UCC/UGC/ECCC Proposal for Course Change FAST TRACK (Select if this will be a fast track item. Refer to Fast Track Policy for eligibility) If the changes included in this proposal are significant, attach copies of original and proposed syllabi in approved university format. 1. Course subject and number: NUR 208 2. Units: See upper and lower division undergraduate course definitions. 3. College: Health and Human Services 5. Current Student Learning Outcomes of the course. Upon completion of the course, the successful student: Clinical Practice and Prevention Examines nursing situations using standards of care, critical thinking, clinical reasoning, and evidencebased practice. Applies a range of knowledge to promote health and well-being and prevent complications in adults experiencing illness and disease. Applies the nursing process to patient learning needs. Communication Demonstrates professional, empathetic and therapeutic communication skills in all learning situations. Critical Reasoning Applies the nursing process as a basis for clinical decision-making. Constructs and implements safe, effective, patientcentered nursing care using nursing knowledge, information technologies and research evidence. Leadership Explores principles of collaboration and advocacy to safely provide and manage patient care. Professionalism and Professional Values Emulates professional behavior in all learning situations. Examines ethical and legal principles and professional Effective Fall 2012 4. Academic Unit: 4 Nursing Show the proposed changes in this column (if applicable). Bold the proposed changes in this column to differentiate from what is not changing, and Bold with strikethrough what is being deleted. (Resources & Examples for Developing Course Learning Outcomes) UNCHANGED standards that are foundations to nursing practice. Explores caring’s essential elements as they are expressed in holistic patient-centered care. Global Health Discusses the impact of health equity and social justice on nursing and health care in a variety of settings. 6. Current title, description and units. Cut and paste, in its entirety, from the current on-line academic catalog* http://catalog.nau.edu/Catalog/. Show the proposed changes in this column Bold the proposed changes in this column to differentiate from what is not changing, and Bold with strikethrough what is being deleted. NUR 208 ADULT HEALTH AND ILLNESS I (4) Description: This course focuses on nursing care of adults experiencing health-illness transitions. Letter grade only. Course fee required. Units: 4 Prerequisite: NUR 205, NUR 205L, NUR 214, NUR 214L, NUR 371 Corequisite: NUR 208L NUR 208 345 ADULT HEALTH AND ILLNESS I (4) Description: This course focuses on nursing care of adults experiencing health-illness transitions. Letter grade only. Course fee required. Units: 4 Prerequisite: NUR 205, NUR 205L, NUR 214, NUR 214L, NUR 225, NUR 225L, NUR 371 Corequisite: NUR 208L 345L NUR 373 *if there has been a previously approved UCC/UGC/ECCC change since the last catalog year, please copy the approved text from the proposal form into this field. 7. Justification for course change. NUR 208 and NUR 208L are required in the second semester of the professional program (first semester, junior year). Course number change to upper division better reflects the course content and how it is currently offered. 8. Effective BEGINNING of what term and year? FALL 2015 See effective dates calendar. IN THE FOLLOWING SECTION, COMPLETE ONLY WHAT IS CHANGING CURRENT Current course subject and number: PROPOSED Proposed course subject and number: NUR 208 NUR 345 Current number of units: Proposed number of units: Current short course title: Proposed short course title (max 30 characters): Current long course title: Proposed long course title (max 100 characters): Current grading option: letter grade pass/fail Effective Fall 2012 or both Proposed grading option: letter grade pass/fail or both Current repeat for additional units: Proposed repeat for additional units: Current max number of units: Proposed max number of