Aug 10, 2022  
College Catalog 2021-2022 
    
College Catalog 2021-2022 [ARCHIVED CATALOG]

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NURS 1365 - Introduction to Adult Medical‑Surgical Nursing Clinical

Credit Hours: 2.50


Prerequisites: Admission into the Nursing Program; NURS 1255  and NURS 1265  all with grade C or better, or grade Pass (if the course is a Pass/Fail course)

Corequisites: NURS 1345  and NURS 1355 

(replaces but does not equate to NURS 1730)

This patient‑centered clinical course helps students develop skills in providing and managing nursing care for adult patients. Utilizing the nursing process, the student will develop critical thinking, communication skills, application of technology, and professional responsibility while safely caring for adult patients with surgery, acid‑base imbalance, diabetes mellitus, and respiratory and gastrointestinal problems. New skills emphasized during this rotation include NG tubes, chest tubes, IV/IVPB, and blood and blood product transfusions. This course is graded on a pass/fail basis. Students are required to pass this course to progress in the program.

Billable Contact Hours: 5.5

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OUTCOMES AND OBJECTIVES
Program Outcome/Student Learning Outcome:

3. Demonstrate critical thinking by applying the nursing process to provide safe, culturally appropriate, patient-centered care.

Course Outcome:

1. Upon completion of this course, students will be able to demonstrate effective use of the nursing process while caring for patients experiencing surgery, acid‐base imbalance, respiratory problems, diabetes mellitus, and gastrointestinal problems.

Course Objectives: The student will:

  1. The student will demonstrate competence in physical assessment with adult patients.
  2. The student will identify drug actions and nursing interventions appropriate to the medications for patients experiencing surgery, acid‐base imbalance, respiratory problems, diabetes mellitus, and gastrointestinal problems.
  3. The student will correctly compute and administer drugs to patients experiencing surgery, acid‐base imbalance, respiratory problems, diabetes mellitus, and gastrointestinal problems.
  4. The student will perform nursing interventions safely with patients experiencing surgery, acid‐base imbalance, respiratory problems, diabetes mellitus, and gastrointestinal problems.

Program Outcome/Student Learning Outcome:

4. Communicate effectively with patients, families, and the interdisciplinary healthcare team.

Course Outcome:

2. Upon completion of this course, students will be able to demonstrate therapeutic communication techniques, including teaching, for the patient and family experiencing surgery, acid‐base imbalance, respiratory problems, diabetes mellitus, and gastrointestinal problems.

Course Objectives: The student will:

  1. The student will document care accurately and consistently.
  2. The student will report changes in patient’s condition promptly to the instructor and RN.

Program Outcome/Student Learning Outcome:

5. Demonstrate professionalism in his/her practice.

Course Outcome:

3. Upon completion of this course, students will be able to demonstrate qualities and behaviors of the professional nurse while caring for patients experiencing surgery, acid‐base imbalance, respiratory problems, diabetes mellitus, and gastrointestinal problems.

Course Objectives: The student will:

  1. The student will maintain confidentiality of information.
  2. The student will practice within the ethical and legal framework of nursing (ANA Scope and Standard of Practice).
  3. The student will promptly report unsafe, illegal, or inappropriate incidents to faculty and/or staff.
  4. The student will maintain professional appearance, attitude, and conduct

Program Outcome/Student Learning Outcome:

6. Utilize technology appropriately in planning and providing nursing care.

Course Outcome:

4. Upon completion of this course, students will be able to demonstrate use of available technology within the healthcare setting while caring for patients experiencing surgery, acid‐base imbalance, respiratory problems, diabetes mellitus, and gastrointestinal problems, including nursing care and patient response.

Course Objectives: The student will:

  1. The student will perform nursing interventions safely with patients experiencing surgery, acid‐base imbalance, respiratory problems, diabetes mellitus, and gastrointestinal problems.
  2. The student will utilize technology to obtain and record relevant data for patients experiencing surgery, acid‐base imbalance, respiratory problems, diabetes mellitus, and gastrointestinal problems.

COMMON DEGREE OUTCOMES (CDO)
• Communication: The graduate can communicate effectively for the intended purpose and audience.
• Critical Thinking: The graduate can make informed decisions after analyzing information or evidence related to the issue.
• Global Literacy: The graduate can analyze human behavior or experiences through cultural, social, political, or economic perspectives.
• Information Literacy: The graduate can responsibly use information gathered from a variety of formats in order to complete a task.
• Quantitative Reasoning: The graduate can apply quantitative methods or evidence to solve problems or make judgments.
• Scientific Literacy: The graduate can produce or interpret scientific information presented in a variety of formats.

CDO marked YES apply to this course:
Communication: YES
Critical Thinking: YES
Global Literacy: YES
Information Literacy: YES
Quantitative Reasoning: YES
COURSE CONTENT OUTLINE

  1. Perioperative Nursing Care
    1. Assessment and care of:
      1. Preoperative patients
      2. Intraoperative patients
      3. Postoperative patients
    2. Perioperative teaching
      1. Comfort/safety measures
      2. Medications/routes of administration
        1. Narcotics, antianxiolytics, anticholinergics
        2. PCA
        3. Epidural/spinal anesthesia
        4. Sedatives/hypnotics
        5. Anesthetic agents
    3. Postoperative nursing interventions
  2. Nursing Care for Patients with Acid‐Base Imbalances
    1. Assessment
    2. Regulation
    3. Laboratory tests
    4. Interventions
  3. Nursing Care for Patients Experiencing Respiratory Problems
    1. Lung assessment
    2. Nursing diagnoses (respiratory)
    3. Clinical manifestations
    4. Nursing interventions
    5. Analysis of diagnostic tests
    6. Pharmacological management of respiratory disorders
  4. Nursing Care for Patients with Gastrointestinal Problems
    1. Neoplastic disorders
    2. Ingestion/esophagus disorders
      1. Subjective findings
      2. Objective findings
      3. Medical/surgical management
      4. Nursing diagnosis
      5. Nursing interventions
    3. Gastric disorders
      1. Subjective findings
      2. Objective findings
      3. Medical/surgical management
      4. Nursing diagnosis
      5. Nursing interventions
    4. Gall bladder/pancreas disorders
      1. Subjective findings
      2. Objective findings
      3. Medical/surgical management
      4. Nursing diagnosis
      5. Nursing interventions
    5. Liver disorders
      1. Subjective findings
      2. Objective findings
      3. Medical/surgical management
      4. Nursing diagnosis
      5. Nursing interventions
    6. Intestinal disorders
      1. Subjective findings
      2. Objective findings
      3. Medical/surgical management
      4. Nursing diagnosis
      5. Nursing interventions
    7. Pharmacological management of gastrointestinal problems
    8. Blood/blood product transfusion
      1. Nursing interventions
    9. Skills/equipment
      1. IV/IVPB
      2. NG tubes
      3. Chest tubes
  5. Diabetes Mellitus
    1. Pathophysiology
    2. Oral agents
    3. Insulin
    4. Acute care management

Primary Faculty
Courtemanche, Edward
Secondary Faculty

Associate Dean
Shaw, Andrea
Dean
Mirijanian, Narine



Official Course Syllabus - Macomb Community College, 14500 E 12 Mile Road, Warren, MI 48088



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