CHIPOLA COLLEGE
COURSE SYLLABUS
COURSE TITLE: COURSE NUMBER:
MEDICAL SURGICAL NURSING
CRITICAL CONCEPTS
NUR 2291C
COURSE D...
GRADING POLICIES:
The standing of a student in each course is expressed by one of the following letters and
corresponding ...
N10. Protect the privacy and rights of clients by acting as a client advocate.
N11. Meet all requirements to take the Nati...
See your First Day Handout for individual instructor or department-specific attendance and withdrawal
policy.
MAKE-UP POLI...
LINKING COURSE, DISCIPLINE, AND GENERAL EDUCATION COMPETENCIES
STUDENT LEARNING OUTCOMES FOR NUR 2291C
The student will:
D...
the various mechanisms of rejection and relevant medical and
nursing care.
N-4, N-5, N-7,
N-8, N-10
15. Use knowledge of n...
INDIVIDUAL INSTRUCTOR HANDOUT – NUR 2291C
Special emphasis will be given to the following topics:
Chapter(s)
1-8, 11 Intro...
3. Clinical Internship/Preceptorship Grade: 10%
Please refer to the attached internship folder. All components are to be t...
Assignment schedule:
See class schedule and clinical rotation.
Clinical dress regulations:
Please refer to the Nursing Stu...
Assignment schedule:
See class schedule and clinical rotation.
Clinical dress regulations:
Please refer to the Nursing Stu...
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CHIPOLA COLLEGE

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CHIPOLA COLLEGE

  1. 1. CHIPOLA COLLEGE COURSE SYLLABUS COURSE TITLE: COURSE NUMBER: MEDICAL SURGICAL NURSING CRITICAL CONCEPTS NUR 2291C COURSE DESCRIPTION: This course is designed to provide information to assist the student in acquiring the knowledge and skills to provide safe and effective care for clients with critical medical and/or surgical problems. This course builds upon material from basic and advanced medical concepts. The nursing process will be a guide for the student to utilize critical thinking skills to promote or restore the health of clients within a holistic framework. Clinical experience is provided in acute care setting and specialty care areas. Observational time may be scheduled to enhance learning experiences. PREREQUISITES: Medical Surgical Basic Concepts Medical Surgical Advanced Concepts COREQUISITES: NUR 2450, NUR 2350, NUR 2810 (Rev 12/05) NAME(S) OF INSTRUCTOR(S): Lucinda Graven, ARNP, MSN and Kelley Leonard, RN, BSN DATE OF LATEST REVISION: 12/05 REQUIRED TEXTBOOKS: (Please include title, author, publisher, edition & ISBN) Urden, L.D., Stacy, K.M., and Lough, M.E. (2006). Thelan’s Critical Care Nursing: Diagnosis and Management (4th ed.), St. Louis, MO. ISBN# 0323040497* **comes as package with case study book** Gahart, B.L. and Nazareno, A.R. (2005). 2005 Intravenous Medications, St. Louis, MO. ISBN 0- 323-02414-9 Deglin, J. & Vallerand, A. (2005). Davis’ drug guide for nurses (9th ed.), Philadelphia, PA. Recommended Textbooks: Curren, A. & Munday, L. (2000). Math for meds (8th ed.), San Deigo, CA. Lilley, L. & Aucker, R. (2001). Pharmacology and the nursing process (3rd ed.), St. Louis, MI. Schuster, P. M. (2002). Concept mapping: A critical thinking approach to care planning. Philadelphia, PA. Smeltzer, S. C., & Bare, B. G. (2004). Medical-surgical nursing (10th ed.), Philadelphia, PA. *We recommend that you have a laboratory value and diagnostic testing handbook and a current NCLEX review book (of your choice). NUR 2291C 1
  2. 2. GRADING POLICIES: The standing of a student in each course is expressed by one of the following letters and corresponding grading system: A – 93 - 100 B – 83 - 92 C – 75 - 82 D – 70 - 74 F – 0 - 69 Please note that a grade of 75% or above on the theory portion of the course is required to continue progression in the nursing program. See your First Day Handout for individual instructor practices. The Chipola Catalog provides specific information regarding other outcomes from the grading system. A student’s Grade Point Average is derived from the grading system/quality point scale. DISCIPLINE-SPECIFIC (NURSING) LEARNING OUTCOMES: N1. Utilize the nursing process to plan, to implement, and to evaluate safe nursing care to promote the health of individuals and families with nursing problems. N2. Demonstrate competence in nursing skills, including the cognitive, psychomotor, and effective domain. N3. Recognize, intervene as necessary or alert appropriate persons to changes in a patient’s condition which changes the level of care N4. Apply principles of