Saint Louis University Madrid Campus Division of Sciences, Engineering & Nursing NURS-333 Course Syllabus

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1 Saint Louis University Madrid Campus Division of Sciences, Engineering & Nursing NURS-333 Course Syllabus Semester and Year: Spring 2010 Course No. and Title: Credit Allocation: Schedule: NURS 333 Clinical Decision Making in Health Care 3 Semester Hours Mondays: 9:00-10:50 (lecture) Thursdays: 10:30-12:30 (lab) Thursdays: 8:00-12:50 (clinical) Pre-requisites: PHIL-105, NURS-243, NURS-370, NURS-233 DIET Co-requisites NURS- 360, NURS-330 Curriculum: Faculty: Nursing Requirement Martha Nelson, MSN, RN Phone: ext mnelso35@slu.edu Course Description Building on fundamental knowledge gained in previous courses, this course introduces the student to more advanced concepts that promote the delivery of quality nursing care. Nursing practice within a variety of systems is explored. Factors that promote adaptation in special situations are discussed. Research is introduced as a method of inquiry and as a foundation for the development of the scientific base for nursing practice. The laboratory component of the course provides the student with the opportunity to practice skills in simulated and actual client settings. The student will also

Pre-requisites: PHIL-105, NURS-243, NURS-370, NURS-233 DIET- 208.

2 develop a continuing relationship with a family in a community setting. Seminar experiences provide the opportunity to integrate theory from pathophysiology and pharmacology with content learned in this course. Course Objectives: Upon completion of this course, the student will be able to: 1. Discuss the role of the nurse, as a member of the health care team, in ensuring patient safety. 2. Discuss the use of nursing interventions to help patients meet basic needs. 3. Demonstrate safe and effective performance of psychomotor skills to meet patients needs. 4. Critically appraise practice guidelines for selected nursing interventions. 5. Explore the use of the nursing process to promote patient adaptation to specific stressors. 6. Demonstrate critical thinking in the implementation of the nursing process by adapting care to meet patient needs. 7. Demonstrate personal and professional responsibility, self-direction and accountability in the care of patients. 8. Demonstrate use of appropriate communication techniques in interactions with patients, interprofessional team members, faculty and peers.. 9. Integrate theory from pathophysiology and pharmacology in interactions with clients adapting to special situations. Teaching-Learning Methods: Lecture Discussion Assigned Readings Lab

Course Objectives: Upon completion of this course, the student will be able to: 1. Discuss the role of the nurse, as a member of the health care team, in ensuring patient safety. 2.

3 Practicum Course Outline: I Promoting patient safety a. Patient education b. Prevention of injuries c. Prevention of infection d. Medication Safety II. Implementing nursing interventions to meet basic needs a. Oxygenation i. Suctioning ii. Tracheostomy care b. Nutrition i. Tube feedings c. Elimination i. Urinary catheterization ii. Enema iii. Ostomy care d. Fluid Balance i. IV therapy e. Skin integrity

Implementing nursing interventions to meet basic needs a. Oxygenation i. Suctioning ii.

4 i. Wound care III. Using the nursing process to promote adaptation in special situations a. Stress of acute and chronic illness b. The perioperative experience c. Loss and grieving d. End of life care I. Textbooks: REQUIRED BOOKS: - Carpenito, L. J. (2002). Handbook of nursing diagnosis (9th ed.). Philadelphia: Lippincott. - Medicum. (2204). Mini Medemecum Internacional. Madrid, Spain. - Taylor, C., Lillis, P., LeMone, P., & Lynn, P. (2008). Fundamentals of nursing (6 th ed.). Philadelphia: Lippincott Williams & Wilkins. RECOMMENDED BOOKS: - American Psychological Association. (2001). American Psychological Association publication manual (5th ed.). Washington, DC: Author. - White, J.E. & Bowles, D.(2004). Nursing Fundamentals: Reviews & Rationales. Upper Saddle River, NJ: Prentice Hall. This is a great website for concise information on APA 5th edition. You can also look at a sample paper by going to:

Madrid, Spain. - Taylor, C., Lillis, P., LeMone, P., & Lynn, P. (2008). Fundamentals of nursing (6 th ed.). Philadelphia: Lippincott Williams & Wilkins.

5 STUDENT HANDBOOK: The Baccalaureate Nursing Program Student Handbook, which contains information, policies, and guidelines relevant to your education, is available on the School of Nursing web site at It is your responsibility to become familiar with all information in the handbook as well as the University catalog. Grading System: Test #1 20% Test #2 20% Skills Principles test 10% Skills practice test 10% Care plans10% Meds calculation and administration test* 10% Team projects : 10% Clinical experience Satisfactory/ Needs Improvement/ Unsatisfactory Students must earn an average of 78% or better in theory exams and a have satisfactory clinical evaluation in order to advance in the nursing sequence. If a clinical grade of unsatisfactory is earned, the highest grade in the course would be a D. *Skills Practicum Exam The skills practicum exam is worth a maximum of 30 points. The student will randomly choose one of the following skills to perform: - Wet-to-damp sterile dressing for an open wound - Insertion and use of a retention catheter

Grading System: Test #1 20% Test #2 20% Skills Principles test 10% Skills practice test 10% Care plans10% Meds calculation and administration test* 10% Team projects : 10% Clinical experience

6 - Suctioning of a tracheostomy The student will also perform a medication administration component. See the performance criteria sheet attached to each module for critical elements that must be completed satisfactorily in order to pass the exam. Students who fail to complete the critical elements satisfactorily must retake the exam until they complete it satisfactorily. Attempts needed to successfully complete practicum or more Maximum points earned **Drug Calculation Test The test must be passed with 100%. The grade that will be calculated into the course average is determined as follows: - Pass on 1st attempt 100% - Pass on 2nd attempt 90% - Pass on 3 or more attempts 80% GRADING SCALE*: A (4.0) % A- (3.7) 91-92% B+ (3.3) 89-90% B (3.0) 85-88% B- (2.7) 83-84% C+ (2.3) 80-82% C (2.0) 77-79% C- (1.7) 75-76% D (1.0) 70-74% F (0.0) below 69%

Students who fail to complete the critical elements satisfactorily must retake the exam until they complete it satisfactorily.

7 1. Academic Honesty Cheating in class on quizzes and tests is a serious offense. Any student caught cheating will receive an F for the course. A student may also be suspended for one semester. For more information concerning academic dishonesty, refer to the Code of Student Academic Responsibility: Policies 1Students are encouraged to participate in class discussions and to ask questions. (2) Announcements may be made during the semester in class and blackboard. (3) Students are responsible for checking the messages posted in Blackboard. (4) Syllabus, reading and homework problems are subject to change. (5) Students are responsible for all lecture material, handouts, homework and assigned reading. (6) Students are expected to attend all classes unless a reasonable excuse is given. (7) Make up exams are not given. Students who legitimately miss an exam, due to a doctor s visit or family emergency must provide written documentation of the circumstances. A letter from the university counselor is accepted. Exams that are missed illegitimately result in a score of F. Grades for these students will be based on the remaining exams. 2. Disability Accommodation Any student who needs an accommodation based on the impact of a disability (learning disabilities, physical handicaps, or other reasons) should contact me privately to discuss your specific needs. If you qualify for accommodations and are not registered with our Disabilities Services, accommodations can be coordinated for students with documented disabilities. Please contact Vickie

pdf Policies 1Students are encouraged to participate in class discussions and to ask questions. (2) Announcements may be made during the semester in class and blackboard.

8 Andrews or Laurie Mazzuca at Ext. 230, or stop by their office in Manresa Hall.

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