NURS 206 Expanding and Developing Family and Community Course Name: Expanding and Developing Family and Community NURS 206 Course Number: Academic Program: Campus: Nursing Section A Instructor’s Name Allan J. V. Cresencia, MSN, CPN, RN Elizabeth Hartman MSN, RN, RNC-OB, CNE I. Instructor’s Conct Information, Course Pre and Co-Requisites Phone Number: E-mail: Office location: Office hours: Course Website: Course Prerequisites: Course Co requisites: acresencia@westcoastuniversity.edu ehartman@westcoastuniversity.edu Faculty Suite, 2nd Floor Mr. Cresencia: Wednesday 5:30pm – 7:30pm Ms. Hartman: Wed 11am-12pm; Thurs 12-2pm wcunurs206and216.pbworks.com NURS 201, NURS 211L NURS 216L II. Mission and Outcomes University Mission At West Coast University, we embrace a student-centric learning partnership that leads to professional success. We deliver transformational education within a culture of integrity and personal accountability. We design market-responsive programs through collaboration between faculty and industry professionals. We continuously pursue more effective and innovative ways through which students develop the competencies and confidence required in a complex and changing world. College of Nursing Mission The mission of the College of Nursing is to provide evidence-based and innovative nursing education to culturally diverse learners; preparing nurses to provide quality and compassionate care that is responsive to the needs of the community and the global society. College of Nursing Philosophy The philosophy of the College of Nursing is the education of nurses who become lifelong learners and critical thinkers. The philosophy reflects beliefs that education is a continuous process, occurring in phases throughout an individual’s lifetime West Coast University Course Syllabus Revision Date: Revision Date: Month, Year (i.e. February, 2010) Page 1 Page 1 Nov 2011 NURS 206 Expanding and Developing Family and Community Program Learning Outcomes 1. Synthesize knowledge derived from liberal arts and sciences with a conceptual framework as a basis for professional nursing practice. 2. Utilize nursing process in health promotion, restoration, and disease and illness prevention. 3. Apply evidence-based practice in providing therapeutic nursing interventions for patients and families in a wide variety of health care, and community setting. 4. Apply critical thinking skills in providing culturally sensitive and developmentally appropriate nursing care to patients who are experiencing simple and/or complex health problems in a variety of settings. 5. Provide health care education to individuals, families, and aggregates. 6. Develop measurable goals that demonstrate the willingness to become a life-long learner in building expertise as a member of the nursing profession. 7. Utilize effective communication to interact with patients, families, and the interdisciplinary health team. 8. Assume responsibility for the delegation and supervision of the delivery of nursing care to subordinates based on the subordinate’s legal scope of practice and ability. 9. Demonstrate application of the AACN 9 Essentials. 10. Be eligible to apply for the registered nursing licensing examination in order to be employed as a registered nurse in a variety of health care settings. III. Course Information Term: Class Meeting Dates: Class Meeting Times: Class Meeting Location: Web Site: Class Credit Hours Class Credit Length Class Required Texts, Learning Resources Term 12 November 2011- January 2012 Weds 12:30 -5:30 pm Room 216 (OB); Room 214 (Peds) wcunurs206and216.pbworks.com 3 semester credits/5 contact hours per week/45 hours per term 9 weeks Assessment Technology Institute Inc. Content Mastery Series: Maternal Newborn Nursing Review Module. Overland Park KS www.atitesting.com Boyd, D., Hinds, M., Hyland, J. Hyland & Saccoman, (2008) Evolve reach comprehensive review for the NCLEX-RN examination (2nd ed.) St. Louis, MO: Mosby Elsevier Ward, S. & Hisley,S. (2009) Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, and Families. Philadelphia, PA: F.A. Davis West Coast University Course Syllabus Revision Date: Revision Date: Month, Year (i.e. February, 2010) Page 2 Page 2 Nov 2011 NURS 206 Expanding and Developing Family and Community Class Required Texts, Learning Resources (continued) Class Recommended Texts, Learning Resources Evolve Online Learning Center. evolve.elsevier.com Case Studies & Practice Tests American Psychological Association. (2002). Publication manual of the American Psychological Association (5th ed.). Washington, DC: American Psychological Association. ATI. Content Mastery Series: Nursing care of children. (8th ed.) Nursing Review Module, Overland Park KS: www.atitesting.com Pearson Hall Real Nursing Skills: Maternal-Newborn & Women’s Health Nursing Skills online videos Websites: National Health Objectives: www.healthypeople.gov www.hhs.gov, (Immunization schedule) LIRN (Library Information Resources Network) http://www.lirn.net/services.shtml Patron Indentification #: 52516 (Available anywhere with Internet access) Opposing Viewpoints; InfoTrac- magazine articles; Medical Encyclopedia Medical Dictionary; Current information on dozens of topics Class Recommended Texts, Learning Resources (continued) Ebsco Databases http://search.ebscohost.com UserID: west; Password: coast (Available anywhere with Internet access); Full text periodical articles EBRARY http://site.ebrary.com/lib/westcoastu (Only available on the WCU campus Course Catalog Description This course focuses on nursing concepts in the therapeutic care of women, mothers, infants, children, adolescents and their families. Included are Gordon’s conceptual framework, major health promotion and disease prevention, nursing process, therapeutic communication, evidenced based practice, teaching/learning principles and role development in the area of women, infants and children, and families. West Coast University Course Syllabus Revision Date: Revision Date: Month, Year (i.e. February, 2010) Page 3 Page 3 Nov 2011 NURS 206 Expanding and Developing Family and Community Course Learning Outcomes 1. Interpret how the Healthy People 2020 Objectives and other major health promotion and disease prevention concepts will improve the health and welfare of women, children, and families. 