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The student:
1. Independently collects and records data base for each client who
has an increasing need for assistance in meeting universal self-care
and health deviation needs with unpredictable outcomes.
2. With minimal guidance, assesses clients who have unpredictable
outcomes for manifestations of inability to meet universal self-care
and health deviation needs related to pathophysiology/psychopathology.
3. Independently completes basic/modified assessment tool consistent
with expected level of achievement.
4. Independently is able to identify actual/potential self-care
deficits and state the deficit in nursing diagnosis terminology.
5. Given a client with unpredictable outcomes, with minimal guidance,
selects a nursing system.
6. Given a client with unpredictable outcomes, with minimal guidance,
develops a written plan of care utilizing a knowledge base
consistent with expected level of achievement and establishes
priorities based on self-care deficits.
7. Demonstrates ability to develop nursing care plan (NCP) consistent
with Level IV NCP format.
8. With varying degrees of guidance, depending on client acuity,
implements the selected nursing system for an increasing number
of clients that would reflect expectation of employer upon
graduation.
9. With varying degrees of guidance, depending on client acuity,
performs more advanced nursing skills consistent with theoretical
knowledge base and audit sheet criteria.
10. Applies principles of safety as identified on safety audit sheet.
11. With minimal guidance, evaluates the appropriateness of the
selected nursing system, the effectiveness of the NCP and
therapeutic interventions at the expected level of achievement
for an increasing number of clients with complex problems.
12. With varying degrees of guidance, depending on client acuity,
assesses client and family's less obvious needs for health teaching
based on potential/actual self-care deficits consistent with
universal self-care and developmental needs. Identifies appropriate
resources for resolution.
13. With varying degrees of guidance, depending on client acuity with
minimal guidance plans and implements client and family teaching
needs consistent with expected level of achievement and agency
policy incorporating basic principles of patho-physiology, psycho-
pathology, developmental and cultural needs.
14. With minimal guidance, evaluates client and family response to
teaching consistent with expected level of achievement.
15. With guidance, communicates:
A. In writing on a client's chart, consistent with audit sheet
criteria and agency policy.
B. Effectively with assigned clients and health care team members
using problem solving, goal-directed communication skills.
C. Pertinent information to client, family, instructor, and health
team members within the agency and community resources
ensuring client safety.
D. Change of shift report.
16. Demonstrates responsibility for meeting educational needs expected
by the nursing profession.
17. With minimal guidance, demonstrates behaviors that would reflect
an awareness of legal and ethical responsibilities in relationship
to self and others within parameters of school and health care
agency policies and the Nurse Practice Act.
18. With minimal guidance, utilizes self-care concepts as they relate
to universal self-care needs, developmental cultural, and
spiritual needs.
19. Demonstrates ability to perform tracheostomy care.
20. Demonstrates ability to perform a neurological assessment.
21. Demonstrates ability to transcribe physician's orders.
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1. Professionalism: Professional development.
A. Marketing yourself in nursing.
2. Developmental self-care requisite: Gerontology.
A. Cognitive changes in the geriatric client.
B. Client with alzheimer's disease.
C. Psycho-social issues related to geriatric client.
3. Universal self-care requisite: Regulation.
A. Client with osteoporosis.
B. Client with endocrine dysfunction.
4. Universal Self-care requisite: Oxygenation.
A. Acute gas/exchange problems.
B. Altered perfusion.
5. Universal self-care requisite: Protection.
A. Sensory - motor dysfunction.
B. Immune dysfunction.
6. Professionalism
A. Professional development: Neophyte nurse.
B. Leadership.
C. Legal-ethical issues.
7. Advanced Nursing Skills
A. Tracheostomy care
B. Neurological assessment
C. Transcription
At the beginning of NR 75D (weeks 1-5), one-half of the students will
need to complete a portion of the course NR 75C related to the adult
medical-surgical client (intermediate level) and one-half of the students
will need to complete a portion of the course NR 75C related to maternal-
child client.
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1. Preparation for clinical assignments by reviewing patient's chart,
approximately 1-2 hours per week.
2. Written Nursing Care Plans (6 pages per plan) 8-10 plans per
semester. Includes data collection, data analysis, development
of plan for nursing care with specific interventions and evaluation
of effectiveness.
3. Completion of two-page assessment tool, approximately 8-10 per
semester.
4. Viewing selected videotapes in CHEC, 6-8 per semester.
5. Viewing selected CAI programs in CHEC, 8-12 per semester.
6. Present patient situation for discussion in post clinical conferences,
approximately 1 hour presentation per student per semester.
7. Analysis of patient care situations. In group setting, approximately
8-10 per semester.
8. Reading assignments, 100-250 per week.
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FUNDAMENTALS OF NURSING, 2nd ed., by P. Potter and A. Perry. Mosby Co.
LABORATORY DIAGNOSTIC TESTS WITH NURSING IMPLICATIONS by J. Kee.
Appleton and Lang.
CLINICAL NURSING SKILLS AND TECHNIQUES by A. Perry and P. Potter. Mosby
Co.
MEDICAL-SURGICAL NURSING by Lewis and Collier. McGraw-Hill Co.
CLINICAL PHARMACOLOGY AND NURSING by C. Baer and B. Williams. Springhouse.
PATHOPHYSIOILOGY by Price and Wilson. Mosby Co.
