UNIVERSITY OF MASSACHUSETTS BOSTON COLLEGE OF NURSING AND HEALTH SCIENCES NU 226: INTRODUCTION TO NURSING PRACTICE AND THEORY

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1 COURSE NUMBER: NU COURSE TITLE: Introduction to Nursing Practice and Theory PLACEMENT: Level 2, Semester 4 CREDIT HOURS: 6 credits 3 hrs class/ 6 hrs lab or clinical/wk 45 hrs/90 hrs semester UNIVERSITY OF MASSACHUSETTS BOSTON COLLEGE OF NURSING AND HEALTH SCIENCES NU 226: INTRODUCTION TO NURSING PRACTICE AND THEORY PREREQUISITES: CO-REQUISITES: LECTURE: CLINICAL DAY/TIME: Completion of all 100 level courses, Anatomy & Physiology I and II, Lifespan Growth & Development, Microbiology, World Cultures Course and Intermediate Seminar Health Assessment, Pathphysiology and Nursing Research Thursdays 11-1:45 PM Healy Media Auditorium Mondays or Tuesdays as assigned Clinical Sites Day of the Week Clinical Time Clinical Instructor Cambridge Health Alliance Whidden Hospital (West 1) Monday 7:00 AM 13:00 PM A. Eastman Spaulding Rehabilitation, Boston 8 th floor Monday 15:00 PM 21:00 PM T. Rizk New England Baptist 5 West Monday 7:00 AM 13:00 PM K. Leger Spaulding Rehabilitation, Boston 4 th floor Monday 16:00 PM 22:00 PM R. Tolentino Spaulding Rehabilitation, Boston 6 th floor Monday 7:00 AM 13:00 PM T. Rizk Spaulding Rehabilitation Hospital Cambridge (W4) Monday 7:00 AM 13:00 PM V. Tsveybel Kindred Boston Monday 7:00 AM 13:00 PM N. Connolly VA Bedford DEU Monday 15:00 PM 21:00 PM K. Saindon VA Bedford DEU Tuesday 7:30 AM 4:00 PM J. Dailey 1

2 Clinical Sites Day of the Week Clinical Time Clinical Instructor Kindred Hospital 3 rd Floor Tuesday 7:00 AM 13:00 PM D. Jean-Erold New England Baptist Jordan, 4 East Tuesday 7:00 AM 13:00 PM R. Slate- Ziman Spaulding Rehabilitation Hospital 6 th Floor Tuesday 16:00 22:00 PM E. Bautista LABORATORY DAY/TIME: Monday or Tuesday as assigned Center for Clinical Education & Research (CCER) COURSE FACULTY: Janice B. Foust, PhD, RN Office: Science Building, Room Phone: (617) Janice.foust@umb.edu Office hours: Thursday and by appointment Clinical Coordinator Jennifer Mardin Small, RN MSN Office: Science Building, Phone: jennifer.mardin@umb.edu Office hours: By appointment TEACHING ASSISTANT: Blerina Nushi, BSN, RN, Graduate Student, Adult Gerontological Nurse Practitioner Program blerina.nushi001@umb.edu 2

3 COURSE DESCRIPTION: This first clinical course provides the basis for the acquisition and development of the knowledge, skills, and attitudes foundational to the art and science of professional nursing practice. This course emphasizes critical thinking, communication, collaboration and evidence-based practice and their integration throughout the nursing process. Application of the cognitive, affective and psychomotor skills required for safe, effective, compassionate and culturally congruent patient care delivery is stressed in class, lab, sub-acute and acute clinical settings, with special attention to the needs of older adults. AT THE COMPLETION OF THE COURSE THE LEARNER WILL: 1. Demonstrate beginner level knowledge, skills, and attitudes essential for professional nursing practice. 2. Apply evidence-based nursing process in order to provide safe, effective, compassionate and culturally congruent care with special attention to needs of the older adult population. 3. Demonstrate effective communication skills (oral and written) in interactions with patients, family members, agency staff, peers, and faculty. 4. Demonstrate beginner level competence in using technology to enhance the provision of safe patient care. 5. Discuss ethical dilemmas, biases and special needs that impact the care of older adults. 6. Demonstrate insight into ongoing personal and professional learning needs. METHODS OF INSTRUCTION: This course entails multiple instruction methods within three settings of (a) classroom, (b) CCER simulation laboratory and (c) clinical sites. Specific methods will include lecture, discussion, small group exercises, self-directed learning packets, clinical conferences, case studies, critical thinking exercises and demonstration/return demonstrations. METHODS OF EVALUATION: Exams are graded based on submitted Scantron sheets. And presentations will be evaluated by posted rubric. COURSE GRADE: There will be three (3) multiple choice exams, a cumulative final exam and a Group Teaching Project (as described below). Laboratory and clinical assignments are pass/fail as described below. No extra bonus assignments will be offered. To successfully complete the course, the student must achieve each and all of the following: 3

