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Big Sandy Community and Technical College

Course Syllabus

PS Number: 82550, B001; 82552, B0A1; 82554, B0B1

Semester: Spring Year: 2017

Faculty Name: Dianna Lawson Collista Allen Harless, Kay Katherine Hall

Title: Associate Professor of Nursing Associate Professor of Nursing Associate Professor of Nursing Lab Instructional Specialist

Course Prefix and Number: NSG 210 Course Credit Hours: 6 credit hours. Lecture: 3 credit hours (45 contact hours). Lab/Clinical: 3 credit hours (135 contact hours).

Course Prerequisites: Pre-requisite: (NSG 101 and BIO 139) with a grade of “C” or better and PSY 223. Pre-or Co-requisite: (NSG 212 and NSG 215) with a grade of “C” or better, ENG 101 and Oral Communications.

Course Title: Medical Surgical Nursing I

Catalog Course Description: Focuses on the application of the core components of nursing to adult patients experiencing dysfunctional health patterns. Emphasizes the care of patients with nutritional-metabolic and elimination dysfunctional health patterns. *NOTE: The student’s failure to read this document does not excuse the student from the requirements of this syllabus.

Instructor Contact Information:

Campus Location: Prestonsburg Building & Room: Campbell Building Office Suites

Office Hours: Each full-time faculty’s specific schedule of office hours will be posted during the first week of the course beside the faculty member’s office door and available on the NSG 210 Blackboard course shell.

Office Phone Number: Refer to directory; last page of this syllabus.

Alternate Number:

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Best Times to Call: Email is the best method of contact unless otherwise specified by the individual instructor.

KCTCS Email: Please refer to the directory on the last page of this syllabus.

Special Instructions: Faculty contact information can be found on the last page of this syllabus. Each full-time faculty member maintains office hours. Faculties are available to students during scheduled office hours or by appointment.

Supervisor Contact Information:

Name: Dr. Patsy Jackson

Campus Location: Prestonsburg Building & Room: Campbell 120 H

Office Phone Number: 606-889-4711

KCTCS Email: patsy.jackson@kctcs.edu

Text and Supplies:

Required Texts

All textbooks, study guides, supplies and virtual learning materials from student’s previous NSG 101 course and Nursing Program Handbook for 2016-2018.

Brunner & Suddarth's Textbook of Medical-Surgical Nursing, Thirteenth Edition (Janice L. Hinkle; Kerry H. Cheever authors) - ISBN – 9781469886633. (This includes an e-book, Prep U & vSim Wolters-Kluwer/LWW/Laerdal vSim for Nursing, Medical Surgical)

Optional but recommend:

Brunner & Suddarth's Textbook of Medical-Surgical Nursing, Thirteenth Edition (Janice L. Hinkle; Kerry H. Cheever authors): ISBN#: 9781451130607 (this is the hardback book of the e-book that is included in the bundle)

Recommended:

Nugent, Patricia Test Success: Test-Taking Techniques for Beginning Nursing Students 7th Edition ISBN-13: 978-0803644182; ISBN-10: 0803644183

Required Supplies/Equipment

Simple Calculator (add, subtract, multiply, divide, and percentage)

NSG 210 Nursing Supply Kit (available in the bookstore) o 1 - Box Alcohol Prep Pads o Box nitrile powder free exam gloves non-sterile o Box Nitrile Sterile Powder Free Surgeons Gloves (25 pairs per box) o (5) Normal saline flushes 10 mL

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o (5) IV Fluid: Normal Saline 100 mL o (2) Salem sump tubes 16 Fr o (2) Piston Syringe irrigation sets o (5) Secondary IV Tubing Sets (Needleless, Luer Lock) o (5) Primary IV Tubing Sets (Needleless, Luer Lock) o (5) Extension sets (Needleless, Luer Lock) o (5) Saline Locks (Needleless, Luer Lock) o (5) IV Fluid: Normal Saline 500 mL o (15) #22 IV catheters o (15) #20 IV catheters o (10) IV start kits o (2) Central Line Dressing Kit (with Chloraprep solution) o (4) 1 inch tape

