N275 Sp2024 Syllabus.docx

“Contra Costa Community College District is committed to equal opportunity in educational programs, employment, and campus life. The district does not discriminate on the basis of age, ancestry, color, disability, gender, marital status, national origin, parental status, race, religion, sexual ori...

“Contra Costa Community College District is committed to equal opportunity in educational programs, employment, and campus life. The district does not discriminate on the basis of age, ancestry, color, disability, gender, marital status, national origin, parental status, race, religion, sexual orientation, or veteran status in any access to and treatment in College programs, activities, and application for employment.” THIS COURSE COMPLIES WITH THE AMERICAN DISABILITIES ACT. IF YOU HAVE ANY SPECIAL NEED, PLEASE INFORM THE FACULTY AND EVERY EFFORT WILL BE MADE TO ACCOMODATE YOU. “The Rehabilitation Act of 1973, Section 504, requires Contra Costa College to make all programs accessible to qualified individuals with learning, physical, or psychological disabilities. Students who would like to receive accommodations for their learning, physical, or psychological disabilities should contact the Disabled Students Programs & Services (DSPS) office (H-19) and schedule an appointment: (510) 235-7800, ext. 7220.” FACULTY Director and Chairperson of the Nursing Program: Jacqueline Wright, MSN, RN SPRING 2024 N275 THEORY AND CLINICAL FACULTY Full-Time Instructors Michele Redlo, MPA, MSN, RN, PHN Course Lead Instructor Office: AA-236 Email: [email protected]; Office Phone: 510-215-4120 | Cell Phone: 510-417-5781 Office Hours: Monday, 1130-1330 | Tuesday and Wednesday, 1530-1700 ***Note: Please schedule appointments in advance using the Pronto App *** Jacki Lindblom, DNP, RN, PHN, CCRN Office: AA-234 Email: [email protected]; Phone: 510-215-4118; Office Hours: Monday 1600-1900 | Tuesday &Wednesday 1330-1430 ***Note: Please schedule appointments in advance using the Pronto App *** Christopher (CJ) Price, MSN-Ed, RN Office: AA-232 Email: [email protected] Office Phone: 510-215-4112 | Cell Phone: 925-270-8099 Office Hours: Wednesday 1400-1700 | Thursday & Friday 1600-1700 ***Note: Please schedule appointments in advance utilizing the Pronto App Part-Time Clinical Instructors Myra Juarez, RN Leigh Bolton, RN Grace Hardy, RN Nursing Department Secretary: Maritza Cabral Office: AA-239 Office Phone: 510-215-4103 Note: The faculty of Nursing 275 reserves the right to change or modify the contents of this syllabus. Every effort will be made to notify students in a timely manner of any changes or modifications to this syllabus that occur. CLINICAL FACILITIES CONTRA COSTA COUNTY REGIONAL Medical Center (CCRMC) 2500 Alhambra Avenue Martinez, CA 94553 Phone: (925) 370-5000 JOHN MUIR BEHAVIORAL HEALTH CENTER 2740 Grant Street Concord, CA 94520 Phone: (925) 674-4100 JOHN MUIR HEALTH —CONCORD CAMPUS 2450 East Street Concord, CA 94520 Phone (682-8200 JOHN MUIR HEALTH —WALNUT CREEK CAMPUS 1601 Ygnacio Valley Road Walnut Creek, CA 94598 Phone: (925) 939-3000 Phone: (510) 970-5000 KAISER PERMANENTE OAKLAND MEDICAL CENTER 3600 Broadway Oakland, CA 94611 Phone: (510) 752-1000 KAISER PERMANENTE RICHMOND MEDICAL CENTER 901 Nevin Avenue Richmond, CA 94801 Phone: (510) 301-1555 KAISER PERMANENTE VACAVILLE MEDICAL CENTER 1 Quality Drive Vacaville, CA 95688 Phone: (707) 625-4000 KAISER PERMANENTE VALLEJO MEDICAL CENTER 975 Sereno Drive Vallejo, CA 94589 Phone: (707) 651-1000 KAISER PERMANENTE WALNUT CREEK MEDICAL CENTER 1425 South Main Street Walnut Creek, CA 94596-5300 COURSE OUTLINE Course Number: Nursing 275-6352 Course Title: Gerontological/Advanced Medical-Surgical Nursing Units: 12 Prerequisites: Nursing 205, 210, 211, 212, 235, 236, 255, and 256 | Co-requisite: Nursing 276, Developing Competency in Nursing CATALOG DESCRIPTION This course provides an opportunity for students to expand their knowledge of pathophysiology, refine nursing skills, and utilize the nursing process to assist adult and elderly clients experiencing acute and chronic illness. Emphasis is placed upon effective nursing care of the elderly individual and family and use of community resources. This course also includes nursing leadership, managed care, ethics and current issues in professional nursing. COURSE THEORY OBJECTIVES Upon successful completion of Nursing 275, the student will be able to: Synthesize the physical, spiritual, psychosocial, and cultural needs of the hospitalized client using the nursing process and QSEN competencies to individualize care. Describe pathophysiology and nursing care of adults and the elderly with selected conditions, including cardiovascular, burns, respiratory, immune disorders, blood dyscrasias, hepatic, pancreatic, renal, neurological, and endocrine disorders. Discuss the special needs and care of the hospitalized elderly client including safety, nutrition, pain management, incontinence, impaired cognition, and advocacy. Discuss the special needs and care of the elderly client in the home setting, including safety, nutrition, educational needs, and advocacy. Discuss the care and special needs of the elderly in a long-term care setting, including nutrition, socialization, restraints, incontinence, and