NORTHEAST ALABAMA · Web viewassociated with intravenous therapy. B1.1.9 Explain rationale for the selection of intravenous solutions. B1.1.10 Describe the purpose of equipment and

Representing Alabama’s Public Two-Year College System

AlabamaDepartment of

Postsecondary Education

Revised Spring 2014

NORTHEAST ALABAMANORTHEAST ALABAMACOMMUNITY COLLEGECOMMUNITY COLLEGE

I. NUR 105: Adult NursingTheory 5 credit hoursLab 1 credit hourClinical 2 credit hoursTotal 8 credit hours

II. CLASS MEETING DATES/TIMES/LOCATIONTBA

III. CLINICAL DATES/TIMES/LOCATION TBA

IV. INSTRUCTOR, CONTACT INFORMATION, CONTACT POLICY, OFFICE HOURS/LOCATION

Mrs. Yolanda Chandler– Course CoordinatorHealth Education Building, Office 223

The Alabama College SystemCopyright 2004

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Adult Nursing NUR 105

V. COURSE DESCRIPTION:This course provides opportunities to develop competencies necessary to meet the needs of individuals throughout the life span in a safe, legal, and ethical manner using the nursing process. Emphasis is placed on providing care to individuals undergoing surgery, fluid and electrolyte imbalance, and common alterations in respiratory, musculoskeletal, gastro-intestinal, cardiovascular, and endocrine systems. Nutrition, pharmacology, communication, cultural, and community concepts are integrated. This course supports CIP codes 51.1601 and 51.1613.

VI. PREREQUISITE(S)/CO-REQUISITE(S)PREREQUISITE COURSES NUR 102 – Fundamentals of NursingNUR 103 – Health AssessmentNUR 104 – Introduction to PharmacologyBIO 201 – Anatomy and Physiology I MTH 116 – Mathematical Applications (PN Program)MTH 100 – Intermediate College Algebra (RN Program)

CO-REQUISITE COURSES NUR 106 – Maternal and Child NursingENG 101 – English Comp I BIO 202 – Anatomy and Physiology II

VII. TEXTBOOK(S) AND OTHER LEARNING RESOURCESSee Reading Assignment

VIII. COURSE OBJECTIVES1. Demonstrate the skills related to venipuncture and IV therapy.2. Utilize the nursing process to provide nursing care to clients with common

health alterations.A. Fluid/electrolyte and Acid/base ImbalancesB. Surgery SystemC. Respiratory SystemD. Musculoskeletal SystemE. Gastrointestinal SystemF. Cardiovascular SystemG. Endocrine System


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IX. PROFESSIONAL COMPETENCIES Promote fluid and electrolyte homeostasis. Promote acid-base homeostasis. Perform IV therapy. Obtain blood specimens. Provide perioperative care. Provide care for clients with respiratory system alterations. Provide care for clients with selected cardiovascular system alterations. Provide care for clients with selected endocrine system alterations. Provide care for clients with selected gastrointestinal system alterations. Provide care for clients with musculoskeletal system alterations.

MODULE A – FLUID, ELECTROLYTE, AND ACID BASE HOMEOSTASIS

A1.0 Promote fluid and electrolyte homeostasis.A1.1 Given various scenarios and clinical settings, assess a client

to determine fluid and electrolyte balance.A1.1.1 Define terms associated with fluid and electrolyte

homeostasis.A1.1.2 Explain the physiology of fluids and electrolytes.A1.1.3 Explain how the body’s regulators systemically maintain

homeostasis.A1.1.4 Identify causes of fluid and electrolyte imbalance.A1.1.5 Interpret clinical manifestations to determine types of

fluid and electrolyte imbalance.A1.1.6 Identify treatment modalities for maintaining fluid and

electrolyte homeostasis.A1.1.7 Evaluate outcomes of treatment modalities for

maintaining fluid and electrolyte homeostasis.

A1.2 Use the nursing process to promote fluid andelectrolyte homeostasis.

