ࡱ> ~uv =fbjbj΀ .]v 8S~Mccc>>>~~~~~~~<~~;>>;;~cc~qIqIqI;,cc~qI;~qIqIwm}c[D%/CzJm~~0~+{BEm}m}}> 'qI.l4>>>~~G>>>~;;;;>>>>>>>>> : Walla Walla Community College Nursing Education  SUMMER QUARTER 2010 Practical Nursing NURS 103 LPN to ADN Transition NURS 104 To request accommodations related to a disability, contact Claudia Angus, Ph.D., Coordinator of Disability Support Services, at 527-4262 or email  HYPERLINK "mailto:claudia.angus@wwcc.edu" claudia.angus@wwcc.edu on the Walla Walla Campus. Clarkston students may contact Carol Bennett, at 758-1718 or email  HYPERLINK "mailto:carol.bennett@wwcc.edu" carol.bennett@wwcc.edu . Every effort is made to ensure accuracy in the syllabus at the time of printing. However, the Walla Walla Community College Nursing Education Program reserves the right to change any provision or requirement that is necessitated by circumstances arising during the course. All changes will be provided in writing Course Outline NURS 103 Practical Nursing Credits: 5 Clock Hours per Quarter: 50 Lecture Hours: 50 Description The focus of this course is preparation to complete the NCLEX-PN and enter practice as a PN. Prerequisites: NURS 102 and 112. Co-requisite: NURS 113. Intended Learning Outcomes Demonstrate critical thinking in the use of the nursing process. Demonstrate use of management/leadership principles in the delivery of client/patient care. Perform interventions in a safe and effective manner. Use therapeutic communication. Demonstrate professional behaviors. Course Topics Hematologic Immune GI Accessory Endocrine Neurologic Renal Mental Health Emergency Nursing Management, LPN Role Licensing and Job Preparation (PN) Pediatric Review Teaching Format: Lecture/Discussion Critical Thinking Activities Role Playing Simulations Small Group Activities Videos Computer Based Learning Activities Locations: Walla Walla Campus Room 1706 Clarkston Campus 2105 Required Text: Silvestri, L. (2010). Saunders Comprehensive Review for NCLEX-PN, 4th ed. (hereafter referred to as Silvestri) Course Outline NURS 104 LPN to ADN Transition Credits: 5 Clock Hours per Quarter: 50 Lecture Hours: 50 Description The focus of this course is assisting LPN's admitted to the second year of the nursing program to fulfill program requirements. Use of the nursing process, critical thinking, and completion of nursing skills is emphasized. Prerequisites: Admission to second year of Nursing program. Co-requisite NURS 114. Intended Learning Outcomes Demonstrate critical thinking in the use of the nursing process. Demonstrate use of management/leadership principles in the delivery of client/patient care. Perform interventions in a safe and effective manner. Use therapeutic communication. Demonstrate professional behaviors. Course Topics Hematologic Immune GI Accessory Endocrine Neurologic Renal Mental Health Emergency Nursing Management, LPN Role Licensing and Job Preparation (PN) Pediatric Review Teaching Format: Lecture/Discussion Critical Thinking Activities Role Playing Simulations Small Group Activities Videos Computer Based Learning Activities Locations: Walla Walla Campus Room 1706 Clarkston Campus 2105 Required Text: Silvestri, L. (2010). Saunders Comprehensive Review for NCLEX-PN, 4th ed. (hereafter referred to as Silvestri) FACULTY CONTACT LIST NOTE: Students are encouraged to contact the faculty member responsible for the content area or clinical experience that they have a question about. Contact your faculty advisor for academic concerns and advising. Walla Walla Campus: Nursing Office: 509-527-4240 Clarkston Campus: Nursing Office: 509-758-1702 Director of Nursing Education: Marilyn D. Galusha, RN, MSN Walla Walla-based Instructors Office NumberEmail addressesKathy Adamski, RN, M.N. (Summer Lead Instructor)527-4244 HYPERLINK "mailto:kathleen.adamski@wwcc.edu" kathleen.adamski@wwcc.edu