VNSG 1423 Basic Nursing Skills - · PDF fileStudents at Alvin Community College are members of an institution dedicated to the pursuit of ... Diseases and Disorders, 4th Ed ... preparation

1

ALVIN COMMUNITY COLLEGE VOCATIONAL NURSING

VNSG 1423 Basic Nursing Skills

STUDENT INFORMATION PLAN

SUMMER 2013

INSTRUCTOR: M. Wallace, RN ADN

VNSG 1423 Skills SIP Page ii

SKILLS TABLE OF CONTENTS

COURSE DESCRIPTION ...............................................................................................................1 TEXTS ............................................................................................................................................1 REFERENCES / RESOURCES ......................................................................................................2 COURSE OBJECTIVES (EXPECTED OUTCOMES) .....................................................................3 COURSE COMPETENCIES ...........................................................................................................4 COURSE OUTLINE AND SCHEDULE ...........................................................................................6 FACULTY SCHEDULE ............................................................................................................. 13 EVALUATIVE PROCEDURES ...................................................................................................... 14 ATTENDANCE .............................................................................................................................. 14 CHAPTER OJECTIVES & EXAM BLUEPRINTS .......................................................................... 15 APPENDIX: ................................................................................................................................. 24 MAKEUP EXAM POLICY ....................................................................................... 26 SCANS COMPETENCIES AND FOUNDATION SKILLS ........................................ 27

VNSG 1423 Skills SIP Page iii

VNSG 1423 Skills SIP Page iv

COLLEGE WIDE POLICIES

AMERICANS WITH DISABILITIES ACT ACC complies with ADA and 504 Federal guidelines by affording equal access to individuals who are seeking an education. Students who have a disability and would like classroom accommodations must register with the Office of Disability Services, A 136, (281)756-3533. Instructors are not able to provide accommodations until the proper process has been followed.

.

Behavioral Intervention Team (BIT) – Letting someone know

The Behavioral Intervention Team (BIT) at Alvin Community College is committed to improving community safety through a

proactive, collaborative, coordinated, objective and thoughtful approach to the prevention, identification, assessment, intervention

and management of situations that pose, or may reasonably pose, a threat to the safety and well-being to the campus community.

College faculty, staff, students and community members may communicate concerns to the BIT by email, [email protected],

or through an electronic reporting option located on the BIT page of the college website, www.alvincollege.edu/bit.

CODE OF ACADEMIC INTEGRITY AND HONESTY Students at Alvin Community College are members of an institution dedicated to the pursuit of knowledge through a formalized program of instruction and learning. At the heart of this endeavor, lie the core values of academic integrity which include honesty, truth, and freedom from lies and fraud. Because personal integrity is important in all aspects of life, students at Alvin Community College are expected to conduct themselves with honesty and integrity both in and out of the classroom. Incidents of academic dishonesty will not be tolerated and students guilty of such conduct are subject to severe disciplinary measures.

CONSULT YOUR COLLEGE STUDENT HANDBOOK FOR FURTHER INFORMATION OR POLICY INFORMATION

mailto:[email protected]

http://www.alvincollege.edu/bit

1

VNSG 1423 BASIC NURSING SKILLS

STUDENT INFORMATION PLAN (SIP)

COURSE DESCRIPTION

PRE-REQUISITES: Acceptance into the LVN program CO-REQUISITES: VNSG 1160 Clinical I, VNSG 1227 Essentials of Medication Administration VNSG 1423. Basic Nursing Skills (4 credits). Description: Mastery of entry level nursing skills and competencies for a variety of health care settings. Utilization of the nursing process as the foundation for all nursing interventions. Lab required. Learning Outcomes: The student will demonstrate competency in basic nursing skills; identify the steps in the nursing process and how each relates to nursing care; and discuss the delivery of basic nursing skills in a variety of health care settings. (3 lecture and 6 laboratory hours per week). The following required texts can be purchased at the ACC bookstore, which is open Monday through Thursday 7:30 a.m. to 7:00 p.m. and Friday 7:30 a.m. to 2:00 p.m. Bookstore hours can vary during holidays so please call the bookstore at 281-756-3681 for more information. The textbook can also be purchased online and mailed directly to your residence from : http://www.alvinccstore.com/

TEXTS - required

DeWitt Fundamental Concepts & Skills for Nursing, 4th Ed., Saunders 2014 ISBN 978-1-455708-45-1 Sommers, Diseases and Disorders, 4th Ed., Davis ISBN 978-0-803622-05-0

Taber’s, Cyclopedic Medical Dictionary,(Indexed, w/CD), 22nd Ed., Davis ISBN 978-0-803629-79-0 Sparks, Nursing Diagnosis Reference Manual, 9th Ed., Lippincott ISBN 978-1-437727-46-3 Lippincott, Lippincott Manual of Nursing Practice, 9th Ed., LWW ISBN 978-0-781798-33-4 Wilson, Pearson’s Drug Guide 2013 ISBN 978-0-132964-89-0 TEXTS-recommended Davis’s, Comprehensive Handbook of Laboratory Tests with Nursing Implications, 4th Ed., F.A.Davis, ISBN 13: 978-0-8036-2304-0

Stedman, Stedman’s Medical Dictionary(W/CD), 7th Ed., LWW ISBN 978-1-608316-92-2

http://www.alvinccstore.com/

2

REFERENCES/RESOURCES

computer resources

TECHNICAL SUPPORT 1. Computers are available for use by all registered ACC students in any of the 23 ACC/PCC computer labs, including the Cyber

Lab, room A-173. Cyber Lab hours are: Mon-Thurs. 8:00am-8:00pm, Friday 8:00am-5:00pm and Sunday 4:00pm-8:00pm. Call 281-756-3544 for more information about all ACC computer labs.

