SCR270-Syllabus 2-9-2020 PDF

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1 LAGUARDIA COMMUNITY COLLEGE City University of New York Health Sciences Department Registered Nursing Program Spring 2020 COURSE NUMBER: SCR 270 – 4726 [30975] and 4727 [30976] COURSE TITLE: Parent-Child Health Nursing CREDIT/CLOCK HOURS:4 credits: 2 hours theory per week; 6 clinical and clinical campus laboratory hours CLASS MEETING: Lecture: Wednesday 9:15am – 11:30am Clinical Campus Lab: Wednesday 1:00pm – 4:25pm Clinical Facility: Thursday, Friday, or Saturday 8:00am–3:15pm or 4:00pm–11:15pm PREREQUISITES: SCR210, SCB260, SCL103 CO-REQUSIITES: ENG102 FULL TIME FACULTY: Professor Unn Hidle, DNS, CRN, CPNP, MS.Ed Office: E300Z Email: [email protected] Phone: 718 482 5774 CLINICAL FACULTY (see separate Clinical List). COURSE DESCRIPTION: This course focuses on the promotion of health and caring for childbearing families, their newborns, and children with major health problems from infancy to adolescence. Emphasis is placed on the implementation phase of the nursing process. Experiential learning offers opportunities to provide care during the antepartal, intrapartal, and postpartal periods of the maternity cycle, as well as in the newborn nursery and pediatric settings, along with simulated experiences through computer programs/internet sites. STUDENT LEARNING OUTCOMES: Course student learning outcomes are determined to be in compliance with the mission of LaGuardia Community College and the NYS Department of Education, and aimed at meeting the LaGuardia Community College Nursing Program Educational Objectives (Outcomes), the ACEN Standards and Criteria., the ANA (American Nurses Association) Code of Ethics, and QSEN competencies. 1.

The student will apply the Nursing Process to care for the parent and child, integrating growth and development, consistently modifying patient care based on evaluation of expected patient outcomes.

2.

The student will develop/demonstrate increasing knowledge, skills and attitudes in providing care consistent with professional practice.

3.

Develop/demonstrate critical thinking skills to provide safe and effective care to parents, children, and their families.

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2 4.

Develop/demonstrate effective communication skills when interacting with patients, families and members of the inter-professional teams.

5.

Integrate care that addresses the cultural, ethnic, spiritual and social diversity of parents, children and their families.

6.

Develop/integrate knowledge of legal, ethical, and professional standards in the delivery of nursing care.

7.

Promote health and prevent illness by integrating patient education into the care of patients, families, and the communities we serve.

8.

Demonstrate increasing skills in the care of parents, children, and their families using Translation of Research, Evidence Based Practice (EBP), and Information Technology.

9.

Develop/demonstrate an attitude that is consistent with role development, increasing professionalism, and a commitment to lifelong learning.

10.

Integrate reflection to develop skills of self-awareness and self-monitoring to improve practice in providing patient centered care.

Topical Outline: 1. Care of the Family Unit: Care of the Antepartum Patient / Family, and the Role of the Nurse Prenatal care; childbirth statistics; socio-cultural factors and ethical issues affecting the childbearing family; and advances in diagnostic and treatment modalities ensuring the well being of the pregnant woman and fetus. Lab 1: Care of the Patient During the Labor and Delivery Process Relationship of the fetus to maternal pelvis; mechanism of labor; assessing contractions and Leopold’s Maneuvers. Physiological, psychological, and social factors affecting the stages of the labor and delivery process. 2. Care of Pregnant Patients with Alternation in Nutrition Comparing diabetes mellitus (Type I and Type II) with gestational diabetes; diabetic classifications; diagnoses and treatment of gestational diabetes; and other nutritional risk factors during pregnancy. Lab 2: Urinary Catheterization Implications for catheterizations; complications, and female urinary catheterization procedure. 3. EXAM I Lab 3: Care of the Newborn Biological adjustments in the neonatal period; immediate care of the newborn; head-to-toe newborn physical exam; and physical variations in the newborn. 4. Care of Pregnant Patients with Alteration in Oxygenation Hemorrhagic complications during early and late pregnancy: abortion, ectopic pregnancy, placenta previa, abruption placenta, disseminated intravascular coagulopathy (DIC), gestational hypertension, preeclampsia and eclampsia. and fetal demise. Last modified 02/2020

