Family Health Nursing Care I

Course Details

Course Number: NURS 3423  Section Number: 170

Fall 2015

Location: Bolin Hall

Classroom Number: 100

Days & Times:

Classroom instruction occurs on Mondays and Wednesdays @ 4:30-5:50 PM



Course Attachments

Course Calendar: Fall 2013  3423_course calendar_fall 2013-20130926-121930.pdf

Textbooks

Medical-surgical nursing: Assessment and manageme
Primary classroom text
  ISBN: 978-0-323-06580-1

The Neighborhood
Web-based course
  ISBN: 0132539837

MSU Faculty Member
Mary  Jo Distel   
view Profile »

Course Objectives

Pre‑Requisites:  NURS 3243/3242 (Basic Nursing), NURS 3313 (Pharmacology)

 

Course Faculty

 

 

Mary Jo Distel, RN, MS

Course Coordinator &  Classroom/Clinical Faculty

Bridwell Rm 312

Office:  (940) 397-4603

Cell:  (940) 781-6575

maryjo.distel@mwsu.edu or

email via course D2L

 

Stephanie Baker, MSN, RN

Assistant Professor

(Clinical Instructor)

Bridwell

Rm 321

Office:  (940) 397-6371

Cell:  (919) 648-3228

stephanie.baker@mwsu.edu or email via course D2L

 

Kelley Pruitt, RN,

ACNS-BC

(Adjunct Clinical Instructor)

URHCS

(Education Bldg)

Office:  (940) 764-4102

Cell:  (940) 235-7870

Email via course D2L

 

Michelle N. Watson, RN, MSN, CNS

(Adjunct Clinical Instructor)

URHCS (Bethania Bldg), Rm 415

Cell:  (940) 232-3650

(Call or text this number)

Email via course D2L

 

Course Description:                                                                                                                         

Application of theories and concepts across the span of adult life to include specific medical‑surgical conditions.  Emphasis will be placed on integrating previously learned cognitive, psychomotor, and affective knowledge in the care of the individual client, her/his family, as well as groups and communities (IFGC) through application of the nursing process.

 

Credit Hours:  Successful completion of both courses awards five (5) credit hours – NURS 3423 is comprised of three (3) lecture hours per week and NURS 3422 requires six (6) clinical hours per week to earn two (2) credit hours.

 

Placement:  Second semester of junior year (BSN)

 

Learning Experiences:  Lecture, discussion, audiovisual aids, assigned readings, and clinical experiences.

 

AACN EssentialsFor further information regarding the AACN Essentials identified for each course objective, refer to the BSN Student Handbook.

 

DEC Competencies: In the Differentiated Essential Competencies (DECs) noted below, the following designations apply:  I:  Member of Profession; II:  Provider of Patient-Centered Care; III:  Patient Safety Advocate; and IV:  Member of the Health Care Team.  For further information regarding the competencies identified for each course objective, refer to the BSN Handbook.

 

 

 

 

 

 

Course Objectives

AACN Essentials

DEC Competencies

 

Upon completion of this course the student will be able to:

 

 

 

1.

Apply professional knowledge and theories to the nursing care of persons and families throughout the life span.

I, IV, V, VII

 

I:  A, B

II:  A, B, C, D, E, F,   G

III:  A, B, C, D

IV:  A, B, C, D, E

 

 

2.

Integrate effective communication, research and teaching-learning principles in providing care for persons and their families.

I, IV, V, VI, VII, VIII

I:  A, B

II:  A, B, C, D, E, F, G

III:  A, B, D

IV:  A, B, C, D, E

 

3.

Utilize the nursing process in a systematic manner in the care of IFGC.

II, III

I:  A, B

II:  A, B, C, D, E, F, G

III:  A, B, C

IV:  A, B, C

 

4.

Utilize nursing knowledge when implementing affective, cognitive and psychomotor nursing skills.

III

I:  A, B

II:  A, B, C

III:  A

IV:  E

 

5.

Relate knowledge of higher education concepts in health to identify nursing interventions.

III

II:  A, B, C

III:  A

 

6.

Demonstrate professional accountability in providing holistic care in a variety of settings.

VIII

I:  A, B

II:  A, B, C

III:  A, B, C, D

IV:  A, B, E

 

7.

Implement nursing interventions with individuals and their families who present for nursing care.

VII

I  A, B

II:  D, E

III:  A, B, D

 

8.

Examine the legal and ethical issues related to care of individuals and their families in a variety of settings.

VI, VIII

I:  A, B

II:  E

III:  A, D

IV:  B

 

9.

Discuss the evolution of social, cultural, and historical aspects of health care and their influences on family health in nursing.