A2.0 Promote acid-base homeostasis.A2.1 Given various scenarios and clinical settings, assess a client

to determine acid-base homeostasis.A2.1.1 Define terms associated with acid-base homeostasis.A2.1.2 Explain the physiology of acids and bases.A2.1.3 Explain how the body’s regulators systemically maintain

homeostasis for acid-base.A2.1.4 Identify causes of acid-base imbalance.A2.1.5 Interpret clinical manifestations to determine types of

acid-base imbalance.


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A2.1.6 Identify treatment modalities for maintaining acid-base balance.

A2.1.7 Evaluate outcomes of treatment modalities formaintaining acid-base homeostasis.

A2.2 Use the nursing process to promote acid-basehomeostasis.

MODULE B – VENIPUNCTURE AND INTRAVENOUS (IV) THERAPYB1.0 Perform venipuncture and IV therapy.

B1.1 Given lab and clinical situations, use the nursing process to perform venipuncture.B1.1.1 Define terms associated with IV therapy.B1.1.2 Describe key points of the Nurse Practice Act

concerning intravenous therapy.B1.1.3 Explain CDC guidelines and agency policies for

intravenous therapy.B1.1.4 Explain selected concepts of ethics and client’s rights

related to intravenous therapy.B1.1.5 Differentiate between the registered and practical nurse’s

responsibilities for intravenous therapy. B1.1.6 Explain the registered and practical nurse’s

responsibilities in administration of blood, blood products, and volume expanders.

B1.1.7 Interpret doctor’s orders for intravenous therapy. B1.1.8 Explain the anatomical and physiological considerations

associated with intravenous therapy.B1.1.9 Explain rationale for the selection of intravenous

solutions.B1.1.10 Describe the purpose of equipment and supplies for

intravenous therapy.B1.1.11 Select the appropriate equipment and supplies for

specified intravenous therapy.B1.1.12 Describe the process of preparing a client for

intravenous therapy.B1.1.13 Describe the process of preparing the equipment for

performing intravenous therapy.B1.1.14 Calculate IV flow rates.B1.1.15 Describe the process of starting the intravenous therapy.

B1.2 Initiate intravenous therapy.B1.2.1 Describe the process of managing intravenous therapy

including IV piggyback and saline flush.


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B1.3 Maintain intravenous therapy.B1.3.1 Identify expected outcomes of treatment modalities for

IV therapy.B1.3.2 Use critical thinking to prioritize management of care for

clients receiving selected IV therapy.

B2.0 Obtain blood specimens.B2.1 Given lab and clinical situations, use the nursing process to

collect blood specimens.B2.1.1 Identify equipment and techniques for collecting blood

specimens.B2.1.2 Select the appropriate color collection tube for an

ordered diagnostic test based on organizational protocol.B2.1.3 Describe the process of preparing a client for collecting

blood specimens.B2.1.4 Explain the process for obtaining blood specimens.

B2.2 Handle blood specimens according to policy and protocol.B2.2.1 Explain CDC guidelines and/or agency policies for

handling blood specimens.B2.2.2 Explain the procedures for handling and disposing of

specimen gathering materials.

MODULE C – PERIOPERATIVE CAREC1.0 Provide perioperative care.

C1.1 Given clinical situations use the nursing process to provide perioperative care.

C1.1.1 Define terms associated with perioperative care.C1.1.2 Explain the nurse’s role within perioperative settings.C1.1.3 Explain the elements of informed consent.C1.1.4 Explain nursing process for perioperative care.C1.1.5 Explain preoperative care.C1.1.6 Explain intraoperative care.C1.1.7 Explain postoperative care.C1.1.8 Describe techniques for acute pain management.C1.1.9 Use critical thinking to prioritize management of care.

C1.2 Develop a nursing care plan to provide perioperative care.

C1.3 Evaluate the effectiveness of perioperative care.


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MODULE D – RESPIRATORY SYSTEM ALTERATIONSD1.0 Care for clients with respiratory system alterations.

D1.1 Given a clinical setting, assess a client for selected respiratory system alterations.

D1.1.1 Explain the anatomy and physiology of the respiratory system.

D1.1.2 Define terms associated with the respiratory system.D1.1.3 Describe diagnostic tests for respiratory system

alterations.D1.1.4 Describe upper respiratory system alterations.D1.1.5 Describe lower respiratory system alterations.D1.1.6 Describe respiratory failure for adult clients.D1.1.7 Interpret clinical manifestations to determine necessary

care for respiratory system alterations.

