either
a Pass or an average of 76% or better to pass the course.
 Late theory and clinical assignments will be worth 50% of the actual
grade. If an assignment is more than one week late, a zero will be given
for the assignment but submission of the assignment is still required.
 Please allow a minimum of one week for correction of assignments.
Theory Assessments: 60% of Total Grade
 3 Exams = 300 possible points (100 points X 3 Exams)
 Comprehensive Final = 100 points
 1 Library Assignment = 50 Points
 Infection Control Assignment = 20 points
 4 ATI NURSELOGIC Modules = 5 points each
 ATI Learning System Practice Exams (2) and Final = 45 possible points
(15 x 3)
Team Based Learning: 10 % of Total Grade
 Daily quizzes = 240 possible points (10 points X 24 quizzes)
 Daily collaborative testing = 240 points (10 points X 24 collaborative)
Clinical Assessments: 30% of Total Grade
 M1 & H1 – RN Comparison = 50 points
 M2 Health Assessment = 50 points
 H3 Clinical care packet = 100 points
 H4 Clinical care packet = 100 points
 H5 Critical Thinking Activity = 100 points
 H7 Nutrition/Discharge planning/Quality Improvement assignment = 20
points
 H6 Cardiopulmonary assignment = 50 points
 Challenge Course assignment = 50 points
 Adult Wellness Comparison assignment= 200 points total
DOSAGE CALCULATIONS:
Students will be required to pass a dosage calculation exam each semester.
These will be short, paper and pencil exams that will be scheduled by the
instructor. Students will take the dosage calculation exam after completing the
required ATI Modules and corresponding module post-tests. The required
modules for NUR 135 are as follows:





Safe Dosage
Medication Administration
Oral Medications
Injectable Medications
Case Study – Diabetes: Oral medications
Students must pass the ATI Safe Dosage module post-test with a 100%. The
additional ATI module post-tests listed will require a 90% pass rate. Transcripts
are required prior to taking the dosage calculation exam. Students will submit
transcripts of module (lesson and test) on the date of the dosage calculation
exam which will be September 26, 2014. To pass the exam, students may miss
no more than one question. Students may bring a copy of the conversion table
found in the back of the Davis’s Drug Guide to the exam. Copies of this table will
not be provided. Please see the Medication Dosage Calculations Testing policy
in your Student handbook for additional information.
DROP/WITHDRAW POLICY:
According to GBC policy, if you do not complete the course and do not formally
withdraw by the set drop deadline, your instructor will automatically assign you a
grade of “F” for the course. The drop deadline for Fall 2014 is Monday,
October 27, 2014. If you are dismissed from the program after this date, this rule
will also apply.
ATTENDANCE POLICY:
Students are expected to attend all classroom, lab, and clinical hours.
(See Student Handbook)
STUDENT CONDUCT:
Great Basin College considers academic honesty one of its highest values. A
student who obtains academic credit for work that is not the product of his or her
own effort is being dishonest and undermining the academic integrity of the
college. Students are expected to be the sole authors of their work. Use of
another’s ideas must be accompanied by specific citation and reference. In
addition, a learner may not submit the same work for credit in more than one
course. The disciplinary consequences of plagiarism and other forms of
academic dishonest include non-acceptance of work submitted, a failing grade in
the course, and/or or other disciplinary action as outlined in Great Basin
College’s Student Conduct Policy.
ADA STATEMENT:
Great Basin College is committed to providing equal educational opportunities to
qualified students with disabilities in accordance with state and federal laws and
regulations, including the Americans with Disabilities Act of 1990 and Section
504 of the Rehabilitation Act of 1973. A qualified student must furnish current
verification of disability. The Students with Disabilities Office, located in Berg
Hall, will assist qualified students with disabilities in securing the appropriate and
reasonable accommodations, auxiliary aids, and services. For more information
or further assistance, please call 775.753.2271
COURSE SCHEDULE:
MODULE
WEEK 1
SUBJECT
ASSIGNMENTS
Welcome! We expect this
will be the beginning of a
wonderful adventure…
It is your responsibility to
have read the required
chapters and reviewed the
required course content
that will be covered in
class BEFORE the date
they are scheduled to be
covered.
