4/25/2024 1:04:00 AM	NR 75.1A Course Outline as of Summer 2009	New Course (First Version)
CATALOG INFORMATION
Discipline and Nbr:  NR 75.1A	Title:  FUNDAMNTLS OF PROF NURSE
Full Title:  Fundamentals of Professional Nursing
Last Reviewed:2/9/2015

Units		Course Hours per Week			Nbr of Weeks	Course Hours Total
Maximum	12.00	Lecture Scheduled	6.50		17.5 max.	Lecture Scheduled	113.75
Minimum	12.00	Lab Scheduled	16.50		17.5 min.	Lab Scheduled	288.75
		Contact DHR	0			Contact DHR	0
		Contact Total	23.00			Contact Total	402.50
		Non-contact DHR	0			Non-contact DHR Total	0

Total Out of Class Hours:  227.50

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 fundamental to professional nursing with an emphasis on the geriatric client: nursing process, professionalism, basic physiological, psychosocial, and developmental needs and basic nursing skills are included in this course.  Application of theoretical knowledge is guided by Orem's Self-Care Deficit Model.  A number of teaching/learning strategies are incorporated in a variety of settings: classroom, skills laboratory and client-care settings providing students an opportunity to use the nursing process.

Prerequisites/Corequisites:

Recommended Preparation:

Limits on Enrollment:
Admission to Program

Schedule of Classes Information
Description:

Concepts fundamental to professional nursing with an emphasis on the geriatric client: nursing process, professionalism, basic physiological, psychosocial, and developmental needs and basic nursing skills are included in this course.  Application of theoretical knowledge is guided by Orem's Self-Care Deficit Model. A number of teaching/learning strategies are incorporated in a variety of settings: classroom, skills laboratory and client-care settings providing students an opportunity to use the nursing process.

(Grade Only)
Prerequisites:
Recommended:
Limits on Enrollment:Admission to 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:	Summer 2009	Inactive:	Spring 2021
UC Transfer:		Effective:		Inactive:
C-ID:

Certificate/Major Applicable: Major Applicable Course

COURSE CONTENT

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

A. Theory

1.      Describe nursing as a profession       

      a.      scope of practice

      b.      standards of practice

      c.      nursing's roles within the larger health-care delivery system

2.      Analyze fundamental nursing care using Orem's Self-Care Deficit Theory and Nursing Process             theory

3.      Use individual-preferred learning styles, test taking techniques, and time management strategies to       achieve success in the ADN program

4.      Identify and implement effective strategies for handling conflict

5.      Apply legal and ethical concepts to nursing practice situations

6.      Discuss practical implications of basic pharmacology for patient care

7.      Compare and contrast developmental needs of younger adults and the elderly, and how these are       affected by alterations in health

8.      Describe how nursing supports patients' fundamental physiological, psychological and spiritual needs in       maintaining health and recovering from illness

9.      Support patients who are suffering from grief and loss, and those who are in the process of dying

10.      Adapt care to meet patients' needs related to their cultural and ethnic backgrounds

 

B. Skills

1.       Comport themselves in a manner consistent with the standards of professional nursing:

      a.      dress

      b.      demeanor

      c.      communication with simulated patients

2.      Competently perform fundamental nursing skills

 

C. Clinical

1.      Incorporate critical thinking in the application of baseline knowledge

2.      Use Nursing Process and Orem's Theory to provide nursing care

3.      Correlate patients' observed behaviors, signs, and symptoms to physiological and psychosocial       homeostatic mechanisms

4.      Use effective strategies for handling conflict

5.      Document patients' status, care given, and patient response according to agency policy

6.      Communicate effectively with patients and members of the health care team

7.      Adapt care to support patients' developmental needs as young, middle, and older adults

8.      Use standard safety practices that will protect the client, nurse and other members of the health care       team from environmental hazards

9.      Explain the theoretical basis underlying all aspects of nursing care for each assigned patient consistent       with the theory component of the course

