JACKSON COLLEGE

ASSOCIATE DEGREE NURSING

NRS 210
MEDICAL-SURGICAL NURSING 1
NURSING CARE OF THE ADULT CLIENT

COURSE SYLLABUS

Winter 2021

Faculty:
Julie Bullinger-Ballow MSN, RN, CNE
 JACKSON COLLEGE NURSING MODEL

Building on the core values of Jackson College, the JC nursing faculty has conceived a framework that
incorporates the Quality and Safety Education for Nurses (QSEN) and the National League for Nursing
Educational Competencies to guide the Associate in Applied Science (AAS-N) program’s proposed
curriculum.
The four NLN inspired program outcomes (Human Flourishing, Nursing Judgement, Professional Identity
and Spirit of Inquiry) are sequenced over the three levels of the program.
• Human Flourishing: “an effort to achieve self-actualization and fulfillment within the context of a
larger community of individuals, each with the right to pursue his/her own such efforts…Human
flourish encompasses the uniqueness, dignity, diversity, freedom, happiness, and holistic well-being
of the individual within the larger family community, and population (NLN, 2010, pp. 66 – 67).
• Nursing Judgement: “encompasses three processes: namely, critical thinking, clinical judgment, and
integration of evidence-based best practice. Nurses must employ these processes as they make
decisions about clinical care, the development and application of research and the broader
dissemination of insights and research finding to the community and management and resource
allocation (NLN, 2010, p. 67).
• Professional Identity: “…the internalization of care values and perspectives recognized as integral to
the art and science of nursing. The core values become self-evident as the nurse learns, gains
experience, and grows in the profession. The nurse embraces these fundamental values in every
aspect of practice while working to improve patient outcomes and promote the ideals of the
nursing profession. Professional identity is evident in the lived experience of the nurse, in his/her
or ways of “being”, “knowing” and “doing” (NLN, 2010, p.68).
• Spirit of Inquiry: “…is a persistent sense of curiosity that informs both learning and practice. A
nurse infused by a spirit of inquiry will raise questions, challenge traditional and existing practices,
and seek creative approaches to problems. The spirit of inquiry in nursing engenders innovative
thinking and extends possibilities for discovering novel solution in ambiguous, uncertain, and
unpredictable situations (NLN, 2010, p.69).
(Jackson College 2018-2019 Nursing Handbook)

Jackson College Values, as shared with the JC Nursing Program

(Jackson College Website: Presidents Office/Mission Documents)

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QSEN

(QSEN.org)

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 JACKSON COLLEGE
NURSING DEPARTMENT
COURSE SYLLABUS

COURSE NUMBER NRS 210

COURSE TITLE Medical-Surgical Nursing 1

DEPARTMENT Nursing

CREDITS 4 credits
CONTACT HOURS Class - 2 credits = 30 hours; 2 BCH
Clinical - 2 credits = 90 hours; 6 BCH

DAYS CLASS MEETS Wednesday, 08:30 AM – 12:15 PM

LOCATION: ONLINE

INSTRUCTOR
Julie Bullinger-Ballow, MSN, RN, CNE

OFFICE NUMBER AND PHONE CONTACTS

Cell: 734.368.0678
BullingJulieM@jccmi.edu

OFFICE HOURS Posted on JetNet

COURSE DESCRIPTION
This course prepares the student to provide culturally responsive, safe, quality care while utilizing
evidenced-based clinical reasoning that meets the educational and health promotion needs of the
medical-surgical client and their families. Clinical experiences, designed to reinforce theory, are
included in the acute care setting.

TEACHING METHODS: Course content will follow an online distance learning format. Interactive
lecture days will be Wednesdays from 8:30am – 12:15 pm weekly, on the Big Blue Button. Please
refer to the Course Calendar, also posted to JetNet. Lecture Days may consist of starting the
morning off with a scheduled proctored exam (see Testing), starting at 8:30 am and ending at 9:45
am. Lecture will start on testing days at 10:00 am.

The Clinical Performance Guide will serve as a vehicle to evaluate the student’s clinical judgment at
the competent level to protect and promote the health of the client. The student should be able to
connect the theory taught in class with the clinical picture. The student will demonstrate the ability
to interpret assessment and lab findings and taking appropriate action. Students are required to
achieve a rating of satisfactory in all categories.

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GENERAL EDUCATION OUTCOMES (GEOs) ADDRESSED IN THIS COURSE
General Education Outcomes and Essential Competencies assess the student’s attainment of skills
obtained during their completion of a degree. These skills are determined consistent with the
college mission and dispersed across a multitude of courses in the student's program. Medical-
Surgical Nursing 1 contributes to embedding GEO 2 and GEO 7.

