BSN Program N2141 Section 1 and 2

Transcription

1 BSN Program N2141 Section 1 and 2 Section1 Section 2 Heather Hume, RPN, RN, BScN, MN Wanda Pierson, RN, MA, MSN, PhD Student Coordinator Department Chair CRNBC Faculty Representative Office: B148o Office: B148n Telephone: Telephone: [email protected] [email protected] [201030]

2 2 of 15 Table of Contents Course Outline... 3 Process... 3 Class or Clinical Practice Cancellation... 3 Learning Outcomes... 3 Overview of Concepts... 4 Required Texts... 4 Resources 5 Evaluation... 5 Assignments... 6 Professional Responsibilities... 7 Schedule... 9 Appendix I Appendix II e & Heather Hume & Heather Anderson, Jan_ Revised,

3 COURSE OUTLINE 3 of 15 N2141 is an extension of previous practice courses and will be focusing on increasingly complex episodic health challenges. This course will build on the student s previous knowledge base of human anatomy and physiology. Using a variety of learning methods such as case studies, discussions, presentations, and visual programs for the classroom portion of this course will enhance student s nursing practice in the clinical areas. Nursing students will broaden their scope of practice to include the use of critical thinking, problem solving techniques, and active clinical decision making in medical surgical treatments, postoperative care and discharge planning. Experiences include the provision of safe, competent care with individuals and their families in a surgical setting. PROCESS Nursing 2141 is a weekly 4-hour nursing course. It is delivered in a mixed-mode format; consisting of a three hour, face-to-face class component, and a one hour online component using Blackboard CE 6 learning management system. Classes consist of a variety of methods including but not limited to lectures, simulations, discussions, individual work, and small and large group work. Guest speakers may be invited to some classes. CLASS OR CLINICAL PRACTICE CANCELLATION The nursing department makes every effort to replace a nurse educator when he or she is unable to attend a class or clinical practice. If a nurse educator needs to cancel a class or a clinical practice day, for whatever the reason, information regarding the class cancellation will be posted on Blackboard CE 6 as well as at the Registrar's Office (B-Building). As for the cancellation of clinical practice, individual nurse educators will inform his or her students of how cancellation will be conveyed during orientation week. It is important then to log on to Blackboard the day of class and of clinical practice. LEARNING OUTCOMES Participants in the course develop caring relationships with clients experiencing increasingly complex health challenges as they plan, provide, evaluate, and document safe nursing care. Nursing students will integrate theoretical knowledge within a moral and ethical framework and decision making for nursing practice model while providing safe care in an advanced setting and enhancing abilities in the domains of learning. The lived experience of clients is examined within the context of varying episodic health challenges. The creation of the need to know is valued and facilitated by providing nursing practice experience that generates questions and examines e & Heather Hume & Heather Anderson, Jan_ Revised,

4 4 of 15 theories and concepts for further discussion. Praxis is actualized by active participation in class and practice areas. OVERVIEW OF CONCEPTS People s Experiences with Health Challenges related to: REQUIRED TEXTS Decision Making for Nursing Practice Head to Toe Assessment Gordon s Health Patterns RESP GI CVS MSK GU Endocrine CNS Ca lung Gastritis GI Bleed Ostomy care Arterial ulcers Venous ulcers Neurovascular Assessment Orthopedic Surgery Cast care Total Joint Replacement Surgery Acute Renal Failure Prostate CA Brophy, K., Scarlett Ferguson, H., & Webber, K. (2008). Clinical drug therapy for Canadian practice (2nd ed.). Philadelphia, PA: Lippincott, Williams, & Wilkins. CRNBC Resources from (documentation, informed consent, administration of medications, confidentiality, standards of nursing care). Deglin, J. H., & Vallerand, A. H. (2009). Davis s drug guide for nurses (11 th ed.). Philadelphia, PA: F.A. Davis Company. Lewis, S. L., Heitkemper, M. M., Dirksen, S. R., O Brien, P. G., & Bucher, L. (2010). Medical-surgical nursing in Canada (2 nd ed.; M. A. Barry, S. Goldsworthy & D. Goodridge, Canadian Eds.). Toronto, ON: Elsevier Canada. CBI Pancreatitis Hepatitis Cirrhosis TPN Spinal Cord Injury Brain Injury Pagana, K. D., & Pagana, T. J. (2009). Mosby s diagnostic and laboratory test reference (9 th ed.). St. Louis, Missouri: Mosby Elsevier. e & Heather Hume & Heather Anderson, Jan_ Revised,

