NS 33113 –– HH DDIISSRRUUPPTTIIOONNSS II -- TT … CREDIT Seven-week course, ... Lab Quiz #2 closes at 0800 this Thursday ... for upcoming skills check off 1. Today 0800 – 1000

NS 331133 –– HHEEAALLTTHH DDIISSRRUUPPTTIIOONNSS II -- TTHHEEOORRYY

SSUUMMMMEERR 22001144 –– CCOOUURRSSEE SSYYLLLLAABBUUSS

COURSE CREDIT Seven-week course, offering 3 credit hours

PREREQUISITES Grades of “C” or higher in NS 216, NS 300, NS 303, and

NS 309

CO-REQUISITES NS 313L

COURSE DATES May 5 through June 23, 2014

TIME and LOCATION Mon 1030 – 1420 Location: HSB 110

Fri 1130 – 1520 Location: HSB 110

FACULTY Thomas J. Hendrix, PhD, RN

Associate Professor,

HSB, Room 329 Telephone: 786-4583

E-mail: [email protected]

COURSE DESCRIPTION The course emphasizes health disruptions occurring across the lifespan. Nursing therapeutics utilized

focus on nursing management of the individual, the family, and the environment to optimize

wellness.

COURSE OBJECTIVES

Course objectives were designed to be consistent with the categories of the conceptual framework.

Upon completion of this course, the student will be able to:

Critical Thinking

Use nursing process to determine nursing care needs of clients in medical/surgical and

pediatric settings.

Apply nursing process to clients of all ages, from infant to elder.

Demonstrate critical thinking in the use of psychomotor skills appropriate to the care of

clients/ families experiencing health disruptions.

Demonstrate awareness of socio-cultural factors in the application of nursing process to

clients experiencing health disruptions.

mailto:[email protected]

NNSS 331133 –– HHEEAALLTTHH DDIISSRRUUPPTTIIOONNSS II –– TTHHEEOORRYY

SSUUMMMMEERR 22001144 –– CCOOUURRSSEE SSYYLLLLAABBUUSS ____________________________________________________________________________________________

2

Caring

Demonstrate the art of caring for clients and their families experiencing disruptions in their

health.

Demonstrate the art of caring for peers and colleagues interacting with clients and their

families experiencing disruptions in their health.

Communication

Demonstrate competency in interpersonal communication with clients and their families.

Demonstrate effective communication and collaboration with other health care providers.

Incorporate feedback from instructors and peers to assess personal professional strengths and

weaknesses, and modify behavior appropriately.

Roles

Begin to develop skills as a client advocate.

Demonstrate an understanding of the role of the registered nurse in the acute care setting.

Integrate knowledge/skills obtained in previous courses (e.g., health assessment, fundamental

skills, and pharmacology) into the plan of care for clients experiencing health disruptions.

Populations

Demonstrate an understanding of the client as a member of a family within a community.

Demonstrate an understanding of the community resources available to populations of patient

with specific health disruptions.

Therapeutic Nursing Interventions

Provide developmentally appropriate teaching to clients across the lifespan experiencing

health disruptions.

Formulate comprehensive nursing care plans that include monitoring, independent

interventions, and collaborative actions.

Utilize nursing interventions that are consistent with nursing theory and current nursing

research.

Evaluate the nursing care provided in accordance with ANA standards.



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TEACHING METHODS

Lectures, group discussion, computer simulations, and examination reinforced through the associated

laboratory, seminar, and clinical courses.

COURSE POLICIES

In addition to the policies outlined in the SNHS Undergraduate Nursing Student Handbook, the

following guidelines and policies will be in effect throughout this course:

Attendance: It is expected that students will attend all scheduled class meetings, skills

laboratory experiences, and clinical practice experiences. We recognize that on rare

occasions, a student may need to be absent from a scheduled class meeting.

Lecture: Students are responsible for all announcements, information, and handouts

presented in class. Students who are absent should make arrangements to obtain the

necessary information from classmates.

Computer Exercises: Web-based computer exercises are assigned to supplement the

classroom discussion and textbook. Computer Exercises are not accepted late.

