Spring 2022 Course Syllabus
Course: RNSG-1300- Section: 71
Health Assessment Across the Lifespan
LSCPA Logo Image
Instructor Information
Instructor Shirley MacNeill
E-mailmacneisb@lamarpa.edu
Phone(409) 984-6365
Office
Location:Allied Health - Room: 102
Hours:M-Th 8 am - 11 am; Other hours by appointment
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 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. (PSLO3)
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 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: Communicates effectively with clients, peers and other members of the interdisciplinary health 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.

Reminder that all required textbooks/programs are included in Seahawk Book Bundle
Required:
Lippincott CoursePoint Enhanced
For registration and purchase of CoursePoint for Weber: Health Assessment 7th ed.
Registration directions:
Go to link: https://lippincottdirect.lww.com/NursingEducation-LamarStateCollegePortArthur-Spring2022
Fill out information on opening page, then click Find My Products
Select material under your classes and then 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., & Kelly, J. (2022). Health assessment in nursing (7th ed). Lippincott Williams & Williams. ISBN 9781975161156
Support:
Contact Lippincott with any questions or technical issues regarding CoursePoint before contacting your instructor.
Support is available at: http://the point.lww.com/ContactUS
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
Shadow Health. (2017). Digital Clinical Experience (Version 5.0) [Software].
(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: January2022-4486-0711-1675-4349
Register for Section 2
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:
Windows 8.1 or higher; or MacOS 10.15 or later
Browsers: Google Chrome (required for Speech to Text feature); Mozilla Firefox; Microsoft Edge (Windows only); Safari (macOS only)
All software should be up to date. Older software may not work properly with the Shadow Health DCE assignments.
Computer hardware less than three years old with working webcam and microphone. Recommended 4GB RAM
Students must have access to High Speed Internet Connection:
Network: Minimum 3 Mbps download connection (5 or more is recommended) (Check your network speed)
The Shadow Health Digital Clinical Experience performs best when directly connected to the internet. Due to the number of variables introduced when connecting to the DCE using VPN (Virtual Private Network) internet connections, users may experience extended assignment load times.
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
Students must have access to Microsoft Office 2010 or higher.
Students must have access and use of a scanner

Accessibility
Shadow Healths Digital Clinical Experiences require the use of a computer monitor, keyboard, and mouse or touchpad. It is our goal to support alternative input modalities to improve accessibility for all users. However, if you are currently unable to use the DCE due to a visual or motor impairment, please contact the Shadow Health Learner Support team.

Tina Jones presents auditory and visual information representative of a human patient. To address auditory accessibility, when Tina Jones speaks, her speech is presented as both audio and text displayed at the bottom of the screen, except in instances where the textual representation would distinguish physical findings (e.g. textual descriptions of breathing sounds). If you require a transcription of these instances due to an auditory impairment, please contact the Shadow Health Learner Support team at support@shadowhealth.com.

The normal and abnormal sounds within the concept labs are medically accurate, and are produced at a frequency lower than what most laptop speakers are capable of delivering. To hear these sounds, we strongly recommend that you use a pair of external speakers or headphones to hear the bass frequencies.

Unsupported Platforms
The following devices and operating systems are not supported on the Shadow Health platform:
iOS devices (iPhones and iPads)
Android devices (phones and tablets)
Chromebooks
Linux/GNU based operating systems
Lecture Topics
Outline
Week 1 01/20/2022
Course orientation (On campus and Virtual)
CoursePoint orientation
Shadow Health orientation
Shadow Health DCE orientation
Shadow Health Conversation Lab
Week 2 01/27/2022
Nurses 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
Week 3 02/03/2022
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 02/10/2022
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
Week 5 02/17/2022
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
Assessment video
Week 6 02/24/2022
Exam 1 Thursday, February 24th at 0800 (Covers weeks 1 - 5)
Week 7 03/03/2022
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
Assessment video
Week 8 03/10/2022
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
Assessment video
Week 9 03/17/2022
Spring Break
Week 10 03/24/2022
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 11 03/31/2022
Assessing Neurological System - Chapter 25
Shadow Health Neurological Assignment
PrepU Quizzes Mastery Level 5
Assessment Video
Week 12 04/07/2022
Exam II Thursday, April 7th at 0800 (Covers weeks 7 - 11)
Week 13 04/14/2022
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 14 04/21/2022
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 15)
PrepU Quizzes Mastery Level 5
Mandatory Integrated Physical Assessment Practice
Week 15 04/28/2022
Integrated Physical Assessment Check-offs
Submit Integrated Physical Assessment Documents
Complete any remaining Mastery Level assignment
Shadow Health ? Comprehensive Assessment (began in week 14)
Week 16 05/05/2022?
Final Exam May 5thth at 0800 (Comprehensive Exam)
Complete any remaining Mastery Level assignment
Complete any remaining Shadow Health assignments

Major Assignments
Schedule
Exam I Thursday February 24, 2022 at 0800
Exam II Thursday April 7, 2022 at 0800
Final Exam Thursday May 5, 2022 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. 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. After 75 minutes, the instructor will stop you. 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 or exams.
Final Exam Date May 5, 2022 - 8:00 AM   Through  May 5, 2022 - 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
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). 2. Required Shadow Health Assignments 3. Lab video assessments
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 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. You will sign up for a time to complete your assessment with your course faculty. Faculty will complete the required documents and provide to you to submit the documents within the course in Week 14. If you are unable to complete the assessment assignment on campus you may have an approved MSN prepared nurse serve as your Observer. 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 Thursday 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.

Lab Assessment Videos: For Lab, students will submit a video clip demonstrating designated systems assessment covered during the assigned week. These video assessment assignments are graded and mandatory for successful completion of the course.

Open Virtual Lab: A virtual lab will be scheduled throughout the semester. Students can join the lab to ask questions and view assessment skills.

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 in the Allied Health Computer Lab 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 campus, 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 students 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 I will not discuss your grades over the phone. If you want to discuss your grades, you must come to my office, in person, or email me using your LSCPA email account.

No food or tobacco products are allowed or should be seen in the virtual classroom or labs.

Only students enrolled in the course are allowed in the classroom or lab, except by special instructor permission. If you would like to attend a classroom based lecture or lab practice please contact the instructor.

Use of electronic devices at the discretion of the instructor

Academic Honesty
Academic dishonesty in any form will not be tolerated. Please consult the Student Handbook for consequences of academic dishonesty. These policies will be strictly enforced. Plagiarism, cheating, and other forms of scholastic dishonesty are prohibited and are grounds for disciplinary action according to the LSC-PA 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 LSC-PA 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.


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 students 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 will be advised to drop from the course by faculty.
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 I will not discuss your grade over the phone. If you have questions please schedule an appointment to meet with me. If you are are unable to come to campus please email me using your LSCPA email account and i will respond in an email.
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.