1

COURSE NUMBER AND NAME

Advanced Practice Procedures in Acute Care
NURS5192

TERM
All Terms

COURSE CREDIT
2 semester hours

Estimated Learning Time (ELT)

In order to demonstrate compliance with U.S. Department of Education regulations and
standards established by the Higher Learning Commission (HLC), all Graceland University
faculty have created a good faith estimate of the learning time associated with each course they
design, coordinate and/or lead. Estimates of learning time are published in the syllabi for each
course offered. Regardless of the length of term or the mode of instruction, it is expected that a
student who is prepared for college-level work and reasonably motivated to succeed will spend
a minimum of 37.5 hours per semester hour credit in course-related activity. ELT may include
preparation time, attendance, and active participation in course-related activities. The
conversion ratio for clinical practice hours (see below) to academic (sh) credit varies across
programs and is calculated per the SON Assignment of Academic Credit for NURS courses.

Learning activities and distribution of ELT may vary from course to course and student to
student. Learning activities may include, but are not limited to, the following: reading
assignments, literature & database searching; literature & evidence analysis, live chats,
asynchronous discussions, peer-review, written assignments, group projects, case study
analysis, practice skill labs, quizzes/exams, individual & group presentations/demonstrations,
field experiences, clinical practice hours, practice projects, log & database entries. ELT for this
course is illustrated below.

Estimated
NURS5192 APP in Acute Care (2 s.h.)
Learning Time
Learning Activities
(ELT)
Reading Assignments (text readings, database searching,
30.0
literature/evidence review & critical analysis, etc.)
Written Assignments (scholarly papers, case studies, projects; research &
28.0
writing)

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10.0 Discussions (prep & participation)

5.0 Quizzes / Exams (prep & completion)
Practice Hours (field experiences, clinical practicums, practice projects,
16.0
skill lab focus sessions)
0 Clinical/practice prep, log & database entries
Other:
89.0 TOTAL clock hours /term

COURSE SCHEDULE
Learning activities are completed within a 16-week trimester. Weeks begin on Monday and end
on Sunday. Participation in asynchronous discussions is expected to occur throughout the week
on multiple different days as directed in the Discussion Guidelines. Graded learning activities
are due by midnight Sunday at the end of week. See Assignment Guidelines below.

COMMUNICATION

There are a variety of options for communication between faculty & students including
asynchronous discussion boards, private dropbox communications, GU Outlook email,
synchronous chat and telephone conferencing. Students should allow 24-72 hours for response
from faculty. If a response is not received within 72 hours, please contact the SON Graduate
Programs Office at songraduateprograms@graceland.edu or 816.423.4677 for assistance.

As a general rule, faculty log on to course sites at least 3-5 times each week (Monday through
Friday) to monitor student progress, respond to questions, review and score assignments.
Evenings, weekends and holidays are reserved for personal and family activities and faculty
may not routinely log on to course sites. Asynchronous discussion boards are the primary and
preferred means of communication between faculty and students enrolled in online courses.

A Virtual Office is provided in each weekly folder for student-faculty communications about
the course. Please post all questions or comments related to the course in the appropriate forum
so that all students may have access to the information.

Private communications between students and faculty are available via a Private
Communications for Faculty Dropbox on the course site, GU Outlook email or telephone.
Private consultation by phone or synchronous chat is available by appointment.

Students are responsible for all communications sent to their GU Outlook email account. It is
imperative that you plan to check your GU Outlook email account frequently! Emails sent from
eCollege and all official communications from the SON are sent to your GU Outlook email.

Course Faculty

Faculty
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Allie Roberts MSN, AGACNP-BC & Dr. Teresa Blanc DNP, FNP, ACNP-BC

REQUISITES AND PREREQUISITES

None

PLACE of COURSE in CURRICULUM

Typically in the second semester of the AGACNP program curriculum.

COURSE DESCRIPTION
Focuses on skill development in diagnostic and treatment modalities utilized in acute &
critical care settings. Content includes fluid replacement, hemodynamic monitoring,
defibrillation, ventilation. Analysis of relevant laboratory data and interpretation of
radiographs and ECGs. Laboratory practice will include procedures such as suturing,
intubation, line insertion

PROGRAM STUDENT LEARNING OUTCOMES (SLO) ADDRESSED

The following elements are addressed in this course:

MSN SLO-1: Synthesizes research, theory and principles of scientific inquiry to support
evidence-based practice.
MSN SLO-2: Demonstrates advanced knowledge and skills in selected functional role.
MSN SLO-3: Provides ethical, culturally sensitive care collaboratively with professionals from
multiple disciplines.
MSN SLO-4: Advocates for access to affordable, cost-effective, quality healthcare community
resources within scope of practice.
MSN SLO-5: Communicates effectively and uses information systems/technology to evaluate
programs of care and/or facilitate learning.

