nr224 fundamentals-skills learning plan - … · nr224 learning plan.docx revised 12/2016 bme 1...

NR224 FUNDAMENTALS-SKILLS

NR224 Learning Plan.docx Revised 12/2016 BME 1

Learning Plan

PURPOSE This learning plan expands upon the key concepts identified for the course and guides faculty in teaching the prelicensure BSN curriculum in all locations. Each unit’s concepts

are linked (in the 3rd column) to the Chamberlain Care philosophical concepts that relate most prominently to that unit. The course content is further linked to the NCLEX-RN

Test Plan’s Client Needs Categories (in Orange-Brown font) from which NCLEX test items are derived. Readings and assignments contained within the newly aligned course

shells support learners mastery of this content and the course outcomes.

NCLEX TEST PLAN

These Client Needs Categories/Subcategories* of the NCLEX-RN Test Plan link to NR224 as annotated in the course content

outline below.

1. Safe and Effective Care Environment

o Management of Care

o Safety and Infection Control

2. Health Promotion and Maintenance

3. Psychosocial Integrity

4. Physiological Integrity

o Basic Care and Comfort

o Pharmacological and Parenteral Therapies

o Reduction of Risk Potential

o Physiological Adaptation

*There are five (5) Integrated Processes that are fundamental to the practice of nursing, and they are integrated throughout the

Client Needs categories and subcategories. They are Nursing Process, Caring, Communication & Documentation,

Teaching/Learning, and Culture & Spirituality.



CONTENT OUTLINE

Unit 1 Clinical Reasoning & Infection Control Chamberlain Care

Upon completion of this unit, the student will be able to do the following. 1. Outline the steps of the nursing

process. (COs 1 and 4, NCLEX-1, 4, The Nursing Process)

2. Identify differences in the types of nursing interventions. (COs 1 and

8 NCLEX-1, 4, The Nursing Process)

3. Identify components of a nursing concept map. (COs 1 and 7 NCLEX-1, 4, The Nursing Process)

4. Demonstrate appropriate use of standard precautions and specific isolation precautions. (COs 2, 3, 4,

and 8 NCLEX-1, 2, 4) 5. Discuss the relationship between

nutrition and the infectious

process. (COs 2, 3, and 8 NCLEX-1, 2, 4,)

6. Contrast the use of medical asepsis and sterile technique. (COs

4 and 8 NCLEX-1, 2, 4)

Student Preparation for Lab:

Obtain uniform and supply kit.

Register for textbook resources if you have not done so. Directions are found on the inside cover pages of your text (http://evolve.elsevier.com/Potter/fundamentals).

View video clips, skills checklists, and other materials found on the Evolve website in Student Resources under Prepare for Class, Clinical, or Lab.

Complete the orientation to lab.

I. Nursing Process (Safe and Effective Care Environment: Management of Care; Health Promotion and Maintenance; The Nursing Process) 1.

a. Definitions i. Critical Thinking

ii. Clinical Reasoning iii. Clinical Decision Making

b. Steps i. Assessment

1. Organization of Data c. Nursing Diagnosis

i. NANDA d. Planning

i. Outcome Identification ii. Priority Determination

iii. Delegation e. Implementation

i. Independent Nursing Interventions ii. Dependent Nursing Interventions

Chamberlain Care provides a framework for student learning by addressing the following concepts in this unit: Care-Focused: 1. Identify appropriate safety and infection control precautions when providing client care.

Person-Centered: 1. Utilize components of the nursing process when planning nursing interventions for individual client care.

Experiential Learning

SIMCARE CENTER™/Lab Activities (Safe and Effective Care Environment: Management of Care; Health Promotion and Maintenance; The Nursing Process)

o Formal Return Demonstration: Hand Hygiene

o Universal precautions o Use of personal protective

equipment (PPE) o Use of isolation equipment and

safe handling of supplies o Environmental requirements for

isolation precautions o Sterile gloving o Preparing a sterile field



iii. Collaborative Interventions iv. Evidence and Rationale

f. Evaluation i. Outcome Achievement

ii. Modification of Plan iii. Documentation

1. Confidentiality 2. HIPAA

2. Concept Mapping (Safe and Effective Care Environment: Management of Care)

a. Organization of data b. Establishment of links c. Examples of Concept Maps

3. Nursing Process: Infection Control (Physiological Integrity: Reduction of Risk Potential; The Nursing Process)

a. Assessment i. Types of infectious processes

ii. Body’s defense status iii. Modes of transmission iv. History v. Clinical manifestations