units: Current prerequisite: Proposed prerequisite (include rationale in the justification): NUR 225, NUR 225L, NUR 371 NUR 205, NUR 205L, NUR 214, NUR 214L, NUR 371 Current co-requisite: Current co-convene with: Proposed co-requisite (include rationale in the justification): NUR 345L, NUR 373 Proposed co-convene with: Current cross list with: Proposed cross list with: NUR 208L 9. Is this course in any plan (major, minor, or certificate) or sub plan (emphasis)? Yes No If yes, describe the impact. If applicable, include evidence of notification to and/or response from each impacted academic unit. Nursing; B.S.N. 10. Is there a related plan or sub plan change proposal being submitted? If no, explain. Yes No 11. Does this course include combined lecture and lab components? Yes If yes, include the units specific to each component in the course description above. No Answer 12-15 for UCC/ECCC only: 12. Is this course an approved Liberal Studies or Diversity course? If yes, select all that apply. Liberal Studies Diversity Yes No Yes No 14. Is this course listed in the Course Equivalency Guide? Yes No 15. Is this course a Shared Unique Numbering (SUN) course? Yes No 13. Do you want to remove the Liberal Studies or Diversity designation? If yes, select all that apply. Liberal Studies Diversity Both Both FLAGSTAFF MOUNTAIN CAMPUS Scott Galland Reviewed by Curriculum Process Associate Approvals: Effective Fall 2012 1/12/2015 Date Department Chair/Unit Head (if appropriate) Date Chair of college curriculum committee Date Dean of college Date For Committee use only: UCC/UGC Approval Date Approved as submitted: Yes No Approved as modified: Yes No EXTENDED CAMPUSES Reviewed by Curriculum Process Associate Date Approvals: Academic Unit Head Date Division Curriculum Committee (Yuma, Yavapai, or Personalized Learning) Date Division Administrator in Extended Campuses (Yuma, Yavapai, or Personalized Learning) Date Faculty Chair of Extended Campuses Curriculum Committee (Yuma, Yavapai, or Personalized Learning) Date Chief Academic Officer; Extended Campuses (or Designee) Date Approved as submitted: Yes No Approved as modified: Yes No Effective Fall 2012 CURRENT/PROPOSED SYLLABUS College of Health & Human Services School of Nursing NUR 208 345 Adult Health & Illness I Syllabus Fall 2014 Course Leader: Pamela Stetina, RN, PhD Nursing Building, Room 109 Office Phone: 928-523-7209 Pager: 928-913-7743 Pamela.Stetina@nau.edu Office hours: TBA and by appointment. Faculty Team (Flagstaff): Christina Moorioian-Pennington, RN, MSN Nursing Building, Room 218 Office Phone: 928-523-6282 Mobile Phone: 602-743-6888 Christina.Mooroian-Pennington@nau.edu Dawn Rivas, RN, MS Nursing Building, Room 105 Office Phone 928-523-8677 Mobile Phone: 928-699-5358 Dawn.Rivas@nau.edu Laboratory Michelle Musich, RN, MS Nursing Building, Room 207 Office Phone: 928-523-5874 Michelle.Musich@nau.edu Simulation Specialist Bobby Eccleston, MSN, RN Nursing Building, Room 121 Office Phone: 928-523-2608 Bobby.Eccleston@nau.edu General Course Information Course Number: NUR 208 345 Course Title: Adult Health & Illness I Credit Hours: 4 credits/ 60 clock hours Prerequisites: NUR 205, NUR 205L, NUR 214, NUR 214L, NUR 215; BIO 320 NUR 225, NUR 225L, NUR 371 Corequisites: NUR 208L NUR 345L, NUR 373 Course Description This course introduces nursing concepts necessary for beginning the care of adult clients with selected illness/disease conditions, and the use of the nursing process to promote health and healing. Students apply pathophysiology and pharmacology principles to focus assessment, plan and implement care, and evaluate outcomes. Utilization of research Effective Fall 2012 evidence and clinical practice guidelines are integrated with caring theory to plan and provide holistic care, promote health, and advocate for patients. Course Learning Outcomes Upon completion of the course, the successful student: Clinical Practice and Prevention Examines nursing situations using standards of care, critical thinking, clinical reasoning, and evidence-based practice. Applies a range of knowledge