Fall 2018 Course Syllabus Course: VNSG-1230- Section: 01 Maternal-Neonatal Nursing

Instructor Information
Instructor	Diane Hare
E-mail	haredl@lamarpa.edu
Phone	(409) 984-6358
Office	Location: Allied Health - Room: 127 Hours: As posted and by appointment
Department	Allied Health Chair: Shirley MacNeill E-mail: macneisb@lamarpa.edu Phone: (409) 984-6365
Course Information
Description	A study of the biological, psychological, and sociological concepts applicable to basic needs of the family including childbearing and neonatal care. Utilization of the nursing process in the assessment and management of the childbearing family. Topics include physiological changes related to pregnancy, fetal development, and nursing care of the family during labor and delivery and the puerperium.
Prerequisites	VNSG 1204 Foundations of Nursing VNSG 1234 Pediatrics VNSG 1261 Clinical LVN                      VNSG 1400 Nursing in Health & Illness I VNSG 1409 Nursing in Health & Illness II VNSG 1462 Clinical LVN To graduate from the VN program, it is required that you must complete either Microcomputers (BCIS1305) or Introduction to Computers (ITSC 1401) prior to graduation. Students must have a minimum grade of C or better in every course that applies to the Vocational Nursing Certificate plan to graduate.
Learning Outcomes	In accordance with the mission of LSC-PA, VNSG 2410 Nursing in Health and Illness III assists the student to develop the particular skills, knowledge, and attitudes necessary for success as a vocational nurse. Upon successful completion of the course, the student should be able to:     1.    Compare and contrast normal physiology of body systems to pathologic variations in the patient with common medical-surgical health problems. (PSLO Alpha; PSLO 2)) Measured by: reading-based discussions; exams based on readings; clinical case studies 2.    Compare and contrast diagnostic evaluation and treatment of the patient with common medical-surgical health problems. (PSLO Alpha; PSLO 2) Measured by: reading-based discussions; exams; clinical case studies 3.    Incorporate nutrition, drug therapy, and nursing interventions in safely implementing plans of care to meet the needs of the patient experiencing common medical-surgical health problems. (PSLO Alpha; PSLO 1; PSLO 2; PSLO 3) Measured by: reading-based scenarios; care plan activities; case studies; case studies; clinical simulations 4.    Utilize the nursing process in safely caring for the patient with common medical-surgical health problems. (PSLO Alpha’ PSLO 2; PSLO 4) Measured by: care plan activities; class and clinical discussion; case studies based on readings 5.    Identify mental illness, treatment of common abnormal patterns of behavior, and related nursing interventions. (PSLO Alpha; PSLO 3) Measured by: exams based on readings; class discussions; clinical interactions; case studies 6.    Demonstrate competency in medication administration and dosage calculations.(PSLO 1; PSLO 3) Measured by: medication competency exam; observed medication administration in skills lab and clinical; discussions 7.    Describe the underlying principles of selected nursing skills using principles of safety and asepsis. (PSLO Alpha; PSLO 1; PSLO 3) Measured by: discussions; based on readings; skills check-offs; clinical simulations; clinical rotation interactions 8.    Demonstrate satisfactory performance of selected nursing skills using evidenced-based principles of safety and asepsis. (PSLO Alpha; PSLO 1; PSLO 3; PSLO 4) Measured by: skills check-offs; clinical simulations; clinical rotation interactions; discussions and clinical application of current practice in nursing based on online and in-class readings 9.    Utilize learned skills and knowledge for transition from student to graduate vocational nurse. (PSLO Alpha; PSLO 1; PSLO 2; PSLO 3; PSLO 4) Measured by: standardized and unit exams based on readings and discussions; clinical skills check-offs in lab and clinical setting; patient, family and healthcare team interactions; clinical observations and evaluations; case studies 10.    Demonstrate an understanding of the legal, ethical, and professional responsibilities inherent in the role of the vocational nurse. (PSLO Alpha; PSLO 1; PSLO 3; PSLO 4) Measured by: exams over comprehension of nurse practice act, current literature and class discussions; interactions in clinical setting 11.    Identify priorities of care according to the patients condition. (PSLO 1; PSLO 2; PSLO 3; PSLO 4) Measured by: class and clinical case study discussions; prioritization exercises and exam objectives; care plan activities; simulations
Core Objectives
Program Student Learning Outcomes	Upon completion of the Vocational Nursing Program graduates will, under the supervision of a professional licensed nurse and/or licensed physician, function in non-complex settings and should be able to: PSLO Alpha: Reading Skills Demonstrates comprehension of content-area reading materials. PSLO 1.     Function within the legal, ethical and regulatory standards of the nursing profession. PSLO 2.     Use a systematic problem-solving process in the care of multiple patients who have predictable health care needs to provide safe, individualized, goal directed nursing care. PSLO 3.     Adopt an approach to nursing practice that promotes safety for patients, significant others, self, and members of the healthcare team. PSLO 4.     Cooperate with members of the interdisciplinary health care team to provide optimum, evidence-based, safe, care to patients.
