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Concepts of Clinical Decision Making II Syllabus for 2015-2016
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Instructor Information

Instructor

Claudia Reed (Curriculum Vitae)

E-Mail

c0125259@actx.edu

Phone

8063546034

Office Location

West Campus Jones Hall 286

Office Hours

Course Information

Recording Policy

Disability Statement

Any student who, because of a disabling condition, may require some special arrangements in order to meet course requirements should contact disAbility Services (Student Service Center room 119, phone 371-5436) as soon as possible.

Statement for Mental Health and Advocacy & Resource Center:

As a student you may experience a range of issues that can cause barriers to learning, such as strained relationships, increased anxiety, alcohol/drug problems, feeling down, difficulty concentrating and/or lack of motivation. These mental health concerns or stressful events may lead to diminished academic performance or reduce a student's ability to participate in daily activities. Amarillo College offers services to assist you with addressing these and other concerns you may be experiencing. If you or someone you know are suffering from any of the aforementioned conditions, you can learn more about the broad range of confidential mental health services available on campus by calling the AC Counseling Center at 806-371-5900. The AC Counseling Center website is https://www.actx.edu/counseling/ . Also, if you are in need of social services (affordable housing, utilities, transportation, food, clothing, childcare, medical/dental/vision, legal), please call the AC Advocacy & Resource Center at 806-371-5439. The AC Advocacy & Resource Center website is https://www.actx.edu/arc

Amarillo College Tutoring for Success Policy:

Administrative Drop Policy

N/A

Student Withdrawal Procedures

N/A

Privacy Statement

The Amarillo College Privacy Policy is found at https://www.actx.edu/-amarillo-college-privacy-notice , and applies to all Amarillo College students.  If you have questions about this privacy statement or you believe that your personal information has been released without your consent, send email to humanresources@actx.edu .

Course

RNSG-1248-001 Concepts of Clinical Decision Making II

Prerequisites

Prerequisites: RNSG 1247, RNSG 1151 and RNSG 2101 Corequisite: RNSG 2261

Course Description

Integration of previous knowledge and skills into 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 gastrointestinal disorders, endocrine and metabolic disorders, reproductive and sexual disorders, musculoskeletal disorders, eye-ear-nose-throat disorders and integumentary disorders. Discussion of knowledge, judgment, skills and professional values within a legal/ethical framework. This course lends itself to a blocked approach.

Student Resources Student Resources Website

Department Expectations

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Occupational License Disclaimer

Hours

(2 sem hrs; 2 lec, 1 lab)

Class Type

Hybrid

Syllabus Information

Textbooks

REQUIRED TEXTBOOKS:

  • Smeltzer & Bare: Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. J.B. Lippincott, 13th edition, 2014 (ISBN#: 978-1-4511-3060).
  • Davis Drug Guide (or other reliable textbooks or electronic sources of medication information)
  • Mosby’s Diagnostic & Laboratory Test Reference.

SUGGESTED TEXTBOOKS:

  • Gahart & Nazareno’s Guide to Intravenous Medications.


 

Supplies

  • Textbook, Course Manual (which is online), Syllabus, Stethoscope, Pen Light, and a Two Pocket plastic folder
  • Students must have some basic computer knowledge and access to a computer with internet access.

    • Student Performance

    Student Performance

    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 objectives:

    Member of the Profession:

    1.Discuss an ethical-legal framework and applicable professional standards and requirements in caring for adults with advanced medical surgical health problems.

    2.Describe own personal and professional development in the role of the advanced medical surgical nurse.

    3.Identify activities that promote the development and practice of professional nursing as an advanced medical surgical nurse.

    Provider of Patient-Centered Care:

    1.Summarize the role of the professional nurse in the promotion, maintenance, and restoration of health of adult patients with advanced medical surgical health problems.

    2.Utilize a systematic process and clinical reasoning to plan holistic patient-centered care for adult patients with advanced medical surgical health problems.

    3.Explain nursing concepts specific to meeting unique psychosocial and spiritual needs of adult patients with advanced medical surgical health problems.

    4.Outline the principles of health teaching in the care of adult patients with advanced medical surgical health problems.

    5.Identify basic nursing and advanced nursing skills used in the care of adult patients with advanced medical surgical health problems.

    6.Discuss compassionate behaviors and appropriate communication skills used in the care of diverse adult patients with advanced medical surgical health problems.

    7.Identify community resources in meeting the needs of adult patients with advanced medical surgical health problems.

     Patient Safety Advocate:

    1.Analyze evidence-based practice data with patient-centered data to promote safety and quality in care of the advanced medical surgical patient.

