BSN Program NURS 2141 Nursing Practice 4 Section 2

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1 BSN Program NURS 2141 Nursing Practice 4 Section 2 Wanda Pierson, RN, BSN, MSN, MA, PhD Office: B153d Telephone: wpierson@langara.bc.ca Office Hours: Thursday hrs [201130]

2 2 of 11 Table of Contents Course Outline... 3 Process... 3 Class or Clinical Practice Cancellation... 3 Learning Outcomes... 3 Overview of Concepts... 4 Required Texts... 4 Resources 5 Evaluation... 5 Assignments... 6 Professional Responsibilities... 7 Schedule... 8 Appendix I Appendix II e & [Hume], Jan_ Revised,

3 COURSE OUTLINE 3 of 11 N2141 is an extension of previous practice courses and will be focusing on increasingly complex episodic health challenges. This course will build on the student s previous knowledge base of human anatomy and physiology. Using a variety of learning methods such as case studies, discussions, presentations, and visual programs for the classroom portion of this course will enhance student s nursing practice in the clinical areas. Nursing students will broaden their scope of practice to include the use of critical thinking, problem solving techniques, and active clinical decision making in medical surgical treatments, postoperative care and discharge planning. Experiences include the provision of safe, competent care with individuals and their families in a surgical setting. PROCESS Nursing 2141 is a weekly 4-hour nursing course. It is delivered in a mixed-mode format; consisting of a three hour, face-to-face class component, and a one hour online component using Blackboard CE 6 learning management system. Classes consist of a variety of methods including but not limited to lectures, simulations, discussions, individual work, and small and large group work. Guest speakers may be invited to some classes. CLASS OR CLINICAL PRACTICE CANCELLATION The School of Nursing makes every effort to replace a nurse educator when he or she is unable to attend a class or clinical practice. If a nurse educator needs to cancel a class or a clinical practice day, for whatever the reason, information regarding the class cancellation will be posted on Blackboard CE 6 as well as at the Registrar's Office (B-Building). As for the cancellation of clinical practice, individual nurse educators will inform his or her students of how cancellation will be conveyed during orientation week. It is important then to log on to Blackboard the day of class and of clinical practice. LEARNING OUTCOMES Participants in the course develop caring relationships with clients experiencing increasingly complex health challenges as they plan, provide, evaluate, and document safe nursing care. Nursing students will integrate theoretical knowledge within a moral and ethical framework and decision making for nursing practice model while providing safe care in an advanced setting and enhancing abilities in the domains of learning. The lived experience of clients is examined within the context of varying episodic health challenges. The creation of the need to know is valued and facilitated by providing nursing practice experience that generates questions and examines e & [Hume], Jan_ Revised,

4 4 of 11 theories and concepts for further discussion. Praxis is actualized by active participation in class and practice areas. OVERVIEW OF CONCEPTS People s Experiences with Health Challenges related to: REQUIRED TEXTS Decision Making for Nursing Practice Head to Toe Assessment Gordon s Health Patterns RESP GI CVS MSK GU Endocrine CNS Ca lung Gastritis GI Bleed Ostomy care Arterial ulcers Venous ulcers Neurovascular Assessment Orthopedic Surgery Cast care Total Joint Replacement Surgery Acute Renal Failure Prostate CA Brophy, K., Scarlett Ferguson, H., Webber, K., Abrams, A. C., Pennington, S. S., & Lammon, C. B. (2011). Clinical drug therapy for Canadian practice (2nd ed.). Philadelphia, PA: Lippincott, Williams, & Wilkins. CRNBC Resources from (documentation, informed consent, administration of medications, confidentiality, standards of nursing care). Deglin, J. H., & Vallerand, A. H. (2009). Davis s drug guide for nurses (11 th ed.). Philadelphia, PA: F.A. Davis Company. Lewis, S. L., Heitkemper, M. M., Dirksen, S. R., O Brien, P. G., & Bucher, L. (2010). Medical-surgical nursing in Canada (2 nd ed.; M. A. Barry, S. Goldsworthy & Donna Goodridge, Canadian Eds.). Toronto, ON: Elsevier Canada. CBI Pancreatitis Hepatitis Cirrhosis TPN Spinal Cord Injury Brain Injury Pagana, K. D., & Pagana, T. J. (2009). Mosby s diagnostic and laboratory test reference (9 th ed.). St. Louis, Missouri: Mosby Elsevier. Potter, P. A., & Perry, A. G. (Eds.). (2010). Canadian fundamentals of nursing (4th ed.; J. C. Ross-Kerr & M. J. Wood, Canadian Eds.). Toronto, ON: Elsevier Canada. e & [Hume], Jan_ Revised,