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 PROGRAM LEARNING
OUTCOMES
Upon successful completion of the
PROGRAM, the graduate will:
Human Flourishing:
Advocate for culturally diverse clients,
families, significant others, and
members of the healthcare team in
ways that promote self-determination,
integrity, and ongoing growth as human
beings to reach their maximum potential
in various healthcare environments
throughout the lifespan.
Nursing Judgment:
a. Make judgments in practice,
substantiated with evidence, that
integrate nursing science into the
provision of safe and quality care that
promotes the health of clients
throughout the lifespan.
b. Demonstrate competency in nursing
health care technology and informatics
to communicate, manage knowledge,
mitigate error, and support
organizational reimbursement.
Professional Identity:
Implement one’s role as a nurse in ways
that reflect integrity, responsibility, legal
and ethical practices, and an evolving
identity as a nurse committed to
evidence-based practice, caring,
advocacy and safe quality care for
culturally diverse clients throughout the
lifespan.
Spirit of Inquiry:
Evaluate evidence that underlies clinical
nursing practice to challenge the status
quo, question underlying assumptions,
and offer new insights to improve the
quality of care for clients throughout the
lifespan.
LEVEL LEARNING
OUTCOMES
Upon successful completion of the
LEVEL, the student will:
Human Flourishing:
Advocate for the culturally diverse
clients and families through the
provision of evidence-based care
for varied client populations in way
that promote self-determination,
integrity and ongoing growth
Nursing Judgment:
Using the nursing process and
evidence-based practice, prioritizes
and provides safe, quality client-
centered care for varied client
populations.
Professional Identity:
Demonstrate legal, ethical and
practice standards in the care of
varied client populations and
advancing one’s professional
identity.
Spirit of Inquiry:
Apply evidence-based practice
standards to guide care of varied
client populations.
COURSE LEARNING
OUTCOMES
Upon successful completion of the
COURSE, the student will:
Human Flourishing:
Advocate for the culturally diverse
medical/surgical client and his/her
family in ways that promote self-
determination, integrity, and
ongoing growth as human beings
through the application of
culturally responsive care.
Nursing Judgment:
a. Make judgments in practice
utilizing the nursing process to
provide safe, prioritized quality
care and health promotion for
adult medical surgical clients and
families.
b. Implement informatics and
healthcare technologies in the care
of the adult medical surgical client.
Professional Identity:
Embody the role of a medical
surgical nurse reflecting integrity,
responsibility, and ethical
practices.
Spirit of Inquiry:
Upon successful completion of the
course, the student will:
Respond to various pathological
presentations with an inquisitive
and curious demeanor.
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 STUDENT LEARNING OUTCOMES BEHAVORAL COMPETENCIES

Upon Successful completion of the COURSE, the student Upon Successful completion of the COURSE, the student
will: will:

Human Flourishing:
Advocate for the culturally diverse clients and families through
the provision of evidence-based care for varied client
populations in way that promote self-determination, integrity,
and ongoing growth
1. Deliver culturally responsive care to assist adults in ways
that promote self-determination, integrity, and ongoing
growth as human beings.

Nursing Judgment:
Using the nursing process and evidence-based practice, 1. Make judgments in practice utilizing the nursing process to
prioritizes and provides safe, quality client-centered care for provide safe, prioritized, quality care and health promotion
varied client populations. for adult medical surgical clients and families.

2. Implement informatics and healthcare technologies in the

care of the adult medical surgical client.

Professional Identity:
Demonstrate legal, ethical and practice standards in the care of
varied client populations and advancing one’s professional
identity.
1. Articulate own definition of nursing that reflects integrity
and responsibility to provide safe, quality care to the client.
2. Apply professional and caring behavior towards self and
other members of the inter-professional team.

3. Demonstrate accountability to the patient, health team,

and profession.

Spirit of Inquiry:
Apply evidence-based practice standards to guide care of 1. Use evidence-based practice standards to guide nursing
varied client populations. care for the adult medical surgical client.

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PRE-REQUISITES
NRS 110: NURSING FUNDAMENTALS
NRS 111: NURSING SKILLS
NRS 116: PHARMACOLOGY

BASIC COMPETENCIES REQUIREMENTS

Able to read an above average amount of technical or sophisticated material.
Able to compute simple algebraic problems.
Able to write medium length compositions.
Able to compute simple algebraic problems.
Able to use technology: computer application.

UNITS/TOPICS DISCUSSION
Week 1: Nursing Care of the Client with Cancer
Week 2: Nursing Care of the Client with Cardiovascular Disorders/HTN
Week 3: Nursing Care of the Client with Cardiovascular Disorders/CAD/ACS/HF
Week 4: Nursing Care of the Client with Endocrine Disorders: Diabetes Mellitus
Week 5: Nursing Care of the Client with Endocrine Disorders: Thyroid/Parathyroid
Week 5: Nursing Care of the Client with Respiratory Disorders: Upper/Lower
Week 6: Nursing Care of the client with Respiratory Disorders: Infectious/Non-Infectious
Week 7: Nursing Care of the Client with Upper GI disorders
STUDENT RESPONSIBILITIES

A. CLASS REQUIREMENTS

1. Attendance in virtual class is HIGHLY recommended. If a student must be absent, it is the

student’s responsibility to obtain all lecture notes and other information shared in virtual class.
Online content will be recorded. Please note that a test is given almost every class.

College Attendance Policy

In compliance with Federal Title IV funding requirements, as well as college initiatives, instructors will
take attendance each scheduled meeting time. Students will be automatically dropped if, within the
first week of class, they do not attend class or do not engage in academic activity of an online class. If
a student has not engaged in academic activity over a two-week timeframe, instructors will input a
last date of attendance for that student, who will then be administratively withdrawn.

2. Course communications will be made through JetNet and the Jackson College email system.
All students must utilize their JC email when sending email communications to faculty
regarding the course and clinical.

