HESI ACLS Sepsis Answered / HESI case study Advanced Cardiac Life Support (ACLS): Sepsis.

HESI ACLS Sepsis Answered / HESI case study Advanced Cardiac Life Support (ACLS): Sepsis. Nursing Division: NUR 221-01, 02, 03, 04, 10 COURSE TITLE: NURSING IV SYLLABUS LECTURE HOURS/ CLINICAL HOURS/ CREDITS: 4/12/8 SEMESTER: SRING 2021/2022 LENGTH OF SEMESTER: 11 weeks (1/19/21-4/19/21) INSTRUCTIONAL METHOD: Web Enhanced CLASSROOM: Synchronous Virtual Class via Zoom INSTRUCTOR INFORMATION: Dr. Mary Mishler, DNP, RN, CNE, Assistant Professor, Semester IV Program Coordinator Office: NAH 1000-B; Phone Ms. Megan Mook, MSN, RN-BC, CNE, Instructor I NAH 1000-C; Phone Monica DiMauro, MSN, RN-BC, Instructor I Office: 1000-B; Phone Jaclyn Sims, MSN, RN, AGNP, Instructor I Office: 1000-C; Phone 856-415-2193 OFFICE HOURS are posted on eLearning in the NUR 221 Blackboard Course ADJUNCT INSTRUCTORS: Mrs. Sasha Johnson, MSN, RN Ms. Arpita Thaksona, MSN, RN Ms. Ernestine S. Wing, MSN, RN CATALOG DESCRIPTION Course Prerequisites: NUR 215, BIO 215 This course focuses on providing holistic care for groups of clients with multisystem problems, including neurologic, endocrine, liver, biliary, pancreatic, urinary, and renal alterations. Critical thinking is refined. Management, leadership, and professional development are emphasized. Clinical experiences occur in a variety of healthcare settings. TEXTBOOK AND COURSE MATERIALS It is the responsibility of the student to confirm with the bookstore and/or their instructor the textbook, handbook and other materials required for their specific course and section. Required Reading Cuellar, E.T., (2020). HESI comprehensive review for the NCLEX-RN examination, (6th ed.) St. Louis, MO: Elsevier, ISBN: Harding, M. M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical surgical nursing: Assessment and management of clinical problems (11th ed.). St. Louis, MO: Elsevier, ISBN: 978-0-323-55149-6 AND Lewis Sherpath Spring 2021 COURSE ID 162851_mmook5_1001 HESI Patient Reviews with RN Case Studies and Practice Tests- Classic Version, 1st edition (online via Evolve) COURSE ID 161352_mmook5_1002 Rowan College of South Jersey (). Nursing Student Handbook (NSH). Web Links embedded in syllabus and Blackboard eLearning Recommended Materials Treas, L., Wilkinson, J., Barnett, K., Smith, & Smith, M. (2018): Basic Nursing: Thinking, Doing, and Caring, 2nd Edition. F.A. Davis. ISBN-10: 9780803659421 (NUR 131)* Martinez de Castillo, S. & Werner-McCullough, M. (n.d.) DosageCalc 360. F.A. Davis. ISBN- (NUR 130)* Vallerand, A. Sanoski, C. & Quiring, C. (2019): Davis’s Drug Guide, 16th Edition. F.A. Davis. ISBN-10: (NUR 131)* Wilkison, J., Treas, L., Barnett, K., & Smith, M. (n.d.). Davis’s Nursing Skills Videos. F.A. Davis. ISBN-13: 978-0-8036-6058-8 (NUR 130)* Please see current textbook prices at EVALUATION AND ASSESSMENT Grading Distribution Assessment Method Number of Items Percent of Grade Dosage Calculation Competency* 10 Pass/ Fail* Examination #1** 50 25% Examination #2** 50 25% Examination #3** 50 25% Final Examination – Cumulative** 100 25% Clinical Evaluation YOU MUST PASS CLINICAL to PASS THIS COURSE Pass/ Fail *YOU MUST PASS THE DOSAGE CALCULATION COMPETENCY WITH 100% ACCURACY (See NSH p. 34-36) **Only the average score of all 4 examinations is subject to rounding rules (see p. 6 of this syllabus). Note the additional Testing Policies outlined on pp. 10-14 of this syllabus and pp. 41-46 of the NSH. Grading Scale Final course grades are carried to the hundredth place, and are NOT ROUNDED. The grading scale in the Division of Nursing and Health Professions is final with NO ROUNDING and as follows (NSH, p. 40): A 91.5-100% B+ 88.5-91.49% B 83.5-88.49% C+ 80.5-83.49% C 75.5-80.49% You must have a minimum of a 75.5% average AND a Pass in clinical to pass this course (see NSH p. 16) D+ 72.5-75.49% D 69.5-72.49% F Below 69.49%, or Clinical Failure STUDENTS MUST EARN A GRADE OF “C” OR HIGHER TO PROGRESS IN THE NURSING CURRICULUM ROWAN COLLEGE SOUTH JERSEY COUNTY CORE COMPETENCIES (Based on the NJCC General Education Foundation - August 15, 2007; Revised 2014) This comprehensive list reflects the core competencies that are essential for all RCSJ graduates; however, each program varies regarding competencies required for a specific degree. Critical thinking is embedded in all courses, while teamwork and personal skills are embedded in many courses. 