Course Syllabus
FELBRY COLLEGE SCHOOL OF NURSING
Medical Surgical Nursing I (PNU 103)
8.5 credit hours
Second Semester
COURSE HOURS: 88 hours -Theory
15 hours - Lab
96 hours - Clinical
INSTRUCTOR:
Temilolaoluwa Daramola, MSN RN
Instructor Email:tdaramola@felbrycollege.edu
Office Hours: Thurs. and Friday 2:30pm-3:30pm
and by appointment
Clinical Instructor: Cathy Baker, RN
PREREQUISITES: PNU 101 & PNU 102
REQUIRED TEXTBOOK:
Foundations & Adult Health Nursing (7th ed) Christensen & Kockcrow Mosby Elsevier
Introductory Medical-Surgical Nursing PrepU (11th ed) Timby &Smith (Lippincott)
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Mosby's Diagnostic & Laboratory Test Reference |
Pagana, Pagana (Mosby Elsevier) |
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Nursing Diagnosis Handbook |
Ackley & Ladwig (Mosby Elsevier) |
COURSE DESCRIPTION:
Medical-Surgical Nursing I focus on nursing practice with adults experiencing a wide range of acute and chronic alterations in health. Medical Surgical Nursing I is the first course of a 2 quarter sequence. Health promotion strategies and health care principles are examined with an emphasis on: fluid and electrolyte imbalances, acid-base imbalances; endocrine system disorders; musculoskeletal and neurological disorders; care of the patient with integumentary disorders and peri-operative care is addressed including: surgical procedures, pre-operative care, post-operative care, aseptic technique, and complications associated with surgery. Community resources are discussed.
Emphasis is placed on holistic understanding of the cultural, psychosocial, and spiritual needs of the individual adult and family. Nurse accountability, adult and family psycho-social development and care, cognitive development, Maslow’s Hierarchy of Needs, cultural diversity, spiritual and psychological needs, and the art of caring behaviors by the nurse are integrated throughout the course. End of life care [palliative and hospice] will also be explored, including ethical, legal, and socio-cultural concerns. Care of the adult and family and family life processes and adaptation are discussed. Pharmacology is emphasized. Application of the nursing process occurs throughout this course. Lab and clinical experiences in providing patient care and documentation of care given are integrated throughout this course; which includes practicing basic wound care skills. Prerequisites: PNU 101 and PNU 102
COURSE OBJECTIVES:
At the completion of the course the student will be able to:
- Compare the four primary types of acid-base imbalance.
- Describe the cause and effect of deficits and excesses of sodium, potassium, chloride, calcium, magnesium, phosphorous, and bicarbonate.
- Discuss the factors that influence an individual's ability to tolerate surgery.
- Describe the nurses role in educating the patient pre and postoperatively.
- Discuss populations at risk for complications related to surgery.
- Perform patient teaching regarding patients with musculoskeletal disorders.
- Demonstrate competence with devices used to prevent complications of immobility.
TEACHING STRATEGIES: Lecture, discussion, group-activities, brainstorming, concept mapping, concept presentation, writing assignments, case studies to foster clarification and beginning critical thinking and problem solving skills, Skills Lab experiences and selected clinical experiences.
GRADING SCALE: Final grades are given in letters. A minimum final grade of “C” or 78% must be achieved in every academic course. Final grade of satisfactory is required in every lab and clinical course for progression.
93% to 100% A
84% to 92.9% B
78% to 83.9% C
77.9 % or less F (FAIL)
A grade of SATISFACTORY in Lab and Clinical is required. GRADES are NOT rounded.
