NEW MEXICO JUNIOR COLLEGE

MISSION STATEMENT

Assessment and Health Promotion

SYLLABUS

  1. GENERAL COURSE INFORMATION
  2. A. Course Title: Assessment and Health Promotion
    B. Course Number: NU 124A - 10250
    C. Semester: Spring 2017
    D. Days/Time: T W Th F 8:00:00 AM - 5:00:00 PM
    E. Credit Hours: 4
    F. Instructor: Armstrong, Cammie
    G. Office: McLean Hall (MC) 129C
    H. Email Address: CArmstrong@nmjc.edu
    I. Office Phone: (575) 492-2529
    J. Office Hours:
    K. Time Zone: Mountain Time
    L. Prerequisite(s): Pathophysiology II, Introduction to Nursing Concepts, Principles of Nursing Practice, Evidenced-Based Practice (BSN)
    M. Corequisite(s): Nursing Pharmacology, Health Care Participant, Health and Illness Concepts I
    N. Class Location: MC136
  3. COURSE DESCRIPTION

    This course introduces the nursing student to assessment and health promotion for the health care participant as an individual, a family, or a community. This course utilizes seminar, laboratory, and/or clinical settings. The student is given the opportunity to assess physical health, health/illness beliefs, values, attitudes, developmental level, functional ability, culture, and spirituality of the participant. The student also assesses family health including family health history, genetic health history, and environmental exposures to identify current and future health problems. Community health needs are identified through collaborative community assessment and evidence-based practice. Assessment data is shared through communication with healthcare professionals to identify needed interventions. The role of the nurse as advocate for the health care recipient is explained. The student is given the opportunity to analyze educational materials for literacy level. This is a four credit hour co

  4. COURSE RATIONALE / TRANSFERABILITY

    This course is transferrable to other New Mexico nursing programs utilizing the New Mexico Nursing Education Consortium (NMNEC) statewide common curriculum. This course has no guarantee of transferability to another college or university that is not participating in NMNEC statewide common curriculum.

  5. REQUIRED / SUGGESTED COURSE MATERIALS

    Required:

    Required Course Materials

    1. Red Lab Skills Kit- for purchase only in the NMJC bookstore
    2. Blood Pressure Cuff
    3. Stethoscope
    4. Dress code for Classroom and Clinical Laboratory activities:
    - See Student Nurse Handbook
    3. ATI package

    Required Textbooks:
    Books can be purchased in NMJC book store for Level 2. List includes books previously purchased for Level 1. ** Indicates Level 2 books that are included in the new Elsevier and/or Pearson level 2 bundles available in the NMJC book store.

    Pearson Bundle ISBN: 9780134683546
    Elsevier Bundle ISBN:9780323518178

    1. Ackley, Ladwig & Flynn Makic, Nursing Diagnosis Handbook, An Evidence-Based Guide to Planning Care, 11th edition. (2016) Mosby/Elsevier. ISBN: 9780323322249
    2. **Adams, Michael, Norman Holland, and Carol Urban. Pharmacology For Nurses, A Pathophysiologic Approach. Fifth ed. N.p.: Pearson, 2017. Print. ISBN: 978-0-13-425516-3
    3. Content Mastery Series Review Modules, Assessment Technologies Institute; LCC
    4. Giddens, Concepts for Nursing Practice, 2nd edition. (2016) Elsevier. ISBN: 9780323374736
    5. Gray, Morris. Calculate with Confidence, 6th edition. (2014) Elsevier. ISBN: 9780323089319
    6. **Jarvis, Physical Examination and Health Assessment, 7th edition. (2016) Elsevier. ISBN: 9781455728107
    7. **Jarvis, Pocket Companion for Physical Examination and Health Assessment, 7th edition. (2016) Elsevier. ISBN: 9780323265379
    8. **Jarvis, Physical Examination & Health Assessment Laboratory Manual, 7th edition. (2016) Elsevier. ISBN: 9780323265416
    9. Leifer, Introduction to Maternity and Pediatric Nursing, 7th edition. (2015) Elsevier. ISBN: 9781455770151
    10. **Lewis, Medical Surgical Nursing Assessment and Management of Clinical Problems, 9th edition. (2014) Elsevier. ISBN: 9780323086783
    11. Mosby, Mosby’s Dictionary of Medicine, Nursing & Health Professions, 10th edition. (2016) Mosby/Elsevier. ISBN: 9780323074032
    12. **Myers, RNotes, Nurse’s Clinical Pocket Guide, 4th edition. (2014) F.A. Davis. ISBN: 9780803640245
    13. Nursing Concepts Online – RN 2.0 e-code. (2016) Elsevier. ISBN: 9780323446433
    14. Pagana & Pagana, Mosby’s Manual of Diagnostic and Laboratory Tests, 5th edition. (2013) Mosby/Elsevier. ISBN: 9780323089494.
    15. **Pearson Education, Nursing: A Concept-Based Approach to Learning, Volume I, 2nd edition. (2015). Pearson/Prentice Hall. Print. ISBN: 9780132934268
    16. **Pearson Education, Nursing: A Concept-Based Approach to Learning, Volume II, 2nd edition. (2015). Pearson/Prentice Hall. Print. ISBN: 9780132934275
    17. **Pearson Education, Clinical Nursing Skills: A Concept-Based Approach Volume III, 2nd edition. (2015). Print. Pearson/Prentice Hall. ISBN: 9780133351798
    18. Potter, Perry, Stockert & Hall, Fundamentals of Nursing, 9th edition. (2016) Elsevier. ISBN: 9780323327404
    19. Silvestri & Silvestri, Saunders 2016-2017 Strategies for Test Success, 4th edition. (2015) Saunders/Elsevier. ISBN: 9780323296618
    20. Silvestri, NCLEX RN Comprehensive Review, 6th edition. (2013) Saunders/Elsevier. ISBN: 9781455727551
    21. Skidmore-Roth, Mosby’s Drug Guide for Nursing Students, 12th edition. (2016) Mosby/Elsevier. ISBN: 9780323448079
    22. **Stanhope, M. & Lancaster J., Foundations of Nursing in the Community: Community Oriented Practice, 4th edition. (2014) Elsevier. ISBN: 9780323100946
    23. Varcarolis, Essentials of Psychiatric Mental Health Nursing, 2nd edition. (2014) Elsevier. ISBN: 9780323287883
    24. Year 1, Levels 1 & 2 Red Skills Bag

