Discussion: Nursing Evolution

Course Outline The Course Outline below serves as a course roadmap, displaying the topics and activities intended to be covered each week. This schedule is subject to change in the event of extenuating circumstances. • • Objectives reflect the teaching activities that, if engaged in, are intended to lead to specific, measurable student learning outcomes. Course Activities and Assignments outline the teaching strategies used and the assessment requirements that students are to fulfill throughout the duration of the course. *Refer to the assignment rubrics in your course for specific grading criteria, if applicable. Rubrics can be found in the My Grades section and/or in your assignment dropbox. Outline of topics, objectives, and activities Week Topic Objectives Activities & Assignments 1 Introduction: Orientation, Syllabus review Reading Critically Ill Introduction to Care of the Critically Patient Ill Patient • Lewis & Heitkemper o Ch. 1 1. Integrate the nursing process o Ch. 9 while developing a o Ch. 65 comprehensive plan care to • Pharmacology Made Easy the critically ill patient. o Introduction 2. Construct priorities in care for the critically-ill patient Content Outline using applicable concepts: perfusion, oxygenation, • Introduction to care of the intracranial regulation, fluid critically ill patient regulation, • Exemplar: altered critically-ill infection/inflammation, patient tissue integrity, pain, metabolism, nutrition, Specific Course Activities elimination, mobility, safety, collaboration, and health • Nursing process promotion. • Concept map Outline of topics, objectives, and activities Week 2 Topic Oxygenation Objectives Activities & Assignments 3. Propose specific • Group work: Teaching plan interprofessional using ATI template collaboration/team • Discussion: Nursing Evolution

Socrative management involvement to • Role of nurses meet the needs of the • Worksheet critically ill patient. • Safe dosage 4. Examine the pharmacologic, • Pain management nutritional, developmental, and teaching needs of the ATI critically ill patient. • ATI Adult medical–surgical Concept: Safety review module o Ch. 2 1. Integrate the nursing process Reading while developing a comprehensive • Lewis & Heitkemper plan alterations in o Ch. 27 oxygenation. o Ch. 67 2. Construct priorities in care for the critically ill patient Content Outline using applicable concepts: perfusion, oxygenation, • Exemplar: ARDS intracranial regulation, fluid regulation, o Critical elements infection/inflammation, tissue integrity, pain, ▪ Respiratory metabolism, nutrition, failure elimination, mobility, safety, ▪ PE collaboration, and health ▪ Chest trauma promotion. ▪ Pneumothorax 3. Propose specific ▪ Hemothorax interprofessional ▪ Mechanical collaboration/team ventilation management involvement to ▪ Chest tubes meet the needs of the ▪ Neuromuscular critically ill patient with blockade alterations in oxygenation. 4. Examine the pharmacologic, Specific Course Activities nutritional, developmental, Outline of topics, objectives, and activities Week Topic Objectives and teaching needs of the critically ill patient with alterations in oxygenation. Activities & Assignments • Pharmacology Made Easy o • Neuromuscular blockers o Respiratory drugs Group Work: Case scenarios ATI • • • ATI system disorder templates ATI medication templates ATI adult medical–surgical review module o o o o Ch. 17 Ch. 19 (pp. 111–116) Ch. 24–26 Ch. 94 (pp. 636–638) Assignments • ATI Targeted Med–Surg Practice Assessments o o • 3 Perfusion Respiratory Fluid, electrolyte, and acid base Quiz 1 1. Integrate the nursing process Reading while developing a comprehensive plan care to • Lewis & Heitkemper the critically ill patient with o Ch. 31 alterations in perfusion. o Ch. 33 2. Construct priorities in care o Ch. 35 for the critically ill patient using applicable concepts: Content Outlinewwo perfusion, oxygenation, intracranial regulation, fluid Outline of topics, objectives, and activities Week Topic Objectives Activities & Assignments regulation, • Exemplar: acute coronary infection/inflammation, syndrome tissue integrity, pain, o Critical elements metabolism, nutrition, ▪ lethal elimination, mobility, safety, dysrhythmias collaboration, and ▪ aneurysms health promotion. ▪ CABG 3. Propose specific ▪ pacemaker interprofessional collaboration/team Specific Course Activities management involvement to meet the needs of the • Dysrhythmia worksheet critically ill patient with • Skill station alterations in perfusion. • Group work: American Heart 4. Examine the pharmacologic, Association: nutritional, developmental, and teaching needs of the o STEMI critically ill patient with o NSTEMI alterations in perfusion. o ACS guidelines • Discussion: Nursing Evolution