to promote health and well-being and prevent complications in adults experiencing illness and disease. Applies the nursing process to patient learning needs. Communication Demonstrates professional, empathetic and therapeutic communication skills in all learning situations. Critical Reasoning Applies the nursing process as a basis for clinical decision-making. Constructs and implements safe, effective, patient-centered nursing care using nursing knowledge, information technologies and research evidence. Leadership Explores principles of collaboration and advocacy to safely provide and manage patient care. Professionalism and Professional Values Emulates professional behavior in all learning situations. Examines ethical and legal principles and professional standards that are foundations to nursing practice. Explores caring’s essential elements as they are expressed in holistic patient-centered care. Global Health Discusses the impact of health equity and social justice on nursing and health care in a variety of settings. Course Structure/Approach NUR 208 NUR 345 will utilize a variety of approaches to meet the course objectives. These instructional methods may include, but are not limited to: lecture, audio-visual material, guided discussion, group work, demonstration and return demonstration, role playing, computer programs, decision making exercises, written tests and quizzes, and written assignments. While the faculty will provide guidance and consultation, the student is responsible for identification of learning needs, self-direction, seeking consultation and demonstration of course objectives. Required Textbooks ALL TEXTBOOKS FROM PREVIOUS NURSING COURSES Clickers **Kee, J. L. (2010). Laboratory and diagnostic tests with nursing implications (8th ed.). Upper Saddle River, NJ: Prentice Hall. Lewis, S.L., Dirksen, S.R., Heitkemper, M.M., & Bucher, L. (2014). Medical-Surgical Nursing: Assessment and management of clinical problems (9th ed.). St Louis: Elsevier: Mosby Lewis, S.L., Dirksen, S.R., & Bucher, L. (2014) Study Guide for Lewis, S.L., Dirksen, S.R., Heitkemper, M.M., & Bucher, L. (2014). Medical-Surgical Nursing: Assessment and management of clinical problems (9th ed.). St Louis: Elsevier: Mosby. **Wilson, B.A., Shannon, M.T. & Shields, K.M. (2015). Pearson nurse’s drug guide 2015. Upper Saddle River, New Jersey: Pearson Prentice Hall. Effective Fall 2012 **YOU MAY USE ANY NURSING DRUG OR LABORATORY/DIAGNOSTIC RESULTS BOOK AS LONG AS IT IS NOT OVER TWO YEARS OLD. Recommended Textbooks American Psychological Association. (2010). Publication manual of the American Psychological Association. (6th ed.). Washington, DC: American Psychological Association. Hale, A. & Hovey, M.J. (2013). Fluid and electrolyte notes: Nurse’s clinical pocket guide. Philadelphia: FA Davis. Silvestri, L.A. (2010). Saunders comprehensive review for NCLEX-RN examination (5th ed.). Philadelphia, PA: W. B. Saunders. Wilson, B.A., Shannon, M.T. & Stang, C.L. (2011). Pearson intravenous drug guide 2011-2012 (2nd ed.). Upper Saddle River, New Jersey: Pearson Prentice Hall. Online Requirements Evolve Online: https://evolve.elsevier.com/ (Case studies, text online resources, SimChart) Kaplan Resources: https://nursing.kaplan.com/s_login.aspx Blackboard Learn assignments and readings: http://bblearn.nau.edu Emergency Textbook Loan Program: To help students acquire the materials they need to be successful in class. NAU has partnered with Follett to create the Emergency Textbook Loan program. The program is administered by the LEADS Center. The program assists students with unmet financial need in obtaining required textbook(s) and other materials for courses. Students must apply and meet eligibility criteria before textbooks are purchased on their behalf. Textbooks must be returned at the end of the term in which the textbooks were loaned. More information can be found online: http://nau.edu/LEADS-Center/Textbook-Loan-Program/ Assessment of Student Learning: In order to pass NUR 208 345, the student must achieve the following: 1. An overall course grade of 78% or higher. 