2. The ACC Library website: http://www.alvincollege.edu/library/default.htm

3. The ACC Learning Lab and Writing Center, A-235, is for help with writing assignments, tutoring, exams, and additional computer access: http://www.alvincollege.edu/resources/learning_lab.htm

4. MyBlackboard -Any technical problems or issues with MyBlackboard should be directed to the Distance Education

Department at [email protected]. Include your first and last name, student ID number and a description of the problem. Students will not be penalized if there is an interruption in MyBlackboard service and the instructor is notified of such an issue by the Distance Education Department.

5. WEBACCESS, Passwords or Computer Labs- contact the IT Dept. Help Desk at 281-756-3544.

WEB SITES

Center for Disease Control www.cdc.gov

Food & Drug Administration www.fda.gov

National Women's Health Information Center www.4woman.gov

http://www.alvincollege.edu/library/default.htm

http://www.alvincollege.edu/resources/learning_lab.htm


http://www.cdc.gov/

http://www.fda.gov/

http://www.4woman.gov/napbc/

3

COURSE OBJECTIVES

(EXPECTED OUTCOMES) The student will be able to: 1. Learn how to provide patient centered care by gaining understanding of how the nursing process

is utilized to meet the total needs of the patient during adaptation along the health - illness continuum.

2. Understand how to meet the patient’s physiological needs for safety against bacteriological,

environmental, and chemical injury in preparation for the nurse’s role of patient safety advocate. . 3. Learn how to meet the patient's physiological needs for environmental management, oxygen,

hygiene, comfort, rest, sleep, activity, nutrition, elimination, and fluid balance in order to provide safe, patient centered care.

4. Understand and begin to develop effective communication skills in order to provide patient

centered care, and in order to become an effective member of the health care team and member of the nursing profession.

5. Learn how to become a provider of patient centered care by understanding the patient's needs

for self-esteem, self-worth, dignity, and respect. 6. Learn how to become a provider of patient centered care by understanding the patient’s needs to

be useful, to belong, and to be productive. (Rehabilitation) 7. Learn how to provide patient centered care and prepare to become a member of the health care

team by assisting to meet the patient’s needs to know and understand. (Teaching) 8. Prepare to become a provider of patient centered care by understanding how to meet the

patient's needs for privacy and spirituality. 9. Understand how to become a member of the health care team, a member of the nursing

profession, and a provider of safe patient care by developing behaviors reflective of professional, ethical, legal, and responsible standards of practice consistent with the role of the vocational nurse.

4

ALVIN COMMUNITY COLLEGE VOCATIONAL NURSING

VNSG 1423 BASIC NURSING SKILLS

COURSE COMPETENCIES

At the completion of this course, the student is expected to have achieved the following competencies. Each of the following competencies is correlated with the corresponding SCANS competencies and foundation skills. For further information on SCANS see the Appendix at the end of this SIP. 1. With at least 74.5% accuracy on written exams , identifies components of the nursing process in

providing basic nursing care that meets client needs for safety (environmental, bacteriological, chemical), oxygen and circulation, hygiene, comfort, communication, activity, nutrition, elimination, fluids, medication, oxygen supplement, aging and death. (SCANS C08, F1-F17)

2. Demonstrates competency in specified nursing knowledge and nursing skills via attaining a

minimum of 74.5% average on all exams combined and mastery of all skills taught in skills lab. 3. Assists to write a Nursing Care Plan for the adult / geriatric client in the acute care setting.

(SCANS F1-F17) 4. Learns how to execute nursing roles and fundamental nursing skills specific for the adult or

geriatric client. (SCANS C1-C20; F1-F17)

Role I. PROVIDER OF CARE

A. ASSESSMENT (SCANS C5, C8; F1-F17)

1. Completes a focused head-to-toe assessment of the client's health status using interviewing, inspection, palpation, auscultation, and olfaction.

2. Uses observation skills. 3. Measures objective data; e.g. vs, ht. wt, body measurements, specimen collection. 4. Utilizes various forms of communication to include verbal and written records, graphs,

forms, and computer entries (e.g. the Chart, Kardex, NCP, MAR).

B. PLANNING (SCANS C5-C7; F1-F17) 1. Implements the nursing process of assessment, planning, implementation, and

evaluation in contributing to the development of the NCP using nursing diagnoses (NANDA).

2. Prioritizes a plan of care so that it is time efficient and cost effective.

C. IMPLEMENTATION - Executes interventions (According to the Human's Hierarchy of Needs along the Wellness-Illness continuum) (SCANS C11, C14, C15, C19, C20; F1-F17) 1. Safety: HWT, universal precautions, sterile gloving, dressings, topical medication

applications. Environmental hazards, restraints, fall precautions. Performs procedures safely. Management of lines, tubes, and equipment.

2. Physiological needs for oxygen & circulation: PA, VS, NVS, CPR, O2 supplement, airway management

5

3. Hygiene and Environmental management: Bathing, AM care, oral hygiene (dependent and assisted). Bed making, esthetic environment.