3. Cell Phone and Texting Policy: While the nursing faculty recognizes that communication with
family and friends is important, the use of cell phones in class is very distracting to other
students and your instructor. Please keep all electronic devices on either vibrate or voice mail
mode during class. If you are experiencing a family emergency and must keep a cell phone on,
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 please obtain instructor permission prior to class. We appreciate your cooperation in
providing an environment conductive to learning for all students. Cell phones and Apple
watches may not be used during testing or while reviewing an exam. If a student is found to
have a cell phone out during testing or during test review the student will receive a zero on
the test in question. See TESTING GUIDELINES.

4. Written work should be neatly done using proper grammar, spelling and punctuation, and
sentence structure. Written work with three or more spelling errors or with improper
sentence structure will be unsatisfactory.

5. Reading assignments (text, assigned articles, handouts, etc.) should be read for understanding
BEFORE coming to class for which they are assigned. Class discussions and group critical
thinking exercises will be based on the student coming prepared to class. Students are
encouraged to bring questions to class. Some questions, however, will be best answered
following lecture because of limited class time.

6. Testing is based on content objectives. These objectives are found posted in JetNet. Tests may
also include content covered in previous nursing classes. Once the review is complete and
grades are entered into JetNet the student will not be able to review the test again. Students
are required to follow the TESTING GUIDELINES posted in this course syllabus. See testing
dates on Course Calendar.

PLEASE NOTE: EACH TEST WILL BE COMPREHENSIVE, INCLUDING MATERIAL FROM THE CURRENT
UNIT AS WELL AS MATERIAL FROM ALL PRECEDING UNITS IN THE COURSE.

7. ONLINE TESTING: All students will need to prepare their technology for use with camera
capabilities for testing, as this will be the primary source of attendance and participation in
the course and getting credit for testing. Cameras will be a requirement for testing
throughout the the online delivery of learning. CNEA accreditation mandates every test to
be carried out using video recording technology.
A lockdown browser, Respondus, will be used for testing security. Students will need to
record themselves during timed testing in which faculty can monitor them. Video
proctoring by their faculty is a requirement for every online exam given. Each video testing
event is recorded and saved to a file by faculty members housed on Respondus in JetNet
and kept as a part of the permanent recorded delivery method of each exam. SEE
RESPONDUS LOCKDOWN BROWSER + WEBCAM INSTRUCTIONS and TESTING GUIDELINES
POSTED ON JETNET COURSE SITE: COURSE MANAGEMENT.

Students are NOT allowed to read the test questions aloud during the exam. Student who
are found reading aloud during the exam on Respondus will receive a zero for each
question they are talking for. Testing should be quiet and undistracted.
Students will not be allowed to review the test during the online course format. Student
can make an appointment with the faculty member to review test question concepts, but
specific test question will not be reviewed to maintain test integrity. Students will have
one week to review test concepts. If a student has a question or concern regarding the test
or a test question, a student needs to complete a Test Inquiry Form within one week of the
test. Students will not be allowed to complete a Test Inquiry Form or review test concepts
after the review timeframe has expired.

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 Select All That Apply Questions (SATA) Grading and Adjustments:
Within the JetNet program, SATA questions are always given partial credit. This
programmable testing function within JetNet however, is not the policy in the Nursing
Department as partial credit for SATA questions is inconsistent with State Board (NCLEX)
test grading. Therefore, a score immediately after students complete an exam is to be
considered a "raw" score. The faculty will need to go back through the exam and edit ALL
SATA questions to 0 points for the question if ANY of the components of the answer
choices are incorrect. This may reduce your decrease your raw score.

8. Timed Testing: Students will be given one and a half minutes per questions when taking a test.
This means that if the test is 50 questions, there will be 75 minutes to complete the test. If the
student comes late when a test is being administered, the student will have the option of
joining the online scheduled exam with the reduced amount of time that is remaining when
the student arrives or taking the test proctored by the Testing Center or Instructor as defined
below in Test Make-Up where it will also be timed. The reason for timed testing is to prepare
the student for the timed NCLEX-RN examination. Students need to learn how to pace
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take a test to ensure that they finish on time.

9. Test Make-Up: A student will be allowed to take a make-up test only one (1) time without
penalty. If the student is taking a second test outside of the scheduled online exam, 5% may be
subtracted from the test score. If the student takes a 3rd test outside of the scheduled online
exam, 10% may be subtracted from the test as will any further outside of class tests.
Students must notify the instructor if there is an unforeseen event that prevents taking the
test by the deadline and acknowledge that they will make-up the test. A different exam will be
given if students need a make-up exam.

10. A Standardized KAPLAN Medical-Surgical 1 Integrated (A) examination will be given during this
course. The student must take the exam and re-mediate each question for a minimum of 2
minutes per question. Remediation must occur before the date of the final course exam.
Failure to remediate each question will result in a maximum grade of 1.5 in NRS 210.
The exam will be PASS/FAIL, based on remediation.

11. KAPLAN QUIZING

Weekly KAPLAN quizzing on related content is posted in JetNet. Students are REQUIRED
Completion (worth 10 points).