Monday
August 25
Tami
Peggy
0900-1200:
General orientation to
nursing program- HSC room
108
1300-1600
Introduction/Orientation:
 Canvas
 Practice Lab
 Syllabus
 Clinical schedule
 Skills Lab schedule
 Team Based
Learning (TBL)
 How to use your
textbook
(please have printed out
syllabus or your laptop with
you so you can access the
syllabus)
Tuesday
August 26
0930-1145
Not all content that you
are responsible for will be
covered in class.
Your instructor reserves
the right to add other
sources that maybe
required to be read prior
to class.
**Unless otherwise stated,
all listed reading chapters
are out of your
Fundamentals of Nursing
text
Start reading
Chapter 2, 6
Peggy
ATI training—McMullen
Hall
Room 211
Bring ear phones or a
headset for this training.
1330-1630
ATI Self-Assessment
Inventory – TBA
Wednesday
August 27
Peggy
Module 1: Health
Care Environment
0930-1145
Topics:
Required reading:
1. Health Care Delivery
System -2. Health and Wellness
Thursday
August 28
Chapter 2 and 6
Required reading:
0930-1145
Chapter 7, 9, 10, and 35
Topics:
Peggy
1. Patient-centered Care
Culture/Spirituality
2. Caring
Friday
August 29
0930-1145:
Required reading:
Chapter 5
Topic:
Peggy
Evidence-based practice
Due: ATI Nurse Logic:
Knowledge and Clinical
Judgment module and
test (submit printed
transcript before class)
WEEK 2
Monday
September 1
Labor Day Holiday
Relax!
Tuesday
September 2
Peggy
Wednesday
Sept 3
0930-1145
Library
orientation/introduction;
EBP assignment
Start work on Library
Assignment: Due
September 10, 2013
Module 2: Safety
0930-1145
Topics:
Required reading:
Chapters 27 and 28
1. Infection Control
2. Patient safety
Peggy
1300-1330
Pictures with Laura
Gallegos –in scrubs!
Thursday
Sept 4
Module 3: Health and
Physical Assessment
Ticket to class
ATI Infection Control
Transcript
Required reading:
Chapters 29 and 30
Peggy
0930-1145:
Topic:
Physical assessment
 Vital Signs
 Inspection,
Palpation,
Percussion, &
Ausculation
 General Survey
 Skin, Hair and Scalp
 Nails
Ticket to class
ATI Vital Sign
Transcript
Bring a copy of the
assessment from the
Clinical Care Packet with
you to class this day

Friday
Sept 5
Head and Neck
0800-1100
Orientation at the Manor
Peggy
WEEK 3
Monday
September 8
Tuesday
September 9
Peggy
See Practice Lab Schedule
Clinical Schedule
0930-1145:
Topic:
Physical assessment
 Thorax and Lungs
 Vascular System
 Lymphatic System
 Abdomen
 Reproductive
System
Wednesday
September 10
See Clinical and Practice
Lab schedules
Thursday
September 11
0930-1145:
Topic:
Physical assessment
 Musculoskeletal
 Neurological System
 Documentation
 Pain
Peggy
Required reading:
Chapters 29, 30, and
“assessment” portion of
43
Library Assignment Due
Ticket to class is ATI
transcript for Physical
Assessment
Required reading:
Chapters 29, 30, and
“assessment” portion of
43
Ticket to class is ATI
transcript for Pain
Management
Friday
September 12
Peggy & Tami
ALL DAY
College of Southern Idaho
Challenge Course
Twin Falls, Idaho
WEEK 4
Monday
Required reading:
Chapter 21 and 24
Challenge Course
Assignment due
September 15
See Clinical and Practice
Lab Schedules
Tuesday
September 16
0930-1145:
Peggy
Wednesday
September 17
Thursday
September 18
Documentation Review:
 CCP

Adult Wellness
Packet

Test Taking Tips
Required Reading:
Due: ATI Nurse Logic:
Testing and Remediation
module and test (submit
printed transcript before
class)
See Clinical and Practice
Lab Schedules
0930-1100:
Exam #1:
Start reading:
Chapters 15 and 16
1115-1145:
APA Refresher- Online
exercise
Friday
September 19
See Clinical and Practice
Lab Schedule
WEEK 5
Monday
September 22
Tuesday
September 23
See Clinical and Practice
Lab Schedules.