Cell: 509-200-0904Rob Becker, R.N., M.N.527-4334  HYPERLINK "mailto:robert.becker@wwcc.edu" robert.becker@wwcc.edu Cell: 509-301-9500Clarkston-based Instructors Sue Rammelsberg, R.N., M.N. (Clarkston Lead Instructor)758-1705 HYPERLINK "mailto:susan.rammelsberg@wwcc.edu" susan.rammelsberg@wwcc.edu Cell: 509-595-5731Carol McFadyen, R.N., Ph.D. 758-1728 HYPERLINK "mailto:kimberly.heroff@wwcc.edu" carol.mcfadyen@wwcc.edu  Office Hours for instructors may be found on the Level I Bulletin Board GRADING CRITERIA Quizzes/activities (12 @ 5 points each) 60 points ATI Proctored Comprehensive Predictor Test 20 points ATI Proctored Management Test (replaces a unit test) 25 points Unit Exams (9 exams @ 25 points each) 225 points Total 330 points Course Expectations: Follow all policies as outlined in Nursing Student Handbook If absent from class, no points shall be awarded for missed in-class learning activities All assignments must be accounted before progression regardless of score achieved. Late papers will receive a one-point deduction per school day when turned in after the due date and /or time (i.e. beginning of class or as stated). Students must achieve a cumulative minimum of 75% on tests and quizzes before points on other activities will be added to the total score. Course Expectations (continued) Testing: Failure to take a test at the scheduled time will result in an automatic reduction of 5% of the available score from the earned score. (See p. 18 of the Nursing Student Handbook). Grading Scale See Nursing Student Handbook Each content class has objectives and vocabulary included in this syllabus. Students are expected to review the objectives, reading assignment and vocabulary prior to class. Discussions, quizzes and activities will assume the student has prepared for the content. Quizzes and activities will be in a variety of formats. In-class activities cannot be made up. NURS 104 students must complete all activities including multiple-choice tests to achieve a passing grade. All tests and quizzes will be graded for feedback only. A final grade of pass/fail is based solely on participation and attendance. Assessment Technologies Institute (ATI) Testing Two (2) ATI proctored computerized examination will be administered this quarter: PN Management and PN Comprehensive Predicator Exam. The PN Management test will replace a Unit test for that content. Prior to taking each of the ATI proctored examinations, the student must complete a non-proctored, online practice test and achieve a score of 90%. This non-proctored, online practice test can be taken more than once however, a 90% must be achieved. Failure to complete the online practice test by the date and time stipulated will result in a 1 point deduction from the earned score of the respective ATI test. If a student fails to achieve a 90% score on the online practice test prior to the start of the scheduled test, he/she will receive an automatic reduction of 5% of the available score from the earned score on the designated ATI examination You do not have to achieve a specific ATI Proficiency Level . There will be no remediation. The points available on the ATI Tests will be allocated on a curved scale basis. Points will be prorated with the lowest ATI Level 2 cut score receiving 75% of the available points. Computer Lab Availability Walla Walla as announced Clarkston Center as announced Emergency nursing Points: Quiz/Activity 05 Test 25 Total 30 TOPICOBJECTIVESASSIGNMENT/COMMENTSNursing Care of the Clients Requiring Emergency Room Admission Common emergenciesDescribe potential/anticipated injury based on reported mechanism of injury and age groups. For Adult and Pediatric Patients: Identify nursing assessment and interventions related to common emergencies: Poisoning Burns Musculo-skeletal injuries Respiratory emergencies Acute