WCU NURS 120 Introduction to Medical Surgical Nursing
Introduction to Medical
Surgical Nursing
NURS 120
Course Name:
Course Number:
Campus:
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Section A:
Instructor’s Name
Phone Number:
E-mail:
Office location:
Office hours:
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I. Instructor’s Contact Information, Course Pre and Co-Requisites
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Course Prerequisites
Course Co-requisites
NURS 100 and 101L
NURS 121L
University Mission:
Program Mission:
Program Learning Outcomes:
II. Mission and Outcomes
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.
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.
1. Apply concepts or theories from biological, physical or natural
sciences as 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.
West Coast University Course Syllabus
Revision Date:
Revision Date: Month, Year (i.e. February, 2010)
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WCU NURS 120 Introduction to Medical Surgical Nursing
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 knowledge in applying client care technology skills
such as computer and informatics skills when providing health
care in a variety of settings.
III. Course Information
Term:
Class Meeting Dates:
Class Meeting Times:
Class Meeting Location:
Class Credit Hours:
Class Credit Length:
Class Required Texts,
Learning Resources:
3 semester credits/5 contact hours per week/45 hours per term
9 weeks
Adams, M. P., Holland, L. N., &Bostwick P. M. (2008). Pharmacology
fornurses: A pathophysiologic approach (2nd ed.). Upper Saddle
River, NJ: Pearson Prentice Hall.
Carpenito-Moyet, L. J. (2007). Nursing diagnosis: Application to clinical
practice (12th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
Fischbach, F. (2008). A manual of laboratory & diagnostic tests (8th ed.).
Philadelphia, PA: Lippincott Williams & Wilkins.
Gardner, P. E. (2003). Nursing process in action. Florence, KY: Delmar
Learning.Houghton, P., & Houghton, T. (2007). APA: The easy way!
Point Huron, MI: Baker College.
Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., & Bucher, L., & Camera, I. M.
(2011). Medical-surgical nursing: Assessment and management of
clinical problems (8th ed.). St. Louis, MO: Mosby Elsevier. (Includes
study guide)
Perry, G. A., & Potter, P. A. (2010). Clinical nursing skills & techniques (7th
ed.). St. Louis, MO: Mosby Elsevier.
Wilson, A. B., Shannon, M. T., Shields K. M., &Stang, C. L. (2009). Nurse’s
drug guide. Upper Saddle River, NJ: Pearson Prentice Hall.
Wissmann, J. (Ed.). (2010). Adult medical-surgical nursing RN edition 8.0:
Content mastery series review module. Stilwell, KS: Assessment
Technologies Institute, LLC.
West Coast University Course Syllabus
Revision Date:
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WCU NURS 120 Introduction to Medical Surgical Nursing
Class Recommended
Texts, Learning
Resources:
D’Amico, D., &Barbarito, C. (2007). Health and physical assessment in
nursing. Upper Saddle River, NJ: Pearson Prentice Hall.
Ignatavicius, D., & Workman, L. (2010). Medical-surgical nursing: Patientcentered collaborative care (6th.ed.). St. Louis, MO: Saunders
Elsevier.
Moore D. S., & Kenneth, J. (2007). Nursing skills checklist. Upper Saddle
River NJ: Pearson Prentice Hall.
Porth, C. M., & Matfin, G. (2010). Pathophysiology: Concepts of altered
states (8th ed.). Philadelphia: Lippincott Williams & Wilkins.
Swearinger, P. L. (2006). Manual of medical-surgical nursing care: Nursing
interventions and collaborative management (6th ed.). St. Louis:
Mosby.
Tabloski, P. A. (2009). Gerontological nursing (2nd ed.). Upper Saddle River,
NJ: Pearson Prentice Hall.
Internet resources:
U.S. Department of Health and Human Services. (2008). AIDS info: A
Service of the U.S. Department of Health and Human Services.
Retrieved June 13, 2006 from http://www.aidsinfo.nih.gov
American Cancer Society (2006). Retrieved June 13, 2006 from
http://www.cancer.org
American Diabetes Association (2006). Retrieved June 13, 2006 from
http://www.diabetes.org
California Nursing Students Association (2006). Retrieved June 13, 2006
from http://www.cnsa.org
National Kidney Foundation (2006). Retrieved June 13, 2006 from
http://www.kidney.org
Quality and Safety education for Nurses (QSEN) (2011). Retrieved October
12, 2011 from http://www.qsen.org
Course Catalog
Description:
This is the first medical-surgical nursing course, in a series of three, devoted
to learning the professional aspects of therapeutic nursing care. The focus
will be on therapeutic care for patients with medical and surgical conditions
utilizing the nursing process and Gordon’s conceptual framework. Included
also will be role of patient advocate and manager of care utilizing principles
of therapeutic communication, research and teaching learning concepts.
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WCU NURS 120 Introduction to Medical Surgical Nursing
Course Learning
Outcomes:
 Course outcomes are
comprised of the
knowledge, skills, values
and/or behaviors that
students should be able to
demonstrate upon
completion of the course.
 Course outcomes map to

the Program Learning
Outcomes
Must be assessed in the
course to determine if
learning outcomes are
met
Teaching and Learning
Strategies