4 METHOD % GRADE DATE Exam 1 20% 2/19 Exam 2 25% 3/12 Exam 3 25% 4/16 Group teaching project 5% As scheduled in Topical Outline ATI exam 0% TBD Cumulative Final exam 25% TBD Receive a pass on demonstrating the following skills competencies o (1) vital signs AND (2) demonstrate sterile technique (i.e. Central intravenous dressing change or urinary catheterization) o Attending a wound care open lab session Receive a pass for the clinical portion of the course (clinical evaluation tool posted on Blackboard) Must receive a final grade of 77% to progress in the program OPTIONAL EXAM POINTS: To earn an extra point to a section or final exam, the student must successfully complete the Prep U assignment, as below: Exam Available Chapters* Mastery Level 1 January 26 th February 18 th 20, 21, 24 and 23 Level 4 2 February 20 th March 11 th 10, 19, 31, and 35 Level 4 3 March 13 th April 15 th 7, 16, 36 and 37 Level 4 Final April 17 th May 18 th TBD Level 4 *Assigned chapters may change during the semester Once the PrepU assignment closes it will not be available. If a student hasn t completed the full assignment (all chapters to the mastery level), he/she will not receive the point. The academic honesty statement is applicable and a student will not receive these points in any instance of academic dishonesty. 4

5 GROUP TEACHING PROJECT: Clinical groups will present in class (as scheduled in Topical Outline) Each clinical group should send Dr. Foust the PowerPoint presentation by 5 PM the Wednesday before the group presents. All students will receive the same grade on the assignment Evaluated by the rubric ATI EXAM: This is a computerized NCLEX exam to assess mastery of fundamentals nursing content. Any student who achieves a Level 2 Mastery on the ATI exam and has a course average of 83 (before the final) may opt out of taking the final exam. DISABILITY STATEMENT Any individual with a physical or mental impairment that substantially limits a person in some major life activity, and needs an accommodation, must provide documentation of the disability to the Director of the Ross Center for Disability Services. Disability Services will make a determination whether or not accommodations are needed. Once this determination is made, the Director will consult with the faculty member on appropriate accommodations. A student with a documented disability is encouraged to register with disability services at (617) ACADEMIC HONESTY STATEMENT The health professions have a code of ethics and standards for their members. It is the policy of the College of Nursing and Health Sciences that academic dishonesty or misconduct will NOT be tolerated. All human performance and fitness and Nursing students should familiarize themselves with the policies on Academic Dishonesty Student Misconduct described in the University and College of Nursing and Health Science Student Handbook. Examples of academic dishonesty include but are not limited to cheating on exams, submitting written material that is not one s own, or seeking unauthorized use of computer files of a student or faculty member. Misconduct includes but is not limited to furnishing false or inaccurate information, disruptive conduct or threat, or damage to university property. REQUIRED TEXTBOOK AND OTHER COURSE MATERIALS** 5