1 RCSJ Core Competencies Written and Oral Communication Students will communicate effectively in both speech and writing. 2 Quantitative Knowledge and Skills Students will use appropriate mathematical and statistical concepts and operations to interpret data and to solve problems. 3 Scientific Knowledge and Reasoning Students will use the scientific method of inquiry, through the acquisition of scientific knowledge. 4 Technological Competency Students will use computer systems or other appropriate forms of technology to achieve educational and personal goals. 5 Society and Human Behavior Students will use social science theories and concepts to analyze human behavior and social and political institutions and to act as responsible citizens. 6 Humanistic Perspective Students will analyze works in the fields of art, history, music, or theater; literature; philosophy and/or religious studies; and/or will gain competence in the use of a foreign language 7 Historical Perspective Students will understand historical events and movements in World, Western, non-Western or American societies and assess their subsequent significance. 8 Global and Cultural Awareness Students will understand the importance of a global perspective and culturally diverse peoples. 9 Ethical Reasoning and Action Students will understand ethical issues and situations. 10 Information Literacy Students will address an information need by locating, evaluating, and effectively using information NUR 221 CORE COMPETENCIES This course focuses on two of RCSJ’s Core Competencies: • Global and Cultural Awareness • Ethical Reasoning and Action STUDENT LEARNING OUTCOMES: NUR 221 Nursing IV NUR 221 students will RCSJ’s Core Competencies Addressed Evaluation / Assessment 1. Demonstrate synthesis of knowledge in the planning and delivery of holistic care. (1)* Course Examinations Clinical activities and Clinical Evaluation 2. Create and evaluate a comprehensive plan of care using evidence based data. (2)* Course Examinations Clinical activities and Clinical Evaluation 3. Anticipate needs, implement effective care, evaluate outcomes, and modify the plan of care. (3)* Global and Cultural Awareness Course Examinations Clinical activities and Clinical Evaluation 4. Communicate and collaborate with the interdisciplinary health care team to ensure patient needs are met. (4)* Course Examinations Clinical activities and Clinical Evaluation 5. Evaluate behaviors that adhere to ethical, legal, and professional standards and assume responsibility for one’s own actions. (5)* Ethical Reasoning and Action Course Examinations Clinical activities and Clinical Evaluation 6. Develop a plan for future professional development. (6)* Clinical activities and Clinical Evaluation Student clinical self-evaluation *Number in parentheses refers to related End-of-program Outcomes It is the responsibility of the student to review the RCSJ Information and Policies, as well as the Online Syllabus at: END-OF-PROGRAM OUTCOMES (Nursing Graduate Outcomes) Graduates of the program will: 1. Implement holistic care with diverse individuals across the life span. 2. Evaluate therapeutic nursing interventions using evidence-based outcomes. 3. Demonstrate critical thinking when assessing situations, solving problems and making decisions. 4. Utilize professional communication skills when interacting and collaborating with members of the interdisciplinary health team and clients. 5. Integrate ethical and legal concepts into the practice of nursing. 6. Engage in professional development and lifelong learning. ACCREDITATION ACEN Accreditation Status Continuing Accreditation: Last Evaluation Visit: February 14-16, 2017 Most Recent Action: July 2017 Next Evaluation Visit: Spring 2025 ACEN Information: Accreditation Commission for Education in Nursing (ACEN) 3343 Peachtree Road NE, Suite 850 Atlanta, Georgia 30326 NURSING COMPETENCIES NATIONAL LEAGUE FOR NURSING’S (NLN) COMPETENCIES FOR GRADUATES OF ASSOCIATE DEGREE AND DIPLOMA PROGRAMS Reflecting the NLN's core values, these competencies position graduates for practice in a dynamic health care arena defined by practice that is informed by a body of knowledge and that ensures all members of the public receive safe, quality care. NLN Competencies include: • Human Flourishing Advocate