ASSOCIATE OF APPLIED SCIENCE NURSING PROGRAM
COURSE SYLLABUS
NURS 257: NURSING PROCESS THROUGHOUT THE LIFESPAN III
6 CREDITS (3 theory (45 hours) credits and 3 Clinical (135 hours) credit)
Fall 2011
GENERAL INFORMATION
A. INSTRUCTOR INFORMATION:
1.
Theory and Clinical Instructor(s):
Heidi Johnston, RN, MSN
Sharon Sutherland, RN, MSN
2.
753-2000 (Office)
397-3808 (Cell)
heidij@gwmail.gbcnv.edu
753-2017 (Office)
934-2336 (Cell)
sharons@gwmail.gbcnv.edu
Office and Hours:
Heidi Johnston
Health Sciences Room 120
Monday: 1300-1600
Friday: 0900 - 1200
Also by appointment
Sharon Sutherland
Health Sciences Room 117
Monday: 1300-1500
Wednesday: 0800-1130
B. COURSE INFORMATION:
Course Description: Emphasis is on meeting bio-psychosocial
needs of patients throughout the lifespan requiring more complex
care of common, well-defined problems utilizing the nursing process.
Three credits theory, three credits clinical. Offered fall semester only.
Prerequisites: Admission to the Nursing Program.
1. Schedule:
Theory:
Classroom: Monday 0930 – 1215
Dates: August 29, 2011 – December 13, 2011
Clinical:
Tuesday, Thursday, & Friday 0645 – 1500, as assigned
and other times as indicated on Clinical Schedule
COURSE OUTCOMES:
COURSE OUTCOMES
MEASUREMENTS
Uses knowledge of diseases in
determining individualized nursing care
planning.
Tests, Quizzes, Clinical Care Packet, Case
Studies, Simulation
Adapt nursing care, planning and
implementation to address individual
and family diversity. (Outcome 2)
Tests, Quizzes, Case studies, Advancing
Care Excellence for Seniors (ACES)
discussion, Simulation
Adapt standard evidence based nursing
interventions to nursing care for patients
with complex health problems.
Infection control assignment, Pediatric
Emergency Assessment, Recognition, and
Stabilization (PEARS) course, Clinical Care
Packet
Tests, Quizzes
Uses standard scientific evidence and
practice guidelines to evaluate the
quality and safety of nursing care
provided.
Adapts therapeutic communication to
the developmental and cognitive ability
of individuals and families.
Creates individualized health teaching
plan based on a learning needs
assessment.
Classroom presentations, Clinical
assignments, Simulations
Health education plan, Nurse practitioner
assignment, Case studies
Establishes an environmental milieu that Case studies, Clinical care packet
is supportive to effective teaching.
Educate and collaborate with patients
and families to promote informed
decision making about their healthcare.
Test, Quizzes, Case studies, Clinical care
packets, ACES discussion, Simulation
Identify professional roles and
community based services that
individual patients will require upon
discharge available to support ongoing
patient care outside of the acute care
setting.
Demonstrates professional
accountability and competency in
coordinating care for a group of
patients.
Tests, Quizzes, Clinical assignments
Tests, Quizzes, Team leader assignment,
Daily clinical self-evaluation tool,
METHOD OF INSTRUCTION:
Lecture, discussion, demonstration, small group work, videos, assigned readings,
written assignments, computer assisted learning programs, nursing lab
activities and clinical instruction will be utilized.
THEORY EVALUATION:
Evaluation of student progress will be the successful completion of the course
outcomes which will be evaluated with module examinations and a
comprehensive final exam. Questions will be based on utilization of critical
thinking skills and application of knowledge acquired in this, as well as previous
courses. Questions may be multiple-choice, fill in the blank, multiple-answer, or
other NCLEX® alternate formats as applicable. All written work (theory and
clinical) will be considered for determination of a course grade.
CLINICAL EVALUATION:
Clinical evaluation is done mutually by student and instructor throughout the
semester and in a summative evaluation at the end of the clinical rotation. The
Daily Clinical Evaluation forms will be used. Actual clinical performance and
written assignments will be used to determine clinical competency and the ability
to generalize and transfer theory outcomes to the clinical settings. Safe clinical
practice and demonstration of personal and associate degree nursing
practice attributes at the third semester level are mandatory for
progression in the program.
Clinical Objectives:
1. Appropriate care of all ages of patients in the community and acute care
setting with complex healthcare needs.
2. Successful completion of all clinical rotations including team leader, ICU,
ER, MSP, Surgery, Nurse Practitioner, Dialysis, and Pediatric Office.
3. Successful completion of all clinical assignments.
4. Successful completion of Pediatric Emergency Assessment, Recognition,
and Stabilization (PEARS) course.