vi. Psychosocial impact of infection vii. Vital Signs

viii. Laboratory tests b. Nursing Diagnoses Examples

i. Impaired tissue integrity r/t trauma ii. Risk for infection r/t malnutrition

iii. Others c. Planning

i. Outcome identification 1. Individual will remain free from

infection 2. Individual will have sufficient

caloric intake to prevent infection 3. Others

o Documentation of findings and interventions using appropriate terminology and technology (SimChart® or other mechanism)



ii. Priorities 1. Choice and sequence of

interventions 2. Rationale 3. Anticipation of risks or

complications iii. Delegation

1. Nursing assistive personnel (NAP) roles

2. Professional nurse role a. Responsibilities

associated with delegation

d. Interventions i. Independent Nursing Interventions

1. Asepsis a. Hand hygiene b. Open gloving c. Standard precautions d. Isolation precautions e. Medical asepsis vs sterile

field 2. Safe and effective care

environment a. Psychosocial impact of

isolation b. Isolation environment c. Privacy d. Equipment e. Communication

3. Person Centered education ii. Dependent Nursing Interventions

1. Nutritional supplements 2. Pharmacological

a. Medications b. Safety and person’s rights



c. Other iii. Collaborative interventions

1. Report of nursing assistive personnel (NAP) of vital signs, intake, and output

2. Communication with HCP response to dependent nursing interventions

3. Communication with Infection Prevention and Control Professional on related to precautions or exposure

e. Evaluation i. Outcome evaluation

1. Outcome achievement 2. Modification of plan

ii. Documentation

Unit 2 Vital Signs & Mobility Chamberlain Care

Upon completion of this unit, the student will be able to do the following.

1. Assess vital signs and mobility based on individual condition. (COs 1, 3, 4, and 7 NCLEX-1, 4)

2. Identify the relationship of vital sign values to thermoregulation, perfusion, and oxygenation. (COs 1 and 4 NCLEX-1, 2, 4,)

3. Apply the nursing process to individuals with


Video clips, skills checklists, and other materials found on the Evolve website in Student Resources under Prepare for Class, Clinical, or Lab for the following:

o Vitals Signs o Mobility o Positioning o Restraints o Transfer & Ambulation Techniques

A. Nursing Process: Thermoregulation-Temperature (Safe

and Effective Care Environment: Management of Care; Health Promotion and Maintenance; Physiological Integrity: Basic Care & Comfort, Physiological Adaptations; The Nursing Process)

a. Assessment (The Nursing Process)

Chamberlain Care provides a framework for student learning by addressing the following concepts in this unit: Care-Focused: 1. Apply concepts of appropriate touch when performing vital signs assessment on a client. 2. Demonstrate appropriate body mechanics during ambulation and transfer of a client.


SIMCARE CENTER™/Lab Activities (Safe

and Effective Care Environment:

Management of Care; Health



alterations in vital signs and/or mobility. (COs 1,4, 7, and 8 NCLEX-1, 4, The Nursing Process)

4. Demonstrate safe use of assistive devices during ambulation and transfer. (COs 3, 4, and 8 NCLEX-1, 2, 4,)

5. Describe the functional and process issues when restraints are used. (CO 6 NCLEX-1, 4)

6. Explain the potential complications of immobility. (COs 4 and 8 NCLEX-1, 4)

7. Document findings and interventions using appropriate terminology and technology. (CO 3 NCLEX-1, 4, The Nursing Process)

i. Types of temperature assessment ii. Factors affecting body temperature

iii. Alterations of body temperature b. Nursing Diagnoses Examples(The Nursing

Process) i. Ineffective thermoregulation

ii. Risk for imbalanced body temperature c. Planning(The Nursing Process)

i. Outcome identification 1. Normal range of body

temperature within 48 hours 2. Maintain normal range of body

temperature ii. Priorities

1. Choice and sequence of interventions

2. Rationale 3. Anticipation of risks or





d. Interventions (The Nursing Process) 1. Independent Nursing

Interventions a. Fluids b. Heat loss promotion c. Activity

2. Dependent Nursing Interventions a. Pharmacological b. IV Fluids c. Mechanical

Promotion and Maintenance; The

Nursing Process)

o Formal Return Demonstration:

