NUR209 Medical-Surgical Nursing II Syllabus- Final update with U World PDF

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NUR209 Medical-Surgical Nursing II Syllabus Course Description This course focuses on the role of the nurse in promoting, maintaining, and restoring health for adults experiencing endocrine, gastrointestinal, neurological, musculoskeletal, genitourinary, and life threatening problems. Emphasis is placed on the decision-making process required for complex clinical situations. The course fosters the integration of concepts and skills presented in previous courses. Clinical learning experiences allow the student to apply leadership and management principles to the care of individuals, families, and groups. Prerequisite: NUR201 Total Contact Hours: 160 (40 for Lecture, 0 for Laboratory, 30 for Simulation, 90 for Clinical), Total of 120 hours for Lab, Simulation, and Clinical. Out-of-Class Work: 113 hours: Quarter Credit Hours: 8.0 Student Learning Outcomes 1. Analyze relevant assessment data to provide holistic client-centered care. 2. Utilize the nursing process, critical thinking, evidence-based information, and knowledge from the arts and sciences to support sound clinical decisions. 3. Communicate effectively through verbal, nonverbal, written, and technological means with individuals, families, and health care team members. 4. Apply nursing process for clients in a safe, compassionate, culturally competent manner that promotes human dignity. 5. Manage the efficient, effective use of human, physical, financial, and technological resources in providing continuity of care within and across healthcare settings. 6. Collaborate with individuals, families, and healthcare team members in providing comprehensive, individualized patient care. 7. Demonstrate accountability in adhering to standards of professional practice within legal and ethical frameworks. 8. Participate in activities that promote professional development and personal growth. Course Objectives In this course, students will: 1. Apply assessment skills, critical thinking skills, and the nursing process in order to provide holistic, safe nursing care. (SLO – 1,2 ) 2. Use current technology and evidenced-based information to support clinical decision-making. (SLO – 2, 5 )

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3. Use effective communication skills with individuals, families, peers, and other health care providers. (SLO 3- 6) 4. Recognize and respect the individual’s and family’s cultural beliefs when providing holistic nursing care. (SLO – 4, 6) 5. Apply knowledge from the health sciences and humanities in the care of adults experiencing endocrine, gastrointestinal, neurological, musculoskeletal, genitourinary, and life threatening problems. (SLO 1, 2 ) 6. Apply the teaching-learning process to promote, maintain, and restore health of individuals and families. (SLO- 4, 6 ) 7. Use basic management and leadership skills that assure safe, efficient, and cost effective care. SLO - 5 ) 8. Collaborate with individuals, families, and other members of the healthcare team in providing holistic healthcare. (SLO - 6 ) 9. Integrate and implement ethical and legal principles in the role of the nurse within an acute care setting. (SLO-7, 8 ) 10. Demonstrate self-directed commitment to personal and professional growth. (SLO-8) Required Resources Textbooks  Lewis, S., Heitkemper, M., Dirksen, S., O’Brien, P., & Bucher, L. (2016). MedicalSurgical Nursing (10th ed.). Elsevier.  Lewis, S., Heitkemper, M., Dirksen, S., O’Brien, P., & Bucher, L. (2016). MedicalSurgical Nursing Study Guide (10th ed.). Elsevier. Reference Package  Ackley. (2019). Nursing Diagnosis Handbook: An Evidenced-based Guide to Planning Care. (12th ed.). Elsevier.  HESI. (2017). HESI Comprehensive Review for the NCLEX-RN Examination. (5th ed.) Elsevier. o RN Case Studies & Practice Tests. Elsevier. (See HESI Package).  Morris. (2018). Calculate with Confidence. (7th ed.). Elsevier  Pagana. (2018). Mosby’s Manual of Diagnostic and Laboratory Tests. (6th ed.). Elsevier  Perry; Potter. (2018) Clinical Nursing Skills and Techniques. (9th ed.) Elsevier  Skidmore-Roth, L. (2019). Mosby’s 2020 Nursing Drug Reference (33rd ed.). Elsevier.  Silvestri, L. (2017). Saunders Comprehensive Review for the NCLEX-RN Examination (7th ed.). Elsevier.  Silvestri, L. (2017). Saunders Q & A review for the NCLEX-RN Examination. (7th ed.). Elsevier.