2. Discuss current issues regarding women's health care as they transition through the life cycle. 3. Describe significant aspects of human sexuality and reproduction and apply this knowledge in planning nursing care and comprehensive teaching plans for individuals and families throughout the life cycle. 4. Analyze the physiologic and psychosocial aspects of uncomplicated and complicated pregnancy from conception to postpartum and plan appropriate nursing interventions for actual and potential self-care demands for each stage. 5. Discuss and apply the nursing process in conjunction with Gordon’s Functional Health Patterns to the obstetrical client and neonates suffering from a variety of acute and chronic disease states, assessing health deviations, developing expected outcomes and identifying and validating the effectiveness of nursing interventions. 6. Incorporate evidence-based nursing research from a variety of sources, including pharmaceutical, biological, psychosocial and behavioral sciences, in the nursing process when planning care for women, infants and families. 7. Evaluate the impact of cultural, ethical, legal, gender, and economic issues related to health care of women, newborns and their families. 8. Describe nutritional requirements for newborns and for women throughout the life cycle, with emphasis on pregnant, breastfeeding, and post-menopausal women, and plan nursing interventions for actual and potential nutritional deficits for selected clients. 9. Identify and explore the role of the nurse as provider, manager and coordinator of therapeutic care for women, neonates and their families. 10. Identify community resources and referrals appropriate for childbearing women, their infants and families, with particular attention to families facing major health problems and special health care needs. Teaching Strategies Lecture, group analysis of selected case studies, research studies, internet search, evaluation of evidence-based practice, interactive software programs, and independent study. Formative Assessment of Student Learning: Will not count more than 80% of final grade Summative Assessment of Student Learning: Will not count more than 20% of final grade IV. Evaluation Methods, Grading Maternity: Formative Assessment Assignment/Assessment Activity Case Studies (2) Homework Assignments Participation Examinations Due Date Points 5 2.5 2.5 30 West Coast University Course Syllabus Revision Date: Revision Date: Month, Year (i.e. February, 2010) Page 4 Page 4 Nov 2011 NURS 206 Expanding and Developing Family and Community Participation: Student Participation will not account for more than 10% of the final grade. Pediatrics: Formative Assessment Assignment/Assessment Activity Case Study Presentation Homework assignments Participation Examinations Due Date Points 5 2.5 2.5 30 Summative Assessment: Final Exam 20.0 Student must attain a score of at least 76% out of the 80% examinationoriented part of the total course grade. In other words, if the total number of points available in a given class is 100, then a minimum of 80 of those points are earned by taking examinations, and a student must earn at least 61 points of the 80 points (76%) out of those exam questions in order to pass the course. Assuming the student attains the minimum 76% (61 points), then the 20% non-examination activities (20 points) are added to calculate the final course grade. Note – A student can attain 76% of the combined examinations and still fail the course if not attaining enough points from non-examination assignments. West Coast University Course Syllabus Revision Date: Revision Date: Month, Year (i.e. February, 2010) Page 5 Page 5 Nov 2011 NURS 206 Expanding and Developing Family and Community V. Policies and Procedures West Coast University Grading Scale (reflective of final course grade. See associated policy in Catalog) West Coast University Attendance Policy Grade Points A 4 WCU Numerical Scale for non program specific courses 90-100 B 3 80-89 84-90 C 2 70-79 76-83 D 1 60-69 64-75 F 0 59 and below 63 and below TC N/A Transfer Credit Transfer Credit W N/A Withdrawal Withdrawal I N/A Incomplete CR N/A Credit Incomplete Credit granted for 75% or higher on a challenge exam or Credit awarded for NURS 199 Nursing and Dental Hygiene Specific Numerical Score 91-100 Satisfactory attendance in courses is a requirement of the university and linked with student success. The percentage of attendance is calculated on the basis of the clock hours identified and varies by the type of course or major. For example, 30% of a three credit lecture course is 13.5 hours. Absences in excess of 30% of any course will result in a grade of “F” and the student will be required to repeat the course. Nursing students may not be absent for more than 20% of a NURS lab or clinical course identified as “L”. Dental hygiene students may not be absent for more than 20% of any DHYG course whether theory or clinical. If any student is absent from the University for more than 14 consecutive calendar days, excluding holidays, and no contact has been made during that period, the student will be withdrawn from the University. Students must provide the Academic Dean or Dean of Nursing with written documentation verifying the required