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Nursing Foundation Course Outline
Nursing Foundation Course Outline
Nursing Foundation Course Outline
Sandusky, Ohio
COURSE OUTLINE
NURSING FOUNDATIONS
August 2009
TIME ALLOTMENT: 130 Theory Hours
38 Lab Hours
72 Clinical Hours
240 Total Hours
12 Credit Hours
TEACHING PERSONNEL:
Barbara Brunow, MSN, MEd, RN, CNE, CNS, Course Coordinator
Michelle Bussard, MSN, RN, ACNS-BC, CNS
Joli Reising, MSN, MEd, RN, CNS
Amy Smith, MSN, RN
COURSE OBJECTIVES:
1. Summarize legal, ethical issues, and cultural values impacting nursing roles. (1,4,6)*
2. Apply knowledge of anatomy, physiology, chemistry, nutrition, psychosocial and developmental principles. (1,2,3,4,5)*
3. Select appropriate techniques for communications with patients, families, and health care team members. (2,3,5,6) *
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COURSE OVERVIEW:
This first nursing course provides a general background in health, health agencies, the role of the professional registered nurse and components of the nursing process.
Psychomotor skills necessary to assist the individual to meet basic needs are developed and related to observation, physical assessment and interpersonal relationship skills.
Emphasis is placed on safety measures and common problems related to integument, oxygen, mobility and sensation, circulation, nutrition, elimination, fluid and electrolytes
and perioperative nursing in the clinical areas. The principles of drug administration are introduced. Nursing Foundations is presented in the fall semester. This course is
taken in the second year. Prerequisite: All first year courses.
TEXTBOOKS:
REQUIRED:
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Doenges, M.E., Moorhouse, M.F., & Murr, A.C. (2008). Nurse’s pocket guide (11 ed.). Philadelphia: F.A. Davis.
Hodgson, B.B. & Kizior, R.J. (2009). Saunders nursing drug handbook 2009. Philadelphia: F.A. Davis.
Malarkey, L.M. & McMorrow, M.E. (2005). Nursing guide to laboratory and diagnostic tests . St. Louis: Saunders.
Mosby’s Dictionary of Medicine, Nursing & Health Professions (2006), 7 th ed. St. Louis: Mosby’s.
Perry, A.G. & Potter, P.A. (2010). Clinical nursing skills & techniques (7 th ed.). St. Louis: Mosby/Elsevier.
Pickar, G. (2007). Dosage Calculations (8th ed.). Albany: Delmar.
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Taylor, C., Lillis, C., & LeMone, P. (2007). Fundamentals of nursing: The art and science of nursing care (6 ed.). Philadelphia: Lippincott Williams & Wilkins.
TEACHING METHODS:
CD/DVD
Demonstrations
Discussion
Games
Skills Practice
Power Point
Planned Lab
Planned Clinical Experience
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METHODS OF STUDENT EVALUATION:
Quizzes
Skills Lab Demonstration
Unit Tests
Comprehensive Final Exam
Evaluation of Clinical Performance
Patient Profile Database
Care Plans
Instructor Feedback
Final Clinical Evaluation
Lab Final Examination
REFERENCES:
Adams, M.P., Holland, L.N., & Bostwick, P.M. (2008). Pharmacology for nurses (2nd ed.). Upper Saddle River, NJ: Prentice Hall.
Astle, S.M. (2005). Restoring electrolyte balance. RN, 68(5), 35-39.
Dillon, P. (2004). Nursing health assessment. Philadelphia: F. A. Davis.
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Harkreader, H., Hogan, M.A., & Thobaben, M. (2007). Fundamentals of nursing (3 ed.). St. Louis: Saunders.
th
Kozier, B., Erb, G. Berman, A., & Burke, K. (2008). Fundamentals of nursing (8 ed.). Upper Saddle River, NJ: Prentice Hall Health.
Lilley, L.L., Harrington, S., & Snyder, J.S. (2007). Pharmacology and the nursing process (5th ed.). St. Louis: Mosby.
Macklin, D., Chernecky, C., & Infortuna, H. (2005). Math for clinical practice. St. Louis: Mosby.
Milne, C.T. (2008, July). Wound healing in older adults. Advance for Nurse Practitioners, 53-56.
Odom-Forren, J. (2005, November). Surgical-site: still a reality. OR Insider, 16-20.
