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

Office Location

<p>Jones Hall 278</p>

Office Hours

 By appointment only: Mondays 1000-1200 and Tuesdays 1300 - 1500.

Course Information

COVID-19 Protocols

Recording Policy

Disability Statement

If you have a disability (learning, mental, physical) that affects your ability to participate effectively and have access to any program or service at Amarillo College please contact Disability Services at (806) 345-5639 . Our offices are located in the Student Service Center office 112. More information may be found at www.actx.edu/disability.
Disability Services facilitates access to all programs and services according to the ADA, Americans with Disabilities Act and Section 504 of the Rehabilitation Act, as well as other federal and state laws.

Amarillo College Web Accessibility Policy Statement

Amarillo College is committed to providing equal access to all programs and services, including all working, learning, and service environments that affect equal access for persons with disabilities. This commitment to provide equal access and opportunity for persons with disabilities is in compliance with federal and state law. Amarillo College also strives to provide Electronic and Information Resources (EIR) that are accessible to all authorized users.

If you find you are unable to access material in an accessible format please contact the Disability Services Office at (806) 345-5639 . This office will work in conjunction with other campus resources to address and accommodate your issue in a timely manner.

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:

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.

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-1248-002 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 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
mgraves24@actx.edu
806-371-5995
Make appointment at https://melodiegraves.youcanbook.me

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.

Hours

(2 sem hrs; 2 lec, 1 lab)

Class Type

On Campus Course

Syllabus Information

Textbooks

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:/thepoint.lww.com/docucare
  3. The Point (2019 Course Point Plus Retrieved from https://thepoint.lww.com/coursepointplus

Supplies

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

System

Requirements

Minimum               

Recommended 

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

Processor

1 GHz processor

2 GHz or faster processor

Memory

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

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.

COURSE OUTCOMES:

MEMBER OF THE PROFESSION:

  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.

PROVIDER OF PATIENT-CENTERED CARE:

  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.

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 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 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

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

   

Score

Minimal Number of Packets

Remediation Time

900 or higher

2

1 hour

899-850

4

2 hours

849-800

6

3 hours

799-750

8

4 hours

749-700

10

5 hours

699 or below

12

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.

Attendance

ATTENDANCE POLICY:
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.

Calendar

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:

01/13/22 8:13 PM

Last Edited on:

01/13/22 8:13 PM