military leave and length of time requested. West Coast University Course Syllabus Revision Date: Revision Date: Month, Year (i.e. February, 2010) Page 6 Page 6 Nov 2011 NURS 206 Expanding and Developing Family and Community Course Completion Requirements Students are expected to participate in class. Participation includes being present in the class, participation in discussions, and active engagement in the lecture/learning activities. Students must achieve a passing grade of C or better, submit all required assignments, complete all required quizzes and examinations, and meet the standards of the University attendance policy. Unscheduled quizzes may be given periodically throughout the term. The quizzes may include previously covered content and/or content to be covered during the current day’s class session. Unless designated as a group project by the instructor, all student papers and assignments must be completed by the individual student and represent the student’s own original work. Group projects are designated as such so that all other assignments are individual assignments and are to be completed by the student and NOT as a group assignment. Each student is responsible for his or her own learning which includes all aspects of the work required for a class. In order to maintain security and confidentiality, student assignments must be submitted directly to the instructor via the method(s) approved by the instructor. Do not fax papers to the campus. Do not e-mail papers to instructors without written permission from the instructor. West Coast University Make-up Work Policy In order to meet course outcomes students may be required to make up all assignments and work missed as a result of absences. The faculty may assign additional make-up work to be completed for each absence. Hours of make-up work cannot be accepted as hours of class attendance. Students are required to be present when an examination is given. If unexpectedly absent for a documented emergency situation (i.e. death in the immediate family), it is the student’s responsibility to arrange for a make-up date by contacting the faculty member within 48 hours of the original assessment date. The make-up work must be completed within five (5) school days of the originally assigned date. Students who do not take the exam on the scheduled make-up date or who do not contact the instructor within 48 hours will receive a zero score for that assessment activity. The highest score possible on a nursing or dental hygiene make-up examination is passing grade (e.g., if a student obtained a perfect score (100%) in the make-up examination, the grade will still be recorded as a passing grade). Lack of preparation at the scheduled exam time is not an acceptable excuse for not taking an examination or quiz. West Coast University Course Syllabus Revision Date: Revision Date: Month, Year (i.e. February, 2010) Page 7 Page 7 Nov 2011 NURS 206 Expanding and Developing Family and Community Classroom Policies Academic Integrity Policy Students are expected to dress professionally during class time, as they will in their future roles and positions. No children are allowed in class or unattended on campus. Personal use of cell phones, Blackberries or any other electronic devises in the classroom during class time is not permitted. Unauthorized use may lead to faculty member confiscation of the device for the remainder of the class. Consistent breaches of this policy will be addressed by the University as a student conduct issue. Behavior that persistently or grossly interferes with classroom activities is considered disruptive behavior and may be subject to disciplinary action. Such behavior inhibits other students' abilities to learn and the instructor’s abilities to teach. A student responsible for disruptive behavior may be required to leave class pending discussion and resolution of the problem. Consistent breaches of this policy will be addressed as a student conduct issue. Academic honesty, integrity, and ethics are required of all members of the West Coast University community. Students are expected to conduct themselves in a manner reflecting the ideals, values, and educational aims of the University at all times. Academic integrity and honorable behavior are essential parts of the professionalism that will be required well beyond graduation from WCU. They are the foundation for ethical behavior in the workplace. A student who acts in an unethical or unprofessional manner on an assignment will receive a grade of zero for that assignment. A second incident of unethical or unprofessional behavior may result in administrative termination from the university. In its commitment to academic honesty and accurate assessment of student work, West Coast University uses a plagiarism-detection web-service to help prevent plagiarism. Consequently, instructors reserve the right to submit student assignments to the website to check for similarities between student submissions and the internet, various research databases, and the web-site’s database of previous student submissions. Students may be required to electronically submit their work to the instructor or to the website, and by taking WCU courses, students agree that all assignments are subject to plagiarism detection processes and Academic Honesty policies. Assignments submitted to the website by the student or instructor will become part of the service’s database and will be used for plagiarism prevention and detection. Student papers, however, will remain the intellectual property of the authors. Any submitted papers that are not the student’s original work will be considered plagiarism, in violation of the Academic Honor Code. For clarification of plagiarism, please refer to the WCU Catalog, Dean or