HOUSTON COMMUNITY COLLEGE Coleman College for Health Sciences Vocational Nursing Program VNSG 1334 Pediatric CRN 77387-Fall 2015 Coleman Campus, Room 363A&B 12:00 noon 3:00 pm Tuesdays Lecture/Discussion/Quiz/Case Study/PowerPoint 3 hours lecture course/48 hours per semester/16 week Course Number and Title VNSG1334, Pediatric Nursing lecture Credit Hours Three (3) Class Hours Three (3) Hours None (0) Lab Hours None (1) Placement of Course Level II Pre-requisite/s Successful Completion of all Level II courses Co-requisite/s: VNSG1163 Faulty Instructor Pamela Patterson BSN, RN 1900 Pressler, Ste. 319, Room 322 Houston, TX 77030 Office: 713-718-7379 Email: pamela.patterson@hccs.edu Office Hours: M F 2:00 pm 4:00 pm Course Description: This course prepares the student to use the nursing process in the patient-centered care of the pediatric client and family. The emphasis is on the assessment and management of pediatric patients experiencing stressors to their health and well-being. The patient s developmental stage and individual needs are assessed and incorporated into the plan of care which is devised to support and strengthen the adaptive response of the patient. The role and competencies of the professional nurse as they relate to caring, safety, patient advocacy, and teaching is applied to the pediatric client and family within the context of the health-care team. Course Objectives: Upon completion of this course, the student will have skills to provide care for infants, children and adolescents to: 1. Identify Healthy People 2020 leading health indicators and include strategies on how to promote health and disease prevention in the pediatric patient. 2. Summarize the safety principles related to childcare. 3. Explain common childhood illnesses. 4. Utilize the nursing process to assist in planning care for the well or ill child. 5. Compare growth and development tasks for infancy through adolescence. 6. Discuss nutrition as it relates to health and illness of the infant and young child. 7. Analyze the impact of hospitalization on the young child and family.
8. Discuss common medical and nursing interventions for childhood illness affecting infants, children, and adolescents. 9. Examine problems of children with special needs. 10. Discuss the major health problems related to various body systems affecting the infant, child, and adolescent. 11. Discuss caring behaviors utilized to support and guide the health outcomes of the young child and family. 12. Explain the role of the Vocational Nurse in communicating anticipatory guidance to the parents of young children. Content/Chapter Chapter 29: Health Promotion for Infant, Child and Adolescent Chapter 30: Basic Pediatric Nursing Care Chapter 31: Care of the Child Cognitive Disorder Required Texts: Copper, Kim and Gosnell, Kelly (2015). Foundations of Nursing, 7 th edition. St. Louis, Missouri: Elsevier Mosby, Inc. Methods of Instruction Lecture, discussion, audio-visual,case studies and group assignments. Evaluation Methods: Exams, Scans 1. Four (4) unit exams-multiple choice with 50 questions per a one(1)hour exam 2.A comprehensive final exam 100 questions; two (2)hours will be provided for this exam. The course grade will be calculated as follows: Examinations (4) -----------------60% Final Examination-------------30% Group Project---------------------10% Total 100% The grading system used for students admitted to the VNSG Program will be consistent with Health Science grading system scale. A grade of C must be maintained in each course to progress in the Vocational Nursing Program. Failure to achieve an overall average of 75% in either a clinical or theory VNSG course will result in the student being withdrawn from the VNSG program. The Vocational Nursing Program does not assign D for course work. See Student Handbook page 33 under GRADING SYSTEM. 90-100 = A 80-89 = B 75-79 = C* 60-74 = D* Below 60 = F
