Mohawk Valley Community College s6

MOHAWK VALLEY COMMUNITY COLLEGE

CENTER FOR LIFE AND HEALTH SCIENCES

NU 202 Nursing 4 Threats to Basic Human Needs Throughout the Life Cycle SPRING 2013 Revised 12/12

Course Number and Title: NU202 Nursing 4 Threats to Basic Human Needs Throughout the Life Cycle

Course Credit and Hours: 12 Credits 6.0 Hours Theory/Week 10.0 Hours Clinical/Week 2.0 Hours College Practicum/Week

Placement in Curriculum: Spring Semester

Time Block: 15 Weeks

Pre/Co-Requisites: See the MVCC College Catalog and the Handbook for MVCC Nursing Students

Catalog Description: Nursing 4 (Threats to Basic Human Needs throughout the Life Cycle: Infant, Child, Adult, Part 2) NU202 Nursing 4 C-6, P-12, Cr-12 (Threats to Basic Human Needs throughout the Life Cycle: Part 2) This course focuses on the pathophysiologic and psychosocial responses in clients experiencing disruptions in elimination, cognition and sensation, musculoskeletal function, protection and cellular aberration. The nursing process, Maslow’s Hierarchy of Needs theory and critical thinking are integrated to meet the needs of the client experiencing a disruption in a medical/surgical setting. It explores the political, economic, social and cultural influences on nursing practice and healthcare. It assists the second-year student to become a contributing member within the discipline of nursing. A clinical practicum in a medical/surgical setting provides opportunities to assess and meet the needs of selected clients throughout the life cycle. A 64-hour Capstone Experience/or Clinical Experience (standard clinical hours) assists in the transition to entry level graduate nurse. Prerequisite: NU201 Nursing 3 with a minimum grade of 74.5. (Spring Semester only)

2 Disclaimer Statement: The content of this syllabus is subject to change at the discretion of the course instructors.

TABLE OF CONTENTS

Table of Contents 2

Course Objectives 3

Teaching Strategies, Academic Integrity Policy/Email Statement 4

Disabilities Services 5

Required Textbooks/Mandatory Additional Assignments 6-7

Exit Skills Competencies 8

Evaluation Methods/Grading Scale 9

Community Health Promotion Teaching Project instructions 10

Community Health Promotion Teaching Project Work Sheet 11

Community Health Promotion Teaching Project Grading Criteria 12

Community Health Promotion Teaching Project Evaluation Form 13 Examination Schedule 14

Schedule for College Practicums 15

Classroom Content Overview 16

Classroom Schedule Overview 17-18

Leadership and Management Content Objectives 19

Capstone Enrichment Experience 20

Student Capstone Experience 21-23

Rounding Rules 24

3 Diversity & Global View (DGV) 25-26

Sustainability Statement 27

Classroom Conduct Policy 28-29

Course Objectives:

Upon successful completion of this course the student will:

0. integrate previous learning, nursing knowledge and skills.

0. integrate the basic nursing principles applied to selected clients experiencing a deviation from health.

0. formulate an individualized plan of care based on the sociological, psychological, physiological, spiritual and cultural responses manifested by selected clients requiring health care.

0. evaluate the individualized nursing care plan for selected clients requiring health care according to Maslow’s Hierarchy of Basic Human Needs.

0. collaborate with members of the health care team to plan interventions promoting a therapeutic milieu.

0. communicate effectively with clients/members of health care team.

0. implement advanced nursing skills related to the care of the clients requiring health care.

8. prioritize nursing interventions for selected clients requiring health care.

9. implement the teaching plan to meet the needs of selected clients requiring health care.

10. integrate legal/ethical principles when implementing nursing care for selected clients with disrupted homeostasis.

11. demonstrate independent professional practice in a selected health care setting.

12. assume accountability for nursing practice within the legal, ethical, and professional framework of nursing.

13. assume responsibility for self-development, continued learning and professional growth.

14. discuss the fundamental concepts of management and leadership in nursing.

15. implement effective leadership strategies as a team leader.