for patients and families in ways that promote their self- determination, integrity, and ongoing growth as human beings. • Nursing Judgment Make judgments in practice, substantiated with evidence, that integrate nursing science in the provision of safe, quality care and that promote the health of patients within a family and community context. • Professional Identity Implement one's role as a nurse in ways that reflect integrity, responsibility, ethical practices, and an evolving identity as a nurse committed to evidence-based practice, caring, advocacy, and safe, quality care for diverse patients within a family and community context. • Spirit of Inquiry Examine the evidence that underlies clinical nursing practice to challenge the status quo, question underlying assumptions, and offer new insights to improve the quality of care for patients, families, and communities. QUALITY AND SAFETY EDUCATION IN NURSING COMPETENCIES “The overall goal for the Quality and Safety Education for Nurses (QSEN) project is to meet the challenge of preparing future nurses who will have the knowledge, skills and attitudes (KSAs) necessary to continuously improve the quality and safety of the healthcare systems within which they work” ( QSEN Competencies include: • Patient-centered Care Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient's preferences, values, and needs. • Teamwork and Collaboration Function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care. • Evidence-based Practice Integrate best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care. • Quality Improvement Use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems. • Safety Minimizes risk of harm to patients and providers through both system effectiveness and individual performance. • Informatics Use information and technology to communicate, manage knowledge, mitigate error, and support decision making. NUR 221 UNITS OF STUDY The course outcomes listed above are incorporated into units of learning outlined below. Unit 1: Management of patient care Unit 2: Adaptations and alterations in neurologic and endocrine function Unit 3: Adaptations and alterations in liver, biliary and pancreatic function Unit 4: Adaptations and alterations in urinary and renal function Unit 5: Adaptations and alterations in multisystem function 2021 TOPICAL OUTLINE Week1: Day 1: Evidence-based Practice/Health Belief Model/Adherence (1/2 class); Delegation & Priority Setting (1/2 class); Geriatric Psychiatry: Dementia, Delirium, and Depression Day 2: SIRS/Sepsis/CLABSI; Urinary Problems (1/2 class): Men’s Health (1/2 class) Week 2: Increased Intracranial Pressure & Traumatic Brain Injury; Spinal Cord Injury (1/2 class); Multiple Sclerosis/Parkinson’s Disease (1/2 class) Week 3: Exam 1 (Feb 3); Organ Donation Seminar (clinical); Acute Kidney Injury Week 4: Critical Illness/Acute Respiratory Failure; Chronic Kidney Disease Week 5: ONLINE: Stroke and Neurologic Rehabilitation; Renal Replacement Therapy Week 6: Human Immunodeficiency Virus; Common Geriatric Problems Week 7: Midterm Clinical Evaluations Mar 1-4; Exam 2 (Mar 3); Biliary and Pancreas Disorders Week 8: Liver Disorders (2 classes) Week 9: Shock; Thyroid Disorders (1/2 class); Palliative Care (1/2 class); Week 10: Exam 3 (Mar 31); Disaster Seminar (clinical) Week 11: Final Clinical Evaluations Apr 5-8; Burn Seminar (clinical) Week 12: Final Cumulative Exam (Mon Apr 12) EVALUATION AND ASSESSMENT Grading Scale and Distribution Students must earn a passing grade average (75.5% or higher with NO Rounding) on classroom examinations and pass all components of the clinical evaluation for the course. 1) 100% of the theory course grade is earned through classroom examinations. 