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Fall 2021 Course Syllabus
Course: RNSG-1300- Section: 72 Health Assessment Across the Lifespan |
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| Instructor Information | |||||||||||
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| Instructor | Carolyn Brown | ||||||||||
| brownc1@lamarpa.edu | |||||||||||
| Phone | (409) 984-6368 | ||||||||||
| Office |
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| 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: 1. Demonstrate techniques utilized in the health assessment of individuals across the lifespan. (PSLO 1, PSLO 2, PSLO 3) 2. Perform systematic physical assessment using appropriate equipment and techniques for all body systems. (PSLO 1, PSLO 2, PSLO 3) 3. Utilize cognitive and psychomotor skills in assessing clients' physiologic health and psychosocial status. (PSLO 1, PSLO 2, PSLO 3, PSLO 4) 4. Document findings utilizing appropriate terminology and legal/ethical format. (PSLO 1, PSLO 3, PSLO 4) 5. Identify legal and ethical standards related to health assessment. (PSLO1, PSLO 4) 6. Identifies all main ideas, supporting details, and vocabulary in reading material; demonstrates a full understanding of the reading. (PSLO Alpha, PSLO3) |
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| 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. |
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| 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 ones own nursing practice and professional growth. PSLO 4: Communicate effectively with clients, peers and other members of the interdisciplinary heath care team to provide evidence-based care. |
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| 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.
Reminder that all required textbooks/programs are included in Seahawk Book Bundle Required: Lippincott CoursePoint Enhanced For registration and purchase of CoursePoint for Weber: Health Assessment 6th ed. Registration directions: Go to link: https://lippincottdirect.lww.com/NursingEducation-LamarStateCollegePortArthur-Fall2021 Fill out information on opening page, then click Find My Products Select material under your classes click Add to Cart Approximate cost $120.00 (If you use financial aid, when you log into the website, clink 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 before contacting your instructor. Support is available at : http://the point.lww.com/ContactUS o 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. Information for your Required Materials section o Shadow Health. (2017). Digital Clinical Experience (Version 5.0) [Software]. o (ISBN: 978-0-9897888-1-6) Available from http://www.shadowhealth.com For registration and purchase 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 Course Pin: Fall2021-2340-5780-5867-1532 Register for Section 2 Approximate Cost -$99.00 Register for a Shadow Health student introduction webinar: http://link.shadowhealth.com/Student-Orientation-Webinar Login page: http://app.shadowhealth.com Technical requirements Review requirements: http://link.shadowhealth.com/Minimum-System-Specifications Tablets and mobile devices are not currently supported. To use Speech-to-Text, you must complete assignments in Google Chrome. Shadow Health Support: Contact Shadow Health with any questions or technical issues regarding Shadow Health before contacting your instructor. Support is available at http://support.shadowhealth.com. GENERAL TECHNICAL NOTE: Students must have access to a PC laptop or desktop with: o Ready access to a PC or Macintosh laptop or desktop with: o Windows 7or higher ; or MacOSX 10.9 or later o Latest version of Mozilla FireFox, Google Chrome browser, and/or Internet Explorer o Standard browser plug-ins: Adobe Flash, Adobe Acrobat Reader, Apple Quicktime, Java o Computer hardware less than three years old with working webcam and microphone. Recommended 4GB RAM Students must have access to High Speed Internet Connection: Wired DSL or Cable Broadband access Wireless or Wireless Mobile Broadband connections may be used during course browsing Students cannot complete a course using only a mobile device or the Blackboard Mobile App Blackboard does not support browsers on mobile devices (iOS or Android) Students must have access to Microsoft Office 2010 or higher. Students must have access and use of a scanner |
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| Lecture Topics Outline |
Week 1 08/26/2021 Course orientation (Virtual) CoursePoint orientation Shadow Health orientation Shadow Health DCE orientation Nurses 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 Shadow Health Conversation Lab Week 2 09/02/2021 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 09/09/2021 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 09/16/2021 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 Assessment video Week 5 09/23/2021 Exam 1 Thursday, September 23, 2021 at 0800 (Covers weeks 1 4) Week 6 09/30/2021 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 Assessment video Week 7 10/07/2021 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 Assessment video Week 8 10/14/2021 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 10/21/2021 Assessing Neurological System - Chapter 25 Shadow Health Neurological Assignment PrepU Quizzes Mastery Level 5 Assessment Video Week 10 10/28/2021 Exam II Thursday, October 28th at 0800 (Covers weeks 6-9) Week 11 11/04/2021 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 11/11/2021 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 13) PrepU Quizzes Mastery Level 5 Mandatory Integrated Physical Assessment Practice Week 13 11/15/2021 11/18/2021 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 11/25/2021 Thanksgiving Holiday Week 15 12/02/2021 Final Exam December 2nd 0800 (Comprehensive Exam) Complete any remaining Mastery Level assignment Complete any remaining Shadow Health assignments |
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| Major Assignments Schedule |
Exam I Thursday September 23, 2021 at 0800 Exam II Thursday October 28, 2021 at 0800 Final Exam Thursday December 2, 2021 at 0800. 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. 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. After 75 minutes, the instructor will stop you. 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 |
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| Final Exam Date | December 2, 2021 - 8:0 AM Through December 2, 2021 - 8:0 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). 2. Required Shadow Health Assignments 3. Lab video assessments 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. 1. Digital Clinical Experience (DCE) orientation and conversation labs are completion assignments that are required. 2. 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 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. You will sign up for a time to complete your assessment with your course faculty. Faculty will complete the required documents and provide to you to submit the documents within the course in Week 13. If you are unable to complete the assessment assignment on campus 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 Thursday 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. Lab Assessment Videos: For Lab, students will submit a video clip demonstrating designated systems assessment covered during the assigned week. These video assessment assignments are graded and mandatory for successful completion of the course. Lectures - A recording of the weekly lectures or voiceover powerpoints will be available on blackboard. Open Virtual Lab A virtual lab will be scheduled throughout the semester. Students can join the lab to ask questions and view assessment skills. 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. |
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| 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. 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 meals are allowed in the classroom without special permission. Electronic devices (including but not restricted to cell phones, MP3 players, 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 LSC-PA 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 (tardiness is defined as arriving greater than 10 minutes to class). 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. Phone calls and/or text messages will 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. 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, 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. |
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| 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 rom course activities for more than three (3) days may be dropped from the program by the Program Director. |
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| 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 |
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| 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. | ||||||||||
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| HB 2504 | This syllabus is part of LSC-PA's efforts to comply with Texas House Bill 2504. | ||||||||||
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