syllabus 2012 summer_1

7/31/2019 Syllabus 2012 Summer_1

1/17

SAN MATEO ABSN

Managing Care of the

Adult I

N120, N120L

Course Syllabus

Summer 2012

Course Manager:

Garry Johnson, RN, MSN, CCRN


2/17

Course Outline

Course Description

This course focuses upon both caring for and caring about the adult client.

Building upon the students previous knowledge, the course utilizes the nursing processin providing opportunity to integrate theory with practice in promoting each individual

clients achievement of optimal health and comfort. Particular emphasis is placed uponthe concept of wholeness, referring to the constant interactions of an individuals

biophysical, emotional, sociocultural, spiritual, and environmental dimensions.

Theory content for this nursing course addresses selected areas of healthalterations that beginning nursing students will likely encounter in the clinical setting.These areas include problems with sensory input, immobility, oxygenation,

gastrointestinal function, urinary function, selected regulatory mechanisms, and selected

cellular dysfunction/proliferation. Theory content will also include the concept of death

and dying as it relates to the nursing student, their adult clients, and their clients supportsystems.

The course content is designed to assist the student in knowledge development ofcore competencies such as critical thinking, effective communication, ethics, diversity,

professionalism, leadership, information management, and an appreciation for the global

environment in which health care is provided.

The course is further designed for the students acquisition of theory-based

competency in performing selected psychomotor nursing skills as related to a clients

oxygenation needs, nutritional needs, elimination needs, safety needs, mobility andmovement needs, pressure ulcer prevention and treatment, medication administration,

pain management, sterile dressings and wound care.

Prerequisite: Successful completion of required coursework to date.

Units: 2 units of theory and 3 units of clinical. Clinical units will take place in the acute

care clinical setting.

Course Manager and Theory Instructor:

Garry Johnson, RN, MSN, CCRN Assistant ProfessorOffice phone: 650-292-5581

Office hours: please make an appointment

E-mail:[email protected]
mailto:[email protected]:[email protected]:[email protected]:[email protected]


3/17

Course Objectives

At the completion of the course, the student will:

1. Demonstrate beginning knowledge and skill in assessing health variations of anindividuals biophysical, emotional, sociocultural, spiritual, and environmentaldimensions.

2. Apply the nursing process to assist clients to achieve and/or maintain optimalhealth.

3. Provide nursing care that is compassionate and sensitive and to the clientspersonal identity, cultural affiliation, and environment.

4. Demonstrate behaviors that reflect professional accountability.

5. Demonstrate beginning socialization into the professional nursing role.

6. Use the components of effective communication to promote professionalrelationships.

7. Utilizing adult learning theory incorporates the teaching-learning needs of adultclients when planning and delivering nursing care.

8. Provide safe, therapeutic nursing care to an adult that is based on knowledge oftheoretical rationales.

9. Apply knowledge of the adult clients stage of growth and development as it

relates to clients current health situation.


4/17

Required Textbooks

Booklist for MCA 1 and MCA 2

Deglin, J.H., Vallerand, A.H., & Sanoski, C. (2010). Daviss drug guide for nurses Philade lphia:F.A. Davis

(12 ed.) ISBN-13: 978-0-8036-2308-8 ISBN-10: 0-8036-2308-9

Lemone, P., Burke, K. & Bauldoff, G. (2011) Medical-surgical nursing: Critical thinking in patientcare. (5

thed.). Pearson: San Francisco

ISBN-13: 9780135075944

Pagana, K.D. & Pagana, T.J. (2010). Mosby's manual of diagnostic and laboratory tests. (4th ed.)St. Louis: Elsevier Health Science.ISBN-13: 9780323057479

Perry, A.G. & Potter, P.A. (2010). Clinical nursing skills & techniques (7 ed.). St. Louis: ElsevierISBN-13: 9780323052894

You can survive with any drug guide and lab guide. These are two that I have used and workwell but many of the others are also fine. You need a drug guide and lab guide to complete CarePlans and learn new medications and lab values.

All of these texts are valuable and you will continue to use them through your first few years ofnursing. I strongly recommend that you buy these 4 books and keep them. They will becomeexcellent references for your beginning years as a nurse as your transition from Novice to Expert!

Teaching Methods

Teaching Strategies.

1. Lectures2. Demonstration3. Questioning/inquiry4. Discussion, both in small groups and class5. Case Studies6. Audio-visual aids7. Course, unit, and clinical objectives8. Exams

Note: Blackboard will be used as a supplement to the course syllabus, clinical

intervention materials, and for posting student scores.


5/17

Methods of Evaluation

Grading is in accordance with the academic policies of Samuel Merritt CollegeUndergraduate Grading Policy. The School of Nursing policy mandates students must

achieve a final grade of 70% or greater average to pass the course.

