MEDICAL SURGICAL NURSING

LONG ISLAND UNIVERSITY BROOKLYN HARRIET ROTHKOPF HEILBRUNN SCHOOL OF NURISNG UNDERGRADUATE NURSING PROGRAM Semester Spring 2019 Clinical Course Number and Section: NUR 440L Course Title: 440L Medical Surgical Nursing I Lab Skills Lab experiences provide opportunities for students to apply knowledge they learn in lecture. Students practice the skills they need in order to prepare them to provide evidence-based nursing care to patients with basic health care needs, particularly the older adult during clinical experiences. This course is taken concurrently with NUR 440 and NUR 440C. Credit Distribution: 1 credits lab, 2 hours/week Prerequisite(s): NUR 220; 220L NUR 321; NUR 321L; NUR 321C; NUR 330; NUR 340; NUR 340L Co-requisite(s): NUR 440L; NUR 440C Course Dates: January 22, 2019- May 17, 2019 Faculty: Name: Professor Garcia Office Hours: Phone: Email: Important Information: 1. Academic Policies related to undergraduate study (LIU Brooklyn Undergraduate Bulletin, p. 20) 2. Undergraduate services and other information, LIU Brooklyn Undergraduate Bulletin and School of Nursing Student Handbook. Note: Both documents can be accessed online through Blackboard. 3. School emergencies or closing due to inclement weather, call 4. Personal cell phone use is strictly prohibited in the clinical and lab areas. Policies Refer to the Nursing Student Handbook for specific policies on academic progression, probation, and general policies applicable to all students. All students matriculated in the SON are accountable for the information contained in the LIU Brooklyn Undergraduate Course Bulletin and the School of Nursing Student Handbook. Selected policies are highlighted below. Lab Attendance NUR 440L 2019 v.1-22-19 MEDICAL SURGICAL NURSING 2 Students are expected to attend all lab sessions as outlined in the topical outline. Students must complete the number of lab hours required by each lab section in a manner that is consistent with objectives of the course. Each lab meets once a week for 2 hours. There are no excused lab absences. Those who anticipate obligations that conflict with scheduled course requirements should register for a lab section that does not conflict with personal obligations. Those who miss a lab due to an illness or emergency will require appropriate documentation. Any makeup experience must be arranged and approved by the lab faculty. More than one lab absence and makeup may result in failure for the course. In keeping with the student handbook, lateness over 30 minutes will be considered an absence and the student will be sent home. If you will be late or absent from lab, you must give written notice by emai l at least 1 hour prior to the start of lab to both the lab faculty and lecture faculty. Failure to follow this procedure will result in a deduction of 1 full grade point from the student's final course grade. Absence from clinical requires documentation (example: Dr.’s note). Failure to comply with this regulation will result in a failure for the course. If the lab makeup cannot be arranged prior to the end of the semester, the student's grade will be recorded as "Incomplete." Under no circumstances, will a second lab absence be approved for a makeup. Once a student has a second lab absence, the student will not meet the course requirements and the entire course, lecture and lab, will need to be repeated. Please note the following expectations: 1. Attend all lab sessions punctually, wearing a name pin, clinical facility ID, and in possession of LIU ID. 2. Demonstrate preparedness. 3. Participate in pre- and post-conferences and share knowledge and skills with colleagues. 4. Identify own strengths and weaknesses. 5. Meet semester requirements for written assignments. 6. Dress appropriately according to SON policy* (see below) a. look professional; dress neatly b. good personal hygiene, no perfume or cologne c. jewelry, nail length, nail color, hair color and style should be subtle, not excessive (no dangling earrings, necklaces, scarves) d. tattoos must be covered 7. Clinical Dress Code* a. Steel Gray Shirt Top with Embroidery* (women) b. Steel Gray Men's Oxford with Embroidery* and SON patch** sewn on the left sleeve of uniform top (men) c. White Unisex Pants* (Women and Men) -OR- White Skirt* (women) d. Name Pin* e. Plain White Socks f. White leather/synthetic leather shoes (no clogs or canvas) *Order items from Flynn & O’Hara. ** Purchase patch in SON Advisement office 8. Required Equipment for Clinical Experience a. Wristwatch with a second hand b. Stethoscope c. Black ink pen d. Pen light or mini flashlight e. Pocket-sized notebook B. Lateness Students are required to be on time for all clinical and lab experiences. NUR 440L 2019 v.1-22-19 3 Clinical/College labs ● Students are required to be punctual for clinical/lab experiences. ● Clinical/lab experiences will begin at the specified time. Arrival any time up to 30 minutes after the experience has begun constitutes lateness and will be so noted. ● Lateness of 30 minutes, or in excess thereof, constitutes an absence. ● Student arriving after 30 minutes will not be given a clinical/lab assignment for the day. C. Academic Integrity Academic integrity is the practice of honesty and openness in scholarly, creative, and communal endeavors. Academic integrity is multifaceted. It involves, in addition to ethical practices, the avoidance of plagiarism, cheating, and other forms of professional and personal misrepresentation and dishonesty. Integrity is essential to the values and discourses that characterize the academic environment; to the maintenance of the academic community itself, and to the role of the academic community within society at large. Trust and integrity are integral to any relationship, whether on campus or in later personal and professional life. Plagiarism and cheating are serious violations of academic integrity that have consequences for the student. Plagiarism: Plagiarism is the use or presentation of ideas, words, or work that is not one’s own and that is not common knowledge, without granting credit to the originator. Plagiarism may take many forms. To avoid plagiarism, always cite the source of your information