    Suggested:
    None.

    You can buy your books online at the NMJC Bookstore.

  6. GRADING POLICY

    NMNEC Course Grading Scale:

    Grading Scale Letter Grade
    90 – 100 A
    80 – 89 B
    77 – 79 C
    67 – 76 D
    0 – 67 F








    A grade of 77 or higher is the minimum passing grade for nursing.
    A grade of C or higher is required for all nursing courses. The student must pass all nursing
    classes in sequence prior to taking courses in the following semester(s).

    The student receives exactly the earned grade: GRADES ARE NOT ROUNDED.

    VIII. Course Grading Policy:




    Grade Components for NU124A

    Grade % Distribution
    Unit Examinations
    Unit Examination #1 15%
    Unit Examination #2 15%
    Unit Examination #3 15%
    Unit Examination #4 15%

    Dosage Calculations Exam
    Dosage Calculations Exam (1st Attempt Score) 5%

    Final Examination
    Comprehensive Final Exam 20%

    Clinical Assignments
    Formal Care Plan 3%
    Documentation of formal care plan client in SimChart 3%
    Community Teaching Project/Participation 3%
    Reflective paper for Community Teaching Project 3%

    ATI Proctored Exams
    RN Fundamentals 3%

    Psychomotor Skills Activities
    Instructor Supervised Peer Check-off for Psychomotor
    Skills (PS) Activities (Assessment skills) Pass/Fail
    Head-to-Toe Assessment (Skill Check-off) Pass/Fail

    Pass/Fail Assignments
    Course Objectives/Competencies Pass/Fail
    ATI Skills Module (Ticket to class) Pass/Fail
    Formative Evaluation Pass/Fail
    Summative Evaluation Pass/Fail
    Psychomotor Skills Checklist Pass/Fail
    Documentation using SimChart for clinical rotations Pass/Fail
    Simulation Lab Participation Pass/Fail

    Total 100%

    Calculation of Course Grade:

    a. Unit Examinations (60%)

    The student will be given proctored 50 question computer exams to assess mastery of content for multiple units. Unit exams will be based on theoretical material and application of practical skills. See course calendar for dates and times.

    If it is absolutely necessary to miss an exam, the student must notify faculty at least 2 hours prior to the exam. A makeup exam will be arranged and must be taken as soon as the student returns to class. The exam may be a different version or format.

    Unit Exam Review Process:
    •Unit exams may be reviewed by the student in the classroom. Exam review is mandatory for those that make below 77% on the unit exam. Classroom will be open at 1130 or 1200 (see calendar for specific times) for exam review. The student must have the NMJC computer on and ready in Lockdown Browser by 1130 or 1200 (see calendar for specific times). There will be no admittance for exam review after the specific start time. The exam review will be finished at 1200 or 1230 (see calendar for specific times), no exceptions. You must remain in the classroom until the specified finish time or until everyone is done with their exam review. Talking or asking questions will not be allowed during the review. Please see the dates for exam review on the calendar.
    • During the review if a student disagrees with a unit exam item, the student must submit an appeal form that will be provided in class immediately after the unit exam review. The student may only write the number of the question(s) on the appeal form. The question(s) on the appeal form will be the only question(s) that may be disputed. The appeal form will be given to the curriculum coordinator and a copy given to the student. Faculty will be informed of the question(s) on the appeal form. The student will have until 1100 the next day to submit appropriate supporting documentation and page numbers from assigned readings to prove that the answer you chose is the correct answer. The student will submit the documentation in a Word document via Canvas to the curriculum coordinator and faculty. The curriculum coordinator and the faculty will then review the student’s document and make a final decision regarding the exam item. If the student disagrees with the decision, then the student may take the appeal process to the director of the nursing program.
    b. Final Examination (20%)