4 16. discuss selected alternativecomplementary health treatment modalities.

17. utilize information technology to support and communicate the planning and provision of client care.

18. discuss the nurse’s rule in the clinical management of patients affected by bioterrorism agents.

Teaching Strategies

Discussion, critical thinking exercises, role play, demonstrations, return demonstrations, lecture, multimedia presentations, guest speakers, analysis of case studies, scenarios, internet computer aided instruction, teaching days, assigned seminars.

Academic Integrity Policy

The student cannot:

1. ask for, give or receive help during tests, examinations, or quizzes or other evaluations without permission of the instructor.

2. utilize books, papers, computer-based media or other materials and equipment during tests, examinations, quizzes or other evaluations without permission of the instructor.

3. engage in plagiarism by submitting or using as their own another person’s oral, written or computer-based work. All sources of material must be cited.

4. use any writing utensils during examination review, recording devices or cell phones during examination review.

5. leave the room during an exam without the permission of the instructor and/or proctor.

The student will be allowed:

1. to use one highlighter during exam review.

Any violation of academic integrity will result in disciplinary action up to and including dismissal from MVCC nursing program.

Email Statement

Communication is often accomplished through MVCC email. All students have accounts through MVCC. Please check email accounts frequently. To access email:

1. go to www.mvcc.edu 5 2. choose “email: student access” from drop down box 3. Log in a. User Name: first initial, last name, day of your birth (example: [email protected]) b. Password: last four digits of your social security number

Disability Services Mohawk Valley Community College

The Disability Service Office coordinates and/or provides accommodations and services to MVCC students with disabilities, whatever those disabilities might be. This includes, but is not limited to, individuals who are blind, deaf, learning disabled or mobility impaired, those with chronic health impairments such as epilepsy or diabetes, and those with psychiatric disabilities.

The services provided depend on the individual involved. In some cases, this might simply mean providing someone to talk about concerns, advice about scheduling courses, or information about community service providers. At other times, it could involve the provision of enlarged print materials, assistance in locating a note taker, or the coordination of alternate testing arrangements. In all cases, the goal of the office is to help ensure that students with disabilities have equal opportunity to participate, to compete and to succeed at MVCC.

The coordinators for students with disabilities would appreciate hearing from anyone in the class who has any type of disability (e.g., physical, learning, psychiatric, vision, hearing, etc.) which may require some special accommodation. The coordinators will determine your eligibility for these accommodations, and provide appropriate services and aides available through the college.

Students with disabilities should see one of the disability services providers listed below to discuss services and accommodations:

Utica Campus Academic Building Room 153 315.731.5702

Academic Building Room 153 315.792.5413

Rome Campus Plumley Center Room A30 315.334.7718

6 NU 202 REQUIRED TEXTBOOKS

Deglin, J.H., & Vallerand, A.H. (2009). Davis’s drug guide for nurses (11th ed.). Philadelphia, PA: F.A. Davis Company.

Hockenberry, M., & Wilson, D. (2009). Wong’s essentials of pediatric nursing (8th ed.) St. Louis, MS: Mosby Elsevier.

Ignatavicius, D. & Workman, L. (2010). Medical surgical nursing, vol. 1 (7th ed.). Medical surgical nursing. St. Louis, MS; Saunders Elsevier.

Ignatavicius, D. & Workman, L. (2010). Medical surgical nursing, vol. 2 (7th ed.). Medical surgical nursing. St. Louis, MS; Saunders Elsevier.

Lynn, P., (2008). Taylors’s clinical nursing skills: A nursing process approach (3rd ed.). Philadelphia, PA: Lippincott, Williams, & Wilkins.

Van Leeuwne, A., & Poelhuis-Leth, D. (2009). Davis’s comprehensive handbook of laboratory and diagnostic tests with nursing implications (3rd ed.). Philadelphia, PA: F.A. Davis Company.

Whitehead, D., & Weiss, S. (2010). Essentials of nursing leadership and management 95ht ed.). Philadelphia, PA: F.A. Davis Company.