KCTCS General Education Competencies

Students should prepare for twenty-first century challenges by gaining: A. Knowledge of human cultures and the physical and natural worlds through study in the sciences

and mathematics, social sciences, humanities, histories, languages, and the arts. Method to Achieve Competency: N/A

B. Intellectual and practical skills, including

inquiry and analysis

critical and creative thinking

written and oral communication

quantitative literacy

information literacy

teamwork and problem solving Method to Achieve Competency: N/A

C. Personal and social responsibility, including

civic knowledge and engagement (local and global)

intercultural knowledge and competence

ethical reasoning and action

foundations and skills for lifelong learning Method to Achieve Competency: N/A

D. Integrative and applied learning, including synthesis and advanced accomplishment across general and specialized skills.

Method to Achieve Competency: N/A

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Course Specific Competencies (Student Outcomes):

Upon completion of this course, the student can:

1. Use Gordon’s functional health patterns as a basis for assessment with emphasis on adult patients with nutritional-metabolic and elimination dysfunctional health patterns.

2. Provide safe nursing care while maintaining previously learned skills and acquiring additional essential skills that adhere to critical criteria.

3. Apply the nursing process to clinical judgment and the management of care for a minimum of two patients with multiple dysfunctional health patterns.

4. Communicate effectively with patients, families, significant others and members of the health care team.

5. Translate caring behaviors into nursing practice. 6. Demonstrate professional behaviors according to the standards of nursing practice in the

delivery of patient care. 7. Implement understanding of the teaching-learning processes. 8. Demonstrate collaboration with the patient, family, significant others and members of the

health care team.

Lab Competencies (Student Outcomes): (Enter N/A if this does not apply.)

Students are expected to independently spend time each week in the campus laboratory in addition to

regularly scheduled laboratory/clinical time. Students will document time spent and activities

completed. Activities may include, but not limited to, practicing skills, watching videos, preparing

written assignments, quiet study and/or computer assisted instruction that are relevant to NSG 210

course content.

NSG 210 Essential Skills are the Clinical Skills for which the student must demonstrate 100% proficiency

as part of the requirements to earn a satisfactory clinical grade. Please see page 7 for further

Information related to Skill Proficiency Evaluations. NSG 210 Essential Skills include:

General Principles (overriding)

*Safety Practices (overriding)

*Standard precautions (Body Substance Isolation) (overriding)

*Intravenous Therapy (fluids not blood)

1. Venipuncture-Initiation 2. IV Medications 3. Infusions Devices 4. Central Line Dressing

*Nasogastric Intubation 1. Gavage 2. Lavage

*Suctioning-Nasogastric *Teaching Learning

1. Ostomy Care 2. Chronic Disease Self Care

*Management of Care for two clients

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*Requires individual faculty check off

Course Outline:

I. Managing Care for Patients with Risk for/Actual Dysfunctions Related to Nutritional-Metabolic Health Patterns A. Nursing Management of Nutritional Dysfunctions B. Nursing Management of Upper and Lower Gastrointestinal Dysfunctions C. Nursing Management of Endocrine Dysfunctions D. Nursing Management of Liver, Biliary Tract, and Pancreatic Dysfunctions

II. Managing Care for Patients with Risk for/Actual Dysfunctions Related to the Elimination Patterns

A. Nursing Management of Urinary Dysfunction B. Nursing Management of Bowel Dysfunction C. Nursing Management of Integumentary Dysfunctions

Course Structure:

Methods may include, but are not limited to: 1. Discussion/Lecture 2. Client Situations 3. Individual and/or Group Presentations 4. Laboratory Demonstrations and Practice and Skill Exams 5. Clinical Rotations (various nursing delivery methods may be utilized) 6. Pre-and Post-Conferences 7. Workshops 8. Self-study Materials 9. Audio-Visual Materials 10. Computer Assisted Instruction (CAI) 11. Written assignments 12. Web-enhanced instruction/On-line learning modules

Technology/Media Component:

NSG 210 is a web-enhanced course utilizing the Blackboard platform to assist students in the learning process. Blackboard can be accessed through the Big Sandy Community and Technical College website at http://www.bigsandy.kctcs.edu. The educational bundle in NSG 210 is accompanied by a companion website, adaptive quizzing, and a virtual simulation program. Email communication for NSG 210 should be through each student’s BSCTC email account. Email should be read at least daily (recommended at least morning and night). Maintenance of each student email account is the student’s responsibility, such as emptying email regularly allowing access to new messages (this includes emptying the deleted items folder).

