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DRAFT: This module has unpublished changes.

Course Number: Nursing 101

Course Title: Fundamentals of Nursing

Credit Distribution: 7 credits (Simulation lab and Clinical components)

Prerequisites: Admission into the nursing program

Course Dates: Monday, September 8, 2014- Monday, December 22, 2014

Course Description

This course is an introduction to the professional and scientific foundations of nursing. The course content will cover the historical foundations of nursing, its development as a profession, the concepts of client needs, safety, communication, education, critical thinking, ethical-legal issues, cultural diversity, and the program's philosophy of nursing. In addition, this course introduces the student to the nursing process as well as evidence-based nursing practice, basic medical and nursing terminology and an introduction to basic medication administration and dosage and APA writing and citations. Throughout the course, skills relative to the practice of nursing will be taught and practiced in a simulation laboratory/clinical setting.

Course Faculty

Name:  Patrice Sobecki, MSN

Office Hours: By Appointment

Telephone: 914-674-7785

Email: Via Course Blackboard

 

Student Learning Outcomes

By the end of the program students will:

Student Learning Outcome I

Describe the historical background of the nursing profession, definitions of nursing,         and current trends affecting the nursing profession.

         Individual Learning Outcomes

         1. Understand the effects of nursing standards of practice, nursing                                  organizations, and nurse practice acts on nursing practice (cognitive)

         2. Examine how current healthcare trends have an effect on both the                              population and the nursing profession (cognitive)

 

Student Learning Outcome II        

The student, as a provider of care, will demonstrate skills in proper use of components of the nursing process to promote the well-being of the patient; and safely and supportively performing basic nursing procedures, using critical thinking, applied theories, principles, evidence-based nursing and concepts  

        Individual Learning Outcomes

        1. Explain the relationship between medical assessments and nursing                              assessments (cognitive)

        2. Differentiate between a collaborative problem, a nursing diagnosis, and a                   medical diagnosis (cognitive)

        3. Explain the use of the nursing process as a problem solving technique                       (cognitive)

        4. Construct nursing diagnoses using the NANDA guidelines (cognitive)

        5. Prioritize a patient’s health issues and nursing interventions (cognitive)

        6. Describe the rational for standardized nursing outcomes (NOC) and nursing               interventions (NIC) (cognitive)

        7. Develop a nursing care plan that contains complete, accurate, factual, and                 relevant patient assessment, diagnosis, and outcome planning (cognitive)

 

Student Learning Outcome III

 Demonstrate accurate physical assessment techniques

         Individual Learning Outcomes

         1. Demonstrate proper assessment of temperature, respirations, pulse and                    blood pressure (psychomotor)

         2. Conduct a physical assessment in a thorough and systematic way                               (psychomotor)

         3. Document health assessment findings in a concise, descriptive, and legally                appropriate manner (cognitive)

 

Student Learning Outcome IV

Practice principle of medical and surgical asepsis, using universal precautions, when implementing care

          Individual Learning Outcomes

          1. Explain the stages of infection, and the nursing interventions used to break                the infection cycle (cognitive)

          2. Describe strategies for implementing CDC guidelines for standard and                        transmission-based precautions when caring for patients (cognitive)

          3. Demonstrate interventions that reduce the risk for healthcare-associated                   infections (psychomotor)

          4. Use appropriate isolation techniques (psychomotor)

 

Student Learning Outcomes V

Demonstrate knowledge, proper preparation, administration, and monitoring of medications and their side effects.

           Individual Learning Outcomes

           1.Describe drug names, drug classification, drug action, side effects and                         interactions, type of preparation and method of administration (cognitive)

           2. Calculate drug dosages, using the various systems of equivalents                               (cognitive)

           3. Demonstrate safe delivery of medications by oral, topical, parental, and                    inhalation routes (psychomotor)

           4. Develop teaching plans to meet the specific educational needs of the                          patient symptoms that should be reported to their physician (cognitive)

 

Student Learning Outcomes VI

Summarize the ethical and legal standards and the cultural factors as they relate to nursing care

            Individual Learning Outcomes

            1. Identify the guidelines and standards for the practice of nursing (cognitive)

            2. Discuss patient rights and responsibilities (cognitive)

            3. Discuss the Nurse Practice Act (cognitive) (cognitive)

            4. Identify cultural factors, both racial and religious, as they relate to nursing                 care (cognitive)

            5. Identify ethical and legal factors that affect both the patient and the                           nursing profession (cognitive, affective)