10.      Exhibit professional behavior, as set forth in the American Nurses' Association Standards of Practice

11.      Manage their time and organize their activities to provide timely care to two patients

12.      Contribute meaningfully to facilities' written care plans for patients

Topics and Scope

A. Theory Topics and Scope

1.      Survival skills

2.      Learning styles, strategies and test taking skills

3.      Time management and organization

4.      Critical thinking

5.      Conflict management

6.      Professional nursing

      a.      Introduction to role definition and nursing practice

      b.      Introduction to health care delivery system

      c.      Introduction to nursing models, Orem's Self-Care Deficit Theory of Nursing

      d.      Nurse/client relationship

7.      Legal principles

8.      Client abuse

9.      Ethical aspects, values clarification

10.      Nursing process

11.      Introduction to the nursing process

12.      Assessment

13.      Introduction to lab and diagnostic studies

14.      Introduction to physical assessment

15.      Diagnosis

16.      Planning and implementation

17.      Documentation

18.      Evaluation

19.      Admission, discharge and home health

20.      Psychological homeostasis and responses related to illness

21.      Introduction to homeostasis, stress, and adaption

22.      Self-concept and the family

23.      Loss and the grieving process

24.      The dying client

25.      Communication skills

26.      Management of aggressive behavior

27.      Culture and ethnicity

28.      Sexuality

29.      Spiritual health

30.      Fluids and electrolytes

31.      Elimination

      a.      Introduction to urinary elimination

      b.      Introduction to bowel elimination

32.      Nutrition

33.      Introduction to oxygenation

34.      Vital signs

35.      Respiratory assessment

36.      Chronic Obstructive Pulmonary Disease (COPD)/asthma

37.      Introduction to environmental safety

38.       Infection control/medical asepsis

39.      Surgical asepsis

40.       Wound healing and management

41.      Hygiene

42.      Skin assessment and care

43.      Introduction to sensation and perception

44.      Introduction to visual status

45.      Introduction to pain

46.      Dementia/delirium

47.      Introduction to mobility and immobility

48.      Introduction to comfort, rest, and sleep

49.      Introduction to developmental stages

50.      Introduction to pharmacology

51.      Medication dosage calculation

52.      Medication administration

53.      Parenteral medications

54.      Medications and the geriatric client

 

B. Skills

1.      Professional comportment and communication in the skills lab

2.      Safety for client and health care provider

3.      Infection control for client and health care provider

4.      Hygiene

5.      Mobility/immobility

6.      Vital signs and oxygenation

7.      Admission and discharge

8.      Therapeutic communication

9.      Physical assessment

10.      Elimination

11.      Wound care and sterile dressings

12.      Medication administration: oral and injectables

13.      Nursing process application

14.      Nutrition (intake and output)

15.      Blood glucose monitoring

16.      Specimen collection

17.      Management of aggressive behavior

18.      Pre-clinical data gathering & preparation

19.      Writing a nursing care plan

20.       Integration of clinical skills

 

C. Clinical

1.      Clinical application of nursing theory & process

2.      Medical records and chart review

3.      Communication

4.      Nursing care plans

5.      Shift report

6.      Resource nurse and instructor

7.      Unlicensed assistive personnel

8.      Clients with barriers to communication

9.      Dietary adjustments related to culture and religion

10.      Health related cultural customs

11.      Promoting ego integrity in the nursing home setting

12.      Adapting care to clients' limitations

      a.      Mobility

      b.      Cognitive

      c.      Sensory-perceptual

      d.      Self-care

13.      End-of-life and palliative care

14.      Patients' rights

15.      Laws & governance

      a.      State & federal

      b.      Acute care

      c.      Rehab care

      d.      Custodial care

16.      Orientation to the agency

      a.      Mission and philosophy

      b.      Physical plan and environmental safety

      c.      Policies and procedures

      d.      Schedules and routines

      e.      Setting-specific care delivery system

      f.      Student nurse role expectations

17.      Student nurse standards of practice

Assignments:

1.  Clinical practice in hospital settings. Students must meet minimum

   problem solving skills and practice to pass this course.

