ࡱ> g 6bjbj** BHibHib. fffffzzz8~zqf(((("% 1nqpqpqpqpqpqpq$Us vqf999qff((qw"w"w"9f(f(nqw"9nqw"w"0d|j(b0f<Zqq0qfv'vxjj&vfj99w"99999qq 999q9999v999999999 B ,:  GROSSMONT COLLEGE Official Course Outline NURSING 120 FUNDAMENTALS OF NURSING 1. Course Number Course Title Semester Units Semester Hours NURS 120 Fundamentals of Nursing 8 3.5 hours lecture: 56-63 hours. 13.5 hours lab: 216-243 hours 112-126 outside-of-class hours 272-306 total contact hours 2. Prerequisites Admission to the Registered Nursing Program. Corequisite NURS 118 or equivalent. Recommended Preparation None. 3. Catalog Description Nursing 120 is the introductory nursing course. The focus is on the development of technical nursing skills and related theory as a basis for further nursing coursework. Nursing theory addresses assessment of persons and their environment in determining their state of health. The focus is on adult patients throughout the lifespan. Nursing care planning is introduced. Course content includes: the normal aging process, communication skills, basic physical assessment, and the nursing process. Scientific principles are used to support the nursing diagnosis. The nursing care of patients with disorders such as stroke, hypertension, heart failure, and COPD will be introduced. Concurrent clinical experience is in acute settings. This is a required course for the Nursing Program. 4. Course Objectives The student will: Knowledge a. Describe reliable sources for locating evidence reports and clinical practice guidelines. (N) b. Explain why information and technology skills are essential for safe patient care. (N) c. Integrate awareness of multiple dimensions of patient-centered care. (N, P) d. Explore ethical and legal implications of patient-centered care. (N, P, E) e. Describe own strengths, limitations, and values in functioning as a member of a team. (N, E) f. Discuss principles of effective communication. (N, P) Skills a. Implement nursing assessment techniques to determine a patients state of health. (H) b. Communicate patient values, preferences, and expressed needs to other members of the health care team. (N, P) c. Provide patient-centered care with sensitivity and respect for the diversity of human experience. (P, E) d. Analyze patient data before and during each clinical experience, prioritizing a plan of care. (N) e. Navigate the electronic health record. (N) f. Develop a sense of inquiry in implementing the nursing process in clinical practice. (N) g. Demonstrate competency in the professional nursing roles: Provider of Care, Manager of Care, and Member within a Discipline. (N) h. Function competently within own scope of practice as a member of the health care team. (N) NURSING 120 FUNDAMENTALS OF NURSING Page 2 4. Course Objectives; Skills (continued) i. Demonstrate effective use of technology and standardized practices that support safety and quality. (N) j. Act with integrity, consistency, and respect for differing views. (N, P) k. Initiate requests for help when appropriate to situation. (N, P, E) l. Locate evidence reports related to clinical practice guidelines. (N) Attitudes a. Respect and encourage individual expression of patient values, preferences, and expressed needs. (N, P) b. Seek learning opportunities with patients who represent all aspects of human diversity. (N, P, E) c. Value the need for continuous improvement in clinical practice based on new knowledge. (N) d. Appreciate the value of what individuals and teams can to do improve care. (N, P) e. Value the concept of evidence-based practice as integral to determining best clinical practice. (N) f. Recognize personally held attitudes about working with patients from different ethnic, cultural and social backgrounds. (P, E) g. Appreciate caring in relationships with patients and families. (P) KEY: Concept Objective H = Health Domain Skills: A N = Nursing Domain Knowledge: A,B,C,D,E Skills: B,D,E,F,G,H,I,J,K,L Attitudes: A,B,C,D P = Person Domain Knowledge: C,D,F Skills: B,C,J,K Attitudes: A,B,D,F,G E = Environment Domain Knowledge: D,E Skills: C,K Attitudes: B,F 5. Instructional Facilities Standard classroom. Nursing skills laboratory. Computer laboratory. Selected clinical facilities. High fidelity simulation laboratory. 6. Special Materials Required of Student Digital storage device. СŴý nursing student uniform with embroidery. СŴý photo ID name badge. Bandage scissors. Watch with second hand indicator. Stethoscope. Penlight. I-Clicker2. Reliable transportation to clinical facilities. 7. Course Content a. Nursing as a profession. b. Asepsis and infection control. c. Assessing and vital signs. d. Ratio-Proportion math review. e. Health and Illness. f. Communication. g. Health Assessment. h. Patient Safety. i. Hygiene. j. Nursing Process, nursing diagnoses, clinical reasoning, and critical thinking skills. k. Evidence-Based Practice. l. Ethical and legal nursing. m. Lab Values. n. Oxygenation. NURSING 120 FUNDAMENTALS OF NURSING Page 3 7. Course Content (continued) o. Bowel elimination. p. Developmental Concepts. q. Documentation/ISBAR. r. Urinary elimination, intake and output calculation. s. Pain Management. t. Medication routes: Oral, topical, IM, SC, N/G, F/T, IV. u. Fluid and Electrolytes. v. Cultural Diversity w. Principles of IV therapy, IV insertion x. Self-Concept. y. Stress and adaptation. z. The normal aging process. aa. Sensory Functioning. bb. Nutrition. cc. Skin integrity, pressure ulcers, wound care techniques, heat and cold therapy. dd. Complementary and alternative therapies. ee. Loss, grief and dying, spirituality ff. Sexuality. gg. Spirituality. hh. Introduction to nursing roles, delegation. ii. Introduction to rest and sleep. jj. Focused neurological assessment kk. Assessment of level of consciousness ll. Stroke assessment and nursing care mm. Chronic obstructive pulmonary disease nn. Pneumonia oo. Heart failure pp. Hypertension 8. Method of Instruction Lecture. Discussion. Multimedia resources. Demonstration. Critical thinking activities such as concept mapping. Case studies. Role playing. Student presentations. Supervised nursing care. Clinical conferences. k. Clinical simulation. 