12/21/2024 8:53:39 AM	NRV 58B Course Outline as of Fall 2016	Changed Course
CATALOG INFORMATION
Discipline and Nbr:  NRV 58B	Title:  INTERMED VN SKILLS LAB
Full Title:  Intermediate Vocational Nursing Skills Lab
Last Reviewed:9/28/2015

Units		Course Hours per Week			Nbr of Weeks	Course Hours Total
Maximum	1.00	Lecture Scheduled	0		17.5 max.	Lecture Scheduled	0
Minimum	1.00	Lab Scheduled	3.00		17.5 min.	Lab Scheduled	52.50
		Contact DHR	0			Contact DHR	0
		Contact Total	3.00			Contact Total	52.50
		Non-contact DHR	0			Non-contact DHR Total	0

Total Out of Class Hours:  0.00

Total Student Learning Hours: 52.50

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

Catalog Description:

Demonstration and supervised practice of intermediate vocational nursing: adult/geriatric, maternal-child, pediatric skills based on scientific principles and concepts from theory. Concepts related to mental health and growth and development will be integrated into skills. Planning and implementing intermediate adult/geriatric, maternal-child, and pediatric patient care are done in the simulated clinical setting relevant to steps in the nursing process: assessment, planning, implementing, evaluation and documentation. Students will practice and demonstrate skills in the lab setting prior to the assignment of these skills in the clinical setting.

Prerequisites/Corequisites:
Course Completion of NRV 51 and NRV 58A and NRV 51L and Concurrent Enrollment in NRV 52.1 and NRV 52.2 and NRV 52.2L and NRV 52.1L

Recommended Preparation:

Limits on Enrollment:

Schedule of Classes Information
Description:

Demonstration and supervised practice of intermediate vocational nursing: adult/geriatric, maternal-child, pediatric skills based on scientific principles and concepts from theory. Concepts related to mental health and growth and development will be integrated into skills. Planning and implementing intermediate adult/geriatric, maternal-child, and pediatric patient care are done in the simulated clinical setting relevant to steps in the nursing process: assessment, planning, implementing, evaluation and documentation. Students will practice and demonstrate skills in the lab setting prior to the assignment of these skills in the clinical setting.

(Grade or P/NP)
Prerequisites:Course Completion of NRV 51 and NRV 58A and NRV 51L and Concurrent Enrollment in NRV 52.1 and NRV 52.2 and NRV 52.2L and NRV 52.1L
Recommended:
Limits on Enrollment:
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:	Spring 1991	Inactive:	Fall 2021
UC Transfer:		Effective:		Inactive:
C-ID:

Certificate/Major Applicable: Certificate Applicable Course

COURSE CONTENT

Student Learning Outcomes:
At the conclusion of this course, the student should be able to:

1.  Incorporate the theoretical principles from intermediate med-surg and maternal-child nursing courses: NRV 51, NRV 5

2. 1 and NRV 52 to demonstrate the planning and implementation of intermediate skills for adult/gerontological, pediatric and maternal-child clients.

Apply infection control principles and standard precautions to the implementation of intermediate nursing skills for the adult, gerontological, pediatric, and maternal-child client.

3.  Demonstrate psychomotor competency of select intermediate and more complex nursing skills, including that of mental health, for the adult/gerontolgical, pediatric and maternal child client.

 

.

Objectives:

Upon completion of this course, students will be able to:

1. Incorporate theoretical principles from the fundamentals/basic medical surgical skills course into the planning and implementation of intermediate nursing skills for adult, maternal-child, and pediatric patients.

2. Use anatomical landmarks to perform physical assessments and implement therapeutic procedures for adult, maternal-child, and pediatric patients.

3. Demonstrate psychomotor competency in the performance of selected intermediate skills.

4. Communicate therapeutically with adult, maternal-child and pediatric patients including those with mental health issues.

5. Teach fundamental self-care skills to patients and parents of pediatric patients.

6. Plan and implement preoperative and postoperative care.

7. Evaluate effectiveness of nursing interventions on adult, maternal-child, and pediatric patients.

8. Work cooperatively as a team member to ensure that all members achieve learning objectives.

9. Adapt procedures to meet patients' needs.

Topics and Scope

1. Team learning strategies for intermediate vocational nursing skills for adult/gerontologic, maternal child and pediatric patients, including mental health

2. Review and apply principles from the prerequisite courses to adult, maternal child, pediatric skills:

   a. Infection control

   b. Sterile technique

   c. Therapeutic communication

   d.  Assaultive behavior management

   e.  Health care teaching to patients and family

3. Use of anatomical landmarks:

   a. Adults vs. children

   b. In administering injections

   c. In complex dressing changes

   d. In nasogastric intubation

4. Planning and adapting procedures for patients with multiple illnesses:

   a. Positioning

   b. Activity tolerance

   c. Prioritizing

5. Perioperative care:

   a. Patient and parent teaching

   b. Preoperative preparation

   c. Care in the immediate post-operative period

   d. Oral airway, suction Ambu bag (adult/pediatric)

   e. Evaluation

   f.  Documentation

6. Injections/IV (intravenous) Site Care, Blood Transfusions:

   a. Intradermal and Mantoux test interpretation

   b. Pediatric injections, intramuscular, subcutaneous

   c. Adult/pediatric IV site care and blood transfusions

   d. Documentation

7. Enteral tubes:

   a. Nasogastric tube insertion

   b. Tube maintenance

         1. Decompression tubes.

         2. Feeding tubes.

   c. Tube feeding:

         1. Nasogastric.

         2. Nasojejeuna.

         3. Percutaneous tubes.

   d. Using tubes for medication administration

   e. Evaluation

   f.  Documentation

8. Wound care:

   a. Assessment

   b. Irrigation

   c. Debridement

   d. Techniques for promoting tissue re-growth

   e. Ostomy Care

   f.  Removal of sutures and clips, placement of strips review

   g. Evaluation

   h. Documentation

9. Pediatric catheters, adult catheter irrigations:

   a. Purposes and techniques

   b. Wound drains

   c. Urinary drainage systems

   d. Evaluation

   e. Documentation

Assignments:

1. Reading assignments: approximately 20-50 pages per week from skills textbook in preparation of practice.

2. View required multi-media demos.

3. Attend scheduled demonstrations.

4. Discuss textbook-instructor and instructor-instructor variations.

5. Practice skills as a member of a learning team.

6. Online pre-quizzes and case scenarios.

7. Demonstrate competency with a maximum of three attempts on the skills lab rubric criteria.

8. Completion of 6-8 skill competencies.

9. Continue development of the skills portfolio.

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 - 5%
Portfolio for skills and documentation of skills per case scenario.
This is a degree applicable course but assessment tools based on writing are not included because skill demonstrations are more appropriate for this course and this course includes essay exams that fulfil the writing component of the course.
Problem solving: Assessment tools, other than exams, that demonstrate competence in computational or non-computational problem solving skills.		Problem Solving 0 - 0%
None
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.		Skill Demonstrations 75 - 90%
Successful completion of skill competency.
Exams: All forms of formal testing, other than skill performance exams.		Exams 10 - 20%
Online pre-quizzes and case sencarios.
Other: Includes any assessment tools that do not logically fit into the above categories.		Other Category 0 - 0%
None

Representative Textbooks and Materials:

1.      Course syllabi.  Current Edition. Available online only.

2.      VN Faculty, Vocational Nursing Student Handbook, Current Edition.  Available online only.

3.      Elsevier Bundle that includes E-books, 2007-2014.

 

a.      deWit, S. C., Kumagi, C.K. Medical-Surgical Nursing:  Concepts & Practice, 2nd Edition, 2012, Saunders Elsevier.

b.      deWit, Virtual Clinical Excursions 3.0 for Medical-Surgical Nursing, 4th  Edition, 2013, Saunders Elsevier

c.      Hill & Howlett Success in Practical/Vocational Nursing, 7th Edition, 2013, Saunders, Elsevier

d.      Hodgson, Nursing Drug Handbook, 2014,  Saunders

e.      Kee, Hayes & McCuistion, Pharmacology: A Nursing Approach, 8th Edition, 2014, Saunders Elsevier

f.      Elsevier Adaptive Learning for Kee's Pharmacology, 8th Edition 2014

g.      Morrison-Valfre, Foundations of Mental Health Care, 5th  Edition, 2012, Saunders Elsevier

h.      Mosby's Nursing Video Skills: Student Online Version (User Guide and Access Code), 5th Edition, 2013, Saunders Elsevier

i.       Pagana and Pagana, Mosby's Manual of Diagnostic & Laboratory & Tests, 5th  Edition, 2014, Saunders Elsevier

j.       Perry, Potter & Elkin, Nursing Interventions & Clinical Skills, 6th Edition, 2014, Saunders Elsevier

k.      Silvestri, Saunders Comprehensive Review for the NCLEX-PN® Examination, 6th Edition, 2014, Saunders Elsevier

l.       Touhy & Jett. Gerontological Nursing and Healthy Aging, 4th  Edition, 2014, Mosby

m.      Leifer, Introduction to Maternity & Pediatric Nursing, Saunders Elsevier, 7th Edition, 2014

n.      Leifer, Virtual Clinical Excursions for Introduction to Maternity & Pediatric Nursing, 7th Edition, 2007, Saunders Elsevier

o.      Mosby's Nursing Video Skills: Care of Infants and Children DVDs, 2007

p.      Mosby's Nursing Video Skill: Maternal, Newborn and Women's Health DVDs, 2007      

q.      Potter: Fundamentals of Nursing, 8th Edition, 2013

r.      Elsevier Adaptive Learning for Potter's Fundamentals of Nursing, 8th Edition 2014      

s.      Elsevier Adaptive Quizzing for DeWit's Medical-Surgical Nursing, 2nd Edition 2014

t.      Elsevier Adaptive Quizzing for the NCLEX-PN Exam, 2014

u.      Leifer: Study Guide for Introduction to Maternity & Pediatric Nursing, 7th Edition 2014

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