 Meeting Times Class Length: 10 weeks

 Meeting Times Class Length: 10 weeks

For every 1 hour in a theory class, it is expected that students complete 2–3 hours of study in preparation for class. For this course, it is expected that a minimum of 10–15 hours of study outside of class is completed each week. Please check your Student Portal for specific class meeting times, dates, and locations.

In some courses, there is a required online Blackboard Collaborate Virtual Class Session in week 10. Please see course specifics below.

You are not required to complete any pre-work before Week 1, however, preparation for class is recommended.

 Contact Information

 Course Description This is the first medical surgical nursing course in a series of three devoted to learning the professional aspects of therapeutic nursing care. The focus is on the key concepts in the care of patients with medical and surgical conditions utilizing the nursing process. Also included is the role of patient advocate and manager of care, utilizing principles of therapeutic communication, research, and teaching learning concepts.

Total Course Credits:

3

Total Course Hours:

45

Lecture Hours In-Class:

45

Lab Hours:

0

Supervised Clinical/Practicum Hours:

0

Externship/Internship Hours:

0

Requisites Course Prerequisites: NURS 100, NURS 101L

Course Corequisites: NURS 121L

 Course Learning Outcomes 1. Summarize the nursing process in care of the patient with alterations in health. 2. Classify priorities in the care of patients with alterations in health using the following applicable concepts: oxygenation, nutrition,

perfusion, fluid/electrolyte regulation, infection/inflammation, tissue integrity, pain, metabolism, elimination, and safety.

WCU Miami · College of Nursing

NURS 120 Introduction to Medical Surgical Nursing 202006SUI VR D-01 202006SUI 2020 Section 06/15/2020 to 08/23/2020 Modified 06/01/2020

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3. Identify interprofessional collaboration/team management needs of the patient with alterations in health. 4. Examine the pharmacologic, nutritional, developmental, and teaching needs of the patient with alterations in health.

This course meets the following outcomes and competency standards:

Week CLOs PLOs ILOs AACN Essentials

1 1–4 1–9 1–7 I, II, III, IV, VI, VII, VIII, IX

2 1–4 1–9 1–7 I, II, III, IV, VI, VII, VIII, IX

3 1–4 1–9 1–7 I, II, III, IV, VI, VII, VIII, IX

4 1–4 1–9 1–7 I, II, III, IV, VI, VII, VIII, IX

5 1–4 1–9 1–7 I, II, III, IV, VI, VII, VIII, IX

6 1–4 1–9 1–7 I, II, III, IV, VI, VII, VIII, IX

7 1–4 1–9 1–7 I, II, III, IV, VI, VII, VIII, IX

8 1–4 1–9 1–7 I, II, III, IV, VI, VII, VIII, IX

9 1–4 1–9 1–7 I, II, III, IV, VI, VII, VIII, IX

10 1–4 1–9 1–7 I, II, III, IV, VI, VII, VIII, IX

 Program Learning Outcomes

College of Nursing Mission Statement

The mission of the College of Nursing is to provide evidence-based and innovative nursing education to culturally diverse learners, preparing nurses to provide quality and compassionate care responsive to the needs of the community and the global society.

College of Nursing Philosophy

The philosophy of the College of Nursing is that education is a continuous process occurring in phases throughout an individual’s lifetime. Nurses are lifelong learners and critical thinkers.

Program Learning Outcomes

The following Program Learning Outcomes were selected to provide the essential body of knowledge and experience necessary to educate students to move directly into their new role. For the undergraduate, this role is as professional registered nurses according to the Essentials of Baccalaureate Education for Professional Nursing Practice (AACN, 2008). (https://learn.westcoastuniversity.edu/bbcswebdav/xid-13634517_1)

1. Support professional nursing practice decisions with concepts and theories from the biological, physical, and social sciences. 2. Plan preventative and population-focused interventions with attention to effectiveness, efficiency, cost, and equity. 3. Support therapeutic nursing interventions for patients and families in a variety of healthcare and community settings using

evidence-based practice. 4. Apply nursing process and critical thinking when providing holistic, patient-centered nursing care to diverse populations.

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5. Design healthcare education for individuals, families, and communities. 6. Comply with the professional standards of moral, ethical, and legal conduct in practice. 7. Develop an effective communication style to interact with patients, families, and the interdisciplinary health team. 8. Model leadership when providing safe, quality nursing care, when coordinating the healthcare team, and when tasked with

oversight and accountability for care delivery. 9. Use patient care technology and information systems when providing nursing care in a variety of settings.

 Course Materials Visit the West Coast University bookstore (https://bncvirtual.com/westcoastuniversity) to purchase any required materials, including publisher access codes, as needed.

Please be aware that used textbooks may not include access codes, study guides and/or DVDs containing additional course materials that may be required for the course. In some cases supplemental materials may be directly purchased from the publisher. However, students will be held accountable for obtaining these materials in order to meet all course requirements.