Instructor West Coast University Course Syllabus Revision Date: Revision Date: Month, Year (i.e. February, 2010) Page 8 Page 8 Nov 2011 NURS 206 Expanding and Developing Family and Community Academic Dishonesty Testing and Examination Policy Reasonable Accommodations Changes to the Course Schedule The University considers plagiarism and falsification of documents, including documents submitted to the University for other than academic work, a serious matter that may result in a failure in the class or dismissal from the program. All student work is to be submitted to faculty and represent the student’s original work. All students are required to follow the American Psychological Association (APA) writing guidelines. All sources used as references must be properly identified Students who violate university standards of academic integrity are subject to disciplinary sanctions, including failure in the course and suspension from the university. Since dishonesty in any form harms the individual, other students and the university, policies on academic integrity will be strictly enforced. Familiarize yourself with the Academic Integrity guidelines and the Academic Honor Code in WCU catalog and program handbooks. The university testing policy stipulates that no phones or other electronic devices, food or drink, papers, hats or backpacks can be taken into the examination area. In specific courses the faculty may have additional requirements. Talking during testing or sharing of information regarding the test questions is not allowed. Please review the policy for the complete list of testing requirements and the Academic Honor Code. Once the exam results are available, the students will be offered a test review. The student will be provided with a test copy (not applicable to HESI, ATI exams), answer sheet, and a copy of his or her Scranton, which must all be returned unchanged upon completion of review. Any student requesting accommodations based on a verified disability is required to register with the Director of Student Services each semester. A letter or clinical evaluation form from a learning specialist showing proof of a learning disability and what accommodations are required to assist the student, is required to be on file with the Director of Student Services. A letter of verification for approved accommodations can be obtained from that office. Please be sure the letter is delivered to your instructors at the beginning of each term so they may appropriately assist you. Any changes to the course schedule as outlined in this syllabus will be thoroughly discussed with students attending the class prior to implementation. West Coast University Course Syllabus Revision Date: Revision Date: Month, Year (i.e. February, 2010) Page 9 Page 9 Nov 2011 NURS 206 Expanding and Developing Family and Community Additional Program or Accreditation Requirements The purpose of this section of the syllabus is to guide the student in understanding how the AACN 9 Essentials are incorporated into their education and to provide guidance to them in developing their individual portfolios. The Essentials that are met in NURS 206 Expanding and Developing Family and Community include the following: Essential I, Liberal Education for Baccalaureate Generalist Nursing Practice: Use in class presentations of ancient and classical artwork and artifacts depicting the history and evolution of birthing throughout the ages. Discussion and case studies from Women’s Health involving exploration of cultural, ethical, spiritual, psychosocial, anthropological and social justice issues. Essential II, Basic Organizational and Systems Leadership for Patient Safety and Quality Care: Use of group and individual case studies, in class and assigned, that explore issues involving clinical teamwork, delegation, leadership, communication, and creative problem-solving to ensure patient safety. Discussion of RN role in patient care team responsible for ensuring patient safety and quality of care. Essential III, Scholarship for Evidence-Based Practice: Assigned research papers, care plans and case studies requiring the use of library and internet research databases, professional journals and texts. Group PowerPoint and poster projects/presentations of issues involved in maternal/child /family nursing. Interpret how the Healthy People 2010 objectives will improve the health and welfare of women, children, and families. Essential IV, Information Management and Application of Patient Care Technology Discussion and analysis of fetal monitoring technologies that promote effective care management and patient safety. West Coast University Course Syllabus Revision Date: Revision Date: Month, Year (i.e. February, 2010) Page 10 Page 10 Nov 2011 NURS 206 Expanding and Developing Family and Community Additional Program or Accreditation Requirements (continued) Discussion of ethical and legal issues related to the use of information technologies as they relate to women’s health care. Promotion of information literacy and computer skills through on-line and web-based research and testing programs, word processing and presentation software such as PowerPoint. Essential V, Health Care Policy, Finance and Regulatory Environments Discussion and exploration of ethics and cost/benefit analysis in relation to access to and provision of healthcare for women, fetuses, infants and children through programs such as Medicaid/Medi-Cal, WIC, etc. Discussion of Healthy Families 2010 and role of early prenatal care in promoting optimal outcomes in women’s reproductive health. Essential VI, Interprofessional Communication and Collaboration for Improving Patient Health Outcomes Case study discussions with peers and healthcare professionals focusing on issues in women’s health. Role-play