RNSG-1424-01 - Concept-Based Trans Prof Nurs
Lamar State College - Port Arthur
House Bill 2504
Spring 2016 Course Syllabus
RNSG-1424-01 - Concept-Based Trans Prof Nurs
|Instructor||Reid, Stephen Larry|
|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.|
|Course 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, evidenced-based practice, health promotion, health information technology, patient-centered care, patient education, professionalism, safety, and team/collaboration. Introduces concepts of leadership and management. This course lends itself to a concept-based approach.|
Admission to Upward Mobility Nursing Program
RNSG 1118 Professional Nursing Competencies
RNSG 1228 Introduction to Health Care Concepts
RNSG 1260 Transition Clinical I Required Textbooks
Giddens, J (2013). Concepts for nursing practice. St. Louis, MO: Elsevier
Halter, M. (2014). Varcarolis' foundations of psychiatric mental health nursing: A clinical approach. (7th ed). St. Louis, MO: Elsevier.
HESI Case Studies: Complete RN Collection. (2014). Elsevier.
Jarvis (2016) Physical examination & health assessment (7th ed.). St. Louis, MO: Elsevier
Lewis, S., Dirksen, S., Heitkemper, M. & Bucher, L. (2013). Medical‐Surgical nursing, assessment and management of clinical problems. (9th ed.). St. Louis, MO. Elsevier.
Lippincott NCLEX-RN PassPoint Powered by PrepU: Study software for NCLEX-RN®
Potter, P., Perry, A., Stockert, P. & Hall, A. (2013) Fundamentals of nursing (8th ed). St Louis, MO: Elsevier. Recommended Textbooks
HESI (2014). HESI comprehensive review for the NCLEX-RN examination (4th Ed.). St. Louis: Elsevier.
Nugent, P. & Vitale, B. (2016). Test success: Test-taking techniques (7th ed.). Philiadelphia: F. A. Davis.
Silvestri, L. A. (2014). Saunders comprehensive review for the NCLEX-RN examination (6th Ed.). St. Louis: Elsevier.
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.
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
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.
Lab jackets are to be worn at all times while in the skills lab.
|Course 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 may be worn during exams. Students who arrive after the exam starts, but before it ends, may take the exam without penalty, however, they will not be allowed additional time and should come in quietly taking the first available seat.
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 is expected to 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 in writing, with documentation, within one (1) week 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.
The following method will be used to determine each student’s grade in the course:
o Activities 15%
(Group Presentations, Case studies, Quizzes, Specialty Exams)
o Exam I 20%
o Exam II 20%
o Exam III 20%
o Final 25%
A final course grade of 75% is necessary for a student to pass this course.
|Final Exam Date||May 10, 2016 - 8:00 AM|
HESI Specialty Exam: PN-ADN Mobility – Wednesday 2/02/2016
Unit Exam I – Tuesday 02/16/2016
Unit Exam II – Tuesday 03/29/2016
Unit Exam III – Tuesday 04/19/2016
Final Exam – Tuesday May 10 2016 Time: 1300 Time: 0800 Time: 0800 Time: 0800 Time: 0800
|Calendar of Lecture Topics and Major Assignment Due Dates||
Week 1 (January 19, 2016): Orientation, Syllabus Week 2 (January 26, 2016): Comfort/ Mobility Week 3 (February 2, 2016): Acid Base Balance/Fluid Electrolytes/RN Specialty: PN-ADN Mobility Week 4 (February 9, 2016): Clotting & Perfusion Week 5 (February 16, 2016): Exam I Week 6 (February 23, 2016): Elimination & Nutrition Week 7 (March 1, 2016): Gas Exchange, Thermoregulation Week 8 (March 8, 2016): Tissue Integrity/ Metabolism Week 9 (March 15, 2016): Spring Break Week 10 (March 22, 2016): Coping, Sensory Perception, Sleep, Grief Week 11 (March 29, 2016): Exam II Week 12 (April 5, 2016): Cognition, Functional Ability, Safety, Patient Education, Teamwork & Collaboration Week 12 (April 12, 2016): Immunity, Patient Centered Care, Health Promotion Week 13 (April 19, 2016): Exam III Week 14 (April 26, 2016): Clinical Judgement, Ethical & Legal, Evidence Based Practice, Professionalism Week 15 (May 3, 2016): Health Information Technology, Communication, Human Development, Diversity, Leadership & Management Week 16 (May 10, 2016): Final Exam Discussions/ Assignments 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. Late Assignments: Unless an assignment is turned in by the deadline there will be a late penalty deducted for lateness without exception. A late penalty of ten points will be deducted 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. After 48 hours, a zero will be assigned for the assignment. Previous arrangements between the student and instructor for late work may allow for a reduced late point penalty.