cardiovascular conditions Anaphylaxis Eye injuries Abuse/abduction Rape/Sexual Assault Compare and contrast treatment differences in the various age groups of patients: pediatric, adult, and geriatricSilvestri, 4th ed. Prioritizing Care, Disaster Planning, and Triage - pp. 66-69 Poisons/Poisoning pp. 144, 147, 401-403 Drug Dependency/Overdose pp. 952-955 Burns Pediatric pp. 417-419 Adult pp. 468-476 Fractures Pediatric pp. 425-427 Adult pp. 857-861 Bronchiolitis-RSV p. 360 Status Asthmaticus pp. 362-363 Chest Injuries- pp. 631-632 Rheumatic fever/Kawasaki Disease pp. 379-381 Inflammatory Diseases of the Heart (thru Cardiomyopathy)- pp. 686-689 Anaphylactic shock p. 889 Eye injuries (retinal detachment thru enucleation and exenteration) pp. 776-777 Abuse- pp. 350-351, 1014-1017 Rape/Sexual Assault pp. 970, 1017 (integrated throughout above readings)  vocabulary list emergency triage penetrating trauma full-thickness burn anaphylactic shock partial-thickness burn cardiogenic shock superficial burn hypovolemic shock eschar pneumothorax blunt trauma flail chest mechanism of injury Parkland formula Rule of Nines Lund & Browder formula Abuse (physical/mental/peds/adult) Poison Endocrine Points: Quiz/Activity 05 Test 25 Total 30 TOPICOBJECTIVESASSIGNMENT/COMMENTSNursing Care of Clients with Endocrine Disorders Diagnostic tests, nursing care F&E imbalances related to endocrine disordersBriefly review the A&P of the endocrine system. Name the hormones and list the functions of the following endocrine glands: Posterior pituitary Anterior pituitary Thyroid Parathyroid Adrenal medulla Adrenal cortex For Adult and Pediatric Patients : Discuss clinical manifestations , diagnostic tests and nursing care of clients with of hypo and hyper secretion of the endocrine glands State action, adverse reaction and appropriate nursing actions for clients receiving the following drugs: Pitressin (vasopressin) Thyroid (Synthroid) Propthiourazil (PTU) SSKI (saturated solution of potassium iodine Lugols solution Tapazole Cortisone, Decadron, Prednisone Aldosterone Insulins & oral hypoglycemics (review) Describe the significance of common electrolyte imbalances. Sodium Potassium Chloride CO2 Calcium Identify indicators of positive and negative fluid balance.Silvestri, 4th ed Ch. 44: Endocrine System pp. 544-567 Ch. 33: (Pediatric) Metabolic, Endocrine, and Gastrointestinal Disorders pp. 384-388 Ch. 45: Endocrine Medications pp. 568-582 Ch. 9: Fluids and Electrolytes pp. 74-89 pp. 101-102  vocabulary list endocrine acromegaly Addisons diseaseantidiuretic hormone (ADH) cretinismCushings syndrome diabetes insipidusEuthroid exophthalmiagiantism Graves diseasehirsutism hormonemyxedema pheochromocytomathyroid crisis/storm vasopressinprimary aldosteronism parathormone GI ACCESSORY Points: Quiz/Activity 05 Test 25 Total 30 TOPICOBJECTIVESASSIGNMENT/COMMENTSNursing Care of Clients with Disorders of the GI Accessory Organs Diagnostics Cholecystitis Pancreatitis Hepatitis Cirrhosis Discuss A & P of the GI accessory organs Interpret the relevance of various laboratory and diagnostic tests related to function &/or dysfunction of each GI accessory organ. Serum bilirubin Urine or fecal urobilinogen Serum albumin Alkaline phosphatase (ALP) PT Platelets Alanine Aminotransferase (ALT) Amylase Describe common clinical manifestations associated with GI accessory dysfunction. Discuss appropriate pharmacologic and dietary needs for a client with GI accessory dysfunction Discuss changes in drug therapy related to liver dysfunctionSilvestri, 4th ed. Ch. 46 Gastrointestinal System pp. 586-605 Ch. 11 Laboratory Values pp. 102-103, 105-106, 108 Ch. 47 Gastrointestinal Medications pp. 613-617 Vocabulary list G I accessory asterixis cirrhosis ascitesportal hypertension gynecomastia bilirubin jaundice esophageal varices abdominal paracentesis