Publication Manual of the American Psychological Association Author: American Psychological Association Publisher: American Psychological Association Edition: 7th Optional

Manual of Laboratory & Diagnostic Tests Author: Fischbach, F. & Dunning, M. B. Publisher: Lippincott Williams & Wilkins Edition: 9th

Medical-Surgical Nursing: Assessment and Management of Clinical Problems

Author: Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., & Bucher, L., & Camera, I. M. Publisher: Mosby Elsevier Edition: 11th

Recommended Texts, Learning Resources U.S. Department of Health and Human Services. (2008). AIDS Info: A Service of the U.S. Department of Health and Human Services. Retrieved from http://www.aidsinfo.nih.gov American Diabetes Association (http://www.diabetes.org) National Kidney Foundation (http://www.kidney.org)

Optional

Nursing Diagnosis: Application to Clinical Practice Author: Carpenito-Moyet, L. J. Publisher: Lippincott Williams & Wilkins Edition: 15th Optional

Prioritization, Delegation, and Assignment: Practice Exercises for the NCLEX Examination

Author: LaCharity, L. A., Kumagai, C. K., & Bartz, B. Publisher: Mosby/Elsevier Edition: 3rd

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Optional

ATI Assessment Technologies Institute. (2019)

ATI product solutions (http://atitesting.com/)

ATI is required throughout the program.

 Evaluation

West Coast University Grading Scale (Reflective of final course grade; see associated policy in Catalog)

Grade Points WCU Grading Scale

A 4 93–100

A- 3.7 90–92

B+ 3.3 87–89

B 3.0 83–86

B- 2.7 80–82

C+ 2.3 76–79

C 2.0 73–75

C- 1.7 70–72

D+ 1.3 66–69

D 1.0 63–65

D- 0.7 60–62

F 0.0 59 or below

AU 0.0 Audit

CR 0.0 Credit

P 0.0 Pass

NP 0.0 Not Passed

I 0.0 Incomplete

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TC 0.0 Transfer Credit

W 0.0 Withdrawal

(Before Drop Deadline)

WF 0.0 Withdrawal

(After Drop Deadline)

Note: AU, CR, P, NP, I, TC, W, and WF are used on the Academic Record but have no point values and are not computed in the Cumulative Grade Point Average (CGPA) (http://westcoastuniversity.smartcatalogiq.com/en/Fall-2017/West-Coast-University-Catalog/Academic-Policies-and- Procedures/Calculating-the-Cumulative-Grade-Point-Average)

A minimum passing grade is required for each course and varies by program. Earned grades below the minimum passing grade reflect that the course has not been successfully completed. Each academic program has unique prerequisite requirements. Please see the specific program section for additional information.

Students should review the program specific grading scale in the University Catalog. (http://westcoastuniversity.edu/admissions/catalog.html)

Evaluation Criteria

The evaluation criteria consists of Formative and Summative assessments of student learning.

Formative: Assessment that occurs throughout the course to provide feedback and support for improved performance as part of an ongoing learning process. Examples: Evidence-based research, presentations, case studies, specific class projects, weekly quizzes, homework assignments, clinical or lab assignments, practice exams

Summative: Assessment that occurs at the conclusion of the course to determine whether student learning outcomes have been achieved. Examples: Final exam, term paper, or term project Signature Assignments, where applicable, are course assignments designed to comprehensively measure student achievement of course and program learning outcomes.

Additional Information:

All assignments are to be submitted via the online classroom except where otherwise noted. Email submissions will not be accepted. Grades and comments on graded items will be posted in the Blackboard Gradebook, unless otherwise specified. All assignments submitted for each course must be created for that particular course. Any assignment (a paper or presentation) submitted for credit in one course may not be duplicated and submitted for credit in any other course unless approved by the faculty or noted in the syllabus. Please review all rubrics in the course for assignment grading criteria, found under the My Grades tab. It is important that you save all of your completed assignments for your records. Please ensure that you have saved copies of all your work on a drive such as Dropbox or a personal hard drive as you may be asked to recall these assignments as you near the end of your program.

Criteria *Critical Assignments (where applicable)

If a student achieves 76% or more on each Critical Assignment, then the grades earned on the remaining course assignments will be included in the final course grade. If a critical assignment has multiple submissions, i.e. concept maps or weekly

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clinical reports, must achieve a 76% average grade to pass. If a student achieves less than 76% on the Critical Assignments, then the grades earned on the remaining course assignments will not be included in the final course grade. A student’s final grade will be the percentage earned out of the Critical Assignment points.

It is your responsibility to complete all assignments in the course. It is possible to earn a failing grade even though you have met the minimum requirements for critical assignments. Some courses do not have critical assignments.

It is your responsibility to review the grading criteria for each course. Critical assignments are designated with an asterisk (*) in the course syllabus. Please see your instructor if you have questions about grading or assignment criteria.

Each student must complete and turn in ALL course assignments, as instructed, in order to pass the course. Even assignments that will be late after 3 days and receive a zero score must be submitted.

Assignment

Weight / Points

Week Due Details

Formative

ATI Targeted Med-Surg Practice Assessment

10 1 Perioperative Nursing

Points based on completion and score achieved on Assessment.

ATI Learning System RN Quizzes

30 2, 3, 5

10 points each

Week 2: Endocrine practice quiz (40 minutes) Week 3: Musculoskeletal Practice quiz (40 minutes)

Students must spend 40 minutes on each of the practice quiz modules and score at least 76% to achieve maximum points on the assignment

Week 5: Fundamentals final quiz

ATI Dosage Calculation Modules

20 4 ATI Dosage Calculation Modules

10 points each

Parenteral medications Dosage by weight

Points awarded will be based on completion and the score achieved on Assessment.

ATI Practice Assessment

0 6 RN Fundamentals online practice 2016 B

Focused Review Hours

60 7, 10 Focused Review Hours

30 points each

Week 7: After ATI practice assessment Week 10: After ATI proctored exam

Minimum 1 hour focus review and minimum of 4 templates.