Disability Support Services: The NS313 faculty members are committed to meeting the

unique needs of every student. If you experience a disability and would like information

about support services, contact Disability Support Services, located in BEB 105 at 786-4530.

Communicate your needs to the NS313 faculty.

Honor Code: All UAA Nursing Students are expected to abide by the UAA School of

Nursing Honor Code and will be required to sign a pledge affirming their commitment to do

so. A copy of the Honor code is contained within the Student Handbook and is also located

within BlackBoard under the “Course Materials” link.



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REQUIRED TEXTBOOKS

In addition to texts from NS 216, NS 300, NS 303, NS 304, and NS 309:

James, S. & Ashwill J. (2013). Nursing Care of Children: Principles & Practice, (4rd ed.).

St. Louis: Saunders Elsevier.

Lewis, S., Dirksen S., Heitkemper, Bucher L. & Camera, I. (2011). Medical-Surgical

Nursing, (8th ed.). St. Louis: Mosby.

OPTIONAL TEXTBOOKS

James, S.R. & Ashwill, J. W. (2007). Study Guide for Nursing Care of Children Principles

& Practice (3rd ed.). St. Louis: Saunders Elsevier.

Nugent, P. & Vitale, B. (2004). Test success: Test-taking techniques for beginning nursing

students (4th ed.). Philadelphia: F.A. Davis Company.

O’Brien, P. (2007). Study Guide for Medical-Surgical Nursing Assessment and Management

of Clinical Problems (7th ed.). St. Louis: Mosby.

SUPPLEMENTAL READINGS

The majority of the readings are available in full text format through the library’s information

system.



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COURSE SCHEDULE

DATE TOPIC/ASSIGNMENTS

Required Assignments are highlighted!

Before classes start

Remember: Lab Quiz #1 must be completed by 0800 on Thursday (05/08)

Remember: Case Study #1 is due before lecture begins on Friday (05/09).

Remember: Transfusion Quiz is due by midnight Saturday (05/10)

1

5/05

Monday

The Perioperative Patient

DUE TODAY BEFORE CLASS: Honor Pledge (signed)

Lewis, Dirksen, Heitkemper, Bucher & Camera: Chapters 18 - 20

James & Nelson: pp 52 - 68 (Developmental), pp 295 - 297 (Surgery) & pp 317 – 334

(pain management)

Supplemental Activities:

Complex Analgesia & Pediatric Pain Management 1) D’Arcy, Y. (2007). Safe pain relief at the push of a button. Nursing Made Incredibly

Easy, Sept/Oct., 9-12.

2) Kingsley, C. (2001). Epidural analgesia your role. RN, 64(3), 53-58.

Remember: Lab Quiz #1 closes at 0800 Thursday (05/08)

Remember: Case Study #1 is due before lecture on Friday (05/09)

Remember: Transfusion Quiz closes at midnight Saturday (05/10)



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COURSE SCHEDULE



2

05/09

Friday

Fluid and Electrolyte Imbalances

Lewis, Dirksen, Heitkemper, Bucher & Camera: Chapter 17, pp. 301–320.

James & Nelson: Chapter 16 & Inside back cover: Range of Average Water

Requirements at Different Ages Under Ordinary Conditions

DUE TODAY BEFORE CLASS: Case Study #1

Acid Base Imbalances Lewis, Heitkemper, Dirksen, O’Brien & Bucher: pp. 320-331

James & Nelson: Review the tables that highlight conditions causing acid-base

disturbances in children, pp 338 - 342

Required Reading:

Tasota, F. & Wesmiller, S. (1994). Assessing ABGs: Maintaining the delicate balance.

Nursing 24(5), 34-46.

Remember: Transfusion Quiz closes at midnight Saturday (05/10)

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05/12

Monday

Diabetes

Lewis, Heitkemper, Dirksen, O’Brien & Bucher: Chapter 49 James & Nelson: pp. 718 – 732 (Developmental Issues, Pay attention to table 27 – 5 & the

nursing care plans beginning on page 724.)