encephalopathy hepatitis (A-E) pancreatitis cholelithiasis cholecystitis lithotripsyHematologic Points: Quiz/Activity 05 Test 25 Total 30 TOPICOBJECTIVESASSIGNMENT/COMMENTSNursing Care of Clients with: Blood Dyscrasias Diagnostics Convey an understanding of the significance of lab values that relate to hemostasis and anticoagulation therapy. Activated Partial Thromboplastin Time (aPTT) Prothrombin Time/International Normalized Ratio (PT/INR) Platelet count Explain the significance of the following components of a complete blood count (CBC): red blood count (RBC) hemoglobin (Hgb) hematocrit (Hct) white blood count (WBC) WBC differential Compare and contrast various types of anemia. Include: Symptomatology Nursing management Teaching Discuss nursing management and teaching of an individual with: Sickle Cell Disease Hemophilia Thalassemia LeukemiaSilvestri, 4th ed. Ch. 11: Laboratory Values pp 102-104 Ch. 46: Gastrointestinal System (B12 Deficiency) pp. 593 Ch. 37: (Pediatric) Hematological and Oncological Disorders pp. 431-437  Vocabulary list Hematologic sickle cell anemia lymphocyte pernicious anemia thrombocyte (osis), (penia) hemolytic anemia hemophiliaaplastic anemia polycythemia leukocyte (osis), (penia) leukemiablood dyscrasia thalessemia Immune Points: Quiz/Activity 05 Test 25 Total 30 TOPICOBJECTIVESASSIGNMENT/COMMENTSNursing Care of Clients with: Immunologic DisordersCompare and contrast active and passive immunity Review structure/function of lymphatic system and state functions of: Lymphatic vessels Lymph nodes Tonsils Thymus gland Spleen Differentiate between T lymphocytes and B lymphocytes and their function in the body For Adult and Pediatric Patients: Discuss conditions of immunodeficiency and related nursing management Type I atopic reactions Type II cytoxic reactions Type III immune complex reactions Type IV cell-mediated hypersensitivity Discuss the actions and side effects for medications used in immunodeficiency syndromes antivirals antiretroviral Discuss immunodeficiency syndromes, including pathophysiology, manifestations, interventions, and high risk behaviors Silvestri, 4th ed. Ch. 60: Immune Disorders pp. 888-895 Ch. 61: Immunological Medications pp. 902-905 Ch. 38 (Pediatric) Communicable Disease and Acquired Immunodeficiency syndrome pp. 449-450  Vocabulary list Immune humoral response immune deficiencyimmunogen (antigen) cellular responseagranulocytosis hemarthrosisT and B lymphocytes natural immunityanaphylaxisacquired immunityLicensing and job Preparation (PN) Points: There are no points associated with this content. TOPICOBJECTIVESASSIGNMENT/COMMENTSNCLEX-PN exam LPN Jobs Job Search Cover Letter and Resum Discuss strategies that will increase a students success on the NCLEX-PN exam Describe the process that a student follows to apply for and take the NCLEX-RN exam Discuss the common jobs available to LPNs in the workplace Use internet resources to assist in searching for a job as an LPN Develop a professional appearing cover letter and resum Silvestri, 4th ed. Ch.1 The NCLEX-PN Examination pp. 2-15 Ch. 3 Pathways to Success pp. 16-19 Ch. 4 The NCLEX-PN Examination from a Students Perspective pp. 20-21 Ch. 5 Test-Taking Strategies pp. 22-30 Online websites to be given to students in class. Management, LPN Role Points: Quizzes/Activites 10 Test 25 (ATI proctored Management Test) Total 35 TOPICOBJECTIVESASSIGNMENT/COMMENTSManagement & Role of the LPN Review LPN role in health care in clinics, acute and extended care. Discuss the concepts of leadership and management Identify the role of the LPN related to management skills and as a member of the health care team Discuss the concept of Case Management Discuss the regulation of Nursing Practice Standards of care Policies Legal risk and safeguards Incident reports Physician orders Documentation Teaching