COURSE DOCUMENT
COURSE:
NUR 125 Maternal - Child Nursing Assignments:
DIVISION:
FACULTY: Joy Johnson - Lead Instructor, OB
Anne Jones-Sutton - Lead Instructor, Peds
PLACEMENT IN CURRICULUM: Third Term
CREDIT: 8
TIME ALLOTMENT: Class - 5 Lab - 3 Clinical - 6
PREREQUISITES: Satisfactory completion of courses in preceding term.
TEXTS: Texts in NUR 115, 116, 133 Continued
Essentials of Pediatric Nursing, Whaley & Wong. Latest Edition
Maternity Nursing, Lowdermilk et al Latest Edition
COURSE DESCRIPTION:
This course introduces nursing concepts related to the delivery of nursing care for the expanding family. Emphasis is placed on utilizing the nursing process as a framework for managing/providing nursing care to individuals and families along the wellness-illness continuum. Upon completion, students should be able to utilize this nursing process to deliver nursing care to mothers, infants, children and families.
COURSE GOALS:
UNITS OF INSTRUCTION:
Unit I: The Nurse as a member of the Discipline of Nursing
Unit II: The Nurse as a Manager of Care
Unit III: The Nurse as a Provider of Care - The Antepartal Period
Unit IV: The Nurse as a Provider of Care - The Intrapartal Period
Unit V: The Nurse as a Provider of Care - The Neonate
Unit VI: The Nurse as a Provider of Care - The Postpartal Period
Unit VII: The Nurse as a Provider of Care - Basic Concepts
Unit VIII: The Nurse as a Provider of Care - Respiratory Dysfunction
Unit IX: The Nurse as a Provider of Care - Gastrointestinal Dysfunction
Unit X: The Nurse as a Provider of Care - Cardiovascular Dysfunction
Unit XI: The Nurse as a Provider of Care - Hematological and Immunologic Dysfunction
Unit XII: The Nurse as a Provider of Care - Genitourinary Dysfunction
Unit XIII: The Nurse as a Provider of Care - Cerebral Dysfunction
Unit XIV: The Nurse as a Provider of Care - Endocrine Dysfunction
Unit XV: The Nurse as a Provider of Care -Integumentary Dysfunction
Unit XVI: The Nurse as a Provider of Care -Musculoskeletal or articular Dysfunction
Unit XVII: The Nurse as a Provider of Care - Neuromuscular Dysfunction
Unit XVIII: The Nurse as a Provider of Care - Clinical Nursing Skills and Techniques
COURSE OBJECTIVES: Upon completion of the course the student will:
GENERAL POLICIES:
All policies identified in the Nursing Department Student Policy Handbook and the WTCC Student Handbook will be followed.
COURSE EVALUATION:
CLASSROOM LAB COMPONENT – Satisfactory/Unsatisfactory
Unit tests 65% Laboratory Tests
Unit Quizzes 10% Math Test
Comprehensive Exam 25% IV Test
100% Satisfactory Presentation
Students must achieve a minimum of 78 average on each
component to be awarded a satisfactory
CLINICAL EVALUATION SATISFACTORY/UNSATISFACTORY
Final Grade
CLASSROOM THEORY COMPONENT
ATTENDANCE:
A variety of classroom activities are provided to facilitate student achievement of individual course objectives. Attendance and punctuality is expected for all classroom activities. Wake Technical Community College expects at least a 90% classroom attendance. It is disruptive to classmates and faculty to have students leaving and entering the classroom. Therefore, students are expected to comply with stated break times except in an emergency.
TESTING
UNIT TESTS:
Students are expected to take tests as scheduled. Students may not take a test before the scheduled date. Students who miss a test must make it up prior to being allowed to take the next scheduled test. Students are expected to notify the instructor prior to missing an exam. Students must contact the instructor prior to the next scheduled class attended to arrange an individual make-up time. If the student is not present at the scheduled make-up period, he/she will be required to submit a physician’s note or a 5 point deduction will be made on that test grade. Students may take one (1) make-up test without penalty. Any make-up test taken after the allotted one (1) will have 5 points deducted from the numerical grade achieved on said make-up test.
CLASS QUIZZES:
All quizzes will be announced. Quizzes cannot be made up. If the student is absent on the day of a quiz, the student will receive a "0" for that particular grade. The lowest quiz grade will be dropped.
TEST/CLASS REVIEW:
Students will be given the opportunity to review each test/quiz in class. This is viewed by the faculty as an important part of the learning process. The purpose of the review session is to identify correct answers and their rationale. If the student is not present for the review or has a specific question about the grade received, it is his/her responsibility to schedule a time with the instructor to go over the test/quiz. Individual tests or quizzes will not be reviewed at the end of the term for the purpose of finding discrepancies, etc. in order to raise the test or quiz grade.