*In order to pass a course with a VNSG prefix the student must achieve an overall average of 75% in the theoretical and clinical components. Failure to achieve an overall average of 75% in either a clinical or theory VNSG course will result in the student being withdrawn from the VNSG program. The Vocational Nursing Program does not assign D for course work. All unit exams and final exam grades will not be rounded. See VNSG Student Handbook page 33. The following policies are followed in informing VNSG Program students of their grades, and are in keeping with the HCCS policies regarding grade information dissemination: The student may initially learn of the grade earned in a VNSG prefix class immediately after online testing, in private, individual counseling sessions scheduled with the class instructor. A student may receive electronic notification, via the internet, of the final grade at the time HCCS posts electronic reports to all students. **If system is available. The grade a VNSG student earns in a course identified with a VNSG prefix will not be posted, and will not be given to anyone other than the student. A telephone inquiry to the VNSG Program faculty or staff concerning a student s grade, even if by the student, will not be honored. ALL EXAMS ARE ADMINISTEED BY COMPUTER REFERED TO AS ONLINE TESTING. Examination Guidelines see VNSG Student Handbook p. 34. PAGERS AND PHONES: (See HCC Student Handbook under Examination Guidelines, page 34) Pagers and phones that emit sounds are not permitted in class. Students will be dismissed from class and time not in class will count towards the accumulation of absence hours. 1. If sounds from an electronic device (phones/pagers, etc.)occurs, the student will be asked to leave the class or computer lab for the remainder of the class/testing session and absent time will be accumulated. If a dismissal occurs from the computer lab during testing the grade at time of dismissal will be recorded as zero 2. Do not bring books, backpacks, roller carts, purses and electronic devices into computer lab on scheduled test dates. There will be no rounding of grades. ATTENDANCE: (See HCC Student Handbook pages 31-32) A student is expected to attend all classes and skills laboratory experiences in order to meet course objectives. The VNSG program follows the policy that a student may be administratively withdrawn after absence exceeding 12.5% or 2 days of scheduled class time. This is in accordance with the HCCS policy. Students who are absent more than 2 classroom days (6 hours) including tardiness, absences, and leaving early from the course will be administratively withdrawn. PROFESSIONAL BEHAVIOR: (see HCC Student Handbook, pages 38-39) A student must maintain high standards and student behavior must be above reproach at all times. Turnoff all personal communication devices (cell phones/camera phones, pagers, I-phone, MP3 players, I- pods and laptop computers etc.) prior to start of class. VNSG Student Handbook p. 39
Competencies Scans Workplace Competencies Scans Information c. Communicate Information Student shall be able to select and analyze information and communicate the results to others. A group project will be assigned related to pediatric nursing. This is worth 10% of the course grade. Due date will be announced. Students with Disabilities: Any student with a documented disability (e.g. physical, learning, psychiatric, vision, hearing, etc )who needs to arrange reasonable accommodations must contact the Disability Services Office at their perspective college at the beginning of each semester. Faculty is authorized to provide only the accommodations requested by the Disability Support Services Office. For additional information call Donna Price at 713-718- 5165 or eamil donna.price@hccs.edu. Evaluation for Greater Learning Student Survey system at Houston Community College is believed by professors as being a thoughtful way for students to give feed- back that is necessary to improve teaching and learning during a designated time. The student s will be instructed to answer a short online survey of research-based questions related to instruction. The anonymous results of the survey will be made available to your professors and division chairs for continual improvement of instruction. Look for the survey as part of the Houston Community College Student System online near the end of the term. Date Content Chapters: Cooper & Gosnell, 7 th edition, Foundation of Nursing. Tuesday, August 25, 2015 Tuesday, September 1, 2015 Tuesday, September 8, 2015 Review of Syllabus; Healthy People 2020 leading health indicators (LHI) contributing factors, holistic treatment and prevention. History of Child Care; Pediatric Nursing; Physical Assessment of the Pediatric Patient. Factors that Influence Growth and Development; Child Maltreatment; Hospitalization of a Child; Common Pediatric Procedures; Safety; Exam 1 (12:00 1:30 pm) over Chapter 29 & 30 Lecture after exam on Disorders of Cardiovascular function Chapter 29 Health Promotion for Infant, Child and Adolescent (see pages 919-928) Chapter 30 Basic Pediatric Nursing Care ( see pages 943-969) Chapter 30 Basic Pediatric Nursing Care (pages 943 969) 976-983) Tuesday, September 15, 2015 Disorders of Cardiovascular
