House Bill 2504 Fall 2020 RNSG-2539-11 - Health Care Concepts IV Syllabus


Fall 2020 Course Syllabus Course: RNSG-2539- Section: 11 Health Care Concepts IV

Instructor Information

Instructor

Carolyn Brown

E-mail

brownc1@lamarpa.edu

Phone

(409) 984-6368

Office

Location:	Allied Health - Room: 129
Hours:	By appointment

Department

If you have a grievance, complaint, or concern about this course that has not been resolved through discussion with the Instructor, please consult the Department Chair.
Allied Health
Chair:	Shirley MacNeill
E-mail:	macneisb@lamarpa.edu
Phone:	(409) 984-6365

COVID 19 Information

The Lamar State College Port Arthur (LSCPA) Student Code of Conduct COVID 19 Policy requires students who have been exposed to COVID 19 or diagnosed with COVID 19 to report their condition on the COVID 19 Notification Form (available via a link on the Student Code of Conduct COVID19 webpage). This information will be provided to the Dean of Student Services. In addition, this policy requires all students to wear face coverings in compliance with the criteria included in the policy. For more information please refer to the COVID 19 link on the LSCPA website.

Course Information

Description

In-depth coverage of advanced health care concepts with nursing application through selected exemplars. Concepts include, cognition, immunity, clotting, fluid and electrolyte balance, gas exchange, metabolism, nutrition, perfusion, tissue integrity, and interpersonal relationships. Continuing development of clinical judgment with integration of all health care concepts. This course lends itself to a concept-based approach.

Prerequisites

RNSG 1538 Health Care Concepts III
RNSG 1137 Professional Nursing Concepts III
RNSG 2361 Clinical II

Learning Outcomes

Communication skills: Students will demonstrate effective written, oral and visual communication.

Critical Thinking Skills: Students will engage in creative and/or innovative thinking, and/or inquiry, analysis, evaluation, synthesis of information, organizing concepts and constructing solutions.

Empirical and Quantitative Skills: Students will demonstrate applications of scientific and mathematical concepts.

Teamwork: Students will demonstrate the ability to work effectively with others to support a shared purpose or goal and consider different points of view.

Social Responsibility: Students will demonstrate intercultural competency and civic knowledge by engaging effectively in local, regional, national and/or global communities.

Personal Responsibility: Students will demonstrate the ability to connect choices, actions and consequences to ethical decision-making.

Core Objectives

In accordance with the mission of Lamar State College - Port Arthur, this course encourages the student to develop the particular skills, knowledge, and attitudes needed for success in the field of Associate Degree Nursing. Upon successful completion of the course, the student should be able to:
1.    Utilize a systematic process to analyze selected advanced health care concepts for diverse patients across the lifespan. (PSLO Alpha; PSLO 1; PSLO 2) Measured by: reading-based discussions; case studies; exams; and labs.
2.    Critique nursing management for selected advanced health care concepts. (PSLO Alpha; PSLO 1; PSLO 2, PSLO 3, PSLO 4) Measured by: reading-based discussions; case studies; exams; and labs.
3.    Relate the learned concepts to a variety of health care situations. (PSLO Alpha; PSLO 1; PSLO 2, PSLO 3, PSLO 4) Measured by: reading-based discussions; case studies; exams; and labs.
4.    Analyze the interrelatedness of health care concepts to make clinical judgements for optimum patient care outcomes. (PSLO Alpha; PSLO 1; PSLO 2, PSLO 3) Measured by: reading-based discussions; case studies; exams; and labs.

Program Student Learning Outcomes

Upon completion of the Upward Mobility Nursing Program graduates will be able to:
PSLO Alpha: Reading Skills – Demonstrates comprehension of content-area reading materials.