    There will be a proctored computer comprehensive final exam consisting of 100 questions. It will not include questions from unit exams. See course calendar for date and time.

    Final Exam Review Process:

    •Final exam may be reviewed by the student with in the classroom. Classroom will be open at 0900 for exam review. The student must have the NMJC computer on and ready in Lockdown Browser by 0900. There will be no admittance for exam review after 0900. The exam review will be finished at 1000, no exceptions. Please see the dates for exam review on the calendar.

    • During the review if a student disagrees with a final exam item, the student must submit an appeal form that will be provided in class immediately after the final exam review. The student may only write the number of the question(s) on the appeal form. The question(s) on the appeal form will be the only question(s) that may be disputed. The appeal form will be given to the curriculum coordinator and a copy given to the student. Faculty will be informed of the question(s) on the appeal form. The student will have until 1500, the day of the review, to submit appropriate supporting documentation and page numbers from assigned readings to prove that the answer you chose is the correct answer. The student will submit the documentation in a Word document via Canvas to the curriculum coordinator and faculty. The curriculum coordinator and the faculty will then review the student’s document and make a final decision regarding the exam item. If the student disagrees with the decision, then the student may take the appeal process to the director of the nursing program.
    c. Unit Exams and Final Exam Average

    The first calculation is an average of the unit exam scores and the final exam score. Each unit exam score and the final exam score are weighted equally. An average score of 77% or higher is required.

    When a score of 77% or higher is NOT earned for the unit exam scores and the final exam score average, other course grades are not eligible for computation into a final grade and the student will earn a letter grade of D or F.

    When a score of 77% or higher is earned for the unit exam scores and final exam score average, other course grades are eligible for computation into the final course average.

    Course assignment grades are calculated with other course grades to determine a final grade.

    A course-specific, grade-weighting percentage chart is included in the syllabus of each course.

    When a weighted grade of 77% or higher is NOT earned, the student earns a letter grade of D or F.


    d. Course Assignments

    An assignment is considered to be, but not limited to the following:
    • Exams, care plans, journals, standardized exams (ATIs, etc.), pass/fail assignments, quizzes, posters, presentations, laboratory skills assessments and projects.
    • All assignments should be completed and submitted by due date and time.
    • If an assignment(s) is not completed by the due date, a failing grade may be earned and the grade may result in the student failing the course.

    Graded Assignments

    Late assignments (graded):
    o A late assignment is any assignment submitted after the scheduled due date and time. For example, if an assignment is due by 5:00 pm on a certain day but turned in after 5:00pm on that date, the assignment will be considered one day late.
    o Ten (10) points will be deducted from a late assignment grade for each day the assignment is late.
    o After 10 consecutive days, the student will receive a grade of “0” for the assignment; however, all late assignments must be satisfactorily completed and submitted.
    o All late (printed) assignments must be clocked-in using the time clock in the Nursing Program Office and the clock stamp must be performed in the presence of a nursing program employee. If the assignment was to be turned in on Canvas, the student must email the assignment to his/her instructor and it will be timed and dated according to the time and date the email was sent.
    o All late (printed) assignments must be initialed by a nursing program employee when turned in.
    o Printed assignments must be turned in during Nursing Program Office business hours.

    Pass/Fail Assignments

    The student must satisfactorily complete all pass/fail assignments and achieve at least the designated minimum passing score for the assignment (if specified) in order to pass the course. Failure to complete all assignments in the course may result in course failure.

    A pass/fail assignment is one in which the student is required to complete by the designated due date. Additionally, Module Zero must be completed by the due date, for every course, every semester, no exceptions.

    For most pass/fail assignments, the assignment is considered “passed” when it is completed by the due date regardless of the achieved score. Some pass/fail assignments may have a designated score that must be achieved by the due date in order to pass; however, this score does not count in the overall grade for the course (these pass/fail assignments will be specified in the syllabus).
    If the assignment is not completed by the due date, it is considered “failed” and the following consequences will be assigned to the student:

    • 1st missed assignment:

    o The student will be placed on an action plan by his/her advisor and will be required to complete an alternate assignment by the specified time. This assignment will be related to the content of the assignment missed and may be in another format. If the alternate assignment is not completed by the specified time, it will count as the 2nd missed assignment (see below).