Reporting responsibilities Discuss the concepts of: Delegation Accountability/responsibility Liability Conflict management /problem resolution Discuss the concepts of organization: Priority setting Time management Shift report Silvestri, 4th ed. Ch. 7 Ethical and Legal Issues pp. 44-54 Ch. 8 Delegating, Managing, and Prioritizing Client Care pp. 59-69 Vocabulary list Management, LPN Role accountability leadershipadvocacy malpracticeadvanced directive negligencecase management nurse practice actcritical pathways patients bill of rightsdelegation prioritizingethics responsibilityinformed consent variance Mental health Points: Quizzes/Activities 10 Test 25 Total 35 TopicObjectivesAssignment/CommentsCare of Clients with Mental Health Disorders Defense Mechanisms Communication Mental health disorders Medications  Briefly review commonly used defense mechanisms Briefly review communication techniques and blocks For Adult and Pediatric Patients Compare/contrast the clinical manifestations treatments, and nursing interventions of the following mental health disorders: Thought disorders- schizophrenia Affective disorders Depression Bipolar disorder Suicidal client Personality disorders (borderline) Eating disorders Anorexia Bulimia Withdrawal related to chemical dependency/substance abuse Alcohol Stimulants Autism Attention Deficit Hyperactive Disorder Tourettes syndrome Discuss commonly prescribed psychotropic medications. Identify related nursing implications Antidepressants Selective Serotonin Reuptake Inhibitors Tricyclic Antidepressants MAO Inhibitors Atypical Antidepressants Mood stabilizers Lithium carbonate Antipsychotics Silvestri, 4th ed. Ch. 62 Foundations of Psychiatric Mental Health Nursing pp. 913-917 Ch. 63 Mental Health Disorders pp. 928-941 Ch. 65 Crisis Theory and Intervention pp. 960-970 Ch. 64 Addictions pp. 948-955 Ch. 30 (Pediatric) Neurological, Cognitive, and Psychosocial Disorders pp. 349-351 Ch. 66 Psychiatric Medications pp. 976-984 Vocabulary List Mental Health affect bipolardenial schizophreniaparanoia maniadelusions autistichallucination psychosisdysthymia dependencyanorexia nervosa bulimiadepression projectioncrisis illusionsanhedonia addiction Neurologic Points: Quiz/Activity 5 Test 25 Total 30 TOPICOBJECTIVESASSIGNMENT/COMMENTSCare of Clients with Neurological Disorders A&P of the Nervous System Diagnostic tests Assessment Neurological Disorders MedicationsBriefly review neurological A&P as it relates to normal neurological functions Discuss the preparation of clients and nursing care related to various diagnostic tests related to function or dysfunction of the neurological system. MRI, CT scan Myelogram Lumbar puncture Angiography EEG Describe neurological assessment skills in relation to common neurologic conditions For Adult and Pediatric Patients Describe common clinical manifestations and nursing intervention for clients with the following neurological disorders: Parkinsons disease Multiple sclerosis Myasthenia Gravis Cerebrovascular Accident Stroke Head injury Spinal cord injury Seizures Meningitis Discuss the therapeutic use and nursing interventions for common medications used in neurological disorders skeletal muscle relaxants anticonvulsants, anticholinergic Anti-Parkinsons. Cogentin (benztropine) L-Dopa (levodopa) Dilantin (phenytoin) Robaxin (methocarbamol) Sinemet (carbidopa/levodopa) Artane Valium (diazepam) Phenobarbital Tegretol (carbamazepine) Silvestri, 4th ed. Ch. 56 Neurological System pp. 807-830 Ch. 30 (Pediatrics) Neurological, Cognitive, and Psychosocial Disorders pp. 344-349 Ch. 57 Neurological Medications pp. 838-847 Vocabulary List - Neurologic aphasia nystagmusataxia plegiaagnosia paresthesiaapraxia papilledemacomatose paresisconvulsion proprioceptiondyskinesia posturingneuritis rigiditynuchal rigidity status epilepticusneuralgia