|General Education/Core Curriculum Student Learning Outcomes||
|Program Student Learning Outcomes||
General Education/ Core Curriculum Student 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. 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
|Course Student 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
|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.|
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, 6th 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
Lamar State College - Port Arthur
Lamar State College - Port Arthur, a member of The Texas State University System, is an open-access, comprehensive public two-year college offering quality and affordable instruction leading to associate degrees and a variety of certificates. The College embraces the premise that education is an ongoing process that enhances career potential, broadens intellectual horizons, and enriches life.
Shared commitment by faculty, staff and administration to a mission characterized by student learning, diversity, and community involvement
General education/core curriculum that develops the values and concepts that allow the student to
make a meaningful contribution in the workplace or community
Academic and technical programs designed to fulfill our commitment to accommodate students with diverse goals and backgrounds, using a variety of delivery methods, on and off campus
Technical education programs that provide for the acquisition of the knowledge, skills and behavior necessary for initial and continued employment
Student achievement characterized by attainment of individual goals and measured by successful accomplishments and completion of curriculum
Co-curricular opportunities that develop social, financial and civic acuity
Lamar State College - Port Arthur operates in the belief that all individuals should be:
treated with dignity and respect;
afforded equal opportunity to acquire a complete educational experience;
given an opportunity to discover and develop their special aptitudes and insights; and,
provided an opportunity to equip themselves for a fulfilling life and responsible citizenship in a world characterized by change.
Last day to Drop or Withdraw:
March 02, 2016 - last day to drop / withdraw & still receive a Q/W even if failing – last day to petition for no grade. April 20, 2016 - last day to drop / withdraw from semester with penalty
Available Support Services:
1. LSC-PA ADSN Student Handbook: http://www.lamarpa.edu/dept/ah/forms/ADN_studHandbook.pdf
2. Gates Memorial Library located at 317 Stillwell.
3. Open computer Lab-Gates Memorial Library
4. Student Success Center: located at 1500 Procter St, 409-984-6248
5. Information Technology Services: IT Help Desk, 409-984-6150, email@example.com
6. Special Populations Coordinator: Laurie Marcantel, 409-984-6241, firstname.lastname@example.org
7. Campus Bookstore (Barnes & Noble), 409-984-6388
8. Any campus contact information not found above is available on the Online Department Directory
9. NSNA Website: http://www.nsna.org/
10. Texas Board of Nursing Website: http://www.bon.state.tx.us/
School Code: US27410200
11. National Council of State Boards of Nursing: http://www.ncsbn.org/
12. NCSBN Learning Extension: http://www.learningext.com/
13. NCLEX-RN® Detailed Test Plan: https://www.ncsbn.org/testplans.htm
14. Pearson VUE - NCLEX-RN® testing company: http://www.pearsonvue.com/
15. Evolve Website (HESI) School Code : 195025, Web Site: https://evolve.elsevier.com/
