You are on page 1of 22

Nurs/nurl 3105 (IEN course

Summer 2015

Department Name: Nursing
Course Number: Nurs/nurl
Course Title: MedicalSurgical Nursing
Units: 5 (2.5 theory and 2.5 clinical)
Semester Offered: Summer 2015
Course Meeting Days: Theory class meets in Guzman 110
Section 1 - Tuesdays 9:30A – 1p
Section 2 – Tuesdays 5p-8:30p
May 25th 11A-2p meet and greet picnic, Meadowlands lawn next to skills labs. Bring family and
food to share, lawn games for kids, this is casual event
for you to meet other IENs and teachers, this event is
May 26th 10A-4P clinical conference,

Guzman Lecture Hall, dress business casual, you will
meet clinical teachers and prepare for US healthcare
settings. You’ll hear speakers and attend small group
sessions. Lunch provided in dining hall. This event is
MANDATORY and counts toward 6 hours of clinical.

August 1st

Completion Ceremony! 1p Bring family and friends to
share in celebrating your accomplishments. OPTIONAL
but highly recommended.

Lecture dates:

June 2, June 9, June 16, June 23, June 30, July 7, July
14, July 21

Simulation lab dates:

You will be required to complete 28 hours of simulation.
Simulation hours are held every Tuesday from 1p to 5p
and Wednesday from 1p to 5p. Extra days will be
provided as needed. You may choose your hours, as long
as you reach a total of 28 hours.

Safe Nursing Skills Competency Testing:
You will be required to complete a 4-hour skills
test on the last week of July. You will sign up for your 4hour test time on one of these dates:
July 27, 28, 29, 30 between 8A and 8P
Sign up sheet available at May 26 conference.


Nurs/nurl 3105 (IEN course)
Summer 2015
Prerequisites: BRN letter stating need for course, meeting with course managers (Prof Daunt and
Instructor Information:
Margaret Fink Ed.D, RN Associate Professor
It is best to contact me through e-mail or text message. Text to 415-827-0633
You may also leave message on office phone 415-257-0192
E-mail Address:
Office Location: Nursing Skills Lab
Office Hours: Tuesdays or by appt
Course Description:
1. This course provides concepts of medical-surgical nursing. Health restoration, promotion,
and maintenance needs of the adult patient with more complex health problems are
emphasized. Theoretical principles of patient safety, quality improvement, and holistic
and culturally appropriate nursing care are also emphasized to promote excellence in
patient-centered care. The theory and clinical experiences will help develop the
intermediate nursing student into what is expected for the scope of practice and
professional role of nursing. Successful completion of both the theory and lab
components of the course with a “P” for clinical and a letter grade of C or higher is
necessary to pass the course.
2. Course Student Learning Outcomes
Upon successful completion of Nurs/Nurl 3105, the student will:
1. Demonstrate intermediate knowledge of key concepts related to medical-surgical nursing,
including safety, infusion therapy, gas exchange, metabolism, cardiac output, elimination,
perfusion, and nutrition.
2. Demonstrate professionalism, accountability, and intermediate competency in applying
concepts and principles of medical-surgical nursing to the role and responsibilities,
including leadership and delegation, of the registered nurse.
3. Apply compassionate and ethical patient- and family-centered care while communicating
respectfully to individuals coming from socio-culturally diverse backgrounds and
acknowledging the specific values and needs of the adult patient in the acute care setting.
4. Utilize the nursing process and assess the effectiveness of nursing care in meeting the
physical, emotional, spiritual, and social needs of the adult patient in acute care settings
with alterations in different systems, while considering his or her response to illness and
coping strategies.


