University Ohio - Zanesville Associate Degree Nursing Program Spring Quarter 2005-06 Course Title: Call Number: Credit Hours: Course Coordinator: Nursing 110 - Foundations of Nursing I 86222 4 credit hours Susan Stoner, MSN, RN Elson Hall, Room 208 E-mail: [e-mail] Phone: [phone] Mindi Flood, BSN, RN Sheryl House, MSN, RN Stacey Kinney, BSN, RN Posted on Office Door. Tuesday, 8:10-10:00 a.m.; Room W110 Clinical: Monday or Wednesday or Friday; 7:00 a.m. to 1:00 p.m.
Clinical Instructors:
Office Hours: Class Time:
Course Description: This course is designed to introduce the beginning nursing student to the concepts that form the foundation of associate degree nursing. During this course, students are introduced to nursing as a caring profession. Opportunities will be provided for the student, as a beginning nursing care provider, to develop skills in critical thinking through the application of the nursing process and in the implementation of selected nursing techniques. Emphasis will be placed on the three roles of the AD nurse as they relate to nursing care of the adult. Learning Activities: Lecture/discussion, clinical experiences, audio visual, demonstration, and critical thinking exercises. Course Objectives/Outcomes: Safe, Effective Care Environment: 1. Assess the physiological, psychosocial, developmental and environmental factors that influence safety or adults. 2. Identify and implement selected nursing interventions designed to maintain a safe and caring environment. 3. Evaluate factors that promote safe and effective care. 4. Explain the relationships among the nursing courses taught in first quarter nursing. 5. Practice nursing in a responsible manner. Physiological Integrity: 1. Assess the physiological, psychosocial, developmental and environmental aspects related to the provisions of basic care of middle older adult. 2. Implement selected measures designed to provide basic care utilizing the roles of the AD nurse. 3. Evaluate factors that promote physiological integrity.
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Psychosocial Integrity: 1. Discuss characteristics, skills and attitudes of critical thinking. 2. Discuss the development of modern nursing. 3. List the aspects of a profession and describe how nursing demonstrates these characteristics. Health Promotion and Maintenance: 1. Describe the roles and responsibilities of the AD nurse within the health care delivery system. 2. Recognize health promotion activities that are appropriate in various health care settings. 3. Promote self care strategies. TEXTBOOKS Deglin, J.H. & Vallerand, A.H. (2005). Daviss drug guide for nurses. (9th ed). Philadelphia: F.A. Davis Company. Kozier, B., Erb, G., Berman, A., & Snyder, S. (2004). Fundamentals of nursing. (7th ed.) New Jersey: Pearson-Prentice Hall. Ralph, S. & Taylor, C. (2005). Nursing diagnosis reference manual. (6th ed.). Philadelphia: Lippincott Williams & Wilkins Any medical dictionary - Recommended: Mosbys medical nursing & allied health Dictionary. 7th ed. St. Louis: Mosby OR Tabors cyclopedic medical dictionary. (20th ed.). Philadelphia: F.A. Davis Company. COURSE EVALUATION Grading scale for determination of course grade: 94 - 100 91 - 93 89 - 90 85 - 88 83 - 84 81 - 82 = = = = = = A AB+ B BC+ 79 - 80 76 - 78 73 - 75 70 - 72 67 - 69 0 - 66 = = = = = = C CD+ D DF
Students are required to achieve at least a grade of C in Nursing 110 in order to proceed to Nursing 111. A grade of C- in nursing is not adequate to continue in the nursing sequence. To successfully pass (course) a total accumulative score of 79% must be achieved on all exams and quizzes before other required points are calculated into the final course grade. All students enrolled in the nursing program must have a minimum accumulative grade point average of 2.0 C in all required non-nursing courses as well as an overall University grade point average of 2.0 C by the end of the 4th quarter. (See Handbook, Grade Point Average.) A student will also be held from continuing the sequence of nursing courses at such time that more than two Ds are achieved in the required support courses. The student must repeat the course and achieve a passing grade prior to re-entry. Ohio University School of Nursing has contracted with ERI to implement a program of standardized testing and remediation to increase the probability of success on NCLEX-RN. Testing will occur on a quarterly basis. The nursing faculty are excited to offer you this Page 2 of 10
opportunity to enhance your learning. This test is mandatory, a course grade will not be given unless this test is completed. ERIs Nursing Entrance Test (NET) is to be completed within the first two weeks of the quarter. Course Points Midterm Exam (Comprehensive) Final Exam (Comprehensive) 3 Quizzes (20 pts/each) Teaching/Learning Project (due Week 10 to Clinical Instructor Other Total Points Total Points 100 100 60 30 10 300
Classroom Policies 1. Please review Classroom Policies for Nursing Courses in the Handbook for Nursing Students (2005-06). 2. Any missed module exam or quiz without acceptable cause or failure to notify instructor in advance will automatically receive a 10 percent grade reduction. Acceptable cause will be in accordance with the Ohio University Undergraduate Catalog and may include, but not be limited to such circumstances as personal illness or death in the immediate family. Verification will be required. 3. Attendance is required for the lecture and clinical portions of this course. 4. A student who has a concern about a test item or score must individually put that concern in writing, identify the problem and cite references. This written concern will be reviewed if submitted within one week of the test date. Concerns submitted after one week will not be considered. All questions are reviewed for clarity and content based on computer analysis. Students will be notified of changes. 5. The Learning Advancement Center (LAC) administers make-up exams. All make-up exams will be left in the LAC, Elson Hall, Room 116. The student must make an appointment to take the exam within one week of the original exam date. The exam will not be provided to the LAC until properly notified of the reason for the absences with verification. Quizzes 1. Quizzes will be 20 points each and may consist of any number of questions as desired by the instructor. 2. Quizzes may cover any material from the present or previous assigned readings. 3. Make-up quizzes will follow the guidelines of the Ohio University Undergraduate Catalog section entitled Notification of Causes of Absence. Written Assignments: Post clinical paperwork will be graded as satisfactory or unsatisfactory. On work returned as unsatisfactory, the student will have one week to resubmit the paperwork. Clinical failure will be given if all unsatisfactories are not graded as satisfactories by Monday of Week 10. Post clinical work is due according to clinical instructors guidelines. Students must be accountable by submitting written work on time and arriving for clinicals on time. Failure to be accountable may result in a learning contract.