advocacy. Contrast the care of the elderly client in acute, outpatient, home care and long-term care settings. Identify the legal and ethical issues related to caring for the elderly in acute, outpatient, home care and long-term care settings, including elder abuse. Describe the physical assessment findings in the elderly related to physiological changes in aging. Discuss the significance and implications of lab values related to selected complex conditions in the adult and elderly client population. Discuss the physiology and pathophysiology of fluid and electrolytes. Discuss principles of I.V. therapy in complex client situations including total parenteral nutrition, IV push medications, and lipid administration. Contrast responses to drug therapy in the adult and elderly client. Discuss principles of nursing care for the dying client and family/significant others, including cultural practices. Discuss principles and styles of leadership in nursing. Compare/contrast the role differences of the R.N. in acute, outpatient, home care and long-term care settings. Describe the role of the nurse in managed care, discharge planning, and community referrals. Identify and discuss current issues affecting nursing practice, including legal and ethical issues and transition into practice. Analyze approaches to transcultural communication with colleagues. COURSE CLINICAL OBJECTIVES All the following objectives are important aspects of clinical performance as a student nurse. Critical performance objectives are indicated by an asterisk (*). These asterisked objectives are critical in the safe performance of client care. A “SATISFACTORY” must be achieved in each of the asterisked objectives to successfully pass this course (also see Clinical Evaluation Tool). Demonstrate proficiency in the use of the Nursing Process. Analyze and interpret the collected data obtained from client assessment, medical records, family, and other members of the healthcare team. Interview clients in a purposeful manner. Perform complete physical assessment on assigned clients. * Identify abnormal physical findings. * Extract pertinent information from medical records. * Interview family members and significant others when appropriate. Consult with healthcare team members as indicated. Synthesize learned information, client data, and textbook data to develop and individualized nursing diagnosis. Recognize complex bio-psycho-social-spiritual client problems. Write a nursing diagnosis that demonstrates application of learned theory to the individual client. Prioritize nursing diagnoses in the nursing process record. Establish realistic short and long-term goals for the care of several clients with complex problems. Collaborate with the client in determining appropriate goals. Write goals that are realistic and measurable. Develop multiple approaches to solving client problems in consultation with other members of the health care team. Apply nursing theory in developing possible nursing interventions. Select interventions in consultation with client and healthcare team. Write individualized nursing interventions and pertinent rationales appropriate to the nursing diagnosis. Write specific, individualized nursing interventions on the hospital care plan. Evaluate outcomes of multiple nursing interventions. Analyze results of nursing interventions. Write realistic outcomes related to goals. Modify or change plan. Demonstrate comprehensive judgement and objectivity by making sound clinical decisions. Discuss clinical problems logically with instructor and staff. Make sound independent clinical decisions. * Initiate effective communication with other members of the healthcare team to improve the quality of client care. Collaborate with other members of the healthcare team regarding the care if the client. Initiate communication with healthcare team members appropriately. Communicate ideas in a clear, concise manner. Suggest referrals as indicated. Demonstrate leadership in the clinical area. Assess total client assignment to identify priorities of care. Make client care assignment that reflects an understanding of staff members’ role and client acuity. Give directions for nursing care in a thorough manner. Supervise and elevate nursing care throughout the day as appropriate. Give concise, thorough end of shift report on a group of clients. * Record pertinent information using appropriate terminology in an accurate, complete, and concise manner. Initiate flow sheets when needed. Record pertinent data concisely. Chart all medications accurately and promptly. * Complete all charting before leaving the unit. Utilize therapeutic communication purposefully and spontaneously with clients and family/significant others exhibiting both adaptive and maladaptive coping behaviors. Assess verbal cues and non-verbal behavior of clients and family/significant others. Discuss significant non-communication of client and family/significant others. Analyze client and/or family/significant other communication on the therapeutic communication recording. Demonstrate effective verbal and non-verbal therapeutic techniques when communicating with clients, families, and significant others. Formulate strategies to increase the