Fall 2020 Course Syllabus Course: RNSG-1300- Section: 73 Health Assessment Across the Lifespan

Instructor Information
Instructor	Shirley MacNeill
E-mail	macneisb@lamarpa.edu
Phone	(409) 984-6365
Office	Location: Allied Health - Room: 102 Hours: M-Th 8 am - 11 am; Other hours by appointment
Department	Allied Health Chair: Shirley MacNeill E-mail: macneisb@lamarpa.edu Phone: (409) 984-6365 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.
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	Development of skills and techniques required for a comprehensive nursing health assessment of patients across the lifespan. Includes assessment of patients' health promotion and maintenance, illness and injury prevention and restoration, and application of the nursing process within a legal/ethical framework. This course lends itself to either a blocked or integrated approach.
Prerequisites	BIOL 2401 and BIOL 2401 Human Anatomy and Physiology.
Learning Outcomes	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 completion of RNSG 1300, the student will have the opportunity to Demonstrate techniques utilized in the health assessment of individuals across the lifespan. (PSLO 1, PSLO 2, PSLO 3) Perform systematic physical assessment using appropriate equipment and techniques for all body systems. (PSLO 1, PSLO 2, PSLO 3) Utilize cognitive and psychomotor skills in assessing clients' physiologic health and psychosocial status. (PSLO PSLO 2, PSLO 3, PSLO 4) Document findings utilizing appropriate terminology and legal/ethical format. (PSLO 1, PSLO 3, PSLO 4) Identify legal and ethical standards related to health assessment. (PSLO1, PSLO 4) Identifies all main ideas, supporting details, and vocabulary in reading material; demonstrates a full understanding of the reading. (PSLO Alpha, PSLO3)
Core Objectives	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.
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 material: 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: Lippincott CoursePoint Enhanced For registration and purchase of Coursepoint Enhanced for Weber: Health Assessment 6th ed. Registration directions: https://lippincottdirect.lww.com/NursingEducation-LamarStateCollegePortArthur-Fall2020 Approximate Cost $120.00 (If you use financial aid, when you log into the website, click the Financial Aid Assistance link) If you experience difficulties purchasing your bundle online call Customer Service at 800-638-3030 This bundle includes ebook of the required text: Weber, J., and Kelly, J. Health Assessment in Nursing, 6e. Philadelphia: Lippincott Williams & Williams, 2018 Support: Contact Lippincott with any questions or technical issues regarding CoursePoint Enhanced before contacting your instructor. Support is available at : http://the point.lww.com/ContactUS or call support at 1-800-486-1128 Shadow Health Digital Clinical Experience Shadow Health provides a clinical simulation designed to improve your assessment skills in a safe learning environment. You will examine digital patients throughout the course that are accessible online 24/7. A. Information for your Required Materials section Shadow Health. (2017). Digital Clinical Experience (Version 5.0) [Software]. (ISBN: 978-0-9897888-1-6) Available from http://www.shadowhealth.com For registration and purchase 1.    Registration directions: http://link.shadowhealth.com/How-to-Register If you already have a Shadow Health account, you do not need to register for an additional student account. To add a course to your existing account log in and follow these instructions: http://link.shadowhealth.com/How-to-Add-a-Course 2.    Course Pin: August2020-3120-7102-4740-0728 3.    Register for Section 2 - online 4.    Approximate Cost -$99.00 5.    Register for a Shadow Health student introduction webinar: http://link.shadowhealth.com/Student-Orientation-Webinar 6. Login page: http://app.shadowhealth.com 7.    Tablets and mobile devices are not currently supported 8.    To use Speech-to-Text, you must complete assignments in Google Chrome 9.     Shadow Health Support: 10.    Contact Shadow Health with any questions or technical issues regarding Shadow Health before contacting your instructor. 11.    Support is available at http://support.shadowhealth.com