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COURSE POLICIES Please review the Handbook for Nursing Students (2005-06) for policies related to attendance at class and laboratory, liability insurance, uniforms, and academic dishonesty. Proof of insurance, fingerprint background check results, health history, CPR certification, 2step TB test and hepatitis B must be shown in the nursing office prior to the first day in the clinical facility or the student will not be permitted to attend clinical and the day will be documented as an unexcused clinical absence. All clinical absences must be made-up regardless of the reason for the absence. All students are required to spend a minimum of one hour weekly in the Nursing Laboratory in addition to scheduled clinical lab time. Student will receive a weekly assignment to complete during this one hour lab practice time. This one hour may be fulfilled during any open lab practice hours. (See lab schedule). To receive credit for lab practice hours, please sign in the Nursing 110 notebook, located in the lab, anytime you are in the lab practicing. Failure to pass course-required skills check-offs (handwashing, vital signs and meds administration with math quiz) by the deadline written in the Skills Lab Schedule Book, may result in the student not attending his/her clinical site with a patient care assignment. A clinical make-up assignment would be required in this situation. ACADEMIC DISHONESTY The Ohio University Student Code of Conduct prohibits all form of academic dishonesty. These include cheating, plagiarism, forgery, furnishing false information to the University, and alteration or misuse of University documents, records or identification. If a student engages in course-related academic dishonesty, his or her grade on the work in question or in the course may be lowered by the instructor. Any student wishing to protest the instructors action has recourse to the established grievance procedures, starting at the department level. (See the Undergraduate Catalog or Student Handbook or contact University Judiciaries for further information.) DISABILITIES/SPECIAL NEEDS Any student who may need an accommodation due to a disability, please provide a letter of accommodation from the office of the Disabilities Coordinator after class. If you have not met with Liesta Walker, please stop by the Learning Advancement Center, Room 116 so that your needs can be met.
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Nursing 110 - Foundations of Nursing I Reading Assignments Spring Quarter 2006 Week 1 3/28 Lecture: 8:10-10 a.m. Topic/Readings Orientation/syllabus Philosophy of OUZ Nursing
Tuesday, 8:10-10:00 a.m. Elson Hall Room W110 Clinical Topics and Readings Handbook for Nursing Students. Medical asepsis, infection controls, handwashing. Ch. 29 to pg 655 Restraints, safety, vital signs. Ch. 27 Clinical dates & times 3/27, 29, 31 8 am to 1:30 pm Room 105W
2
4/4
Safety & Accident Prevention - Ch. 30 ERI Testing-Computer labs - must be completed this week Quiz 1 Mobility/immobility Ch. 42 Hygiene (Bath, oral, hair, eye, ear and nose care) Ch. 31 Midterm Exam Lecture: Nutrition - Ch. 45 Bowel elimination - Ch. 46 Health and Illness Ch. 8 & 11 Quiz 2 Lecture: Nursing History, nursing education - Ch. 1 &2 Legal/Ethical considerations, Delegation Ch. 4, 5, 26 Quiz 3 Lecture: Stress, advocacy Ch. 7 & 40 Final Exam Comprehensive 8:10-10 7 a.m.
