Outpatient Clinic Preceptor Experience. Clinical Simulations (Human Patient Simulator) I s Independent Study x 1

Transcription

1 Ttle of Course: Course Number NUR: 4 Lecture Hours: 4 Lab HoursJWeek: 2 Credts: 8 Borough of Manhattan Comrnumty College The Cty of New York Department of Nursng NUR. 4: Nursng Process V: Medtcal-Surgcal Nursng Nursng Process Level V: Medcal Surgcal Nursng A. Descrpton: Nursng Process Level V: Medcal Surgcal Nursng s composed of a 4-week component n nursng care of the adult clent wth selected complex medcal/surgcal health care problems. The course centers on the ntegraton of prevous learned lcnowledge and organzaton of the carng for clents wth complex health care problems. Emphass s placed on the role of the nurse as provder; manager of care; communcator; member wthn the dscplne of nursng. Focus s placed on carng for clents wth the followng complex health care problems: Cancer; HVADS; Gastrontestnal and afflated dsorders; Renal dsorders; Neurologcal dsorders; Musculoslceletal dsorders; EENT dsorders; Emergent and Trauma nursng practce. B. Prerequstes: Nursng 3 3 and all-prevous prerequstes (successful completon of technque practcum s requred to ext the ~rogram). Co-Requstes: Nursng 4 5 C. Teachng-Learnng Strateges/Methods of nstructon s 8 Lecture/dscusson/case studes! > Handouts, 2 > Readng assgnments 3 > Audo-vsual presentatons 8 > Web stes X > Computer asssted nstructons (CA) Laboratory experence (Technques and Clncal lab) Wrtten assgnments 8 > Student -Teacher consultaton > Pre and post conferences (student clncal presentatons, case reports,, scenaros) > Group Supplemeltal nstructon/ > Revew sessons Practcum. d Outpatent Clnc Preceptor Experence Clncal Smulatons (Human Patent Smulator) s ndependent Study x > ndvdualgroup Tutorng D. OBJECTVES F 4 Revsed 0.07 B &, BC.rt. e, w ~ ~ * "-" rnrn-rn ** evb"ll--wm"r-"" -Y.-a~U-U-~-~-*-.. ;

2 Borough of Manhattan Communty College The Clty of New York Department of Nursng NUR. 4 Nurslng Process V: Medcal-Surgcal Nurslng PROVDER.Over-All Outcome Crtera: Upon completon of the program, the graduate wll demonstrate crtcal thnkng by applyng the nursng process as a bass for decson makng and clncal judgments n order to develop and mplement a plan of care for an ndvdual or group of clents wth common, complex health care needs, n the acute and long term settng and communty based settngs, ntegratng laowledge of legal and ethcal standards of practce. MANAGER OF CARE: Over-All Outcome Crtera: Upon completon of!e program, the graduate wll use sound judgment and safe decson makng to manage the care of a group of clents. Slhe wll delegate assgnments based upon the experencc andlor educaton of health team members, beng accountable for care gven. Over-All Outcome Crtera: TTpon completon (!' the program, the graduate wll ndependently and n collaboraton wth health team mcmbers, clents, famles, and sgnfcant others, ncorporate effectve therapeutc comnl::;lcaton technques n promotng health and preventng llness among people fron cultu: :lly dverse backgrounds wth vared health care needs. MEMBER WTHN THE DSCPLNE OF NURSNG: Over-All Outcome Crtera: Upon completon of the program, the graduate wll be lcnowledgeable and actvely partcpate n endeavors that promote crtcal thnkng and foster personal and professolal growth. E. Requred Textbooks - Kelly- Hedenthal, P. & Manthaler, M. (2005). ~elehaton of Nursng Care.. Canada; Thomson & Delmar. - gnatavcus, D. & Lnda Workman. [2006]. Medcal Surgcal Nursng: Crtcal Thnkng For Collaboratve Care Ffth Edton. St. Lous; ElseverSaunders. - gnatavcus, D. & Lnda Worlunan. [2006]. Crtcal Thnkng Study Gude To Accompany Medcal Surgcal Nursng: Crtcal Thnkng For Collaboratve Care Ffth Edton. St. Lous; ElseverSaunders. - Lelme, Rchard A. (2007). Pharmacology for Nursng Care: Sxth Edton. Phladelpha; W.B. Saunders Company. - Pagana, K. & Pagana T. (2007). Mosbv's Manual of Dagnostc and Laboratory Tests. Thrd Edton. St. Lous; Mosby. Revsed Ma***-r*w--M aam,\% ~. x a w % < w m % ~ ~ - ~ v *. 9 %wwsw#**",--"" * * ""*xy-"m-c = W ~ " " " ' " " U ~ *. - = L ~ Z s. ~ ~ ~ ~ l L -

3 Borough of Manhattan Communty College The Cty of New York Department of Nursng NUR: 4: Nursng Process V: Medcal-Surgcal Nursng E. Recommended Textbooks. Baranosk, S. et. al. [2003] Wound Care Essentals: Practce Prncples. Phladelpha; Lppncott Wllams & Wlkns. - Colwell, J. et. al. [2004] Fecal and Urnary Dversons: Management Prncples. St. Lous; Mosby, nc. - Hankns, J. et. al. [200]. ~fuson Therapy n Clncal Practce 2nd Edton. New Yorlt. W. B. Saunders. - Hclcey, J. [2003] The Clncal Practce of Neurologcal and Neurosurgcal Nursng Ffth Edton. Phladelpha; Lppncott Wllams & Wlkns. - Hogan, M. et. al. [2003] Flud, Electrolytes, & Acd-Base Balance. New Jersey. Prenhall. - Jarvs, C. (2004) Physcal Examnatons & Health Assessment: Fourth Edton. Phladelpha; W.B. Saunders. - Kaplan, M. [2006]. Understandng and Managng Oncologc Emergences: A Resource For Nurses. Oncology Nurses Socety Krton, C. [2003] ANAC's Core Currculum for HVADS Nursng: Second Edton. t \? t Thousand 0.alts; Sage Publcatons. - LeFever-Kee, J. [2004] Haldbook of Flud, Electrolytes and Acd-Base mbalances. 2"d Edton. New Yorlc; Thomsod Delmar Learnng. - Lutz, A. Przytwslc, (2005). Nutrton & Det Therapy: Evdenced Based Practce Fourth Edton. Phladelpha; F.A. Davs. - Maher, A. et, al. [2002] Orthopaedc Nursng: Thrd Edton. Phladelpha; W. 'B. Saunders. - Otto, S. [200] Oncology Nursng Fourth Edton. St. Lous; ElseverMosby, nc. - Preston, R. [2002] Acd-Base, Fluds, and Electrolvtes Made Rdculously Smple.Mam; MedMaster, nc. - Slcdmore-Roth, L. [2005] Mosby's Nursng Drug Reference. St. Lous; ElseverMosby. - Skdmore-Roth, L. [2005]. Mosby's Handbook of Herbs & Natural Supplements 3rd Edton. St. Lous; ElseverMosby. - Smth, G. et. al. [2005] Gastrontestnal Nursng Malden, MA; Blackwell Scence, Ltd. - Tappen, R, Wess S., & Whtehead (2004). Essental of Nursng Leadershp and Management: Thrd Edton. Phladelpha; F.A. Davs, Company. - Wold, G. (20,04). Basc Geratrc Nursn~: Thrd Edton. St. Lous; C. V. Mosby, nc. ' Webstes 4 5 Revsed Amercan Assocat0 of Crtcal-Care Nursng (AACN).