and to impose disciplinary sanctions. or concealed any act. Standards of high academic and professional conduct are expected from Dominican students who shall conduct themselves in accordance with the letter and spirit of this Code of Conduct. on students. or conduct below will be subject to disciplinary sanctions. forgery. excellence. and continued membership in the School community. participated in. bullying.Nurs/nurl 3105 (IEN course) Summer 2015 5. both on and off the campus. Breaches of this high expectation of ethical and professional conduct will not be tolerated and may lead to dismissal from the nursing program and/or the university. the Department has identified six core values which should permeate and support all activities of the school and its members. who are found to have violated these standards. characterized by the highest standards of ethical and professional conduct. integrity. The Dominican University Department of Nursing is committed to developing and maintaining an environment of honest intellectual inquiry. Utilize up-to-date. 6. Learning resources: Silvestri. 7. including suspension and expulsion. professionalism and caring. 5. The Department has the legal right to establish standards for academic and personal conduct. omission. Comprehensive Review for the NCLEX-RN Examination. Collaborate with other inter-professional team members to meet the specific needs of patients and their families as an intermediate nursing student. Linda. and obstruction of academic opportunities Multiple submission of the same work for multiple classes Facilitating academic dishonesty Misconduct in research and creative endeavors Misuse of academic resources of Student Conduct ✦ Indi Misuse of intellectual property Violation of ethical and professional standards Abuse (threats or actual verbal or physical ). (2014). social network bullying) 3 . diversity. Demonstrate appropriate competency as an intermediate nursing student with the application of health information technology or informatics in the acute care setting. to deny membership to those who do not meet these standards. Any student found to have engaged. To this end. 6 th edition. Academic Honesty Honor Code Students are expected to adhere to the Academic Honesty Honor Code stated in the Catalog (see http://www. evidence-based nursing care appropriate for an intermediate nursing student to provide high quality care to patients and family members in the acute care setting.           Cheating Plagiarism Falsification. Saunders. These core values include respect. cyberbullying.dominican. 8. The following behaviors or conduct have been identified that do not adhere to acceptable standards of professionalism and integrity. Provide a safe environment in the acute care setting in order for patient-centered care to be delivered 4 .

treatments. and Internet. Otherwise 5 points will be deducted for each day that elapses from the scheduled test date. it is your responsibility to notify instructor prior to the starting time of the test.During the summer. and other associated requirements to attend clinical. The presentation should take place on the same day that the content is covered. 6. and anonymous reporting of student misconduct. Essential Qualifications of Nursing Students. Group Presentations (50 points total) Reenactment of patient care The purpose of reenacting a patient care scenario is to better understand conditions. In the event that you must be absent on the scheduled test date. This activity will be scored accordingly: Group Score for Test (75 points) Points for In-Class Activity (5 points) 60-75 25 45-59 20 30-44 15 15-29 10 0-14 5 Random Quizzes/Activities. Your group will reenact the situation to the class in the form of a 10 minute short play or movie. clinical dress requirements.5 quizzes each worth up to 10 points There will be 5 random quizzes/activities during the summer.2 activities each worth up to 25 points After tests you will have an opportunity to repeat the test in assigned groups. you may look at outside sources such as books. Assessment Category Mid-summer exam Comprehensive Final Post test review activities (2 each worth 25)) Random Quizzes or activities in class (5) Group Presentation Total Points 75 75 50 50 50 300 7. During this time. there will be two tests (75 questions each) 2. notes. grievance policies.Nurs/nurl 3105 (IEN course) Summer 2015      Harassment Substance use/abuse Endangering health and safety of others Use/storage/possession of dangerous weapons/substances Theft Refer to the Student handbook for the Code of Conduct. 3. or issues that occur every day on med/surg units. You will join a group with 4 to 6 students and choose from the situations on the list below. 4 . grade allocation. Refer to academic honesty honor code above Post test review activities. Grading Tests 1 .

props and costumes involved. Explain to the patient what you are doing. 7 Classmates have lost interest Score 9-10 realism Reenactment closely mimics what would be seen in real life 8-9 Some pieces of the story are missing or inaccurate Many pieces of the story are missing or inaccurate Not at all true to what you’d see in the situation 7-8 Below 7 Conversion of points to letter grade 5 . Discuss dietary recommendations with the patient and her husband. Include his wife in all discussions. 6. Scoring Rubric for presentations Score creativity 9-10 Classmates’ are highly interested and involved. Walk her through the diagnostic procedure for ruling out cholecystitis and provide pain treatment. A 60-year old man has a history of drinking and substance use. 2. 3. Receive him into the emergency department and implement nursing interventions and a set of orders to rule out myocardial infarction. Assist him in preparing for a CT scan. An HIV patient has a low T count and an elevated viral load. Provide discharge instructions for him after the procedure. Assess the extent of the burns and provide treatment to the patient. He needs a paracentesis. An older diabetic woman has chronic high blood sugars and now her kidneys are failing.Nurs/nurl 3105 (IEN course) Summer 2015 1. Talk to her about what is happening and her options for renal replacement therapy. not presented. Give him the ordered drugs to treat the chest pain. fun to watch 8-9 Classmates are interested. He currently has a low BMI and hypoproteinemia. 5. 4. A 45-year-old woman is admitted with severe right upper quadrant pain. 7. preparation. talk to him about follow through on typical pancreatitis orders. A 50-year-old man comes to the emergency department with severe epigastric pain. A 65-year-old gentleman is complaining of left-sided chest pain for the first time. and hanging of the TPN. Walk him through the CVAD insertion. He now requires a CVAD and TPN start-up. 7-8 Classmates are partially interested but performance is a little dull at times Below Information is read. His liver is failing and he has esophageal varices. Your patient was brought in from the field with partial and full-thickness burns. You are part of an inter-collaborative team in a burn unit. Show how this is done and tell the patient what is happening. good acting. no use of props or costumes. some acting.