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Terminology Worksheets

70 1 – 7 Terminology Worksheets

10 points each

Week 1: Perioperative nursing Week 2: Gastrointestinal & diabetes Week 3: Integumentary & musculoskeletal Week 4: Renal Week 5: Respiratory Week 6: Cardiovascular Week 7: Hematologic

The medical terminology worksheets must be handwritten and submitted via Blackboard for grading.

*Quizzes 450 2 – 7 75 points each

Week 2: Quiz 1 Week 3: Quiz 2 Week 4: Quiz 3 Week 5: Quiz 4 Week 6: Quiz 5 Week 7: Quiz 6

Nursing Evolution

10 9 This is a portfolio assignment that must be completed at the end of the course.The student will not be allowed to sit for the final without having completed the evolution for this course.

Active Learning Engagement

30 9

Blackboard Collaborate Virtual Class Session Summary

25 10 Attend the online Blackboard Collaborate session. Participation is required. Your instructor will post details regarding the session in the announcements. There is no in-class meeting during week 10. Directions for using Collaborate are located in your Blackboard Course. After attending the Collaborate session, submit a 1 paragraph (4-5 sentence) summary to Blackboard for grading. Details of the summary requirements will be presented during the Collaborate session.

Summative

*ATI Proctored Exam

120 8 RN Fundamentals

*Comprehensive Final Exam

175 9

Total 1,000 Points total

*Total Critical Assignments Points

745

Assignment

Weight / Points

Week Due Details

 Course and Program Specific Policies

ATI Policy Tutorials (where applicable)

Tutorials promote acquisition and application of information related to nursing concepts and skills. Students will be required to spend a minimum amount of time on most assigned tutorials. Times required will vary from tutorial to tutorial. Points awarded for

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tutorial assignments will be based on time spent (when applicable) and completion of activities (such as pre-tests and post- tests). You will submit evidence of tutorial hours and activities done to the course faculty as instructed to earn points toward the course grade.

Practice Assessments and Focused Reviews (where applicable)

Practice assessments help students to assess learning and prepare for proctored exams. Students should take the practice assessment the first time without prior knowledge of the questions and without looking answers up, as if it were a proctored exam. This will result in a focused review plan that accurately reflects learning needs and helps the students to prepare for proctored exams.

Proctored Exams and Focused Reviews (where applicable)

Proctored exams help students to assess content mastery and prepare for NCLEX-RN. The goal on these is to score at least a Level 2 on each proctored exam. This indicates the ability to meet NCLEX-RN standards in this content area.A focused review is always required after proctored exams.

Please see the grading criteria section of the syllabus and directions in your course regarding specific ATI directions and grading parameters.

Completion of ATI assignments are mandatory. ATI modules are assigned throughout the BSN program.

All ATI assignments, if required, must be accessed within the term dates that the student is scheduled for the course, and completed and submitted by the stated deadlines. Each student must complete and turn in ALL course assignments, as instructed, in order to pass the course.

Nursing Program or Accreditation Requirements Nursing students may repeat no more than one failed or unsuccessfully completed course. Any nursing student who fails or unsuccessfully completes any two courses or the same course twice, with the exception of NURS 493, will be dismissed from the program.

NURS 493: See details in course criteria. NURS 340/342L: A student who has completed NURS 340/342L and fails any or all courses in the subsequent terms will not be dismissed. The student will be provided an opportunity to repeat the required coursework and any additional failures will result in dismissal from the university.

A student who previously withdrew from a course may not subsequently withdraw from the same course. In addition, a student who fails a course may not subsequently withdraw from the same course. In either case, if a student chooses to withdraw from a course being repeated before successfully completing the course, the student will receive a grade of “F” in the course.

Please see the University Catalog (http://westcoastuniversity.edu/admissions/catalog.html) for more information under Course Withdraw and Dismissal Policies.

Students should review the RN Student Handbook (https://westcoastuniversity.edu/student-affairs/student-services.html)for more information.

All ATI assignments, if required, must be accessed within the term dates that the student is scheduled for the course, and completed and submitted by the stated deadlines. Each student must complete and turn in ALL course assignments, as instructed, in order to pass the course.

Each student is required to complete and turn in the End of Course Evaluation prior to sitting for the final exam.The student will not be allowed to sit for the final without having completed the evaluation for this course.

AACN Essentials of Baccalaureate Education

The Essentials of Baccalaureate Education for Professional Nursing Practice provides an important framework for designing and assessing baccalaureate education programs for professional nursing practice. You may access the full publication here: AACN Essentials (http://www.aacnnursing.org/Portals/42/Publications/BaccEssentials08.pdf)

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Late and Make Up Work Assignments and Activities (written papers, journals, blogs, projects or similar, both in class or online):

Students may be allowed to make up assignments and work missed as a result of absences with penalty. Assignments submitted after the established due date will be penalized at 10% per day. Late assignments will not be accepted more than 3 days after the due date unless preapproval from the instructor has been obtained in writing. Be sure to contact the instructor if you believe you must submit an assignment after the due date. Approvals outside the 3 days are generally provided for extenuating circumstances only.

Quizzes and Tests*

It is the student’s responsibility to contact the faculty member within 48 hours of the original examination date of a quiz or test and follow the program policies for missed work. Students will not be allowed access to a quiz or test after the due date. Students may be able to complete a make-up quiz, test, or alternative assignment based on instructor discretion. Students who do not contact the faculty within 48 hours of the original examination date will earn a zero.