    • 2nd missed assignment:

    o Student will be placed on a learning contract by his/her advisor and will be required to write a paper on professionalism. A rubric and guidelines for the paper will be provided and must be followed. The learning contract will continue with the student throughout enrollment in the nursing program.

    • 3rd missed assignment:

    o Student will be required to meet with the Administrative Nursing Review Committee to discuss repetition of the unprofessional behavior. The student may earn a failing grade for the course and be unable to progress to the next level in the nursing program.
    Dosage Calculation Exam: (5%)

    There will be 25 fill in the blank type questions covering basic (oral/injectable) medication dosage calculations. Students must pass the dosage calculation exam with at least 95% accuracy. Students may retake the test once (a second opportunity will be given the next week, if necessary), however the initial score will be used in computing the overall course grade. If the student is unsuccessful after the second attempt the student will not pass the course, will receive a grade of “F” and will not be able to progress in the nursing program.

    This content is not taught during class time, and is the responsibility of the student to use the self-paced, Deborah Gray Morris, Calculate with Confidence workbook and complete all required sections as outlined in the acceptance letter.

    Students are expected to be familiar with the following:
    • Interpret medication orders and standard abbreviations needed for dosage calculations.
    • Convert within and between these measurement systems:
    o Metric:
     Convert weight between micrograms, milligrams, grams and kilograms
    o Volume between milliliters and liters
    o Metric to Household
    o Weight between pounds and kilograms
    o Volume between ounces and milliliters
    o Volume between teaspoons and milliliters
    • Calculate dosages of oral medications.
    • Calculate parenteral medication volumes and dosages.
    • Determine if an ordered amount is within a safe/recommended range.

    Clinical Assignments (12% - 4 Assignments 3% each)

    Community Teaching Project (3%)
    Students and faculty will attend the Heart Health Fair at the Hobbs Fletcher Center. This is a mandatory event. Assigned groups will complete a poster board and a brochure related to smoking cessation, hypertension, or obesity/nutrition, across the lifespan, and the impact each has on heart health, according to Healthy People 2020 guidelines and recommendations. Assigned topics will be: Smoking Cessation, Prevention of Hypertension, Childhood Obesity, and Adult/Geriatric Obesity. Students will participate in educating the community regarding these subjects at this event. Students must participate in this event and must wear clinical uniform. A rubric will be provided and peer evaluations must be completed. See course schedule for due date and event date.

    Reflective Paper for Community Teaching Project (3%)
    Each student will write a one-page reflection paper regarding the community teaching project experience and submit on Canvas by the due date. A rubric will be provided. See course schedule for due date.

    Formal Care Plan (3%)
    The student will complete a Formal Care Plan. Specific project guidelines and a grading rubric will be distributed during class. Must be submitted by the due date, late submissions will not be accepted.

    Documentation using Cerner (3%)
    The student must complete all assigned documentation using Cerner. Specific guidelines will be discussed during class. (Formal care plan documentation to be graded)

    ATI Proctored Exam (3%)

    The student will take proctored exams and remediate. The student will earn a grade per the ATI grading policy. See grading policy below.

    ATI Testing Policy - Content Mastery Series Proctored Examinations
    (Levels 2, 3, 4, and 5 only)

    Step 1: Complete Practice Assessment and Remediation
    ● Minimum of one (1) hour Focused Review
    ● Complete an Active Learning Template for each topic missed
    40 Points



    Step 2: First Proctored Assessment and Remediation
    Achieve Level 3 Achieve Level 2 Achieve Level 1 Achieve Below Level 1
    ● Minimum 1 hour Focused Review
    ● Complete an Active Learning Template for each topic missed ● Minimum 2 hours Focused Review
    ● Complete an Active Learning Template for each topic missed ● Minimum 3 hours Focused Review
    ● Complete an Active Learning Template for each topic missed
    ● Write 3 critical points for each topic missed ● Minimum 4 hours Focused Review
    ● Complete an Active Learning Template for each topic missed
    ● Write 3 critical points for each topic missed
    40 Points 30 Points 10 Points 0 Points



    Step 3: Second Proctored Assessment - Retake
    Achieve Level 3 Achieve Level 2 Achieve Level 1 Achieve Below Level 1
    Retake (Optional) Retake (Optional) Retake (Required) Retake (Required)
    20 Points 20 Points 20 Points 20 Points


    Total points earned when the
    Practice, First Proctored, and Second Proctored
    assessments and remediation activities are completed
    100 Points 90 Points 70 Points 60 Points

    Psychomotor Skills Activities (Pass/Fail)

    ATI skill modules Ticket to class/lab (Pass/Fail)

    The head to toe assessment return demonstration is assigned an ATI skills module. The module and quiz must be completed prior to participating in lab. The quiz must be successfully passed at 90% and a copy of the quiz must be presented to faculty at the beginning of the lab. Failure to complete the assignment will result in an unexcused missed clinical. All missed clinical (excused and unexcused) must be made up at the discretion of faculty.

