Essex County College s6

ESSEX COUNTY COLLEGE Nursing and Allied Health Division NRS 234 – Nursing IV Course Outline

Course Number & Name: NRS 234 Nursing IV Credit Hours: 9.0 Contact Hours: 9.0 Lecture: 4.0 Lab: 3.0 Clinical: 12.0 Prerequisites: Grades of “C” or better in NRS 233 and BIO 211 Co-requisites: NRS 235 Concurrent Courses: None

Con Course Outline Revision Date: Fall 2010

Course Description: Students render care to clients with potential and/or actual alterations associated with the childbearing/rearing developmental phases. The course enables students to further refine their expertise as providers of care and to develop skills associated with being managers of care. Students are required to apply to the nursing process an integration of their knowledge of basic and developmental needs and previously learned health alterations. Laboratory and clinical activities focus on assessment, planning, implementation and evaluation of care of clients within the context of family or significant group and the application of complex nursing skills.

Course Goals: Upon successful completion of this course, students will do the following: 1. assess clients during the childbearing and childrearing phase of the lifecycle 2. using Maslow’s Hierarchy of Needs and Erikson’s developmental theory; a. utilize newborn and adult psychosocial assessment skills to contribute to the database of clients; and b. apply knowledge from the biological and social sciences as resources to contribute to the database of clients. 3. apply critical thinking to evaluate and revise the plan of care, based on client response; 4. formulate nursing diagnoses to define the needs of clients during the normal childbearing and childrearing phase of the life cycle and when potential and/or actual alterations from health occur; 5. develop a plan of care for clients during the childbearing and childrearing phase of the life cycle, in collaboration with other members of the healthcare team, which incorporates clinical decision making, short and long term client-centered goals, and appropriate nursing interventions, which are based on scientific rationale; 2. Apply critical thinking to evaluate and revise the plan of care, based on client response. 6. implement caring interventions, complex nursing skills and current technology in a safe and competent manner when caring for clients during the childbearing and childrearing phase

prepared by P Lowry, Fall 2010 of the life cycle;Implement caring interventions using critical thinking, complex and when potential and/or actual alterati 7. evaluate client response according to established outcome criteria and revise care plan as needed;

Course Goals (continued): 8. incorporate ethnic and cultural values and advocacy needs into nursing care of clients during childbearing and childrearing phase of the life cycle; 4. Develop a plan of care for clients during the childbearing and childrearing phase of the life cycle, in collaboration with other members of the healthcare team, which incorporates clinical decision making, short and long term client- centered goals, and appropriate nursing interventions which are based on scientific rationale.

5. Implement caring interventions using critical thinking, complex nursing skills and current technology in a safe and competent manner when caring for clients during the childbearing and childrearing phase of the life cycle. 9. Incorporate ethnic and cultural values and advocacy needs into nursing care of clients during the childbearing and childrearing phase of the life cycle. 10. utilize effective communication to establish a therapeutic relationship with clients during the childbearing and childrearing phase of the life cycle; implement teaching plans to promote health in8. Utilize principles of communication to establish a therapeutic relationship 11. with clients during the childbearing and childrearing phase of the life cycle; 12. identify potential legal and ethical dilemmas when caring for clients during the childbearing and childrearing phase of the life cycle; 13. evaluate one’s own professional and personal growth; and 14. employ the principles of management and delegation when caring for small groups of clients during the childbearing and childrearing phase of the life cycle.

Measurable Course Performance Objectives (MPOs): Upon successful completion of this course, the student should specifically be able to do the following: MPOs for NRS 234 are developed in separate lecture, laboratory and clinical guides which are distributed to students in the beginning of the course in print materials. MPOs are identified and established by state licensure standards, NLNAC accreditation standards, JCOAH national safety standards, and ANA national patient care standards.

Methods of Instruction: Instruction will consist of lecture, discussion, computer-assisted, multimedia, laboratory, individual conferences, demonstration/return demonstration, written assignments including nursing care plans and teaching plans, and clinical laboratory experiences, including pre- and post-conferences.

Outcomes Assessment:

 Exam questions are blueprinted to coincide with lecture, laboratory and clinical objectives.

 Clinical evaluation is formative (weekly) and summative (mid-term and final) based upon the clinical evaluation tool, which reflects leveled objectives.

prepared by P Lowry, Fall 2010  Program outcomes are cumulative with correlation between course, level and terminal program outcomes.