5 RESOURCES Other nurse educators who are responsible for this course are: Heather Anderson RN, BN, MN student C316a Prav Dhaliwal RN, BSN, MSN B153o Peterson Masigan RN, BSN C316b Jane Mighton RN, BSN, MSN B153m Nina Heir RN, BSN, MSN B029n Wanda Pierson, RN, BSN, MSN, MA, PhD B153d Resources include required texts from previous terms and also: 5 of 11 Sabrina Chahal RN, BSN C317a schahal@langara.bc.ca Heather Hume, RN, BSN, MSN B010a hhume@langara.bc.ca Canadian Nurses Association. (2008). Code of ethics: The centennial edition. Ottawa: Author. e School of Nursing. (2010). BSN handbook. Vancouver, BC: Author. e School of Nursing. (2008) Proficiency tracking tool. Vancouver, BC: Author. e School of Nursing. (2008). Program overview. Vancouver, BC: Author. The Writing Centre, located on the second floor of the e Library. EVALUATION Nursing 2141 is comprised of nursing practice class and clinical practice. Students are required to achieve a minimum of 65% in the nursing practice class, and a Satisfactory (S) grade in clinical practice, to achieve an overall Satisfactory (S) grade, for Nursing Satisfactory standing is required in all the domains of practice within the Performance Appraisal Form. **Note: Blackboard Pharmacology Quizzes are open for completion for two weeks. Once a due date has passed (listed under schedules), the quiz will not be reopened. Remember, it is your responsibility to complete all quizzes by the due dates. e & [Hume], Jan_ Revised,

6 6 of 11 According to School of Nursing policy, 65% or a C+ or S grade is the minimum grade requirement for successful completion of all nursing courses. The grading scale for the School of Nursing is as follows: A % A % A % B % B 75 79% B % C % C 60 64% C % D 50 54% F 49% or below ASSIGNMENTS Evaluation of the Learning Outcomes of Nursing 2141 include: Class Assignment Weight Due Date Blackboard - Pharmacology Quizzes (10) 50 See schedule Exams - Midterm 25 Oct 20th - Final Exam 25 Exam Week The dates for submission of assignments are pre-established and outlined in all course syllabi. Completion and submission of all assignments is an expectation of e. Clinical Practice Assignments Weight Due Date DMF S Week 3 2 Journals S Weeks 5 & 8 Evidence-based practice project S Week 10 Midterm PAF S Week 6 Final PAF S Week 12 Please note that midterm and final evaluation meetings between student and nurse educator occur at e. These are usually scheduled in the 7 th and 14 th week of the semester. Students are required to attend their midterm and final evaluation meetings during evaluation week. Absenteeism during evaluation week may affect your progress in the program. PROFESSIONAL RESPONSIBILITIES e requires all members of the College community (students and nurse educators) to conduct themselves in a manner that promotes a learning and working environment characterized by encouragement, free inquiry, integrity, e & [Hume], Jan_ Revised,