    Skills Labs (Pass/Fail)

    It is mandatory that the student read the related material before the assigned labs. The student will need to bring the red skills bag and wear the NMJC nursing uniform to lab. During lab, the student will participate in a variety of activities, including observing, practicing, and participating in simulated scenarios and documentation to prepare the student to care for patients. Open lab times will be available on Tuesday afternoons, when not testing, for additional skills practice and/or 2nd and 3rd attempt skills check offs.

    The student is required to attend all scheduled labs (see schedule). If there is an extenuating circumstance and the student needs to be late or miss a lab, the student must notify the faculty at least 2 hours before the lab. All missed labs must be made up at the discretion of faculty.

    Food and drinks are not allowed during specific skills practice to comply with OSHA requirements and all electronic devices need to be on silent mode.

    Assessment Skills Return Demonstration (Peer Check-off) (Pass/Fail)
    Instructor supervised peer check-offs will be done in the skill/simulation lab after each new assessment skill is learned and practiced. This is a pass/fail grade. The peer check-off must be completed successfully. The student will be learning head-to-toe assessment skills and will be required to perform a complete head-to-toe assessment return demonstration at the end of the semester. Wear your school uniform on check-off days. This testing provides a learning experience for students to practice skills prior to providing direct patient care in the clinical setting.
    Head-to-Toe Assessment Return Demonstration (Pass/Fail)
    This is a timed Head-to-toe assessment Return Demonstration. You must bring your assigned ticket to class/lab in order to perform the check-off skill (pass/fail). You will be performing a head-to-toe assessment based on the assessment skills you have learned throughout the semester. Time will be allotted during clinical/simulation lab to practice. The head-to-toe assessment return demonstration must be completed 100% successfully. The student will have 3 opportunities to pass. If the head-to-toe assessment return demonstration is not passed by the student in 3 attempts, the student fails the course, will receive a grade of “F”, and is unable to progress in the nursing program. Wear your school uniform on test days. This testing provides a learning experience for students to practice head-to-toe assessment prior to providing direct patient care in the clinical setting.
    ATI Learning Modules, Tutorials, and Practice Assessments (Pass/Fail)

    There will be various learning modules (Nurses Touch and Real Life) and practice assessments (Nurses Touch) associated with the concepts for this course. Some of the modules may be done in class as a group, while others may be assigned as homework. These will be pass/fail activities. Refer to schedule for assigned learning modules and practice assessments. Practice assessments must be remediated as per the ATI policy. These assignments are pass/fail.

    Documentation using Cerner (Pass/Fail)

    The student must complete all assigned documentation using SimChart. Specific guidelines will be discussed during class. These assignments are pass/fail.

    Pass/Fail Assignments (Elsevier Nursing Concepts Online 2.0 and ATI)

    The student must complete all assigned activities in Elsevier Nursing Concepts Online 2.0 (NCO), and ATI. Specific guidelines will be discussed during class. Instructors may also use these assignments in class, as homework, or as a ticket to class. These assignments are pass/fail.

    Exam scores will be posted to Canvas within 48 hours. Paper and presentation/project grades will require more time.

    Clinical (Evaluations) {Course Objective competencies, formative evaluation, summative evaluation, psychomotor skills checklist}: (pass/fail)

    Student clinical requirements must be up to date before the semester begins to obtain entrance into clinical agencies. Students will take care of patients across the lifespan at a beginning level in the simulation lab and in clinical rotations. Remember it is imperative to follow HIPAA regulations! The clinical experiences may be arranged at various locations off campus. At clinical agencies, students must wear the NMJC nursing uniform. No jackets, coats, hoodies, or sweaters may be worn into the clinical setting. Students may wear a black lab coat over clinical uniform if needed for warmth. The lab coat must comply with NMJC Student Nurse Dress Code as outlined in the NMJC Student Nurse Handbook. All electronic devices need to be on silent mode. Students will perform the basic assessments and interventions learned so far and then document them in the academic electronic health record.

    Students must attend all scheduled clinical (see schedule). See Student Nurse Handbook for clinical attendance policy.

    Halfway through and at the end of the clinical, students will complete the Formative Clinical Evaluation and submit it electronically through Canvas. The faculty will complete the faculty section and return it to the student. At the end of the semester, the student will complete the Summative Clinical Evaluation, and each of the 16 course competencies needs to be at a developing level or above to successfully pass the course. See course schedule for due dates. If any competency is unsatisfactory at the end of the semester, the course will not be passed. A student may be removed from clinical during the semester for an unsafe clinical practice as outlined in the Student Handbook.

