5/14/2024 10:55:11 PM	NR 75D Course Outline as of Fall 2012	Changed Course
CATALOG INFORMATION
Discipline and Nbr:  NR 75D	Title:  ADV CARE ACUTELY ILL
Full Title:  Advanced Care of Acutely Ill
Last Reviewed:2/3/2020

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:

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.

Prerequisites/Corequisites:
Course Completion of NR 75C

Recommended Preparation:

Limits on Enrollment:
Enrollment in the Associate Degree Nursing Program

Schedule of Classes Information
Description:

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.

(Grade Only)
Prerequisites:Course Completion of NR 75C
Recommended:
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

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:
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:

I. Theoretical Outcomes and Objectives

  A. Theoretical Application for Professional Growth

     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 scenarios.

     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

     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. doing venipuncture

        e. starting IVs

II.    Professional Clinical Practice Objectives in Advanced Medical Surgical Nursing and Preceptorship

      1. Independently collect and record database for each assigned client.

      2. Assess client for physical manifestations of pathophysiological processes and client 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

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 organizations

   l.  Novice to expert

2.  Altered Body System Regulation:

    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

   a. Dialysis

   b. Transplant

5.  Altered Client Oxygenation:  

    a. Adult respiratory distress syndrome

   b. Gastrointestinal bleeding

   c. Cardiac output/tissue perfusion

6.  Protection: client with altered neurological function:

   a. Neurological assessment

   b. Stroke

   c. Unconscious client

   d. Seizure disorder

   e. Increased intracranial pressure and head trauma

   f. Spinal cord injury

   g. Immune system dysfunction

7.  Rest and activity

8.  Chronic neurological problems

9.  Developmental self-care requisites for home care client

10. Skills competency development

   a. Neurological assessment

   b. Tracheotomy care

   c. Transcription of medical orders

   d. Shift report

   e. Quality assurance reports

   f.  IV Therapy - venipuncture, collecting blood specimens

11. Transition from student nurse to entry-level nurse

Assignments:

1.  Clinical practice in hospitals where 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 2-3.

6.  Completion of two-page assessment tool on every client in preparation for clinical using database, medication sheet, pathophysiology form.

7.  Viewing selected videotapes, approximately 6-8,

8.  Completion of selected computer programs, approximately 8-12 .

9.  Present patient situation for discussion in post clinical conferences, approximately 10-15 presentations.

10. Analysis of patient care situations.

11. Reading assignments, 70-250 pages per week.

12. Completion of a weekly critical thinking journal.

13. Approximately 3-6 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 0 - 0%
None
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 20 - 35%
Clinical Practice-Pass/Fail
Exams: All forms of formal testing, other than skill performance exams.		Exams 50 - 60%
Multiple choice, Dosage calculations - pass/fail
Other: Includes any assessment tools that do not logically fit into the above categories.		Other Category 0 - 0%
None

Representative Textbooks and Materials:

Fundamentals of Nursing, Potter, P. A. and Perry, A. G., 2010, 7th Edition, Elsevier-Health Sciences Division

Manual of I.V. Therapeutics - Evidence Based Infusion Therapy, Phillips, L. 2010, 5th Edition, F.A. Davis Company

Laboratory and Diagnostic Tests with Nursing Implications, Kee, J. 2010, 8th Edition (Illustrated), Pearson

Pathophysiology: The Biologic Basis for Disease in Adults and Children, McCance, K.L. and Huether, S. E. 2009, 6th Edition, Elsevier- Health Science Division

Board of Registered Nursing: Nursing practice Act with Regulations and Related Statues, Department of General Services (COR), 2010, Lexis Nesis Mathew and Bender

Clinical Nursing Skills and Techniques, Perry, A.G. and Potter, P. A. and Ostendorf, W., 2010, 7th Edition, Mosby Elsevier

Medical Surgical Nursing: Simulation Learning Access, Lewsi, S.L., 8th Edition, Elsevier Science

Leadership Roles and Management: Functions in Nursing, Theoy and Application, Marquis, B. and Houston, C., 2011, 7th Edition, Lippencott Williams and Wilkins

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