TESTING INSTRUCTIONS:
A deduction of 2 points will be made for any instructions not followed on any test or quiz. Answers not recorded in the specified location will not be accepted.
RECORDING GRADES:
Test, quiz and final exam grades are recorded in tenths (e.g. 83.4, 90.6). When the final course grade is calculated, the grade is rounded to the nearest whole number (e.g. 90.5 - 91; 87.6 - 88; 82.3 - 82).
SPELLING DEDUCTION:
Deduction of one point will be made for each misspelled word on any test or quiz.
TUTORIAL SESSIONS:
Tutorial sessions will be held each week. Students are encouraged to attend. Rooms and times will be announced at the beginning of the term. This time is set aside for students to clarify questions and seek individual or group help with class content.
NURSING LABORATORY/CLINICAL COMPONENT
ATTENDANCE:
Attendance is REQUIRED for all lab/clinical experiences. Repeated absences, tardiness, or early departures are inconsistent with professional role development and will compromise the student’s ability to satisfactorily meet course and clinical objectives.
Should a student be absent from lab or clinical more than two times, a conference will be held with the clinical and lead instructor to discuss the absences and their impact on student performance. Refer to Nursing Education Department Student Policy Handbook for amplification of attendance policy. Alternate learning experiences will be individualized to meet the learning needs of the student should an absence be incurred.
NURSING LABORATORY:
Nursing labs offer the student the opportunity to practice hands-on learning, participate in student lead seminars, and computer learning. Students are expected to come prepared to lab.
Nursing labs are an integral part of nursing education. Students are expected to actively participate in lab activities.
LABORATORY TESTING:
Laboratory testing will be scheduled. A student must have a passing test average of a minimum of 78%/satisfactory on each of the four components to be awarded a satisfactory in the laboratory component.
*Technical skills: Students will be held responsible for those skilled performed in the previous nursing courses. Additional skills will be developed in oxygen administration, fetal heart monitoring, IV fluid and IV medication administration.
**Medications: Students will be able to prepare and administer non-parenteral medications at the beginning of the term, incident free, under close supervision. Any incident with non-parenteral medications will be considered on an individual basis. Parenteral medication administration will be based on previous student experience and administered under close supervision of the instructor. Instruction in monitoring IV fluids will be developed in a laboratory setting. IV administration will be closely supervised.
Prior to administering medications in the maternal-newborn setting, the student will be instructed in the:
The student will be given two opportunities to pass a medications/IV fluid test with a 78% average.
Prior to administering intravenous medications/fluids in the maternal-newborn setting, student will also be instructed in IV therapy principles and administration. The student will be given two opportunities to pass an IV therapy principles and administration test with a 78% average. Regardless of the passing score of the second test, the grade will reflect a 78.
If unable to achieve a 78% average on both of these tests, the student will not be allowed to continue in the course.
CLINICAL EVALUATION:
A satisfactory or unsatisfactory grade will be given for the clinical component. For students who receive a satisfactory evaluation, the theory grade becomes the final course grade. A clinical evaluation of U for and clinical objective in the final evaluation results in an unsatisfactory evaluation for the clinical component and prevents progression to the next clinical course. The final course grade will be recorded as a D regardless of the theory average.
The clinical grade will be determined as follows:
At the end of the term, the student will receive a satisfactory or unsatisfactory evaluation for each of the NUR 125 Clinical Objectives. This evaluation will be determined by a review of the weekly anecdotal records which document student progress toward meeting clinical objectives. The anecdotal record will denote S for those clinical objectives which are met. The anecdotal record will denote U for those clinical objectives which are not met and will reflect student behaviors of commission/omission that have occurred.
A clinical evaluation of S (Satisfactory) will be earned when the student is consistent with the following:
-demonstrates behaviors that are congruent with satisfactory performance for each of the clinical objectives.
-performs in a safe, therapeutic manner.
-applies knowledge and skills learned in previous courses.
-demonstrates improvement with practice.
A clinical evaluation of U (Unsatisfactory) will be earned when the student:
-demonstrates inability to meet clinical objectives through behaviors of commission/omission.
-performs in an unsafe, non-therapeutic manner.
-requires continuous supervision.
-demonstrates inability to improve practice after repeated instruction/assistance.
-demonstrates inability to improve perform skills learned in previous courses and requires more assistance
than is congruent with the level of the course.
-demonstrates lack of preparation for clinical assignments.
-demonstrates unprofessional conduct in the clinical area.