D1.2 Develop a nursing care plan to provide care for a client with selected respiratory system alterations.D1.2.1 Describe the process of tracheotomy care, suctioning,

and chest physiotherapy.D1.2.2 Describe the pharmacological agents for respiratory

system alterations.D1.2.3 Describe nutritional considerations for treating

respiratory system alterations.

D1.3 Implement a nursing care plan to provide care for a client with selected respiratory system alterations.D1.3.1 Describe the process for implementing a nursing

care plan to treat respiratory system alterations.

D1.4 Evaluate the effectiveness of interventions for a client with respiratory system alterations.D1.4.1 Identify expected outcomes of treatment modalities for

respiratory system alterations.D1.4.2 Use critical thinking to prioritize management of care.

MODULE E – CARDIOVASCULAR SYSTEM ALTERATIONSE1.0 Care for clients with selected cardiovascular system alterations.

E1.1 Given clinical situations, assess a client to determine selected cardiovascular system alterations.

E1.1.1 Explain the anatomy and physiology of cardiovascular system.

E1.1.2 Define terms associated with the cardiovascular system.E1.1.3 Describe diagnostic tests for selected cardiovascular

system alterations and complications.E1.1.4 Describe selected cardiovascular system alterations and

complications.E1.1.5 Interpret clinical manifestations to determine selected

cardiovascular system alterations and complications.


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E1.2 Develop a nursing care plan to treat selected cardiovascular system alterations.E1.2.1 Describe the pharmacological agents for selected

cardiovascular system alterations and complications. E1.2.2 Describe nutritional considerations for treating selected

cardiovascular system alterations and complications.E1.2.3 Describe the nursing process for providing care for

selected cardiovascular system alterations and complications.

E1.3 Implement a nursing care plan to treat selectedcardiovascular system alterations.E1.3.1 Describe the process for implementing a nursing care

plan to treat selected cardiovascular system alterations.

E1.4 Evaluate the effectiveness of interventions to treat selected cardiovascular system alterations.E1.4.1 Identify expected outcomes of treatment modalities of

selected cardiovascular system alterations and complications.

E1.4.2 Use critical thinking to prioritize management of care.

MODULE F – ENDROCRINE SYSTEM ALTERATIONSF1.0 Care for clients with selected endocrine system alterations.

F1.1 Given clinical situations, assess a client to determine selected endocrine system alterations.

F1.1.1 Explain the anatomy and physiology of the endocrine system.

F1.1.2 Define terms associated with the endocrine system.F1.1.3 Describe diagnostic tests for selected endocrine system

alterations and complications.F1.1.4 Describe selected endocrine system alterations and

complications.F1.1.5 Interpret clinical manifestations to determine selected

endocrine system alterations and complications.

F1.2 Develop a nursing care plan to treat selected endocrine system alterations.F1.2.1 Describe the pharmacological agents for selected

endocrine system alterations and complications.F1.2.2 Describe nutritional considerations for treating selected

endocrine system alterations and complications.F1.2.3 Describe the nursing process for providing care for

selected endocrine system alterations and complications.


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F1.3 Implement a nursing care plan to treat selected endocrinesystem alterations.F1.3.1 Describe the process for implementing a nursing care

plan to treat selected endocrine system alterations.

F1.4 Evaluate the effectiveness of interventions to treat selectedendocrine system alterations.F1.4.1 Identify expected outcomes of treatment modalities of

selected endocrine system alterations and complications.F1.4.2 Use critical thinking to prioritize management of care.

MODULE G – GASTROINTESTINAL SYSTEM ALTERATIONSG1.0 Care for clients with selected gastrointestinal system alterations.

G1.1 Assess a client to determine selected gastrointestinal system alterations.G1.1.1 Explain the anatomy and physiology of the

gastrointestinal system.G1.1.2 Define terms associated with the gastrointestinal system.G1.1.3 Describe diagnostic tests for selected gastrointestinal

system alterations and complications.G1.1.4 Describe selected gastrointestinal system alterations and

complications.G1.1.5 Interpret clinical manifestations to determine selected

gastrointestinal system alterations and complications.