12. NURSING DEPARTMENT ACADEMIC HONESTY POLICY

Nurses are highly regarded as the most trusted professionals. We are committed to the ideals that
honesty and integrity are essential qualities for the profession of nursing. All students are subject to
the Code of Conduct for Students and Visitors as outlined in JC's Student Rights and Responsibilities
Handbook. In addition to the categories of misconduct and possible penalties included in the Code,
the Department of Nursing has additional standards as follows:
All nursing students will be held accountable for breach of any Jackson College institutional,
department, or program policies whether in the live or electronic classroom environment (see
Responsible Use Policy, Social Media Policy). Any student found to be cheating on an exam, quiz,
or other assessment will receive a maximum grade of 1.5 in the course. Lack of integrity regarding
the classroom, clinical setting, or electronic learning environments may result in failing a course, or
removal from the program.

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CHEATING and serious violation of responsible technology use can take on many forms. These may
include but are not limited to:

• Bringing an answer source to the testing site. This could be a cheat sheet, your cell phone, etc.
• Copying answers or work from another student’s test or project.
• Making copies or taking cell phone pictures of test or course materials including PowerPoint
presentations.
• Changing an answer or completed assignment after submission.
• Sharing test information, test answers and content with someone who has not yet taken the test.
• Uploading Prohibited Course Materials to any internet site or facilitating others to do so. Periodic
audits of the internet are performed. All course materials have been specifically prohibited for
distribution by instructors unless specifically indicated otherwise. This includes but is not limited to
graded quizzes and exams, group work answers, etc., along with any questions that are or might be
intended for future quizzes and exams.
• Unauthorized Possession or Disposition of Academic Materials includes the unauthorized selling or
purchasing of exams, quizzes, midterm projects, or other academic work; stealing or using another
student's work; using information from or possessing exams/quizzes that a faculty member did not
authorize for release to students.
• Facilitation of any act of academic misconduct includes knowingly assisting another to commit an
act of misconduct; providing others with course materials to be uploaded digitally or to be shared
manually.
• Taking quizzes with another student. Quizzes are to be done individually - do not share answers
with others in person, through e-mail, or on the phone. Sharing answers is considered cheating and
will be treated as such.
• Plagiarism is another form of cheating. Plagiarism may involve but is not limited to submitting
Plagiarism may involve but is not limited to submitting a paper written by someone else (obtained
from the web or a fellow student) or using direct quotes from any source without crediting the
source.

Additional areas of concern specific to nursing include but are not limited to:
• Covering up or not reporting a clinical error.
• Charting something that was not done.
• Pulling forward documentation and saving it as a current assessment.
• Altering any legal documentation.
• Deviation from an accepted Standard of Care, or Standard of Practice.
• Any form of lying to faculty, health team members or others.

If you are unsure if a practice might be considered cheating, please check with an instructor and/or do not
engage in that practice. Please remember that failing a course may mean permanent dismissal from the
program.
THE BEST POLICY IS ALWAYS HONESTY AND INTERGRITY

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13. Civility: Students will always maintain program civility and respect. This includes the virtual
classroom, clinical environments, lab, and anytime outside the learning environment such
as individual advising, email, social media, et.

SOCIAL MEDIA POLICY

Refer to Nursing Handbook.

CHECKING YOUR GRADE

You can check your grade in JetNet at any time.

CHECKING YOUR COURSE GRADE OR TRANSCRIPT

All grades and transcript information can be accessed on e-services at www.jccmi.edu.

B. CLINCIAL REQUIREMENTS
1. The student will come to the first day of class having completed and passed all required clinical
online modules. Please bring a copy of your scores to the first day of class.

2. Students are required to maintain up to date immunization, TB screening and CPR status with
the department coordinator prior to initiation of clinical. Failure to do so will result in the
inability to attend clinical. This will result in a clinical absence and may jeopardize success in
the course. A 3% reduction in the total grade in Medical/Surgical 1 will also occur. It is the
student’s responsibility to maintain these records without reminders from course faculty.

3. Attendance in clinical is required and is very important. All missed clinical days must be
made-up. Please refer to the attendance policy in the Nursing Department AAS-N Handbook.
If the clinical absence equals or exceeds (1) one hour (60 minutes), the student will be
required to make-up all time missed. Missing clinical time can lead to failure in a nursing
course. If a student misses (1) one hour or more of clinical the student must notify the course
lead faculty to arrange a make-up assignment. Students will receive an (I) incomplete pending
the successful completion of all clinical assignments and responsibilities, as well as the make-
up clinical time before a course grade will be submitted.
Students who have less than one hour of missed clinical time will be assigned learning
experiences as outlined below, within the time frame designated by the instructor.

Make-Up Options Which the Instructor May Assign:

· Clinical experiences as established by the instructor.

· Prepare a research paper related to a clinical problem/disease/treatment, using Atkinson

Library Database search system.

· Use the Nursing Learning Lab to view videos, do computer simulations, and practice skills
to current clinical experience. A brief report will summarize what the student learned from
each experience. Research and report on a clinical topic.

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 · Develop an in-depth teaching plan for a disease/treatment encountered in the clinical
area.

· Develop a case study to present. Should include detailed patient history, nursing and
medical treatment, and discussion questions.

