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ASSOCIATE OF APPLIED SCIENCE NURSING PROGRAM
COURSE SYLLABUS
NURS 253: NURSING CARE OF CHILDREN AND ADOLESCENTS3 CREDITS: (2 Theory (30 hours) credits and 1 Clinical (45 hours) credit)
Fall 2016
GENERAL INFORMATION
A. INSTRUCTOR INFORMATION:
1. Theory and Clinical Instructor(s):
Heidi Johnston, MSN, RN, CNEOffice [email protected]
Office and Hours:
Heidi Johnston Health Sciences Room 120 Friday 0900-1200 and 1330-1530 Also by appointment
2. Theory and Clinical Instructor(s):
Peggy Drussel, MSN, RNOffice [email protected]
Office and Hours:
Peggy Drussel Health Sciences Room 116 Tuesday and Thursday 0730-0930 and 1700-1800 Also by appointment
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Faculty are available by email Monday through Friday and you can expect a response within 24-48 hours (not including weekends and holidays).
B. COURSE INFORMATION:
Course Description: Provides for the acquisition and application of pediatric nursing theory by applying clinical reasoning and safe, evidence-based, family-centered, holistic nursing care to diverse children and adolescents with acute and chronic health problems. Includes a focus on health promotion, and the application of the concepts of caring, clinical reasoning, quality improvement, communication, and teamwork, considering legal and ethical responsibilities of the nurse when caring for children and adolescents.
Two credits theory, one credit clinical. Offered fall semester only. Prerequisites: Admission to the Nursing Program.
1. Schedule:
Theory:Classroom: Monday and Wednesdays 1:00 PM-3:15 PMDates: October 24, 2016-December 17, 2016
Clinical:
Tuesday, Thursday, & Friday as indicated on the clinical schedule.
COURSE OUTCOMES:
COURSE OUTCOMES MEASUREMENTS
1. Apply pediatric nursing concepts to provide safe, quality, evidence-based, family-centered nursing care in a variety of healthcare environments to diverse children and adolescents with acute and chronic health problems.
Teaching and care planNewspaper articleHearing and vision screeningsHEADSS AssessmentQuizzes
2. Engage in clinical reasoning to make family-centered care decisions for children and adolescents with acute and chronic health problems.
SimulationPediatric Emergency Assessment, Recognition, and StabilizationQuizzesATI RN Real Life Nursing Care of Children
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3. Select quality improvement processes to monitor in the care of children and adolescents with acute and chronic health problems.
Growth and development group presentation
4. Engage in teamwork with members of the interprofessional team, the patient, and the patient’s support persons when managing patient care.
Pediatric Emergency Assessment, Recognition, and StabilizationCase studiesQuizzes
5. Apply management, legal, ethical, and professional guidelines important in the care of children and adolescents with acute and chronic health problems.
SimulationQuizzes
6. Analyze the role of information management principles, techniques, and systems, and patient care technology to communicate, manage knowledge, mitigate error, and support decision-making on the pediatric unit.
SimulationSchool assignment
METHOD OF INSTRUCTION:
Lecture, discussion, demonstration, small group work, assigned readings, and written assignments will be utilized.
THEORY EVALUATION:
Evaluation of student progress will be the successful completion of the course outcomes. This will be evaluated with classroom participation, written
assignments, discussion questions, and quizzes. Questions will be based on utilization of critical thinking skills and application of knowledge acquired in this, as well as previous courses. Students are expected to attend all classroom hours.
CLINICAL EVALUATION:
Clinical evaluation is done mutually by student and instructor throughout the semester and in a summative evaluation at the end of the clinical rotation. Actual clinical performance and written assignments will be used to determine clinical competency and the ability to generalize and transfer theory outcomes to the clinical settings. Safe clinical practice and demonstration of personal and associate degree nursing practice attributes at the third semester level are mandatory for progression in the program.
REQUIRED MATERIALS:
Ball, J., Bindler, R., Cowen, K. (2012). Principles of Pediatric Nursing: Caring for Children (5th ed.). Upper Saddle River, NJ: Pearson
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ATI RN Nursing Care of Children 9th Edition Content Mastery Series
Pediatric Emergency Assessment, Recognition and Stabilization (PEARS) provider manual.
REQUIRED VIDEOS:
No required videos.