DUE TODAY BEFORE CLASS: Nothing

Supplemental. Children with Diabetes. The following web site provides information on concerns for the

diabetic child for varying developmental levels. http://www.childrenwithdiabetes.com/d_0n_b00.htm Reading: Skelly, A. (2002). Elderly patients with diabetes. American Journal of Nursing, 10 (2), 15-16.

Remember: Lab Quiz #2 closes at 0800 this Thursday (05/15).

Remember: Case Study #2 due before class this Friday (05/16).

Remember: Pre-exam Quiz #1 closes at 1130 this Friday (01/17) and

EXAM ONE is this Friday

http://www.childrenwithdiabetes.com/d_0n_b00.htm



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COURSE SCHEDULE



4

01/16

Friday

Exam 1 – followed by 2-hour lecture

Upper Respiratory Problems

Lewis, Heitkemper, Dirksen, O’Brien & Bucher: Chapter 27

James & Nelson: Chapter 21

DUE TODAY BEFORE CLASS:

1. Pre-exam quiz #1 closes at 1030 today.

2. Case Study #2 due before class

5

05/19

Monday

Lower Respiratory Problems

Lewis, Heitkemper, & Dirksen: Chapter 28

James & Nelson: same as prior lecture – Chapter 21

Obstructive Pulmonary Problems Lewis, Heitkemper, & Dirksen: Chapter 29

James & Nelson – same as prior lecture – Chapter 21

Readings:

Boucher, M. (1996). When laryngectomy complicates care RN, August, 40-45. Miracle, V. & Winston, M. (2000). Take the wind out of asthma Nursing, 30(8), 34-43.

Dunn, N. (2001). Keeping COPD patients out of the ED. RN, 64(2), 33-38.

Please remember that:

1. Lab Quiz #3 (final lab quiz) closes at 0800 this Thursday (05/22)

2. Case Study #3 is due before class this Friday (05/23)

3. CVAD quiz closes at midnight this coming Saturday (05/24)



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COURSE SCHEDULE



6

05/23

Friday

Upper and Lower Gastro-Intestinal Problems Lewis, Heitkemper, & Dirksen: Chapters 42 and 43

James & Nelson: Chapter 19

DUE TODAY BEFORE CLASS: nothing

Remember: Case Study #3 due this Friday before class (01/31)

Remember: CVAD quiz closes at midnight Saturday (05/24)

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05/26

Monday

Memorial Day – no lecture

Your clinical instructor will provide instructions for pre-clinical preparation

Remember: Case Study #4 due this Friday before class (05/30)

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05/30

Friday

Musculoskeletal Trauma and Orthopedic Surgery

Musculoskeletal Problems Lewis, Heitkemper, Dirksen, O’Brien & Bucher: Chapters 63, 64 and 65.

James & Nelson: Pediatric Differences in the Musculoskeletal System, Box pp. 663,

Casts, Traction & Other pediatric conditions: pp. 666 - 671, Scoliosis, etc pp 678 – 683 & hip dysplasia pp. 685 - 689


Remember: Pre-exam quiz #2 closes at 1030 this coming Monday (06/02).

Remember: Optional exam 2 test prep/review tomorrow (05/31) at 0900



9

COURSE SCHEDULE



8

06/02

Monday

Exam 2 . . . . . . . . . . . . . . followed by a 2-hour lecture

Hypertension Lewis, Heitkemper, & Dirksen: Chapter 33

James & Nelsons: Chapter 22 (Hypertension – pp. 565 - 567)

Coronary Artery Disease and Acute Coronary Syndrome


DUE TODAY: Pre-exam quiz #2 closes at 1030 today

Remember: Case Study #5 is due this Friday (06/06) before lecture begins.

Remember: 4 EKG quizzes are due by midnight this coming Saturday (06/07)

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06/06

Friday

Heart Failure and Cardiomyopathy


Dysrhythmias Lewis, Heitkemper & Dirksen: Chapter 36

James & Nelson: Chapter 22: pp. 535 – 541 & pg. 568


Remember: Optional Exam Two Review immediately after class today.

