NURS 3341, Fall 2016
NURS 3341
Health Assessment
Course Syllabus: FALL 2016
COURSE DESCRIPTION: This course applies the knowledge gained from Anatomy and Physiology and
Pathophysiology in the assessment of the individual client’s health status. Data collection, analysis and
synthesis of data, and nursing diagnosis are utilized as foundational critical thinking tools within the
course. ETBU Uniform & Clinical Equipment Fee assessed.
COURSE PLACEMENT IN CURRICULUM: Level 1. Required prerequisite: Admission to the
Professional Nursing Program.
COURSE FACULTY:
Course Coordinator: Brittany Murley, MSN RN
Office room number: Robert E. Craig Office 107
Office phone: 903.923.2214
Email: [email protected]
Office Hours: As posted outside of office and by appointment
STUDENT LEARNING OBJECTIVES: Upon successful completion of this course, the student will be
able to:
1.
2.
3.
4.
5.
6.
7.
8.
Demonstrate methods of data collection, including interaction, observation, and critical reasoning
for selected individuals.
Utilize the nursing process in assessing the health of individuals.
Explain the major variables in a cultural assessment.
Describe the components of a complete health history.
Differentiate normal and abnormal physical examination findings.
Properly demonstrate required physical techniques and health assessment skills.
Demonstrate professional and caring behaviors when performing health assessments, providing
patient privacy while maintaining patient dignity.
Properly demonstrate a complete head to toe assessment.
COURSE TEXT:
Text: Jarvis, C. (2016). Physical examination and health assessment (7th ed.). St. Louis, MO: Elsevier.
ISBN 978-1-4557-2810-7
NURS 3341, Fall 2016
COURSE EVALUATION METHODS:
Course Grading Scale:
In the Department of Nursing, letter grades are equated with the following percentages:
A 92-100%
B 82-91%
C 75-81%
D 65-74%
F Below 65%
Assessment Methods:
Unit Exams (4)
Head to Toe Assessment
Quizzes
Total
80%*
10%
10%
100%
*While other classroom assignments may figure into the final course grade, the student must achieve a
weighted average grade (as shown above) of at least 75% on all unit exams (combined) in order to pass this
course. In the event that the required unit exam average is not achieved, the final course grade will reflect
only the unit exam average; grades on other assignments will not be included.
All written work is due at the beginning of class. Five points will be deducted for each day that an
assignment is late past the due date. This applies to class and clinical assignments.
Assignment(s) and grading criteria are located in the appendix.
Students are responsible for meeting the computer needs of all courses. Assignments and due dates will not
be altered because of personal computer problems. The computer lab in the Craig Nursing Building is
available for student use during standard operating hours.
STUDENTS WITH DISABILITIES:
A student with a disability may request appropriate accommodations for this course by contacting the
Office of Academic Success, Marshall Hall, Room 301, and providing the required documentation. If
accommodations are approved by the Disability Accommodations Committee, the Office of Academic
Success will notify the student and the student’s professor of the approved accommodations. The student
must then discuss these accommodations with his or her professor. Students may not ask for
accommodations the day of an exam or due date. Arrangements must be made prior to these important
dates. For additional information, please refer to page 15-16 of the 2016-2017 Undergraduate Catalog.
SCHOOL OF NURSING ATTENDANCE POLICY:
Responsibility for attendance at class and clinical/laboratory experiences rests with the student. Students
are expected to arrive early and be prepared for class. Attendance for the entire class or clinical times
as scheduled, or until dismissed by the instructor, is expected of students as part of the professional nurse
role.
Class attendance will be monitored according to the university attendance policy as outlined in the current
ETBU Academic Catalog as stated below:
2
NURS 3341, Fall 2016
CLASS ATTENDANCE
East Texas Baptist University is committed to the policy that regular and punctual attendance is essential to
successful scholastic achievement. Attendance at all meetings of the course for which a student is
registered is expected. To be eligible to earn credit in a course, the student must attend at least 75 percent of
all class meetings. For additional information, please refer to page 30 of the 2016-2017 Undergraduate
Catalog.
Students who exceed the absence limit in a course before the official withdrawal date will have the
opportunity to withdraw from the class. Students in this situation who do not choose to withdraw on or
before the official withdrawal date or who exceed the absence limit in a course after the official withdrawal
date will receive a grade of XF.