METHOD OF EVALUATION: Section 1 and Section 2
Section 1 (270 points)
*Tests = 140 points
Quizzes (+Careplan) = 25 points
Midterm (15%) = 45 points
Final (20%) = 60 points
*All tests are/may be comprehensive in nature
Section 2 – Home work Assignment (30 points)
Explain terms/ Concepts: 30 hrs
Assigned Readings: 70 hrs
PrepU: 50-75 hrs
Care Plans: 20 hrs
Quizzes
Presentation/Paper
Attendance/Participation
Total possible points: 300
Skills Lab and Clinical
An “S” or satisfactory must be achieved for Skills Lab check offs on all skills and in Clinical to successfully complete the course.
Faculty and/or clinical instructor’s signature is required on all check offs and clinical practice evaluation.
EXAM MAKE-UP/LATE ASSIGNMENT POLICY:
In the event that a student is absent, the student must contact the instructor to schedule the missed test or quiz. The make-up test needs to be accomplished within one (1) week from the absence. If the test/quiz is not made up in this timeframe, the student will receive a zero (0).
Only ONE test/quiz may be made up.
Students are expected to complete assignments on time. NO LATE ASSIGNMENTS WILL BE ACCEPTED
SKILLS LAB REQUIREMENT:
This course requires both a skills lab and clinical requirement. The student will be provided with supervised practice to enhance the learning process. In the skills lab various techniques will be practiced such as: Removing sutures/staples, gather data relating to the skin, inspection and palpation of skin, treatment of wounds, dressings, binders, wound drainage units, irrigations and treatment of pressure and vascular ulcers.
Skills Lab Objectives:
Upon completion of this lab the student will:
1. Perform proper technique for suture and staple removal.
2. Demonstration of data gathering related to the skin.
3. Perform dressing change using medical and surgical asepsis.
4. Demonstration proper care of post surgical drainage unit.
5. Perform wound ulcer care.
6. Perform patient teaching regarding patients with musculoskeletal disorders.
7. Demonstrate competence with devices used to prevent complications of immobility.
Skills Lab and Clinical check offs:
Skill Return Demonstration is: Satisfactory or Unsatisfactory
Final grade of satisfactory is required in the skills lab and clinical practice component for this course.
Faculty and Clinical instructors signatures are required on all check offs and clinical practice evaluation tools.
A satisfactory grade in both the skills lab and clinical component is required.
Academic Integrity:
Integrity is a core principle in nursing that must be strictly followed and that the college extremely values. Academic integrity includes but is not limited to: cheating, plagiarism, falsifying and any act designed to give an unfair academic advantage to the student. In the event that a student violates the code of academic integrity, the student will be informed and the school academic committee with review the allegations and decide on the final verdict.
CLASSROOM RULES:
1. Students are responsible for attending all classes, taking notes, and obtaining other materials provided by the instructor, taking tests, and completing assignments as scheduled by the instructor ON TIME.
a. NO ASSIGNMENTS WILL BE ACCEPTED AFTER THE DUE DATE.
2. Students are responsible for keeping track of changes in the course syllabus made by the instructor throughout the semester.
3. Students are responsible for monitoring their grades.
4. Students must contact the instructor as soon as possible if they anticipate missing multiple classes due to events such as chronic illnesses, travel related to team sports, or other university activities. The instructor will determine the minimal attendance and participation required in order to meet course responsibilities.
5. If extra credit assignments are offered, they must be offered to all students and should not be used to boost the grade of an individual student.
6. Behaviors that disrupt other students' learning are NOT acceptable (e.g., arriving late for class, cell phone use, reading non-course related materials, or social conversation during class), and will be addressed by the instructor.
Section II - PrepU Assignment Components – 30 points
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DUE DATES ARE NOT NEGOTIABLE. DO NOT ASK FOR EXTENTION. FAILURE TO COMPLETE ON DUE DATE RESULTS IN A 0 FOR THE ASSIGNMENT.
Med/Surg 1 C16 S2 has been created.
The class code is:
| 6E074255 |
To enroll your students in Med/Surg 1 C19 S2, give them the Class Code and the following instructions:
- If you have not already accessed thePoint using a Student Access Code, please do so.