· Other as designated by the instructor

COVID 19 EXPOSURE OR INFECTION

In courses that have scheduled live and/or synchronous clinical experiences, students who have
been exposed to and/or develop COVID-19 and must undergo mandatory quarantine will need to
notify lead faculty and report their status to Jackson College immediately. COVID-19 affected
students who miss ≥ 50% of the required clinical time and are in good standing (course grade
≥78%) may be eligible for an incomplete grade as the live clinical component cannot be
substituted with alternative assignments to exceed 50%.

An incomplete grade will allow students to complete the remaining course requirements after the
semester or session has ended. Students with an incomplete grade will be unable to progress
through the program until all remaining components are satisfactorily completed. The remaining
work may not be available for completion until the course is offered at a future date.

In courses that have scheduled live and/or synchronous clinical experiences, students who miss ≥
50% of the required clinical time and are in poor standing (course grade
≤ 77% or lower) will be dismissed with a grade of 1.5 in the course as the live clinical component
cannot be substituted with alternative assignments to exceed 50%. Students can petition for re-
admission according to the department policy. This occurrence will be counted as a one-course
failure in the program.

4. The student is required to call the clinical instructor before clinical starts if she/he will be
absent or late. Excessive tardiness, defined as being late two time in the clinical area will
result in a warning notice as outlined in the Nursing Department AAS-N Handbook.

5. The student should be attired and groomed as defined in the Nursing Department AAS-N
Handbook. The instructor reserves the right to determine appropriate dress in any given
situation based on the uniform policy.

6. The student will come prepared to the clinical area. After the first orientation week in the
Hospital, the student will pair with an RN and receive ta patient assignment. The student will
come to the clinical area on the first clinical day with:
• Preparation for Safe Patient Care
• Comprehensive Data Base

The student will review any procedures to be done, following the institutions
guidelines/policies. The student should show evidence of preparation and ability to deliver safe
and professional nursing care in dialogue with the instructor PRIOR the procedure.

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 Students may utilize the Hospital's online resources for preparation for delivery of patient care.

If the faculty member determines that a student is unprepared to safely care for the patient,
she/he will be given a performance notice warning and sent home resulting in an absence. The
student will be required to do make up work as outlined in the absence policy. Safe care
involves an understanding of agency standard of care, professional standards of care, and
ability to deliver care based on those standards. Please refer to the Department Nursing
Handbook for further disciplinary action to be taken if there are subsequent incidence.

8. The student will be expected to come to the clinical area the second clinical day each week
with the following:
• Completed Day Two Preparation for Safe Patient Care
• Continued work on Data Base (if applicable)

The clinical instructor will validate completion of paperwork (head to toe assessment,
medication documentation, laboratory documentation, critical thinking and required EMR
charting daily.

All data should be completed by the end of the second clinical day each week. The student
will submit the following via SimChart to the clinical instructor by MONDAY of the following
week. SEE SimChart DIRECTIONS POSTED ON JETNET.
• Completed Preparation for Safe Patient Care packet (free text head to toe assessment)
• Care Plan

9. For safety purposes, the student should listen to shift report in the presence of the nurse
whenever possible. If the student must independently listen to report, the student should
NOT enter the client's room until care has been discussed with the primary nurse. Students
should report to the instructor and client's nurse prior to leaving the floor.

10. The student will satisfactorily complete ONE COMPRENSIVE DATA BASE with ONE
COMPREHENSIVE NURSING CARE PLAN (as outlined in the CARE PLAN GRADING RUBRIC) by
the end of the fifth clinical week via SIMCHART®.

11. The student will satisfactorily complete A LAB VALUE MODULE, and SURGICAL EXPERIENCE
REPORT (electronic templates can be found in JetNet).

12. THE SURGICAL EXPERIENCE REPORT will be submitted to the clinical instructor one week
after the surgical experience. See Report for specific requirements.

13. All written work should be neatly done using proper grammar, spelling, punctuation, and
sentence structure. Work may be typed, but this is not required. Since information about
clients is CONFIDENTIAL, no patient identifiers should be included in any written work.

14. Each student is encouraged to initiate conferences with his/her clinical instructor, as
necessary.
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CLINICAL CONFERENCES
Clinical conferences will be held weekly or as planned by the clinical instructor. REFER TO SPECIFIC
HOSPITAL COVID GUIDELINES

CLINICAL PERFORMANCE GUIDE (CPG)/EVALUATION

Defines the skills and abilities that are needed by the student to satisfactorily pass
Medical/Surgical 1. The student is expected to evaluate own performance before
reviewing the CPG with the clinical faculty at the end of each week. The CPG should be
submitted to the clinical faculty one week before end of the clinical experience for use
during the clinical evaluation at week seven. The individual student and faculty will
jointly review the students’ progress as noted in the CPG and in the faculty's evaluation of
the student's satisfactory attainment of clinical objectives. The student’s performance will
be evaluated as satisfactory (S), needs improvement (NI), unsatisfactory (U) or experience not
observed (NO). If the clinical objectives are not Satisfactorily met by the end of the
course, the clinical grade will be Unsatisfactory, and the course grade will be a
failure of 1.5.
HOSPITAL POLICIES
It is the student’s responsibility to be informed and adhere to agency policies such as
student parking, orientation modules, smoking, cell phones, and HIPPA. Failure to follow
agency policy can result in the agency prohibiting the student from continuing the clinical
experience at said agency. This may result in course failure and/or dismissal from the JC
nursing program. REFER TO SPECIFIC HOSPITAL CLINICAL COVID GUIDELINES