Vital Signs

o Determining actions to be taken when ranges are not consistent

o Range of motion exercises o Body positioning & Transfer

Techniques o Fall assessment and

environmental hazards o Assistive ambulation using

various devices o Documentation of findings and

interventions using appropriate terminology and technology (SimChart® or other mechanism)



3. Collaborative interventions a. Report of nursing

assistive personnel of temperature

b. Communication with HCP response to dependent nursing interventions

e. Evaluation(The Nursing Process) 1. Outcome evaluation

a. Outcome achievement b. Modification of plan

2. Documentation

B. Nursing process: Perfusion-Pulse (Safe and Effective Care Environment: Management of Care; Health Promotion and Maintenance; Physiological Integrity: Basic Care & Comfort, Physiological Adaptations)

a. Assessment(The Nursing Process) i. Methods of and sites for pulse

measurement ii. Characteristics of pulse

iii. Factors affecting pulse 1. Pain 2. Others

iv. Alterations in pulse v. Unexpected outcomes

b. Diagnosis(The Nursing Process) i. Ineffective tissue perfusion

ii. Activity intolerance iii. Others

c. Planning (The Nursing Process) i. Outcome Identification

1. Focused on underlying cause 2. Pulse will return to normal

ii. Priorities



1. Choice and sequence of intervention

2. Rationale 3. Anticipation of risks and


1. Nursing Assistive Personnel (NAP) roles

2. Professional nurse’s role a. Responsibilities related to

delegation d. Interventions (The Nursing Process)

1. Independent Nursing Interventions

a. Body positioning b. Pulse verification c. Temperature regulation d. Others

2. Dependent Nursing Interventions a. Pharmacological b. IV Fluids c. Mechanical

3. Collaborative interventions e. Report of nursing

assistive personnel of pulse

f. Communication with HCP response to dependent nursing interventions

e. Evaluation (The Nursing Process) 1. Outcome evaluation


2. Documentation C. Nursing Process: Oxygenation-Respirations (Safe and

Effective Care Environment: Management of Care;



Health Promotion and Maintenance; Physiological Integrity: Basic Care & Comfort, Physiological Adaptations)

a. Assessment(The Nursing Process) i. Methods for respiratory assessment

ii. Factors affecting respirations iii. Characteristics of respirations iv. Measurement of pulse oxygen saturation

(SpO2) v. Alterations of respirations

b. Nursing Diagnoses Examples i. Ineffective breathing pattern

ii. Ineffective airway clearance iii. Others

c. Planning i. Outcome identification

1. Normal respiratory rate 2. Maintain normal range of

respiratory rates ii. Priorities







d. Interventions(The Nursing Process) 1. Independent Nursing

Interventions a. Body positioning



b. Alter activity c. Thermoregulation

2. Dependent Nursing Interventions a. Pharmacological b. Fluids balance c. Supplemental

Oxygenation 3. Collaborative interventions

a. Report of nursing assistive personnel of respirations




2. Documentation D. Nursing Process: Blood Pressure (Safe and Effective

Care Environment: Management of Care; Health Promotion and Maintenance; Physiological Integrity: Basic Care & Comfort, Physiological Adaptations)

a. Assessment (The Nursing Process) i. History

ii. Factors affecting blood pressure 1. Diabetes 2. Pain 3. Others

iii. Characteristics of blood pressure iv. Alterations of blood pressure v. Methods of blood pressure assessment

vi. Inaccuracies in blood pressure assessment



b. Nursing Diagnoses Examples (The Nursing Process)

i. Ineffective tissue perfusion ii. Decreased fluid volume

iii. Others c. Planning (The Nursing Process)

i. Outcome identification 1. Achieve a blood pressure within

the normal range 2. Maintain normal blood pressure

range ii. Priorities





2. Professional nurse role b. Responsibilities


d. Interventions (The Nursing Process) 1. Independent Nursing

Interventions a. Body positioning b. Changes in activity c. Thermoregulation d. Capillary Blood Glucose