 Program outcomes are assessed as follows: o Course-specific cumulative examinations o Content-specific national standardized tests o Graduate survey/employer survey o Percentage of students completing the program 150% time  goal 70% o Percentage of students successful on the NCLEX licensure examination the first time  goal 90% o Total program evaluation tool – NLNAC standards – assessed annually and q3 years

Course Requirements: 1. A minimum theory grade of 75% is required to pass NRS 234.

2. A satisfactory (passing) final clinical evaluation in both maternity and pediatric components is required to pass.

3. Satisfactory course attendance (see Nursing Student Handbook for attendance policies and procedures) is required to pass. 4. Students are expected to take responsibility for and to be equal partners in their learning.

Methods of Evaluation: Final course grades will be computed as follows: % of Grading Components final course grade  Theory: 4 unit examinations 60%  Theory: Comprehensive final examination 40% o A final grade of 75% must be achieved for successful course completion.  College Laboratory Must achieve a P o Satisfactory attendance (100%/0) o Active participation in discussion, return demonstration and practice of skills  Clinical Laboratory Must achieve a P o Satisfactory attendance (100%/0) o Achieve a “Pass” on the final clinical evaluation (see clinical evaluation tool for criteria) o Successful, on-time completion of assigned nursing care plans and teaching plan (see clinical guide for criteria) o Active participation in Cultural Day activities

prepared by P Lowry, Fall 2010  Additional evaluative criteria: Attendance – within the program policy

NOTE : 1. Each of the unit exams is 100 questions each. The 100 questions will be equally divided between Maternity and Pediatrics.. A final course average of 75% is required for successful completion. Students who achieve a course grade below 75% will result in failure of the course. (Grades between 74% and 70% will be recorded as a “D.” Grades below 70% will be recorded as an “F.”) The clinical evaluation tool will be utilized in each clinical area and will evaluate include competencies as well as participation in pre- and post-conferences. Failure to achieve a satisfactory grade in clinical laboratory will result in an "F" for the course grade. Additional clinical requirements are as follows: 2 satisfactory nursing care plans for maternity component, 2 satisfactory nursing care plans for pediatric component, 1 satisfactory teaching plan, and active participation in cultural day. Academic Integrity: Dishonesty disrupts the search for truth that is inherent in the learning process and so devalues the purpose and the mission of the College. Academic dishonesty includes, but is not limited to, the following:

 plagiarism – the failure to acknowledge another writer’s words or ideas or to give proper credit to sources of information;  cheating – knowingly obtaining or giving unauthorized information on any test/exam or any other academic assignment;  interference – any interruption of the academic process that prevents others from the proper engagement in learning or teaching; and  fraud – any act or instance of willful deceit or trickery.

Violations of academic integrity will be dealt with by imposing appropriate sanctions. Sanctions for acts of academic dishonesty could include the resubmission of an assignment, failure of the test/exam, failure in the course, probation, suspension from the College, and even expulsion from the College.

Student Code of Conduct: All students are expected to conduct themselves as responsible and considerate adults who respect the rights of others. Disruptive behavior will not be tolerated. All students are also expected to attend and be on time for all class meetings. No cell phones or similar electronic devices are permitted in class. Please refer to the Essex County College student handbook, Lifeline, for more specific information about the College’s Code of Conduct and attendance requirements.

prepared by P Lowry, Fall 2010 Course Content Outline: based on the following course materials: Required textbooks: Ball, Jane W and Bindler, Ruth C, 2008. Pediatric Nursing: Caring for Children. Upper Saddle River: Pearson/Prentice Hall; ISBN-10 #: 0137052456 or ISBN-13 #: 9780137052455

Students MUST have access to “My Nursing Lab”. This access (access #) is bundled with the purchase of a new textbook. The access # is good for only one individual and is valid for 4 years from the date of purchase. If a student purchases a used textbook, he/she will pay an additional $75 to purchase the access number needed. More information on My Nursing Lab will be available during Orientation.

Murray, Susan Smith and McKinney, Emily Slone, 2010. Foundations of Maternal -Newborn and Women’s Health Nursing. 5th edition. Maryland Heights: Saunders/Elsevier; ISBN #: 978- 1-4377-0259-0

Weekly Schedule for the Maternity Component

Week Lecture Topics Skills Lab Clinical Activities

1 Unit 1 – Need for self Unit 1 – Nursing Orientation to the unit, post-partum actualization: the family procedures assessment unit in society A/V: Sitz bath, post- partum assessment, etc.