function continues; Disorders of Hematologic Functions Tuesday, September 22, 2015 Neoplastic Disorders; Juvenile Idiopathic Arthritis; Disorders involving the entire Respiratory Tract Tuesday, September 29, 2015 Exam 2 (12:00 pm 1:30 pm) over Cardiovascular; Hematologic disorders; Neoplastic Disorders; Arthritis; Disorders of the Respiratory Tract. Lecture after exam on Cleft Lip and Cleft Palate; Disorders of the Gastrointestinal system Tuesday, October 6, 2015 Tuesday, October 13, 2015 Tuesday, October 20, 2015 Cont: Tuesday, October 20, 2015 Disorders of Gastrointestinal System continues Disorders of Genitourinary Function Disorders of Endocrine System Tuesday, October 27, 2015 Exam 3 (12:00 pm 1:30 pm) on Cleft Lip & Palate; Disorders of Genitourinary Function; Disorders of Endocrine System. Lecture: Disorders of Musculoskeletal Function Tuesday, November 3, 2015 Tuesday, November 10, 2015 Disorders of Neurological Function Disorders of Integumentary Function Tuesday, November 17, 2015 Exam 4 ( 12:00 pm 1:30 pm) on Musculoskeletal 983-988) 988-1005) Test: Cognitive Disorder ( see pages 976-1005) Lecture: Chapter 31 Care of the Child with a Physical and Mental or Cognitive Disorder (see pages 1006-1015) 1009-1015) 1015 1020) 1022-1024) 1006-1024) 1024-1030) 1031-1041) 1041-1049)
Tuesday, November 24, 2015 Tuesday, December 1, 2015 Tuesday, December 8, 2015 Function; Neurological Function; Integumentary Function Lecture on Communicable Diseases; Disorders of Sensory Organ Function Mental and Cognitive Disorders Review ( Dead Week) for Final Final Exam Comprehensive 3:00 5:00 pm 1049-1055) 1055-1063) Cognitive Disorder Chapters: 29; 30; 31 Differential Essential Competencies (DECs) of Graduate of Texas Nursing Programs-Vocational Nursing (VN) VNSG 1162 Licensed Vocational Nurse (LVN Training) I. Member of the Profession A. Function within the nurse s legal scope of practice and in accordance with the policies and procedures of the employing health care institution or practice setting. Judgments 1. Function within a directed scope of practice of the vocational nurse with appropriate supervision. 2. Assist in determination of predictable health care needs of patients to provide individualized, goal- directed nursing care. 3. a. Practice according to facility policies and procedures and provide input in the development of facility 4. policies and procedures. b. Question orders, policies, and procedures that may not be in the patient s best interest. B. Assume responsibility and accountability for the quality of nursing care provided to patients and their families. 6. Employment setting policies and procedures. Judgments and 2. a. Provide nursing care within the parameters of vocational nursing knowledge, scope of practice, education, experience, and ethical/ legal standards of care. 3. a. Practice nursing in a caring, nonjudgmental, nondiscriminatory manner. b. Provide culturally sensitive health care to patients and their families. c. Provide holistic care that addresses the needs of diverse individuals across the lifespan. 4. Use performance and self-evaluation processes to improve individual nursing practice and professional growth 5. a. Assume accountability for individual nursing practice. b. Follow established evidence-based clinical practice guidelines 6. a. Follow established policies and procedures. b. Question orders, policies, and procedures that may not be in the patient s best interest. c. Use nursing judgment to anticipate and prevent patient harm, including invoking Safe Harbor 7. Use communication techniques to maintain professional boundaries in the nurse/ patient relationship. 8. Comply with professional appearance requirements according to organizational standards and policies. 9. Implement principles of quality improvement in collaboration with the health care team. C. Contribute to activities that promote the development and practice of vocational nursing.
