Spring 2022 Course Syllabus
Course: RNSG-1228- Section: 1
Introduction to Health Care Concepts
LSCPA Logo Image
Instructor Information
Instructor Diane Hare
E-mailharedl@lamarpa.edu
Phone(409) 984-6358
Office
Location:Allied Health - Room: 127
Hours:As posted and by appointment Building: Allied Health Rm# 127
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 An introduction to concept-based learning with emphasis on selected pathophysiological concepts with nursing applications. Concepts include acid-base balance, fluid and electrolytes, immunity, gas exchange, perfusion, metabolism, coping, and tissue integrity. 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 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: 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 ones 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:
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.
Taber's Cyclopedic Medical Dictionary (23rd ed). (2017). F.A. Davis. ISBN-13: 978-0-8036-5904-9
Townsend, M., & Morgan, K. (2020). Essentials of psychiatric mental health nursing (8th ed.). F.A. Davis Company. ISBN 9780803676787
Zerwehk, J., & Garneau, A. (2020). Nursing today: Transitions and Trends (10th ed). Saunders. ISBN 9780323642088
Zerwehk Illustrated Study Guide for the NCLEX-RN ISBN 9780323530972
Recommended:
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
Lecture Topics
Outline
Week 1 (January 19, 2022): Syllabus, Care Plan; Introduction Discussion; Safety
Week 2 (January 26, 2022): Fluid & Electrolytes
Week 3 (February 2, 2022): Perfusion; Introduction to Research Paper
Week 4 (February 9, 2022): Elimination; Research Topic Due
Week 5 (February 16, 2022): Nutrition
Week 6 (February 23, 2022): Gas Exchange
Week 7 (March 2, 2022): Tissue Integrity; Research Paper Outline due
Week 8 (March 9, 2022): Mid Term Exam
Week 9 (March 14-18, 2022): SPRING BREAK
Week 10 (March 23, 2022): End of Life: Comfort, Research Paper Part 1 Due
Week 11 (March 30, 2022): Coping
Week 12 (April 6, 2022): Evidence-Based Practice
Week 13 (April 13, 2022): Attend RNSG 1424 Lecture
Week 14 (April 20, 2022): Health Information Technology
Week 15 (April 27, 2022): TBA
Week 16 (May 4, 2022): Final Exams Begin
Week 17 (May 11, 2022): Final Exam
Major Assignments
Schedule

Mid-Term Exam Wednesday March 9, 2022--Time: 8:00
Research Paper Sunday, April 4, 2022
Final Exam Wednesday, May 11, 2022-Time: 8:00



Final Exam Date May 11, 2022 - 8:0 AM   Through  May 11, 2022 - 11:0 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). Any other exams missed will receive a zero.

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 students 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 prior to exiting the testing room and supporting evidence from approved resources of requested alternate answer must be emailed to course instructor within 24 hours of taking 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 students grade in the course:
Activities 15%
(Quizzes, Assignments, Discussion Boards,
Case studies average)
Research Paper 10%
MidTerm Exam              35%
Final Exam             40%

Daily Activity Grades (example: Research Paper, Quizzes, Assignments, 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.

A final course grade of 75% 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 without instructor permission 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.

Many of the courses also include assignments that are designated as a mandatory Pass/Fail course assignment. If these assignments are not completed satisfactorily the student may fail not only the assignment but also the course. Late submission of the mandatory Pass/Fail assignments will result in late point penalties. 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 Pass/Fail assignment submitted after 48 hours will be assigned a grade of five points for the assignment. Previous arrangements between the student and faculty for late work may allow for a reduced late point penalty, but all late submissions will have a late penalty deducted.
Course Policies
Instructor Policies 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.
No food or tobacco products are allowed in the classroom.

Electronic devices (including but not restricted to cell phones, MP3 players, smart watches 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 LSCPA 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 may 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;
Displaying a rude or negative attitude/behavior to the instructor or other students; disruptive behaviors in the classroom, skills/simulation lab, computer lab, testing environment, or clinical setting;
Counseling for repetitive tardiness (tardiness is defined as arriving greater than 10 minutes to class).

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. Pre-course assignments may be required for admission into class.

Phone calls and/or text messages should 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.

If students must leave the classroom during content presentations they must wait until the break to return to the classroom.

On-campus computers should 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, exam reviews, 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.

Homework assignments completed during classroom sessions will result in a grade of zero.

Students are also expected to follow the guidelines and policies in the LSCPA Upward Mobility Nursing Student Handbook.

If a student is unable to maintain these expectations or stated program requirements, dismissal from the program may occur.
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 students 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.

Students are expected to attend any scheduled online course sessions that occur during scheduled course times. These sessions will be scheduled in advance and may have activities during the live session that result in a grade. Students who do not attend are counted as absent and will not have the opportunity to make up any missed assignment during the live class session.

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.

Late arrival to exams is very disruptive and disrespectful to your peers. Please arrive in time to be seated and signed into the exam portal no later than the scheduled exam time. Late exam arrival may result in a five-point deduction on the exam.

A student who is absent from course activities for three (3) days or more, without notification to faculty, may be asked to withdraw from the program by the program director

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.

Students who do not attend scheduled live virtual activities will be counted as absent.