scenarios emphasizing role of interdisciplinary team with RN in active role to promote patient safety and improve health outcomes. Essential VII Clinical Prevention and Population Health for Optimizing Health Discussion and exploration of risk-identification and screening of women for health deviations, complications, genetic-influenced disorders and communicable diseases in women’s and obstetrical health care. Discussion and case studies exploring how to obtain gynecological, obstetrical, sexual, genetic and psychosocial health histories of women for promotion of optimal health and disease prevention and planning of effective interventions for women and infants. Family assessment written assignment for obtaining and analyzing family and cultural structures/history that impact women’s and infants’ health. Essential VIII: Professionalism and Professional Values Discussion and case studies touching on ethical, legal and moral implications of patient care situations in maternal/child health care areas such as: abuse, withdrawal of life support, maternal vs. fetal rights, assistive reproduction, etc. Essential IV: Baccalaureate Generalist Nursing Practice Individual and group case studies exploring prioritization of patient care needs, decision making regarding patient care management and analysis of patient’s medical condition, pathophysiology and appropriate therapeutic interventions. West Coast University Course Syllabus Revision Date: Revision Date: Month, Year (i.e. February, 2010) Page 11 Page 11 Nov 2011 NURS 206 Expanding and Developing Family and Community Section B: Course Outline Week Class Objectives 1 or 5 CLO 1, 2, 6 Discuss theories of caring and holism as they apply to the nursing care of women as they transition through the life cycle. CLO 1, 2 Discuss the social, political, economic, and cultural trends that impact women’s and newborns’ health. Content Outline Specific Course Activity Contemporary nursing care and current health care issues Review of Syllabus, - Family Centered Care Learning Outcomes, and -Complementary and Alternative Assignments - Health care/medicine (CAM) - Evidence-based nursing practice (EBPs) Healthy People 2010: Blueprint for Action -Increasing quality and years of healthy life -Eliminating health disparities (WIC, Medicaid, Newborn and Mothers Health Protection Act, Family and Medical Leave Act) CLO 7, 9, 10 Identify and explore the role of the nurse as advocate, provider, manager, delegator and coordinator of therapeutic care for women, neonates and their families. Women’s health: Common infections Discuss the impact of cultural, ethical, Social issues in women’s health legal, gender, social and economic issues Violence against women related to health care and client rights of women, newborns and their families Human Sexuality and Fertility -Medication Free Contraception -Barrier Methods CLO 3, 4, 6 Assess and provide patients -Hormonal Methods contraceptive care. -Sterilization -Surgical/Medical Termination of Pregnancy CLO 4, 6 Analyze the nurse’s role in teaching and counseling clients about infertility and Assessments and Treatment Options genetics. for Infertility CLO 9 Identify potential alternatives childbearing for the infertile couple Student Assignments Ward & Hisley: Maternal-Child Nursing Care Chapter 1- 3 Chapter 5 & 6 Chapter 11, p 315-22; 345-7 ATI Content Mastery Series MaternalNewborn Nursing ATI chapters 1-3 Pearson Hall Real Nursing Skills Maternal-Newborn and Women’s Health Nursing Skills:: Health Assessment Teaching Self-Breast exam Birth Control to Surrogacy and adoptions West Coast University Course Syllabus Revision Date: Page 12 Nov, 2011 NURS 206 Expanding and Developing Family and Community Week 2 or 6 CLO 4 CLO 1, 3,4 CLO 3, 4 CLO 4, 5 CLO 4, 8 Class Objectives Content Outline Discuss fetal growth & development. Specific Course Activity Student Assignments OB Exam #1 (covers week 1 lecture) Conception and development of the ASSIGNMENT: embryo and fetus Understand the nurse’s role in minimizing threats to the developing fetus. Discuss developmental stages of adapting Preparation for Parenthood to pregnancy and the taking on of parenting roles within the family. Identify the importance of assessment, Nurse’s Role in Prenatal Evaluation history taking and establishing a therapeutic relationship in providing care to women in the prenatal care setting. Physiological Changes During Pregnancy Describe physiological changes that occur during pregnancy and their Self Care during Pregnancy etiologies Clinical Group 1: Describe prenatal tests done and rationale for test: (When are tests done?) -Alpha FetoProtein -Ultrasound -Glucose screen -Fetal fibronectin Describe the following tests, when they are done, and the significance of the results. -Kick Count -NST -BPP Ward &Hisley: Chapter 7- 11 ATI Content Mastery Series MaternalNewborn Nursing ATI chapters 4-8 Maternal Tasks and Role Transition (pg. 208- Table 8-5) Paternal Adaptation to Pregnancy (pg. 209) Other student Resources include: Hesi Textbook Tests online at ATI or Hesi Evlove ATI Unproctored Test Homework: (due on week 2 during class) Develop a concept map that shows how nurses can improve pregnancy outcomes and reduce maternal mortality. West Coast University Course Syllabus Revision Date: Page 13 Nov, 2011 NURS 206 Expanding and Developing Family and Community Week 2/6 (Cont) CLO 1, 2, 4, 5 Class Objectives Content Outline Outline a prenatal schedule and describe Prenatal Assessment and Care the importance of prenatal care. CLO 1, 7, 8, Describe holistic approaches to achieve Promoting a Healthy Pregnancy optimal healthy pregnancy. CLO 4, 5, 6, 7, 8 Identify the signs of pregnancy and Early Signs & Anticipatory Teachings methods to manage the common associated discomforts. Adolescent