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Syllabus

NUR240 Concepts of Nursing Practice in the Care of Adults with Stable and Unstable Conditions Fall 2021 Course Credits: 5.0 (4.0 Theory, 1.0 Lab)

Teaching Modality: On-ground with partial remote option

Course Location: Ironwood Campus: Rutger Erickson Academic Building Room A211

Class Schedule: See Learning Schedule

Dates: Monday, August 23 2021-Friday, December 10 2021

Instructor Information

Instructors: Karen Balyeat MSN, RN; Robert Dionne MSN, RN Email: karenb@gogebic.edu; robertd@gogebic.edu Campus Office: Karen A310; Bob A308 Office Phone number: Karen 906-307-1285; Bob 906-307-1305 Office Hours: As posted and by appointment-in person or on zoom Communicating with the instructor:

Email is the preferred method of contact and will yield the fastest response. Email any course question and personal concern, including grading questions, to the instructor privately using your GCC email account (@students.gogebic.edu). We will attempt to respond to student emails within 24 hours during the week, and within 48 hours during the weekend. If you have not received a reply within the expected response time, please resend your email.

Outside of class, we will communicate with you via the Announcements tool in Moodle and via your GCC email. It is your responsibility to read all announcements and emails, and to contact us should you have any questions or concerns.

Course Information

Prerequisites: NUR140, NUR141, NUR142, NUR144 & NUR145 OR Advanced Standing as an LPN

and co-requisite of NUR242

Co-requisites: NUR245

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Course Description

This course further expands on the concepts of nursing practice with application to the care of

adult patients with stable and unstable conditions. Mental health is integrated throughout the

course. Application of knowledge and skills occurs in the nursing laboratories and a variety of

clinical settings.

Course Objectives

The student will: 1. Apply nursing concepts to provide safe, quality, evidence-based, patient-centered nursing

care in a variety of healthcare settings to diverse patients across the lifespan with stable

and unstable conditions.

2. Apply clinical reasoning to make patient-centered care decisions for patients across the

lifespan with stable and unstable conditions.

3. Select quality improvement processes to improve patient care for patients across the

lifespan with stable and unstable conditions.

4. Engage in collaboration and teamwork with members of the interprofessional team, the

patient, and the patient’s support persons when caring for patients across the lifespan with

stable and unstable conditions.

5. Analyze the role of information management principles, techniques, and systems, and

patient care technology to communicate, manage knowledge, mitigate error, and support

decision-making when caring for patients across the lifespan with stable and unstable

conditions.

6. Apply leadership, management, legal, and ethical guidelines in practice as a professional

nurse.

7. Analyze how a culture of caring can be promoted to provide holistic, compassionate

patient care for acutely ill patients across the lifespan.

Concepts: Cellular Regulation, Intracranial regulation, Clotting, Interpersonal relationships,

Evidence based practice, Patient teaching, Diversity, Anxiety, Psychosis, Mood and affect,

Cognition, and Addiction.

Course Structure

Instructional Modality and Methods

We are using Moodle as our course platform. Your learning will be enhanced by the digital presentation of some course content (e.g., recorded lectures, presentations, outlines, notes) and scheduled assignments in Moodle in addition to lab time and in person or zoom class time. You are welcome to contact us if you would like to schedule an in person or online Zoom

meeting for individual assistance. Moodle Access

To access this course on Moodle, you will need access to the Internet and a supported Web

browser. Go to the GCC home page (http://gogebic.edu) and select the Moodle (Online

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Learning) link from the Connect tab. You will use your GCC account to log in to the Moodle

learning management system. Once logged in to Moodle, you will see the course listed under

the My Courses tab. Click on the title to enter the course.

Course Materials & Technology Requirements

Textbooks and Materials

Textbooks: 1. Lippincott Bundle – Includes: CoursePoint for Taylor – Fundamentals of Nursing 9th Edition CoursePoint+ Enhanced for Hinkle Med/Surg 14th Edition CoursePoint for Kyle and Carmen –Pediatrics 4th Edition CoursePoint for Videbeck CoursePoint for O’Meara 2. Giddens, J. (2020) Concepts for Nursing Practice. Mosby 3rd Edition. 3. Benner, P. Malloch, K. Sheets, V. (Eds.). (2010).Nursing Pathways for Patient Safety- NCSBN. 4. Caputi, L. (2020) Think Like a Nurse: A Handbook. Windy City Publishers. Required:

HESI Patient Care Reviews with RN Case Studies and Practice Tests for Concept Based Curriculum

Supplies:

Approved device with internet to be used in the classroom to access Lippincott CoursePoint and HESI, and to take course exams through ExamSoft/Examplify.