whether from print, electronic/online, or other materials. The guidelines of each individual discipline must be consulted for details specific to that discipline. It is incumbent upon the student to learn and understand what plagiarism is and how to avoid it. Cheating includes: ● Falsification of statements or data. ● Listing of sources that have not actually been used. ● Having another individual write a paper or create a work in lieu of one’s own; writing a paper or creating a work for another to use without attribution. ● Purchase of a written paper or work for the purpose of submitting it as one’s own, or selling a written paper or other work for another’s submission as the student’s own. ● Using written, verbal, electronic, or other sources of aid during an examination (except when expressly permitted, such as on a stated “open book” exam), or knowingly providing such assistance to another. D. Students with Disabilities: Disability Support Services Joanne Hyppolite, Ph.D, Director Phone: 718-488-1044 Email: Location: Pratt Building - Room 410 Hours: Monday - Friday, 9:00 a.m. - 5:00 p.m. NUR 440L 2019 v.1-22-19 4 Disability Support Services (formerly Student Support Services) is the office responsible for providing reasonable accommodations and support to students with disabilities. We strive to ensure equal access to all of Long Island University Brooklyn Campus programs, services and facilities for students with a documented need. In order to receive accommodations under the Americans with Disabilities Act (ADA) a current or incoming student must: ● have a physical or mental impairment, which substantially limits any major life activity ● have a record of such an impairment ● be regarded as having such an impairment Section 504 of the Rehabilitation Act of 1973 states that no otherwise qualified person due to disability may be denied the participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving federal financial assistance. Disability Support Services provides accommodations for students presenting with disabilities under the following categories: Psychiatric/Psychological Conditions, Neurological Conditions, Physical Disabilities/Mobility Impairments, Sensory Impairments, Chronic Medical Conditions, Learning Disabilities, and Other Nonspecific Disabling Conditions. Lab Objectives (Students are expected to perform all previously taught clinical skills) 1. Demonstrate skills performance in a professional manner, utilizing awareness of legal/ethical and cultural considerations of client across the lifespan. 2. Exemplify the role of the professional nurse in patient care, education, prevention and maintenance with all aspects of care for optimum outcomes. 3. Apply skills to alterations in body systems within the scope of nursing practice. 4. Demonstrate clinical reasoning to alterations in body systems within the scope of nursing practice. 5. Compare and contrast isotonic, hypotonic, and hypertonic intravenous solutions. 6. Demonstrate adequate patient education regarding intravenous therapy and blood transfusions. 7. Demonstrate dexterity while setting up intravenous therapy, proper techniques of insertion, maintenance and discontinuing of peripheral intravenous sites. 8. Demonstrate aseptic technique while priming and maintaining primary and secondary intravenous tubing when providing therapeutic interventions. 9. Assess, maintain and administer medication via the intravenous route. 10. Articulate the rationale for the selection of specific blood transfusion products including whole blood, packed red blood cells, and platelets. 11. Identify critical information that must be co-assessed by two licensed personnel prior to blood administration. 12. Review signs and symptoms of suspected acute and late transfusion reactions. 13. Demonstrate knowledge in all steps and skills necessary to maintain aseptic technique, perform Foley catheter insertion, and specimen collection. 14. Articulate various nursing interventions for clients with gastrointestinal disease. 15. Demonstrate appropriate skills in caring for clients with urological and kidney abnormalities. Required Texts Lewis, S.L., Bucher, L., Heitkemper, M., Harding, M., Kwong, J., & Roberts, D2017). Medical-Surgical Nursing. (10th Ed.) St. Louis, MO: Elsevier Mosby. NUR 440L 2019 v.1-22-19 5 Harding, M & Snyder, J.S. (2016). Winningham’s Critical Thinking Cases in Nursing (6th Ed.) St. Louis, MO: Elsevier Mosby ATI Nursing Education. RN Adult Medical Surgical Nursing and Fundamentals of Nursing Review Module and ebook. Grading Scale In order to progress in the nursing program, students must achieve  a grade of C+ or better in all Nursing (NUR) courses and  a minimum grade of 77 on all proctored tests and quizzes The following grading scale is used by the Harriet Rothkopf Heilbrunn School of Nursing: Letter Grade Numerical Grade A 93 to 100 A- 90 to 92 B+ 86 to 89 B 83 to 85 B- 80 to 82 C+ 77 to 79 C 73 to 76 C- 70 to 72 D 65 to 69 F Below 64 Important Information: 1. Students may be tested by any nursing faculty member. 2. All electronic devices belonging to students are to be turned off during lab and clinical. Class Participation Class attendance and preparation for each lab and clinical are expected. Evaluation Evaluation Method/Assignment Due Date Weight  Skill Evaluation: o Actively participating by observing and practicing in weekly skills session. o Recording skills in core ELMS o Demonstrate skill proficiency in randomly selected skills PASS/FAIL Passing grade for each component (Clinical, Lab and Lecture) is required to successfully pass Med-Surg I Written assignments should conform to the following standards unless instructed otherwise: NUR 440L 2019 v.1-22-19 6 ● Use white, standard size (8 1/2 x 11) paper. ● Written assignments are to be typewritten and double-spaced. Nursing care plans may be handwritten provided that the writing or printing is clear, neat and legible. ● References and bibliography should be documented using American Psychological Association (APA) format. ● Arrange and number pages in proper sequence. ● Provide a title page following APA format. ● Staple the pages together in the upper left corner. Do not use binders or folders