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Mercy College School of Nursing

 

Course Title: Pediatric Nursing

Semester: 3rd Semester, Fall September 9th 2014-December 10th 2014

Nursing Course Pre-requisites: Completion of  core nursing courses: Fundamentals of Nursing 101, Nursing Care of the Adult I and  Mental Health Nursing.

Credits: 4 credits (3 credits theory, 1 credit clinical)

Course Hours: 3 hour lecture, clinical- 10 hours/week meeting once a week with a 1:1 preceptor/student ratio

Faculty: Marcella S Sakala MSN, RN

Faculty Contact: Room 14 Mercy Hall, msakala1@mercymavericks.edu

Office Hours: Wednesday 12pm-4pm and by appointment

Course Overview:

            This course is designed with the intentions of educating students in the ability to not only assess the pediatric population, but to also  implement appropriate nursing interventions. The concepts  discussed will include growth and development of a child after birth through the adolescent stages of childhood.  The course will also cover diseases that are common in the pediatric population and the impact of the pediatric nurse in fulfilling the needs of the patient, family and community.  Clinical experience will occur in a hospital setting as well as  encompassing lab experience.

Course Outcomes: Upon completion of this course the student will be able to:

  1. Describe the treatment and nursing care for identified diseases in the pediatric population (critical thinking)
  2. Apply the nursing process to provide the appropriate care for a pediatric patient in a particular age group
  3. Categorized the patient’s needs and be able to identify the priority nursing diagnosis for a culturally diverse patient population (critical thinking)
  4. Understand the educational needs of the family of a pediatric patient (evidence-based practice)
  5. Support clinical decision making to help encourage health promotion and prevention in the pediatric patient population (communication)
  6. 6.      Discuss the psychosocial and developmental effects of hospitalization on the pediatric population throughout the various growth and developmental stages (diversity)

Outline of Units

Unit 1- Growth and Development

  1. Growth and Development of the Newborn
  2. Growth and Development of the Toddler
  3. Growth and Development of the Preschooler
  4. Growth and Development of the School-Age Child
  5. 5.      Growth and Development of the Adolescent

After the completion of the unit the student will be able to:

  • Identify the correct progression of development at different age groups
  • Perform a physical assessment on a pediatric patient
  • Apply the nursing process to the pediatric patient
  • Identify a developmental delay in the pediatric patient

 

Unit 2- Children and their Families

  1. Health Supervision
  2. Health Assessment of Children
  3. Caring for Children in Diverse Settings
  4. Caring for Children with Special Needs
  5. 5.      Key Pediatric Nursing Interventions

After the completion of the unit the student will be able to:

  • Perform a physical assessment on a pediatric patient
  • Identify barriers when caring for children  in diverse settings
  • Apply the nursing process to help educate the patient and family
  • Formulate appropriate nursing interventions for the pediatric patient

 

Unit 3- Pediatric Disorders

  1. Children with Neurological Disorder
  2. Children with Respiratory Disorders
  3. Children with Cardiovascular Disorders
  4. Children with Neuromuscular Disorders
  5. Children with Musculoskeletal Disorders
  6. 6.      Children with Integumentary Disorders

After this unit the student will be able to:

  • Identify key treatments for disorders of the neurological, respiratory, cardiovascular, neuromuscular, muscular or integumentary disorder of a pediatric patient
  • Develop primary care plan for a patient with a specific disorder
  • Examine a pediatric patient appropriately based on disorder and of developmental age

Unit 4- Pediatric disorders Continued

  1. Children with an Infectious or Communicable Disease
  2. Children with Gastrointestinal  Disorders
  3. Children with Genitourinary Disorders
  4. Children with  Endocrine Disorders
  5. 5.      Children with Eyes or Ears Disorders

After this unit the student will be able to

  • Identify key treatments for communicable diseases
  • Prioritize nursing diagnoses based on an individual patient’s condition
  • Analyze key changes in treatments for different age groups with the same disease

Unit 5- Pediatric Disorders Continued

  1. Children with Hematologic Disorders
  2. Children with Immunologic Disorders
  3. Children with Neoplastic Disorders
  4. Children with Genetic Disorders
  5. Children with Cognitive or Mental Disorders
  6. 6.      Nursing Care During a Pediatric Emergency

After this Unit the student will be able to:

  • Support a family during difficult genetic diagnoses
  • Identify key treatment for hematologic or immunologic disorders
  • Determine the appropriate approach for nursing care of a patient with a neoplastic disorder based on a patient’s age and diagnosis
  • Differentiate between different types of cognitive and mental disorders
  • Plan appropriate nursing care for the pediatric patient in shock

 

Teaching methodology: Lectures/open discussion, written assignments, videos, guest lectures, assigned reading and clinical summaries

Evaluation Methods: Examinations, presentation, clinical and care plans

Theory:

  • Four Unit Exams (20% each)    80%
  • Presentations                              10%
  • Care Plans (5% each)                 10%

     Total: 100%

Lab:                     Pass/Fail

Clinical                 Pass/Fail

 

Grading Policy

A student must maintain a C+ or higher to be considered passing the course.

Clinical : A clinical grade of pass/fail will be administered to the student at the end of the semester.  The student is required to attend clinical once a week for the entire ten hour clinical class.  Students are expected to be present a clinical report on a patient each clinical class.

 

Course Management Policy: Mercy College School of Nursing policies and regulations will be enforced throughout the course.  Please refer to the Academic policies in the Student Handbook for more detail.