PSLO 1. Integrates professional caring into practice decisions within the Scope of Practice for a Registered Nurse.
PSLO 2.     Demonstrates safe, competent, holistic care for a diverse group of individuals who have complex health care needs.
PSLO 3.    Accept responsibility and accountability for the effectiveness of one’s own nursing practice and professional growth.
PSLO 4.    Communicates effectively with clients, peers and other members of the interdisciplinary health care team to provide evidence-based care.

Textbooks

Textbook Purchasing Statement: A student attending Lamar State College Port Arthur is not under any obligation to purchase a textbook from the college-affiliated bookstore. The same textbook may also be available from an independent retailer, including an online retailer.

Required
Ackley, B. & Ladwig, G. (2017). Nursing diagnosis handbook: An evidence-based guide to planning care (11th ed). St. Louis, MO: Mosby-Elsevier.
Giddens, J (2017). Concepts for nursing practice. (2nd ed.). St. Louis, MO: Elsevier.
HESI Case Studies: Complete RN Collection. (2019). Elsevier.
HESI (2017). HESI comprehensive review for the NCLEX-RN examination (5th Ed.). St. Louis: Elsevier.
Hockenberry, M., Wilson, D., & Rodgers, C. (2016). Wong’s essentials of pediatric nursing (10th ed.). St. Louis, MO. Elsevier.
Lewis, S., Bucher, L., Heitkemper, M. & Hardin, M. (2020). Medical-Surgical nursing, assessment and management of clinical problems. (11th ed.). St. Louis, MO. Elsevier.
Lilley, L., Collins, S. & Snyder, J. (2020). Pharmacology and the nursing process (9th ed.). St. Louis, Mo. Elsevier
Lippincott NCLEX-RN PassPoint Powered by PrepU: Study software for NCLEX-RN®
Murray, S., McKinney, E., Houb, K., & Jones, R. (2019). Foundations of maternal-newborn health nursing (7th ed.). St. Louis, MO. Elsevier.
Silvestri, L. A. (2017). Saunders comprehensive review for the NCLEX-RN examination (7th Ed.). St. Louis: Elsevier.
Swift River Online.
Taber's Cyclopedic Medical Dictionary (23rd ed). (2017). Philadelphia:
F.A. Davis Company
Townsend, M & Morgan, K. (2020). Essentials of psychiatric mental health
nursing (8th ed.). Philadelphia, PA. F.A. Davis Company.
Zerwekh, J. & Garneau, A. (2018). Nursing today: Transitions and
Trends (9th ed). St. Louis, MO: Saunders

Recommended:
Nugent, P. & Vitale, B. (2016). Test success: Test-taking techniques (7th ed.). Philadelphia: F. A. Davis.
Weber, J., and Kelly, J. (2018). Health assessment in nursing (6th ed). Philadelphia: Lippincott Williams & Williams.

Lecture Topics
Outline

Week 1 (August 24- 26, 2020): Syllabus, Interpreting Lab Values
Week 2 (September 1 - 2, 2020): Fluid & Electrolytes, Acid-Base
Week 3 (September 8 - 9, 2020): Gas Exchange
Week 4 (September 15 - 16, 2020): Metabolism
Week 5 (September 22 - 23, 2020): Exam 1, Tissue Integrity, HESI Fundamentals exam
Week 6 (September 29 - 30, 2020): Clotting; Comfort; HESI Practice
Week 7 (October 6- 7, 2020): Clotting; Interpersonal Relationships
Week 8 (October 13- 14, 2020): Adolescent Mental Health, HESI Specialty: Med/Surgical, HESI Specialty Maternity/Pedi
Week 9 (October 20 - 21, 2020): Cognition, Coping, Anxiety, Somatic Symptom
Week 10 (October 27 - 28, 2020): Interpersonal Relationships; Perfusion
Week 11 (November 3 - 4, 2020): Exam 2, HESI Specialty: Psych/Mental Health
Week 12 (November 10- 11, 2020): Immunity
Week 13 (November 17 - 18, 2020): Hurst Review; Submit TBON Application Status Screenshot
Week 14 (November 24 - 25, 2020): Nutrition; Brochure Presentations
Week 15 (December 1 - 2, 2020): HESI EXIT EXAM; Brochure Presentations
Week 16 (December 8 - 9, 2020): Pinning Ceremony - 12/9/2020

Major Assignments
Schedule

Final Exam Date

December 3, 2020 - 8:00 AM Through December 2, 2020 - 10:00 AM

Grading Scale

90-100 = A 80-89 = B 75-79 = C 74-60 = D 59 or Below = F

Determination of
Final Grade

Examinations are based on course objectives.