4 Borough of Manhattan Communtty College The C~ty of New York Department of Nursng NUR 4 Nursng Process V. Medcal-Surgcal Nursng Amercan Assocaton of Nurse Anesthetsts (AANA) Amercan Nephrolo~y Nurses' Assocaton) (ANNA) Assocaton of Nurses n ADS Care (ANAC) www. aorn.org Assocaton of peroperatve Regstered Nurses (AORN) Assocaton of Rehabltaton Nurses (ARN) Emergency Nurses Assocaton (ENA) Oncolonv Nursln Socety (ONS) www. wocn.org Wound, Ostomy, Contnence Nurses Socety (WOCN) Evaluaton and Requrements of students. Departmental Examnatons: o 4 Unts Examnatons 40% (Tme - hr 5 mn) o Mdterm Examnaton 20% (Tme - hr 5 mn) o Fnal Examnaton 40% (Tme- 2hr 30 mn) o Students wll be allowed hour and 5 mnutes for the mdterm and all unt examnatons. For the fnal, students wll be allowed 2 hours and 30 mnutes to complete the exam. o Mnmal passng grade s "C" (73%). Repeatng students requre a mnmal passng grade of "C+" (77%). P Make-up Examnatons: Should there be extenuatng crcumstances, an lstructor may excuse a student from takng an exam pror to the exam. mmedate arrangements nust be made wth the nstructor to schedule a date to nalte up the examnaton. However, once the examnaton has been taken, the grade receved stands. Brngng n a doctor's note to collaborate an llness AFTER an examnaton has been taken wll not be accepted. Make-up examnatons may be gven at the end of the semester. P HES Ext Test s requred for the students who pass Nursng 4 successfully. P *Falure to take HES Ext Test as scheduled wll result n an "ncomplete" grade. The orgnal examnaton papers are dscarded after the exam s taken wth the excepton of the fll-n drug calculaton page(s) and the fll-n dagram page(s) (f applcable). The grade for each exam s determned & by the score on the scalltrol answer sheet plus the scores for the fll-n drug calculato~ls and the fll-n dagram(s) (f applcable). n order to mantan the securty of the Nursng Department's course examnatons, students may (a) revew each bnt and mdterm 5 Revsed

5 Borough of Manhattan Communty College The Cty of New Yoxk Department of Nurslng NUR: 4 : Nursng Pxocess V: Medcal-Surgcal Nursng exam only once, (b) NOT revew the fnal examnaton f they passed the course, and (c) revew the fnal examnaton only once f they faled the course. 2. Clncal Evaluaton: A. Clncal laboratory: The clncal laboratory s an extenson of the classroom. The grade, as determned by use of the clncal evaluaton tool, s ether satsfactory (S) or unsatsfactory (U). Unsatsfactory performance n the clncal practce wll result n a falure (F) n the course. All assgnments are to be submtted on assgned dates. Wrtten Assgnments should meet the standards requred of college students. Assgnments that are unsatsfactory wll be returned to students for resubmsson. No later than one week! B. Assgnments:. Hosptal Experence Students must demonstrate components of crtcal thnkng n pre and post conference that ndcates ablty to: - Prortze nursng dagnoses - Admnster care that s safe, ethcal and therapeutc - Manage groups of clents wth complex health problems - Analyze laboratory data and related dagnostc tests that reflect changes n body systems and management requred to correct alteratons. 2. Computerzed Patent Care Nursng Plan Students wll submt two Nursng Care Plans (NCP) that reflect prmary, secondary and tertary care, use of crtcal thnkng and a thorough use of the nursng process. [Falure to acheve a satsfactory grade on the Nursng Care Plan wll result n a grade of "NCOMPLETE" for the course.] Co~nputerzed Patent Care Plan wth a MNMUM OF FOUR (4) patent problemsjnursng dagnoses, ncludng two (2) physologcal problems, one () psychosocal problem, and one () focusng on Patent TeachngJDscharge Plannng. For each problemddagnoss, a mnmum of one () short-term goal and one () long-term goal and a mnmum of fve (5) nursng nterventons. An acceptable Nursng Care Plan(s) must be submtted on the DUE DATE. FALURE to submt the requred number of care plan(s) wll result n a grade of "NCOMPLETE" for the course. 3. Outpatent Clnc Preceptor Experence. All students are requred to receve satsfactory n the outpatent clnc experence. F Students who receve unsatsfactory n the outpatent clnc experence wll be re- $ scheduled n the outpatent clnc. > j 4. GeratrcJRehabltaton - Leadershp Experence > 3 A GeratrcJRehabltaton Paper wll be requred by the week of the rotaton. z Students wll be requred to receve satsfactory on the paper and the experence. B e f Any student who recqves unsatsfactory n the GeratrcJRehabltaton G Experence or on the paper wll requre a makeup. 8 Revsed 0.07

6 l J Borough of Manhattan Communty College The Cty of New York Department of Nursng NUR: 4 : Nursng Process V: Medcal-Swgcal Nursng 5. Profcency Clncal Skll LstlClncal Ext Crtera The followng experences (Sklls) should be provded by Nursng 4 student n the lablclncal area. - Blood Admnstraton - Health Assessments Gastrontestnal Neurologcal Perpheral vascular Eye Exam Hearng Assessment - Medcaton admnstraton Oral ntramuscular ntravenous Ophthalmc soluton Ear solutons - ntravenous therapy Calculaton Regulaton Montorng Evaluaton Changng a sterle dressng. - Care of clent recevng dfferent types of oxygen therapy - Arway management (Orolnasopharyngeal & tracheal suctonng) - Glucose montorng (blood & wne] AcetoneKetone testng - Total Parenteral Nutrton Perpheral Central Types of Soluton Nursng Management - Dranage Devces T-Tube, Hemovac, Jackson-Pratt)j) - Nasogastrc Tube Types of Tubes Gastrotomy a $ r 5 L,. Revsed '. -** - a m ~, m -. ~ & w w * - w-wk-..--me-l*-4%+-. -=-*X*-& 6