**ATI Curriculum Support Material previously distributed by the Nursing Department Fall 2012.

Recommended

Gaglione, T., Zerkewh. J., Clayborn, J. C. & Miller, C.J. (2005). Memory notebook of nursing. Pharmacology & diagnostics. Ingram, TX: Nursing Education Consultants.

Silvestri, L. A. (2008). Comprehensive review for the NCLEX-RN Examination (5th ed.). St. Louis, MS: Saunders Elsevier.

Zerwekh, J., Claborn, J., & Miller, C. (2003). Memory notebook of nursing, vol. 1 (2nd ed.). Nursing Education Consultants.

Zerwekh, J., Claborn, J., & Miller, C. (2003). Memory notebook of nursing, vol. 2 (2nd ed.). Nursing Education Consultants.

Important

*NCLEX-RN State Board Review Book (student’s choice)

7 MANDATORY ADDITIONAL ASSIGNMENTS

1. ATI Comprehensive RN Predictor Test- must complete as assigned to be eligible to sit for the final examination in NU202. Students must arrive on time to sit for the exam. Date TBD.

2 ATI Practice Exams with remediation. Students will be responsible for completing the assigned practice exam with required remediation. Dates of Practice Exams TBD. This will be a pass/fail assignment. A failure will constitute failure in NU202.

3. Students must attend the MEDS NCLEX-RN State Board Review classes as scheduled May 28th – 31st from 8am – 4pm to be eligible for graduation.

4. Students are required to attend SUNYIT Annual Teaching Day on Wednesday April 24, 2013 from 8am-4pm. Cost is $12.50 per student. The keynote speaker will be Loretta Ford. Payment is due by Friday, February 8th. Payment can be secured through Mr. Light or Ms. Chamberlin. Cash only.

Alternative strategies such as critical thinking exercises, case scenarios and notes may be posted on blackboard in lieu of not having class.

5. Students are required to attend an MVCC Leadership Lecture series. Kevin Hoehn, Pharm. D., M.B.A., BCPS, CGP will be providing a lecture titled True North: Finding your Leadership Compass on both the Utica and Rome campus. The overview is as follows: Just as the compass points toward a magnetic field, your True North pulls you toward your inner potential. When you follow your inner compass, your direction and leadership will be authentic, and people will naturally associate with you. Although others may guide or influence you, your truth is derived for your life story and only YOU can determine the direction.

This will be offered IN PLACE OF LAB FOR THE WEEK OF March 4th – 9th. Students may attend on Wednesday March 6th at 2pm on the Utica Campus in ACC116 or 7pm on the Rome Campus in PC213. THERE WILL BE NO LABS WEEK 7.

6. Students are required to review, sign and submit their Confidentiality Statement and Nursing Contract to their theory instructor during the first day of class.

8 EXIT SKILLS

1. Perform a musculoskeletal assessment

2. Perform a neurological assessment

3. Perform a neurovascular assessment

4. Demonstrate testicular exam

5. Demonstrate breast self-exam

6. Demonstrate oral-pharyngeal suctioning

7. Demonstrate tracheostomy care/suctioning

8. Insert a peripheral IV angiocath

9. Manage care for 2 or more clients

10. Perform sterile wet to dry dressing change

** The student is responsible for demonstrating competency in previously learned skills.

9 EVALUATION

1. Four (4) Unit Exams and one (1) Total average of 5 exams- Comprehensive Final; total five (5) 100%

2. Proficiency Skill Test-Week 7 (March 4th-March 9th) PASS/FAIL a. Tracheostomy Care/Suction b. Wet to dry dressing change