bio-physical, environmental, psychological, and socio-cultural sciences while providing comprehensive nursing care. N5. Use communication effectively with clients, families, significant others, and health team members. N6. Modify his/her own behavior for enhancements of relationships with others N7. Enable individuals and families to access available social and health resources within the community to meet identified healthcare needs. N8. Adhere to legal and ethical principles of nursing practice. These principles include: assuming responsibility for personal and educational growth, using sound judgment to make decisions related to clinical performance, and seeking help when necessary. N9. Participate as a member of various nursing organizations. NUR 2291C 2
  3. 3. N10. Protect the privacy and rights of clients by acting as a client advocate. N11. Meet all requirements to take the National Council Licensure Examination (NCLEX). STUDENT LEARNING OUTCOMES/OBJECTIVES FOR NUR 2291C: See chart, last page. MEANS OF ACCOMPLISHING OUTCOMES: Lecture, discussions, selected readings, group presentations, audiovisuals handouts, skills lab, return demonstration, computer lab, clinical time and clinical internship. LIBRARY AND ON-LINE REFERENCE MATERIALS: The library is a comprehensive, learning resource center providing information in print, electronic, and multimedia format to support the educational objectives of the College. In addition to print media, online catalogs and resources can be accessed through www.linccweb.org and www.netlibrary.com. Library hours are posted each semester at the building entrance. Chipola’s website is located at www.chipola.edu. See your First Day Handout for individual instructor recommendations and resources. TECHNOLOGY RESOURCES: The Information Technology Center, located in the library, is equipped with computer workstations. Lab hours are posted each semester at the building entrance. ASSSIGNMENT SCHEDULE: [May include course topics, sequence of assignments, timeline, department-wide assignment schedule for the semester, etc.) See your First Day Handout for individual instructor assignment schedule. ATTENDANCE AND WITHDRAWAL POLICIES: Chipola College expects regular attendance of all students. Students who are absent from classes for any reason other than official college activities must satisfy the instructor concerned that the absence was due to illness or other clearly unavoidable reasons. Otherwise, the student may suffer grade loss at the discretion of the instructor. Chipola policy allows each instructor to specify in the course handout the attendance policy. It also allows the instructor to decide whether or not an absence is excusable and what effect the absence or tardy may have on the grade. NUR 2291C 3
  4. 4. See your First Day Handout for individual instructor or department-specific attendance and withdrawal policy. MAKE-UP POLICY: Chipola allows each instructor to specify in the instructor handout the makeup policy. Please see your first day handout for individual instructor policy. ACADEMIC HONOR CODE POLICY: Students are expected to uphold the Academic Honor Code. Chipola College’s Honor Code is based on the premise that each student has the responsibility to 1) uphold the highest standards of academic honesty in his/her own work; 2) refuse to tolerate academic dishonesty in the college community; and 3) foster a high sense of honor and social responsibility on the part of students. Further information regarding the Academic Honor Code may be found in the Chipola Catalog, Student Governance section. STUDENTS WITH DISABILITIES POLICY: Chipola College is committed to making all programs and facilities accessible to anyone with a disability. Chipola’s goal is for students to obtain maximum benefit from their educational experience and to effectively transition into the college environment. Students with disabilities are requested to voluntarily contact the Office of Students with Disabilities to complete the intake process and determine their eligibility for reasonable accommodations. NUR 2291C 4