5 5 of 15 Potter, P. A., & Perry, A. G. (Eds.). (2010). Canadian fundamentals of nursing (4th ed.; J. C. Ross-Kerr & M. J. Wood, Canadian Eds.). Toronto, ON: Elsevier Canada. RESOURCES **Please see Appendix 1 for assigned readings** Other nurse educators who are responsible for this course are: Ro Ofreneo, RN, BN, MN student C 316b [email protected] Sunny Dusanj RN, BSN, MSN C317a [email protected] Peterson Masigan RN, BSN C316b [email protected] Susan Andrews RN, BSN C 317a [email protected] Heather Anderson RN, BN, MN student C316a [email protected] Sarah Reeves, RN, BSN, MSN B153a [email protected] David Brewster RN, BSN C316b [email protected] Baljit Dhaliwal RN, BSN, MSN C317b [email protected] Jane Mighton, RN, BSN, MSN B153m [email protected] Susan Fayle RM, BSN B153a [email protected] Nina Heir RN, BSN B029n [email protected] Resources include required texts from previous terms and also: Canadian Nurses Association. (2008). Code of ethics: The centennial edition. Ottawa: Author. e Nursing Department. (2010). BSN handbook. Vancouver, BC: Author. e Nursing Department. (2008) Proficiency tracking tool. Vancouver, BC: Author. e Nursing Department. (2008). Program overview. Vancouver, BC: Author. The Writing Centre, located on the second floor of the e Library. e & Heather Hume & Heather Anderson, Jan_ Revised,

6 EVALUATION 6 of 15 In order to receive a minimum of 65% or a C+ or S grade in Nursing 2141, students must complete and submit all classroom and clinical practice assignments. A failing grade will be given if a student does not complete all of the course requirements. Nursing 2141 is comprised of nursing practice class and clinical practice. Students are required to achieve a minimum of 65% in the nursing practice class, and a Satisfactory (S) grade in clinical practice, to achieve an overall Satisfactory (S) grade, for Nursing Satisfactory standing is required in all the domains of practice within the Performance Appraisal Form. According to Nursing Department policy, 65% or a C+ or S grade is the minimum grade requirement for successful completion of all nursing courses. The grading scale for the Nursing Department is as follows: A % A % A % B % B 75 79% B % C % C 60 64% C % D 50 54% F 49% or below ASSIGNMENTS Evaluation of the Learning Outcomes of Nursing 2141 include: Class Assignment Weight Due Date Blackboard - Pharmacology Case Studies 15 See schedule - Pharmacology Quizzes 35 See schedule Exams - 2 Midterms 25 Oct 14 th & Dec 2nd - Final Exam 25 Exam Week The dates for submission of assignments are pre-established and outlined in all course syllabi. Completion and submission of all assignments is an expectation of e. There is a late penalty of 5 % (of the total mark for the assignment) per day including weekends and holidays. If the submission of an assignment is on the due date and after the specified time, it is considered one day late. A request for extension must be discussed with the appropriate nurse educator at least one week in advance of the due date, or the request will not receive consideration. Subject to the nurse educator s agreement to grant an extension, the amended due date and time will be documented, either by letter or , and forwarded to e & Heather Hume & Heather Anderson, Jan_ Revised,

7 7 of 15 the student during regular business hours, within three (3) days of the agreement. Anticipate a 1-2 week turn around response period from your nurse educator in order to adequately reflect and provide you with feedback to encourage movement in your understanding of the course s concepts and/or scholarly writing. A minimum of 65% in both components (1 & 2) of N2141 Nursing Practice Class is required to successfully complete the course. Component 1: Pharmacology Case Studies (12) and Quizzes (12) = 65% overall Component 2: Midterm Exams (2) and Final Exam (1) = 65% overall Students who receive less than 65% in one or both components would receive a U in N2141 Nursing Practice Class and would be required to repeat the course (class & practicum). Note: Weekly Blackboard Pharmacology Case Studies and Quizzes are open for completion for two weeks, with the exception of the Week 13 unit, which is open for one week. Once a due date has passed (listed under schedules), that section will not be reopened. Remember, it is your responsibility to complete all case studies and quizzes by the due dates. Clinical Practice Assignments Weight Due Date DMNPF S Week 3 2 Journals S Weeks 5 & 8 Evidence-based practice project S Week 10 Midterm PAF S Week 6 Final PAF S Week 12 Please note that midterm and final evaluation meetings between student and nurse educator occur at e. These are usually scheduled in the 7 th and 14 th week of the semester. Students are required to attend their midterm and final evaluation meetings during evaluation week. Absenteeism during evaluation week may affect your progress in the program. PROFESSIONAL RESPONSIBILITIES e requires all members of the College community [students and nurse educators] to conduct themselves in a manner that promotes a learning e & Heather Hume & Heather Anderson, Jan_ Revised,

