Nursing 448

NURS 448: Nursing of the Adult II

Prerequisites: NURS 362, NURS 364, NURS 366, NURS 368, NURS 369

Credit Hours: (5) Three hours lecture; six hours practicum

Focuses on nursing care for adult clients with complex health problems incorporating clinical experiences in a variety of community settings. Previously gained knowledge as well as new knowledge is emphasized to promote the acutely ill client’s holistic health. Theoretical knowledge and clinical application facilitate transition from student to professional nurse.

Detailed Description of Content of the Course

Emphasis is placed on nursing care of the client experiencing critical illness in the following areas:

• Respiration and Ventilation
        a. Respiratory Process
        b. Arterial Blood Gas Analysis
        c. Mechanical Ventilation
        d. Nursing Care of the Patient with Altered Respiratory Function
• Perfusion
        a. Determinants of Cardiac Output
        b. Altered Cardiac Dysfunction and Electrocardiographic Monitoring
        c. Hemodynamic Monitoring
• Shock States
        a. Multiple Organ Dysfunction Syndrome
• Neurologic
        a. Consciousness
        b. Acute Cerebral Dysfunction
        c. Spinal Cord Injury
• Metabolic
        a. Altered Glucose Metabolism
        b. Acute Renal Dysfunction
• Injury
        a. Acute Burn Injury
        b. Trauma Assessment and Resuscitation
        c. Organ Transplantation
• Gastrointestinal
        a. Acute Hepatic Dysfunction
        b. Acute Pancreatic Dysfunction
• Domestic violence
• Bioterrorism

Detailed Description of Conduct of Course

The following teaching strategies may be employed but are not limited to:

This web-enhanced course may include lectures and discussion based on case studies and problem-based learning, data clustering and concept mapping, videotapes, DVDs, overheads , guest lectures, written projects, guided clinical practice, clinical conferences, and student presentations.

Goals and Objectives of the Course

Upon successful completion of the course, the student will be able to:

1. Integrates the knowledge and methods of a variety of disciplines to informed decision making in the high acuity setting.
2. Implements evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan, including genetic factors, and advocates for high quality, safe patient care in the high acuity setting.
3. Integrates evidence-based research findings, clinical judgment, inter-professional perspectives, and patient preferences in planning, implementing, and evaluating outcomes of care.
4. Applies patient-care technologies as appropriate to address the needs of a diverse patient population.
5. Utilizes an ethical framework, as well as state, national and international regulations, to evaluate the impact of social policies on healthcare, especially for vulnerable populations
6. Contribute the nursing perspective to inter-professional teams to optimize outcomes of individuals, families, and aggregates and advocates for high-quality and safe patient care.
7. Utilizes scientific principles of nursing knowledge in increasingly complex situations when providing multidimensional care to individuals, families, and aggregates.
8. Demonstrates increasing skill in applying frameworks for ethical decision making and advocate for high quality and safe patient care. Promotes the image of nursing by modeling the values and articulating the knowledge, skills, and attitudes of the nursing profession.
9. Conducts comprehensive and focused assessments of health and illness parameters of patients, using developmentally and culturally appropriate approaches.
10. Recognizes and intervenes in any known or suspected incidences of abuse, neglect, or exploitation or children or elderly and incapacitated adults.
11. Recognizes and responds to situations of bioterrorism and domestic violence.

Assessment Measures

May include but not limited to:

• Tests; Exam; Quiz
• Written Projects
• Project, Individual or Group
• Oral Presentations
• Class Participation
• Clinical Performance

The course grade is determined by an evaluation of the extent to which the student meets the stated course objectives. Students must have a minimum of 80% (“C”) in theory, measured through testing. Other written or class participation work will be included in the final grade after the minimum 80% (“C”) has been attained through testing.

Final Grades are a combination of at least 80% (“C”) on both theory and clinical/lab components. Clinical performance must be satisfactory to pass the course.

Other Course Information

Honor Code: By accepting admission to Radford University, each student makes a commitment to understand, support, and abide by the University Honor Code without compromise or exception. Violations of academic integrity will not be tolerated. This class will be conducted in strict observance of the Honor Code. Refer to your Student Handbook for details.

Students with Disabilities: If you are seeking classroom accommodations under the Americans With Disabilities Act, you are required to register with the Center for Accesibility Services (CAS). To receive academic accommodations for this class, please obtain the proper CAS forms and meet with your faculty no later than the second week of the semester.

Attendance: For Attendance policies and other course-related requirements, see School of Nursing Undergraduate Student Handbook and Course Description.

Review and Approval

May 2001 Undergraduate Curriculum Janet Hardy Boettcher, Revision Director
April 2004 Review/Approval Undergraduate Curriculum Committee
February 2011, Kim Carter, Director