CLINICAL EVALUATION OBJECTIVES - SECOND TERM
Role as a member of the Discipline of Nursing.
I. Applies ethical-legal principles, professional standards and the concepts of self-development to nursing practice
A. Complies with all College, Department, Course and Clinical Agency Policies.
B. Identifies ethical-legal issues that occur.
C. Considers ramification of ethical and legal issues encountered.
D. Follows lines of authority in reporting issues of concern.
E. Advocates for the client.
F. Utilizes appropriate resources for continuous learning and self development of maternal-child.
G. Identifies strengths and areas needing improvement.
H. Formulate a plan of improvement based on self-evaluation.
I. Evaluates performance in meeting clinical objectives.
Role as a Manager of Care
II. Participates as a member of each member of the health team.
A. Identifies roles and responsibilities of the health team in the maternal-child setting.
B. Communicates with members of the health team to manage client care.
C. Recognizes how to prioritize and delegate nursing care to other health team members.
D. Begins to demonstrate time management when participating as a member of the health team.
E. Communicates with peers when planning and implementing teaching activities and groups.
Role as a Provider of Care. Obstetrics
III. OB -Demonstrates beginning skill in utilizing the nursing process to assist individuals experiencing actual or potential common alterations in health.
A. Assessment-
1. Establishes a current comprehensive data base for the maternal newborn client using the Gordon’s Functional Health Patterns.
2. Involves the client/family in the assessment process..
3. Performs, with prompting, physical assessment skill needed to assess the childbearing family and neonate.
4. Begin to assess the client(s) learning needs and readiness to learn.
5. Determines whether the client’s behavior patterns contributes to the health and well-being of the childbearing family and the neonate.
B. Analysis/Diagnosis-
1. Analyzes data, using theories appropriate to the childbearing family and neonate.
2. Identifies basic physiology and pathophysiology changes that occur during the childbearing period.
3. Identifies nursing diagnoses/collaborative problems for selected maternal-neonatal clients.
4. Communication with the childbearing client to identify nursing diagnosis/collaborative problems.
C. Planning-
1. Priorities nursing diagnosis /collaborative problems - with instructor guidance.
2. Establishes mutual goals/outcomes with the members of the childbearing family.
3. Writes client-centered goals for identified nursing diagnoses /collaborative problems with a focus on cultural influences and developmental considerations for the childbearing family and neonate.
4. Involves members of the childbearing family in developing nursing and developmental interventions; with a focus on cultural influences.
5. Plans prioritized nursing interventions which facilitate goal/outcome consideration for the childbearing family and neonate achievement.
6. Plans interventions utilizing agency and community resources.
7. Plans teaching strategies based on developmental and cultural influences, sensory deficits, health concepts, and groups dynamics.
8. Identifies theoretical principle(s) that support each nursing/collaboration intervention.
9. Identifies nursing/collaborative interventions that can be correctly assigned to the NAI, NAII, LPN, and RN in writing and/or verbally when planning care for the childbearing family and neonate.
D. Implementation-
1. Implements the established plan of care.
2. Implements the plan of care in a timely and organized manner.
3 Adapts with prompting a plan of care according to changing client needs.
4. Demonstrates safe nursing practice when delivering care to the maternal-newborn family.
5. Consistently practices universal precautions.
6. Performs procedures according to agency guidelines.
7. Implements nursing interventions to meet safety needs, including developmental considerations when caring
for the maternal-newborn family.
8. Administers, with assistance, parental and non-parenteral medication according to the "7" rights.
9. Administers, with assistance, IV solutions to the obstetrical client.
a. verifies orders.
b. administers correct fluid and the correct amount.
10. Establishes and maintains a nurse-client relationship using caring, empathy and unconditional positive regard.
11. Uses communication techniques appropriate for the developmental level of the maternal-newborn family.
12. Promptly informs instructor and appropriate health team members of significant changes in the maternal/newborn status.
13. Maintains current, accurate and thorough documentation on pertinent client records.
14. Maintains current documentation of goal attainment.
15. Initiates and reinforces individual and/or group teaching using established agency approved or instructor approved materials and plans.
16. Implements teaching-learning principles for the established teaching plan.
17. Implements teaching/learning principles when intervening with clients, individually or in groups.
E. Evaluation-Goal
1. Evaluates outcome achievement for the childbearing family and neonate.
2. Evaluates client’s response to nursing interventions.
3. Evaluates whether the of learning objective(s) were met.
4. Continues, modifies, or terminates plan of care based on goal achievement and client’s response to interventions.
Role as a Provider of Care. Pediatrics
III. PED -Demonstrates beginning skill in utilizing the nursing process to assist individuals experiencing actual or potential common alterations in health.