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3 Lab 4: Simulation During the Labor Process, Post-Partum and of the Infant Case scenarios utilizing principles of the labor and delivery process; recognizing normal versus abnormal physical findings: infections (perineal wound, endometritis, peritonitis, salpingitis); thrombophlebitis; subinvolution; early and late postpartum hemorrhage; pulmonary embolism; vulvar hematoma; mastitis; and urinary tract infection. 5. Care of Patients with Complications During the Labor Process Dystocia: problems with the powers, passenger, and/or the passageway. Premature Rupture of Membrane (PROM); preterm labor; multiple pregnancy; induction of labor; and assisted delivery (forceps and vacuum extraction). Pain management: anesthesia versus analgesics. Complications: lacerations versus episiotomy. Lab 5: Care of Patients with Abuse in the Family and Community Mandatory Child Abuse Course: Physical, emotional and sexual abuse; physical, emotional and educational neglect. Sudden Infant Death Syndrome (SIDS); Munchausen Syndrome by Proxy. Mandated child abuse reporting. 6. MIDTERM EXAM Lab 6: Growth and Development 0-1 year Developmental phase according to Erikson; cognition according to Piaget; adaptive behaviors; anticipated physical changes in the infant; attachment; stimulation; play; immunizations; nutritional needs; and safety. Denver II assessment; growth charts. 7. Care of High-Risk Infants: Alteration in Gestational Age or Birth Weight, Developmental and/or Acquired Disorders Health problems associated with high-risk neonates (small for gestational age and premature infants, large for gestational age and post-term infants); neuromuscular complications; twin births; Trisomy 21 (Down’s Syndrome); inborn errors of metabolism; ambiguous genitalia; birth trauma; and hyperbilirubinemia; substance abuse during pregnancy; and effects of sexually transmitted diseases on the fetus. Lab 7: ATI EXAM 8. Growth & Development of the Toddler Through School Age Physical, psychological, social, and developmental growth during the age group one through 12 years. Pain management in the different age groups. Daycare Center visit. Lab 8: Care of Patients with Alteration in Respiration Function: Oxygenation Alterations in Cardiac Output (congenital and acquired cardiac anomalies); diagnostic procedures and cardiac surgery; Hematologic Disorders; and Respiratory Disorders including upper and middle airways. 9. Care of Patients with Sensory-Perceptual Alterations and Communicable Diseases: Hydrocephalus; spina bifida; lead poisoning; Cerebral Palsy; cognitive impairment; otitis media; measles, varicella, scarlet fever, meningitis, and more. Lab 9: Performance Exam Female indwelling urinary catheterization. 10. EXAM III Lab 10: Care of the Hospitalized Child and Pediatric IV Infusion Effects of hospitalization on the developmental needs of the child and the nurse’s role in effective coping. IV fluid/medication calculation and administration. 11. Care of Patients with Alteration in Elimination and Interference in their Ability to Meet Nutritional Needs Last modified 02/2020