7 Borough of Manhattan Communty College The Cty of New York Department of Nursng NUR: 4: Nursng Process V: Medcal-Surgcal Nursng 3 Nasogastrc PEG Tube. nserton Placement Decompresson~Sucton Types of Dranage - Ostomy Care Gastrotomy leostomy Colostomy - ntakeloutput sheet - Admnsterng medcatons va eyes, nose, ear and dermal f - Pre-and Post-operatve nursng care. h - Tracton j Skeletal Skn Pn Care - Crutch WalkngUse of Assstve Devces - EmergencyTrauma Equpment Emergency Cart BagValve Mask b : 9 Defbrllator $ Cardac Montor Ventlaton - Wound Care Packng * The crtera used for evaluatng sklls wll be based on the clncal sklls textbook. C. Practcum: 4 - Nursng 4 wll hold the practcum on a desgnated clncal day n the College < 2 Teclmques Lab. - Each student s requred to practce the Practcum sklls n the f 3 TechnquesMeda Laboratory a mnmum of three tmes before the scheduled 8 E Practcum date. The practce sessons wll be documented on the PRACTCUM SKLLS PRACTCE FORM. The completed form must be presented to the classroom nstructor pror to the date of the Practcum. Students who have not completed the three practce 4 sessons wll not be permtted to take the practcum and therefore wll automatcally fal the course. Revsed *".WXLU" me -%+-*+*- =-.* w * W w * "mpre=* ^ -,- &-&-"a B F. 5 -t

8 r Borough of Manhattan Communty College The Cty of New York Department of Nursng NUR: 4: Nursng Process V: Medcal-Surgcal Nursng - f a student does NOT demonstrate knowledge of safety, (s)he must make an appontment to practce the needed skll(s) NOT performed satsfactorly wth the nursng department's College Laboratory Techncan (CLT) or an nstructor n Nursng 4 to repeat the skll(s) untl profcency n that skll(s) s demonstrated. Note: The crtera used for evaluatng selected sltlls wll be based on the requred clncal nursng technques text. - FALURE TO DEMONSTRATE PROFCENCYSAFETY ll\t PRACTCUM S<LL(S) BY THE END OF THE SEMESTER WLL RESULT N CLNCAL FALURE. Durng the practcum each student wll be expected to demonstrate profcency n 3 of these sklls from the followng lst: - Basc Neurology Assessment: o Pupls o Level of conscousness o Glasgow coma scale o Motor-Sensory functon o Babnsk Reflex o Elcranal nerves wll not be evaluated durng practcum. - Medcaton Admnstraton (subcutaneous, ntramuscular, ntravenous, ntradermal njecton) + - ntravenous Therapy o nfuson Punp - Sterle Technques/Procedures - Dressng change H - Urnary catheterzaton - Oxygen Management o Catheter o Mask o BagValve Mask 3. Dosage Calculaton Competency > Accurate dosage calculaton and medcatol admnstraton are essental for safe nursng practce. All students enrolled n Nursng 4 : Medcal Surgcal Nursng Care must demolstrate competency n dosage calculaton before admnsterng 4 medcatons. Students wll not be permtted to admnster medcatons wthout demonstratng competency and safe practce n drug dosage calculaton. Students Y 2 unable to demolstrate safe practce n dosage calculaton wll be wthdrawn from htursng 4. 4 Passng score s 80%. Each test wll consst of 0 questons. 4 > Students wll have two opportuntes to acheve a passng score. [8 out of 0 math B questons] on the frst scheduled date. f, after the second attempt a score of 80% s ; not acheved, the student wll be referred to the Nursng Department's andlor Math Department's tutorng lab. a f t Revsed X- -*&-w-lll---mwv>=&,-%e m a t - m w ~ " ~ ~ ~ Y - ~. ~ ~ ~ ~ ~. k * M - e a ~ ~. ~ * - ~ - - P wl-nb-w*- M

9 Borough of Manhattan communty College The Cty of New York.. Department of Nursng NUR: 4 : Nursng Process V: Medcal-Surgcal Nursng P Followng the tutorng sesson, the student must pass a drug calculaton test wthn one [] week and acheve a passng score of 80%. P All dosage calculaton testsmust be completed wthn the frst three weeks of the semester. P Students who do not acheve a score of 80% followng the tutorng sesson wll not be allowed to contnue n Nursng 4 for the semester. G. Clncal Polces. Unforms and dentfcaton: a. Each student s requred to be n full unform n the clncal area. b. Full unform means that: P Women must wear standard BMCC unform, whte shoes and whtelneutral hose (BMCC pants unform may be worn). P Men must wear standard BMCC blue shrt, whte slaclts, whte socks, and whte shoes. P All students must be equpped wth name pn, dentfcaton badge stethoscope, bandage scssors, watch wth second hand and pen wth black and /or blue nk. r d 2. Punctualty: Each student s requred to be n the clncal area promptly at 8:00 A.M. or the assgned hour. Attendance at pre-conference s a necessary pre-requste n order to gve nursng care. Therefore, late students wll be dsmssed and that day counted as a clncal absence. ONE () MNUTE AFTER 8:00 AM HOUR S LATE. 3. Absence: Each student s allowed a maxmum of ONE () clncal absence (day) per semester. 2 Ths clncal absence s part of the total allowable absences of 7 hours for the course. -r STUDENT WHO HAS AN ABSENCE BEYOND ONE WLL FAL THE COURSE.?' 4. Requred Clncal Documents: a. Up-to-date physcal exam: An annual physcal s MANDATORY. No student wll be allowed n the clncal laboratory wthout the submsson of a completed and up-to-date health form on the requested date(s) to the lead nstructor of each class secton. b. Up-to-date malpractce nsurance $,000,000-3,000,000 c. Vald Cardopulmonary Resusctaton (CPR) Certfcaton d. Comprehensve Health nsurance 3 t E a - 5. Pregnant Students: Gven the actvtes nvolved (.e., bendng, - lftng, etc.) coupled wth possble exposure to varous dseases threatenng to the fetus, a doctor's note assesslg the student's ablty 2 to functon n the clncal area durng pregnancy wll be requested at approprate ntervals. 5 J 6. Polcy On Drug Testng By Afflatng Clncal Agences ' - 2 Revsed