6 Taylor Lippincott CoursePoint for Taylor's Fundamentals of Nursing with Print Textbook, 8 th edition. It includes integrated access to the Ebook, PrepU (adaptive testing program) and DocuCare (web-based electronic medical record). Class Code: 45DB431F DocuCare Code: to be assigned by Clinical Instructors Course Point Technical Support: Ackley, B., & Ladwig, G. (2013). Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning. 10 th Edition. St. Louis: Elseiver. RECOMMENDED TEXTBOOKS ON RESERVE IN THE HEALY LIBRARY Morris, D. G. (2014). Calculate with Confidence, 6 th edition. St. Louis: Elsevier. Nugent, P., & Vitale, B. (2012). Fundamentals Success. 3 rd Edition. Philadelphia: FA Davis. Delgin, J.H., Vallerand, A.H., & Sanoski, C. A. (2014). Davis s Drug Guide for Nurses. 14 th Edition. Philadelphia: F.A. Davis. Van Leeuwen, A. M., Poelhuis-Leth, D. & Bladh, M.L. (2013). Davis s Comprehensive Handbook of Laboratory Diagnostic Tests with Nursing Implications, 5 th edition. Philadelphia, FA. Davis Venes, D. (2013). Taber s Cyclopedic Medical Dictionary. 22 nd Edition. Philadelphia: F.A. Davis. COURSE POLICIES Please see the College of Nursing Undergraduate Student Handbook for policies specific to the Nursing program. As you begin your career in nursing there are professional expectations. Students are expected to arrive on time and be prepared for class, labs, and 6

7 clinicals. Professional communication is fundamental to creating a respectful and positive learning environment for all. Students are expected to wear their student uniforms when in the lab and clinical settings. It is your professional responsibility to make sure that you are in complicance with all clinical clearance policies for the entire semester (e.g. CPR and all required immunizations). Any student who does not have his/her clinical clearance information up to date prior to the start of their clinical or, lab experience will not be allowed to start clinical. Students are expected to attend all classes and notify the faculty if they are unable to attend a class. If a student is ill and cannot attend clinical s/he is to notify the clinical instructor prior to the expected time of arrival and according to his/her instructions. All missed clinical time needs to be made up. Students will be at risk for clinical failure if they do not successfully complete the performance examinations within three attempts. EXAMINATIONS ENVIRONMENT: Exams are a critical means to evaluate a student s knowledge that is central to assuring the quality and safety of professional nursing practice. To promote an environment of academic honesty, the following rules are put in place during examinations: Cell phones are to be turned off, placed in bags and all bags will be put at the front of the room. No brimmed hats, you may bring a clear water bottle and seats will be assigned. As a friendly reminder, students are to keep their eyes on their own papers. Students are expected to bring their own number 2 pencils to exams. TIMING OF EXAMS: Exams are given at the start of the class time. No extra time will be given if the student is late to the exam. Being late or asked to leave due to disruptive behavior is not considered an acceptable reason for a make-up exam. Students are expected to take all exams as scheduled. MAKE-UP EXAMS: There may be rare cases where an absence is unavoidable. In order to be eligible to take a make-up exam, the student must inform Dr. Foust by of his/her absence BEFORE the scheduled exam with an appropriate reason. Make-up exams will be offered one day only during the final examination period date and time to be announced. Make-up exams will consist of multiple choice, fill-in and/or short answer responses. There is no Final Exam make-up. EXAM REVIEWS: Exam preparation review sessions will be held with the TAs (at a time and location to be determined). To request individual post-exam reviews (or in pairs), the student must request via an appointment with Dr. Foust within 2 weeks of the corresponding exam date. There will be no reviews of the final exam. GRADE OF ZERO: A grade of zero will be assigned for examinations in which a student (a) fails to properly notify Dr. Foust of his/her absence and/or (b) fails to take the make-up examination. 7

8 Clear and professional communication is very important in all settings so we d like to share some of our expectations. Communication specific to clinical and laboratory settings is addressed in NU 226 Clinical and Laboratory Syllabus, which is your responsibility to read and understand. Please be sure to ask questions if you are not clear. COMMUNICATION: As a friendly reminder, you are expected to use your umb.edu accounts for all s and check it daily. Also, you should respond to within 24 hours when asked for information or a reply. We expect questions. However to best manage communication with all of you, we ask that each of you check with other students for simple questions (e.g. reading assignments) or clarifications before contacting a course faculty team member. There may be times when we reply to an individual s question/ by posting an announcement on Blackboard, rather than individually, when the information will benefit everyone. Making appointments: Please use UMB (not BB) to arrange all appointments. Etiquette: o Please address s to faculty or TA using name or title (as indicated by the person) o Use a proper subject heading and sign using your full name. o And always be mindful of the tone. It is better to be formal than too casual. By the way, formal can be friendly! Who should I contact? For classroom content o Dr. Foust at Janice.foust@umb.edu. Do NOT use blackboard to send messages or contact your professor, thank you. For clinical issues such as questions about uniforms, clinical schedule or sites and Docucare. o Jennifer Mardin Small at Jennifer.mardin@umb.edu For class review or exam preparation sessions (Please note: we re working to arrange a location and time) o Teaching Assistant: Blerina Nushi, BSN, RN blerina.nushi001@umb.edu 8

