Course Syllabus NURS1200 1 ASSOCIATE DEGREE PROGRAM NURS 1200: HEALTH AND NURSING ASSESSMENT Fall 2011 I. COURSE NUMBER NURS 1200 (CRN:10018) II. COURSE TITLE Health and Nursing Assessment III. COURSE CREDITS 4 credits (Theory: 2.5 credits; Lab/Clinical: 1.5 credit) IV. PLACEMENT IN CURRICULUM Level 1 Fall Semester First Year Fall 2011 V. CLASS TIME Lecture: Monday 0900-1150, Wednesday 1300-1450 Lab A: Tuesday/Thursday 0800-1150 Lab B: Wednesday/Friday 0800-1150 Course requires 2 hours of independent lab time per week Clinical: 0800 –1200 as scheduled or as arranged VI. PLACE Auditorium OM600 – lecture Lab – Auditorium or assigned lab rooms Clinical – as assigned VII. COURSE FACULTY *Valinda Pearson PhD, RN, CRRN,CNE (course coordinator) Office: ED669 Phone: 651.690.7715 E-mailvipearson@stkate.edu Teaching Team: Cynthia Dols Billie Miller Dodie Russell Isolina Soto Patti Witt 651.690.7720 651.690.7855 651.690.7711 651.690.8135 651.690.7729 clddols@stkate.edu bgmiller@stkate.edu ddrussell@stkate.edu idsoto@stkate.edu pkwttl@stkate.edu VIII. LEVEL I DESCRIPTION NURS1000: Introduction to the Profession of Nursing NURS1200: Health and Nursing Assessment The first level nursing courses involve the holistic study of healthy persons throughout the lifespan. An introduction is provided to students about the nursing profession and the role of the nurse in today's health care environment. Critical thinking and the problem-solving model of nursing process are introduced and complete assessment of the healthy person is learned. 10/8/2011 1 Course Syllabus NURS1200 2 COURSE DESCRIPTION: NURS 1200: Health and Nursing Assessment COURSE DESCRIPTION Composed of lecture, lab and clinical components, NURS1200 emphasizes history taking and holistic health assessment. With a focus on a systematic approach to the collection of data, students learn to make assessments that provide a basis for nursing interventions and practice. An assessment tool is introduced in the nursing practice lab and is applied with healthy clients in a variety of clinical settings. Concepts in dosage calculation from NURS1000 are built upon and an evaluative math exam is given in preparation for NURS2100. IX. LEVEL & COURSE OUTCOMES Upon completion of this course, you will be able to: Outcome #1. Begin to incorporate the elements of a comprehensive holistic assessment into the assessment process (Phenomena of Nursing; “Critical and Creative Inquiry” and “Discipline-Based Competence”) Outcome #2. Use current evidence and clinical reasoning to determine the health maintenance and health promotion needs of individuals.(Critical Thinking; “Critical and Creative Inquiry”) Outcome #3. Apply the principles of effective professional communication and informatics to obtain an accurate holistic health assessment and health history. (Communication; “Effective Communication in a Variety of Modes”) Outcome #4. Relate economic, political, ethical, and demographic factors to the holistic assessment of patients to improve the quality and safety of patient-centered nursing care. (Systems; “Leadership and Collaboration”) Outcome #5. Employ the standards of nursing practice and principles of team work, collaboration, and leadership during the evaluation of patient-centered care. .(Role; “Discipline-Based Competence” and “Purposeful Lifelong Learning”) Outcome #6. Create, implement and evaluate a teaching plan based on a comprehensive health assessment to promote health and minimize risks of a geriatric patient. (Therapeutic Interventions; “Diversity and Global Perspectives”) Please note. Department of Nursing “curricular threads” are identified in italics; University “Goals of a Liberal Arts Education” are identified in quotes. Quality and Safety Education for Nurses (QSEN) competencies are included in the curricular outcomes. X. TEACHING-LEARNING ACTIVITIES 10/8/2011 2 Course Syllabus NURS1200 3 Primary teaching/learning activities include lecture, small group discussions, case study discussions, journal writing, written assignments, video presentations, panel discussions, lab skills evaluation, supervised skills practice and self check-offs. Please see NURS1200: Units and Topics in NURS1200 course packet for specific learning