4. Communication: Establishes nurse/patient relationship. Functions as a team member. 5. Comfort: Decubitus prevention and care. Rest, sleep, skin and back care, pain

management. Hot and cold applications. Administers topicals and toiletries. 6. Activity: Maintains body alignment. Turning, positioning, ROM, progressive

mobilization, transfer to chair, stretcher, amb. 7. Nutrition: NPO, serves tray, feeds client, NGT/GT feed/flush, bolus, pump regulation. 8. Elimination: Bedpan, urinal, incontinent care, catheter, enema, bladder train,

diversions. 9. Fluid & electrolytes balance: I&O, monitors IVs, measures weights and

circumferences. 10. Emotional / Learning needs: Supports and encourages the patient. Prep for Dx test,

surgery, specimen collection, procedures, and exams. Fosters developmental growth.

D. TEACHING (SCANS C10, C14; F1-F17) Reinforces patient teaching (of steps and rationale of nursing actions and treatments and in preparation for discharge care and rehabilitation).

E. EVALUATION & DECISION MAKING (SCANS C5, C7, C11; F1-F17)

1. Recognizes, records, and reports overt outcomes of individualized nursing care and client responses.

2. Considers alternative nursing actions based on evaluation of client responses that are consistent with established nursing protocols. Identifies client compliance.

5. Role II. COMMUNICATOR/COORDINATOR OF CARE (SCANS C5-C9, C11, C14; F1-

F17) A. Reports to staff and other health team members B. Records and charts C. Refers and communicates patient needs and ethical / legal concerns

6. Role III. MEMBER OF THE PROFESSION

A. Accountability (SCANS C4; F1-F17) B. Improving Care (SCANS C11, C15; F1-F17) C. Scope of Practice (SCANS C9, C15; F1-F17)

6

COURSE OUTLINE AND SCHEDULE VNSG 1423 SUMMER 2013 Basic Nursing Skills Lecture 12:00 –12:50 p.m. Instructor: M. Wallace, RN Skills Lab 1:00 – 2:50 p.m.

DISCLAIMER: The instructor reserves the right to modify this syllabus as needed and will notify the students of any changes using

the ACC e-mail or MyBlackboard e-mail or oral announcements.

WEEK DATE TOPIC REFERENCE

1 2

June 4

June 5

June 10

June 11

June 12

LECTURE – SIP Review / Calendar Review / Course Introduction LAB – Skills lab orientation by M. Wallace/Faculty LECTURE Chapter 16 – Infection Prevention and Control Lab: Skills Practice - Skill 16-1 + step 16-1 Hand Hygiene & Removing Gloves Skill 16-2 Using PPE: Gown & Mask LECTURE Chapter 17 – Infection Prevention and Control in the Hospital and Home Lab: Skills Practice – Skill 17-4 Sterile Gloving and Ungloving LECTURE Chapter 18 – Lifting, Moving, and Positioning Patients Lab: Skills Practice – Skill 18-1 Positioning Patient Skill 18-2 Moving Patient Up in Bed Skill 18-3 Passive Range of Motion (ROM) exercises Skill 18-4 Transferring Patient to a Wheelchair Skill 18-5 Transferring Patient to a Stretcher Skill 18-6 Ambulating Patient and Breaking a Fall LECTURE Chapter 20 – Patient Environment & Safety Lab: Skills Practice – Skill 20-1 Making an Unoccupied Bed Skill 20-2 Making an Occupied Bed Skill 20-3 Applying a Protective Device

Text: deWitt & Oneil, Fundamental Skills & Concepts for Nurses, Elsevier & Saunders, 4

th Ed., 2014

Ch 16 Ch 17, 18, 20

7

VNSG 1423 SUMMER 2013 Basic Nursing Skills Lecture 12:00 –12:50 p.m. Instructor: M. Wallace, RN Skills Lab 1:00 – 2:50 p.m.




3 June 17

June 18

June 19

LECTURE Chapter 19 – Assisting w/ Hygiene, Personal Care, Skin Care, & Prevention of Pressure Ulcers Lab: Skills Practice – Skill 19-1 Administering a Bed Bath & Perineal Care + Steps 19-1, 19-2 (discussion) Skill 29-1 Placing & Removing a Bedpan Skill 19-2 Administering Oral Care to an Unconscious Patient Skill 19-3 Denture Care Skill 19-4 Shampooing Hair

EXAM #1: Material covered since 06/04 in chapters 16, 17,18, 19, 20 Lab: Skills Practice – Students may use this time to practice any skills that they wish and / or prepare research & med cards for Thursday’s clinical. Attendance from 1:00 pm to 2:50 p.m. is required. LECTURE Chapter 21 – Measuring Vital Signs Lab: Skills Practice – Skill 21-1 Measuring the Temperature Electronically & w/ a Disposable Thermometer Skill 21-3 Measuring the Radial Pulse Skill 21-4 Measuring the Radial Pulse Skill 21-5 Measuring Respirations Skill 21-6 Measuring the Blood Pressure (manually & electronically)