    Each form (Formative/Summative & Psychomotor Skill Checklist) must be submitted through Canvas Assignment Tool as a Word document.
    If the student fails clinical/simulation lab, a grade of 'F' will be earned for the course, regardless of the theory grade.

    STUDENT RECEIVE EXACTLY EARNED GRADE. GRADES ARE NOT ROUNDED.

    Incomplete Grade
    - See Student Nurse Handbook

    Progression to Level 3, Semester 3 of the Nursing Program
    The student must achieve a final course grade of 'C' (77%) or higher for NU123, NU123A, and NU123B, and NU124A to be eligible to progress to Level 3, Semester 3 of the nursing program.

    IX. General Course Assignment Policies

    - See Student Nurse Handbook

    X. Class and/or Laboratory Attendance and Tardy

    - See Student Nurse Handbook

    XI. Examination Policies

    - See Student Nurse Handbook

    XII. Student Advising and Portfolio

    - See Student Nurse Handbook

  7. INSTITUTIONAL STUDENT LEARNING OUTCOMES

    New Mexico Junior College’s institutional student learning outcomes represent the knowledge and abilities developed by students attending New Mexico Junior College. Upon completion students should achieve the following learning outcomes along with specific curriculum outcomes for respective areas of study:

  8. DEPARTMENTAL STUDENT LEARNING OUTCOMES

    Upon successful completion of Level Two, the student will:

    1. Recognize and assess diverse patients’ values, beliefs, and attitudes related to health.
    2. Apply safety measures to well patient populations.
    3. Implement evidence-based practices in care of well populations across the lifespan.
    4. Adhere to policies and procedures in healthcare delivery settings.
    5. Communicate with other healthcare providers to meet the needs of well patients.
    6. Utilize informatics for well patient care.

  9. SPECIFIC COURSE STUDENT LEARNING OUTCOMES NU124A Assessment and Health Promotion (4 Credits: 1 Didactic & 3 Clinical) Course Objectives: Upon successful completion of this course, the student will: Level Objective 1. Assess physical health including a focus on the health/illness beliefs, values, attitudes, developmental level, functional ability, culture, and spirituality of the participant. L2.1 2. Assess family health including a focus on family health history, environmental exposures, and family genetic history to identify current and future health problems. L2.2 3. Utilize community assessment data and evidence-based practice as basis for identifying community health needs. L2.1 4. Collaborate with a community to assess their health needs. L2.3 5. Document health assessments in electronic health record or written formats. L2.5, L2.6 6. Share community assessment data with other healthcare professionals to identify needed interventions. L2.5 7. Explain the role of the nurse in relation to advocacy for the health care recipient. L2.2 Level Objective Course Competencies: Upon successful completion of this course, the student will: 1.1 Identify patient’s values, beliefs and attitudes. 1.2 Effectively communicate patient’s values, preferences and expressed needs. 1.3 Recognize the need for health care access related to diverse populations. 2.1 Anticipate, identify, and eliminate potentially harmful situations in a wellness setting with guidance. 2.2 Identify system contributions to clinical errors and near misses in a wellness setting, with guidance. 2.3 Implement evidence-based procedures to reduce harm, promote safety, and improve care in a wellness setting with guidance. 3.1 Describe the relationship between evidence and clinical practice. 3.2 Assess outcomes of care when using evidence-based approaches, with guidance. 3.3 Demonstrate knowledge of evidence based protocols/pathways when providing nursing care. 4.1 Illustrate scope of practice within assigned education/practice environments. 4.2 Use various communication styles appropriate to team member roles. 4.3 Identify resources related to healthcare policy, finance, and regulatory environments. 4.4 Identify ethical issues within assigned education or practice environments. 4.5 Advocate health promotion for healthcare consumers. 5.1 Demonstrate understanding of the nursing role within an inter-professional team. 5.2 Communicate effectively with the inter-professional team members in order to initiate shared decision making. 5.3 Illustrate awareness of own strengths and limitations as a team member. 5.4 Illustrate ability to work effectively as a team member. 6.1 Demonstrate planning and documentation of nursing care using available technology in health promotion settings. 6.2 Identify appropriate resources that will aid patients in continuing wellness or decreasing exacerbations of diseases. 6.3 Safely operate appropriate technology in the wellness setting.

    Psychomotor Skills competencies

    Concept

     

    Physical Assessment techniques

    Source

     

    Health History Interview

     

    D’Amico, D., Barbarito, C. Health & Physical Assessment in Nursing, 2nd edition. (2012).