coping of clients and family members. Communicate effective approaches to other healthcare team members. Demonstrate sensitivity to cultural communication patterns. * Provide effective health teaching to clients and families/significant others Assess client and family/significant other need for health information. Develop teaching plans to meet identified needs. Initiate teaching plans. Evaluate effectiveness of health teaching and modify or augment teaching as appropriate. Provide comprehensive nursing care for clients with complex nursing problems. Use available resources in the clinical area effectively. Utilize policy and procedure manuals, drug references, online resources, and resource persons to find information needed to provide knowledgeable client care. Organize client care to make optimum use of time. Identify priorities in the care of several clients. Plan and organize assignments so as to afford client and family/significant others comfort. Plan and consistently organize client care to complete assignments on time. Synthesize cumulative knowledge and experience in providing nursing care to individuals with complex health problems. Exhibit self-direction in the provision of nursing care integrating physical, psychological, cultural and emotional factors. Demonstrate proficiency in performing nursing procedures. Administer pharmacologic agents correctly. Discuss the actions, routes and administration of dosages, side effects, toxicity, and nursing implications of drugs prior to administration. Relate knowledge of drugs to therapeutic use. Analyze the potential effects of multiple drugs. Identify and discuss specific drug interactions. Identify drug incompatibilities. Prepare drugs correctly Label IV drugs correctly. Choose appropriate equipment for drug and IV administration. Administer medications competently. * Solve drug dosage calculations accurately in the clinical setting. * Provide a safe environment for clients. Assess The environment for potential safety hazards. Initiate measures to eliminate hazards. * Instructs clients, families/significant others and/or staff in safety measures. Demonstrate behavior congruent with a commitment to moral, ethical, and legal responsibilities of the professional nurse. Demonstrate responsibility for continued self-development. Actively seek those learning experiences which assist with role transition. Use resources effectively for continued learning. Practice within the profession’s ethical and legal framework. Work within the policies of the clinical agency. * Discuss pertinent ethical issues related to the client and family/significant others. Consult with an experienced Registered Nurse when problems are beyond one's own skills and knowledge. * Maintain confidentiality regarding personal information concerning staff or peers. * Maintain confidentiality of client data and records. * Act as a client advocate. Discuss problems with appropriate person(s). Analyze situations and develop possible solutions. Validate planned activities with appropriate persons before taking action. Demonstrate behavior which reflects accountability and dependability. Consistently arrive on time and prepared in the clinical area. * Constructively participate in clinical conferences. Submit written assignments on time. * METHODS OF INSTRUCTION Large group classes will be held live in one of three ways: Online, In-Classroom, or Hybrid (Hyflex). Refer to the “Course Schedule” located in Canvas or Pronto for type of classroom setting on lecture days. Clinical practice in acute-care hospitals and clinics with selected clients. Clinical seminars with the clinical instructor. Individual conferences with the lecturer or clinical instructor. Individual evaluation conferences. Computer-assisted instruction. Reading professional journals and texts. Written assignments including Implicit Bias Module, Geriatric Discharge Care Plan, Weekly Client Prep Sheets, Journal entries, and resume. The formation of student study groups is mandatory for every student. INSTRUCTIONAL MATERIALS Textbooks and library references. Recommended readings in nursing journals. Online videos and other content. Use of high- and low-fidelity simulation and virtual simulation scenarios. EVALUATION OF STUDENT PROGRESS Theory exams Clinical evaluation conferences Written clinical evaluation forms Satisfactory performance in N276 Skills Lab course (see current N276 syllabus). THEORY EXAMINATIONS Six (6) theory exams will be given during this course. Each exam is worth 100 points and will contain multiple choice, select all that apply (SATA), and NextGen, and DDC questions. Material to be tested will include assigned readings embedded in study guides, lecture/discussions, material in the syllabus, class handouts, active learning activities, and previously learned content. The 6th exam is a comprehensive exam that includes material covered throughout the course. The total number for points for all theory examinations given during the semester will be 600 points. The course theory grade will be based on the student’s total number of points for the six theory/comprehensive exams (600 points). The theory grade will be calculated as follows: Total number of points for all exams combined: 600 Total number of points achieved by student: For example: 480 points on 6 exams Divide student’s total points by total possible points—Example: 480/600 = 80% or B Note: If the fraction of a grade is 0.5 or above, the grade will be rounded up to the next whole number—for example: 74.5% = 75% (C grade) Pass 74.4% = 74% (D grade) Fail 6. It is the student’s responsibility to calculate his/her/their grade average as the course progresses. If there are questions regarding the calculation of test scores, the student should make an appointment with an instructor to ask for clarification. 