2. A combined average of 78% on all exams, except the Kaplan exam; students who do not achieve a 78% exam average will receive an F for the course. Various activities will be used to assess student learning and mastery of content across the semester. These include course examinations, in-class activities, case studies and the Kaplan specialty achievement exam. Weighting of these activities and calculation of grade is as follows: Evaluation Tool Five of six* online Evolve Case Studies Patient education brochure Kaplan Practice Exams Test 1 Test 2 Test 3 Comprehensive Final Exam Kaplan Exam Total Percentage Grading Scale A = 93-100% B = 84 – 92% C = 78 – 83% (A grade of "C" or above is a passing grade in this course). F = <78% COURSE POLICIES: Lecture Effective Fall 2012 Percentage 10% 10% 5% 15% 15% 15% 25% 5% 100% 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Please see the NAU classroom management statement: http://nau.edu/uploadedFiles/Administrative/EMSA_Sites/Folder_Templates/_Forms/Classroom_Disruption_Polic y.pdf Lecture materials, articles, and other information may be found on Blackboard Learn or distributed in class. Professional communication and conduct is expected at all times. Cell phones and pagers are to be turned off or silenced for the duration of the class. No children are allowed in class at any time. Visitors are allowed only with permission from the instructor. It is the student’s responsibility to obtain handouts, lecture notes, and information from announcements in the event a class is missed. Taping of lectures is permitted in this course. Clinical examples cannot be discussed outside the classroom due to patient confidentiality. Students are expected to have read the assigned reading and come to class prepared to discuss the topics, and to ask relevant questions concerning content. Students are expected to come to class on time. All assignments and exams are to be completed by each student individually without the help of others unless specifically identified as a group project or the student has been directed to seek help from a designated NAU tutor or teaching assistant. Assignments are due at 11:59 pm Arizona Time (MST) on the date they are due. Assignment due dates are printed on the course schedule. Late assignments will not be accepted unless prior arrangements have been made with the instructor. *There will be six Evolve online case studies assigned. The lowest case study score will be dropped; therefore, only five case studies count toward the case study portion of the grade. The first question submission and first score of the case study will be recorded as the grade. Please submit your score to the assignment tool in BBLearn. No extra credit assignments will be given for this course. Rounding will only be done on the final overall grade. Final grades > 0.5 (must be exactly 0.5 or higher) will be rounded up to the next whole number; final grades < 0.5 will be rounded down to the next whole number. Examinations (Other than Kaplan) 1. Students must achieve a combined average of 78% on all exams (except Kaplan) to pass the course. 2. All exam dates and times are printed on the course schedule. Exam dates, times, and locations are subject to change. 3. Students will be allotted one and one half (1.5) hours to complete the three major examinations and two (2) hours to complete the final examination; this includes bubbling in scantron forms. Announcements will be made when there are 15 and 5 minutes remaining. 4. Students who are late for exams will not be given extra time. 5. No examination or test material is to leave the classroom with a student as it may be perceived as cheating. 6. Any student determined by faculty to have cheated on the exam will receive a score of zero for that exam and will be subject to failure from the course. 