 

Student Learning Outcomes VII

Demonstration of effective communication skills in therapeutic interactions, patient teaching, and inter-professional information sharing

            Individual Learning Outcomes

            1. Listen and effectively, communicate ideas through written, spoken and                       visual means; including proper use of American Psychological Association                  (APA) formatting, citations, and references (cognitive, affective)

            2. Explain the importance of establishing and maintaining communication                       between the patient, family, and members of the healthcare team                             (cognitive)

            3. Explain the process of reporting and documenting patient information                         (cognitive)

            4. Identify strategies which promote professional communication among                         healthcare team members (cognitive)

 

Teaching/Learning Strategies

The teaching/ learning methods used to introduce course content and concepts are lecture, readings, audio-visual materials, Internet resources, simulation laboratory, and clinical experiences

 

Required Texts

Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P. (2011). Fundamentals of nursing: The art and science of nursing care (7th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

 

Kübler-Ross, E. (2009). On death and dying: What the dying have to teach doctors, nurses, clergy and their own families (40th anniversary ed.). Abingdon, Oxon: Routledge.

 

American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.

 

Strongly Recommended Text

Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P. (2010). Study guide for fundamentals of nursing: The art and science of nursing care (7th ed.). Philadelphia, PA: Lippicott Williams & Wilkins.

 

Evaluation:

Assignment 1- Read an article, write a two page paper stating the issue, its         5%

implication to nursing, and possible solutions to the issue.

Reference one additional article.

            Covers content on nursing history, definitions and aims of nursing,

            guidelines for nursing practice, and current trends in nursing

            (Student Learning Outcomes I)

 

Assignment 2- Complete health-style self-test p 48-49 in textbook                        5%

            Covers content on health and wellness

            (Student Learning Outcomes VI)

 

Assignment 3- Group case study                                                                           5%

            Covers content on concepts of health and wellness, concepts

            of Illness and disease, factors affecting health and illness,

            health promotion and illness prevention, theory and models of

            health promotion, and nursing care to promote health and prevent illness

(Student Learning Outcomes II)

                                                                                   

Assignment 4- Complete concept map                                                                   5%

            Covers content on the nursing process including assessment,

            diagnosis, outcome identification and planning and concept mapping

            (Student Learning Outcome II)

 

Assignment 5- Patient care plan                                                                            5%

            Covers content on implementing interventions, intervention strategies,

            and evaluating patient outcomes (Student Learning Outcomes IV)

 

Assignment 6- Complete individual case study                                                       5%

           Covers content on vital signs, health assessment and required

            Documentation (Student Learning OutcomesII)

 

Assignment 7- Two page paper on research article related to age, gender,

cultural or economic issue affecting patient hygiene                                               5%

           Covers content on the nursing process related to skin care and personal

           hygiene including NANDA nursing diagnoses, skin care problems, and

           nursing strategies to promote personal hygiene for age-related changes

           (Student Learning Outcomes VI)

 

 

Assignment 8- Create care plan based on case study related to infection                5%                    

          Covers content on Basic principles of medical asepsis in patient care,                             antibiotic- resistant organisms, infection control precautions and                                   barrier techniques, and preventing healthcare-associated infections                               (Student Learning Outcomes IV)

 

Assignment 9- Document nursing care on patient with alteration in                        5%

 respiratory status

          Covers content on anatomy and physiology of the respiratory system,

          factors affecting respiratory function, respiratory variations in the life

          cycle, assessing respirations, medications that affect respirations, the

          nursing process for oxygenation, diagnostic procedures used to asess

          respiratory function, and medications used to improve respiratory function

          (Student Learning Outcomes II, III, VII)

 

Assignment 10- Write a two page reflection on scenario from

p. 1547 in textbook                                                                                               5%

          Covers content on the five emotional stages of death and dying            

          by Kübler-Ross, discussion of cultural, ethical, spiritual and legal issues

          of dying and death, factors that affect grief and dying, and the nursing

          process related to death and dying     

         (Student Learning Outcomes VI)

 

Assignment 11- Final paper- Choose from one of the case scenarios provided.     15%

Write a patient history, brief description of patient problem and nursing care plan.

include treatment modalities, medications, and patient teaching at discharge.

Must be 3-5 pages plus references.