Updated per course
reflecting the instructional
strategies appropriate to
the subject area.
1. Demonstrates beginning role development as a manager of patient
care utilizing the nursing process and Gordon’s eleven functional
health patterns in the care of the client.
2. Discusses morbidity and mortality factors such of a person’s gender,
age, culture, and lifestyle have on the incidence of selected complex
acute and chronic health problems.
3. Differentiates various assessments and diagnostic tools used in
identifying the presence of complex acute and chronic health
problems and collaborates with the other members of the healthcare
team and identifies the emotional and behavioral responses such as
altered family processes, denial, body image disturbance,
powerlessness, individual and family coping, and knowledge deficit.
4. Formulate nursing diagnoses, utilizing evidenced-based practice and
critical thinking skills and demonstrate an understanding of
evidenced-based patient care.
5. Utilizes teaching/learning principles in client instruction perioperative
care.
6. Identify the different body systems and the effects of common
medical surgical conditions and pharmacotherapeutics on the nursing
care provided.
Common conditions include: disorders of
integumentary,
musculoskeletal,
neurosensory,
endocrine,
cardiovascular, immune, respiratory and digestive, fluid and
electrolyte, renal, and reproductive systems; pre, intra, and postoperative care.
7. Demonstrates awareness of complex organizational systems and
application of quality and safety
8. Discuss principles of quality improvement and healthcare policy and
cost-effectiveness in improving healthcare delivery
9. Demonstrates an understanding of the impacts of attitudes, values,
and expectations on vulnerable population care while demonstrating
clinical reasoning within the context of patient centered care to form
the basis for nursing practice that reflects ethical values in rendering
quality and safe care
10. Demonstrates effective communication with all of the healthcare
team including the patient and the family.
11. Demonstrates a thorough understanding of creating a safe
environment in order to deliver and obtain high quality patient care
outcomes.
Lecture, group analysis of selected case studies and research studies,
internet search, Qwizdom, guest speaker, class presentations, clinical
experience, simulation laboratory, videos/DVD, evaluation of evidencebased practice and independent study.
West Coast University Course Syllabus
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WCU NURS 120 Introduction to Medical Surgical Nursing
IV. Evaluation Methods, Grading
Assignment/Assessments
Formative Assessment
of Student Learning:


Will not count more than
80% of final grade
Examples -- Evidencedbased Research,
presentations, Case Studies,
Specific class projects,
Weekly quizzes, homework
assignments, clinical or lab
assignments/assessment,
practice exams
Summative Assessment
of Student Learning:


Will not count more than
30% of final grade
Examples – Final Exam,
Term Paper or Term Project
Participation:

Student Participation will
not account for more
than 10% of the final
grade.
West Coast
University Grading
Scale (reflective of
final course grade.
See associated
policy in Catalog)
Attendance Policy
Due Date
Points
Formative Assessment:
Class Participation (ATI Practice Test and Practice –Week
10
Proctored Computerized Exam)
2-8
ATI Proctored
test – 8th week
Pharmacology Group Project and Paper
Week 2-8
10
Examinations
Week 3, 4, and 6
60
Summative Assessment:
Final Exam
Week 9
20
Additional Information: Student must attain a score of at least 76% out of
the 80% examination-oriented 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.
V. Policies and Procedures
WCU Numerical Scale
Points
for non-program
specific courses
4
90-100
3
80-89
2
70-79
1
60-69
0
59 and below
N/A
Transfer Credit
N/A
Withdrawal
N/A
Incomplete
Nursing and Dental
Hygiene Specific
Numerical Score
A
91-100
B
84-90
C
76-83
D
64-75
F
63 and below
TC
Transfer Credit
W
Withdrawal
I
Incomplete
Credit granted for 75%
or higher on a challenge
CR
N/A
Credit
exam or Credit awarded
for NURS 199
West Coast University has a clear requirement for students to attend courses.
Students should review the Attendance Policy in the “Academic Policies and
Procedures” section of the University Catalog.
Grade
West Coast University Course Syllabus
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WCU NURS 120 Introduction to Medical Surgical Nursing
Academic Integrity
Policy
Students are expected to approach their academic endeavors with the highest
academic integrity. They must cite sources, and submit original work. Academic
honesty is central to the institution/student partnership towards student
success.
Any assignment submitted for credit in one course cannot be submitted for any
other course.
Academic
Dishonesty
Reasonable
Accommodations
West Coast
University Make-up
Work Policy
Classroom Policies
Students are accountable for adhering to the Academic Integrity and Academic
Dishonesty policies in the “Academic Policies and Procedures” section of the
University Catalog.
Students should review the Academic Dishonesty Policy in the “Academic Policies
and Procedures” section of the University Catalog.
West Coast University strives to provide reasonable accommodations to
students who have a defined need and who follow the appropriate steps
towards seeking the accommodation. The Reasonable Accommodations Policy is
found in the “Academic Policies and Procedures” section of the University
Catalog.
 In order to meet course objectives, 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.
 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 makeup examination, the grade will still be recorded as a passing grade).
 Students are expected to dress professionally during class time.
 No children are allowed in classes or to be unattended on campus.
 Use of cell phones, Blackberries or any other electronic devises in the
classroom during class time is strictly prohibited. Unauthorized use may lead
to faculty member confiscation of the device for the remainder of the class.
 Behavior that persistently or grossly interferes with classroom activities is
considered disruptive behavior and may be subject to disciplinary action. A
student responsible for disruptive behavior may be required to leave the
class.
West Coast University Course Syllabus
Revision Date:
Revision Date: Month, Year (i.e. February, 2010)
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WCU NURS 120 Introduction to Medical Surgical Nursing
Testing and
Examination Policy
 The university testing policy stipulates that no phones or other electronic
devices, food or drink, papers 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.
 Once the exam results are available, students may schedule reviews of their
exams with their instructors. Once the exam results are available, the
instructor may review the test with students. This review is intended to
help students learn, and is not intended for further distribution to
other students.
Additional Program
or Accreditation
Requirements
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.
AACN Essentials for Baccalaureate Education for Professional Nursing Practice
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 120 Introduction to Medical Surgical
Nursing include the following:
Essential II: Basic Organizational and Systems Leadership for Quality Care and
Patient Safety
 Demonstrates awareness of complex organizational systems and
application of quality and safety
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WCU NURS 120 Introduction to Medical Surgical Nursing


