SRJC Course Outlines

4/17/2024 2:25:32 AMNR 75D Course Outline as of Fall 1981

New Course (First Version)

Discipline and Nbr:  NR 75DTitle:  ADV CARE ACUTELY IL  
Full Title:  Advanced Nursing Care of the Acutely Ill Patient
Last Reviewed:2/3/2020

UnitsCourse Hours per Week Nbr of WeeksCourse Hours Total
Maximum13.50Lecture Scheduled6.5017.5 max.Lecture Scheduled113.75
Minimum13.50Lab Scheduled017.5 min.Lab Scheduled0
 Contact DHR21.00 Contact DHR367.50
 Contact Total27.50 Contact Total481.25
 Non-contact DHR0 Non-contact DHR Total0

 Total Out of Class Hours:  227.50Total Student Learning Hours: 708.75 

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

Catalog Description:
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Advanced concepts related to health deviation in the acutely ill adult medical-surgical client are presented while focusing on the individual's ability to meet universal self-care needs/deficits. The advanced concepts of oxygenation, fluid and electrolytes, regulation and protection are explored and applied to the nursing care of acutely ill adult medical-surgical clients. Developmental self-care requisites related to the gerontological client are also included. Utilizing the nursing process, these concepts are integrated to meet the complex self-care needs of both medical-surgical and gerontological clients. Concepts related to professionalism are included as preparation for the transition from student to professional nurse. Principles and concepts from Nursing 75A, 75B, and 75C and the bio-psych-social sciences are incorporated into advanced level patient care in a variety of clinical settings. Includes a preceptorship experience and advanced nursing skill practice.

Enrollment in the Associate Degree Nursing Program; successful completion of NR 75C with a grade of "C" or better.

Recommended Preparation:

Limits on Enrollment:

Schedule of Classes Information
Description: Untitled document
Advanced concepts & skills relating to health deviation & the individual's inability to meet universal self-care needs in the acutely ill adult medical/surgical client & the gerontological client.
(Grade Only)

Prerequisites:Enrollment in the Associate Degree Nursing Program; successful completion of NR 75C with a grade of "C" or better.
Limits on Enrollment:
Transfer Credit:CSU;
Repeatability:00 - Two Repeats if Grade was D, F, NC, or NP


Associate Degree:Effective:Inactive:
CSU GE:Transfer Area Effective:Inactive:
IGETC:Transfer Area Effective:Inactive:
CSU Transfer:TransferableEffective:Fall 1981Inactive:
UC Transfer:Effective:Inactive:

Certificate/Major Applicable: Certificate Applicable Course


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

Topics and Scope
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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
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.

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%
Nursing care plans-Pass/Fail
Problem solving: Assessment tools, other than exams, that demonstrate competence in computational or non-computational problem solving skills.Problem Solving
0 - 0%
Dosage calculations-Pass/Fail
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.Skill Demonstrations
0 - 0%
Clinical Practice-Pass/Fail
Exams: All forms of formal testing, other than skill performance exams.Exams
0 - 100%
Multiple choice
Other: Includes any assessment tools that do not logically fit into the above categories.Other Category
0 - 0%

Representative Textbooks and Materials:
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FUNDAMENTALS OF NURSING, 2nd ed., by P. Potter and A. Perry. Mosby Co.
Appleton and Lang.
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.

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