Spring 2019 Course Syllabus
Course: RNSG-1424- Section: 01
Concept-Based Transition to Professional Nursing Practice
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Instructor Information
Instructor Melanie James
E-mailjamesmc1@lamarpa.edu
Phone(409) 984-6374
Office
Location:Allied Health - Room: 116
Hours:M-by appt 8-3, T-W 1-3, Th 1-3
Department
Allied Health
Chair:Shirley MacNeill
E-mail:macneisb@lamarpa.edu
Phone:(409) 984-6365
Course Information
Description Integration of previous health care knowledge and skills into the role development of the professional nurse as a provider of patient-centered care, patient safety advocate, member of health care team, and member of the profession. Emphasis is on clinical decision-making for patients and their families. Review of selected health care and professional nursing concepts with application through exemplars. Health care concepts include comfort, diversity, elimination, functional ability, human development, mobility, nutrition, sensory perception, sleep, coping, thermoregulation, tissue integrity, acid-base balance, clotting, cognition, fluid and electrolyte balance, gas exchange, immunity, metabolism, nutrition, grief, and perfusion. Professional nursing concepts include clinical judgment, communication, ethical-legal, evidence-based practice, health promotion, health information technology, patient-centered care, patient education, professionalism, safety, teamwork and collaboration. Introduces concepts of leadership and management. This course lends itself to a concept-based approach.
Prerequisites Admission to Upward Mobility Nursing Program
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 health care concepts to manage care for diverse patients across the lifespan. (PSLO Alpha; PSLO 2, PSLO 3) Measured by: reading-based discussions; exams based on readings; quizzes; case studies; lab performance
2.    Describe the interrelatedness among health care concepts to assist in developing clinical judgement. (PSLO Alpha; PSLO 2, PSLO 3) Measured by: reading-based discussions; exams based on readings; quizzes; case studies; lab performance
3.    Describe the attributes and roles of the professional nurse including leadership, management and principles of delegation. (PSLO Alpha; PSLO 1, PSLO 2, PSLO 3, PSLO 4) Measured by: reading-based discussions; exams based on readings; quizzes; case studies; lab performance
4.    Apply a systematic problem solving process for the development of clinical judgement. (PSLO Alpha; PSLO 1, PSLO 2, PSLO 3) Measured by: reading-based discussions; exams based on readings; lab performance
5.    Discuss the legal-ethical parameters for professional nursing practice including the Nursing Practice Act and the American Nurses Association (ANA) Code of Ethics as related to selected exemplars. (PSLO Alpha; PSLO 1, PSLO 2, PSLO 4) Measured by: reading-based discussions; exams based on readings; quizzes; case studies; lab performance
6.    Utilize professional communication techniques in providing patient-centered care and collaborating with members of the health care team. (PSLO Alpha; PSLO 2, PSLO 4) Measured by: reading-based discussions; exams based on readings; lab performance
7.    Identify health promotion needs for diverse patients across the life-span. (PSLO Alpha; PSLO 1, PSLO 2, PSLO 4) Measured by: reading-based discussions; exams based on readings; quizzes; case studies; lab performance
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. (2017). 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.
Lecture Topics
Outline
Week 1 (January 22, 2019): Orientation, Syllabus
Week 2 (January 29, 2019): Acid Base Balance; Clotting
Week 3 (February 5, 2019): Fluid Electrolyte Balance/ RN Specialty ADN Mobility Exam
Week 4 (February 12, 2019): Perfusion
Week 5 (February 19, 2019): Exam I; Comfort
Week 6 (February 26, 2019): Nutrition; Elimination
Week 7 (March 5, 2019): Gas Exchange; Thermoregulation
Week 8 (March 11-15, 2019): Spring Break
Week 9 (March 19, 2019): Tissue Integrity/Metabolism
Week 10 (March 26, 2019): Communication, Sensory Perception, Sleep
Week 11 (April 2, 2019): Exam II; Teamwork and Collaboration
Week 12 (April 9, 2019): Coping, Cognition, Functional Ability
Week 13 (April 16-17, 2019): Immunity, Health Promotion, Patient Education, Leadership and Management
Week 14 (April 23, 2019): Exam III; Mobility
Week 15 (April 30, 2019): Clinical Judgment, Patient-Centered Care, Professionalism, Ethical & Legal
Week 16 (May 7, 2019): Diversity, Human Development
Week 17 (May 13, 2019): Final Exam
Major Assignments
Schedule
HESI Specialty Exam: PN-ADN Mobility – Wednesday 02/05/2019
Unit Exam I – Tuesday 02/19/2019
Unit Exam II – Tuesday 04/02/2019
Unit Exam III – Tuesday 04/23/2019
Final Exam – Tuesday May 13, 2019
Final Exam Date May 13, 2019 - 8:00 AM   Through  May 13, 2019 - 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
•    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/smart watches/personal possessions other than keys, earbuds, and a pencil may be brought in to the exam. 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. During the exam review there should be no discussions with faculty or other students.
•    The following method will be used to determine each student’s grade in the course:
o    Activities 15%
(Discussion Boards, Group Presentations, Assignments, Case studies, Quizzes, Specialty Exams)
o    Exam I                 20%
o    Exam II                 20%
o    Exam III 20%
o    Final                 25%
•    Daily Activity Grades (example: Discussion Board posts, etc.) will not be included in grade calculation until 75% weighted exam average 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 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.
•    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
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 the Office for Disability Services 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
HB 2504 This syllabus is part of LSC-PA's efforts to comply with Texas House Bill 2504.