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Georgia College & State University

School of Nursing - NRSG 7300 Primary Care of Women Fall 2015

Course
Faculty

NRSG 7030 Primary of Women (2-6-4)


Deborah MacMillan Ph.D., CNM, APRN-BC (Coordinator)
Associate Professor
Home (478) 994-9354
Office (478) 752-1074
Cell (478) 747-0986
Email debby.macmillan@gcsu.edu

Additional
Janet Campbell MSN, C-WHNP
Clinical
Clinical Faculty
Faculty
(478) 747-5400
(478) 474-8619
janet.campbell@gcsu.edu
Krystal Canady, DNP, C-FNP
Office (478) 752-1074
Assistant Professor GCSU
Email krystal.canady@gcsu.edu
Sheryl Winn DNP, C-ANP
Office (478) 752-1074
Cell (478) 397-1739
Email sheryl.winn@gcsu.edu
Shannon Merritt DNP, C-FNP
(478) 365-2029
Email shannon.merritt@gcsu.edu

Faculty
Office
Hours

By appointment either on-line or face-to-face as needed

Georgia College & State University


School of Nursing - NRSG 7300 Primary Care of Women Fall 2015

Course
Focuses on combining caring, commitment, and concern with skill
Descriptio and knowledge to provide optimal care for women. This course
n
emphasizes socialization and role development in the area of
advanced practice in womens health care. The student is
prepared to serve as advocates and employ critical/creative
thinking to advance solutions to health care problems for women
in diverse circumstances. Students are required to critically
examine their own beliefs and consider legal/ethical and cultural
issues in relation to womens health care. Focuses on primary
care health deviations common to women and lifespan
concerns/transitions of women, including the perinatal experience
and crises experienced uniquely by women. This course reflects
standards of JOGN, ACNM, ANA and AWHONN.
Required Textbook: Schuiling, K. & LIkis, F. (2011) Womens
Gynecologic Health 2nd Edition. Jones & Bartlett Publishers
ePocrates Plus University Library Access Provided (free)
Open Online Textbook for Anatomy & Physiology (free)
Access the following link:
https://openstaxcollege.org/textbooks/anatomy-and-physiology

Program
Goals:

Suggested Textbook: Hatcher, R.A., Trussell, J., Stewart, F.,


Stewart, G.K., Kowal, D., Guest, F., Cates, W., & Policar, M.S. 19 th
Edition. Contraceptive technology. New York: Irvington.
1. Demonstrate effective communication through
collaboration, partnerships, presentations, and scholarly
writing.
2. Improve healthcare outcomes using scholarly inquiry and
analysis of evidence.
3. Demonstrate advanced practice leadership and
management principles to mitigate risk and enhance
healthcare delivery systems.
4. Model use of legal and ethical professional standards.
5. Partner with the client in the provision of compassionate
and coordinated care, based on respect for the clients
preferences, values, and needs.

Georgia College & State University


School of Nursing - NRSG 7300 Primary Care of Women Fall 2015

6. Use data to monitor and improve the quality and safety of


health promotion & disease prevention outcomes.
7. Advocate for social justice and equity in healthcare by
supporting improvements in regulatory, legislative, and
public policy development.
8. Collaborate within nursing and inter-professional team
members to foster open communication, mutual respect,
and shared decision making.

Course
Goals

9. Demonstrate essential informatics competences to analyze


data and evidence-based care practices.
10.Demonstrate the competencies associated with the
advanced practice role.
Upon completion of this course, the student will:
Program
Course Outcomes
Objectiv
es
1, 2, 9, 10 Analyze and apply current research findings
related to primary care in women's health.
2, 5, 8, 10

1, 2, 3, 5
1, 5, 10

2, 5, 10
4,5, 7, 10
Computer
Competen

Incorporate strategies of risk analysis and


screening, education, lifestyle change,
environmental influences, disease detection and
prevention, and health promotion into aspects of
primary care of women throughout the lifespan
constantly recognizing the importance of
individual client differences.
Articulate the role of the family nurse
practitioner in providing gynecological,
obstetrical and family planning care to women.
Diagnose common acute and chronic conditions
and analyze clinical management techniques
found among women and be aware of
appropriate referral patterns related to common
acute and chronic conditions.
Integrate knowledge of pharmacologic and nonpharmacologic treatments into women's health
care plans.
Discuss generic legal and ethical issues related
to advanced practice nursing of women and their
families.

