El Camino College

Health Science & Athetics

Nursing 254: Advanced Nursing Process I 

Nursing 254

Mary Moon

Class Information
Couse Policies
Syllabus
N254 Class Schedule
Course Material
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COURSE INFORMATION:

COURSE NUMBER: Nursing 254

CLINICAL SITE: Harbor-UCLA

Class Schedule: Monday 0800-1205

Clinic Schedule: Wednesday & Thursday


COURSE POLICIES

COURSE DESCRIPTION:

This course focuses on pathophysiologic concepts and nursing management essential to critical care and emergency nursing.  Clients with acute and chronic cardiopulmonary, hepatic, renal, and multi-system failure will be selected for critical care clinical experiences.  Leadership and management skills are introduced and applied in the clinical setting.  Students apply the nursing process and prioritize nursing care for a group of clients with multiple need imbalances.  The role of the nurse in the management of client care following a disaster is presented.

N 254 STUDENT RESPONSIBILITIES:

Students will be responsible for arriving to lecture and clinical on time, having completed reading assignments.  Students will be responsible for reviewing previously learned material for class.  Students are encouraged to take an active role in their own teaching.    

The student is responsible for demonstrating all behavioral objectives of the course.  Clinical evaluation is based on demonstrated ability to achieve all course objectives by the last day of classes.  Course expectations include attendance and experiential learning.

The student is expected to utilize the library, learning resource center, and the CAI lab.  The student is also expected to arrive at the clinical agency in proper attire and prepared to meet specific objectives.  The student is expected to focus on meeting objectives while attending clinic.

N 254 STUDENT-FACULTY COMMUNICATION:

Faculty office hours for full-time faculty are posted on faculty offices.  For the didactic component of the course, students should communicate with the lecturer.  For the clinical component of the course, students should communicate with the clinical instructor(s).  Students are expected to contact the lead instructor if they are unable to resolve an issue with their clinical instructor.  All students and faculty have El Camino College E-mail addresses.

N 254 ATTENDANCE POLICY:

Course expectations include attendance and experiential learning.  Punctuality is a professional expectation.  Two (2) times late to class/clinic will be counted as one absence.  No more than two absences are permitted.  Faculty will evaluate extenuating circumstances on an individual basis.  Students MUST notify the assigned clinical unit/instructor of and anticipated absence or tardy at least one-half hour prior to their scheduled time.

If a student is unable to take an exam as scheduled (due to illness or emergency), the student must notify the faculty member or nursing office (310) 660-3281 immediately.  A make-up test must be arranged and completed by the student prior to attending clinical or the next scheduled lecture. The student must provide the faculty with documentation to validate the absence.  If the documentation is inappropriate or invalid, the student will receive a grade of “F” for the exam. 

N 254 EVALUATION OF CLINICAL PERFORMANCE:

The hospital clinical experience will be graded on Satisfactory/Unsatisfactory basis.

The clinical evaluation tool will be utilized for the twelve week clinical experience. Students are held responsible for competence in all previous objectives.  If practice or review is needed for any clinical skills the student is held responsible to seek assistance from the media/skills instructor. The student is required to update the skills check list (originating from N 150), using it as a guideline for self-assessment. The skills check list is to be submitted to the clinical instructor at the end of the clinical rotation.

N 254 ANECDOTAL NOTES:

Anecdotal notes are required for this course.  Weekly submission of the anecdotal form is required.  The completed form is to be submitted to the clinical instructor at the time of the clinical evaluation.  The form is based on the National League for Nursing expected competencies at graduation for ADN graduates.  The anecdotal form is marked Appendix A.

Upon completion, the anecdotal notes accurately reflect the student’s perspective of the clinical experience.  They must be completed at the end of the rotation, in addition to the clinical evaluation tool in order to successfully complete Nursing 254. Use each category to note how you evidenced safe, professional care that was based on scientific principles. Please respect HIPPA guidelines by utilizing initials only for patient identifier.  Do not include patients’ names or room number.  Include clinical behaviors you routinely implemented to verify compliance.  This form is to be utilized for the entire clinical rotation.  Students are to make weekly entries on the anecdotal notes. 

