Fall 2022 Course Syllabus
Course: RNSG-1300 (Section: 1, CRN: 91496)
Health Assessment Across the Lifespan 		LSCPA Logo Image
Instructor Information
Instructor Diane Hare
Email haredl@lamarpa.edu
Phone (409) 984-6358
Office Allied Health - Room: 127
Office Hours As posted and by appointment
Additional Contact Information
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.
Required 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:
Weber, J., & Kelly, J. (2022). Health assessment in nursing (7th ed). Lippincott Williams & Williams. ISBN 9781975161156
  • Support:
  • Contact Lippincott with any questions or technical issues regarding CoursePoint before contacting your instructor.
  • Support is available at: http://thepoint.lww.com/ContactUS
  • or call support at 1-800-486-1128
 Shadow Health Digital Clinical Experience™
 Shadow Health. (2017). Digital Clinical Experience (Version 5.0) [Software]. ISBN: 978-0-9897888-1-6 Available from http://www.shadowhealth.com
  • 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
Additional Materials/Resources None.
Corequisites/Prerequisites
  • BIOL-2101 Anatomy & Physiology I Laboratory
  • BIOL-2101 Anatomy & Physiology Laboratory I
  • BIOL-2301 Anatomy & Physiology I
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. 
2.  Perform systematic physical assessment using appropriate equipment and techniques for all body systems.
3. Utilize cognitive and psychomotor skills in assessing clients' physiologic health and psychosocial status. 
4. Document findings utilizing appropriate terminology and legal/ethical format.
5. Identify legal and ethical standards related to health assessment.
Program Student Learning Outcomes Upon completion of the Upward Mobility Nursing Program graduates will be able to:

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: Communicate effectively with clients, peers and other members of the interdisciplinary heath care team to provide evidence-based care.
Lecture Topics Outline

  • Shadow Health orientation
  • Nurse’s role in Health Assessment  
  • Collecting Subjective Data  
  • Collecting Objective Data 
  • Validating and Documenting Data 
  • Thinking Critically to Analyze Data and Make Informed Nursing Judgments 
  • Assessing Mental Status and Substance Abuse 
  • Assessing Psychosocial, Cognitive and Moral Development
  • Assessing General Status and Vital Signs
  • Assessing Pain: the 5th Vital Sign 
  • Assessing for Violence
  • Assessing Culture
  • Assessing Spirituality
  • Assessing Nutritional Status
  • Assessing Skin, Hair, and Nails
  • Assessing Eyes
  • Assessing Ears
  • Assessing Mouth, Throat, Nose and Sinus 
  • Assessing Thorax and Lungs 
  • Assessing Breasts and Lymphatic System 
  • Assessing Heart and Neck Vessels
  • Assessing Peripheral Vascular System 
  • Assessing Abdomen 
  • Assessing Musculoskeletal System 
  • Assessing Neurological System 
  • Assessing Male Genitalia and Rectum 
  • Assessing Female Genitalia and Rectum 
  • Assessing Childbearing Women 
  • Assessing Newborns and Infants
  • Assessing Children and Adolescents 
  • Assessing Older Adults 
  • Assessing Families 
  • Assessing Communities 
  • Pulling It All Together
Major Assignments Schedule Week 1 08/25/2022
  • Course orientation (On campus and Virtual)
  • CoursePoint orientation
  • Shadow Health orientation
  • Shadow Health DCE orientation
  • Shadow Health Conversation Lab
  • Shadow Health Communication and Documentation
  • PrepU Quizzes – Mastery level 5
Week 2 09/01/2022
  • Shadow Health - Health History Assessment
  • PrepU Quizzes – Mastery Level 5
Week 3 09/08/2022
  • Shadow Health – Skin, Hair and Nails Assignment
  • PrepU Quizzes – Mastery Level 5
Week 4 09/15/2022
  • Shadow Health – HEENT Assignment
  • PrepU Quizzes – Mastery Level 5
  • Assessment video
Week 5 09/22/2022
  • Exam 1 – Thursday, September 22th at 0800 (Covers weeks 1 – 4)
Week 6 09/29/2022
  • Shadow Health – Respiratory Assignment
  • Shadow Health - Respiratory Concept Lab
  • PrepU Quizzes – Mastery Level 5
  • Assessment video
Week 7 10/06/2022
  • Shadow Health – Cardiovascular Assignment
  • Shadow Health – Cardiovascular Concept Lab
  • PrepU Quizzes – Mastery Level 5
  • Assessment video
Week 8 10/13/2022
  • 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 10/20/2022
  • Shadow Health – Neurological Assignment
  • PrepU Quizzes – Mastery Level 5
  • Assessment Video
Week 10 10/27/2022
Exam II – Thursday, October 27th at 0800 (Covers weeks 6-10)
Week 11 11/03/2022
  • Shadow Health - Focused Exam – Cough
  • Shadow Health - Focused Exam – Chest Pain
  • PrepU Quizzes – Mastery Level 5
Week 12 11/10/2022
  • 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 11/17/2022
  • Integrated Physical Assessment Check-offs
  • Submit Integrated Physical Assessment Documents
  • Complete any remaining Mastery Level assignment
  • Shadow Health – Comprehensive Assessment (began in week 12)
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 assignments or exams.
Final Exam Date December 1, 2022 - 8:00 AM   Through  December 1, 2022 - 12:00 PM
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%
Final Exam = 25%. 

