12/2/2024 8:21:18 AM	NRV 52.2L Course Outline as of Spring 2004	Changed Course
CATALOG INFORMATION
Discipline and Nbr:  NRV 52.2L	Title:  MCHN CLINICAL
Full Title:  Maternal-Child Health Nursing Clinical
Last Reviewed:10/13/2014

Units		Course Hours per Week			Nbr of Weeks	Course Hours Total
Maximum	2.00	Lecture Scheduled	0		17.5 max.	Lecture Scheduled	0
Minimum	2.00	Lab Scheduled	0		17.5 min.	Lab Scheduled	0
		Contact DHR	6.00			Contact DHR	105.00
		Contact Total	6.00			Contact Total	105.00
		Non-contact DHR	0			Non-contact DHR Total	0

Total Out of Class Hours:  0.00

Total Student Learning Hours: 105.00

Title 5 Category:  AA Degree Applicable
Grading:  P/NP Only
Repeatability:  00 - Two Repeats if Grade was D, F, NC, or NP
Also Listed As: 
Formerly:  NRV 52BL

Catalog Description:

Second semester maternal child course for full time vocational nursing program. Application of concepts learned in prerequisite and corequisite theory and skills lab courses. Care of the normal and acute care of the obstetric, neonate, and pediatric clients. An emphasis on normal growth and development process in relationship to disease is emphasized. The family as a whole system of interactions for patient teaching and the administration of culturally sensitive care is applied to diverse clinical settings (i.e. nursery school, clinics, hospitals and intermediate residential care facilities). Orem's self-care deficit theory is the base for applying the nursing process for assigned clients.

Prerequisites/Corequisites:
Course Completion of NRV 51L and Concurrent Enrollment in NRV 52.2 ( or NRV 52B) and Concurrent Enrollment in NRV 58B

Recommended Preparation:
Psych 4.

Limits on Enrollment:

Schedule of Classes Information
Description:

Second semester maternal child nursing course for the full time vocational nursing program. Application of theoretical concepts from prerequisite and corequisite courses. Clinical assignments form the basis of nursing care using Orem's Theory. Care includes obstetric/pediatric clients in acute perinatal units, clinics, nursery schools and residential care facilities.

(P/NP Only)
Prerequisites:Course Completion of NRV 51L and Concurrent Enrollment in NRV 52.2 ( or NRV 52B) and Concurrent Enrollment in NRV 58B
Recommended:Psych 4.
Limits on Enrollment:
Transfer Credit:CSU;
Repeatability:00 - Two Repeats if Grade was D, F, NC, or NP

ARTICULATION, MAJOR, and CERTIFICATION INFORMATION

Associate Degree:		Effective:		Inactive:
Area:
CSU GE:	Transfer Area			Effective:	Inactive:
IGETC:	Transfer Area			Effective:	Inactive:
CSU Transfer:	Transferable	Effective:	Fall 1981	Inactive:	Fall 2021
UC Transfer:		Effective:		Inactive:
C-ID:

Certificate/Major Applicable: Certificate Applicable Course

COURSE CONTENT

Outcomes and Objectives:
At the conclusion of this course, the student should be able to:

Under the following conditions:

1. Students will be under the direct supervision of instructors and

resource nurses in labor/delivery postpartum and newborn settings.

2. Students will be supervised less closely in nursery school, clinics, &

residential care facilities by instructors, while being guided in their

observations and skills by licensed staff.

3. Students will be accountable and responsible for actions and practice

both fundamental and increasingly complex intermediate skills.

4. Students will apply theoretical concepts to the individual clinical

setting and the assigned patients.

Upon completion of this course, the student will be able to:

1. Apply all previously learned concepts maintaining prior skills and by

being able to apply rationales for the care being given.

2. Prioritize and organize care of 2-4 patients in the acute setting and

begin to develop skills for care in the ambulatory care setting.

3. Continue to apply culturally sensitive care while communicating clearly

and providing a safe environment.