3. Mid-Semester Clinical Evaluation PASS/FAIL Week 8 (March 11-16)

4. Community Health Promotion Teaching Project PASS/FAIL during scheduled lab time Week 12 (April 15th-20th)

5. Complete Capstone Experience (if applicable) PASS/FAIL Week 14-15 (April 29th -May 11th)

6. Complete ATI Practice Exams with remediation PASS/FAIL

7. Final Clinical Evaluation PASS/FAIL

GRADING SYSTEM IN NURSING

A = 89.5 – 100 B= 79.5-89.4 C = 74.5 - 79.4 D= 64.5-74.4 F = less than 64.5

IMPORTANT

There will be 75 questions on all exams including the Final. All exams must be completed in 1.5 hours (90 minutes). Each unit exam will have a 2 management/leadership questions, 10 medication questions; 5 will be calculation and 5 will be pharmacology. Each unit exam will be available for review until 1 day prior to the next unit exam. The student is to email their instructor to set up a meeting time to review the exam. All nursing examinations must average a 74.5% to successfully PASS the course The final exam will not be reviewed.

10 COMMUNITY HEALTH PROMOTION TEACHING PROJECT INSTRUCTIONS

Directions:

The student will:

1. be assigned a topic in groups of 2-3 by their lab instructor during week 4.

2. submit three teaching learning objectives to the lab instructor one week after being assigned the topic.

3. organize a teaching project to be presented to the community. The community will be assigned by your clinical instructor. The community will not be the population at MVCC.

4. choose an acceptable method to deliver the project; i.e., storyboard, pamphlets, videos, live demos.

5. submit a preview of the presentation to your lab instructor 2 weeks prior to the scheduled presentation.

6. incorporate all suggested revisions prior to the presentation.

7. wear white laboratory coat with photo ID over professional attire (no jeans).

8. be prepared to discuss the information about the presentation with the target population.

9. be on time and assume responsibility for setting up and removing the teaching materials.

10. participate equally in the development and presentation.

11 COMMUNITY HEALTH PROMOTION TEACHING PROJECT WORK SHEET

Student: ______Date______

Lab Instructor: ______Community Site: ______

Topic: ______

______

Presenters: ______

Three References:

Three Learning Objectives:

Faculty signature: ______Date of Presentation______

PASS/FAIL: ______

12 COMMUNITY HEALTH PROMOTION TEACHING PROJECT GRADING CRITERIA

1. Each project is pass/fail

2. The lab instructor will evaluate the project using the following criteria:

a. Creativity

b. Format

c. Content

d. Delivery

3. If any of the criteria is not successfully met the student(s) will be given a mandatory alternate assignment at the discretion of the lab instructor.

4. Failure to achieve a passing evaluation constitutes failure in clinical and the student may not sit for the final.

13 COMMUNITY HEALTH PROMOTION TEACHING PROJECT EVALUATION FORM

Topic______Date______

Presenters______Grade______

Directions: The presentors will be evaluated on four points (1) creativity, (2) format, (3) content, and (4) delivery

Creativity:

Comments: ______

Format (appearance) of Presentation: Comments: ______

Content: As it applies to the community:

Comments: ______

Delivery:

Comments: ______

PASS/FAIL: ______

EXAMINATION SCHEDULE

ALL UNIT EXAMS WILL BE TAKEN AT 10 am 14 Rome students will take Unit Exams in Rome Utica students (10am and 4:00pm) will take Unit Exams in Utica. The location for the Utica Exams will be the IT Theatre.

EXAMINATION SCHEDULE

Date Focus

Wednesday, February 13 Unit I (Excretion)

Wednesday, March 13 Unit II (Protection)

SPRING RECESS: March 18th-23rd

Monday, April 15 Unit III (Sensation/Cog nition)

Monday, May 6 Unit IV (Mobility)

TBD ATI Predictor Examination

TBD Comprehensive Final

15 COLLEGE PRACTICUM SCHEDULE

Students are required to review skills in the Lynn skill text. Students must arrive for lab with lab coat, second year bag, skills text, and critical element packet. Failure to comply will result in a mandatory makeup and a Clinical Conference.

