ASSOCIATE DEGREE NURSING CONCEPTS OF NURSING PRACTICE I FOR ARTICULATING STUDENTS RNSG 1417 SUMMER Prepared by: Wendy Stewart, MSN, RN, CNE

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1 ASSOCIATE DEGREE NURSING CONCEPTS OF NURSING PRACTICE I FOR ARTICULATING STUDENTS RNSG 1417 SUMMER 2015 Prepared by: Wendy Stewart, MSN, RN, CNE

2 Summer 2015 Date Time Topic Preparation June 4 8:00a :00-11:30 SIP Review Mental Health Shives Chapters 1-5, 8 June 8 9:00-11:50 Mental Health Shives, Chapters 9-12, 31 12:30-1:30pm Evolve Orientation (Comp Lab) June 9 9:00-11:50 Mental Health Shives, Chapters :30-1:30pm Dosage Review (S161) June 10 9:00-11:50 Mental Health Shives, Chapters 19, 20 June 11 9:00-10:40 10:50-11:50 12:00-12:30 Exam 1 (Mental Health) Mental Health Exam Review Shives, Chapter 35 June 15 8: :00-2:00pm Qualifying Dosage Exam (1262) Professional Nursing Practice Health Disparities & Culture] Inventory Nurse Pack June 16 8:00-2:00pm Patient & Caregiver Teaching Chronic Illness & Older Adults Texas Nurse Practice Act See RNSG 1262 for add l activities June 17 9:00-11:50 12:30-2:00pm Mental Health Independent Skills Lab June 18 9:00-11:50 Mental Health 12:30-14:30 Orientation & Safety Sim June 22 8:00-2:00pm Sleep & Sleep Disorders Nursing Process See RNSG 1262 for add l activities June 23 8:00-2:00pm Pain Palliative Care at End of Life Role of the RN See RNSG 1262 for add l activities June 24 9:00-11:50 12:30-2:00pm June 25 9:00-11:50 12:30-2:00pm June 29 8:00-10:00 10:15-11:00 11:00-12:00 Mental Health See RNSG 1262 for add l activities Mental Health See RNSG 1262 for add l activities Exam 2 (Mental Health & Found) DocuCare Inservice (Comp Lab) IV Therapy Lab Curren & Blackboard Lewis, Chapters 1 & 2 Lewis, Chapters 4 & 5 BON Website Shives, Chapters 21, 22, 28 Shives, Chapters 24, 25,32 SIM Prep Work--Blackboard Lewis, Chapter 8 Notes on Blackboard Lewis, Chapter 9 & 10 Add. Reading as assigned Shives, Chap. 23, 27 & 30 Shives, Chap, 29 & 33 Purchase DocuCare Evolve Modules June 30 8:00-9:00 9:00-12:00 ATI Mental Health Diabetes ATI Practice Module Lewis, Chapter. 49 Lilley, Chapter 32 July 1 8:00-12:00 Gastrointestinal I & II Lewis Chap