Service-Learning:

Students may be assigned to complete a service learning project based on the learning content of this course

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Classroom Civility: In order to facilitate the process of meeting course requirements, students are expected to maintain civility in the classroom, campus laboratory and clinical facility. There will be a no-tolerance policy of disruptive or uncivil behavior toward another student, faculty, or clinical facility staff. Students exhibiting disruptive behaviors as determined by the faculty will be asked and expected to leave the classroom, laboratory or clinical site. Please refer to the Student Code of Conduct http://bsctcapps.com/StudentCode2009.ashx.pdf

Course Requirements and Evaluation:

To receive a passing grade of “C” in NSG 210, the student must: a. Earn 78% of the total theory points; and b. Earn a Satisfactory Clinical Grade.

Grading Policy:

THEORY REQUIREMENTS: Grading Scale: The scale below shows the relationship between the student’s course percentage average and the letter grade the student will receive. No rounding will be used in calculation of final grades. Bonus points will not be awarded in this course. A = 100 – 90% B = 89 – 82% C = 81 – 78% D = 77 – 67% E = 66% and below The Percentage Grade will be derived by dividing the total points earned by the total points possible at the end of the course. Total points possible will be derived from unit exams with dosage calculations and a final comprehensive exam and may include other quizzes, assignments, etc. CLINICAL REQUIREMENTS: For a Satisfactory Clinical Grade the following must be achieved: Dosage Calculation Competency Exam = 80% or higher Dosage Calculation Proficiency in Clinical and Campus Laboratory = 100% proficiency Skills Proficiency Evaluations = 100% proficiency Clinical Evaluation of Student Performance = Satisfactory DOSAGE CALCULATION COMPETENCY EXAM: A Dosage Calculation Competency Exam will be scheduled. Each student should complete the following in Dosage Calculations: A Ratio-Proportion Approach, 4th ed., by Pickar-Abernethy in preparation for the Dosage Calculation Competency Exam: Chapters 1-13, Chapters 14-15, Chapter 17, and BSA (body surface area) from Chapter 16. Each student must achieve 80% on the Dosage Calculation Competency Exam as part of the requirements to receive a satisfactory clinical grade. If the student scores less than 80% on the Dosage Calculation Competency Exam, one repeat exam will be scheduled. No make-up exams will be given for this repeat exam. Each student must score 80% on the repeat exam. A score of less than 80% will result in an unsatisfactory clinical grade. In this event, the student will be given the option of withdrawing from

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the course with a grade of “W” or continuing with a grade of “E”. If the student chooses the option of continuing in the course he/she will not be allowed to return to the clinical area. Each student is expected to maintain dosage calculation competency of 100% in the clinical area and campus laboratory. SKILLS PROFICIENCY EVALUATION: At the beginning of this course, students are expected to be able to safely and proficiently perform all essential skills from previous nursing courses and to demonstrate knowledge acquired from previous courses in the nursing curriculum and from the nursing assistant course. Students are expected to continue to maintain these skills and apply knowledge to classroom, campus laboratory, and clinical activities throughout the course. Students are required to complete all Essential Skills for NSG 210 (listed on page 4) at 100% proficiency as part of the requirements to earn a satisfactory clinical grade. Once skills are learned, students are expected to maintain all Essential Skills at 100% proficiency in the campus laboratory and clinical setting. It is the student’s responsibility to practice as needed in the campus laboratory to maintain skill proficiency. Demonstration of the essential skills and initial practice sessions will be scheduled by the Laboratory Instructional Specialist/ Faculty. It is the student's responsibility to practice after this initial demonstration/discussion. Students will participate in at least two practice sessions with other students and/or instructional specialist/faculty unless otherwise instructed and will document all signatures as required on the Essential Skills-Critical Criteria Sheet for each skill. The skill sheet must be presented to the Lab Instructional Specialist/faculty prior to testing on the day of the skill exam or the student will forfeit that skill attempt/opportunity. In the event the student fails a skill exam, the student must practice any deficient areas. This practice must be documented on the Essential Skill-Critical Criteria Sheet. This sheet must be presented when the student returns to repeat the Skill Exam on the assigned date. In order to receive two opportunities to complete a skill, the student must follow the above instructions. Absence, failure to practice, and failure to bring documentation of practice on the day of the skill exam are reasons why a student may be given only one opportunity to complete a skill. All students must be finished with their final attempt at each Skill Exam by the deadlines set by the Laboratory Instructional Specialist/Faculty. Should a student be unsuccessful on their final attempt to perform the skill or fail to meet the established deadline, they will be given the option of withdrawing from the course at that time or receiving a grade of “E” for the course. If a student is given a lab referral to the campus lab to further develop clinical skills, the student must make arrangements with the nursing laboratory specialist regarding an appropriate day and time to come to the campus lab, and the student must provide clinical faculty with required documentation that a skill has been practiced and completed in the campus lab as directed in order to remain satisfactory in clinical and to continue in the course.

