Imperial Valley College Division of Nursing Education and Health Technologies Syllabus

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1 I. Course Number Title Units NURS 230 Nursing Trends 1.0 II. Instructor Information Rick Fitzsimmons, APRN, BC, MSN, FNP IVC office hours: make appointment as explained during class III. Introduction and Course Description Catalog The course is designed to integrate previous science and nursing course theory. The course addresses, reviews, and scrutinizes current issues affecting nursing and the healthcare community. Legal and ethical issues, health care in current society, nursing educational pathways, health care delivery systems, legal and ethical concerns, including the California Nurse Practice Act are explored and discussed. Nursing educational pathways for lifelong learning are reviewed. The course explores the profession of nursing and the transition from student to professional nurse. Additional Description or Information: The student is exposed to issues confronting nursing. Professional organizations are explored. The role of the nurse in evidenced based practice, patient safety, customer service and collaboration with multiple disciplines is discussed. IV. Prerequisites or Co-requisites Prerequisite: NURS 211, 231, 224, 225 Co-requisite: NURS 221, 241 V. Student Learning Outcomes The student will communicate staffing and resource needs according to identified patient care needs and will contribute to decisions related to staffing for a given scenario. # 1 Develop persuasive arguments from 1 or 2 perspectives on an industry current event or issue in relationship to related regulatory entities, statutes, regulations, and ethics. # 2 Develop a professional resume for an identified career opportunity for an Associate Degree nurse; i.e. acute care, long term care, home health, or forensics and with consideration of the industry expectations of new graduate nurses. # 3 Create a personal development plan addressing NCLEX success, lifelong learning, and compliance with regulatory requirements for education; i.e. continuing education units (CEUs). VI. Course Objectives: 1. Discuss current issues affecting nursing in relation to historical perspective 2. Contrast professional and technical nursing 3. Compare and contrast the scope of practice of different levels of nursing (RN, LVN, CNA) 4. Discuss Nursing Education in the US and develop a plan for lifelong learning 5. Explore legislative, state/national political, and financial/insurance issues impacting nursing and healthcare 6. Discuss legal issues involved in licensure, credentialing, and competencies NURSING 230 Fall 10 Rick.F.doc 116 1

2 7. Analyze ethical and customer service issues encountered in nursing practice 8. Discuss the California Nurse Practice Act and its role in determining nursing practice in the State of California 9. Explore the role of the National Council of State Boards of Nursing and the NCLEX Exam. 10. Develop a professional resume in relation to major activities and programs of major nursing organizations 11. Explore the various career opportunities for Associate Degree Nursing graduates and survival skills for longevity VII. Text Books and Items Needed for this Course Purchase at the IVC bookstore or order on-line through publisher's website or other online bookstores. Most information must be current, with 2 years, and pulled from Nursing Journals and scientific on-line sources. VIII. Course Grading & Course Standards The entry of a student into the nursing program and this course constitutes the student s acceptance of The Student Handbook, and any approved corrections/clarifications, which guides the grading and standards for this course The College Catalog which outlines the Standards of Student Conduct and pertinent regulations Grading Course grades are based on the following scale (not rounded) A = 92% -100% B = 83% - 91% C = 75% - 82% D = 68% - 74% F = Below 68% Successful completion is based on the following 75% or better of total possible points accumulated for entire course and 75% or better of total possible points for final Standards Academic dishonesty: Any student guilty of academic dishonesty, including plagiarism, must meet with the instructor and Program Director to determine if the student shall remain in the nursing program. Not acceptable behavior: Phone texting, phone conversations, talking in class, and reading other than class coursework Academic dishonesty, such as plagiarism and cheating Behavior disruptive to the learning environment NURSING 230 Fall 10 Rick.F.doc 116 2

3 Acceptable behaviors: Tape-recording the lecture, bringing guests with permission and working collaboratively on group projects as directed Discussion of differing viewpoints or concerns when expressed in a manner conducive to the learning environment Deadlines: Assigned written work is due on dates specified by the instructor and must be submitted at the beginning of class. Partially completed work is not accepted Late work: Will have 10% deducted from the score achieved for each day late. (If over a two day weekend, only 10% will be deducted) If events occur which prevent timely submittal, special permission may be requested in writing before the due date stating the reason for the extension and the amount of time requested If the student is unable to come to class the day work is due, it is the student s responsibility to contact the instructor and make arrangement for submission of the work IX. Attendance Policy According to Imperial Valley College catalog: attendance is expected of all students enrolled and will be considered when computing grades. A student may be excluded from further attendance in a class during any semester when absences have exceeded the number of class hours that the class meets per week, which is 1 class. Further, the instructor request a student be removed from class if judged to be a disturbing element in the class. In addition, the attendance policy of the Nursing Program, including but not limited to the following: A. A student who exceeds the maximum allowable number of hours absent (1 class) must file a petition to remain in the nursing program. The student will meet with the program team to discuss the situation and consideration for dismissal. B. If remediation is considered, additional study assignments will be based upon the classroom objectives as determined by the instructor C. Students who are late to class 3 times in any nursing course will be considered absent for one day. D. It is the student s responsibility to check on announcements any time absent or tardy E. It is the student s responsibility to drop the class through Webstar before the drop date if they do not intend to continue in the class. Failure to drop the class by the drop date will result in possible failure of the class. X. Special Considerations and Disabilities Any student with a documented disability who may need educational accommodations should notify the instructor or the Disabled Student Programs and Services (DSP&S) office as soon as possible. DSPS is in room XI. Course Content, Assignments and Examinations Content emphasized in class reading assignments, presentations, lectures, discussions, and some journal assignments will be used in the examinations. NURSING 230 Fall 10 Rick.F.doc 116 3