5. Successful completion of skills in nursing skills lab.
Simulation Objectives:
1. Perform an assessment based on the patient's complaint and/or reason for
admission and recognize abnormal assessment findings for a variety of complex
healthcare problems.
2. Use SBAR communication with various members of the healthcare team to
report findings and obtain new patient care orders.
3. Prioritize patient care and medical orders.
4. Implement and evaluate prescribed interventions.
5. Identify discharge educational needs.
6. Individualize and adjust the plan of care to accommodate change in the patient's
condition.
7. Document assessment findings and care given.
REQUIRED MATERIALS:
 Lewis, S.L. , Heitkemper, M.M., Dirksen, S.R. , O’Brien, P.G. &
Bucher, L. (2007). Medical- surgical nursing: Assessment and
management of clinical problems. (7th ed.) St. Louis, MO: Mosby.
 O’Brien, P.G., Lewis,S.L.,Heitkemper, M.M., Dirksen, S.R., & Bucher,L
(2007). Study Guide: Medical- surgical nursing: Assessment and
management of clinical problems. (7th ed.) St. Louis, MO: Mosby.
 Wong & Loudermilk, (2006) Maternity and Child Nursing. St. Louis, MO:
Mosby.
 Evolve Simulation Learning System Access Code.
 American Heart Association. PEARS: Pediatric Emergency, Assessment,
Recognition, and Stabilization.
 Lippincott Williams & Wilkins. Assessment, and Incredibly Easy Pocket
Guide. (2nd ed).
***Please plan on using the Drug book, and Lab & Diagnostic book, and Nursing
Diagnosis Book of your choice. You also may find it helpful to use your
Fundamentals and Pharmacology books as references.
REQUIRED VIDEOS:
The following videos are located via WebCampus WebLink
 Expert Drug Therapy Series:
 Myocardial Infarction
 Arrhythmia
 Asthma, Bronchitis, and Emphysema
 Cardiopulmonary Arrest
 Infection
 Pathophysiology for Nurses
 Coronary Artery Disease and Angina Pectoris
 Myocardial Infarction
 Arrhythmias
 Asthma, Bronchitis, and Emphysema
 Acute and Chronic Renal Failure
GRADING POLICY AND CRITERIA:
Course grade will be based on a percentage of the total possible points of theory
and clinical assignments according to the following scale:
100 - 94.00
93.99-90.00
89.99-87.00
86.99-84.00
83.99-80.00
79.99-77.00
=
=
=
=
=
=
A
AB+
B
BC+
76.00 =C (needed to pass)
75.99-70.00 = C69.99-67.00 = D+
66.99-64.00 = D
63.99-60.00 = DBelow 60.00 = F
Course work must be completed with an average of 76% or better to pass the
course.
Late theory and clinical assignments will be worth 50% of the actual grade.
If an assignment is more than one week late, a zero will be given for the
assignment but submission of the assignment is still required.
Assessment:
13 Modules
Additional points for supplemental
assignments, quizzes, and/or
participation during each class for a
total of 50 points for the semester.
3 Med-Surg Packets
3 Post-clinical Med-Surg discussion
questions
4 Simulations
PEARS Course
6 Clinical Assignments:
 Infection Control- 10 points
 Surgery- 5 points
 ER- 10 points
Percent of Total Grade:
50 points each= 650points
50 points= 50 points
Total 700 points
70% of grade
65 points each = 195 points
5 points each= 15 points
5 points each= 20 points total
15 points
Total Clinical Points= 300 points
30% of grade
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



Nurse Practitioner- 5 points
Dialysis- 5 points
ICU- 5 points
Team Leader- 10 points
Pediatric Office- 5 points
PROCALC EXAM:






The ProCalc exam must be completed with a grade of 100% by
September 30, 2011 at 4 p.m.
Your first attempt for the ProCalc exam must be completed by
Friday, September 16, 2011.
Each copy of ProCalc must be given to instructor.
If you are not successful in achieving 100% after 3 tests, you will be
referred to the Academic Success Center for remediation
After completion of remediation you are eligible to take 2 more tests
If you are still not successful you may complete remediation one more
time and take a final 6th exam after this remediation. If the 6th exam in not
completed at 100% you have failed the course and will meet with the
instructor and program director.
ATTENDANCE POLICY:
Students are expected to attend all classroom, lab, and clinical hours.
(See Student Handbook page 21)
STUDENT CONDUCT:
Great Basin College considers academic honesty one of its highest values. A
student who obtains academic credit for work that is not the product of his or her
own effort is being dishonest and undermining the academic integrity of the
college. Students are expected to be the sole authors of their work. Use of
another’s ideas must be accompanied by specific citation and reference. In
addition, a learner may not submit the same work for credit in more than one
course. The disciplinary consequences of plagiarism and other forms of
academic dishonest include non-acceptance of work submitted, a failing grade in
the course, and/or or other disciplinary action as outlined in Great Basin
College’s Student Conduct Policy.