Pregnancy and Discuss the special considerations in Nutritional Needs giving care to the pregnant adolescent. Maternal Nutrition Describe nutritional requirements for women during pregnancy, identify clients with special nutritional needs and discuss strategies for effective client teachings. Recognizing Signs and Symptoms of Recognize signs of impending Danger During Pregnancy complications of pregnancy and discus interventions to decrease morbidity and mortality. Caring for the Woman Experiencing Complications During Pregnancy Identify complications of pregnancy and -Prenatal Loss describe fetal surveillance tests to -Hemorrhagic Disorders evaluate fetal well being. -Preterm Labor -Premature Rupture of Membranes Plan nursing assessments and -Hypertensive Disorders of interventions for the woman Pregnancy experiencing complications of pregnancy. DIC -Multiple Gestation -Infections -Inflammatory Diseases CLO 7,8,9 CLO 4,5,8 CLO 3, 5, 6 CLO 4, 6 CLO 5, 7, 9 Specific Course Activity West Coast University Course Syllabus Revision Date: Student Assignments Review Table 10-6 (pg. 282)-Example of a Prenatal Care Map Pearson Hall Real Nursing Skills Maternal-Newborn & Women’s Health Nursing Skills: Prenatal Care Videos Page 14 Nov, 2011 NURS 206 Expanding and Developing Family and Community Week Class Objectives 2/6 (cont) Content Outline Specific Course Activity Student Assignments -Rh Isoimmunization -Cardiovascular -Diabetes Psychiatric Complications During Pregnancy Substance Abuse Other student Resources include: 1. ATI Videos 2. ATI unproctored test CLO 4, 5 Identify assessment modalities evaluating fetal well-being. CLO 2, 4,5, 7, 10 for Antepartum Nursing Assessment -Chorionic Villus Sampling -Percutaneous Umbilical Blood Sampling -Amniocentesis -Ultrasonography -Kick Counts -Fetal Biophysical Profile -Nonstress Test -Acoustic Stimulation -Contraction Stress Test Homework Reflection: What are the characteristics of reassuring and nonreassuring FHR patterns by EFM? Discuss partner abuse common during Intimate Partner Violence During pregnancy and plan nursing interventions Pregnancy when abuse is suspected. West Coast University Course Syllabus Revision Date: Page 15 Nov, 2011 NURS 206 Expanding and Developing Family and Community Week 3 or 7 CLO 3, 4 CLO 3, 4 Class Objectives Content Outline Discuss normal physiological processes of The Birth Experience: Intrapartum labor and birth. Nursing Care ASSIGNMENT: Discuss the stages of labor and birth and Labor & Birth Processes (Four common responses of women to the Stages of Labor) birthing process. Clinical Group 2: CLO 4, 5 Identify nursing interventions and patient Nursing Care During Labor teachings to facilitate the birthing process. Ensuring Culture-Centered care CLO 4, 5 Recognize reassuring and non-reassuring Assessment of Fetal Heart Rate FHR patterns, and provide appropriate nursing interventions. CLO 4, 9, 10 Discuss the nurse’s role in conjunction Birth-Related Procedures and with other care providers in providing Cesarean Section care for women in labor and during obstetric emergencies. Uterine Medications: Oxytocics & CLO 4, 6 Analyze concepts and research findings in Tocolytics regards to ensuring maternal-fetal safety while promoting labor and comfort Pain Management During labor during labor and birth. -Nonpharmacological Measures -Pharmacological Measures CLO 4, 5 CLO 4, 5,6 Specific Course Activity Recognize intrapartal complications and Caring for the Woman Experiencing provide the appropriate expected nursing Complications During Labor and management. Birth Maternal: Demonstrate critical thinking abilities in -Hypertensive Disorders synthesizing and applying knowledge in -Diabetes the care of women and newborns. Student Assignments OB Exam #2 (covers week 2 lectures) Describe labor pain relief options, rationale for use, and contraindications for each. 1 -Epidural & Spinal 2 -General 3 -Local 4 -IV Medication Ward &Hisley: Chapter 12-14 ATI Content Mastery Series MaternalNewborn Nursing ATI chapters 9-14 Describe the medication, it’s indication, and contraindications: 1 -Cervidil 2 -Pitocin 3 -Methergine 4 -Hemabate 5 -Duramorph Homework Reflection: Describe Bishop’s score and explain its significance. West Coast University Course Syllabus Revision Date: Page 16 Nov, 2011 NURS 206 Expanding and Developing Family and Community Week 3/7 (Cont) Class Objectives Content Outline Fetal: -Fetal malpresentation -Shoulder dystocia -Cephalopelvic disproportion Specific Course Activity -Multiple gestation -Non-reassuring FHR patterns Obstetrical Emergencies -Placenta previa -Placental abruption -Rupture of uterus -Umbilical cord prolapse West Coast University Course Syllabus Revision Date: Student Assignments Other Student Resources Include: 1. HESI Textbook 2. ATI Videos: Intrapartum 3. Case Studies online at EVOLVE.com 4. ATI unproctored test Page 17 Nov, 2011 NURS 206 Expanding and Developing Family and Community Week 4 or 8 CLO 4, 5 CLO 4, 5 CLO 4, 5 CLO 4, 5 Class Objectives Content Outline Specific Course Activity Student Assignments Discuss measures implemented to ensure Ensuring Safety for the Mother and safety for mother and infant. Infant Clinical Group 3 : Describe tests done during Describe the physiological and Care of the New Family: the neonatal hospital stay psychological changes that occur in the -Maternal Assessment and rationale: postpartal woman. -Maternal Physiological Adaptations -Maternal Teachings to prevent 1 Bili screen & Bilirubin complications lab test 2 Coombs lab test Plan nursing interventions to prevent Postpartum Hemorrhage, 3 Newborn metabolic postpartum complications. Hematomas and Infection screen 4 Hearing screen Provide nursing interventions during Recovery and Self-care During postpartum emergencies. Puerperium