Fall 2020 Course Syllabus
Course: RNSG-1300- Section: 01
Health Assessment Across the Lifespan 		LSCPA Logo Image
Instructor Information
Instructor Melanie James
E-mailjamesmc1@lamarpa.edu
Phone(409) 984-6374
Office
Location:Allied Health - Room: 116
Hours:M-W 9am-12:30pm 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 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 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)
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: Communicate effectively with clients, peers and other members of the interdisciplinary heath 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:
•    Go to link: lippincottdirect.lww.com/NursinngEducation-LamarStateCollegePortArthur-Fall2020
•    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 Enhanced 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: August2020-3120-7102-4740-0728
•    Register for Section 2 - online
•    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
Lecture Topics
Outline		 Week 1 08/27/2020
•    Campus Closed due to weather
Week 2 09/03/2020
Campus Closed due to weather
Week 3 09/10/2020
•    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
•    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 4 09/17/2020
•    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
•    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.
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
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.
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 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. 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 on blackboard 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 blackboard, 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 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.
Course Policies
Instructor Policies
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 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
  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 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.