G1.2 Develop a nursing care plan to treat selected gastrointestinal system alterations.G1.2.1 Describe the pharmacological agents for selected

gastrointestinal system alterations and complications.G1.2.2 Describe nutritional considerations for treating selected

gastrointestinal system alterations and complications.G1.2.3 Describe the nursing process for providing care for

selected gastrointestinal system alterations,complications, and surgical procedures.

G1.3 Implement a nursing care plan to treat selected gastrointestinal system alterations.G1.3.1 Describe the process for implementing a nursing care

plan to treat selected gastrointestinal system alterations.

G1.4 Evaluate the effectiveness of interventions to treat selectedgastrointestinal system alterations.G1.4.1 Identify expected outcomes of treatment modalities of

selected gastrointestinal system alterations and complications.

G1.4.2 Use critical thinking to prioritize management of care.


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G1.5 Manage gastric decompression.G1.5.1 Explain the process of managing gastric decompression.

G1.6 Reinsert a selected gastrostomy tube.G1.6.1 Describe the process of reinserting a selected

gastrostomy tube.

MODULE H – MUSCULOSKELETAL SYSTEM ALTERATIONSH1.0 Care for clients with musculoskeletal system trauma and alterations.

H1.1 Given clinical situations, assess a client to determine musculoskeletal system trauma and alterations.H1.1.1 Explain the anatomy and physiology of the

musculoskeletal system.H1.1.2 Define terms associated with the musculoskeletal

system.H1.1.3 Describe diagnostic tests for musculoskeletal system

trauma and alterations.H1.1.4 Describe selected musculoskeletal system trauma and

alterations.H1.1.5 Interpret clinical manifestations to determine

musculoskeletal system trauma and alterations.

H1.2 Develop a nursing care plan to treat musculoskeletal system trauma and alterations.H1.2.1 Describe the pharmacological agents for musculoskeletal

system trauma and alterations.H1.2.2 Describe nutritional considerations for treating

musculoskeletal system trauma and alterations.H1.2.3 Describe the nursing process for providing care for

musculoskeletal system alterations, complications, and surgical procedures.

H1.3 Implement a nursing care plan to treat musculoskeletalsystem trauma and alterations.H1.3.1 Describe the process for implementing a nursing care

plan to treat musculoskeletal system trauma and alterations.

H1.3.2 Explain the nursing process for assisting clients with castcare and complications.

H1.3.3 Identify techniques for various crutch-walking methods.H1.3.4 Identify techniques for various traction methods.


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H1.4 Evaluate the effectiveness of interventions to treat musculoskeletal system trauma and alterations.H1.4.1 Identify expected outcomes of treatment modalities of

musculoskeletal system trauma and alterations.H1.4.2 Describe techniques for management of chronic pain.H1.4.3 Use critical thinking to prioritize management of care.


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X. OUTLINE OF MODULESMODULE A – FLUID, ELECTROLYTE, AND ACID-BASE BALANCE

Fluid and electrolyte homeostasis○ Functions of fluids and electrolytes○ Transports

Active Passive

○ Regulators Disturbances in fluid and electrolyte balance

○ Causes of imbalance○ Alterations

Dehydration Fluid volume excess Hyper/Hypo electrolyte disturbances

○ Nursing Process Acid-base homeostasis

○ Blood gases○ Regulators

Acid-base alterations○ Causes of imbalance ○ Respiratory Acidosis/Alkalosis○ Metabolic Acidosis/Alkalosis

Nursing Process

MODULE B - IV THERAPY Roles and responsibilities

○ Legal and ethical guidelines Nurse Practice Act CDC guidelines Handling medical waste Agency policies Ethics and client’s rights

○ Interpreting doctor’s orders Terminology and anatomy and physiology review Types and use of intravenous solutions Equipment and supplies

○ Pumps and controllers○ Tubing and filters○ IV needles and catheters○ Criteria for choosing the appropriate equipment

Calculating flow rates Client physical and psychological preparation for IV therapy Venipuncture process

