TERNOPIL STATE MEDICAL UNIVERSITY

INSTITUTE OF NURSING

INTERNATIONAL NURSING SCHOOL

DEPARTMENT OF CLINICAL IMMUNOLOGY, ALLERGOLOGY

AND GENERAL PATIENT CARE

“CONFIRMED”

Vice-rector of TSMU

Prof. Ihor R. Mysula

M.D., PH.D, D.M.

24.06.2009

SYLLABUS: FALL 2009

FUNDAMENTALS OF NURSING PRACTICUM

for 1^st year ADN students

Specialty 5.110102 „Nursing”

Structural Academic Plan

Course	Semesters	Amount of hours				Control A
		Total			Self – preparations
			Lectures	Practical training
1	I	187	0	144	43	Exam

Prepared by Olga Prokopiv, BSN, RN

Nataliya Haliyash, MD, BSN

The program was discussed at Department meeting. Minute № 12 from June 10 , 2009.

The Head of department Prof. I. Ya. Hospodarsky

The program was confirmed at Nursing School cycle methodological commission.

Minute №___7____ from __June 23, 2009__

The Head of commission As. Prof. S.O. Yastremska, Ph.D, BSN

Ternopil 2009

FUNDAMENTALS OF NURSING PRACTICUM

SYLLABUS: FALL 2009

Faculty: Nataliya Haliyash, MD, BSN

Olga Prokopiv, BSN, RN

Room No.: Nursing 06

Office Telephone No.: +380 352 430927

Office Hours Posted or Additional by appointment

E-mail: [email protected]

I. COURSE DESCRIPTION

5.5 hrs lab per week (for 27 weeks: from September 7, 2009 till December 23, 2009)

US Credit hours: 4

UA: Total hours 187

Contact hours: 144

Practical classes hours: 144

Independent study hours: 43

ECTS credits: 3

Prerequisites: None

Corequisite: FUNDAMENTALS OF NURSING.

The course focuses on concepts fundamental to professional nursing practice and their application (critical thinking, the nursing process, clinical judgment, and therapeutic interventions). Principles of wellness, health promotion and vulnerability across the life span will be presented and principles of disease prevention, preventive strategies, and health teaching will be discussed.

II. CONCEPTUAL FRAMEWORK

Health

Patient

Nurse

Critical Thinking

Nursing Process

III. COURSE OBJECTIVES

1. Identify relevant theories and principles underlying selected therapeutic interventions and their application/impact on cultural diverse groups’ health and care for clients and their families.

2. Identify conceptual frameworks to meet health care needs of diverse vulnerable groups.

3. Identify principles and theories of health education.

4. Explain the role of health education in wellness & health promotion care.

5. Demonstrate critical thinking skills with the ability to recognize, comprehend and analyze major points related to the nursing process.

6. Apply critical thinking to recognize, construct and evaluate rationale.

7. Examine quantitative and qualitative research findings.

8. Describe the role of nursing theory and standardized nursing language in guiding nursing practice.

9. Discuss the role of the professional nurse, educational background, historical and theoretical foundations and professional standards that guide nursing practice with diverse populations across the life span.

IV. TEXTBOOKS REQUIRED

1. Potter, P. & Perry, A. (2005). Fundamentals of nursing. (6^th ed.). St. Louis: Mosby. ISBN: 0323025862

2. Morris, D.G. Calculate with confidence. – 3^rd ed. – 602 p. St. Louis: Mosby. ISBN: 0-323-01349-X

V. TOPICAL OUTLINE

· Nursing process

· Nursing as a scientific discipline

· Elements of nursing research

· Elements of critical thinking

· Health Promotion

· Wellness

· National Health Objectives

· Health Education

· Vulnerability

· Role of the professional nurse

MODULE

TOPICS

TEXTBOOK READINGS

Date:

October 21

Nursing as a scientific discipline

* Introduction to the principles of nursing

* Role of the professional nurse

* The nursing process

* Communicating with patients and health care professionals

* Critical thinking

* Nursing research

* Documentation

* Legal considerations for nursing care

* Medication administration

Potter & Perry chapters

1, 2, 5, 14-19, 22 & 23, 25, 34

Date:

December 8

Basic Human Needs

* Scientific basis for nursing practice

* Maintaining mobility and activity

* Client safety and hygiene practices

* Maintaining adequate oxygenation

* Providing comfort and importance of sleep

* Maintaining adequate elimination patterns

Potter & Perry chapters

31-33, 35, 36-42, 44-46

Date:

December

Wellness & health promotion across the lifespan

* Functional health patterns

* Health promotion through the nursing process

* Health promotion across the lifespan

* Management of stress and crisis

* Nursing care of families

* Nursing care in the community

Potter & Perry chapters

3, 6, 9 -13, 24, 30

Date: December 25

Nursing care for vulnerable populations

* Cultural diversity

* Changing populations and health

* Using the nursing process with vulnerable populations

* Health risks related to immigration and ethnicity

* Dealing with loss, death, and grief

Potter & Perry chapters

7 & 8, 21, 29

VI. COURSE OUTLINE

VII. METHODS OF INSTRUCTION

Role-modeling, role-playing, conference discussions, reflective journal writing, group work, assigned readings, audiovisuals, care mapping, simulated lab situations, internet resources, and others TBA.