 

Required Texts:

Maternity and Pediatric Nursing   Author(s): Susan Ricci  ARNP, MSN, MEd , Theresa Kyle  MSN, CPNP ,  Susan Carman  MSN, MBA Edition: Second ISBN/ISSN: 9781609137472

Ricci Maternity & Pediatric Nursing 2e Text & Study Guide Package Author(s): Lippincott Williams & Wilkins Publication Date: Oct 1, 2013 Format:    Package ISBN/ISSN: 9781469856957

Recommended Texts: 

The Harriet Lane Handbook: Mobile Medicine Series- Expert Consult Mobile Medicine, Johns Hopkins Hospital, Kristin Arcara, Megan Tschudy, Elsevier Health Sciences, 2011. ISBN: 9780323081672

Pediatric nursing Lippincott’s Review Series.  Mary E. Muscari. Lippincott Williams & Wilkins, 2005 ISBN: 9781582553498

 

Course Outline:

 

Week

Date

Topic

Reading/Assignment

Student Outcome/Evaluation

1

9/9

Growth and Development of the Newborn and toddler

 

Text: Chapter 25 & 26

Students will identify key milestones at 3months, 9 months and 2years of age

 

Class discussion/ Unit test

2

9/16

Growth and development of the preschooler, school-age

Text: Chapter 27 & 28

Students will identify key milestones at 5 years old, 7 years old, and 11 years old

 

Class discussion/ Unit Test

3

9/23

Growth and development of adolescents

Health assessment of children

Text: Chapter 29 & 32

Students will identify key milestone at 13 years old

Student will demonstrate physical assessment of a child

 

Class discussion/ Unit test/ Test review with interactive clickers

 Lab: perform physical assessment on a randomly selected age group

4

9/30

Health Supervision

Care for Children with Special Needs

Text: Chapters 31, 33, &34

 

Unit Test 1 Today

Students will be able to demonstrate sensitivity to parents who have a child with special needs

 

Class discussion/Role playing/ Unit test/  Care plan

5

10/7

Nursing Interventions, neurological respiratory & cardiovascular disorders

 

Text: Chapters 35, 38, 40, &41

Students will be able to prioritize nursing diagnosis in each disorder category

 

 

Class discussion/Unit test/ Test review with interactive clickers

Lab: Suctioning and respiratory assessment

6

10/14

Neuromuscular, Musculoskeletal, & Integumentary Disorders

Text: Chapters 44, 45, & 46

 

Unit Test 2 Today

Students will summarize  nurse’s role in skin assessment during traction

 

Class discussion/ unit test

7

10/21

Gastrointestinal, Genitourinary, & Endocrine Disorders

Text: Chapters  42, 43 & 49

 

 

Students will be able to assess strict I & O and understand implications of dehydration

 

Interactive group exercise/ Unit test

Lab: Colostomy and Ileostomy care

8

10/28

Infectious or communicable &  Eyes or Ears disorders

 

Text: Chapters 37 & 39

 

 

Guest lecture from public health nurse today

Students will be able to describe appropriate protocol for communicable diseases

 

Class discussion with Guest lecture/ Unit test/ Test review with interactive clickers

9

11/4

Hematologic & Immunologic disorders

Text: Chapters 47 & 48

 

 

 

Unit Test 3 Today

Students will be able to evaluate nurse’s interventions for patient in sickle cell crisis

 

Class discussion/Unit test

Physiological care plan due

10

11/11

Neoplastic, genetic & cognitive disorders

Text: Chapters 50, 51 & 52

Students will be able to explain cultural implications on genetically malformed children

 

Class discussion/Unit test

Cultural article submission due

11

11/18

Pediatric emergency

Text: Chapter 53

 

Online videos

Students will be able to identify proper interventions for a pediatric patient in respiratory distress

 

Class discussion/ Pop quiz

12

11/25

Thanksgiving break

 

13

12/2

Cultural Presentations begin

Unit Test 4 Today

Student will be able to present and discuss case study

 

See grading rubric

14

12/9

Cultural Presentations Continue

ATI Testing

Student will be able to present and discuss case study

 

See grading rubric

15

12/16

Course Evaluations

IDEA Course Evaluation

 

        

Assignments

Care Plans:

Each student will be required to complete two care plans during the course of the semester. One care plan will be a psychosocial care plan focusing on a family of an ill child as the patient.  The clinical scenarios will be handed out during the second lecture of class.  The second care plan allows for the student to select a patient seen or discussed in the clinical setting and create a care plan around that patient.  All papers should follow proper APA formatting.

      Grading:

  • Selection of primary nursing diagnosis – 5 points
  • Proper nursing intervention – 3 points
  • Formatting- 2 points

 

Cultural Presentation:

            Each student will be required to find a case study regarding the pediatric population.  The case study/journal article should include a medical decision being challenge/altered due to cultural beliefs.  Students will present the perceived cultural norms as well as the case study/journal article.  The student will also present the nursing implications of the cultural scenario and at least one other way to address the cultural diversity presented in the case study.  The case study or journal article must come from a nursing journal and have been written within the last five years.

            Grading:

  • Discusses case study in depth- 4 points
  • Cultural Norms discussed- 2 points
  • Nursing implications- 2 points
  • Proper formatting and timely submission- 2 points

All papers which are submitted late will have one point deducted each day the paper is not received on time. 

DRAFT: This module has unpublished changes.