NURS383Summer-CMP2013VC01 ADULT HEALTH I Summer -CMP 2013 VC01
Summer Term 2013 May 27, 2013 – August 10, 2013
COURSE DESCRIPTION: This course integrates knowledge and skills learned previously with disease
processes affecting adults today. The student will learn disease processes that occur in the adult client
with a focus on systems. The clinical focuses on providing care for adults in need of hospital care and
rehabilitation. Patient teaching in the clinical setting will take on importance, as well as, higher levels of
critical thinking and evidence based practice. This syllabus may be revised during the course of the
semester to meet the needs of the students and faculty.
CREDIT: 8 Credit hours (4 hrs class/wk, 2 hrs lab/wk, 16 hrs clinical/wk)
PROGRAM LEVEL: II
REQUIRED TEXTBOOKS:
Pellico, L.H. (2013). Focus on Adult Health Medical-Surgical Nursing. Lippincott Williams and Wilkins
ISBN 978-1-58255-877-6
Wissmann, J. (2008). Adult Medical-Surgical Nursing: Review Module. Assessment Technologies
Institute, LLC (ATI). Available at atitesting.com
Docucare: Lippincott
ATI
Course Coordinator: Melody C. Antoon, BS, BSN, MSN, RN Cell: (409) 651-2510 (text ONLY
between 9 am and 4 pm CST M-F)
Office Hours: - Via email melody.antoon@wayland.wbu.edu at pre-scheduled times.
Clinical Instructor: TBA
Clinical Lab:
TBA
Clinical and/or class time may be adjusted due to instructor, school, or facility needs
COURSE OBJECTIVES: At the end of the course, the student will be able to:
1. Define the role of the professional registered nurse in care of the client in the medical-surgical
setting.
2. Identify signs and symptoms of disease processes that affect the adult client.
3. Utilize the nursing process in developing a plan of care for a client in the medical-surgical setting
in collaboration with the client and the interdisciplinary health care team utilizing evidence-based
practice.
4. Identify signs and symptoms associated with disease processes.
5. Describe principles of teaching for a client in the medical-surgical setting.
6. Understand the pathophysiology of the disease processes of clients in the medical-surgical
setting.
7. List the ethical and legal principles necessary for quality care of the client in the medical-surgical
setting.
8. Describe the factors that contribute to the development of disease processes in the client in the
medical-surgical setting.
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CLINICAL OBJECTIVES:
At the end of the course, the student will be able to:
1. Apply nursing care to multiple clients appropriate for the signs and symptoms the client is
experiencing.
2. Establish nursing diagnoses for the adult clients in the medical-surgical setting following
evidence-based analysis of the data.
3. In collaboration with the adult client and the interdisciplinary health care team, set realistic goals
to improve the signs and symptoms they are experiencing.
4. Implement nursing care, in collaboration with the client and the interdisciplinary health care team,
to assist in treating the disease process the adult client is experiencing.
5. Evaluate the adult client’s response to the nursing care received.
6. Teach the adult client about their disease process and the care required to treat it.
7. Apply ethical and legal principles when delivering care to the adult client.
8. Apply concepts of cultural aspects of care when delivering care to the adult client.
9. Refer clients to resources both in the health care facility, and in the community.
EVALUATION AND GRADING: A point system is used to determine the grade in Adult Health I.
There are NO makeup exams. If an exam is missed, the final exam will be counted in its place.
Only one grade replacement (missed exam grade replaced with final exam grade) will be allowed.
If a student misses more than one exam, a 0 will be entered for the second and consecutive
missed exam scores.
A = 90-100
B = 80-90
C = 75-80
75 average or better is required to pass Nursing courses
D = 70-74
F = 69 and below
Exams and Graded Requirements
Exam 1 – 1st clinical weekend
Exam 2 - 2nd clinical weekend
Exam 3 – 3rd clinical weekend
Discussion Participation
Case Study Presentation –Week 11
Final Exam ATI – Week 11
Total
Point Value
20%
20%
20%
5%
10%
25%
100%
PLEASE NOTE:
There will be a medication calculation test given by the clinical instructor during the first clinical
weekend. All students must pass this test with a 100% in order to pass the course and before you
continue with medication administration in the clinical setting. Three attempts will be allowed at
the medication calculation exam.
A rubric is provided for the case study presentation - you must cover all points to receive full
credit i.e. points will be deducted if you have not covered all areas required on the rubric.