  5. 5. LINKING COURSE, DISCIPLINE, AND GENERAL EDUCATION COMPETENCIES STUDENT LEARNING OUTCOMES FOR NUR 2291C The student will: DISCIPLINE- SPECIFIC GENERAL EDUCATION COMPETENCIES* GENERAL EDUCATION CORE COMPETENCIES 1. Examine the foundations of critical care nursing practice by identifying and discussing the common problems relative to critical care patients. N-1, N-3, N-4, N-8, N-10 C-4, C-6, T-2 2. Discuss various IV therapy techniques and common IV medications employed in critical care areas. N-1, N-2, N-3, N-8 NS-5, M-2, M-4, C-6, T-2, T-6 3. Explain and identify the ECG findings and nursing actions for significant atrial, ventricular, and junctional dysrhythmias; identify acute myocardial infarction via 12 lead EKG interpretation. N-1, N-2, N-3, N-4, N-8, N-10 NS-5, C-4, C-6 4. Describe the use of arterial, central venous, and pulmonary artery catheters for bedside hemodynamic monitoring. N-1, N-2, N-3, N-4, N-8 NS-5, M-2, M-4, C-6, T-6 5. Discuss the various cardiac situations and medical therapeutics often encountered in the critical care setting and the associated relevant nursing care. N-1, N-2, N-3, N-4, N-8 NS-5, C-4, C-6 6. Discuss the various modes of invasive and noninvasive mechanical ventilation and the nursing management of a patient receiving mechanical ventilation. N-1, N-2, N-3, N-4, N-8, N-10 NS-5, M-2, M-4, C-6 7. Discuss the nursing management of a patient undergoing thoracic surgery. N-1, N-2, N-3, N-4, N-5 C-6 8. Describe the etiology and pathophysiology, clinical manifestations, treatment, and nursing priorities for the various neurologic disorders seen in the critical care setting. N-1, N-2, N-3, N-4, N-5, N-8, N-10 M-2, M-4, C-6 9. Discuss the differences among hemodialysis, peritoneal dialysis, and continuous renal replacement therapy. N-1, N-2, N-3, N-4, N-7, N-8 NS-5, C-6, T- 6 10. Describe the etiology and pathophysiology, clinical manifestations, treatment, and nursing priorities for an acute gastrointestinal bleed. N-1, N-2, N-3, N-4 C-6 11. Discuss mechanism of injury, pathophysiology, assessment findings, medical management, and nursing management of traumatic injuries to the head, spinal cord, heart, lungs, and abdomen; use assessment findings to identify potential complications and sequelae of traumatic injuries. N-1, N-2, N-3, N-4, N-5, N-7, N-8, N-10 C-4, C-6 12. Explain the clinical manifestations of the five forms of shock and MODS and the critical nursing care relevant to each. N-1, N-2, N-3, N-4, N-5, N-8, N-10 C-4, C-6 13. Discuss the critical care aspects of clients with a major burn and the associated clinical complications and relevant nursing care. N-1, N-2, N-3, N-4, N-5, N-7, N-8 M-2, M-4, C-4, C-6, T-6 14. Examine the various types of organ transplants and identify N-1, N-2, N-3, C-6 NUR 2291C 5
  6. 6. the various mechanisms of rejection and relevant medical and nursing care. N-4, N-5, N-7, N-8, N-10 15. Use knowledge of normal anatomy and physiology and assessment techniques in caring for clients with critical care issues. N-1, N-2, N-4 C-4, C-6, T-3 16. Develop and demonstrate critical decision making skills to plan, implement, and evaluate nursing care. N-1, N-2, N-3, N-4, N-8 SS-11, M-2, M-4, C-4, C-6, T-2 17. Provide emergent nursing care safely and effectively to adults experiencing alterations in health that are considered critical and/or life-threatening. N-1, N-2, N-3, N-4, N-8 M-2, M-4, C-4, C-6 18. Develop teaching plans/techniques to assist the client to return to a state of improved health. N-5, N-6, N-7 SS-11, NS-5, C-6, T-3 For a list of Chipola’s College-Level Competencies, see www.chipola.edu. Clinical Objectives: 1. Apply core values, core competencies, core knowledge, and role development to the clinical situation to facilitate a successful transition into the nursing profession. 2. Integrate the spiritual beliefs, cultural beliefs, values, and practices of individuals and families when providing nursing care. 3. Enable individual and families to access appropriate resources to meet identifies health care needs. 4. Incorporate professional standards and statutory rules and regulations pertinent to nursing into individual nursing practice. 5. Incorporate therapeutic interpersonal communication techniques in the care of individual and families. 6. Apply healthcare technologies to maximize optimal outcomes for clients in diverse healthcare settings. 7. Provide safe, effective nursing care to promote the health of individuals and families. 8. Exhibit professional behaviors that foster a positive public image of nursing. 9. Demonstrate accountability in delegating responsibilities in a manner consistent with the Nurse Practice Act. 10. Perform nursing care consistent with that which is expected of a graduate during clinical experiences, both with faculty and preceptors. NUR 2291C 6