Week Topic

1 Tracheostomy Care/Suctioning

2 Wet to Dry Dressing Change /ATI Video Wound Care

3 Insertion of Peripheral IV

4 Principles of Management/Leadership: Child/Elder Abuse- Chapter 3 in Nursing Leadership & Management (ATI) ATI Video – Health Care Fraud, Waste & Abuse

5 Neurovascular Assessment

6 Principles of Management/Leadership: Chapter 3: Nursing Practice/Law (Whitehead text) Chapter 3: Nursing Leadership & Management cont’d(ATI)

7 (March 4th – March 9th) Proficiency Skill Test Trach Suction and Care Wet to Dry Sterile Dressing Change March 6th Kevin Hoehn Presentation

8 Principles of Management/Leadership: Chapter 9: Delegation (Whitehead text) Chapter 1: Nursing Leadership & Management text (ATI)

SEMESTER SPRING BREAK (March 18-March 23rd)

9-10 Principles of Management/Leadership: Chapter 12: Promoting a Healthy Workplace (Whitehead text) Chapter 4: Nursing Leadership & Management text (ATI)

11 Selected Critical Thinking Exercises and Role Playing as well as Proper Etiquette for RN Employment/Portfolio development Chapter 14: Your Nursing Career (Whitehead text) 16 12 (April 15th-20th) Community Health Promotion Teaching Project (off campus)

13 Program Evaluation/Capstone Preparation

14-15 Capstone Experience/Clinical Experience

CLASSROOM CONTENT OVERVIEW

I. Application of the Nursing Process in Assisting a Client with a Disruption in Urinary Excretion

II. Application of the Nursing Process in Assisting a Client with a Disruption in Protection

III. Application of the Nursing Process in Assisting a Client with a Disruption in Sensation and Cognition

IV. Application of the Nursing Process in Assisting a Client with a Disruption in Mobility

17 CLASSROOM SCHEDULE OVERVIEW

REQUIRED WEEK DATE TOPIC PREPARATION

1 1/23 Unit I Read: Wednesday (Urinary Excretion) Iggy Chp. 68-71 Unit I Chp. 75 Wong Chp. 27 1/28 Mon 2 1/30 Wed. Unit 1 Continue reading

3 2/4 Mon. Unit 1 Continue reading 2/6 Wed.

4 2/11 Mon. Unit I Read: 2/13 Wed. Exam I Iggy Begin Unit II (Protection) Chp. 19-28, 76 Wong p. 384-395 p. 904-907 p. 939-943 p. 1091-1103 p. 1135 p. 1139-1143

5 2/18 Mon. Unit II Continue reading 2/20 Wed.

6 2/25 Mon. Unit II Continue reading

18 2/27 Wed.

7 3/4 Mon. Unit II 3/6 Wed.

8 3/11 Mon. Read: 3/13 Wed. Exam II Iggy Begin Unit III (Sensation Chp. 43-51 and Cognition) Wong Chp. 19, 28 & 32

SPRING BREAK 3/18-3/23

12 4/15 Mon. Exam III Read: Begin Unit IV (Mobility) Iggy 4/17 Wed. Chp. 2, 52, 53, 54

Wong Chp. 31, 32

13 4/22 Mon. Unit IV Continue reading 4/24 Wed. Mandatory Suny Teaching Day 8am-4pm

14 4/29 Mon. Unit IV Continue reading 5/1 Wed.

15 5/6 Mon. Exam IV 5/8 Wed. TBD ATI Practice Exams TBD ATI Predictor Exam

The final exam will be during final exam week. Date TBD.

19 Leadership and Management

Content Objectives

1. Apply various legal principles including malpractice, privacy, confidentiality, reporting statutes and doctrines that minimize one’s liability to leading and managing roles in professional nursing.

2. Examine legal implications of resource availability versus service demands from a manager’s perspective.

3. Examine the NYS Nurse Practice Act, including the legal difference between RN’s and LPN’s.

4. Define what constitutes abuse, maltreatment and neglect.

5. Identify physical and behavioral indicators of physical abuse.

6. Contrast the physical and behavioral indicators of sexual abuse.

7. Identify the components of professional practice systems and the scope of the registered nurses’ practice.

8. Discuss the concepts of supervision and delegation as they apply to clinical practice.

9. Describe the importance of appropriate delegation in today’s health care environment.

10. Discuss the difficulties with and obstacles to delegation.

11. Discuss the registered Nurse’s role in promoting personal-professional growth.

12. Discuss the professional nurse’s responsibility for self-management.

13. Discuss the concept for professional autonomy.

14. Identify ways in which the registered nurse meets the professional responsibilities in the role employee and member of the discipline of nursing.