ADULT HEALTH I Winter L CMP 2012 VC01 mIg
Course Outline:
1. Perioperative Nursing & Pain
2. Respiratory
3. CV & hematology
4. Fluid & electrolytes
5. Renal, urinary & integument
6. Endocrine
7. GI
8. Neurosensory
9. Musculoskeletal
10. Lymph, immune & infectious issues
Testing:
Exam blueprints may be provided by the instructor. The type of question will be categorized two ways
(where applicable). First the question will be categorized by the areas of the nursing process;
assessment, planning, implementation and evaluation. The question will also be categorized by cognitive
level; knowledge, analysis, application, and comprehension. In the event a faculty must change a test
date, they will notify the students as soon as possible.
Make-up Tests:
There are NO makeup exams. If an exam is missed, the final exam will be counted in its place.
Only one grade replacement (missed exam with final exam grade) will be allowed. If a student
misses more than one exam, a 0 will be entered for the second and consecutive missed exam
scores.
Clinical learning lab: TBA
Clinical learning lab will be arranged for learning needs at this level. Date and time to be announced.
Clinical Attendance: The clinical portion of the course in on a pass/fail basis and must be passed to
pass the course. The level two clinical evaluation form will be used to determine the students pass or fail
performance for this course. Attendance to clinical is critical. This is the opportunity for the student to
learn and practice skills and then apply them later in patient care. Any student late or missing a clinical
must call the instructor prior to the scheduled clinical.
Required clinical activities include: AS PER CLINICAL INSTRUCTOR:
1) Preparation of medication cards for patients and conditions studied,
2) Satisfactory performance of clinical objectives,
3) Reflective clinical journal,
4) At least 3 complete satisfactory nursing care plans each achieving the level of critical thinking
required for this course (more may be required by clinical instructor to achieve the level), and
5) Professional behavior, demeanor and attire.
Your clinical behavior, demeanor and attire shall be consistent with school and facility requirements. This
part of professional requirements includes punctuality to work, wearing name badge, professional attire,
white opaque uniforms, school patch, white shoes, white socks, undergarments not visible through
uniform, no jewelry or colored hair accessories, short and clean unpainted nails, and required
professional gear or equipment. No smoking is permitted at clinical facilities.
Reflective Clinical Journal: AS PER CLINICAL INSTRUCTOR
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The weekly clinical journal is a required part of the clinical experience. Each student is responsible for
his/her own lifelong learning. The journal process is designed to help you reflect on your learning styles,
assess your learning needs, make goals, evaluate your learning and repeat the process, changing your
learning interventions when indicated. It will also help faculty assist your efforts to be a self-directed
learner. These skills are crucial to your development as a professional nurse, as this profession requires
ongoing self directed continuing education and record keeping to maintain your license.
Case Study Paper on a patient’s condition for which you provided care at the clinical site.
Please see rubric for grading criteria on your Blackboard course.
Research and writing competency is an expectation in professional nursing, therefore, effective writing
and proficiency in research is required in this course. ENGL 1301 and RSWR 3345 are required prior to
this course and provide preparation for the writing level required in this course. Consult Purdue’s OWL
website or WBU’s Saturday clinic for writing assistance in APA citation. Research and writing
competencies are expected, source selection shall be nursing peer reviewed, format, citations,
organization, grammar and mechanics can impact your grade on written assignments.
Policy on Academic Integrity: Standards of academic honesty are expected. Academic dishonesty
includes, but is not limited to, cheating, plagiarism, counterfeit work, unauthorized reuse of work, theft,
and collusion, see student handbook. Students who violate academic integrity policies are subject to
discipline, penalties, failure in the course, or dismissal from Wayland Baptist University.
Cell Phone Policy: Respect for faculty and fellow students is necessary for teaching and learning in the
clinical settings. You are required to silence cell phones, silence other mobile devices, and remove
Bluetooth devices prior to entering any clinical settings. Failure to follow this policy can affect your clinical
participation and final course grade (you may be requested to leave the clinical area).
Policy Regarding Due Dates for Written Assignments: Written work will be submitted on the
announced due date and time, unless prior arrangements were made with the faculty. Failure to notify
will result in a grade of zero for that assignment. Unless otherwise specified, hard copies of the
assignments are due to faculty on assigned dates. Students are responsible for contacting the course
faculty if there is any difficulty in understanding the course materials or completing the course
assignments. Up to 10% shall be deducted for late assignments, and reduced 10% each day, late or
incomplete care plans may result in clinical failure.
Student Responsibilities: Students are adult learners and responsible for self-directed study to
complete this course. Check postings on blackboard each week, learn to use blackboard postings
provided by professors, as they are intended to increase your professional nursing knowledge bank.