CELL PHONE AND TEXTING POLICY

Cell phones and texting are not appropriate in the clinical setting due to risk of distractions, errors,
and HIPPA violations. Unit phone numbers will be available in case of emergency.
SMOKING POLICY
Smoking is inconsistent with the health promotion role of nurses. Please do not come to class or
clinical with smoke on your clothing or scrubs. Third-hand smoke has been found to be a cancer
risk to others. Smoking or use of other tobacco products will not be permitted at any time or place
during a student’s clinical rotation, regardless of the setting. Students who present to the clinical
setting smelling of smoke will be sent home and be given a written performance notice. Being
sent home will be treated as a clinical absence.
Smoking cessation services are available to the student free of charge through the Allegiance Tobacco
Treatment Services. Students may contact the Tobacco Treatment Coordinator by calling (517) 788-
4707 or online: www.AllegianceHealth.org/BreatheEasy.

INSTRUCTIONAL METHODS
Theory Clinical
Collaborative/group work Demonstrations
Lecture Laboratory skills check offs
Discussion Patient care
Demonstration Observation
PowerPoint, Videos Individual conferences
Handouts Surgical observation experience
EAQ, Lessons, Case Studies High tech simulations
Assigned and optional reading Electronic documentation

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INSTRUCTIONAL MATERIALS
Ignatavicius,D., Workman L., & Rebar C.,: Medical Surgical Nursing: Concepts for Interprofessional
Collaborative Care, 10th Edition. Elsevier(hardcover is student preferred). ISBN: 9780323612425

Text Book Zero! This text is available in digital format. ISBN: 9780323654050

SimChart (Elsevier): This material is only available in digital format Refer to Elsevier’s home page,
access SimChart using ID/Password to electronic health record (EHR) program established in Health
Assessment. (Review Orientation Video) https://evolve.elsevier.com/

Any reliable online digital resource provided by .gov, .edu, or .org for laboratory tests and drug
information

Ackley,B.,& Ladwig,G., Flynn Makic, M.B. (2017). Nursing Diagnosis Handbook: An Evidenced-Based
Guide to Planning Care (11th ed.).

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the best option for you to purchase your materials: https://www.bkstr.com/jacksonstore

For more information on the Follett ACCESS Program, you can view the frequently asked questions
here: https://www.jccmi.edu/bookstore/student-services-follett-access/. If after reviewing the costs,
you choose to opt out, you may do so here: www.jccmi.edu/optout. Please note your opt out selection
is for your entire semester schedule. You cannot opt out and opt in to individual courses. And you
must opt out by the due date for your first class.

For technical assistance, please contact the Jackson College Solution Center:
jcsolutioncenter@jccmi.edu
517.796.8639

AVAILABLE LEARNING SERVICES

"Students with disabilities who believe that they may need accommodations in this class are
encouraged to contact the Office of Learning Support Services as soon as possible to ensure that such
accommodations are implemented in a timely fashion."

Tutors are available through Center for Student Success. See your instructor if you feel this would be
helpful for you. The Center for Student Success can help students with academic and personal
problems. If you feel the need to talk with the faculty, their office hours are available and posted on
JetNet. Keeping communication open assists both student and faculty.

ACCESSIBILITY
Jackson College understands that cultivating a broadly diverse community is crucial our educational
mission and to our foundational commitment to leadership and service. Jackson College is fully
committed to ensuring our courses are accessible to everyone including those with disabilities. We
are currently working to increase accessibility and usability of our course materials in order to meet or
exceed the requirements of Section 508 of the Rehabilitation Act of 1973, the American with
Disabilities Act of 1991 and Web Content Accessibility Guidelines (WCAG) 2.0. For more information
about Jackson College's efforts to ensure accessibility please visit the Jackson College accessibility web
page. If you have a accessibility need in any of our classes, please e-mail the Center for Student
Success at JCCSS@jccmiedu or visit the Center for Student Success web page.

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At the Center for Student Success (CSS), we are committed to providing all students the opportunity to
achieve academic success by providing a variety of support services free of charge to Jackson College
students. This includes, but is not limited to, peer and faculty tutoring, mental health referral,
temporary assistance with transportation, various workshops/seminars and the TRIO program.
In addition, the CSS staff is committed to adapting the College's general services to meet the individual
needs of otherwise qualified students with disabilities, for the purpose of providing equal access to all
programs and facilities.

STUDENT EVALUATION CRITERIA

The grade that the student earns will be determined from the examinations, quizzes, and any other
assignments that are part of the course. An unsatisfactory performance in either theory or clinical
practice will constitute failure in the course. If the failure is in clinical, the student will receive a 1.5
grade that cannot be made up other than by repeating the entire NRS 210 Medical/Surgical 1 course.
Class and Clinical subject to the Nursing Department re-admission policy.

Unit Exams: 5 Unit Exams (see course calendar for scheduled exams and due dates)

Quizzes: 6 EAQ Online Quizzes (see weekly course outline in JetNet)

Kaplan
Standardized 1 exam: Integrated Medical-Surgical
Exam:

Clinical: CPG and Comprehensive Care Plan.