Course content from the biological and behavioral sciences as well as previous nursing knowledge is included on exams as appropriate.

Students are strongly encouraged to take exams as scheduled. 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. No make-up unit exams are given. The numerical grade attained on the Comprehensive Final exam is substituted for any missed unit exam(s).

A specified amount of time will be set for testing. No questions may be asked during the exams. No hats/caps/hoodies/smart watches/personal possessions other than keys, earbuds, and a pencil may be brought in to the exam. Students who arrive after the exam starts, but before it ends, may take the exam without penalty. No additional time is provided for late arrivals and student should come in quietly taking the first available seat. Once the exam period ends from the scheduled start time the student who arrived late must exit the exam. Questions unanswered will be counted wrong.

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.

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 the credit for the item. If a student’s answer differs from the one originally keyed, the student is credited for the nullified item. In other words, everyone gets credit for the item and no one loses credit.

Test grades will not be available for a minimum of 24 hours post-test.

If a student scores less than 75% on a unit examination, the student MUST make an appointment within one week with one of the course faculty. During the conference the student and instructor will review the examination and, with the assistance of the instructor, identify factors that may have contributed to the student's poor performance and identify strategies to improve performance on future examinations.

Any challenge to exam questions must be presented on provided form within 24 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. During the exam review there should be no discussions with faculty or other students.

The following method will be used to determine each student’s grade in the course:
Activities 5%
Exam I 25%
Exam II 25%
Final (HESI RN Exit Exam) 45%

Daily Activity Grades will include: Discussion Boards, Individual or Group Presentations, Assignments, Case studies, Quizzes, Specialty Exams, etc.

Daily Activity Grade will not be included in grade calculation until 75% weighted exam average is achieved. No grades will be rounded until the Final Course average; this includes the Weighted Exam Average. Grades will not be rounded when calculating the Weighted Exam average (74.5 – 74.9 is not rounded to 75).

Final exams are not available for review by the student and Final exam grades are not posted.

Completion of PassPoint Mastery Level assignments are some of the mandatory Pass/Fail assignments.

All Pass/Fail Assignments must be completed in a satisfactory manner or it will result in a course failure.

Complete Nursing Success Plan and related assignments.
Submit application to Texas Board of Nursing with required fees
Pay fees to Pearson Vue for NCLEX-RN
Submit screenshot of TBON Application Status showing all areas completed except for Affidavit of Graduation
Complete all PassPoint Mastery Level assignments with required level of eight (8) or higher
Complete all PassPoint Comprehensive Exams and PassPoint NCLEX Simulation Exams.
Attend an approved NCLEX-RN Review course.

A final course grade of 75% and successful completion of ALL Pass/Fail assignments is necessary for a student to pass his course.

Late assignment submissions will incur a late point penalty. In most courses the late penalty will be a deduction of ten points if turned in within the first 24 hours after the assignment due date. If the assignment is turned in between 24 and 48 hours late a 25-point penalty will be deducted. Any assignment submitted after 48 hours will be assigned a zero for the assignment. Previous arrangements between the student and instructor for late work may allow for a reduced late point penalty, but all late submissions will have a late penalty deducted. Refer to the individual course syllabus for any variations from the late penalty deductions

Course Policies

Instructor Policies

Students attending classroom, lab, or clinical sessions virtually should exhibit appropriate etiquette to include at a minimum: Adhere to the same standards of behavior online that you follow in real life; Respect faculty and peers time by being on time to scheduled exams, sessions and activities; and Present yourself in a professional manner.

