NURS350 Care of the Critically Ill - New Course


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NURS350 Care of the Critically Ill - New Course

  1. 1. Draft syllabus last revised 3/26/09 Lock Haven University of Pennsylvania Lock Haven, Pennsylvania Nursing Department Care of the Critically Ill NURS350 I. Introductory Information: (A) Department Name: Nursing (B) Department Catalog Number: NURS350 (C) Course Title: Care of the Critically Ill (D) Semester Hours of Credit: 4 sh (E) Clock Hours Per Week: 8 (2 lecture and 6 external experience with preceptor) (F) Overlays: None (G) Restrictions Upon Student Registration: Enrolled in RN to BSN program or with permission of instructor. PREREQUISITES: NURS3--: Pathophysiology; NURS3--: Health Assessment; HLTH415: Introduction to Pharmacology; CHEM111: Chemistry of Nutrition or RECR205: Nutrition for Wellness. (All completed with a C or better) II. Description of the Course: A. Catalog description: Provides fundamental information about the nursing care of clients across the life span in critical care settings. Clinical activities will focus on advanced concepts of critical care related to multi-organ/system function and dysfunction. B. Comprehensive description of the course: The course requires synthesis of core concepts such as pathophysiology, pharmacology, and nutrition. Current treatment modalities, and advanced nursing roles are integrated in discussions of providing care to critically ill clients. Utilizing the nursing process as a framework, the emphasis of learning activities will address clinical judgment in eight major categories including cardiovascular, pulmonary, endocrine, hematology/immunology, neurology, gastrointestinal, renal, and multi-system. III. Exposition: A. Objectives: Upon completion of this course, students will be able to do the following: 1. Safely and effectively provide care to patients in a critical care setting.
  2. 2. Draft syllabus last revised 3/26/09 2. Recognize health alterations and related nursing interventions of major body systems for patients in a critical care setting utilizing evidence-based knowledge from nursing, pathophysiology, and related sciences. 3. Apply principles of nutrition to care of the critically ill. 4. Utilize the nursing process in providing care to the client with complex nursing care needs and specialized equipment. 5. Prioritize and manage nursing interventions in the care of the patient with multiple system failure. 6. Apply basic concepts and procedures of cardiovascular and respiratory management. 7. Apply legal and ethical standards in critical care. 8. Describe the role of the RN in a critical care setting. B. Activities and Requirements: 1. Complete reading assignments. 2. Attend lecture. 3. Participate in online discussion. 4. Complete written assignments: Nursing process format, daily clinical logs and weekly self evaluation. 5. Complete case study. 6. Attend clinical experience with preceptor. 7. View audiovisual via eCompanion. 8. Complete exams/quizzes. C. Major Units and Time Allotted: (60 hours- 2 lecture and 6 external experience hours per week) 1. An overview of critical care nursing and safety management (2 hrs) a. Safety management b. Legal and ethical issues c. Role of RN
  3. 3. Draft syllabus last revised 3/26/09 2. Comfort and nutrition (2 hrs) 3. Dysrhythmia interpretation (4 hrs) Hemodynamic monitoring Ventilatory assistance Code management 4. Cardiovascular alteration (4 hrs) 5. Respiratory alteration (3 hrs) 6. Renal alteration (3 hrs) 7. Endocrine alteration (3 hrs) 8. Nervous alteration (2 hrs) 9. Hematologic and immune alteration (2 hrs) 10. Gastrointestinal alteration (2 hrs) 11. Multisystem alterations (3 hrs) D. Materials and Bibliography: 1. Suggested textbooks: American Association of Critical Care Nurses. (2009). AACN advanced critical care nursing. St. Louis, MO: Elsevier. 2. Other materials: 3. Bibliographic support: Chaboyer, W., Thalib, L., Foster, M., Ball, C., & Richards, B. (2008). Predictors of adverse events in patients after discharge from the intensive care unit. American Journal of Critical Care, 17(3), 155-164. Christensen, D. (2008). Extreme heart makeover: understanding mechanical circulatory support. Nursing, 38(5), 48-54. Dean, R., & Major, J. (2008). From critical care to comfort care: The sustaining value of humour. Journal of Clinical Nursing, 17(8), 1088- 1095.
  4. 4. Draft syllabus last revised 3/26/09 Fahimi, F., Ariapanah, P., Faizi, M., Shafaghi, B., Namdar, R., & Ardakani, M. (2008). Errors in preparation and administration of intravenous medications in the intensive care unit of a teaching hospital: An observational study. Australian Critical Care, 21(2), 110-116. Hough, M. (2008). Learning, decisions and transformation in critical care nursing practice. Nursing Ethics, 15(3), 322-331. Hurley, A., Rothschild, J., Moore, M., Snydeman, C., Dykes, P., & Fotakis, S. (2008). A model of recovering medical errors in the coronary care unit. Heart & Lung, 37(3), 219-226. Ladanyi, S., & Elliott, D. (2008). Traumatic brain injury: An integrated clinical case presentation and literature review: Part I: Assessment and initial management. Australian Critical Care, 21(2), 86-95. Marshall, A., Elliott, R., Rolls, K., Schacht, S., & Boyle, M. (2008). Eyecare in the critically ill: Clinical practice guideline. Australian Critical Care, 21(2), 97-108. McGrath, M. (2008). The challenges of caring in a technological environment: Critical care nurses' experiences. Journal of Clinical Nursing, 17(8), 1096- 1104. Murdoch, L., & Cameron, V. (2008). Smart infusion technology: A minimum safety standard for intensive care? British Journal of Nursing (BJN), 17(10), 630. Paul, F., & Rattray, J. (2008). Short- and long-term impact of critical illness on relatives: Literature review. Journal of Advanced Nursing, 62(3), 276- 292. Urden, L., Stacey, K., & Lough, M. (2008). Priorities in critical care nursing. (5th ed.) St. Louis, MO: Elsevier. Watson, L. (2008). Informing critical care patients of a loved one's death. Critical Care Nurse, 28(3), 52-64. IV. Standards: Student learning outcomes will be assessed and grades will be awarded in a manner consistent with University policy based upon student demonstration of mastery of the course objectives through such means as written papers, in-class presentations, and exams.
  5. 5. Draft syllabus last revised 3/26/09 V. Rationale and Impact: A. This course is one of a series of eight courses within the RN to BSN completion program. The course is part of a curriculum plan which incorporates the Essentials of Baccalaureate Nursing Education (AACN, 2008) and is designed to meet accrediting body standards. B. This course is designed for, and required of all students enrolled in BSN completion program. C. The Health Sciences and Chemistry Department will need to offer undergraduate courses in pharmacology and nutrition as pre-requisites to the course. VI. Cost and Staff Analysis: A. Additional faculty will be required. B. This course will be taught during spring semester alternate academic years. VII. Date approved by University president: __________________________ _______________ Signature of the President Date