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CLINICAL EVALUATION OF STUDENT PERFORMANCE The Final Clinical Grade for each student in NSG 210 will be graded as Satisfactory or Unsatisfactory. An overall Unsatisfactory Clinical Grade can occur if a student is deemed by the nursing faculty to be in gross violation of safe nursing practice. An overall Final Unsatisfactory Clinical Grade also occurs if the student receives three unsatisfactory clinical evaluations of performance. In the event that an overall Unsatisfactory Clinical Grade is assigned, or an unsatisfactory clinical grade that is the result of gross negligence or violation of safety practices, the student will be asked to withdraw from the course. If the student chooses not to withdraw from the course when an overall Unsatisfactory Grade has been assigned, the student will not be allowed to return to campus lab or clinical and will receive an E for the course. Campus nursing laboratory experiences will be considered in the evaluation of the student's weekly clinical progress. Both scheduled labs and lab appointments will be considered. All students must be on time, in appropriate attire (see Nursing Program Student Handbook), and remain in the lab the entire time during scheduled times unless excused by the Laboratory Instructional Specialist/Faculty.

Attendance Policy:

Students are expected to attend and be punctual for all lectures, labs, and clinical experiences. In the event that a student must miss clinical, the student is to notify their clinical instructor prior to the beginning of the clinical experience. The student must follow up with written reason for the absence by email to the clinical faculty or deliver in person, which will be placed in the student’s file. Failure to notify the instructor will result in an unsatisfactory clinical evaluation for the day. One clinical absence may be excused by assigned clinical faculty. Students who fail to complete and successfully submit documentation assignments by the deadline (ex: as assigned in DocuCare) will receive a clinical unsatisfactory on the weekly clinical evaluation. The client record will not be reopened once the deadline has passed, and late submissions will not be accepted. More than one clinical absence will result in the student meeting with the nursing faculty and nursing coordinator to determine continuation in the course. Exceptions to this policy can only be granted by the Nursing Coordinator. If a student misses a clinical experience, and it is determined to be an excused absence, the student may be given a written assignment to make up the clinical experience at the discretion of the clinical faculty. It is the responsibility of the student to contact the instructor within 3 days if a written make-up assignment is to be given. If written work is assigned as a make-up assignment, it must be completed by the given date. All assigned clinical work must be satisfactory or the clinical rating will be affected. All absent clinical hours will be made up. However, the student will receive an unsatisfactory clinical performance evaluation for an unexcused clinical day. This unsatisfactory clinical rating will remain as an unsatisfactory even after the clinical hours are made up. Students who are going to be tardy for clinical must notify their clinical instructor. In the event that the student is not able to arrive by the assigned time, it is the student’s responsibility to notify the clinical instructor immediately. The student will be counted absent and will be required to make up the missed time and may be given an unsatisfactory for that day. At the discretion of the clinical instructor, a student who is tardy may be sent home and the absence will be determined unsatisfactory. In the event that a student must be absent or tardy for scheduled Laboratory time, the student must notify the Laboratory Instructional Specialist/Faculty prior to the scheduled lab session or appointment. Tardiness or absence from a scheduled laboratory experience will be addressed as a clinical tardy or absence.

