4/26/2024 7:58:32 PM	NR 75C Course Outline as of Fall 2009	Changed Course
CATALOG INFORMATION
Discipline and Nbr:  NR 75C	Title:  NURSING CARE/ACUTELY ILL
Full Title:  Nursing Care of the Acutely Ill, Perinatal, & Pediatric PT
Last Reviewed:2/9/2015

Units		Course Hours per Week			Nbr of Weeks	Course Hours Total
Maximum	12.00	Lecture Scheduled	6.00		17.5 max.	Lecture Scheduled	105.00
Minimum	12.00	Lab Scheduled	0		17.5 min.	Lab Scheduled	0
		Contact DHR	18.00			Contact DHR	315.00
		Contact Total	24.00			Contact Total	420.00
		Non-contact DHR	0			Non-contact DHR Total	0

Total Out of Class Hours:  210.00

Total Student Learning Hours: 630.00

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

Catalog Description:

Concepts applicable to the care of the complex adult medical-surgical client. Perinatal and pediatric clients are included with a focus on the family as a whole system of care. Application of Orem's Self-Care Deficit Model is incorporated throughout this course.

Prerequisites/Corequisites:
Course Completion of NR 75B OR Course Completion of NR 74A

Recommended Preparation:

Limits on Enrollment:
Enrollment in the Associate Degree Nursing program or Career Ladder program.

Schedule of Classes Information
Description:

Concepts applicable to the care of the complex adult medical-surgical client. Perinatal and pediatric clients are included with a focus on the family as a whole system of care. Application of Orem's Self-Care Deficit Model is incorporated throughout this course.

(Grade Only)
Prerequisites:Course Completion of NR 75B OR Course Completion of NR 74A
Recommended:
Limits on Enrollment:Enrollment in the Associate Degree Nursing program or Career Ladder program.
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 2020
UC Transfer:		Effective:		Inactive:
C-ID:

Certificate/Major Applicable: Both Certificate and Major Applicable

COURSE CONTENT

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

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

1.  Evaluate the use of critical thinking in nursing practice as it

   relates to adult medical-surgical, perinatal, and pediatric clients.

2.  Analyze client needs across the life span using the nursing

   process and focusing on the family as a whole system.

3.  Incorporate professional, legal, and ethical dimensions as a

   basis for decision making and delegation.

4.  Design and implement a plan of care that incorporates time

   management and organizational strategies.

5.  Integrate knowledge of health deviation states and self-care

   requisites (Orem's Self-Care Deficit Model) into the nursing

   care of clients across the age span, in acute care and

   community-based care.

6.  Apply critical thinking concepts to develop and implement

   nursing care by incorporating in-depth information gathered

   through a systematic nursing assessment.

7.  Incorporate physiological, developmental, psychological, and

   adaptation concepts into the development of a nursing care plan.

8.  Incorporate the findings from diagnostic test results, physical,

   psychological and communication pattern assessments into the

   development and implementation of a nursing care plan.

9.  Develop appropriate nursing diagnoses and interventions.

10. Perform selected nursing skills incorporating scientific,

   physiological and psychological concepts.

11. Articulate the scientific rationale for selected nursing and

   medical interventions.

12. Determine whether expected outcomes were achieved.

13. Modify a nursing care plan to reflect a client's impaired

   ability to adapt to illness, injury, disability, loss, or

   grieving.

14. Differentiate practices that protect the client from environmental and

   psychological hazards from those that place the client in danger.

15. Demonstrate competency in the performance of nursing skills

   incorporating scientific, physiological and psychosocial principles

   related to care of adult medical-surgical, perinatal and pediatric

   clients.

