THREE RIVERS COMMUNITY COLLEGE
DIVISION OF NURSING
COURSE SYLLABUS
NURSING 226 - FALL 2005

 CARE OF CLIENTS WITH ACUTE HEALTH CARE NEEDS - 9 SEMESTER HOURS

COURSE DESCRIPTION: This course focuses on the care of adults with acute illness.  The importance of understanding the relationship of in-depth nursing assessment, problem identification and problem solving is further developed.  Prioritization of client care is also emphasized.  Physiological and psychological causes and effects of stress on acutely ill clients and their families are explored.  Clinical laboratory experience is provided in acute care settings at community hospitals.  Four lecture hours, fifteen laboratory hours. 
Nursing Prerequisite(s):  Nursing 115, Nursing 116, Healthcare Provider CPR certification and all other level one prerequisites.
Current Corequisite(s):  Introduction to Sociology, English Elective.

COURSE COMPONENTS:  9 credits (4 credit lecture + 5 credit classroom/clinical lab)

CLASS SCHEDULE:

Monday- 8:00 a.m. to 10:00 a.m.  Mohegan Auditorium 
Thursday- 8:00 a.m. to 10:00 a.m. Mohegan Auditorium

CLINICAL LABORATORY EXPERIENCE: 13.5 hours/week

Lawrence & Memorial:
5.4		Cardiac Telemetry(Day & Evening Rotation)
5.2:		Respiratory/Medical Surgical (Day)
		6.2:		Oncology/Med-Surg (Evening)
Day Times:		Tuesday 6:45 a.m.–11:45 p.m. (5 hrs)+(1hr chart review on own)
				Wednesday 6:30 a.m. – 1:00 p.m. (6.5 hrs) + (1hr post conference)
Evening Time: 	Monday 2:45 p.m. – 6:45p.m. (4 hrs) + (1hr chart review on own)
 				Tuesday 2:45p.m.-10:15 p.m.+ 1hr post conference till 11:15
		4.1:		Neuro/Medical Surgical (Thursday/Friday)
				Thursday 11:00am-3:00 pm + (1hr. chart review on own)
				Friday 6:45am-2:15 pm + (post conference 2:15pm-3:15pm)
Wm. Backus Hospital:
	E3:  	Cardiac Telemetry (Days Only)
	A2: 	Oncology / Medical Surgical (Days only)
		Day Hours: 	Tuesday 7 a.m. – 12:00 p.m. (5 hrs)+(1hr. chart review on own)
				Wednesday 7 a.m. – 1:30 p.m. (6.5 hrs) + (1:30pm-2:30pm post 
conference) 
	St. Francis:
9-9	Cardiac Telemetry 
10-9	Medical Surgical
Day Hours:	Tuesday 7 a.m. – 12:00 pm (5hrs) +  (1hr chart review on own)
Wednesday   7 a.m. – 1:30 p.m. (6.5 hrs) + (1:30pm-2:30pm post conference)

Westerly Hospital: Cardiac
		Thursday 11:00am-3:00 pm + (1hr. chart review on own)
		Friday 7:00am-2:30 pm (post conference 2:30pm-3:30pm)

COLLEGE LABORATORY:

Will be held in Room 314 as follows:
Section 1:  Monday  	10:00am-11:30am
Section 2:  Thursday 	10:15am-11:45am
Section 3:  Thursday 	12:15pm –1:45pm
Section 4:  Thursday 	2:00pm-3:30pm

FULL-TIME NURSING FACULTY and MOH Office Numbers:

	Ellen Freeman, R.N. M.S.N................................................…383-5273
	Brenda Hodge, R.N., O.C.N., M.S.N……………………….892-5739
Amy Guarino, R.N., M.S.N……..………………………….. not yet available
Maureen Boylan, R.N., M.S. ………………………………...not yet available
Judy Snayd, R.N., M.S.N……………………………………892-5726
Francine Wallett, R.N.., M.S.N………………………………892-5742
Nancy Scrivano R.N. M.S.N. ……………………………….383-5250

CLINICAL ADJUNCT  NURSING FACULTY:

Linda Moscaritolo, R.N.C, M.S. 
Lauri Tinelle, R.N., B.S.N. 
Heather Bader R.N. 
Krystin Uguccioni, R.N., M.S.

COURSE REQUIREMENTS:

In order to receive a passing grade the student must maintain:
	A.	Satisfactory completion of clinical paperwork.

B.	A C grade or better in theory on the basis of 4 exams each worth 15% of the grade and one final examination worth 30% of the grade. (A minimum of 24 hours is necessary for grade posting in Web Ct following each examination.) The remaining 10% of the theory grade is comprised of a graded term paper.

