SRJC Course Outlines

4/17/2024 2:18:19 AMNR 75C Course Outline as of Fall 1981

New Course (First Version)

Discipline and Nbr:  NR 75CTitle:  CARE/ACUTELY ILL  
Full Title:  Nursing Care of the Acutely Ill Patient
Last Reviewed:2/9/2015

UnitsCourse Hours per Week Nbr of WeeksCourse Hours Total
Maximum12.50Lecture Scheduled6.0017.5 max.Lecture Scheduled105.00
Minimum12.50Lab Scheduled19.5017.5 min.Lab Scheduled341.25
 Contact DHR0 Contact DHR0
 Contact Total25.50 Contact Total446.25
 Non-contact DHR0 Non-contact DHR Total0

 Total Out of Class Hours:  210.00Total Student Learning Hours: 656.25 

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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Concepts relating to health deviation and the individual's inability to meet universal self-care needs and/or deficits in the adult medical-surgical client and/or maternal child client are presented. The concepts of oxygenation, fluid and electrolytes, elimination, mobility, nutrition, protection, communication and development through the life span as they relate to the adult medical-surgical, maternal, neonatal and pediatric client are further identified and applied. Relationships between these concepts and the nursing process of: assessment, nursing diagnosis, planning, implementation and evaluation are integrated on an intermediate level. Application of the principles and concepts from Nursing 75A and 75B and bio-psycho-social sciences are incorporated into intermediate level patient care in a variety of clinical settings. Includes practice of intermediate nursing skills in a simulated clinical setting.

Enrollment in Associate Degree Nursing program; completion of NR 75B and NR 78B with a grade of "C" or better.

Recommended Preparation:

Limits on Enrollment:

Schedule of Classes Information
Description: Untitled document
Concepts & skills relating to health deviation & the individual's inability to meet universal self-care needs in the adult med-surg client (maternal, neonatal & pediatric).
(Grade Only)

Prerequisites:Enrollment in Associate Degree Nursing program; completion of NR 75B and NR 78B with a grade of "C" or better.
Limits on Enrollment:
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:Fall 2020
UC Transfer:Effective:Inactive:

Certificate/Major Applicable: Certificate Applicable Course


Outcomes and Objectives:
At the conclusion of this course, the student should be able to:
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The students will:
1.  Independently collects and records data base for each client who
   has an increasing need for assistance in meeting universal self-care
   and health deviation needs with less predictable outcomes.
2.  With less guidance, assesses clients who have less predictable
   outcomes for manifestations of inability to meet universal self-care
   and health deviation needs related to pathophysiology/psychopathology.
3.  Independently completes basic/modified assessment tool consistent
   with expected level of achievement.
4.  Independently is able to identify actual/potential self-care deficits
   and state the deficit in nursing diagnosis terminology.
5.  Given a client with less predictable outcomes, with minimal guidance,
   selects a nursing system.
6.  Given a client with less predictable outcomes, with minimal guidance,
   develops a written plan of care utilizing a knowledge base
   consistent with expected level of achievement and establishes
   priorities based on self-care deficits.
7.  Demonstrates ability to develop nursing care plan (NCP) consistent
   with Level III NCP format.
8.  With varying degrees of guidance, depending on client acuity,
   implements the selected nursing system for up to 4 clients with
   less predictable outcomes consistent with expected level of
9.  With varying degrees of guidance, depending on  client acuity,
   performs basic nursing skills consistent with theoretical knowledge
   base and audit sheet criteria.
10. Applies principles of safety as identified on safety audit sheet.
11. With varying degrees of guidance, depending on client acuity,
   evaluates the appropriateness of the selected nursing system, the
   effectiveness of the NCP and therapeutic interventions at the
   expected level of achievement.
12. With varying degrees of guidance, depending on client acuity,
   assesses client and family's less obvious needs for health teaching
   based on potential/actual self-care deficits consistent with
   universal self-care and development needs. Identifies appropriate
   resources for resolution.
13. With varying degrees of guidance, depending on clients acuity,
   plans and implements client and family teaching needs consistent
   with expected level of achievement and agency policy incorporating
   basic principles of patho-physiology, psycho-pathology, developmental
   and cultural needs.
14. With less guidance, evaluates client and family response to teaching
   consistent with expected level of achievement.
15. With guidance, communicates:
     A. In writing on a client's chart, consistent with audit sheet
     B. Effectively with assigned clients and health care team members
        using problem solving, goal-directed communication skills.
     C. Pertinent information to client, family, instructor and health
        team members within the agency and community resources
        ensuring client safety.
     D. Change of shift report.
16. Demonstrates responsibility for meeting educational needs.
17. With less guidance, demonstrates behaviors consistent with school
   and health care agency policies, professional ethics and legal
   parameters consistent with expected level of achievement.
18. With less guidance, utilizes self-care concepts as they relate
   to universal self-care needs, developmental cultural and
   spiritual needs.
19. Demonstrate ability to perform selected review skills consistent
   with stated criteria.
20. Change a central line dressing.
21. Set up a pleur-evac cheest drainage system.
22. Monitor the client with a pleur-evac chest drainage system.
23. Administer an enteral feeding via a large or small bore feeding
24. Irrigate a foley catheter.
25. Administer medications/fluids via an intravenous infusion pump.
26. Apply a compression dressing to a stump.
27. Give a complete and accurate intershift report/telephone report.
28. Perform nursing skills relevant to stomal care.
29. Complete a quality assurance form consistent with agency policy.