monitoring(CBG) e. Non-pharmacological

methods for pain reduction

f. Others



2. Dependent Nursing Interventions a. Pharmacological b. Fluids balance

3. Collaborative interventions a. Report of nursing

assistive personnel of respirations




2. Documentation E. Nursing Process: Mobility (Safe and Effective Care

Environment: Management of Care; Health Promotion and Maintenance; Physiological Integrity: Basic Care & Comfort, Physiological Adaptations)

a. Assessment (The Nursing Process) i. History

ii. Mobility Assessment iii. Immobility Assessment iv. Diagnostic tests

b. Nursing Diagnoses Examples (The Nursing Process)

i. Impaired physical mobility r/t pain in legs ii. Risk for disuse syndrome r/t obesity

c. Planning (The Nursing Process) i. Outcome identification

1. Decrease in pain level on ambulation

2. Able to transfer with assistive device by

ii. Priorities







2. Other “ancillary” personnel 3. Professional nurse role

c. Responsibilities associated with delegation

d. Interventions (The Nursing Process) 1. Independent Nursing Interventions

a. Safe and effective care environment i. Privacy

ii. Equipment iii. Communication

b. Safe person handling and movement

i. Transfer Techniques ii. Ambulation

1. Unassisted 2. Assistive devices

iii. Range of Motion (ROM) 1. Passive 2. Active

iv. Body positioning c. Restraints

i. Side rails ii. Soft vs. hard

iii. Legal/ethical issues d. Person Centered education

2. Dependent Nursing Interventions a. Pharmacological



i. Medications ii. Safety and person’s rights

b. Therapies i. Physical

ii. Occupational 3. Collaborative interventions

a. Report of nursing assistive personnel(NAP) of vital signs, intake and output


c. Consult with physical therapy, occupational, and/or respiratory departments to coordinate plan of care as necessary

e. Evaluation (The Nursing Process) i. Outcome evaluation

1. Outcome achievement 2. Modification of plan

a. Documentation

Unit 3 Tissue Integrity Chamberlain Care


1. Assess tissue integrity based on individual condition. (COs 1, 3, 4, and 7 NCLEX-1, 4, The Nursing Process)

2. Apply the nursing process to individuals with altered tissue integrity. (COs 1, 4,


Review concepts of hand hygiene from Unit 1

Video clips, skills checklists, and other materials found on the Evolve website in Student Resources under Prepare for Class, Clinical, or Lab for the following:

o Wound care o Bathing o Occupied bed-making

Chamberlain Care provides a framework for student learning by addressing the following concepts in this unit: Holistic Health: 1. Apply non-pharmacological comfort measures when providing wound care for individuals with altered tissue integrity. Person-Centered:



7, and 8 NCLEX-1, 4, The Nursing Process)

3. Perform wound assessment and documentation. (COs 1 and 3 NCLEX-1, 4, The Nursing Process )

4. Perform clean and sterile dressing changes. (COs 6 and 8 NCLEX-1, 4)

5. Document findings and interventions using appropriate terminology and technology. (CO 3 The Nursing Process)

6. Model professional behavior. (CO 5 NCLEX-1, 3)

A. Assessment Safe and Effective Care Environment: Management of Care; Physiological Integrity: Basic Care & Comfort, Physiological Adaptations; The Nursing Process)

a. History i. Risk factors

1. Chronic diseases 2. Age 3. Culture 4. Sensory Perception 5. Mechanical and other forces 6. Others

ii. Vital Signs iii. Pain

b. Nutrition & Fluid Intake i. Dietary history

B. Skin Color and Condition i. Braden Scale ii. Bony Pressure Areas

b. Wound i. Drainage

1. Description and Terminology 2. Wound Culture

ii. Classification of Pressure Ulcers 1. Stages

c. Lab and diagnostic test results i. CBC ii. Albumin and Proteins iii. Electrolytes iv. Cultures v. Others

d. Psychosocial Impact e. Aged related impacts

C. Nursing Diagnosis (The Nursing Process) a. Examples

i. Impaired skin integrity

1. Identify age-related risk factors associated with altered tissue integrity for individuals across the lifespan.






Nursing Process)


Occupied Bed-Making & Bathing

o Review hand hygiene o Wound care and assessment o Dressing changes o Sterile and nonsterile o Wound irrigation

Documentation of findings and interventions using appropriate terminology and technology (SimChart® or other mechanism)



ii. Altered Nutrition: less than body requirements iii. Pain iv. Risk for infection v. Risk for care giver role strain vi. Others