Lecture Topics Outline	Week 1 08/27/2020 Course orientation Coursepoint Enhanced orientation Shadow Health DCE orientation Shadow Health Conversation Lab Nurse’s role in Health Assessment - Chapter 1 Collecting Subjective Data - Chapter 2 Collecting Objective Data - Chapter 3 Validating and Documenting Data – Chapter 4 Thinking Critically to Analyze Data and Make Informed Nursing Judgments – Chapter 5 PrepU Quizzes – Mastery level 5 Week 2 09/03/2020 Assessing Mental Status and Substance Abuse – Chapter 6 Assessing Psychosocial, Cognitive and Moral Development – Chapter 7 Assessing General Status and Vital Signs - Chapter 8 Assessing Pain: the 5th Vital Sign – Chapter 9 Assessing for Violence – Chapter 10 Shadow Health - Health History Assessment PrepU Quizzes – Mastery Level 5 Week 3 09/10/2020 Assessing Culture – Chapter 11 Assessing Spirituality – Chapter 12 Assessing Nutritional Status – Chapter 13 Assessing Skin, Hair, and Nails – Chapter 14 Shadow Health – Skin, Hair and Nails Assignment PrepU Quizzes – Mastery Level 5 Week 4 09/17/2020 Assessing Head and Neck – Chapter 15 Assessing Eyes – Chapter 16 Assessing Ears – Chapter 17 Assessing Mouth, Throat, Nose and Sinus – Chapter 18 Shadow Health – HEENT Assignment PrepU Quizzes – Mastery Level 5 Week 5 09/24/2020 Assessing Thorax and Lungs – Chapter 19 Assessing Breasts and Lymphatic System – Chapter 20 Shadow Health – Respiratory Assignment Shadow Health - Respiratory Concept Lab PrepU Quizzes – Mastery Level 5 Week 6 10/01/2020 Exam 1 – Thursday, October 1 at 0800 (Covers Weeks 1 – 6) Week 7 10/08/2020 Assessing Heart and Neck Vessels – Chapter 21 Assessing Peripheral Vascular System – Chapter 22 Shadow Health – Cardiovascular Assignment Shadow Health – Cardiovascular Concept Lab PrepU Quizzes – Mastery Level 5 Week 8 10/15/2020 Assessing Abdomen – Chapter 23 Shadow Health – Abdomen Assignment Shadow Health – Abdomen Concept Lab Assessing Musculoskeletal System – Chapter 24 Shadow Health – Musculoskeletal Assignment PrepU Quizzes – Mastery Level 5 Week 9 10/22/2020 Assessing Neurological System - Chapter 25 Shadow Health – Neurological Assignment PrepU Quizzes – Mastery Level 5 Week 10 10/29/2020 Exam II – Thursday, October 29 at 0800 (Covers weeks 7 - 9) Week 11 11/05/2020 Assessing Male Genitalia and Rectum – Chapter 26 Assessing Female Genitalia and Rectum – Chapter 27 Assessing Childbearing Women – Chapter 29 Assessing Newborns and Infants - Chapter 30 Assessing Children and Adolescents - Chapter 31 Shadow Health - Focused Exam – Cough Shadow Health - Focused Exam – Chest Pain PrepU Quizzes – Mastery Level 5 Week 12 11/12/2020 Assessing Older Adults – Chapter 32 Assessing Families – Chapter 33 Assessing Communities – Chapter 34 Pulling It All Together – Chapter 28 Shadow Health - Discharge Shadow Health – Focused Exam – Abdominal Pain Shadow Health – Comprehensive Assessment (Due at the end of week 12) PrepU Quizzes – Mastery Level 5 Mandatory Integrated Physical Assessment Practice Week 13 11/19/2020 Integrated Physical Assessment Check-offs Submit Integrated Physical Assessment Documents Complete any remaining Mastery Level assignment Shadow Health – Comprehensive Assessment (began in week 12) Week 14 11/26/2020 Thanksgiving Holiday Week 15 12/03/2020 Final Exam – December 3, 2020 Time: 0800 (Comprehensive Exam) Complete any remaining Mastery Level assignment Complete any remaining Shadow Health assignments
Major Assignments Schedule	Exam I – Thursday October 1, 2020 at 0800 Exam II – Thursday October 29, 2020 at 0800 Final Exam – Thursday December 3, 2020 at 0800. Exams will be given at the assigned time or student may register and take the exam and a later time on the exam date using ProctorU, an Online Proctoring Service, for a fee. Integrated Physical Assessment: The integrated physical assessment is the culminating assignment for the course and involves completion of a cephalocaudal physical assessment at the end of the course. Students will submit a video demonstrating an integrated physical assessment. The integrated assessment should be completed without pauses in the video and no longer than 75 minutes. Written notes, study guides, and materials should not be used during the integrated physical assessment. You will be evaluated based on the integrated physical assessment form criteria. No student written assignment is required to complete the integrated physical assessment. You are expected to complete the assessment in 75 minutes. You are required to earn a C or better for the integrated physical assessment. Any grade below a C (75%) is considered failing. Further, the integrated physical assessment is a mandatory assignment. Failure of this assignment results in failure of the entire course regardless of the grades for other assignments.