Ogden, S.J. (2007). Calculation of drug dosages (8th ed.). St. Louis: Mosby.
Pasero, C. & McCaffery, M. (2005). No self-report means no pain-intensity rating. AJN, 105(10), 50-53.
Perry, J. & Jagger, J. (2005, November). Slash sharps risk for surgical personnel. OR Insider, 28-29.
th
Potter, P.A. & Perry, A.G. (2009). Fundamentals of nursing (7 ed.). St. Louis: Mosby.
Ratliff, C.R. (2008, July). Wound exudate: an influential factor in healing. Advance for Nurse Practitioners, 32-35.
http://thePoint.LWW.com/Taylor6e
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COURSE OUTLINE
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COURSE OUTLINE
Identify the contribution which the profession of A. Profession of Nursing Read: Taylor
nursing makes in the provision of health care. 1. Definition Chapters 1, 2, 4
(6,8)* 2. Aims of nursing care
Describe Maslow’s hierarchy of basic human needs. B. Basic Human Needs and the Contribution of the Nurse
(6)* 1. Hierarchy of basic needs -- Maslow
2. Concepts of culture and ethnicity
State factors that affect the interaction of the nurse 3. Wellness, health, illness
and the patient using the concepts of culture and 4. Safety
ethnicity. (1,6)* 5. Growth and Development – Erikson (p. 378)
Describe wellness, health and illness. (2)*
Compare the different settings in which healthcare C. Health Care Delivery System
is provided. (4)* 1. Nursing’s role in healthcare
2. Healthcare settings Complete: Pickar
Compare the roles of members of healthcare teams. 3. Framework for care Chapters 1 – 5 to prepare for
(4,8)* 4. Financial aspects of healthcare dosage calculations
5. Community based healthcare
Discuss trends and issues affecting healthcare 6. Health team members
delivery. (4,8)* 7. Trends in healthcare
8. Roles of the nurse
Discuss the relationship between informatics and 9. Nursing informatics
quality healthcare. (1,3)* 10. National Patient Safety Goals
Describe importance of obtaining vital signs, pain D. Vital Signs Read: Potter & Perry
assessment and physical assessment. (2)* 1. Vital signs Chapters 32 & 33
a. temperature
b. pulse Audio Visuals: VS and Assessment techniques
c. respirations/pulse oximetry Lab: VS and Head-to-Toe Assessment
d. blood pressure Read: Perry & Potter Skills Ch. 5 & Ch. 6
e. pain Prep Skills: Assessing VS and performing
a basic head to toe assessment
Discuss the purposes of physical assessment. E. Physical Assessment Skill 5-1, 5-2, 5-3, 5-4, 5-5, 5-6
(1,2,3)* 1. Purpose of physical examination Skill 6-1, 6-2, 6-3, 6-4, 6-5, 6-6, 6-7
2. Health history 2 ATI Skills Modules: Vital Signs and Physical
*Course Objectives a. general survey Assessment of the Adult
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COURSE OUTLINE
Apply ethical issues to examples in nursing practice. F. Ethics and Values Read: Potter & Perry
(1,8)* 1. Role of ethics in professional nursing Chapter 22
2. Contemporary ethical issues In class exercise: Ethical dilemmas
Assignment: HIPPA ATI skills module
Describe laws affecting nursing practice. (1,7,8)* G. Legal
1. Standards of Care Read: Potter & Perry
2. Advance Directives Chapter 23
3. Legal regulation of nursing practice
4. Legal safeguards for the nurse
5. Patient Bill of Rights and Responsibilities
6. ANA standards of nursing practice
7. Student liability
Describe nursing interventions used to break the H. Infection Control and Sterile Technique Read: Taylor
chain of infections. (2,5,6)* 1. Breaking the chain of infection Chapter 27
2. Hand washing and compliance with hand washing
Demonstrate correct hand washing technique. 3. Nosocomial infections Lab: Hand washing / hand hygiene exercises
(2,5,)* 4. Isolation and barrier precautions Read: Perry & Potter Skills Ch. 7
5. Nursing care actions to treat and prevent infections Prep Skills: Hand Hygiene
Demonstrate correct technique for gowning, gloving a. standard precautions PPE
and masking. (2,5)* b. airborne precautions 7-1, 7-2
*Course Objectives c. droplet precautions Classroom: PPE exercise
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COURSE OUTLINE
UNIT I EXAM
Discuss communication for an effective nurse- B. Communication and Continuity of Patient Care
patient relationship during the admission, transfer, 1. Documenting care
