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RNSG-1331-002 Principles of Clinical Decision Making
Prerequisites: RNSG 1309, RNSG 1105 and RNSG 1301 Corequisite: RNSG 1362
Examination of selected principles related to the continued development of the professional nurse as a provider of patient-centered care, patient safety advocate, member of health care team and member of the profession. Emphasis on clinical decision making for clients in medical-surgical settings experiencing health problems involving fluid and electrolytes; perioperative care; pain; respiratory disorders; peripheral vascular disorders; immunologic disorders; and infectious disorders. Discussion of knowledge, judgment, skills and professional values within a legal/ethical framework. This course lends itself to either a blocked or integrated approach.
Student Resources Student Resources Website
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(3 sem hrs; 3 lec, 1 lab)
Hybrid
REQUIRED TEXTBOOKS:
Brunner/Suddarth: Textbook of Medical/Surgical Nursing, 13th Edition, Lippincott Williams & Wilkins, 2014.
Cannon, J.: Course Manual, RNSG 1331 and RNSG 1362 Principles of Clinical Decision Making, 2015-2016.
Gulanick/Myers: Nursing Care Plans: Nursing diagnosis and intervention, 8th Edition, Elsevier, 2014.
Silvestri, L.A.: Saunders Comprehensive Review for the NCLEX-RN Examination, 6th Edition, Elsevier, 2014.
Vallerand, A.H., Sanoski, C.A., & Deglin, J.H.: Davis’s Drug Guide for Nurses. 14th Edition, F.A. Davis Company, 2015.
Van Leeuwen, A.M., Poelnuis-Leth, D.J., Bladh, M.L.: Davis’s Comprehensive Handbook of Laboratory and Diagnostic Tests with Nursing Implications. 6th Edition, F.A. Davis Company, 2015.
ADDITIONAL: Medical Dictionary
Mosby's Medical and Nursing Dictionary, Mosby Co.
OR
Miller & Keane: Encyclopedia and Dictionary of Medicine, Nursing and Allied Health, W. B. Saunders Co.
OR
Taber's Cyclopedic Medical Dictionary, F. A. Davis Co.
Students are required to have regular, reliable access to a computer with a stable Internet connection. (Any system older than 4 years may not have the processing power to work with our current version of Blackboard and it’s components.)
Suggested Textbook:
Smeltzer, S.: Study Guide to Accompany Smeltzer & Bare Brunner Suddarth’s Textbook of Medical Surgical Nursing, 13th Edition, Lippincott, 2014.
The student will need to bring the required text, course syllabus, and content handouts if available to class each week.
The student will need to bring additional paper for taking notes, writing utensils (pen or pencil) and highlighte
\ After studying the material presented in this course of study the student will be able to do the following as evaluated by the faculty in the department/program. As outlined in the learning plan, the student will apply the theory, concepts, and skills involving specialized materials, equipment, procedures, regulations, laws, and interactions within and among political, economic, environmental, social, and legal systems associated with the particular occupation and the business/industry; demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills, communicating in the applicable language of the occupation and the business or industy.
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\\ COURSE OUTCOMES:
\\ Upon course completion of RNSG 1362 Clinical – Principles of Clinical Decision Making, the student will be able to:
\\ In the Role of Member of the Profession:
\\ 1. Utilize an ethical-legal framework and professional standards while caring for adult and older adult patients.
\\ 2. Utilize personal strengths and weaknesses to promote professional nursing practice.
\\ 3. Implement parameters and guidelines for quality nursing care for patients and families.
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\\ In the Role of Provider of Patient-Centered Care:
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\\ 4. Function as a beginning nursing student to assist in the promotion, maintenance and restoration of health of patients and families during adulthood and older adulthood.
\\ 5. Utilize a systematic process and clinical reasoning to provide holistic patient-centered care to adult and older adult patients and families.
\\ 6. Meet the unique psychosocial needs of adults and older adult patients and families.
\\ 7. Demonstrate basic principles of health teaching for patients and families during adulthood and older adulthood.
\\ 8. Utilize basic nursing skills in the care of adult and older adult patients.
\\ 9. Demonstrate compassionate behaviors and appropriate communication skills for the care of diverse adults and older adults.
\\ 10. Utilize community resources available for meeting the needs of adult and older adult patients and families.
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\\ In the Role of Patient Safety Advocate:
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\\ 11. Apply evidence-based practice data to improve safety and quality of patient care for the adult and older adult patient.
\\ 12. Practice according to professional standards and organizational accreditation requirements to promote and ensure patient safety.
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\\ In the Role of Member of the Healthcare Team:
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\\ 13. Collaborate with other disciplines to provide holistic patient-centered care to adult and older adult patients.
\\ 14. Demonstrate appropriate communication skills while interacting with other health care team members in the care of adult and older adult patients.
\\ 15. Utilize current technology in the efficient management of holistic patient-centered care for the adult and older adult patients.
\\ 16. Demonstrate the role of the professional nurse in relation to other health care team members.
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In order to receive your AC Connect Email, you must log in through AC Connect at https://acconnect.actx.edu .
If you are an active staff or faculty member according to Human Resources, use "Exchange". All other students, use "AC Connect (Google) Email".
BEHAVIORAL EXPECTATIONS/CLASSROOM RULES:
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 for the offending student to leave class.
For additional information see A.D.N. Student Handbook-Professional Conduct, ANA Code of Ethics, and A.C. Student Rights and Responsibilities.
Grade scale: A = 90-100; B= 80-89; C = 75-79; D = 60-74 and F below 60 (NOTE: There will be no rounding of grades)
Students must attend 90% of scheduled class periods.
Students must complete 100% clinical hours. No more than 1 excused absence will be permitted. That absence will be made up on a set day as designated by the course instructor. The clinical make-up day will be scheduled the last Friday of the semester before final exam week. A clinical absence of more than 1 day may result in course failure.
The course calendar will be distributed on the first day of class. RNSG 1331-001 will meet in Room 207 in Jones Hall every Monday from 12:30 pm to 4:00 pm.
MODULE 1: Module 1 content will include utilizing critical thinking and the nursing process, performing a systematic physical assessment, caring for the patient with pain, and caring for patients with fluid and electrolyte imbalances.
Required Readings: All required readings will come from the Brunner’s Textbook of Medical/Surgical Nursing
Chapter 3
Chapter 5
Chapter 12
Chapter 13
Module Exam 1 – Week 5
Module 2: Module 2 content will include an overview of the perioperative experience and caring for the preoperative and postoperative patient, caring for the patient with chronic kidney disease, nursing care of the patient with hypertension and peripheral vascular disorders.
Required Readings:
Chapter 17
Chapter 19
Chapter 30
Chapter 31
Module Exam 2 – Week 9
Module 3: Module 3 content will include caring for the patient with lower respiratory disorders, respiratory modalities, understanding and caring for patients with chest tubes, and management of patients with infectious diseases.
Required Readings:
Chapter 20
Chapter 21
Chapter 23
Chapter 24
Chapter 71
Module 3 Exam – Week 12
Evolve Specialty Exam – Week 13
Module 4: Module 4 content will include an overview of immunologic function, caring for the patient with HIV and AIDS, and health care of the older adult patient.
Required Readings:
Chapter 36
Chapter 37
Chapter 11
Module 4 Exam – Week 15
Final Exam – Week 16
STUDENT RESOURCES:
Jordan Fajardo at http://www.actx.edu/resources
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