SRJC Course Outlines

11/29/2021 7:29:09 PMNR 75.1B Course Outline as of Fall 2020

New Course (First Version)
CATALOG INFORMATION

Discipline and Nbr:  NR 75.1BTitle:  INTRO TO MEDSURG NRSG  
Full Title:  Introduction to Medical Surgical Nursing
Last Reviewed:2/3/2020

UnitsCourse Hours per Week Nbr of WeeksCourse Hours Total
Maximum5.00Lecture Scheduled5.009 max.Lecture Scheduled45.00
Minimum5.00Lab Scheduled08 min.Lab Scheduled0
 Contact DHR15.00 Contact DHR135.00
 Contact Total20.00 Contact Total180.00
 
 Non-contact DHR0 Non-contact DHR Total0

 Total Out of Class Hours:  90.00Total Student Learning Hours: 270.00 

Title 5 Category:  AA Degree Applicable
Grading:  Grade Only
Repeatability:  42 - One Repeat if Grade was D, F, NC, or NP
Also Listed As: 
Formerly: 

Catalog Description:
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This course presents concepts in nursing practice with an emphasis on the beginning level of care for the adult medical-surgical patient.  Nursing process, professionalism, basic physiological, psychosocial, and developmental needs and basic medical-surgical nursing skills are included in this course. Application of theoretical knowledge is guided by the Readiness for Practice Model.  A number of teaching/learning strategies are incorporated in a variety of settings: classroom, skills laboratory and patient-care settings providing students an opportunity to apply the nursing process at the beginner level.

Prerequisites/Corequisites:
Course Completion of NR 75.2A OR NR 75.1A


Recommended Preparation:

Limits on Enrollment:
Admission to Program. The healthcare facilities in which students are clinically placed require that the students must comply with all of the following before they are allowed onsite: Currency on all immunizations including annual flu shots; currency on annual tuberculosis clearance; a negative background check, a negative urine drug screen, and possess a current American Heart Association Certified Healthcare Provider CPR/BLS card.

Schedule of Classes Information
Description: Untitled document
This course presents concepts in nursing practice with an emphasis on the beginning level of care for the adult medical-surgical patient.  Nursing process, professionalism, basic physiological, psychosocial, and developmental needs and basic medical-surgical nursing skills are included in this course. Application of theoretical knowledge is guided by the Readiness for Practice Model.  A number of teaching/learning strategies are incorporated in a variety of settings: classroom, skills laboratory and patient-care settings providing students an opportunity to apply the nursing process at the beginner level.
(Grade Only)

Prerequisites:Course Completion of NR 75.2A OR NR 75.1A
Recommended:
Limits on Enrollment:Admission to Program. The healthcare facilities in which students are clinically placed require that the students must comply with all of the following before they are allowed onsite: Currency on all immunizations including annual flu shots; currency on annual tuberculosis clearance; a negative background check, a negative urine drug screen, and possess a current American Heart Association Certified Healthcare Provider CPR/BLS card.
Transfer Credit:CSU;
Repeatability:42 - One Repeat 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:TransferableEffective:Fall 2020Inactive:
 
UC Transfer:Effective:Inactive:
 
C-ID:

Certificate/Major Applicable: Major Applicable Course



COURSE CONTENT

Student Learning Outcomes:
Upon completion of the course, students will be able to:
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1. Apply evidence-based medical-surgical concepts to clinical practice at the beginning acute care level to provide safe nursing care for medical-surgical patients.
2.  Devise and implement teaching plans that are individualized to meet patient's needs and abilities to participate in their care processes.
3.  Collaborate with patients, families, and members of the interdisciplinary care team to prioritize patient care need and promote optimal wellness.
 

Objectives: Untitled document
Students will be able to:
1.   Analyze a patient's medical record in 15 minutes or less, at a level sufficient to begin
      providing safe and appropriate care.
2.   Identify patients' care needs based on the pathophysiology of their admitting diagnoses and
      comorbid conditions.
3.   Prioritize care needs and develop plans, in collaboration with patients and families.
4.   Set measurable goals for patients' health outcomes, and evaluate their attainment, in
      collaboration with patients and families.
5.   Create and implement teaching plans that are congruent with patients' cognitive and physical
      abilities, motivation levels and goals.
6.   Describe community resources that may be utilized to meet patients' needs.
7.   Perform selected beginning medical-surgical nursing skills competently and appropriately,
      consistent with theoretical knowledge base, agency policy, state law and cultural
      considerations.
8.   Discuss standard of care for patients with selected illnesses, including pharmacological
      therapies.
9.   Describe the evidence for selected aspects of standard of care, within and across diagnostic
      categories.
10. Document patient care using paper or electronic health records, consistent with care
      standards and agency policy.
11. Communicate therapeutically with acutely ill medical-surgical patients, with attention to
      developmental, cultural and spiritual needs.
12. Adapt communication strategies to meet needs and abilities of patients.
13. Collaborate with members of the health care team to optimize patient care and to improve
      care outcomes.