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4 Bowel elimination: acute and chronic diarrhea; urinary elimination: congenital anomalies; acute glomerulonephritis; and nephrotic syndrome. Cleft lip; cleft palate; pyloric stenosis; intussusception; Celiac disease; Failure to Thrive; and Diabetes Mellitus. Lab 11: Reproductive Life Planning and Sexually Transmitted Infections Various forms of contractive including barrier and non-barrier method; advantages, disadvantages, safety and effectiveness of each contraceptive method. Transmission of sexually transmitted infections. 12. Care of Patients with Alteration in Mobility Developmental dysplasia of the hip (DDH); clubfoot; osteomyelitis; Juvenile Idiopathic Arthritis; Muscular Dystrophy; and scoliosis. Lab 12: Performance Exam II Volume Controlled Infusion Teaching Strategies: lecture, guided discussion, case studies, concept mapping, audiovisuals, demonstrations and return demonstrations, small group learning, computer-assisted instruction, models, study guides, self-instruction modules, guided learning experience in laboratory and at clinical site and low and high fidelity simulation. COURSE MATERIALS Required Textbooks (includes material used in previous nursing courses): Brenner, A., Snyder, S., Kozier, B., & Erb, G. (2016). Kozier & Erb’s Fundamentals of Nursing, (10th Ed.) Prentice Hall. Dudek, S., (2017). Nutrition Essentials for Nursing Practice, (8th Ed.). Philadelphia: Lippincott. Lehne, R. A., (2015). Pharmacology for Nursing Care, (9th Ed.). Saunders. (2017) Tabers Cyclopedic Medical Dictionary, (23nd Ed.). Philadelphia: F.A. Davis Co. London, M. L., Ladewig, P. A. W., Davidson, M. R., Ball, J. W., Bindler, R. C. M., & Cowen, K. J. (2017). Maternal & Child Nursing Care, (5th Ed.). Hoboken: Pearson. ISBN-13: 978-0-13-416722-0, ISBN-10: 0-13-416722-8 Grading Scale for the Registered Nursing Program: LETTER A AB+ B BC+ C F Last modified 02/2020

NUMERICAL RANGE 92.5-100 89.5-92.4 86.5-89.4 82.5-86.4 79.5-82.4 76.5-79.4 74.5-76.4 74.4 or less Page 4 of 8

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Evaluation Methods: Grade Breakdown: 1. Two unit examinations (2): 20% each exam 2. Midterm Examination: 25% 3. Final Examination: 30% 4. Standardized Testing: 5% 5. Medication Calculation Competency: Pass/Fall (Score of 80 required) 6. Clinical Practicum Pass/Fall (Satisfactory required) 7. ePortfolio Assignment Pass/Fall (Post in Assessment Area)

Total: 40% 25% 30% 5%

100% Assessment Technologies Institute (ATI): Any student who does not pay the ATI installment by the assigned due date each semester will forfeit the percentage of course grade allotment for “Standardized Testing”. Students will not be permitted to take or receive credit for the proctored ATI exam that is designated for that course. Final Grade Determination: Please note that students must pass the theory portion of the course with a 74.5 or above and must achieve a satisfactory grade for the clinical-laboratory portion of the course. Unsatisfactory in the clinical portion and/or failure in theory portion results in course failure. Mathematic Requirement: Students will have two (2) opportunities to meet the math requirement for each clinical course. Any student who fails the math exam for a second time will receive an incomplete for that course. The student will be required to attend a 1-day remedial Math course in the following Fall II or Spring II semester. Students must pass the math exam after the remedial course in order to progress in the program. Any student who fails the math exam for a third (3rd) time will no longer be eligible to continue on the nursing program and will receive an F grade for that clinical course. Grading criteria for students retaking the course: Any student who is repeating a nursing course (SCR) due to a failing final grade is required to achieve a minimum grade of “77.5%” (C+) to pass the course on the second registration. Students who have been maintaining a failing average throughout the course and obtain a medical leave after completing 83% of the course (10 weeks) will also be required to obtain a minimum grade of 77.5% to pass the course on the second registration. Regardless of the grade computation, any failure in clinical performance will be recorded as an automatic F grade for the course. Exam Information: The course schedule identifies examination dates. The faculty retains the right to change these dates if necessary. If a student cannot be present for a scheduled examination, it is the student’s responsibility to notify the course faculty prior to the examination start time via email (see further instructions regarding make-up exams below).