Examinations (Midterm and Final Examinations, Proctored Examinations, Proctored Assessments, or similar)*

Students are required to be present for all examinations. If the student must miss an examination due to a compelling reason**, the student must complete and submit the Examination Date Change Request form with the required supporting documentation for the event to the faculty member for that course. The documentation must be submitted at least three (3) weeks in advance of the examination. The faculty member will review and sign the request before submitting the documentation to the Dean, Director, or designee for approval or denial of the request. The documentation must be submitted at the time of the request, and the decision based on the original request is final.

Extenuating Circumstances

An extenuating circumstance is defined as an absence that is due to an unforeseeable circumstance and not a compelling reason or scheduled event. The student must notify the faculty member of the course within 48 hours before or after the date and time of the examination. The Dean, Director, or designee will make a determination regarding student eligibility to take an alternate form of make-up examination. If the student is able to demonstrate extenuating circumstances (such as the inclusion of healthcare provider documentation, a copy of obituary notice or death certificate, or a copy of police report for automobile accidents), the Dean, Director, or designee may permit an alternate form of a make-up examination. The student may earn up to 100% on this make-up examination based on the review of the supporting documentation of the extenuating circumstances.

The make-up examination must be taken within five (5) business days of the initial examination administration or before the date of the next class. The make-up examination may not be the same examination but may be an alternative format such as an essay examination. The student must take the make-up examination in a proctored environment. If the student is not able to provide acceptable documentation for either a compelling reason or an extenuating circumstance, the maximum score that the student may earn on the examination is 76%. Students who do not take the examination on the scheduled make-up date or who do not contact the instructor within 48 hours of missing the examination will receive a zero score for the examination. One form is required for each request. Any future make-up requests require a new form. Receiving the maximum amount of points on a make-up examination will be considered only for students who provide documentation of a compelling reason** for missing the examination or if an extenuating circumstance occurs and is supported by documentation. This does not apply for students who miss their regularly scheduled examinations due to student choice or error (e.g., oversleeping). The final determination for approval of a make-up examination is at the discretion of the Academic Dean, Director, or designee.

*Course curriculum varies from course to course. Not all courses have quizzes, tests, or examinations. It is your responsibility to review each syllabus for assignment criteria.

** A compelling reason is defined as planned events or discretionary participation in activities such as weddings or required travel.

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No work is accepted after the last scheduled class (on ground) or the last day of class (online).

Minimum Passing Grade The minimum passing grade in the core nursing program is a C+.

“P” or “NP” are the grades issued for all nursing clinicals, Global Studies/Symposium, and capstone courses (e.g., NURS 497 and NURS 493).

SafeAssign Plagiarism Check Each course has an open SafeAssign dropbox. Students can use this dropbox to submit drafts of assignments. SafeAssign will generate a report that checks for plagiarism and academic integrity. It is the student’s responsibility to review the report and make any changes to the assignment before the final submission. It is the student’s responsibility to ensure that the final submission aligns to West Coast University’s academic integrity policy, located in the syllabus and the University Catalog.

When the final assignment is checked and complete you must submit to its respective assignment dropbox for grading. The SafeAssign draft area is for checking your assignment only and will NOT be graded.

Sigma Theta Tau Nurse Manager Certificate Sigma Theta Tau Nurse Manager Certificate modules are to be completed following the ATI/STT instructions found in your courses. You must spend a minimum of 70 hours and score 80% or above to pass and receive credit. You must submit proof of completion and the grade to the course instructor in order to receive credit for the Nurse Manager Certificate as part of the NURS 497 portfolio.

The Nurse Manager Certificate is a requirement for the program.

 Course Outline The Course Outline below serves as a course roadmap, displaying the topics and activities intended to be covered each week. This schedule is subject to change in the event of extenuating circumstances.

Objectives reflect the teaching activities that, if engaged in, are intended to lead to specific, measurable student learning outcomes. Course Activities and Assignments outline the teaching strategies used and the assessment requirements that students are to fulfill throughout the duration of the course.

*Refer to the assignment rubrics in your course for specific grading criteria, if applicable. Rubrics can be found in the My Grades section and/or in your assignment dropbox.

Week Topic Objectives Activities & Assignments

1 Nursing Process; Perioperative Nursing

Orientation, syllabus review, and ATI Resources

Nursing Process and Overview of Concept-Based Learning

1. Describe concept-based nursing education and practice. 2. Explain the effectiveness of a concept-based learning process. 3. Summarize concepts used by the professional nurse in the healthcare

environment across the life span.

Perioperative Nursing

1. Summarize the nursing process in the care of perioperative patients. 2. Classify priorities in the care of perioperative patients using additional

applicable concepts: pain, mobility, nutrition, fluid regulation, infection/inflammation, oxygenation, perfusion, tissue integrity, safety,

Reading

Lewis Ch. 11 Ch. 17 Ch. 18 Ch. 19

ATI Adult med surg review module

Ch. 94-96 ATI fundamentals review module

Ch. 4 Ch. 10 Ch. 36

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elimination, and communication. 3. Identify interprofessional collaboration/team management needs for

perioperative patients. 4. Examine the pharmacologic, nutritional, developmental, and teaching needs

of perioperative patients.