2) Satisfactory Clinical Evaluation Classroom Assessments - 4 Examinations: • There are three course examinations and one comprehensive final examination in this course, each examination is worth 25% of the total earned grade for the course. • Assessment format on all examinations will be multiple choice and alternate format objective items. Dosage calculation problems will be on all examinations. • Students must achieve a minimum exam average of 75.5% in order to pass the theory component of NUR 221. There is NO ROUNDING of the final grade average (NSH, p. 40). Clinical Evaluation Students must have satisfactory clinical performance evaluations in all clinical experiences in order to pass the clinical component of NUR 221. Formal evaluation of student clinical performance is documented by Faculty at midterm (formative) and the last clinical day (final summative evaluation). Students complete separate self-evaluations using the same clinical evaluation tool (see Course Calendar for due dates). The Clinical Evaluation Tools are organized using RCSJ Nursing Program Student Learning Outcomes and Course Outcomes. RCSJ Core Competencies, Quality and Safety Education in Nursing (QSEN) Pre- Licensure Competencies, and NLN (National League for Nursing) Competencies for Graduates of Associate Degree Programs were considered in the development of these tools. The student must earn “P” (Pass) in all areas to progress to NUR 220. Students cannot progress to NUR 220 with a “NI” (Needs Improvement), “NO” (Not Observed), or “F” (Failure) in any area. Failure to be at the “P” (Pass) level in any area on the clinical evaluation tool will result in course failure. Assessment of Student Clinical Performance Clinical learning activities are designed to assist the student in achieving the Student Learning Outcomes (SLOs) for NUR 221. Clinical experiences occur in a variety of healthcare settings where students provide direct care to patients. All students are scheduled for a medical-surgical rotation in acute care (Med-Surg 1) plus an additional rotation in a subacute rehabilitation center (Med-Surg 2), simulation experiences, and other select clinical activities/experiences. Clinical learning experiences contribute to the evaluation of student achievement of all NUR 221 SLOs. Grading Rubrics for select learning activities will be included as part of the directions for that learning activity, and also may be posted on Blackboard. Student preparation for clinical experiences is required and readings may be assigned. The clinical instructor will provide details and schedules for the submission of assignments. Assignments to promote student achievement of course outcomes may be added or deleted at the discretion of the faculty. Please refer to the RCSJ Nursing Student Handbook regarding policies as may apply to the clinical setting, Examples of such policies include the clinical dress code, clinical attendance/absence/ lateness, confidentiality, and Fitness for Duty. Adherence to policy is required for a satisfactory clinical evaluation. The following Clinical Activities contribute to the Clinical Evaluation: • Clinical Survey – Prior to your first scheduled clinical day you will complete a clinical survey and identify personal learning goals. THE SURVY MUST BE UPLOADED TO THE ASSIGNMENT TAB BY 11:59 PM TUESDAY JANUARY 19, 2021. This activity assists you in meeting the following objectives and competencies: NUR 221 Student Learning Outcome 6 • Readiness for Clinical Experience/Clinical Preparation - Your preparation for clinical, in mind, body, spirit, and attitude, is required (see Nursing Student Handbook pp. 15-16, 17 (items #1-3, 9-14), 22-31, 39-40 and Appendices B, E, F, G, O) as is your ability to demonstrate retention of knowledge and psychomotor skills from all previous nursing courses. It is your responsibility to utilize RCSJ and Nursing resources, or other resources as indicated, to assist in your preparation for each clinical experience. This preparation assists you in meeting the following objectives and competencies: NUR 221 Student Learning Outcome 6 NLN Competency: Professional Identity • Direct Patient Centered Care to Patients (and families, as indicated) – You will be providing direct “hands-on” care in both Medical-Surgical rotations. Your adherence to The Joint Commission’s National Patient Safety Goals is mandatory and is reflected in your clinical performance. Hospital and Nursing Care Center specific Safety Goals are found by clicking on the “chapter”, then “Simplified Version” at You are expected to incorporate Healthy People 2030 Goals and Objectives into care as applicable: see Written assignments vary and may include critical thinking and clinical reasoning activities, oral presentations, reflective journals, SBAR report sheets, application of knowledge related to patients’ prescribed medications, or other learning activities. Your instructor will provide additional direction. This activity assists you in meeting the