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

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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


Required Textbooks and Online Resources:

  1. Smeltzer & Bare: Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. J.B. Lippincott, 14th edition, 2016 (ISBN#: (ISBN# 9781496355157).
  2. ThePoint (2019) DocuCare Retrieved from http:/
  3. The Point (2019 Course Point Plus Retrieved from


Required Supplies:

  1. Course Syllabus
  2. Required textbooks and online resources as outlined under the textbook section of the syllabus.
  3. Course manual located in the blackboard course.
  4. Full operating system portable electronic device/computer that meets the computer requirements outlined below.
  5. Reliable internet access to use on-campus during class time for course activities, assignments, and studying (AC guest WiFi).
  6. Reliable internet access to use off-campus outside of class time for course activities, assignments, and studying.

Computer Requirements:

Clinical requirement- Mobile Device with Webcam, Maximum size 10 inch





Operating System

Windows 7, 8, or 10

Mac OSX 10.6, 10.7, 10.8, or 10.9

Windows 10

Mac OSX 10.7, 10.8, or 10.9


1 GHz processor

2 GHz or faster processor


2 GB of RAM

4 GB of RAM or higher

Monitor Resolution

1024 x 768

1024 x 768 or higher

Free Hard Disk Space

32 GB of free disk space

64 GB or higher of free space

Internet Connection

Broadband (high-speed) Internet connection with a consistent minimum speed of 1.5 Mbps.

Broadband (high-speed) Internet connection with a speed of 4 Mbps or higher

Internet Browser**

Respondus Lockdown Browser and IE8, IE9, Safari 4+, Chrome or Firefox

Respondus Lockdown Browser and Firefox


Java is required to use Blackboard. Download Java.

Macromedia Flash Player

Flash is required to play videos within the Blackboard system. Download Flash  

Student Performance

Student Performance:

The student will utilize critical thinking and a systematic problem-solving process as a framework for providing care for patients in structured healthcare settings, and integrate the roles of the associate degree nursing student in the provision of care for patients and families.



  1. Discuss an ethical-legal framework in accordance with the regulation and applicable legal scope of practice professional standards and requirements in caring for adults with advanced medical-surgical health problems.
  2. Describe own personal accountability, professional responsibility, and professional development in the role of the advanced medical-surgical nurse.
  3. Identify activities that promote the development and practice of professional nursing and nursing competence in holistic care as an advanced medical-surgical nurse.


  1. Summarize the role of the professional nurse in the promotion, maintenance, and restoration of health of adult patient with advanced medical-surgical health problems.
  2. Utilize a systematic process and clinical reasoning to plan comprehensive, holistic patient-centered care for adult patient with advanced medical-surgical health problems.
  3. Explain nursing concepts specific to meeting unique psychosocial, cultural, 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 culturally diverse 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.


  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.


  1. Describe strategies to effectively identify the role of the professional nurse and 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. Discuss the role of the professional nurse in relation to other health care team members.
  5. Summarize the professional nursing role within the health care team during local and global health emergencies 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

Expected Student Behavior:

  1. 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 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 offending student to leave the class.
  2. See the A.D.N. Student Handbook, Professional Conduct, ANA Code of Ethics, and Amarillo College Student Rights and Responsibilities. 
  3. Students have signed many contracts that are in the Student Handbook.  One of these policies is 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.
  4. Students will have outside-of-class time assignments and studying that will need to be completed prior to the next scheduled class.
  5. Students will have online assignments on test days that must be completed prior to 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 Specialty Exam = 5%  
  • Tickets to Class = 3% 
  • Evolve Case Studies/Patient Reviews = 2% 
  • Final Exam = 15%

*Mandatory Tutoring for Failed Exams are as follows:

  • If a student scores less than 75% on a module/major examination, the student will be required to attend mandatory tutoring.
  • If a student fails to attend tutoring, the student will not be allowed to take the 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:
    • Reviewing provided content in the packet
    • 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/patient reviews, 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/patient reviews 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/patient reviews (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 online 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 are 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 a 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.


Course Calendar

  • The course calendar will be provided in the Blackboard course.

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 Care

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 -  14th week of the course

Evolve Specialty Exam 15th 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:

12/20/21 11:44 AM

Last Edited on:

01/13/22 8:08 PM