Ch. 41 Review dosage calculations (in preparation for medication proctored assessment in week)

Module 1 Module 2 Module 3 Module 4

Content Outline

Orientation to Concept Based Learning Perioperative Nursing Critical elements include but not limited to

Perioperative phases nursing care and teaching pharmacological management (analgesics, sedation, anesthesia agents, and prophylactic antibiotics)

Additional medication list related to weekly topic: Perioperative

Dantrolene Lidocaine Sodium Thiopental Midazolam Fentanyl Morphine Naloxone Butorphanol Aztreonam Imipenem and cilatratin Vancomycin Tatracycline Erythromycin Gentamycin

Specific Course Activities

Review Syllabus Concepts – Define and discuss relationships

Oxygenation Perfusion Nutrition Elimination Mobility Tissue integrity Metabolism Fluid regulation Infection /inflammation Intracranial regulation Pain Safety

Collaboration Health promotion

5 or more NCLEX questions related to perioperative nursing

Week Topic Objectives Activities & Assignments

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ATI

ATI Communicator Case #3

Assignments

ATI Targeted Med-Surg Practice Assessment

Perioperative nursing Terminology Worksheet

Perioperative nursing

2 Nutrition; Metabolism Concept: Nutrition

1. Summarize the nursing process in care of the patient with alterations in nutrition.

2. Classify priorities in the care of patients with alterations in nutrition using the following applicable concepts: oxygenation, nutrition, perfusion, fluid/electrolyte regulation, infection/inflammation, tissue integrity, pain, metabolism, elimination, and safety.

3. Identify interprofessional collaboration/team management needs of the patient with alterations in nutrition.

4. Examine the pharmacologic, nutritional, developmental, and teaching needs of the patient with alterations in nutrition.

Metabolism: Diabetes Mellitus

1. Summarize the nursing process in care of the patient with an alteration in metabolism –

2. Classify priorities in the care of patients with alterations in metabolism relating other related concepts: oxygenation, perfusion, health promotion, tissue integrity, nutrition, fluid regulation, mobility, safety, and communication.

3. Identify interprofessional collaboration/team management needs of the patient with alterations in metabolism.

4. Examine the pharmacologic, nutritional, developmental, and teaching needs of the patient with alterations in metabolism.

Reading

Lewis Ch. 38 Ch. 39 Ch. 41 Ch. 42 Ch. 47 Ch. 48

ATI Adult med-surg review modules

Ch. 46 – 52 Ch. 82 Ch. 83

ATI fundamentals review modules

Ch. 43 Ch. 52 Ch. 54

Content Outline

Concept: Nutrition: Exemplars: Inflammatory bowel disease and GERD Critical elements include but not limited to

Nursing care Pharmacological management (anti- emetics, antacids, PPIs, mucosal protectants), dietary management Relationship to fluid/electrolytes

Concept: Metabolism Exemplars: Diabetes mellitus

Type I Type II

Critical elements include but not limited to

Nursing care including assessment Management and teaching Chronic complications Pharmacological

Week Topic Objectives Activities & Assignments

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management (insulin, oral and injectable hypoglycemics, oral and injectable hyperglycemics)

Additional medication list related to weekly topic: Metabolism (diabetes) Nutrition

Glipizide Repaglinide Metformin Rosiglitazone Acarbose Sitagliptin Insulins (Lispro, regular, NPH, glargine) Pramlintide Exenatide Glucagon Metronidazole Chloroquine Ranitidine Omeprazole Sucralfate Misoprostol Alosetron Lubiprostone Sulfasalazine Azathioprine

Specific Course Activities

5 or more NCLEX questions related to Nutrition and Metabolism Lewis: Case Study – Diabetes Mellitus Lewis: Case Study – Ulcerative Colitis

ATI

ATI Real Life RN – GI Bleeding ATI Tutorials: Dosage Calculation – Case Study: Diabetes ATI Communicator – Technique identifier, Case #8

Assignments

ATI Learning System RN Quizzes

Endocrine Practice Quiz Terminology Worksheet

Gastrointestinal & Diabetes Quiz 1

3 Mobility; Tissue Integrity

Concept: Mobility

1. Summarize the nursing process in care of patients with and alterations in mobility.

Reading

Lewis Ch. 11

Week Topic Objectives Activities & Assignments

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2. Classify priorities in the care of patients with alterations in mobility using the following applicable concepts: pain, inflammation, perfusion, health promotion, and safety.

3. Identify interprofessional collaboration/team management needs of the patient with alterations in mobility.

4. Examine the pharmacologic, nutritional, developmental, and teaching needs of the patient with alterations in mobility.

Concept: Tissue Integrity

1. Summarize the nursing process in care of patients with alterations in tissue integrity

2. Classify priorities in the care of patients with alterations in tissue integrity using the following applicable concepts: fluid regulation, infection/inflammation, pain, communication, health promotion.

3. Identify the interprofessional collaboration/team management needs of the patient with alterations in tissue integrity.

4. Examine the pharmacologic, nutritional, developmental, and teaching needs of the patient with alterations tissue integrity.

Ch. 22 Ch. 23 Ch. 24 (read only) Ch. 61 Ch. 62

ATI adult med-surg review module

Ch. 67 – 71 Ch. 74 Ch. 75 (read only)

ATI fundamentals review module:

Chapters 40, 55, 49 (pp. 501–507)

Content Outline

Concept: Mobility Exemplars: Fractures and soft tissue injury Critical elements include but not limited to

Nursing care Acute complications Surgical and nonsurgical interventions Rehabilitation

Concept: Tissue Integrity Exemplar: Pressure ulcers

Critical elements include but not limited to: Pressure ulcers Dermatologic problems.