2. Work collegially with members of the interdisciplinary health care team. 3. Participate in activities individually or in groups through organizations that promote a positive image of the vocational nursing role. 4. Recognize roles of vocational nursing organizations, regulatory agencies, and organizational committees 5. Practice within the vocational nursing role and Scope of Practice. II. Provider of Patient-Centered Care Judgments and A. Use clinical reasoning and established evidence-based policies as the basis for decision making in nursing practice 1. A systematic problem-solving process in the care of patients and their families. 2. a. Priority setting based on patient health status and individual characteristics. b. reasoning 3. Application of current literature, available work setting resources, and evidence-based practice to assist 4. Resources from scientifically valid sources 1. Use problem-solving approach to make decisions regarding care of assigned patients 2. a. Organize care for assigned patients based upon problem-solving and identified priorities. b. Proactively manage priorities in patient care and follow-up on clinical problems that warrant 3. Identify and communicate patient physical and mental health care problems encountered in 4. Appl t y i relevant, current nursing practice journal articles to practice and clinical decisions. Judgments and Judgments and B. Assist in determining the physical and mental health status, needs, and preferences of culturally, ethnically, and socially di 1. Steps of a i systematic d h process i f ili in clinical b d decision i making i that f hincludes l h VN l scope d d of practice in focused assessment, planning, implementation, and evaluation. 3. Structured data collection tools and techniques of assessment of patients including interviewing. 9. Family processes that impact health 1. Use structured assessment tool to obtain patient history 2. Perform focused assessment to assist in identifying health status and monitoring change in patients. 7. Differentiate abnormal from normal health data of patients. C. Report data to assist in the identification of problems and formulation of goals/ outcomes and patient-centered plans of care in collaboration with patients, their families and the interdisciplinary health care 1. Integrate concepts from basic sciences and humanities to deliver safe and compassionate care in delivery of patient care. 2. Identify short-term goals and outcomes, select interventions considering cultural aspects, and establish priorities for care in collaboration with patients, their families, and the interdisciplinary team 6. Demonstrate fiscal accountability in providing patient care. 7. Demonstrate basic knowledge of disease prevention and health promotion in delivery of care to patients and their families.
Judgments and D. Provide safe, compassionate, basic nursing care to assigned patients with predictable health care needs through a supervised, directed scope of practice 2. Characteristics, trends, and issues of health care delivery. 1. Assume accountability and responsibility for nursing care through a directed scope of practice under the supervision of a registered nurse, advanced practice registered nurse, physician assistant, physician, podiatrist, or dentist E. Implement aspects of the plan of care within legal, ethical, and regulatory parameters and in consideration of patient factors. 5. Principles and factors that contribute to the maintenance or restoration of health and prevention of 11. Key federal and state statutes and institutional policies regarding patient confidentiality. 12. Nursing interventions to implement plan of care. Judgments and 13. reasoning in the delivery of care to patients with predictable health care needs. 1. Implement individualized plan of care to assist patient to meet basic physical and psychosocial needs. 2. Implement nursing interventions to promote health, rehabilitation, and implement nursing care for clients with chronic physical and mental health problems and disabilities
Judgments and 4. Communicate accurately and completely and document responses of patients to prescription and nonprescription medications, treatments, and procedures to other health care professionals clearly and in a timely 5. Foster coping mechanisms of patients and their families during alterations in health status and end of life. 6. a. Assist interdisciplinary health care team members with examinations and procedures. b. Seek clarification as needed. c. Provide accurate and pertinent communication when transferring patient care to another provider. 7. a. Inform patient of Patient Bill of Rights. b. Encourage active engagement of patients and their families in care 8. Communicate ethical and legal concerns through established channels of communication. 9. Use basic therapeutic communication skills when interacting with patients, their families, and other professionals. 10. Apply current technology and informatics to enhance direct patient care while maintaining patient confidentiality and 11. Facilitate maintenance of patient confidentiality 12. a. Demonstrate accountability by providing nursing interventions safely and effectively using a directed scope of practice. b d f l d ff l bl h d d 13. Provide direct patient care in disease prevention and health promotion and/or restoration. F. Identify and report alterations in patient responses to therapeutic interventions in comparison to t d t 2. Factors indicating changes that have potential for life-threatening consequences based on 1. Report changes in assessment data. 1 2. R Use st t an h dard ref i erences to co t m d p t are expected and achieved outcomes of nursing care. 3. Communicate reasons for deviations from plan of care to supervisory health care team member 5. Report and document patient s responses to nursing interventions.