C.	A Satisfactory clinical evaluation.  Students will be assessed on their clinical performance in accordance with how well they meet the achievements identified on the clinical evaluation form.  Conferences will be scheduled every six weeks with the final evaluation conference at the end of the course.  Students must present evidence of Healthcare Provider C.P.R. certification and updated Healthform prior to the first class.  Additional assignments include 1 satisfactory nursing care plans, 1 satisfactory process recording, and 1 satisfactory oral presentation of one patient.

Adherence to appropriate cellular phone and beeper usage is expected in all classes, labs, and clinical settings. 
Appropriate uniform requirements and identification (hospital badges and or TRCC name tags) required during all clinical experiences.

WITHDRAWAL STATEMENT, ETHICS OF STUDENT USE OF INSTRUCTIONAL MEDIA/SOFTWARE,  DISABILITY STATEMENT, INCLEMENT WEATHER, 
INDIVIDUAL LEARNING NEEDS, PLAGIARISM AND DISHONESTY:

See Student Handbook

ATTENDANCE:
Students are strongly encouraged to attend all class sessions.  It is expected that students will attend all clinical/laboratory experiences. Notification to clinical agencies is expected in case of emergency absences. In the event make–up dates are not available during the remainder of the semester, the student may be unable to complete the clinical portion of the course resulting in a course grade of “I” (Incomplete).

TEXTBOOKS:
					
	Ackley, Nursing Diagnosis Handbook, (6th edition) Elsevier, 2004.

	Cataldo, Corinne et al.  Nutrition and Diet Therapy, 6th edition, Thompson Learning, 2003.

		*Dillon, Patricia, Nursing Health Assessment:  *TEXT & Clinical Pocket Guide, F. A. 	Davis, 2003.
		
	Ebersole, Toward Health Aging – Human Needs and Nursing Response (6th edition) Mosby, 2003.
 
	Select ONE version of:
		Deglin, Judith and Vallerand  Davis' Drug Guide for Nurses, 9th edition, F.A. Davis, 2004
Nurses Med Deck, (box) 9th edition.  F.A. Davis, 2004.

	Kee, Drug Calculations Online to Accompany Clinical Calculations (5th edition) Mosby, 2004.

	Kozier & Erbs, Fundamentals of Nursing, Concepts, Process and Practice (7th edition) Prentice Hall.
 
Kozier & Erbs Study Guide.
 
Kozier & Erbs Techniques in Clinical Nursing (5th edition).
 
Kozier & Erbs Clinical Handbook for Fundamentals of Nursing.

	Lehne, Richard A. et al.  Pharmacology for Nursing Care, 5th edition, Saunders, 
2004.

	Meyers, RNotes Nurse’s Clinical Pocket Guide, Davis, 2003.
	
	Mosby, Medical, Nursing, and Allied Health Dictionary, 6th edition, 2002.

	Pagana, Kathleen D. and Pagana, Timothy J., Mosby’s Manual of Diagnostic and Laboratory Tests, 2nd edition, Mosby, 2002.

	Pillitteri, Adele, Maternal and Child Health Nursing, 4th edition, Lippincott, 2003.

	Smeltzer, Suzanne C. and Bare, Brenda G.  Brunner & Suddarth’s 
		Textbook of Medical-Surgical Nursing, 10th edition, Lippincott, 2003.

	*Sole, Lamborn and Hartshorn, Intro to Critical Care Nursing, 4rd edition, Saunders, 2005

	Sommers, Marilyn and Johnson, Susan A., Davis’ Handbook of Nursing 
Therapeutics for Diseases and Disorders, 2nd edition, F.A. Davis, 2002.	

	Varcarolis, Elizabeth, Foundations of Psychiatric Mental Health Nursing, 4th edition, Saunders, 2002.

	Wilkinson, Judith, Nursing Process and Critical Thinking, (3rd edition), Pearson Education, 2001.

	*New Purchases this course-

COURSE OVERVIEW:

Upon completion of this course: 

	I.	As a PROVIDER OF CARE, the learner will be able to:

A)	Relate principles of social, physical, and biological sciences to the holistic care of adults with acute health care needs.

B)	Describe the nursing process as a framework for assisting the acutely ill individual and their families to achieve optimal levels of wellness.

C)	Analyze stressors of limited duration and high intensity in the care of the acutely ill individual and family, to promote the highest level of adaptation possible. 

	II.	As a MANAGER OF CARE, the learner will be able to:

A)	Apply critical thinking in prioritizing and organizing care for acutely ill groups of individuals and their families.

B)	Interpret roles of members of the health care team as they relate to collaborative care of acutely ill clients and their families.

III.	As a MEMBER WITHIN THE DISCIPLINE OF NURSING, the learner will be able to:
	A)	Recognize professional standards of care for the acutely ill client and family.

	B)	Analyze the roles of the nurse in specialty areas within the health care delivery system.

C)	Discuss professional/ethical issues related to the care of acutely ill individuals and 
		their families.

BH 8/05