Peggy
Challenge Course
Assignment due
Module 4: Clinical
reasoning
0930-1145: Topic:
1. Critical thinking
Wednesday
September 24
10:30-11:30 ATI Critical
Thinking Entrance Exam -Proctored
See Clinical and Practice
Lab Schedules.
Thursday
Sept 25
0930-1145:
Topics:
Required reading:
Chapters 15
Required reading:
Chapters 16 and 17
Peggy
1. Nursing process –
Assessment
2. Nursing Process –
Diagnosis
Friday
Sept 26
1330:
Dosage Calculation Exam
Ticket to exam is the
ATI Transcript for
Dosage Calculations
WEEK 6
Monday
Sept 29
Tuesday
Sept 30
Peggy
Wednesday
October 1
Thursday
October 2
See Clinical Schedule
0930-1145:
Topics:
1. Nursing processplanning.
2. Nursing processImplementation
3. Nursing process –
Evaluation
Required reading:
Chapters 18, 19, and 20
Due: ATI Nurse Logic:
Nursing Concepts module
and test (submit printed
transcript before class)
See Clinical and Practice
Lab Schedule
Module 5:
Communication
Peggy
0930-1145:
Topic:
Professional
Communication
Friday
October 3
See Clinical and Practice
Lab Schedule
WEEK 7
Monday
October 6
0830-1230
S1 Simulation
Communication & SBAR
Required reading:
Chapters 24
Tuesday
October 7
Peggy
0930-1145:
Topics:
1. Documentation
2. Informatics
3. SBAR
Wednesday
October 8
See Clinical and Practice
Lab Schedule
Thursday
October 9
Peggy
Friday
October 10
WEEK 8
Monday
October 13
Tuesday
October 14
Module 6:
Professionalism
0930-1145:
Topics:
1. Patient education
2. Teamwork
Ticket to class ATI
transcript for HIPPA and
Health Care Fraud, Waste,
and Abuse Prevention
See Clinical and Practice
Lab Schedules
Peggy
Wednesday
October 15
See Clinical and Practice
Lab Schedule
0930-1145:
Exam #2: Midterm
Peggy
Friday
October 17
Required reading:
Chapters 21 and 25
See Clinical and Practice
Lab Schedules
0930-1145:
Topics:
1. Legal Principles
2. Ethics
Thursday
October 16
Required reading:
Chaper 26
See Clinical and Practice
Lab Schedule
Required reading:
Chapter 22 and 23
WEEK 9
Monday
October 20
See Clinical and Practice
Lab Schedule
Tuesday
October 21
Module 7:
Physiological Integrity
Tami
0930-1145:
Topic:
Oxygenation
ATI Learning System RN
Fundamentals Practice
Test #1 completion due
Required reading:
Chapter 40
Ticket to class- Transcript
from ATI Oxygen Therapy
Classroom activity using
O2 and suction
Wednesday
October 22
Thursday
October 23
Tami
See Clinical and Practice
Lab Schedules
0930-1145:
Topic:
Oxygenation (continued)
Cardiopulmonary-NNRH
Guest Speaker
Required reading:
Chapters 40
Ticket to class- Transcript
for Airway Management
Friday
October 24
WEEK 10
Monday
October 27
Tuesday
October 28
Tami
Wednesday
October 29
See Clinical and Practice
Lab Schedules
See Clinical and Practice
Lab Schedules.