9. Failure to notify instructor of absence could result in loss of points if quiz is assigned on that day. blood. Dress business casual June 2nd Course orientation Skills inventory and p. 722-772 Pneumo/hemothorax . Bring your family and food to share. elimination June 30rd Mid-summer exam. OPTIONAL May 26th– 10A to 4p MANDATORY clinical conference – lunch provided 12N to 1p. Oxygenation problems chest drainage system June 9th Dosage calculation quiz Clotting Perfusion Heart problems: ex acute coronary syndrome (decreased cardiac output) Kidney problems: ex acute/chronic failure Week 4 June 16th Metabolism.Nurs/nurl 3105 (IEN course) Summer 2015 Points Letter Grade 279-300 A 270-278 A261-269 B+ 249-260 B 240-248 B*231-239 C+ 219-230 C 210-218 C201-209 D+ 189-200 D 180-188 D179 or less F *Need 231 total points (C+) or greater to pass this class 8.There will be 75 questions. Lung problems: TPN) DVT/PE p. In the event of an absence. Expectations for Students a. a text message or e-mail should be sent to instructor. Course Schedule: Dates Concepts Exemplars with Reading Patient-Centered Nursing Care*: May 25th 11A to 2p In front of skills lab. or there is a possibility of point deduction or even clinical failure. You will take the test by yourselves. Class attendance is expected. 139-173 review Infusion (fluids. All assignments must be submitted by the due date. Memorial Day-picnic and orientation. b.838-884 . Repeat the test in groups and then we will correct the tests and give 6 P 773-837 p.

8.Nurs/nurl 3105 (IEN course) Summer 2015 Dates Concepts Exemplars with Patient-Centered Nursing Care*: Reading you the right answers. you will be assigned additional shifts in other areas of your hospital depending on the facility. 22. Repeat the test in groups and then we will correct the tests and give you the right answers. June 7. 4. July 7th Elimination Liver problems: ex p. 31 Other experiences: You will need 4 to 8 hours of training at your facility’s computer lab to learn the electronic health record system. 13. July 24. 14.July 6.You will sign up for a 4-hour time slot on one of these days. 15. Disclaimer: This syllabus is subject to modification. failure July 14th Nutrition Malnutrition p. 28. In addition to your 6 shifts. 682-721 biliary obstruction. June 12. 20 Mon and Thurs days 6:30A to 4:30p June 1. 593-625 July 21st Final exam.29. HIV p. 7 . The instructor will communicate with students on any changes Clinical/Lab Site Marin General Block 1 Instructor Bob Dunlop Marin General Block 2 Bob Dunlop Marin General Block 3 Bob Dunlop Kaiser San Rafael Leslie Crane San Francisco Veterans Medical Center Paul Nguyen Kaiser Santa Rosa Giedre Roth Santa Rosa Memorial Mary Ellen King Dates Sunday and Monday eves: 2p to midnight May 31-June 20 Sunday and Monday eves: 2p to midnight June 21-July 11 Sunday and Monday eves: 2p to midnight July 12-July 31 Monday eves: 2p to midnight June 15.There will be 75 questions. 21. This dates and times have yet to be determined so check your e-mail daily for announcements and be prepared for flexibility.129-149 Cancer. August 1st 1p Completion Celebration (optional) save the date!!!! 10. 25 Sunday nights 9p to 7A May 31. July 5 Thursday and Friday days 6:45 to 4p May 28 . 11. July 27th-July30th Safe Nursing Skills-Competency Testing. You will take the test by yourselves.29 June 5.