2 Unit 2 – Need for Unit 2 – A/V: Apply the nursing process in caring regulation: contraception for patients in the ob clinic reproduction/family planning

3 Unit 3 – Potential Unit 3 – Potential Managed care of clients during the alterations in the need for alterations in the Ante-partal period safety: lifestyle related to need for safety: childbearing lifestyle related to childbearing, assessment of the ante-partum patient

4 Unit 4 – Potential Unit 4 – Role Apply the nursing process and alterations in the need for performance related manage care for clients who self-actualization: role to coping in labor experience normal labor and performance related to and delivery delivery and cesarean section coping in labor and delivery A/V: childbirth, cesarean section

prepared by P Lowry, Fall 2010 5 Maternity Exam 1 Unit 5 – Role Apply the nursing process and performance related mange care for mother and infant in Unit 5 – Potential to coping in the the post-partum period alterations in the need for post-partum period self-actualization: role A/V: newborn performance related to assessment and care coping in the post-partum period

6 Unit 6 – Potential Demonstration: Apply the nursing process and alterations in regulation: Physical assessment manage care for mother and infant the newborn period of the newborn in the post partum period who have A/V: gestational alterations in regulation basement of newborn

7 Unit 7 – Need for A/V: diabetes in Apply the nursing process and regulation: alterations in pregnancy, pre- manage care for clients who have reproduction and eclampsia/eclampsia alterations in reproduction or childbearing childbearing

8 Unit 8 – Potential A/V: cesarean, Apply the nursing process and alterations in labor and breech, forceps manage care for clients who have delivery delivery alterations in labor and delivery

9 Maternity Exam 2 Unit 8 – Alterations Apply the nursing process and in regulation: post- manage care for clients who have Unit 8 – Alterations in partum period alterations in post-partum period regulation: post-partum A/V: post-partum period hemorrhage

10 Unit 9 – High risk gyn Unit 9 – High risk Apply the nursing process and gyn manage care for clients with gyn A/V: breast cancer alterations

11 Unit 9 (continued) – Cultural Day Clinical Evaluation Alterations in women’s health

12 Final Exam

Weekly Schedule for the Pediatric Component

prepared by P Lowry, Fall 2010 1 Unit 1 – The need for love & Pediatric physical Orientation to the Pediatric belonging: psychosocial/ assessment skills. Use unit, apply the nursing process developmental influences on the of physical growth in caring for pediatric patients child and family charts

2 Unit 1 – Growth and Pediatric medication Apply the nursing process in Development administration, caring for pediatric patients, pediatric pain assess growth and management development

3 Unit 2 – Alterations in fluid and Pediatric IV Apply the nursing process and electrolyte function administration manage care of pediatric patients with alterations in fluid and electrolyte balance

4 Unit 3 – Alterations in the need Assessment of Apply the nursing process and for oxygen/respiratory and respiratory function in manage care for pediatric pts cardiac the pediatric pt/ who experience alterations in auscultation skills the need for oxygen related to the respiratory system

5 Pediatric Exam 1 Assessment of cardiac Apply the nursing process and function in the mange care for pediatric pts Unit 3 (continued ) pediatric pt/ who experience alterations in auscultation skills the need for oxygen related to the cardiac system

6 Unit 4 – Alterations in the need Role play: care of the Apply the nursing process and for nutrition infant with cleft manage care for pediatric palate/cleft lip and her patients who have alterations family, tube feedings in the need for nutrition

7 Unit 5 – Alterations in the need Stoma care, urine Apply the nursing process and for elimination specimen collection manage care for clients who have alterations in elimination

8 Unit 6 – Alterations in the need Pediatric neuro Apply the nursing process and for regulation: neurosensory assessment, Denver manage care for clients who developmental have alterations in screening tool neurosensory regulation

9 Pediatric Exam 2 Glucose screening, Apply the nursing process and pediatric insulin manage care for clients who Unit 7 – Alterations in the need administration have alterations in endocrine for regulation: endocrine regulation

10 Unit 8 – Alterations in the need Role play: care of an Apply the nursing process and

prepared by P Lowry, Fall 2010 for activity: musculoskeletal adolescent female manage care for clients with diagnosed with alterations in their need for moderate scoliosis and activity related to her family musculoskeletal

11 Unit 9 – Alterations in Cultural Day Pediatric burn lecture at St. bacteriological safety Barnabas with tour of Burn Unit. (Note: Date of visit is dependent upon burn lecturer’s schedule.)

12 Final Exam

prepared by P Lowry, Fall 2010