D. Planning (The Nursing Process) a. Wound healing

i. Nutrient and Fluid Needs ii. Environmental Needs iii. Wound Care

b. Outcome Identification i. Examples

1. Individual will take in 1.5 g of protein daily. 2. Care-giver relates difficulties within 48 hours. 3. Others

c. Priorities d. Delegation E. Implementation of Interventions (The Nursing Process)

a. Independent Nursing Interventions i. Comfort and Relief of Pressure Areas 1. Repositioning

a. Development of Schedule i. Frequency

b. Delegation of Responsibilities ii. Massage of Non-Affected Areas iii. Nutrition and Fluid Balance

1. Nutrients Supportive of Wound Healing 2. Fluid Intake

iv. Individual and family education v. Other

b. Dependent Nursing Interventions i. Cleaning

1. Irrigation ii. Dressings



1. Purpose 2. Types

iii. Comfort and Pain Control c. Collaborative Interventions

i. Nursing Assistive Personnel ii. Environmental Safety iii. Interdisciplinary Team

F. Evaluation (The Nursing Process) a. Outcomes b. Modification of Plan c. Documentation and Reporting d. Communication

Unit 4 Oxygenation & Urinary Elimination

Chamberlain Care


1. Assess oxygenation and urinary function based on individual condition. (COs 1, 3, 4, and 7 NCLEX-1, 4, The Nursing Process)

2. Apply the nursing process to individuals with alterations in oxygenation and/or urinary elimination. (COs 1, 4, 7, and 8 NCLEX-1, 4, The Nursing Process)

3. Document findings and interventions using appropriate terminology


Review concepts of hand hygiene, sterile gloving, and

sterile technique from Unit 1

Video clips, skills checklists, and other materials found on

the Evolve website in Student Resources under Prepare

for Class, Clinical, or Lab for the following:

o Safe oxygen administration

o Suctioning

o Urine specimen collection o Urinary catheterization

Il. Oxygenation Safe and Effective Care Environment: Management of Care; Health Promotion and Maintenance; Physiological Integrity: Basic Care & Comfort, Physiological Adaptations, The Nursing Process) A. Assessment

a. History i. Risk Factors

Chamberlain Care provides a framework for student learning by addressing the following concepts in this unit: Holistic Health: 1. Apply stress-reduction techniques when providing care for individuals experiencing alterations in oxygenation. Person-Centered: 1. Recognize risk factors associated with alterations in oxygenation for individuals across the lifespan.







and technology. (CO 3 NCLEX-1, 4)

1. Lifestyle factors 2. Physical activity 3. Smoking 4. Stress 5. Environmental factors 6. Others

b. Activity Tolerance i. Fatigue ii. Dyspnea iii. Cough

c. Impact on ADLs B. Nursing Diagnosis (The Nursing Process)

a. Examples i. Activity intolerance r/t fatigue ii. Ineffective airway clearance r/t thick secretions iii. Others

C. Planning (The Nursing Process) a. Outcome Identification

i. Individual will walk length of hallway without shortness of breath ii. Person will use oral suctioning equipment

b. Priorities i. ABC’s

c. Delegation D. Implementation of Interventions (Physiological Integrity: Basic Care & Comfort, Physiological Adaptations; The Nursing Process)

a. Independent Nursing Interventions i. Fluid Intake ii. Positioning iii. ADL’s iv. Communication v. Person Centered Education vi. Safe and Effective Care Environment

1. Oxygen Use


Nursing Process)


Urinary Catheterization

(Insertion, Removal,

Documentaion)

o Safe oxygen administration o Suctioning o Documentation of findings and


o Urine collection methods o Emptying of catheter bags o Measuring intake and output o Communication with and

education of individual and family


o Midterm Evaluation



2. Skin Care and Integrity b. Dependent Nursing Interventions

i. Oxygen Orders ii. Types of Equipment

1. Nasal Cannula 2. Masks

iii. Suctioning 1. Oro/Naso pharyngeal 2. Oro/Naso tracheal

c. Collaborative Nursing Interventions i. I & O ii. Positioning

E. Evaluation (The Nursing Process) a. Outcome Evaluation

i. Outcome Achievement ii. Modification of Plan

b. Documentation i. Oxygenation Terminology

II. Urinary Elimination (Safe and Effective Care Environment: Management of Care; Health Promotion and Maintenance; Physiological Integrity: Basic Care & Comfort, Physiological Adaptations) A. Assessment

a. Urinary patterns i. Process of urinary elimination ii. History iii. Factors affecting urination iv. Urine characteristics v. Diagnostic test results