Ch 19,21

8





4 Jun 24 June 25 June 26

LECTURE Continue Chapter 21 – Measuring Vital Signs Lab: Skills Practice – Continue with: Skill 21-1 Measuring the Temperature Electronically & w/ a Disposable Thermometer Skill 21-3 Measuring the Radial Pulse Skill 21-4 Measuring the Radial Pulse Skill 21-5 Measuring Respirations Skill 21-6 Measuring the Blood Pressure (manually & electronically) LECTURE Chapter 7 – Documentation in Nursing Lab: Skills Practice – Skill Focused Assessment Documentation (no skill #) Skill Practice Writing a Prioritized Patient Problem List (no skill #) LECTURE Continue Chapter 7 – Documentation in Nursing Chapter 24 – Diagnostic Tests (pg. 406 - 413, 424 – 425) Lab: Skills Practice – Skill 24-2 Performing Blood Glucose Testing Skill 24-3 Performing a Urine Dipstick (discussion, (demo) Skill 24-4 Obtaining Stool for occult blood, O&P, Culture (discussion, demo) Skill 24-5 Obtaining Specimen for Culture Throat / Wound (discussion,demo) Skill 29-1 Obtaining a Urine Specimen from an Indwelling Catheter

Ch 21, 7, 24 (406-413, 424-425 only)

9





5 6

July 1 July 2 July 3 July 8 July 9

LECTURE Chapter 22 - Assessing Health Status Lab: Skills Practice – Skill 22-1 Performing a Physical Examination Skill 22-2 Performing a Neurological Examination (abbreviated) + Step 22-1 Weighing an Adult on a Standing Scale +Steps 22-3, 22-4 Auscultating Heart / Lung Sounds LECTURE Continue Chapter 22 – Assessing Health Status Lab: Skills Practice – Continue with: Skill 22-1 Performing a Physical Examination Skill 22-2 Performing a Neurological Examination (abbreviated) New: Skill Focused Assessment Documentation (no skill #)

EXAM #2: Material covered since 06/18 in chapters 7, 21, 22, 24 Lab: Skills Practice – Students may use this time to practice any skills that they wish and / or prepare research & med cards for Thursday’s clinical. Attendance from 1:00 pm to 2:50 p.m. is required. LECTURE Chapter 27 – Diet Therapy and Assisted Feeding Lab: Skills Practice – Skill 27-1 Assisting a Patient With Feeding (discussion) Skill 27-2 Inserting a Nasogastric Tube Skill 27-3 Using a Feeding Pump (discussion, demo) Skill 27-4 Administering Nasogastric/Duodenal/PEG feeding via tube (discussion, demo) + Steps 27-1, 27-2 Irrigating/Removing a Nasogastric Tube

LECTURE Chapter 30 - Promoting Bowel Elimination Lab: Skills Practice – Continue with: Skill 27-2 Inserting a Nasogastric Tube + Steps 27-1, 27-2 Irrigating/Removing a Nasogastric Tube New: Skill 30-1 Administering an Enema Skill 30-2 Changing an Ostomy Appliance + Step 30-1 Removing a Fecal Impaction (discussion) + Step 30-2 Catheterizing a Continent Ileostomy (discussion) + Step 30-3 Irrigating a Colostomy (discussion)

Ch 22 Ch 27, 30, 29, 17 (skill 17-3, 17-4 only)

10





7

July 10 Jul 15 July 16 July 17

LECTURE Chapter 29 - Promoting Urinary Elimination Lab: Skills Practice – Skill 17-4 (Repeat) Sterile Gloving and Ungloving Skill 17-3 Opening Sterile Packs and Preparing Sterile Field LECTURE Continue Chapter 29 - Promoting Urinary Elimination Chapter 25 – Fluid & Electrolytes (pg. 445 - 449 only) Lab: Skills Practice – Skill 25-1 Measuring Intake and Output (demo equipment, practice calculating & documenting) Skill 29-2 Applying a Condom Catheter Skill 29-3 Catheterizing the Female Patient Skill 29-4 Catheterizing the Male Patient + Step 29-2 Removing an Indwelling Catheter + Step 29-3 Continence Training (discussion) Skill 29-5 Performing Intermittent Bladder Irrigation and instillation (discussion, demo)

EXAM # 3 Material covered since 07/3 in chapters 25,27, 29, 30 Lab: Skills Practice – Students may use this time to practice any skills that they wish and / or prepare research & med cards for Thursday’s clinical. Attendance from 1:00 pm to 2:50 p.m. is required. LECTURE Chapter 28 - Assisting w/ Respiration and Oxygen Delivery Lab: Skills Practice – Continue with: Skill 29-3 Catheterizing the Female Patient Skill 29-4 Catheterizing the Male Patient + Step 29-2 Removing an Indwelling Catheter New: Skill 17-1 Pouring into Sterile Field

Ch 29, 25 (pg 445- 449 only), 28

11





8 July 22 LECTURE Continue Chapter 28 - Assisting w/ Respiration and Oxygen Delivery (pg. 524-538 only) Lab: Skills Practice – Skill 28-5 Nasopharyngeal Suctioning Skill 28-6 Endotracheal/Tracheostomy Suctioning Skill 28-7 Providing Tracheostomy Care Step 28-1 Maintaining a Closed Water Seal Chest Drainage System (demo, discussion)

