2. Demonstrate patient advocacy in making appropriate ethical nursing responses in client care. 3. Perform patient care measures to relieve pain and

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1 Nursing 213 Advanced Practice & Complex Nursing Care Syllabus West Virginia State Community and Technical College LPN to RN Option Spring 2008 Patricia Mazzella, R.N., M.S.N., Program Coordinator Office: Room 313 Cole Complex Phone: Course Session: 4 Course Time: TBA Office Hours: TBA Class Room Location: TBA Course Description: This course in the nursing program will focus on the nursing principles of the high acuity client in acute care, critical care and emergency department settings. Complex nursing skills and management of life threatening emergencies are the primary focus. Ethical and legal issues in critical care are discussed. During the final segment, students will demonstrate professional accountability in the RN role under the supervision of an RN preceptor. Prerequisite: NURS 212 Course Credit Hours: 5 (3 contact hrs. class, 2 contact hrs lab/wk) Required Textbooks: Urden, L., Stacy, K. & Lough, M. (2004). Priorities in Critical Care Nursing. (4 th ed.). Intermediate & Advanced Nurisng Skills. Prentice Hall Real Nursing Skills. Student Contributions: The student is responsible for: 1. Attending and arriving on time for classes. 2. Preparing for each class, including completing assigned readings and learning activities. 3. Turning off cell phones and/or pagers during class. 4. Presenting a professional manner in all classes, as defined by the WVSU/WVSCTC College Catalog and the Nursing Student Handbook. 5. Maintaining academic honesty and ethical standards in all class learning experiences including avoiding plagiarism, cheating, using unauthorized sources to complete individual assignments, or falsifying learning activities. 6. Maintaining policies as directed by the WVSCTC College Catalog and the Nursing Student Handbook. Learning Outcomes for Session: Upon completion of this session, students will be able to: 1. The student will be able to apply the concepts of critical nursing care to practice. 1

2 2. Demonstrate patient advocacy in making appropriate ethical nursing responses in client care. 3. Perform patient care measures to relieve pain and administer comfort in the critical care arena. 4. Develop the basic skill of EKG interpretation and identify appropriate nursing interventions. 5. Recognize and understand the technological aspects of hemodynamic monitoring. 6. Discuss the role of the RN in establishing and maintaining a patent airway, initiating mechanical ventilation, and performing ongoing assessment of the critical care patient. 7. Identification of high risk patient conditions and early interventions for sepsis and shock. 8. Perform sharp assessment skills and supportive care for all critical care patients. 9. Demonstrate understanding of maintaining homeostasis and prevent endocrine imbalance. 10. Demonstrate prompt, rapid, systematic assessment in the trauma patient. 11. Identify Gordon s Functional Health Patterns in planning patient care. WVSCTC General Education Core Learning Outcomes: General Education curriculum provides a common learning experience for all students that will enable graduates to: 1. Communicate articulately in speech and writing.* 2. Think critically about issues, theory, and application.* 3. Use effective human relationship skills to work in a diverse society. * 4. Function effectively human relationship skills to work in a diverse society. * 5. Use library print and electronic resources for literature research.* 6. Use computational skills to solve problems, manipulate and interpret numerical data, and communicate data in a logical manner. 7. Employ fundamental principles of science, the scientific method of inquiry and skills for applying scientific knowledge to practical situations.* 8. Use computer technology to organize, access, and communicate information. *Indicates strong emphasis in class. Assessment Methods The student will be assessed using the following criteria: Learning Activities: Students will be assessed on their ability to correctly identify current course content and apply it to nursing situations. Term Paper: Students will be assessed on their ability to explore an issue and effectively communicate it in writing. Oral Presentation: Students will be assessed on their ability to organize and deliver an oral presentation to the class. Group Interaction: Students will be assessed on their ability to work together and interact effectively in group situations/assignments. Students are expected to obtain an 80% on all coursework to be assessed as having satisfactory achievement in course content. Students must complete the ACT Work Keys tests and submit a general education portfolio to fulfill WVSCTC graduation requirements. Students must achieve a designated score (currently 66) on the RN Assessment by Assessment Technologies Institute, LLC in order to meet nursing requirements for graduation. Tool used for assessment of student work will include the Written Assignment Rubric, the Group Interaction Rubric and the Presentation Rubric. The Written Assignment Rubric will assess student performance for all written assignments. Written assignments will be assessed using this tool with a 5 indicating superior work performance, a 3 2

