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National AmericanUniversity Course Syllabus

Spring 2013 Course Title: Holistic Care in Acute Illness-Clinical Course ID: NS 3361 Credit Hours: 3 Prerequisites: None Lead Instructor: Name: Lori Baldrige, RN, BSN, MSN Phone: 952 356-3693 Email: lbaldrige@national.edu Office Hours: Wednesday: 1400-1600 Thursday: 1300-1600 Clinical Time: Galtier Health Center, 445 Galtier Avenue, St. Paul, MN Clinical Practicum: Tuesday 0700-1700 Course Description: This clinical course builds on the foundational concepts and psychomotor skills necessary to provide holistic and culturally congruent nursing care for adult clients in the acute, sub-acute and long-term care setting. Emphasis is placed on learning the nursing actions necessary to manage clients with acute signs, symptoms, diseases and illness trajectories in the acute care setting. Clinical practice guidelines, standard policy and procedures will inform the students nursing practice. Students will learn to provide direct nursing care, and perform delegated medical treatments such as medication administration, IV therapy, would care, oxygen therapy, sterile technique and surgical care. Textbooks: Intravenous Medications 2013 Davis's Comprehensive 29th Gahart & ed. Nazareno 5th Leeuwen, 201 Mosby/Elsevier 2 201 F.A. Davis 978032308481 9 978080363664

Handbook of Lab and Diagnostic Tests with Nursing Implications Nursing 2013 Drug Handbook with Web Toolkit Nursing Diagnosis Handbook: An EvidenceBased Guide to Planning Care Fundamentals of Nursing Package (textbook and clinical companion) Fundamental of Nursing Study Guide HESI Case Studies: Complete RN Collection 2012 - (2-year) Contemporary Psychiatric Mental Health Nursing Publication manual of the American psychological Ass (APA Manual) Medical-Surgical Nursing 2 Vol Set: Assessment and Management of Clinical problems (Text and Study Guide)

edi

PoeluisLeth & Bladh

2 201 Lippincott 3 201 Mosby/Elsevier 4 201 Elsevier 3

4 978145115023 0 978032308549 6 978032309180 0 978032308469 7 978145572706 3 978013255777 1 978143380561 5

33rd Lippincott ed. 10th Ackley ed. 8th ed. 8th ed. Potter, Perry, Stockert, & Hall

Ochs, Potter, 201 Perry, Stockert & Elsevier 3 Hall HESI 201 Elsevier 1 201 Pearson 3 American 201 Psychological 0 Association

3rd Kneisl & ed. Trigoboff American 6th Psychological ed Assc. 8th ed.

Lewis, Dirkson, 201 Heitkempter, Elsevier/Mosby 1 Bucher & Camera

978032309874 8

Objectives of the Course: Upon successful completion of this course, the student will be able to: 1. Examine the use of therapeutic communication skills in the development of therapeutic relationships with clients and families. Knowledge and skills leading to mastery of this competency a. Incorporate caring and healing techniques that promote a therapeutic nurse-client relationship. b. Communicate effectively with the client and the clients support network. c. Maintain self-awareness and a reflective nursing practice. d. Complete a health history.

