SRJC Course Outlines

5/22/2024 3:18:46 AMNRV 61L Course Outline as of Spring 2010

Inactive Course

Discipline and Nbr:  NRV 61LTitle:  ADV. MED/SURG CLINICAL  
Full Title:  Advanced Med/Surg Clinical for Part Time (Teamleading)
Last Reviewed:12/9/2002

UnitsCourse Hours per Week Nbr of WeeksCourse Hours Total
Maximum4.00Lecture Scheduled017.5 max.Lecture Scheduled0
Minimum4.00Lab Scheduled017.5 min.Lab Scheduled0
 Contact DHR12.00 Contact DHR210.00
 Contact Total12.00 Contact Total210.00
 Non-contact DHR0 Non-contact DHR Total0

 Total Out of Class Hours:  0.00Total Student Learning Hours: 210.00 

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

Catalog Description:
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This is one of two advanced level clinical courses for the part time vocational nursing program. The course prepares students to make the transition from student to entry level practice positions. The principles learned in prerequisite and corequisite theory and skills level courses are applied to care of patients in acute, ambulatory and skilled nursing care settings. A team leadership component is applied. Students are challenged with more complicated and unstable clients in a variety of settings.

Course Completion of NRV 60BL

Recommended Preparation:

Limits on Enrollment:

Schedule of Classes Information
Description: Untitled document
Advanced level VN clinical course. Application of principles from the prerequisite and corequisite theory and skills courses. Care of complex and unstable patients. Teamleading in skilled nursing component. Clinic patients in ambulatory care settings. Emphasis on entry level practice expectations.
(P/NP Only)

Prerequisites:Course Completion of NRV 60BL
Limits on Enrollment:
Transfer Credit:
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:Effective:Inactive:
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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Under the following clinical conditions:
a. Students are minimally supervised and perform most tasks independently.
b. Support is provided by instructor and resource nurses in a lessening
manner over the course of the semester after initial orientations are made
c. Students increasingly assume accountability for clinical judgements.
d. Principles from prerequisite and corequisite courses are applied.
e. Students practice advanced skills while maintaining fundamental and
intermediate skills previously taught.
Upon completion of the course students will be able to:
1. Apply theoretical knowledge bases including physiological, pathophysio-
logical, psychological, spiritual, and social concepts in providing care.
2. Analyze patient scenarios encompassing a broader view with more compli-
cated patient assignments.
3. Provide a safe environment with an ability to anticipate problems
through the use of prevention techniques and patient education.
4. Provide culturally sensitive care, communicating clearly and be able to
articulate rationales for specific interactions in varied settings.
5. Utilize the nursing process to implement care in a manner of efficiency
with a high degree of organization and ability to prioritize.
6. Participate in teaching strategies of self-care in varied settings.
7. Administer medications and treatments of all types in the VN scope of
practice as taught in skills lab courses.
8. Perform as a collaborating member of the health care team.
9. Supervise unlicensed personnel in the skilled nursing setting during
a teamleading rotation.
10. Increase performance to entry level practice by the end of the course.
11. Perform self-evaluation as well as evaluation of care in an ongoing
manner and adapt care to meet changing needs of patients and families.

Topics and Scope
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1. Orientation to all new settings including skilled nursing, ambulatory
care and acute settings.
2. Implementation of all care which falls into the scope of entry level
3. Compare and contrast differences in governmental regulations between
acute and skilled nursing settings.
4. Priority setting of preparing database for 3-4 patients in acute care
and 8-12 patients in the teamleading session.
5. Increased enhancement of more advanced clinical pathways and teaching
6. Error prevention and organization of increased patient load for the
preparation of entry level practice.
7.Tailoring of physical assessments to a broadened view of the totality
of patients' problems and nursing interventions.
8. Recognizing and assisting patients' coping strategies in both severe
and chronic illness cases.
9. Compare and contrast families in a variety of settings from the acute,
ambulatory and skilled nursing settings. Focus on gerontological problems.
10. Focus on the elderly in: role changes, sexuality, losses of old age,
behavior management and regulatory guidelines.
12. Evaluation techniques of the effectiveness of care.

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Acute Setting Rotations:
Student will:
1. Collaborate at the beginning of shifts to determine plans of care.
2. Gather data and implement care plan on increased patient load.
3. Perform all aspects of care of VN scope of practice, taking into
account the effects of multisystem illness.
4. Administer all medications and perform aspects of IV therapy which
fall into basic non-IV certified scope of practice.
5. Monitor all responses to care and collaborate with staff and instructor
for the alteration and modifications to care required.
6. Analyze and interpret diagnostic tests and lab results pertinent to
medications and adjustments to care at an expanded level.
7. Report and collaborate with staff at an increasing level by the end of
the semester.
8. Present case studies and relate care given to theory objectives.
Skilled Nursing Settings:
Students will:
1. Analyze care data for a group of 8-12 residents.
2. Create a master worksheet for prioritizing and administering care.
3. Collaborate with staff to identify strategies for surmounting residents
barriers to care (both physical and cognitive).
4. Participate in giving shift reports and delegate responsibilities to
unlicensed staff including ongoing supervision.
5. Administer all medications and treatments to assigned group and monitor
effects of psychotropic and other meds.
6. Analyze and interpret lab and other diagnostic tests of residents and
perform chart review of ADL's (Activities of Daily Living) for possible
new nursing diagnoses.
7. Perform and document weekly summaries of residents in skilled nursing.
8. Report to physicians via FAX and phone and participate in proposing
solutions to residents' problems.
9. Implement wound care and wound assessment and prevention of decubiti.
10. Participate in post team conferences and discussion of end of life

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%
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
10 - 25%
Field work, Attendance required. Pass/Fail by objectives.
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.Skill Demonstrations
75 - 90%
Class performances, Performance exams, Clinical evaluations specific to each rotation.
Exams: All forms of formal testing, other than skill performance exams.Exams
0 - 0%
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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Maebius. W.B. Saunders, Philadelphia (2003).
CLINICAL NURSING SKILLS, 5th ed., S.F. Smith & D.J. Duell, Prentice Hall
Mosby, St. Louis (2003).
Davis, Philadelphia (1999).

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