Topics and Scope

I.   Pediatric Nursing

    1. Perspectives in the nursing care of the pediatric patient

    2. Assessment of child and family

    3. Growth and development

    4. Child and family with special needs

    5. Child with problems related to oxygenation and nutrition

    6. Child with problem related to blood production and

       circulation of blood

    7. Child with disturbance of regulating mechanisms

    8. Child with problems that interfere with physical mobility

II.  Perinatal Nursing

    1. Normal post-partum patient

    2. Normal neonate

    3. Normal intrapartal patient

    4. Normal pregnant patient

    5. Normal reproductive patient

    6. Alterations in pregnancy

    7. Alterations in normal birthing process

    8. Neonate at risk

    9. High risk post-partum patient

   10. High risk post-partum/gynecological patient

   11. Skill competencies

       a. Antepartum

       b. Labor and delivery

       c. Postpartum care

       d. Neonatal care

III. Intermediate Medical-Surgical Nursing

    1. Fluid and electrolytes

       a. Pathophysiology of renal system

       b. Assessment - physical and interpreting laboratory/diagnostic

          studies

       c. Choosing and prioritizing appropriate nursing diagnoses for

          the patient with renal dysfunction

    2. Oxygenation - Applying the nursing process to the care of the

       patient with chest trauma, cardiac disorders, altered tissue

       perfusion, and gastrointestinal bleeding

    3. Regulation

       a. Applying the nursing process to the care of the patient with

          pain

       b. Nursing care of the patient with various venous access devices

       c. Assessment, diagnosis, planning, intervention, and evaluation

          of the patient with pancreatitis, acid-base imbalances, and

          abnormal cell growth.

    4. Nutrition

       a. Nursing care of the patient with alterations in nutritional

          balance and lower gastrointestinal tract disease

       b. Application of the nursing process to the implementation of

          nutritional therapy

    5. Perioperative Patients

    6. Decision making and delegation

       a. legal requirements

       b. ethical guidelines

    7. Preparing resumes and cover letters

Assignments:

1.  Clinical practice in hospitals.  Students must meet minimum problem

   solving skills and practice to pass this course.  Passing is a grade

   of C at 75%.

2.  Preparation for clinical assignments by reviewing patient's chart,

   approximately 2-3 hours per week.

3.  Written nursing care plans approximately 2-3/semester.

4.  Completion of an assessment tool for every client in preparation

   for clinical.

5.  Viewing media in the Health Learning Resource Center.

6.  Present patient situations for discussion in pre/post clinical

   conferences.

7.  Analysis of patient care situations in group setting,

   approximately 8-12 per semester.

8.  Reading assignments, 70 - 100 pages per week.

9.  Completion of a weekly critical thinking journal.

10. Completion of up to 12 modules with an accompanying 20-point quiz.

11. Resume and cover letter.

12. Provide safe and competent nursing care to 3 clients.

13. Four mid-term exams.

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%
Term papers, Nursing care plans, assessment tools, journals
Problem solving: Assessment tools, other than exams, that demonstrate competence in computational or non-computational problem solving skills.		Problem Solving 15 - 25%
Clinical patient care
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.		Skill Demonstrations 5 - 10%
Care of patients in clinical settings
Exams: All forms of formal testing, other than skill performance exams.		Exams 55 - 70%
Multiple choice
Other: Includes any assessment tools that do not logically fit into the above categories.		Other Category 0 - 0%
None

Representative Textbooks and Materials:

- Board of Registered Nursing (2006). California Nursing Practice Act.

 Charlottesville, VA: Matthew Bender & Company.

- Kee, J. (2005). Laboratory and Diagnostic Tests with Nursing

 Implications 7th ed., New Jersey: Prentice Hall.

- Lewis, S.M., Heitkemper, M.M., & Dirksen, S.R. (2004). Medical-Surgical

 Nursing. 6th ed., St. Louis: Mosby.

- McCance, K.L., & Huether, S.E. (2006). Pathophysiology: The Biologic

 Basis for Disease in Adults & Children. 4th ed., St. Louis: Mosby.

- Phillips, L. (2005). Manual of IV Therapeutics. 4th ed., Philadelphia:

 F.A. Davis.

- Perry, A.G. & Potter, P.A. (2006). Clinical Nursing Skills & Techniques.

 6th ed., St. Louis: Mosby.

- Potter, P.A. & Perry, A.G. (2006). Fundamentals of Nursing. 7th ed.,

 St. Louis: Mosby.

- McKinney, E.S., James, S.R., Murray, S.S., Ashwill, J.W. (2005).

 Maternal-Child Nursing. 2nd ed, Elsevier.

- McKinney, E.S., James, S.R., Murray, S.S., Ashwill, J.W. (2006).

 Virtual Clinical Excursions: Maternal-Child Nursing. 2nd ed, Elsevier.

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