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

Elsevier. (2015).RN Simulation Learning System for RN 2.0 (User Guide and Retail Access Code). (2nd ed). Elsevier.

Resource Center Materials    

Chabner, D. (2018) Medical Terminology: A Short Course (8th ed.). Elsevier. Sharp & Upchurch. (2017) HESI Admission Assessment Exam Review (4th ed.). Elsevier. Silvestri, (2018) Saunders 2018-2019 Strategies for Test Success: Passing Nursing School and the NCLEX Exam (5th ed). Elsevier Additional learning materials are available in the LIRN Online Data Bases: LIRN - LIRN - online full text materials - LibGuides at Fortis College

Materials and Supplies  LRC and Computer lab access with printer Instructional Methods Lecture / Discussion Required readings Assignments and Projects (including study guide assignments and competence seminar) Written papers Audio, Visual and Audio-Visual aids Group activities Online / Electronic Instruction Actual and simulated clinical experiences Mode of Delivery Residential Americans with Disabilities Act Guidelines Refer to the procedure outlined in the campus catalog. Classroom Policy Our goal is to build a respectful learning and work environment that allows for positive communication and teamwork. To promote this all students must abide by academic policies related to attendance, behavior and professional conduct as published in the current institutional catalog.

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Grade Components and Values Numbe Method of Evaluation r

Percentag e

Grade Point Value

Unit Exams

4

65%

Grad e

Medical-Surgical Specialty Exam

1

10%

A

95 to 100

Qualit y Points 4.0

5

7%

A-

90 to 94

3.7

200

5%

B+

87 to 89

3.3

B

83 to 86

3.0

5 1

6% 5%

B-

80 to 82

2.7

C+

78 to 79

2.3

7

2%

C

73 to 77

2.0

C-

70 to 72

1.7

D+

67 to 69

1.3

Quizzes Saunders NCLEX Questions HESI RN Case Study HESI RN Practice Exam Kaplan: Focused Review Tests HURST Competency Reinforcement Seminar

P/F

Percentag e

Clinical Competence

P/F

D

60 to 66

1.0

Simulation Evaluation Total:

P/F 100%

F

59 or below

0.0

Note: A minimum passing grade of C+ (78%) is required for successful completion of the course. A student must achieve a satisfactory evaluation in all objectives to pass the lab component of this course. A score of unsatisfactory (U) in any objective at the final evaluation will result in failure of the lab component of this course. Refer to the student handbook for the policy on specialty exams. Distribution of Out-of-Class Time Out-of-Class Assignments Reading (chapters from Medical-Surgical Nursing) Focused Competency Development Activities: HESI RN Case Study (4 @ 2 hours) = 8 HESI RN Practice Exam (1 @ 2 hours) = 2 Saunders NCLEX Questions (275)= 4 hours U World NCLEX Questions (385) = 6 hours Kaplan Resources (varies estimated 8 hours)=10 HURST Competency Reinforcement Seminar Exam Preparation (5 @ 2 hours) Total Estimated Hours

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Time (hours) 37

30

24 10 101

10

Course Outline WEEK 1

AREAOFF OCUS  Musculoskeletal Dysfunction: Nursing Management of Musculoskeletal Dysfunction  Acute Problems, Trauma, Orthopedic Surgery  Chronic musculoskeletal disorders  Arthritis and connective tissue disorders

CL ASSROOMACT I VI T ES Reading: Medical Surgical Nursing: Chapter 61 Assessment of Musculoskeletal System Chapter 62 Musculoskeletal Trauma and Orthopedic Surgery Chapter 63 Musculoskeletal Problems Chapter 64 Arthritis and Connective Tissue Disease

WEEKL YASSI GNMENTS NCLEX Prep: Kaplan Focused Review Test: Musculoskeletal System A Sanders Questions: 50 questions based on areas of focus HESI RN Case Study: Rheumatoid Arthritis with Joint Arthroplasty Watch Student Orientation video for The Point- vSim