    2.Identify governmental and organizational requirements and professional standards and requirements to patient safety situations on medical surgical units.

    Member of the Healthcare Team:

    1.Describe strategies to effectively work with other disciplines to provide holistic patient-centered care to adult patients with advanced medical surgical health problems.

    2.Discuss appropriate communication skills with other health care team members in writing, verbally, non-verbally and electronically in the care of adult patients with advanced medical surgical health problems.

    3.Evaluate information systems and technology in the efficient management of holistic patient-centered care for adult patients with advanced medical surgical health problems.

    4.Summarize the professional nursing role within the health care team in the provision of care to adult patients with advanced medical surgical health problems.

    Students Rights and Responsibilities

    Student Rights and Responsibilities

    Log in using the AC Connect Portal

    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".

    Expected Student Behavior

    See the A.D.N. Student Handbook, Professional Conduct, ANA Code of Ethics and Amarillo College Student Rights and Responsibilities. 

    Grading Criteria

    Grading Schema:

    • A = 90 - 100
    • B = 80 - 89
    • C = 75 - 79
    • D = 60 - 74
    • F = below 60  

    Course Average Weights:

    • 60% - Three Module Exams

    Tutoring will be required for all grades less than 75 for each major exam

    If student fails to attend tutoring, the student will not be allowed to take next exam, which will result in a zero.

    • 10% - Group Paper and Project
    •   5% - Class Quizzes
    •   5% - Evolve Specialty Exam
    • 20% - Final Exam

     Remediation Hours for Evolve Specialty Exam are required as follows:

    • 1000 +  no required hours
    • 999 to 900 = 1 hour
    • 899 to 800 = 2 hours
    • 799 to 700 = 3 hours
    • 699 to 600 = 4 hours
    • 599 to 500 = 5 hours
    • 499 or 400 = 6 hours
    • All Evolve case studies and Quizzes must be submitted prior to exam.  See due date on lab sheet.  You WILL NOT be able to take the exam without completing case studies, and you will be scheduled for the make-up exam (essay format).
    • All students must access the on-line remediation through HESI Assessment after the course’s Evolve Specialty or Custom Exam.
    • All students will develop an individualized study packet, and review all areas designated as needing improvement.
    • Completion of remediation and development of a study packet is due by the Friday before the final exam. If it is not completed as assigned, then the student will fail (grade of “F”) the course because of a failure to complete this requirement.

    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.

    Calendar

    Summer Courses:  Calendar will be provided in Class and in Black Board

    Summary of Modules: 

    Module I: Care of the clients at the end of life (EOL), Endocrine and Rheumatic Disorders

    Required Readings:

    • End of Life -  Chapter 16
    • Endocrine and Metabolic Disorders - Chapter 52
    • Rheumatic Disorders - Chapter 35(p. 976-977) and 39(p.1054-1081)
      • Pre classroom assignments due at beginning of class
      • Quiz End of Life 
      • Quiz Endocrine and Rheumatic 

                Module I Exam – First week of summer session

     

    Module II: Care of the client with Musculoskeletal Disorders

    Required Readings: 

    • Chapter 40  Assessment of Musculoskeletal Function
    • Chapter 41  Musculoskeletal Care Modalities
    • Chapter 42  Management of Patients with Musculoskeletal Disorders
    • Chapter 43  Management f Patients with Musculoskeletal Trauma
    • Review Rehabilitation p. 153-181
    • Pre classroom assignment and quizzes
    • Group project and presentation

    Module II exam – 5th week of summer session

    Module III:  Care of clients with Gastrointestinal, Liver, and Biliary disorders

    1. Required Readings: Brunner’s: pp 1196 – 1211, 1228 – 1234, 1251 – 1252, 1253 – 1254, 1262 – 1271, 1278 – 1281, 1292 – 1293, 1295 – 1299, 1301 – 1308, 1316 – 1329, 1340 – 377,1391 - 1409
    • Chapter 44 Assessment of Digestive and Gastrointestinal Function
    • Chapter 45 Digestive and Gastrointestinal Treatment Modalities
    • Chapter 46 Management of Patients with Oral and Esophageal Disorders
    • Chapter 47 Management of Patients with Gastric and Duodenal Disorders
    • Chapter 48 Management of Patients with Intestinal and Rectal Disorders
    • Chapter 49
    • Pre classroom assignment and quizzes

    Module III exam – 6th week of summer session

    Evolve Specialty Exam – 5th week of summer session

    Final Exam –  7th week of summer session

    Additional Information

    No additional information available

    Syllabus Created on:

    11/30/-1 12:00 AM

    Last Edited on:

    11/30/-1 12:00 AM