7 7 of 11 mutual respect, professionalism, recognition of achievement, and social responsibility. The College community respects diversity, is civil, and provides for individual safety ( Every practicing nurse in British Columbia, from the beginning student to the expert nurse, is required to assume full responsibility for knowing and adhering to the professional standards of practice. These standards serve primarily to ensure an acceptable level of professionalism (CRNBC, 2008). One of the College of Registered Nurses of British Columbia (CRNBC, 2008) standards of practice is Professional Responsibility and Accountability. Students are expected to have a working knowledge and adhere to the policies of e and those outlined in the e School of Nursing BSN Handbook. In particular, the following policies will be reviewed during Week 1 of the semester. 1. ATTENDANCE AND PARTICIPATION 2. SAFE PRACTICE APPRAISAL (SPA) 3. CLASS CONDUCT 4. PROFESSIONALISM & ACADEMIC HONESTY 5. ASSIGNMENTS AND EXAMS 6. EXAM SECURITY 7. WEB NETIQUETTE Students are also required to use appropriate language and APA style for all assignments. Questions relative to the methods of evaluation should be directed to the nurse educator teaching the course section in which students are registered. Any time during the term in clinical practice, a student whose clinical judgment or conduct constitutes a threat to client safety or non-adherence to the CRNBC s professional practice standards, he or she will not be permitted to continue practice in the clinical area and may receive and Unsatisfactory (U) grade. e & [Hume], Jan_ Revised,

8 SCHEDULE 8 of 11 Week Story Readings #1 Introductions; Class: Review Potter and Perry (2010) Page Sept 8 Growth and Read Potter and Perry (2010) Chapter 24 (p ) & Chapter development 25 (p ); during adulthood; Pharmacology basics. Pennington & Lammon (2011) p. 3-5 & #2 Sept 15 #3 Sept 22 #4 Sept 29 #6 Oct 13 Clinical pathways; decision making framework. Blackboard: Student Introductions Basics of pharmacology/medication errors quiz must be completed by Wednesday Sept. 21 at 1600hrs Class: Lewis, Heitkemper, Dirksen, O Brien, & Bucher (2010) p 6-8; Potter & Perry (2011) p ; Brophy, Scarlett Ferguson, Webber, Abrams, Pennington, Lammon, (2011) p Pharmacology: Brophy, Scarlett Ferguson, Webber, Abrams, Pennington, Lammon, (2011) p Blackboard: Quiz must be completed by Wednesday September 28 at 1600hrs Sonia Class: Lewis, Heitkemper, Dirksen, O Brien, & Bucher (2010) 1010t, , ; Potter & Perry (2010) review Chapter 45; Brophy, Scarlett Ferguson, Webber, Abrams, Pennington, Lammon, (2011) p ; ; ; 515; Pharmacology: Brophy, Scarlett Ferguson, Webber, Abrams, Pennington, Lammon (2011) p Guest Speaker Blackboard: Quiz must be completed by Wednesday Oct 5 at 1600hrs Berthe Class: Lewis, Heitkemper, Dirksen, O Brien, & Bucher (2010) p. 339 (Peripherally inserted catheters); ; ; ; Potter & Perry (2010) review p ; Brophy, Scarlett Ferguson, Webber, Abrams, Pennington, Lammon (2011) p. 111; 119; ; 86-87; Pharmacology: Brophy, Scarlett Ferguson, Webber, Abrams, Pennington, Lammon (2011) p Blackboard: Quiz must be completed by Wednesday Oct 12 at 1600 hrs Robert Class: Lewis, Heitkemper, Dirksen, O Brien, & Bucher (2010) pages ; 644t; ; Brophy, Scarlett Ferguson, Webber, Abrams, Pennington, Lammon (2011) p ; 723 (oxygen therapy); Pharmacology: Brophy, Scarlett Ferguson, Webber, Abrams, Pennington, Lammon (2011) p Guest Speaker Blackboard: Quiz must be completed by Wednesday Oct 19 at 1600 hrs Abdul Class: Lewis, Heitkemper, Dirksen, O Brien, & Bucher (2010), 1222t, 1225; 1408; ; Potter & Perry (2010), 385; Brophy, e & [Hume], Jan_ Revised,