Discuss principles of quality improvement and healthcare policy and
cost-effectiveness in improving the healthcare delivery
Demonstrates beginning role development as a manager of patient care
utilizing the nursing process
Essential III: Scholarship for Evidence Based Practice
 Utilizes the nursing process and Gordon’ 11 Functional Health Pattern
in the care of the client
 Class Presentation – uses Current Evidence Based Practice paper and
presentation
Essential IV: Information Management and Application of Patient Care
Technology
 Discuss application of knowledge and skills in information technology
and patient care technology which are essential to the delivery of
quality patient care.
Essential VI: Interprofessional Communication and Collaboration for Improving
Patient Health Outcomes
 Differentiates various assessments and diagnostic tools used in
identifying the presence of complex acute and chronic health problems
and collaborates with the other members of the healthcare team
Essential VIII: Professionalism and Professional Values
 Demonstrates an understanding of the impacts of attitudes, values, and
expectations on vulnerable population care.
Essential: IX: Baccalaureate Generalist Nursing Practice
 Demonstrates clinical reasoning within the context of patient centered
care to form the basis for nursing practice that reflects ethical values in
rendering quality and safe care.
 Demonstrates understanding of evidence based patient centered care
 Demonstrates effective communication with all of the healthcare team
including the patient and the family.
 Demonstrates a strong understanding of creating a safe environment in
order to deliver and obtain high quality patient care outcomes.
West Coast University Course Syllabus
Revision Date:
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WCU NURS 120 Introduction to Medical Surgical Nursing
Class Presentation
Form into groups of no larger than 4-5 students. With approval from the instructor choose a disease,
dysfunction, deficit category and the corresponding pharmacological treatment and present to the
class the common drugs in that category, and what diseases they are used to treat. The presentation, in
a visual, auditory and tactile format, to the class should assist them with understanding the most
common drugs in that category, their use, dose, side effects, drug interactions, nutritional guidelines,
visual presentation and any other factors important for the most therapeutic effect of the drug. The
presentation should be 10-15 minutes in length with about 5 minutes for questions from the class or
instructor. There is also a written paper associated with the project that must be done in APA format.
Any handouts for the class must be approved by the instructor prior to distribution. The grade is a
group grade so participation from all members is required. It must be identified in the course of the
presentation and written paper which members of the group were responsible for each section. The
goal of this assignment is to use Evidence Based Practice approach to common Medical Surgical Issues
with current application to nursing practice.
ATI Proctored Assessment and Practice Tests
Students are required to complete proctored assessment as a course requirement. ATI Proctored
Assessment is timed and requires password/user ID to take. Password and user ID are not to be shared
for not only will affect your personal profile but it will impact the composite scores for the class. Since
these proctored exams are timed, students who require testing accommodations must follow the policy
as stated in the student handbook.
Students can achieve a maximum of 10 points by preparing for the exam, achieving proficiency level 3,
and completing the approved remediation for the topics missed.
Below is the rubric for ATI combination total point awards. Late work will not be considered in total
point calculation.
Points awarded
for evidence of
preparing for
Proctored
Assessment
Exam
2
2
2
2
Proficiency level
on Proctored
Assessment
Exam
WCU
Score
Equivalency
Points awarded
for achievement
on ATI
Proctored Exam
Points
awarded for
evidence of
remediation
** see
examples
2
Total points
awarded
(10 points
maximum)
Proficiency level
3
Proficiency level
2
Proficiency level
1
Proficiency level
<1
68.7 - 73
6
60- 68.3
5
2
9
54- 59
3
2
7
43- 53
2
2
6
10
*Approved preparation for Proctored Exams:
West Coast University Course Syllabus
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WCU NURS 120 Introduction to Medical Surgical Nursing
1. Attain a 90% on the practice test (Test may only be taken once a day).
2. Complete a focused review for the missed topics.
** Approved remediation after Proctored Examination:
The remediation plan will include but not limited to the following:
1. Create and complete a Focused Review on topics missed using remediation template (see ATI website
for sample).
Students who have not reached Level 3 proficiency on the proctored exam by the end of the term are
encouraged to develop and complete the remediation plan and take a second proctored assessment the
following term. Approved remediation must be turned in to the student success coordinator at the
beginning of the following semester.