Incorporate at least 5 NLCEX questions ATI • • ATI Adult Medical Surgical Review Module o Ch. 27 (pp. 162–163) o Ch. 28–29 o Ch. 37–38 Pharmacology Made Easy o o o Cardiac medications Vasopressors Shock Assignments • ATI Targeted Med–Surg Practice Assessment o Cardiovascular Outline of topics, objectives, and activities Week 4 Topic Metabolism and Fluid Regulation Objectives Activities & Assignments • ATI Practice Assessment o RN pharmacology online practice 2016 B • Quiz 2 1. Integrate the nursing process Reading while developing a comprehensive plan care to • Lewis & Heitkemper the critically ill patient with o Ch. 47–49 alterations in metabolism (DKA, HHS) and fluid Content Outline regulation (DI, SIADH). 2. Construct priorities in care • Exemplars: DKA, HHS, DI, for the critically ill patient SIADH using applicable concepts: • Critical Elements perfusion, oxygenation, intracranial regulation, fluid o Metabolism regulation, o DKA infection/inflammation, o HHS tissue integrity, pain, • Fluid Regulation metabolism, nutrition, elimination, mobility, safety, o DI collaboration, and health o SIADH promotion. 3. Propose specific Specific Course Activities interprofessional collaboration/team • Compare/contrast chart management involvement to worksheet meet the needs of the • Pharmacology Made Easy critically ill patient with o Endocrine alterations in metabolism and • Incorporate at least 5 NCLEX fluid regulation. questions 4. Examine the pharmacologic, nutritional, developmental, ATI and teaching needs of the critically ill patient with • ATI adult medical surgical alterations in metabolism and review module fluid regulation. o Ch. 77 o CH. 82–83 Outline of topics, objectives, and activities Week Topic Objectives Activities & Assignments Assignments • • • 5 Liver Failure Nutrition ATI Targeted Med–Surg Practice Assessment o Endocrine Focused Review Hours o After ATI practice assessment: Pharmacology Quiz 3 Reading 1. Integrate the nursing process • Lewis & Heitkemper while developing a o Ch. 38 comprehensive plan care to o Ch. 43 the critically ill patient with alterations in nutrition. Content Outline 2. Construct priorities in care for the critically ill patient • Exemplar: Liver failure using applicable concepts: • Critical Elements perfusion, oxygenation, o cirrhosis intracranial regulation, fluid o hepatitis regulation, o pancreatitis infection/inflammation, tissue integrity, pain, Specific Course Activities metabolism, nutrition, elimination, mobility, safety, • Nursing process collaboration, and health • Liver flowsheet promotion. • Case study (p. 637) 3. Propose specific • Targeted assessment: GI interprofessional collaboration/team ATI management involvement to meet the needs of the • ATI System disorder critically ill patient with templates alterations in nutrition. • ATI Adult medical surgical 4. Examine the pharmacologic, review module nutritional, developmental, o Ch. 54–55 and teaching needs of the Outline of topics, objectives, and activities Week Topic Objectives critically ill patient with alterations in nutrition. Activities & Assignments • Pharmacology Made Easy: GI medications Assignments • • 6 Head Injuries Intracranial regulation ATI Targeted Med–Surg Practice Assessment o Gastrointestinal Quiz 4 Reading 1. Integrate the nursing process • Lewis & Heitkemper while developing a o Ch. 55–57 comprehensive plan care to o Ch. 60–62 the critically ill patient with alterations in intracranial Content Outline regulation. 2. Construct priorities in care • Exemplar: head injury for the critically ill patient o Critical elements using applicable concepts: perfusion, oxygenation, ▪ CVA intracranial regulation, fluid ▪ ICP regulation, • Discussion: Nursing Evolution

