Syllabus Course Syllabus Placement Senior year, Spring semester Credits 4 total (2 credits classroom = 28 hours) (2 credits clinical = 84 hours) formulas: classroom = 1 hour per credit; clinical = 3 hours per credit 14 weeks x 2 hours = 28 classroom hours; 14 weeks = 84 clinical hours Prerequisites Nursing GPA of 2.5, satisfactory completion of all general education requirements, junior-level nursing courses (NUR 309, 311, 314, 320, 321, 322, 323), senior-level courses (NUR 330, 331, 332). This course may be a co-requisite with NUR 333 and NUR 334. Course Description This course focuses on the role of the professional nurse in promoting optimal health for multicultural individuals across the life span, who are experiencing complex health problems. Risk factors for illness and injury will be identified and strategies for health promotion will be explored for the care of clients with emergencies, trauma and burns, as well as those with neurologic, cardiac, oncologic, immune, and liver disorders. Course Objectives Upon successful completion of the course, the student will: 1. Demonstrate the basic principles of critical care nursing. 2. Demonstrate beginning competencies in meeting the nursing care needs of the multicultural, complex client across the life span. 3. Identify care issues across the life span that have implications for nursing research and apply pertinent nursing research findings to specific patient care situations. 4. Discuss ethical issues related to the care of the complex individual. 5. Use the nursing process to develop a plan of care based upon the responses of complex individuals and their families that incorporate supportive, rehabilitative, therapeutic and preventative nursing measures. This course is taught using principles of adult learning. The student is responsible for the attainment of knowledge while the professor is responsible for the facilitation of learning. Students should expect to be challenged in this course, as it is a culmination of previous nursing knowledge for the application of complex health care principles. Seventy-nine percent of the evaluation for this course is based on examination competency. In addition to the clinical component, students must demonstrate proficiency in the course examinations in order to successfully complete the course. Required Textbooks and Resources Smeltzer, S., Bare, B., Hinkle & Cheever (2008). Brunner & Suddarth's Textbook of Medical-Surgical Nursing. (11th ed) Philadelphia: Lippincott. ATI PLAN (Prescriptive Learning for All Nurses) DVD: Adult Medical-Surgical Nursing ATI 2008 Online practice assessments found at http://www.atitesting.com ATI Adult Medical Surgical Nursing RN Edition 7.1 Content Mastery Series REVIEW MODULE found at http://www.atitesting.com Lippincott Blackboard Clinical Simulation Moducles found at http://lww.thepoint.blackboard.com/webapps/login/ Any recent NCLEX review text published after 2006 (Cressman Library has several on reserve for your use). Recommended Textbooks Porth, C.M. (2007). Essentials of Pathophysiology: Concepts of Altered Health States, 2nd ed, Philadelphia: Lippincott, Williams & Wilkins. Any current manual of laboratory and diagnostic tests (2006 or later) Any current pharmacology bookAny current nursing drug guide Required Supplies Clinical uniform, stethoscope, watch with a second hand (see specific clinical need and details related to uniform in student handbook) Classroom Response System; Specific Model as indicated in the bookstore Teaching Methods Audio-visual material Lecture and discussion Case Studies/Simulation Reflective writing Guest Lecturers Course Evaluation Exam 1 25% Exam 2 25% Final Exam 24% Homework Assignments 11% (11 homework assignments in course, worth 1 point per due date). Medication Calculation Exam 5% Case Study Simulation 10% Total 100% Reflective Clinical journals (3) P/F Research Critique P/F Skills Validation (Video) P/F Clinical Objectives P/F ATI Comprehensive Medical Surgical Assessment Exam P/F The last day to withdraw from the course without a grade is February 23. Grading Policy A 93-100% A- 90-92% B+ 87-89% B 83-86% B- 80-82% C+ 77-79% C 73-76% C- 70-72% D+ 67-69% D 60-66% F <60% Assignment/Exam Scores: Individual exam scores and assignments will be assigned to 2 decimal places without rounding. Final Course Grade Scores: A grade below C is NOT passing. Students must achieve a minimum grade of a 73% in order to receive a C. No final course grades will be rounded and specifically, 72.50 to 72.99 will not be rounded up. Failure in the clinical component of the course requires the student to repeat the entire course, including all related skills. Student Clinical Student Performance: on a daily basis, the respective clinical instructor willClinical Performance evaluate the student's clinical performance. Evaluation criteria are based on satisfactory completion of the clinical course objectives. The student is evaluated by his/her respective clinical instructor(s) and student performance is graded as either satisfactory (S) or unsatisfactory (U). (Students can refer to the Clinical Evaluation Tool for detailed performance ratings). The student must receive a satisfactory rating for each course objective to obtain an "S" in clinical and to satisfy requirements for the nursing major. The student must pass both clinical and theoretical components of N341. Medication Calculation Proficiency: This exam contains questions related to the calculation or oral, IM/Sub Q and intravenous medication administration. An 85% proficiency rate is needed to pass the medication calculation exam. If a student is unsuccessful at achieving an 85% on the first attempt, the test may be repeated. The maximum number of times the medication calculation test may be taken is 2 times. The med calculation exam is worth 5% of the total grade for the course. The result received on the first attempt will be the grade counted toward the course grade. If the student does not achieve a minimum score of 85% after the second attempt, the student receives a clinical failure resulting in an (F) for the course. Prior to the student re-taking the test, remediation must be demonstrated. A student will not be able to administer medications to patients in