The theory grade will be evaluated based upon the following:

Take Home Exams 20%

ATI Testing 5%Case Study 10%

Final Exam 65%

Letter grades are assigned as follows:

Grades are rounded off. For example, 82.5 would become83%. 82.4 would become 82%.

Examination information:

A. Each exam will cover material assigned up to the point of the examincluding information covered in clinical relevant to the theory topics.

Each assigned topic carries approximately equal weight on the exams

unless otherwise stated in class.

B. All exams are to be taken as scheduled. (See exam schedule on the coursecalendar). Whenever possible, absence from exams must be cleared withthe course faculty prior to the exam time. If a student is ill, he/she is

encouraged not to take the exam. Make-up of a missed exam must be

scheduled with the theory faculty. Examinations MAY NOT BE

REPEATED.

The student is responsible for marking (Scantron) exam answerforms accurately.

Exams will not be returned, but correct answers on selectmaterial will be reviewed. Questions regarding the exam will notbe discussed during lecture time. Please make an individual

appointment with the instructor for any questions regarding

material covered in the exam.

A 93 - 100%

A- 90 - 92%B+ 87 - 89%

B 83 - 86%

B- 80 - 82%

C+ 77 - 79%

C 73 - 76%

C- 70 - 72%

D 60 - 69%

F < 60%


6/17

Any challenge over points assigned for an individual questionmust be made to the instructor for the content within one week of

when the exam grade is returned. Students must bring a

minimum of two acceptable references to an appointment tochallenge a test/exam question.

C. To become familiar with the NCLEX test format uses of NCLEX reviewbooks/software are suggested. NCLEX materials may be found in the

library.

D. Discussion of exam content with other students who have not taken theexam is a violation of the Code of Ethics as written in the Samuel Merritt

College Student Handbook.

E. Health care terminology and mathematical calculations may be included inthe exams after the topics have been introduced in theory and/or clinical.

Calculators will not be allowed during exams, nor will any electronic

devices belonging to students except during the math test wherecalculators are welcomed.

F. Exam scores will be posted on Canvas.

G. Any student scoring less than 70% on an exam must meet with the coursefaculty.

H. Attendance for lecture is expected and essential for successful academicachievement.

Clinical Objectives

Upon completion off this course, the student will be able to:

A. Demonstrate professional accountability and responsibility for nursing practicewithin legal and ethical standards of care.

1. Perform nursing procedures using currently acceptable standards ofcare.

2. Administer medications safely to patients.3. Evaluate the effectiveness of drug therapy, taking appropriate action

as necessary.

4. Provide a safe environment.5. Initiate basic patient care in a timely manner.6. Complete all patient care within appropriate timelines.7. Function within the guidelines for the student role.8. Demonstrate professionalism in dress, behavior, and communication.9. Set daily goals and implement activities to meet learning needs.10. Chart clearly and thoroughly in patient records.11. Pass a medication exam with > 90% prior to administering

medications.


7/17

B. Perform basic therapeutic and preventive nursing skills, based on a body ofgeneral and scientific knowledge.

C. Demonstrate the ability to correctly administer accurate dosages ofmedications to adult clients of all ages by a variety of routes.

D. Practice nursing skills that ensure a safe and hygienic environment as it relatesto individuals and families in the acute care hospital and in the community.

E. Articulate essential written and verbal communication for planning anddocumenting nursing care.

1. Focus on therapeutic communication versus social exchange.2. Complete the clinical preparation sheet, integrating all data.3. Discuss pathophysiology, daily comprehensive assessments, laboratory,

diagnostics, and monitoring data integrating their relationship to patientcare.

4. Pass assessment check-off.5. Identify appropriate patient problems.6. Plan, implement, and evaluate care based on patient problems.7. Complete appropriate written nursing care plans.8. Provide care that is sensitive to cultural and ethical values.9. Daily discussion of the patients clinical status and response to care.10.Prioritize care on an on-going basis.

Assume personal responsibility for acquiring current, essential information andappropriate validation of decisions made to ensure safe clinical practice.

Clinical Skills

This course provides the student with theory and practice of skills used by the

professional nurse in the care of adult clients. Using the problem solving process, the

student will apply knowledge gained from a variety of sources to the practice of aselected series of skills in the clinical setting.

The student is accountable for demonstrating beginning competence with the following:medication administration via a variety of routes, dosage calculation, maintenance of a

safe and hygienic environment, attention to correctly and safely mobilizing clients,

assessment and management of acute and chronic pain, dressings and wound care,

promoting gastrointestinal function, intubation and maintenance, oral and enteral feedingmeasures, capillary blood glucose monitoring, urinary catheterization and care. The

student is also accountable for demonstrating comprehension of basic principles of

teaching/learning, nursing documentation, and medical and surgical asepsis.