MSN E-I: Background for Practice from Sciences and Humanities

MSN E-II: Organizational Systems Leadership
MSN E-III: Quality Improvement and Safety
MSN E-IV: Translating and Integrating Scholarship into Practice
MSN E-V: Informatics and Healthcare Technologies
MSN E-VI: Health Policy and Advocacy
MSN E-VII: Inter-professional Collaboration for Improving Patient and Population Health
Outcomes
MSN E-VIII: Clinical Prevention and Population Health for Improving Health
MSN E-IX: Master’s-Level Nursing Practice

NP CC-1: Scientific Foundation Competencies

NP CC-2: Leadership Competencies
NP CC-3: Quality Competencies
NP CC-4: Practice Inquiry Competencies
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NP CC-5: Technology & Information Literacy Competencies

NP CC-6: Policy Competencies
NP CC-7: Health Delivery System Competencies
NP CC-8: Ethics Competencies
NP CC-9: Independent Practice Competencies

NP PC-I: Health Promotion, Health Protection Disease Prevention and Treatment

NP PC-II: NP-Patient Relationship
NP PC-III: Teaching-Coaching Function
NP PC-IV: Professional Role
NP PC-V: Managing and Negotiating Health Care Delivery Systems
NP PC-VI: Monitoring and Ensuring the Quality of Health Care Practice
NP PC-VII: Cultural Competence

COURSE OBJECTIVES
1. Interpret common acute care laboratory and imaging results, identifying abnormal findings
and providing appropriate treatment of these findings.
2. Describe common procedures in acute care within the nurse practitioners scope of practice
3. Identify barriers and potential complications to procedures performed in the acute care
setting
4. Interpret 12-lead EKG findings

COURSE MATERIALS

Required Text(s)
Rapid Interpretation of EKG’s 6th Ed.
ISBN 978-0912912066

Learning Radiology 4th Edition.

ISBN 978-0323328074

Procedure Manual for High Acuity, Progressive and Critical Care-7th Ed.
ISBN 978-0323376624

Felson’s Principals of Chest Roentology 5th Ed.

ISBN 978-1455774838

Bakerman’s ABC’s of Interpretative Lab Data 5th Ed.

ISBN 978-0945577034

Recommended Text(s)
NONE

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Other

TECHNOLOGY
PCs are recommended. Macintosh computers may be used, but in some situations a Mac will
not support the requirements of a specific college course online. It is the student’s responsibility
to ensure that they can access a PC in such situations. Recommended systems & software
include Windows 2000 or XP, 64 MB RAM, 28.8 kbps modem (56K), sound card & speakers, and
Internet Explorer 6.0 or Firefox 1.x with JAVA enabled. For additional information on minimum
system profiles or software requirements and support, log onto www.gracelandonline.com and
click “Technical Requirements”.

COURSE METHODOLOGIES (Include description of selected activities and indicate location

of guidelines and assessment/evaluation rubrics on the eCollege course site)

Required Reading

Asynchronous Discussions

Written Assignments

Quizzes/Exams

Other

COURSE POLICIES (The following policies are required in every syllabi. Add any additional
policies specific for your course as needed.)
Assignment Guidelines
1. Due dates for graded learning activities (participation, written assignments,
quizzes/exams, etc.) are clearly posted by faculty on the course schedule within each
course.
2. The time stamp in eCollege officially documents date and time of submission.
Assignments, submissions and posts are due by midnight Central Standard Time (CST)
of the posted due date. Students are expected to adjust the time for their zone to avoid
late submission. For example, if students in Mountain Time Zone, must submit, post, etc.
by 11pm MT to meet the midnight CST deadline. The date and time that faculty see for
your submissions is in CST.
3. Submission of assignments for faculty to review prior to grading or for re-grading is not
permitted unless otherwise specified in the assignment guidelines.
4. Rubrics for evaluation are posted for each graded assignment. Feedback is provided for
any deduction of points.
5. Students should generally expect feedback within 7 days of the posted due date.
Feedback may be delayed for up to 14 days from the posted due date in certain
circumstances, such as extended due dates (see below). Graded assignments will not be
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returned to any student until all assignments have been submitted. Faculty will notify
students of any expected delays in response time.
6. Students are expected to review feedback on graded assignments and seek clarification
of any questions within 1 week of the grade posting.
7. Ten percent (10%) per day will be deducted from the earned score for all graded
learning activities submitted past the posted due date.