activities and assignments. THESE ARE EXAMPLES! Please refer to “Roles and Responsibilities in the Teaching-Learning Process” in the Associate Degree Program Student Policies: 2011-2012. XI. COURSE OUTLINE Managing Care: The Nursing Process Topic 1: Nursing process: Review and application Holistic Assessment Topic 1: Topic 2: Topic 3: Topic 4: Topic 5: Topic 6: Topic 7: Topic 8: Topic 9: Topic 10: The Health and Medication History Assessing Client Educational Needs Developmental Assessment Across the Lifespan Sexual Health Assessment Mental Health Assessment Spiritual Health Assessment Nutritional Assessment Pain Assessment and Management Sleep Assessment Immunity and Immune System Assessment Clinical Decision Making Topic 1: Pharmacology and Medication Administration Physical Assessment Topic 1: Vital Signs and Thermoregulation Topic 2: Preparing for the Physical Assessment Topic 3: Assessment of Face, Head, and Neck, Ears, Nose, Mouth, and Throat Topic 4 Respiratory Assessment Topic 5: Abdominal Assessment Topic 6: Cardiovascular Assessment Topic 7: Neurological and Musculoskeletal Assessment Topic 8: Integumentary System Assessment Assessing Special Populations Topic 1: The Healthy Pediatric Patient Topic 2: Family Assessment XII. COURSE ASSIGNMENTS AND GRADING 10/8/2011 3 Course Syllabus NURS1200 4 COURSE ASSIGNMENTS AND GRADING Please see information about course assignments included in NURS 1100 Blackboard. THREADS: PHENOMENON OF NSG (1), CRITICAL THINKING (2), COMMUNICATION (3), SYSTEMS (4), ROLE (5), THERAPEUTIC INTERVENTIONS(6) Learning Assignments and Exams Exams: 3 Exams (60 points each) Collaborative Exams (2 points each)* Nursing Math Exam (90% within 2 attempts) Critical Thinking Medication Scenarios * Health Assessment of Lab Partner Critical Thinking Developmental Activity (Scenarios)* Nutritional Assessment of Lab Partner Pediatric Developmental Assessment Comprehensive Pediatric Physical Assessment Comprehensive Physical Assessment (Adolescent to Geriatric) Journal Entries (4 entries) Spiritual/Cultural Case Study* Skills Evaluation Apical Pulse Comprehensive Physical Assessment Clinical Performance (3 days) Proposed Materials for Teaching Plan Health History and Nursing Process Medication Exercise Falls Assessment Mental Health Assessment Spiritual Assessment Sleep Assessment Pain Assessment Health Promotion Teaching Plan (Clinical) Vital Signs Braden Scale Assessment Physical Assessment (Clinical) Rapid Disability Rating Scale Therapeutic Communication Clinical Log Draft Teaching Plan Ishihara Colour Blindness test Related to Course Outcome 1,2,3,4,5,6 1,2,3,4,5,6 2,5,6 2,3,5 1,2,3,4,5,6 1,2,3,5,6 1,2,3,5,6 1,2,3,5,6 1,2,3,4,5,6 1,2,3,4,5,6 1,2,3,4,5,6 1,2,5,6 1,2,3,4,5,6 1,2,3,4,5,6 2,3,6 1,2,3,5,6 1,2,3,4,5,6 1,2,5,6 1,2,3,5,6 1,2,3,5,6 1,2,3,5,6 1,2,3,4,5,6 1,2,3,5,6 1,2,3,4,5,6 1,2,3,4,5,6 1,2,3,4,5,6 2,5,6 2,3,5,6 3,5 1,2,3,5 5 Points 180 points 4 points S or U S or U S or U S or U 3 points 6 points S or U 3 points S or U S or U 6 points 20 points S or U S or U 13 points S or U S or U S or U S or U S or U S or U 5 points S or U S or U S or U S or U S or U S or U S or U S or U * Denotes collaborative Learning Activity Health History and Nursing Process clinical paper is the formative measure used to evaluate student achievement of Level I Objectives for the following curricular threads: Phenomena of Nursing, Critical Thinking, Communication, and Therapeutic Interventions. The Comprehensive Physical Assessment is the formative measure used to evaluate student achievement of Level I Objectives for the curricular thread of Systems and the Medication exercise clinical paper is the formative measure used to evaluate student achievement of Level I Objectives for the curricular thread of Role. 10/8/2011 4 Course Syllabus NURS1200 5 Grading Scale: The grading scale for nursing courses in the Associate Degree Program is presented in the online Associate Degree Program Student Handbook: 2010-20111. [LINK] A grade of “C” or better is required to pass the course. Grades are determined as follows: Grade A AB+ B XIII. Scale% 96-100% 93-95% 90-92% 87-89% Points 230-240 223-229 216-222 208-215 Grade BC+ C C- Scale % 84-86% 81-83% 78-80% 75-77% Points 201-207 194-200 