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

   Collecting data base, completing pathophysiology form, assessment

   tool, and researching medication and treatment skills - approximately

   4-6 hours per week.

3.  Preparation of nursing care plans (4 pages per plan) 2-3 plans per

   semester. Includes data collection, data analysis, development

   of plan for nursing care with specific interventions and

   and evaluation of effectiveness.

4.  Completion of two-page clinical assessment tool, approximately 15 per semester.

5.  Present patient situations for discussion in post clinical

   conferences. (approximately 1 hour presentation per student per

   semester).

6.  Analysis of patient care situations. In group setting, approximately

   8-10 per semester.

7.  Reading assignments, 70-150 pages per week.

8.  Written process recording, one per semester, 2-3 pages per recording.

9.  Written papers addressing objectives of clinical out rotations, 3-4 papers per semester, 2-3 pages per paper.

10. Reading prior to nursing skills demonstration 15-50 pages per week.

11. Viewing CD-Roms and video tapes before nursing skills practice.

12. Written examinations: 4 per semester.

13. Nursing Skills demonstrations in simulated lab.

14. Provide safe care to 1-2 patients in the clinical setting.

15. Cultural diversity paper and presentation, 5-10 pages.

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%
Cultural diversity paper, clinical papers
Problem solving: Assessment tools, other than exams, that demonstrate competence in computational or non-computational problem solving skills.		Problem Solving 15 - 25%
Patient scenarios in skills lab; nursing care plans in clinical; clinical assessment tool
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.		Skill Demonstrations 5 - 20%
Skills competency demos - pass/fail
Exams: All forms of formal testing, other than skill performance exams.		Exams 45 - 60%
Written examination: Multiple choice, true/false, matching items; dosage calculations
Other: Includes any assessment tools that do not logically fit into the above categories.		Other Category 15 - 25%
Student clinical evaluation of all clinical processes

Representative Textbooks and Materials:

 

- California Board of Registered Nurse Practice

Act: Rules and Regulations and California Statues Related to Registered

Nursing, California BRN (2008)

- Fundamentals of Nursing w/Companion Virtual Hospital, Potter, P.A. & Perry (2009), 7th ed. Chicago: Mosby.

- Clinical Nursing Skills and Techniques w/CD-Roms, Potter, P.A. & Perry (2006), 7th ed. Chicago: Mosby.

- Manual of IV Therapeutics, Phillips, L. (2005), 4th ed. F.A. Davis.

- Laboratory and Diagnostic Tests with Nursing Implications, Kee, Joyce (2005), 7th ed. New Jersey: Prentice Hall

- Gerontological Nursing, Eliopoulos, C. (2004), 6th ed. Philadelphia: JB Lippincott.

- Foundations of Psychiatric Mental Health Nursing, Varcarolis, E.M. (2006), 5th ed. Philadelphia: Saunders.

- Medical-Surgical Nursing, Lewis, S.M., Heitkemper, M.M., & Dirksen, S.R. (2007) , 7th ed. Chicago: Mosby.

- Physical Examination & Health Assessment, Jarvis, C. (2008), 5th ed.St Louis: Saunders.

- Pharmacology in Nursing, McKenry, Tessier & Hogan (2006), 22nd ed. Chicago: Mosby.

 

Recommended Text:

- The Manual of Psychiatric Nursing Care Plans, Varcarolis, E.M. (2006), 3rd ed. St. Louis: Saunders.

- Drug Handbook, Deglin & Vallerand (2009), F.A. Davis.

- The Biologic Basis for Disease in Adults and Children, Pathophysiology, McCance & Huether (2006) 5th ed. Chicago: Mosby.

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