JOHN A. LOGAN COLLEGE J. Steber SP 06 PNE 193 PEDIATRIC NURSING 2 cr. (2-0) COURSE DESCRIPTION: The purpose of this course is to broaden the student s understanding of the care of the well and sick child. Emphasis is placed on the family-centered approach to the nursing care of children with medical and surgical conditions most often affecting children. The student is exposed to the preventive, rehabilitative, and terminal care of the child and his family while caring for children with acute, chronic, and congenital conditions. PREREQUISITES: Prerequisites: PNE 101, 102, 103, 161 COURSE OBJECTIVES: 1. Identify common pediatric health problems including causes, symptoms, treatments, nursing care, and prevention. 2. Identify deviations from normal development in both well and ill children. 3. Identify safe, effective nursing care to children with medical/surgical conditions including: provision for daily needs according to developmental age; accurate recording of pertinent data; and administration of medications and treatments. 4. Explain common diagnostic tests including: normal pediatric ranges; purposes for tests; and procedures involved. 5. Be aware of necessity of teaching children and parents at various levels of understanding including: explanation of child s illness/injury and treatment; education relevant to child s hygiene, nutrition, safety, and behavior; and utilization of appropriate resources and agencies. 6. Be aware of how to handle child health and/or behavioral problems with a minimum of emotional stress for the child, the family, and the nurse. 7. Be able to show competency in medication calculations. COURSE OUTLINE: I. Child Health Evolution-Chapter 1 A. History and Cultural Influences B. Legislation C. Current Trends D. Nursing Process II. Health Care Adaptations-Chapters 21 and 22 A. Health Care Delivery B. Safety C. Hospitalization D. Procedures E. Specimen Collection F. Medications
2 G. Fluid Balance H. Nutrition, Digestion and Elimination I. Tracheostomy Care J. Surgery K. Death III. The Newborn with a Congenital Malformation-Chapter 14 A. Hydrocephalus B. Myelodysplasia and Spina Bifida C. Cleft Lip and Palate D. Club Foot E. Hip Dysplasia F. Metabolic Disorders-PKU G. Down Syndrome IV. The Child with Sensory or Neurological Condition-Chapter 23 A. Ears and Eyes B. Reye s Syndrome C. Meningitis and Encephalitis D. Seizure Disorders E. CP V. The Child with Musculoskeletal Condition, Chapter 24 A. Observations B. Fractures C. Muscular Dystrophy D. Legg-Calvé-Perthes Disease E. JRA F. Scoliosis G. Sports Injuries H. Child Abuse VI. The Child with a Respiratory or Cardiovascular Condition-Chapter 25 A. Nasopharyngitis B. Croup C. Epiglottis D. Bronchitis E. Bronchiolitis F. RSV G. Tonsilectomy and Adenoidectomy H. Allergic Rhinitis I. Asthma J. Cystic Fibrosis K. Sudden Infant Death Syndrome L. Congenital Heart Disease M. Rheumatic Fever VII. The Child with Blood, Blood-Forming Organs, or Lymphatic System Condition-Chapter 26 A. Anemia B. Sickle Cell Disease C. Hemophilia D. Leukemia E. Hodgkin s Disease F. Chronic Illness G. Death
3 VIII. The Child with Gastrointestinal Conditions-Chapter 27 A. Pyloric Stenosis B. Celiac Disease C. Hirschsprung s Disease D. Intussusception E. Vomiting, Diarrhea, Fluid Balance F. Failure to Thrive G. Thrush H. Pinworms I. Poisoning IX. The Child with Genitourinary Condition-Chapter 28 A. Wilm s Tumor B. Cryptorchidism X. The Child with Skin Condition-Chapter 29 A. Dermatitis 1. Cradle Cap-Seborrheic Dermatitis 2. Diaper Rash-Diaper Dermatitis B. Acne Vulgaris C. Infantile Eczema-Atopic Dermatitis D. Impetigo E. Pediculosis F. Burns XI. The Child with Communicable Disease-Chapter 31 A. Common Childhood Communicable Diseases B. Immunization C. HIV/AIDS XII. The Child with Emotional or Behavioral Condition-Chapter 32 A. Nurse s Role B. Obsessive-Compulsive Disorder C. Depression and Suicide D. Substance Abuse E. Attention Deficit-Hyperactivity Disorder F. Anorexia Nervosa G. Bulimia Note: Nurse Practice Act presented throughout. XIII. Pediatric Math Module Student will score 100% on math module exam in order to successfully complete PNE 193. A pretest will be given; if passed with a 100%, module is complete. If not passed, then student will complete appropriately assigned programs in Career Assistance Lab prior to retaking exam. Student may take math module exam a total of three times. Each exam will be different. A. Accurately read medication labels.