8 8 of 15 and working environment characterized by encouragement, free inquiry, integrity, mutual respect, professionalism, recognition of achievement, and social responsibility. The College community respects diversity, is civil, and provides for individual safety ( 1). Students are expected to have a working knowledge and adhere to the policies of e and those outlined in the e Nursing Department Student Policies and Procedures manual. Students are also required to use appropriate language and APA style for all assignments. Questions relative to the methods of evaluation should be directed to the nurse educator teaching the course section in which students are registered. e requires all members of the College community (students and nurse educators) to conduct themselves in a manner that promotes a learning and working environment characterized by encouragement, free inquiry, integrity, mutual respect, professionalism, recognition of achievement, and social responsibility. The College community respects diversity, is civil, and provides for individual safety ( 1). Every practicing nurse in British Columbia, from the beginning student to the expert nurse, is required to assume full responsibility for knowing and adhering to the professional standards of practice. These standards serve primarily to ensure an acceptable level of professionalism (CRNBC, 2008). One of the College of Registered Nurses of British Columbia (CRNBC, 2008) standards of practice is Professional Responsibility and Accountability. Students are expected to have a working knowledge and adhere to the policies of e and those outlined in the e Nursing Department Student Handbook. In particular, the following policies will be reviewed during Week 1 of the semester. 1. ATTENDANCE AND PARTICIPATION 2. SAFE PRACTICE APPRAISAL (SPA) 3. CLASS CONDUCT 4. PROFESSIONALISM & ACADEMIC HONESTY 5. ASSIGNMENTS AND EXAMS 6. EXAM SECURITY 7. WEB NETIQUETTE Students are also required to use appropriate language and APA style for all assignments. Questions relative to the methods of evaluation should be directed to the nurse educator teaching the course section in which students are registered. Any time during the term in clinical practice, a student whose clinical judgment or conduct constitutes a threat to client safety or non-adherence to the CRNBC s e & Heather Hume & Heather Anderson, Jan_ Revised,

9 9 of 15 professional practice standards, he or she will not be permitted to continue practice in the clinical area and may receive and Unsatisfactory (U) grade. SCHEDULE People s Experiences with Health Challenges related to: Week Concept Content & Assignments Ends in View/ Topics: focused on pharmacology, treatments, & pre/post operative & discharge nursing care (client teaching included) #1 Sep. 9 #2 Sep. 16 #3 Sep. 23 #4 Sep. 30 #5 Oct. 7 Introduction Respiratory Gastrointestinal Gastrointestinal Gastrointestinal Class: Course and Blackboard CE intro, decision making model, infection control, the surgical experience, pharmacology basics, surgical pain, and IV therapy. Blackboard: Student Introductions Class: Oxygenation methods (for acute and chronic lung conditions), lung cancer, & lung surgeries Post operative complications: pneumonia, pulmonary embolism Blackboard: Basics of pharmacology/medication errors case study/quiz **to be completed by Wednesday, Sep. 29 at 2400** Class: Upper & Lower GI bleeds, bowel obstructions, esophagus, stomach & bowel surgeries, nasogastric tubes, & ostomies Post operative complications: N&V, ileus, perforations Blackboard: Drugs Affecting the Respiratory System case study/quiz **to be completed by Wednesday, Oct. 6 at 2400** Class: Hepatitis, cirrhosis and liver transplant surgery, liver failure, &hepatic encephalopathy, & alcohol withdrawal Pancreatitis and ERCP, cholecystitis, cholelithiasis, & cholecystectomy, enteral feeds & total parenteral nutrition Guest Speaker Blackboard: Drugs Affecting the Digestive System case study/quiz **to be completed by Wednesday, Oct. 13 at 2400** Class: Pancreatitis and ERCP, cholecystitis, cholelithiasis, & cholecystectomy, enteral feeds & total parenteral nutrition #6 Oct. 14 Cardiovascular Blackboard: Drugs Affecting Fluid & Electrolyte Balance case study/quiz **to be completed by Wednesday, Oct. 20 at 2400* Class: Atherosclerosis, intermittent claudication, critical limb ischemia, femoral popliteal bypass graft surgery, arterial ulcers, coronary artery disease (and surgical/ cath lab procedures), congestive heart failure, venous stasis ulcers, treatments & e & Heather Hume & Heather Anderson, Jan_ Revised,