Exemplar: SCI and stroke infection/inflammation, tissue integrity, pain, Specific Course Activities metabolism, nutrition, elimination, mobility, safety, • Nursing process collaboration, and health • promotion. • ATI Medication template 3. Propose specific interprofessional o tPa collaboration/team • Flowsheet—worksheet management involvement to • Chart—ischemic/hemorrhagic meet the needs of the stroke (p. 155) critically ill patient with • System disorder templates alterations in intracranial • Bondi website regulation. 4. Examine the pharmacologic, ATI nutritional, developmental, Outline of topics, objectives, and activities Week Topic Objectives and teaching needs of the critically ill patient with alterations in intracranial regulation. Mobility Activities & Assignments • ATI Adult medical–surgical review modules o Ch. 3 o Ch. 5 o Ch. 14–16 • Pharmacology Made Easy o Neurological system 1. Integrate the nursing process medications, Part 1 while developing a comprehensive plan care to the critically ill patient with Assignments alterations in mobility. 2. Construct priorities in care • ATI Targeted Med–Surg for the critically ill patient Practice Assessment using applicable concepts: perfusion, oxygenation, o Neurosensory and intracranial regulation, fluid musculoskeletal regulation, • ATI Practice Assessment infection/inflammation, o RN adult medicaltissue integrity, pain, surgical online metabolism, nutrition, practice 2016 B elimination, mobility, safety, • Quiz 5 collaboration, and health promotion. 3. Propose specific interprofessional collaboration/team management involvement to meet the needs of the critically ill patient with alterations in mobility. 4. Examine the pharmacologic, nutritional, developmental, and teaching needs of the critically ill patient with alterations in mobility. 7 Shock, Sepsis, Burns Fluid Reading Regulation/Infection/Inflammation • Lewis & Heitkemper Outline of topics, objectives, and activities Week Topic 1. 2. 3. 4. Objectives Activities & Assignments Integrate the nursing process o Ch. 13 while developing a o Ch. 24 comprehensive plan care to o Ch. 66 the critically ill patient with alterations in fluid regulation Content Outline and infection/inflammation. Construct priorities in care • Exemplar: shock/sepsis for the critically ill patient • Critical elements using applicable concepts: o MODS perfusion, oxygenation, o SIRS intracranial regulation, fluid • Exemplar: Burns regulation, infection/inflammation, Specific Course Activities tissue integrity, pain, metabolism, nutrition, • Nursing process elimination, mobility, safety, • Shock table collaboration, and health • Case scenarios promotion. Propose specific o Shock interprofessional o Burns collaboration/team • System disorder template management involvement to • Burns table meet the needs of the critically ill patient with ATI alterations in fluid regulation. Examine the pharmacologic, • ATI adult medical–surgical nutritional, developmental, review module and teaching needs of the o Ch. 56 critically ill patient with o Ch. 58 alterations in fluid regulation. o Ch. 75 Tissue Integrity 1. Integrate the nursing process while developing a comprehensive plan care to the critically ill patient with alterations in tissue integrity. 2. Construct priorities in care for the critically ill patient Assignments • ATI Targeted MedSurg Practice Assessment o o • Discussion: Nursing Evolution

Immune system Renal and urinary Focused Review Hours Outline of topics, objectives, and activities Week Topic Objectives using applicable concepts: perfusion, oxygenation, intracranial regulation, fluid regulation, infection/inflammation, tissue integrity, pain, metabolism, nutrition, elimination, mobility, safety, collaboration, and health promotion. 3. Propose specific interprofessional collaboration/team management involvement to meet the needs of the critically ill patient with alterations in tissue integrity. 4. Examine the pharmacologic, nutritional, developmental, and teaching needs of the critically ill patient with alterations in tissue integrity. Elimination 1. Integrate the nursing process while developing a comprehensive plan care to the critically ill patient with alterations in elimination. 2. Construct priorities in care for the critically ill patient using applicable concepts: perfusion, oxygenation, intracranial regulation, fluid regulation, infection/inflammation, tissue integrity, pain, metabolism, nutrition, elimination, mobility, safety, Activities & Assignments o ATI practice assessment: med–surg • Quiz 6 Outline of topics, objectives, and activities Week 8 Topic Review of Concepts Objectives collaboration, and health promotion. 