autonomic dysreflexia Glasgow Coma Scale concussion Pediatrics REVIEW Points: Quiz/activities 05 Test 25 Total 30 TOPICOBJECTIVESASSIGNMENT/COMMENTS Nursing Care for a Pediatric Client Common illnesses Communicable Diseases Immunizations Abuse  Review growth & development, assessment and safety considerations for each age group Discuss care of the child in the clinic setting Independently review the administration of medications to children Describe the care of children with common illnesses and disorders in each of the body systems, including required teaching for parents and children. Describe the length of incubation, method of transfer, symptoms, nursing care and possible sequela of common communicable diseases Identify the recommended childhood immunizations schedule and teaching required for aftercare Describe the characteristics of abused children and abusive caregivers Silvestri, 4th ed. Ch. 27 Theories of Growth and Development pp. 313-317 Ch 28 Developmental Stages pp. 321-330 Ch. 39 Pediatric Medication Administration pp. 455-458 Ch. 30, 31, 32, 33, 34,35,36 (we will review many different illnesses/disorders- read corresponding chapter information for the childhood illnesses/disorders presented in class) Ch. 38 (Pediatric) Communicable Diseases and Acquired Immunodeficiency Syndrome pp. 443-446 Ch. 38, pp. 446-449 (Immunizations)  HYPERLINK "http://www.cdc.gov/vaccines/" http://www.cdc.gov/vaccines/ Ch. 30, pp. 350-351 (Child abuse)  Vocabulary list Pediatrics coryza failure to thriveotitis media bronchiolitisgastroenteritis pinworm (ascariasis)tinea pedis prodromal stageopisthotonos carrierKoplik spots pediculosispyloric stenosis impetigoaganglionic megacolon tracheoesophageal fistulaceliac disease amblyopiamuscular dystrophy scoliosisstrabismus  RENAL Points: Quiz/activities 05 Test 25 Total 30 TOPICOBJECTIVESASSIGNMENT/COMMENTSCare of Clients with Renal Disorders A & P of Nephro-Urinary System Diagnostic Test Incontinence Infective Disorders Obstructive Disorders Renal Failure Dialysis Transplantation Medications Review briefly nephro-urinary A & P as it relates to normal renal function and urine formation. Discuss the preparation of patients and nursing care related to various laboratory and diagnostic tests related to function and/or dysfunction of the nephro-urinary system. Various UA samples BUN/Creatinine IVP Cystocopy Review incontinence and apply the nursing process in planning interventions and evaluating response to treatment. Identify factors contributing to urinary tract infection. Discuss pharmacologic options, including teaching. Pyelonephritis/glomerulonephritis Nephrosis/nephritic syndrome UTI Discuss urolithiasis (clinical manifestations, nursing care, and prevention). Compare and contrast the two types of renal failure. Consider pathophysiology, nursing interventions, & client teaching. Compare and contrast types of dialysis, to include potential complications, and pharmacologic implications. Discuss issues and the impact of long-term immunotherapy and nursing interventions for transplant clients. Discuss the therapeutic use and nursing interventions for common renal medications. Silvestri, 4th ed. 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Walla Walla-based Instructors Title  _PID_HLINKS_AdHocReviewCycleID_EmailSubject _AuthorEmail_AuthorEmailDisplayName_ReviewingToolsShownOnceA(*E http://www.cdc.gov/vaccines/q mailto:kimberly.heroff@wwcc.edu1Y "mailto:susan.rammelsberg@wwcc.edua  mailto:robert.becker@wwcc.edu |!mailto:kathleen.adamski@wwcc.edu$\mailto:carol.bennett@wwcc.edu>Nmailto:claudia.angus@wwcc.eduSummaryInformation(eDocumentSummaryInformation8 XMsoDataStore@6%[D%3ZVS1ULPWTYSQ==2@6%[D%xmlformats.org/officeDocument/2006/bibliography"/>  F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89q՜.+,D՜.+,` hp  Walla Walla Comm. College/]