3 indicating a work performance that was satisfactory, a 1 for needs improvement in work performance, and a 0 for no submission of work. The student must score a minimum of 3 to achieve competency for the assignment. The Group Interaction Rubric will assess student group process assignments. The students will be assessed individually by their team members and/or by instructor using this tool with a 5 indicating a superior interaction, a 3 indicating a satisfactory interaction, a 1 for needs improvement in interaction, and a 0 for no interaction. The student must score a minimum of a 3 to achieve competency for the assignment. The Presentation Rubric will assess student presentation assignments. The students will be assessed by their instructor using this tool with a 5 indicating a superior presentation, a 3 indicating a presentation that was satisfactory, a 1 for needs improvement in presentation, and a 0 for no presentation. The student must score a minimum of a 3 to achieve competency for the assignment. Grading Policy Assessments Grade Percentage Exams 60% Written assignments 20% Group Activities 10% Oral Presentation 10% Written student activities will be assessed by the instructor using the appropriate rubric (s). Late work submission will be penalized by the instructor unless previous arrangements have been made by the student. All late submissions will result in a decrease of the original grade to the next lowered rubric rating. The grading scale used for this course consists of the following Percentage Grade 100% to 90% A 89% to 80% B 79% to 70% C 69% to 60% D Below 60% F 3

4 Written Assignment Rubric Assessment Criteria Possible Student Assignment: Is not submitted. Is submitted late and below acceptable standard. 0 Assignment: Is below acceptable standard as it is incomplete or fails to fully address the learning activity criteria. Lacks or has poor use of critical thinking skills when applying course content. Demonstrates poor comprehension with little or no analysis of theory and learning concepts. Is unorganized and poorly communicates written ideas. Assignment: Meets expectations as it fully addresses the learning activity criteria. Demonstrates critical thinking in applying course content. Comprehends and applies theory and learning concepts. Uses accurate terminology. Demonstrates use of required electronic or library print resources. Organizes and communicates written ideas. Assignment Exceed expectations of the assignment criteria. Demonstrates superior level of critical thinking in applying course concepts. Effectively identifies, applies, and synthesizes theory and learning concepts. Consistently and appropriately uses accurate technology. Uses multiple electronic or library print resources. Clearly and articulately communicates ideas in writing

5 Group Interaction Rubric Assessment Criteria Possible Student During the group interaction, the student: Does not participate in the group interaction. 0 During the group interaction, the student: Does not communicate ideas to other group members or monopolizes conversation. Frequently interrupts other group members when communicating ideas. Is rude or fails to respect the opinion of other group members. Fails to respect the cultural diversity of the other group members. Demonstrates poor comprehension of course concepts. Lacks or has poor use of critical thinking skills when processing ideas. Relies on other group members to facilitate problem solving. Is not actively involved in the group interaction process. During the group interaction, the student: Communicates ideas to other group members. Listens to the ideas of each group member. Is respectful to each group member s ideas. Demonstrates critical thinking in processing ideas. Assists the group in facilitating problem solving. Demonstrates accountability, responsibility, and involvement in the process. During the group interaction, the student: Effectively communicates ideas to other group members. Demonstrates superior listening skills and encourages other group members to contribute to the group interaction. Is respectful to each group member and supports the ideas of others. Demonstrates exceptional sensitivity to the cultural diversity of the group members. Consistently applies and synthesizes course content. Demonstrates superior level of critical thinking in processing ideas. Provides insight to the group process to facilitate problem solving. Consistently demonstrates accountability, responsibility, and involvement in the process