10 Borough of Manhattan Communty College The Clty of New York Department of Nursng NUR: 4 : Nursng Process V: Medcal-Surgcal Nursng For all afflatng clncal agences that requre nursng students to submt to drug testng.as a pre-requste for clncal placement, the student may be tested n accordance wth the afflatng agency's polcy. f a student's drug test s postve, the nursng department wll requre the student to submt to another drug test at a qualfed laboratory desgnated by the department. The College wll pay the cost of ths drug test. f the second drug test s negatve, the student wll be released from further acton and wll be assgned to another clncal faclty. However, f the second drug test s postve, the student wll be dsmssed from the nursng program. Pertnent documentaton regardng postve drug test results and dsmssal wll be entered nto the student's fle. f the student tests postve for a prescrbed drug, the student must obtan a wrtten statement from a qualfed physcanhealthcare provder statng that the drug level s wthn prescrbed lmts and that the level does not ndcate abuse. The physcdhealthcare provder must also state that the drug wll not nterfere wth safe practce n the clncal area. Letters from the physcdhealthcare provder wll become part of the student's fle. Note: f a student knows that the urne toxcology test wll be postve for certan llegal drugs because of takng a prescrbed medcaton, the student should take the prescrpton bottle to the afflatng agency on the day of the drug test to let the agency know ths. 7. Electronc Communcaton Devces Electronc communcaton devces, such as cellular telephones and pagers, must be set to slent mode at all tmes n the clncal area. The use of electronc communcaton devces s to be lmted to emergency stuatons only. Students may not use a cellular telephone n the clncal area. Cameras (ncludng a cellular telephone wth a camera), palm plots, tape recorders, and other recordng devces are not to be used n the clncal area for recordng dentfable clent data or mages. 8. Professonal Behavor: The Nursng Department has certan expectatons of behavor whle representng the Nursng Program of Borough of Manhattan Communty College at any clncal agency. Students must conduct themselves n a professonal manner as to reflect favorably upon themselves and the Program they represent. Students are expected to assume responsblty for ther actons and wll be held accountable for them. f at any tme a student behaves n a nanner whch s napproprate, unprofessonal, dsrespectful, argumentatve, or endangers the health or safety of fellow students, nstructors, clents, and the health care team, they wll be dscplned for unprofessonal conduct at the dscreton of the Nursng Department accordng to the "Student Dscplne Procedures" as outlned n the BMCC Bulletn and admnstered through the Offce of Student Affars. Students may also be dscplned for unprofessonal conduct by the clncal agency for falng to abde by clncal agency polces durng each clncal experence. Revsed 0.07

11 a a Borough of Manhattan Commurrrty College The Cty of New York Department of Nursng NUR: 4: Nursng Process V: Medcal-Surgcal Nurslng Unprofessonal conduct ncludes, but s not lmted to: Verbal or nonverbal language, voce nflectons, actons, or nsubordnaton whch compromse rapport or workng relatons wth peers, faculty, clents, famleslsgnfcant others, or health care team members. Any behavor that may compromse contractual agreements andlor workng relatons wth afflatng clncal agences, or consttute volatons of legal or ethcal standards. Any behavor whch nterferes wth or dsrupts teachngllearnng experences. Usng or beng under the nfluence of any drug (OTC, prescrpton, andlor llegal) or alcohol that may alter judgment andlor nterfere wth safe performance. Breach of confdentalty n any form. 9. Noncomplance wth Clncal Polces: Noncomplance wth the clncal polces and procedures of the Nursng Program andlor afflatng clncal agences can result n mmedate removal from the clncal ste or dsmssal from the Program. r' 0. Health nsurance Portablty Accountablty Act (HPAA): The Health nsurance Portablty' Accountablty Act (HPAA) requres that all protected health nformaton (PH) be kept prvate and secure by all persons that - - handle, or have access to, that nformaton. Snce nursng students and faculty use PH as part of the educatonal process, all nursng students must complete an onlne HPAA Tranng Program to reman n complance wth HPAA regulatons. Students wll not be allowed to enter the clncal area untl ths tranng has been completed. Any volatons of HPAA regulatons wll result n dscplnary actons up to and ncludng wthdrawal from the Nursng Program dependng on the severty of the H. Program Polces f. RepeatJWthdrawal Polcy: 2 Clncal nursng students may not repeat NUR 2. After htur 2, students may repeat f ; only once one of the followng nursng courses: NUR 2, NUR 33, NUR 4, NUR r! : 45 (dependng upon avalablty of seats and the student's cumulatve GPA). Students < repeatng a nursng course are requred to earn a grade of "C+" (77-79%) n order to pass 4 the course. f after repeatng the one allowed nursng course, the student receves a grade of less then "C+," the student receves the grade earned, but s automatcally nelgble to r; t contnue n the Nursng Program. a r Clncal nursng students may wthdraw only once from NUR 2 and be elgble to apply for re-entry nto the Nursng Program. Students who wthdraw twce from NUR 2 are nelgble to apply for re-entry nto the Nursng Program. After NUR 2, 6 students may wthdraw only once from the Nursng Program and be elgble to apply for t; L, &, reentry nto the Nursng Program. Students who wthdraw from one nursng course twce Revsed 0.07 * M*e*3 * --* mu <! B F

12 Borough of Manhattan Communty College The Ctty of New York Department of Nursng NUR: 4: Nursng Process V: Medcal-Surgcal Nursng or who wthdraw from two nursng courses followng NUR 2 are automatcally out of the Nursng Program. 2. Re-entry Polcy: To be consdered for re-entry, students must submt a wrtten request to the Nursng Department Charperson by May lst for the Fall semester and by December " for the Sprng semester. Students who have not enrolled n Clncal Nursng for more than one semester must meet regular departmental requrements, have a current cumulatve GPA of 2.0 or better, and take and pass (wth a grade of 73% or above) a comprehensve examnaton n Nursng courses prevously successfully completed. Students who have not enrolled n the Nursng Program for more than fve years are nelgble for re-entry nto the Program. The College does not guarantee re-entry nto the Nursng Program. (Further nformaton concernng program polces can be found n the BMCC catalog Bulletn.) 3. Nursng; Program Techncal Standards: Nursng practce requres core competences; therefore all nursng students are requred to meet the followng techncal standards for admsson, progresson, and graduaton from BMCC Nursng Program. Students must have the ablty to assess patents and ther envronments and to develop approprate and accurate nursng care plans based on ther laowledge and functonal sklls. Competences nclude, but are not lmted to the followng: Must have the Functonal Abltes to perform assessment sklls n carng for patents. - Vsual Acuty, wth or wthout mtgatng measures, must be suffcent to assess patents and ther envronments and to mplement the nursng care plans that are developed from such assessments. - Must be able to dentfy color changes n equpment, tests, or body fluds. - Hearng Ablty, wth or wthout mtgatng measures, must be suffcent to hear patent reports of synptoms and auscultate breath and heart sounds. - Tactle Ablty must be suffcent to feel changes n skn temperature and texture. - Olfactory Ablty must be suffcent to smell varatons n odors of body fluds. Must have the Strength and Moblty to perform patent care actvtes n a safe and tnely fashon accordng to nsttutonal standards. Ths ncludes motor sklls to perform the assgned tasks. -Must be able to transfer patents safely, whch requres lftng and pullng. Use of assstve devces (e.g. Prosthess) cannot hnder performance. Would also need medcal clearance ndcatng conpleton of physcal therapy. -Must have Fne Motor Sklls to manpulate small objects n order to Admnster medcatons. Must have the ablty to Communcate Effectvely necessary to fulfll nursng tasks. Revsed r ~. ~ a l em -* Elhrr=mmx-xx..m~.rXm-\*r;C-~.w%-z'* as*---raslnlyve----

