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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
achievement.
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
criteria.
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
tube.
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.
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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
semester.
7. Analysis of patient care situations. In group setting, approximately
8-12 per semester.
8. Reading assignments, 70-250 pages per week.
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FUNDAMENTALS OF NURSING, 2nd ed., by P. Potter and A. Perry. Mosby Co.
LABORATORY AND DIAGNOSTIC TESTS WITH NURSING IMPLICATIONS by J. Kee.
Appleton and Lang.
CLINICAL NURSING SKILLS AND TECHNIQUES by P. Potter and A. Perry.
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.