your instructor will provide you with feedback using the template in this syllabus. hospice visits. You will need to print the evaluation (landscape version attached on Moodle) and complete a self-eval on the date assigned by your clinical instructor. You do not have to attend all Tuesday open lab sessions. You will learn more about 16 common med/surg skills and the practice/testing process on the first Tuesday class meeting. 8 . This means that all necessary information must be there and that it makes sense. infusion lab. Simulation: You will be required to complete 28 hours of skill practice in the simulation center (this summer will be in skills lab and Guzman 104). Your instructor might also require additional written work to complete during the clinical hours during quiet time. Extra hours will be available on request. The work that you do will depend on the arrangement of your clinical site. Clinical evaluation: Once you have 4 shifts on your hospital unit. Because you will have 10-hour shifts. shifts in ER. 60 hours in hospital setting. and 24 hours of outside experience. pharmacology list. This additional work could include a concept map. These experiences will be arranged with clinical instructor. and dialysis. See the template below. the expectation is that you can complete your written work during these hours and our instructor can read and provide feedback on much of this work during clinical hours. Outside experience could include work with support groups. OR. You may arrange your 28 hours anyway that works for you. or explanation of labwork. Wed sessions will also be available. Patient Care Reports: On each of your 6 shifts. These reports must be deemed adequate by your clinical instructor in order to pass clinical.Nurs/nurl 3105 (IEN course) Summer 2015 There will be a total of 112 clinical hours with 28 hours minimum in lab. Safe Nursing Skills Competency Testing (SNS-CT) – You will have a 4-hour test period in the last week of July. Sign up will occur on May 26th. you will need to complete a patient care report on one of your assigned patients. interventional radiology. You must achieve a minimum of 77 points for each skill in order to pass the class.

Nurs/nurl 3105 (IEN course) Summer 2015 Patient Care Report Nursing Student ______________________ Date of Care_________________________ Pt. Initials _________ Age _______ ____________________________ Allergies Room Number _____ Gender _____ Status__________________________ Code Mobility __________ __________________ Isolation Precautions Diet _______ Toileting __________ Assistive devices _______________________________________ Admitting Diagnosis / Chief Complaint / Current Diagnosis/ Working Diagnosis PATHOPHYSIOLOGY OF PRIMARY DIAGNOSIS Pertinent Medical history SCHEDULED PROCEDURES/TREATMENTS 9 .

side effects r/t your patient taking this med) 10 . List all meds scheduled to be given during your shift.Nurs/nurl 3105 (IEN course) Summer 2015 VITAL SIGNS + Pain Assessment Abnormal LAB VALUES TEST Pt. List any PRN meds you administer. INDICATION MEDICATION Nursing Considerations scheduled (why is your patient Dose/Route including.Your best reasoning as to why this patient has this abnormal test result. result Date of lab draw ________________________ NORMAL RANGE INTERPRETATION .


fluids running) SAFETY / Special CONSIDERATIONS NURSING CARE PLAN (ADPIE) problems) Problem #1 Assessment Data Nursing Diagnoses (focusing on one of the priority Plan Interventions Evaluation Patient will: Goal: NS will: 1) 1) 2) 2) 3) 3) Outcomes: 1) Related to 2) As evidenced by ________________ 3) 12 .Nurs/nurl 3105 (IEN course) Summer 2015 VASCULAR ACCESS (type. date inserted/changed. location.

Nurs/nurl 3105 (IEN course) Summer 2015 Problem #2 Assessment Data Nursing Diagnoses Plan Interventions Evaluation Patient will: Goal: NS will: 1) 1) 2) 2) 3) 3) Outcomes: 1) Related to 2) As evidenced by ________________ 3) 13 .