6 The student: Assessment Criteria Presentation Rubric Does not speak articulately. Poor control of voice pitch, volume, tone, and rate. Unable to maintain audience attention. Fails to maintain appropriate eye contact and non verbal communication with audience. Interacts ineffectively with the audience. Demonstrates lack of confidence and control of anxiety during the presentation. Presents content that is not appropriate or correct, and/or fails to fully review the topic. Uses inappropriate terminology, grammar, and language. Utilizes ineffective or inappropriate audiovisuals and electronic visual aids during the presentation. The student: Speaks articulately. Controls voice pitch, volume, tone, and rate. Maintains audience attention. Maintains appropriate eye contact and non verbal communication with audience. Interacts with audience. Demonstrates confidence and control of anxiety during the presentation. Presents content that is appropriate, correct, and fully reviews the topic. Uses appropriate terminology, grammar, and language. Utilizes audiovisuals and electronic visual aids during the presentation. The student: Consistently speaks articulately. Effectively controls voice pitch, volume, tone, and rate. Consistently maintains audience attention. Maintains excellent eye contact and non verbal communication with audience. Demonstrates superior confidence and control of anxiety during the presentation. Effectively presents content that is appropriate, correct, and fully reviews the topic. Consistently uses appropriate terminology, grammar, and language. Utilizes excellent audiovisuals and electronic visual aids during the presentation. Possible Student 6

7 Nursing 213 Course Calendar Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Overview Of Critical Care Nursing Individual and Family Responses Ethical and Legal Issues in Nursing Comfort and Sedation Dysrhythmia Interpretation Hemodynamic Monitoring Ventilatory Assistance Code Management Shock and Sepsis Cardiovascular Alterations Acute Respiratory Failure Acute Renal Failure Course Readings: Readings: Sole, Klein & Moseley, Chapters 1 & 2. Readings: Sole, Klein & Moseley, Chapters 3 & 4. Readings: Sole, Klein & Moseley, Chapters 6 & 7. Readings: Sole, Klein & Moseley, Chapters 8 & 9. Readings: Sole, Klein & Moseley, Chapters 10 & 11. Readings: Sole, Klein & Moseley, Chapters 13 & 14. Week 7 Week 8 GI Alterations Endocrine Alterations Surgical and Trauma Management Burns Readings: Sole, Klein & Moseley, Chapters 16 & 17. Readings: Sole, Klein & Moseley, Chapters 18 & 19. Week 9 Comprehensive Review Successful completion with designated score on RN Assessment by ATI 7

8 Class Policies Attendance and Tardiness Policy: Students are expected to attend all classes, on campus laboratories, and clinical site experiences. If an absence should occur, it is the student s responsibility to notify the instructor prior to the absence. For clinical site experiences, the student should notify the clinical agency and their clinical instructor of their absence. Success in the nursing program requires attendance at all nursing classes and clinical experiences. Unexcused absences, including failure to notify the instructor, will adversely affect your grade may lead to failure of the course. For an absence to be excused, the student must bring documentation from an agency verifying the need for absence. Examples of excused absence include death of an immediate family member, personal or family illness or injury, or involvement with an activity that represents WVSCTC/WVSU. Documentation examples for an excused absence include a physician/nurse practitioner s excuse for illness or written notification from a funeral home for a death. Because nine week sessions move rapidly through content and skill mastery, it is necessary to limit the number of excused absences as well. Student s who miss 20% of class hours (with excused absences) in a nine week session will be encouraged to withdraw. Students who miss one clinical week during a week session (with excused absences) must arrange to make up lab(s) on an alternate day within two weeks of absence. A learning contract regarding attendance will be developed with the faculty member and applied through the remainder of the program. A student missing more than one clinical week in a course or a cumulative total of 3 weeks in a semester will be encouraged to withdraw. Students may not attend alternate clinical days. Anticipated excused absences such as a funeral or college activity can be made up on an alternative day before the actual absence with instructor permission. In order to facilitate communication, all students must have or arrange for consistent reliable contact. Each student will be held responsible for all class, on campus laboratory, or clinical information or learning activities presented during the absence. When absent, it is the student s responsibility to obtain notes and materials provided during class from other students. Punctual attendance for class is also required. Individuals who are late for class cause a disruption in the classroom setting and may interfere with the learning of the other students in the course. See course syllabi for the course policy regarding tardiness and its effect on the course grade. Cell Phones and Pagers Policy: Cell phones and pagers are expected to be turned off during all class, on campus laboratory, and clinical site experiences since they interrupt the concentration and learning of the student. In the event of an emergency, students are to notify the instructor of the situation and maintain the cell phone or pager in the silent mode. The student may then leave the classroom to communicate with the connecting party. All phone conversations should occur only outside the classroom setting. Cell phones are frequently prohibited in many clinical agencies due to the equipment disruption that may occur. Students should follow the policies of the agencies as per cell phone use. Professional Behavior Policy: Students are expected to behave in a professional manner in all interaction with faculty, students and staff both in and out of the classroom. Distracting and/or insubordinate behavior such as persistent side conversations, disrespect, or aggression (physical or verbal) will be dealt with according to the following process: If the student(s) does not respond to the initial faculty request to correct the offending 8