9 #7 Oct 20 #8 Oct 27 #9 Nov 3 #10 Nov 10 #11 Nov 17 #12 Nov 24 #13 Dec 1 9 of 11 Scarlett-Ferguson, Webber, Abrams, Pennington & Lammon (2011) p. 413; 415; ; 297. Pennington & Lammon (2011) Blackboard: Quiz to be completed by Wednesday Oct 26 at 1600 hrs Chen Class: Lewis, Heitkemper, Dirksen, O Brien, & Bucher (2010), ; ; ; 572; (Diabetis review); ; Brophy, Scarlett-Ferguson, Webber, Abrams, Pennington & Lammon (2011) p ; 425. Pennington & Lammon (2011) p Midterm Quiz Blackboard: Quiz must be completed by Wednesday Nov 2 at 1600hrs Mary Class: Lewis, Heitkemper, Dirksen, O Brien, Bucher, (2010) 1000; ; ; Potter & Perry, (2010) ; Brophy, Scarlett- Ferguson, Webber, Abrams, Pennington & Lammon (2011) p ; ; ; Pennington & Lammon (2011) p Blackboard: Quiz must be completed by Wednesday Nov 9 at 1600hrs Frank Class: Lewis, Heitkemper, Dirksen, O Brien, & Bucher (2010) ; ; ; ; ; ; 1225; ; Potter & Perry, (2010) 1100; Brophy, Scarlett-Ferguson, Webber, Abrams, Pennington & Lammon (2011), p ; ; 854; ; ; ; ; Jacquie Class: Lewis, Heitkemper, Dirksen, O Brien, Bucher, (2010) ; ; 282 Histocompatibility studies; ; ; Potter & Perry, (2010) ; Brophy, Scarlett- Ferguson, Webber, Abrams, Pennington & Lammon (2011) p ; Pennington & Lammon (2011) p Blackboard: Quiz must be completed by Wednesday Nov 23 at 1600hrs Marie Class: Lewis, Heitkemper, Dirksen, O Brien, Bucher, (2010) ; ; ; ; Brophy, Scarlett-Ferguson, Webber, Abrams, Pennington & Lammon (2011) p ; ; ; ; ; Pennington & Lammon (2011) Blackboard: Quiz must be completed by Wednesday Nov 30 at 1600hrs Ken Class: Lewis, Heitkemper, Dirksen, O Brien, & Bucher (2010) ; 1545 (spinal nerves); ;Potter & Perry (2010) p. 1206; (Hazards of immobility); Brophy, Scarlett Ferguson, Webber, Abrams, Pennington, Lammon, (2011) p Class: Review Course Evaluations e & [Hume], Jan_ Revised,

10 APPENDIX 1 10 of 11 Blackboard Pharmacology 50% There are 10 Pharmacology Quizzes, which are accessible from the first day of class (Thursday, September 8th, 0900hrs). Each unit is open for completion for two weeks. You are responsible to complete the quiz by 1600hrs on the due date. Once the due date/time is closed it will not be reopened. The due date and time is non-negotiable. Midterm 25% One multiple-choice midterm will be worth 25% of your overall mark. This will be completed on Blackboard, during class-time and will be accessible under the Assessment tab on the left hand side of the page. The midterm will cover material discussed in the previous weeks learning from classes & required readings. Make sure to include pharmacology in your review. Final Exam 25% Will contain 100 multiple-choice questions and will be cumulative and evenly distributed for the entire course readings, classroom activities, and Blackboard discussions. Completion of the final exam is required for completion of the course. e & [Hume], Jan_ Revised,

11 1. DMF APPENDIX 2 Description of clinical assignments 11 of 11 The assignment is directly correlated to an actual client you have provided care for in the clinical setting. Your clinical educator will clarify specific expectations. DMF template and APA formatting must be used. Due in Week Journal You are required to complete two journal assignments reflecting on your insights, thoughts, and feelings as they relate to a specific clinical topic. Your clinical educator will provide specifics. Minimum 1-2 pages; APA formatting required. Due in Week 5 & Evidence-Based Practice Project The assignment is introduced in N2251, Healing II: Complex Episodic Health Challenges, which will include choosing a topic relevant to the clinical setting, completing a review of the literature, and obtaining a journal article(s) to provide evidence. You will develop an in-service, pamphlet, or poster and present it to your clinical unit. Your clinical educator will provide guidance as to which topic may be appropriate and may allot post-conference time to work on the assignment. Due in Week 10. e & [Hume], Jan_ Revised,

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