10 #7 Oct. 21 #8 Oct. 28 #9 Nov. 4 #10 Nov. 11 Genitourinary Genitourinary Integumentary Endocrine sequential compression devices 10 of 15 Post operative complications: myocardial infarct, deep vein thrombosis Midterm # 1 Blackboard: Drugs Affecting the Cardiovascular System case study/quiz **to be completed by Wednesday, Oct. 27 at 2400** Class: Acute renal failure, dialysis, hysterectomy, & mastectomy Prostate cancer, benign prostate hyperplasia, prostate surgeries, & continuous bladder irrigation, bladder surgeries, & urostomy Post operative complication: UTI Blackboard: Drugs Affecting the Autonomic Nervous System case study/quiz **to be completed by Wednesday, Nov. 3 at 2400** Class: Prostate cancer, benign prostate hyperplasia, prostate surgeries, & continuous bladder irrigation, bladder surgeries, & urostomy. Post operative complication: UTI Blackboard: Drugs Affecting the Central Nervous System case study/quiz **to be completed by Wednesday, Nov. 10 at 2400** Class: Wound and pressure sore prevention, complex/ chronic wound assessment & treatments, VAC dressing therapy, surgical flaps and grafting. Postoperative complication: incisional wound infection, dehiscence Blackboard: Antiinflammatory, anti-allergic & immunologic drugs case study/quiz **to be completed by Wednesday, Nov. 17 at 2400** Class: Diabetic foot care (wound prevention), thyroid diseases & subtotal thyroidectomy. Postoperative complications: hypo/hyperglycemia Blackboard: Drugs Affecting the Endocrine System case study/quiz **complete by Wednesday, Nov. 24 at 2400** Remembrance Day Holiday no class students responsible for reading PowerPoint and pre-readings independently #11 Nov. 18 Musculoskeletal Class: Bone fractures, cast care, orthopedic surgeries, total knee replacement, hip fractures, total hip replacement Post operative complication: constipation, compartment syndrome Blackboard: Drugs for Bone & Joint Health case study/quiz **to e & Heather Hume & Heather Anderson, Jan_ Revised,

11 #12 Nov. 25 #13 Dec.2 Anemia & Blood Transfusions Central Nervous System be completed by Wednesday, Dec. 1 at 2400** 11 of 15 Class: Anemia, blood products, blood transfusions & transfusion reactions Blood Transfusion Videos Guest Speaker Blackboard: Drugs Used to Treat Infections case study/quiz **to be completed by Wednesday, Dec. 8 at 2400** Class: Spinal cord injury (neurological assessment), spinal surgeries, head injury and surgeries, seizure precautions Postoperative complications: autonomic dysreflexia, post operative delirium Midterm # 2 Course Evaluations Blackboard: Drugs Used in the Treatment of Cancer case study/quiz **to be completed by Wednesday, Dec. 8 at 2400** e & Heather Hume & Heather Anderson, Jan_ Revised,

12 APPENDIX 1 12 of 15 Readings (consider the ends in views/ topics for each week to help focus your readings): Week #1 Week #2 Week #3 Week #4 Week #5 Class: Chapters 8, 10, 19, 20, 21 in Lewis, Heitkemper, Dirksen, O Brien, & Bucher (2010) & Chapters 40, 49 in Potter & Perry (2010) Class: Chapters 27, 28, 29, 30, 69 in Lewis et al. (2010) & Chapter 39 (pgs ) in Potter & Perry (2010) Blackboard: Chapters 1-4 in Brophy, Scarlett-Ferguson & Webber (2008) Class: Chapters 43, 44 in Lewis et al. (2010) & Chapter 45 in Potter & Perry (2010) Blackboard: Chapters in Brophy, Scarlett-Ferguson & Class: Chapters 12, 45 in Lewis et al. (2010) & Chapter 37 in Potter & Perry (2010) Blackboard: Chapters in Brophy, Scarlett-Ferguson & Class: Chapters 41, 45 in Lewis et al. (2010) & Chapter 43 in Potter & Perry (2010) Blackboard: Chapters 49 & 57 in Brophy, Scarlett-Ferguson & Week #6 Class: Chapters 35, 36, 39 in Lewis et al. (2010) Blackboard: Chapters in Brophy, Scarlett-Ferguson & Week #7 Class: Chapters 47, 48, 53, 55 in Lewis et al. (2010) Blackboard: Chapters in Brophy, Scarlett-Ferguson & Week #8 Class: Chapter 56 in Lewis et al. (2010) & Chapter 44 in Potter & Perry (2010) Blackboard: Chapters 5-14 in Brophy, Scarlett-Ferguson & Webber (2008) Week #9 Class: Chapters 13, 25 in Lewis et al. (2010) & Chapter 47 in Potter & Perry (2010) Blackboard: Chapters 7 & in Brophy, Scarlett-Ferguson & e & Heather Hume & Heather Anderson, Jan_ Revised,