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Students who are tardy for theory classroom time are not allowed to enter the classroom until break time. Exceptions to this attendance policy can only be granted by the Nursing Coordinator. Make-Up Days Classes cancelled due to inclement weather will be made up during previously unscheduled time, college breaks, extended class days, web-enhanced instruction or on-line learning modules at the discretion of the faculty Exam Policy: Exams are announced. Quizzes can be announced or unannounced. Missed quizzes cannot be made up. No food or drink will be allowed on the student’s desk or person during any examination. Any exceptions to this will be at the faculty’s discretion. All bags, books and study materials will be placed at the front of the classroom and away from the student’s desk. All electronic devices, with the exception of a calculator only device, must be turned off or silenced and be placed off of the student’s desk in a bag or other closed container. Cell phones or any other devices are not allowed to be used as a calculator. Exams may be administered by an electronic testing device or on paper at the discretion of the instructor. Students will not be allowed to keep or print a copy of their nursing exams. Examinations may be reviewed in the classroom if time permits. An exam (excluding the final exam) can be reviewed by the individual student by appointment in the faculty’s office for one week after the final exam grades have been posted to BB unless otherwise announced. Every effort will be made to have the final grades for each exam posted to BB within 48 hours of the exam completion. All reviews of the exams are final and will not be reviewed (for learning purposes or errors) later in the semester. Students that do not review their examination during this time period forfeit their opportunity to review the examination. There will be no classroom group review of the final examination. The final examination may be reviewed by the individual student in the faculty’s office by appointment during the week following the examination unless otherwise announced. Students that do not review the final examination during this time period forfeit their opportunity to review the examination. No pencils, pens, phones, calculators, or other devices are allowed on the student’s desk or person while reviewing an exam.

Missed Exam Policy:

If a student cannot take an exam at the scheduled time, the faculty must be notified by 4:00 p.m. of the exam day. It is the student’s responsibility to make arrangements with the faculty to take the make-up exam, which may be of a different type including an oral exam. Failure to follow this procedure will result in the student receiving a “0” on the exam. Faculty will determine the date of any make-up exam. There will be one make-up exam day for this course, regardless of the number of exams missed by a student.

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There will be no make-up exams for the Final Exam. A student who does not take the Final Exam will receive a grade of “0” on the exam and the “0” will be used in computing the grade for this course. The Nursing Coordinator, with a concurrence of the Nursing Faculty, may grant exceptions to this policy.

Late Assignment Policy:

All assignments must be turned in as required by the faculty. Late clinical written assignments will not be accepted and the student will receive an unsatisfactory on the clinical evaluation. This includes but is not limited to documentation assigned during V-Sim modules, DocuCare and/or skill exams.

Withdrawal Policy:

A student may be allowed to withdraw from NSG 210 through the last day to withdraw indicated on the 16 week academic calendar for spring 2017. The student must see a nursing faculty member or the nursing coordinator prior to withdrawal in order to complete the appropriate documentation and receive the appropriate readmission guidelines. All facility badges and any books or materials loaned by the faculty or the campus lab to the student must be returned during this meeting in order for the student to be allowed to withdraw with a grade of “W”. Clinical Facilities Students will receive their clinical experience in a medical/clinical facility. Students may be assigned to more than one facility during the semester. Students are responsible for their own transportation to classes and to the off-campus clinical facilities. Student placement in clinical facilities is based on curriculum assignment; placement is not based on individual preference. Changes In Course Assignments During The Semester The faculty makes every effort to update lecture and clinical information based on recent advances in nursing and medicine. Therefore, the faculty reserves the right to make changes in clinical and lecture focus, objectives, assigned readings, clinical experiences, and other learning experiences which the faculty believes will improve the learning opportunities for students. Likewise, students are encouraged to share any recent pertinent information of interest with instructors and classmates. Program Handbook, Code Of Student Conduct, And College Catalog Additional policies and procedures for this course can be found in the Nursing Program Student Handbook, the Code of Student Conduct, and the Big Sandy Community and Technical College Catalog. The Big Sandy Community & Technical College Catalog is available at http://www.bigsandy.kctcs.edu. Substance Abuse Policy The commitment of Big Sandy Community & Technical College Associate Degree Nursing, Practical Nursing, Nursing Assistant, Medicaid Nurse Aide, and Phlebotomy programs is to provide a quality education for our students in a safe, professional academic environment. Educational experiences in these programs occur in a variety of clinical settings, both on and off campus. To ensure that patients, students, facility personnel and faculty remain safe in this academic endeavor the Safety Compliance Committee has developed a substance abuse policy as an accountability standard for these clinical activities. This policy is meant to protect the rights of all persons involved to the fullest extent possible and will be executed without discrimination. Students failing to meet safety compliance standards established by the committee will be dismissed from the program.