GRADING POLICY AND CRITERIA:
If you do not complete the course and do not formally withdraw by the drop deadline, your instructor will automatically assign you a grade of "F". Drop deadline is November 28, 2016.
Course grade will be based on a percentage of the total possible points of theory and clinical assignments according to the following scale:
100 - 94.00 = A 76.00 =C (needed to pass)93.99-90.00 = A- 75.99-70.00 = C-89.99-87.00 = B+ 69.99-67.00 = D+86.99-84.00 = B 66.99-64.00 = D83.99-80.00 = B- 63.99-60.00 = D-79.99-77.00 = C+ Below 60.00 = F
Course work must be completed with an average of 76% or better in both theory and clinical to pass the course.
Late theory and clinical assignments will be worth 50% of the actual grade. If an assignment is more than one week late, a zero will be given for the assignment but submission of the assignment is still required.
If you fail any one exam or three quizzes, you will receive a Notification of Unsatisfactory Performance. You will also be required to resubmit any assignments in order to meet the outcomes of the assignment. Please refer to the ADN Student Handbook.
Faculty will make all attempts to have work graded and returned to student within 7 working days from submission date. Please allow more time for larger papers or projects.
Grading Breakdown:
Theory Assignments 20% Module quizzes are worth 40%,
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Midterm exam 10% ATI Nursing Care of Children 10% Clinical assignments 20%
Assessment:Theory: Growth and Development Group ProjectJournal QuestionsClassroom Quizzes Midterm ExamATI Nursing Care of Children Final Exam Clinical:ATI Real Life Scenarios Vision and Hearing School Nurse AssignmentAdolescent Home AssignmentPediatric Clinic SimulationPEARS
ATI FINAL EXAM INFORMATION:
Nursing Care of Children:
This 70-item exam offers an assessment of the student’s basic comprehension and mastery of nursing care of children nursing principles.
Assessed concepts include the following.
● Perspectives and special considerations (family-centered nursing care, cultural awareness, physical assessment, expected growth and development, nutritional needs, implications for safe administration of medications, hospitalization, pain management, death and dying)
● Care of children who have body system disorders
● Pediatric emergencies
● Psychosocial issues
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The student has 70 minutes to complete the assessment
DOSAGE CALCULATIONS EXAM:
Completed at beginning of semester.
ATTENDANCE POLICY:
Students are expected to attend all classroom, lab, and clinical hours. (See Student Handbook)
STUDENT CONDUCT :
Great Basin College considers academic honesty one of its highest values. A student who obtains academic credit for work that is not the product of his or her own effort is being dishonest and undermining the academic integrity of the college. Students are expected to be the sole authors of their work. Use of another’s ideas must be accompanied by specific citation and reference. In addition, a learner may not submit the same work for credit in more than one course. The disciplinary consequences of plagiarism and other forms of academic dishonest include non-acceptance of work submitted, a failing grade in the course, and/or or other disciplinary action as outlined in Great Basin College’s Student Conduct Policy.
Great Basin College states: “messages, attitudes, or any other form of communication deemed outside the bounds of common decency/civility as judged by common standards of classroom behavior (determined as they would in a regular classroom by the instructor) will not be tolerated.”
At GBC, students are expected to assist in maintaining a class environment that is conducive to learning. It is required that students conduct themselves in a manner that does not disrupt the teaching or learning atmosphere. All classroom participants have the responsibility to maintain classroom and online discussions that are civil and not disruptive by being courteous and using respectful language. This courteous behavior continues beyond the classroom to any community interactions as a GBC nursing student.
Be an engaged learner and encourage your fellow students to do so as well.
ADA STATEMENT:
Great Basin College is committed to providing equal educational opportunities to qualified students with disabilities in accordance with state and federal laws and regulations, including the Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. A qualified student must furnish current verification of disability. The Director of Services for Students with Disabilities
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(Julie G. Byrnes) will assist qualified students with disabilities in securing the appropriate and reasonable accommodations, auxiliary aids and services. For more information or further assistance, please call 775.753.2271.