- After login in to the point at thepoint.lww.com, click on "My Content" at the top of the page
- Scroll down till you see, "Prep U Timby's Introductory Medical-Surgical Nursing, 11th Edition", Click on "Adaptive learning by PrepU"
- Once you have accessed PrepU, click on "My Classes" at the top of the page.
- Enter the class code 6E074255 in the Class Code field
- Your entry will be validated.
- If your entry is not validated, check the code again and re-enter it. If it does not work, contact Online Product Support at 1-800-468-1128 or techsupp@lww.com.
YOU MAY WORK AHEAD IF YOU WISH. REMEMBER TO READ YOUR CHAPTER FIRST THEN DO THE TESTS.
TEXTBOOK: Foundations & Adult Health Nursing (7th ed)
Christensen & Kockcrow Mosby Elsevier
ISBN:
Fluid and Electrolytes
Chapter 20 & 22
Caring for Clients with Fluid, Electrolyte, and Acid-Base Imbalances
Fluid and Electroylyte Balance
A&P
Fluid Imbalances
Pathophysiology/Etiology
Assessment
Medical and Nursing Management
Hypo and Hypervolemia
Third Spacing
Electrolyte Imbalances
Sodium Imbalance:
Hypernatermia, Hyponatermia > Assessment and Medical/Nursing Mgmt
Potassium Imbalance:
Hyperkalemia, Hypokalemia> Assessment and Medical/Nursing Mgmt
Calcium Imbalance:
Hypercalcemia, Hypocalcemia> Assessment and Medical/Nursing Mgmt
Magnesium Imbalance:
Hypermagnesemia, Hypomagnesemia>Assessment and Medical/Nursing Mgmt
Phosphate imbalance:
Hyperphosphatemia, Hypophosphatemia>Assessment and Medical/Nursing Mgmt
Acid-Base Balance & Imbalance
Metabolic Acidosis> Assessment and Medical/Nursing Mgmt
Metabolic Alkalosis> Assessment and Medical/Nursing Mgmt
Respiratory Acidosis> Assessment and Medical/Nursing Mgmt
Respiratory Alkalosis> Assessment and Medical/Nursing Mgmt
ABG interpretation> Assessment and Medical/Nursing Mgmt
Intravenous Therapy
Indications for IV therapy
Types of IV solutions
IV Administration (overview)
Special considerations for IV therapy
Caring for the Clients in Shock
Types of Shock: Hypovolemic Shock, Distributive Shock, Neurogenic Shock,
Spetic Shock,
Anaphylactic Shock, Obstructive Shock, Cardiogenic Shock
Stages and Pathophysiology: Compensation, Decompensation, Irreversible
Assessment and Management
Drug Therapy
Mechanical Devices
Prognosis and Complications
Integumentary System
Chapter 42 & 14
Introduction to the Integumentary System
A&P, Assessment, diagnostics, Medical/Nursing Mgmt
Caring for Clients with Skin, Hair and Nail Disorders
Body Ornamentation
Skin disorders
Scalp and Hair Disorders
Nail Disorders
Caring for Clients with Burns
Burn Injuries
Wound Care
Surgical Patients
Chapter 41 & 16
Pain Management
Types of pain
Pain transmission
Assessment and mgmt
Infection
Infectious agents and disorders
Infection transmission
Defense against infection
Sepsis
Types of infections
Infections control and prevention
Care of client with infection
Perioperative Care
Preoperative, Intraoperative, Postoperative, Recuperative Care
Disaster Situations
Bombs and Radiologic disasters
Biological and chemical disasters
Musculoskeletal
Chapter 43 & 8
Introduction to the Musculoskeletal System
A&P, Assessment, Diagnostics, Medical/Nursing Mgmt
Caring for clients requiring orthopedic treatment
Casts, splints, and braces
Fractures and surgeries
Amputation
Caring for clients with traumatic musculoskeletal injuries
Strains, sprains, and contusions
Dislocations
Specific injuries to upper and lower extremeties
Fractures
Caring for clients with orthopedic and connective tissue disorders
Inflammatory disorders
Musculoskeletal infectious & Structural disorders
Disorders of the feet & Bone Tumors
Neurological
Chapter 53
Introduction to the Nervous System
A&P and assessment
Caring for clients with central and peripheral nervous system disorders
Increased Intracranial Pressure
Infectious and Inflammatory Disorders of the Nervous System
Neuromuscular disorders
Cranial Nerve Disorders
Extrapyramidal disorders
Seizure disorders
Brain Tumors
Caring for clients with cerebrovascular disorders
Headaches, TIA, CVA
Caring for clients with head and spinal cord trauma
Head Injuries
Spinal cord injuries
Spinal nerve root compression
Sensory System
Chapter 52
Introduction to Sensory System
Eyes and Ears: A&P, Assessment and Diagnostics
Caring for Clients with Eye Disorders
Impaired vision
Infectious and inflammatory eye disorders
Macular degeneration
Glaucoma
Cataracts
Retinal detachment
Enucleation
Caring for Clients with Ear Disorders
Hearing impairment
Disorders of the external ear
Disorders of the middle ear
Disorders of the inner ear
Immune System
Chapter 54 & 55
Introduction to the Immune System
A&P
Types of immunity
Assessment, Dx & Tx., medical/nursing mgmt.
Caring for clients with Immune-Mediated Disorders
Allergic Disorders
Autoimmune disorders
Chronic Fatigue Syndrome
Caring for clients with HIV/AIDS
HIV
AIDS
Hematology
Chapter 46 & 56
Intro to hematopoietic and lymphatic systems
A&P, Assessment, Dx. & Tx., medical/nursing mgmt.
Disorders of the hematopoietic system
Anemia, Erythrocytosis, Leukocytosis, Multiple Myeloma, Agranulocytosis,
Pancytopenia,
Coagulopathies
Disorders fo the Lymphatic System
Occlusive, Inflammatory, and Infectious Disorders
Lymphomas
Caring for Clients with Cancer
Understanding Cancer, Diagnostic and Treatment of Cancer, Medical/Nursing
Mgmt
End of Life
Chapter 39
Hospice/End-of-Life Care
Supporting the Dying Client
Care Options for the Dying Client
Signs of Approaching Death
Nursing Mgmt for End-of-Life care
FELBRY COLLEGE SCHOOL OF NURSING
Course Calendar/Teaching Plan
Med. Surgical Nursing I (PNU 103)
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Week |
Content |
Reading Assignment |
Notes |
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1
2
3
4
5
6
7
8
8-9
9
10-11
11-12
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Fluid and Electrolytes
Caring for Clients with Fluid, Electrolyte, and Acid-Base Imbalances Fluid and Electroylyte Balance A&P Fluid Imbalances Pathophysiology/Etiology Assessment Medical and Nursing Management Hypo and Hypervolemia Third Spacing Electrolyte Imbalances Sodium Imbalance: Hypernatermia, Hyponatermia > Assessment and Medical/Nursing Mgmt Potassium Imbalance: Hyperkalemia, Hypokalemia> Assessment and Medical/Nursing Mgmt Calcium Imbalance: Hypercalcemia, Hypocalcemia> Assessment and Medical/Nursing Mgmt Magnesium Imbalance: Hypermagnesemia, Hypomagnesemia> Assessment and Medical/Nursing Mgmt Acid-Base Balance & Imbalance Metabolic Acidosis> Assessment