     

     

     

     

     

     

     

     

     

     

     

    General Inspection

    Inspect overall skin color

     

     

    Obtain and interpret vital signs

    Comfort

     

    Pain assessment

    Cognition

     

    Assess mental status and level of consciousness

     

    Evaluate speech

    Assess for PERRLA

    Assess using Glasgow Coma Scale

    Mood Affect

    Mental Health

    Depression assessment

    Alcohol and drug screening

    Violence

    Nutrition

    Nutritional assessment

    Height and weight across lifespan, BMI

    Skin Integrity

     

    Inspect wounds

     

    Inspect skin lesions

    Inspect the oral cavity (also part of Nutritional assessment)

    Inspect the spine

    Inspect skin color/tone

    Mobility

     

    Observe range of motion of joints

    Assess muscle strength

    Inspect muscles and extremities for size and symmetry

    Assess gait

    Functional Ability Assessment

    Gas Exchange

     

    Evaluate breathing effort (rate, patterns, chest expansion)

    Auscultate lung sounds

    Inspect chest shape

    Gag, swallow, cough

    Perfusion

     

    Inspect and palpate extremities for edema

    Palpate extremities for temperature

    Palpate and inspect capillary refill

    Palpate distal pulses for circulation

    Auscultate heart sounds

    Inspect extremities for skin color and hair growth

    Evaluate face for movement for symmetry and sensation

    Palpate extremities for tenderness

    Inspect for JVD

    Elimination

     

    Inspect and examine stool

    Palpate abdomen for tenderness and distension

    Auscultate abdomen for bowel sounds

    Inspect abdomen

    Sensory Perception

     

    Inspect external eyes

    Assess hearing on the basis of conversation

    Hearing using whisper and/or finger rubbing test

    Assess visual acuity

    Inspect external ear

    Reproduction

     

    Fundal height

    FHR

     

  10. ADDITIONAL INFORMATION

    Course Outline:
    The student is responsible for material presented in class and all assigned reading whether or not the assigned material has been discussed in class. The instructor may change the outline as warranted or needed.
    Teaching Strategies used during instruction in NU124A may include:
    Interactive Lecture Simulation Games
    Discussion Case Studies
    Assessment Audiovisual Media
    Team based Learning Internet Resources
    Lab Simulation Concept Maps
    Role-Play Computer Assisted Instruction
    Examinations Standardized Testing


  11. GENERAL/MISCELLANEOUS

    Students will be held responsible for the information on these pages.

    Academic Honesty
    Each student is expected to maintain the highest standards of honesty and integrity in online academic and professional matters. The College reserves the right to take disciplinary action, up to and including dismissal, against any student who is found guilty of academic dishonesty or otherwise fails to meet these standards. Academic dishonesty includes, but is not limited to, dishonesty in quizzes, tests, or assignments; claiming credit for work not done or done by others; and nondisclosure or misrepresentation in filling out applications or other College records. Cheating or gaining illegal information for any type of graded work is considered dishonest and will be dealt with accordingly.

    Americans with Disabilities Act (ADA) Information
    Any student requiring special accommodations should contact the Special Needs Student Services Coordinator at (575) 492-2576 or by e-mail at specialneeds@nmjc.edu.

    Attendance Policy
    Attendance is required at every session of each course for which the student is enrolled. When unavoidable circumstances make attendance impossible, students must provide a satisfactory explanation of their absences to their professors. College-sponsored activities are considered excused absences and the appropriate sponsor of those students who will be absent from class will notify professors. Students having absences due to college-sponsored activities will need to make arrangements with the affected classes / professor to take care of required work; however, arrangements for make-ups should be made within a reasonable time frame, usually within one week of the absence. Regarding make-up work, absences due to late registration are considered the same as regular absences.

    Cell Phones/Pagers
    All cell phones and pagers must be turned off when the student is participating in any lecture, laboratory, or other learning activity.

    Classroom Conduct
    The professor is responsible for maintaining a class environment best suited for effective learning. By registering for this class, the student is assumed to have entered into an agreement with New Mexico Junior College and the professor to attend the class regularly and to behave in an appropriate manner at all times. Disruptive behavior may result in the student being removed from the class.

    Food and Drink Policy
    Food items and soft drinks may not be consumed in NMJC classrooms. Students are also discouraged from bringing food and drink items into the classroom even though these items remain in sealed packaging. Bottled water is permissible.

    No Children in the Classroom
    In order to adhere to instructional procedures as well as maintain the safety of children, NMJC’s policy of no children in the classrooms (lecture, lab, etc.) will be followed.

    Plagiarism
    Offering the work of another as one’s own, without proper acknowledgment, is plagiarism; therefore, any student who fails to give credit for quotations or essentially identical expression of material taken from books, encyclopedias, magazines and other reference works, or from the themes, reports, or other writings of a fellow student, is guilty of plagiarism. Plagiarism violates the academic honesty policy and is considered cheating.

