Course Outline of Record

Item	Value
Eff Term	Fall 2026
Curriculum Committee Approval Date	05/16/2025
Top Code	123010 - Registered Nursing (CTE)
Units	3 Total Units (Lecture Units 3)
Hours	54 Total Hours (Lecture Hours 54)
Total Outside of Class Hours	108
Total Student Learning Hours	162
Course Credit Status	Credit: Degree Applicable (D)
Material Fee	No
Basic Skills	Not Basic Skills (N)
Repeatable	No
Open Entry/Open Exit	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)

1. Integrate the nursing process using informatics and technology to provide evidence-based care to critically ill patients with multi-system and emergent health problems.
2. Formulate a collaborative care plan with interdisciplinary healthcare teams.
3. Design a plan of care for critically ill adult patients with multi-system and emergent health problems that adheres to legal, ethical, and professional standards.
4. Evaluate the pathophysiology of common health complications in critically ill patients.

Course Objectives

• Determine pertinent assessment data, including psychological, developmental, sociocultural and physiological functioning on patients with multi-system problems.
• Organize an evidence-based plan of care for complex patients that adheres to legal, ethical, and professional standards.
• Formulate specific, measurable, attainable, relevant and time-bound (SMART) goals based on assessment data.
• Utilize interdisciplinary healthcare teams with various expertise to provide patient care during a medical or psychological emergency.
• Examine potential healthcare complications associated with multi-system, critical, and emergent health problems.
• Evaluate plan of care based on patient outcomes.
• Integrate informatics and technology, including electronic health records, to the care of critically ill patients.

---

Lecture Content

A. 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. 1. Safety and Quality Improvement (QI): 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. 2. Nursing Judgment/Evidence Based Practice (EBP): The use of current knowledge from research and other credible sources, in consideration of the nurse’s clinical expertise and patient preferences, to make nursing clinical judgments and provide patient, family and community centered care. 3. Teamwork and Collaboration: The delivery of patient care in partnership with nursing and interdisciplinary teams to achieve continuity of care and promote patient outcomes. 4. Informatics and Technology: The use of information and technology as a communication and data gathering tool that supports clinical decision making and safe, scientifically based nursing practice. 5. 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. B. 1. Cellular Regulation: The functions cells perform to maintain homeostasis. a. Nursing assessment to identify patients with alterations in cellular regulation. b. Nursing care of patients with alterations in cellular regulation. Cognition: Thinking skills including language use calculations perception memory awareness reasoning judgment learning intellect social skills and imagination. 2. Examine collaborative management of adult and geriatric patients with cognitive deficits. a. Fluid & Electrolytes/Acid/base: The physiological mechanisms that maintain fluid and electrolyte balance. 3. Plan for collaborative management of patients with acute, complex alterations in fluid and electrolyte balance. a. Develop nursing care of patient with chronic disease experiencing complex alterations in fluid and electrolytes/acid base balance. b. Grief and Loss: A series of responses that occur following a physical and/or psychological insult with a goal of returning to homeostasis. 4. a. Analyze nurses’ role in care of families experiencing a situational loss. 5. Immunity: The body's protective response to infection and disease. Develop a collaborative care of adult/geriatric patient with severe alteration in protective response to infection. a. b. 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. 6. a. Plan collaborative care of adult/geriatric patients with multi-system infections. b. Propose nursing interventions to minimize complications of severe infections. 7. Metabolism: All biochemical processes that occur within the body. Propose collaborative care of adult/geriatric patient with chronic alternations in metabolism. a. Formulate teaching plan addressing chronic alterations in metabolism for diverse patients. b. Mobility: Mechanisms which affect the ability to move within an individual and living environment. 8. Collaborative management of adult/geriatric patients with chronic conditions affecting mobility. a. b. Nursing interventions to prevent complications associated with long-term immobility. Nutrition: The process by which the body ingests absorbs transports and uses nutrients and food. 9. b. Plan for collaborative care of patients with severe, chronic eating disorders. c. Recognize nurses’ role in the care of patients with severe nutritional deficits. 10. Oxygenation: The exchange of gases (oxygen and carbon dioxide) in cells. a. Propose collaborative care of patients with severely compromised oxygenation. b. Develop nursing interventions for patients with acute oxygenation compromise. 11. Perfusion: The process of fluid nutritive and oxygen delivery to cells. Formulate collaborative care of patients with acute, life-threatening alterations in perfusion. a. Plan nursing interventions to minimize complications of diseases that compromise perfusion. b. Sensory and perception: Factors contributing to receiving and interpreting internal and external stimuli. 12. a. Nursing assessment to identify sensory/perception difficulty in patients. b. Nursing interventions of patients with deficits in sensory/perception. 13. Health and Wellness: A state of complete physical, mental, and social well-being. a. Nursing assessment in emergency situations. b. Nursing interventions during emergency situations. Tissue Integrity: Mechanisms that facilitate intact skin and mucous membranes and their physiological functioning. 14. a. Design collaborative care of patients with severe destruction of skin integrity. Propose nursing interventions to minimize complications of major skin integrity problems.

Method(s) of Instruction

• Lecture (02)
• DE Live Online Lecture (02S)

Instructional Techniques

Seminar style instruction  Class participation and discussion  Group and individual presentations  Flipped classroom techniques

Reading Assignments

Textbook Interactive software

Writing Assignments

Nursing care plans Evidence-based presentations Short essays and/or professional papers Short responses to case study prompts

Out-of-class Assignments

Reading assignments View audio-visual material as assigned Internet research for evidence-based articles

Study Non-Contact Hours Recommended

108

Methods of Student Evaluation

• Final Exam
• Short Quizzes
• Written Assignments
• Objective Examinations
• Projects (Individual/Group)
• Problem Solving Exercises
• Oral Presentations

Demonstration of Critical Thinking

Students will demonstrate critical thinking by applying the Nursing Clinical Judgement Model to assignments and class discussions. Students will assess clinical data to define patient needs, determine and prioritize clinical problems, formulate the nursing care plan, employ nursing interventions, and evaluate patient outcomes

Required Writing, Problem Solving, Skills Demonstration

Application of the nursing process for exams, quizzes, and case studies

Eligible Disciplines

Nursing: Master's degree in nursing OR bachelor's degree in nursing AND master's 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. Master's degree required.

Resources Subscreen

• : . . ().
• : . . ().