Medical/Nursing Mgmt Metabolic Alkalosis> Assessment Medical/Nursing Mgmt Respiratory Acidosis> Assessment Medical/Nursing Mgmt Respiratory Alkalosis> Assessment Medical/Nursing Mgmt ABG interpretation> Assessment Medical/Nursing Mgmt Care of Patients with Alterations in Health Types of Shock: Hypovolemic Shock, Distributive Shock, Neurogenic Shock, Septic Shock, Anaphylactic Shock, Obstructive Shock, Cardiogenic Shock Stages and Pathophysiology: Compensation, Decompensation, Irreversible Assessment and Management Drug Therapy Mechanical Devices Prognosis and Complications Intravenous Therapy Indications for IV therapy Types of IV solutions IV Administration (overview) Special considerations for IV therapy TEST 1 01/11/16 Integumentary System Introduction to the Integumentary System A&P, Assessment, diagnostics, Medical/Nursing Mgmt Caring for Clients with Skin, Hair and Nail Disorders Body Ornamentation Skin disorders Scalp and Hair Disorders Nail Disorders Caring for Clients with Burns Burn Injuries
Surgical Patients Pain Management Types of pain Pain transmission Assessment and mgmt Infection Infectious agents and disorders Infection transmission Defense against infection Sepsis Types of infections Infections control and prevention Care of client with infection Disaster Situations Bombs and Radiologic disasters Biological and chemical disasters Perioperative Care Preoperative, Intraoperative, Postoperative, Recuperative Care Test 2 01/25/16
Musculoskeletal Introduction to the Musculoskeletal System A&P, Assessment, Diagnostics, Medical/Nursing Mgmt Caring for clients with traumatic musculoskeletal injuries Strains, sprains, and contusions Dislocations Specific injuries to upper and lower extremeties Fractures Caring for clients with orthopedic and connective tissue disorders Inflammatory disorders Musculoskeletal infectious disorders Structural disorders Disorders of the feet Bone tumors Caring for clients requiring orthopedic treatment Casts, splints, and braces Fractures and surgeries Amputation
Midterm 02/08/16 Neurological Introduction to the Nervous System A&P and assessment Caring for clients with central and peripheral nervous system disorders Increased Intracranial Pressure Infectious and Inflammatory Disorders of the Nervous System Neuromuscular disorders Cranial Nerve Disorders Extrapyramidal disorders Seizure disorders Brain Tumors Caring for clients with cerebrovascular disorders Headaches, TIA, CVA Caring for clients with head and spinal cord trauma Head Injuries Spinal cord injuries Spinal nerve root compression
Caring for clients with neurologic death Phases of Neurologic deficit Psychosocial Issues and Home mgmt
TEST 3 02/22/16 Sensory System Introduction to Sensory System Eyes and Ears: A&P, Assessment Diagnostics Caring for Clients with Eye Disorders Impaired vision Infectious & inflammatory eye disorders Macular degeneration Glaucoma Cataracts Retinal detachment Enucleation Caring for Clients with Ear Disorders Hearing impairment Disorders of the external ear Disorders of the middle ear Disorders of the inner ear TEST 4 03/07/16 Immune System Introduction to the Immune System A&P Types of immunity Assessment, Dx & Tx., medical/nursing mgmt.