GRADING SCALE

The total number of points on the quizzes and examinations will be cumulative and a percentage
computed to figure the final grade. There will be two scores computed for Medical-Surgical 1: one
score based on the tests, and then a cumulative grade that includes the tests, quizzes and clinical
assignments. The cumulative grade will be the final grade for the class if the student passes the test
component. The student must receive an average grade of at least 78% on the tests to pass Medical-
Surgical 1. If the student receives less than a 78% on the tests, she/he will receive a 1.5 grade
regardless of the cumulative grade in the course unless the earned cumulative grade is lower than 78%
in which case the lower earned grade will be given. This is necessary because it has been shown that
students that do not pass tests at this minimal level in the nursing program do not pass the NCLEX
examination the national licensure examination.

If the grade on the Comprehensive Care Plan is less than 78%, which is Unsatisfactory, a remediation
of the care plan is required until the Care Plan is Satisfactory (>78%). This must be achieved by the
end of the course. See Grading Rubric.

Remember:
Remediation of the Standardized Kaplan exam must be achieved by the end of the course. See
Student Responsibilities #10 in this syllabus for more information.
Please see the NRS 210 Grading Component Summary for specific information. Please see the Nursing

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Handbook for further information on grading in the nursing program.

CLINICAL EVALUATION

Students’ clinical performance will be evaluated at the end of the course using the designated
criteria listed on the Clinical Performance Guide (CPG). It is the individual student’s responsibility
to provide the clinical instructor with his/her clinical evaluation form prior to the end of the clinical
rotation.

Please also refer to your Nursing Handbook for additional clinical policies and procedures,
including the absence/make up policy.
Clinical success is based upon the successful completion of the following:

• Clinical Requirements (see Clinical Requirements)

• Clinical Behavioral Objectives (see Clinical Performance Guide (CPG) Evaluation form)
• Comprehensive Nursing Care Plan (CNCP) (see CNCP Grading Rubric)
• Surgical Report
• Laboratory Module
• Other clinical requirements as determined by clinical instructors

NURSING PROGRESSION POLICY:

See the Nursing Handbook for progression policies. The student must earn a 2.0 grade in Theory and a
satisfactory in Clinical to pass the course. Consult the handbook for current Progression/Readmission
policy.

LABORATORY SKILLS

The following skills will be mastered in Nursing Fundamentals or Medical/Surgical Nursing 1

laboratory prior to practicing them in the clinical setting. Formal laboratory competency checks
will be required for the four (4) Skills listed below for Medical/Surgical Nursing 1. Utilize the skills
lab at any time a review of a learned skill is desired.

Nursing Fundamentals Medical/Surgical Nursing

• Administration of tube feedings • Tracheostomy suctioning (concept based)
• Injections-intramuscular, subcutaneous, • Tracheostomy care (concept based)
intradermal
• Medication and intravenous drip calculations
• Intake and output
• Blood glucose monitoring
• Oxygen administration and pulse oximetry
• Sterile dressing changes
• Foley catheter insertion

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 NRS 210 MEDICAL-SURGICAL 1
Nursing Grading Component
Exam Points Points Total Total Percent =
Possible Earned Possible Earned Total earned /Total possible
Exam 1 100 100

Exam 2 100 200

Exam 3 100 300

Exam 4 100 400

Exam 5 100 500

Remember! You must achieve a 78% average on your exams before the grading below kicks in!

Comprehensive Satisfactory/
Care Plan Unsatisfactory

KAPLAN 50 50
Quizzes
Standardized
Kaplan Pass/Fail
Pharmacology Based on
Exam Remediation
Dosage
Calculation NA
Competency while online
Exam
Grand
Total 550
Your grade = Your total points / 560. PLEASE NOTE! The 50 points are not extra credit. They
are part of your grade PLUS Satisfactory CCP and Pass Kaplan and Dosage Calculation
Competency. The testing component of the course will account for 90% of the course grade.

GRADING SCALE:
4.0 = 94 -100%
1.5 = 74 –77%
3.5 = 90 -93%
1.0 = 70 –73%
3.0 = 86 -89% Non-passing grades Non-Passing Grades
0.5 = 66 –69%
2.5 = 82 -85%
0.0 = < 66%
2.0 = 78 -81%

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 JACKSON COLLEGE
ASSOCIATE IN APPLIED SCIENCE – NURSING
TESTING AGREEMENT COPY

Student SIGNED COPY IS ON FILE

Student please review each statement and initial agreement.

____ No study aids (textbooks, notebooks, etc.) are allowed in the testing room.
____ No papers, books, food or drink, pens, purses, wallets, watches, beepers, cell phones or
any other electronic devices are allowed in the testing room.
____ No hats, scarves, or coats may be worn in the testing room.
____ Students must present a photo ID prior to testing. The ID will be returned when the test
is submitted.
____ Students may not leave the testing room without the test proctor’s permission. If the
candidate must leave the room for a restroom break, the photo ID and exam will be left
with the proctor until the student’s return.
____ Irregular behavior – for example not listening to proctor, talking during the test, or rude
behavior may result in dismissal from the center and test failure.
____ Accessing the internet or any other item on the computer (other than the assigned test)
during a test is prohibited.
____ Removing any paper or other resources from the testing area is prohibited.
____ STUDENTS WILL NOT UNDER ANY CIRCUMSTANCES DISCLOSE ANY EXAMINATION
MATERIALS INLCUDING THE NAURE OR CONTENT OF EXAMINATION ITEMS BEFORE,
DURING, OR AFTER THE EXAMINATION. VIOLATION WILL RESULT IN
IMPLEMENTATION OF THE NURSING DEPARTMENT ACADEMIC HONESTY POLICY AND
MAY RESULT IN A ZERO GRADE ON THE EXAM AND/OR THE COURSE.