Weeks Assigned Readings/Dates Additional Information Week One
Peggy 1 and 2Heidi 5 and 15
Monday: October 24
Ball & Bindler Chapter 1 Nurses Role in Care of the Child
Ball & Bindler Chapter 2 Family-Centered Care and Cultural Considerations
ATI Nursing Care of Children Unit1: Foundations of Nursing Care of Children
Family-Centered Nursing Care p. 2
Wednesday: October 26
Ball & Bindler Chapter 5 Pediatric Assessment
Ball & Bindler Chapter 15 Pain Assessment and Management
ATI Nursing Care of Children Unit1: Foundations of Nursing Care of Children
Physical Assessment Findings p. 8
Pain Management p. 77
Daily quizzes
Wednesday: Upload ATI transcripts for Physical Assessment of a Child BEFORE class
Week Two
Heidi 16, 31, 17
Monday: October 31
Ball & Bindler Chapter 16 Immunizations and Communicable Diseases
Daily quizzes
Monday October 31: ATI
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Pages 368-403
Ball & Bindler Chapter 31 Alterations in Skin Integrity: focus on
Pediatric differences p 978 & 979
Contact dermatitis P 981 & 982
Diaper dermatitis p 983
Impetigo p 984 & 985 Oral candidiasis p
987 Ringworm p 987-989 Drug reactions
p 989-990 Atopic dermatitis
p 990-992 Acne p 993-995 Lice p 998 & 999 Scabies p 999-1000 Burns p 1002-1007 (Sunburn is included
above pages) Animal/human bites
p 1013 & 1014
ATI Nursing Care of Children Unit 2: Integumentary Disorders
Skin Infections and Infestations p. 345
ATI Nursing Care of Children Unit 2: Immune and Infectious Disorders
Immunizations p. 407 Communicable
Diseases p. 416
Wednesday: November 2
Journal Questions One by 1300
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Continue with Chapter 31
Week Three
Heidi 17Peggy 13
Monday November 7
Ball & Bindler Chapter 17 Social and Environmental Influences on the child: focus on
Child abuse p 426-431
Muchausen p 432
Ball & Bindler Chapter 7 Health Promotion and Maintenance for the Newborn and Infant
Infant only
Ball & Bindler Chapter 13 The Child with a Life Threatening Condition and End of Life Care
ATI Nursing Care of Children Unit 1: Foundations of Nursing Care of Children
Health Promotion of Infants p. 23
ATI Nursing Care of Children Unit 1: Special Considerations of Nursing Care of Children
Death and Dying p. 97
ATI Nursing Care of Children Unit 2: Psychosocial Issues
Maltreatment of Infants and Children
Daily quizzes
Monday November 7: ATI Journal Questions Two by 1300
Monday November 7: Group One Presentation- Infant
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p. 500
Wednesday November 9
Monday: Midterm Exam
Week Four
Chapter 28 PeggyHeidi-19
Monday November 14
Ball & Bindler Chapter 8 Health Promotion and Maintenance for the Toddler and Preschooler
Ball & Bindler Chapter 9 Health Promotion and Maintenance for the School-aged child and Adolescent
School-aged child only
ATI Nursing Care of Children Unit 1: Foundations of Nursing Care of Children
Health Promotion of Toddlers p. 33
Health Promotion of Preschooler p. 42
Health Promotion of School-Age Children p. 50
Wednesday November 16
Ball & Bindler Chapter 20 Alteration in Respiratory Function: focus on
A&P p 520 Pediatric differences
P 522 & 523 Croup p 529-533 Bronchiolitis and
RSV
Monday November 14: ATI Journal Questions Three by 1300
Monday: Group Two Presentation- Toddler
Monday: Group Three Presentation- Preschooler
Monday: Group Four Presentation- School-Age Child
Daily quizzes (except Monday)
Wednesday: Real Life RN Nursing Care of the Child: Cystic Fibrosis; Inpatient Care
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p 534-538 Pneumonia p 538 Asthma p 540-552 CF p 540-552
Ball & Bindler Chapter 21 Alteration in Cardiovascular Function: focus on
A & P and Pediatric differences p 520-523
Congestive Heart Failure591-596
Rheumatic fever p 600- 601
ATI Nursing Care of Children Unit 2: Respiratory Disorders
Acute and Infections Disorders p. 161
Asthma p. 175 Cystic Fibrosis p. 185
ATI Nursing Care of Children Unit 2: CV and Hematological Disorders
Rheumatic Fever p. 206
