NURSING 230 Winter 2016
Advanced Topics in Nursing II
Credit Hours: 3
Place/Time: AAH 130 Thursday 9:00 AM – 12:00 PM
Instructor: Elizabeth Webber
Office: AAH 241
Phone: (253) 840-8375
Email: [email protected]
Office Hours: Thursday: 12:00 PM – 1:00 PM; Friday: 12:00 PM – 4:00 PM
(Other times by appointment)
“Don't say you don't have enough time. You have exactly the same number of hours per
day that were given to Helen Keller, Pasteur, Michaelangelo, Mother Teresa, Leonardo da
Vinci, Thomas Jefferson, and Albert Einstein.”
H. Jackson Brown, Jr.
COURSE DESCRIPTION
Advanced medical concepts in medical/surgical/psychiatric nursing practice. Students will practice
and demonstrate use of the nursing process in order to care for individuals experiencing advanced
medical and psychological disorders in the acute care setting. Special focus on providing nursing
care in critical care, telemetry, oncology, neonatal intensive care units and emergency departments
as well as other specialized settings. The nursing role in disaster preparedness and during a
catastrophic event is also discussed.
STUDENT OUTCOMES
At the end of this course, students will be able to:
1. Identify and explain nursing terminology pertinent to safe practice in specialized settings.
2. Demonstrate advanced nursing skills in accordance with acceptable nursing standards.
3. Analyze the pathophysiology, etiology, and signs and symptoms for individuals experiencing
advanced medical disorders.
4. Analyze the pathophysiology, etiology, and signs and symptoms and appropriate interventions
for individuals experiencing advanced psychosocial disorders.
5. Demonstrate understanding of holistic nursing care.
6. Identify successful methods of nursing during a catastrophic event.
7. Identify the nursing responsibilities to the client and family during the end of life phase.
REQUIRED TEXTS
Soul, M.L., Klein, D., & Moseley, M. (2013). Introduction to Critical Care Nursing (6th
ed.). St Louis, MO: Elsevier/Saunders
Saunders (2015) Comprehensive Review for the NCLEX-RN® Examination (6th ed.). St
Louis, MO: Elsevier/Saunders.
A
A
 DO NOT miss class. This is not a
correspondence course, as you will be
responsible for the content in the lectures; it
is to your advantage to attend classes on a
regular basis. I do not believe it is fair to
award the same credit to students who do
not attend class regularly as to those
students that are faithful in this regard.
 Illness and emergency situations happen to
all of us, in this event please have the
courtesy to notify the instructor at the
earliest opportunity if you will miss class.
 DO NOT miss an exam. If a student has a
conflict with a scheduled exam, the student
must make contact with the instructor prior
to the exam and make arrangements within
24 hours for a make-up exam at the testing
center. The make-up exam may not be the
same exam (i.e. oral, written, essay) as the
class was given at the instructor’s discretion.
 Class absence and continual late arrivals will
result in reduction of points earned for your
total course attendance grade.






TTENDANCE
P
ARTICIPATION
 Active participation and engagement
enhances learning. As such, it is important
that each student be an active contributor to
classroom discussions.
 Consideration for the feelings of others is
required. Behavior that defames a person’s
character, race, ethnicity, or religion will not
be tolerated.
 Use of cell phones is discouraged in class. If
you must keep your cell phone on during
class, please set it to vibrate mode. If it rings
the instructor reserves the right to answer it.

SSESSMENT TOOLS
Classroom discussion
Group activities
Case Study
Written assignments
Quizzes
Examinations
A
SSIGNMENTS
 Throughout the course there will homework
for students to participate in or complete
online to enhance the learning of the content
and application of concepts. Each student is
expected to submit their work by the due
date/time assigned.
 All assignments are considered to be late
when turned in after the scheduled
date/time. Late assignments will be subject
to a 20% reduction of total points each day
an assignment is late.
T
ARDINESS
 Tardiness to class is not only detrimental to
the learning process but disruptive and most
unfair to those who make it to class on time
regularly. Recurring tardiness shows a lack
of respect for the classroom, the instructor,
and one’s fellow students. The instructor
reserves the right to deduct points for
recurring tardiness/attendance issues from
the total course points.
“GO THE EXTRA MILE… IT’S NEVER CROWDED” D
ISRUPTIONS
 Learning is an active process; it is the
obligation of all participants to preserve an
atmosphere conducive to the freedom to
teach and to learn. Part of that obligation
implies the responsibility of each student to
maintain a positive learning environment in
which the behavior of any individual does
not disrupt the class instructor or the
learners. The instructor reserves the right to
manage the environment by the best means
possible for the situation.
E
MERGENCY EVACUATION
INCLEMENT WEATHER
 Emergency evacuation procedures,
inclement weather absences, and other
related issues are to be followed per Pierce
College Puyallup’s Policy and Procedures. If
the Pierce College Puyallup Campus is
closed due to inclement weather, any class
scheduled for that day will also be cancelled.
O
UTDATED EDITIONS OF
S
TUDENTS WITH DISABILITIES
 Your experience in this class is important to me,
and it is the policy and practice of Pierce
College to create inclusive and accessible
learning environments consistent with federal
and state law. If you experience barriers based
on disability, please seek a meeting with the
Access and Disability Services (ADS) manager
to discuss and address them. If you have already
established accommodations with the ADS
manager, please bring your approved
accommodations (green sheet) to me at your
earliest convenience so we can discuss your
needs in this course. ADS offers resources and
coordinates reasonable accommodations for
students with disabilities. Reasonable
accommodations are established through an
interactive process between you and the ADS
manager, and I am available to help facilitate
them in this class. If you have not yet
established services through ADS, but have a
temporary or permanent disability that requires
accommodations (this can include but not be
limited to; mental health, attention-related,
learning, vision, hearing, physical or health
impacts), you are encouraged to contact ADS at
253-964-6526 (Fort Steilacoom) or 253-8408335 (Puyallup). TEXTBOOKS
 Students are expected to purchase the
current textbook edition for this course. If a
student chooses to use an older edition of a
textbook, the student is held responsible for
any discrepancies in testing, research, or
papers related to the use of the older edition.