West Coast University Course Syllabus
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WCU NURS 120 Introduction to Medical Surgical Nursing
PRESENTATION RUBRIC
NAME:__________________________________________
PRESENTATION TOPIC:_____________________________
CRITERIA
4
(Exceeds
Expectations)
Content accuracy,
utilization of current
and pertinent
information is used
Information is
complete,
accurate,
appropriate, and
integrated
effectively.
Content has logical
organization
Content is
organized logically
with fluid
transitions to
capture and hold
attention
throughout entire
presentation.
Presentation
completed in the
allotted time.
Content appropriate for
time allowed
Pertinent references
and citations
Source materials
are incorporated
logically,
insightfully, and
elegantly; sources
are documented
accurately
Method of Delivery: Use
of visual aids is
appropriate
Creative,
original, reflects
the purpose of the
presentation.
3
(Meets
Expectations)
DATE: __________________
COURSE:________________
2
(Approaching
Expectations)
1
(Does Not
Meet
Expectations)
Information
is mostly
inaccurate, not
complete, and
not integrated
effectively.
Information is
somewhat
complete,
accurate,
appropriate and
integrated
effectively.
Organization of
the content is
congruent;
transitions are
evident.
Information is
scant, mostly
accurate, and not
integrated
effectively.
Organization of
the content is
somewhat
congruent and
transitions are not
always evident.
Organization
of the content
is not
congruent and
transitions are
never evident.
Presentation
completed no
more than 1
minute over
allotted time.
Source material
is used logically
and proficiently;
sources are
accurately
documented
Presentation
completed no
more than 2
minutes over
allotted time.
Sources are
incorporated
logically and
adequately;
sources are
documented
accurately for the
most part
Creativity and
originality is
somewhat evident.
Presentation
completed no
more than 3
minutes over
allotted time.
Source
material is
inappropriatel
y or unclearly
incorporated;
documentatio
n is infrequent
Creativity and
originality is
evident.
(x2)
Creativity
and originality
is slightly
evident.
West Coast University Course Syllabus
Revision Date:
Revision Date: Month, Year (i.e. February, 2010)
POINTS
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WCU NURS 120 Introduction to Medical Surgical Nursing
CRITERIA
4
(Exceeds
Expectations)
3
(Meets
Expectations)
2
(Approaching
Expectations)
Method of Delivery;
Handout/ outline
Well written
with proper
grammar, spelling,
and medical
terminology.
Mostly well
written with
minimal
grammatical and
spelling errors.
Adequately
written with
minimal
grammatical and
spelling errors.
Maintains eye contact
and keeps the audience
interested; presents
information without
reading
Eye contact is
effectively
established;
audience is
attentive; does not
refer to written
notes
Eye contact is
established; most
of the audience is
attentive; refers to
written notes
occasionally
Eye contact is
minimal; most of
audience is not
attentive; mainly
refers to written
notes
Keeps audience
interested and/or allows
opportunity for
interaction
Language is
memorable and
usage is felicitous;
tone is
appropriate;
interaction with
audience takes
place
Most language is
memorable and
usage is accurate;
tone is
appropriate; some
interaction with
audience takes
place
Language is not
very memorable;
language usage is
usually accurate;
tone is often
inappropriate;
minimal
interaction
Keeps voice clear,
audible and
understandable.
Voice clear, loud
and articulate;
gestures are
paralinguistic cues
are used to
reinforce
important ideas;
no excessive of
vocalized pauses
(ah, um)
Voice mostly
clear and
articulate, able to
hear; gestures and
paralinguistic cues
are mostly used to
reinforce
important ideas;
some vocalized
pauses are used
Voice is clear
difficult to hear
and understand;
paralinguistic cues
are sometimes
used to reinforce
ideas; several
vocalized pauses
are used
Professional appearance
Professionally
dressed. Is not
dressed
provocatively.
Dress is
somewhat
professional.
Dressed
unprofessionally,
in jeans and tennis
shoes.
1
(Does Not
POINTS
Meet
Expectations)
Not well
written with
many
grammatical
and spelling
errors.
Eye contact
(x2)
is hardly
established;
audience is not
attentive;
must refer to
notes
constantly
Language is
not
memorable
and
inaccurate;
tone is
inappropriate;
no interaction
with the
audience
Voice
(X2)
unclear,
garbled, and
difficult to
understand;
gestures and
cues seldom
used;
vocalized
pauses are
used
frequently;
student is not
articulate
Dressed
unprofessional
ly, shorts,
sandals.
TOTAL
COMMENTS:________________________________________________________________________
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WCU NURS 120 Introduction to Medical Surgical Nursing
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
STUDENT SIGNATURE: ___________________________________
DATE:
INSTRUCTOR SIGNATURE: ________________________________
DATE: __________________________
West Coast University Course Syllabus
Revision Date:
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WCU NURS 120 Introduction to Medical Surgical Nursing
Section B: Course Outline
Week/Date
Week 1
Class Objectives