Manifestations of HF p. 199
Medications p. 202
Week Five
Peggy 27
Heidi 2
Monday November 21
Ball & Bindler Chapter 9 Health Promotion and Maintenance for the School-aged child and Adolescent
Adolescent only
Ball & Bindler Chapter 27 Alterations in Neurologic
Daily quizzes
Monday November 21: ATI Journal Questions Four by 1300
Monday: Group Five Presentation- Adolescent
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Function: focus on A & P and Pediatric
differences p 806-809 Seizure disorders
p 813-820 Bacterial meningitis p 820-824 Viral meningitis p
825 Reye syndrome p 826 Headaches p 827-829 CP p 838-844
ATI Nursing Care of Children Unit 1: Foundations of Nursing Care of Children
Health Promotion of Adolescents p. 59
ATI Nursing Care of Children Unit 2: Neurosensory Disorders
Meningitis and Reye Syndrome p. 107
Seizures p. 119
ATI Nursing Care of Children Unit 2: Musculoskeletal Disorders
CP p. 322
Wednesday November 23
Ball & Bindler Chapter 29 Alterations in Musculoskeletal Function: focus on
A & P and Pediatric differences p 894-897
Scoliosis p 909-912 Marfan syndrome p
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918 Muscular dystrophies
p 918 Fractures p 923-929 Sports injuries
p 929-931
ATI Nursing Care of Children Unit 2: Musculoskeletal Disorders
Fractures p. 296 Scoliosis p. 314 MD p. 337
Week Six
Heidi- 20, 21 25
Monday November 28
Ball & Bindler Chapter 28 Alterations in Mental Health and Cognition: focus on
Mental Health Alterations p 859-862
Nursing management p 864
Autism p 865 & 866 ADD/ADHD p 869-
873 Separation anxiety
p 878 Suicide p 881-883 Tic and Tourette
p 883 & 884 Cognitive alterations
884-888
Ball & Bindler Chapter 19 Alteration in Eye, Ear, Nose, and Throat Function: focus on
Conjunctivitis p 482-487(Includes pediatric differences)
Daily quizzes
Monday November 28: ATI Journal Questions Five by 1300
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Visual disorders p 487 & 488
Otitis Media p 497-502
Hearing impairment p 503-508
Tonsillitis and adenoiditis p 512 & 513
ATI Nursing Care of Children Unit 2: Psychosocial Issues
ADHD p. 493 Autism p. 496 Cognitive Impairment
p 497
ATI Nursing Care of Children Unit 2: Immune and Infectious Disorders
Otitis Media p. 426
Wednesday November 30
Ball & Bindler Chapter 30 Alterations in Endocrine and Metabolic Function: focus on
Diabetes Mellitus p 951-967
Ball & Bindler Chapter 25 Alterations in Gastrointestinal Function: focus on
A & P and Pediatric differences p 716-718
Cleft lip and palate p 715 & 719-724
GERD p 728 Gastroenteritis
p 743 & 744 Constipation p 744-
748
Wednesday: Real Life RN Nursing Care of the Child: Diabetes Mellitus
Wednesday: Real Life RN Nursing Care of the Child: Gastroenteritis and Dehydration
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ATI Nursing Care of Children Unit 2: Endocrine Disorders
DM p. 385
ATI Nursing Care of Children Unit 2: Gastrointestinal Disorders
Diarrhea p. 235-240 Cleft Lip and Palate
p. 245 GERD p. 248
Week Seven
Peggy 26Heidi 22-23
Monday December 5
Ball & Bindler Chapter 26 Alterations in Genitourinary Function focus on
A & P and Pediatric differences p 765-767
UTI p 764 & 774-775 Enuresis p 774 & 775 STIs p 796-798
Ball & Bindler Chapter 22 Alterations in Immune Function: focus on
A & P and Pediatric differences p 616 & 617
Allergic reactions p 636-638
Ball & Bindler Chapter 23 Alterations in Hematologic Function: focus on
A & P and Pediatric differences p 645 & 646
Iron deficiency anemia p 644 & 647
Sickle cell disease
Daily quizzes
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p 648-656 Hemophilia p 658 &
659 Von willebrand
disease p 660 & 661
ATI Nursing Care of Children Unit 2: Genitourinary Disorders
Enuresis and UTIs p. 264
ATI Nursing Care of Children Unit 2: CV and Hematological Disorders
Iron Deficient Anemia p. 219
Sickle Cell Anemia p. 222
Hemophilia p. 226
Wednesday December 7
Review Day-Group Review
Week Eight ATI Final Exam
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