OB Exam #3 (covers weeks 3 & 4 lectures) Ward & Hisley: Chapter 15-19 ATI Content Mastery Series MaternalNewborn Nursing ATI chapters 15-20 ATI Practice Tests A & B CLO 4, 5, 7,9, 10 CLO 8 CLO 8, 9,10 CLO 4, 5 CLO 4, 5 Plan a holistic nursing care for the Postpartum Depression/Psychosis with minimum of 100% postpartal woman and her family score including strategies for home follow-up care. Facilitating Infant Nourishment: Implement nursing plan to promote Making Informed Choices optimal breastfeeding or formula feeding outcomes for the mother and her infant. Community Resources for the New Design comprehensive postpartal Family discharge planning and teaching. Newborn Physiologic Responses to Identify and describe physical assessment Birth norms for neonates. Nursing Assessment of Newborn Discuss normal neonatal patterns of behavior during the first several hours after birth. West Coast University Course Syllabus Revision Date: Page 18 Nov, 2011 NURS 206 Expanding and Developing Family and Community Week 4/8 (cont) CLO 4,5, 6 CLO 4, 5 Class Objectives Content Outline Specific Course Activity Identify the components of the Newborn Care: Normal immediate newborn care to promote maternal-newborn bonding and prevent neonatal complications. Provide nursing care for high-risk Newborn Care: High Risk newborns and newborn complications. West Coast University Course Syllabus Revision Date: Student Assignments Other Student Resources Include: 1. ATI Videos 2. Tests online at ATI or HESI EVOLVE 3. Pearson Hall Real Nursing Skills MaternalNewborn & Women’s Health Nursing Skills: Newborn Videos Page 19 Nov, 2011 NURS 206 Expanding and Developing Family and Community Week 1 or 5 CLO 1 CLO 9 Class Objectives Content Outline PEDIATRIC NURSING Interpret how the Healthy People 2020 Objectives will improve the health and welfare of the pediatric population and their families. Describe the role of the nurse, using Gordon’s 11 Functional Health Patterns, in the care of the pediatric client and the expanding family. CLO 4, 5,9 Analyze the central role of therapeutic care relationship in providing nursing care to pediatric clients in all care settings and situations. CLO 7 Using Gordon’s conceptual framework, the nursing process, evidenced based practice, therapeutic communication, teaching/learning and role development in the therapeutic care of pediatric patients: Developing Child Child in Hospital and Community Family across care setting Child with Psychosocial or Cognitive Condition Specific Course Activity Clarification of grade distribution: Case Study Presentation grade of 5 points will be from the following: - 2.5 points for doing all assigned case studies from Medi-Sim Pediatric Nursing 1 & 2. - 2.5 points will be awarded based on the result of your take home final exam. Student Assignments Please read the main textbook and supplement your reading with the ATI book. Read Ward & Hisley Chapters 20, 21, 22 and 23 ATI Book: Nursing Care of Children Edition 8.0 Chapters 1-10, 42 & 43. Evaluate the impact of cultural, ethical, legal, gender, and economic issues related to the health care of pediatric populations and their families. West Coast University Course Syllabus Revision Date: Page 20 Nov, 2011 NURS 206 Expanding and Developing Family and Community Week 2 or 6 CLO 4, 5 CLO 1, 7 Class Objectives Content Outline Using Gordon’s conceptual Analyze potential and actual problems to framework, the nursing process, the health and well-being of children and evidenced based practice, families and plan age-appropriate nursing therapeutic communication, interventions for selected cases, including teaching/learning and role high risk cases. development in the therapeutic care of pediatric patients: Describe major health promotion and disease prevention concepts for children Child with a respiratory and families across the life cycle. condition Child with gastrointestinal condition Child with immunological or infectious condition Child with cardiovascular condition Specific Course Activity Due today prior to exam #1: ATI Nurse Logic’s Test Taking Skills and Remediation: please print your certificate of completion – this will be part of your participation grade. West Coast University Course Syllabus Revision Date: Student Assignments Exam # 1 (covers week 5 lecture) and includes Peds Med math problems Read Ward & Hisley Chapters 24, 25, 26 and 27 ATI Book: Nursing Care of Children Edition 8.0 Chapters 16-20, 22 & 23, 35-38. Page 21 Nov, 2011 NURS 206 Expanding and Developing Family and Community Week 2/6 (Cont) CLO 6 Class Objectives Content Outline Identify principles, concepts, research and evidenced based findings from a variety of sources including the pharmaceutical, biological, psychosocial, and behavioral sciences for inclusion when planning nursing care for pediatric populations and their families. CLO 9 Identify the role of the nurse in the care of children and families in relation to the provider, manager, and coordinator of therapeutic care. CLO 4, 5,7 Analyze family structures, coping mechanisms, roles, relationships, and stages for use in planning, implementing, and evaluating nursing care. CLO 10 Identify community resources and referrals appropriate for children with major health problems and special health care needs. Specific Course Activity You can access the MediSim case studies at any computer inside the library. - On the desktop, find the Nursing Skills Software folder; - Double click on that icon and locate Medi-Sim Pediatric Nursing 1 and 2. - Double click on Medi-Sim Pediatric Nursing and follow directions and instructions. West Coast University Course Syllabus Revision Date: Student Assignments Please submit the following case studies: Medi-Sim: Pediatric Nursing 2 that includes the following: An