COURSE WITHDRAWAL
A student may withdraw from a course or courses or from the University beginning with the first day
through 75 percent of the semester without academic penalty. The final day to withdraw from this course is
Friday, November 11.
To withdraw from a course or courses or from the University the student must secure a withdrawal form
from the Registrar’s Office, his/her advisor, or from the ETBU website, and follow the directions on the
form, securing all required signatures. Students must process their own withdrawals. For additional
information, please refer to page 29 of the 2016-2017 Undergraduate Catalog.
WEAPONS IN CLASS
The on-campus possession of firearms, explosives, or fireworks is prohibited with the exception of the
transportation and storage of firearms and ammunition by concealed handgun license holders in private
vehicles (as described in SB1907) Pursuant to Section 30.06, Penal Code (trespass by license holder with a
concealed handgun), a person licensed under Subchapter H, Chapter 411, Government Code (handgun
licensing law, may not enter this property (ETBU) with a concealed handgun. The ETBU President may
grant authorization to a qualified and certified full-time faculty or staff member, who is a license holder
with a concealed handgun to conceal carry on the University campus, at a University-sponsored event or
within or on a University vehicle.
Additional policies, procedures, and guidelines that apply to this course in the classroom and clinical
environments are located in the Nursing Student Handbook.
3
NURS 3341, Fall 2016
Appendix Content
A. Course Calendar
B. Assessments and Grading Criteria
C. Course Affirmation Form
4
NURS 3341, Fall 2016
Appendix A
Course Calendar
Week
Date
Course Content and Assignments
1
Aug 24
2
Aug 31
3
Sept 7
*EXAM 1*
Post Exam: Musculoskeletal (chap 22)
Skills check-off no. 1 due
4
Sept 14
Neurologic System; Eyes; Skin, Hair, & Nails (chap 23, 12, 14)
QUIZ
5
Sept 21
Head, Face, Neck including Regional Lymphatics; Ears; Nose, Mouth, & Throat (chapters 13, 15, 16)
QUIZ
6
Sept 28
Breast & Regional Lymphatics; Culture Assessment (chapters 17, 2)
QUIZ (Abbreviations Part 1)
7
Oct 5
8
Oct 12
9
Oct 19
Thorax & Lungs; Nutrition; Abdomen (chapters 18, 11, 21)
QUIZ
10
Oct 26
Heart, Blood Vessels (chapters 19, 20)
QUIZ (Abbreviations Part 2)
11
Nov 2
12
Nov 9
13
Nov 16
14
Nov 23
*EXAM 3*
Post Exam: Domestic & Family Violence Assessment (chapter 7)
Skills check-off no. 3 due
The Complete Health Assessment; Bedside Assessment & EHR (chapters 27, 29)
Head to Toe Case Study Scenarios
QUIZ
Content Review, Emergency Situations, Head to Toe Review
QUIZ
Sign up for head to toe check off on sign-up sheet
Thanksgiving Holiday!!
15
Monday
Nov 28
*EXAM 4*
16
Dec 5-8
Head to Toe Check-Offs per scheduled appointment
Syllabus Review; Evidence Based Assessment; Interview; The Complete Health History; General
Survey, Measurement, & Vital Signs (chapters 1, 3, 4, 9)
Course Affirmation Form
Mental Status Assessment, Assessment Techniques & Safety, Pain Assessment (chapters 5, 8, 10)
QUIZ
*EXAM 2*
Post Exam: Substance Abuse Assessment (chapter 6)
Skills check-off no. 2 due
Genitourinary; Bowel (chapters 24, 25, 26)
QUIZ
5
NURS 3341, Fall 2016
Appendix B
Physical Assessment (10%) Grading Rubric
You will complete a full head to toe physical assessment with faculty observation in the nursing skills lab
based off of the criteria below. As you complete the head to toe assessment, verbal acknowledgement of
each assessment item will be necessary to ensure that the assessment item is thoroughly and accurately
assessed. Independent (2 points) requires no reminders or additional assistance from faculty. Assistance (1
point) is minimal guidance from faculty (no more than 1 assist per item). Incomplete (0 points): Student is
unable to perform or remember assessment item after 1 faculty assist. Student will be given an opportunity
to assess a forgotten assessment item upon immediate completion of the head to toe assessment. Any
assessment item receiving an incomplete in a critical area indicated by an (*) will require an additional
head to toe check off appointment with faculty member. More than 7 assistances or incompletes will
require an additional head to toe check off appointment with faculty member.