Additional medication list related to weekly topic: Mobility/tissue

Amphotericin B Ketoconazole Acyclovir

Specific Course Activities

5 or more NCLEX questions related to mobility and tissue integrity

ATI

ATI Communicator – Technique identifier case #5, case #9

Assignments

ATI Learning System RN Quizzes

Musculoskeletal practice quiz

Terminology Worksheet Integumentary & musculoskeletal

Quiz 2

Week Topic Objectives Activities & Assignments

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4 Elimination 1. Summarize the nursing process in care of the patient with alterations in elimination.

2. Classify priorities in the care of patients with alterations in elimination using the following applicable concepts: oxygenation, nutrition, perfusion, fluid/electrolyte regulation, infection/inflammation, tissue integrity, pain, metabolism, elimination, safety, and intracranial regulation.

3. Identify interprofessional collaboration/team management for needs of the patient with alterations in elimination.

4. Examine the pharmacologic, nutritional, developmental, and teaching needs of the patient with alterations in elimination.

Reading

Lewis Ch. 16 Ch. 44 Ch. 45

ATI Adult med-surg review module

Ch. 43 – 45 Ch. 56 Ch. 60-61

ATI fundamentals review module

Ch. 44 Ch. 49 Ch. 57-58

Course Outline

Concept: Elimination Exemplar: Urinary tract infections Critical elements include but not limited to

Cystitis Pyelonephritis Associated complications Compensatory mechanisms (Review RAAS and application to renal problems) Pharmacological management and intravenous therapy

Additional medication list related to weekly topic: Urinary Elimination/Fluid Regulation

Trimethoprim/Sulfamethoxazole Nitrofurantoin Ciprofloxacin Oxybutynin chloride Bethanechol

Course Specific Activities

At least 5 NCLEX questions related to elimination and fluid regulation Lewis: Case Study – Fluid & electrolyte imbalance Lewis: Case Study – Urinary tract infection

ATI

ATI Tutorials: Dosage calculations – Case studies and finals – Final 1 ATI Learning System RN – Renal

Week Topic Objectives Activities & Assignments

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and urinary practice test ATI Real Life RN – UTI

Assignments

ATI Dosage Calculation Modules Parenteral medications Dosage by weight

Terminology Worksheet Renal

Quiz 3

5 Oxygenation Concept: Oxygenation

1. Summarize the nursing process in care of patients with alterations in oxygenation.

2. Classify priorities in the care of patients with alterations in oxygenation using the following applicable concepts: oxygenation, nutrition, perfusion, fluid/electrolyte regulation, infection/inflammation, tissue integrity, pain, metabolism, elimination, safety, and intracranial regulation.

3. Identify interprofessional collaboration/team management for needs of the patient with alterations in oxygenation.

4. Examine the pharmacologic, nutritional, developmental, and teaching needs of the patient with alterations in oxygenation.

Reading

Lewis Ch. 25 Ch. 26 Ch. 27

ATI Adult med-surg review module

Ch. 17 Ch. 19 Ch. 20 Ch. 23 Ch. 45

ATI fundamentals review module

Ch. 53 (airway management and trach care)

Course Outline

Concept: Oxygenation Exemplars: Pneumonia and tuberculosis Critical elements include but not limited to

Nursing care Prevention and complications Pharmacological management (antitussives, expectorants, mucolytics)

Additional medication list related to weekly topic: Oxygenation

Phenylephrinem Codeine Dextromethorphan Guaifenesin Acetylcysteine Isoniazid Rifampin

Specific Course Activities

At least 5 NCLEX questions related to oxygenation Lewis: Case Study – Assessment Lewis: Case Study – Tuberculosis

Week Topic Objectives Activities & Assignments

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Evolve – Student resources, Chapter 26 – Audio patterns of respiration

ATI

ATI – Learning System RN: Respiratory practice assessment

Assignments

ATI Learning System RN Quizzes

Fundamentals final quiz Terminology Worksheet

Respiratory Quiz 4

6 Perfusion Concept: Perfusion

1. Summarize the nursing process in care of patients with alterations in perfusion.

2. Classify priorities in the care of patients with alterations in perfusion using the following applicable concepts: health promotion, oxygenation, infection/inflammation, mobility, pain, mobility, fluid regulation, tissue integrity, safety, nutrition, and culture.

3. Identify interprofessional collaboration/team management for needs of the patient with alterations in perfusion.

4. Examine the pharmacologic, nutritional, developmental, and teaching needs of the patient with alterations in perfusion.

Reading

Lewis Ch. 31 Ch. 32 Ch. 33

ATI Adult med-surg review module

Ch. 27 Ch. 28 Ch. 35 Ch. 36

ATI fundamentals review module

Chapter 30

Content Outline

Concept: Perfusion Exemplar: Atherosclerosis Critical elements include but not limited to

PVD CAD Hypertension Sinus rhythms Pharmacological management (antihypertensives, nitrates, diuretics, anticoagulants, thrombolytics)

Additional medication list related to weekly topic: Perfusion

Captopril Losartan Eplerenon Aliskiren Nifedipine Doxazosin Atenolol Metoprolol Clonidine Hydralazine Simvastatin

Week Topic Objectives Activities & Assignments

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Gemfibrozil Heparin Enoxaparin Warfarin Aspirin Clopidogrel

Specific Course Activities

5 or more NCLEX questions related to perfusion Lewis: Case study – Hypertension

ATI

ATI Communicator – Technique identifier case 1, case 3 ATI – Learning System RN: Practice test cardiovascular and hematological Take ATI practice assessment

Fundamentals 2019 B

Assignments

ATI Practice Assessment RN Fundamentals online practice 2019 B

Terminology Worksheet Cardiovascular

Quiz 5

7 Perfusion; Infection/Inflammation

Concept: Perfusion

1. Summarize the nursing process in care of the patient with an anemia. 2. Classify priorities in the care of patients with alterations perfusion using the

following applicable concepts: oxygenation, nutrition, perfusion, fluid/electrolyte regulation, infection/inflammation, tissue integrity, pain, metabolism, elimination, safety, and intracranial regulation.