3 Lilley, Chap , 55 July 2 8:00-12:00 GI (con t) & Hematology (Exclude DIC,TIP,ITP & HIT Lewis, Chap Lilley, Chap. 54 July 6 6:30a-6:30pm Mental Health Clinical (HCPC) See RNSG Step Paper due at 6:30am July 7 6:30a-6:30pm Mental Health Clinical (HCPC) See RNSG 1262 July 8 10:00-12:00 Overflow M/S Content from Previous week July 9 9:00-12:00 Simulation: SCD See Blackboard for Prep July 13 8:00-10:00 10:15-12:00 Exam 3 (M/S content) Cardiac Lewis, Chap. 28, 32, & 33 Lilley, Chap. 19, 22, 24 & 28 July 14 8:00-12:00 Cardiac (Omit Transplant) Lewis, Chap 35, 37, 28, 34, 38; Lilley 23,24,26,27 & 28 See Blackboard for Prep See Blackboard for Forms July 15 8:00-11:00 11:00-12:00 Simulation: CHF Orientation to Mainland July 16 6:30a-7:15pm Clinical at Mainland July 20 8:00-12:00 Musculoskeletal Lewis, Chap Lilley, Chap & Chap. 44 July 21 8:00-12:00 Oncology (omit Transplant) HIV/Immunity Lewis, Chap Lilley, 45-48, 52, 40 July 22 8:00-12:00 Integumentary Lewis, Chap , Lilley, Chap. 56 July 23 6:30a-7:15pm Clinical at Mainland July 27 8:00a-10:00a 10:15-12:00p Exam 4 (M/S Content) Respiratory Lewis, Chap ; Lilley, Chap ; 41 July 28 8:00a-12:00p Respiratory (con t) Lewis, Chap. 29 Lilley, Chap. 37 July 29 8:00a-12:00p Simulation: COPD See Blackboard for Prep July 30 6:30a-7:15pm Clinical at Mainland Aug 3 8:00a- 12:00pm Eye & Ear Lewis, Chap Lilley, Chap Aug 4 8:00a- 12:00pm Genitourinary Lewis, Chap 45-46; 55 Lilley, Chap. 28 Aug 5 8:00a-10:00a ATI Med/Surg Exam Aug 6 6:30a-7:15pm Clinical at Mainland Aug 10 8:00a-10:00a 10:30-12pm Exam 5 (M/S Content) Clinical Evals Aug 11 8:00-10:00a 10:30-12pm Final Exam (Comprehensive) Clinical Evals

4 COURSE INTRODUCTION RNSG 1417: Concepts of Nursing Practice I for Articulating Students (4 credits: 3 lecture and 2 lab hours per week) Course Description: Provides the articulating vocational nurse the opportunity to examine the role of the professional nurse; application of a systematic problem solving process and critical thinking skills which includes a focus on the adult population in selected settings; and competency in knowledge, judgment, skill, and professional values within a legal/ethical framework. Roles of the professional nurse as provider of patientcentered care, patient safety advocate, member of the health care team and member of the profession are introduced. End-of-Course Outcomes: Describe the roles of the professional nurse as provider of patient-centered care, patient safety advocate, member of health care team, and member of profession; describe critical thinking in a systematic problem solving process in the application of knowledge to the adult patient; and identify ethical and legal principles in professional nursing practice. Prerequisites: Admission into the ADN Program, RNSG 1215, BIOL 2401, BIOL 2402, BIOL 2420, PSYC 2301, PSYC 2314, and ENGL 1301 Corequisites: RNSG 1262 Course Goals and Objectives At the end of the course and in conjunction with RNSG 1262 the student will be able to meet the following objectives in a satisfactory manner: 1. Utilizes advanced beginner clinical reasoning skills in the application of the nursing process to provide safe, quality care to the adult medical/surgical patient. 2. Delivers safe, effective, nursing care at an advanced beginner level to enhance the selfcare potential of culturally and socially diverse individuals and their families with psychosocial and physiological health needs across the lifespan. 3. Identifies and develops communication and collaboration with members of the interdisciplinary health care team to promote and maintain optimal health status of patients and their families at an advanced beginner level. 4. Identifies and adheres to standards of practice within legal, ethical, and regulatory frameworks of the professional nurse at an advanced beginner level. 5. Identifies and serves as an advocate to promote and provide quality, patient-centered health care at an advanced beginner level to clients and their families. 6. Demonstrates skills in using client care technologies and information systems at an advanced beginner level that support safe nursing practice. 7. Promotes safety and quality improvement at an advanced beginner level when managing nursing care. 8. Demonstrates, at an advanced beginner level, the knowledge of basic delegation, management, and leadership skills.

