Let each of you look out not only for his own interest, but also for the interest of others. Philippians 2:4

Transcription

1 Let each of you look out not only for his own interest, but also for the interest of others. Philippians 2:4 Course Number and Title: NUR 2023/NUR 2020: Health Assessment with Lab Credit Hours: 3 Credit Hours; includes two hours of lecture and three hours of lab. Lab: Monday and Wednesday NUR (9:00 am-12:00 pm) NUR (2:30 pm-5:20 pm) Lecture: Monday and Wednesday Skills Lab NUR (12:30 pm-2:20 pm) Placement: NS2 (sophomore) Year Summer 2015 Faculty: Kathy Kino RN, BSN, Chaplain Title Adjunct Professor Office: OCE 117 Office Phone: Kathy_kino@pba.edu Web-site: ecollege Office hours: By Appointment Course Description: This course uses the nursing process with an emphasis on assessment, based on General System Theory, to determine the health status of diverse individuals across the lifespan. Communication skills, interview techniques, health history, and physical exam skills are introduced. Opportunities to apply health assessment skills, documentation, and critical thinking for nursing care planning are provided. Prerequisite: BIO 2281; Admission to Upper-Division Nursing Co/Prerequisite: NUR 2013; NUR 2003; BIO 2291 Course Learning Outcomes: Upon satisfactory completion of this course, the student will be able to: Course Outcome 1. Demonstrate a method of health assessment that portrays a caring, professional attitude. 2. Conduct health assessment in a systematic sequence and applying General System Model physiological, psychological, sociocultural, developmental, and spiritual aspects. 3. Communicate health assessment data accurately, systematically, and with appropriate medical terminology. 4. Relate principles of therapeutic communication appropriate to the individual s needs. 5. Apply the nursing process to determine an accurate holistic assessment. Level Outcome BSN Essential QSEN 1, 3 II, IX Patient- 1, 3 II, VII, IX Patient- Centered Care; QI 3, 4 VI Teamwork & Collaboration 4 VI, VII Patient- 2 II Patientcentered care; QI

2 6. Apply principles of basic documentation regarding health assessment. 7. Combine theoretical and empirical knowledge from nursing and other disciplines when performing and communicating an integrated health assessment. 8. Examine professional values (legal and ethical) and the Christian worldview in relation to health assessment and intervention. 9. Apply professional practice responsibility and accountability standards. 7 IV Informatics 1, 2 I, III Teamwork & Collaboration; EBP 5, 8 V Patient- 6 VIII QI Textbooks/Learning Materials: Hogan-Quigley, B., Palm, M. L., & Bickley, L. S. (2012). Bates : Nursing guide to physical examination and history taking. Philadelphia: Lippincott. ISBN: Required Learning Material: Stethoscope: MDF MD One (MDFEDu.com/PBA.html) OR Littman II Classic - Medwear Uniforms have two locations in West Palm Beach Nursing Central Software (nursing.unboundmedicine.com) Teaching/Learning Methods: 1. Lecture 2. Video 3. Demonstration/Return demonstration 4. Simulation 5. Case Studies 6. Cerner Documentation Course Requirements: 1. Comfortable clothing should be worn in the lab for health assessment practice 2. Read assigned material and review appropriate videos prior to class 3. Attend scheduled classes 4. Be prepared and participate in the class discussion 5. Complete all assignments by identified due dates 6. Students are encouraged to spend at least one additional hour in lab practicing skills each week. Lab hours will be posted. May schedule with lab coordinator for additional practice. Methods of Evaluation: 1. Quizzes 10% There are NO make-up quizzes. The date and time of each quiz will be given at the discretion of the professor. 2. Course Tests - 15% each 45% 3. Final Comprehensive Examination 20% 4. Kaplan Focused Review 5% 5. Kaplan Integrated Test 5% 6. Health History 5% 7. Midterm check off 5% 8. Final check off 5% Total 100% 2