13 Borough of Manhattan Communtty College! The Cty of New York Department of Nursng 9 NUR: 4: Nursng Process V: Medcal-Surgcal Nursng - Must have the ablty to communcate, comprehend, read, and wrte n Englsh at a level that meets the need for accurate, clear, and effectve communcaton. - Must have effectve basc communcaton sklls wth patents and other members of the healthcare team. - Must be able to document observatons, nterventons, and outcomes accurately and clearly n the patent record wth or wthout reasonable accommodatons. Must have the Cogntve Ablty to make clncal judgments and the necessary knowledge needed to perform the nursng sklls. - Must be able to learn the sgns and patterns of llness - Must be able to make approprate decsons about reportng changes n patent status to nstructors, physcans, and other nurses. Must be capable of engagng n self-evaluaton and accept the crtcal judgment of others. Must be able to cultvate and mantan the Professonal Demeanor and resources necessary to manage the stressors and responsbltes of the nursng practce. - Would need Psychologcal clearance. - Must be able to assume the responsblty of carng for serously ll patents. 6 4 Must have Updated Medcal Clearance (annually or more frequently as condton changes) ncludng: 9 J - Basc Cardac Lfe Support (BCLS) d $ 7 - Malpractce nsurance for Student Regster Nurse (RN) for,000,000/ 6,000,000 polcy - Health nsurance (f avalable). Servces are avalable to BMCC students who provde documentaton of a dsablty. 4 Upon dsclosure to the BMCC Offce of Servces for Students wth Dsabltes (OSSD), r J the nursng faculty wll provde reasonable accommodaton as requred by law. All students, wth or wthout reasonable accommodatons, are expected to meet the program requrements for admsson and progresson wthn the nursng major. Students who fal to meet the program requrements wll not be admtted to the nursng program, or wll be dsmssed from the nursng program f already admtted. a 6 R - Students requrng addtonal nformaton about servces should contact BMCC Offce of Servces for Students wth Dsabltes (OSSD), Room N320, (22) a r 8 j College Polces:. Absences: At BMCC, the maxmum number of absences s lmted to one more hour than the number? of hours a class meets n one week. Snce Nursng 4 meets 6 hours per week, f students are permtted 7 hours of absence (ncludng one clncal absence) for the a! 4 ' Revsed A -wxar-mn,-m -%--= -.!

14 Borough of Manhattan Communty College The Ctty of New York Department of Nurs~ng NUR: 4: Nursng Process V: Medcal-Surgcal Nursng entre semester. n the case of excessve absence, the nstructor has the opton to lower.the grade or assgn an "F" or " WU" grade. 2. Lateness: Classes begn promptly at the tmes ndcated n the Schedule of Classes. Arrval n classes after the scheduled startng tme consttutes a lateness. Latecomers may, at the dscreton of the nstructor, ncur an ofjcal absence. 3. Dsabl* Polcy: Students wth dsabltes who requre reasonable accommodatons or academc adjustments for ths course must contact the Offce of Servces for Students wth Dsabltes (Room N769; Telephone # ). BMCC s commtted to provdng equal access to all programs and currcula to all students. 4. BMCC Polcy Statement on Plagarsm Plagarsm s the presentaton of someone else's words, deas, or artstc/scentfc/muscal/ techncal work as one's own creaton. A student copes or paraphrases publshed or on-lne materal, or another person's research, wthout properly dentfyng the source(s) s commttng plagarsm. Plagarsm volates the ethcal and academc standards of our college. Students wll be held responsble for such volatons, even when unntentonal. To avod unntended plagarsm, students should consult wth ther nstructors about when and how to document ther sources. The lbrary also has both prnt and dgtal gudes desgned to help students cte sources correctly. Plagarsm carres a range of penaltes commensurate wth the severty of the nfracton. The nstructor may, for example, requre the work to be redone, reduce the course grade, fal the student n the course, or refer the case to the Faculty- Student Dscplnary Commttee (see Artcle 5.4 of the Bylaws of the Board of Trustees). Cases referred to that commttee could result n suspenson or expulson from the college. 5. NO CHLDREN N THE CLASSROOM The college has an oblgaton to ts students, faculty, staff, and vstors to conduct ts operatons and mantan ts facltes n a manner consstent wth ts msson as an nsttuton of hgher educaton. For ths reason, young chldren who are not regstered n the chld care center should not be brought to the campus, and, of course, may not attend classes wth ther parent or guardan. There may be occasons when bref vsts by chldren of students may be necessary. Chldren may vst college offces and facltes, other than classrooms, for lmted perods of tme when ther parent or guardan s conductng routne busness at the college. Regular repeated vsts by chldren are not permtted. Chldren brought on campus must be drectly supervsed at all tmes by ther parent or guardan. n no Revsed