  7. 7. INDIVIDUAL INSTRUCTOR HANDOUT – NUR 2291C Special emphasis will be given to the following topics: Chapter(s) 1-8, 11 Introduction to Critical Care Nursing Drug Math Complex IV Therapy 13-15 pg. 355 ECG Interpretation 16-17 Cardiac Therapeutics 18-22 Thoracic Surgery & Ventilator Management 15 pg 355-390 Hemodynamic Monitoring 28-30 Acute Tubular Necrosis & Dialysis 40 Burns 41 Organ Transplants 37 Trauma 38 Shocks 23-27 Coma, Intracranial Surgery, ICP Monitoring 39 Multiple Organ Dysfunction Syndrome 12 Perianesthesia Management 31-33 Acute GI Bleed Clinical experience is provided in acute care setting and specialty care areas. Internship/preceptorship is a clinical component of this course. Students are required to obtain a minimum of 81 hours during the internship period (as designated by the instructor). Evaluation Method: 1. Theory a. Unit Exams 70% b. Final Exam 20% 2. Group Clinical grade: Satisfactory or Unsatisfactory a. Clinical time is provided as scheduled to enhance learning. Any missed clinical days will have to be made up as designated by the clinical instructor. b. Clinical evaluation covering critical elements of patient care. Satisfactory or unsatisfactory. Three U’s in the same critical area involving three different situations will constitute a failing clinical grade and the student will not be allowed to progress. c. Appropriate concept map, data base, and intervention/goals will be completed each week (one per week) and submitted as designated by the clinical instructor. Late clinical paperwork will be read but will receive an unsatisfactory grade. Clinical paperwork will receive a satisfactory or unsatisfactory depending on the numerical score (determined by the evaluation sheet). Concept maps, etc. are considered a critical element. At least 2 satisfactory concept maps are required. NUR 2291C 7
  8. 8. 3. Clinical Internship/Preceptorship Grade: 10% Please refer to the attached internship folder. All components are to be turned in on the dates designated by the clinical instructors (see course calendar for dates). Please place all items in a 3-ring binder/folder. The following are the components of the internship folder. a. Internship time log is to be signed by the preceptor each day in which clinical internship hours are accrued. b. Internship journal will include at least 10 objectives that you hope to accomplish during the internship experience. Each week, in which clinical internship hours are accrued, the student must address each objective regarding the progression of meeting the objectives. c. Preceptor’s Nursing Student Performance Assessment Tool is to be completed each week by the clinical preceptor in which internship hours are accrued. This tool will be turned in to the clinical instructor as a component of the internship folder. d. Evaluation forms are to be included in the internship folder at the final turn-in. The following components must be turned in for the internship folder to be complete: internship time log, internship journal, preceptor’s nursing student performance evaluation tool, student evaluation of preceptor, student evaluation of preceptorship experience, and preceptor evaluation of the preceptorship experience. Failure to turn in a complete internship folder on time at the final turn-in will result in an internship grade of ZERO (0). Failure to turn in the internship time log on time (per course calendar) will result in a grade of incomplete (I). 4. Drug Math: 80% math calculation exam Students must pass a math calculation exam with 80%. Students are given up to three opportunities to accomplish this requirement. Failure to achieve 80% by the third exam constitutes failure and administrative withdrawal from the program. The 80 % math calculation exam is not averaged in the theory grade, but is a requirement to progress in the program. Attendance: Please refer to the Nursing Student Handbook for information regarding attendance. Regular attendance is required. Failure to attend regularly can lead to administrative withdrawal. Tardiness A student is considered tardy if not present in class or the clinical setting at the specified time, or leaves early. Three tardies will equal one absence. Any assignment or test missed due to tardiness will result in a loss grade (“0”). Repeated tardiness is grounds for dismissal from the program. Withdrawal: Please refer to the CJC General Catalog and Nursing Student handbook for information regarding the procedure to withdraw from the course. Failure to follow these guidelines will result in a grade of “F” for the course. NUR 2291C 8
