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Blinn College • Health Science Center • Health Sciences • Nursing - RNSG


Advanced Concepts of Adult Health RNSG-2231

  • Fall 2018
  • Section 301 CRN-10248
  • 2 Credits
  • 08/27/2018 to 11/02/2018
  • Modified 08/23/2018

Meeting Times


Lecture

  • Friday, 8:30 AM to 12:00 PM, HSC

Contact Information


Course Coordinator: Professor Jaime Hardy MSN, RN

Instructor: Professor Cindy Manning MSN, RN

Description


Application of advanced concepts and skills in the development of the professional nurse’s roles with adult patients and families involving multiple body systems. Emphasis on advanced knowledge, judgments, skills and professional values within a legal/ethical framework. This course lends itself to a blocked approach. This course focuses on clients with common complex health concerns. The content of this course will assist the student to develop their role as a member of the profession in providing patient-centered care, while emphasizing patient safety and advocacy and collaboration among the health care team.  Two theory hours per week. Laboratory Fees: $20.00. Total contact hours 32. Credit: Two semester hours.

Requisites

Prerequisites: RNSG 1343, RNSG 2261, RNSG 1412, RNSG 2161.  

Co-requisites: RNSG 2263, RNSG 2121 and RNSG 2363.

Students must have passed (with a 100% within 4 attempts) the Medication Dosage Test given at the beginning of the semester (see ADN Handbook).  Students who do not pass must withdraw from the course.

Core Curriculum Statement


This course is not a core curriculum course.

Outcomes


COURSE STUDENT LEARNING OUTCOMES

 

 

Assessment

Interpret assessment and diagnostic findings for adult patients and families with advanced medical-surgical health needs.

Plan of Care

Develop a plan of care appropriate to adult patients and families with advanced medical-surgical health care needs. (WECM)

Intervention

Justify therapeutic nursing interventions based on the physical and psychosocial conditions and sociocultural status of adult patients and families with advanced medical-surgical health care needs. 

Evaluation

Evaluate care for adult patients and families with advanced medical-surgical health care needs.  (WECM)

Growth and Development

Integrate growth and development concepts across the lifespan when providing nursing care to adult patients and families with advanced medical-surgical health care needs.

Teaching

Compose teaching/discharge planning for adult patients and families with advanced medical-surgical health care needs.

Pharm

Integrate knowledge, effectiveness and safe administration of medications and vaccines for adult patients and families with advanced medical-surgical health care needs. 

Prioritize

Integrate priority management of nursing care for adult patients and families with advanced medical-surgical health care needs involving multiple body systems.

Safety

Plan the components of a safe patient care environment and apply interventions to assure patient safety.

Role of Nurse

Prioritize the roles of the professional nurse in the provision of care for adult patients and families (WECM)

Critical Thinking

Utilize critical thinking skill and a systematic problem-solving process in providing care for adult patients and families with advanced medical-surgical health care needs. 

Basic Nurse

Use basic nursing skills

Materials


Lewis, S., Bucher, L., Heitkemper, M.,  Harding, M.,  Camera, I. (2017). Medical-Surgical Nursing: Assessment and Management of Clinical Problems (10th ed.). Missouri: Elsevier, Inc.

 Hand-held device with approved Blinn College Skyscape software package including:

  1. Davis Drug Guide for Nurses  Special Mobile/Desktop Bundle
  2. Taber’s Cyclopedic Medical Dictionary Special Mobile/Desktop Bundle
  3. Davis Comprehensive Handbook of Laboratory and Diagnostic Tests With Nursing Implications, Special Mobile/Desktop Bundle
  4. Nurses Pocket Guide (Doenges)
  5. Intravenous Medications (Gahart)
  6. Davis's Guide to Clinical Nursing Skills (Rhoads)
  7. Diseases and Disorders: A Nursing Therapeutics Manual (Sommers)

        Recommended Textbooks, Supplies and Materials:

Cohn, E.  & Gilroy-Doohan, M.  (2012).  Flip and see ECG  (4th ed.).     Philadelphia:  W.B. Saunders. 

Horntvedt, T. (2013). Calculating dosages safely:  A dimensional analysis approach. Philadelphia: F.A. Davis Company. 

Zerwekh, J., Claborn, J., & Miller, C.J. (2012). Memory notebook of nursing:  Volume 1 (5th ed.). Chandler, AZ: Nursing Education Consultants, Inc. 