VIII. STUDENT RESPONSIBILITIES (refer to AND Student Handbook)

1. For lectures and practical classes, street clothes are appropriate. The student is expected to select professional dress consistent with expectations of the facility. The uniform (medical gown and cap) is required for laboratory work.

2. It is the responsibility of the student to inform the faculty member of any circumstance that warrants the extension of special accommodations in the clinical settings.

3. All written work must be completed and submitted as scheduled in order to pass the course; although not all written assignments in the course may be computed in the final course grade. Additional assignments and guidelines may be distributed at the discretion of the faculty.

4. The Final Examination will be comprehensive and derived from the objectives of the course. Specific learning to be evaluated is contained in the guidelines for each experience. Format of the exam will include multiple choice, short answer, and essay, and safe dosage calculation.

IX. COURSE REQUIREMENTS

A. Assignments:

1. Care map………….............................................................................20 %

2. Pop quizzes (average) …………………………….……..………….10 %

3. 2 Exams of Practical Skills …………………………………...…… 40 %

4. Final Examination ………………………………………….………30 %

Care Map

Meets Criteria Fully

Somewhat lacking

Seriously lacking

Patient database (3 points)

(3)

* includes medical diagnosis, comorbidities

* includes subjective data and objective data

(2)

* includes medical diagnosis, comorbidities

* missing one piece of subjective or objective data

(1)

* includes medical diagnosis, comorbidities

* missing more than one piece of subjective or objective data

Concept map

(7 points)

(7)

Includes all of the following:

* analyzes and categorizes data

*includes 4 appropriate nursing diagnoses

* analyzes relationships between nursing diagnoses

* prioritizes nursing diagnoses

* includes appropriate goals and outcomes

*includes appropriate nursing interventions

(6)

Misses one of the following:

* analyzes and categorizes data

*includes 4 appropriate nursing diagnoses

* analyzes relationships between nursing diagnoses

* prioritizes nursing diagnoses

* includes appropriate goals and outcomes

*includes appropriate nursing interventions

(5)

Misses 2 or more of the following:

* analyzes and categorizes data

*includes 4 appropriate nursing diagnoses

* analyzes relationships between nursing diagnoses

* prioritizes nursing diagnoses

* includes appropriate goals and outcomes

*includes appropriate nursing interventions

NCP/Care map scenario:

Ken Purnell, 52 year-old single male, presented to ER with complaints of SOB and congested cough. He is admitted to your med-surg unit with a diagnosis of pneumonia.

The report from the ER includes:

VS: 100.6° - 112 – 28 - 160/88

O₂ 2 liters via nasal cannula

IV D₅.45 NS at 80 cc/hour

Patient is short of breath with exertion, has a productive cough with thick yellow sputum. Lungs sound congested bilaterally, with scattered wheezes.

History of smoking 2 packs/day x 22 years, HTN, high cholesterol, appendectomy 4 years ago

Patient did not want to be admitted- “I don’t like hospitals- I don’t see why I need to stay here- I have work to do” and is requesting to go outside to smoke.

Physician’s orders include:

Maintain IV D₅.45 NS at 80 cc/hour

Maintain O₂ 2 liters via nasal cannula

Medications:

o Cefotaxime 2 grams IVPB every 8 hours

o Lipitor 10 mg PO daily

o Zestril 20 mg PO daily

o Tylenol 650 mg PO every 4 hours as needed for pain or fever > 101° F

o Atrovent and Ventolin inhalers: 2 puffs every 4 to 6 hours and as needed for SOB

Diet: low sodium, low fat

Encourage PO fluids

Activity: as tolerated

Repeat chest x-ray in 48 hours

NOTE: Also considered essential is classroom participation.

B. Grading Scale:

1-12 Points Grade (TSMU)	% of points	Amount of right answers (of 60)	Amount of right answers (of 100)	Letter Grade (US)	1-5 Mark (UA)
“12”	97-100	60-58	97-100	A+	5+ (Excellent)
“11”	93-96	57-55	93-96	A	5 (Excellent)
“10”	89-92	54-52	89-92	A–	5– (Excellent)
“9”	85-88	51-49	85-88	B+	4+ (Good)
“8”	81-84	48-46	81-84	B	4 (Good)
“7”	76-80	45-43	76-80	C+	4 – (Good)
“6”	72-75	42-40	72-75	C	3+ (Satisfactory)
“5”	68-71	39-37	68-71	D+	3 (Satisfactory)
“4”	64-67	36-34	64-67	D	3 – (Satisfactory)
“3”	60-63	33-31	60-63	F	2 (Failed)
“2”	59 & less	30 & less	59 & less	F	1 (Failed)