Ch 28, 39,38

12





9

July 23 July 24 July 29 July 30 July 31

LECTURE Chapter 39 – Promoting Musculoskeletal Functioning Lab: Skills Practice – Continue with: Skill 28-6 Endotracheal/Tracheostomy Suctioning Skill 28-7 Providing Tracheostomy Care New: Skill 39-1 Cast Care (discussion, demo) Skill 39-2 Care of the Patient in Traction (discussion, demo) Skill 39-3 Transferring With a Mechanical Lift (demo, practice) + Step 39-1 Use of Continuous Passive Motion (discussion) LECTURE Continue Chapter 39 (includes instructor / student demo of crutch walking, use of cane, use of walker) Chapter 38 - Providing Wound Care & Treating Pressure Ulcers Lab: Skills Practice – Skill Step 39-2 Application of an Elastic Bandage Skill Step 39-3 Applying a Triangular Bandage Sling Skill 38-1 Sterile Dressing Change Skill 38-2 Wound Irrigation Skill 38-3 Applying Damp to Dry or Wet to Dry Dressings (discussion) + step 38-1 Maintaining Closed Wound Drainage System (discussion) + step 38-2 Applying a Hydrocolloid Dressing WOUND MEDIA Lab: Skills Practice – Open Lab, Must Attend, Students Choose Skills to Practice LECTURE Chapter 31 - Pain Comfort & Sleep Lab: Skills Practice – Skill 31-1 Operating a TENS Unit (discussion) + step 31-1 monitoring a PCA pump infusion (discussion) ------------ Media TBA

EXAM # 4 Material covered since 07/16 in chapters 28, 31, 38, 39 Lab: Skills Practice – Students may use this time to practice any skills that they wish and / or prepare research & med cards for Thursday’s clinical. Attendance from 1:00 pm to 2:50 p.m. is required.

Ch 31

13





10

11

August 5 August 6 August 7 August 12

ATI Fundamentals Proctored Exam TBA

TBA

COMPREHENSIVE FINAL EXAM – TIME TBA

FACULTY SCHEDULES

COMMUNICATING WITH YOUR INSTRUCTOR: The preferred methods for communicating with your instructor are listed

below:

Faculty Karen Briza RN BSN Nedette DeVries, RN ADN Melinda Wallace RN ADN

Room# S-108C S-156 S-154

Office Hrs MTW 12:00 n- 4:00p or by appt. Th 8:00 a-4:00p

MTW 9:00 a- 11:00a or by appt. MTW 10:00a-12:00n or by appt.

Office Cell Pager

281-756-5631 281-455-8549 n/a

281-756-5632 281-309-6918 n/a

281-756-5633 713-306-3570 n/a

Email [email protected] [email protected] [email protected]

Classes Concepts MTW 8a - 8:50a

Med Admin MTW 9a - 10:50a

A & P MTW 3p - 4:50p Skills lab MTW 1p - 2:50p Clinical -I Th 8a- 4:00p

Skills MTW 12n - 12:50p Skills Lab MTW 1p - 2:50p Clinical -I TH 8a - 4:00p



14

EVALUATIVE PROCEDURES

(METHODOLOGY)

Exams: A minimum of 4 unit exams will be given and their average will be worth 50% of the total grade for the didactic portion of the course. A comprehensive final exam worth 50% of the total grade for the didactic portion of the course will be given. The average of these two values will comprise 90% of the Fundamental Skills course grade. A student who fails any exam, except the final exam, will be required to complete instructor-provided remediation material prior to the next exam for the student to take that exam. Quizzes: Students will be provided with a “Medical Terminology & Medical Abbreviation Independent Learning Module” during the first week of class. It contains a total of nine weekly quizzes. There is no final exam attached to this learning module. The scores of these nine quizzes will be averaged together. The average of these nine quizzes will comprise 10% of the final Fundamental Skills course grade.

90% for total Fundamental Skills didactic grade

+ 10% for total Quiz grades average ------------------------------------------------------------------

100% of the Fundamental Skills final course grade Grading Scale: A = 89.5-100 B = 79.5-89.4 C = 74.5-79.4 D = 60-74.4

F = Less than 60

The Fundamental Skills final course grade must be 74.5 or greater in order to pass the course. At the end of the semester there will be a proctored comprehensive Fundamentals ATI exam. A student may add points, as follows, to (only) the Fundamentals final course grade average. Level I – 1 point added

Level II – 2 points added Level III – 3 points added

Skills lab: The lab portion of the Fundamental Skills course is pass/fail. Students will be checked off on skills after being given sufficient time to practice the skills. If a student fails to successfully pass a skill, they must complete remediation via guided practice before attempting the skill again. The student will be given three opportunities to successfully complete a skill. If a student is unable to pass a required skill on the third attempt, he / she automatically fails the Fundamental Skills course, and may not move forward and must withdraw from the course.

LATE COURSE WORK POLICY

Students are expected to complete exams on date scheduled. Exam may be taken early if requested by student. Exams taken early or late will cover the same topics as the scheduled exam but may consist of alternate test items. Missed exams must be taken within 2 weeks of scheduled exam date. The final grade achieved by a student on a late exam will have a 15 point late penalty deducted from it (see Testing Policy in Student Handbook).

ATTENDANCE

In addition to the attendance policy described in your Vocational Nursing Student Handbook, the following applies to this course (VNSG 1122). Absences for Exams: Exams missed due to absence will be made up in the Learning Lab or in the Vocational Nursing Department. See “VNSG Makeup Exam Policy” in the Appendix of this SIP for makeup exam deadline and procedures. See ACC Learning Lab policy which is posted on the ACC Web site. Absences or Tardies for lecture or lab: You are responsible for any information and materials you miss due to absence or tardy. It is your responsibility to contact your instructor to obtain the information and materials you missed. For definitions of “absence” and “tardy” see your VNSG student handbook.