I understand that failure to comply with any of the above regulations before, during, or after a test
may result in dismissal from the testing area and/or test and/or course failure.

SIGNED
Student Date

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 CLINICAL REINTEGRATION PLAN
STUDENTS WILL:
· View COVID-19 Infection Control PowerPoint and complete quiz. Review Hospital specific guidelines.

· Report recent travel and any recent exposure to a person known to have an active COVID-19 infection

· Follow CDC guidelines if they have recovered from COVID-19: https://www.cdc.gov/coronavirus/2019-

ncov/hcp/return-to-work.html

· Contact a faculty member at a minimum one hour prior to clinical experience if they feel ill (including fever, cough,
shortness of breath and/or sore throat, etc.)

· Follow the appropriate procedure for donning and doffing PPE (without touching face or mask)
https://www.cdc.gov/hai/pdfs/ppe/ppe-sequence.pdf

· All students/faculty will wear face covering (mask, eyewear). Above recommendations from
https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/social-distancing.html

· Maintain social distancing of 6 feet and use physical barriers when possible

· Maintain respiratory etiquette, including covering coughs and sneezes (with tissue or upper sleeve/elbow after which
must sanitize hands).

· Avoid touching any part of the head including face/mouth/eyes/mask/face shield.

· Pre and Post conferences may require the student to participate remotely via Zoom/BBB (per faculty instruction). Pre
and Post conferences should not occur in the clinical area to avoid congregations of larger groups.

· Students may be required to scan and then upload assignments/clinical worksheets to course site as attachments
(per faculty instruction).

· Wear freshly laundered scrubs for each clinical/simulation experience.

· Prior to, during and upon completion of simulation clinical experiences it is expected that the student will disinfect
clinical areas as well as institution/personal equipment.

· Arrive to each experience with as little as possible physical affects:

o No phone in simulation/clinical areas. Students will be given simulation/clinical unit phone # for emergencies

o No jewelry

o One piece of paper that guides through prep and simulation/clinical day

o Food/water packaged in disposable containers

o Stethoscope

o Pen

o Watch

o Eyeglasses

o pocket size 60% alcohol or hand sanitizer for personal use

o PPE with storage container for re-using mask/shield (as and only if instructed by faculty

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 JACKSON COLLEGE NURSING PROGRAM
EXAM ITEM INQUIRY FORM

Please fill in the form below to inquire about a test question. Email this form to
the instructor no later than 48 hours after the test review.

Student Name:

Student Email:

Course:

Test Date:

I am inquiring the following test item(s) and or content:

Reason for Inquiry: (Explain why you believe the test item is incorrect):

References: (Cite three peer reviewed published resources, including the page
number, to validate your inquiry. One resource should be the course textbook)
1.

2.

3.

JC Exam Item Inquiry Form, 1/19. Adapted from Jean Flick MS,RN, Susan Morrison PhD,
FAAN & Ainslie Niebert, PhD, RN 2006

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 COURSE SYLLABUS, RESOURCE & TECHNOLOGY USE VERIFICATION FORM
NRS 210

Name (Please Print): Date: _____________Semester _____

Please Check All That Apply:

□ I attest that I have completely read and reviewed the following documents:
Syllabus, Course schedule, Assignment schedule, Respondus Lockdown Browser +
Webcam Instructions and Nursing Department Online Testing Guidelines on
JetNet and reviewed all resource materials for NRS 210 and verify that I was
present during orientation when my instructor provided detailed instruction
related to the documents and their use as a guiding reference for this course.

□ I attest that I have successfully signed in the JetNet NRS 210 course site and
understand how to navigate through the electronic resources.

□ I attest that I have reviewed the mandatory NRS 210 textbook and understand
that utilizing this text in conjunction with the course resources for studying will
promote a positive course outcome.

□ I attest that I have reviewed the Jackson College Nursing Handbook Simulation &
Social Media Policy. I will always adhere to the guidelines for Responsible Use of
Technology at Jackson College while I am a student of the nursing program. I
understand if I violate these policies I may be dismissed from the course/and
or/ nursing program.

□ I attest that I understand that all types of electronic devices may not be
appropriate at certain times within this course and that it is not permissible to
take photos of any course PowerPoints, or any other form of lecture/online
materials without expressed permission from my instructor. Failure to abide by
this policy may result in dismissal from the course. No exceptions!!

□ I attest that all my questions related to course resources have been answered at
this time.

I attest that I understand the information contained within the resources checked and
will adhere to any additional course, Jackson College Nursing Department and, or
College policies not mentioned in this document that may apply to my status as a
student in NRS 210.
Send an email to bullingjuliem@jccmi.edu and confirm that you attest to reading and adhering to the
Course Syllabus, Resource and Technology Use Verification Form. This email verification will serve
as your signature.

Signature: ______________________________ Date: _____________________

Reviewed/Revised: 8.23.20 J. Ballow

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