Remember: The 4 EKG quizzes are due by midnight tomorrow (06/07)

Optional open lab today 0900 – 1100 (more opportunities next week)



10

COURSE SCHEDULE



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06/09

Monday

Inflammatory and Structural Heart Disorders



Suggested Supplemental Reading:

Miracle, V. (2001). Put the brakes on pericarditis. Nursing, 31(4), 44-5.

The Child with a Cardiovascular Alternation

James & Nelson: Chapter 22: pp 544 – 547.

Open Lab Times (optional) for upcoming skills check off

1. Today 0800 – 1000

2. Tuesday (06/10) from 1500-1700

3. Wednesday (06/11) from 1500-1700.

Remember -- The lab practicum is this Thursday (06/12) – see schedule for time.

Remember: Case Study #6 is due this Friday (06/13) before lecture begins – last one

Remember: Optional Exam 3 prep/review is this coming Saturday at 0900

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06/13

Friday

Vascular Disorders

Lewis, Heitkemper & Dirksen: Chapter 38

Shock

Lewis, Heitkemper & Dirksen: Chapter 67 pp. 1772 – 1794

James & Nelson: pp 212 – 215

DUE TODAY BEFORE CLASS: Case Study #6 before lecture begins

Optional exam #3 prep/review tomorrow at 0900

Remember: Pre-exam quiz #3 is due before exam #3 in on Monday (06/16)



11

COURSE SCHEDULE



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06/16

Monday

Exam 3 . . . . . . . . . . . Followed by a 2-hour lecture

Pediatric Renal Dysfunction James & Nelson: Chapter 20, pp. 454 - 473

Renal and Urologic Problems

Lewis, Heitkemper & Dirksen, Chapter 46

DUE TODAY BEFORE CLASS: Pre-exam quiz #3 is due before exam #3 today

And . . . . . . . . . . .

Remember: Pre-exam quiz #4 is due before the Final Exam in one week on 06/23.

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06/20

Friday

Acute Renal Failure and Chronic Kidney Disease


James & Nelson: pp. 474 - 479


Complete IDEA course evaluations please.

Optional Exam Three Review after class today – & then you can review all exams

Remember: Pre-exam quiz #4 is due before the Final Exam on Monday 06/24.

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06/23

Monday

Comprehensive Final Exam

Pre-exam quiz #4 is due before the Final Exam today.

Complete IDEA course evaluations please.

We are done!!!



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EVALUATION METHODS Several mechanisms will be used to evaluate student progress. They are discussed below.

Evaluation Mechanisms % of Grade

Exams: Three objective exams of lecture material. Each exam is 17% of the

final grade. 51%

Comprehensive Final Exam: The exam is comprehensive and is 31% of the

final grade. 31%

Case Studies: The assigned case studies are worth 5% of the total grade. Case Study assignments are not accepted late.

5%

3 Lab Quizzes: There will be 3 online lab quizzes, which tests the knowledge

underlying the procedures taught in the lab. They are worth 5% of your grade. 5%

Lab Simulation: Each of you will be graded on 2 different lab simulation

exercises. Each is worth 1.5% of your final grade. These points can only be

earned on the day you are scheduled to perform. If you miss the lab, you

lose the points.

3%

Computer-Aided Instructions and Online Quizzes: The assigned computer

exercises (pre-exam quizzes), as well as the transfusion, CVAD and EKG on-

line quizzes are worth 5% of the final theory grade. Computer exercises are

not accepted late. On-line tests must be taken during the assigned

timeframe.

5%

Clinical: Any student not passing the clinical (313L) portion of the course will not pass the theory portion of the course. In other words, if a student does

not pass clinical they will be required to repeat both 313 and 313L regardless

of their scores in 313.

Pass/No Pass

Math Test: Each student must obtain a minimum of 90% on a math test. Pass/No Pass



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COURSE GRADING POLICIES

1. THEORY EXAMS – An average of 75% must be achieved on the four exams to pass the

course. Therefore, to pass this course, students must achieve a 75% average on the exams

and a 75% average for the entire course.