5 SCANS Students will be evaluated based on workforce expectations in accordance with the Secretary s Commission on Achieving Necessary Skills (SCANS). See clinical evaluation tool. Methods of Instruction This course includes both theory and lab components and will be team-taught by the instructors. The classroom format will be conducted primarily as lecture/discussion and problem-solving sessions. The student is expected to come to class prepared, by reading the assigned materials, reviewing computer software, as well as reviewing basic anatomy and physiology of the systems being covered. Review your Health Assessment text and your A&P text to accomplish this. The lab component may be partly accomplished in the classroom and partly as outside study. Students will receive additional assignments by individual instructors as a part of the lab component of classroom discussion and problem-solving sessions. The theory portion of this course RNSG 1417 and the clinical portion RNSG 1262 must be taken simultaneously. Any student who is unsuccessful in RNSG 1417 must retake both RNSG 1417 and RNSG Any student who is unsuccessful in RNSG 1262 must retake both 1417 and INSTRUCTORS J. Guidry MSN, RN Office S See office door for office hours W. Stewart, MSN, RN, CNE Office S See office door for office hours Communicating with your instructor The preferred method for communicating with your instructor is through the ACC or you may call at the number listed above. Please leave your first and last name, a phone number or address where you can be contacted, and let us know what you need to discuss with us. We will normally respond within 24 hours Monday-Thursday and by the next business day on Friday-Sunday. DISCLAIMER The instructor reserves the right to modify this syllabus as needed and will notify the students of any changes using the ACC or MyBlackboard or announcements.

6 TEXTBOOK INFORMATION For current information on the textbook and other course materials, visit the ACC College Store website. Required Textbooks Lewis, S.L., Dirksen, S.R., Heitkemper, M.M., & Bucher, L. (2014). Medical-surgical nursing: Assessment and management of clinical problems (9th ed). St Louis, MO: Mosby. Lilley, L., Rainforth Collins, S., & Snyder, J.S. (2014). Pharmacology and the nursing process (7 th ed). St. Louis, MO: Mosby. Potter, P. & Perry, A.G. (2013). Nursing skills online version 3.0 for fundamentals of nursing (8 th ed). St. Louis, MO: Mosby. Shives, L. (2011). Basic concepts of psychiatric-mental health nursing [bundled with interactive case studies and Lippincott s DocuCare] (8 th ed). Philadelphia, PA: Lippincott, Williams, & Wilkins/ Wolters Kluwer. Nursing Central, available for iphone, BlackBerry, Android, Palm, and Windows Mobile from nursing.unboundmedicine.com Nursing Central includes: Deglin, J.H. & Vallerand, A.H. (2012). Davis s drug guide. Philadelphia, PA: F.A. Davis Company. Doenges, M.E., Moorhouse, M.F. & Murr, A. C. (2011). Nurse s pocket guide: Diagnoses, prioritized interventions & rationales. Philadelphia, PA: F.A. Davis Company. Sommers, M.S. (2011). Diseases & disorders: A nursing therapeutics manual (4 th ed). Philadelphia: PA: F.A. Davis Company. Van Leeuwen, A.M., Poelhuis-Leth, D.J. & Bladh, M. L. (2013). Davis s comprehensive handbook of laboratory and diagnostic tests with nursing implications. Philadelphia, PA: F.A. Davis Company. Venes, D. (Ed.). (2013). Taber s cyclopedic medical dictionary (22 nd ed). Philadelphia, PA: F.A. Davis Company. Recommended Textbooks Curren, A. (2010). Dimensional analysis for meds (4 th ed). Albany, NY: Delmar Dirksen, S.R., Lewis, S.L., Heitkemper, M.M., Bucher, L. (2014). Medical-surgical nursing: Assessment and management of clinical problem; Clinical companion (9 th ed). St Louis, MO: Mosby.

7 Lewis, S.L., Dirksen, S.R., Heitkemper, M.M., Bucher, L., Camera, I. M. (2014). Medicalsurgical nursing: Assessment and management of clinical problem; Study guide (9 th ed). St Louis, MO: Mosby. BOOKS OF CHOICE: Anatomy & physiology textbook, Nutrition textbook Texas nurse practice act (available online at Additional Resources Databases available through ACC Library homepage Nursing Resources: Ovid SP: Provides access to the following Journals: Nursing AJN (American Journal of Nursing) Home Healthcare Nurse Nursing Critical Care Nursing Made Incredibly Easy! Advance for Nurses: Nurse Week: Texshare: EVALUATION POINTS EVALUATION DESCRIPTION UNIT EXAMS Each exam contains fifty questions and is worth 100 points. 100 FINAL EXAM Comprehensive one hundred item exam (does not include Mental Health) Possible exam points based on ATI See description below Comprehensive Exam Possible exam points based on the See description below ATI Mental Health Content Mastery Exam 600 TOTAL EXAMINATION POINTS A minimum of 390 exam points are needed to pass the course. 50 Lab (TBD) Added only after exams total at least Possible course points for ATI See description below preparation/remediation 660 TOTAL POSSIBLE COURSE POINTS Course Grading Scale = A = B = C = D < 60 = F < 462