Takes an unfocused approach to collecting and organizing data and requires assistance in diagnosing actual or potential nursing problems. Performs basic assessment. 3. seeks information. recognizing patterns and deviations. NATIONAL. AND COURSE OUTCOMES Integration of Care DUC BSN Program SLO #1 National BSN Essential I Nurl 3105 SLO: CLINICAL PRACTICE COMPETENCIES Demonstrates integration of the theory component of the Nurl3105 course into clinical nursing practice 14 Mi d Ter m End Ter m Comments . Shows hesitance in communicating and responding to most clinical scenarios. observing. and evaluating outcomes. and develops and updated plan of care when the need for such modifications have been recognized. Does not meet Standard (DNS): Is not yet effective in assessing. Displays confidence and leadership ability. communicates effectively. planning interventions. PROGRAM. carrying out skills. Exceeds Standards (ES): Effectively assesses. though may be disorganized and hesitant in some aspects of clinical situations. the student must achieve MS (2). NURL 3105 CLINICAL EVALUATION Student: Semester: DUC ID: Agency: Advisor: Instructor: DNS=Does Not Meet Standards (1) *MS =Meets Standards (2) ES = Exceeds Standards (3) *By the end of the clinical rotation. and clinical skills.Nurs/nurl 3105 (IEN course) Summer 2015 Dominican University of California CLINICAL EVALUATION Tool The Student: 1. and requires guidance only in complicated cases. collects and interprets a variety of data. but may overlook some important information. Conducts appropriate follow-up to evaluate the effectiveness of nursing interventions. recognizes obvious and more subtle patterns and deviations. Demonstrates proficiency in most nursing skills. but still requires some guidance and direction. or seeking information. and plans interventions. 2. at a developing student level to meet the requirement for passing. diagnostic. Shows solid foundation in leadership and communication abilities. Meets Standards (MS): Captures obvious patterns. and requires minimal prompting in responding to clinical scenarios Completes timely and effective evaluation of nursing interventions.

spiritual. gas exchange. including safety. individualized nursing interventions Discusses rationale for medical and nursing orders and questions orders if uncertain Implements planned nursing interventions and medically ordered treatments on time. Incorporates learning from prior nursing and non-nursing coursework into clinical decision making. and social needs of the adult patient in acute care settings. cardiac output. infusion therapy. emotional. elimination.Nurs/nurl 3105 (IEN course) Summer 2015 Demonstrate developing knowledge of key concepts related to medical-surgical nursing. and accurately according to standard facility protocols Evaluates the effects of interventions Responds to changing patient conditions Patient Centered Care DUC BSN Program SLO #3 Obtains information about the patient prior to and during the 15 . perfusion. and interpersonal encounters in care of the acutely ill adult Conducts an appropriate focused (diagnoses-specific) assessment on every patient receiving care in the med/surg setting in a timely manner Correctly interprets assessment data (including laboratory or other diagnostic testing values) Determines the priority nursing problems (actual and potential) for the patient Begins planning care by developing a list of appropriate. metabolism. and nutrition. safely. psychomotor functioning. Nursing Process DUC BSN Program SLO #2 National BSN Essential II Nurl 3105 SLO: Utilize the nursing process and assess the effectiveness of nursing care in meeting the physical.

and readiness to learn. and physical conditions Informs the patient about plan of care. concise patient report to other members of the 16 . and tertiary education. accounting for the effects of culture. secondary. language. cognitive. and literacy Provides effective instruction to help patients acquire knowledge and skills Involves significant family members in teaching-learning activities whenever possible Offers access to additional resources for ongoing education and reinforcement in the postdischarge period Multi-disciplinary Communication and Collaboration DUC BSN Program SLO #5 Provides clear. or to raise concerns about their care Includes patient (and significant others if desired by patient) in individualized care planning activities Patient Education DUC BSN Program SLO #4 National BSN Essential VII QSEN Competency: Patient Centered Care Nurl 3105 SLO: Assess patient’ learning needs and provide primary. including any medications prescribed or procedures to be performed Provides opportunities for patient to discuss problems. ability. health condition. spiritual. Assesses the patient’s current knowledge level. social.Nurs/nurl 3105 (IEN course) Summer 2015 National BSN Essential VIII QSEN Competency: Patient Centered Care Nurl 3105 SLO: Apply compassionate and ethical patientand family-centered care while communicating respectfully to individuals coming from socio-culturally diverse backgrounds period of care Establishes and maintains professional rapport with the patient and the significant other(s) using principles of therapeutic communication Conducts all nursing care with consideration for patients’ rights and cultural. cognitive ability.

