NURS 210 by keralaguest

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									                              SAN JUAN COLLEGE DEPARTMENT OF NURSING
   Nursing 210 – Nursing Concepts and Practice III, 9 credits (5 Classroom hours and 12 Clinical/lab hours per week)



COURSE DESCRIPTION:

Nursing 210 examines the client’s stressors and adaptive mechanisms. Through use of communication skills, caring
behaviors, assessment, and clinical decision making, the student assists the client in adaptation to mental and physical
stressors. To further assist the client in adaptation, the student will demonstrate professional behavior, use caring
interventions, demonstrate knowledge of teaching/learning concepts, and use collaboration to ensure quality client care.
In addition, the student will demonstrate the ability to manage client care.



San Juan College has adopted Common Student Learning Outcomes for all students in all classes at the college.
The following are the San Juan College Common Student Outcomes:

Learn (L)

Students will actively and independently acquire, apply, and adapt skills and knowledge to develop expertise and a
broader understanding of the world as lifelong learners.

Think (T)

Students will think analytically and creatively to explore ideas, make connections, draw conclusions, and solve problems.

Communicate (C)

Students will exchange ideas and information with clarity and originality in multiple contexts.




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Integrate (I)

Students will demonstrate proficiency in the use of technologies in the broadest sense related to their field of study.

Act (A)

Students will act purposefully, reflectively, and respectfully in diverse and complex environments.



CLASSROOM OBJECTIVES:
    I.  STRESS AND ADAPTATION:

                1.   Identify a person’s internal and external environments that could influence his/her behavioral
                     responses on the health-illness continuum. (L) (T)
                2.   Analyze how and why different people respond and adapt to physical and emotional stress. (T) (I)
                3.   Identify potential threats to a person’s physical and/or mental health when he/she is hospitalized. (T)
                     (I)
                4.   Relate how a nurse functions as a positive adaptive force to maintain or restore physical and/or
                     emotional health. (L) (T)


       II.      CARING:


                1.   Analyze how the concept of caring transcends the role of the Associate Degree nurse. (T) (I)
                2.   Discuss the components of caring behavior and how caring can be realized in the health care setting
                     toward the client, toward peers and other members of the health care team. (T) (I)




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III.   COMPETENCIES OF THE ASSOCIATE DEGREE NURSE:
       A.  PROFESSIONAL BEHAVIOR:

            1.   Relate behaviors characteristic of the professional nurse: accountability for oneself and one’s
                 practice, observing standards of nursing practice, maintaining confidentiality, and advocating
                 for clients’ rights. (L) (T) (I)
            2.   Relate how a nurse functions as a leader and a manager in a variety of health care settings.
                 (L) (T) (I)
            3.   Identify the components and process of effective delegation. (L) (T) (I)
            4.   Discuss accountability for care delegated to others. (L) (T) (I)
            5.   Analyze the ethical, legal, and regulatory frameworks of nursing and the standards of
                 professional nursing practice. (L) (T) (I)

       B.   COMMUNICATION:

            1.   Identify components of therapeutic communication and role play communication skills with
                 clients, families, and all members of the health care team while in class. (L) (T) (C)
            2.   Discuss the use of appropriate channels of communication to achieve positive client outcomes.
                 (L) (T) (C)
            3.   Relate the importance of effective interaction with personnel of all clinical agency departments
                 to facilitate complete client care. (L) (T) (C)

       C.   ASSESSMENT:

            1.   Identify important aspects of assessment when assessing the interaction patterns of the client
                 and their significant support persons. (L) (T) (I)
            2.   Discuss the impact of developmental, emotional, cultural, religious, and spiritual influences on
                 the client’s health status. (L) (T) (I)




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D.   CLINICAL DECISION MAKING:

     1.   Relate the principles of critical thinking and the nursing process used when a nurse cares for
          clients in a variety of health care settings. (L) (T) (I)

E.   CARING INTERVENTIONS:

     1.   Discuss the importance of protecting and promoting your client’s dignity and identify and honor
          the emotional, cultural, religious, and spiritual influences on the client’s health. (L) (T) (I)

F.   TEACHING/LEARNING:

     1.   Identify the importance of an individualized teaching plan based on assessed client needs, and
          the importance of using components of the nursing process to evaluate effectiveness of the
          plan and the need for revision. (L) (T) (I)