9. Methods of Evaluating Student Performance Written evidence based research assignments. Quizzes. Computerized examinations including a final. Clinical skills competency testing. Verbal questioning. Supplementary assignments (see outside class assignments). Student self evaluation. Clinical evaluation. Clinical simulation. Written plan of care. Clinical written learning activities such as patient data sheets, clinical reasoning questions, and medication information worksheets. NURSING 120 FUNDAMENTALS OF NURSING Page 4 10. Outside Class Assignments Practice of nursing skills. Evidence-based assignments on topics such as central line dressing changes, patient positioning, and medication administration. Clinical skills competency testing such as physical assessment skills, IV administration, medication administration, and urinary catheter insertion. Clinical paperwork such as patient data sheets, clinical reasoning worksheets, and medication worksheets. Evidence-based plan of care based upon the patient assignments in the clinical setting. Video viewing of topics such as vital signs, insertion of a nasogastric tube, and medication administration. Kaplan focused review exams. Remediation assignments based upon NCLEX practice exams such as the Kaplan integrated exam. Assigned readings from nursing textbooks and reference articles related to a variety of nursing topics. NCLEX practice questions. Community service such as blood drives and first aid for public events. 11. Texts Required Text(s): Hinkle, J.L. & Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical Nursing(14th ed.). Philadelphia: Wolters Kluwer. 2018. Taylor, C., C. Lillis, P. Lynn, and P. LeMone. Fundamentals of Nursing: The Art and Science of Person-Centered Nursing Care, 8th edition. Philadelphia, PA: Lippincott, 2015. Karch, A. M. Focus on Nursing Pharmacology, 6th edition. Philadelphia, PA: Lippincott, Williams & Wilkins. 2013. Pickar, G. Dosage Calculations: A Ratio-Proportion Approach, 3rd edition. San Francisco: Delmar. 2013. (5) Engel, M. Im Here: Compassionate Communication in Patient Care. Orlando, FL: Phillips Press. 2010. Arikian, V.P., et.al. The Basics. Kaplan, Inc., 2015. СŴý Nursing Student Handbook, 2019-2020. b. Supplementary texts and workbooks - highly recommended: (1) Carpenito, L.J. Nursing Diagnosis: Application to Clinical Practice, 14th edition. Philadelphia, PA: Lippincott, Williams & Wilkins. 2013. (2) Daviss Drug Guide for Nurses, 14th edition. Philadelphia, PA: F.A. Davis Company. 2015. (3) Pagana, K.D. & T.J. Pagana. Mosbys Manual of Diagnostic and Laboratory Tests, 5th edition. St. Louis, MO: Mosby. 2010. (4) Matkovich, S. APA Made Easy, 3rd edition. Retrieved from: http:// HYPERLINK "http://www.youversustheworld.com" www.youversustheworld.com. 2015 Addendum: Student Learning Outcomes Upon completion of this course, the students will be able to do the following: Demonstrate knowledge of nursing practice utilizing biopsychosocial theories and concepts in the performance of the registered nursing role by utilizing the nursing process to develop a plan of care for patients using biopsychosocial theories and concepts in the implementation of patient care in the registered nursing role. b. Demonstrate the skills and attitudes necessary to perform as an associate degree nurse in the professional nursing roles: (a) Provider of Care, (b) Manager of Care, and (c) Member within a Discipline by satisfactorily performing the basic clinical competencies of a first-year student in the categories of Provider of Care, Manager of Care, and Member within a Discipline. c. Demonstrate critical-thinking skills in the implementation of the nursing process while providing safe patient care and meeting the needs of culturally diverse patients within multidisciplinary health care systems by applying the knowledge and critical-thinking skills developed to safely provide basic patient care. d. Utilize evidence-based research to provide quality health care, initiate change and improve nursing practice by utilizing evidence-based research in the planning and implementation of basic nursing care. NURSING 120 FUNDAMENTALS OF NURSING Page 5 Addendum: Student Learning Outcomes (cont.) e. Employ the use of informatics and effective communication skills to manage and coordinate care for the health care consumer in collaboration with other health care professionals by: (1) Utilizing communication skills (verbal, nonverbal, interpersonal, and communication technology) as he/she learns to practice the professional registered nursing role. (2) Applying principles of time management and priority setting to provide care for patients in collaboration with other members of the health care team across the lifespan. f. Implement the role of the professional nurse as defined by the California Nurse Practice Act and standards of nursing practice by acting as a patient advocate and recognizing and adhering to the responsibility and accountability as a nurse in accordance with the role of the professional nurse. Demonstrate the importance of lifelong learning and quality improvement as part of their professional commitment to the nursing profession by promoting collaboration and the development of lifelong learning skills as they begin the role of the professional registered nurse. 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