WEEK 2

Quiz #1 Theory: 

Neurologic Dysfunction o Head and Spinal Cord o Stroke

Disorders of the Brain and Degenerative Disorders

Reading: Medical Surgical Nursing: Chapter 55 Assessment of Nervous System Chapter 56 Acute Intracranial Problems Chapter 57 Stroke Chapter 58 Chronic Neurologic Problems Chapter 59 Dementia and Delirium Chapter 60 Spinal Cord and Peripheral Nerve Problems

NCLEX Prep: Sanders Questions: 75 questions based on areas of focus Activities Complete: HESI RN Case Study: Spinal Cord Injury Complete: Kaplan Focused Review Test: Neurology A

Prepare: Unit Exam #1

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(Weeks 1-2)

Simulation- The Point

SIM #1

Ac t i v i t i e s v Si m–Ma r i l y nHugh e s -L o we r L e gF r a c t ur e , Compa r t me n t Sy n dr ome( Me d i c a l Su r gi c a l )

Clinical- Swift River Wk #2 Assignment WEEK 3

L i t hi aMons o n-He a dI nj ur yR/ O Su bdu r a l He ma t oma

Unit Exam #1

Reading: Medical Surgical Nursing: Chapter 38 Assessment of Gastrointestinal System Chapter 41 Upper Gastrointestinal Problems Chapter 42 Lower Gastrointestinal Problems Chapter 43 Liver, Pancreas, and Biliary Tract Problems

Theory: Gastrointestinal Dysfunction: o Disorders of the Lower Gastrointestina l Tract o Disorders of the upper gastrointestinal tract Disorders of the Liver, Pancreas, and Biliary Tract Simulation- The Point

SIM #2

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As s i gn me nt Pr e Qu i z Sc e na r i o Po s t Qu i z Doc ume n t a t i ona ndr e fle c t i o nQu e s t i o nsduea t e ndof c l a s s SOAPNot e , SBARdu eb e f o r es t a r t of de br i e fp l a c ei n d r o pb o x NCLEX Prep: Complete: Kaplan Focused Review Test: Pathophysiology A Sanders Questions: 50 questions based on areas of focus

As s i gn me nt Pr e Qu i z Si mul a t i onLe a r ni ngSy s t e mf o r Sc e na r i o T hePoi nt : Po s t Qui z Doc ume n t a t i ona ndr e fle c t i o nQu e s t i o nsduea t e ndof Sc e n a r i oSt a nCh e c k e t t s Pr e o p c l a s s Bo we l Ob s t r u c t i o n F l u i d / e l e c t r o l y t e i mb a l a n c eMe d i c a l Su r g i c a l Ac t i v i t i e s

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Clinical- Swift River Wk #3 assignment

Dor ot h yHa mi l t on -Ga s t r i c By pa s sSur ge r y

Me di c a t i onCa r eMa pduepr i ort os t a r t of d e b r i e f -a l l me d si nme dpa s sa ndPRNme d s Pl a c ei ndr opbo x

Reading: Medical Surgical Nursing: Chapter 39 Nutritional Problems Chapter 40 Obesity

NCLEX Prep:

WEEK 4

Quiz #2

Theory:  Nursing Management of Problems in Nutrition: o Management of Problems in Nutrition Prepare: Unit Exam #2 o Obesity (Weeks 3-4) Simulation- The Point

Sim # 3

Complete: Kaplan Focused Review Test: Gastrointestinal System A and B (Both) Sanders Questions: 25 questions based on areas of focus

Ac t i v i t i e s As s i gn me nt Si mul a t i onLe a r ni ngSy s t e mt he Pr e Qu i z Po i nt Sc e na r i o Po s t Qui z Doc ume n t a t i ona ndr e fle c t i o nQu e s t i o nsduea t e ndof r i sBo wma n I mme d i a t e  Do c l a s s p o s t o pa b d o mi n a l Hy s t e r e c t o my Op i o i d I n t o x i c a t i o n Su r g i c a l