Georgia College & State University


School of Nursing - NRSG 7300 Primary Care of Women Fall 2015

cy

1, 2, 3, 6

Further analyze global environmental issues,


social policy, and health care system change and
role development that impact women's health.

This is an online course. All classes will be conducted using either


synchronous Collaborate class format or asynchronous online
class format. Students must have access to Internet and ability to
use D2L and WebEx. Basic computer competency with Microsoft
office is expected. Attendance and active participation is a course
expectation.
Topic
Outline

Feminist Frameworks for Nursing Practice with Women


Womens Growth and Development Across the Life Span
o Review of Reproductive System Endocrine
Function/Dysfunction
o Well Women Exams
o Preconception Counseling
o Health Promotion and Maintenance
o Sexuality
o Gynecologic Health Care for Sexual and Gender
Minorities
Assessment, management, and treatment of common
womens normal life events
o Menarche
o Menses
o Desire for fertility control (contraception)
o Pregnancy
o Menopause
Assessment, management, and treatment of common
womens disorders
o Abnormal Cytology
o Abnormal uterine bleeding
o Gynecologic Infections and Sexually Transmitted
Infections
o Menstrual Cycle Pain and Discomforts
o Pelvic Pain
o Premenstrual Syndrome (PMS)
o Premenstrual Dysphoric Disorder (PMDD)
o Hyperandrogenic Disorders
o Benign Gynecologic Conditions
o Gynecologic Cancers
o Breast Conditions
Mastalgia
Nipple Discharge

Georgia College & State University


School of Nursing - NRSG 7300 Primary Care of Women Fall 2015

Benign Breast Masses


Breast Cancer
o Female Sexual Dysfunction
Special Topics
o Mental Health
o Substance Abuse and Women
o Intimate Partner Violence and Sexual Violence
o Human Trafficking Recognition and Prevention

Teaching/Learning Methods: Lecture; discussion; required and


recommended reading assignments; guest lecture; computer based unit and
final examinations; case narrative; Audio/video/PowerPoint presentations;
Discussion Board Postings and EMRs with journal article summaries; clinical
experience in womens healthcare setting and self-evaluation.
Evaluation Methods: Clinical performance is evaluated using a
Satisfactory/Unsatisfactory system. The student must earn a satisfactory
rating on the clinical evaluation to pass the course. STUDENTS WHO ARE
RATED AS CLINICALLY UNSATISFACTORY WILL BE ASSIGNED A COURSE GRADE
OF "F. The student must successfully complete both didactic and clinical
components with an average of B or higher to progress. Failure in either
theory or clinical portions of this c course will result in course failure. The
final course letter grade will be calculated from the numerical grade received.
If the clinical grade is S, the course grade will be calculated as follows:
Grading
Criteria:

Exam I
Exam II
Final Exam
Case Narratives (1)
Case Study Discussion Leader
EMRs 5 over semester

20%
20%
25%
15%
15%
5%

Clinical Experience with a


minimum of 90 hours that
enables student to demonstrate
competency by end of semester
based on:
S/U
S/U
Clinical Evaluation by
faculty
Daily Electronic Clinical
Logs

Georgia College & State University


School of Nursing - NRSG 7300 Primary Care of Women Fall 2015

Grading Scale:

The grading scale for this course is as follows: 91-100 (A),


83-90 (B), 75-82 (C), 66-74 (D), and 65 or less (F).

Exams - Individual Work (40% Course Grade)