7. Retests/makeup tests: Exams will be given only on the date and time scheduled. Make-up examinations, except for the Kaplan, will be provided only in extraordinary circumstances. The Kaplan exam cannot be madeup. Students who are absent from an examination for any reason must call the course leader at least 24 hours prior to the examination. Students who do not call before an examination will receive a zero for that examination and will not be eligible to take a make-up examination except for extreme circumstances. Any make-up exam must be completed within two business days of the original exam date or at the discretion of the course faculty; the final exam must be completed within two business days or by the last day of final exams, whichever comes first or students may receive a zero on the exam. Make up tests may be in any form (oral, written, essay) over the same objectives as the multiple choice exam. 8. Appointments and individual discussion regarding the exam may not be made until item analysis is complete. 9. For each exam: o Cell phones, beepers and other electronic devices must be turned off during exams. o All books, bags, computers, notes, notebooks, cell phones, water and drink bottles, purses and other personal belongings will be left at the front of or outside the room. o Hats and caps are not permitted; ear plugs must be approved by faculty before use. o Students are expected to stay in the exam room while taking the exam; students may only leave the exam to use the restroom if they have submitted a note from a health care provider. o The classroom and surrounding doors are “quiet zones” before, during, and after exams. o Once you have completed the exam, turn in your exam materials and leave the room quietly; please move away from the classroom doors. Effective Fall 2012 o 11. Exams may cover material from lecture, textbooks, articles, handouts, websites, discussions, and previous and concurrent courses (including NUR 208L 345L). o Pencils with erasers, scantron forms, and calculators will be provided. o Students are required to meet with faculty if they receive C or lower on an exam. The final examination will be comprehensive. Attendance Policy Successful achievement of course outcomes is facilitated by regular class attendance and active engagement in the learning process. Should an absence be unavoidable, the student shall notify the instructor according to instructions provided in the course syllabus. Students are responsible for completion of any missed work in accordance with course policies. Withdrawal Policy If a student is unable to attend the course or must drop the course for any reason, it will be the responsibility of the student to withdraw from the course before the withdrawal deadline (see current NAU Schedule of Classes for deadline: http://nau.edu/Registrar/Important-Dates/Fall/ - “Session Deadlines”). Plagiarism, Cheating, and Academic Dishonesty: Please refer to Appendix G of the NAU Student Handbook (http://home.nau.edu/images/userimages/awf/9476/ACADEMIC%20DISHONESTY.pdf) for definitions, policies, penalties, and procedures related to various forms of academic dishonesty. University Policies Review the following policies available on the Northern Arizona University Policy Statement website (http://www4.nau.edu/avpaa/policy1.html): 1. Safe Environment Policy 2. Students with Disabilities Policy 3. Academic Contact Hour Policy 4. Academic Integrity Policy (also see http://home.nau.edu/images/userimages/awf/9476/ACADEMIC%20DISHONESTY.pdf) 5. Research Integrity Policy 6. Sensitive Course Materials Policy 7. Classroom Disruption Policy (also see http://nau.edu/uploadedFiles/Administrative/EMSA_Sites/Folder_Templates/_Forms/Classroom_Disruption_Polic y.pdf) The Impaired Student policy will be strictly adhered to; there will be no tolerance in for any evidence of substance abuse. Effective Fall 2012 Week 1 Date 8/26 8/26 2 9/2 3 9/2 9/2 9/9 9/9 4 9/16 5 9/23 9/23 9/23 6 9/30 9/30 9/30 7 10/7 10/7 8 10/14 10/14 9 10/21 10/21 Effective Fall 2012 NUR 208 345 COURSE OUTLINE – Fall 2014 Topic Preparation Learning Activities* Introduction to Course Lecture Read Course Content on BBLearn Introduction to Blackboard Learn On-Line Read Ch. 1, 2, 5 Introduction to Medical-Surgical Nursing View Voiceover PowerPoint