Final Exam Date	December 3, 2020 - 8:00 AM   Through  December 3, 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	A final course grade of 75% is necessary for the student to pass this course. The final course grade is calculated as follows: Exam 1 = 20%, Exam 2 = 20%, Lab grade = 15%, Integrated Physical Assessment = 20% and Final Exam = 25%. Lab grade (15% of final course grade) Includes: 1. Required Mastery Level met on all PrepU assignments (mandatory Pass/Fail assignment) PrepU assignments. Complete all PrepU Mastery Level assignments with required Mastery level of five (5) or higher (achievement =100%; below Mastery Level= 0%). Average of PrepU assignments = 50% of lab grade Shadow Health Assessment Assignments: These are mandatory assignments and the average counts as 50% of your lab grade. 2. ShadowHealth Health History and System assignments: The amount of time spent on each assignment should be a minimum of 45 minutes. For the first 3 weeks of the semester, students are allowed more than one attempt and must turn in an attempt of their choice. After three weeks, the first attempt will be the grade for the assignment. The assignment grade will be based upon your Digital Clinical Experience (DCE) Score average. 3. Focused Exams (3) and Concept Lab assignments are mandatory assignments. Students are allowed more than one attempt and must turn in an attempt of their choice. 4. Comprehensive Assessment assignment: The amount of time spent on assignment should be a minimum of 60 minutes. Students are allowed more than one attempt and the attempts will be averaged to achieve your assignment grade. The assignment grade will be based upon your Digital Clinical Experience (DCE) Score average. Integrated Physical Assessment: You are required to earn a C or better for this Final lab assignment. The integrated physical assessment is a mandatory assignment and counts as 20% of your course grade; any grade on this assignment below a C (75%) is considered failing. Failure of this assignment results in failure of the entire course regardless of the grades for other assignments or exams. Students will submit a video demonstrating an integrated physical assessment. The integrated assessment should be completed without pauses in the video and no longer than 75 minutes. If you are unable to complete the assessment assignment by video, you may have an approved MSN prepared nurse serve as your Observer and record and upload the digital file of your assessment to your course in BlackBoard. The chosen Observer must be approved by faculty, is required to complete the appropriate documents, and must submit a summary of your assessment via email to the faculty listed on the observer form before end of day on the Tuesday of the week the assignment is due (it is your responsibility to follow up and make sure they have done this). If your assignment comments are not available to the faculty by the assignment due week then you will receive a zero for the assignment and will fail the course. You will be required to submit the assignment documents within the course. Assessment Videos: Students will submit a video clip demonstrating designated systems assessment and of your complete final assessment. These assignments are for a grade and must be completed to pass the course. A recording of the weekly lectures or voiceover powerpoints will be available on blackboard Thursday afternoon. The video can be accessed in the course under weekly assignments. Point deductions: Late points, up to ten points per day, will be deducted if any graded assignment is submitted after the date and time due No Exceptions. Exams: All exams must be taken. Students will be allocated a specific amount of time for each exam. Students unable to take a scheduled exam due to an extreme emergency must notify the instructor prior to the exam. All exams will be taken in the Allied Health Computer Lab or if a makeup exam is required it will be taken in the Student Success Center. Makeup exams must be taken within 48 hours of the scheduled exam. If unable to take makeup exam within the 48 hours, the numerical grade attained on the Final exam will be substituted for missed exam. If unable to take the exam on campus, a student may be approved to take the exam using ProctorU, an online proctoring