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Make-up exams: Any student who is absent for an exam is required to provide a doctor’s note (for either themselves or their child). All make-up exams will be given during Finals Week (as documented in the Academic Calendar for that semester). Faculty have the right to provide an exam in an alternate format (including, but not limited to fill in the blanks, matching column, short answer, etc). Under no circumstances will a make-up exam be given for the second time in any one clinical course in one semester. Students will receive a zero (0) for a second missed exam. In the event of a death in the family the student should speak directly with their faculty and the course coordinator. Medication calculation competency examination: (Pass/Fail): Students will be given no more than two testing opportunities to achieve an 80% on a drug calculation competency examination. Subsequent testing will take place at the convenience of the instructor outside of course time. Should a student fail two testing opportunities, required tutoring via the remedial workshop, must be satisfactorily completed before the student can progress in the program. Drug calculation problems may be a part of each objective testing opportunity. Clinical Practice Experience and Laboratory Experience (Clinical Practicum): See Clinical Guide. Course Expectations: Students are expected to participate fully in all course activities, complete readings prior to class, and arrive on time for class, laboratory, and clinical sessions. All assignments must be submitted on the required dates. Academic Integrity: Cheating, plagiarism, and other forms of academic dishonesty will not be tolerated. All work submitted by a student must be the student’s own work. Please see Nursing Student handbook Academic and Learning Support Services: Students are required to submit well-written papers that are grammatically correct, spellchecked, and written with clarity. Academic and Learning Support Services are available at the writing center. Attendance: Attendance policies for lecture and campus laboratory sessions in the Registered Nursing Program are congruent with the Attendance Policy stated in the LaGuardia Community College Catalog. Attendance for the hospital clinical experience is mandatory. Nursing students are required to complete the total number of clinical hours in accordance with the registration of the Nursing Program with the New York State Education Department. Students who are too ill to report for clinical assignments must notify the clinical faculty before the start time on the scheduled clinical day. Failure to do so will result in a clinical "U" for the day. Any student who is absent for a clinical day during the semester is required to participate in a clinical make-up day in the Nursing Simulation Lab. The date of the clinical make-up will be Last modified 02/2020

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7 determined by the Course Coordinator. Any student who is absent for a second clinical day in the same semester will receive and “F” grade for the course. Emergency School Closure will be indicated on the LaGuardia Community College Website. If the college is closed, the clinical day is cancelled. LaGuardia Community College Counseling Services: Counseling services are available to students in the college. Students should not hesitate to make use of this confidential service, which is designed to assist students and provide support. Use of this service will in no way jeopardize a student's position in the nursing program. Student Guide to Rights and Responsibilities: Please see Nursing Program Student Handbook COURSE REQUIREMENTS: Web-Based Course Management Software This course is supported by the Blackboard Web-based Management Software. This management website is used to support the course activities by providing students with a variety of additional learning activities developed by the instructor, as well as by activities available on the Internet. Blackboard enables students to have quick access to educational links on the internet, PowerPoint presentations, chat capabilities, message board discussions, homepages, grades and course materials. The course requires computer access to use the Blackboard supplemental activities and materials. Advisement Student-faculty conferences will be scheduled once during each semester and as needed. In addition, full-time faculty members will post office hours indicating times available to meet with students. Times other than those posted may be arranged by mutual agreement. It is the student's responsibility to make and keep appointments. If unable to keep an appointment, the student is expected to notify faculty.

Declaration of Pluralism We are a diverse community at LaGuardia Community College. We strive to become pleuralistic community. We respect diversity as reflected in such areas as race, culture, ethnicity, gender, religion, age, sexual orientation, disability and social class. As a pleuralistic community we will:  Celebrate: individual and group diversity.  Honor: the rights of people to speak and be heard on behalf of pleuralism.  Promote: intergroup cooperation, understanding and communication.  Acknowledge: each other’s contributions to the community.  Share: beliefs, customs and experiences which enlighten us about members of our community.  Affirm: each others’ dignity.  Seek: further ways to learn about and appreciate one another.  Confront: the expression of de-humanizing stereotypes, incidents where individuals or groups are excluded because of difference, the intolerance of diversity and the forces of Last modified 02/2020 Page 7 of 8 ©LaGuardia Community College Registered Nursing Program

8 racism, sexism, heterosexism, homophobia, disability, discrimination, ageism, classism and ethnocentric that fragment the community into antagonistic individuals and groups. The LaGuardia Declaration of Pluralism encompasses many of the values that form the foundation of the Human Services Professions.

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