I, VI, VIII

II:  B, C, E

III:  A

IV:  B

 

 

 

 


Course Expectations

 

Grading Scale

90 ‑ 100........................................................................................................................................... A

80 ‑ 89............................................................................................................................................. B

74 ‑ 79............................................................................................................................................. C

65 ‑ 73............................................................................................................................................. D

64 and below................................................................................................................................... F

 

Required Textbooks:

 

            Doenges, M. E., Moorhouse, M. F. and Murr, A. C. (2013).  Nurse’s pocket guide:  Diagnoses, prioritized interventions, and rationales (13th ed.).  Philadelphia, PA:  F. A. Davis. (ISBN 9780803627826)

 

            Exam Soft requires access to SofTest for taking course exams (access must be purchased on-line and renewed every semester).  See Exam Soft tab on D2L for hyperlink.   

 

 

            Gahart, B. & Nazareno, A. (2016).  Handbook of IV medications (32nd  ed.).  St. Louis, MO:  Mosby.  (ISBN:  9780323296601)

 

            Laptop computer which meets Wilson SON system requirements (refer to handout entitled “Technology Requirements” on D2L, Exam Soft tab in Course Content section) for computer testing.  Must have battery use for at least 1.5 hours when testing (extra charged battery; portable battery charger; etc).  Suggest power cord and extension cords/power strips, but please understand that electrical outlets in the classroom are scarce.

 

Lewis, S., Heithemper, M., et al. (2014).  Medical-surgical nursing:  Assessment and management of clinical problems (9th ed.)  St. Louis, MO:  Mosby/Elsivier. Accompanying study guide and clinical companion for this text are recommended and are available at the campus bookstore.  (Lewis text ISBN:  9780323086783)

 

Pagana & Pagana (2014).  Manual of diagnostic and laboratory tests (5th ed.).  St. Louis, MO:  Mosby.  (ISBN:  9780323089494)

 

Sommers, M. S. (2011).  Diseases and disorders:  A nursing therapeutic manual (4th ed.).  Philadelphia, PA:  F. A. Davis. (ISBN:  9780803622050)

 

            Vallerand, A. H. and Sanoski, C. A. (2015).  Davis’s drug guide for nurses (14th ed.).  Philadelphia, PA:  F. A. Davis Company.  (ISBN:  9780803639768)

 

            MSU and BSN Student Handbooks: Students are responsible for reading, understanding, and complying with the policies stated in these publications.  The BSN Student Handbook may be found at:

http://www.mwsu.edu/Assets/documents/academics/hs2/nursing/pdf/BSN-handbook.pdf
 

 

Recommended Publications:

 

            Distel, M. J. Med surg I course pack.  (Available for purchase at the MSU Bookstore; approximate cost is $25).

 

            Dirksen, S. R. (2014). Clinical companion to medical-surgical nursing (9th ed.).  St. Louis, MO:  Elsevier.  (ISBN:  9780323091435)

 

            Lewis, S., et al. (2014). Medical-surgical nursing study guide (9th ed.). St. Louis, MO:  Elsevier.  (ISBN:  9780323091473)

 

            HESI (2014). Comprehensive review for NCLEX-RN examination (4th ed.). St. Louis, MO:  Elsevier.  (ISBN:  9781455727520)

 

            OR

 

            Silvestri, L. A. (2014).  Saunders comprehensive review for the NCLEX-RN examination (6th ed.). St. Louis, MO:  Elsevier Saunders.  (ISBN:  9781455727551)

 

            Zerwekh, J., Claborn, J., & Miller, C.J. (2012). Memory notebook of nursing: Volume I (5th  ed.). Ingram, TX: Nursing Education Consultants. (ISBN:  9781892155184)

 

            Zerwekh, J., Claborn, J., & Miller, C.J. (2012).  Memory notebook of nursing: Volume II (4th ed). Imgram, TX: Nursing Education Consultants. (ISBN:  9781892155177)


Grading Standards

As noted above under "Grading Scale" and "Evaluation Methods"

Evaluation Methods:

*The final course grades will be calculated in the following manner:

 

Theory Evaluation:

Exam: ** I   ‑  Musculoskeletal Disorders……………………………………………………..18%

** II  ‑  Endocrine Function/Dysfunction..................................................................... ..18%

**III  ‑  Fluid Regulation and Urinary Elimination…………………………..………….18%

**V ‑ Digestion and Gastrointestinal Elimination.......................................................... 18%

          ** Final Examination-- comprehensive............................................................................ 18%

*** Medication Dosage Calculation Quiz Average....................................................................10%

             Total………………………………………………………………………………….100%

 

            *  There will be no rounding up of grades!