13 Week #10 Class: Chapters 50, 51 in Lewis et al. (2010) Blackboard: Chapters in Brophy, Scarlett-Ferguson & 13 of 15 Week #11 Class: Chapters 64, 66 in Lewis et al. (2010) Blackboard: Chapter 25 in Brophy, Scarlett-Ferguson & Webber (2008) Week #12 Class: Chapter 32 in Lewis et al. (2010) Blackboard: Chapters in Brophy, Scarlett-Ferguson & Week # 13 Class: Chapters 58, 62 in Lewis et al. (2010) & Chapters 46, 48 in Potter & Perry (2010) Blackboard: Chapter 42 in Brophy, Scarlett-Ferguson & Webber (2008) e & Heather Hume & Heather Anderson, Jan_ Revised,

14 APPENDIX 2 14 of 15 Professional Conduct/ Class Participation Students are expected to attend and participate in all classes and clinical and to be on time. Cell phones and pagers must be turned off prior to entering the classroom. Please respect one another, be a good listener, encourage participation of classmates and use non - judgmental language during verbal communication. In order to facilitate learning please refrain from chatting with other students during class time as this can disrupt the class and lead to loss of learning opportunities. Please review and follow the e code of conduct policies and academic code of conduct. Punctuality As a courtesy to others, students are expected to be punctual for all classes. Students are expected to be in class as scheduled and ready to begin on time. If you are late, please do not enter the class, as this can be disruptive and disrespectful to others; therefore, late students, will be permitted to enter the class when there is a break or as per the instructor s discretion. Blackboard Pharmacology 50% Each week you are assigned a pharmacology unit that will be due two weeks following, on the Wednesday at 2400 hrs. We have extended the original due date of 1 week to allow for the possibility of illness, etc. Owing to this, due dates are non-negotiable, the modules will be closed on Blackboard at 2400 hrs on the Wednesday. The only exception is the last unit (Week 13), which will be due in one week, owing to the end of term and mark submission deadlines. Each unit is comprised of a learning module, case study and quiz. These are completed on Blackboard CE. The case studies are worth 15% of your overall mark and have two locations. The case study stories are accessible under their own icon on the Course Content home page. The questions to be answered for the case studies are accessible under the Assessment tab on the left hand side of the page. The quizzes are worth 35% of your overall mark and are also accessible under the Assessment tab on the left hand side of the page. It is important to note that there is no time limit on the quizzes however, you must complete them in one attempt, multiple attempts will not be allowed. In Class Midterms 25% The 2 multiple-choice midterms will be worth 25% of your overall mark (12.5% each). They will be completed on Blackboard, during class-time. They are accessible under the Assessment tab on the left hand side of the page. Midterms will cover material discussed in the previous week s learning from class & required readings. Make sure to include pharmacology in your review. e & Heather Hume & Heather Anderson, Jan_ Revised,

15 15 of 15 Final Exam 25% Will contain 100 multiple-choice questions and will be cumulative and evenly distributed for the entire terms readings, classroom activities, and Blackboard discussions. Completion of the final exam is required for completion of the course. Successful Grade Requirements A minimum of 65% in both components (1 & 2) of N2141 Nursing Practice Class is required to successfully complete the course. Component 1: Pharmacology Case Studies (12) and Quizzes (12) = 65% overall Component 2: Midterm Exams (2) and Final Exam (1) = 65% overall Students who receive less than 65% in one or both components would receive a U in N2141 Nursing Practice Class and would be required to repeat the course (class & practicum). Note: Weekly Blackboard Pharmacology Case Studies and Quizzes are open for completion for two weeks, with the exception of the Week 13 unit, which is open for one week. Once a due date has passed (listed under schedules), that section will not be reopened. Remember, it is your responsibility to complete all case studies and quizzes by the due dates. e & Heather Hume & Heather Anderson, Jan_ Revised,