G.   COLLABORATION:

     1.   Discuss how to coordinate the decision making process with the client, significant others and
          other members of the health care team. (L) (T) (I)
     2.   Discuss working collaboratively with others to implement the nursing process and achieve
          client outcomes. (L) (T) (I)

H.   MANAGING CARE:

     1.   Identify steps necessary to prioritize client care and coordinate the implementation of an
          individualized plan of care for clients and support persons. (L) (T) (I)




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CLINICAL OBJECTIVES:
      I.  STRESS AND ADAPTATION:

           1.    Apply knowledge of stress and adaptation to client care in the clinical setting, identifying stressors
                 present for your client, and then implementing measures to promote optimum adaptation for the
                 assigned clients. (L) (T) (I) (A)
           2.    Identify personal stressors and adaptive mechanisms in the weekly narrative. (T) (A)

    II.    CARING:

           1. Demonstrate caring behavior toward the client, support persons, peers, faculty and other members of the
              health care team. (T) (I) (A)

    III.   COMPETENCIES OF THE ASSOCIATE DEGREE NURSE:
           A.  PROFESSIONAL BEHAVIOR:

                 1.  Demonstrate accountability for oneself and one’s practice, observe standards of nursing
                     practice, maintain confidentiality, and advocate for clients’ rights. (T) (I) (A)
                 2.  Practice within the ethical, legal, and regulatory frameworks of nursing and standards of
                     professional nursing practice. (T) (I) (A)
           B.    COMMUNICATION:

                 1.     Communicate therapeutically with clients, families and support persons of the client. (T) (I) (A)
                        (C)
                 2.     Communicate effectively and professionally with peers, members of the profession and others
                        members of the health care team. (T) (I) (A) (C)

           C.    ASSESSMENT:

                 1.     Assess the interaction patterns of the client, their significant support persons and assess the
                        impact of developmental, emotional, cultural, religious, and spiritual influences on the client’s
                        health status. (T) (I) (A)




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D.   CLINICAL DECISION MAKING:

     1.     Apply the principles of critical thinking and the nursing process while caring for clients in a
            variety of health care settings. (T) (I) (A)

E.   CARING INTERVENTIONS:

     1.     Protect and promote your client’s dignity and identify and honor the emotional, cultural,
            religious, and spiritual influences on the client’s health. (T) (I) (A)
     2.     Provide accurate and safe nursing care in the clinical setting. (T) (I) (A)
     3.     Implement the prescribed care regimen within the legal, ethical, and regulatory framework of
            nursing practice. (T) (I) (A)

F.   TEACHING/LEARNING:

     1.     Develop and implement an individualized teaching plan based on assessed client needs using
            the components of the nursing process to evaluate effectiveness of the plan and the need for
            revision. (T) (C) (I) (A)


G.   COLLABORATION:

     1.     Coordinate the decision making process with the client, significant others and with other
            members of the health care team. (T) (C) (I) (A)
     2.     Work collaboratively with others to implement the nursing process and achieve client
            outcomes. (T) (C) (I) (A)

H.   MANAGING CARE:

     1. Prioritize client care and coordinate the implementation of an individualized plan of care for clients
        and support persons. (T) (C) (I) (A)




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EXPECTATIONS FOR PREPARATION FOR CLINICAL IN MEDICAL, SURGICAL AND RENAL AREAS:

The student is considered adequately prepared for medical, surgical and renal clinical experiences if he/she has:

1.    Completed the following portions of the Clinical Preparation form:

             a.     Pathophysiology of all disease/conditions written in student’s own words for both clients assigned
             b.     Textbook signs and symptoms of the disease/condition
             c.     Expected laboratory (including radiology) deviations for the identified disease/condition

      NOTE: MOST CLIENTS HAVE MORE THAN ONE CLINICAL DISEASE/CONDITION. THE STUDENT IS
      EXPECTED TO COMPLETE A CLIENT DISEASE PROCESS FORM FOR EVERY IDENTIFIED
      DISEASE/CONDITION.

2.    A list of the clients' ordered medications, indications for the medications, and any other information that is needed to
      safely administer the medication, including IV fluids and IV medications.