7. A student is expected to take all exams on the scheduled day (See Student Absences on Examination Day policy in the RN Handbook). CLINICAL EXPERIENCE Clinical performance is at the midterm and at the end of semester. It can occur more often as necessary (See Clinical Evaluation form in this syllabus). See Clinical Grading Policy in the RN Student Handbook. Required Clinical and Theory assignments for this course: Assignments # required Location of Canvas Instructions Weekly Prep Sheets 2 (must receive pass grade) Clinical module/To Do List Weekly Journal First half of rotation (7 total) Clinical module/To Do List Geriatric Discharge Care Plan 1 Clinical module/To Do List Implicit Bias Module 1 Assignments module/To Do List CJSim Case Studies or equivalent For lectures and alternative assignments, as needed. Lecture modules or alternative assignments module/To Do List uWorld Minimum 10 weekly based on lecture concepts Assignments module/To Do List Resume 1 Assignments module/To Do List WRITTEN ASSIGNMENTS Utilize the templates found in the Clinical Module to complete Client Data Collection Sheets, Journals, and Geriatric DC Care Plan. The resume instructions can be found in the Job Search module. Written assignments must be typed and completed in their entirety. A bibliography must be submitted with all written work when applicable. Bibliography must be in APA 7th edition format. OTHER INFORMATION Any issue in the clinical area should be addressed with the clinical instructor. If no resolution is reached, the issue should be escalated in this order: first address with your assigned course advisor, then the course team lead, Professor Michele Redlo, then the nursing department chair, Professor Jacki Wright, and finally the AACE Division Dean, Ashley Phillips. If a resolution still has not been reached, the student should follow the college grievance policy. The problem may be brought to the Student Issues committee, which meets at the mid-term point of the semester. Student announcements should be made at the end of class time, after obtaining permission from the instructor. If you have any questions or need clarification, please ask the lecturer, or course lead. A Simulation Competition may be held during the semester. If held, attendance at this competition is mandatory, however participation is voluntary. Those who sign up to participate are scored on their performance, and there may be prizes awarded for the top scoring team. The student will complete a course, clinical, and skills laboratory evaluation at the end of the clinical rotation and semester. The faculty appreciates student suggestions on these evaluations, and we use them as a basis for program improvement. AMERICANS WITH DISABILITIES ACT The Rehabilitation Act of 1973, section 504, requires Contra Costa College to make all programs accessible to qualified individuals with learning, physical and/or psychosocial disabilities. Students who would like to receive accommodations for learning, physical and or psychological disabilities should contact both the instructor and the Disabled Students Program & Services (DSPS) at the Student Services Center (SSC) to schedule an appointment. GUIDELINES FOR NURSING STUDENTS WHO HAVE DSPS ACCOMODATIONS At the beginning of each semester notify the current instructor that you qualify for DSPS accommodations. At the beginning of each semester, visit the DSPS office and obtain the needed paperwork that outlines your accommodations, regardless of having had DSPS accommodations in previous semesters; they must be renewed. All paperwork must be signed by a N275 instructor and returned to DSPS before accommodation can be granted by the nursing department. Students are to be on time for all examinations. See “exam policy” for further details. Bring a pencil and eraser with you when you arrive at the computer lab (CTC building or other site as instructed) for the examination. Two blank scratch papers will be provided to you by the faculty proctoring the exam prior to the start of the exam. Be sure to attend to personal needs (e.g. bathroom, turning off or placing cell phones on mute, etc.) prior to arriving at the computer lab for the examination. DSPS proctors who will be proctoring the computerized exams after the first three hours will not answer any questions pertaining to the exam material. CONTRA COSTA COMMUNITY COLLEGE DISTRICT NON-DISCRIMINATION STATEMENT “Contra Costa Community College District is committed to equal opportunity in educational programs, employment, and campus life. The district does not discriminate based on age, ancestry, color, disability, gender, marital status, national origin, parental