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Course Number:
NUR 242

Course Title:
Care of Patients in Situations of Crisis and in Community

Credit Hours:
12

Lecture Hours:
60

Lecture/Lab Hours:
0

Lab Hours:
180

Special Fee:
none

Course Description

Covers clinical decision-making when providing care to patients with complex physical needs. Focuses on patients experiencing acute and chronic high acuity illness; palliative and end of life care and disaster preparedness. Includes the fifth skills laboratory section in the Nursing sequence.

Intended Outcomes for the Course

1. Develop comprehensive, holistic, individualized plans of care for patients with community based health care needs, and in planning care for patients with oncologic, cardiovascular, renal, respiratory, and neurologic problems.
2. Function with increased independence in clinical decision-making, and the application of nursing processes to patients with complex and acute problems.
3. Develop discharge plans that reflect understanding of community resources and individual patient/family needs.
4. Communicate therapeutically with patients experiencing complex and acute health care needs.
5. Assume responsibility for the “Manager of Care” role including the process of effective delegation.
6. Identify nursing responsibilities related to local/national disaster response.
7. Utilize professional values and responsibilities inherent in the registered nurse role in providing nursing care.

Course Activities and Design

1. Lecture
2. Skills practice lab with simulation
3. Clinical practice
4. Clinical post-conference
5. Reflective journaling
6. Written Assignments
7. Community Health Promotion Project

Outcome Assessment Strategies

1. Satisfactory completion of three electronic patient care planning tools (75% or above complete in all categories).
2. Multiple choice, short answer, and essay questions that require integration, application, and critical examination of material covered in class.
3. Weekly and final clinical performance evaluation.
4. Written assignments designed to stimulate critical thinking related to clinical experiences.
5. Oral presentation resulting from group research, analysis, and critical evaluation.
6. Written journals designed to promote integration of clinical outcomes with personal reflection on clinical experience.
7. Skill practice laboratory formative and summative performance evaluation
8. Completion of drug dose math exam at 90% or above.
9. ATI comprehensive student assessment program (Skill modules; practice and proctored exams).

Course Content (Themes, Concepts, Issues and Skills)

1. Concepts of Critical and Emergent Care
   • Disaster planning & emergency response
2. Community Based Nursing
   • Community and home care of adults (environmental health)
3. Community Based Nursing
   • Nursing care of patients experiencing loss, grief, and death (hospice/palliative care).
4. Nursing Care of Patients with Oncological Problems
   • Physiologic and psychological effects of cancer
5. Nursing Care of Patients with Oncological Problems
   • Nursing care of patients with white blood cell disorders
6. Nursing Care of Patients with Cardiovascular Problems
   • Cardiac pharmacology
   • Assessing patients with cardiovascular problems
   • Infectious & inflammatory cardiac disease
   • Cardiovascular rhythms: normal & abnormal; pacemakers
   • Vascular & structural abnormalities
   • Myocardial infarction & heart failure
   • Nursing care of the child with congenital heart disease
7. Nursing Care of Patients with Renal Problems
   • Acute & chronic renal failure
8. Nursing Care of Patients Experiencing Trauma & Shock
9. Nursing Care of Patients with Respiratory Problems:
   • Respiratory disorders part 2a
   • Respiratory disorders part 2b
10. Nursing Care of Patients with Neurological Problems
    • Nursing care of patients with intracranial disorders
    • Nursing care of patients with spinal cord disorders and CNS infection
11. Nursing Care of Patients with Integumentary Problems
    • Nursing care of patients with burns

Skills

1. Organize and prioritize multiple skills for complex patients with changing health care needs.
2. Organize and prioritize medication administration orders for a team of patients.