Document Sample
COURSE SYLLABUS Powered By Docstoc

   (Revised Fall 2007)

   Clarendon College

      VNSG 1429
Medical Surgical Nursing I

Division of Science and Health

Course Name: VNSG 1429 Medical Surgical Nursing I

Credit Hours: 4
Semester: Summer

Classroom Location: 313 S Kearney, P.O. Box 968, Clarendon, Texas 79226
                    1601 W. Kentucky, Pampa, 79065

Instructors: TBA

E-mail: TBA

Office location: 313 S Kearney, P.O. Box 968, Clarendon, Texas 79226
                  1601 W. Kentucky, Pampa, 79065

Phone: Pampa Campus 665-8801 ext 2018, Clarendon Campus 874-3571 ext. 157

Office Hours: TBA

Course Description:
Application of the nursing process is to the care of adult patients experiencing medical surgical conditions in the health illness continuum. A variety of health care settings
are utilized.
Statement of Purpose
Medical Surgical Nursing Care partially satisfies the requirement for the Vocational Nursing Certificate at Clarendon College.

Required Instructional Materials:
Textbook:: Williams, Linda S and Paula D Hooper. Understanding Medical Surgical Nursing (3rd edition); FA Davis, Philadelphia, PA. 2007.
Williams, Linda S and Paula D Hooper. Student Workbook for Understanding Medical Surgical Nursing (3rd edition); FA Davis, Philadelphia, PA. 2007.

Other Relevant Materials:
Pens, paper, highlighters

Student Requirements
The learner shall:
 Be able to identify the components of the health illness continuum: identify prevalent medical surgical conditions affecting the adult: and utilize the nursing process to
    assist in developing a plan of care for selected medical surgical conditions.
   SCANS: C1, C7, F2, F8, F9, F11, F12, F14, F17
   As a Provider of Care:
     Knowledge: 1A, 1B, 1C, 1D, 1E, 1F, 2A, 2B, 2C, 2D, 2E, 2F, 2G, 3A, 3B, 3C, 3D, 3E, 3F, 3G, 3H, 3I, 3J, 3K, 3L, 3M, 4A, 4B, 4C, 5A, 5B, 6A, 6B, 6C, 6D, 6E,
        7A, 7B, 7C, 7D
     Clinical Behaviors / Judgments: 1A, 1B, 1C, 1D, 1E, 1F, 2A, 2B, 2C, 2D, 2E, 2F, 3A, 3B, 3C, 3D, 3E, 3F, 3G, 3H, 3I, 3J, 3K, 3L, 3M, 3N, 3O, 4A, 4B, 4C, 4D,
        4E, 4F, 5A, 5B, 5C, 5D, 6A, 6B, 7A, 7B, 7C, 7D
   As a Coordinator of Care:
     Knowledge: 1A, 1B, 1C, 1D, 2A, 2B, 2C, 2D, 3A, 3B, 4A, 4B, 4C, 4D, 4E
     Clinical Behaviors / Judgments: 1A, 1B, 2A, 2B, 3A, 3B, 3C, 4A, 4B, 4C, 4D
   As a Member of a Profession:
     Knowledge: 1A, 1B, 1C, 1D, 1E, 1F, 1G, 1H, 2A, 2B, 2C, 2D, 3A, 3B, 3C, 3D, 3E,
     Clinical Behaviors / Judgments: 1A, 1B, 1C, 1D, 1E, 1F, 2A, 2B, 2C, 3A, 3B, 3C, 3D. 3E
   Demonstrate accountability for her/his own nursing practice

Methods of Instruction
Methods of instruction:
Audio-Visual Aids
Written Assignments

Course Objectives
 The graduate vocational nurse will be able to discuss the steps of the nursing process (assessment, diagnosis, planning, implementation, and evaluation) and explain
   why the nursing process is used in clinical practice.
 The Graduate nurse will also be able to:
    Differentiate between medical and surgical asepsis.(SCANS C 1,2,4,5,6 ,9,12) F1-F17
    Identify the complications that can arise from prolong bed rest and flexion.(SCANS C 1 ,4,5,7 ,9,12) F1-F17
    Identify general safety factors concerned with patient care and the nurses self (SCANS C 1,2,4,5,6 ,7,9,12) F1-F17
    Identify the steps of the nursing process to a given situation. (SCANS C 1,2,4,5,7 ,9,12) F1-F17

Grading Policies:
         Exams                              60%
         Final Exam                         25%
         Assignments                        15%
Students may drop one test grade

A student’s final grade will be made available through Campus Connect at Clarendon College’s website.