3. Identify interprofessional collaboration/team management for needs of the patient with alterations in perfusion.

4. Examine the pharmacologic, nutritional, developmental, and teaching needs of the patient with selected alterations in perfusion.

Concept: Infection/Inflammation

1. Summarize the nursing process in care of the patients with alterations in infection/inflammation.

2. Classify priorities for care of patients with alterations in infection/inflammation using the following applicable concepts: oxygenation, nutrition, perfusion, fluid/electrolyte regulation, infection/inflammation, tissue integrity, pain, metabolism, elimination, safety, and intracranial regulation.

3. Identify interprofessional collaboration/team management for needs of the patient with alterations in infection/inflammation.

4. Examine the pharmacologic, nutritional, developmental, and teaching needs of the patient with alterations in infection/ inflammation.

Reading

Lewis Ch. 14 Ch. 29 Ch. 30

ATI Adult med-surg review module

Ch. 39 Ch. 41 Ch. 85 Ch. 86

Course Outline

Concept: Perfusion Exemplar: Anemia Critical elements include but not limited to

Types of anemia Prevention and treatment of anemia Blood transfusions

Additional medication list related to weekly topic: Perfusion (Anemia)

Ferrous sulfate Iron dextran Vitamin B12 Cyanocobalamin

Week Topic Objectives Activities & Assignments

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Folic acid

Concept: Infection/Inflammation

Exemplar: Infectious Disease and Emerging Resistance Additional medication list related to weekly topic: Infection

Enfuvirtide Naraviroc Zidovudine Delavirdine Reltegravir Ritonavir Carbamezepine

Course Specific Activities

5 or more NCLEX questions related to perfusion secondary to anemia Lewis: Case Study – Iron deficiency anemia Lewis: Case study – anemia Blood Transfusions Exploration of current trends in infectious diseases or infections using prevalence studies by CDC or TJC

Pandemic National Regional

Tree of Impact exercise 5 or more NCLEX questions related to infection / inflammation Students to bring one recent article about an emerging infection to class

ATI

ATI Real Life RN – C-difficile study

Assignments

ATI Focused Review Hours After ATI Practice Assessment: RN fundamentals online practice B

Terminology Worksheet Hematologic

Quiz 6

Week Topic Objectives Activities & Assignments

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8 Safety Concept: Safety

1. Summarize the nursing process in care of the patients with alterations in safety.

2. Classify priorities for care of patients with an alteration safety including the concept: oxygenation, nutrition, perfusion, fluid/electrolyte regulation, infection/inflammation, tissue integrity, pain, metabolism, elimination, safety, and intracranial regulation.

3. Identify interprofessional collaboration/team management for needs of the patient with alterations in safety.

4. Examine the pharmacologic, nutritional, developmental, and teaching needs of the patient with alterations in safety.

Reading

Ch. 55 Ch. 57 Ch. 58 Lewis

Ch. 59 (pp. 1419–1427) ATI Fundamentals review module

Ch. 12 Safety ATI Adult Med-Surg review module

Ch. 6 Seizures/Epilepsy Ch. 15 Stroke

Course Outline

Concept: Safety Exemplar: Ischemic (thrombotic/embolic) stroke Exemplar: Seizures

Critical elements include but not limited to

Nursing care Pharmacological management (anticonvulsants)

Additional medication list related to weekly topic: Intracranial Regulation

Phenytoin Valporic acid

Course Specific Activities

5 or more NCLEX questions related to safety Lewis: Case Study – acute stroke Case study: Patient with seizures Lewis: Nursing Care Plan- patient with seizures

ATI

ATI Media: Seizure Precaution Video ATI Proctored Assessment: RN Fundamentals

Week Topic Objectives Activities & Assignments

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9 Evolution Statement Specific Course Activities

Review 14 concepts covered.

Assignments

Nursing Evolution Active Learning Engagement Final Exam

10 Blackboard Collaborate Virtual Class Session

Participate in the online class session via Collaborate. There is no in-class session this week. Assignment

Submit 1 paragraph (4-5 sentence) summary of Collaborate session to Blackboard.

Week Topic Objectives Activities & Assignments

 Institutional Policies

University Mission At West Coast University, we embrace a student-centric learning partnership that leads to professional success. We deliver transformational education within a culture of integrity and personal accountability. We design market-responsive programs through collaboration between faculty and industry professionals. We continuously pursue more effective and innovative ways through which students develop the competencies and confidence required in a complex and changing world.