Activities or presentations may include a deduction of points if professional behavior or appearance is not maintained.

Required assignments and specific dates for work to be turned in must be met by the student. Unless turned in by the deadline there will be a drop-in grade for lateness. Previous arrangements between the student and instructor for late work may allow for a reduced late point penalty. Grammar and sentence structure, spelling, legibility, neatness and following directions as to organization are related to acceptable quality in both written and oral assignments. Written work is expected to follow the most current American Psychological Association (APA) format.

HESI Exam/Remediation (Pass/Fail Assignment):
All Essential Topic Packs must be completed on topics student scores less than 950 on
Recommended Topic Packs should be completed to fulfill the required remediation time
Score less than 700 = 3 hours of remediation
Score of 701 – 850 = 2 hours of remediation
Score of 851 – 949 = 1 hour of remediation
Score of 950 or greater = no remediation

HESI remediation deadline will be established by individual clinical instructor based upon the required number of topics and remediation time.

Only students enrolled in the course are allowed in the classroom, except by special instructor permission.

No food or tobacco products are allowed in the classroom.

Electronic devices (including but not restricted to cell phones, MP3 players, smart watches and laptop computers) shall not be used during examinations unless specifically allowed by the instructor.

Use of electronic devices during normal class hours distracts other students, disrupts the class, and wastes valuable time. Instructors have an obligation to reduce such disruptions.

Students should turn their phones to vibrate before they enter the classroom.

No cell phones should be visible during class without faculty permission.

Use of tobacco products is prohibited on all LSCPA properties at any time.

Additional classroom policies include:
Students and faculty of the Lamar State College-Port Arthur Upward Mobility 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.

The following behaviors may 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;
Displaying a rude or negative attitude/behavior to the instructor or other students;
disruptive behaviors in the classroom, skills/simulation lab, computer lab, testing environment, or clinical setting;
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 admission 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, Upward Mobility Program Coordinator, or Department Chair.

If students must leave the classroom during content presentations they must wait until the break to return to the classroom.

On-campus computers should 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.

Homework assignments completed during classroom sessions will result in a grade of zero.

Students are also expected to follow the guidelines and policies in the LSC-PA Upward Mobility Nursing Student Handbook.

If a student is unable to maintain these expectations or stated program requirements, dismissal from the program may occur.

Attendance Policy

Attendance at all scheduled classes and clinical experiences is expected. Research has shown that consistent class and clinical attendance contributes to successful completion of not only the Upward Mobility Nursing Program, but also passing the NCLEX-RN. Regular attendance is an essential function of any job in nursing. Students who regularly miss class or clinical clearly demonstrate their refusal to be accountable to report to work regularly.

It is the student’s responsibility to notify the instructor prior to any absence. If the student is missing a clinical, classroom or lab day, s/he must notify the faculty.

Late arrival to class is disruptive. Students who consistently arrive after the scheduled starting time of class (2 or more times) will be counseled and a plan of action determined. Class will begin promptly at the scheduled time. Students who arrive ten (10) minutes after the beginning of class should not enter the classroom and should wait until break to enter. Repetitive tardiness will result in a 5-point deduction on next exam grade.

A student who is absent from course activities for three (3) days or more, without notification to faculty, may be withdrawn from the program by the program director.

Students on campus but not in class are considered absent.

It is the student’s 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 student’s 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.

Clinical uniforms are to be worn at all times while in the simulation/skills lab.

The program coordinator has the right to initiate the administrative withdrawal of any student whose attendance, conduct, scholastic abilities, attitude or lack of aptitude for registered nursing makes it inadvisable for that student to continue in the program.

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.

MyLSCPA

Be sure to check your campus E-mail and Course Homepage using MyLSCPA 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 MyLSCPA.

Other

HB 2504

This syllabus is part of LSC-PA's efforts to comply with Texas House Bill 2504.