Learn to become a resource broker, speak professionally and use citations, it is part of professional
nursing. Assignments, journals, and presentation have due dates and points shall be reduced if not
punctual. The profession of nursing requires punctuality in documentation and attendance. It also
requires reliability as fellow staff and administration rely on you to come to work prepared. Patients rely
on you to know the current state of their health and current professional standards. Citations and
references are to be used and documented using the professional citation of nursing, APA (6 th
edition) format on all written documents in the course.
Group process per clinical instructor is an essential part of professional nursing, therefore, group
projects will be required in various nursing courses. Just as various shifts are responsible for patient care
and nurses rely on each other and other professionals to accomplish total care, you will rely on each
other and work together for a particular project.
Disability Statement: Wayland Baptist University adheres to a policy of providing equal opportunity to
students with disabilities. Disability is defined by the University as any condition that falls under the
purview of the Rehabilitation Act of 1973. Wayland will strive to achieve optimum opportunity for
participation in the University experience for all students, regardless of their circumstance. The University
encourages any student who has a disability, as defined by the Rehabilitation Act of 1973, to inform the
ADULT HEALTH I Winter L CMP 2012 VC01 mIg
University of any Special Requirements or needs by reporting these to the Dean of Students or the Vice
President for Academic and Student Services. The University will strive to meet these needs in
accordance with applicable federal guidelines and Christian ethical considerations.
Student Conduct: (This is a statement of conduct standards. It is enforced in conjunction with the
Discipline Policy and Substance Abuse Policy found elsewhere in the student handbook.) Wayland
proudly adheres to high standards of intellectual, moral, ethical, and spiritual values. Convinced that selfdiscipline is more desirable than outside force and that the truly educated person must pursue what is
right under all circumstances, Wayland entrusts each student with the solemn obligation of preserving
these standards.
However, in the light of revelation, reason, and the custom of the Christian community from which
Wayland has sprung, certain practices are evaluated:
1. Personal integrity in keeping with New Testament standards is expected of all students.
2. Respect for the property, knowledge, and rights of other people must prevail.
3. The use or possession of alcoholic beverages and/or illegal drugs is forbidden.
4. Gambling, hazing, and the on-campus possession of firearms or deadly weapons
are prohibited. BB Guns and Paint Ball Guns are also prohibited.
5. The use of tobacco by students is discouraged, though permitted in certain designated areas of
the campus. In consideration of the rights of others and the requirements of safety, such areas
are designated.
The authority of the University is exercised over all student groups or organizations bearing the name of
the university, or any student enterprises to the extent necessary to safeguard the good name and well
being of Wayland. Specifically, each student is expected to conduct himself in such a manner as to
uphold, not detract from, the good name of Wayland Baptist University. If one feels that he/she cannot
subscribe to the moral and social practices of the University, he/she will find greater acceptance
elsewhere.
Standards of Professional Nursing Practice (BON 213.27, 217.11, 217.12) please refer to the Board of
Nursing at www.BON.state.tx.us for any additional information regarding the Texas Nurse Practice Act.
1.
Knows rationale for side effects of medications and treatments, and correctly administers
same. 217.00 (1)(c).
2.
Documents nursing care accurately and completely, including signs and symptoms, nursing
care rendered, medication administration. Contacts health care team concerning significant
events in patient health. 217.11 (1) (d).
3.
Implements a safe environment for patients and/or others. 217.11 (1) (b).
4.
Respects client confidentiality. 217.11 (1)(e).
5.
Accepts assignments commensurate with educational level, preparation, experience and
knowledge. 217.11(1)(t).
6.
Obtains instruction and supervision as necessary when implementing nursing procedures
and practices. 217.11(1)(h).
7.
Notifies the appropriate supervisor when leaving an assignment. 217.11 (1) (I).
8.
Recognizes and maintains professional boundaries of the nurse/patient relationship. 217.11
(1)(J).
9.
Clarifies orders, treatments, that the nurse has reason to believe are inaccurate, non-effective
or contraindicated. 217.11 (1)(N).
10.
Able to distinguish right from wrong. 213.27 (b)(2)(A).
11.
Able to think and act rationally 213.27(b)(2)(B).
12.
Able to keep promises and honor obligations 213.27(b)(2)(C).
13.
Accountable for own behavior 213.27(b)(2)(D).
14.
Able to promptly and fully self-disclose facts, circumstances, events, errors and omissions
when these disclosures will enhance health status of patients or protect patients from
unnecessary risk or harm. 213.27(b)(2)(G).