Caring for clients with Immune-Mediated Disorders Allergic Disorders Autoimmune disorders Chronic Fatigue Syndrome HIV Caring for clients with HIV/AIDS p.533 HIV AIDS TEST 5 03/14/16 Hematology Intro to hematopoietic and lymphatic systems A&P, Assessment, Dx. & Tx., medical/nursing mgmt. Disorders of the hematopoietic system Anemia, Erythrocytosis, Leukocytosis, Multiple Myeloma, Agranulocytosis, Pancytopenia, Coagulopathies Disorders fo the Lymphatic System Occlusive, Inflammatory, and Infectious Disorders Lymphomas Cancer Caring for Clients with Cancer Understanding Cancer, Diagnostic and Treatment of Cancer, Medical/Nursing Mgmt TEST 6 03/22/16
End of Life
End-of-Life Care Supporting the Dying Client Care Options for the Dying Client Signs of Approaching Death Nursing Mgmt for End-of-Life care
FINAL COMPREHENSIVE EXAM on 03/25/16
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Chapter 20: Caring for Clients with Fluid, Electrolyte, and Acid-Base Imbalances
Chapter 22: Care of Patients with Alterations in Health
Chapter 42: Introduction to the Integumentary System Chapter 42: Caring for Clients with Skin, Hair and Nail Disorders Chapter 42: Caring for Clients with Burns Chapter 14: Surgical Wound Care
Chapter 16: Care of Patients Experiencing Urgent Alterations in Health
Chapter 41: Care of Surgical Patients
Chapter 43: Introduction to the Musculoskeletal System Chapter 43: Caring for clients with traumatic musculoskeletal injuries
Chapter 43: Caring for clients with orthopedic and connective tissue disorders
Chapter 43 & 8: Caring for clients requiring orthopedic treatment
Chapter 53: Introduction to the Nervous System Chapter 53:Caring for clients with central and peripheral nervous system disorders Chapter 53: Caring for clients with cerebrovascular disorders
Chapter 53: Caring for clients with head and spinal cord trauma
Chapter 53: Caring for clients with neurologic death
Chapter 52: Introduction to Sensory System
Chapter 52: Caring for Clients with Eye Disorders
Chapter 52: Caring for Clients with Ear Disorders
Chapter 54: Introduction to the Immune System Chapter 54: Caring for clients with Immune-Mediated Disorders
Chapter 55: Caring for clients with HIV/AIDS
Chapter 46: Intro to hematopoietic and lymphatic systems Chapter 46: Disorders of the hematopoietic system
Chapter 46: Disorders of the Lymphatic System
Chapter 56: Caring for Clients with Cancer
Chapter 10 and 40: Christensen & Kockrow
Chap 39: End-of-Life Care
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Prep U on thepoint.lww.com Look at due dates and time. Failure to comply will result in loss of points. No extensions will be granted and you may work ahead. You must meet the expected mastery level or will result in loss of points.
Care plans are due on assigned dates. Checky your course schedule located under announcements. Due date is also on disease assignment sheet under announcements in Canvas.
Prep U on thepoint.lww.com Look at due dates and time. Failure to comply will result in loss of points. No extensions will be granted and you may work ahead. You must meet the expected mastery level or will result in loss of points.
Care plans are due on assigned dates. Checky your course schedule located under announcements. Due date is also on disease assignment sheet under announcements in Canvas.
Prep U on thepoint.lww.com Look at due dates and time. Failure to comply will result in loss of points. No extensions will be granted and you may work ahead. You must meet the expected mastery level or will result in loss of points.
Care plans are due on assigned dates. Checky your course schedule located under announcements. Due date is also on disease assignment sheet under announcements in Canvas.
Prep U on thepoint.lww.com Look at due dates and time. Failure to comply will result in loss of points. No extensions will be granted and you may work ahead. You must meet the expected mastery level or will result in loss of points.
Care plans are due on assigned dates. Checky your course schedule located under announcements. Due date is also on disease assignment sheet under announcements in Canvas.
Prep U on thepoint.lww.com Look at due dates and time. Failure to comply will result in loss of points. No extensions will be granted and you may work ahead. You must meet the expected mastery level or will result in loss of points.
Care plans are due on assigned dates. Checky your course schedule located under announcements. Due date is also on disease assignment sheet under announcements in Canvas.
Prep U on thepoint.lww.com Look at due dates and time. Failure to comply will result in loss of points. No extensions will be granted and you may work ahead. You must meet the expected mastery level or will result in loss of points.
Care plans are due on assigned dates. Checky your course schedule located under announcements. Due date is also on disease assignment sheet under announcements in Canvas.
Prep U on thepoint.lww.com Look at due dates and time. Failure to comply will result in loss of points. No extensions will be granted and you may work ahead. You must meet the expected mastery level or will result in loss of points.
Care plans are due on assigned dates. Checky your course schedule located under announcements. Due date is also on disease assignment sheet under announcements in Canvas.
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Course Summary:
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