15. Identify the nature & sources of actual and hypothetical conflict.

16. Discuss the conflict process. 20 17. Identify various approaches to conflict resolution.

Capstone Enrichment Experience

Eligibility for Capstone experience will require each nursing student to write a letter of intent describing how he or she feels such an experience will further enhance their role as a professional Registered Nurse (RN) beyond their already achieved goals at Mohawk Valley Community College (MVCC). Deadline for submission: Wednesday February 6, 2013. Submit to Mrs. Copperwheat’s PH 348 mailbox ONLY.

Additional criteria for student eligibility that will be reviewed by faculty:

*Cumulative nursing GPA *Attendance *Clinical Experience *Community Service *Leadership *Teamwork *Character

21 Student Capstone Experience

Introduction The education of professional nurses must meet quality standards. To accomplish this, it is necessary to balance theoretical foundation and clinical skills. This trend toward integration of nursing education and practice presents new challenges to the nursing faculty and the student population alike.

The MVCC Nursing Faculty believes that a Capstone Experience in the final semester of this Associate Degree Program helps prepare the student for entry level into the nursing profession. This opportunity for a concentrated, reality-based, one-on-one practicum with a professional nurse preceptor is the capstone event, the culmination and integration of all the student’s previous learning and experiences.

Description of the Capstone Experience

The student is assigned a specific RN preceptor in any number of varied health care settings. The experience covers a two week period weeks 14 and 15 of the Spring Semester of the second year. During this time, the student will work 60-64 hours with the preceptor. The student’s assigned time will correlate with the preceptor’s work schedule.

The Capstone Experience is planned to provide the student with a concentrated practicum in a health care setting. The practicum involves assessing, analyzing, planning, implementing and evaluating nursing care for individuals and families. Students will have an opportunity during this clinical experience to synthesize and integrate prior learning into nursing practice with preceptor supervision and faculty collaboration. This concentrated clinical practicum will provide students with:

 exposure to daily nursing routines with a readily available support system of preceptor and instructor.

 an opportunity to build upon knowledge and skills and assume increased responsibility in the management of client care.

 an opportunity to experience and discuss nursing actions and client response with the preceptor.

 varied experiences with diverse clients with a myriad of nursing care needs.

 experience in participating in the interdisciplinary management of clients.

 an opportunity to facilitate the transition from a second year student to an entry level graduate nurse.

22 Student Objectives for Capstone

The student will:

1. abide by the agencies requirement for student orientation prior to Capstone Experience

2. abide by the agency’s policies and standards of care

3. accept accountability and responsibility in the Capstone experience

4. identify specific learning objectives

5. demonstrate improvement in competencies

6. seek new learning experiences

7. utilize the nursing process and Maslow’s Hierarchy of Human Needs in the management of client care

8. demonstrate time management and organization skills

9. demonstrate effective therapeutic communication

10. evaluate outcomes in relation to stated objectives

11. demonstrate critical thinking and problem solving in patient interactions

12. integrate theory into nursing practice

13. demonstrate increased independence

14. function as a member of the interdisciplinary team

15. identify personal objectives throughout the experience

IMPORTANT

Students must successfully complete all objectives outlined in the Capstone Experience. Failure to meet the objectives with a satisfactory evaluation from the assigned preceptor may result in failure in NU 202.

23 Capstone Policy

1. The Capstone Experience will be held April 22-May 6, 2012.

2. All NU 202 students must successfully complete 60-64 hours of Capstone Experience.

3. Students will adhere to the criteria in the Capstone Packet.

4. Students are accountable for their actions and behaviors and must practice nursing within legal, ethical and regulatory frameworks.