Students will have 2 exams during the semester on the assigned readings
and recorded lectures.
Case Narrative - Individual Work (15% of course grade)
During the course of the semester the student will complete a Case
Narratives. The case narrative will utilize a patient seen in the clinical
setting/or a clinical topic of interest to the student that is relevant to the
primary care of women. Turn it in anti-plagiarism software will be used for this
assignment. The student will follow the outline provided for this narrative.
Summary of common diseases/illnesses seen in selected body system
pertinent to womens health practice. 20%.
Pertinent subjective data 10%
Pertinent objective data 10%
Diagnosis with differential (Include pathophysiology of the specific
diagnosis, as well as diagnostic tests and labs needed to confirm) 25%.
Management plan, including Rx, education, prevention, and follow-up
(Discuss the pharmacokinetic and pharmacodynamics of the drug
treatment) 20%
Current Guidelines and research pertinent to disease 15%
Case Study Discussion Leaders - Group Work (15% of course grade)
A group of students will be assigned a clinical problem of importance for
womens health by the instructor. The students will develop discussion
question(s) about the management of this clinical problem for their peers.
Students will respond to these questions and the case study leaders will
moderate the discussion.
Electronic Medical Record (5%)
Submission of 5 electronic medical records over the semester.
Final Exam (25% of Course Grade)
The final exam for this course will be cumulative and cover the material from
the entire course. It will be a combination of multiple choice and case study
questions.

Georgia College & State University


School of Nursing - NRSG 7300 Primary Care of Women Fall 2015

Clinical Experience: Minimum lab hours required for satisfactory completion


of this course are 90. You will need to be in a practice(s) that sees well
women visits (normal gynecology/primary care) and women experiencing
specific problems associated with gynecology (peri-menopause, menopause,
abnormal pap smears, urinary and pelvic floor disorders); as well as
contraceptive visits. The practice(s) must also care for women during their
early pregnancy and postpartum period. Clinical preceptors/sites must be
approved by the course coordinator prior to beginning clinical
experiences. Students will not be allowed to begin clinical hours if
any clinical documents are expired. You will need to see a variety of
patients during the semester. There is no set amount of hours you have to
spend in each area, but you do need to have enough hours that will allow you
this diversity of patients. All clinical hours will be documented using the
electronic medical record. It is the students responsibility to contact
clinical faculty (either by email or phone) within the first week of the
course and provide written documentation of the dates and times
that they will be in the clinical setting using Evalue. Clinical hours at
times will need to be modified to accommodate the clinical faculties ability to
visit and provide feedback to you.
Course Policies

All policies in the current Georgia College & State University


Graduate Catalog and the Graduate Nursing Student
Handbook are applicable. Please consult web site for these
documents at the following sites:
http://catalog.gcsu.edu/grad/index.htm
http://info.gcsu.edu/intranet/health_sciences/gradforms.htm
Rounding Policy: Rounding for this course will occur only
with the final average grade for the course. There will be no
rounding of exam grades or other written assignments during
the semester. If the final course average to the nearest tenth
is 0.5 or more, the final course grade will be rounded up to the
next whole number (i.e. 88.5 would be rounded to 89)
Attendance: Attendance at all scheduled face-to-face
classes or a synchronous online class enhances the learning of
all class participants. Students are expected to attend all
classes and to notify the faculty member if unforeseen events
occur that prevent attendance. Students are expected to
complete the learning activities within the week that
they are assigned. All discussions are to be completed
by Sunday at midnight during the week in which they
are assigned. NO makeup exams will be given. If a student

Georgia College & State University


School of Nursing - NRSG 7300 Primary Care of Women Fall 2015

has notified the faculty member of an excused absence such


as hospitalization or death in the family prior to the scheduled
final exam beginning, the student will have points from that
exam added to the final exam if faculty are not notified the
student will receive a zero for that exam. Cell phones and
beepers are to be turned off during class, clinical and other
professional activity.
In addition to these University and School policies, students
are expected to comply with the following course policies:
All students must regularly check bobcats email to receive
official communication from university faculty and staff.
All students must have an activated Bobcat identification
card. The Bobcat card is required to use all library
services, including the computer lab for testing, and to
access the classrooms in the Macon Center.
Graduate Testing Policy for online courses

Verification of Student Identity in Online Education

A new federal requirement has been put into place by the U.S.
Department of Education requiring schools to verify the identity of
online students. In response to this requirement, Georgia College
Graduate Nursing Program has adopted the following policy to ensure
that:

The student who registers in online education course or program is the


same student who participates in and completes the course or program
and receives the credit by verifying the identity of a student who
participates in class or coursework.