            (Student Learning Outcomes I-VII)

 

 

Test 1- Covers chapters 1, 3, 12-16    (50 questions)                                          15%

 

Test 2- Covers chapters 24, 25, 41 & 42  (50 questions)                                     15%                                                                                                                                   

Take home quiz on chapter 40  (15 questions)                                                       5%

 

 

Requirements for all assignments

1. All papers must be typed and double spaced. APA style and format is required. Correct spelling and grammar are expected

2. All assignments must be posted by deadline in the Blackboard assignment dropbox unless permission for extension has been received from instructor.

3. Per program policies, violation of academic integrity will result in disciplinary action        (See Academic Policies in Student Handbook).

 

 

DRAFT: This module has unpublished changes.

Course Outline

Week

Date

Topic

Readings/Assignments/Activities

Class 1

9/8

Introduction to Nursing

 

History of nursing

 

Definitions and aims of nursing

 

Guidelines for nursing practice

 

Current trends in nursing

 

APA- Formatting your papers, citations and references

(Bring laptop)

 

Chapter One

 

Introduction, overview, and expectations of course

 

YouTube video on History of Nursing http://www.youtube.com/watch?v=uNIuYDWfDrs

 

 

ANA Professional Standards: Class discussion and implications of standards

1)Nursing: Scope & Standards of Practice

2)Guide to the Code of Ethics for Nurses: Interpretation and Application    

3) Nursing’s Social Policy Statement.

 

 

APA PowerPoint- Formatting papers, in-text citations, references

 

 

*Assignment*

Read one of the articles listed below. Post on Blackboard:

1) State the issue

2) It’s implication to nursing

3) Possible solutions to the issue

Reference one additional article related to the issue.

Article

The global nursing shortage: An overview of issues and actions

 

Caring for the elderly: Changing perceptions and attitudes

 

Many faces: Addressing diversity in health care

 

Class 2

9/15

Health and Illness

Concepts of health and wellness

 

Concepts of Illness and disease

 

Factors affecting health and illness

 

Health promotion and illness prevention

 

Theory and models of health promotion

 

Nursing care to promote health and prevent illness

Chapter Three

PowerPoint on definitions and terms related to wellness and illness, the stages of illness, and factors affecting health and illness

 

Discussion on major health risk factors and nursing activities that promote health

 

 

 

PowerPoint on Health promotion theories and models- followed by a Jeopardy game

 

 

 

*Assignment*

Complete Health-style self-test-  textbook, p48

Case study- completed in groups of 3-4- Due 9/20

 

 

Class 3

9/22

The Nursing Process

 

Assessment

 

Diagnosis

 

Outcome identification and planning

 

Concept mapping

 

 

Chapters 12, 13, 14

 

Types of nursing assessments

Nursing diagoses- NANDA-Approved

Common errors in writing nursing diagnoses and recommended corrections

Data Collection including lab values

YouTube on taking a medical history

http://www.youtube.com/watch?v=IViQKF9qFaw

ANA Standards of Practice- Outcome identification and planning

Concept mapping-Fundamentals of Nursing p 210-216

Role playing- Students will pair up and do a physical assessment (scenarios provided)

*Assignment*

Completed concept map due 9/27

Class 4

9/29

The Nursing Process- continued

 

Implementing interventions

 

Intervention strategies

 

 

Evaluating patient outcomes

 

 

Chapters 15 & 16

 

ANA Standards of Practice: Implementation

 

Nursing Interventions Classification (NIC) (Bulechek, Butcher, McCloskey, & Wagner, 2012)

 

 

Identifying Evaluation criteria and Standards

ANA Standards of Practice: Evaluations

 

Types of Outcomes

 

Class brainstorming from assessment through to outcomes on chalkboard

 

APA PowerPoint- Formatting papers, in-text citations, references

 

*Assignment*

Completed Care Plan due 10/4

 

 

Class

5

10/6

Health Assessment/Vital Signs/ Documenting Care

 

Factors affecting body temperature

 

Normal body temperature

 

Alterations in body temperature

 

Assessing body temperature

 

Normal pulse rate and quality

 

Factors affecting pulse rate

 

Assessing pulse rate

 

Normal respirations, depth and rhythm

 

Factors affecting respirations

 

Assessing respirations

 

Normal blood pressure

 

Factors affecting blood pressure

 

Alterations in blood pressure

 

Assessing blood pressure

 

Types of health assessments

 

Components of a health history

 

Comprehensive physical assessment

 

 

Assessing blood pressure

 

Documenting vital signs and physical assessment

 

*Test on Chapters 1,3,12-16*

 

Chapter 24 & 25

 

Fundamentals in Nursing Video library

Video- #1 Vital signs

Video #2- Introduction to health assessment in nursing

 

Return demonstrations of vital signs and physical assessment

 

Vital signs and Assessment skills to be practiced in simulation lab with partner

 

PowerPoint on documentation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Assignment*

Complete case study and state missing information needed for accurate assessment- Documentation submitted on Blackboard.