15

CHAPTER OBJECTIVES and

EXAM BLUEPRINTS

Exam blueprints consist of the combined chapter objectives for the chapters being covered on an exam.

The final exam blueprint consists of the entirety of the chapter objectives combined.

Exam #1 – Chapters 16,17,18,19,20

Exam # 2 – Chapters 7,21,22, 24,

Exam # 3 – Chapters 27, 25, 29, 30

Exam # 4 - Chapters 28, 31, 38, 39

Chapter 7

Documentation of Nursing Care

Upon completing this chapter, you should be able to:

Correctly use the terms listed in this chapter.

Identify three purposes of documentation.

Correlate the nursing process with the process of charting.

List the legal guidelines for recording on medical records.

Discuss maintaining confidentiality of medical records.

Understand objective vs. subjective info, and the need to document objective findings only

Understand the principle of “if it wasn’t documented, it wasn’t done”

Understand what constitutes your legal signature in medical record documentation

Relate the approved way to correct entries in medical records that were made in error.

Chapter 16

Infection Prevention & Control: Protective Mechanisms & Asepsis


Correctly use the terms listed for this chapter.

List the types of microorganisms that can cause infections in humans

Know the “links” in the “chain of infection” and give example of each

Know what makes the elderly and the very young more susceptible to infection

Explain how the inflammatory & immune responses protect the human body

Identify the means/methods for removal or destruction of microorganisms on the animate or inanimate

Compare & contrast medical asepsis & surgical asepsis

Understand accepted methods of disinfection & sterilization

16

Chapter 17

Infection Control in the Hospital and Home



Describe the stages of an infectious process.

List five ways to decrease the incidence of nosocomial infection.

Explain why transmission-based precautions along with Standard Precautions haven taken the place of

previous types of isolation procedures.

Compare procedures for air-borne precautions with procedures for droplet precautions.

Give three examples of nursing measures used for psychosocial care of the patient in an isolation room.

Compare infection control procedures in the hospital to those used in the home.

Discuss the special requirements for air-borne precautions when the patient has tuberculosis.

Chapter 18

Lifting, Moving, and Positioning Patients Upon completing this chapter, you should be able to:


Describe the anatomy and function of the musculoskeletal system.

Explain the importance of proper body mechanics, alignment, and position change for both patient and

nurse.

Discuss the principles of body movement and positioning, giving an appropriate example for each

principle.

Understand the effect that immobility has on each body system.

Understand the hazards of immobility, improper alignment, and positioning.

Know the common positions in which we place patients.

Understand the guiding principles of range of motion exercise.

17

Chapter 19

Assisting with Hygiene,Personal Care, Skin Care and

the Prevention of Pressure Ulcers



Describe the structure and function of the integumentary system.

Describe factors that influence personal hygiene practices.

Discuss risk factors for impaired skin integrity.

Understand the definition of stages I, II, III, IV pressure ulcers.

Recall skin areas most susceptible to pressure ulcer formation.

Discuss the purposes of bathing.

Understand how to administer oral care to an unconscious patient.

Chapter 20

Patient Environment and Safety



Discuss nursing responsibilities for environmental management.

Describe methods to prevent mechanical and thermal accidents and injury in health care facilities and the

home.

Understand the steps in responding to a fire & the steps to use when utilizing a fire extinguisher to fight a

fire.

Understand the principles of using protective devices.

Chapter 21

Measuring Vital Signs


Correctly use the terms presented in this chapter.

Review the anatomic structures involved in the regulation of the vital signs and describe their functions.

Identify the physiologic mechanisms that regulate temperature, heart rate, and blood pressure, and

respiration.

List the factors that affect body temperature.

Discuss normal and abnormal characteristics of the pulse.

Describe the respiratory patterns considered to be normal and abnormal.

Understand the nursing care of the patient with an elevated body temp

18

Understand what a pulse deficit is, and how to determine if one exists.

Understand the factors that can affect heart rate and blood pressure.

Know what a pulse oximeter measures.

Understand the application of a pulse oximeter and what factors might impede the obtaining of an accurate

measurement with an oximeter

Chapter 22

Assessing Health Status



Understand the role of the Vocational Nurse in patient assessment.

Understand what a “focused shift assessment” entails.

Know the 4 broad techniques used during physical examination.

Understand the terms for abnormal lung sounds.

Know types of skin lesions.

Understand what a “patient needs assessment” entails.

Chapter 24

Diagnostic Tests & Specimen Collection

Understand how to perform a capillary blood glucose test.

Understand how to collect a throat culture, wound culture, stool for occult blood, and ova & parasites

Chapter 25

Fluid, Electrolyte, & Acid-Base Balance

Understand what is calculated as intake, and as output

Understand how to calculate I&O

19

Chapter 27

Diet Therapy and Assisted Feeding Upon completing this chapter, you should be able to:


Identify the role of the nurse related to diet therapy and special diet.

Compare and contrast a full liquid with a clear liquid diet.

Describe health issues related to nutrition.

List disease processes that may benefit from diet therapy.

Verbalize the rationale for tube feedings.

Know the principles for tube feeding.

Understand dysphagia.

Compare & contrast nasogastric & enteral feeding tubes.

List the steps for the procedure to insert, irrigate, and remove a nasogastric tube.

Discuss the procedure for tube feeding.

Identify medical rationale for nursing care for a patient receiving total parenteral nutrition (TPN).