The student who registers for an online course may elect either of the
following Student verification options that are offered by GC
Graduate Nursing Program
o
o

Face to Face testing at the Macon Graduate Campus


Proctored Examinations

Technology
Requirements

The minimum technology requirements:


http://www.gcsu.edu/technology/campustech/recommendation
s.htm
Microsoft on-line training resource:
http://office.microsoft.com/en-us/support/trainingFX101782702.aspx?redir=0

Georgia College & State University


School of Nursing - NRSG 7300 Primary Care of Women Fall 2015

Academic
Honesty

The integrity of students and their written/oral work is a


critical component of the academic process. All written work
submitted in this course will be individual work unless
otherwise instructed. The submission of anothers work as
ones own is plagiarism and will be dealt with using the
procedures outlined in the university policies. Remember that
allowing another student to copy ones own work is considered
cheating. This course will utilize anti-plagiarism software Turn it in for all assignments that are submitted. Also see the
student Honor Code at the website below:
http://www.gcsu.edu/studentlife/handbook/code.htm

Religious
Observance

Students are permitted to miss class in observance of religious


holidays and other activities observed by a religious group of
which the student is a member without academic penalty.
Exercising of ones rights under this policy is subject to the GC
Honor Code. Students who miss class in observance of a
religious holiday or event are required to make up the
coursework missed as a result from the absence. The nature
of the make-up assignments and the deadline for completion
of such assignments are at the sole discretion of the
instructor. Failure to follow the prescribed procedures voids all
student rights under this policy.
The full policy and prescribed procedures are found at:
http://senate.gcsu.edu/prod/motions/support_docs/499/12955
33007_Religous%20Observance%20Policy%20for
%20senate.docx

Fire Drill
Procedure

Fire drills will be conducted annually. In the event of a fire


alarm, students will exit the building in a quick and orderly
manner through the nearest hallway exit. Learn the floor plan
and exits of the building. Do not use elevators. If you
encounter heavy smoke, crawl on the floor so as to gain fresh
air. Assist disabled persons and others if possible without
endangering your own life. Assemble for a head count at the
designated assembly area for this building. For more
information on other emergencies, please visit
http://www.gcsu.edu/emergency/actionplanmain.htm

Request for
Disability

If you have a disability as described by the Americans with


Disabilities Act (ADA) and the Rehabilitation Act of 1973,

Georgia College & State University


School of Nursing - NRSG 7300 Primary Care of Women Fall 2015

Modifications:

Unacceptable
clinical behaviors

Section 504, you may be eligible to receive accommodations


to assist in programmatic and physical accessibility. Disability
Services, a unit of the GCSU Office of Institutional Equity and
Diversity, can assist you in formulating a reasonable
accommodation plan and in providing support in developing
appropriate accommodations to ensure equal access to all
GCSU programs and facilities. Course requirements will not be
waived, but accommodations may assist you in meeting the
requirements. For documentation requirements and for
additional information, we recommend that you contact
Disability Services located in Maxwell Student Union at 478445-5931 or 478-445-4233. Any student requiring instructional
modifications due to a documented disability should make an
appointment to meet with Dr. Debby Macmillan within in the
first week of classes. An official letter from GCSU documenting
the disability is expected in order to receive accommodations.

Breaching confidentiality, privacy and/or security.


Abandoning or knowingly neglecting patients/clients
requiring nursing care.
Failing to report to appropriate person when leaving the
clinical area.
Failing to report critical information to the appropriate
person.
Failing to report own errors.
Fabricating information.
Failing to notify appropriate person or agency in
advance, if unable to attend clinical lab activity.
Performing procedures without appropriate preparation,
supervision, or authorization.
Failing to comply with the Policy on Substance Abuse as
described in the Graduate Student Handbook
Failing to treat clients, families, staff, faculty, and other
students with respect and dignity
Failing to provide nursing care because of diagnosis,
age, gender, ethnicity, creed, or sexual orientation.
Using inappropriate or unsafe judgment, technical skill,
or interpersonal behaviors in providing nursing care.
Failing to notify the appropriate party of any
unprofessional conduct with may jeopardize
patient/client safety.
Failing to practice nursing in accordance with prevailing
nursing standards due to physical or psychological
impairment.

Georgia College & State University


School of Nursing - NRSG 7300 Primary Care of Women Fall 2015

Diverting prescription drugs for own or anothers use.


Misappropriating money or property (stealing) from a
patient/client, other person or facility/agency.