Classroom Conduct

Failure to comply with lawful direction of a classroom instructor is a disruption for all students enrolled in the class. Cheating violations include, but are not limited to: (1)
obtaining an examination , classroom activity, or laboratory exercise by stealing or collusion; (2) discovering the content of an examination , classroom activity, laboratory
exercise, or homework assignment before it is given; (3) using an unauthorized source of information during an examination , classroom activity, laboratory exercise, or
homework assignment ; (4) entering an office or building to obtain unfair advantage; (5) taking an examination for another person; (6) completing a classroom activity,
laboratory exercise, homework assignment, or research paper for another person; (7) altering grade records; (8) using any unauthorized form of electronic communication
device during an examination, classroom activity, or laboratory exercise; (9) Plagiarism. Plagiarism is the using, stating, offering, or reporting as one’s own, an idea,
expression, or production of another person without proper credit.

Disciplinary actions for cheating in a course are at the discretion of the individual instructor. The instructor of that course will file a report with the Dean of Students when
a student is caught cheating in the course, whether it be a workforce or academic course. The report shall include the course, instructor, student’s name, and the type of
cheating involved.
Students who are reported as cheating to the Dean of Students more than once shall be disciplined by the Dean. The Dean will notify all involved parties within fourteen
days of any action taken.

American with Disabilities Act Statement:
Clarendon College provides reasonable accommodations for persons with temporary or permanent disabilities. Should you require special accommodations, notify the
Office of Student Services (806-874-3571 or 800-687- 9737). We will work with you to make whatever accommodations we need to make.

Dropping a Course:
A student who is enrolled in a developmental course for TSI purposes may not drop his/her only developmental course unless the student completely withdraws from the
college. A student may drop any other course with a grade of “W” any time after the census date for the semester and on or before the end of the 12th week of a long
semester, or on or before the last ay to drop a class of a term as designated in the college calendar. The request for permission to drop a course is initiated by the student by
procuring a drop form from the Office of Student Services. (Refer to other policies concerning this issue in the current college catalog online.)

Withdrawal: If you decide that you are unable to complete this course or that it will be impossible to complete the course with a passing grade, you may drop the course
and receive a “W” on your transcript instead. Withdrawal from a course is a formal procedure that you must initiate. If you do not go through the formal withdrawal
procedure, you will receive a grade of "F" on your transcript.

A student is permitted to drop a course if he/she obtains an official drop slip from the office and has the instructor sign the slip before the 12 th class week.

Remember, a student is only allowed to drop the same class twice before he/she will be charged triple the tuition amount for taking the class a third time or more.
Furthermore, beginning with the Fall 2007 semester, students in Texas may only drop a total of 6 courses throughout their entire undergraduate career. After the
6, he/she will no longer be able to withdraw from any classes.
Attendance, Cell Phone Policy, Classroom Etiquette, and Academic Honesty: See Vocational Nursing Handbook for policies.

        CONTENT                     LEARNING ACTIVITY                       EXPECTED BEHAVIORAL OUTCOME
        UNIT I Understanding
        Health Care Issues

Chapter 1 Critical      Lecture               Describe how critical thinking is of value in the nursing process.
Thinking and            Discussion            Differentiate subjective and objective data.
the Nursing Process     Audio-Visual Aids     Explain how the documentation of data can be explained.
                        Written Assignments   Prioritize patient care based on Maslow’s hierarchy of needs.
                                              Describe the role of the Licensed Vocational Nurse in the nursing process.
                                              Define a nursing diagnosis.
                                              Define the evaluation step of the nursing process.
Chapter 2               Lecture               Define the factors influencing changes in the healthcare delivery system.
Issues in Nursing       Discussion            Define the LVN’s role in the healthcare delivery system.
Practice                Audio-Visual Aids     Define the 3 leadership styles.
                        Written Assignments   Define the LVN’s role in leadership.
                                              Explain the importance of ethics in healthcare.
                                              Give examples of character traits and relate them to nursing.
                                              Define the four major principles in ethics and apply the ethical principles to
                                                 an ethical dilemma.
                                              List the steps of the ethical decision making model?
                                              Locate the definition of the regulation of nursing practice.
                                              Understand how to provide quality care and limit liability.
                                              Define HIPPA.