Chapter 28

Assisting With Respiration and Oxygen Delivery Upon completing this chapter, you should be able to:


Explain how the respiratory system functions.

Name three causes of hypoxia.

Know the early & late symptoms of hypoxia

Describe the various methods used for oxygen delivery.

Understand the need for low O2 flow rates for COPD patients

List safety precautions to be observed when patients are receiving oxygen therapy.

Understand the principles of postural drainage.

Identify procedures to be followed in the event of respiratory or cardiac arrest.

Understand the various types of artificial airways and their purposes.

Understand the interventions of nasopharyngeal and tracheobronchial suctioning.

Describe a tracheostomy and know why one is performed.

Understand why chest drainage systems are implemented and how to monitor them.

20

Chapter 29

Promoting Urinary Elimination


Correctly use the terms listed for this chapter

Describe the structure and functions of the urinary system.

Identify abnormal findings on a urinalysis report.

Understand the different types of incontinence

Understand bladder training

Describe three nursing measures to assist patients to urinate normally.

List the purposes and principles of indwelling and intermittent catheterization.

Understand the principles of continuous GU irrigant

Understand the principles of urine specimen collection.

Understand the principles of obtaining a 24 hr urine specimen.

Understand the principles of urinary catheterization.

Know what a Coude’ catheter is and why it might be used.

Discuss ways to manage urinary incontinence.

Chapter 30

Promoting Bowel Elimination



Describe the process of normal bowel elimination.

Identify abnormal characteristics of stool.

List factors to be evaluated during the preoperative assessment of the ostomy patient.

Know what promotes and what helps prevent constipation.

Know the principles of administering an enema.

Understand fecal impaction & the symptoms associated with it.

Understand what effluent is and how it is affected by the location of an ostomy.

Understand stoma and peri-stomal skin assessments.

Describe three types of intestinal diversions.

Discuss continent diversions and their advantages.

21

Chapter 31

Pain, Comfort, and Sleep



Understand the different types of pain.

Understand the adverse affects of untreated or undertreated pain

Understand the various methods used to assess pain.

Understand what a TENS unit is.

Know the categories of analgesic medications.

Understand the principles of patient-controlled analgesia (PCA).

Describe the need for normal sleep.

Understand factors that can affect sleep.

Know what CPAP is.

Discuss how the need for sleep changes over the lifespan.

Describe the sleep disorders insomnia, sleep apnea, and narcolepsy.

Identify factors that might interfere with assigned patients’ usual sleep.

Chapter 38

Providing Wound Care and Treating Pressure Ulcers



Describe the physiologic process by which wounds heal.

Discuss the factors that affect wound healing.

Explain the major purpose of a wound drain.

Describe four signs and symptoms of wound infection.

Discuss actions to be taken if wound dehiscence or evisceration occurs.

Know the different types of wound dressings.

Know what Jackson-Pratt, Penrose, and Hemovac wound drains are and how they work.

Understand the principles of Wound-Vac therapy and guidelines for the care of a Wound-Vac dressing.

Understand the methods utilized to perform a sterile dressing change.

Compare and contrast the therapeutic effects of heat and cold.

22

Chapter 39

Promoting Musculoskeletal Function



Know the types of immobilization discussed in the chapter.

Understand pin care.

Understand the types of traction and the principles behind caring for a patient in traction.

Discuss the effects of inactivity on respiratory exchange and airway clearance.

Describe how to perform a neurovascular assessment on an immobilized extremity.

Describe appropriate care of a cast as it dries.

Understand how to correctly fit crutches.

Understand how to teach crutch walking and the common crutch gaits.

Understand how to teach cane use.

Verbalize the differences among an air-fluidized bed, low-air-loss bed, and continuous lateral-rotation bed,

listing the reasons for their use.

Name at least four pressure-relief devices that help prevent skin injury in immobile patients.

Discuss the use of bandages and slings to immobilize a body part.

23

** This side intentionally blank **

24

APPENDIX

25

** This side intentionally blank **

26

MAKEUP EXAM POLICY

Any exams you miss will be made up in the nursing department or will be sent to the Alvin Community College Learning Lab for you to take as a makeup exam. Makeup exams are available in the Learning Lab 2 business days after the day you missed them.

Any makeup exams you take will be returned to your instructor and graded 2 to 4 business days after you took the makeup exam. Do not ask the VNSG secretary for exam grades; she does not have access to grade records.

The Learning Lab is located in the college library on the second floor of building A, to the left as you enter the front doors. Each semester the Learning Lab publishes an updated policy describing how to take exams in the Learning Lab. Refer to the hardcopy of this policy distributed by your instructor at the start of each semester, or online at http://www.alvincollege.edu/Current/Learning_Lab.cfm

If you have any problems using the Learning Lab to take makeup exams, notify your instructor or the VNSG secretary.

1. A 15 point penalty is subtracted from the score achieved by the student on the makeup exam. The highest grade that may be attained on makeup exams is 85%.

2. You must complete each makeup exam no later than 2 weeks after the exam was originally given to the class, or by the end-of-semester exam deadline published in the current semester’s Learning Lab policy, whichever occurs first.

