SRJC Course Outlines

7/15/2024 1:22:37 AMNRV 62L Course Outline as of Spring 2010

Inactive Course

Discipline and Nbr:  NRV 62LTitle:  ADV. MED/SURG CLINICAL  
Full Title:  Advanced Medical/Surgical Clinical & Community Health
Last Reviewed:1/27/2003

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 the care of patients in acute, ambulatory, dialysis, home care and community health settings. Students are challenged with more complicated and unstable clients in these 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. Community Health, home care and dialysis settings are a focus. Ongoing emphasis of entry level practice in acute and clinic settings of ambulatory care.
(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.
c. Students assume accountability for judgements made related to care.
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 this 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
complicated assignments.
3. Continue to provide a safe environment and anticipate problems through
prevention techniques.
4. Continue to provide culturally sensitive care, communicating clearly
& therapeutically in a variety of settings and situations.
5. Utilize the entire nursing process to implement care in a manner of
efficiency with a high degree of organization and ability to prioritize.
6. Participate in teaching families and patients self-care strategies.
7. Administer medications and treatments of all types within the VN scope
of practice for entry level graduates.
8. Perform as a collaborating member of the health care team.
9. Develop skills in the assessment and documentation process of home care
agencies and articulate the contrasts of nursing care between home and
acute settings.
10. Research and prepare a presentation of a community agency of choice
for referral of clients to fellow peers for discussion and evaluation.
11. Develop skills in assessment and intervention strategies of dialysis
clients and prepare mock teaching plan for a client.
12. Assist in care of ambulatory care clients and the delegation of
responsibilities to unlicensed personnel in that setting.
13. Perform at a level of competency and efficiency expected of an entry
level vocational nurse by the end of the course.
14. Perform self evaluation, as well as, evaluation of care in an ongoing
manner and adapt care to meet changing needs of clients and families in
a variety of clinical settings.

Topics and Scope
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1. Orientation to all new settings including home care, dialysis, clinic,
and community health settings, as well as more advanced acute settings.
2. Implementation of all care which falls into the scope of entry level
vocational nursing.
3. Governmental regulation agencies with a focus on the differences in
acute versus home care settings.
4. Advanced level data collection skills (i.e. 4-5 patients in acute care
setting), patient teaching experiences in the dialysis, home care, and
ambulatory care settings.
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. Developmental contrasts of ages and cultures in varied settings (i.e.
ambulatory care clinics, home care and a variety of other community health
10. Setting of priorities among an increased patient load.
11. Setting health care goals in a variety of acute and community health
12. Evaluation of the effectiveness of care.
13. Elements of team member roles in a variety of multidisciplinary roles.

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Acute Setting Rotations:
Students will:
1. Collaborate at the beginning of shifts to determine plans of care.
2. Gather data and implement care plan on an increased patient load for
the entry level graduate nurse.
3. Perform all aspects of care of VN scope of practice taking into
account multisystem effects of serious chronic illness.
4. Administer all medications and perform aspects of IV therapy which fall
into the basic non-IV certified VN scope of practice.
5. Monitor all responses to care and collaborate with staff and instructor
alterations and modifications of 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 all staff and practice phone reports and
taking/transcribing of Doctor's orders under guidance of licensed staff.
8. Present community health agency reports to peers for discussion, review
and evaluation.
9. Participate in satellite dialysis rotation by preparing a complete
overview of care of the dialysis client and prepare a mock teaching
module for a client.
10. Increasing independence of skills in the ambulatory care setting with
the supervision of a licensed nurse: performing common outpatient tests &
assessments and immunization of children and adults in walk-in clinics.

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, Pass/Fail evaluations at varied satellite clinical
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.Skill Demonstrations
75 - 90%
Class performances, Field work, Attendance requirements
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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Saunders, Philadelphia (1998).
CLINICAL NURSING SKILLS, 5th ed., S.F. Smith & D.J. Duell, Prentice Hall
NURSING DRUG GUIDE 2001, by B.A. Wilson, M.T. Shannon, & C.L. Stang,
Prentice Hall (2001).
Mosby, St. Louis (1998).
F.A. Davis, Philadelphia (1999).

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