and discharge processes. (3,4)* a. admission and discharge
b. patient education
Describe effective interventions for patients with c. discharge planning
impaired verbal communication. (1,3,4)* 2. Reporting care
a. transfer and discharge
b. incident reports
c. student reporting - off
3. Methods of charting patient care Electronic Documentation (Meditech Labs)
Identify ways to maintain confidentiality of records 4. Confidentiality
and reports. (1,3)* 5. HIPAA
C. Sensory Deprivation
Describe specific nursing interventions to 1. Communication with the visually and hearing impaired
communicate with patients with sensory patient
deprivation. (2,3,5)* 2. Communication with the confused patient
3. Communicating with the unconscious patient
*Course Objectives
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COURSE OUTLINE
Describe the processes involved in wound healing. E. Skin Integrity and Wound Care Read: Potter & Perry
(2)* 1. Pressure ulcers Chapter 48
2. Risk factors for pressure ulcer development
Assess and document various wounds. (2,4,5)* 3. Wound classification and types In class demonstration: Sterile gloves, sterile trays,
4. Risk assessment scales and interventions to decrease skin pressure
Implement appropriate dressing changes for 5. Factors affecting wound healing
different kinds of wounds. (2,5,6)* 6. Nursing interventions Video in class: Pressure Ulcers
7. Wound management
Identify patients at risk for pressure ulcer formation. 8. Types of dressings Lab: Sterile technique and dressing
(2,5)* 9. Heat and cold therapy Review: Elastic stockings & SCD
10. Complications of integument healing Skill 10-3
List appropriate nursing interventions for a patient Toileting
with impaired skin integrity. (5,6)* Skill 33-1, 34-1
Read: Perry & Potter Skills Ch. 8 & Ch. 38
Prep Skills: Sterile technique and dressing
Saline-moistened dressing
8-2, 8-3, 38-1, 39-1
2 ATI Skills Modules: Surgical Asepsis and
Wound Care
UNIT II EXAM
*Course Objectives
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COURSE OUTLINE
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COURSE OUTLINE
Describe the major categories of health and safety B. Safety in Nursing Practice Read: Taylor
hazards faced by nurses and other health-care 1. Biologic hazards Chapter 26
workers in the hospital setting. (1,2,4,8)* 2. Chemical hazards
3. Environmental and mechanical hazards
Discuss preventive strategies to reduce occupational 4. Psychosocial hazards Guest lecturer:
risks to health-care workers. (1,2,4,8)* 5. Promotion of safety in the health-care setting Safety officer
6. Disaster, hazardous materials and MSDS
7. National Patient Safety Goals On-line viewing of MSDS manual
Discuss the components of nutritional and fluid
assessment. (2,5)* Read: Taylor
C. Nutrition and Fluids Chapter 42
Describe nursing interventions to help patients 1. Common clinical diets Lynn Chapter 11, pp. 593-598
achieve nutritional goals. (2,5)* 2. Measuring I & O Lynn Skills 11-1, 11-3, 11-6
3. Feeding
Demonstrate NG tube insertion using correct 4. Feeding via various tubes In class demonstration: Common
technique. (2,5)* 5. Enteral feedings I & O items found in the clinical area
Differentiate between enteral and parenteral a. medication administration I & O calculation quiz
nutrition. (2,5)* b. complications
Demonstrate methods to assist patient to eat and 6. Promoting nutrition and hydration Lab: Nasogastric tube
drink. (3,4,5,6)* Read: Perry & Potter Skills Ch. 31
Perry & Potter Skills Ch. 34, p. 914-921
Prep Skill: Nasogastric insertion
Nasogastric irrigation
31-1, 31-2, 31-3, 34-4
2 ATI Skills Modules: Nasogastric intubation
*Course Objectives Enteral feeding
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COURSE OUTLINE
UNIT IV EXAM
*Course Objectives
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COURSE OUTLINE
Describe the principles of respiratory physiology. A. Respiration Read: Potter & Perry
(2)* 1. Respiratory physiology Chapters 40 and 33 pg 596
2. Respiratory assessment
Describe nursing strategies to promote adequate 3. Factors affecting respiratory functioning Clinical Nursing Skills
respiratory functioning. (2,5)* 4. Common diagnostics Skills: 23-1, 23-3, 25-1, 27-1
5. Interventions