  9. 9. Assignment schedule: See class schedule and clinical rotation. Clinical dress regulations: Please refer to the Nursing Student Handbook for information regarding dress regulations. Miscellaneous 1. Cell phones, beepers, or any other electronic devices which may cause potential disruption of the classroom environment must be turned off and out of sight in the classroom. 2. The daily assignment schedule to subject to change, and it your responsibility to keep up with those changes. 3. Cheating or plagiarism is not allowed. Cheating or plagiarism will result in a grade of O. 4. Students displaying disruptive behavior will be asked to leave the classroom for the remainder of the class for that day. Students ask to leave the classroom will be absent for that class day. Examples of disruptive behavior, although not an exhaustive listing are: a. Sleeping in class b. Entering class late or departing early (routinely) c. Personal hygiene problems impacting fellow students d. Repeatedly talking in class without being recognized e. Talking while others are talking f. Physical display of anger g. Threatening faculty or fellow students h. Verbal abuse of faculty, staff, or student i. Eating, drinking, gum-chewing 2. Children or other people not enrolled in a class are not allowed in the classroom under any circumstances. 3. Tape recording in class is at the discretion of the instructor. 4. Profanity is not tolerated in the classroom or the clinical area. 5. No eating is allowed in the classroom. The only beverage allowed in the classroom is water. 6. Students are expected to attend clinical well rested and alert in order to be safe practitioners. Students who fail to comply will be sent home with an unsatisfactory for that clinical day. Students who are working should not work the previous 8 hours prior to clinical. 7. All makeup exams are at the discretion of the instructor. Required Videos List: Shock Acute Respiratory Failure Airway Management Endotracheal Tubes Tracheostomy Care Chest Drainage Dialysis: Continuous Renal Replacement Therapy Hemodialysis Peritoneal Dialysis NUR 2291C 9
  10. 10. Assignment schedule: See class schedule and clinical rotation. Clinical dress regulations: Please refer to the Nursing Student Handbook for information regarding dress regulations. Miscellaneous 1. Cell phones, beepers, or any other electronic devices which may cause potential disruption of the classroom environment must be turned off and out of sight in the classroom. 2. The daily assignment schedule to subject to change, and it your responsibility to keep up with those changes. 3. Cheating or plagiarism is not allowed. Cheating or plagiarism will result in a grade of O. 4. Students displaying disruptive behavior will be asked to leave the classroom for the remainder of the class for that day. Students ask to leave the classroom will be absent for that class day. Examples of disruptive behavior, although not an exhaustive listing are: a. Sleeping in class b. Entering class late or departing early (routinely) c. Personal hygiene problems impacting fellow students d. Repeatedly talking in class without being recognized e. Talking while others are talking f. Physical display of anger g. Threatening faculty or fellow students h. Verbal abuse of faculty, staff, or student i. Eating, drinking, gum-chewing 2. Children or other people not enrolled in a class are not allowed in the classroom under any circumstances. 3. Tape recording in class is at the discretion of the instructor. 4. Profanity is not tolerated in the classroom or the clinical area. 5. No eating is allowed in the classroom. The only beverage allowed in the classroom is water. 6. Students are expected to attend clinical well rested and alert in order to be safe practitioners. Students who fail to comply will be sent home with an unsatisfactory for that clinical day. Students who are working should not work the previous 8 hours prior to clinical. 7. All makeup exams are at the discretion of the instructor. Required Videos List: Shock Acute Respiratory Failure Airway Management Endotracheal Tubes Tracheostomy Care Chest Drainage Dialysis: Continuous Renal Replacement Therapy Hemodialysis Peritoneal Dialysis NUR 2291C 9

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