X. Course Content: pRACTICAL CLASSES

#	Theme	Textbook Readings	Contact hrs	Date
1.	Calculation of drug dosages: Review of Mathematics	Morris, D.G. chapters: 1-9, pp. 3-100.	Olga Prokopiv 5	September 7
2.	Calculation of drug dosages:	Morris, D.G. chapters: 10-15, pp. 101-200.	Olga Prokopiv 5	September 9
3.	Medication administration: Scientific knowledge base, Nursing process and medication administration	Potter & Perry chapters: 34, pp. 823-850.	Olga Prokopiv 5	September 14
4.	Medication administration: Administering medications per os, by inhalations, irrigations, topical applications	Potter & Perry chapters: 34, pp. 850-871. Morris, D.G. chapters: 16, 207-246.	Olga Prokopiv 5	September 16
5.	Medication administration: Administering parenteral medications	Potter & Perry chapters: 34, pp. 871-909. Morris, D.G. chapters: 17-18, 247-315.	Olga Prokopiv 5	September 21
6.	Nursing today: Health care delivery system. Nursing research as a basis for practice.	Potter & Perry chapters: 1, 2, 5, pp. 3-45, 73-88.	Olga Prokopiv 5	September 22
7.	Critical Thinking in Nursing Practice, Nursing Assessment	Potter & Perry chapters: 14, 15, pp. 260-298.	Olga Prokopiv 5	September 24
8.	Nursing Diagnosis, Planning Nursing Care	Potter & Perry chapters: 16, 17, pp. 299-338.	Olga Prokopiv 7	September 30
9.	Implementing Nursing Care, Evaluation	Potter & Perry chapters: 18, 19, pp. 339-369.	Olga Prokopiv 7	October 1
10.	Hygiene, Client Safety	Potter & Perry chapters: 22, 25, 23	Olga Prokopiv 7	October 5
11.	Exam of Practical Skills I		Olga Prokopiv 7	October 7
12.	Legal Implications in Nursing, Documentation, Communication	Potter & Perry chapters: 37, 38, pp. 959-1065.	Olga Prokopiv 5	October 12
13.	Activity and Exercise	Potter & Perry chapters: 36, pp. 929-959.	Olga Prokopiv 5	October 15
14.	Mobility and Immobility	Potter & Perry chapters: 46	Olga Prokopiv 5	October 19
15.	Skin Integrity and Wound Care	Potter & Perry chapters: 47	Olga Prokopiv 7	November 24
16.	Sleep, Comfort	Potter & Perry chapters: 41,42	Olga Prokopiv 5	November 24
17.	Urinary Elimination	Potter & Perry chapters: 43,	Olga Prokopiv 5	November 30
18.	Bowel Elimination	Potter & Perry chapters: 44,	Olga Prokopiv 7	November 30
19.	Oxygenation	Potter & Perry chapters: 39, pp. 1066-1134.	Olga Prokopiv 5	December 2
20.	Fluid, Electrolyte, and Acid-Base Balances	Potter & Perry chapters: 40, pp. 1134-1198	Olga Prokopiv 7	December 2
21.	Exam of Practical Skills II Community Based Nursing Practice, Health and Wellness	Potter & Perry chapters: 3,6	Olga Prokopiv 7	December 10
22.	Caring for Families, Developmental Theories, Conception Through Adolescence	Potter & Perry chapters: 9, 10, 11	Olga Prokopiv 5	December 14
23.	Young and Middle Adult, Older Adult Submit Care Map	Potter & Perry chapters: 12,13	Olga Prokopiv 5	December 14
24.	Caring in Nursing Practice, Culture and Ethnicity	Potter & Perry chapters: 7,8	Olga Prokopiv 5	December 18
25.	Self-Concept Throughout The Life Span, Sexuality, Spiritual health	Potter & Perry chapters: 26-28	Olga Prokopiv 5	December 18
26.	Ethics and Values, The Experience of Loss, Death, and Grief, Stress and Coping	Potter & Perry chapters: 21,29,30	Olga Prokopiv 5	December 22
	Final Examination			December 29
	Total Hours		144

XI. COURSE CONTENT: sTUDENT independent wORK

#	Theme	Contact hours	Instructor
1	Module 1: Nursing as a scientific discipline	5	Olga Prokopiv
2	Module 2: Basic human needs	6	Olga Prokopiv
3	Module 3: Wellness & health promotion across the lifespan	5	Olga Prokopiv
4	Module 4: Nursing care for vulnerable populations	3	Olga Prokopiv
Total Hours		19

Prepared by Olga Prokopiv, BSN, RN

Nataliya Haliyash, MD, BSN

Approved by Department of General Patient Care. Minute #__1__ from __August 30, 2008__

Revised by Department of General Patient Care. Minute #___8__ from __June. 11, 2009__

Director of Institute of Nursing Associated Prof. Svitlana Yastremska, Ph.D, RN, BSN