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. 

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 

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
  • Digital Clinical Experience (DCE) orientation and conversation labs are completion assignments that are required.
  • 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.
  • 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.  
  • 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 14.  If you are unable to complete the assessment assignment on campus you may have an approved MSN prepared nurse serve as your Observer.  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.
  •  
Course Policies
Instructor Policies Grades are not discussed over the phone.  If you have questions please submit an email to course faculty using your Lamar State College Port Arthur email account.

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 student’s 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
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 student’s 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 will be advised to drop from the course by faculty
Additional Information
Institutional Policies
MyLSCPA Be sure to check your campus email and Course Homepage using MyLSCPA campus web portal. You can also access your grades, transcripts, academic advisors, degree progress, and other services through MyLSCPA.
Academic Honesty Academic honesty is expected from all students, and dishonesty in any form will not be tolerated. Please consult the LSCPA policies (Academic Dishonesty section in the Student Handbook) for consequences of academic dishonesty.
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.
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.
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.
HB 2504 This syllabus is part of LSCPA's efforts to comply with Texas House Bill 2504.
Mandatory Reporting of Child Abuse and Neglect As per Texas law and LSCPA policy, all LSCPA employees, including faculty, are required to report allegations or disclosures of child abuse or neglect to the designated authorities, which may include a local or state law enforcement agency or the Texas Department of Family Protective Services. For more information about mandatory reporting requirements, see LSCPA's Policy and Procedure Manual.
Title IX and Sexual Misconduct LSCPA is committed to establishing and maintaining an environment that is free from all forms of sex discrimination, including sexual harassment, sexual violence, and other forms of sexual misconduct. All LSCPA employees, including faculty, have the responsibility to report disclosures of sexual misconduct, including sexual harassment, sexual assault (including rape and acquaintance rape), domestic violence, dating violence, relationship violence, or stalking, to LSCPA's Title IX Coordinator, whose role is to coordinate the college's response to sexual misconduct. For more information about Title IX protections, faculty reporting responsibilities, options for confidential reporting, and the resources available for support visit LSCPA's Title IX website.
Clery Act Crime Reporting For more information about the Clery Act and crime reporting, see the Annual Security & Fire Safety Report and the Campus Security website.
Grievance / Complaint / Concern 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.
Department Information
Allied Health
Chair:Shirley MacNeill
Email:macneisb@lamarpa.edu
Phone:(409) 984-6365