A
CADEMIC INTEGRITY
 All student conduct will support academic
honesty. Any student who is cheating on an
exam or uses the thoughts or words of others
without proper citation/reference in a written
assignment will receive a zero grade.
Academic Dishonesty constitutes
unprofessional conduct and lack of good
professional character in the judgment. Any
student participating in any form of
academic dishonesty will be required to see
the Division Chair of the program and may
be dismissed from the nursing program.
T
G
 Personal electronic devices (cell phones,
tablets, laptops, etc.) may not be accessed at
any time during any test taking exams,
including breaks at the time of the exam.
 You may not bring or access any
educational, test preparation, or study
materials at any time during any exam.
 You may not seek help from any other party
in answering items (in person, by phone,
text or by email) during your examination.
 You may not disclose information about the
items or answers seen in your examination
(this includes posting or discussing
questions on the Internet and social media
websites).
 You may not use the computer for any
function other than taking the examination.
 Timed Tests. For all multiple choice tests
you will be given a maximum of one minute
and a half (90 seconds) to answer each
question. The goal of setting these limits is
to prepare you for standardized testing e.g.
NCLEX and Kaplan Assessments.
 A minimum of 80% (200 points) are needed
for a passing score.
 No extra credit will be awarded.
 It is the student’s responsibility to monitor
their progress throughout the quarter, and
make any/all appropriate adjustments to
their study habits as required to insure a
passing grade for this course.
EST TAKING PROCEDURES
RADING RUBRIC (cont)
G
RADING RUBRIC
 There will be 250 total possible points for
this course, calculated as follows:
ACTIVITY
G
RADEPOINT EQUIVALENTS
 Grading is determined by dividing the total
points earned for the quarter by the total
points possible.
96-100%
= 4.0
89% =
3.6
85% =
3.2
81% =
2.8
94-95% =
3.9
88% =
3.5
84% =
3.1
80% =
2.7
92-93% =
3.8
87% =
3.4
83% =
3.0
79% =
2.6
90-91% =
3.7
86% =
3.3
82% =
2.9
78% =
2.5
POINTS
Case Study (2 x 10 points each)
20
Homework
25
IFAT Quiz (3 x 10 points each)
30
Unit Exams (2 x 50 points each)
100
Final Exam
75
 Please note that the minimum passing grade
for a nursing program course is 80%. It is
the nursing program’s policy that FINAL
GRADES ARE NOT ROUNDED UP.
NURS 230 WINTER 2016 SCHEDULE
WEEK
DATE
LECTURE TOPIC
1/7
Critical Care Nurse Role
Principles of Critical Care
Scope of Practice
Family Response to the CC Experience
Dynamics of Healing
Stress and Burnout
1/14
End of Life in the CC Unit
Withdrawal and Withholding Therapies
Culturally Competent Care
Comfort and Sedation
Pharmacologic Management
Alternate Therapies
3
1/21
Dysrythmia Interpretation
Review Basic Dysrhythmias
Cardiac Pacemakers
Hemodynamic Monitoring
Modalities
Pressure Monitoring
4
1/28
1
2
5
6
EXAM #1
2/4
Ventilator Assistance
Review Acid/Base Balance
Mechanical Ventilation
2/11
Shock, Sepsis, and MODS
Shock Syndrome & Sepsis
Multiple Organ Dysfunction
CHAPTERS
Chapter 1 p. 2-11
Chapter 2 p. 14-23
IFAT Quiz #1 Chapters 1 & 2
Chapter 4 p. 37-44
Chapter 5 p. 48-75
Chapter 7 p. 132-137
Chapter 8 p. 140-168
Chapters 1, 2, 4, 5, 7 & 8
Chapter 9 p. 170-217
IFAT Quiz #2 CH 9
Chapter 11 p. 250-287
INSTRUCTOR RESERVES THE RIGHT TO MAKE CHANGES TO SCHEDULE AS DEEMED NECESSARY
NURS 230 WINTER 2016 SCHEDULE
7
2/18
8
2/25
Nervous System Alterations
Increased Intracranial Pressure
Spinal Cord Injury
EXAM #2
Chapter 13 p. 345-372
p. 389-398
Chapters 9, 11, & 13
9
3/3
Trauma & Surgical Management
Mechanisms of Injury
Emergency Care
10
3/10
Burns
Burn Shock
Special Considerations
Chapter 19 p. 588-612
IFAT Quiz #3 CH 19
Chapter 20 p. 614-655
11
3/16
Kaplan Assessment (Time TBD)
NOTE! THIS IS A WEDNESDAY!
12
3/23
FINAL EXAM (Time TBD)
NOTE! THIS IS A WEDNESDAY!
INSTRUCTOR RESERVES THE RIGHT TO MAKE CHANGES TO SCHEDULE AS DEEMED NECESSARY
STUDENT AGREEMENT OF SYLLABUS AND CLASS EXPECTATIONS
I have read and understand the syllabus for NURS 230. I have a clear understanding of what
is expected of me, including attendance, homework assignments, exams, online assessment
tests, preparation for class, and required outside class/clinical study time. I also agree to
follow the guidelines outlined in the Pierce College Nursing Student Handbook, as well as
the Pierce College Clinical Handbook and understand my rights as a student.
Printed Name: __________________________________________________
Signature: ______________________________________________________
Date: __________________________________________________________