187-193 180-186 Grade D+ D F Scale % 72-74% 69-71% <69% Points 172-179 165-171 <165 COURSE POLICIES Exam Policy Students are expected to take exams as scheduled. Students who miss an exam must notify the course faculty prior to the exam. There will be an automatic deduction of 5% of the exam points for missed exams. For example, 3 points will be deducted off the achieved score for an exam worth 60 points. If you earn 80% or less on an exam, you are required to meet with your clinical/lab faculty or designated course faculty for remediation in order to eligible to take the next exam. Assignments: Students are responsible for completing all course assignments and learning activities on time. All assignments are to be completed as individual work unless otherwise stated. Course assignments are due at the beginning of class on the scheduled due date. Late assignments will not be accepted unless prior arrangements have been made with course faculty. Policy on Late Assignment All assignments are due at the beginning of class on the specified time and due date. Papers that are not turned in on time are considered late papers. Late papers will have ONE POINT deducted for each day that the paper is not turned in. Saturdays and Sundays are counted as late dates. Points lost due to lateness cannot be made up or earned back. Deductions of points due to lateness can be avoided by: 1) turning papers in on time to the Course Coordinator, the clinical instructor or to any other available course instructor; or 2) contacting the clinical instructor BEFORE the paper is due to negotiate an extension on paper’s due date. S/U assignments are due on the date scheduled. All assignments are required to achieve a satisfactory score (78%) in order for the student to pass the course. Kaplan Integrated testing benchmark: Kaplan Integrated Tests are nationally normed, secure exams that are used to assess student learning. The purpose of the tests is to evaluate knowledge of key concepts and major topics in the curriculum. Additionally, remediation resources are available that will assist in enhancing learning outcomes. Each exam has a standardized mean score that has been determined through national norms. For the NURS1200 course, the following tests and completion will be required: 10/8/2011 5 Course Syllabus NURS1200 6 a. Physical Assessment/wellness Integrated Test item#75 Benchmark: 65.3% Raw score: 49 b. Physical Assessment/wellness focused Exam: Satisfactory upon completion c. Nursing Calculation Exam: Math competency is necessary for successful completion of nursing course work and for safe practice after graduation. Students will be evaluated on basic nursing math skills by taking the Nursing Calculation Exam. Students are expected to pass the nursing math exam at 90% within 2 attempts in all nursing courses in which the exams are administered. Students who are unable to demonstrate math competency at 90% within 2 attempts will receive a grade of F for the course. It is the responsibility of students to schedule tutoring and be prepared to meet the calculation requirements in the nursing coursework. In NURS1200, the Nursing Calculation Exam is a 30-item S/U exam. It must be passed at 90% within two attempts to be successful in the course. Policies for Skills Lab, Classroom Lab, and Clinical: Please refer to the Associate Degree Program Student Handbook for information about these policies. To satisfactorily pass this course you MUST: 1. Achieve 78% of cumulative exam points (140 pts) 2. Achieve 78% of cumulative non-exam points (47.5 pts) 3. Achieve 90% on the Nursing Math Exam within 2 attempts (27 correct answers) 5. Satisfactorily complete all S/U assignments 6. Complete al1 required Kaplan Exams and remediation 7. Achieve a satisfactory grade in clinical Consequences of failing to meet this expectation: Minimum requirements of the course will not have been met and the student will not be able to progress in the nursing program. A grade of C- or lower in this course also means the student has not met the minimum requirements for progression in the nursing program. Academic Integrity: Please refer to the “Academic Integrity Policy” in the Associate Degree Academic Catalog. Students