6 Assist in evaluating patient care delivery based on expected outcomes in plan of care and participate in revision of plan of care. Judgments and III. Patient Safety Advocate H. Assist in the coordination of human, information, and materiel resources in providing care for assigned patients and their families. 2. Lines of authority and accountability within structured health care settings 3. Workplace safety consistent with current federal, state, and local regulations and guidelines 4. VN role in implementing established cost containment measures. 5. Communication within organizational framework. 2. Report unsafe patient care environment and equipment. 6. Assist with maintenance of standards of care. A. Demonstrate knowledge of the Texas Nursing Practice Act and the Texas Board of Nursing Rules that emphasize safety, as well as all federal, state, and local accreditation organization safety requirements and standards. 3. Federal, state, and local government and accreditation organizations safety requirements and 4. Facility policies and procedures 5. Facility licensing agency or authority standards. Judgments and 2. Practice according to Texas Nursing Practice Act and Texas Board of Nursing rules. 5. Recognize and report unsafe practices and contribute to quality improvement processes. B. Implement measures to promote quality and a safe environment for patients, self, and others. 1. Principles of patient safety including safe patient handling. 2. Methods for promoting safety in the patient care environment consistent with current standards and guidelines. Judgments and Judgments and 1. Promote a safe, effective care environment conducive to the optimal health and dignity of the patients and their families. 2. Accurately identify patients. 3. a. Safely perform preventive and therapeutic procedures and nursing measures including safe patient handling. b. Safely administer medications and treatments. 4. Clarify any order or treatment regimen believed to be inaccurate, non-efficacious, contraindicated, or otherwise harmful to the patient. 5. Document and report reactions and untoward effects to medications, treatments, and procedures. 6. Report environmental and systems incidents and issues that affect safety. 8. Implement measures to prevent risk of patient harm resulting from errors and preventable. 9. Inform patients regarding their plans of care and encourage participation to ensure consistency and accuracy in their care. C. Assist in the formulation of goals and outcomes to reduce patient risks. 1. Assist in the formulation of goals and outcomes to reduce patient risk of health care- associated 3. Implement established policies related to disease prevention and control D. Obtain instruction, supervision, or training as needed when implementing nursing procedures or practices. 1. a. Standards of Practice. b. Texas Board of Nursing rules (including Scope of Practice), Texas Board of Nursing Position Statements and Guidelines. c.. Facility policies and procedures. Judgments and 1. Evaluate individual scope of practice and competency related to assigned task 2. Seek orientation/ training for competency when encountering unfamiliar patient care situations. 3. Seek orientation/ training for competency when encountering new equipment and technology. E. Comply with mandatory reporting requirements of the Texas Nursing Practice Act.
1. a. Standards of Practice. b. Texas Board of Nursing rules, Position Statements and Guidelines. c.. Scope of Practice. 2. Facility policies and procedures F. Accept and make assignments that take into consideration patient safety and organizational policy. 1. Accept only those assignments that fall within individual scope of practice based on experience and educational preparation. Judgments and IV. Member of the Health Care Team A. Communicate and collaborate with patients, their families, and the interdisciplinary health care team to assist in the planning, delivery, and coordination care to assigned patients 2. Cooperate and communicate to assist in planning and delivering interdisciplinary health care Judgments and Judgments and B. Participate as an advocate in activities that focus on improving the health care of patients and their families. 2. a. Individual responsibility for quality of nursing care. b. Role of the nurse as patient advocate for patients 1. Respect the privacy and dignity of the patient. 3. Act as an advocate for patient s basic needs, including following established procedures for reporting and solving institutional care problems and chain of command. C. Participate in the identification of patient needs for referral to resources that facilitate continuity of care, and ensure confidentiality. Judgments and 1. Work setting and major community resources 4. a. Functions of members of the interdisciplinary health care team. b. Confidentiality regulations (e.g., HIPAA). D. Communicate and collaborate in a timely manner with members of the interdisciplinary health care team to promote and maintain optimal health status of patients and their families. 3. Functions of interdisciplinary health care team members 1. a. Communicate changes in patient status and/or negative outcomes in patient responses to care with members of the interdisciplinary health care team. b. Follow legal guidelines in communicating changes in patient status, including chain of command and Texas Nursing Practice Act. 2. Identify health care providers and others who can assist in patient care. 3. Contribute to positive professional working relationships 5. Recognize and manage conflict through the chain of command. Judgments and E. Communicate patient data using technology to support decision making 1. a. Current information and communication systems for managing patient care, data, and the medical record. b. Current technology-based information and communication systems. 2. Regulatory and ethical considerations protecting confidentiality when using technology 1. a. Identify, collect, process, and manage data in the delivery of patient care and in support of nursing practice and education. b. Use recognized, credible sources of information, including internet sites. c. Access, review, and use electronic data to support decision making. 2. a. Apply knowledge of facility regulations when accessing client records. b. Protect confidentiality when using technology. c. Intervene to protect patient confidentiality when violations occur.