9 IMPORTANT UNIVERSITY DATES TO REMEMBER: FEBRUARY 2ND APRIL 22 ND MAY 13 TH MAY 18 TH 22 ND DROP COURSE DEADLINE COURSE WITHDRAWAL DEADLINE *** PLEASE NOTE THE UPDATED NURSING DEPARTMENT POLICIES CLASSES END FINAL EXAM PERIOD Holidays University Closed and there is NO clinical FEBRUARY 16 TH PRESIDENT S DAY MARCH 15 TH MARCH 22 ND SPRING BREAK APRIL 20 TH PATRIOT S DAY UNIVERSITY SNOW STORM POLICY: The University will announce closures via UMass Boston website, Main switchboard (617) ; local radio or television stations starting at 5:30 AM. We recommend you sign-up for alerts at go to BUILDING SUCCESS IN THIS COURSE COURSE PREPARATION There is a lot of information in this course. You should keep up with the assigned readings and materials. If you feel that you are getting into academic difficulty, please make an appointment with Dr. Foust. It is much better to make an appointment when you first notice difficulty when there is time to make a individual plan for your academic success. PREPARING FOR CLASSROOM LEARNING AND EXAMS Study guides will be posted at the start of each section to help focus your attention on major concepts and content areas. Study guides will be revised before each exam. Be sure to know the content and how to apply it in practice. Being able to recall information is necessary but not enough to be successful. Know key terms listed at the front of each chapter, this will help you build your medical vocabulary and any of these terms may be used in an exam. 9

10 Review the introductory sections of each chapter that typically summarize key anatomy, physiology and/or function of the particular topic. It is usually a good refresher on key information. Do not memorize skills in detail. Instead, students should review and understand the principles of a skill, focus on critical decision points (often in red) and unexpected situations and associated interventions. Important content will be added to class material, which is not adequately covered in the readings. Complete practice questions in: o Nugent book Fundamentals Success [Student feedback: Provided rationales are detailed and very helpful] o At the end of each chapter in the textbook o Prep-U assignments *** Students say practice questions are very helpful and make a big difference, especially when they read the rationales. TUTORING Free tutoring is available to all students in the Department of Nursing. You are strongly encouraged to use this service to help you master the course content. This is available through the Center for Clinical Education and Research (CCER). PLEASE NOTE: There may be changes in the syllabus during the semester and these changes will be communicated on Black Board. 10

11 TOPICAL OUTLINE Week Date Class Title Readings In Taylor, et al. Fundamentals of Nursing 1 January 26 th Welcome & Clinical Orientation Review Course and Clinical Syllabi *** Note: Concepts in action, watch and learn, practice and learn exercises are found on Course Point website under the chapter 1 January 29th Course Overview National Patient Safety Goals & Hospital Quality Issues Introduction to Nursing Practice Infection Control 2 February 5 th Client safety Hazards of immobility 3 Feb 12 th Communication and Client Education Major theme is to promote safer care transitions Review lab schedule Chapters 24 Vital signs Chapter 30 Hygiene CH 1 Introduction to Nursing CH 23 Asepsis and Infection Control Watch and learn video hand washing Concept in action video acute inflammation Practice and learn sterile gloves Nugent: CH 1*Test-taking skills (pp ) CH 26 Safety, Security, and Emergency Preparedness CH 32 Activity Watch and learn video Range of motion Posted video (BB) crutch walking CH 20: Communicator Case study nurse-nurse handoff (shift report) CH 21: Teacher and Counselor Case study Discharge teaching 11