IMPORTANT

Failure to adhere to the Capstone Experience Policy may result in a failure in NU 202 and/or disciplinary action up to and including dismissal from the nursing program. The final decision will be made by the Associate Dean after consulting with faculty.

Rounding Rules for Dosage Calculation and IV Infusion 24 Whole Numbers: Dosages in whole numbers should never be followed with a decimal point and zero. Example: 4 mg PO (Correct) 4.0 mg PO (Incorrect) Basic Rounding: Decimals Remember:

Rounding to the nearest tenth: Round at the end of the If the last digit is equal to or > 5 round up. Ex: 1.57 mL= 1.6mL problem. If the last digit is < 5 round down. Ex: 1.54 mL= 1.5mL The exception to this rule is when Rounding to the nearest hundredth: you are converting pounds to kg. If the last digit is equal to or > 5 round up. Ex: 0.686mL=0.69mL Always convert to kilograms first If the last digit is < 5 round down. Ex: 0.543mL = 0.54mL then complete calculation.

Converting pounds to kilograms: Testing Issue Round to the nearest 10th Calculations will be scored as incorrect if there is improper 1 kg = 2.2 pounds rounding or labeling.

Example: 120 pounds = 54.54 kg = 54.5 kg Milliliters: Dosage Less than 1 mL Dosage Less than 1 mL Greater than 1 mL

Calculate to three places If dosage calculation is in the If the answer is > 1mL round to then round to the 100th 10th place you must precede the the nearest 10th. and place a zero in front of decimal point with a zero. the decimal point. Ex: 1.57 = 1.6 mL Ex: .4 mL= 0.4 mL Ex: 0.376 = 0.38 mL .8 mL = 0.8 mL Ex: 0.563 = 0.56 mL

Tablets: Tablets, as a rule, can be given whole or broken into halves, if scored.

Converting Apothecary to Metric: Conversion not always equal from grains to milligrams. Grains1 = 60-65mg Ex: ASA gr V = ASA 325 mg Phenobarbital gr ½ = Phenobarbital 30 mg Nitroglycerine gr 1/200 = Nitroglycerine 0.3 mg (60 divided by 200) IV Calculations: Intravenous infusions are calculated in drops per minute (gtt/min) for gravity flow and milliliters per hour (mL/h) via infusion pump. Ex: gravity flow – round to nearest whole number. (Formula: Volume of solution X Drop Factor of tubing divided by time in minutes.) 100 mL X 20 gtts divided by 60 minutes =33.33 = 33 gtt/minute Ex: IV pump – round to the nearest whole number. 1000 mL to infuse over 12 hrs. 1000 divided by 12 = 83.33 = 83 mL/hour

25 IMPORTANT: The Nursing programs Rules for Dosage Calculation apply on all exams

DIVERSITY AND GLOBAL VIEW (DGV)

Who has to complete this graduation requirement?

Answer: Beginning in the fall of 2008, all incoming students, students who change their majors and re-matriculated students must fulfill the Diversity/Global View requirement for graduation.

What do students have to do to fulfill this requirement?

Answer: Most students pursuing an Associate´s Degree must complete ONE course required in their major, four tutorials found in Blackboard online, and attend four DGV approved events. Typically, students pursuing Certificates must complete two tutorials and attend two DGV approved events. As one of the required tutorials, students must complete the tutorial "Introduction to Diversity and Global View". It is important to note that these are "generic" requirements. Please check with your advisor to make sure that these are the requirements that apply to your specific program.

How does MVCC know if I complete these requirements?

Answer: Tutorial completions and your scores are automatically recorded in Blackboard. You must obtain a score of 80% on a tutorial for it to count. Every student automatically has an account in Blackboard when they register for classes at MVCC. Attendance D/GV approved events is tracked and recorded through a swipe card system. Bring your College ID to these events so it can be swiped!

How do I know if an event is an approved DGV (Diversity/Global View) event?