COURSE REQUIREMENTS:

1.    Required to purchase all textbooks, workbooks, and lab packets listed under "REQUIRED TEXTBOOKS".
2.    Expected to attend class. (See attendance policy page 23)
3.    Required to attend all laboratories and clinical experiences.
4.    Expected to participate in class, laboratory, and clinical discussions and activities.
5.    Expected to take all tests and/or quizzes on the announced dates.
6.    Expected to complete and submit all written assignments on the announced due dates.
7.    Required to purchase and wear approved student uniforms, nursing shoes, dual-headed stethoscope, and nursing
      scissors.
8.    Required to review the San Juan College Department of Nursing Handbook and be familiar with all policies of the
      Nursing Department.
9.    Expected to be prepared for all clinical experiences.
10.   Expected to dress and behave in a professional manner.



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11.   Expected to consistently meet all clinical objectives.
12.   Expected to consistently adhere to safety procedures and guideline for clients, health care personnel, and self.
13.   Expected to consistently provide safe physical and emotional support to his/her assigned clients and their
      significant others.
14.   Expected to document all care provided in an approved, appropriate, and timely manner.
15.   Required to achieve 100% proficiency on a math test by the end of the semester.
16.   Required to read and verify an understanding of the San Juan College Department of Nursing and San Juan
      Regional Medical Center policies.

METHODS OF INSTRUCTION:

lecture                          role playing sessions                                  self-disclosure discussions
discussion                       written and oral assignments                           laboratory demonstrations
guest lectures                   clinical activities                                    laboratory practice
handouts                         post-clinical conferences                              computer assisted modules
audiovisual materials            case studies                                           clinical simulations


METHODS OF EVALUATION:

Quizzes and examinations
Laboratory replay performances (Clinical Skills Proficiency Examinations and Clinical Simulations)
Written and oral assignments
Faculty observation in the classroom, laboratory, and clinical areas

GRADING SCALE:

A=    90% - 100%
B=    80% - 89%
C=    77% - 79%
D=    70% - 76%
F=    BELOW 70%




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GRADE DETERMINATION:

1.    Classroom activities
      a.    Examinations                       65% of grade
      b.    Final exam                         25% of grade
      c.    Written/group assignments &        5% of grade
            Case studies
      d.    Pop quizzes in class               5% of grade


Students must achieve a minimum examination score average of 77% to progress to the next semester of the
nursing program. Quizzes and other homework (10%) will be added to the student’s grade after determining that
the minimum test score average has been achieved. Students not receiving the requisite 77% exam average will
receive their test score average as their final grade.


2.    Laboratory activities:
           The laboratory replay performances (Clinical Skills Proficiency Examinations) and completion of “Mastering
           Clinical Skills” software result in a "Satisfactory/Unsatisfactory" grade. Two (2) of the “Mastering Clinical
           Skills” software programs need to be completed with an 85% grade or better. Clinical Simulations must be
           completed successfully by the end of the semester. The student must receive an overall "Satisfactory"
           evaluation in order to successfully complete the laboratory portion of Nursing 210.

3.    Clinical Activities

     a.      Weekly clinical evaluations: Clinical performance is a "Satisfactory/Unsatisfactory" grade. The student is
             evaluated upon the completion of each week's clinical activities. If "Marginal" or "Unsatisfactory" grades are
             given in any category of the clinical evaluation, comments and suggestions are provided. The student must
             change clinical behavior by the next clinical week in order to achieve a final "Satisfactory" grade to
             successfully complete the clinical portion of Nursing 210. As stated in the Nursing Student Handbook, by
             the end of the semester, the student must have satisfactory evaluations in ALL areas identified on the
             evaluation instrument, in order to receive a "Satisfactory" in clinical.




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b.    Written clinical assignments if assigned to a Medical-Surgical-Renal area:

      1.     The student is expected to document all nursing care delivered and submit to the clinical instructor an
             "End of Shift" report for TWO of the clients cared for by the student during each clinical day.
       2.    The student is expected to submit the following written materials on the TUESDAY following the
             completion of EACH clinical week:
             a.    Disease processes with critical nursing observations and expected lab studies and/or
                   diagnostic tests for one client cared for during the clinical week. (Your clinical preparation
                   sheet for one of your assigned clients)
             b.    Completed Clinical paperwork includes all of the following for one of your assigned clients:
                   1. The Comprehensive Narrative following the format provided in your N 210 packet.
                   2. Care Plan for your client. The care plan should include the Concept Map and the three
                   nursing diagnoses you’ve identified as priorities, related factors, defining characteristics, the
                   goal and outcome criteria for each nursing diagnosis, interventions with rationale, and the
                   evaluation data. You should also include a revision component if the care plan and
                   interventions were not successful in meeting the outcome criteria.
                   3. One article review and critique from a recent nursing journal. The article should have a
                   general relationship to one of the clients cared for during the clinical week.