The completed form is to be submitted to your clinical instructor at the end of the course.

N 254 METHODS OF INSTRUCTION:

Resume.

Two papers: cardiac and article critique:

Objective multiple examinations: four plus a final comprehensive examination.

Multimedia – human simulator.

N 254 METHODS OF EVALUATION:

Examinations (4) , resume, (1), article critique (1), cardiac paper (1), and completion of the ATI Exit test .  A comprehensive exit exam is required of all senior students completing the nursing program. Students take this exam upon passing Nursing 254 and must achieve a satisfactorily passing score prior to completing Nursing 255. If a student does not meet the passing score on this examination after two attempts he or she will be given an incomplete for N255. (See ECC Nursing Student Handbook 2009-2010)

Students must complete this test and provide their results to the clinical instructor after the test . Students must pay their $ 85 testing fee to the college cashier and bring their receipt to lecture by the end of the second week of the semester.  

 N 255 GRADING POLICY:

EXAMINATION:

STUDENTS REQUIRING ACCOMODATION FOR TESTING MUST BRING VERIFICATION FROM THE SPECIAL RESOURCE CENTER (STUDENT SERVICE CENTER) TO LECTURING INSTRUCTOR PRIOR TO THE FIRST EXAM.  STUDENTS REQUIRING TEST ACCOMODATIONS NEED TO SCHEDULE THEMSELVES AT THE RESOURCE CENTER ON THE CRENSHAW CAMPUS.  STUDENTS WHO DO NOT SCHEDULE WITH THE SPECIAL RESOURCE CENTER WILL TAKE THE EXAM DURING THE REGULAR SCHEDULED TESTING TIME IN CLASS.

The student must receive at least an average of C- to pass the course. There are no retake tests allowed in this course, except for extenuating circumstances as described in the attendance policy.  The final exam is a comprehensive exam.  Students are to refer to the Nursing 254 Summary Sheet to monitor their grade. At the end of the semester, please submit this form with your clinical evaluation to your clinical instructor.  The summary sheet is located in Appendix B.  Following is the grading criteria:

                    % Satisfactory         % Unsatisfactory

                      

                        92-100 - A

90-91   - A-

88-89   - B+

83-87  -  B

81-82  -  B-

79-80  -  C+

77-78  -  C

75-76  -  C-

73-74  -  D+

65-72  -  D

63-64  -  D-

00-62  -  F

The course grade is determined using the Par SCORE computer system with the above nursing grade criteria.  Grading criteria has been established by the Board of Registered Nursing, with a passing score of 75% or better.  Completion of the course requires a passing grade of C- or better AND a satisfactory clinical performance. 

Late papers will not be accepted.   All course requirements must be completed to receive a grade for the course.

N 254 EXAMINATIONS/DISTRIBUTION OF GRADES:

            

          Leadership /Management Exam                       10%    

            Renal Exam                                                      20%    

            Respiratory Exam                                            20%    

            Cardiovascular Exam                                       20%    

            Disaster experience attendance               Required                    

Final Exam                                                       25%    

Cardiac paper                                                  2.5%    

Article critique                                                 2.0%    

Resume                                                            0.5%

Total                                                               100%

           

                                               

         

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N254 Class Schedule:

 

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Course Material:

Phipps, W. J., Monahan, F. D., Sands, J.K., Marek, J.F., Neighbors, M., & Green, C.

     (2007).  Medical-surgical nursing health and illness perspectives (8th ed.). St. Louis: Mosby.

 

Tappen, S.A., Wise, S.A., & Whitehead, D.K. (2006). Essentials of nursing leadership

and management, (5th ed). Philadelphia: F.A. Davis Co. 

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Presentation

Respiratory lecture

 

Renal lecture

    

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Online Resources: (list related websites as links)

Selected websites:

 

 

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El Camino College, 16007 Crenshaw Blvd., Torrance, California 90506
Phone: 310-532-3760 Toll Free: 1-866-ELCAMINO (1-866-352-2646)
Last Updated: 1/26/10