0930-1145:
Topics:
1. Skin integrity
2. Sensory alterations
3. Pain management
(management part of
chapter 43)
See Clinical and Practice
Lab Schedules
Required reading:
Chapters 48, 49, 43
Thursday
October 30
Tami
Friday
October 31
WEEK 11
Monday
November 3
Tuesday
November 4
Tami
0930-1145:
Topic:
Urinary Elimination
Required reading:
Chapter 45
Nevada Day
See Clinical and Practice
Lab Schedule
0930-1145:
Topic:
1. Nutrition
2. Sleep
Required reading:
Chapter 42 & 44
Ticket to class is ATI
Transcript on Nutrition,
Feeding and Eating
Wednesday
November 5
Thursday
November 6
See Clinical and Practice
Lab Schedules
0930-1145: Topic:
Bowel elimination
Topic: Urinary Elimination
Tami
Required reading:
Chapter 46
Due: ATI Nurse Logic:
Priority Setting
Frameworks module and
test (submit printed
transcript before class)
Friday
November 7
WEEK 12
Monday
Please see Clinical and
Practice Lab Schedules
November 10
Please see Clinical and
Practice Lab Schedules
Tuesday
November 11
HOLIDAY
Wednesday
November 12
Thursday
November 13
Veterans Day
Please see Clinical and
Practice Lab Schedules
0930-1145
Topics:
1. Exercise and Activity
2. Mobility/Immobility
Required reading:
Chapters 38 and 47
Tami
Ticket to class is ATI
transcript for Ambulation,
transferring, and ROM
Friday
November 14
WEEK 13
Monday
November 17
Tuesday
November 18
See Clinical and Practice
Lab Schedule
See Clinical and Practice
Lab Schedules
Wednesday
November 19
See Clinical and Practice
Lab Schedules
Thursday
November 20
0930-1145
Topics:
Perioperative care
Tami
Friday
November 21
0930-1145:
Exam #3
Start reading:
Chapter 50
ATI Learning System RN
Fundamentals Practice
Test #2 completion due
Required reading:
Chapter 50
See Clinical and Practice
Lab Schedules
WEEK 14
Monday
November 24
See Clinical and Practice
Lab Schedules
Tuesday
November 25
0930-1145: Topic:
Acid/Base balance
Required reading:
Chapter 41
Tami
RN CMS Fundamentals
Practice Assessment
Due—Start remediation
work
Wednesday
November 26
Thursday & Friday
November 27 & 28
WEEK 15
Monday
December 1
Tuesday
December 2
See Clinical and Practice
Lab Schedule
Happy Thanksgiving!
See Clinical Schedule
0930-1145: Topic:
Fluid/Electrolytes
Required reading:
Chapter 41
Tami
Wednesday
December 3
Thursday
December 4
Tami
See Clinical and Practice
Lab Schedule
0930-1145: Topic:
Fluid/Electrolytes
(continued)
ATI Learning System RN
Fundamentals Final
completion due
Required reading:
Chapter 41
WEEK 16
Tuesday
December 9
Final: ATI RN CMS
Fundamentals Proctored
Assessment (Exam #4)
Time to be announced
ATI Remediation
Templates and Focused
Review transcripts due
before the final
Thursday
December 11
Final Retake
See Final grading policy
for information
All attempts will be made to maintain the posted theory and clinical schedule. However,
please note that in the event of an unforeseen emergency or circumstances beyond our
control, faculty may schedule class and/or clinical times on other days as a means to
ensure every opportunity for students to successfully complete the course. The faculty
also may make changes to the syllabus at any time throughout the semester. All
attempts will be made to inform the students of any changes in a timely manner when
possible.