3. Propose specific interprofessional collaboration/team management involvement to meet the needs of the critically ill patient with alterations in elimination. 4. Examine the pharmacologic, nutritional, developmental, and teaching needs of the critically ill patient with alterations in elimination. Review of concepts • • Activities & Assignments Content Outline Perfusion, oxygenation, • Review of concepts intracranial regulation, fluid regulation, Specific Course Activities infection/inflammation, tissue integrity, pain, • Nursing process metabolism, nutrition, • Game—Jeopardy elimination, mobility, safety, • NCLEX questions collaboration, and health • ACLS.net (ACLS training promotion center) Proctored exam Assignments • 9 Course Evaluation ATI Proctored Exam o RN adult medical– surgical nursing 2016 Content Outline • • Review of concepts Evolution Statement Assignments Outline of topics, objectives, and activities Week 10 Topic Final Exam Objectives Activities & Assignments • Focused Review Hours o After ATI proctored exam • Active Learning Engagement • Nursing Evolution Content Outline • Comprehensive Final exam Assignments • Comprehensive Final Exam Nursing Evolution Rubric Exit Meets Expectations Approaches Expectations Reflects on current theory and clinical class with concepts and theories using the Program Learning Outcomes and BSN Essentials listed in the syllabus Points: Points: 3.3 (33.00%) 2.508 (25.08%) 1. Reflects on current theory class and clinical and how courses support each other (transfer of knowledge to apply to clinical)- Focused to Current Term. 2. Synthesizes theories and concepts from liberal education to build an understanding of the human experience. 3. Uses skills of inquiry and analysis to address practice issues 4. Applies knowledge of social and cultural factors in the care of populations encountered in this course. 1. Limited reflection on current theory class and clinical and how courses support each other (transfer of knowledge to apply to clinical)- Focused to Current Term. 2. Limited synthesis of theories and concepts from liberal education to build an understanding of the human experience 3. Use limited skills of inquiry and analysis to address practice issues 4. Discussion: Nursing Evolution

Applies limited knowledge of social and cultural factors in the care of populations encountered in this course. Develops an effective communication style for interacting with current patients, families, and the interdisciplinary health team when providing holistic, patient centered nursing care to populations encountered in this course. Points: Points: 3.4 (34.00%) 2.584 (25.84%) 1. Reflects on providing holistic patient care to populations encountered in this course. 2. Describes inter-collaborative involvement (i.e. Interprofessional rounds; consultations and interaction with PT/OT; Respiratory Therapy, Pharmacist consultation—describe their role/ contribution.) 1. A limited reflection on providing holistic patient care to populations encountered in this course. 2. Describes limited intercollaborative involvement Models leadership when providing safe, quality nursing care; coordinating the healthcare team; and when tasked with oversight and accountability for care delivery. Points: Points: 3.3 (33.00%) 2.508 (25.08%) 1. Describe an event that demonstrates: • application of leadership concepts, skills and decision making in the provision of high quality nursing care, • healthcare team coordination • the oversight and accountability for care delivery 2. Describe an event that demonstrates leadership, appropriate teambuilding and collaborative strategies to effectively implement patient safety and quality improvement initiatives within the context of the interprofessional team 1. Describes limited leadership concepts, skills and decision making in the provision of high quality nursing care, healthcare team coordination and the oversight and accountability for care delivery 2. Limited description of an event that demonstrates leadership, appropriate teambuilding and collaborative strategies to effectively implement patient safety and quality improvement initiatives within the context of the interprofessional team …