are expected to follow St. Catherine University academic and behavior standards refer to LeGuide Attendance and Preparation for Class: Attendance is required for lecture, lab and clinical *, and attendance will be documented. After 2 absences in a course, a 411 alert will be initiated and student must meet with lab/clinical faculty. After 3 absences in a course, a meeting with the course coordinator will be required, and after 4 absences in a course, a meeting with the program director will be required to ensure student success. Failure to attend class sessions results in implementation of the Performance Issue Algorithm/Guided Improvement Plan described in the Associate Degree Nursing Program policy handbook. Students who are unable to attend classroom lab, skills lab, or clinical labs due to infectious illness or personal crisis are required to contact the instructor, and, if scheduled for a clinical experience, the clinical area to which the student is assigned. Notification is required to be made no later than one half hour before the session begins. 10/8/2011 6 Course Syllabus NURS1200 7 It is required that students will attend all classroom and lab experiences prepared, having completed the reading assignments prior to class. Student preparation prior to laboratory experiences is outlined in the course management system and includes readings, written assignments, case studies, and practice of skills in the nursing practice lab. The most significant learning activity is attendance and active participation in all class sessions. Taking initiative in learning is a professional nursing practice. This requires preparation for all class sessions, the belief that you have a unique and valuable perspective to offer to class discussions, and the willingness to enter into to our class discussions. Therefore, attendance will be taken and active participation and engagement in class discussions and learning activities will be noted. Please e-mail or call your course/clinical/lab faculty prior to class if you will be absent. Failure to attend class sessions results in implementation of the Performance Issue Algorithm/Guided Improvement Plan described in the Associate Degree Program Student Policies: 2011-2012. *The clinical and lab absence policy will be followed. (See the 2011-2012 Nursing Student Handbook: Students who miss in excess of 25% of the total clinical/lab for a course may be required to repeat the entire course.) Course Communication: Please check your St. Kate’s e-mail for messages and updates related to the course frequently (at least every 2-3 days). The official communication source is the SCU email. Grades will be posted in the online grade book on Blackboard. Accommodations: Students with documented disabilities who believe they would benefit from accommodations in this course are encouraged to contact the Disabilities Coordinator in the Learning Center for Academic Development to ensure that appropriate accommodations are implemented in a timely manner. The Disabilities Coordinator may be contacted at 651.690.6563. Please refer to the student policy in LeGuide: “Services for Students with Disabilities.” Grading Policy: NURS1200 is required to be taken for a grade and is required to be satisfactorily completed with a minimum grade of C (78% of the total possible points). A minimum grade of C (78% of total possible points) is required for each course assignment/component. Assignments may be resubmitted once if not completed satisfactorily the first time. Resubmitted assignments receive a C (78% of total possible points for that assignment). Achievement of the Final Course Grade: A grade of C or higher is required to pass each nursing course. At the end of each course, points are totaled and students are required to achieve 78% of accumulated exam points in order to pass the course. If a student does not achieve 78% of accumulated exam points, the course grade will be based only on exam points the student has earned. If a student does achieve 78% of accumulated exam points, then non-exam coursework will contribute to the course grade. Such non-exam coursework may include quizzes, skills testing, written assignments, and other activities as outlined in each