HEALTH CARE CONCEPTS - BIOPHYSICAL
Acid Base Balance
Diabetic Ketoacidosis (DKA) – Metabolic Acidosis
Hyperventilation-(birthing mother, panic attack) – Respiratory Alkalosis
Gastro-intestinal Losses – (pediatric) – Metabolic Alkalosis
Drug Overdose with Hypoventilation – Respiratory Acidosis
Deep Vein Thrombosis (DVT)
Phantom Limb Pain
Nerve Root Compression – chronic
Degenerative Disc Disease
Pancreatitis Pain (acute)
Sickle Cell Pain (chronic)
End Stage Renal Disease
Congestive Heart Failure
Benign Prostate Hypertrophy (BPH) – urinary retention
Diarrhea – Bowel Incontinence
Gerontology – Urinary Incontinence
Constipation/Impaction – Elderly
Clostridium Difficile (C.-diff)
Neurogenic Bladder – Spastic
Fluid & Electrolyte Balance
Dehydration – Gastroenteritis – Elderly
Extracellular Fluid Volume Excess
Hyperkalemia - Chronic Renal Failure
Hyponatremia - Syndrome of antidiuretic Hormone (SIADH),
Hypernatremia – Diabetes Insipidus (DI)
Cerebrovascular Accident - Stroke
Chronic Obstructive Pulmonary Disease (COPD)
Urinary Tract Infection
Diabetes Type 1
Diabetes Type 2
Graves’ Disease – Hyperthyroidism
Addison’s Disease – Hypo-Cortisolism (chronic adrenal insufficiency)
Cushing’s – Hyper-Cortisolism
Iron deficiency Anemia
Malabsorption Syndromes Infant & Elderly (Gastrostomy and Enteral Feedings)
Congestive Heart Failure
Pregnancy Induced hypertension (PIH)
Mitral Valve Prolapse
Coronary Artery Disease (CAD)
Myocardial Infarction (MI)
Tetralogy of Fallot (congenital)
Peripheral Vascular Disease (PVD)
Conductive Hearing Loss
Macular Degenerative Disease
Peripheral Neuropathy (peripheral artery disease)
Sensor Neural Hearing Loss (pedi)
Hypothermia – Frost Bite, Infant
Hyperthermia – Heat Stroke – Elderly
HEALTH CARE CONCEPTS - PSYCHOSOCIOCULTURAL
Generalized Anxiety Disorder
Panic Disorder (Attack)
Obsessive Compulsive Personality
Separation Anxiety (Developmental)
Post-Traumatic Stress Disorder
Pelvic Ulcer Disease (stress related)
Substance Abuse/Addictive Behaviors
Maternal/Fetal Cocaine Addiction
Neonatal Abstinence Syndrome
Hispanic Traditions – Maternity w Complementary/Alternative Medicine
Jehovah’s Witness – Blood Products, Pediatrics
Traditional Islamic – Ritual dying Patient
(exemplars to include Race, Gender, Sexual Orientation, Age, Education, Abilities & Life
* only the concept is covered – no exemplars
PROFESSIONAL NURSING CONCEPTS
Timing and clustering of daily care
Model of Clinical Judgment
Context/Nursing Unit Culture**
Clinical Decision Making
When to Contact Dr. or other H C Provider**
Peers and Healthcare Team Members
Ethics & Legal precepts
Nursing Practice Act
Social Media (HIPPA)
ANA Code of Ethics
Best Practices and Standards (related to course content)
Health Information Technology*
Leadership & Management
Prioritizing Individualized Care
Scenarios Related to Course Content
Roles of the Nurse (DECS)
Chain of Command
Attributes of the Profession
National Patient Safety Goals
Skills: Environmental Safety & Med Admin
Teamwork & Collaboration
Patient Plan of Care
Conflict Management Strategies
* only the concept is covered – no exemplars
Reviewed and revised: January 14, 2016
Lamar State College – Port Arthur
Upward Mobility Nursing Program
Determination of RNSG 1424 Grade
A final course grade of 75% must be met to pass RNSG 1424.
The final course grade is calculated as follows:
(Group Presentations, Case studies, quizzes, Specialty Exams) (averaged together)
Exam I 20%
Exam II 20%
Exam III 20%
Final Exam 25%.