Textbooks	deWit, C. (2018). Fundamental Concepts and Skills for Nursing (5th ed.). St. Louis: Saunders Elsevier. deWit, C. (2017). Medical-surgical Nursing Concepts and Practice (3rd ed.). St. Louis: Saunders Elsevier. Leifer, G. (2015). Introduction to Maternity & Pediatric Nursing (7th ed.). St. Louis: Saunders Elsevier. Pass Point NCLEX PN Review 5,000: Please note: No other NCLEX PN Review will be accepted. You must use the NCLEX PN Review 5,000 access code provided to you for this Pass Point access code for this VNSG 1230 Class is: A000EB34 Online HESI Case Studies: Complete PN Collection (2 Year Version) Swift River Online Learning as required Note: 1230 Passpoint will be counted in the average for clinical course Recommended Textbooks:     deWit, S., & Kumagai, C. (2017). Student Learning Guide Medical Surgical Nursing (3rd Ed.). St. Louis: Saunders Elsevier. HESI staff. (2017). HESI Comprehensive Review PN Exam (5th Ed.). St. Louis: Elsevier. Silvestri, L. A. (2016). Saunders Comprehensive Review NCLEX-PN (6th Ed.). St. Louis: Elsevier
Lecture Topics Outline	Week 1: Review 1230 Syllabus, Pretest, Newborn #1 Week 2: Newborn #2 Week 3: Exam #1, Clinical Orientation Week 4: Postpartum #1 Week 5: Postpartum #2 Week 6: Female & Male Health Week 7: Exam #2 Week 8: STIs Week 9: Labor/Intrapartum Week 10: Exam #3 Week 11: Antepartum #1 Week 12: Antepartum #2, Posttest Week 13: No OB Lectures Week 14: Exam #4, Online Post-partum case study Week 15: Final Skills; Clinical Evaluations Week 16: Final Exam; Comprehensive Hesi Exam, Pinning, Graduation Schedule subject to change at the discretion of the Program Coordinator
Major Assignments Schedule	Date: 09/11/18 Exam I Time: 0800 Date: 10/09/18 Exam II Time: 0800 Date: 10/30/18 Exam III Time: 0800 Date: 11/27/18 Exam IV Time: 0800 Date: 12/10/18 Final Exam Time: 1200
Final Exam Date	December 10, 2018 - 12:00 PM   Through  December 10, 2018 - 3:00 PM
Grading Scale	90-100 = A 80-89 = B 75-79 = C 74-60 = D 59 or Below = F
Determination of Final Grade	1.    Examinations are based on course objectives. 2.    Course content from the pre-requisite courses will be included on exams, as appropriate. 3.    Students are strongly encouraged to take exams as scheduled. NO questions may be asked during exams. No hats/caps/hoodies may be worn during exams. No Smart watches may be worn during the exam 4.    If a student must miss an exam, the student must contact the instructor prior to the exam or within twenty-four (24) hours of the exam to schedule a make-up. A no call/no show for an exam will result in a grade of zero. 5.    Students who arrive after the exam starts, but before it ends, may take the exam without penalty, however, they will not be allowed additional time and should come in quietly taking the first available seat. 6.    No make-up unit exams will be administered. The numerical grade attained on the comprehensive Final exam will be substituted for any missed unit exam(s). 7.    Test times for exams will be set up for 80 seconds per question. At the end of the allotted time, the computer will not record any further answers. 8.    Test grades will not be available for a minimum of 24 hour posttest. 9.    If a student scores less than 75 on a unit examination, the student is required to make an appointment with an instructor prior to the next exam. At that time the student will review the examination and, with the assistance of the instructor, identify strategies to improve performance on subsequent examinations. Failure to complete a formal test review with an instructor prior to the next exam may result in five points off of the next exam. 10.    After each exam, the faculty uses psychometric principles to evaluate the examination. Items missed by 50% or more of the class are reviewed. If an item is found to be flawed, the faculty may give credit for more than one answer or nullify the item. When an item is nullified, the key is changed so that all answers are credited as correct. That is, if a student answered the item as originally keyed, the student will retain credit for the item. If a students answer differs from the one originally keyed, the student is credited for the nullified item. In other words, every gets credit for the item and no one loses credit. 