course syllabus. Students are required to attain 78% of available points and a satisfactory level of achievement on all non-exam coursework as defined in each course syllabus. XIV. PROFESSIONAL STANDARDS 10/8/2011 7 Course Syllabus NURS1200 8 Faculty in the Department of Nursing use professional nursing standards in the development, implementation, and evaluation of curricula. Professional standards are also used by nursing faculty to promote and evaluate student learning. Professional Standards: In the Associate Degree Program, professional standards include: Code of Ethics for Nurses with Interpretive Statements (ANA, 2001) NLNAC 2008 Standards and Criteria: Associate Degree Programs in Nursing (NLNAC, 2008) Nursing’s Social Policy Statement: The Essence of the Profession (ANA, 2010) QSEN Quality and Safety Education for Nurses (2007)) Competencies for Graduate of Associate and Diploma Programs (NLN, 2010) Nursing: Scope and Standards of Practice, 2nd Edition (ANA, 2010) Accreditation: St. Catherine University nursing programs are accredited by National League for Nursing Accrediting Commission (NLNAC). NLNAC is acknowledged by the U.S. Department of Education as the national accrediting body for a variety of nursing education programs. (http://www.nlnac.org/home.htm) NLNAC helps to support the well-being of nursing education, safety of nursing practice, and protection of the public by the functions of accreditation. The process of Accreditation is selfregulatory and voluntary. Non-governmental associations (such as NLNAC) recognize educational institutions or programs that have been found to meet or exceed standards or criteria for educational quality. (http://www.nlnac.org/home.htm). The Associate Degree program in nursing has established Program outcomes, which are based, in part, on the core curriculum guidelines supported by NLNAC. XV. TEXTBOOKS AND COURSE MATERIALS Required Textbooks: American Nurses Association (ANA). (2001). Code of ethics for nurses with interpretive statements. Washington, DC: Nursesbooks.org. Deglin, J., & Vallerand, A. (2010). Davis’s drug guide for nurses. (12th ed.). Philadelphia: F. A. Davis. Doengens, M., Moorhouse, M., & Murr, A. (2008). Nurse’s pocket guide: Diagnoses, prioritized interventions, and rationales. (11th ed). Philadelphia: FA Davis. Erickson, H., Tomlin, E., & Swain, M. (1983). Modeling and role-modeling: A theory and paradigm for nursing. Englewood Cliffs, NJ: Prentice-Hall. Lilley, L., Harrington, S, & Snyder, J. (2011). Pharmacology and the nursing process. (6th ed). St Louis: Mosby. 10/8/2011 8 Course Syllabus NURS1200 9 Lynn, P.. (2011). Taylor’s Clinical nursing skills: A Nursing process approach. (3nd ed). Philadelphia: Lippincott Williams & Wilkins. Pickar, G. (2011). Dosage calculation: A ratio-proportion approach. (3rd ed). Albany, NY: Delmar Thomson Learning. Ricci, S. & Kyle, T. (2009). Maternity and Pediatric Nursing. (1st ed.). Philadelphia: Lippincott Williams & Wilkins. Taylor, C., Lillis, C., & LeMone, P. Lynn, P. (2011). Fundamentals of nursing: The art & science of nursing care. (7th ed). Philadelphia: Lippincott Williams & Wilkins. Recommended Texts Townsend, M.C. (2009). Psychiatric mental health nursing: Concepts of care. (6th ed). Philadelphia: F. A. Davis Medical Dictionary: Choose a current edition of one of the following: Dorland: Dorland's Medical Dictionary. Miller & Kean: Encyclopedia and Dictionary of Medicine, Nursing and Allied Health . Mosby: Medical, Nursing, and Allied Health Dictionary. Note: Has complete NANDA list of Nursing Diagnosis & Nursing Interventions Taber: Taber's Cyclopedic Medical Dictionary. Note: Has excellent NANDA list of Nursing Diagnosis XVI. LEARNING RESOURCES E-mail and Blackboard will be used for communication among faculty and students and for distribution of class materials. Nursing Practice Lab Staff: Michelle Porter Rachelle Hansen Nancy Tremmel Rooms 670, 680, 690 Office #683 Office #683 Office #777 Phone 651-690-7724 Phone 651-690-7717 Phone 651-690-7717 Phone 651-690-7717 Academic Coaches: Kim Jensen Office # 671 Phone 651-690-8128 Please contact the Course Coordinator Val Pearson if you have any questions about our course syllabus. Thank you! 10/8/2011 9