 

Class 6

10/13

Self-Concept/ Stress & Adaptation

 

Stressors that affect self-concept

 

 

Assessing alterations in self-concept

Chapters 41&42

PowerPoint on the developmental changes affecting self-concept

 

Class discussion/brainstorming on stressors that affect self-concept

 

chart in Fundamentals of Nursing, p1502 (Taylor, Lillis, LeMone, & Lynn, 2011)

 

Powerpoint on stress & adaptation, including Selye’s (1976) general adaptation syndrome (GAS),homeostatic regulators of the body and common defense mechanisms

 

 

 

Case study involving alteration in homeostasis related to stress in groups of 3-4. Role-play scenario for class complete with situation, assessment, diagnosis, outcomes, interventions and evaluation.

 

 

Class 7

10/20

Hygiene

 

 

 

Nursing process related to skin care and personal hygiene including NANDA nursing diagnoses

 

Skin care problems

 

Nursing strategies to promote personal hygiene for age-related changes

 

 

*Test on chapters 24, 25, 41 & 42

 

Chapter 31

 

Class discussions on factors that affect personal hygiene

 

Fundamentals in Nursing Video library

Video- #8 Hygiene

 

 

Stations set up in lab to practice hygiene care- Must complete each station paired with a partner.

 

*Assignment*

Find a research article related to age, gender, cultural or economic issues that affect hygiene. Write a two page paper on the issue and nursing interventions that would improve the issue. Due by 10/25.

Be ready to give a 5-10 minute report for next class

 

 

 

Class 8

10/27

Skin Integrity and Wound Care

 

Review of anatomy and physiology of skin

 

 

 

Types of wounds, wound classification, phases of wound healing, and pressure ulcer  staging

 

 

Nursing process for wounds

 

Demonstration of wound care and dressing changes

Chapter 32

 

Brief review of skin anatomy and physiology (Izzo, 2007) http://www.youtube.com/watch?v=d-IJhAWrsm0

 

Fundamentals in Nursing Video library

Video- #9  Skin Integrity and Wound Care

 

PowerPoint on types of wounds, wound classification, phases of wound healing, and pressure ulcer  staging

 

 

 

Group brainstorming on the nursing process for wounds

 

Wound care and dressing changes- physical demonstration

 

Practice wound care in lab with partner

 

*Assignment*

Practice vital signs and wound care in lab with partner

 

 

 

 

Class 9

11/3

Asepsis and Infection Control

 

Basic principles of medical asepsis in patient care

 

Antibiotic- resistant organisms

Infection control precautions and barrier techniques

Preventing healthcare-associated infections

 

Chapter 27

 

PowerPoint on the infectious cycle, stages of infection, and the body’s defense against infection

 

youtube video-WHAT YOU NEED TO KNOW ABOUT INFECTIOUS DISEASE (nationalacademies, 2011)

Science behind the news: Drug-resistant  bacteria (National Science Foundation & NBC Learn, n.d.)

CDC guidelines for standard and transmission-based precautions

Practicing principles of asepsis and isolation precautions- Lab

 

 

*Assignment*

Care plan from case study- Due 11/08

 

Class 10

11/10

Oxygenation

 

Brief overview of anatomy and physiology of the respiratory system

 

 

Factors affecting respiratory function

 

Respiratory variations in the life cycle

 

Assessing respiration

 

Medications that affect respirations

 

The nursing process for oxygenation

 

 

Diagnostic procedures used to assess respiratory function

 

Medications used to improve respiratory function

Chapter 39

 

Taylor’s concept in animation- CD

Oxygen transport

 

 

 

 

Powerpoint on factors affecting respiratory function and respiratory variations in the life cycle

 

 

 

 

Taylor’s concept in animation- CD

Breath sounds

 

 

Class brainstorming on the nursing process for oxygenation

 

 

Lab/Clinical

Practice assessing breath sounds, suctioning & pulse oximeter

 

*Assignment*

Document a nursing note on clinical assignment of patient with alteration in respiratory status