 c.   Written clinical assignments when assigned to the Leadership component clinical:

      1.     Clinical evaluation by the clinical instructor.
      2.     Narrative report of your experience.
      3.     Critique of one nursing article from a professional journal related to leadership/delegation issues.

 d.   Written clinical assignments if assigned to a Mental Health area:

      1. All students assigned to Mental Health agencies in the community are evaluated by the agency's staff.
      The student must receive an overall "Satisfactory" evaluation in order to successfully complete the clinical
      portion of Nursing 210.
      2. All students must satisfactorily complete a narrative following the guidelines provided in the N 210 packet
      to successfully complete the clinical portion of Nursing 210.




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            3. Critique of one nursing article from a professional journal related to leadership/delegation issues.
            4. All written work for the Mental Health clinical must be handed in on the day of the post-clinical mental
            health conference.

       e.    Written clinical assignments when assigned to the Emergency Service:

             1.    Clinical evaluation by the clinical staff
             2.    Narrative of your experience following the guidelines provided in your N 210 packet.

INSTRUCTOR CONFERENCES:

1.    An instructor may request a conference with a student at any time.
2.    Instructors will be available for student-requested conferences as often as the student feels necessary during the
      instructor's posted office hours.



ATTENDANCE POLICY

NURS 210 attendance has been shown to positively correlate with academic success. In NURS 210, 10% of the class
grade will be achieved through pop quizzes and case studies. Pop quizzes are given at the beginning of the class period.
Students entering class after quizzes have been distributed will not be allowed to take the quizzes. Any paperwork
handed in later than the assigned time will be graded at the discretion of the instructor. Finally, tardy attendance is
disruptive not only to the instructor, but to peers. Please be ready to begin class at the designated time.

Students are expected to regularly attend all classes for which they are registered. Students with excessive class
absences, as determined by faculty, may be required to justify absences before the full faculty. Pending faculty
decision, the student may be dismissed from the nursing program.




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NO MATERIALS OR ASSIGNMENTS WILL BE ACCEPTED LATE. EXAMS WILL ONLY BE GIVEN ON THE
ASSIGNED DATE OF THE EXAM. A MAKE-UP EXAM WILL ONLY BE GIVEN IF THE STUDENT'S EXCUSE FOR
MISSING THE EXAM IS DETERMINED BY THE INSTRUCTOR TO BE VALID. A MAKE-UP EXAM MUST BE TAKEN
WITHIN 24 HOURS OF THE ORIGINAL EXAM.



ACADEMIC ACCOMMODATION STATEMENT

Students who believe they may need academic accommodations due to physical, psychiatric or learning disabilities are
encouraged to inform their appropriate faculty as soon as possible at the email address listed below or during scheduled
office hours. If you have special needs for campus emergency situations, please inform us immediately. If you have not
already done so, we suggest you contact Jackie McFarland in the Advising/Counseling Center at (505)566-3271 or at
mcfarlandj@sanjuancollege.edu. She will work with you in verifying your disabilities and developing accommodation
strategies.

1st Year Faculty

      Bonnie Rung          rungb@sanjuancollege.edu
      Karen Duncan         duncank@sanjuancollege.edu
      Melody Smith         smithme@sanjuancollege.edu

2nd Year Faculty

      Joan Arrowsmith      arrowsmithj@sanjuancollege.edu
      Shawn Byington       byingtons@sanjuancollege.edu
      Nisa Bruce           brucen@sanjuancollege.edu

WE-ADN Faculty

      Marsha Bouchard      bouchardm@sanjuancollege.edu
      Theresa Stimson      stimsont@sanjuancollege.edu




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ACADEMIC HONESTY RULES

San Juan College expects all students to adhere to the Academic Honesty Rules as posted on our website,
https://www.sanjuancollege.edu/documents/Academic%20Honesty%20rules%20final.pdf

These are the official guidelines for all classes at San Juan College.

PLEASE NOTE: Statements about the Academic Honesty Rules are also included in the Student Handbook 2006-2007
and Academic Accommodation Statements are also included in each syllabi.




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