15 ! Borough of Manhattan Communty College The Cty of New York Department of Nursng NUR 4: Nursng Process V: Medcal-Surgcal Nursng case are chldren permtted n labs, shops, constructon/repar stes or other areas! where potental hazards exst. 6. Natonal Councl Lcensure Examnaton for Practcal Nurses (NCLEX- PN). Students who have completed the thrd semester of the nursng program at BMCC are elgble to take the NCLEX-PN f they receve a grade of "73" ("C") or better n the course. Note: Takng the NCLEX-PN s prmarly an opton for students who are out of the nursng program but who have earned a grade of "C" n Nursng 33. All other students should keep n mnd that the nursng program prepares students for the NCLEX-RN (Regstered Nurse), not the Practcal Nurse lcensng examnaton. Please be remnded that f you take the NCLEX-PN and work as a Practcal Nurse, you are stll judged as an RN because you are an RN-traned Lcensed PN. YOU ARE HELD ACCOUNTABLE TO YOUR HGHEST DEGREE. Some states do not accept the PN lcense because the person dd not graduate from a Practcal Nurse school. 2. Please note that nursng faculty wll not certfy nelgble students for the NCLEX-PN. The crtera are stated above. Each transcrpt wll be checked to verfy elgblty. Any student takng the NCLEX-PN wthout meetng the requrements s commttng an llegal act. Any naccurate nformaton or n~srepresentaton of the qualfcatons to take the NCLEX-PN can lead to.revocaton of the lcense and, n some nstances, nablty to take the NCLEX- PN agan or the NCLEX-RN. 3. Elmnaton of the Opton Permttng Students n RN Nursng Programs to Practce as LPNs by the New York State Board for Nursng/New York State Educaton Department: Ths s to notfy you that as of June, 2007 the New York State Educaton Department wll no longer accept applcatons for lcensed practcal nursng based on completon of Form 2-EQ. Ths opton has permtted students n programs for regstered professonal nursng (RNs) to apply for Lcensed Practcal Nursng lcensure after havng completed specfc crtera. Addtonal nformaton can be obtaned by contactng the New York State Board for Nursng at: New York State Board for Nursng Tel. (58) Ext. 20 E-mal: NURSEBD@,MAL - NYSED.GOV (underscore between Mal and NYSED. Gov) Mal: The State Educaton Buldng, 2'd Floor West Wng, 89 Washngton ~veue, Albany NY 5 F 3 Revsed 0.07!

16 Borough of Manhattan Communty College The Clty of New York Department of Nursng NUR. 4 : Nurslng Process V: Mehcal-Surgcal Nursng Or by contactng the New York State Educaton Department at: Offce of the Professons Dvson of Professonal Lcensng Servces State Educaton Buldng, 2"d Floor 89 Washngton Avenue Albany, New York (5 8) www,op.nysed. gov OUTLNE OF TOPCS Unt : Oxygen Needs: Alteraton n Tssue PerfusonSexual Reproductve Functon mmune System Chapter 23 - Concepts of nflammaton and mmune Response. HVAD S Chapter 25: - nterventons For Clent wth HVADS Chapter 26- Nursng care for the Clent wth Alteraton n mmune Response. Oncology Chapter 27:- Alteraton n Cell GrowthCancer Development Chapter 28: - Nursng Care For the Clent Wth Cancer Hematologcal Problems Chapter 42:- Assessment of Hematologcal System Chapter 43:- nterventons Wth Clent wth Hematologcal Problems. MalelReproductve Dsorders Chapter 76: Assessment of Reproductve System. Chapter 77: nterventons For Clent Wth Breast Cancer. Chapter 78: nterventons For Clent Wth Gynecologc Problems. Chapter 79: nterventons For Male Clent Wth Reproductve Dsorders. Cancer of Headmeck-Laryngeal Cancer Chapter 32: nterventons For Clent Wth Non-nfectous Problems Of Upper Respratory Tract. Revsed

17 Borough of Manhattan Communty College The Cty of New York Department of Nursrng NTJR: 4 : Nursng Process V: Mehcal-Surgcal Nursng EXAM 50 Multple Choce Questons Unt : Nutrtonal Needs: Alteraton n Dgestve Functon/Metabolc Functon Upper Gastrontestnal Dsorders Chapter 56: Assessment of Gastrontestnal System. Chapter 58: nterventons For Clent Wth Esophageal Problems. Chapter 59: nterventons For Clent Wth Stomach Dsorders. Unt : Dsorders of Lower Gastrontestnal Tract Chapter 60: nterventons For Clent Wth Non-nflammatory ntestnal Dsorders. EXAM 50 Multple Choce Questons UNT : Elmnaton Needs: Alteraton n BoweVUrnaq Functon 8 LOWERG: Chapter 6: * nterventons For Clent wth nflammatory ntestnal Dsorders. Chapter 62: nterventons For Clent Wth Lver Problems. g > Chapter 63: nterve~tons For Clent Wth Problems of Blary System and Pancreas g. Renal/Urnary Chapter 72: Assessment of Renalwrnary System. Chapter 73: nterventons For Clents Wth Urnary Problems. Chapter 74: lterventons For Clents Wth Renal Dsorders. Chapter 75: lterventons For Clents wth AcutelChronc Renal Falure Md-Term EXAM 50 Multple Choce Questons UNT. V: NEURO/SENSORY NEEDS: Alteraton n thought processes/sensorv- Perceptual functon f Neurologcal Nursng PractcelNEUROLOGY: % Chapter 44: Assessment of the Nervous System J Chapter 45: nterventons For Clents Wth Problems Of Central Nervous System. t Revsed 0.07,! a E E

18 Borough of Manhattan Communty College The Cty of New York Department of Nursng NL'R: 4 : Nursng Process V: Medcal-Surgcal Nursmg f Chapter 46: nterventons or Clent Wth Problems of Central Nervous System: The Spnal Cord. Chapter 47: nterventons! or Clents Wth Problems of Perpheral Nervous System. 6 Chapter 48:! nterventons or Crtcally Clents Wth Neurologcal Problems. 3 EXAM 50 Multple Choce Questons SensoryRerceptual Chapter 49: Assessment of Eye and Vson. Chapter 50: nterventons For Clents Wth Eye and Vson Problems. Chapter 5: Assessment of Ear and Hearng. Chapter 52: nterventons For Clent Wth Ear and Hearng Problems. UNT V: MOBLTY NEEDS: Alteraton n Musculoskeletal functon J MuscularSkeletal f Chapter 53: Assessment of Musculoskeletal System. $ Chapter 54: h nterventons For Clents Wth Musculoslteletal Problems. f 3 Chapter 55: ": nterventons for Clents Wth Musculoskeletal Trauma.? 5 Chapter 24: B nterventons For Clents Wth Connectve Tssue Dsease: Arthrts. d,! EXAM V 50 Multple Choce Questons UNT V: PROTECTON NEEDS: Physologcal StressCrss BurnsTrauma F Chapter 7: 9 'a nterventons For Clent Wth Burns. Chapter 2: Emergency and Mass Casualty Nursng Fnal Exam 00 Multple Choce Questons