4/3,5, Room 105W 8 am to 1:30 pm
3
4/11
Positioning, transfers, ROM, body mechanics, assistive devices: med administration practice Baths, beds, care plans. Senior Center; safety & mobility assessments Unit Orientation. Focused assessment: nutrition. Discussion: FSBS, DNRs Patient care #1 in hospital; focused assessment: skin Patient care #2 in hospital; focused assessment: abdomen Patient care #3 in hospital (last day M & W); focused assessment: cardiorespiratory Patient care in hospital (last day F); focused assessment: head-to-toe Presentation of Teaching Learning Projects; unit and student evaluations - on campus
4/10, 12, 14 8 am to 1:30 pm E219 4/17, 19, 21 8 am to 1:30 pm Room E219 4/24, 26, 28 8 am to 1:30 pm Clinical Units 5/1, 3, 5 7 am to 1 pm 5/8, 10, 12 7 am to 1 pm 5/15, 17, 19 7 am to 1 pm
4
4/18
5
4/25
6 7
5/2 5/9
8
5/16
9
5/23
5/22 8am to 1:30p Room W105 Monday-No Class Room W105 8 am to 1:30 pm Room W110
10
5/30
11
6/6
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NURSING 110 OBJECTIVES Week 1 - The student will be able to Class 1. develop an awareness of nursing within the program framework curriculum and philosophy of Ohio University - Zanesville. 2. identify the roles of the associate degree nurse. 3. express an awareness of the importance of values clarification in order to begin role transition to that of a student nurse. 4. identify caring behaviors in providing nursing care. 5. define appropriate medical terminology related to OUZ nursing philosophy. 6. recognize the importance of critical-thinking as a nursing concept. 7. define the characteristic attitudes of critical-thinking. 8. Apply the concepts of critical thinking using case studies. Clinical 1. discuss utilization and expectations of the OUZ nursing education lab and AV equipment. 2. observe demonstration and practice of proper handwashing technique and techniques to prevent and control infections. 3. define medical asepsis. 4. identify the chain of infection and stages of infection. 5. recognize the importance of confidentiality in nursing practice. 6. describe specific nursing interventions that can prevent and control infections. 7. define medical terminology related to medical asepsis. Week 2 - The student will be able to Class 1. identify common safety hazards in the clients environment. 2. list the outcome criteria strategies for preventing injury and providing a safe and effective care environment. 3. identify guidelines and alternatives for using restraints. 4. discuss psychosocial implications of restraints. 5. identify clients at risk for falling. 6. discuss strategies to reduce risk of falls. 7. define medical terminology related to client safety. Clinical 1. identify hazardous materials and ways to handle them. 2. demonstrate safe use of restraints. 3. calculate dosages of medications. 4. define medical terminology related to vital signs. 5. document vital signs. 6. locate peripheral pulses. Week 3 - The student will be able to Class 1. identify variables that influence body alignment and mobility. 2. identify the importance of maintaining good body alignment when using proper body mechanics. Page 6 of 10
3. 4. 5.
utilize critical thinking to compare and contrast the effects of immobility and exercise on body systems. describe the essential steps and rationales of techniques to move and turn clients in bed, transfer clients from bed to chair or stretcher, and provide range-of-motion exercises. define medical terminology related to mobility.
Clinical 1. maintain physiological integrity through the use of proper body mechanics when positioning, moving, lifting, and ambulating clients. 2. observe demonstrations and practice the following. a. correct body alignment b. normal range-of-motion for all joints of the body c. transfer techniques (bed to chair, chair to bed, bed to cart, and cart to bed). 3. observe demonstration and practice the use of various assistive devices. 4. demonstrate beginning skills in choosing and applying appropriate sized TED stockings and SCDs. Week 4 - The student will be able to Class 1. 2. 3. 4. 5.
identify factors that effect skin condition and personal hygiene. describe the purpose of meeting hygienic needs for the client. describe ways hygiene needs vary throughout the life span. state the principles of environmental influences when doing a linen change. discuss the importance of anti-embolism stockings.
Clinical 1. demonstrate techniques used when assisting clients with hygiene, including various types of baths 2. demonstrate proper technique of making an occupied and unoccupied bed. 3. observe demonstrations and practice the following nursing interventions. a. oral hygiene b. back rub c. shaving a client d. using a bedpan/urinal e. care of hair, eyes, nails and ears f. enema administration g. Hemoccult testing 4. complete a safety and activity assessment on an older adult. 5. obtain accurate blood pressure assessment on an older adult. 6. recognize a variety of colostomy equipment 7. formulate a nursing care plan from a case study. Week 5 - The student will be able to Class 1. Midterm 2. use the Food Guide Pyramid and recommended daily allowances to develop a nutrition plan. 3. identify the factors that influence the clients dietary patterns and nutritional needs 4. recognize the various types of diets utilized in various clinical facilities Page 7 of 10
5. 6. 7.
discuss principles utilized when feeding clients define terms specific to fluid balance describe the movement, distribution and proportion of body fluids
Clinical 1. demonstrate the following nursing skills a. pass trays b. prepare the client for a meal c. assist with feeding d. record intake and output on client 2. demonstrate beginning communication skills 3. recognize nursing interventions for DNR classifications 4. demonstrate the following skills related to direct caregiver a. hygiene needs b. handwashing c. transfers d. range-of-motion e. body alignment f. nutritional needs and I & O g. vital signs h. therapeutic communication i. providing a safe, caring environment j. finger-stick to obtain blood sugar level. 5. complete a nutrition assessment on an older adult client. Week 6 - The student will be able to 1. identify variables that affect ingestion, digestion, absorption and bowel elimina...