NURS G290: Advanced Medical Surgical Nursing
| Item | Value |
|---|---|
| Curriculum Committee Approval Date | 05/17/2022 |
| Top Code | 123010 - Registered Nursing |
| Units | 3 Total Units |
| Hours | 54 Total Hours (Lecture Hours 54) |
| Total Outside of Class Hours | 0 |
| Course Credit Status | Credit: Degree Applicable (D) |
| Material Fee | No |
| Basic Skills | Not Basic Skills (N) |
| Repeatable | No |
| Grading Policy | Standard Letter (S) |
Course Description
This course focuses on the care of adult patients with multi-system and emergent health problems. Concept-based curriculum provides the structure of the curriculum and is threaded throughout the course. PREREQUISITE: NURS G175, NURS G175C, NURS G285, and NURS G285C. COREQUISITE: NURS G290C. ADVISORY: NURS G271. Transfer Credit: CSU.
Course Level Student Learning Outcome(s)
- Course Outcomes
- Apply the nursing process using informatics and technology to provide safe evidence-based care to critically ill adult patients with multi-system and emergent health problems.
- Formulate plan for participation in collaborative care with other members of the healthcare team.
- Design safe care of critically ill adult patients with multi-system and emergent health problems that adheres to legal, ethical, and professional standards.
Course Objectives
- 1. Analyze the pertinent nursing history and physical assessment data, including psychological, developmental, sociocultural and physiological functioning on a patient with multi-system, critically-ill, emergent health problems that reflects current evidence-based nursing practice using informatics and technology in applying the nursing process.
- 2. Evaluate patient assessment data to establish priority nursing care.
- 3. Justify the decision of priority care on a complex care patient with multi-system, critically-ill, emergent health problems that adheres to legal, ethical, and professional standards.
- 4. Identify a specific, measurable, attainable, relevant and time-bound (SMART) goal(s) based on assessment data that could be accomplished through evidence-based nursing intervention(s).
- 5. Distinguish the need for healthcare team involvement and the immediate nursing action required during a patient emergency.
- 6. Differentiate the role of healthcare team members to initiate action to provide safe patient care.
- 7. Anticipate the types of potential healthcare problems that may emerge from multi-system, critically-ill, emergent health problems if a timely intervention is not provided.
- 8. Evaluate plan of care based on proposed goals for improvement compared to patient outcomes.
Lecture Content
Overarching standards that will be addressed in each concept: Patient-centered Care: Utilizing the nursing process to provide compassionate, culturally sensitive care that is based on the physiological, psychological, sociological, spiritual, and cultural needs, preferences, and values of the patient. Safety and Quality Improvement (QI): alTextRun SCXW171778507 BCX0">The minimization of risk factors that could cause harm whil promoting quality care and maintaining a secure environment for patients, self and others in order to improve health care services and better meet the needs of patients. Nursing Judgment/Evidence Based Practice (EBP): The use of current knowledge from research and other credible sources, in consideration of the nurses clinical expertise and patient preferences, to make nursing clinical judgments and provide patient, family and community centered un SCXW254272533 BCX0"> care. Teamwork and Collaboration: The delivery of patient care in partnership with nursing and interdisciplinary teams to achieve continuity of care and promote patient outcomes. Informatics and Technology: The use of information and technology as a communication and dat gathering tool that supports clinical decision making and safe, scientifically based nursing practice. > Professional Identity: The adherence to legal, ethical, and professional standards of practice to provide nursing care for patients across the lifespan. For the following concepts, apply the nursing process and collaborative management for improved patient outcomes focusing on adult and geriatric. Cognition: Thinking skills including language use calculations perception memory awareness reasoning judgment learning intellect social skills and imagination. Examine collaborative ma
nagement of adult and geriatric patients with cognitive deficits Fluid & Electrolytes/Acid/base: The physiological mechanisms that maintain fluid and electrolyte balance. Plan for collaborative management of patients with acute, complex alterations in fluid and electrolyte balance Develop nursing care of patient with chronic disease experiencing complex alterations in fluid and electrolytes/acid base b
alance Grief and Loss: A series of responses that occur following a physical and/or psychological insult with a goal of returning to homeostasis Analyze nurses role in care of families experiencing a situational loss Immunity: The bodys protective response to infection and disease. Develop a c extRun SCXW223817251 BCX0" data-contrast="auto">ollaborative care of adult/geriatric patient with severe alteration in protective response to infection Propose nursing interventions to minimize complications of altered immune response Infection: Infection or infectious disease is a state of tissue destruction resulting from invasion of microorganisms into the body. ata-ccp-props="{"> Plan collaborative care of adult/geriatric patients with multi-system infections Propose nursing interventions to minimize complications of severe infections Metabolism: All biochemical processes that occur within the body. Propose collaborative care of adult/geriatric patient with chronic alternations in tRun SCXW223817251 BCX0"> metabolism Formulate teaching plan addressing chronic alterations in metabolism for diverse patients Nutrition: The process by which the body ingests absorbs transports and uses nutrients and food. Plan for collaborative care of patients with severe, chronic eating 17251 BCX0"> disorders Recognize nurses role in the care of patients with severe nutritional deficits Oxygenation: The exchange of gases (oxygen and carbon dioxide) in cells. Propose collaborative care of patients with severely compromised oxygenation Develop nursing interventions for patients with acute oxygenation Seminar style instruction Class participation and discussion Group and individual presentations Flipped classroom techniques Textbook Interactive software Nursing care plans Presentations Critical thinking exercises Short essays and/or professional papers Reading assignments from required texts and online resources. View audio-visual material as assigned Literature research for evidence-based references Students demonstrate the clinical reasoning process in planning for patient care by recognizing and analyzing cues, prioritizing hypothesis, generating solutions, proposing actions, and evaluating outcomes. Translate the clinical reasoning process into accurate clinical documentation in nursing care plans, case studies and clinical reports. Nursing: Masters degree in nursing OR bachelors degree in nursing AND masters degree in health education or health science OR the equivalent OR the minimum qualifications as set by the Board of Registered Nursing, whichever is higher. Masters degree required. 1. Required Hinkle,J.,& Cheever,K.. Brunner & Suddarths Textbook of Medical-Surgical Nursing, 14th ed. Wolter Kluwer, 2018
2. Required Ackley, B.J., Ladwig, G.B.. Nursing Diagnosis Handbook. A Guide to Planning Care, 12th ed. Mosby, 2018 1. Lippincott CoursePoint for Nursing Concepts. Wolter Kluwer, 2nd ed.Method(s) of Instruction
Instructional Techniques
Reading Assignments
Writing Assignments
Out-of-class Assignments
Demonstration of Critical Thinking
Required Writing, Problem Solving, Skills Demonstration
Eligible Disciplines
Textbooks Resources
Software Resources