Technology Requirements

You will need the following in order to participate in this course:

A laptop or desktop computer compatible with ExamSoft/Examplify.

A stable internet connection.

Speakers and a microphone.

A webcam.

Course materials including assignments, exams, and supplemental course resources are located in Moodle learning management system. To participate in learning activities and complete assignments, you will need:

consistent and reliable access to the Internet;

a working computer that has a current operating system with updates installed, plus a web camera and speakers/headphones/earbuds;

a current Internet browser that is compatible with the Moodle learning management system and ExamSoft testing software through Examplify

a word processing program such as Microsoft Word; and

reliable data storage for your work, such as a USB drive or cloud storage; and

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a "technology back-up" plan in case your computer or Internet connection is not working.

Basic Computer Skills Needed

To be successful in the nursing program, you will need to have a good foundation of basic computer skills, including those listed below. Students enrolled in this course should possess the ability to:

Download and upload documents;

Organize and save electronic files;

Create, send, read, and reply to GCC email messages;

Attach files to emails and course areas;

Use a word processor (i.e., Microsoft Word, Google Docs);

Navigate the Internet; and

Reach out to tech support staff when issues arise.

Assignments, Assessments, and Evaluations

See attached course schedule.

Student Expectations and Responsibilities

Subject to Change Notice

This syllabus, along with its course schedule, is subject to revision as needed to adapt to new

knowledge or unanticipated events. Updates will remain focused on achieving the course

objectives and students will receive notification of such changes. It is the responsibility of

students to check GCC email messages and course announcements in Moodle to stay current in

their courses.

GCC Email and Course Communication

A college-assigned student e-mail account is the official means of communication with all

students at Gogebic Community College. To stay current with school and course information,

you are expected to check your official GCC e-mail account on a frequent and consistent basis.

You can access your GCC student email account through GCC homepage (http://gogebic.edu).

Academic Honesty

All Gogebic Community College students have the responsibility to know and abide by the

regulations of academic integrity. Any form of academic dishonesty will not be tolerated and

will be penalized with a failing grade (i.e., zero points) for the assignment, quiz, or examination

in which infringement occurred. Any violations of academic integrity may be referred to the

Conduct Committee for further disciplinary action. Examples of academic dishonesty behaviors

include plagiarism, illicit collaboration, recycling coursework, and cheating. Additionally, course

assistance websites, such as CourseHero and Chegg, are not permitted sources; material taken

or copied from these sites constitutes a violation of the academic integrity policy. If you have

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any doubts or questions about what constitutes academic misconduct, please do not hesitate

to contact the instructor.

Quizzes and assignments are to be completed alone, unless specifically identified as group

work.

Plagiarism detection

Gogebic Community College has a license agreement with Turnitin.com, a service that helps detect plagiarism by comparing student papers with Turnitin's database and Internet sources. Students who take this course agree that all required papers may be subject to submission for textual similarity review and a copy of submitted papers is retained in a Turnitin database archive to be compared with future submissions. Students who submit papers to Turnitin retain the copyright to the work they created. Use of the Turnitin service is subject to the privacy and security policy posted on Turnitin's website.

Attendance & Participation Policy

Your success in this course will depend on your communication, consistent engagement, and active participation in all course activities. Success in this course requires you adhere to the deadlines of assignments, discussions, and course activities. Students are expected to actively participate in class discussions as well as class and lab activities.

Please refer to the Handbook for Associate Degree Nursing Students for more information.

Netiquette

Netiquette is online etiquette. It is important that our classroom environment promotes the respectful exchange of ideas, including being sensitive to the views and beliefs expressed during online discussions. The following are general guidelines to follow to practice proper netiquette:

Avoid using all CAPS in online communication.

Use proper spelling, capitalization, grammar, and punctuation in all correspondence. Don’t use “texting” language.

Be respectful to each other and do not use offensive or threatening language

Express differences of opinions in a polite and rational way.