CLO # 1, 3,
2, 4, 7, 8, 9



Week 2
CLO #
1, 2, 3, 4, 5,
6, 7
Content Outline
Describe the core competencies for
healthcare professionals: patientcentered care, interdisciplinary teams,
evidence-based practice, quality
improvement, culturally competent
care, safety,and informatics.
Apply the attitudes, mental habits,
and skills necessary for critical thinking
when using the nursing process in
client care.
Explain the importance of nursing
codes and standards as guidelines for
clinical nursing practice.
Explain the activities and
characteristics of the nurse as
caregiver, educator, advocate, leader
and manager, and researcher.
Relate manifestations and diagnostic test
results to the pathophysiologic processes
involved in endocrine system disorder and
upper and lower gastrointestinal disorders.
 Explain interdisciplinary care for
clients with endocrine disorder,
diabetes mellitus disorder type 1 and
2.
 Describe the role of the nurse in
Revision Date: Month, Year (i.e. February, 2010)
 Introduction to the course and
objectives
 Core competencies for safe and
effective health care
 Guidelines for nursing practice
 Roles of the nurse in medical
surgical nursing
 Gordon’s Functional Health Pattern
 The nursing process and critical
thinking
 Cultural Competency
 Quality and Safety Education for
Nurses (QSEN)
 Nursing diagnoses for patients with
complex health disorders
Specific Course
Activity
Lecture/Discussion
Student Assignments
Gardner, Ch 1-6
Lewis, Ch 1-7
Carpenito - Moyet,
Ch 1-6
RN Student HandbookIntroduction, Philosophy
Conceptual Framework,
Responsibilities of the
Student- Standards of
Performance, Essential
Job Function
Read- California Nurse
Practice Act
Log into www.qsen.org
Review of pharmacological therapy
used in the acutely ill medical surgical
patient related to Diabetes Mellitus
and Upper and Lower Gastrointestinal
Disorders.
Lecture/Discussion/
Provides therapeutic care utilizing
Gordon’s conceptual framework,
nursing process, patient teaching,
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Log into ATI (Nurse Logic)
website for studying and
test taking skills.
ATI Content Mastery
Series
Pharmacology Ch 1, 4, 10,
11
ATI Content Mastery
Series RN Adult MedicalSurgical Series 8.0 Section
51, 52, 53, 54, 59, 96 and
97
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Class Objectives
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
interdisciplinary care of clients with
endocrine disorder diabetes mellitus
type 1 and 2
Describe the pathophysiology and
manifestations of diabetes mellitus.
Describe the difference between type
1 and type 2 diabetes mellitus.
Explain the nursing management of
client with newly diagnosed diabetes
mellitus, in the ambulatory and home
care settings, and client with acute
and chronic complications.
Explain interdisciplinary care for
clients with upper and lower
gastrointestinal disorders.
Describe the role of the nurse in
interdisciplinary care of clients with
upper and lower gastrointestinal
disorders.
Explain changes in gastrointestinal
system and assessment findings as
one ages
Explain common etiologies,
collaborative care, and nursing
management of constipation and
diarrhea.
Compare and contrast the causes,
pathophysiology, manifestations,
interdisciplinary care and nursing care
of clients with diarrhea, constipation,
and fecal incontinence.
Explain the pathophysiology,
Revision Date: Month, Year (i.e. February, 2010)
Content Outline
Specific Course
Activity
communication, evidenced based
practice, and role development in the
management of the following
conditions:
Endocrine System
Diabetes mellitus – introduction
Type 1 and 2, collaborative care and
nursing management: medications,
diet, exercise, diabetic teaching, and
Student Assignments
Lewis, Ch- 48 - 50
Lewis, Ch- 39, 40, 42, 43
Pre-Knowledge
Assessment Test (Class
Participation).
Gastrointestinal System
Gastroesophageal reflux
Gastroenteritis
Colorectal Cancer
Constipation
Hemorroids
Diarrhea
Diets for diarrhea and constipation,
low-residue, gluten-free, and highfiber.
Surgical procedures of the bowel,
including colectomy, colostomy,
ileostomy, and perianal surgery.
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Class Objectives
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Week 3