Zerwekh, J., Claborn, J., & Miller, C.J. (2012). Memory notebook of nursing:  Volume 2 (4th ed.). Chandler, AZ: Nursing Education Consultants, Inc. 

Zerwekh, J., Claborn, J., & Miller, C.J. (2012). Memory notebook of nursing:  Pharmacology and diagnostics (3rd ed.). Chandler, AZ: Nursing Education Consultants, Inc. 

Course Requirements


  1. Achieve 74.5% or better on the weighted average of the 3 unit exams and comprehensive final combined, AND
  2. Achieve 74.5% or better for the final course grade.
  3. Complete participation activities as assigned by the instructors.

Evaluation


  1. Unit exam 1                                        15%
  2. Unit exam 2                                        15%
  3. Unit exam 3                                        15%
  4. Unit exam 4                                         15%
  5. Comprehensive final exam                 25%
  6. Class participation                              15%
  7. Bonus Points Possibility                       3pts

Blinn College Policies


All policies, guidelines, and procedures in the Blinn College CatalogBlinn College Board Policies, and the Blinn College Administrative Regulations are applicable to this course.

Specific information on civility, attendance, add/drop, scholastic integrity, students with disabilities, final grade appeal, alternative retailers, campus carry and proctoring arrangements and cost.

Notice of any action taken under these protocol and procedures, by Blinn College or its employees, may be delivered by hand, through the U.S. Postal Service, or electronically to the student’s Blinn Buc e-mail account. Notice shall be deemed received upon actual receipt, on deposit in the U.S. Mail, or upon entering the information processing system used by Blinn College for Blinn Buc e-mail accounts, whichever first occurs.

Course Policies


In accordance with Texas House Bill 1508 all applicants in pursuit of an occupational degree with licensure must be notified of potential ineligibility. Admission to and/or completion of the Associate Degree Nursing Program does not ensure licensure eligibility. Eligibility to sit for the registered nurse licensure exam NCLEX-RN is determined by the Texas Board of Nursing (BON).  Issues that could lead to ineligibility could include but are not limited to certain criminal offenses, substance abuse and mental health illnesses.  Please note, a student’s eligibility may be affected by any inaccuracies in their petition, and any subsequent violation of the Nursing Practice Act may affect eligibility or may result in the later revocation of a license obtain through misrepresentation. Please refer to the Texas Board of Nursing site for specifics (http://www.bon.texas.gov/licensure_eligibility.asp).

 

All students prior to entering the program are required to submit fingerprints to the Texas BON. A clear background check (blue card) or a letter from the Texas BON stating approval though the declaratory order process is required prior to admission to the program. According to Texas HB 1508, any student declared ineligible has the right to request a criminal history evaluation letter from the licensing agency.

Late Work/Missed Exams:

 

All outside of class assignments are due BEFORE Friday morning at 0830. Failure to complete an assignment by the scheduled date and time will result in a zero. In class assignments must be turned in prior to leaving the class for the day. No grades are scheduled to be dropped in this course. Make up work is not a general practice and will ONLY be extended to students under dire circumstances and only with approval from the course coordinator.

 

We encourage all students to be present during the scheduled exam time. If this is not possible you must meet with the Course Coordinator before the exam is missed or within 24 hours after missing an exam. No exam grades will be released to the class until all exams have been scored. An alternate exam may be given to those students who miss an exam.

 

Class Times and Dates:

Students are expected to be in their seats 15 minutes prior to the start of class. To arrive at a minimum 15 minutes prior to the start of any activity demonstrates professionalism and respect. As future nurses you are expected, by your employer, to arrive at a minimal of 20 minutes prior to your shift and ready to receive report.  

 

Failure to arrive at class prior to the start of lecture will result:

  • 1st time verbal warning
  • 2nd time written warning-zero for any participation activity for the class day.
  • 3rd time recorded absence in the gradebook
    • 3 recorded absences in this course will cause an automatic drop from the course by Blinn Regulation.
    • And zero for any participation activity for the class day.
    •  

Testing Taking Procedures, Conduct & Etiquette:

  • Please arrive to the open computer lab at least 15 minutes prior to the start of the exam. (Pearson Vue REQUIRES you are at the testing center 30 minutes prior to your scheduled licensure exam.
  • At the option of the Instructor(s), there may be the following rules/guidelines for test taking: seating arrangements, leaving the room, and stopping an examination for violations of the test taking policy.
  • Please sit where you will be most successful. If you are easily distracted in the Computer Lab, pick a computer on a far wall and bring earplugs. You may need to get there early to get a computer appropriate for your testing needs. For paper/pencil tests, you may need to choose your seating in a similar fashion.
  • Exam Etiquette for the ADN Students of Blinn College should “mimic” test taking at Pearson Vue (testing site for the NCLEX-RN). No personal belongings are to be brought into the testing center (computer lab). These should be left at home, in your car, or in your locker.
  • Specific personal items not allowed are in the testing room (copied from the National Council of State Boards of Nursing’s website):
    • Any educational, test preparation, or study materials
    • Cell/mobile/smart phones, tablets, cameras, pagers, jump drives, or any other kind of electronic device
    • Bags/purses/wallets/watches
    • Coats/hats/scarves/gloves/sunglasses
    • Medical aids/devices
    • Food or drink, gum/candy
    • Lip balm
  • Remove large jewelry or other accessories before entering the testing room.
  • The only materials students may have at the table with them where they are taking an exam are sharpened pencils. The Faculty will distribute scratch (blank) paper and pencil to be used during the test, whether paper/pencil or computer-based.
  • No calculators allowed, unless furnished by the Instructor. For computer-based exams, the Instructor will inform the group if the drop-down calculators may be utilized.
  • If using answer sheets/Scantrons they must be covered, turned over or folded. Same with scratch paper.
  • A grade of zero will be recorded and averaged into the final grade if there is evidence of verbal or nonverbal communications between students during an examination.
  • Information found on or in the vicinity of the student during a period of testing will be grounds for termination of the testing procedure. A grade of zero will be recorded and averaged into the final grade.
  • All students are to remain seated during a testing situation but should raise a hand if there is a need to communicate with the Instructor. A student may fail the exam for walking around in the classroom or Computer Lab during the test.
  • All paper/pencil tests must be handed in within the time limit. Online exams may close at the set time limit and be automatically submitted.

 

Exam Confidentiality:

    • You may not reconstruct exam items using your memory of the exam or the memory of others.
    • You may not disclose or discuss with anyone information about the items or answers seen on your exam except directly with the course instructors (or the Retention Coordinator). This includes posting or discussing questions on the internet and social media websites.
    • Violation of the testing policy will be construed as a violation of the Student Conduct Code, and may be grounds for dismissal from the Program and/or disciplinary action by the College.
  • Students who do not call in absent or tardy appropriately for an exam will be given a grade of “0” (zero). If a student is tardy for an exam, no extra time will be given for the exam.
  • Test grades will be provided to students by either the Course Coordinator or Clinical Instructor, at the discretion of the teaching team.
  • Each student must maintain scholastic honesty at all times regardless of when an exam is given.
  • Use of Dictionary during Exams (Faculty write exams, using medical terminology and vocabulary that are expected of students at this level): The student is allowed to raise his/her hand during an exam if he/she does not know the meaning of a word. The word must not be a medical term and must be one that is not in the required reading for the course. The Instructor will then bring a dictionary to the student, observe as the word is located, and then return the dictionary to its shelf. NO extra time will be allotted on the exam for such activity.
  • Students needing ADA accommodations, refer to the Blinn College Catalog for the appropriate procedures to obtain accommodations.

 

Exam Reviews

Students may only review missed test items. Students scoring less than 75% on any exam are required to meet with a remediation coordinator, Dr. Jane Stowell ([email protected]) or Amy Sireci ([email protected]).  To set up an appointment please send them an email.  

Students scoring greater than 75% may meet with the faculty member to review missed questions. To set up an appointment email the individual faculty member. 

Exam reviews must occur before the next exam is given; once the next exam occurs, the test reviews for the previous exam will NOT be allowed. No exam reviews of the final are allowed. 

ATI Targeted Medical-Surgical Exams

ATI Targeted Exam due dates are assigned on the course calendar (see below). Students ARE REQUIRED to put a copy of their transcript (PDF preferred) or a screen shot of their ATI results for each targeted exam in the appropriate dropbox in Ecampus. Transcripts/screen shots should include: name of exam, student name, date and time the exam was completed, and the score obtained. Participation credit will be awarded from the ATI Transcripts/screen shots from the submissions received in the appropriate dropbox at the designated date and time. Only scores and time recorded after the course’s start date will be allowed for submission for a grade. Students may attempt the ATI Targeted Exams once every 24 hours. Please complete remediation in-between attempts.