Theory Grades Percent Points

Exam 1 0.25

Exam 2 0.25

Exam 3 0.25

Final Exam 0.25

Sum of all points (must be at least 75%) 1.00

2. CLINICAL – A “Pass” must be earned in clinical (NS 313L) to pass NS 313.

3. MATH – A score of 90% must be earned on the math exam to pass the course.

4. LATE ASSIGNMENTS -- Students are expected to complete assigned coursework as per

the schedule in the course syllabus and/or announcements on Blackboard. Assigned

coursework may be, but is not limited to, exams, quizzes, papers, care plans, journals,

presentations, check-offs, and any other assignments.

5. LATE OR RESCHEDULED ASSIGNMENTS AND TESTS

All students are expected to complete required assignments and tests as scheduled in the

syllabus and/or announced on Blackboard.

Anticipated Absences. Faculty must be notified in advance of the intent to miss the

deadline for a required assignment or of the intent to miss a scheduled test. Proper

notification varies with instructors. The proper media (examples are phone, face-to-face,

email, voice mail, message with the receptionist) for notification and the plan for

completion of the assigned coursework (usually within one week or less of the absence)

will be determined by the course instructor. Instructors may require students to complete

the assigned coursework prior to the anticipated absence. Missed exams will receive a 3%

deduction in the earned grade.

Unanticipated Absences. Grades for assigned coursework that is late due to a student’s

unanticipated absence will result in the late assigned coursework receiving the usual 3%

deduction per day with exams receiving a 3% deduction in the earned grade.

Students who have unanticipated absences due to extenuating circumstances must

notify the instructor as soon as possible. The conditions for completing the

assigned coursework will be determined by the instructor.



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Extenuating circumstances are circumstances that prevent students from

attending or submitting assigned coursework by the scheduled date. Such

circumstances are rare and would be unpreventable, unforeseeable, and would

have a serious impact on performance. Students could have done nothing

reasonably in their power to avoid the extenuating circumstance. Things such as

minor illness, poor night’s sleep, and minor injury are not expected to have a

serious impact on performance, so are not considered extenuating circumstances.

Students are expected to make reasonable plans to prevent unforeseeable

circumstances such as with such things as transportation, child care, and

computer problems, so these are not usually considered extenuating

circumstances. It is impossible to provide a complete list of these things.

Extenuating circumstances are circumstances which occur very rarely. They

include circumstances which are verifiable, such as death of a close relative,

traffic accident, or serious personal illness. (Ongoing medical conditions may be

covered by disability procedures).

Failure to notify faculty of absence from a required test, quiz or other assignment will be

considered an unexcused absence and result in a zero (0) grade for the test, quiz or other

assigned activity.

8. STUDENT CODE OF CONDUCT. The following policies will be in place during all NS313

examinations:

Prior examinations are not authorized as a study source.

Only a simple calculator is allowed to be used during an examination (No PDAs)

No study materials are to be utilized during examinations.

Ideas/answers are not shared during examinations.

These specific behaviors illustrate forms of conduct that are prohibited in NS313. This is not

an exhaustive list, rather it supplements the actions described in the UAA Student Code of

Conduct in the UAA Catalog. Students will earn a “Zero” in any assignment or examination

when behavior does not conform to the Code of Conduct. Further disciplinary actions may

be initiated.

9. GRADING SCALE – The following scale will be used to determine the final course grade:

93.00% to 100.00% A

84.00% to 92.99% B

75.00% to 83.99% C

66.00% to 74.99% D

65.99% or lower F



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NS 313 – EARNED GRADE WORKSHEET

To determine your grade, multiply the earned grade (%) by the Percent of Grade to calculate the

number of points for that component of the grade. Add the points together to determine your

numeric grade.

EARNED GRADE PERCENT OF GRADE POINTS

Exam 1 0.17

Exam 2 0.17

Exam 3 0.17

Skills Lab Exams 0.05

Lab Simulations 0.03

Virtual Clinical Exercises 0.05

Quizzes 0.05

Final Exam 0.31

Sum of all points 1.00

Documents

NS 33113 –– HH DDIISSRRUUPPTTIIOONNSS II -- TT … CREDIT Seven-week course, ... Lab Quiz #2 closes at 0800 this Thursday ... for upcoming skills check off 1. Today 0800 – 1000