Class 11

11/17

Fluid & Electrolytes

Homeostatic mechanisms that maintain the normal limits of body fluid

 

Understanding

Electrolytes

 

Disturbances in fluid, electrolyte, and acid-base balance

 

Documenting fluid, electrolyte, and acid-base balance

 

 

The nursing process for fluid, electrolyte, and acid-base balance

 

 

 

Chapter  40

 

 

Fluids and electrolytes

http://www.youtube.com/watch?v=SDDaqoOKnrA

 

 

 

 

 

 

 

 

Interactive powerpoint on documenting intake and output and the nursing process related to fluid, electrolyte, and acid-base balance

 

 

*Assignment*

Take home quiz on fluid, electrolytes, acid-base-May use textbook

Class 12

11/24

Comfort

 

Types of pain: duration, source and mode of transmission

 

Responses to pain: behavioral, physiological and affective

 

The pain process

 

Factors that affect pain

 

Assessment of and barriers to the assessment and treatment of pain

 

Pain assessment scales

 

The nursing process related to pain

 

 

Pain management  including non-pharmacological management

*Test on chapters 27, 32, 39, 40*

 

Chapter 35

 

Understanding Pain: What to do about it in less than five minutes? (gpaccess, 2011)

http://www.youtube.com/watch?v=4b8oB757DKc

 

 

 

 

 

 

 

 

 

 

 

 

 

Group teach back-Pain assessment and use of pain assessment scales- Work in pairs with scenarios

 

 

Group brainstorming of nursing process related to pain

 

Work in lab with a partner to practice administering analgesics

 

Assignment

 

Happy Thanksgiving- Your assignment is to teach your family about hand washing as a preventative measure against colds and flu. Enjoy your break from school.

Class 13

12/1

Grief, Dying &

Spirituality

 

 Understand the five emotional stages of death and dying by Kübler-Ross

 

 

 

Discussion of cultural, ethical, spiritual and legal issues of dying and death

 

Factors that affect grief and dying

 

Nursing process related to death and dying

Chapter 43

 

Loss, Grief, Dying & Spirituality

 

 On death and dying: What the dying have to teach doctors, nurses, clergy and their own families  (Kübler-Ross, 2009)

 

 

 

Advance directives, Do Not Resuscitate, comfort measures only, terminal weaning, organ donation

 

Nurse Share

s 30 Years Of Spiritual Experiences With Death & Dying (Hawkins, 2012)

http://www.youtube.com/watch?v=kl5cu1H4Hss

 

Group brainstorming on the nursing process

 

*Assignment*

Write a two page reflection on the scenario listed on p 1547 of textbook

Class 14

12/8

Medication calculations and administration

Oral, topical and intramuscular

 

Principles of pharmacology including drug nomenclature, types of drug preparations, drug classifications, mechanisms of action, and adverse drug effects.

 

Factors that affect drug action including age, weight, gender, cultural, genetics, timing of administration, environment

 

Medication terminology

 

Routes of administration

 

 

 

 

Chapter 29

 

Fundamentals in Nursing Video library

Video 4: Oral and Topical Medications

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Practice medication administration in pairs in lab with instructor

 

 

*Final paper due 12/12*

Choose from one of the case scenarios provided. Write a patient history, brief description of patient problem and nursing care plan. Include treatment modalities, medications, and patient teaching at discharge. Must be 3-5 pages plus references.

Class 15

12/15

Medication calculations and administration

 

Calculating drug dosage

 

Safety issues involved with medication administration

 

Administering the medication

 

Drug blood level monitoring

 

Drawing up medications from vials & ampules

 

Mixing medications

 

Preparing intravenous medications (IV)

 

IV access devices

 

Administering medications via intradermal, subcutaneous, intramuscular and IV bolus, piggyback or push routes

 

Regulating IVs

 

 

 

*Final Clinical Assessment*

* Quiz on drug calculations*

Chapter 29, p-745-816

 

 

Fundamentals of Nursing video library

Video # 5: Injectable Medications

Video #18: Intravenous Therapy
Video #19: Central Venous Access Devices

 

 

 

 

 

 

Practice medication administration in pairs in lab with instructor

 

 

*IDEA evaluations due 12/20*

Class 16

12/22

Cardiopulmonary resuscitation (CPR)

In class certification for those students in need. Student must show current certification to be excused from class.

 

 

 

 

 

 

 

 

 

DRAFT: This module has unpublished changes.