Concepts of Clinical Decision Making II Syllabus for 2011-2012
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Course

RNSG-1248-001 Concepts of Clinical Decision Making II

Prerequisites

Prerequisites: RNSG 1247 and RNSG 1251
Corequisite: RNSG 2261

Course Description

Integration of previous knowledge and skills into the development of the professional nurse as a provider of care, coordinator of care and member of a profession. Emphasis on clinical decision-making for clients in medical-surgical settings experiencing health problems involving rheumatic disorders, gastrointestinal disorders, liver and biliary disorders, and musculoskeletal disorders and endocrine and metabolic disorders related to the pituitary, thyroid and adrenal glands. End of life care is integral to the course. Discussion of knowledge, judgment, skills and professional values within a legal/ethical framework. This course lends itself to a blocked approach.

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Hours

(2 sem hrs; 2 lec, 1 lab)

Class Type

On Campus Course

Syllabus Information

Textbooks

REQUIRED TEXTBOOKS:
1. Smeltzer & Bare: Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. J.B. Lippincott, 12th edition,    2010 (ISBN#: 978-0-7817-8589).
2. Davis Drug Guide (or other reliable textbooks or electronic sources of medication information
3. Mosby’s Diagnostic & Laboratory Test Reference.
4. Pullen, Richard L: Course Manual for RNSG 1248 and RNSG 2261 (prepared by the Associate Degree Nursing Department, 2011).

SUGGESTED TEXTBOOKS:
1. Gahart & Nazareno’s Guide to Intravenous Medications.
.

Supplies

Student Performance

STUDENT PERFORMANCE/LEARNING OUTCOMES:
The student will utilize critical thinking and a systematic problem-solving process as a framework for providing care for clients in structured healthcare settings; and integrate the roles of the associate degree nursing in the provision of care for clients and families.

COURSE OUTCOMES:
Provider of Care:
1. Develop increasing confidence and knowledge to assist in the promotion,
maintenance and restoration of health for adult patients and their families experiencing advanced medical surgical health problems.
2. Incorporate previous knowledge and skills to provide culturally competent holistic patient-centered care to diverse populations within communities.
3. Utilize a systematic process and clinical reasoning skills to determine health status, correlate objective and subjective data, develop a plan of care and evaluate the patient’s response to nursing interventions.
4. Develop an understanding of how physical and spiritual suffering affect the patient and families ability to cope with advanced medical surgical health problems along the developmental lifespan including at the end of life.
5. Demonstrate effective communication skills and compassion when collaborating with patients, families and interdisciplinary team members.
6. Collaborate with the interdisciplinary team to identify priority teaching needs of adult patients and families.
7. Collaborate with interdisciplinary team members to identify community resources that serve to promote the restoration of health for patients and families.
8. Demonstrate safe nursing skills in the care of patients and families.

Coordinator of Care:
9. Collaborate with patients and families and interdisciplinary team to provide holistic patient-centered care.
10. Integrate information systems and other technologies with clinical reasoning skills to provide holistic patient-centered care within safe environments.
11. Embrace the role of the professional nurse as an integral member of the interdisciplinary team in planning, implementing and evaluating holistic patient-centered care.
12. Demonstrate effective verbal, nonverbal and written communication skills including through the utilization of information systems (computers). 

Member of a Profession:
13. Incorporate a legal and ethical framework in caring for patients and families that embrace diversity and reflect a concern for the quality of life and human values and individual preferences.
14. Assume accountability and responsibility for nursing care through increasing knowledge, analysis of patient-centered data, evaluation of the patient’s response to nursing interventions and self-direction as an adult learner.
15. Correlate patient-centered data with evidence-based research to determine priority nursing interventions and identify opportunities to improve the quality of care for patients and families within communities with advanced medical surgical health problems.
 

Students Rights and Responsibilities

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If you are an active staff or faculty member according to Human Resources, use "Exchange". All other students, use "AC Connect (Google) Email".

Expected Student Behavior

 BEHAVIORAL EXPECTATIONS AND CLASSROOM GROUND RULES:
1. Students are full partners in fostering a classroom environment which is conducive to learning. In order to assure that all students have the opportunity to gain from time spent in class, unless otherwise approved by the instructor; students are prohibited from engaging in any form of behavior that detracts from the learning experience of fellow students. Inappropriate behavior in the classroom may result in a request from the instructor for the offending student to leave the class.
2. See Associate Degree Nursing Student Handbook, Professional, American Nurses Association Code of Ethics, and Amarillo College Student Rights and Responsibilities
 

Grading Criteria

GRADING CRITERIA/GRADING SCALE:
The following criteria will be used to determine the course grade:
1. A=90-100, B=80-89, C=70-79, D=60-69, F=below 60.
2. Three major examinations (25% each) = 75% of course grade.
3. One EVOLVE medical surgical specialty examination will be administered during the semester. Students who score 70-79% will receive two extra points on the third major examination. Students who score 80% or above will receive four extra points on the third major examination.
4, The final examinations is 25% of the course grade.
5. Make-up examinations are to taken within one-week (prior to the next class meeting) if a regularly scheduled examination is missed. Make-up examinations will be administered to students who arrive late to a regularly scheduled examination time or who fail to present their Amarillo College student picture identification. Make-up examinations may be multiple choice, essay, and/or short answer questions.
 

Attendance

ATTENDANCE POLICY:
Regular attendance is necessary for satisfactory achievement. Therefore, it is the responsibility of the student to attend class. Students must attend at least 90% of class meetings. This means 90% of the total number of hours that is allotted to this class.
 

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