Chapter 3 Cultural      Lecture               Understand the meanings of the concepts common to culture and ethnicity.
Influences on Nursing   Discussion            Give examples of cultural characteristics, values, beliefs, and practices.
Care                    Audio-Visual Aids     Explain attributes of culturally diverse patients and their families and how
                        Written Assignments      they affect nursing care.
                                              List data that should be obtained from culturally diverse patients and their
                                              Demonstrate how to provide a holistic approach to patient care according to
                                                 cultural characteristics and attributes.

Chapter 4 Alternative   Lecture               Differentiate between an alternative and complementary therapy.
and Complimentary       Discussion            List some of the systems of healthcare that have contributed to the
Therapies               Audio-Visual Aids        development of new therapies.
                        Written Assignments   Know the different classifications of different types of therapies.
                                              List some safety issues in alternative and complementary therapies.
                                              Understand the role of the LVN in assisting a patient with alternative and
                                                 complementary therapies.

Unit II Understanding
Health and Illness

Chapter 5 Nursing Care    Lecture               Know the purposes of fluids and electrolytes in the body.
of Patients with Fluid,   Discussion            List signs and symptoms of common fluid imbalances.
Electrolyte, and Acid-    Audio-Visual Aids     Describe patients that are at high risk for dehydration and fluid excess.
Base Balance              Written Assignments   List data that should be collected in patients with fluid and electrolyte
                                                List / Define therapeutic interventions for patients with fluid and electrolyte
                                                Provide for education needs of patients with fluid imbalances.
                                                List common causes, signs and symptoms, and treatments for sodium,
                                                   potassium, calcium, and magnesium imbalances.
                                                List foods that have high sodium, potassium, and calcium content.
                                                Understand common causes of acidosis and alkalosis.
                                                Understand the changes seen in the ABGs for each type of acid-base

Chapter 6 Nursing Care    Lecture               Understand the practice of IV Therapy regulation.
of Patients Receiving     Discussion            List the indications for IV therapy.
IV Therapy                Audio-Visual Aids     List factors that influence the condition, size, and long-term use of veins.
                          Written Assignments   List techniques that can be used for visualization of difficult veins.
                                                Evaluate nursing interventions used to prevent complications of IV therapy.
                                                Differentiate among isotonic, hypotonic, and hypertonic solutions.
                                                Explain the differences between central venous access devices,
                                                   Percutaneous catheters, peripherally inserted central catheters, tunneled
                                                   catheters, and implanted ports.

Chapter 7 Nursing Care    Lecture               Define the links in the chain of infection.
of Patients with          Discussion            List methods to disrupt the routes of transmission of infectious disease.
Infections                Audio-Visual Aids     Determine how you can assist the body’s defense mechanisms to fight
                          Written Assignments      infectious disease.
                                                Differentiate signs and symptoms of localized infection versus generalized
                                                List principles of anti-infective medication administration.
                                                Describe the nursing care for a client with an infectious disease.
                                                Evaluate efficacy of nursing care.

Chapter 8 Nursing care    Lecture               Explain the pathophysiology of shock and compensatory mechanisms.
of Patients in Shock      Discussion            List etiologies, signs, and symptoms of the four categories of shock.
                          Audio-Visual Aids     List the data necessary when caring for patients with shock.
                          Written Assignments   Define the current therapies for patients with shock.
                                                Define the nursing care needed for patients with shock.
                                                Understand how the nurse would prioritize care for a patient with shock.
                                                List findings that demonstrate a positive response to therapeutic
                                                   interventions for shock.