infant with congenital heart disease A preschooler hospitalized with Cystic Fibrosis A school-aged child with Leukemia A toddler with Respiratory Difficulties. Please print the results page of all case studies with 100% score. Page 22 Nov, 2011 NURS 206 Expanding and Developing Family and Community Week 3 or 7 CLO 4, 5 CLO 1, 7 Class Objectives Content Outline Analyze potential and actual problems to the health and well being of children and families and plan age-appropriate nursing interventions for selected cases, including high risk cases. Using Gordon’s conceptual framework, the nursing process, evidenced based practice, therapeutic communication, teaching/learning and role development in the therapeutic care of pediatric patients: Describe major health promotion and disease prevention concepts for children and families across the life cycle. Specific Course Activity Child with endocrinological or metabolic condition Child with neurological or sensory condition Child with musculoskeletal condition Child with integumentary condition West Coast University Course Syllabus Revision Date: Student Assignments Exam #2 (covers week 6 lecture) and includes Peds Med math problems Read Ward & Hisley Chapters 28, 29, 30 and 31 ATI Book: Nursing Care of Children Edition 8.0 Chapters 12-15 and 27-34. Page 23 Nov, 2011 NURS 206 Expanding and Developing Family and Community Week 3/7 (Cont) CLO 6 CLO 9 Class Objectives Content Outline Identify principles, concepts, research and evidenced based findings from a variety of sources including the pharmaceutical, biological, psychosocial, and behavioral sciences for inclusion when planning nursing care for pediatric populations and their families. Identify the role of the nurse in the care of children and families in relation to the provider, manager, and coordinator of therapeutic care. CLO 4, 5,7 Analyze family structures, coping mechanisms, roles, relationships, and stages for use in planning, implementing, and evaluating nursing care. CLO 10 Identify community resources and referrals appropriate for children with major health problems and special health care needs Specific Course Activity You can access the MediSim case studies at any computer inside the library. - On the desktop, find the Nursing Skills Software folder; - Double click on that icon and locate Medi-Sim Pediatric Nursing 1 and 2. Double click on Medi-Sim Pediatric Nursing and follow directions and instructions. West Coast University Course Syllabus Revision Date: Student Assignments Please submit the following case studies: Medi-Sim: Pediatric Nursing 1 that includes the following: A preschooler with Meningitis A school age child with a Head Injury A toddler hospitalized following a Seizure An infant with vomiting. Please print the results page of all case studies with 100% score. Page 24 Nov, 2011 NURS 206 Expanding and Developing Family and Community Week 4 or 8 CLO 4, 5 CLO 1, 7 Class Objectives Content Outline Using Gordon’s conceptual Analyze potential and actual problems to framework, the nursing process, the health and well-being of children and evidenced based practice, families and plan age-appropriate nursing therapeutic communication, interventions for selected cases, including teaching/learning and role high risk cases. development in the therapeutic care of pediatric patients: Describe major health promotion and disease prevention concepts for children Child with renal, urinary and families across the life cycle. tract or reproductive condition Child with hematological condition Child with cancer Child with chronic condition or the dying child Specific Course Activity West Coast University Course Syllabus Revision Date: Student Assignments Exam #3 (covers week 7 lecture) and includes Peds Med math problems Read Ward & Hisley Chapters 32, 33, 34 and 35 ATI Book: Nursing Care of Children Edition 8.0 Chapters 11, 21, 24-26, 39-41. Page 25 Nov, 2011 NURS 206 Expanding and Developing Family and Community Week 4/8 (Cont) CLO 6 Class Objectives Content Outline Identify principles, concepts, research and evidenced based findings from a variety of sources including the pharmaceutical, biological, psychosocial, and behavioral sciences for inclusion when planning nursing care for pediatric populations and their families. CLO 9 Identify the role of the nurse in the care of children and families in relation to the provider, manager, and coordinator of therapeutic care. CLO 4,5 ,7 Analyze family structures, coping mechanisms, roles, relationships, and stages for use in planning, implementing, and evaluating nursing care. CLO 10 Identify community resources and referrals appropriate for children with major health problems and special health care needs Specific Course Activity Student Assignments ATI Practice Tests for Nursing Care of Children Forms A & B must be submitted this week with a score of 100% each. ATI Unproctored Tests for Nursing Care of Children Form A & B. Please submit practice tests with scores of 100% West Coast University Course Syllabus Revision Date: Page 26 Nov, 2011 NURS 206 Expanding and Developing Family and Community Week 5 or 9 Class Objectives Final Exam (Covers weeks 1-8 ) Content Outline Specific Course Activity Pediatrics take home final examination due today!! This is part of your case study presentation worth 2.5 points of your grade. The points being awarded is based on the results of your take home final, do not assume that you will get full credit just by doing the take home final examination. West Coast University Course Syllabus Revision Date: Student Assignments Peds take home final exam (covers week 8 lecture) Study for NURS 206 week 1-8 lectures Peds take home final examination due!! – this is your ticket to take the final computerized examination. Page 27 Nov, 2011