I. All BSCTC students in the programs listed above will be required to sign a statement of understanding regarding the BSCTC substance abuse policy. This form will serve as proof of

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receipt and understanding of the substance abuse policy. Students will assume all costs associated with policy requirements.

II. Students will be subjected to substance abuse screening arranged by BSCTC faculty which will occur randomly while the student is enrolled in any of the programs listed above. In addition, clinical facilities may require a separate substance abuse screening prior to the student attending clinical at their individual institutions.

III. Students who refuse to participate in the substance abuse screening process are not permitted to attend the clinical experience required for the program or course and therefore will be unable to meet the required clinical competencies. As a result, the student will be unable to achieve a passing grade for the course.

IV. If the screening for substance abuse arranged by BSCTC or the clinical facility indicates that a student has taken an illegal or non-prescribed substance (with the potential to alter behavior) or indicates an excessive level of prescribed medications has been taken, as determined by the clinical facility or approved vendor, the student will be provided the option of withdrawing from the course. If the student chooses not to withdraw, a grade of E will be given due to the inability of the student to participate in the required clinical component of the course.

V. Substance abuse screenings obtained independently by the student will not be accepted for use of determination for clinical attendance either prior to, or following a mandated substance abuse screening arranged by the program and or clinical facility.

VI. Faculty may require an additional substance abuse screening if a student exhibits impaired behavior at any time during the clinical experience. These behaviors may include, but are not limited to slurred speech, unsteady gait, odor of alcohol on the breath, drowsiness, confusion, or incoherent speech

Additional policies and procedures for this course can be found in the Nursing Program Student Handbook 2016-2018, the Code of Student Conduct, and the Kentucky Community and Technical College Catalog (KCTCS). The Big Sandy Community & Technical College Catalog is available at http://www.bigsandy.kctcs.edu.

Additional information can be found at the following site: http://www.bigsandy.kctcs.edu/en/Academics/Office_Hours_Schedules_and_Syllabi.aspx

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NURSING FACULTY, LABORATORY INSTRUCTIONAL SPECIALIST, AND DIVISION ASSISTANT OFFICE, TELEPHONE, & E-MAIL ADDRESSES

FACULTY NAME OFFICE LOCATION

TELEPHONE E-MAIL ADDRESS

Allen, Collista Associate Professor of Nursing

Campbell 120-O (Prestonsburg)

886-3863 Ext. 67368

callen0193@kctcs.edu

Hall, Katherine Instructional Specialist-Nursing

Campbell 221 (Prestonsburg)

889-4815

khall0017@kctcs.edu

Harless, Irma Kay Associate Professor of Nursing

Campbell 120-K (Prestonsburg)

889-4977 iharless0001@kctcs.edu

Jackson, Patsy ADN Nursing Coordinator

Campbell 120-H (Prestonsburg)

889-4711 patsy.jackson@kctcsedu

Lawson, Dianna Associate Professor of Nursing

Pike 107-B (Prestonsburg)

886-7345 dlawson0041@kctcs.edu

Tackett, Pamela Division Assistant

Campbell 120 (Prestonsburg)

889-4790 pjarrell004@kctcs.edu

Mayo Campus: (606) 789-5321 Prestonsburg Campus: (606) 886-3863 Toll Free: 1-888-641-4132 Pikeville Campus: (606) 218-2060