Chapter 9 Nursing Care    Lecture               Define pain.
of Patients in Pain       Discussion            List common myths and barriers to the effective management of pain.
                          Audio-Visual Aids     Differentiate between addiction, physical dependence, and tolerance.
                          Written Assignments   Understand the current knowledge of the basic physiology of the pain
                                                List characteristics that help to define acute, chronic, nonmalignant, and
                                                   cancer pain.
                                                Perform a basic pain assessment.
                                                Explain how the World Health Organization analgesic ladder is used for the
                                                   treatment of pain.
                                                Name three classes of analgesics and their uses.
                                                Define commonly used pain medication treatment modalities and their
                                                   appropriate use.
                                                Understand how and when nondrug pain management treatments are
                                                Understand how ethical decision making plays a role in the care of the
                                                   patient in pain.
Chapter 10 Nursing        Lecture               Understand the normal structure and function of the cell.
Care of Patients with     Discussion            List the changes that occur in the cell when it becomes malignant.
Cancer                    Audio-Visual Aids     Apply the special nursing needs of the patient receiving chemotherapy or
                          Written Assignments      radiation therapy.
                                                List the data necessary when caring for a patient with cancer.
                                                List the common chemotherapeutic agents.
                                                Define nursing interventions for common oncological emergencies.
                                                Explain how to evaluate efficacy of nursing interventions.
                                                Describe the role of hospice in providing care for patients with advanced
Chapter 11 Nursing        Lecture               Define factors that influence surgical outcome.
Care of Patients Having   Discussion            Define the LVNs role in each perioperative phase.
Surgery                   Audio-Visual Aids     Define the role of obtaining informed patient consent.
                          Written Assignments   Describe how to enhance learning for the elderly preoperative patient.
                                                List some nursing interventions for common post-operative patient needs.
                                                Describe the evaluation of the nursing interventions provided.
                                                List signs and symptoms of common post-operative complications.
                                                Describe the criteria for ambulatory discharge.
                                                Describe the role of the home health nurse in caring for a postoperative

Chapter 12 Nursing       Lecture               List the components of the primary survey.
Care of Patients with    Discussion            Describe interventions utilized for a trauma victim.
Emergent Conditions      Audio-Visual Aids     List the symptoms of inhalation injury.
and Disaster /           Written Assignments   Define and describe the stages of hypothermia and hyperthermia.
Bioterrorism Response                          Prioritize care for a patient with poison overdose.
                                               Define the LVNs role in crisis situations and psychiatric emergencies.
                                               Define the LVN’s role in identifying a bioterrorist attack or disaster

UNIT III Understanding
Life Span Influences
on Health and Illness
Chapter 13               Lecture               List the 8 developmental stages.
Developmental            Discussion            Understand the effects of chronic illness.
Considerations in the    Audio-Visual Aids     Define the special needs for caregivers.
Nursing Care of Adults   Written Assignments   Define health promotion methods.
                                               Describe nursing interventions utilized when caring for a chronically ill

Chapter 14 Nursing       Lecture               Define Aging.
Care of Older Adult      Discussion            Describe the basic physiological changes associated with advancing age.
Patients                 Audio-Visual Aids     Describe psychological and cognitive changes associated with advancing
                         Written Assignments      age.
                                               Describe nursing implications for the physiological and psychological
                                                  changes associated with advancing age.
                                               List nursing practices that promote safety for the older patient.

Chapter 15 Nursing       Lecture               Describe how the history of home health nursing shaped nursing care today.
Care of The Patient at   Discussion            Define the members of the home health team.
Home                     Audio-Visual Aids     List documentation items that need to be included in a home visit with a
                         Written Assignments      patient.
                                               Differentiate between home health nursing and hospital nursing.
                                               List some of the steps the home health nurse can take to ensure infection
                                               Differentiate between skilled care, hospice care, and private duty care.

Chapter 16 Nursing        Lecture               Describe the patient who is approaching the end of life.
Care of Patients at the   Discussion            Define the legal documents for patients with life-limiting illness.
End of Life               Audio-Visual Aids     List choices that are available to patients at the end of life.
                          Written Assignments   Understand communication with dying patients and their families.
                                                List the expected physical changes in the dying process.
                                                Define nursing interventions that can be provided at the end of life.
                                                Define post mortem care.
                                                Describe nursing interventions for the grieving patient and family.
                                                Define the role of the LVN in hospice care.

Understanding the
Immune System
Chapter 17 Immune         Lecture               Define the type of immunity obtained with a vaccine.
System Function,          Discussion            Describe how aging affects the immune system.
Assessment, and           Audio-Visual Aids     List subjective and objective data that is collected when caring for a patient
Therapeutic Measures      Written Assignments      with a disorder of the immune system.
                                                Describe the nursing care for a patient undergoing diagnostic tests for the
                                                   immune system.
                                                List common therapeutic interventions used for a patient with disorders of
                                                   the immune system.