4. Continue to provide care in a professional and ethical manner with an

increasing ability to perceive actual and potential ethical dilemmas for

families and individual patients.

5. Document accurately with an increased ability to evaluate outcomes.

6. Contribute to the nursing care plans and develop patient-centered

teaching skills.

7. Perform as a team member with an increasing ability to provide reports

for the oncoming shift, resource nurses and physicians.

Topics and Scope

1. Application of medical/surgical principles to the perinatal setting.

2. Observation of the birthing process.

3. Assessment of immediate postpartum clients.

4. Immediate newborn assessment.

5. Application of growth and development to clinical setting in the

  nursery school, residential care and clinic facilities.

6. Immunization schedules and routine assessments for children of all ages

  seen in the ambulatory care setting.

7. Documentation of normal growth and development charts in the clinic

  setting.

8. Age appropriate teaching techniques.

9. Age appropriate techniques for administering medications and treatments

  to children in the clinic and residential care settings.

10. Common parenting and child-rearing concerns and issues.

11. Common nursing procedures, assessments and diagnostic tests such as:

  a. Postpartum and newborn assessments.

  b. Sterile technique for "setting-up" for delivery & cesarean sections.

  c. Administration of vitamin K and erythromycin for infants.

  d. Sitz baths, special peri-care, cord care, circumcision care and

     breast care (to name a few).

  e. Special safety measures (holding of infants, clearing airways,

     positioning and other specifics related to developmental phases.

  f. Immunizations of infants and children.

  g. Care of developmentally delayed children with special skills for

     feeding (gastrostomy), seizure assessment and behavior modification.

 h. Pharmacologic interventions for needs of postpartum, postop c-section

    and labor/delivery, preterm patients.

Assignments:

1. Preparation of adequate data bases and worksheets for planning care.

2. Assignments of 2-4 patients per clinical day in the acute perinatal

setting for a total of 4-6 days of postpartum rotation.

3. Assignments of accurate observation and data collection of normal vs.

abnormal growth and development of preschool children and developmentally

delayed children in intermediate care facilities (ICFDD).

4. Participation in the VN scope of care in the ICFDD residential care

setting with a focus of planning care and administering treatment and

meds for a minimum of 1 client.

5. Observation of a minimum of 1 delivery, 1 labor patient, 1 c-section,

and routine of newborn nursery care for a total of 4-5 day rotations.

6. Administration of all medications within VN scope of practice for

obstetric and pediatric clients.

7. Give a minimum of one teaching demonstration to peers for a specific

perinatal or newborn problem/scenario.

8. Participate in ward conferences by offering examples of problems and

interventions for mother and infant care on assigned patients.

Methods of Evaluation/Basis of Grade.

Writing: Assessment tools that demonstrate writing skill and/or require students to select, organize and explain ideas in writing.		Writing 0 - 0%
None
This is a degree applicable course but assessment tools based on writing are not included because problem solving assessments and skill demonstrations are more appropriate for this course.
Problem solving: Assessment tools, other than exams, that demonstrate competence in computational or non-computational problem solving skills.		Problem Solving 10 - 20%
patient teaching demonstration in ward conference
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.		Skill Demonstrations 80 - 90%
Performance exams, Clinical evaluation
Exams: All forms of formal testing, other than skill performance exams.		Exams 0 - 0%
None
Other: Includes any assessment tools that do not logically fit into the above categories.		Other Category 0 - 0%
None

Representative Textbooks and Materials:

INGALLS & SALERNO MATERNAL CHILD HEALTH NURSING 9th ed., by J.C.Novak &

B.Broom, Mosby, St. Louis (1999) and Accompanying Study Guide.

PHARMACOLOGY:A NURSING APPROACH, 3rd ed., by J.L. Kee & E.R. Hayes, W.B.

Saunders, Philadelphia (2000).

Instructor prepared materials.

(NRV 52 Syllabus and Student Handbook of Policies).

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