It is the students 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 students 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.
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 Statement of Workplace Competencies:

Lamar State College Port Arthur is determined to prepare you with the knowledge and skills you need to succeed in todays dynamic work environment. The new Associate Degree of Nursing (ADN) graduate is prepared as a safe, beginning nurse generalist. Therefore, upon completion of the program the ADN graduate will as a:

Member of the Profession
Function within the nurses legal scope of nursing practice.
Participate in activities that promote the development of the professional nurse.
Demonstrate responsibility for continued competence in professional nursing practice.
Develop insight into practice through reflection, self-analysis, self-care, and lifelong learning.

Provider of Patient-Centered Care
Use clinical reasoning and evidence-based practice as a basis for clinical decision making in nursing practice.
Demonstrate clinical decision making by integrating critical thinking and the nursing process.
Determine physical and mental health status, needs, and preferences of culturally ethnic and socially diverse patients and their families.
Implement the plan of care for patients and their families with consideration for disease prevention, wellness, and promotion of healthy lifestyles.

Patient Safety Advocate
Implement measures to promote quality and a safe environment for patients, self, and others.
Obtain instruction, supervision, or training as needed when implementing nursing procedures, practices.

Member of the Health Care Team
Collaborate with members of the interdisciplinary team, client, and families to manage care.
Establish and maintain trusting, interpersonal relationships with clients families, significant others across the life span, and interdisciplinary team members, incorporating caring behaviors

Academic Honesty
Academic honesty is expected from all students, and dishonesty in any form will not be tolerated. Please consult the LSCPA policies (Section IX, subsection A, in the Faculty Handbook) for consequences of academic dishonesty. These policies will be strictly enforced.

Additional policies for this course are listed below:
Academic dishonesty in any form will not be tolerated. Plagiarism, cheating, and other forms of scholastic dishonesty are prohibited and are grounds for disciplinary action according to the LSCPA Student Handbook. Anyone who copies more than six consecutive words from a source and does not document the source has committed plagiarism. Students guilty of academic misconduct either directly or indirectly through participation or assistance, are immediately responsible to the instructor of the class. In addition to other possible disciplinary sanctions which may be imposed through the regular LSCPA procedures as a result of academic misconduct, the instructor has the authority to assign an F or a zero for the exercise or examination or to assign an F in the course.

Electronic devices (including but not restricted to cell phones, MP3 players, and laptop computers) shall not be used during examinations or upon review of exams unless the Disability Services Coordinator has determined that such a device is a reasonable accommodation for a disability. Under any other circumstances, the use of an electronic device during an examination shall be considered academic dishonesty, and will result in appropriate sanctions as outlined in the Course Syllabus, in the Faculty Handbook (Section IX-1) and in the Student Handbook (Academic Dishonesty).

TEXAS BOARD OF NURSING CHAPTER 213 PRACTICE AND PROCEDURE
RULE 213.27 Good Professional Character:
(a) Good professional character is the integrated pattern of personal, academic and occupational behaviors which, in the judgment of the Board, indicates that an individual is able to consistently conform his or her conduct to the requirements of the Nursing Practice Act, the Board's rules and regulations, and generally accepted standards of nursing practice including, but not limited to, behaviors indicating honesty, accountability, trustworthiness, reliability, and integrity.

Writing Guidelines
The APA Publication Manual is the guide used in the Allied Health Department and in the Upward Mobility Nursing Program. It is expected that all writing will be completed using the style and format described in the APA Publication Manual, 8th edition.

Below are resources for scholarly writing in APA style and how to cite sources properly.
Harvard Graduate School of Education at http://gseacademic.harvard.edu/~instruct/articulate/APA/player.html
The Ohio State University: How do I cite resources at http://library.osu.edu/sites/guides/apagd.php
Purdue Online Writing Lab at http://owl.english.purdue.edu/owl/resource/560/01/.

Save copies of all of your work! Create a folder on your computer that is specifically for this course. As you create a new Word document for each assignment, rename it with your name as part of the assignment name, save it in your course folder, and then submit it by the due date.

Minimum APA Requirements for the Upward Mobility Program
The following list includes the minimum acceptable standards for formal writing assignments.
title page
page numbers
at least one level of headings to help organize the submission
one-inch margins
appropriate font
in-text citations and reference list

Available Support Services:
LSCPA ADSN Student Handbook
Gates Memorial Library located at 317 Stillwell.
Open computer Lab-Gates Memorial Library
Student Success Center: located at 1500 Procter St, 409-984-6248
Information Technology Services: IT Help Desk, 409-984-6150, helpdesk@lamarpa.edu
Disability Services Coordinator: Laurie Marcantel, 409-984-6241, marcantella@lamarpa.edu
Any campus contact information not found above is available on the Online Department Directory
NSNA Website: http://www.nsna.org/
Texas Board of Nursing Website: http://www.bon.state.tx.us/ School Code: US27410200
National Council of State Boards of Nursing: http://www.ncsbn.org/
NCSBN Learning Extension: http://www.learningext.com/
NCLEX-RN Detailed Test Plan: https://www.ncsbn.org/testplans.htm
Pearson VUE - NCLEX-RN testing company: http://www.pearsonvue.com/
Evolve Website (HESI) School Code: 195025, Web Site: https://evolve.elsevier.com/
The student will complete a summary of all clinical experiences after completing
the required Community Service hours for each clinical course RNSG 1260, RNSG 2361, and RNSG 2362.
Course Outline
HEALTH CARE CONCEPTS

Acid Base Balance*
Fluid & Electrolyte Balance*
Gas Exchange*
Immunity*
Elimination*
Perfusion*
Tissue Integrity *
Safety*
Coping*
Clinical Judgment*
End of Life: Comfort*

*Only the concept analysis is covered no exemplars

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