12 Week Date Class Title Readings In Taylor, et al. Fundamentals of Nursing 4 Feb 19 th EXAM I Care of Older Adult CH 19: The Aging Adult 5 Feb 26 th Skin integrity and Wound Care CH 31: Skin integrity and Wound Care Concepts in action wound healing Watch and learn sterile wound dressing change Practice exercise Sterile wound dressing change Nutrition 6 March 5 th Nursing Process and Critical Thinking Concept Maps 7 March 12th EXAM II Medication Calculations March 19 th CH: 35 Nutrition Concepts in action General digestion Diabetes mellitus Watch and learn: Administering enteral tube feeding Practice and learn exercise Preventing complications of enteral feedings CHs 10-15: Clinical reasoning and nursing process *BRING Ackley & Ladwig (2013) Nursing Diagnosis Handbook TO CLASS ATI- Dosage and Calculations Tutorials Course Point- Dosage and Calculations Quizzes Morris, CHs Review your math skills: Morris, CHs 2-5 Enjoy Spring Break! 8 March 26 th Medication Safe Practices CH: 28 Medications Concepts in action: Pharmacology absorption, distribution and excretion 12

13 Week Date Class Title Readings In Taylor, et al. Fundamentals of Nursing Intramuscular injection Intravenous injection Watch and learn videos Three checks and rights of medication administration Preparing unit-dose medications Administering oral medications Administering eye drops Administering ear drops Administering an intramuscular injection Administering IV piggyback (intermittent) infusions Practice and learn exercise giving a subcutaneous injection Morris, CHs (oral, parenteral, reconstitution & insulin) Student Presentations (30 minutes) Clinical groups: (10 minutes, each) R. Tolentino T. Rizk Morning group V. Tsveybel 9 April 2 nd Oxygenation CH 38: Oxygenation and Perfusion Not responsible for: Respiratory medications Managing chest tubes Endotracheal tubes Concepts in action: Cardiac cycle Oxygen transport Change in breathing sounds Watch and Learn: 13

14 Week Date Class Title Readings In Taylor, et al. Fundamentals of Nursing Nasopharyngeal suctioning Changing a tracheostomy tube Practice and Learn Apply oxygen via cannula CH 16: Documenting, Reporting, Conferring, and Using Informatics Documentation & Informatics CH 7: Legal Dimensions of Nursing Practice Legal Implications Student Presentations (30 minutes) Clinical groups (10 minutes, each) D. Jean-Erold R. Slate-Ziman E. Bautista 10 Urinary and Bowel Elimination CH 36: Urinary Elimination April 9 th Concept in action renal function Watch and learn: Applying a condom catheter Intermittent/indwelling catheter male Practice and learn catheterize a female Student Presentations (30 minutes) 11 April 16 th EXAM III Pain 12 Fluid, Electrolytes & Acid-base April 23 rd balance CH 37: Bowel Elimination Clinical groups: (10 minutes, each) N. Connelly K. Saindon J. Dailey CH: 34 Comfort and Pain Management CH 39: Fluid, Electrolytes and Acid-Base Balance Concepts in action cardiac edema 14

15 Week Date Class Title Readings In Taylor, et al. Fundamentals of Nursing Watch and learn: IV therapy monitoring site and infusion Accessing an implanted port Accessing a peripherally inserted central catheter (PICC) Practice and learn Changing IV solution Clinical Tutorial fluid and electrolytes (on Course Point) Student Presentation (30 Minutes) Clinical groups (10 minutes, each) A. Eastman T. Rizk (Evening group) K. Leger 13 April 30 th Care of Surgical Patient CH 29: Perioperative Nursing Watch and learn Preoperative care of patients the day of surgery, post-operative care upon return to the unit Practice and learn Teaching coughing, deep breathing exercises Not responsible for INTRAoperative care 14 May 7 th Grief, End of Life & Symptom Management CH 42: Loss, Grief and Dying Course Review Last Friendly reminder FINAL EXAM - TBA 14 TBD ATI EXAM 15 May 11 th or day of clinical 12 th 16 May 18 th 22 nd 15