 

Bonus Points Possibility:

Students who obtain a 75 or greater for their final course grade may earn 3 points towards their final grade by completing the activities below. Time and scores accumulated in these activities prior to the start of the semester will NOT count towards this activity. Students must score 80% or higher on ALL final exams in Learning System RN to count. Students are required to submit their ATI transcript for each assignment to the designated dropbox in order to receive credit:

 

Assignment

Due Date

Date Completed

Complete all 4 Nurse Logic Modules (min. 4hrs)

☐Knowledge and Clinical Judgement

     ☐Beginning Test ☐ Advanced Test

☐Nursing Concepts

     ☐Beginning Test ☐ Advanced Test

☐Priority Setting Framework

     ☐Beginning Test ☐ Advanced Test

☐Testing and Remediation

     ☐Beginning Test ☐ Advanced Test

*Time spent on the beginning/advanced test and in the modules will ALL count towards required 4 hour time

9/21

 

Fundamentals Final

9/7

 

Communication Final

9/7

 

Community Health Final

9/14

 

Maternal Newborn Final

9/14

 

Gerontology Final

9/28

 

Nursing Care of Children Final

9/28

 

Medical Surgical Final

10/5

 

Pharmacology Final

10/5

 

Leadership Final

10/12

 

NCLEX Final

10/12

 

 

 

Schedule


Course calendar and related activities
When Topic Notes
 

Date

Time

Content

Faculty

Hours

 

Week 1:  

8/31

 

0800-1500

 

Course Orientation Q&A

Emergency Nursing and Trauma

 

ALL

Hardy

 

7

 

Week 2:

9/7

 

 

0830

 

0830-1200

1200-1300

 

ATI-Targeted Med/Surg 2016: Respiratory practice exam due

Respiratory (LAB)

*HBU Visit (optional)

 

 

 

ALL

 

1

 

3.5

 

Week 3:

9/12

 

 

9/14

 

 

2000-2200

0830

 

 

0730-0845

 

0900-1200

 

Collaborate: Exam I Q&A

ATI-Targeted Med/Surg 2016: Cardiovascular practice exam due

EXAM I

 

Cardiovascular and DIC

 

 

 

 

 

Manning

 

2

1

 

4.5

 

Week 4:

9/21

 

0830-1200

1200-1300

 

Shock (LAB)

*Hurst Review Visit (optional)

 

ALL

 

3.5

 

Week 5:

9/26

9/28

 

 

2000-2200

0730-0845

0830

 

 

 

 

0900-1200

 

Collaborate: Exam II Q&A

EXAM II

ATI-Targeted Med/Surg 2016: Neurosensory and Musculoskeletal practice exam due

 

Neurosensory & Brain Death

 

 

 

ALL

 

2

 

 

1

 

 

4.5

 

Week 6:

10/5

 

0830

 

 

 

 

 

 

0830-1200

 

 

 

ATI-Targeted Med/Surg 2016: Immune practice exam due

ATI- Targeted Med/Surg 2016: Renal and Urinary practice exam due

ALL ATI Nurse Logic Bonus DUE

 

Immune I: CML/CLL/HL/NHL/MM

Immune II: HIV

Renal

 

 

 

 

 

 

 

 

 

Hardy

 

1

 

1

 

 

 

 

 

3.5

 

 

Week 7:

10/10

10/12

 

2000-2200

0730-0845

0900-1200

 

Collaborate: Exam II Q&A

EXAM III

Thermal (LAB)

 

ALL

 

Hardy

 

2

 

4.5

 

Week 8:

10/19

 

0830

 

 

 

 

0830-1030

1030-1200

 

ATI-Targeted Med/Surg 2016: Gastrointestinal practice exam due                                                  

ATI-Targeted Med/Surg 2016: Endocrine practice exam due

Endocrine

GI

 

 

 

 

 

 

Hardy

Manning

 

 

1

 

1

 

 

3.5

 

Week 9:

10/24

10/26

 

2000-2200

0730-0845

0900-1100

1100-1200

 

Collaborate: Exam IV Q&A

EXAM IV

Organ Donation and Transplant

Final Exam Q&A

 

ALL

 

Manning

ALL

 

2

4.5

1

 

Week 10:

10/30

 

0730-1130

 

Final Exam & Exit Dosage Cal #1

 

ALL

 

4.5

 

Preceptorship Clinical Schedule Starts 10/31 @ 0630

 

Total hrs: 59.5