and. healthcare team utilizing SBAR or other organization standard handoff tool Discusses plan of care and with appropriate staff nurse and clinical instructor. participatory decision-making. Patient-Centered Care Nurl 3105 SLO: Collaborate with inter-professional team members to meet the specific needs of patients and their families as a developing nursing student. reporting any concerns regarding patient’s status or care Delegates appropriately to other team members when assistance is needed Requests help from instructor or relevant team member when in doubt about any patient carerelated matter Informs responsible staff nurse and instructor prior to leaving the patient care area Documents patient assessment data in a complete and timely fashion and completes all required documentation prior to leaving the unit Uses appropriate professional language and tone when managing conflict Receives input or constructive criticism from others without defensive behaviors Organizational Systems.Nurs/nurl 3105 (IEN course) Summer 2015 National BSN Essential VI QSEN Competencies: Teamwork and Collaboration. if necessary. Leadership. Quality Improvement. and 17 . Asserts own perspective in patient care discussions with team members Provides on-going communication with the staff nurse regarding any identified changes in patient condition Participates in intraprofessional team activities through information-giving.

two patient identifiers. Participates in clinical conference discussions showcasing experiences of class members to improve direct and indirect learning from exposure to multiple patient care encounters Safety: Surveys the patient care environment to identify and acts to remove potential safety hazards to reduce the risk of patient. and developing competency including leadership and delegation skills of the registered nurse. and/or staff injury Complies with the organizational standards for safe med/surg patient transport within and between units Demonstrates ability to provide safe and effective care to multiple patients or to 1 high acuity patient Demonstrates ongoing accuracy with safe medication and fluid administration practices through written and practical applications including: Demonstrates safe practices related to medication administration including: rights. accountability. visitor. and independent double checks for high-alert medications Educates patient or patient’s agent on safety practices when administering medications. read-back process. verification of allergies.Nurs/nurl 3105 (IEN course) Summer 2015 Patient Safety DUC BSN Program SLOs #6 National BSN Essentials II QSEN Competency: Quality Improvement and Safety Nurl 3105 SLO: Demonstrate professionalism. Evidence-based Practice DUC BSN Program SLO #10 National BSN Essential IV QSEN Competency: Informatics Nurl 3105 SLO: Demonstrate Accurately navigates the electronic health record or printed chart to locate and document information Verbalizes how the HIPAA applies to computerized health information systems and insures 18 .

Nurs/nurl 3105 (IEN course) Summer 2015 appropriate competency as a developing nursing student with the application of health information technology or informatics in the acute care setting. Exemplifies the standards of the ANA Code of Ethics including: Demonstrating professional integrity. honesty. Professional Values and Ethical Conduct DUC BSN Program SLO #11 National BSN Essential VIII Nurl 3105 SLO: Demonstrate professional conduct to provide a safe environment in the acute care setting in order for patientcentered care to be delivered confidentiality of protected health information by following agency protocols Demonstrates accuracy in using electronic medication administration systems Accesses and evaluates online patient education materials. and accountability for own actions Assuring patient privacy and confidentiality by accessing and communicating patient information within HIPAA regulations Providing patient-centered care with sensitivity and respect for the diversity of human experience and the rights of patients and their families in the adult acute care setting Exhibits professional conduct and accountability by: Arriving at the assigned clinical shift on time and prepared to begin work Attending every assigned clinical day Dressing appropriately according to DUC dress code policy Working within the role of a nursing student according to DUC and organizational guidelines Independently seeking 19 . respect for persons. policies and procedures.

Nurs/nurl 3105 (IEN course) Summer 2015 additional information or resources to improve knowledge and/or skill deficits Managing multiple responsibilities and completing tasks within expected time frames Using clinical time effectively by seeking learning opportunities. and engaging in appropriate “downtime” activities Showing initiative and selfdirection in selecting patients who will provide unique learning opportunities 20 . providing assistance to others.

Nurs/nurl 3105 (IEN course) Summer 2015 MIDTERM Comments: Instructor: Student: Student Signature: ________________________ Date: _______ Faculty Signature: __________________________ Date: ________ Total Tardy Shifts: Total Absent Shifts: 21 .

Nurs/nurl 3105 (IEN course) Summer 2015 ENDTERM Comments: Instructor Student Student Signature: ________________________ Date: _______ Faculty Signature: __________________________ Date: ________ Total Tardy Shifts: Total Absent Shifts: 22 .