3 LAST DAY TO WITHDRAW WITHOUT ACADEMIC PENALTY IS July 10, 2015 LAST DAY FOR ADD/DROP June 26, 2015 Kaplan Resources (nursing.kaplan.com): Focused Review Students are required to take the Health Assessment Focused Review Test one week prior to the Kaplan Wellness & Physical Assessment Integrated Test. You will have two opportunities to take the Focused Review test. You must have 48 hours between the first and second attempts. If you do not have 48 hours between retakes, you will receive a zero for the grade. The first and second attempt scores will be averaged for the Focused Review Test grade. In addition, all questions from the first take must be remediated for a minimum of 45 seconds prior to the second retake to be considered within your grade. If a student does well on the first attempt, they may use that score as their grade. Kaplan Integrated Test Students must achieve an identified proficiency on the Kaplan Wellness & Physical Assessment. Passing the Kaplan test partially meets NUR 4710 Nursing Professional Competency requirements. The point allocation is as follows: 5% Scores Greater than 60 percentile 3 % + 1 Extra Credit % th percentile 3 % th percentile 2 % percentile 1 % plus NUR 4710 remediation < 30 percentile 0 % plus NUR 4710 remediation Remediation Remediates all questions minimum of 45 seconds per question. To be completed by at 11:59pm No remediation or < less than all questions. 2 % 0 % /At risk for failing this course. Students who do not successfully pass the Kaplan Integrated Wellness & Physical Assessment Test Kaplan Test must successfully complete remediation during the following semester in order to pass NUR (Please reference the SON student handbook and NUR 4710 syllabus.) Extra Credit point/percent will ONLY be applied if the student has a minimum course test average of 75% or greater AND has an overall course average of 75% or greater. Additional Responsibilities and Policies for this Course: 1. Check and access ecollege daily. 2. Attendance is required in class and skills lab. All excused absences from class must be reported prior to the absence. Tests will only be made up for excused absences and must be made up within one week. The format of the makeup exam will be at the discretion of the professor. Those students who are late for a test will also be required to take a make-up test. Tardiness is considered to unprofessional behavior. Leaving class before it is over is in the same category as tardiness. 3

4 3. If a student is tardy or absent he/she is responsible for arranging in advance with a classmate to obtain class notes and any handouts. Two points per day will be deducted from the overall grade for lab absences. Two tardies equal one absence. 4. It is expected that students will review, as needed, content from previous courses that have application to the current nursing topics (e.g. anatomy/physiology, pathophysiology, pharmacology, human growth and development, etc.). 5. Ethical Behavior: Nursing is a profession with a Code of Ethical conduct. Therefore, ethical behavior is expected of nursing students. You are responsible for your own work and for presenting it with the sources referenced appropriately according to the APA Publication Manual. 6. Cell phones should be turned off or on the silent mode during class. Students may only leave the class to respond to a phone call in an emergency situation. 7. The following policies are to be followed according to the current edition of the PBA web: Computer Usage Policy Dress Code: Standards of Dress and Personal Appearance Academic Standards of Conduct: for the Community Value System and the Core Values of the PBA Community as well as descriptions of infractions of the standards and the discipline process. 8. Policies are to be followed according to the current edition of the PBA School of Nursing Handbook. Grading Scale: The following grading scale will be used for all School of Nursing courses. Students must achieve a minimum of a C in each nursing course. This course will require a minimum of a 75% average for all examinations (includes tests and quizzes) to receive a final grade of C in the course. Assignments: A A B B B C C D F 64-Below Quizzes & Tests: Quizzes will be administered during class or in ecollege. Tests are administered during class and are cumulative. Health History: You will take a complete health history on a classmate, family member, or friend and document as instructed. Midterm & Final Check-off: You will perform a physical assessment on your lab partner. You must complete the full assessment with no prompting within the time limit in order to receive full points. See ecollege for checklist. 4

5 Course Content: Course content, assignments, and tests are subject to change based on the learning needs of the class. Day Content Lab (OCE 113) Reading 6/22 Course Introduction Holistic Assessment, Health Models Interviewing Concepts &Techniques 11:30-12:30 Kaplan Critical Thinking assessment (OCE118) Lab Introduction Documentation (overview): Cerner Orientation Chapter 1, 2, & 3 6/24 Complete Health History Review of Systems Vital Signs 6/29 General Survey Integumentary 7/1 Test One (OCE 118) Kaplan Introduction Vital Signs Practice Health History on a peer Chapter 4, 7 General Survey Chapter 7 & 9 Skin assessment Back & Respiratory assessment Chapter 13 7/6 Chest and Respiratory Continue respiratory assessment Chapter 13 Review Cerner 7/8 Cardiovascular; Peripheral Vascular Complete health history DUE 7/13 in Cerner Heart Peripheral Vascular Doppler 7/13 Abdominal Abdominal Chapter 16 Midterm check off review 7/15 Test 2 (OCE 118) Mid-Term Check-off 7/20 Musculoskeletal Musculoskeletal Chapter 18 7/22 Neurological Mental Status Exam Head, Face, Neck 7/27 Eye, Ear, Nose, Throat Eye Ear Nose 7/29 Breast Genitourinary Rectal 8/3 Test 3 (OCE 118) 8/5 Developmental, Social and Spiritual, Diverse Populations, Cultural Considerations, Self-Concept 8/10 Health Assessment across the Lifespan 8/12 Comprehensive Final Exam (OCE 118) Cranial Nerves Sensory Motor Head, Face, Neck Mouth and Throat Breast Genitourinary Rectal Chapter 14 & 15 Chapter 10, 15, 19, 20 Chapter 11 & 12 Chapter 17 & 21 Head to toe assessment Chapter 22 Final Check offs Focused Review Due Kaplan Integrated Exam Final Check offs 9-11am SON Computer Lab Chapter 5 Chapter 22, 23, 24 5