Topics and Scope
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1.  Learning and coping strategies for student success.
2.  Use of computers in nursing.
3.  Universal self-care requisite: NUTRITION - Nutritional support.
4.  Universal self-care requisite: FLUID & ELECTROLYTE IMBALANCE.
     A. Associated with liver dysfunction.
     B. Assoicated with renal dysfunction.
5.  USCR: Oxygenation.
     A. Alteration in cardiac output.
     B. Alteration in peripheral tissue perfusion.
     C. Impaired red blood cell production.
6.  USCR: Regulation - Abnormal cell growth.
7.  USCR: Elimination - Alteration in bowel and bladder elimination.
8.  USCR: Protection - Altered skin integrity.
9.  USCR: Developmental (Maternal-child-intrauterine).
10. USCR: Protection - Child.
11. USCR: Interaction (Maternal-child).
12. USCR: Oxygenation (child).
13. USCR: Elimination (child).
14. USCR: Regulation (maternal-child).
15. USCR: Rest and activity/mobility (maternal-child).
16. Oxygentation: (maternal-child).
17. USCR: Regulation (maternal-child).
18. Intermediate Nursing Skills
     A. Central line dressing change
     B. Pleur-evac
     C. Enteral feeding
     D. Catheter irrigation
     E. Infusion pumps
     G. Intershift report
     H. Stomal care
     I. QA forms

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1.  Preparation for clinical assignments by reviewing patient's chart,
   approximately 2-3 hours per week.
2.  Written Nursing Care Plans (6 pages per plan) 8-10 plans per
   semester. Includes data collection, data analysis, development
   of plan for nursing care with specific interventions and evaluation
   of effectiveness.
3.  Completion of two-page assessment tool, approximately 10 per semester.
4.  Viewing selected videotapes in CHEC, 6-8 per semester.
5.  Viewing selected CAI program in CHEC, 8-12 per semester.
6.  Present patient situations for discussion in post clinical
   conferences, approximately 1 hour presentation per student per
7.  Analysis of patient care situations. In group setting, approximately
   8-12 per semester.
8.  Reading assignments, 70-250 pages per week.

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%
Nursing care plans-Pass/Fail
Problem solving: Assessment tools, other than exams, that demonstrate competence in computational or non-computational problem solving skills.Problem Solving
0 - 0%
Dosage calculations-Pass/Fail
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.Skill Demonstrations
0 - 0%
Clinical practice-Pass/Fail
Exams: All forms of formal testing, other than skill performance exams.Exams
0 - 100%
Multiple choice
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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FUNDAMENTALS OF NURSING, 2nd ed., by P. Potter and A. Perry. Mosby Co.
Appleton and Lang.
Mosby Co.
MEDICAL-SURGICAL NURSING by Lewis and Collier. McGraw-Hill Co.
CLINICAL PHARMACOLOGY AND NURSING by C. Baer and B. Williams. Springhouse.
PATHOPHYSIOLOGY by Price and Wilson. Mosby Co.

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