Topics and Scope
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I. Theory
    A. Introduction to Medical-Surgical Nursing
    B. Intravenous Therapy I* - Advanced fluids and electrolytes
    C. Intravenous Therapy II* - IV site assessments, care, and complications     
     D. Principles of Acid/Base Balance and Advanced Fluid and Electrolyte Disorders
    E. Advanced Care of the Cardiovascular Patient I
         1. Advanced nursing assessment and specific care considerations for the complex
              cardiovascular patient population, includes comfort and pain management
         2. Cardiovascular advanced pathophysiologies and complications
         3. Complex Hypertension, Heart Failure and Congestive Heart Failure
    F. Advanced Care of the Cardiovascular Patient II
         1. Nursing assessment and specific care considerations for the cardiovascular patient
              population with arterial deficits, includes comfort and pain management
         2. Coronary Artery Disease
         3. Peripheral Arterial Disease
    G. Electrocardiogram (EKG) Interpretation*
          1. Assessment of common dysrhythmias
          2. EKG lead placement and procedure implementation
         3. EKG rhythm strip interpretation
    H. Nursing Care of the Surgical Patient
         1. Nursing assessment and specific care considerations for the surgical patient population,
              includes comfort and pain management
         2. Surgical asepsis concepts
         3. Pre- and Post-op Forms
         4. Peri-operative patient management
         5. Anesthesia medications
     I. Nursing Care of the Patient with Vascular Deficits
         1. Nursing assessment and specific care considerations for the patient population with
              vascular deficits, includes comfort and pain management
         2. Vascular deficits pathophysiology and complications
         3. Signs, symptoms, treatment and coagulation therapies
         4. Venous Thromboembolism, Deep Vein Thrombosis, and Peripheral Vascular Disease
     J. Nursing Care of the Diabetic Patient II
         1. Nursing assessment and specific care considerations for the complex diabetic patient
              population, includes comfort and pain management
         2. Advanced diabetes pathophysiology and complications
    K. Nursing Care of the Renal Patient II
         1. Advanced nursing assessment and specific care considerations for the complex renal
              patient population, includes comfort and pain management
         2. Renal advanced pathophysiologies and complications
         3. Signs, symptoms, treatment and therapies
         4. Bladder and ureter dysfunctions
         5. Urinary diversion devices
    L. Pain Management for Nurses
         1. Basic and advanced nursing pain assessments
          2. Signs, symptoms, treatment and therapies
         3. Patient Controlled Analgesia (PCA) intravenous therapy and dosage calculations*
    M. Health, Wellness, and Sexuality Across the Lifespan
         1. Nursing assessment and specific care considerations for the patient population
              experiencing health maintenance and sexuality deficits, includes comfort and pain
              management
         2. Treatment and therapies supporting self-concept and appropriate developmental stages
    N. Responding to Emergent Situations
         1. Basic nursing assessment and specific care considerations for the patient population
              experiencing rapidly changing health conditions, includes comfort and pain
              management
         2. Signs, symptoms, treatment and therapies
          3. Complications of Hypovolemic Shock, Sepsis, Infection, and Stress Response
    O. Advanced Medication Administration
         1. Additional common medications - various routes
         2. Antibiotic therapy
         3. Safety - avoiding medication errors
         4. Administration time management
    P. Ethics and Values in Nursing Practice
         1. Nursing Code of Ethics
         2. Promoting and modeling ethical nursing practice
   
*These items are introduced in lecture, and the related skills are performed in the lab
 
II. Skills
    A. All skills review of ADN first semester medical-surgical skills topics
    B. Intravenous Therapy:  Primary and secondary infusions
    C. IV manipulation skills, saline flushes
    D. IV infusion pumps:  Practice with IV bags, IVPBs, and PCA programs
    E. Electrocardiography:  Obtaining the electrocardiogram and interpretation of major
         dysrhythmias
     F. Simulation lab experience
 
III. Clinical
    A. Clinical application of beginning medical-surgical nursing practice in the acute care
         hospital setting: Standard patient care and pharmacotherapy
    B. Communication and collaboration with acute care patients respecting cultural and spiritual
         needs

Assignments:
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Lecture-Related Assignments:
1. Reading 70-100 pages per week
2. Unit and standardized exams: 4-6 per semester.  Minimum cumulative score of 75% on four
    unit exams to continue in the nursing program
 
Lab-Related Assignments:
1. Reading prior to nursing skills demonstration15-50 pages per skill
2. Completion of media review prior to each skills lab (1 -2 hours per lab)
3. Practice skill performance in simulated lab
4. Completion of skills lab quizzes; 1 per skill (ungraded)
5. Demonstrate competency in 2 formal skill check-offs within 3 attempts related to each skill
    lab topic: Pass/fail.  Failure of skills competency results in dismissal from the nursing
    program.
 