A. Assessment-
1. Establishes a current comprehensive data base for pediatric client(s) using the Gordon’s Functional Health Patterns.
2. Involves the client/family in the assessment process..
3. Performs physical assessments pertinent to the pediatric client.
4. Begin to assess the client(s) learning needs and readiness to learn.
5. Determines whether the client and/or family behavior patterns contribute to the health and well-being of the pediatric client.
B. Diagnosis-
1. Analyzes data, using theories appropriate to the pediatric client.
2. Identify pathophysiology for the pediatric client.
3. Communicates with the pediatric client/family to identify nursing diagnosis.
4. Identifies nursing diagnoses/collaborative problems for the pediatric client.
C. Planning-
1. Priorities, with instructor guidance, nursing diagnosis/collaborative problems.
2. Establishes mutual goals/outcomes with the members of the pediatric family.
3. Writes client-centered goals for identified nursing diagnoses/collaborative problems with a focus on cultural influences and developmental considerations for the childbearing family and neonate.
4. Involves members of the pediatric family in developing nursing planning interventions; with a focus on cultural influences and developmental considerations..
5. Plans prioritized nursing interventions which facilitate goal/achievement.
6. Plans interventions utilizing agency and community resources.
7. Plans teaching strategies based on developmental/cultural influences.
8. Identifies theoretical principle(s) that support nursing/collaboration intervention.
9. Identifies nursing diagnosis/collaborative interventions that can be correctly assigned to the NAI, NAII, LPN, and RN in writing and/or verbally when planning care for the pediatric client.
D. Implementation-
1. Implements the established plan of care.
2. Implements the plan of care in a timely and organized manner.
3 Adapts, with prompting, a plan of care according to changing client needs.
4. Demonstrates safe nursing practice when delivering care to the pediatric client.
5. Consistently practices universal precautions.
6. Performs procedures according to agency guidelines.
7. Implements nursing interventions to meet safety needs, including developmental considerations when caring
for the pediatric client.
8. Administers, with assistance, parental and non-parenteral medication according to the "7" rights.
9. Administers, with assistance, IV solutions to the pediatric client.
a. verifies orders.
b. administers correct fluid and the correct amount.
10. Administers, with assistance, O2 therapy according to orders.
11. Establishes and maintains a nurse-client relationship using caring, empathy and unconditional positive regard.
12. Uses communication techniques appropriate for the developmental level of the pediatric client.
13. Promptly informs instructor and members of the appropriate health team of significant changes in the pediatric client.
14. Maintains current, accurate and thorough documentation on pertinent client records.
15. Maintains current documentation of goal attainment.
16. Implements, under instructor direction, teaching-learning principles for the agency established teaching plan or instructor approved plan..
E. Evaluation
1. Evaluates goal/outcomes achievement for the pediatric family and client.
2. Evaluates client’s response to nursing interventions.
3. Evaluates whether the of learning objective(s) were met.
4. Continues, modifies, or terminates plan of care based on goal achievement and client’s response to interventions.
Clinical Conferences:
A conference will be held at the end of each OB/Peds rotation. If a student has not satisfactorily passed the first clinical rotation, the student will not be allowed to progress to the nest clinical rotation. The student will be dropped from the course at this time and must repeat the course. If a student passes the first clinical rotation, but not the second, the student must repeat the entire course over in order to progress.
Clinical Written Work:
Weekly written work and anecdotal records become the property of WTCC. Students are accountable for their safe keeping and must return them to the C.I. promptly each week. Students are encouraged to photocopy their clinical work for later reference if desired.
CPR Certification and Immunization Status:
Students are required to present their CPR card on the first day of clinical orientation. Each clinical instructor will validate that the certification is current. Students must maintain their CPR certification and keep immunizations current in order to go to the clinical facilities.
Library Assignment:
Each clinical instructor will provide an alternative assignment to be completed when the instructor is absent from clinical. This assignment may require individual/group work, which may need to be completed in the Health Sciences Library.
ACADEMIC PROGRESSION SUMMARY:
Progression to the next term is contingent upon each of the following:
1. Achievement of a classroom theory grade of 78.
2. Achievement of a laboratory theory grade of 78.
3. Achievement of a satisfactory evaluation for each of the clinical objectives in both OB and Peds rotations.
4. Completion of the NLN Achievement Test.
5. Current CPR and immunization status.
STUDENT AGREEMENT
I, the undersigned, have read, received an explanation of, and understand the policies presented in the preceding pages (1- ) of the NUR 125 Course Document.
I also understand that I must comply with and follow these guidelines and policies during my period of enrollment in NUR 125.
____________________________________
Signature
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Date
________-______- ________
Social Security Number