12/26/2024 4:08:04 PM	NRV 61L Course Outline as of Fall 2003	New Course (First Version)
CATALOG INFORMATION
Discipline and Nbr:  NRV 61L	Title:  ADV. MED/SURG CLINICAL
Full Title:  Advanced Med/Surg Clinical for Part Time (Teamleading)
Last Reviewed:12/9/2002

Units		Course Hours per Week			Nbr of Weeks	Course Hours Total
Maximum	4.00	Lecture Scheduled	0		17.5 max.	Lecture Scheduled	0
Minimum	4.00	Lab Scheduled	0		17.5 min.	Lab Scheduled	0
		Contact DHR	12.00			Contact DHR	210.00
		Contact Total	12.00			Contact Total	210.00
		Non-contact DHR	0			Non-contact DHR Total	0

Total Out of Class Hours:  0.00

Total Student Learning Hours: 210.00

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: 

Catalog Description:

This is one of two advanced level clinical courses for the part time vocational nursing program. The course prepares students to make the transition from student to entry level practice positions. The principles learned in prerequisite and corequisite theory and skills level courses are applied to care of patients in acute, ambulatory and skilled nursing care settings. A team leadership component is applied. Students are challenged with more complicated and unstable clients in a variety of settings.

Prerequisites/Corequisites:
Course Completion of NRV 60BL

Recommended Preparation:

Limits on Enrollment:

Schedule of Classes Information
Description:

Advanced level VN clinical course. Application of principles from the prerequisite and corequisite theory and skills courses. Care of complex and unstable patients. Teamleading in skilled nursing component. Clinic patients in ambulatory care settings. Emphasis on entry level practice expectations.

(P/NP Only)
Prerequisites:Course Completion of NRV 60BL
Recommended:
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 2003	Inactive:	Spring 2010
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 clinical conditions:

a. Students are minimally supervised and perform most tasks independently.

b. Support is provided by instructor and resource nurses in a lessening

manner over the course of the semester after initial orientations are made

c. Students increasingly assume accountability for clinical judgements.

d. Principles from prerequisite and corequisite courses are applied.

e. Students practice advanced skills while maintaining fundamental and

intermediate skills previously taught.

Upon completion of the course students will be able to:

1. Apply theoretical knowledge bases including physiological, pathophysio-

logical, psychological, spiritual, and social concepts in providing care.

2. Analyze patient scenarios encompassing a broader view with more compli-

cated patient assignments.

3. Provide a safe environment with an ability to anticipate problems

through the use of prevention techniques and patient education.

4. Provide culturally sensitive care, communicating clearly and be able to

articulate rationales for specific interactions in varied settings.

5. Utilize the nursing process to implement care in a manner of efficiency

with a high degree of organization and ability to prioritize.

6. Participate in teaching strategies of self-care in varied settings.

7. Administer medications and treatments of all types in the VN scope of

practice as taught in skills lab courses.

8. Perform as a collaborating member of the health care team.

9. Supervise unlicensed personnel in the skilled nursing setting during

a teamleading rotation.

10. Increase performance to entry level practice by the end of the course.

11. Perform self-evaluation as well as evaluation of care in an ongoing

manner and adapt care to meet changing needs of patients and families.

Topics and Scope

1. Orientation to all new settings including skilled nursing, ambulatory

care and acute settings.

2. Implementation of all care which falls into the scope of entry level

practice.

3. Compare and contrast differences in governmental regulations between

acute and skilled nursing settings.

4. Priority setting of preparing database for 3-4 patients in acute care

and 8-12 patients in the teamleading session.

5. Increased enhancement of more advanced clinical pathways and teaching

protocols.

6. Error prevention and organization of increased patient load for the

preparation of entry level practice.

7.Tailoring of physical assessments to a broadened view of the totality

of patients' problems and nursing interventions.

8. Recognizing and assisting patients' coping strategies in both severe

and chronic illness cases.

9. Compare and contrast families in a variety of settings from the acute,

ambulatory and skilled nursing settings. Focus on gerontological problems.

10. Focus on the elderly in: role changes, sexuality, losses of old age,

behavior management and regulatory guidelines.

12. Evaluation techniques of the effectiveness of care.

Assignments:

Acute Setting Rotations:

Student will:

1. Collaborate at the beginning of shifts to determine plans of care.

2. Gather data and implement care plan on increased patient load.

3. Perform all aspects of care of VN scope of practice, taking into

account the effects of multisystem illness.

4. Administer all medications and perform aspects of IV therapy which

fall into basic non-IV certified scope of practice.

5. Monitor all responses to care and collaborate with staff and instructor

for the alteration and modifications to care required.

6. Analyze and interpret diagnostic tests and lab results pertinent to

medications and adjustments to care at an expanded level.

7. Report and collaborate with staff at an increasing level by the end of

the semester.

8. Present case studies and relate care given to theory objectives.

Skilled Nursing Settings:

Students will:

1. Analyze care data for a group of 8-12 residents.

2. Create a master worksheet for prioritizing and administering care.

3. Collaborate with staff to identify strategies for surmounting residents

barriers to care (both physical and cognitive).

4. Participate in giving shift reports and delegate responsibilities to

unlicensed staff including ongoing supervision.

5. Administer all medications and treatments to assigned group and monitor

effects of psychotropic and other meds.

6. Analyze and interpret lab and other diagnostic tests of residents and

perform chart review of ADL's (Activities of Daily Living) for possible

new nursing diagnoses.

7. Perform and document weekly summaries of residents in skilled nursing.

8. Report to physicians via FAX and phone and participate in proposing

solutions to residents' problems.

9. Implement wound care and wound assessment and prevention of decubiti.

10. Participate in post team conferences and discussion of end of life

issues.

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 - 25%
Field work, Attendance required. Pass/Fail by objectives.
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.		Skill Demonstrations 75 - 90%
Class performances, Performance exams, Clinical evaluations specific to each rotation.
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:

INTRODUCTION TO MEDICAL-SURGICAL NURSING, 3rd ed., by A.D. Linton and N.K.

Maebius. W.B. Saunders, Philadelphia (2003).

CLINICAL NURSING SKILLS, 5th ed., S.F. Smith & D.J. Duell, Prentice Hall

(2000).

SAUNDERS NURSING DRUG HANDBOOK. (2003)

MANUAL OF DIAGNOSTIC & LABORATORY TESTS, by K.D. Pagana & T.J. Pagana,

Mosby, St. Louis (2003).

ANDERSON & BRAUN CARING FOR THE ELDERLY, 2nd ed., by K.R. Culliton, F.A.

Davis, Philadelphia (1999).

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