SRJC Course Outlines

7/24/2024 3:15:27 AMNR 75D Course Outline as of Spring 2001

Changed Course

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
Maximum12.50Lecture Scheduled6.5017.5 max.Lecture Scheduled113.75
Minimum12.50Lab Scheduled017 min.Lab Scheduled0
 Contact DHR18.00 Contact DHR315.00
 Contact Total24.50 Contact Total428.75
 Non-contact DHR0 Non-contact DHR Total0

 Total Out of Class Hours:  227.50Total Student Learning Hours: 656.25 

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/gerontological client are presented while focusing on the individual's ability to meet universal self-care needs/deficits. 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, a preceptorship experience, and advanced nursing skill practice in a variety of clinical settings give the student an opportunity to apply multiple concepts and skills and make the transition from student to professional nurse.

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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I. Theoretical Outcomes and Objectives
  A. Theoretical Application for Professional Growth
     At the completion of this course the student will:
     1. Analyze clients' needs using the nursing process.
     2. Select nursing actions using critical thinking
        strategies applied to theoretical client scenarios.
     3. Incorporate leadership and research principles into
        nursing practice.
     4. Evaluate the concept of health care delivery systems and
        how the profession of nursing fits into these systems
        both ethically and legally.
     5. Solve conflict management issues using theoretical
     6. Construct a plan for entry into the profession of
        nursing using resume writing skills and interviewing
     7. Formulate a plan for professional growth using role
        adaptation models and preceptorship.
  B. Theoretical Content Application for Clinical Objectives
     In a nursing practice scenario, the student will demonstrate
     ability to:
     1. Integrate the knowledge of health deviation states and
        self-care requisites (Orem's Self-Care Deficit Model)
        into the nursing care of clients with problems related
        to altered:
        a. neurological states
        b. respiratory function
        c. immune and endocrine function
        d. mobility states
        e. cellular growth
     2. Continue with care at home
     3. Examine principles of time management and organization
        to effectively deliver nursing care to a group of clients.
     4. Initiate professional communication into the nursing
        care of acutely ill clients in order to:
        a. create a safe environment for groups of clients and health
           care providers.
        b. Construct teamwork among the health care providers
        c. Value client's cultural, ethnic, sexual, and spiritual
     5. Evaluate and compare the significance of the following
        concepts as they are applied in preparing patient care
        a. developmental stage
        b. regulation
        c. oxygenation
        d. protection
        e. rest and activity
        f. fluids and electrolytes balance
        g. pharmacology
        h. nutrition and elimination
     6. Demonstrate competency in performing the following
        skills by incorporating scientific, physiological and
        psychosocial concepts in a skills laboratory:
        a. neurological assessment
        b. tracheostomy care
        c. transcription of medical orders
        d. completing quality assurance reports
        e. giving shift report
        f. bladder irrigation
        g. initiating IV therapy
II. Professional Clinical Practice Objectives
   A. Professional Growth Objectives
      At the completion of advanced medical-surgical nursing and
      preceptorship the student will:
      1. Demonstrate the use of critical thinking and problem
         solving skills in managing the nursing care of a group
         of clients.
      2. Delegate tasks to appropriate members of the health care
      3. Function as an entry level professional nurse within
         legal/ethical guidelines established by the Nurse
         Practice Act.
      4. Apply appropriate conflict management skills in the
         clinical setting.
      5. Incorporate the role and function of the staff nurse
         with confidence in order to prepare for entry into
         professional nursing.
   B. Clinical Practice Objectives
      At the completion of advanced medical-surgical nursing and a
      preceptorship the student will apply theory to practice using
      the nursing process and Orem's Self-Care framework by
      demonstrating the ability to:
      1. Independently collect and record database for each
         assigned client.
      2. Assess client for physical manifestations of
         pathophysiological processes and clients' ability to
         meet their health care needs.
      3. Initiate and/or maintain a current nursing care plan for
         assigned clients.
      4. Apply theoretical knowledge to clinical practice.
      5. Initiate appropriate referrals for resources to meet
         clients self-care needs.
      6. Implement client and family teaching in a variety of
         clinical settings.
      7. Evaluate client response to the teaching.

Topics and Scope
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1. Leadership/Professionalism
  a. Introduction to Leadership
  b. Group Process
  c. Health Care Delivery System
  d. Ethical Aspects of Nursing
  e. Values Clarification
  f. Nurse Practice Act
  g. Legal Aspects of Nursing Practice
  h. Total Quality Management/Continuous Quality Improvement
  i. Case Management and Managed Care
  j. Research for Professional Nursing Practice
  k. Nursing Profession and Professional Organization
  l. Novice to Expert
  m. Writing Behavior Objectives
  n. Resume Writing
  o. NCLEX Application
2. Regulation: Client with Altered
  a. Endocrine function
  b. Cell Growth (Oncology)
  c. Pancreatic Function (Exocrine)
  d. Liver Function
3. Interaction
  a. Conflict management
  b. Delegation
  c. Decision making
  d. Critical thinking
  e. Alternative Therapies
  f. Palliative Care/End of life
4. Fluids and Electrolytes:
  a. Renal Client Undergoing Dialysis and/or Kidney Transplantation
5. Oxygenation:  Client with Altered Oxygenation:
  a. Adult Respiratory Distress Syndrome
  b. Code management
  c. Gastrointestinal bleeding
  d. Cardiac Output/TissuePerfusion
6. Protection: Client with Altered Neurological Function:
  a. Neuro Assessment
  b. CVA
  c. Unconscious client
  d. Seizure Disorder
  e. Sensory Motor Dysfunction: Increased intracranial pressure and
     head trauma
  f. Spinal cord injury
  g.  Immune System Dysfunction
  h.  Migraine Awareness
7. Rest and Activity
  a. Osteoporosis and Gout
  b. Chronic Neurological Problems
8. Developmental Self-Care Requisites
  a. Home Care Client
9. Nutrition and Elimination: Client with Altered Function of the Lower
  Gastrointestinal Tract
10. Skills Competency Development
  a. Neuro Assessment
  b. Tracheotomy Care
  c. Transcription of Medical Orders
  d. Shift Report
  e. Quality Assurance Reports
  f. Bladder Irrigation
  g. IV Therapy - venipuncture, collecting blood specimens

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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 approximately 2/semester. That includes
data collection, data analysis, assessment and development of plan for
nursing care with specific interventions and evaluation of
3.  Completion of two-page assessment tool on every client in preparation
   for clinical using database, medication sheet, pathophysiology form.
4.  Viewing selected videotapes in HLRC, 6-8 per semester.
5.  Viewing selected CAI programs in HLRC, 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, 70-250 pages per week.
9.  Completion of a weekly critical thinking journal

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
5 - 10%
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
5 - 10%
Dosage calculations-Pass/Fail
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.Skill Demonstrations
5 - 10%
Clinical Practice-Pass/Fail
Exams: All forms of formal testing, other than skill performance exams.Exams
80 - 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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Lewis, S., Heitkemper, M., and Dirksen, S. (2000). Medical-Surgical
Nursing: Assessment of Clinical Problems, 5th ed. New York: Mosby.
Marquis, B.L., and Huston, C.J. (2000). Leadership Roles and Management
Functions in Nursing, 3rd ed. Philadelphia: Lippincott
McCances, K., and Heuther, S. (1997). Pathophysiology: The Biologic Basis
for Disease in Adults and Children. 3rd ed. New York: Mosby.
Smith, S.and Duell, D. (1996). Clinical Nursing Skills: Basic to Advancesd
Skills. 4th ed. Stamford, CT: Appleton and Lange.

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