CLO#
1, 2, 3, 4, 5,
6, 8
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
Content Outline
manifestations, complications,
interdisciplinary care, and nursing care
of clients with colorectal cancer
Discuss the purposes, nursing
implications, and health education for
the client and family for medications
used to treat bowel disorders.
Explain the rationale for using selected
diets, including those for diarrhea and
constipation, low-residue, gluten-free,
and high-fiber.
Describe the surgical procedures of
the bowel, including colectomy,
colostomy, ileostomy, and perianal
surgery.
Describe the anatomy, physiology, and
functions of the skin, hair, and nails.
Discuss factors that influence skin
color.
Identify specific topics for a health
history interview of the client with
problems involving the skin, hair, and
nail.
Explain techniques for assessing the
skin, hair, and nails.
Compare and contrast normal and
abnormal findings when conducting an
assessment of the integumentary
system.
Describe normal variations in
assessment findings for the older
client.
Revision Date: Month, Year (i.e. February, 2010)
Review of pharmacological therapy
used in the acutely ill medical surgical
patient related to integumentary and
musculoskeletal disorders to include
pain management.
Specific Course
Activity
Lecture/Discussion
Provides therapeutic care utilizing
Gordon’s conceptual framework,
nursing process, patient teaching,
communication, evidenced based
practice, and role development in the
management of the following
conditions:
Student Assignments
Test -1
ATI Content Mastery
Series
Pharmacology Ch 4, 10,
ATI Content Mastery
Series RN Adult MedicalSurgical Series 8.0
Section 78, 79, 80, 81, 82,
83, 84, 86, 102.
Section 4.
Lewis, Ch- 23, 24, 13, 61
Lewis, Ch- 62, 63, 64, 65
Integumentary System
Skin assessment
Immobility Issues
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Class Objectives
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Content Outline
Identify abnormal findings that may
indicate impairment of the
integumentary system.
Describe the manifestations and
nursing care of common skin problems
and lesions.
Compare and contrast the etiology,
pathophysiology, interdisciplinary care
and nursing care of clients with
infections and infestations,
inflammatory disorders, and
malignancies of the skin.
Explain the risk factors for,
pathophysiology of, and nursing
interventions to prevent and care for
pressure ulcers.
Discuss surgical options for excision of
neoplasms, reconstruction of facial or
body structures, and cosmetic
procedures.
Explain the pathophysiology of
selected disorders of the hair and
nails.
Discuss the effects and nursing
implications of medications and
treatments used to treat disorders of
the integument.
Explain the pathophysiology,
manifestations, complications,
interdisciplinary care and nursing care
of metabolic, degenerative,
autoimmune, inflammatory,
Revision Date: Month, Year (i.e. February, 2010)
Specific Course
Activity
Student Assignments
Pressure ulcers
Musculoskeletal System
Joint replacement (hips, knees)
Osteoporosis
Contractures
Mobility issues and aids
Simple fractures (cast care)
Splints, slings, crutches, and braces
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Class Objectives
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
Week 4
●
CLO#
2, 3, 4, 5, 6,
7, 8, 9


Content Outline
Specific Course
Activity
Student Assignments
infectious, neoplastic, connective
tissue, and structural musculoskeletal
disorders.
Compare and contrast the
pathophysiology, manifestations,
diagnosis and treatments for
osteoporosis, osteoarthritis, Paget’s
disease, and rheumatoid arthritis.
Discuss the purposes, nursing
implications, and health education for
the client and family for medications
used to treat osteoporosis
osteomyelitis, bone tumors,
scleroderma, and low back pain.
Describe the surgical procedures used
to treat clients with arthritis
Describe the pathophysiology of
common upper respiratory tract
disorders, relating their
manifestations to the
pathophysiologic process.
Discuss nursing implications for
medications and other
interdisciplinary care measures to
treat upper respiratory disorders.
Describe surgical procedures used to
treat upper respiratory disorders and
their implications for client care and
recovery.
Revision Date: Month, Year (i.e. February, 2010)
Review of pharmacological therapy
used in the acutely ill medical surgical
patient related to urinary system
disorder to include urinary tract
infection, urinary incontinence, fluid
volume overload and deficit as well as
upper and lower respiratory disorders.
Lecture/Discussion
Provides therapeutic care utilizing
Gordon’s conceptual framework,
nursing process, patient teaching,
communication, evidenced based
practice, and role development in the
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Revision Date:
ATI Content Mastery
Series Phamacology Unit
2, 8, 9.
ATI Content Mastery
Series RN Adult MedicalSurgical Series 8.0
Section 18, 20,21, 22, 23,
24,48, 68, 69, and 71.
Lewis – 17, 45, 46, 47
Lewis – 26 - 29
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WCU NURS 120 Introduction to Medical Surgical Nursing
Week/Date
Class Objectives

Content Outline
Identify health promotion activities
related to reducing the incidence of
upper respiratory disorders, describing
the appropriate population and setting
for implementing identified measures
Specific Course
Activity
Student Assignments
management of the following
conditions:
Urinary System/Fluid and ElectrolyteFluid volume overload
Fluid volume deficit
Incontinence
Urinary tract infection
Respiratory SystemUpper respiratory disorders
Lower respiratory disorders
(pneumonia)
Chronic Obstructive Pulmonary Disease
Reactive Airway Disease
Week 5

CLO#
2, 3, 6, 7, 8



Compare and contrast the etiology,
pathophysiology, and manifestations
of common cardiac disorders,
including heart failure, and
inflammatory disorders.
Explain risk factors and preventive
measures for cardiac disorders such as
heart failure, and inflammatory
disorders.
Discuss indications for and
management of clients with
hemodynamic monitoring.
Discuss the effects and nursing
implications for medications
commonly prescribed for clients with
cardiac disorders.
Revision Date: Month, Year (i.e. February, 2010)
Review of pharmacological therapy
used in the acutely ill medical surgical
client related to cardiovascular
disorders.
Lecture/Discussion
Provides therapeutic care utilizing
Gordon’s conceptual framework,
nursing process, patient teaching,
communication, evidenced based
practice, and role development in the
management of the following
conditions:
Midterm Exam
ATI Content Mastery
Series Phamacology Unit
2, 4, 6.
ATI Content Mastery
Series RN Adult MedicalSurgical Series 8.0
Section31, 32, 35, 36, 39,
40.
Lewis – 32, 33, 34, 35, 38
Cardiovascular SystemAtherosclerosis
Coronary Heart Disease
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Class Objectives
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Week 6