ADA STATEMENT:
Great Basin College is committed to providing equal educational opportunities to
qualified students with disabilities in accordance with state and federal laws and
regulations, including the Americans with Disabilities Act of 1990 and Section
504 of the Rehabilitation Act of 1973. A qualified student must furnish current
verification of disability. The Students with Disabilities Office, located in Berg
Hall, will assist qualified students with disabilities in securing the appropriate and
reasonable accommodations, auxiliary aids, and services. For more information
or further assistance, please call 775.753.2271
DATE
READING ASSIGNMENT
Monday August 29th
Nursing Program
Orientation
9:30-1:30 PM
Pictures with Laura
Gallegos
1:30 PM
Monday September 5
Labor Day Holiday, no
class
Monday September 12
Module 1:
Chapter 18: “Preoperative
Care”
TEST DATE
Test Module 1: Available
on Webcampus from
Monday, September 12 at
1300 thru Thursday,
September 15 at 11:30 PM
Chapter 19: “Intraoperative
Care”
Chapter 20: “ Postoperative
Care”
Monday September 19
Module 2:
Chapter 29:“Obstructive
Pulmonary Diseases”
Test Module 2: Available
on Webcampus from
Monday, September 19 at
1300 thru 2330.
Wong , et al : Chapter: 46
“Respiratory Dysfunction”
Monday September 26
Module 3:
Chapter: 34“Coronary
Artery Disease and Acute
Coronary Syndrome”
Test Module 3: Available
on Webcampus from
Monday, September 26 at
1300 thru 2330.
Chapter: 36 “Dysrhythmias
Wong , et al : Chapter: 48
“Cardiovascular
Dysfunction”
Monday October 3
Module 4:
Chapter: 30 “Hematologic
System”
Chapter:31 “Hematologic
Problems”
Wong , et al : Chapter:49
“Pediatric Hematologic &
Immunologic Dysfunction”
Test Module 4: Available
on Webcampus from
Monday, October 3 at 1300
thru 2330.
Monday October 10
Module 5:
Chapter: 13“Inflammation
and Wound Healing”
Chapter: 14“Genetics,
Altered Immune Responses,
and Transplantation”
Chapter: 15“Infection and
HIV Infection”
Test Module 5: Available
on Webcampus from
Monday, October 10 at
1300 thru 2330.
Monday October 17
Module 6:
Chapter 16: “Cancer”
Chapter 24: “Integumentary
Problems”
Wong , et al : Chapter: 53
“Integumentary Dysfunction”
Test Module 6: Available
on Webcampus from
Monday, October 17 at
1300 thru 2330
Monday October 24
Module 7:
Chapter: 47 “Acute Renal
Failure and Chronic Kidney
Disease”
Wong , et al : Chapter:50
“Genitourinary Dysfunction”
Test Module 7: Available
on Webcampus from
Monday, October 24 at
1300 thru 2330
Monday October 31
Module 8:
Chapter: 50 “Endocrine
Problems”
Wong , et al : Chapter: 52
“Endocrine Dysfunction”
Test Module 8: Available
on Webcampus from
Monday, October 31 at
1300 thru November 1 at
2330
Monday November 7
Module 9:
Chapter: 43 “Lower
Gastrointestinal Problems”
Chapter: 44 “Liver,
Pancreas, and Biliary Tract
Problems”
Wong , et al: Chapter: 47
“Gastrointestinal
Dysfunction”
Test Module 9: Available
on Webcampus from
Monday, November 7 at
1300 thru 2330
Monday November 14
Module 10:
Chapter:57 “Acute
Intracranial Problems
Monday November 21
Module 11:
Chapter: 58 “Stroke”
Test Module 10: Available
on Webcampus from
Monday, November 14 at
1300 thru 2330
Test Module 11: Available
on Webcampus from
Monday, November 21 at
1300 thru 2330
Monday November 28
Module 12:
Chapter: 21 “Visual and
Auditory Systems”
Chapter: 22 “Visual and
Auditory Problems”
Review Day
Test Module 12: Available
on Webcampus from
Monday, November 28 at
1300 thru 2330
Monday December 5
Module 13:
Chapter: 64
“Musculoskeletal Problems”
Chapter:65 “Arthritis and
Connective Tissue
Diseases”
Wong , et al : Chapter: 55
“Neuromuscular or Muscular
Dysfunction”
Final Exam: Available on
Webcampus from Monday,
December 5 at 1300 thru
Wednesday at 2330
FINALS Week
December 12-16
Hesi Test: Time TBA