Concepts of Clinical Decision Making II Syllabus for 2021-2022
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Instructor Information

Office Location

Jones Hall 278

Office Hours

Mondays and Wednesdays 1000-1200 by appointment.

Please contact me via Remind to set up an appointment.

Course Information

COVID-19 Protocols

Recording Policy

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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 . 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

Amarillo College Tutoring for Success Policy:

The Tutoring for Success policy applies to any student whose grade or performance in the course falls below a departmentally determined minimum threshold. In either of those cases, the instructor will direct the student to the appropriate tutoring service, which may be faculty-led, discipline-specific, and/or general. Under this policy, the instructor will follow specific departmental guidelines governing the use, duration, and grade component of the tutoring need.

Administrative Drop Policy

Students who do not attend class on or prior to the census date will be administratively dropped. Effective Fall, 2016

Student Withdrawal Procedures

Students who wish to withdraw from a course must complete all steps indicated on the Academic Withdrawal Request form by the course withdrawal deadline.

NOTE: Students who are attending Texas institutions of higher education, for the first time fall 2007 and later, may not withdraw from more than six courses during their academic career. This withdrawal limitation does not include dual credit or developmental classes (Senate Bill 1231 Rule 4.10.) For more information on Drop and Withdrawal Policies, please visit the Registrar's Office Web site.

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RNSG-1248-001 Concepts of Clinical Decision Making II


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 ResourcesStudent Resources Website

Department Expectations

Occupational License Disclaimer

Notice to Students enrolled in an educational program for preparation of issuance of certain occupational licenses:

Students enrolled in an educational program in preparation for obtaining certain occupational licenses are potentially ineligible for such license if the student has been convicted of an offense. For further information, please contact:

Melodie Graves
Justice Involved Advocate
Student Service Center 117
Make appointment at

You can also contact the Legal Clinic, or the faculty member in charge of the educational program that you seek to enroll in. The further information you will receive will include notification to you of your right to request a criminal history evaluation letter from the licensing authority in order to clarify your particular situation.


(2 sem hrs; 2 lec, 1 lab)

Class Type

On Campus Course

Syllabus Information




  • Textbook, Course Manual (which is online), Syllabus, and electronic device (see course manual for system requirements).
  • Access to a computer with reliable internet access to use during and outside of classtime for activities, assignments, and studying.

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 .

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

Students are full partners in fostering a classroom environment that is conducive to learning.  Students are expected to participate in the in-class activities.  To assure that all students can gain from time spent in class unless otherwise approved by the instructor; students are prohibited from engaging in ahy form of behavior that detracts from the learning experience of fellow students.  Inappropriate behavior in the classroom may result in a request from the offending student to leave the class.

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

Students have signed many contracts that are in the Student Handbook.  One of these policies is about the two-strike policy which states:  A student is ineligible to continue in the program when they have two or more course failures.  A course failure means a grade of "D" or "F" and when a student withdrawals (drops) from a course.

Students will have online assignments on test days that must be completed by the next scheduled class.  

Grading Criteria

Grading Schema:

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

Course Average Weights:

The following criteria will be used to determine the course grade:

  • Four Module/Major Examinations = 75% of the course grade.
  • Evolve Speciality Exam = 5%  
  • Tickets to Class = 3% 
  • Evolve Case Studies = 2% 
  • Final Exam = 15%

If a student scores less than 75% on a module/major examination, the student will be required to attend mandatory tutoring.  

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

 *Remediation Hours for Evolve Specialty Exam are required as follows:

  • Start with the essential packets then move to the recommended packets; completed remediation includes:
    • Completing the pre-test
    •  Reviewing provided content in the packet
    • Completing the post-test
    • Completing the required remediation time
    • Completing the required number of packets
    • Optional: self-made quizzes for low scoring areas using the EAQ



Minimal Number of Packets

Remediation Time

900 or higher


1 hour



2 hours



3 hours



4 hours



5 hours

699 or below


6 hours


Assignments, including Evolve case studies, lab activities, and Ticket to Class activities will not be accepted after the due date/ time for credit.  Any assignment not submitted by the due date and time will be given a grade of zero for the assignment.  


All Evolve case studies must be submitted prior to the due date prior to each exam for credit.  A grade of 75% or greater must be achieved to receive credit for successful completion of the assignment and course requirements. See due date on Required Lab Hours form.  


All Required Lab Hours case studies (Evolve) must be complete for successful completion of the course.  If required Lab Hours (Evolve), the student will not be allowed to sit for the Final Exam and will receive a zero (0) for the final Exam leading to a failure in the course. 


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 HESI 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 due to not completing all course requirements.  

Completion of HESI Remediation will require meeting the minimum number of packets and minimum number of hours of remediation requirements.


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


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

Summary of Modules: 

Module 1: Care of the client with Musculoskeletal Disorders 

Required Readings:

  • Chapter 39 Assessment of Musculoskeletal Function
  • Chapter 40 Musculoskeletal Care Modalities
  • Chapter 41 Management of Patients with Musculoskeletal Disorders
  • Chapter 70 Degenerative Disc Disease Content 
  • Chapter 42 Management of Patients with Musculoskeletal Trauma
  • Review Chapter 10 Principles and Practices of Rehabilitation

Module I exam –  5th week of the course


Module IICare of clients with Gastrointestinal Disorders

Required Readings

  • Chapter 43 Assessment of Digestive and Gastrointestinal Function
  • Chapter 44 Digestive and Gastrointestinal Treatment Modalities
  • Chapter 45 Management of Patients with Oral and Esophageal Disorders
  • Chapter 46 Management of Patients with Gastric and Duodenal Disorders
  • Chapter 47 Management of Patients with Intestinal and Rectal Disorders

 Module II exam – 8th week of class

Module III: Care of the client with Hepatic and Biliary Disorders and End of Life Disorders

Required Reading:

  • Chapter 48 Assessment and Management of Patients with Obesity
  • Chapter 49 Assessment and Management of Patients with Hepatic Disorders
  • Chapter 50 Assessment and Management of Patients with Biliary Disorders
  • Chapter 16 End-of-Life Care

Module III exam - 11th week of class

Module IV: Care of the clients with Endocrine and Rheumatic Disorders

Required Readings:

  • Chapter 52 Assessment and Management of Patients with Endocrine Disorders
  • Chapter 66 Transsphenoidal Approach Content
  • Chapter 38 Assessment and Management of Patients with Rheumatic Disorders
  • Chapter 61 Psoriasis Content

Module IV exam -  15th week of the course

Evolve Specialty Exam 12th week of the course

Final Exam –  16th week of the course

Additional Information

Academic Grievances

A student who has a grievance concerning an academic course in which he or she is enrolled should utilize the chain of communication in the following order:

  1. Instructor: Rebecca Matthews (806) 354-6018 (Preferred Method of Contact: Remind)
  2. Associate Degree Nursing Assistant Program Director/Coordinator: Teresa Herrera (806) 467-3002
  3. Associate Degree Nursing Program Director: Dr. Liz Matos (806) 354-6010
  4. Associate Dean of Health Sciences: Kim Boyd (806)354-6060
  5. Dean of Health Sciences:  Kim Crowley (806) 354-6087
  6. Associate VP of Academic Affairs:  Becky Burton (806) 371-5122
  7. VP of Academic Affairs:  Dr. Tamara Clunis (806) 371-5226

Syllabus Created on:

08/17/21 2:40 PM

Last Edited on:

08/17/21 4:31 PM