○ Techniques ○ Securing the IV site


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○ Dressings and labeling Flow rate problems IV complications and problems

○ Local○ Systemic

Monitoring and maintenance of the IV○ Documentation○ Site care○ Client education

IV medications○ Continuous○ Intermittent

Blood, blood products, and volume expanders○ Registered nurse responsibilities○ Practical nurse responsibilities○ Transfusion reactions

Nursing process

MODULE C – PERIOPERATIVE CARE Nurses role within perioperative settings Informed consent Pre-operative

○ Legal considerations○ Types of surgery○ Risk factors○ Diagnostic tests and exams○ Complete preoperative checklist○ Prep for surgery○ Nursing process

Intraoperative○ Surgical gowning and gloving○ Surgical scrub○ Holding area○ Operative area

Maintaining a sterile field Safety Types of anesthesia Malignant hyperthermia

Post-operative○ Complications○ Wound classification and healing○ Recovery area

Post anesthesia recovery○ Nursing process


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○ Pain management Epidurals Patient Controlled Analgesia (PCA’s)

o Shocko Pharmacology

MODULE D – RESPIRATORY SYSTEM ALTERATIONS Terminology and anatomy and physiology review Diagnostic tests Alterations

○ Upper Acute Chronic

○ Lower Acute Chronic

Tracheotomy care and suctioning Chest physiotherapy Nursing process Pharmacological agents Nutritional considerations

MODULE E – CARDIOVASCULAR SYSTEM ALTERATIONS Terminology and anatomy and physiology review Diagnostic tests Alterations and complications

○ Hypertension○ Peripheral Vascular Alterations (PVD)

Arterial and venous ulcers ○ Anemia○ Hematological○ Pulmonary embolus○ Congestive heart failure○ Aneurysms

Nursing process Pharmacological agents Nutritional considerations

MODULE F – ENDOCRINE SYSTEM ALTERATIONS Terminology and anatomy and physiology review Diagnostic tests


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Diabetes○ Types○ Acute and chronic complications○ Management

Blood and urine glucose monitoring Insulin and insulin pumps Oral hypoglycemic agents Diet and exercise Emergency management Self-care and monitoring


MODULE G – GASTROINTESTINAL SYSTEM ALTERATIONS Terminology and anatomy and physiology review Diagnostic tests Upper GI

○ Infectious/Inflammatory Stomatitis Ulcers Gastritis Gastroesphageal Reflux Disease (GERD)

○ Hiatal hernias○ Oral cancer○ E Coli, salmonella, clostridium

Nasogastric intubation Gastrostomy tube reinsertion and management Surgical procedures

○ Gastrectomy Gastric decompression

○ Gastric by-pass surgery○ Fractured mandible


MODULE H – MUSCULOSKELETAL SYSTEM ALTERATIONS Terminology and anatomy and physiology review Diagnostic tests Musculoskeletal traumas


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○ Sprains○ Fractures

Cast care and complications Traction

○ Dislocations○ Amputations○ Crutches and other devices

Inflammatory alterations○ Rheumatoid arthritis○ Osteomyelitus

Degenerative alterations○ Osteoporosis○ Osteoarthritis

Gout Lyme disease Osteomylacia disease Surgical procedures

○ Knee and hip○ Carpal tunnel○ Spinal fusion○ Laminectomy○ Disc repair

Nursing process Pharmacological agents Nutritional considerations Chronic pain management


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XI. EVALUATION AND ASSESSMENTA. Theory

1. Tests announced or unannounced may be given throughout the course andmay incorporate various teaching/learning methods (for example: situational, multiple choice, discussion, performances, etc).

2. All nursing exams should be taken on the day they are scheduled. In the event of illness, bereavement, or court attendance, the student is required to notify the course coordinator or clinical instructor PRIOR to the test. Immediately upon return to campus, the student is required to submit documentation which supports the absence. A make-up exam will be given at the end of the semester IF appropriate documentation has been provided at the time of the absence.

3. Prior to each unit exam, the student will complete PrepU Pre-tests on the topic areas being tested. A minimum grade of 80% or mastery level must be achieved for admission to the unit exam. If the student does not complete the assignments according to posted deadlines, the student will not be allowed to take the exam and a make-up exam will be taken at the end of the semester.