4 B. Accurately determine measurement of medication. 1. Oral Solution a. Medicine cup b. Oral medicine syringe c. Medicine spoon d. Medicine dropper (calibrated ml or actual dosage) 2. Parenteral Solution a. 3 cc syringe b. TB syringe c. 5, 6, 10, 12 and 20 cc syringe C. Dosage calculations 1. Equivalents 2. Based on body weight (1 lb kg) (mg per Kg) a. Ratio b. Fractions c. Mathematical functions (+, -,, x) COURSE REQUIREMENTS 1. Four pop quizzes will be given. Each pop quiz will be worth 5 points and will cover the previous week s lecture and/or medication equivalents. No makeups for pop quizzes. If student not present when quiz begins, student will not be allowed to take pop quiz, and will receive a 0 grade. 2. A total of two article/video reports are to be done. A one page review of each article/video must be completed and handed in by the specified due date. Review sheets not handed in by due date will not be accepted and a zero grade will be assigned. The article must directly relate to pediatrics and must be from RN, AJN, or Nursing; other appropriate journals are professional nursing journals. All articles must be no more than 3 years old, unless approved by the instructor. The verification slip from the Learning Lab must be completed with time in and time out recorded for the video report to be considered as complete. Plagiarized works will receive a 0 for all involved. Approved videos that may be viewed in the Learning Lab: NURS 179-Child Abuse (27 min) NURS 132-SIDS (49 min) NURS 239-Medicating Children (23 min) NURS 137-Muscular Dystrophy (26 min) NURS 073-Children Die Too (26 min) NURS 145-Cerebral Palsy (19 min) NURS 124-Childhood Physical Abuse NURS 285-Dx and Tx of ADD (27 min) (26 min) NURS 286-Cleft Lip and Palate (23 min) NURS 131-Dying to Be Thin (28 min) Due dates of articles are TBA first class day. 3. A total of five major unit exams will be given. Makeup exams will be given in the Learning Lab within a 7-day time frame. If a student does not notify the instructor the day of the absence, exam grade will be reduced by 5 points. Exams not made up within 7 days of scheduled exam will receive a 10% grade reduction. Students tardy on unit exam day will be allowed to take the exam, but will be required to complete the exam within the allotted time announced.
5 No comprehensive final will be given. Each exam will include pharmacology calculations. Student may use calculator; no sharing of calculators allowed. 4. Attendance in theory is essential. It is the student s responsibility to remain informed about class assignments, information, or announcements. A minimum of C must be maintained in this class. Less than a C results in a failing grade for the course. 5. No cell phones or pagers on during class. Students are expected to be aware of and have a copy of John A. Logan College s Students Rights and Responsibilities Handbook. 6. Student Success Center. Tutors may be obtained through the Student Success Center. Contact the staff in C219 if this service is desired. John A. Logan College will make reasonable accommodations for students with documented disabilities under Section 504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act of 1990. Any student with a disability that may have some impact on work in this class, who feels she/he needs an accommodation, should make an appointment with the Coordinator of Services for Students with Disabilities on campus, Christy McBride, Room C219B, Ext. 8516. Before services can be provided, this advisor must determine eligibility and arrange appropriate academic adjustments. It is the student=s responsibility to register in advance of a school term with this office and to turn in a schedule each term to ensure that there is every opportunity for success in this class. 7. English Writing Center/Tutoring. For assistance with writing assignments in any college courses, students are encouraged to visit The Write Place in E109. English instructors are available for one-on-one tutoring each semester during hours posted at the center. 8. Financial Aid. Students who receive financial assistance and completely withdraw from classes prior to 60% of the semester being completed (approximately 2-3 weeks after midterm) could be responsible to return a portion of their Federal Pell Grant award. Prior to withdrawing from courses, students should contact the Financial Aid Office. METHOD OF EVALUATION: Pop quizzes Journal articles Exam #1 Exam #2 Exam #3 Exam #4 Exam #5 20 points 10 points 280 total points Grading Scale A = (92-100%) B = (83-91%) C = (75-82%) E = (74% or below) To calculate %, divide your total points by total possible points and multiply by 100.
6 METHOD OF PRESENTATION: Lecture, discussion, written assignments, exams, audio-visual materials. TEXT: Required: Leifer, Gloria. Introduction to Maternity and Pediatric Nursing. Philadelphia, W. B. Saunders Company, 2003, 4 th Edition. Reference: Scherer, J. and B. Timby. Introductory Medical-Surgical Nursing, Philadelphia, J. P. Lippincott, 1995, 6 th Edition. Optional: McKinney, Emily and Christine Rosner. Introduction to Maternity and Pediatric Nursing Study Guide, Philadelphia, W. B. Saunders Co., 2003, 4 th Edition. INSTRUCTOR: Joyce Steber, RN, BSN, Associate Professor Office: G218L Office Hours: MWF 0830-1200 Ext: 8411 DATE: Spring, 2006 John A. Logan College Telephone Numbers Carterville and Williamson County... 985-3741 (operator) 985-2828 (direct extension access) Carbondale and Jackson County... 549-7335 (operator) 457-7676 (direct extension access) Du Quoin...542-8612 West Frankfort...937-3438 Crab Orchard, Gorham, & Trico areas...1-800-851-4720 TTY (hearing-impaired access)...985-2752 John A. Logan College does not discriminate on the basis of race, religion, color, national origin, disability, age, sexual orientation, or gender orientation. 01-15-04-3a rev 01-03-06