Answer: Some events are sponsored by the College Cultural Committee and their brochures are available at many locations around campus. That committee´s DGV approved events are indicated by the DGV logo. Also, watch for posters around campus advertising other DGV approved events.

26 How do I access the DGV tutorials on Blackboard?

Answer: How to Get to the DGV Tutorials:

 Go of the MVCC Home Page.

 Go to the menu on the bottom of the left hand side and click on MV Online Blackboard.

 Then sign in with your username and password as you would sign on to the computers in the computer labs. [Username = first initial + last name + day of birth (ex. Msmith04) and Password = the last 4 digits of your social security #.You will then get to the Blackboard home page.

 In the upper right hand corner you will see a list of online courses in which you are "enrolled".

 Click on Diversity and Global View. Now you will be at the Diversity/Global View menu.

 Go to the top left hand side and click on tutorials. Now you will get a list on tutorial topics.

 Select a topic, click and then select a tutorial from those listed under that topic.

 Click on it, read it, get to the end and launch the quiz.

 When you finish the quiz, go to "course tools", click and then choose grade report to get your score. If you need to print your score, you can do so by clicking on the quiz and then clicking on print.

27 Sustainability Statement

Mohawk Valley Community College is committed to development and implementation of a comprehensive sustainability plan. To that end, we are beginning by asking students, faculty, and staff to actively participate in energy conservation measures and proper recycling on campus. The blue bins located in classrooms, and offices are for paper and paper products only. All plastic, metal and glass containers should be placed in the proper recycling bins located in the hallways. Please remember to empty them before depositing them. Any materials that cannot be recycled should be place in garbage cans. It is also important to turn off lights and computers when leaving a room. Together we can make an impact on conserving our resources. Remember to reduce, reuse and recycle!

Classroom Conduct Policy

1. Attendance Students are expected to attend all classes. Penalties for absences are left to the discretion of individual instructors. Students are held accountable for all assignments in each course, whether or not the assignments were announced during an absence. By enrolling in a course, a student accepts the responsibility of participating in the classroom educational experience. Students are expected to contact their instructor as soon as possible, if and when they are going to miss a class.

2. Tardiness

It is the expectation of both instructors and students that classes, clinicals, and labs will start and end on time. Due to the uncontrollable nature of shared classrooms, in the event there is a slight delay in the start of lecture, students are expected to promptly take seats when available, and the class will begin. Once class begins, any student who arrives after is considered tardy. It is at the discretion of the individual instructor to allow late entry of students into their class. Students may enter during the mid-session break, however it is not the instructor’s responsibility to review content that was missed in the student’s absence. Those who come late and are permitted to enter should seat themselves as close to the entrance as possible and avoid any sort of disruption. Students who arrive late should consult other students about any announcements made at the beginning of class. Instructors are not responsible to re-cover content that was previously reviewed in the student’s absence.

3. Conduct within the classroom Students are expected to arrive on time and pay full attention to the content being covered within the class. Conversations should be reserved for outside the classroom. Students may whisper to their neighbor to clarify the current page of content being discussed. In the event a student has a question regarding the content, the student is expected to raise their hand and pose it to the instructor. In order to be able to cover all content necessary for the semester, extended conversations and discussions can and may be scheduled during the instructor’s office hours. During each class, students are expected to remain seated unless a documented disability prohibits this. Students are expected to wait until either the mid-session break or dismissal of the class to get up and leave the classroom. Students are expected to remain seated with full attention provided to the instructor until dismissed by the instructor. Students will not be permitted to prepare for departure while content is still being covered. This includes packing of bags, closing of books, and any other disturbance that can distract both other students and the instructor. It is the expectation of all Instructors that cell phones will be turned off during all clinicals, lectures, and labs. Any student found in violation of this rule is subject to dismissal from the class. Students are still responsible for content missed due to their dismissal. 29 It is at the discretion of the individual instructor if recorders will are allowed. The goal of the nursing faculty is to provide an environment conducive to learning for each and every student. It is at the instructor’s own personal discretion to modify or change any rules for their class. If there are any questions, please do not hesitate to clarify them with the individual instructor.