11.    Any challenge to exam questions must be presented on provided form within 48 hours of the review of the exam. Disputed exam items must be submitted by the student along with proposed answer supported by documentation from the current textbook, handouts, and/or lecture reference material. 12.    Assignments or exams submitted without a students name will not receive credit. 13.    The following method will be used to determine each students grade in the course: Exam I     15% Grade Exam II     15% Grade Exam III     15% Grade Exam IV 15% Grade Final Exam 40% Grade 14.    A minimum average of 75%, independent of all other requirements, is necessary to pass the course 15.    All VNSG 1230 Exams must be taken
Course Policies
Instructor Policies	Students and faculty of the Lamar State College-Port Arthur Vocational Nursing Program are expected to assist in maintaining a classroom environment that is conducive to learning. To assure that faculty have the opportunity to teach and students have the opportunity to benefit from time spent in class, unless otherwise approved by the instructor, students are prohibited from engaging in distracting classroom behavior. If a student is unable to maintain these expectations or stated program requirements, dismissal from the program may occur. The following behaviors will result in the student being asked to cease the action, lose five (5) points on the next exam, and/or leave the classroom or labs:     Inappropriate and/or disruptive use of cell phones or other electronics     Talking or sleeping while the instructor is giving instructions or during class discussions/presentations;     Or displaying a rude or negative attitude/behavior to the instructor or other students.     Counseling for repetitive tardiness The following expectations apply to all courses:     Promptness is expected. Students should be on time for all classes and return from breaks promptly.     Students are expected to come to didactic, lab, and clinical experiences prepared and present as sincere, adult learners. Pre-course assignments may be required for admissions into class.     Phone calls and/or text messages should be returned only during scheduled breaks.     Cell phones must be on vibrate in the classroom and off and out of reach during testing and test reviews. In the event of an emergency, family can contact students through the AH Secretary, Vocational Nursing Program Coordinator, or Department Chair.     On-campus computers will only be used for classroom work.     All information shared by other students and instructors will remain confidential and should not be shared with others outside of the classroom or lab environment.     Students should not engage in side-bar discussions during classroom, exam reviews, clinical, and lab.     Comments should be directed to the faculty in charge of the classroom, clinical, or lab time.     All students are expected to actively participate in all discussions, activities, and exercises.     Students are expected to be open to new ideas and experiences and to step outside of their comfort zone.     A positive attitude is expected and comments should give supportive feedback.     The classroom, clinical, and lab environment is a judgment-free zone.     Students are responsible for their actions and are responsible for learning as much as possible from the experiences provided.     Students are encouraged to seek assistance from peers and faculty when needed to be successful.     Student support of each other in the learning environment is encouraged and expected. Supportive relationships with each other will allow a more positive learning environment to enable all to work together as a team and develop professionally. Students are also expected to follow the guidelines and policies in the LSC-PA Vocational Nursing Student Handbook.