B. Nursing Diagnoses (The Nursing Process) a. Examples

i. Impaired urinary elimination r/t infection ii. Urinary retention r/t mechanical obstruction iii. Others




i. Person will have normal urinary elimination pattern within 24 hours of intervention. ii. Person will discuss measures to promote healthy urinary elimination patterns

b. Priorities i. Sequence of interventions ii. Rationale iii. Anticipation of risks or complications

c. Delegation i. Nursing assistive personnel (NAP) roles ii. Professional nurse role

1. Responsibilities associated with delegation

D. Implementation of Interventions (The Nursing Process) a. Independent Nursing Interventions

i. Fluid intake ii. Micturition reflex stimulation iii. Bedpan/urinal positioning iv. Person Centered Education v. Others vi. Safe & Effective Care Environment

1. Privacy 2. Equipment 3. Communication

b. Dependent Nursing Interventions i. Catheterizations

1. Types 2. Procedure description 3. Safety

ii. Pharmacological 1. Antibiotics 2. Cholinergics 3. Antispasmodics 4. Safety and Patient Rights

c. Collaborative Nursing Intervention



i. Reporting of findings from nursing assistive personnel (NAP) ii. Communication interdisciplinary team

E. Evaluation (The Nursing Process) a. Outcome Evaluation

i. Outcome achievement ii. Modification of plan

a. Documentation

Unit 5 Gastrointestinal Chamberlain Care


1. Assess nutritional status based on individual condition. (COs 1, 3, 4, and 7 NCLEX-1, 4, The Nursing Process)

2. Apply the nursing process to individuals with altered nutritional status. (COs 1, 4, 7, and 8 NCLEX-1, 4, The Nursing Process)

3. Document findings and interventions using appropriate terminology and technology. (CO 3 NCLEX-1, 4)






o Feeding Techniques

o Aspiration precautions

o Measuring I/O

o NG Tube Insertion/Removal

A. Nursing Process: Gastrointestinal (Health Promotion and Maintenance; Physiological Integrity: Basic Care & Comfort, Physiological Adaptations)

a. Assessment (The Nursing Process) i. Nutrition history ii. Physical Assessment

1. Nutritional status 2. Impediments to nutritional intake 3. Risks for aspiration

iii. Diagnostic tests b. Nursing Diagnoses Examples (The Nursing Process)

Chamberlain Care provides a framework for student learning by addressing the following concepts in this unit: Care-focused: 1. Identify risks for altered nutritional status when assessing and providing care for an individual across the lifespan.

Extraordinary Nursing: 1. Recognize opportunities for interprofessional collaboration when providing care for an individual with altered nutritional status.






Nursing Process)


Nasogastric Tube (Insertion,

Removal, Documentaion)



i. Imbalanced nutrition: less than body requirements r/t difficulty swallowing ii. Imbalanced nutrition: more than body requirements r/t anxiety

c. Planning (The Nursing Process) i. Outcome identification

1. Person will consume adequate calories and nutrition daily 2. Person will decrease caloric intake during periods of high stress

ii. Priorities 1. Choice and sequence of interventions 2. Rationale 3. Anticipation of risks or complications

iii. Delegation 1. Nursing assistive personnel (NAP) roles 2. Professional nurse role

a. Responsibilities associated with delegation

d. Interventions (The Nursing Process) 1. Independent Nursing Interventions

a. Safe and effective care environment i. Privacy ii. Equipment iii. Communication

b. Safe person handling and movement i. Aspiration assessment ii. Feeding assistance: Oral

c. Person Centered education 2. Dependent Nursing Interventions

a. Nutritional assistance i. Enteral tubes

1. Complications 2. Aspiration precautions

ii. Parenteral nutrition

o Positioning and aspiration precautions for feeding

o Administration of feedings and medications




1. Metabolic complications

iii. Safety and rights 3. Collaborative interventions

a. Report of nursing assistive personnel(NAP) re: intake of oral feedings b. Communication with HCP response to dependent nursing interventions c. Consult with dietician/nutritionist regarding individual’s nutritional status and needs