status, race, religion, sexual orientation, or veteran status in any access to treatment in college programs, activities, and application for employment.” POLICY STATEMENT AND REGULATIONS GOVERNING ACADEMIC HONESTY Title V, Article 1.1 of California Administrative Code 41301 Expulsion, Suspension and Probation of Students. Following procedures consonant with due process established pursuant to Section 41304, any student of a campus may be expelled, suspended or placed on probation for one or more of the following causes, which must be campus related. Cheating or plagiarism in connection with an academic program at a campus. Definitions Plagiarism: Although difficult to define, plagiarism consists of taking the words or specific substance of another and either copying or paraphrasing the work without giving credit to the source. The following examples are only some of the many forms plagiarism may take: Submitting a term paper, examination or other work written by someone else. This is a flagrant instance of plagiarism. Failure to give credit in a citation for ideas, statements of facts or conclusions expressed by another. Failure to use quotation marks when quoting directly from another, whether it be a paragraph, a sentence, or even a part thereof. Inappropriate paraphrasing (e.g. over reliance on sentence structure of the original author). Cheating: Using unauthorized notes, study aids, or information from another student or student’s paper on an in-class examination; inappropriately altering a graded work after it has been returned, then submitting the work for re-grading; and allowing another person to do one’s work and to submit the work under one’s own name. Fabrication: Presenting data in a piece of work which were not gathered in accordance with guidelines defining the appropriate methods for collecting or generating data and failing to include a substantially accurate account of the method by which the data were generated or collected. Aiding and Abetting Dishonesty: Providing material or information to another person with knowledge that these materials or information will be used improperly (e.g. divulging test information). Forgery, Alteration, or Misuse of Campus Documents, Records, or Identification or Knowingly Furnishing False or Incomplete Information: Altering documents affecting academic records; forging a signature of authorization or falsifying information on an official academic document, election form, grade report, letter of permission, petition, or any document designed to meet or exempt a student from an established College academic regulation. Disciplinary Action: Violation of established college regulations are subject to disciplinary actions. Instructor Actions: With adequate proof, instructors may administer: Reprimand. This action indicates official recognition of a violation of acceptable conduct and admonishes the offender to avoid future infractions. No credit or “F” grade on the assignment. No credit or “F” grade in course. Recommended expulsion. Board Actions: Board Policy 3012 authorizes the Board, the College President, or his/her designee to suspend or expel a student. Suspension. This action excludes the student from the college community for a specific period of time. Expulsion. This action permanently excludes the student from the college. Expulsion shall be recorded in the student’s permanent file. NURSING 275 TEXTBOOK LIST Spring 2024 REQUIRED: (you should have most, if not all, of these textbooks by now): CJSim NextGen Quizzing web-based case studies and NextGen questions. Subscription (provided by nursing program) Doenges, M., & Moorehouse, M. (2019). Nurses pocket guide: Diagnosis, prioritized interventions, and rationales (15th ed.). Philadelphia: F. A. Davis. Ernstmyer, K. & Christman, E. (2022). Nursing Management and Professional Concepts (An Open Educational Resource (OER) is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted. Ignatavicius, D. & Workman, M.L. (2020). Medical-surgical nursing: Patient-centered collaborative care (10th ed.). St. Louis: Saunders-Elsevier. (Can use printed textbook or e-Textbook.) NurseCE4Less: Implicit Bias Module (See directions to access provided by course instructors.) Pagana, K. & Pagana, T. (2017). Manual of diagnostic & laboratory test (7th ed.). Philadelphia: Mosby-Elsevier. Vallerand, A. H. (2020). Davis's drug guide for nurses, (17th Ed). Philadelphia: F. A. Davis. uWorld (provided by nursing program) RECOMMENDED: Dillon, P. M. (2015). Nursing health assessment (3rd ed.). Philadelphia: F. A. Davis Hopkins, T. B. (2009). Lab notes: guide to lab and diagnostic tests (2nd ed.). Philadelphia: F. A. Davis. Nugent, P. & Vitale, B. (2015). Fundamentals success (4th ed.). Philadelphia: F. A. Davis. Nugent, P. & Vitale, B. (2018). Test success (8th ed.). Philadelphia: F. A. Davis. Potter, P. & Perry, A. (2016). Fundamentals of nursing (10th ed.). St. Louis: Mosby-Elsevier. Potter, P. & Perry, A. (2015). Nursing interventions and clinical skills (6th ed.). St. Louis: Saunders-Elsevier. It is also recommended that the student joins a professional nursing organization. Most organizations have a student rate. Please see the Library Guide inside the Canvas course for a list of organizations.