Attendance Policy	Research has shown a cause and effect relationship between attendance and college success. Policies for this course are described below: -Because poor attendance is a leading reason for termination from a job in all areas of employment, attendance at all scheduled classes is expected. -A student who is absent from course activities for more than three (3) days without notification to faculty may be dropped from the program by the Program Director. -Late arrival to class is disruptive. Students who consistently arrive after the beginning of the class (2 or more times) will be counseled and a plan of corrective action determined. Class will begin promptly at the scheduled time. Students who arrive fifteen (15) minutes after the beginning of class should not enter the classroom and should wait until break to enter. -It is the students responsibility to submit a completed student excuse form upon return to class following an absence, tardy, or leaving class early. Failure to do so will result in a declaration of no call, no show and may result in the student being dismissed from the program. -It is the students responsibility to notify the instructor of any absence. If the student is unable to contact the instructor(s), the student should call 409-984-6356 or 1-800-477-5872 ext. 6356. The student should also email the faculty or call the faculty office and leave a voicemail. -Lab jackets are to be worn at all times while in the skills lab. -Simulation/Computer Lab Assignments are mandatory. Failure to attend will result in Additional assignments
Academic Honesty	Academic honesty is expected from all students, and dishonesty in any form will not be tolerated. Please consult the LSC-PA policies (Section IX, subsection A, in the Faculty Handbook) for consequences of academic dishonesty.
Facility Policies	No food or tobacco products are allowed in the classroom. Only students enrolled in the course are allowed in the classroom, except by special instructor permission. Use of electronic devices is prohibited.
Important Information
ADA Considerations	The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the the Office for Disability Services Coordinator, Room 231, in the Madison Monroe Building. The phone number is (409) 984-6241.
MyLamarPA	Be sure to check your campus E-mail and Course Homepage using MyLamarPA campus web portal (My.LamarPA.edu). When you've logged in, click the email icon in the upper right-hand corner to check email, or click on the "My Courses" tab to get to your Course Homepage. Click the link to your course and review the information presented. It is important that you check your email and Course Homepage regularly. You can also access your grades, transcripts, and determine who your academic advisor is by using MyLamarPA.
Other	1. Topic: Orientation to the Vocational Nursing Program Didactic Objectives: Upon completion of this learning experience, the student should be able to: a.    List sources of college and program policies. b.    Discuss content of the course syllabus. c.     Seek opportunities to ask questions concerning class content, and/or assignments. d.    Distinguish how the Philosophy of the Lamar State College-Port Arthur Vocational Nursing Program addresses beliefs regarding individuals, health, society, and nursing. Unit Topic and Objectives 2. Topic: Strategies used by the Vocational Nurse in caring for patients of various cultural and ethnic groups in the postpartum period and assisting in the care of the newborn. Objectives: Upon completion of this learning experience the student should be able to: a. Describe the pathophysiology and clinical manifestations of a postpartum patient in the hospital. b.    Compare and contrast the care of patients of various cultural and ethnic groups in the postpartum period. c.    Differentiate the medical and nursing management of postpartum women and the newborn. d.    Describe nursing care to promote optimal nutrition of both the newborn and the lactating/postpartum mother. e.    Identify goals for discharge planning and teaching of postpartum women and her infant. f.    Describe the pathophysiology of the newborn at birth. g.    Explain collaborative interventions of patients experiencing postpartum complications, including pharmacology, blood transfusions and emergency surgery in patients of various cultures and ethnic groups. h.    Describe normal reflexes of the neonate, including the approximate age of their disappearance.     i.    Identify assessment techniques of the newborn. j.    Describe the pathophysiology and manifestations of the normal newborn. k.    Summarize methods of preventing infection in newborn infants. l.    