2. Documentation

Unit 6 Medication Administration Chamberlain Care


1. Conduct a medication assessment on an individual. (COs 1, 3, 4, and 7 NCLEX-1, 4, The Nursing Process)

2. Apply the nursing process to individuals receiving medication. (COs 1, 4, 7, and 8 NCLEX-1, 4, The Nursing Process)

3. Demonstrate safe medication administration in SimCare Center. (COs 4,






o Rights of Medication Administration

o Reading Prescriptions and Orders

o Types of Medication Administration

Oral, Sublingual/Buccal, Topical, Rectal,

Parenterals, Ear/Eye drops, inhalation

A. Assessment Safe and Effective Care Environment: Management of Care)

Chamberlain Care provides a framework for student learning by addressing the following concepts in this unit: 1. Cultural Humility: 1. Recognize the cultural needs and values of a client receiving medication. 2. Care-Focused: 1.Apply knowledge of patients’ medication rights to provide safe and effective medication administration.






6, 7, and 8 NCLEX-1, 2, 3, 4, The Nursing Process)


a. History i. Medication use

1. Prescription a. Name b. Dose c. Frequency d. Knowledge e. Other pertinent information

2. Over the counter a. Vitamins b. Nutritional Supplements

ii. Illicit Drug and Alcohol Use 1. Privacy 2. Nonjudgmental approach

b. Allergies and Untoward Reactions c. Cultural Influences d. Educational Needs

B. Nursing Diagnosis (The Nursing Process) a. Examples

i. Constipation r/t use of narcotic analgesics ii. Risk for injury r/t medication side effects iii. Knowledge deficit r/t medication regime iv. Others


i. Person will have soft formed stool within 48 hours. ii. Person will identify potential behaviors that may lead to injury within 24 hours. iii. Person will relate plan to take medications as prescribed. iv. Others

b. Priorities i. Error Prevention ii. Error Admission

c. Delegation



Nursing Process)


Safe Medication Administration

(Oral & Subcutaneous)

o Safe medication administration Measuring Use of syringes Accurate sites for

administration of parenteral medications

Inhalers Accurate sites for

administration of topical medications

o Documentation using SimChart® or other MAR document

o Refusals of medication o Safety during preparation,

administration, and completion of medication administration

o Standardized Clinical Experience (SCE)—Maria Hernandez; Check with faculty for further information.



d. Older adult considerations i. Alcohol Use ii. Others

D. Implementation of Interventions (Physiological Integrity: Basic Care & Comfort, Physiological Adaptations) (The Nursing Process)

a. Independent Nursing Interventions i. Safe and Effective Care

1. Individual Rights and Right to Refuse 2. 6 Rights 3. Forms of Medications and Routes of Administration

a. Oral i. Tablets, Capsules, Liquids ii. Buccal iii. Sublingual

b. Parenteral i. Intramuscular

1. Sites 2. Needle gauge and length

ii. Subcutaneous 1. Sites 2. Needle gauge and length

iii. Intradermal 1. Sites 2. Needle gauge and length

iv. Intravenous c. Topical

i. Ointments, Creams, Gels, Liquids ii. Suppositories iii. Transdermal



iv. Ophthalmic v. Otic vi. Rectal vii. Vaginal

d. Inhalation 4. Calculation of Dosage 5. Order Questioning 6. Safe Handling

a. Preparing and Drawing Up b. Needle Capping c. Needle Disposal

b. Dependent Nursing Interventions i. Prescriber’s Role

1. Physician 2. Nurse Practitioner 3. State Nurse Practice Law

a. Identifies Health Practitioners From Whom Nurses Can Legally Accept Orders

ii. Types of Orders 1. Routine/Standing 2. PRN 3. Single 4. Others

iii. Components of Orders and Prescriptions iv. Accepted Abbreviations v. Pharmacist Role

1. Distributions Systems 2. Information Resource

E. Evaluation a. Outcome Evaluation

i. Achievement ii. Modification of Plan

b. Documentation i. Who, What, Where, When ii. Right to Refuse



i. Education

Unit 7 Bowel Elimination Chamberlain Care


1. Assess bowel elimination based on individual condition. (COs 1, 3, 4, and 7 NCLEX-1, 4, The Nursing Process)

2. Apply the nursing process to individuals with altered bowel elimination. (COs 1, 4, 7, and 8 NCLEX-1, 4, The Nursing Process)