Clinical-Related Assignments:
1. Completion of the safe medication dosage calculation exam with a score of 95% or better by
    the third attempt. This assignment is not graded for purposes of this course, but failure to
    pass this assignment with a grade of 95% or better on the third attempt will result in a failed
    grade and dismissal from the nursing program.
2. Clinical practice in acute care hospital settings (two 8 hour days per week). Students must
    meet minimum problem-solving skills and performance standards to pass this course. Provide
    safe care to 1-2 patients each clinical shift. Rubric graded: Pass/Fail. Achieving a pass in
    clinical practice is required to remain in the nursing program.
3. Preparation for clinical assignments by reviewing patient's chart: Collecting data base
    completing pathophysiology form, and researching medication and treatment skills
    - approximately 3-4 hours per week
4. Completion of clinical assessment tools, approximately 2 per week
5. Participation in case conferences for analysis of patient care situations in group setting each
    clinical shift
6. Develop, implement, and evaluate 1 teaching plan to meet assigned patient needs.  Rubric
    graded Pass/Fail, with remediation for failure.
7. Preparation of nursing care plan (3 nursing diagnoses per plan). Includes data
    collection, data analysis, development of plan for nursing care with specific interventions
    and evaluation of effectiveness. Rubric graded Pass/Fail, with remediation for failure.
8. Preparation and participation in 1 simulation lab scenario (ungraded)

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
10 - 20%
Nursing care plan, teaching plan
Problem solving: Assessment tools, other than exams, that demonstrate competence in computational or non-computational problem solving skills.Problem Solving
15 - 30%
Clinical patient care: pass/fail, case conferences and analyses, clinical assessment tools
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.Skill Demonstrations
10 - 15%
Skills performance competencies
Exams: All forms of formal testing, other than skill performance exams.Exams
40 - 60%
Unit and standardized exams
Other: Includes any assessment tools that do not logically fit into the above categories.Other Category
0 - 0%
None


Representative Textbooks and Materials:
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California regulations for RN practice: accessible via California Board of Registered Nursing Internet website
Davis's Drug Guide for Nurses. 16th ed. Vallerand, A.H. and Sanoski, C. A. 2018. F.A. Davis. 2018
Gerontological Nursing. 9th ed. Eliopoulos, C.Lippincott. 2018
Varcarolis' Foundations of Psychiatric Mental Health Nursing: A Clinical Approach. 8th ed. Halter, M. Saunders. 2018
Dimensional Analysis: Calculating Dosages Safely. 2nd ed. Horntvedt, T. F.A. Davis. 2019
Pocket Companion for Physical Examination and Health Assessment. 8th ed. Jarvis, C. Saunders. 2019
Pharmacology: A Patient-Centered Nursing Process Approach. 9th ed. McCuistion, L.E. and Dimaggio, K. and Winton, M.B. Elsevier. 2017
Medical-Surgical Nursing. 10th ed. Lewis, S. M. and Heitkemper, M. M. and Dirksen, S.R. Mosby/Elsevier. 2019
Pathophysiology: The Biologic Basis for Disease in Adults and Children. 6th ed. McCance and Huether. Mosby Purnell. 2013 (classic)
Swearingen's Manual of Medical Surgical Nursing Care. 7th ed. Monahan, F. Mosby. 2010 (classic)
Mosby's Nursing Video Skills Student Online Version. 4th ed. Mosby Elsevier. 2013 (classic)
Mosby's Manual of Diagnostic and Laboratory Tests. 6th ed. Pagana, K. and Pagana, T. Elsevier/Mosby. 2017
Clinical Nursing Skills and Techniques. 9th ed. Perry, A.G. and Potter, P.A. and Ostendorf, W. Elsevier/Mosby. 2017
Phillips Manual of IV Therapeutics. 7th ed. Gorski, L. F.A. Davis. 2018
Fundamentals of Nursing. 9th ed. Potter, P.A. and Perry, A.G. Mosby. 2016
Pearson Nursing Diagnosis Handbook. 11th ed. Wilkinson, J.M. Pearson. 2016

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