3. Any makeup exams you do not complete within the above timeframe will be averaged in the applicable course grade as a zero ("0").

http://www.alvincollege.edu/Current/Learning_Lab.cfm

27

VNSG 1423 incorporates the following SCANS

Competencies and Foundations Skills

COMPETENCIES

RESOURCES

C01 Allocates time X

C02 Allocates money

C03 Allocates materials and facility resources X

C04 Allocates human resources

INFORMATION

C05 Acquires and evaluates information X

C06 Organizes and maintains information X

C07 Interprets and communicates information X

C08 Uses computers to process information X

INTERPERSONAL

C09 Participates as a member of a team X

C10 Teaches others X

C11 Serves clients / customers X

C12 Exercises leadership

C13 Negotiates to arrive at a decision X

C14 Works with cultural diversity X

SYSTEMS

C15 Understands systems X

C16 Monitors and corrects performance X

C17 Improves and designs systems X

TECHNOLOGY

C18 Selects technology X

C19 Applies technology to task X

C20 Maintains and troubleshoots technology X

FOUNDATION SKILLS

BASIC SKILLS

F01 Reading X

F02 Writing X

F03 Arithmetic X

F04 Mathematics X

F05 Listening X

F06 Speaking X

THINKING SKILLS

F07 Creative thinking X

F08 Decision making X

F09 Problem solving X

F10 Seeing things in the mind’s eye X

F11 Knowing how to learn X

F12 Reasoning X

PERSONAL QUALITIES

F13 Responsibility X

F14 Self esteem X

F15 Social X

F16 Self-management X

F17 Integrity / honesty X

“SCANS” stands for the U.S. Labor Department “Secretary's Commission on Achieving Necessary Skills”. This federal commission has determined what skills workers need in order to succeed in the work place. This page shows you what SCANS skills and competencies that VNSG 1423 helps you develop and apply to the practice of vocational nursing. If you want further information about SCANS, you may see the department chairperson.

VNSG 1423 Skills

ALVIN COMMUNITY COLLEGE VOCATIONAL NURSING PROGRAM

SCANS COMPETENCIES AND FOUNDATION SKILLS

ASCANS@ stands for the U.S. Labor Department ASecretary's Commission on Achieving Necessary

Skills@. This federal commission has determined what skills workers need in order to succeed in the

work place. This document describes SCANS skills and competencies that the Vocational Nursing curriculum helps you develop and apply to the practice of vocational nursing. If you want further information about SCANS, you may see the department chairperson.

COMPETENCIES

Resources

C1 Allocates Time - Selects relevant, goal-related activities, ranks them in order of importance, allocates time to activities, and understands, prepares, and follows schedules.

C2 Allocates Money - Uses or prepares budgets, including making cost and revenue forecasts, keeps detailed records to track budget performance, and makes appropriate adjustments.

C3 Allocates Material and Facility Resources - Acquires, stores, and distributes materials, supplies, parts, equipment, space, or final products in order to make the best use of them.

C4 Allocates Human Resources - Assesses knowledge and skills and distributes work accordingly, evaluates performance and provides feedback.

Information

C5 Acquires and Evaluates Information - Identifies need for data, obtains them from existing sources or creates them, and evaluates their relevance and accuracy.

C6 Organizes and Maintains Information: - Organizes, processes, and maintains written or computerized records and other forms of information in a systematic fashion.

C7 Interprets and Communicates Information - Selects and analyzes information and communicates the results to others using oral, written, graphic, pictorial, or multi-media methods.

C8 Uses Computers to Process Information - Employs computers to acquire, organize, analyze, and communicate information.

Interpersonal

C9 Participates as a Member of a Team - Works cooperatively with others and contributes to group with ideas, suggestions, and effort.

C10 Teaches Others - Helps others learn.

C11 Serves Clients/Customers - Works and communicates with clients and customers to satisfy their expectations.

C12 Exercises Leadership - Communicates thoughts, feelings, and ideas to justify a position; and encourages, persuades, convinces, or otherwise motivates an individual or group, including responsibly challenging existing procedures, policies, or authority.

C13 Negotiates - Works towards an agreement that may involve exchanging specific resources or resolving divergent interests.

VNSG 1423 Skills

C14 Works with Cultural Diversity - Works well with men and women, and with a variety of ethnic, social, or educational backgrounds.

Systems

C15 Understands Systems - Knows how social, organizational, and technological systems work and operates effectively within them.

C16 Monitors and corrects Performance - Distinguishes trends, predicts impact of actions on system operations, diagnoses deviations in the function of a system/ organization, and takes necessary action to correct performance.

C17 Improves and Designs Systems - Makes suggestions to modify existing systems to improve products or services, and develops new or alternative systems.

Technology

C18 Selects Technology - Judges which set of procedures, tools, or machines, including computers and their programs, will produce the desired results.

C19 Applies Technology to Tasks - Understands the overall intent and the proper procedures for setting up and operating machines, including computers and their programming systems.

C20 Maintains and Troubleshoots Technology - Prevents, identifies, or solves problems in machines, computers, and other technologies.

FOUNDATION SKILLS

Basic Skills Thinking Skills Personal Qualities

F1 Reading F7 Creating thinking F13 Responsibility F2 Writing F8 Decision making F14 Self-esteem F3 Arithmetic F9 Problem solving F15 Social F4 Mathematics F10 Seeing things in the mind’s eye F16 Self-management F5 Listening F11 Knowing how to learn F17 Integrity / honesty F6 Speaking F12 Reasoning

VNSG 1423 Basic Nursing Skills - · PDF fileStudents at Alvin Community College are members of an institution dedicated to the pursuit of ... Diseases and Disorders, 4th Ed ... preparation

Documents