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					                                                                                     Date Prepared:    Fall 1989
                                                                                     Date Reviewed:    Fall 2007
                                                                                     Date Reviewed:    Fall 2006
                                                                                    PCA Established:   Spring 2002
                                             ALLAN HANCOCK COLLEGE
                                                 COURSE OUTLINE


DEPARTMENT:                      HEALTH SCIENCES

PREFIX & NO.:                    NURS 317

CATALOG TITLE:                   Fundamentals of Nursing

SCHEDULE TITLE:                  Fundamentals of Nursing

UNITS:                           3.5

WEEKLY LECTURE HOURS:                         2.5

WEEKLY LAB HOURS:                        3

TOTAL NUMBER OF WEEKS: (if other than 16)

GRADING OPTION:                   Letter Grade Only

PREREQUISITE:                    See Catalog: Nursing (Vocational Nursing Program-Nursing 310 through
                                 Nursing 338)

CATALOG DESCRIPTION
Provides a foundation of theory and training necessary for the beginning student to perform basic
nursing techniques and procedures safely and effectively.

SCHEDULE DESCRIPTION
Provides a foundation of theory and training necessary for the beginning student to perform basic
nursing techniques and procedures safely and effectively.

COURSE GOALS To encourage and enable students to:
1. develop knowledge and understanding of basic nursing principles and procedures.
2. integrate the knowledge and understanding of basic nursing principles and procedures into the
   application of competent nursing care.
3. develop awareness that the nurse can add a special dimension of effectiveness beyond the basic
   administration of knowledge, principles and procedures.

INSTRUCTIONAL OBJECTIVES At the end of the course, the student will demonstrate the
ability to:
1. define illness, health, homeostasis and the role of the nurse in caring for patients with alterations
    in each.
2. demonstrate appropriate assessment and data collection procedures, documenting findings in
    accordance with legal guidelines and agency policy.
3. identify patient needs, plan, implement and evaluate interventions to meet those needs.
4. explain infection control principles including, standard precautions, isolation, handwashing,
    medical and surgical asepsis.
5. explain and demonstrate sterile techniques.
6. demonstrate use of the nursing process for problem solving in selected patient situations.
7. contrast assessment techniques and findings for patients through the lifespan.
8. describe communication techniques appropriate to identified circumstances and age groups.
9. demonstrate correct technique for insertion of urinary catheters, nasogastric tubes and
    maintenance of each.
C:MSWord/Vicki/course outlines/NURS317
10.   explain fluid and electrolyte balance and the role of the nurse in addressing alterations.
11.   identify diagnostic testing modalities and list the patient teaching indicated for each.
12.   describe methods for meeting the nutritional needs of patients.
13.   explain nursing assessment of pain and list appropriate interventions.
14.   demonstrate the role of the licensed vocational nursing in providing care as defined by Jean
      Watson.

COURSE OUTLINE
                                                                                                     WEEKS

Theory
1. Vocational nursing scope of practice/professional accountability                                     1
2. Assessment and data collection                                                                       1
3. Safety, infection control, and hygiene                                                               1
4. Urinary catheterization, enema, and intake/output measurement                                        1
5. Diagnostic testing                                                                                   1
6. Life cycle, self-concept, and cultural influences                                                    1
7. Nursing process, concept mapping, caring, and communication                                          1
8. Nutrition, blood sugar ranges, managing hypoglycemia, and nasogastric tubes                          1
9. Client education and documentation                                                                   1
10. Death, loss, grief, and hospice care                                                                1
11. Perioperative patient and wound/skin care                                                           1
12. Oxygenation, pulmonary function, and fluid and electrolyte balance                                  1
13. Ethical and legal concerns                                                                          1
14. Comfort, sleep, stress, anxiety, and adaptation                                                     1
15. Psychiatric patients and suicide precautions                                                        1
16. Health promotion illness prevention, and rehabilitation                                             1

Laboratory
1. Homeostasis                                                                                          1
2. Physical assessment                                                                                  1
3. Medical and surgical asepsis and isolation techniques                                                1
4. Urinary catheterization including patient teaching, insertion, irrigation, nursing care,             1
    and removal
5. Laboratory values, diagnostic tests, and specimen collection                                         1
6. Cultural diversity                                                                                   1
7. therapeutic communication and care planning                                                          1
8. Nasogastric tube insertion and enteral feedings                                                      1
9. Teaching plan and teaching demonstration                                                             1
10. Compassionate care and post-mortem care                                                             1
11. Suture and staple removal                                                                           1
12. Dressing changes                                                                                    1
13. Fluid and electrolyte balance                                                                       1
14. Nasopharyngeal and tracheostomy suctioning and airway adjuncts                                      1
15. Suicide precautions                                                                                 1
16. Sexuality and sexual abuse                                                                          1

APPROPRIATE READINGS (other than textbook)
1. Current professional nursing journals, including Nursing, RN, American Journal of Nursing,
   and other peer-reviewed publications.
2. Web based information from credible academic sites.
3. Facility policies and procedures.




C:MSWord/Vicki/course outlines/NURS317
OUTSIDE ASSIGNMENTS
1. Group projects.
2. Reading assignments.
3. Written worksheets.
4. Practical application of theory and skills.
5. Written papers.

Sample:
Utilizing the APA guidelines, write a 4-5 page paper on a current topic pertinent to nursing that has
more than one viewpoint. Appropriate ethical, legal and social topics might include: fetal cell
transplantation, euthanasia, medical insurance coverage, abortion, allocation of transplant organs,
and end of life decisions.

EVALUATION
1. Written assignments.
2. Written examinations.
3. Skills demonstration.
4. Comprehensive final examination.
Sample test question:

A patient is being admitted at 0800 for a scheduled laparoscopic cholecystectomy. The admitting
physician orders include: NPO, D5W at 100 mL/hour, consent for laparoscopic cholecystectomy,
and cefazolin (Ancef) 1 gram on call to OR. The patient states taking her prescribed subcutaneous
insulin injections: 50 units NPH and 35 units regular Humulin. The patient indicated that she has
not had anything to eat since midnight. She is allergic to penicillin and cephalosporins. List three
(3) appropriate immediate nursing actions.

TEXTS AND SUPPLIES
Adopted Text: DeLaune, S.C., Ladner, P.K. Fundamentals of Nursing, Standards and Practice. Delmar.
              2006
              Elkin, M.K., Perry, A.G., Potter, P.A. Nursing Interventions & Clinical Skills. 2nd ed.
              Mosby. 2000.

Other Materials: Skills kit of supplies needed for procedure practice. The students direct order these
                 from the company.




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