Fall 2018 Course Syllabus
Course: RNSG-2539- Section: 01
Health Care Concepts IV
LSCPA Logo Image
Instructor Information
Instructor Cynthia Ford Arceneaux
Phone(409) 984-6356
Location:Allied Health - Room: 126
Hours:As posted and by appointment
Allied Health
Chair:Shirley MacNeill
Phone:(409) 984-6365
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 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.
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 materials.

PSLO 1.    Adhere to standards of practice within legal, ethical, and regulatory frameworks of the professional nurse while promoting safety and quality improvement as an advocate and manager of nursing care.

PSLO 2.    Use a systematic problem-solving process to provide individualized, evidence-based nursing care and coordinate care for a limited number of patients who have complex needs in various health care settings demonstrating knowledge of delegation, management, and leadership skills.

PSLO 3.    Use clinical reasoning and knowledge based upon the nursing program of study, evidence-based practice outcomes, and research based policies and procedures for decision-making, demonstration of skills with patient care technologies and information systems, and providing comprehensive, safe patient care.

PSLO 4. Coordinate, collaborate and communicate with diverse patients, families and the interdisciplinary health care team to plan, deliver, and evaluate evidence-based safe care that reflects the value and ethics of the nursing profession.

Textbooks 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. (2014). Elsevier.
HESI (2017). HESI comprehensive review for the NCLEX-RN examination (5th Ed.). St. Louis: Elsevier.
Lewis, S., Bucher, L., Heitkemper, M. & Hardin, M. (2017). Medical‐Surgical nursing, assessment and management of clinical problems. (10th ed.). St. Louis, MO. Elsevier.
Lippincott NCLEX-RN PassPoint Powered by PrepU: Study software for NCLEX-RN®
Perry, S., Hockenberry, M., Lowdermilk, D. & Wilson, D. (2018). Maternal child nursing. (6th ed). St Louis, MO: Elsevier.
Rischer, K. (2015) Think like a nurse: Practical preparation for professional practice. (2nd ed.).
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.
Videbeck, S. (2017). Psychiatric mental health nursing. (7th ed), Philadelphia, PA: Lippincott
Zerwehk, J. & Garneau, A. (2018). Nursing today: Transitions and Trends (9th ed). St. Louis, MO: Saunders
Recommended: Nugent, P. & Vitale, B. (2017). Test success: Test-taking techniques (7th ed.). Philiadelphia: F. A. Davis.

Lecture Topics
Week 1 (August 27 - 29 2018): Syllabus, Perfusion
Week 2 (September 4-5, 2018): Fluid & Electrolytes, Acid-Base, HESI Practice Exit
Exam, Submit application to TBON for NCLEX-RN (mandatory Pass/Fail assignment)
Week 3 (September 11-12, 2018): Gas Exchange
Week 4 (September 17- 23, 2018):Metabolism, Hurst NCLEX Review presentation
Week 5 (September 25-26, 2018): Exam 1, Tissue Integrity
Week 6 (October 2-3, 2018): Clotting; HESI Fundamentals
Week 7 (October 9-10, 2018): Clotting, Perfusion
Week 8 (October 16-17, 2018) : Adolescent Mental Health, HESI Specialty: Med/Surg, HESI Specialty Maternity/Pedi
Week 9 (October 23-24, 2018): Cognition, Coping, Anxiety
Week 10 (October 30-31, 2018): Interpersonal Relationships
Week 11 (November 6-7, 2018): Exam #2 , Professionalism; HESI Specialty: Psych/Mental Health
Week 12 (November 13-14 2018):Immunity
Week 13 (November 20-21, 2018): Nutrition
Week 14 (November 27-28) : Hurst Review
Week 15 (December 4-5 2018):HESI EXIT EXAM
Week 16 (December 11-12 2018): Pinning
Major Assignments
HESI Practice Exit Exam Wednesday 09/05/2018    Time: 0800
Submit application to TBON for NCLEX-RN (mandatory Pass/Fail assignment) – 09/5/18    Time: 1030

Unit Exam I – Tuesday 09/25/18     Time: 0800
PassPoint NCLEX-RN Simulation Exam #1 – due 10/07/2018    Time: 2330
HESI Specialty Exam – Fundamentals – Wednesday 10/03/2018     Time: 0800
HESI Specialty Exam – Maternity/Pedi – Wednesday 10/17/2018    Time: 0800
HESI Specialty Exam – Medical-Surgical – Tuesday 10/16/2018    Time: 0800
Required Mastery Level met on all PassPoint #1 assignments – Sunday 10/21/2018    Time: 2330

PassPoint NCLEX-RN Simulation Exam #2 – due 11/11/2018    Time: 2330
PassPoint Comprehensive Exam #1 – due 11/18/2018    Time: 2330
Unit Exam II – Tuesday 11/06/2018    Time: 0800
HESI Specialty Exam – Psych/Mental Health – Wednesday 11/07/2018    Time: 0800
Pay NCLEX-RN fees to Pearson Vue (mandatory Pass/Fail assignment) – 11/18/2018    Time: 2359
Tentatively scheduled NCLEX-RN Review course 11/27-11/29 2018    
Required Mastery Level met on all PassPoint #2 assignments – Tuesday 11/20/2018    Time: 2330
Submit screenshot of TBON Application Status showing all areas completed except for Affidavit of Graduation – due 12/03/2018    Time: 2359
PassPoint NCLEX-RN Simulation Exam #3 – due 12/03/2018    Time: 2330
Final Exam: HESI RN Exit Exam – Wednesday 12/04/2018    Time: 0800
Final Exam Date December 4, 2018 - 8:00 AM   Through  December 4, 2018 - 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 may be worn during exams. 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.
•    The following method will be used to determine each student’s grade in the course:
o    Activities 5%
(Case studies, Quizzes, Specialty Exams, other assignments or activities)
o    Exam I                 25%
o    Exam II                 25%
o    Final (HESI RN Exit Exam)     45%
o    Completion of all Pass/Fail Assignments S/U
•    Daily Activity Grades (example: Discussion Board posts, etc.) will not be included in grade calculation until 75% average on exams is achieved.
•    Final exams are not available for review by the student and Final exam grades are not posted.
•    Completion of PassPoint Mastery Level assignments, completing and following a Nursing Success Plan, PassPoint Comprehensive exams, PassPoint NCLEX-RN Simulation Exams, completing NCLEX-RN application, payment of fees to Pearson Vue, and attending an approved NCLEX-RN Review course are some of the mandatory Pass/Fail assignments.
•    All Pass/Fail Assignments must be completed satisfactorily or it will result in a course failure.
•    A final course grade of 75% and successful completion of ALL Pass/Fail assignments is necessary for a student to pass this 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 1. Complete Nursing Success Plan and related assignments.
2. Submit application to Texas Board of Nursing with required fees
3. Pay fees to Pearson Vue for NCLEX-RN
4. Submit screenshot of TBON Application Status showing all areas completed except for Affidavit of Graduation
5. Complete all PassPoint Mastery Level assignments with required level of eight (8) or higher
6. Complete all PassPoint Comprehensive Exams and PassPoint NCLEX Simulation Exams.
7. Attend an approved NCLEX-RN Review course.
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 skills/simulation 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
  1. No food or tobacco products are allowed in the classroom.

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

  3. 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 Special Populations 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 •    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.
•    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 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.
•    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.
•    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.
HB 2504 This syllabus is part of LSC-PA's efforts to comply with Texas House Bill 2504.