            **  Students must score at least a 74% average on the five exams by the end of  the course.  If

            students score less than  a 74% average on the five course exams, the actual average earned will

            be the final course grade at the end of the semester.

            ***  Once the student has earned at least a 74% exam average for the semester, then the grade for the

            medication dosage calculation quiz average will be factored in to calculate the student’s final course

            grade.

 

Grades will not be rounded to the next highest score.

Students will be held responsible for lecture/discussion content, all assigned readings, and audiovisual materials on written exams.  When the lecture material is more current than the textbook, lecture material takes precedence.

 

Exams and Quizzes:

 

A total of one hour and twenty minutes will be provided to complete each unit exam on the laptop computer and a paper medication calculation assessment.

 

Each unit exam will be comprised of 45 multiple choice questions and will be worth 100 points. As well, during final’s week, a two-hour timeframe will be provided for the comprehensive final exam consisting of 80 multiple choice questions (20 questions from each unit of instruction) which will be worth 100 points.  All of these exams will be administered using Exam Soft and Softest on students’ personal laptop computers.  Exam Soft will provide students with user IDs, initial passwords, and instructions on how to load Softest. Students must maintain ready access to user IDs and passwords on exam days. If these access codes are not available for use, the student runs the risk of not taking an exam and earning the grade of “0.”  A practice quiz will be administered at the start of class on Wednesday, September 2, 2015 at 1630 hrs.  Please bring laptops to class on that date with Exam Soft and Softest loaded beforehand.

 

The Wilson SON policy now requires that students making a grade of less than 74% on a unit exam to meet with the course faculty for exam review/remediation strategies at least one week prior to the next scheduled exam.  If said student does not comply with this requirement, he/she will not be permitted to “sit” for the next course exam.  If the student, for a viable reason, is not able to meet with the instructor before the next exam is scheduled, the student will have to take a make-up exam at the instructor’s discretion.

 

As well, students must earn an exam average of at least 74%, before all additional grades are added, to successfully complete this course!

 

The paper medication dosage calculation quizzes will consist of five (5) mathematical problems to calculate and each quiz will be worth a maximum of 25 points.  Because a total of five dosage calculation assessments will be administered throughout the semester, the student’s top four scores will constitute the quiz average earned for the semester.  (The Wilson SON dosage calculation competency for this course states:  Students must score an average of at least 80% on calculation quizzes administered throughout the course.  Failure to do so will result in failure of the course.)

 

The students must read the course syllabus, complete a mandatory syllabus quiz, and post a score of 100% in the D2L gradebook before midnight on Friday, September 11, 2015.   The quiz can be found in the “Tests” section of the course D2L site.

 


Final Exam12/7/2015  5:45-7:45 PM

Submission Format Policy

 

Evaluation Methods:

*The final course grades will be calculated in the following manner:

 

Theory Evaluation:

Exam: ** I   ‑  Musculoskeletal Disorders……………………………………………………..18%

** II  ‑  Endocrine Function/Dysfunction..................................................................... ..18%

**III  ‑  Fluid Regulation and Urinary Elimination…………………………..………….18%

**V ‑ Digestion and Gastrointestinal Elimination.......................................................... 18%

          ** Final Examination-- comprehensive............................................................................ 18%

*** Medication Dosage Calculation Quiz Average....................................................................10%

             Total………………………………………………………………………………….100%

 

            *  There will be no rounding up of grades!

            **  Students must score at least a 74% average on the five exams by the end of  the course.  If

            students score less than  a 74% average on the five course exams, the actual average earned will

            be the final course grade at the end of the semester.

            ***  Once the student has earned at least a 74% exam average for the semester, then the grade for the

            medication dosage calculation quiz average will be factored in to calculate the student’s final course

            grade.

 

Grades will not be rounded to the next highest score.

Students will be held responsible for lecture/discussion content, all assigned readings, and audiovisual materials on written exams.  When the lecture material is more current than the textbook, lecture material takes precedence.

 

Exams and Quizzes:

 

A total of one hour and twenty minutes will be provided to complete each unit exam on the laptop computer and a paper medication calculation assessment.

 

Each unit exam will be comprised of 45 multiple choice questions and will be worth 100 points. As well, during final’s week, a two-hour timeframe will be provided for the comprehensive final exam consisting of 80 multiple choice questions (20 questions from each unit of instruction) which will be worth 100 points.  All of these exams will be administered using Exam Soft and Softest on students’ personal laptop computers.  Exam Soft will provide students with user IDs, initial passwords, and instructions on how to load Softest. Students must maintain ready access to user IDs and passwords on exam days. If these access codes are not available for use, the student runs the risk of not taking an exam and earning the grade of “0.”  A practice quiz will be administered at the start of class on Wednesday, September 2, 2015 at 1630 hrs.  Please bring laptops to class on that date with Exam Soft and Softest loaded beforehand.