CLO#
2, 3, 4, 6, 7

Content Outline
Discuss the coronary circulation and
electrical properties of the heart
pathophysiology and manifestations of
coronary heart disease and common
cardiac dysrhythmias.
Describe interdisciplinary and nursing
care for clients with coronary heart
disease and or cardiac dysrhythmias.
Relate the outcomes of diagnostic
tests and procedures to the
pathophysiology of cardiac disorders
and implications for client responses
to the disorder.
Discuss nursing implications for
medications and treatments used to
prevent and treat coronary heart
disease and dysrhythmias.
Describe nursing care for the client
undergoing diagnostic testing, an
interventional procedure, or surgery
for coronary heart disease or a
dysrhythmia.
Heart Failure
Common cardiac dysrhythmias
Hypertension
Deep Vein Thrombosis
Peripheral Vascular Insufficiency
(PAD –Arterial)
(PVD – Venous)
Compare and contrast the etiology,
pathophysiology, and manifestations
of common hematologic disorders,
including iron deficiency anemia and
pernicious anemia.
Explain risk factors and preventive
measures for hematologic disorders
such as iron deficiency anemia and
Review of pharmacological therapy
used in the acutely ill medical surgical
patientrelated to immunologic and
hematologic disorders, and neurologic
and sensory disorder.
Revision Date: Month, Year (i.e. February, 2010)
Specific Course
Activity
Lecture/Discussion
Provides therapeutic care utilizing
Gordon’s conceptual framework,
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Student Assignments
ATI Content Mastery
Series Pharmacology Unit
2, 3, 7.
ATI Content Mastery
Series RN Adult MedicalSurgical Series 8.0
Section43, 44, 45, 47, 100
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WCU NURS 120 Introduction to Medical Surgical Nursing
Week/Date
Class Objectives
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
Week 7