Grading policy

See Handbook for Associate Degree Nursing Students for additional information. A minimum grade of 80% on exams only is required to pass the course and progress in the nursing program. Assignment points will be added only if the exam average is 80% or greater. A minimum grade of 80% needs to be maintained after assignment points are added to the grade total to pass the course and progress in the program. Grades will not be rounded up. Students who score less than 80% on an exam are required to meet with the instructor. Use of available tutoring services may be required by the instructor. Evaluation for this course is based on points and consists of:

6-8 tests and 1 final exam

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Quizzes (announced and/or unannounced)

PrepU & HESI assignments

Other assignments may be given throughout the semester as deemed necessary by the instructor

Testing Policy: Each student must bring an approved device and charger in order to take an exam. If the device malfunctions, the student may test on a GCC computer. If the student does not bring an approved device with a charger, the student may test on a GCC computer WITH A 5% TEST DEDUCTION. Students must remove hats/hoods and watches, and turn off cell phones and place in a backpack/purse or on counter (off their person) prior to testing. The cell phone may not be accessed until the exam is completed. The exam must be downloaded onto the approved device prior to the start of class. After taking the exam, the student must show the instructor the “green screen” on the device before leaving the classroom. If the student leaves the classroom prior to showing the instructor the “green screen” the student will receive a “0” on the test. Proctor may assign seats for testing. Looking around the room and at others computer screens is not allowed.

Math Competency: Each student will be required to take a basic conversions and dosage calculation test by week 4. If the student receives less than 90% on this test they will need to remediate by setting up an appointment with a tutor or nursing faculty and the test will be given again by week 15 of the semester. If the student receives less than 90% on the second exam, the student will be required to complete the remediation activity required by the instructor over winter break. The student will be required to present proof of successful completion of the required remediation and take the exam a third time the week prior to the start of second semester. Arrangements for the test can be made through the nursing office. If the student receives less than 90% on the third attempt they will be unable to continue on in the program and will receive a maximum of a “C+” in NUR240.

Grading

Graded Course Activities

See attached course schedule.

Course Grading Scale

Letter Grade Percentage Range

A 100 – 94%

A- 93 – 90 %

B+ 89 – 87 %

B 86 – 83 %

B- 82 – 80 %

C+ 79 – 77 %

C 76 – 73%

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C- 72 – 70 %

D+ 69 – 67 %

D 66 – 63 %

D- 62 – 60 %

F Below 60 %

Policies and Student Support

All policies and guidelines found in the Handbook for Associate Degree Nursing Students will be followed and enforced. The student is expected to be familiar with all policies. Failure to follow policies and guidelines may result in probation, failure in the course and/or removal from the program based on the seriousness of the offence. Refer to the Handbook for Associate Degree Nursing Students for information regarding: Tests Test Days Quizzes Attendance Expectation and Consequences Classroom Behavior Handheld Devices Dishonesty/Cheating Students are expected to demonstrate behaviors that are congruent with the ANA Code of Ethics and ANA Position Statement on Incivility in all class related activities. Community Service

Each student will have a 10 hour community service requirement per year in the ADN program. Each student must have at least 2 different activities in this requirement and activities must be approved by an instructor. Link for submission of service hours posted in Moodle.

Technical Support

If you have general questions about the course content or have trouble accessing any of the

content in this course, please contact the instructor. For Moodle, any GCC-supported software,

and GCC email, please contact the IT department at (906) 932-4231 ext. 344 or via e-mail

GCC.IT@gogebic.edu.

Brainfuse Online tutoring

Brainfuse is an online tutoring program. It is available FREE 24 hours a day to all Gogebic

Community College students. With Brainfuse, you can easily access multiple resources and

receive one-on-one tutor help. Brainfuse Online Tutoring is not a homework answering service.

Instead, Brainfuse tutors assist learning and help you with strategies to understand coursework.

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To interact with an online tutor in real-time, please consult with your instructor for access to

Brainfuse Online Tutoring in Moodle.

Library/Learning Resources Center

Alex D. Chisholm Learning Resources Center, located on the GCC Ironwood campus, contains

numerous print and digital sources from a wide range of subjects. You can use library space,

resources, and services to support your academic success. To access thousands of online

articles and books for your assignments, visit the Learning Resources Center’s online databases

and open educational resources at https://gogebic.edu/library/index.html , or stop by the

Academic Building on Ironwood Campus.