Identify patient responses to alterations in a. methods of O2 delivery Classroom: nasal cannula, various masks, various
respiratory function. (2,5)* b. incentive spirometry airways, suctioning
c. deep breathing
Describe various respiratory treatments and d. coughing
diagnostic testing. (2,5)* e. suctioning the trachea
f. inhalant medications
6. Smoking cessation
Describe the 5 steps of the nursing process. (6)* B. Communication and the nursing process Read: Potter & Perry
1. Assessment Chapters 16-20
List the benefits of correct use of the nursing a. data collection method
process to patients and health team members. b. sources of data
(6)*
2. Diagnosing Power Point presentation
Demonstrate correct format for writing a nursing a. reviews and interprets data Outline Handout
diagnosis. (6)* b. formulates the nursing diagnosis
c. prioritize the ND
d. 3-part statements
Examine the relationship among actions, nursing e. collaborative problems
orders and established outcomes. (6)* f. NANDA
3. Planning
Document the plan of care completely, accurately, a. written patient oriented outcomes
concisely, and factually. (6)* b. guidelines for outcome writing
c. selecting nursing interventions that are
individualized
d. writing the plan of care
e. setting priorities
*Course Objectives
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COURSE OUTLINE
UNIT V EXAM
Describe the surgical experience, including A. The Surgical Experience Read: Perry & Potter
perioperative phases, classification of surgery, types 1. Classification of surgical procedures Ch. 48 (wounds)
of anesthesia, informed consent and advance 2. Anesthesia p. 1294-1299
directives, and ambulatory surgery. (1,2,4,6)* 3. Informed consent Ch. 50 (cleansing skin and drain sites)
4. Advance Directives p. 1324-1341
5. Ambulatory surgery
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COURSE OUTLINE
Describe the functions, regulation, sources, and F. Fluid and Electrolyte Balance Read: Taylor
losses of the main electrolytes of the body. (2)* 1. Distribution, composition, and movement of body fluids Chapter 41 pp 966-992
2. Regulation of body fluids
Explain the principles of osmosis, diffusion, active 3. Regulation of electrolytes Assignment: VCE Lesson 13
transport, and filtration. (2)* 4. Fluid and electrolytes and the nursing process
5. Fluid imbalances In class exercise: Case Studies in fluid
Recognize normal values, as well as values a. fluid volume deficit (FVD) and electrolytes
representing imbalances of electrolytes. (2,4)* b. fluid volume excess (FVE)
c. hyperosmolar imbalance - dehydration
Discuss clinical assessments for determining fluid d. hypoosmolar – water excess
and electrolyte imbalances. (2,5)* 6. Electrolyte imbalances
a. sodium
Describe nursing interventions for clients with fluid b. potassium
and electrolyte imbalances. (1,2,5)* c. calcium
d. magnesium
Plan, implement, and evaluate nursing care related 7. Nursing interventions related to fluid and electrolyte
to select nursing diagnosis involving fluid and imbalance
electrolyte imbalances. (1,2,3,5,6)* a. assessing imbalances, I&O
b. preventing
c. developing a dietary plan
d. modifying fluid intake
e. administering medications
f. role of IV therapy
UNIT VI EXAM
*Course Objectives
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COURSE OUTLINE
Conduct a basic pain assessment of a patient in pain A. Pain and comfort Read: Taylor
to select individualized interventions. (2,3,6)* 1. Pain assessment Chapter 41
Select an individualized pain management plan of 2. Pain theories
care for a patient in pain. (1,2,5,6)* 3. Pain management Guest Speaker:
Evaluate the outcomes of pain relief therapy. a. pharmacologic Patient Advocate
(2,4,6)* b. nonpharmacologic
Explain the stages of sleep, symptoms of sleep 4. Evaluation of pain
deprivation, factors that affect rest and sleep, and
common problems related to sleep. (1,2,4,6)* B. Rest and sleep Read: Taylor
1. Stages of sleep Chapter 40
Describe nursing measures that aid rest and sleep 2. Sleep deprivation
needs. (2,6)* 3. Factors affecting rest and sleep
*Course Objectives
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COURSE OUTLINE
*Course Objectives
2009 NF Course Outline
BB/MB/JR/ss
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