Due Date Extensions

1. Students should submit requests for due date extensions to faculty in writing at least 24
hours in advance of the specified due date. Extensions are usually only granted for a
maximum of one week.
2. Extensions are granted at the discretion of course faculty in emergency or extraordinary
circumstances such as the following:
• Medical illness: a medical certificate may be requested by faculty.
• Compassionate grounds: those situations for which compassionate leave is
normally granted in employment.
• Unexpected misadventure, hardship or trauma: documentation may be requested
by faculty
3. Work or other study commitments, computer crashes or printer failures are NOT valid
reasons for an extension.
4. No penalty will apply if an extension is sought and granted by the responsible person or
delegate. If the assignment is handed in after the extension period then established
penalties will apply.
5. Students whose circumstances require extensions longer than one week are advised to
meet with faculty to discuss available options including course withdrawal or
incomplete grade assignment.

Graduate Student Handbook & Graduate Catalog

Students are responsible for the policies and procedures posted in the Graduate Catalog and the
Graduate Student Handbook (GSH). The catalog and handbook are updated on a regular basis,
so please refer to the online version for the most current information. Links to the catalog,
academic policies & procedures and the GSH are available on the myGU SON Resources page.
Academic Integrity
Graceland University’s School of Nursing highly values academic integrity and is committed to
the fundamental value and obligation of preserving academic honesty among our faculty,
students and graduates. Graceland University and the School of Nursing have academic
policies and procedures in place to ensure a safe and positive learning environment for students
and faculty. It is the student’s responsibility to review and familiarize themselves with these
policies. View Graduate Student Academic Policies.

Turnitin (TII)
Students agree that by taking this course all written assignments including research papers, case
studies and discussion posts may be subject to submission, at the discretion of the faculty
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member, for text comparison by Turnitin.com, a plagiarism detection service, and other means
of detecting plagiarism. All papers submitted to Turnitin.com will be included as source
documents in the Turnitin.com reference database solely for the purpose of detecting plagiarism
of future papers. Use of the Turnitin.com service is subject to the Terms and Conditions of Use
posted on www.Turnitin.com.

Students With Disabilities

Graceland University complies with the Americans with Disabilities Act. Students requesting
accommodations should contact Nicole Briell, Director of Disability Services (Rm 26
MSC; nbriell@graceland.edu; 641-784-5083). In order to provide appropriate accommodations in
a timely manner, students are encouraged to contact the Director of Student Disability Services
as early in the term as possible.

Online Assessments
Maintaining the integrity of online assessments is a challenge and major concern for both
students and faculty working in online environments. Students enrolled in this course are held
to a professional standard and are required to comply with the following regulations. Failure to
comply with these regulations is in direct violation of the Graceland University Academic
Integrity Policy.
1. It is expressly prohibited to disclose, publish, reproduce, or transmit any part of a
quiz/test/exam or written assignment in any form, by any means, verbal or written, for any
purpose.
2. Graded learning and assessment activities must be completed by the enrolled student logged-
on to the course site.
3. The completion of any course requirement on behalf of someone else is strictly prohibited.
4. You may not obtain improper access to any part of an assessment (quiz, test, exam, etc.) or
assignment (case analysis, research paper, etc.) prior to completing the activity yourself (i.e.,
observing someone else complete the assessment, reviewing work previously submitted by
another student).
5. Use of course materials (books, notes) & additional resources during quizzes/tests/exams is
permitted.

Iowa SBN Administrative Code

2.5(5), chapter 2, nursing educational programs, curriculum: Nursing courses with a clinical
component may not be taken by a person:
a. who has been denied licensure by the board,
b. whose license is currently suspended, surrendered or revoked in any United States
jurisdiction,
c. whose license/registration is currently suspended, surrendered or revoked in another country
due to disciplinary action.

LEARNING EXPERIENCES AND EVALUATION

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Grading
Grades are earned individually through the completion of course requirements. Assessment
scores will not be curved and extra credit activities are not available. Grades are earned through
completion of course requirements. Points are awarded based on the level of achievement of
expected outcomes. The amount of time and effort required to satisfactorily achieve expected
outcomes will vary among students. Earned points for each graded learning activity are posted
in the GRADEBOOK (see tab at the top of this page) throughout the term. Students are
responsible for tracking their own progress. Questions or concerns regarding points awarded
for any graded learning activity should be addressed to faculty within one week of the grade
posting.

Final grades will not be rounded up or down, i.e., 89.99% will be assigned a grade of B.

Grading Scale
A grade of B (80%) or better (above average work) is required to pass graduate level nursing
courses.
Final grades are computed according to the following standard based on a total of 100%.

A = 90-100%
B = 80-89%
C = 70-79%
D = 60-69%
F = 0-59%

Grading Criteria (include points and/or assigned weight for each graded activity/assignment)

Points Assigned Graded Activity

Possibl Weight
e
160 19% Discussions / Responses
90 10% Quizzes
70 8% EKG Quizzes
315 36% Written Assignments
60 7% Group Presentation
40 5% Radiology Observation
130 15% Final Assignment/Project and SLO Assessment / Reflection
865 100% TOTAL POINTS

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