4 XII. Course Assignments: Will be distributed in class Journals: Journals are a way to analyze and improve critical thinking skills by thinking through writing. It is a self-regulated (not group) exercise that is graded based on the thoroughness of covering the chosen topic, resources used, legibility, etc. Points will be subtracted for tardy journals, illegibility, and work obviously done by others. Participation & Progressive Expectations: You are expected to increase participation and readiness for class as the semester progresses. Participation includes class discussions, asking/answering questions, and group work. Points are approximately 2 points for each fully participative class, 1 point for moderately participative class, and 0 points for classes you are unprepared for. 1 Assignments Written Personal Development Plan: NCLEX Study Plan, Lifelong Learning Plan, CEU Plan, etc. Points % of class Class Participation Persuasive Arguments (pro & con) for Chosen Topic Development of Resume for Defined Career Opportunity for ADRNs Journals for Five Defined Topics (12 points each) Annotated Bibliography % The total possible points for the course is 580 points will be graded as follows 533 to 580 A 481 to 532 B 435 to 531 C 394 to 434 D 393 or Less F NURSING 230 Fall 10 Rick.F.doc 116 4

5 Weekly Schedule Subject to Change to Accommodate Guest Speakers Date Wk Core Content % of Course Approx Hours Unit 08/24/10 1 Orientation, description of class and assignment of projects 7% 1 Unit A 08/31/10 2 Professional and Nursing Profession. History of nursing. Nurse Theorists. Nursing Research. Resources: NLC and Campus Library. 7% 1 Unit C 09/07/10 3 Current issues affecting nursing. Quality and patient safety: NPSG, NQF, HQI, HCAHPS, etc. Infection control hot topics 09/14/10 4 Current issues affecting nursing. Quality and patient safety issues pertinent to hospitals 7% 1 Unit C 7% 1 Unit A 09/21/10 5 Current Issues affecting nursing: Current and proposed heath care system 09/28/10 6 Scope of practice ANA and for APN, RN, LVN, Scrub Tech, CNA. Collaboration/communication with multiple disciplines. Professionalism, Professional Organizations: ANA, ACNL, Sigma Theta Tau, etc. 10/05/10 7 Career opportunities for the ADRNs. Different roles/agencies and referrals: Infection Control, ECF, VA, Clinics, Public Health, NP. 7% 1 Unit A 7% 1 Unit D 7% 1 Unit B 10/12/10 8 Legislative and/or political issues impacting nursing and health care. HIPAA. Nurse ratios. Financial implications. The SANE trial experiences (guest) 10/19/10 9 Professional resume / portfolio. Interviews. Expectations of industry via 'The Advisory Board's 36 Competencies'. Customer Service/Pt Advocacy. 10/26/10 10 Current nursing issues continued. Evidence Based Practice with SDSU student or graduate (guest?). 7% 1 Unit D 7% 1 Unit C Helina Hoyt 7% 1 Unit B 11/02/10 11 Ethical issues encountered in nursing practice. Reporting unsafe practitioners. Advance directives in the plan of care. Disclosure of medical errors. 7% 1 Unit C Helina Hoyt 11/09/10 12 Current nursing issues continued. Evidence based practice 7% 1 Unit B 11/16/10 13 Legal issues involved in licensure, credentialing, and competencies. Informed consent & right to refuse. Reporting dog bites, gunshot wounds, infectious diseases, abuse, etc. Identifying tasks you are not prepared to do 7% 1 Unit B NURSING 230 Fall 10 Rick.F.doc 116 5

6 11/23/10 14 California Nurse Practice Act. 5 Rights of Delegation and supervision of UAPs. Medical Reserve Corp (MRC) & disaster planning/response and security plans. Volunteerism vs. nursesinary Unit E 11/30/10 15 National Council of State Boards of Nursing and the NCLEX exam. Nursing education in United States and your plan for lifelong learning. Self-care and transitioning into the role of a RN. Orientation and inservice. Educating new staff. RN to BSN (BSN by 2010) and the ACNL or CADNA response. 9% 1 12/7/10 16 Annotated Bibliography 100% 14 NURSING 230 Fall 10 Rick.F.doc 116 6