Review concepts of hand hygiene from Unit 1 and I/O

from Unit 4




Stool collection and testing

Enemas

A. Assessment (The Nursing Process, Safe and Effective Care Environment: Management of Care; Health Promotion and Maintenance; Physiological Integrity: Basic Care & Comfort, Physiological Adaptations)

a. Bowel patterns i. History ii. Genetics iii. Stool description iv. Laboratory and diagnostic testing

B. Nursing Diagnoses a. Examples

i. Constipation r/t inadequate activity ii. Bowel incontinence r/t increased GI motility iii. Others

C. Planning a. Outcome Identification

i. Person will have soft formed stool within 48 hours. ii. Person will discuss measures to increase fiber content of diet within 24 hours.

Chamberlain Care provides a framework for student learning by addressing the following concepts in this unit: Holistic Health: 1. Apply stress-reduction techniques when providing care for individuals experiencing altered bowel elimination. Person-Centered: 1. Recognize risk factors associated with altered bowel elimination for individuals across the lifespan.






Nursing Process)

o Stool collection methods Bedpan Hats Hemocult stool

o Enema administration o Measuring intake and output o Documentation of findings and




b. Priorities i. Rationale ii. Anticipation of risks or complications

c. Delegation i. Nursing assistive personnel (NAP) roles ii. Professional nurse role

1. Responsibilities associated with delegation

D. Implementation of Interventions (Physiological Integrity: Basic Care & Comfort, Physiological Adaptations)

a. Independent Nursing Interventions i. Fluid intake ii. Diet iii. Activity iv. Bedpan positioning v. Person Centered Education vi. Safe & Effective Care Environment

1. Privacy 2. Equipment 3. Communication

b. Dependent Nursing Interventions c. Procedures

1. Types: a. Enemas b. Digital disimpaction

2. Purpose 3. Description 4. Assessments

c. Potential complications d. Pharmacological

1. Laxatives 2. Stool softeners 3. Antidiarrheal

E. Safety and Patient Rights F. Collaborative Nursing Intervention

a. Reporting of findings




i. Professional nurse 1. Nursing assistive personnel (NAP) 2. Communication with interdisciplinary team

G. Evaluation a. Outcome Evaluation

i. Outcome achievement ii. Modification of plan b. Documentation

Unit 8 Wrap it Up

Chamberlain Care


1. Differentiate between the components and apply the principles of the nursing process in the learning laboratory setting using simulated patient care

scenarios. (PO 1 NCLEX-1, 2, 3, 4, The Nursing Process)

2.Apply the concepts of health promotion and illness prevention in the laboratory setting. (PO 2

NCLEX-1, 3, 4)

3.Demonstrate communication skills necessary for interaction with other health team members and for providing basic nursing care in a

Review All Previous Content Chamberlain Care provides a framework for student learning by addressing the following concepts in this unit: Cultural Humility 1. Incorporate knowledge of individual cultural needs when providing care for clients across the lifespan. Professional Identity Formation 1. Understand the role of the nurse when providing care for individuals across the lifespan. Extraordinary Nursing 1. Recognize the role of the nurse as a patient advocate when providing care for individuals across the lifespan.







simulated environment. (PO 3

NCLEX-1, 2, 3)

4. Employ critical thinking skills in the simulated laboratory setting.

(PO 4 NCLEX-1, 2, 3, 4, The Nursing Process)

5.Assume responsibility and accountability for identifying own personal, educational, and

professional goals. (PO 5 NCLEX-1)

6. Explain and apply principles of legal, ethical, and professional standards in planning for and delivering patient care. (PO 6

NCLEX-1, 3)

7. Demonstrate beginning roles and responsibilities associated with professional nursing while planning for cost-effective basic nursing care to individuals and families. (PO 7

NCLEX-1)

8.Explain the rationale for selected nursing interventions based upon current nursing literature. (PO 8

NCLEX-1, 4, The Nursing Process)


Nursing Process)


o Final Evaluation

nr224 fundamentals-skills learning plan - … · nr224 learning plan.docx revised 12/2016 bme 1...

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