SRJC Course Outlines

2/28/2024 2:28:02 AMNR 75D Course Outline as of Fall 2009

Changed Course

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

UnitsCourse Hours per Week Nbr of WeeksCourse Hours Total
Maximum12.00Lecture Scheduled6.0017.5 max.Lecture Scheduled105.00
Minimum12.00Lab Scheduled017.5 min.Lab Scheduled0
 Contact DHR18.00 Contact DHR315.00
 Contact Total24.00 Contact Total420.00
 Non-contact DHR0 Non-contact DHR Total0

 Total Out of Class Hours:  210.00Total 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: 

Catalog Description:
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Advanced concepts related to health deviation in the acutely ill adult medical-surgical client. These concepts are integrated to meet the complex self-care needs of both medical-surgical and older adult clients. Concepts related to professionalism, a preceptorship experience, and advanced nursing skill practice in a variety of clinical settings gives students an opportunity to make the transition from student to professional nurse.

Course Completion of NR 75C

Recommended Preparation:

Limits on Enrollment:
Enrollment in the Associate Degree Nursing Program.

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

Prerequisites:Course Completion of NR 75C
Limits on Enrollment:Enrollment in the Associate Degree Nursing Program.
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: Both Certificate and Major Applicable


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 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. 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 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. Plan home care
     3. Utilize principles of time management and organization
        to effectively deliver nursing care to a group of clients.
     4. Utilize professional communication in the nursing
        care of acutely ill clients.
     5. 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. central line care
        e. initiating IV therapy
II.    Professional Clinical Practice Objectives
      At the completion of advanced medical-surgical nursing and a
      preceptorship the student will:
      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 and evaluate client and family teaching in a variety
         of clinical settings.
      7. Demonstrate critical thinking and problem solving when caring
         for clients.
      8. Demonstrate delegation and conflict management skills.
      9. Function as an entry level RN within guidelines of the Nurse
         Practice Act.

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
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 balance in the renal client undergoing
   a. Dialysis
   b. Transplant
5.  Oxygenation:  client with altered oxygenation:
   a. Adult respiratory distress syndrome
   b. Gastrointestinal bleeding
   c. Cardiac output/tissue perfusion
6.  Protection: client with altered neurological function:
   a. Neuro assessment
   b. Stroke
   c. Unconscious client
   d. Seizure disorder
   e. Sensory motor dysfunction: increased intracranial pressure and
      head trauma
   f. Spinal cord injury
   g. Immune system dysfunction
7.  Rest and Activity
   a. Gout
   b. Chronic neurological problems
8.  Developmental self-care requisites for home care client
9.  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
10. Transition from student nurse to entry-level nurse

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1.  Clinical practice in hospitals.  Students must meet minimum problem
   solving skills and practice to pass this course.  Passing is a C grade
   at 75%.
2.  Preparation for clinical assignments by reviewing patient's chart,
   approximately 1 - 2 hours per week.
3.  Advanced medical-surgical clinical - 11 weeks.
4.  Preceptorship - 6 weeks clinical.
5.  Written Nursing Care Plans, approximately 2/semester.
6.  Completion of two-page assessment tool on every client in preparation
   for clinical using database, medication sheet, pathophysiology form.
7.  Viewing selected videotapes, 6-8 per semester.
8.  Completion of selected computer programs, 8-12 per semester.
9.  Present patient situation for discussion in post clinical conferences,
   approximately 1 hour presentation per student per semester.
10. Analysis of patient care situations.
11. Reading assignments, 70-250 pages per week.
12. Completion of a weekly critical thinking journal
13. 3-6 exams per semester.

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%
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
15 - 25%
Patient care analysis
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.Skill Demonstrations
10 - 20%
Clinical Practice-Pass/Fail
Exams: All forms of formal testing, other than skill performance exams.Exams
55 - 70%
Multiple choice, Dosage calculations - pass/fail
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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Potter, P.A. & Perry, A.G. (2006). Fundamentals of Nursing. St. Louis:
Phillips, L. (2005). Manual of I.V. Therapeutics. Philadelphia:
F.A. Davis.
Kee, J. (2005). Laboratory and Diagnostic Tests with Nursing Implications.
New Jersey: Prentice Hall.
Perry, A.G. & Potter, P.A. (2006) Clinical Nursing Skills & Techniques.
St. Louis: Mosby.
Lewis, S.M., Heitkemper, M.M., & Dirksen, S.R. (2004) Medical - Surgical
Nursing. 6th ed. St. Louis: Mosby.
Marquis, B., & Huston, C. (2005). Leadership Roles and Management
Functions in Nursing. New York: Lippincott.
McCance, K.L., & Huether, S.E. (2006). Pathophysiology: The Biologic Basis
for Disease in Adults & Children. St Louis: Mosby.
Board of Registered Nursing (2006). California Nursing Practice Act.
Charlottesville, VA: Matthew Bender & Company.

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