Accessibility and Disability Services

Gogebic Community College values the significance of creating and maintaining a welcoming

and inclusive environment for people of all abilities. If you have a disability that may affect your

performance in this class, please contact the Office of Disability Services, located in office T105C

of the ACES Center, call (906) 932.4231 x 237, or e-mail jessicaln@gogebic.edu to discuss your

needs and the process for requesting accommodations. Please note that accommodations are

not retroactive and that accommodations based upon disability can’t be provided until you

have presented the instructor with an accommodation letter from the Office of Disability

Services. Please visit the Office of Disability Services web site and contact the office as soon as

possible for assistance.

Title IX and Non-Discrimination Policy

Gogebic Community College is committed to maintaining a positive learning and working

environment for students, faculty, and staff based on open communication and mutual respect.

We encourage students to report, confidentially discuss, or raise questions and concerns

regarding potential violations. If you believe you have encountered sexual harassment, sexual

misconduct, sexual assault, or discrimination based on race, color, religion, age, national origin,

veteran status, sex, sexual orientation, gender identity, or disability, please contact Title IX

Coordinator or Deputy Coordinator. To learn more about GCC Title IX and Non-Discrimination

response and prevention policy, please read the GCC Student Handbook.

Family Educational Rights and Privacy Act (FERPA)

The Family Educational Rights and Privacy Act (FERPA) (20 U.S.C., 1232 g; 34CFR Part 99) is a

federal law that protects the privacy of student education records. The law applies to all schools

that receive funds under an applicable program of the U.S. Department of Education. FERPA

protects the privacy of student records by requiring prior written consent before disclosing

personally identifiable information to a third party. To learn more about your student privacy

rights, please visit the Family Educational Rights and Privacy Act page.

Course Copyright

The course materials on this course and made available to students through the course site are

for the use of the students enrolled in the course only. They cannot be reproduced, distributed,

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shared with those not in the class, and uploaded to other online environments. Any distribution

of these materials without explicit permission would be considered a violation of the Academic

Integrity policy described herein.

COVID-19 Students taking classes on ground with Gogebic Community College must abide by our

procedures and the state executive order regarding face coverings, social distancing, and

mandatory COVID screenings. Students must also cooperate with contact tracing, isolation, and

quarantine protocols.

Students will not be allowed to enter campus if they test positive for COVID-19.

FACE COVERINGS Face coverings are expected to be worn indoors at this time to meet CDC guidelines. Students,

staff, and faculty should wear face coverings indoors to avoid the spread of COVID 19.

Students who require accommodation for a face covering will need to meet with the Director of

Trio and Accessibility to process an accommodation. No student will be permitted to enter a

campus building or classroom without a proper face covering.

SOCIAL DISTANCING All students, faculty, and staff are required to observe social distancing guidelines (3-foot

separation) when possible at all times.

CLEANING Classrooms are equipped with disinfectant cleaner, towels, and hand sanitizer. Instructors and

students should wipe down their area upon entry and exit of the classroom.

Classrooms will be thoroughly cleaned and disinfected nightly.

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SKILL TESTING 1

NAME: ________________________________

The student will be given 2 attempts to perform specific skills according to criteria. Inability to

perform the skills as taught in the lab will result in a grade no higher than a “C” in this course.

Content covered in lab will also be tested in a written format either separately or incorporated

into the lecture tests.

SKILL DATE

TESTED

PASS/

FAIL

INSTRUCTOR RETRY

DATE

PASS/

FAIL

INSTRUCTORS

Foley Cath

Insertion/Dressing

Change/ Sterile

Technique

Physical Assessment NG Tube

Insertion/Care & Meds

Criteria for failure:

A. Needed coaching throughout procedure

B. Broke sterile technique without being aware of it

C. Broke sterile technique more than twice (was aware of it)

D. Was unable to complete procedure accurately within 10 minutes

E. Inaccurate results

o Was unable to determine drops/minute

o Was unable to differentiate normal from abnormal lung sounds

F. Poor technique

G. Safety violation

Please indicate in appropriate box the criteria for failure. Please make detailed notes below if

necessary.

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Course NUR 240

Semester Fall 2021

By signing this form, I agree that I have received and read the syllabus for this course and that I agree to the policies, rules, and penalties of the course and of Gogebic Community College. I understand that this signed form will be placed in my file by my instructor and that it becomes a “Contract” between the two of us. I understand that all provisions in this syllabus are subject to revision by the instructor. Such revisions, if any, will be given to me in writing.

Signature ___________________________________________

Printed Name___________________________________________

Date ___________________________________________