If you do not feel prepared to perform any or all of the aforementioned skills, please

allocate time to visit the skills lab to practice these skills. You are expected to know the

theory and purpose of the skills you perform and must demonstrate this knowledge priorto performing these skills in the clinical setting.


8/17

Clinical:

The clinical experience provides an opportunity to create knowledge from a

theoretical base for the planning and implementing of nursing care for clients. Eachstudent will care for a variety of adult clients in the acute care setting.

Attendance: Attendance in the clinical setting is required. Absence is to be handled

according to the policies stated in the Student Handbook.Clinical Preparation: The student will complete one clinical worksheet per week due

on Fridays with the exception of the last week of clinical.

Reflection: Students are expected to reflect on the clinical experience to synthesizeknowledge and further their personal learning goals. This can be negotiated with

individual clinical instructors. Each student is expected to generate at least one

reflection about their clinical experiences each week. See guidelines for clinical

reflection.Evaluation: Students are evaluated according to the course/clinical objectives listed at

the beginning of the syllabus. These objectives have additional clinical behaviors andare referenced in the clinical evaluation form attached to the course syllabus. Studentsmust do a weekly self-evaluation on the clinical preparation sheets. If, at any time

during the term, the clinical faculty believes the student is not making sufficient

progress toward meeting the clinical objectives, a counseling session will be held. At

that time, the student will be advised of the behaviors necessary to achieve successfulperformance. Prior to the completion of the course, clinical faculty and each student

will complete the evaluation tool included in the syllabus. The original copy of the

written evaluation remains with the students file in the School of Nursing..

Academic Integrity

Samuel Merritt College affirms the belief that integrity, truth, respect and honestyare the foundations for our interactions as an academic institution. All students are

expected to abide by the policies of academic honesty and integrity as outlined in the

Samuel Merritt College Catalog. Since dishonesty in any form harms the individual,other people, the community, and the College, policies on academic integrity will be

strictly enforced. We expect you to be familiar with the guidelines for behavior, to

follow them, and to know the consequences of violating these standards of ethicalbehavior.


9/17

Critical Behaviors:

Critical Behaviors, which if proven, may immediately result in failure of a course,as well as disciplinary action by the College. They can include:

Purposeful falsification of a client record. Blatant disregard of client confidentiality Denying responsibility for ones own deviation from standards of practice. Act or threat of intimidation, harassment, or physical aggression. Actions, which places the client or others in physical or emotional jeopardy. Abusive behavior toward clients. Failure to disclose actions, which places a client or others in physical or emotional

jeopardy. Ignoring the need for essential information before intervening.

NOTE: Students may be removed from the clinical setting during the investigation

of the unusual occurrence.

Academic Accommodations

Samuel Merritt College will make reasonable accommodations for persons with

documented disabilities. Students with disabilities, whether physical, learning, or

psychological, who believe that they may need accommodations in this class, are

encouraged to contact Diane Hansen, Coordinator of Academic Support and DisabledStudent Services, as soon as possible to ensure that modifications are implemented in a

timely fashion. You are encouraged to make an appointment early so the faculty members

have adequate time (at least two weeks) to help provide the needed accommodation. Thestudent is responsible for providing each faculty (theory and clinical) with a copy of the

letter from the Coordinator of Academic Support and Disabled Student Services outlining

course adaptations or accommodations. Accommodations or adaptations will not bemade unless the above named procedure is followed.

Note:

1) Email - if you cannot get into your email account, contact the helpdesk via [email protected] 510-869-6836.

2) Blackboard - if you cannot get into your Blackboard account, contact Vicki Davis,the Online Education Coordinator via [email protected] 510-869-6721

or 800-709-7110.
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]


10/17

N120 MANAGING CARE OF THE ADULT I

ABSN Clinical Evaluation Form

STUDENT NAME______________________________________DATE_____________

INSTRUCTORS NAME________________________________________

MIDTERM EVALUATION FINAL EVALUATION

PROGRESS:

SATISFACTORY_________

NEEDS IMPROVEMENT________

UNSATISFACTORY________

PROGRESS:

SATISFACTORY_________

NEEDS IMPROVEMENT_________

UNSATISFACTORY________

ABSENCES:

Excused Hours________

Unexcused Hours___________

Make up hours completed__________

ABSENCES:

Excused Hours________

Unexcused Hours___________

Make up hours completed__________

Signature:

Date:

Signature:

Date:

Legend:

S = Satisfactory Progressdemonstrates the expected level of competency to achieveclinical objectives by end of rotation.

I = Needs Improvementminimally meets level of competency but is not proficient.