service. There is a testing fee of approximately $25 to use ProctorU. More details regarding the use of ProctorU will be provided in the course. Examinations are based on course objectives. Course content from the biological and behavioral sciences as well as previous nursing knowledge may be included on exams, as appropriate. Evaluation of Examinations: After each exam, the faculty uses psychometric principles to evaluate the examination. Items missed by 50% or more of the course 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, a student will retain the credit for the item. If a students answer differs from the one originally keyed, a student is credited for the nullified item. In other words, everyone gets credit for the item and no one loses credit.
Course Policies
Instructor Policies	I will not discuss your grades over the phone. If you want to discuss your grades, you must come to my office, in person, or email me using your LSCPA email account. No food or tobacco products are allowed in the classroom or labs. Only students enrolled in the course are allowed in the classroom, except by special instructor permission. If ou would like to attend a classroom based lecture or lab practice please contact the Use of electronic devices at the discretion of the instructor Academic Honesty Academic dishonesty in any form will not be tolerated. Please consult the Student Handbook for consequences of academic dishonesty. These policies will be strictly enforced. Plagiarism, cheating, and other forms of scholastic dishonesty are prohibited and are grounds for disciplinary action according to the LSC-PA Student Handbook. Anyone who copies more than six consecutive words from a source and does not document the source has committed plagiarism. Students guilty of academic misconduct either directly or indirectly through participation or assistance, are immediately responsible to the instructor of the class. In addition, to other possible disciplinary sanctions which may be imposed through the regular LSC-PA procedures as a result of academic misconduct, the instructor has the authority to assign an F or a zero for the exercise or examination or to assign an F in the course. Electronic devices (including but not restricted to cell phones, MP3 players, and laptop computers) shall not be used during examinations or upon review of exams unless the Disability Services Coordinator has determined that such a device is a reasonable accommodation for a disability. Under any other circumstances, the use of an electronic device during an examination shall be considered academic dishonesty, and will result in appropriate sanctions as outlined in the Course Syllabus, in the Faculty Handbook (Section IX-1) and in the Student Handbook (Academic Dishonesty) TEXAS BOARD OF NURSING CHAPTER 213 PRACTICE AND PROCEDURE RULE 213.27 Good Professional Character: (a) Good professional character is the integrated pattern of personal, academic and occupational behaviors which, in the judgment of the Board, indicates that an individual is able to consistently conform his or her conduct to the requirements of the Nursing Practice Act, the Board's rules and regulations, and generally accepted standards of nursing practice including, but not limited to, behaviors indicating honesty, accountability, trustworthiness, reliability, and integrity.
Attendance Policy	Research has shown a cause and effect relationship between attendance and college success. Policies for this course are described below: Students cannot meet the objectives of the course without completing course assignments. Students put at risk their success in the course if they miss any assignment deadlines. It is the students responsibility to notify the instructor if they are unable to meet an assignment deadline. A student who is absent from course activities for more than three (3) days may be dropped from the program by the Program Director.
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	I will not discuss your grade over the phone. If you have questions please schedule an appointment to meet with me. If you are are unable to come to campus please email me using your LSCPA email account and i will respond in an email.
HB 2504	This syllabus is part of LSC-PA's efforts to comply with Texas House Bill 2504.