following objectives and competencies: NUR 221 Student Learning Outcomes 1, 2, 3, 4, 5, & 6 Quality and Safety Education in Nursing Competencies: Patient Centered Care, Teamwork & Collaboration, Safety, Informatics NLN Competencies: Human Flourishing, Nursing Judgment • Dosage Calculation Competency – Dosage calculation competency from all previous nursing courses is assessed as an applied competency during your clinical experiences. This activity assists you in meeting the following objectives and competencies: NUR 221 Student Learning Outcome 5 Quality and Safety Education in Nursing Competencies: Safety NLN Competency: Professional Identity • Medication Administration Tracking Tool – You are to keep a record of select medications administered, including examples of decisions made related to medication administration. This log is intended to track only medications you actually administered and medication experiences you actually had – it is not for observations. SUBMIT THE COMPLETED FORM WITH YOUR CLINICAL SELF- EVALUATION. This activity assists you in meeting the following objectives and competencies: NUR 221 Student Learning Outcome 6 NLN Competency: Professional Identity • Professional Development Activity – Each clinical day you will be reflecting on activities related to select NLN Competencies and NUR 221 Student Learning Outcomes and submitting your activities and reflections to your clinical instructor at the end of the clinical day. Reflection questions after clinical experience are incorporated into the activity and ARE SUBMITTED WITH YOUR CLINICAL SELF-EVALUATION. This activity assists you in meeting the following objectives and competencies: NUR 221 Student Learning Outcome 6 NLN Competency: Professional Identity • Cultural Competency Course 3 Assignment - Complete Cultural Competency Course 3, a free interactive learning activity, from the US Department of Health and Human Services Office of Minority Health at Upload your completed certificate showing completion of all 3 Modules to the Assignment tab on Blackboard. Do not submit a copy of the post-test or a photo of the certificate. Only the certificate will be accepted as proof of completion. THE CERTIFICATE MUST BE UPLOADED BY 11:59 PM WEDNESDAY JANUARY 20, 2021. Failure to complete this assignment as directed may result in a clinical failure. This activity assists you in meeting the following objectives and competencies: NUR 221 Student Learning Outcomes 1, 3, 4, 5, 6 Quality and Safety Education in Nursing Competencies: Patient Centered Care, Informatics NLN Competency: Human Flourishing • Teaching Journal – Twice during your Med-Surg 2 clinical experience you will utilize the nursing process in planning and implementing a patient teaching activity. This activity assists you in meeting the following objectives and competencies: NUR 221 Student Learning Outcome 2 Quality and Safety Education in Nursing Competencies: Patient Centered Care NLN Competency: Human Flourishing • Clinical Simulation – Two days of clinical simulation on campus is scheduled. These experiences will utilize Advancing Care Excellence Unfolding Cases from the National League for Nursing and other activities. All students are required to participate. This activity assists you in meeting the following objectives and competencies: NUR 221 Student Learning Outcomes 1, 2, 3, 4, 5, & 6 Quality and Safety Education in Nursing Competencies: Patient Centered Care, Teamwork & Collaboration, Safety, Informatics NLN Competencies: Human Flourishing, Nursing Judgment • Organ Donation Seminar - All students are required to participate. This activity assists you in meeting the following objectives and competencies: NUR 221 Student Learning Outcomes 1,2,3,4 & 5 Quality and Safety Education in Nursing Competencies: Patient-centered care, Teamwork and Collaboration, Safety NLN Competencies: Human Flourishing, Nursing Judgement, Professional Identity, Spirit of Inquiry NJ Board of Nursing Regulation 13:37-1.8 f): The nursing curriculum of all professional nursing education programs shall include…Organ and tissue donation and recovery designed to address clinical aspects of the donation and recovery process • Disaster and Emergency Preparedness Seminar - All students are required to participate. This activity assists you in meeting the following objectives and competencies: