NURS 1327 � Transition from Vocational to Professional Nursing by 9DvZVQ


									                                                      RNSG 1327 – Transition to Professional Nursing Practice

Unit II – Associate Degree Nursing Competencies
Part B – Cognitive Competencies
           Behavioral Objectives                              Content Outline                         Clinical Objectives                  Learning Opportunities
1. Discuss the role of the associate        I. Nursing Process                                  Formulate nursing diagnoses       Read:
     degree nurse in the use of the nursing    A. Nursing process overview                      based upon analysis of health     Lewis (2011)
     process and the development of a          B. Role of ADN in nursing process                data.
     nursing care plan.                        C. Phases of nursing process                                                       Berman & Snyder (2012)
                                                   1. Assessment                                Implement plan of care to
                                                        a) Interview                            assist clients to meet            Varcarolis (2010)
                                                        b) Examination                          physiological needs, including:
                                                            1) Measurement                      circulation, nutrition,           View:
                                                            2) Inspection                       oxygenation, activity,
                                                            3) Palpation                        elimination, comfort, pain        TVCC Library – Nursing Education in
                                                            4) Percussion                       management, rest and sleep.       Video
                                                            5) Auscultation                                             
                                                        c) Observation                          Promote a safe, effective
                                                        d) Types of data                        environment conducive to the      Critical thinking in the nursing process
                                                            1) Objective                        optimal health and dignity of
                                                            2) Subjective                       the client.
                                                   2. Analysis of data (Nursing diagnosis)
                                                        a) Patient problems
                                                        b) Etiology
                                                        c) Classification system (e.g. NANDA)
                                                        d) Prioritizing nursing care
                                                            1) Maslow’s Hierarchy of Needs
                                                   3. Planning
                                                        a) Goal development
                                                            1) Measurable
                                                            2) Time-limited
                                                            3) Long-term vs. short term
                                                        b) Therapeutic nursing interventions
                                                        c) Assessing primary and secondary
                                                            sources of information
                                                        d) Use of current literature and
                                                   4. Implementation
                                                        a) Types of interventions
                                                            1) Independent
                                                            2) Dependent
                                                            3) Collaborative/interdependent
                                                        b) Delegation
                                                          RNSG 1327 – Transition to Professional Nursing Practice

          Behavioral Objectives                               Content Outline                         Clinical Objectives   Learning Opportunities
                                                     5. Evaluation
                                                        a) Observations/conclusions
                                                        b) Attainment of goals
                                                        c) Reassessment of
                                                        d) Expected outcomes
                                                        e) Method of evaluating
                                                        f) Evaluation tools
                                                C. Discharge planning
                                                   1. Referral process
                                                   2. Strategies
                                                   3. Coordination
                                                   4. Roles of families and significant others

2.   Apply the nursing process in caring for II. Application of nursing process for immobility
     the client experiencing immobility.         A. Assessment
                                                    1. Interview
                                                          a. Chief complaint
                                                          b. Precipitating event
                                                          c. Medical history
                                                          d. Family/social/occupational history
                                                          e. Medication history
                                                              (1) Prescription
                                                              (2) Nonprescription
                                                          f. Knowledge of health maintenance
                                                          g. Risk factors
                                                          h. Braden Scale
                                                    2. Physical exam – integumentary
                                                          a. Stages of breakdown
                                                    3. Other
                                                          a. Cultural influences
                                                          b. Hereditary
                                                          c. Environmental
                                                          d. Health beliefs/practices
                                                          e. Developmental
                                                              (1) Age specific assessment data
                                                                   (1) Vital signs
                                                                   (2) Fluid/electrolytes
                                                                   (3) Nutritional
                                                                   (4) Behavioral/emotional
                                RNSG 1327 – Transition to Professional Nursing Practice

Behavioral Objectives                Content Outline                        Clinical Objectives   Learning Opportunities
                                               response to health care
                        B. Selected Nursing Diagnosis/Plan/
                           1. High risk for complications r/t
                               a. Prevent respiratory complication
                                   (1) See respiratory assessment
                                   (2) Turn, cough and deep breathe
                                   (3) Position for maximum
                                        ventilation and prevention of
                                   (4) Increase fluid intake
                                b. Prevent impaired skin integrity
                                    (1) See integumentary assessment
                                    (2) Positioning
                                    (3) Pressure relieving devices
                                    (4) Staging of pressure ulcers
                                         (I –IV)
                                    (5) Massage bony prominences
                                    (6) Keep skin clean and dry
                                    (7) Linen wrinkle free; avoid
                                    (8) Monitor hydration status
                                    (9) Monitor nutrition status
                                    (10) Restraint protocol
                                    (11) Monitor elimination status
                                c. Prevent complications of
                                    musculoskeletal system
                                    (1) Safe patient handling
                                            (a) Change positions
                                            (b) Transfer techniques
                                            (c) Nurse safety
                                            (d) Safety Precautions
                                    (2) Up in chair
                                    (3) Prevent foot drop
                                    (4) Range of motion (active and
                                    (5) Splinting
                        RNSG 1327 – Transition to Professional Nursing Practice

Behavioral Objectives          Content Outline                      Clinical Objectives   Learning Opportunities
                             (6) Trochanter rolls
                             (7) Activities of daily living
                             (8) Bed low, rails up
                             (9) Assisted devices for ambulation
                             (10) Assess for vitamin and mineral
                        d.   Prevent complications of
                             cardiovascular system
                             (1) Prevent orthostatic hypertension
                             (2) Turn, active and passive range
                                  of motion exercises
                             (3) Anti-thrombolytic devices
                             (4) Assess Homan’s sign
                             (5) Maintain fluid volume status
                             (6) Maintain IV insertion sites
                        e.   Prevent complications of
                             (1) Increase fluid intake
                             (2) High fiber diet
                             (3) Increase activity
                             (4) Record characteristics/
                                  frequency of bowel and bladder
                             (5) Intake and output
                             (6) Assess abdomen (bowel sounds,
                             (7) Maintain indwelling foley
                                  catheter (foley catheter care)
                             (8) Bowel and bladder training
                             (9) Maintain skin integrity
                        f.   Collaborate with health care
                              team members
                             (1) Physical therapy
                             (2) Occupational therapy
                             (3) Social worker
                             (4) Speech therapy
                        g.   Recognition of complications
                             (1) Constipation /impaction
                             (2) Contractures
                                                           RNSG 1327 – Transition to Professional Nursing Practice

          Behavioral Objectives                                  Content Outline                       Clinical Objectives   Learning Opportunities
                                                                (3) Thrombosis
                                                                (4) Respiratory Infections
                                                                (5) Pressure ulcers
                                                                (6) Sleep pattern disturbances
                                                                (7) Urinary retention
                                                           h.   Evaluation of Outcomes: The client
                                                                will not experience complications
                                                                of immobility as evidenced by:
                                                                (1) Breath sounds, breathing
                                                                (2) Skin integrity
                                                                (3) Muscle strength, joint mobility
                                                                (4) Absence of contractures
                                                                (5) Vital signs
                                                                (6) Tissue perfusion
                                                                (7) Maintains nutritional status
                                                                (8) Normal elimination patterns
                                                                (9) Absence of injuries
                                                                (10) Participates in care

3. Discuss the role of the associate degree   III. Teaching-Learning Process
   nurse in the teaching-learning process          A. Role of associate degree nurse
   and the development of a teaching care          B. Learning domains
   plan.                                               1. Cognitive
                                                       2. Psychomotor
                                                       3. Affective
                                                   C. Developmental considerations
                                                       1. Age specific
                                                       2. Principles of adult learning
                                                   D. Assessing learning needs
                                                       1. Readiness to learn
                                                       2. Ability to learn
                                                       3. Learning strengths
                                                   E. Teaching plan
                                                       1. Objectives
                                                       2. Teaching strategies
                                                   F. Implementation
                                                   G. Evaluation of learning
                                                               RNSG 1327 – Transition to Professional Nursing Practice

           Behavioral Objectives                                     Content Outline                       Clinical Objectives   Learning Opportunities
4. Discuss the process of critical thinking       IV. Critical Thinking
   as it applies to the practice of the               A. Definitions
   associate degree nurse.                            B. Think model
                                                           1. Total recall
                                                           2. Habits
                                                           3. Inquiry
                                                           4. New ideas and creativity
                                                           5. Process of thinking
                                                      C. Characters of Critical Thinking
                                                      D. Attitudes of Critical Thinking
                                                           1. Independence of thought
                                                           2. Fair-mindedness
                                                           3. Insight into egocentricity and
                                                           4. Humility and suspension of thought
                                                           5. Courage
                                                           6. Integrity
                                                           7. Perseverance
                                                           8. Confidence in reason
                                                           9. Interest in related thoughts and feelings
                                                           10. Curiosity
                                                      E. Development of Critical Thinking/Stages of
                                                          Skill acquisition
                                                           1. Novice
                                                           2. Advanced beginner
                                                           3. Competent
                                                           4. Proficient
                                                           5. Expert
                                                      F. Obstacles to Critical Thinking
                                                      G. Critical Thinking and the nursing process
                                                           1. Assessment
                                                           2. Nursing diagnosis
                                                           3. Planning
                                                           4. Intervention
                                                           5. Evaluation
                                                      H. Applying T.H.I.N.K. model to the nursing
                                                      I. Critical Thinking in nursing practice

N:Syllabus/Transition/Transition Unit II PART B                                                                                     Revised 03/12

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