Assessment Items:
*Wash hands
Introduce self
*ID patient
Provide privacy
Explain procedure
Assess pain_____ (0-10) on ____ scale.
If pain is present, describe.
________________________
Neurological System & Musculoskeletal System (10)
Level of consciousness (alert, lethargic, obtunded,
unresponsive
Orientation (Oriented x ____-person, place, time)
Assess speech (appropriate, clear, garbled,
unresponsive)
Assess pupil size: R______ L ______
Pupillary reaction (PERRLA= pupils equal, round,
react to light, accommodation)
Follows commands: yes/no. If no, describe.
Bilateral hand grips and arm pulls (equal, unequal)
(strong, weak)
Bilateral leg strength (wiggle toes & push against
hands) (equal, unequal) (strong, weak)
Assess for numbness/tingling
Glascow Coma Scale
Respiratory System (6)
Assess respiratory rate: ______
Assess oxygen saturation: _______ Use of oxygen
therapy (RA or O2): _________
Max Points
Ind.
2 points
Assist.
1 point
Inc.
0 points
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
6
NURS 3341, Fall 2016
Cough (productive, nonproductive) If cough present,
describe cough and if productive describe sputum.
Assess quality of respirations (easy, labored, shallow,
dyspenic)
*Breath sounds- anterior:
(clear, rales, rhonchi, wheezes, crackles, diminished)
*Breath sounds-posterior:
(clear, rales, rhonchi, wheezes, crackles, diminished)
Cardiovascular System (15)
Assess heart rate: _______
Assess blood pressure: _________
Presence of telemetry monitor (yes,no)
Assess carotid artery for bruit
Assess JVD
*Heart sounds: identify S1 and S2
*Heart sounds: 5 heart valves-identify & auscultate
Apical pulse: rate, rhythm (regular, irregular)
Bilateral radial pulses (strong, weak, bounding,
absent)
Capillary refill fingers (< or > 3 seconds)
Clubbing of fingers (yes, no)
*Bilateral pedal pulses- dorsalis pedis
(strong, weak, bounding, absent)
*Bilateral pedal pulses-posterior tibial
(strong, weak, bounding, absent)
Capillary refill toes (< or > 3 seconds)
Edema (none, generalized, pedal, pitting 1+ (< ¼”),
2+ ( ¼-1/2”), 3+ (1/2 to 1”)
Gastrointestinal System (5)
Assess for nausea/ vomitting
Date of last BM: _________ Describe:
_________________
Inspect abdominal shape (flat, round, scaphoid)
*Auscultate bowel sounds x 4 quadrants (hyperactive,
active, hypoactive, absent)
Palpate abdomen (soft, firm, distended)
Genitourinary System (2)
Continent, incontinent, assess Foley catheter (if
present)
Description & character of urine (straw, yellow,
amber, brown, bloody, odorous, painful)
Integumentary System (7)
Inspect: Color (pale, flushed, jaundice, WNL)
Inspect: Condition (dry, moist, clammy, diaphoretic)
Palpate: Temperature (hot, warm, cool, cold)
Assess for presence of rashes, cuts, bruises, incisions,
wounds, swelling, scars, pressure ulcer
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
7
NURS 3341, Fall 2016
Skin turgor (elastic, decreased, tents, taut)
Mucous membranes (moist/dry, pink/pale)
Assess presence of IV lines, tubes, drains, dressings
Total Points:
Final Score:
2
2
2
102
8
NURS 3341, Fall 2016
Appendix C
East Texas Baptist University
COURSE AFFIRMATION FORM
NURS 3341, Health Assessment
As a student in this course, I agree to protect the privacy of faculty, peers, patients and family members of
patients by not inappropriately disclosing confidential information about faculty, peers, patients or their
family members that is disclosed to me in my capacity as an East Texas Baptist University nursing student.
In addition, I agree not to inappropriately disclose confidential information about any agency or institution
that is disclosed to me in my capacity as an East Texas Baptist University nursing student.
I agree to the release of immunization records and other human resources information to appropriate
agencies, hospitals, and preceptors.
I have read the syllabus for this course, and I understand the criteria established for grading my course
work and the grading scale. If this course has a clinical/lab component, I understand that I must perform
satisfactorily in that component in addition to earning a passing theory grade in order to pass the overall
course.
I understand that all policies and guidelines in the ETBU Nursing Student Handbook apply to this course.
Student's Printed Name
Course Number and Name
Student's Signature
Date
9