8 Note: An examination average of 75% (C) (495 pts) must be earned after averaging the unit exams and final exam prior to other course grades (lab points) being added. An average grade below 75% (C) will prevent the student from progressing in the Associate Degree Nursing Program. (Concurrent enrollment in the Clinical Nursing course RNSG 1262 is required. If a student needs to repeat RNSG 1417, he/she must also repeat the clinical course RNSG 1262.) I...Incomplete. No Incompletes or I grades will be given except for extreme circumstances. If an I grade is assigned and the course work is not completed by the prearranged time limit, this grade will convert to an F. *W...Withdrawal. It is recommended that the student talk to the instructor before withdrawing. Current course withdrawal information can be found in the printed version of the ACC Schedule for this semester or online at ACC Course Withdrawal Instructions. Students who file withdrawal requests by the published deadline and have not exceeded the withdrawal maximum will receive a grade of W. Late Course Work Policy: There is no late work accepted in this class. ATTENDANCE POLICY Theory/Lab: Students are expected to attend all theory and lab classes. It has been found that students who attend every class have better exam scores. Students are responsible for course content and readings for missed days. Preparation for class and lab is expected. Simulation days on campus count toward clinical attendance; please refer to RNSG 1262 syllabus for clinical attendance policy. Exam Policy Exam Taking Environment: During exams the following items are allowed on the desk: one scantron, a pencil/highlighter/pen, simple calculator, and blank sheet of paper. All other objects, coats, hoodies, books, backpacks, and PHONES are to be left outside the classroom or placed at the front of the classroom. No personal items, including cell phones, will be permitted around the desk area during any part of the exam, tiered-testing, or unit exam review. Any student in possession of a cell phone during the exam, tiered-testing, or unit exam review is considered to be cheating which will result in consequences for academic dishonesty. These consequences will extend to the entire tiered-testing group and affect both the individual exam score and tiered-testing scores. Unit Exams: Five (5) unit exams are given during the semester. Each unit exam is fifty (50) items. Sixty (60) minutes is allotted for each unit exam. All material covered in theory/lab, all reading assignments including selected articles, and computer software programs are possible sources for exam questions. Material to be covered on exams reflects an increasing need to critically think regarding patient care activities. Therefore, most of the exam items are application questions. Unit objectives from the syllabi provide a blueprint as a study-guide for each exam. See course schedule for exam dates. The exams are primarily multiple choice (except make-up exams). Bring a scantron for each exam.

9 The scantron is the official grading tool. Please take care when making your marks. No cell phones will be allowed in the student/desk area during the exams, tiered-testing, or test review period. (See ATI Exam Preparation Section) Pharmacological/Dosage Calculation Component: Pharmacology and safe medication administration is an integral part of medical-surgical nursing. Therefore, each unit exam will have dosage calculation and pharmacology questions included. Tiered-Testing: Immediately after taking the five unit exams (not the final exam) students may opt to re-take the exam in a small, randomly selected group. The student group will have 30 minutes to re-take the exam and submit one scantron for the group. Any student choosing to participate must submit her/his scantron when completing the initial exam, wait in the classroom until all others complete their initial exams, and then move to the small group. The small group will complete the exam together. After the group scantron is scored, the following percentage points will be added for each student. Tier Test Score Percentage Point Addition % % % Students will have an opportunity to check answers on the test booklet against an answer key once all tiered-testing is completed. Questions regarding exam items may be written on the answer sheet and will be reviewed by the instructors. Further help with exam items is available during the instructor s office hours. Successful Test Preparation In order to increase the student s ability to be successful, ATI preparation is recommended. The preparation will be based on the ATI software. Students may complete the review at the end of the corresponding ATI chapters or complete the ATI unit practice exams. ATI Assessment All students are required to take an ATI practice exam and a Comprehensive ATI Exam. Additional points will be added to the student s exam points for scoring greater than 75% on the Comprehensive ATI Exam at the end of this course. All students are required to take the exam. If the test is not taken, the student will receive an Incomplete until the requirement is fulfilled. ATI Practice Exam ATI practice exam access will be provided to the student two weeks before the comprehensive ATI exam. To earn 5 lab points students must achieve 90% or above on the ATI practice exam and turn in evidence of the achievement to faculty the morning of the Comprehensive ATI Exam. A score of less than 90% will not receive any points. The student will be able to take the examination once every 12 hours.