4. All students are required to attend test reviews following exams. Students who score less than 75% on unit exams are required to complete a remediation assignment in the computer lab on a designated day. Students must score a minimum of 80% on the remediation assignment. Remediation assignments must be submitted to the instructor on the day of remediation.

STUDENTS WHO DO NOT COMPLETE REQUIRED REMEDIATION ASSIGNMENTS WILL NOT BE ALLOWED TO TAKE THE NEXT UNIT EXAM AND WILL TAKE A MAKE-UP EXAM AT THE END OF THE SEMESTER.

5. If a make-up exam is to be taken for any reason, the student must complete a PrepU Pre-test assignment on the modules being tested before the exam can be taken. A minimum grade of 80% or mastery level must be achieved for admission to the make-up exam. Failure to complete the assignment with a minimum score of 80% or mastery level will result in a zero (0) for that make-up exam.

6. Required written assignments are due by the end of the scheduled class period.


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B. Clinical

1. Performance in the clinical setting is evaluated according to the form, Evaluation of Clinical Performance. A final evaluation of satisfactory in clinical performance is required to progress in nursing. A rating of unsatisfactory in clinical performance will result in a grade of “F” for the nursing course regardless of any other grading component in the course.

2. Students may not attend clinical lab until they have successfully completed all required assignments in order to provide safe client care.

C. Computerized Tests

Students will be required to pay a testing fee to cover the expense of the Health Education Systems (HESI) tests. The HESI tests are scheduled throughout the nursing curriculum.

D. Course Grade

1. The course grade is a composite grade based on the following:a. Unit testsb. Comprehensive final examination (HESI)c. Clinical performance evaluation

Student must achieve a grade of 75% or above in each course to continue in the nursing program. A grade below 75% will result in a “D” or an “F” depending on the numerical score.

2. Course and instructor evaluation by each student is required.

3. Conference with the clinical instructor is required each semester.

4. In the event of a failing grade, students are urged to see their instructor for a conference.


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XII. ATTENDANCEA. Students are expected to attend all classes for which they are registered. The

student must be present 80% of the scheduled class dates in order to demonstrate the expected course outcomes and successfully apply theoretical concepts to the clinical practicum. Students who are unable to attend class regularly, regardless of the reason or circumstance, should withdraw from that class before poor attendance interferes with the student’s ability to achieve the objectives required in the course. Withdrawal from class can affect eligibility for federal financial aid. Withdrawal from class can prohibit progression in nursing and allied health programs.

B. Students are expected to attend all clinical rotations required for each course. Only excused absences (a maximum of two) will be considered for make up. However, due to limited clinical space and time, clinical make up days cannot be guaranteed. Failure to complete clinical rotations will prohibit progression in nursing and allied health programs.

XIII. STATEMENT ON DISCRIMINATION/HARASSMENTThe College and the Alabama Board of Education are committed to providing both employment and educational environments free of harassment or discrimination related to an individual’s race, color, gender, religion, national origin, age, or disability. Such harassment is a violation of State Board of Education policy. Any practice or behavior that constitutes harassment is a violation of State Board of Education policy. Any practice or behavior that constitutes harassment or discrimination will not be tolerated.

XIV. AMERICANS WITH DISABILITIESThe Rehabilitation Act of 1973 (Section 504) and the American with Disabilities Act of 1990 state that qualified students with disabilities who meet the essential functions and academic requirements are entitled to reasonable accommodations. It is the student’s responsibility to provide appropriate disability documentation to the College. Please contact the ADA representative.

XV. COURSE CALENDAR Course Calendar will be provided to student by the first day of class.


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XVI. STUDENT ACKNOWLEDGEMENT FORMI have received the Course Syllabus for NUR 105: Adult Nursing.

My signature indicates that I have read and understand the contents.

___________________________________ Student’s Signature

___________________________________ Print Name

___________________________________ Date


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Documents

NORTHEAST ALABAMA · Web viewassociated with intravenous therapy. B1.1.9 Explain rationale for the selection of intravenous solutions. B1.1.10 Describe the purpose of equipment and