7 XIII. Unit Objectives: Objective 4 Objective 4 Objective 5 Objective 6 Objective 4 Objective 5 A Where We Have Been and Where We Are Going A brief review of the history of nursing will be explored with an emphasis on the changing role of nursing. Profession and professional descriptions will be discussed. Nurse Theorist and their theories will be reviewed with an example of application Explain the course syllabus and expectations Review the history of American nursing Discuss the impact of American political and social changes on nursing in America Discuss the various scopes of practice for different nursing levels and collaborating disciplines Class discussions, participation, journal and other assignment B Regulatory, Legal, and Ethical Accountability in Nursing An overview of the legal and ethical standards for RNs with a focus on the analysis of dilemmas encountered as a practicing nurse. Recognize the rules and regulation of the California Board of Registered Nursing Discuss the California Nurse Practice Act - Code of Regulations, etc Differentiate between legal and ethical nursing practice Analyze ethical/legal dilemmas and determine the actions of a patient advocate within the health care environment Discuss all ramifications of the mandated ratios Define additional requirements for advanced practice nurses Discuss the effects of the nursing shortage, "Nursing in California: a Workforce Crisis and its Impact on the Future of Nursing, Class discussions, participation, journal and other assignment C Current Issues in Nursing and Healthcare A panorama of issues that affect nursing today. Identify and discuss two of the quality and safety issues confronting healthcare agencies Debate the value of 'one nursing board' - pro and/or con Discuss managed care reimbursement issues Debate healthcare reform proposals Discuss classifications of care - acuity and acuity systems Class discussions, participation, journal and other assignment NURSING 230 Fall 10 Rick.F.doc 116 7

8 Objective 4 Objective 5 D Career Opportunities and Professional Growth for the Professional Nurse An overview of career opportunities, benefit packages, and professional growth opportunities for the ADRN graduate. Emphasis will be placed on resume and portfolio development, interview techniques, and career survival. Development of a professional cover letter, resume, and portfolio Explore benefit packages available to new RNs Discuss employer and employee expectations of new RN; The Advisory Board's 36 Competencies Class discussions, participation, journal and other assignment E Education Preparation for Nursing An overview of the different educational tracks leading to professional nursing practice and advanced nursing practice. The educational preparation and scope of practice for different levels of the nursing team will be explored. Emphasis will be on developing a personal 5 to 10 education plan. Another focus is preparation for the NCLEX-RN Identify factors that have prompted change in nursing education, including studies and sociopolitical events Discuss the ANA position paper on nursing practice and the ACNL BSN in 2010 position, and the response of the California Associate Degree Nursing Association, ANA, and /or ACNL. Discuss the California Strategic Plan of Nursing Education Discuss the continuing education requirements in California Explore the RN to BSN and Advance Nursing preparation requirements Class discussions, participation, journal, other assignment, AND final Course Assignments: Journals: Journals are a way to analyze and improve critical thinking skills by thinking through writing. It is a self-regulated (not group) exercise that is graded based on the thoroughness of covering the chosen topic, resources used, legibility, etc. Points will be subtracted for tardy journals, illegibility, and work obviously done by others. Journals will cover five topics that we discuss during lecture. The topics are: 1. Nursing Profession 2. Nursing Quality and Safety issues 3. Nursing and the health care system 4. Nursing politics & legal issue 5. Nursing advocacy issues 6. Nursing Evidence based practice 7. Nurse practice act, delegation and supervision NURSING 230 Fall 10 Rick.F.doc 116 8

9 Participation & Progressive Expectations: You are expected to increase participation and readiness for class as the semester progresses. Participation includes class discussions, asking/answering questions, and group work. Points are approximately 2 points for each fully participative class, 1 point for moderately participative class, and 0 points for classes you are unprepared for. Written Personal Development Plan: This plan needs to incorporate your NCLEX Study Plan, goals in practice, goals to lifelong learning plan, CEU Plan, and lifelong career plan. This should be researched and thought through this whole semester. Resume: Develop a resume to obtain a job after graduation. Explore and define your career goals and opportunities that you will seek. Annotated Bibliography: Using APA format develop an annotated bibliography of all of your readings. This should be a description of the key points of the article, book or other form of communication. A short 2 to 4 sentence explanation should be adequate. Persuasive Arguments: This is a group activity that will be presented to the class. Grade is presented individually and will be based on information presented and presentation quality. Topics are: Presentation Date Nursing Theory/History Week 2 Nursing Quality & Safety Week 3/4 o Nursing errors o Medication errors United States Health Care System Week 5 o Current Health Care System o Proposed Health Care System Evidenced Based Practice Week 12 Nursing Practice/Legal issues Week 7/13 o Scope of Nursing Practice o Hospital Nursing o Reporting Errors Nursing Ethics Week 11 California Nurse Practice Act Week 14 o Continuing education, ensuring competent practice, delegation, diversion NURSING 230 Fall 10 Rick.F.doc 116 9

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