Example grade determination:
Activities (average) - 80
Exam #1 score - 65
Exam #2 score - 75
Exam #3 score - 75
Final Exam score - 80
X 0.20 = X 0.20 = X 0.20 =
X 0.35 =
Student Initial ______ I have reviewed the RNSG 1424 course syllabus and understand that it contains pertinent information regarding my success in the course.
Student Initial ______ I understand that I am required to meet the 75% Course Average requirement to pass this course.
Student Initial ______ I understand late points will be deducted if an assignment is submitted after the assigned date and time.
I have read and understand the determination of the RNSG 1424 Grade.
Student Name Printed _______________________________ __
Student Signature ____________________________ _ ____ Date
|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 Special Populations Coordinator, Room 231, in the Madison Monroe Building. The phone number is (409) 984-6241.|
Some material in this course may be copyrighted. They may be used only for instructional purposes this semester,
by students enrolled in this course. These materials are being used fairly and legally.
No one may distribute or share these copyrighted materials in any medium or format with anyone outside this class,
including publishing essays with copyrighted material, uploading copyrighted material to Facebook or YouTube, or
painting or performing copyrighted material for public display.
Copyright violation is not the same thing as plagiarism. Plagiarism is intellectual dishonesty. Offenses of plagiarism result in lower grades or failing scores, and professors and the college strictly enforce plagiarism rules. There is never any acceptable use of plagiarism. Copyright violation is a legal offense, punishable by large fines and penalties.
Copyrighted material can be used if permission from the material’s creator is obtained, or if its use meets the standards of fair use in an educational setting. For example, a student can quote a line from Shakespeare’s Hamlet in a report without violating copyright but still be guilty of plagiarism if the quotation is not properly documented.
If you are in doubt about what material can be freely used, ask your professor or contact the Dean of Library Services, at (409) 984-6216.
Assessment is a process by which LSCPA can help you learn better and gauge the level of progress you have made to
attain knowledge, skills, beliefs, and values. It also helps your professors understand how to improve teaching
and testing methods in your classes, and it helps each department understand and improve degree and certificate
Periodically LSC-PA will collect assessment data for research and reporting purposes, including statistical data and sometimes copies of your work. Be assured that all material the college uses for assessment purposes will be kept confidential. To ensure anonymity, your name will be removed from any material we use for assessment purposes, including video-recorded performances, speeches, and projects.
If you object to allowing LSC-PA to use your material for assessment purposes, submit a letter stating so to your professor by the 12th class day. You will still be required to participate in whatever assessments are being done; we just won’t use your data.
What’s the difference between assessment and grades? The grades you get on papers, projects, speeches, and assignments are specific types of focused assessment. LSC-PA’s assessment efforts include class grades, surveys, standardized tests, and other tools.
Federal privacy laws apply to college students. This means that college employees, including instructors, cannot
divulge information to third parties, including parents and legal guardians of students. Even if the students are
minors, information about their college work cannot be shared with anyone except in very limited circumstances.
Anyone requesting information about a student should be referred to the Registrar. Instructors will be notified in writing by that Office about what information may be released and to whom.
Please remember that releasing private information about a student, however innocuous it may seem, can be a violation of federal law, with very serious consequences.
Circumstances under which information may be released:
An adult student may submit, to the Registrar, a handwritten, signed note granting permission for release of
information. The note must specify what information may be divulged, and it must specify the name of the person
to whom the information may be given.
The Registrar’s office is located in the Student Center room 303B, and can be reached at (409) 984-6165.
This course helps add to the students’ overall collegiate experience in the following ways:
|Degree Plan Evaluation||
A Degree Plan Evaluation will help you determine which classes you need to complete your program.
All of the classes that you have taken that apply to your declared major will be listed on the right. If you have a class that still needs to be completed, a “NO” will be listed on the right next to the required class.
|HB 2504||This syllabus is part of LSC-PA’s efforts to comply with Texas House Bill 2504.|