U = Unsatisfactory ProgressDoes not demonstrate the level of competency required to

achieve clinical objectives by end of rotation.


11/17

CLINICAL

OBJECTIVES

MIDTERM

EVALUATION

FINAL

EVALUATION

Student Instructor Student Instructor

1. Demonstrates beginning

knowledge and skill inassessing health variations

of an individuals

biophysical, emotional,

sociocultural, spiritual,

and environmental

dimensions.

2. Applies the nursing

process to assist clients to

achieve and/or maintain

optimal health.

a. Formulates nursingdiagnosis statements basedon relevant, documented

assessments.

b. Prioritizes nursing

activities to meet the needs

of adult clients.

c. Identifies adult client

outcome objectives.

d. Plans interventions

individualized to the adult

clients requirements.e. Evaluates effectiveness ofcare provided.

3. Provides nursing care

that is compassionate and

sensitive to the adults

personal identity, cultural

affiliation and

environment.

4. Demonstrates behaviors

that reflect professional

accountability.a. Prepares for clinical by

completingpathophysiology flowsheet

prior to entering the clinical

setting.

b. Consistently punctual to


12/17

CLINICAL

OBJECTIVES

MIDTERM

EVALUATION

FINAL

EVALUATION


the clinical setting.

c. Adheres to appropriatedress code.

d. Assumes responsibility

and take initiative for own

learning.

e. Practices within the legal

and ethical boundaries ofnursing practice.

5. Demonstrates beginning

socialization into the

professional nursing role.a. Identifies own strengths

and areas for growth,

informally on a weeklybasis and formally in

writing at final evaluation

with clinical instructor.

6. Uses the components of

effective communication

to promote professional

relationships.

a. Reports to appropriateperson at the beginning and

end of assignments.

b. Reports abnormal

findings to the appropriate

person in a timely manner.

c. Communicates with othermembers of the health care

team to coordinate care.

d. Documents nursingassessments, interventions

and other client related

information appropriate interminology and form for

the clinical setting.

e. Maintains confidentiality.

f. Assesses the clients need


13/17

CLINICAL

OBJECTIVES

MIDTERM

EVALUATION

FINAL

EVALUATION


for PRN medication and

treatments.g. Accurately calculates

drug doses in the clinical

environment.

h. Provides for a safe client

environment based onindividual patient needs and

assessment

i. Follows universal

precautions in all clinical

settings.

7. Utilizing adult learningtheory, incorporates the

teaching-learning needs of

adult clients when

planning and delivering

nursing care.

a. Incorporates learningneeds of client/support

system appropriately into

nursing care plan.

8. Provides safe,

therapeutic nursing careto adults that is based on

knowledge of theoretical

rationales.

a. Safely administers

medications.

b. Discusses the purpose of

pharmacological treatmentas it relates to the clients

health status.

c. Assesses the presence of

therapeutic and non -therapeutic effects of

medications.

d. Assesses the clients needfor PRN medication andtreatments.

e. Accurately calculates


14/17

CLINICAL

OBJECTIVES

MIDTERM

EVALUATION

FINAL

EVALUATION


drug doses in the clinical

environment.f. Provides for a safe client

environment based on

individual patient needs andassessment.

g. Follows universalprecautions in all clinical

settings.

9. Provides nursing care

appropriate to the adult

clients stage of growth

and development as itrelates to the clients

current health situation.


15/17

N120: Managing the Care of the AdultProgress Summary Comments

STUDENT:_______________________________________________________

DATE

MIDTERM - STUDENT COMMENTSAreas of Strength:

Areas to Work On:

MIDTERM - FACULTY COMMENTS

Areas of Strength:

Areas to Work On:


16/17

N120: Managing the Care of the AdultProgress Summary Comments

STUDENT:_______________________________________________________

DATE

FINAL - STUDENT COMMENTSAreas of Strength:

Areas to Work On:

FINAL - FACULTY COMMENTS

Areas of Strength:

Areas to Work On:


17/17

Guidelines for Clinical Reflection

Reflection is crucial for student learning. It allows students to grow and process clinical

experiences. Building of what you have learned in Introduction to Nursing and usingyour knowledge of yourself with regards to Myers-Briggs Personality Type, Ethical

Values systems and American Nurses Association Code of Ethics, you are required toreflect on your clinical learning experiences by answering the following questions:

1. What went well in my clinical experience this week?2. What were my primary misconceptions?3. Did I miss anything in report or other information that might have made me act

more effectively as a nurse?

4. Evaluate your knowledge and skills to manage your clinical experience andidentify areas that require further practice.

5. What was correct? Appropriate? Safe?6. What will I do differently next time?

7. What are some goals for next week?