Chapter 18 Nursing        Lecture               Explain the immunological mechanism for the four types of
Care of Patients with     Discussion               hypersensitivities.
Immune Disorders          Audio-Visual Aids     Explain the pathophysiology of disorders of the immune system.
                          Written Assignments   List etiologies, signs, and symptoms of immune system disorders.
                                                Describe factors that influence or alter the self-recognition portion of the
                                                   immune system.
                                                Define nursing care of the patient with immune system disorders.
                                                Define the evaluation process of nursing interventions.
Chapter 19 Nursing        Lecture               Define HIV and its routes of transmission.
Care of Patients with     Discussion            Explain how HIV is diagnosed.
HIV Disease               Audio-Visual Aids     Explain the prognosis for HIV and AIDS.
And AIDS                  Written Assignments   Develop a teaching plan for prevention of HIV infection.
                                                List the preventative measures to decrease infection and opportunistic
                                                   diseases for patients with HIV.
                                                Develop a teaching plan for a patient with HIV receiving highly active
                                                   antiretroviral therapy.
                                                Define the nursing care provided for patients with HIV related to
                                                   medications, coinfection prevention and maintenance of nutritional

UNIT V Understanding
the Cardiovascular
Chapter 20              Lecture               Understand the normal anatomy and function of the cardiovascular system.
Cardiovascular          Discussion            Define the data needed caring for a patient with a disorder of the
System, Function,       Audio-Visual Aids       cardiovascular system.
Assessment, And         Written Assignments   Define the diagnostic tests commonly performed to diagnose disorders of
Therapeutic Measures                            the cardiovascular system and nursing care associated with those tests.
                                              Explain the common therapeutic measures used for patients with disorders
                                                of the cardiovascular system.
                                              Describe the pre-operative and post-operative routines and procedures for
                                                cardiac surgery.

Chapter 21 Nursing      Lecture               Explain the pathophysiology of hypertension.
Care of Patients with   Discussion            Define the causes, risk factors, signs, symptoms, common complications
Hypertension            Audio-Visual Aids        and current therapeutic interventions for hypertension.
                        Written Assignments   List the classifications of hypertension in adults and recommendations for
                                              Classify a hypertensive emergency.
                                              Explain nursing care for clients with hypertension and evaluation of those

Chapter 22 Nursing      Lecture               Explain the pathophysiology, etiology, signs and symptoms, diagnostic
Care of Patients with   Discussion              tests, therapeutic interventions, and nursing care for rheumatic carditis,
Inflammatory And        Audio-Visual Aids       infective endocarditis, Myocarditis, Pericarditis, dilated
Infectious              Written Assignments     cardiomyopathy, hypertrophic cardiomyopathy, and restrictive
Cardiovascular                                  cardiomyopathy and Thrombophlebitis.
Chapter 23 Nursing      Lecture               Define the etiologies, signs, symptoms, therapeutic interventions, data
Care of Patients with   Discussion              collection, and nursing care of coronary artery disease, angina pectoris,
Occlusive               Audio-Visual Aids       myocardial infarction, and each of the peripheral vascular disorders.
Cardiovascular          Written Assignments
Chapter 24 Nursing      Lecture               Define the pathophysiology, etiology, signs and symptoms, diagnostic tests,
Care of Patients with   Discussion               and nursing care for each of the valvular disorders.
Cardiac Valvular        Audio-Visual Aids     Explain why antibiotics are prescribed prophylactically for some patients
Disorders               Written Assignments      with valvular disorders.
                                              Differentiate between commissurotomy, annuloplasty, and valve
                                              Explain possible postoperative complications that can occur for the two
                                                 types of valve replacements.

Chapter 25 Nursing      Lecture               Explain the electrical activity flow through the heart.
Care of Patients with   Discussion            List the five steps used for dysrhythmia interpretation.
Cardiac                 Audio-Visual Aids     Explain the current medical treatments for each of the cardiac
Dysrhythmias            Written Assignments      dysrhythmias.
                                              Define types and uses of cardiac pacemakers and internal defibrillators.
                                              Describe the nursing care provided for patients with dysrhythmias or
Chapter 26 Nursing      Lecture               Describe the pathophysiology left- and right- sided heart failure.
Care of Patients with   Discussion            Define acute heart failure.
Heart Failure           Audio-Visual Aids     List causes, signs and symptoms, medical treatment, nursing care, and a
                        Written Assignments      teaching plan for acute and chronic heart failure.