19 a: Borough of Manhattan Commumty College 9 The Clty of New York Department of Nursng NUR. 4 Nurslng Process V: Medcal-Surgcal Nursng PHLOSOPHY OF THE DEPARTMENT OF NURSNG: ", ": g The phlosophy of the Nursng Department s consstent wth the stated Msson of the College,.e., to mantan academc excellence and provde access to hgher educaton for a dverse urban populaton. The faculty beleves that nursng educaton should take place n a collegate settng. The competences expected of a begnnng assocate degree nurse requre a general educaton wth the mastery of an nterdscplnary body of knowledge essental to understandng human bengs. nterdscplnary knowledge helps to prepare the learner to functon n four nterrelated roles: () provder, (2) manager of care, (3) communcator, (4) member wthn the dscplne. Basc to each of the roles s the applcaton of the Nursng Process n health care settngs where polces and procedures are specfed and gudance s avalable. Nursng: The faculty beleves that nursng s a learned and carng professon ntegral to the health care system. Nursng has hunan bengs as ts prmary concern and respects the dgnty and dversty of human b~ngs as they move along the contnuum of lfe from f brth to death. We beleve that the vared levels of nursng--lcensed practcal nurse, assocate 4 P degree nurse, baccalaureate, masters, and doctorate--share commonaltes and dffer F " manly n the degree of autonomy, depth and scope n the applcaton of the nursng process and contrbutons made to ts underlyng data base.! We beleve that upon completon of the nursng program each Borough of t Manhattan Communty College assocate degree nursng graduate wll demonstrate the 4 competences wthn the four dentfed roles of: r PROVDER: 4 4 The graduate wll demonstrate crtcal thnlung by applyng the nursng process as! r a bass for decson makng and clncal judgments n order to develop and mplement a t r f plan of care for an ndvdual or group of clents wth common, complex health care needs n the acute and long-term care settngs and communty-based settngs, ntegratng laowledge of legal and ethcal standards of practce. MANAGER OF CARE:, The graduate wll use sound judgment and safe decson-makng to manage the care of a group of clents. (S)he wll delegate assgnments based upon the experence f andlor educaton of health team members, beng accountable for care gven. Councl of Assocate Degree Programs, Educatonal Outcomes of Assocate Degree Programs: Roles and Competences. Natonal League for Nursng. New York. Pub. # , p. 4. f Revsed e Lmw ~ - w ~ ~ ~ w - m * - -, ~ ~ - ~ ~ u r n _ l - ~ ~ m % w w**%*-w-7*--a*2a-mp--d ~ %

20 j Borough of Manhattan Communty College The Cty of New York Department of Nursng NTJR: 4 : Nursng Process V: Medcal-Surgcal Nursng COMMUNCATOR: The graduate wll ndependently and n collaboraton wth health team members, 9 clents, famles, and sgnfcant others, ncorporate effectve therapeutc communcaton b technques n promotng health and preventng llness among people from culturally? dverse backgrounds wth vared health care needs. 4 3 \ 0 b t a f MEMBER WTHN THE DSCPLNE OF NURSNG: The graduate wll be knowledgeable and actvely partcpate n endeavors that promote crtcal thnkng and foster personal and professonal growth. Nursng Process: We beleve that the assocate degree nurse s sklled n the use of the nursng process when carng for patents n all settngs wth well-defned health problems or selfcare defcts. The nursng process s fundamental to decson makng n the provson of nursng care and provdes the core for basc nursng knowledge. Furthermore, the nursng process lends tself to levels that proceed from the smple to the more complex, provdng a brdge upon whch laowledge and understandng can be compounded. Usng ths scentfc approach to problem solvng and crtcal thnkng, the assocate degree nurse ndependently and collaboratvely assesses, analyzes, plans, mplements and evaluates the care gven.? Human Bengs: ;" E The faculty beleves that human bengs are complex ndvduals n the contnuous a process of mutual nteracton wth ther nternal and external envronments. The nature f of human bengs,.e., ther ntegraton of bo-psycho-soco-cultural, ntellectual, and f sprtual factors as reflected n Maslow's Herarchy of Basc Human Needs, mples that '7 nurses cannot understand the ndvdual's responses to a health problem f the focus s on % only one dmenson of the hunan personalty. t d G E We beleve that human bengs are contnually confronted wth changes and choces as members of a rapdly changng socal order and as partcpants n dverse socal and cultural relatonshps. We beleve the opportuntes for growth and selfrealzaton are nextrcably bound to opportuntes for the realzaton of one's maxmal potental for health. We beleve that mportant components of the external envronment of human bengs nclude nteractons wth other human systems, prmary famly and communty. The famly ncludes sgnfcant others and s the most mportant system through whch needs are developed and met. The conmunty s an organzed group of nterrelated systems characterzed by shared nsttutons and mutual nteractons. 4: l 4 2 Revsed 0.07

21 f r k 9 Borough of Manhattan Communty College 'The Clty of New York Department of Nursng NUR: 4 : Nursng Process V: Medcal-Surgcal Nursng Communty-Focused Nursng: The faculty beleves n' preparng the assocate degree nurse to practce n communty-focused health care settngs, such as hosptals, nursng homes, ambulatory care facltes, and communty health agences. Communty-focused nursng care s drected toward health promoton, restoraton, and mantenance. Communty-focused learnng experences enable the students to provde prmary, secondary, and tertary care to ndvduals, famles and groups as the currculum moves from an llness focus to a wellness focus. The gudng prncples of preventon, self-care, cultural dversty, contnuty of care, and collaboratve care 4 are ntegrated throughout the currculum. Health: The faculty beleves that health s a dynamc state and s evdenced by adaptaton to the envronment whle maxmzng the potental for meetng basc human needs. ; $ We beleve that llness s a threat to the ntegrty of the l~uman system. llness s t, F manfested by a state of dmnshng self-care abltes and ncreasng dependency n. xcetng or satsfyng needs. The Clent: The faculty s n accord wth the Natonal League for Nursng's defnton of the f clent. Although the term patent s used nterchangeably n our wrtng, we see both as "a person who enters the health care delvery system for assstance n meetng health 6 needs". 4 Teachng-Learnng Process: Teachng -Learnng s a goal drected process n whch teachers and learners share mutual responsblty n creatng a change n the learner. The faculty beleves that the teachng-learnng process s an ncremental process that progresses from the smple to the complex and from the famlar to the unfamlar. The teacher consders ndvdual dfferences n the selecton and sequencng of ncreasngly complex learnng experences to acheve pre-determned currculum objectves. The pre-clncal nursng sequence helps to dentfy those students most able to acheve the objectveslgoals n clncal nursng. We beleve that the teacher s a provder of nformaton, facltator of learnng, resource person and role model. The results of learnng can be assessed tlxough measurable achevable changes n observable student behavors as they progress from one level to the next. The learner s responsble for achevement of the objectveslgoals through ndvdual and group partcpaton n the learnng actvtes. Ongong mutual evaluaton f B a 8 C 5 Revsed 0.07 '~unt, Roberta, "Communty-Based Nursng: Phlosophy or Settng? Amercan Journal of ~ urrn~. h October 998, pp