ADULT HEALTH I Winter L CMP 2012 VC01 mIg
Please refer to the Board of Nursing at www.BON.state.tx.us for any additional information regarding the
Texas Nurse Practice Act.
All readings from Pellico unless otherwise indicated
Chapters
Topic
PAGES
Week 1
Chapter 1-3 Basics
1-51
5/27-6/2
Chapter 5
Chapter 7
Perioperative Nursing
Pain Management
102-148
188-215
Chapters 1, 2, and 3
from the Pellico
workbook
Week 2
Chapter 4
53-101
6/3-6/9
Chapter29
Chapter 30
Fluid & Electrolyte and
Acid Base Imbalances
N.A. Endocrine
Function
Diabetes
Exam schedule
803-815
816-840 848-855
Chapter 5 and 7 from
the Pellico workbook
Week 3
Chapter 8
Chapter 9
6/10-6/16
Chapter 10
Chapter11
Week 4
Chapter 36
Chapter 38
6/17-6/23
Chapter 39
Chapter 6
Week 5
Chapter 12
Chapter 13
6/24-6/30
Chapter 14
Chapter 15
Chapter 17
Assessment
Respiratory Function
Upper Resp. Tract
Disorders
Lower Resp. Tract
Disorders
COPD & Asthma
217-245
246-266
275-294 307-312
326-351
Nsg. Assess – Immune
Function
N.M. Pts. with Allergic
Disorder
N.M Pts. With
Rheumatic Disorders
Cancer Care
Nsg Assess-CV &
Circulatory Function
Nsg Management Hypertension
N.M –Coronary
Vascular Disorders
983-1002
1030-1047
1048-1060
149-187
Chapter 4, 29, 30
from Pellico
workbook
354-376
383-395
396-404 416-423
424-433
461-465
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EXAM 1
CONTENT FROM
WEEK 1, 2 and 3 to
be administered
during clinical on
the FIRST clinical
weekend.
Chapter 18
Week 6
7/1-7/7
Week 7
7/8-7/14
Chapter 21
Chapter 22
Chapter 23
Chapter 24
Chapter 25
Chapter 19
Chapter 20
Chapter 48
Chapter 49
Chapter 50
Week 8
Chapter 43
Chapter 45
7/15-7/21
Chapter 46
Chapter 47
Week 9
Chapter 40
Chapter 41
7/22-7/28
Chapter 42
Chapter 51
Chapter 52
Week 10
7/29-8/4
Chapter 26
Chapter 27
Chapter 28
N.M-Complications
from Heart Disease
N.M. Arrhythmias &
Conduction
N.M. Vascular &
Peripheral
N.A. Digestive, GI &
Metabolic
N.M. Oral &
Esophageal
N.M. Gastric &
Duodenal Disorders
N.M. Intestinal &
Rectal Disorders
N.M. Hepatic & Biliary
Disorders
N.A. Hematologic
Function
N.M. Hematolic
Disorders
N.A. Sesorineural
Function
N.M. Eye & Vision
Disorders
N.M. Hearing &
Balance Disorders
489-513
N.A. Neuro Function
N.M. Pts. With Neuro
Trauma
N.M. Pts with Neuro
Disorders
N.M. Pts with CVA
N.A. Musculoskeletal
Function
N.M. Pts with
Musculoskeletal dis
N.M Pts with MS
Trauma
N.A. Integumentary
Function
Dermatologic Problems
N.A. Renal & Urinary
Tract Funct.
N.M Pts with Renal
Disorders
1149-1174
1184-1187 12001210
1211-1242
1245-1252 12601267
1076-1089
1090-1121
1113-1148
1330-1344
1345-1375
573-603
604-613 614-631
632-652
653-684
685-693 697-703
704-707 711-721
515-527
528-540
1269-1285
1286-1313
1314-1328
724-740
741-751
772- 784 788-802
ADULT HEALTH I Winter L CMP 2012 VC01 mIg
EXAM 2
CONTENT FROM
WEEK 4, 5 and 6 to
be administered
during clinical on
the SECOND
clinical weekend.
N.M. Pts with Urinary
Disorders
Week 11
8/5-8/10
Final Week
Case study
presentation due
EXAM 3
CONTENT FROM
WEEK 7, 8, 9 AND
10.
FINAL EXAM
CONTENT ATI.
BOTH EXAMS to
be administered
during final clinical
weekend. **NOTE
– TWO EXAMS
DURING THE
LAST CLINICAL
WEEKEND**
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