Clinical- Swift River Wk #4 a s s i gn me nt WEEK 5

Ra mon aSt u k e s Po s t op Cho l e c y s t e c t omy

SOAPNot e , SBARdu eb e f o r es t a r t of de br i e fp l a c ei n d r o pb o x

Unit Exam #2

Reading: Medical Surgical Nursing: Chapter 47 Assessment of Endocrine System Chapter 48 Diabetes Mellitus Chapter 49 Endocrine Problems

NCLEX Prep:

Theory: • Nursing Management of Endocrine Dysfunction • Endocrine Dysfunction: o Adrenal Cortex and Adrenal Medulla dysfunction

NUR209

Complete: HESI RN Case Study: Thyroid Disorder Complete: Kaplan Focused Review Test: Endocrine System A Sanders Questions: 25 questions based on areas of focus

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o Pancreatic Dysfunction o Anterior and Posterior • Pituitary Dysfunction Thyroid and Parathyroid Dysfunction

Simulation- The Point

Sim # 4

Ac t i v i t i e s Si mu l a t i o nL e a r n i n gSy s t e mf o r t h ePo i n t V e r n o nWa t k i n s Po s t o p e r a t i v e h e mi c o l e c t o my Pu l mo n a r y Emb o l i s m Su r g i c a l

Clinical- Swift River WK # 5 a s s i gn me nt

As s i gn me nt Pr e Qu i z Sc e na r i o Po s t Qui z Doc ume n t a t i ona ndr e fle c t i o nQu e s t i o nsduea t e ndof c l a s s

L i ndaPi t t monDi a be t i cBe l o w t h eKne eAmp ut a t i on

SOAPNot e , SBARa ndp ot e n t i a l c ompl i c a t i o nma pdue b e f or es t a r t of de br i e f p l a c ei nd r opbo x

Complete: HURST Competency Reinforcement Seminar

NCLEX Prep:

WEEK 6

Quiz #3 Theory:  Genitourinary Function: o Nursing management of urinary Disorders of the urinary systems

NUR209

Reading: Medical Surgical Nursing: Chapter 44 Assessment of Urinary System Chapter 45 Renal and Urological Problems Chapter 46 Acute Kidney Injury and Chronic

U World- Assessment #1 Saunders Questions: 50 Questions based on area of content

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Kidney Disease

Introduction to U World Prepare: Unit Exam #3 (Weeks 4-6)

Simulation- The Point

Sim # 5

Si mul a t i onLe a r ni ngSy s t e mi n t h ePo i n t Sk y l e rHa n s e n–Di a b e t e s , Hy po gl y c e mi a( Me di c a l Su r g i c a l )

Clinical- Swift River WK # 6 a s s i gn me nt

As s i gn me nt Pr e Qu i z Sc e na r i o Po s t Qui z Doc ume n t a t i ona ndr e fle c t i o nQu e s t i o nsduea t e ndof c l a s s

T o mRi c ha r d s o n-Ki dn e ySt on e s SOAPa n dd o c ume nt a t i onn ot eduepr i ort os t a r t of d e br i e f p l a c ei ndr opbo x

WEEK 7

Unit Exam #3 Theory: • Disorders of the Breast • Pain • Palliative Female Reproductive Disorders Simulation- The Point

Sim # 6

Clinical- Swift River Wk#7a s s i g nme n t

NUR209

Theory: • Disorders of the Breast • Pain • Palliative Female Reproductive Disorders

NCLEX Prep: U World- 75 Questions based on area of content

As s i gn me nt Pr e Qu i z Sc e na r i o Po s t Qui z ume n t a t i ona ndr e fle c t i o nQu e s t i o nsduea t e ndof L l o y dBe n n e t t -Po s t o p e r a t i v eh i p Doc l a s s a r t h r o p l a s t ywi t hb l o o dt r a n s f u s i o n c r e a c t i o n Ac t i v i t i e s Si mul a t i onLe a r ni ngSy s t e m ( SL S)i nt hePoi nt

Vi r gi ni aSmi t hT o t a l

SOAPa n ddoc u me nt a t i onno t ed uepr i ort os t a r t o f

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Ma s t e c t omy

d e b r i e f p l a c ei nd r opbo x

Reading: Medical Surgical Nursing:  Chapter 52 Sexually Transmitted Infections

NCLEX Prep:

WEEK8

Quiz #4 Theory: Sexually Transmitted Diseases Male Reproductive Disorders

Simulation- The Point

Sim # 7

U World- 50 Questions based on area of content Complete: HESI RN Case Study: Chronic Pancreatitis

Chapter 54 Male Reproductive and Genital Problems Activities Simulation Learning System (SLS) in the Point Vincent BrodyCOPD/Spontaneous Pneumothorax

Complete: Kaplan Focused Review Test: Renal-Urological System A

Assignment Pre-Quiz Scenario Post-Quiz Documentation and reflection Questions due at end of class

Clinical- Swift River F ou ndi nSwi f t Ri v e ra s We e k# 1( WK8Ho l i da y ) a s s i gn me nt WEEK9

Ma r c e l l aCo moSe x ua l T r a u ma Vi c t i m

SOAPa n ddoc u me nt a t i onno t ed uepr i ort os t a r t o f d e b r i e f p l a c ei nd r opbo x

Quiz #5

Reading: Medical Surgical Nursing: Chapter 65 Critical Care Chapter 66 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome

NCLEX Prep:

Theory: The Nurse in Emergency and Disaster: o Critical Care o Shock, Systemic Inflammatory Response Syndrome, Multiple Organ Dysfunction

NUR209

Complete: HESI RN Medical Surgical Practice Exam HESI RN Case Study: Diabetes Mellitus U World- 50 Questions based on area of content

Prepare: Unit Exam #4 (Weeks 7-9)

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As s i gn me nt Pr e Qu i z Sc e na r i o Ca r l Sh a pi r o Ac ut emy o c a r di a l Po s t Qui z I nf a r c t i on/ v e n t r i c u l a rfib r i l l a t i o nDoc ume n t a t i ona ndr e fle c t i o nQu e s t i o nsduea t e ndof c l a s s

Sim # 8

Ac t i v i t i e sSi mul a t i onLe a r ni ng Sy s t e m( SLS) i nt hePo i nt

Clinical- Swift River Wk # 9 assignment

Dona l dL y l e s Sudd e nCa r di a c Ar r e s t Me gaCo de

SOAPn ot ea ndSBARa n dMe di c a t i o nCa r eMa pdue p r i o rt os t a r t o f de br i e f -a l l me d si nme dpa s sa ndPRN me d s

Reading: Medical Surgical Nursing: Chapter 67 Acute Respiratory Failure and Acute Respiratory Distress Syndrome Chapter 68 Emergency and Disaster Nursing

NCLEX Prep:

Activities Simulation Learning System (SLS) for the Point

Assignment Pre-Quiz Scenario Post-Quiz Documentation and reflection Questions due at end of class

Simulation- The Point

WEEK1 0

Unit Exam #4 Theory: • The Nurse in Emergency and Disaster (cont’d): o Respiratory Failure, Acute Respiratory Distress Syndrome o Emergency and Disaster Nursing

Simulation- The Point

Sim # 9

Kenneth BronsonPneumonia with anaphylactic reaction to Antibiotic

Clinical- Swift River

NUR209

Ke a t onHe n de r s o nCh e s tt ube

Review for Specialty Medical Surgical Exam U World- 75 Questions based on area of content

SOAP , SBARa nddo c ume nt a t i onn ot eduepr i ort os t a r t

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Wk 10 Assignment

c a r e

o fd e br i e f p l a c ei ndr opbo x

Content Review

NCLEX Prep:

WEEK 11

Theory:

HESI Sp e c i a l t y Ex a m

U World Questions     

Content Review

 

Basic Care and Comfort- 10 questions Physiologic Adaptation- 20 questions Management of care- 50 questions Psychosocial Adaptation- 20 questions Pharmacological and parenteral therapies- 15 questions Risk Reduction Potential- 10 questions Safety and infection- 10 questions

Total number: Simulation- The Point

Sim #10

Activities Simulation Learning System (SLS) in the Point Jennif...