10 Content Mastery ATI Exam (Mental Health) The Transition proctored mental health examination will be given as indicated on the calendar. All students are required to take this exam. If the test is not taken, the student will receive an Incomplete until the requirement is fulfilled. Additional points will be added to the student s exam points for scoring a proficiency level 2 or 3 on the ATI exam. The additional points will be distributed as follows: Proficiency Level 3 = 2% exam points (10) Proficiency Level 2 = 1% exam points (5) Comprehensive ATI Exam The Transition proctored examination will be given as indicated on the calendar. All students are required to take this exam. If the test is not taken, the student will receive an Incomplete until the requirement is fulfilled. Additional points will be added to the student s exam points for scoring greater than 75% on the ATI exam. The additional points will be distributed as follows: % = 4% exam points (20) 75-86% = 2% exam points (10) Remediation/Focused Review When a student s Comprehensive ATI Exam score is below 75%, 5 additional lab points can be earned by doing remediation and focused review and by taking a second practice examination. Evidence of focused review and the second practice exam results must be turned in to faculty prior to the final examination. Lab Lab opportunities include but are not limited to case studies and simulation. Attendance and participation is required to receive credit. No make-up work is available. Code of Academic Integrity and Honesty Alvin Community College students are members of an institution dedicated to the pursuit of knowledge through a formalized program of instruction and learning. At the heart of this endeavor, lie the core values of academic integrity which include honesty, truth, and freedom from lies and fraud. Because personal integrity is important in all aspects of life, students at Alvin Community College are expected to conduct themselves with honesty and integrity both in and out of the classroom. Incidents of academic dishonesty will not be tolerated and students guilty of such conduct are subject to severe disciplinary measures. Classroom Protocol It is the right of each student to participate in his or her learning, and it is the responsibility of each student to not interfere with the learning of other students. It is the expectation of the college that each student assumes the responsibility to follow college policies and procedures governing campus and classroom conduct. This information is published in the ACC Student Handbook

11 ACC ACADEMIC SUCCESS AND SUPPORT SERVICES: Americans with Disabilities Act ACC complies with ADA and 504 Federal guidelines by affording equal access to individuals who are seeking an education. Students who have a disability and would like classroom accommodations must register first with the Office of Disability Services, A 136, (281) Instructors are not able to provide accommodations until the proper process has been followed. Behavioral Intervention Team (BIT) Letting someone know The Behavioral Intervention Team (BIT) at Alvin Community College is committed to improving community safety. College faculty, staff, students and community members may communicate safety concerns to the BIT team by , or through an electronic reporting option located on the BIT page of the college website. The ACC Library is an excellent source for research and writing help. Quiet rooms are available for studying and doing class work. For more information, visit the ACC Library Website or call The ACC Tutoring/Learning Lab, located upstairs in building A, provides students with a variety of services including tutoring (math, writing, and other disciplines); computers and printers; a testing facility; and tables/carrels. Call or visit the ACC Tutoring/Learning Lab Website for more information. MyBlackboard Support for MYBlackboard can be obtained by completing the Online Support Form. WEBACCESS, Passwords or ACC Computer Lab Information- -Help Desk Website or contact the IT Dept. Help Desk at

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