22 r-w---' ,--,-Rr- cnmw rrm~cn**-a."rx*-epmrrpx-rr --.s7. u * " - P l - P - # -,n.-m-w- T Borough of Manhattan Commumty College The Cty of New York Department of Nurs~ng [ NUR: 4: Nursng Process V: Medcal-Surgcal Nursng, V of learnng experences and mmedate feedback are essental to desred changes n.behavor. P We further beleve that the learner s a motvated adult who s wllng to acqure! atttudes, belefs, knowledge, and competences commensurate wth The Code for Nurses! and Nurse Practce Acts. The faculty beleves an essental component of contnung competency n nursng practce s to contnue one's educaton after the formal learnng process has termnated and encourages professonal and personal growth throughout the h program. B a 9 PROVDER EDUCATONAL OUTCOMES OF THE NURSNG UNT: Over-All Crtera: Upon completon of the program, the graduate wll demonstrate crtcal thnkng by applyng the nursng process as a bass for decson makng and clncal judgments n order to develop and mplement a plan of care for an ndvdual or group of clents wth common, complex health care needs n the acute and long-term c&e settngs and commullty-based settngs, ntegratng lnowledge of legal and ethcal standards of practce. Level Outcome Crtera: At the end of the frst semester, the student wll utlze the nursng process clent nteracton n provdng basc nursng care to clents wth common health problems n the acute and long-term care settngs and communty based settngs, demonstratng begnnng laowledge of legal and ethcal standards of practce.! : Level Outcome Crtera: At the end of the second semester, the student wll translate prncples of the nursng process to a plan of care n carng for clents wth specalzed health needs n the acute and communty-based settngs utlzng knowledge of legal and ethcal standards. Level Outcome Crtera: At the end of the thrd semester, the student wll use the nursng process as a bass for t f crtcal, reflectve decson-makng n provdng care to chld and adult clents wth common and conplex health needs n the acute and long-term care settngs and ~ - < communty-based settngs, ntegratng knowledge of legal and ethcal standards.! 8 Level V Outcome Crtera: Same as over-all outcome crtera for completon of the program. MANAGER OF CARE Over-All Outcome Crtera: Upon completon of the program, the graduate wll use sopnd judgment and safe decson-makng to manage the care of a group of clents. (S)he wll delegate assgnments a Revsed

23 Borough of Manhattan Communty College The Clty of New York Department of Nursng NUR 4 : Nursng Process V. Medtcal-Surgcal Nursng based upon the experence andlor educaton of health team members, beng accountable for care gven... Level Outcome Crtera: At the end of the frst semester, the student wll express a begnnng percepton of the value of peer collaboraton n accomplshng short and long term goals wth gudance. Level Outcome Crtera: At the end of the second semester, the student wll conpare and contrast the role of other members of the health care team. (S)he manages the care of an ndvdual or famly unt utlzng sound judgment and safe decson makng. Level Outcome Crtera: Demonstrates a begnnng team leadershp role by allocatng patent care responsbltes to peers, based on ther knowledge, sklls and abltes to plan safe effectve care to a group of clents. Level V Outcome Crtera: Same as over-all outcome crtera for completon' of the program. COMMUNCATOR Over-All Outcome Crtera: Upon completon of the program, the graduate wll ndependently and n collaboraton wth health team members, clents, famles, and sgnfcant others, ncorporate effectve therapeutc communcaton technques n ~romotng health and preventng llness among people from culturally dverse backgrounds wth vared health care needs. Level Outcome Crtera: At the end of the frst semester, the student wll demonstrate a begnnng understandng of the therapeutc prncples of communcaton sklls to ntate nteractons wth the clent, famly, sgnfcant others and health care team members. Level Outcome Crtera: At the.end of the second semester, the student.wll utlze prncples and technques of therapeutc communcaton n nurse-clent nteracton demonstratng an awareness of the nurse's role n the therapeutc relatonshp. Level Outcome Crtera: At the end of the thrd semester, the student wll ndependently establsh therapeutc communcaton techmques wth the chld and adult clents, famles, and sgnfcant others n preventng llness and promotng health. Level V Outcome Crtera:

24 Borough of Manhattan Communty College The Cty of New York Department of Nursng NUR: 4: Nursng Process V: Med~al-Su;~cal Nursng Same as over-all outcome crtera for completon of the program. MEMBER WTHN THE DSCPLNE OF NURSNG: Over-All Outcome Crtera: Upon completon of the program, the graduate wll be knowledgeable and actvely partcpate n endeavors that promote crtcal thnkng and foster personal and professonal growth. Level Outcome Crtera: At the end of the frst semester, the student wll dentfy resources and actvtes whch foster professonal growth and wll demonstrate nterest n partcpatng n student actvtes desgned to enhance begnnng socalzaton nto the nursng professon. Level Outcome Crtera: At the end of the second semester, the student wll functol as a partcpant observer n selected communty actvtes, whch enhance personal growth and awareness of resources whch contrbute to professonal growth. Level Outcome Crtera: At the end of the thrd semester, the student wll utlze resources and partcpate n actvtes, whch foster professonal growth and crtcal thnkng by exhbtng an awareness of the mplcatons of hslher nvolvement as a member of the professon and of socety. Level V Outcome Crtera: Same as over-all outcome crtera for completon of the program. a h B a B a 4 COURSE OBJECTVES: Upon completon of ths course and based on selected health care problems presented, the student wll be able to: - Utlze the nursng process [assessment; dagnose; plan; mplement; evaluate] n provdng nursng care servces to selected clents. - Perform age apprpoprate health assessment on selected clents. - Explan ratonale for underlyng health assessment fndngs from clents. - Descrbe the selected health care problems. - Descrbe alteraton n pathophysology for selected health care problems. - Outlne global ncdences of selected dsease processes; - Outlne rsk factors assocated wth selected health care problems. - dentfy and descrbe ndcatons assocated wth selected health care problems. - State daglostc testsllaboratory data assocated wth selected health care problems. - Dscuss the treatment optons assocated wth selected health care problems. Revsed &%-#-% "- -w*.*w * - l h. r ) M o ~. M * ~ ~.ma d ~. a *. ~ w ~ -rnclt, *-*6s-.-; n 4!