Institutional Learning Outcomes Institutional learning outcomes are designed by the University as a whole, taking into account the role that both instruction and student services play in contributing to a student’s success. Institutional learning outcomes assume achievement of the stated programmatic learning outcomes of one’s discipline. Upon graduating from a degree program offered by West Coast University, students will be able to:

1. Implement intellectual and practical problem-solving skills through information assessment and critical thinking. 2. Demonstrate effective written communication skills. 3. Demonstrate effective oral communication skills. 4. Demonstrate computer proficiency and information literacy. 5. Describe ethical standards and legal guidelines associated with one’s chosen career field. 6. Explain why knowledge of and respect for the societal contributions of diverse cultures and perspectives is an important quality

in one’s discipline. 7. Articulate the importance of working collaboratively with other healthcare providers in support of the client/patient.

Academic Integrity and Dishonesty Students should review the Academic Dishonesty Policy in the University Student Handbook. (http://westcoastuniversity.edu/student- affairs/student-services.html) Students are expected to approach their academic endeavors with the highest academic integrity. They must cite sources and submit original work. Academic honesty is central to the institution/student partnership toward student success. Students are accountable for adhering to the Academic Integrity and Academic Dishonesty policies in the University Student Handbook. (http://westcoastuniversity.edu/student-affairs/student-services.html)

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West Coast University has a clear requirement for students to attend courses. Students should review the Attendance Policy in the University Catalog. (http://westcoastuniversity.edu/admissions/catalog.html)

Reasonable Accommodations West Coast University strives to provide reasonable accommodations to students who have a defined need and who follow the appropriate steps toward seeking the accommodation. The Reasonable Accommodations Policy is found in the University Catalog (http://westcoastuniversity.edu/admissions/catalog.html) and the Student Handbook. (http://westcoastuniversity.edu/student- affairs/student-services.html)

Classroom Policies Students are expected to dress professionally during class time as required by the Code of Conduct in the Catalog and any rules in your programmatic handbook. No children are allowed in classes or to be unattended on campus. Use of cell phones, smart phones, or any other electronic devices in the classroom during class time is strictly prohibited. Unauthorized use may lead to faculty member confiscation of the device for the remainder of the class. Behavior that persistently or grossly interferes with classroom activities is considered disruptive behavior and may be subject to disciplinary action. A student responsible for disruptive behavior may be required to leave the class.

Grade Rounding At West Coast University, scores are not rounded to the whole number until the end of the term. All student assignments, quizzes, and examinations will be rounded to the first decimal point. At the end of the terms, final course grades will be rounded to the nearest whole point. For programs that use the exam average to determine whether other course assignments are included in the final scoring (e.g., Nursing), the end-of-term exam average may be rounded (using the above rules) to make that determination.

WCU Quiz, Test, and Exam Policies

Quiz, test, and exam policies vary by course objectives and programmatic expectations. Some quizzes, tests, and exams utilize a timed approach, password verification, authentication process, proctoring protocols, and academic integrity software. Students must follow the policies as outlined in the syllabus and in accordance with the university, program, and any third-party company (i.e., ATI®) policies. Refer to the Code of Conduct and Academic Honor Code found in the University Student Handbook. Reference the Late and Make-Up Work policy for specifics regarding missed quizzes, tests, and exams.

Late and Make-Up Work Policy

All students are expected to submit evidence of learning as established by the academic program, which is outlined in the course syllabus. Students are required to meet the course objectives by submitting coursework no later than the assigned due date. In order to demonstrate achievement of the course learning outcomes, students may be allowed to submit late work. Specifics regarding late work are listed in the program and/or course section of the course syllabus. If a student submits late coursework, the instructor, at her or his discretion, may deny acceptance of the assignment or award partial to full credit in alignment with the program policies. Technological issues are not an excuse for late submissions unless the problem stems from university equipment, Blackboard outages, or third-party content providers.

Missed Quizzes, Tests, and Exams

All quizzes, tests, and exams must be completed by the date they are assigned. If a quiz, test, or exam is missed due to a documented emergency situation (e.g., death in the immediate family), it is the student’s responsibility to contact the faculty member within 48 hours of the original due date and follow the program policies for missed work. Students who do not make up the quiz, test, or assessment as scheduled or who do not contact the instructor within 48 hours will receive a zero score for that assessment.

Final Week of Term/Semester/Trimester

Quizzes, tests, and exams must be completed and assignments must be submitted no later than the last scheduled day of class during the final week of the term/semester/trimester. In the final week, some courses will have an alternative class meeting day, time, and room, or submission deadline. Specifics regarding the final week are listed in the course syllabus. Refer to the University Attendance Policy for maximum absences and other details.

Technology

West Coast University utilizes the Blackboard Learning Management System. Technical support for Blackboard is offered 24 hours per day, 7 days per week. There are minimum system requirements to access not only Blackboard but also any resources that may be

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posted in Blackboard or utilized in a course. Please refer to the University Student Handbook. (http://westcoastuniversity.edu/student- affairs/student-services.html) for minimum technical requirements. For tech support options, please click on the Support tab located at the top of your Blackboard home page. Blackboard can be accessed here: www.learn.westcoastuniversity.edu (https://learn.westcoastuniversity.edu)

Library Information You can access the library through the Library tab at the top of your Blackboard home page or here: https://westcoastuniversity.edu/academics/library-resources.html (https://westcoastuniversity.edu/academics/library- resources.html)

Course Related Policies West Coast University has specific course related policies for overload, auditing, repeats, courses passed but not successfully completed, add/drop and withdrawal. Please see the University Catalog (http://westcoastuniversity.edu/admissions/catalog.html) for course related policies.

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