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e. Demonstrate the ability to report orally the information necessary to facilitate the continued nursing care of a client. Demonstrate professional behavior by maintaining appropriate dress and demeanor, maintaining client confidentiality, and assuming accountability for own actions. Knowledge and skills leading to mastery of this competency a. Demonstrate accountability for personal and professional behaviors. b. Incorporate the professional standards of moral, ethical, and legal conduct. c. Demonstrate professionalism, including attention to appearance, demeanor, respect for self and others, and attention to professional boundaries with clients and families as well as among caregivers d. Protect client privacy and confidentiality of client records and other privileged communications. d. Ensure that ethical standards related to data security, regulatory requirements, confidentiality, and clients right to privacy. Incorporate the art and science of nursing when performing psychomotor skills, managing common symptoms and clients responses to interventions. Knowledge and skills leading to mastery of this competency a. Examine the Patterns of Knowing. b. Provide compassionate, client-centered, evidence-based care that respects client and family preferences. c. Demonstrate the application of psychomotor skills for the efficient, safe, and compassionate delivery of client care. d. Implement evidence-based nursing interventions as appropriate for managing the acute care of clients across the lifespan. e. Implement holistic, client-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across the lifespan. Interpret health data from a culturally and age appropriate health assessment and focus on physiologic, developmental and behavioral patterns of client response to acute conditions and processes. Knowledge and skills leading to mastery of this competency a. Complete a comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessment of health and illness parameters of acute care clients, using developmentally and culturally appropriate approaches. b. Assess health/illness beliefs, values, attitudes, and practices of individuals and their families. c. Discuss the critical thinking process of the professional nurse in health assessment. d. Identify a variety of measurements of growth and development across the age span. Develop plans of care that are client and family centered using evidence to inform nursing actions.
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Knowledge and skills leading to mastery of this competency a. Use behavioral change techniques to promote health and manage illness. b. Provide nursing care based on evidence that contributes to safe and high quality client outcomes. c. Facilitate client-centered transitions of care, including discharge planning and ensuring the caregivers knowledge of care requirements to promote safe care. d. Demonstrate the effective use the nursing process. e. Create an individualized, holistic and culturally appropriate nursing care plan and/or concept map. f. Practice client and family level nursing actions. 6. Communicate effectively the clients status and outcomes to others on the health care team. Knowledge and skills leading to mastery of this competency a. Use information and communication technologies to share client information. b. Communicate effectively with all members of the healthcare team. c. Use inter- and intra-professional communication and collaborative skills to deliver evidence-based, client-centered care. d. Contribute the unique nursing perspective to inter-professional teams to optimize client outcomes. e. Report orally the information necessary to facilitate the continued nursing care of a client by any others involved. f. Record information necessary to maintain a record of nursing actions, client reactions to the care, and resulting client outcomes. 7. Apply ANA code of ethics to the care of clients with acute conditions/processes . Knowledge and skills leading to mastery of this competency a. Use an ethical framework to evaluate the impact of social policies on health care. b. Act to prevent unsafe, illegal, or unethical care practices. c. Analyze an ethical dilemma, citing ethical principles and a systematic approach for resolving the ethical dilemma. Academic Integrity Policy: Please refer to the NAU undergraduate catalog (http://www.national.edu/programs/academiccatalog) and the SON student handbook (http://www.national.edu/school-nursing/nursinghandbook). Attendance Policy: Please refer to the NAU undergraduate catalog (http://www.national.edu/programs/academiccatalog) and the SON student handbook (http://www.national.edu/school-nursing/nursinghandbook). Teaching/Learning Strategies:
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Direct client care Nursing process (case studies and care planning) Clinical care conferences Written assignments Documentation Clinical sites Assessment Methods: Written assignments Demonstrations/lab performance Nursing care plan/ concept map Clinical Performance Evaluation Grading Scale: Pass/Fail Must achieve a total of 78% of assigned points to pass and maintain attendance as per policy. Failure to achieve a passing grade in a theory or clinical course will result in the failure of the associated theory or clinical course. For nursing courses that contain theory and lab portions, or theory, clinical, and/or preceptorship portions: Failure to achieve a passing grade in the theory portion of the course, and a P or S in the associated lab, clinical, and/or preceptorship portions, will result in a failing grade of F for the course, in which case the student will be required to repeat the entire course. Course Content: This content outline is a guide and is subject to change. Week Week 1 Week 2 Learning Plans Holiday

Learning Activities No clinical


Clinical Day #1 Lesson Plan 1 o Introduction to Clinical o Site specific orientation Documentation

Week 3

Clinical Day #2 Lesson Plan 2


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Review written assignments and documentation Read: Being prepared for nursing clinical Case study of surgical patient with SimCharting for clinical paperwork Direct Patient Care Review elements of the nursing

Week

Learning Plans o Nursing Process Clinical Day #3 Lesson Plan 3 o Safety

Learning Activities process/care planning seminar Direct Patient Care Clinical assessment tool for safety Environmental, physical, safety Violence in the workplace Assumption definitions, assumptions, clinical judgment Failure to rescue Discussion of the relationship between communication and ethics-case studies presented and analyzed Discuss nursing scope of practice Explore unit specific policies and procedures HESI case study- Skin Integrity Final clinical reflection None

Week 4

Week 5

Week 6

Week 7

Week 8 Week 9 Week 10

Clinical Day #4 Lesson Plan 4 o Critical Thinking by Assumption Clinical Day #5 Lesson Plan 5 o Communication/Ethical Dilemma Clinical Day #6 Lesson Plan 6 o Nursing Policies and Procedures No Clinical No Clinical No Clinical

Student Responsibilities: Students must adhere to the policies listed in the NAU undergraduate catalog (http://www.national.edu/programs/academic-catalog), the NAU student handbook (http://webapps.national.edu/Smart_Catalog/student_handbook/), and the SON student handbook (http://www.national.edu/school-nursing/nursing-handbook). Student must also remain compliant with the policies of the nursing program and the university.

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