Fall 2022 Course Syllabus
Course: RNSG-2539 (Section: 1, CRN: 91502)
Health Care Concepts IV
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Instructor Information
Instructor Lauren Ratcliff
Email ratcliffle@lamarpa.edu
Phone (409) 984-6334
Office Allied Health - Room: 124
Office Hours T-W 12:00-3:00, TH 08:00-03:00
Additional Contact Information
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.
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.

Ackley, B., & Ladwig, G. (2020). Nursing diagnosis handbook: An evidence-based guide to planning care (12th ed). Mosby-Elsevier. ISBN 9780323879880
American Psychological Association. (2020). Concise guide to APA Style (7th ed.). ISBN 9781433832134
Giddens, J (2021). Concepts for nursing practice. (3rd ed.). Elsevier. ISBN 9780323598101
HESI Case Studies: Complete RN Collection. (2021). Elsevier.
HESI (2020). HESI comprehensive review for the NCLEX-RN examination (6th Ed.). Elsevier. ISBN 9780323582452
Lewis, S., Bucher, L., Heitkemper, M., & Hardin, M. (2020). Medical-Surgical nursing, assessment and management of clinical problems. (11th ed.). Elsevier. ISBN 978032359193
Lilley, L., Collins, S. & Snyder, J. (2020). Pharmacology and the nursing process (9th ed.). ISBN 9780323529495
Lippincott NCLEX-RN PassPoint Powered by PrepU: Study software for NCLEX-RN
McKinney, E.S, Murray, S.S., James, S.R., Nelson, K., & Ashwill, J. (2022) Maternal-Child nursing (6th ed.). Elsevier ISBN 9780323697880
Perry, A.G., Potter, P.A., Ostendorf, W., & Laplante, N. (2022) Clinical nursing skills & techniques (10th ed.). Mosby-Elsevier. ISBN 9780323758765
Perry, A.G., Potter, P.A., Ostendorf, W., & Laplante, N. (2021) Skills performance checklists for clinical nursing skills & techniques (10th ed.) Mosby-Elsevier. ISBN 9780323758765
Silvestri, L. A., & Silvestri, A.E. (2019). Saunders comprehensive review for the NCLEX-RN examination (8th Ed.). Elsevier. ISBN 9780323358415
Swift River Online.
Townsend, M., & Morgan, K. (2020). Essentials of psychiatric mental health nursing (8th ed.). F.A. Davis Company. ISBN 9780803676787
Vallerand, A., & Sanoski, C. (2020). Davis's Drug Guide for Nurses (17th ed). F.A. Davis Company. ISBN 9781719640053
Van Leeuwen, A. & Bladh, M.L. (2021). Davis's comprehensive manual of laboratory and diagnostic tests with nursing implications (9th ed). F.A. Davis Company. ISBN 9781719640589
Venes, Donald. (2021) Taber's Cyclopedic Medical Dictionary (24th ed). F.A. Davis. ISBN-13: 9781719642859
Zerwekh, J., & Garneau, A. (2020). Nursing today: Transitions and Trends (10th ed). Saunders. ISBN 9780323642088
Zerwekh Illustrated Study Guide for the NCLEX-RN ISBN 9780323530972
Nugent, P., & Vitale, B. (2020). Test success: Test-taking techniques (9th ed.). F. A. Davis. ISBN 9781719640022
Weber, J., & Kelly, J. (2022). Health assessment in nursing (7th ed). Lippincott Williams & Williams. ISBN 9781975161156
Additional Materials/Resources None
  • BIOL-2120 Microbiology Laboratory
  • BIOL-2120 Microbiology for Non-Science Majors Laboratory
  • BIOL-2320 Microbiology
  • BIOL-2320 Microbiology for Non-Science Majors
  • BIOL-2420 Microbiology
  • RNSG-1137 Professional Nursing Concepts III
  • RNSG-1538 Health Care Concepts III
  • RNSG-2361 Clinical Registered Nursing/Registered Nurse
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. 
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.
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. 
Lecture Topics Outline
  • Perfusion
  • Fluid & Electrolytes
  • Acid-Base
  • Immunity I
  • Gas Exchange
  • Metabolism I
  • Interpreting Lab Values
  • Tissue Integrity
  • Clotting
  • Comfort
  • Immunity II
  • Perfusion I
  • Cognition
  • Coping
  • Interpersonal Relationships
  • Perfusion II
  • Adolescent Mental Health Issues
  • Interpersonal Relationships
  • Nutrition
Major Assignments Schedule Exam I
Hesi Specialty Exam Fundamentals

Hesi Practice Exam 
Hesi Specialty Exam: Medical Surgical & Maternity/Pedi
Exam II
Hesi Specialty Exam Psychiatric/mental health

Hesi Exit Exam 
Final Exam Date November 29, 2022 - 8:00 AM   Through  November 29, 2022 - 10:00 AM
Grading Scale 90-100 = A
80-89= B
75-79= C
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.
The following method will be used to determine each student’s grade in the course:
Activities                                        5%
Exam I                                            25%
Exam II                                           25%
Final (HESI RN Exit Exam)           45%
Daily Activity Grades will include: Discussion Boards, Individual or Group Presentations, Assignments, Case studies, Quizzes, Specialty Exams, etc.
Daily Activity Grade will not be included in grade calculation until 75% weighted exam average is achieved. No grades will be rounded until the Final Course average; this includes the Weighted Exam Average. Grades will not be rounded when calculating the Weighted Exam average (74.5 – 74.9 is not rounded to 75).

Course assignment submissions must be submitted correctly within Blackboard.  A student will be allowed one submission per semester to be cleared by course instructor.  Any further incorrect submissions will result in a zero for the assignment submission.  

Final exams are not available for review by the student and Final exam grades are not posted.

Completion of PassPoint Mastery Level assignments are some of the mandatory Pass/Fail assignments.

All Pass/Fail Assignments must be completed in a satisfactory manner or it will result in a course failure.

Complete Nursing Success Plan and related assignments.

Submit application to Texas Board of Nursing with required fees

Pay fees to Pearson Vue for NCLEX-RN

Submit screenshot of TBON Application Status showing all areas completed except for Affidavit of Graduation 

Complete all PassPoint Mastery Level assignments with required level of eight (8) or higher

Complete all PassPoint Comprehensive Exams and PassPoint NCLEX Simulation Exams.

Attend an approved NCLEX-RN Review course.

A final course grade of 75% and successful completion of ALL Pass/Fail assignments is necessary for a student to pass his 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 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.

  • 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.
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 simulation/skills 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.
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
Phone:(409) 984-6365