Compare and contrast the difference between the pre-term and the low birth-weight newborn and the post-term and large for gestational age infant or the infant of a diabetic mother. m.    Apply the nursing process as a framework for providing individualized care to postpartum patients of various culture and ethnic groups including maternal-infant bonding. n.    Describe the pathophysiology and nursing care of commonly occurring congenital malformations. o.    Identify diagnostic tests used to diagnose commonly occurring congenital malformations. Differentiated Essential Competencies (DEC): I-A, B; II-A,B,C ,D, E,G, H; III-A,B,C,D,E,F; IV-A, B,C D, E 3 Topic: Strategies used by the Vocational Nurse in caring for patients of various cultural and ethnic groups who have sexually transmitted diseases or other diseases of the male/female reproductive tract. Objectives: Upon completion of this learning experience, the student should be able to: a.    Describe puberty, specifically the development of secondary sexual characteristics in male and female adolescents. b.    Identify the major structures of the reproductive systems of men and women and techniques of physical assessment of the systems. c.    Summarize the pathophysiology and clinical manifestations of patients of various cultures and ethnic backgrounds with a disease of the reproductive tract. d.    Summarize recommended screening procedures including lab, procedures and physical assessment used to diagnose disorders of the female and male reproductive system. e.    Discuss use of the nursing process to assess needs, plan, implement individualized care, and evaluate responses for patients with disorders of the male and female reproductive system. f.    Categorize the classifications, actions, side effects and nursing responsibilities of pharmacological agents used in the treatment of patients diagnosed with a disease of the reproductive tract. g.    Identify goals for discharge planning, education, and rehabilitation of patients diagnosed with a disease of the reproductive tract. h.    Relate nursing education strategies for patient and families of various cultures and ethnic groups on ways to prevent sexually transmitted diseases. i.    Follow policies in place for reporting communicable diseases DEC: I-A, B; II-A,B,C ,D, E,G, H; III-A,B,C,D,E,F; IV-A, B,C D, E 4. Topic: Strategies used by the Vocational Nurse in assisting in the care of patients of various cultural and ethnic groups while in labor. Objectives: Upon completion of this learning experience the student should be able to: a.    Summarize the normal process of childbirth: premonitory signs, mechanisms of birth, and the stages and phases of labor. b.    Compare the effects and care of the patients of various cultural and ethnic backgrounds for the intrapartum patient. c.    Summarize factors that influence a womans comfort during labor. d.    Discuss common types of childbirth preparation classes offered to childbearing families and the nursing role in each.     e.    Identify nonpharmacologic methods of pain management for labor, including the nursing role for each. f.    Categorize the classifications, actions, side effects, and nursing responsibilities of pharmacological agents used in the treatment of patients in the intrapartum period. g.    Explain collaborative interventions for patients experiencing intrapartum complications of women of various cultures and ethnic groups. h.    Summarize each stage of labor and the nursing management of each stage. DEC: I-A, B; II-A,B,C ,D, E,G, H; III-A,B,C,D,E,F; IV-A, B,C D, E 5. Topic: Strategies used by the Vocational Nurse in assisting in the care of patients of various cultural and ethnic groups and their families during pregnancy. Objectives: Upon completion of this learning experience, the student should be able to: a.    Describe the mechanics of human fertilization and implantation; embryonic development; fetal development and maturation of the body systems; development of the placenta and the umbilical cord. b.    Compare and contrast fetal circulation during the prenatal life to circulation post-delivery. c.    Differentiate between subjective (presumptive) vs objective (probable) signs of pregnancy. d.    Summarize the nursing management and prenatal care of patients with uncomplicated pregnancy including nutrition, discomforts, and emotions to proceed to a noncomplicated delivery of a healthy fetus. e.    Compare and contrast the two types of twins and identify goals for assisting in the nursing care of the patient expecting multiples. f.    Describe the nursing management of the family of the expectant patient. g.    Assist with fetal heart monitoring for the antepartum client. DEC: I-A, B; II-A,B,C ,D, E,G, H; III-A,B,C,D,E,F; IV-A, B,C D, E
HB 2504	This syllabus is part of LSC-PA's efforts to comply with Texas House Bill 2504.