 

The Wilson SON policy now requires that students making a grade of less than 74% on a unit exam to meet with the course faculty for exam review/remediation strategies at least one week prior to the next scheduled exam.  If said student does not comply with this requirement, he/she will not be permitted to “sit” for the next course exam.  If the student, for a viable reason, is not able to meet with the instructor before the next exam is scheduled, the student will have to take a make-up exam at the instructor’s discretion.

 

As well, students must earn an exam average of at least 74%, before all additional grades are added, to successfully complete this course!

 

The paper medication dosage calculation quizzes will consist of five (5) mathematical problems to calculate and each quiz will be worth a maximum of 25 points.  Because a total of five dosage calculation assessments will be administered throughout the semester, the student’s top four scores will constitute the quiz average earned for the semester.  (The Wilson SON dosage calculation competency for this course states:  Students must score an average of at least 80% on calculation quizzes administered throughout the course.  Failure to do so will result in failure of the course.)

 

The students must read the course syllabus, complete a mandatory syllabus quiz, and post a score of 100% in the D2L gradebook before midnight on Friday, September 11, 2015.   The quiz can be found in the “Tests” section of the course D2L site.

 

 

 



Note: You may not submit a paper for a grade in this class that already has been (or will be) submitted for a grade in another course, unless you obtain the explicit written permission of me and the other instructor involved in advance.

Late Paper Policy

N/A


Plagiarism Policy Plagiarism is the use of someone else's thoughts, words, ideas, or lines of argument in your own work without appropriate documentation (a parenthetical citation at the end and a listing in "Works Cited")-whether you use that material in a quote, paraphrase, or summary. It is a theft of intellectual property and will not be tolerated, whether intentional or not.

Student Honor Creed

As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else do so."

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception. Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters. We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one's own, work or ideas which are not entirely one's own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student. We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed. Written and adopted by the 2002-2003 MSU Student Senate.

Students with Disabilities The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Disability Support Services in Room 168 of the Clark Student Center, 397-4140.

Safe Zones Statement The professor considers this classroom to be a place where you will be treated with respect as a human being - regardless of gender, race, ethnicity, national origin, religious affiliation, sexual orientation, political beliefs, age, or ability. Additionally, diversity of thought is appreciated and encouraged, provided you can agree to disagree. It is the professor's expectation that ALL students consider the classroom a safe environment.

Contacting your Instructor All instructors in the Department have voicemail in their offices and MWSU e-mail addresses. Make sure you add your instructor's phone number and e-mail address to both email and cell phone lists of contacts.

Attendance Requirements

Attendance is taken by faculty during each class.  Classroom attendance is an expectation, but if absent, the individual student is required to makeup work with help of peers and faculty.


Other Policies

Additional Course Requirements:

 

1.         Students must maintain satisfactory health as determined by the total faculty consensus.

 

2.         Students must complete all of the components of the course to pass.

 

3.         Classroom and clinical performances (on campus, in the Simulation Center and/or during inpatient clinical experiences) will be evaluated.  Students are expected to pass both clinical and classroom components of the course.  Failure in either one will constitute failure in the course.

 

4.         Students are expected to be compliant with current CPR certification, immunizations, TB

             testing, health and liability insurance, drug screening, and criminal background checks

            throughout the semester.  Students may contact Ms. Brunson at (940) 397-4331 or email her at

            jeana.brunson@mwsu.edu to ask questions about compliance of these Texas Board of Nursing

            (BON) requirements.  TB testing needs to be repeated every 12 months.  In order to attend

            clinical experiences, each student MUST comply with each of these requirements. 

 

5.         If a student is to be absent from an exam, he/she must notify the course instructor at least two hours prior to the exam.  Failure to comply with this policy will result in an "0" for the exam.  Make-up exams may be constructed differently from the unit test.  Make-up exams will be administered on the following Fridays:  October 9, 2015 and December 4, 2015 (in Dillard Bldg, room 175) beginning at 1300 hours.

 

6.         During computer testing, a drop down computer is available for use if calculations are required. Four function calculators are allowed only for use during dosage calculation quizzes. The use of programmable calculators, statistical calculators and calculators stored on personal data assistant devices or cell phones are NOT allowed. Cell phones MUST be turned OFF and maintained away from the student/testing area during exams.  In addition, sharing a calculator with another student is NOT allowed and calculators may not make a discernable noise during use.