CLO#
2, 3, 4, 5, 6,
7


Content Outline
pernicious anemia.
Discuss indications for and
management of clients with
hematologic disorders.
Discuss the effects and nursing
implications for the treatment
commonly prescribed for clients with
hematologic disorders.
Describe interdisciplinary and nursing
care for clients with Iron deficiency
anemia and pernicious anemia.
Describe the etiology,
pathophysiology, and manifestations
of immunologic disorder HIV/AIDS.
Explain risk factors and preventive
measures for immunologic disorder
HIV/AIDS.
Describe interdisciplinary and nursing
care for clients with immunologic
disorder HIV/AIDS.
nursing process, patient teaching,
communication, evidenced based
practice, and role development in the
management of the following
conditions:
Identify prevalence, incidence, and
risk factors for degenerative
neurologic, peripheral nervous system,
cranial nerve, infections and
neurotoxic neurologic disorders.
Explain the pathophysiology,
manifestations, complications,
interdisciplinary care, and nursing care
of clients with neurologic disorders.
Describe the procedures used to treat
Review of pharmacological therapy
used in the acutely ill medical surgical
patient related to neurologic and
sensory disorders.
Revision Date: Month, Year (i.e. February, 2010)
Specific Course
Activity
Student Assignments
Lewis Ch. 58, 21, 22
Lewis – Ch.30, 31
Immune/Hematological System Iron deficiency anemia
Pernicious anemia
Thrombocytopenia
HIV Infections/AIDS
Provides therapeutic care utilizing
Gordon’s conceptual framework,
nursing process, patient teaching,
communication, evidenced based
practice, and role development in the
Lecture/Discussion
Test 3
Review of exam and
preparation for ATI
proctored
examination.
ATI Content Mastery
Series Pharmacology
Unit 4, 5,6, 7, 10.
Instructor to review
key concepts in class,
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ATI Content Mastery
Series RN Adult MedicalSurgical Series 8.0
Page 21
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WCU NURS 120 Introduction to Medical Surgical Nursing
Week/Date
Class Objectives
Week 8
selected neurologic disorders
(thymectomy, percutaneous
rhizotomy, plasmapheresis).
 Relate knowledge of normal anatomy,
physiology, and sensory functions of
the eye and ear to the effects of
disorders of these organs on the
cognitive/ perceptual functional
health pattern.
 Describe the pathophysiology of
commonly occurring disorders of the
eyes and ears, relating their
manifestations to the
pathophysiologic process.
 Explain the risk factors for selected
disorders of the eyes and ears,
identifying the nursing implications for
these risk factors.
 Identify diagnostic tests used for
specific eye and ear disorders.
 Discuss the effects of and nursing
implications for medications
prescribed to treat eye and ear
disorders.
 Describe surgical and other invasive
procedures used to treat eye and ear
disorders, identifying their
implications for nursing care.
Discuss the nurse’s role in caring for
clients with impaired vision or hearing
loss.
 Describe the anatomy, physiology and
Revision Date: Month, Year (i.e. February, 2010)
Content Outline
management of the following
conditions:
Specific Course
Activity
answer questions and
help with test taking
strategies.
Student Assignments
Section 6, 13, 14, 16,
Lecture/Discussion
ATI Content Mastery
Lewis, Ch. 56, 58, 21, 23.
Neurological NeurosensoryCerebrovascular accident (Stroke)
(rehabilitation)
Seizure Disorders
Eye disorders (glaucoma, cataracts,
retinal detachment, eye trauma)
Ear disorders (Hearing Disorders)
Review of exam and preparation for
ATI proctored examination
Instructor to review key concepts in
class, answer questions and help with
test taking strategies.
Review of pharmacological therapy
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CLO#
2, 3, 4, 5, 6,
7
Class Objectives
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Content Outline
functions of the male and female
reproductive systems, including the
breasts.
Explain the functions of the male and
female sex hormones.
Identify specific topics for
consideration during a health history
interview of the client with health
problems involving reproductive and
breast structures and/or functions.
Identify manifestations of impairment
in male and female reproductive and
breast structure or function.
Explain the pathophysiology,
manifestations, complications,
interdisciplinary care, and nursing care
of disorders of the male reproductive
system, including disorders of sexual
function, the penis, the testes and
scrotum, the prostate gland, and the
breast.
Compare and contrast the risk factors
for cancer of the penis, testes, and
prostate gland.
Discuss the purposes, nursing
implications, and health education for
medications and treatments used to
treat disorders of sexual function, the
penis, the testes and scrotum, the
prostate gland and the breast.
Describe the various surgical
procedures used to treat disorders of
Revision Date: Month, Year (i.e. February, 2010)
Specific Course
Activity
used in the acutely ill medical surgical
patient related to male and female
reproductive system disorders.
Provides therapeutic care utilizing
Gordon’s conceptual framework,
nursing process, patient teaching,
communication, evidenced based
practice, and role development in the
management of the following
conditions:
Student Assignments
Series Pharmacology
Unit 2, 4, 5, 6, 7, 9, 12
ATI Content Mastery
Series RN Adult MedicalSurgical Series 8.0
Section72, 73, 74, 75, 76,
77, 107, 108, 109.
Lewis, Chap. 51, 52, 53,
54, 55
Lewis, Chap. 18, 19, 20.
Lewis, Ch. 53
Reproductive SystemCancer of the penis, testes, and
prostate gland.
Cancer of the cervix, endometrium,
ovary, vulva, and breast.
Pelvic relaxation disorders
(cystocele, rectocele, uterine
prolapsed)
Sexually transmitted diseases –
(Genital warts, genital herpes, vaginitis,
chlamydia, gonorrhea, syphilis, and
pelvic inflammatory disease).
ATI Proctored ONLINE Examination
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Class Objectives
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
Content Outline
Specific Course
Activity
Student Assignments
the male reproductive system.
Explain the pathophysiology,
manifestations, complications,
interdisciplinary care, and nursing care
of disorders of female sexual function,
PMS, menstrual disorders, structural
disorders, reproductive tissue
disorders, and breast disorders.
Describe the physiologic process of
menopause.
Compare and contrast the incidence,
risk factors, pathophysiology,
manifestations, diagnosis, treatment
and nursing care for cancer of the
cervix, endometrium, ovary, vulva, and
breast.
Discuss the purposes, nursing
implications and health education for
clients and their families for cancer
screening, medications, and
treatments for women with disorders
of the reproductive system and breast.
Discuss alternative and
complementary therapies used by
women to relieve manifestations
associated with menopause and
menstrual disorders. Describe the
surgical procedures used to treat
female reproductive system and
breast disorders.
Explain the incidence, prevalence,
characteristics, and
Revision Date: Month, Year (i.e. February, 2010)
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Class Objectives
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
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

Content Outline
Specific Course
Activity
Student Assignments
prevention/control of sexually
transmitted infections (STIs).
Compare and contrast the
pathophysiology, manifestations,
interdisciplinary care, and nursing care
of genital warts, genital herpes,
vaginitis, chlamydia, gonorrhea,
syphilis, and pelvic inflammatory
disease.
Explain the risk factors for and
complications of STIs.
Discuss the effects and nursing
implications of medications and
treatments used to treat STIs.
Differentiate the common purposes
and setting of surgery.
Describe components of preoperative
nursing assessment, health status, and
operative risk.
Analyze the components and purpose
of informed consent for surgery.
Examine the nursing role in the
physical, psychological, and
educational preparation of the surgical
client.
Explain the priority nursing
responsibilities in preparing client for
surgery.
Explain the purposes and types of
common preoperative medications.
Describe the special considerations of
preoperative preparation for the older
Revision Date: Month, Year (i.e. February, 2010)
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Class Objectives


Content Outline
Specific Course
Activity
Student Assignments
adult surgical client.
Explain the nursing responsibilities in
the prevention of postoperative
complications.
Explain the etiology and nursing
assessment and management of
potential problems during the
postoperative period.
Week 8
Cont.
CLO#
2, 3, 4, 5, 6,
7
Perioperative –
Basic interventions
Pre-op (NPO, informed consent) – time
out
Preoperative nursing
Postoperative nursing
Postoperative prevention of
complications
Pharmacologic interventions
Non-pharmacologic interventions
Patient-controlled analgesia
Gerontologic considerations
Week 9
FINAL EXAMINATION
Final Exam and pharmacology
Presentation
Discussion and
Continuation of
Pharmacology
Presentation
Final Exam
Final Examination
Revision Date: Month, Year (i.e. February, 2010)
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