9 behavior, a verbal warning will be given, followed up in writing to be placed in the student s departmental file. If a pattern of disruption/insubordinate behavior develops, the student, faculty member and program director will develop a learning contract. The learning contract will specify offending behaviors, the expected behavioral changes and the timeframe for evaluation. Failure to comply with the terms of the learning contract can result in failure of the nursing course in which the student is enrolled. Examination/Quiz Policy: Since class attendance is required, students are expected to be present at the time of the examination and quizzes. Quizzes for courses may be scheduled or impromptu, but examinations will always be scheduled. If you are ill or have a serious emergency and must miss a scheduled exam, you must contact the instructor by phone or e mail PRIOR to the exam or quiz. If the instructor is not available when you call, leave a phone message on the answering machine or notify the instructor by e mail. If the student is unable to reach the instructor, you may contact the Administrative Secretary for Allied Health at to leave a message for the instructor. If you fail to notify the instructor, you may not be permitted to make up the exam. Make Up Policy for Examination or Quiz: Students will be able to take a make up examination or quiz only if they have an excused absence. For an absence to be excused, the student must bring documentation from an agency that verifies the need for the absence as defined previously in Attendance Policies. A make up exam must be taken within three days of your return to classes. Make Up Policy for Examination or Quiz Make up exams will cover the same course content but may have different questions or format. Only students with an excused absence will be permitted to take a make up examination or quiz. If a student has a pattern of missing more than one examination or quiz during the course, it will be up to the instructor to decide whether the student will be permitted to take the make up examination even if the absence is excused. Make Up Policy for Assignments: Assignments are due on the date identified by the course calendar unless prior arrangements are made with the instructors. Late assignments will only be accepted by the instructor if the student has an excused absence and may result in a lowered grade. Policy on Plagiarism and Academic Dishonesty: Students at WVSCTC are expected to maintain academic honesty when completing all learning activities. Students will violate academic honesty when: Committing plagiarism by representing the work of others as their personal work, Failure to use quotation marks when directly quoting from the work of others, Failure to document the ideas of others if paraphrasing a citation, Inventing or providing false documentation of sources, Altering the record of any grade or grade book, Cheating on tests. Sharing test content with other students who are to take the test, 9

10 The use of notes, text messaging systems, or sources of information during tests of any kind, Unauthorized possession of a test or portion of a test prior to, during, or after completion of an examination or quiz, Stealing, modifying or destroying materials which other students may need access to such as computer discs or library material, Failure to report patient care errors to the instructor in the clinical setting, Falsifying all or part of any clinical record, Copying and removing client records from the clinical setting, Failure to maintain client confidentiality, and Stealing drugs or clinical agency supplies. A violation of this policy will result in the initiation of the Academic Dishonesty Policy found in the WVSU/WVSCTC College Catalog. 10

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