 

7.         Students will be held accountable for all communications sent by faculty via the course’s Desire 2 Learn (D2L) web site; therefore, you will be expected to check the site for announcements, assignments, messages, etc. DAILY.   Faculty asks that students use the discussion board or clinical group sites as a means to make a specific request, ask for content clarification, to discuss clinical dates…and so forth…rather than using our school/work email addresses.

 

8.         Students are expected to come to class dressed in an appropriate manner which reflects professionalism.

 

9.         Faculty reserves the right to make changes to this syllabus at anytime.

 

Failure Policy:

 

The faculty reserves the right to recommend, to the BSN Program Chair and College Dean, withdrawal of a student from the nursing program for health, legal, or academic reasons, particularly if patient care is jeopardized.  In addition, the student must perform within the American Nurses Association (ANA) standards of practice and code of ethics.

 

If student performance falls below acceptable standards of practice, then the student will NOT successfully complete the clinical component of this course.  Certain aspects of these standards directly relate to safety in patient care and professionalism in practice.  If student performance drops below the standard in these two areas, then the possibility of successful completion of the clinical component of the course is unlikely.  The faculty recognizes that the issues of patient safety and professional standards cannot be compromised; therefore, any student who does not meet these standards will immediately receive a failing clinical evaluation.  The severity of these infractions warrants immediate failure of the clinical component of this course. The ANA standards or practice and code of ethics are posted in the BSN Student Handbook.

 

Disruptive Behaviors:

 

Behaviors that detract from the learning process will NOT be tolerated.  Pagers and cellular phones are to be muted during all class sessions and pre-clinical/clinical experiences so that others will not be disturbed. During administration of exams and any type of exam review, cell phones MUST be turned OFF and maintained AWAY from the testing location.  Because class periods are 80 minutes in length, there will be no breaks scheduled.  Disruptions occurring from students entering or leaving the classroom during class time are to be avoided.  Children are not to be brought to class.

 

Cheating Policy:

 

The BSN Program does not condone cheating in any form and considers it as a serious offense.  Cheating is defined by the faculty to include dishonesty on examinations and plagiarism.  Plagiarism is further defined as "the act of using source materials of other persons (either published or unpublished) without following the accepted techniques of crediting, or the submission for credit of work not the individual's to whom credit is given."  (MSU Student Handbook, Standards of Conduct, Item 10.)  Offending material that may constitute plagiarism includes, but is not limited to, the following: Bibliography cards, formal papers, book reports, written nursing care plans, etc.

 

For further information regarding cheating and any subsequent actions to be taken, please refer to the policy statement in the BSN Student Handbook.

 

By enrolling in this course, the student expressly grants MSU a “limited right” in all intellectual property created by the student for the purpose of this course. The “limited right” shall include but shall not be limited to the right to reproduce the student’s work product in order to verify originality, and for educational purposes.

 
MIDWESTERN STATE UNIVERSITY STUDENT HONOR CREED

 

“As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else to do so.”

 

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception.

 

Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters.

 

We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one’s own work, work or ideas which are not entirely one’s own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student.

 

We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed.

 

Written and adopted by the 2002-2003 MSU Student Senate

 

(Please note:  The student acknowledges this honor creed by writing his/her name on exam booklet during each testing session.)

 

Disability Support Services (DSS):

 

Midwestern State University does not discriminate on the basis of an individual's disability and complies with section 504 and the Americans with Disabilities Act in its admissions, accessibility, and employment of individuals in programs and activities.

 

MSU provides academic accommodations and auxiliary aids to individuals with disabilities, as defined by the law, who are otherwise qualified to meet academic employment requirements.  Students with a disability must be registered with Disability Support Services (DSS) before classroom accommodations can be provided.  For assistance, call the campus Disability Support Services office at (940) 397-4140. 

 

It is the student's responsibility to declare any disabilities.  After declaration with the DSS, preferably at the beginning of each semester, the student needs to contact their individual instructor to determine any reasonable accommodations that may be required.


Writing Proficiency Requirement All students seeking a Bachelor's degree from Midwestern State University must satisfy a writing proficiency requirement once they've 1) passed English 1113 and English 1123 and 2) earned 60 hours. You may meet this requirement by passing either the Writing Proficiency Exam or English 2113. Please keep in mind that, once you've earned over 90 hours, you lose the opportunity to take the $25 exam and have no option but to enroll in the three-credit hour course. If you have any questions about the exam, visit the Writing Proficiency Office website at http://academics.mwsu.edu/wpr, or call 397-4131.