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

Office Location

West Campus - Jones Hall Room #242

Office Hours

Tuesday:  1500-1700

Wednesday:  1100-1300

Additional hours by appointment

Course Information

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RNSG-1247-001 Concepts of Clinical Decision Making I


Prerequisites: RNSG 1331 Corequisite: RNSG 1263

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



  1. Faculty course syllabus and manual for RNSG 1247 for current semester.
  2.  Hinkle, J. L. & Cheever, K. H.: Brunner and Suddarth’s: Textbook of Medical –Surgical Nursing. 14th Edition. 2018. J.B. Lippincott Williams & Wilkins
  3. Access to Hesi Patient Reviews with RN Case Studies (at Evolve Elsevier)
  4. Access to Elsevier Adaptive Quizzing (EAQ) (at Evolve Elsevier)
  5. IV Start Kit


  1. Any Nursing Care Plan Book
  2. Any Medical Dictionary
  3. Any Laboratory & Diagnostic Test Reference
  4. Any Drug Guide
  5. Any NCLEX reference book or program.


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  



IV Start Kit. Obtained in bookstore.


Student Performance


Upon completion of this course the student will be able to:

  1. Utilize critical thinking and a systematic problem-solving process as a framework for providing patient-centered nursing care in structured health care settings.
  2. Discuss concepts related to providing safe nursing care.
  3. Describe the role of the intra-operative nurse and nursing care of the patient having surgery.
  4. Discuss the integration of evidence-based complementary therapies in nursing care.
  5. Describe strategies for quality improvement, recognize how informatics can be utilized, and  identify methods to collaborate with inter-professional team members, for the patient with diabetes mellitus, cancer, reproductive disorders, hematologic disorders, eye and ear disorders, upper respiratory disorders, integumentary disorders, and genitourinary disorders.

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



  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 students are prohibited from engaging in any form of behavior that detracts from the learning experience of fellow students.
  2. Inappropriate or disruptive behavior in the classroom may result in a request for the offending student to leave class.
  3. All cell phones, pagers, noisy devices are to be turned off or put on silent. No text messaging in class. Only emergency communications should be answered and students need to quietly leave the classroom if necessary.
  4. Students are expected to maintain high academic standards and not engage in any form of cheating as outlined in ADN testing policy found at
  5. See the A.D.N. Student Handbook “Professional Conduct”, ANA code of Ethics for Nurses, and the AC Student Rights and Responsibilities.
  6. Student injury information for lab and clinical
  7. Social Services :  Jordan Fajardo and the link is

Grading Criteria


The following criteria will be used to determine your grade.

Why is the grading scale higher? (Passing is 75%)

The National Council Licensure Examination for RNs (NCLEX-RN) has become harder, to reflect the need for nurses who have a high level of critical thinking and clinical reasoning skills. The increase in patient acuity and nursing responsibilities is placing greater demand on current entry-level nurses in comparison to their cohorts in the past. The National Council for State Boards of Nursing (NCSBN) prepares the NCLEX-RN and establishes the minimum passing standard.

The Grading scale for RNSG 1247 is:

A = 90-100%

B = 80-89%

C = 75-79%*

D = 60-74%

F = below 60%

Graded course assignments, exams, or the final course average are NOT rounded.

For example: If your assignment grade or course final average is 74.98 then with NO  rounding, your grade or average is a D. If your assignment grade or course average is 89.98, with NO rounding your grade or average is a B.

The final grade will consist of the grades on three module exams,required remediation or tutorials before exams (if there is an exam failure) ,the Evolve Specialty Exam,  a comprehensive final exam, lab assignments, quizzes, and *completion of mandatory review on the Evolve Specialty Exam.

Module 1-4 (15% each)                                         60%

EAQ Quizzes, Tickets to Class, Exit Tickets            5%

Evolve Case Studies                                                5%

EVOLVE Specialty exam                                          5%

Final Exam                                                              25%

Course Tutoring Requirement.

Required tutoring will be prescribed each time a student does not achieve the minimum passing score of 75% on a Module Exam. Students who do not complete the required tutoring will not be allowed to take the course’s next Module Exam.  Students who do not complete the required tutoring and are not allowed to take the next Module Exam will earn a grade of zero (Ø) for that exam.

The Comprehensive Final exam is not reviewed, as all content has been covered for the semester and there are no new concepts on the Final Exam.

*HESI Course Requirement 

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 for no less than one (1) hour. 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 the course because of a failure to complete this requirement.  

If a module exam is missed, the make-up exam must be taken within one week of that scheduled exam (prior to the next class meeting). The instructor must be notified if the student is unable to attend the exam.

It is the student’s responsibility to contact the instructor and arrange for any make-up exam within the required time frame. A make-up exam may be in a different format (short answer, essay, fill-in, etc) per instructor preference.




  • Regular attendance is required for satisfactory achievement in this class.
  •  Less than 90% attendance of classroom hours may result in failure of the course.
  • Class roll will be taken for each class.
  • Individuals not present for roll call may be recorded as absent. This includes in class attendance or online Zoom attendance.
  • All assigned labs must be completed.
  • Any anticipated class/lab absence must be reported to the instructor.



See detailed tentative calendar under Content section of your class on Blackboard. 

All exams will be taken ON CAMPUS (unless extenuating circumstances) - time to be determined  

Module 1 Exam --- Week 4 (September 15)

Module 2 Exam --- Week 8 (October 13)

Module 3 Exam --- Week 11 (November 10)

HESI Specialty Exam --- Week 12 (November 17)

Module 4 Exam --- Week 14 (December 8)

Final Exam --- Week 16 (TBD)

Module 1: 

Surgical asepsis, intraoperative nursing, and PACU

Introduction to acid-base imbalances and arterial blood gas analysis

Nursing care of the adult with upper respiratory disorders 

Module 2:

Blood glucose regulation and nursing care of the adult with diabetes mellitus

Nursing care of the adult with eye and vision disorders 

Nursing care of the adult with hearing and balance disorders 

Nursing care of the adult with integumentary disorders

Module 3:

Nursing care of the adult hematological disorders

Introduction of oncology principles and nursing care of the adult oncolgy patient

Module 4:

Nursing care of the adult female reproductive and breast disorders 

Nursing care of the adult with male reproductive disorders

Nursing care of the adult with genitourinary disorders

Additional Information


  • - AC Connect will be used for course communication.
  • - Emails will be sent through AC Connect (Blackboard) as well as course announcements.
  • - Students need to check the on-line course frequently for information and announcements.
  • - Module folders have content posted in blackboard (BB). Students need to be familiar with the BB set-up of the course.  

This syllabus is subject to change.  Students will be notified in a timely manner.

Academic Grievance Policy:

A student who has a grievance concerning an academic course in which he or she is enrolled should make an appeal in the following order to the:
1)     Instructor: Sharon Shelton, 356-3698
2)     Team/Level Coordinator:  Teresa Herrera 467-3002
3)    Program Director:  Dr. Liz Matos 356-3621
4)     Associate Dean of Health Sciences: Kim Boyd 354-6060
5)     Dean of Health Sciences:  Kim Crowley 354-6087
6)     Associate VP of Academic Affairs:  Becky Burton 371-5122
7)     VP of Academic Affairs:  Dr. Tamara Clunis 371-5226

Syllabus Created on:

01/03/22 2:25 PM

Last Edited on:

01/03/22 3:00 PM