slides Care of the Older Adult Read Disabilities Experience module Complete optional Disabilities Chronic Illness-Rehabilitation Disabilities Experience Experience Assessment Culture Care of the Patient with Pain Lecture Read Course Content on BBLearn Read Ch. 9, 11 Complete Pain pre quiz Management of the Perioperative Patient Lecture Read Course Content on BBLearn Read Ch. 18, 19, 20; pp 172-184, 676-680 Read the blood module in BBLearn Test Taking Lecture See Course Content on BBLearn Syllabus Acknowledgement Due Assignments Management of Patients with Fluid, Lecture Read Course Content on BBLearn Electrolyte, and Acid-Base Imbalances Read Ch. 17 Perioperative Case Study Due (in On-Line Evolve Case Study Fundamentals Section) Submit score to Assignments Problems of Regulation and Metabolism: Lecture Read Course Content on BBLearn Management of Patients with Diabetes Read Ch. 48 ,49 Mellitus Exam # 1 Weeks 1-3 Proctored Patient Education Brochure Groups & In Class Also Submit to Assignments Topics Problems of Male Reproduction Lecture Read Course Content on BBLearn Read Ch. 55; pp. 1218-1220, 12251236 Problems of Renal and Urinary Function Lecture Read Course Content on BBLearn Read Ch. 45, 46. 47; pp. 219-224 Optional Disabilities Experience (Pre & On-Line Assignments Post Assessment) Due Diabetes Type 1 Case Study Due (in On-Line Evolve Case Study Medical-Surgical Section) Submit score to Assignments Problems of Renal and Urinary Function Lecture Read Course Content on BBLearn Read Ch. 45, 46. 47; pp. 219-224 Problems of Regulation and Metabolism: Lecture Read Course Content on BBLearn Management of Patients with Endocrine Read Ch. 48, 50 Problems Problems of Mobility: Management of Lecture Read Course Content on BBLearn Patients with Problems of the Read Ch. 62, 63, 64; pp. 1561-1582, Musculoskeletal System 1589-1590 Chronic Kidney Disease Case Study On-Line Evolve Case Study Due (in Medical-Surgical Section) Submit score to Assignments Exam # 2 Weeks 4-7 Proctored Problems of Mobility: Management of Patients with Problems of the Musculoskeletal System Lecture Read Course Content on BBLearn Read Ch. 62, 63, 64; pp. 1561-1582, 1589-1590 Week 10 Date 10/28 10/28 10/28 10/28 11 11/4 11/4 12 13 14 11/11 11/18 11/18 11/25 11/25 Topic Problems of Protection: Management of Patients with Burns Problems of Protection: Management of Patients with Integumentary Problems Patient Education Brochure Due Preparation Lecture Thyroid Disorders Case Study Due (in Medical-Surgical Section) Problems of Protection: Management of Patents with Immunity and Infection Problems Osteoporosis Case Study Due (in Medical-Surgical Section) NO SCHOOL- VETERAN’S DAY Exam # 3 Weeks 8-10 Problems of Protection: Management of Patients with Cancer On-Line Problems of Protection: Management of Patients with Cancer Lecture On-Line Lecture On-Line Lecture Learning Activities* Read Course Content on BBLearn Read Ch. 25 Read Course Content on BBLearn Read Ch. 23, 24, pp. 184-189 Each student upload to Assignments Evolve Case Study Submit score to Assignments Read Course Content on BBLearn Read Ch. 14, 15, pp. 528-533, 15821595 Evolve Case Study Submit score to Assignments NO SCHOOL Proctored See Course Content on BBLearn Read Ch. 10, 16, 52; pp. 1221-1222, 1225-1236 See Course Content on BBLearn Read Ch. 10, 16, 52; pp. 1221-1222, 1225-1236 Evolve Case Study Submit score to Assignments Human Immunodeficiency Virus (HIV) and Tuberculosis (Tb) Case Study Due (in Medical-Surgical Section) 11/25 Kaplan Practice Exams Due Kaplan Website 12/2 Kaplan Comprehensive Course Exam Testing Center 15 (Time to be Determined) 12/9 Final Exam-Comprehensive Proctored 16 *Learning activities: Chapter readings are from: Lewis, S.L., Dirksen, S.R., Heitkemper, M.M., & Bucher, L. (2014). Medical-Surgical Nursing: Assessment and management of clinical problems (9th ed.). St Louis: Elsevier: Mosby. Other assigned readings, including articles, websites, handouts, and PowerPoint slides, will be on the Blackboard Learn course shell. **Kaplan date subject to change Effective Fall 2012