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Nursing Care and Management Throughout the Health Continuum

Course NumberNUR 250W
Lab Hours0
Lecture Hours60
Course DescriptionPrerequisite: NUR 240 or NPT 240 or NT 219 and NUR 240L, NPT 240L, or NT 219L with minimum grade of "C" (2.0). Concurrent enrollment in NUR 250L. Provides opportunities to enhance nursing practice skills through managing nursing care of a group of hospitalized clients having acute cardiovascular, respiratory, renal, and multi-system dysfunction, as well as clients facing trauma, cancer, immunologic dysfunction, shock, and hemodynamic instability. Requires a concurrent lab course (NUR 250L). For successful completion, a grade of at least a "C" must be earned in this course and its concurrent lab course (lab grade will be same as theory grade). A final grade of "F" will be assigned in both theory and lab if either course is not successfully completed. Credit can be earned in NUR 250 or NPT 250, but not both. (60-0)

Outcomes and Objectives

As a PROVIDER OF CARE, the student uses the nursing process effectively and performs psychomotor skills accurately and safely.
  1. Collects and organizes relevant data, working from a wide variety of sources and databases.
  2. Evaluates changes in health care status with client's ability to meet needs.
  3. Selects priority nursing diagnoses based on analysis and interpretation of assessment data in caring for clients.
  4. Plans with the client, family, significant others, and health team members to determine and prioritize client care needs.
  5. Evaluates significant information and adjusts plan of care to meet client's priority health care needs.
  6. Develops and implements individualized teaching plans applying teaching/learning principles based on client's strengths and barriers.
  7. Composes client plan of care that demonstrates critical thinking through the use of the nursing process.
  8. Evaluates goals and revises plan of care utilizing a multidisciplinary approach.
  9. Supports client's rights to make informed decisions regarding care.
  10. Assesses safe performance of nursing skills and seeks opportunities to improve skill base.
  11. Anticipates client safety needs and promotes a safe physical and psychological environment.
  12. Administers select routesof medications independently and/or with minimal supervision, adhering to Medication Administration Assessment tool. Complies with required supervision for IV push and titrating of IV medications.
  13. Selects appropriate technology to efficiently manage client care and resources and administers and/or monitors treatment and diagnostic procedures in care of adult clients.
  14. Manages equipment and supplies in a cost effective manner.
  15. Seeks assistance from instructor and/or other members of the interdisciplinary team when the situation encountered is beyond the student's knowledge and experience.
  16. Plans for continuity of client care within the health care setting.
  17. Writes and implements physician orders with supervision of the instructor/preceptor/RN in keeping with the policy of the institution.
  18. Proposes referrals based on identified client needs and available resources.
  19. Evalutes biopsychosocial influences when providing care for the aging client(s).
  20. Chooses appropriate channels of communication to accomplish goals related to delivery of client care.
  21. Assesses situations where client advocacy may be requied and acts/communicates accordingly.

As a MANAGER OF CARE, the student delegates care, acts as a patient advocate, consults and collaborates with members of the multidisciplinary team to enhance patient outcomes.
  1. Formulates priorities to ensure delivery of safe, effective nursing care to a group of clients.
  2. Compares and contrasts the concepts of delegation, accountability, and leadership as related to the ADN role in caring for a group of clients.
  3. Organizes nursing care to other health care workers commensurate with their educational preparation and experience, and demonstrates timely follow-up to ensure safe and effective delivery of care, and accepts accountability for nursing care delegated to team members.
  4. Supports peers and other nursing personnel in developing skills for providing nursing care.
  5. Interacts with other members of the health care team in a collegial manner using a problem solving approach.

As a MEMBER WITHIN THE DISCIPLINE OF NURSING, the student practices within legal and ethical parameters, and uses resources for continuous learning and self-development.
  1. Manages care within the ethical and legal framework of nursing.
  2. Supports the need to maintain confidentiality of information regarding clients.
  3. Evaluates and reports concerns regarding quality of care and ethical dilemmas to the appropriate person.
  4. Collects information from current literature to provide safe nursing care.
  5. Assesses knowledge of sociocultural factors in ethical decision making.
  6. Values nursing as a career and values own practice.
  7. Serves as a professional role model to members of the nursing team.
  8. Values the importance of nursing research in advancing nursing practice.
  9. Assesses resources for continuous learning and self-development.
  10. Evaluates and utilizes constructive criticism and suggestions to improve nursing practice.
  11. Attains a minimum average of 77% on all exams within a course and a minimum cumulative average of 77% in order to pass the course.

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