    Smoking/Use of Tobacco
    New Mexico Junior College is cognizant of the health hazards associated with smoking / use of tobacco for the smoker, as well as the non-smoker. In an effort to provide a healthy environment for students, employees, and others who may frequent the campus, NMJC prohibits smoking / use of tobacco inside any campus building or facility.

    Tutoring Assistance
    Free tutoring services are available to all NMJC students through Brainfuse and the Academic Success Center located in Mansur Hall room 123 and 124.

    Withdrawal Policy
    Regular, punctual attendance is required for all classes at NMJC. Although the professor has the right to drop any student who has missed the equivalent of 2 weeks of instruction (based on a 16 week semester) whether it’s a face to face, online, or a hybrid course, it is not guaranteed that the professor will drop the student. If the student chooses to stop attending a class, he/she should withdraw from the class by accessing your student account in the T-Bird Web Portal at www.nmjc.edu, or submitting the required paperwork to the Registrar’s Office by 5:00 p.m. on Thursday, April 20, 2017. All students are encouraged to discuss their class status with the professor prior to withdrawing from the class.

  12. CRITICAL INCIDENT AND EVACUATION PLAN
  13. ACADEMIC CALENDAR
  14. FINALS SCHEDULE
  15. COURSE OUTLINE

    Week/Unit

    Topic/Concept

    Readings/Assignments/Competency/Activities/Clinical

    1     

    Unit 1

    Jan 18th

    Wednesday 0830-1230

     

     

     

     

    Jan 19th   

    Thursday 0830-1130 & 1300-1500

     

     

    Orientation

     

    Intro to Health Assessment/

    Promotion

     

     

     

    Intro to Health Assessment/

    Promotion

     

     

     

    Syllabus and Clinical/Lab/Simulation expectations/assignments

    Competencies: Psychomotor Skills (PS) and Health Promotion (HP)

     

    Required Reading:

     

    • Jarvis: Chapter 1: Evidence-Based Assessment

                             Chapter 2: Cultural Competence

                

    Required Reading:

     

    • Potter and Perry: Chapter 6:  Health and Wellness

                                              Chapter 16:  Nursing Assessment

    Assignments:

    Begin Poster/Brochure Presentation Preparation

    Module Zero due in Canvas by 2359 on January 20th, 2016

    2    

    Unit 1

    Jan 25th

    Wednesday 0830-1230

     

     

     

     

     

     

     

    Jan 26th 

    Thursday  0830-1130 & 1300-1600

     

    Mood/Affect

    Stress and Coping

     

     

     

     

     

     

     

    Required Reading:

    • Jarvis:  Chapter 5:  Mental Status Assessment

                            Chapter 6:  Substance Abuse Assessment

                            Chapter 7:  Domestic and Family Violence Assessments

     

    Instructor Supervised Peer Check-off

    • PS:  Depression Assessment
    • PS:  Alcohol and drug screening
    • PS:  Violence

     

     

    *Simulation lab:  Post Traumatic Stress Disorder (PTSD)

    3  

    Unit 1

    Feb. 1st

    Wednesday 0830-1230

     

     

     

     

     

     

     

    Feb. 2nd

    Thursday 0830-1130 & 1300-1500

     

     

    Health History Interview &

    Intro to Physical Assessment

     

     

     

     

     

     

    General Inspection

    Comfort

    Cognition

     

     

     

     

    Required Reading:

     

    • Potter and Perry: Chapter 31:  Health Assessment and Physical  

                                              Examination pgs. 533-544 only

    • Jarvis: Chapter 3:  The Interview

     Chapter 4:  The Complete Health History

                

     

    PS:  Obtain a Health History by interview

     

     

    Required Reading:

     

    • Jarvis: Chapter 8:  Assessment Techniques and Safety in the Clinical

                             Setting

                            Chapter 9:  General Survey, Measurement, Vital Signs

                            Chapter 10: Pain Assessment:  The Fifth Vital Sign

              

     

    • Potter and Perry:  Chapter 31 pgs. 598-605 only

     

    PS:  Inspect overall skin color

            Obtain and interpret vital signs, assess pain

     

    End of Unit 1

    4   

    Unit 2

    Feb. 8th

    Wednesday 0830-1230

     

     

     

     

     

     

    Feb. 9th

    Thursday  0830-1130 & 1300-1600

     

    Nutrition

     

     

    Required Reading:

     

    • Jarvis:  Chapter 11:  Nutritional Assessment

     

    HP:  Discuss prevention of obesity across the lifespan

     

    Assignment:

    • Nutrition Module (In class assignment)

     

     

    1st Dosage Calculations Exam

     

    Instructor Supervised Peer Check-off

    • PS:  Height and weight across lifespan, BMI

     

    Thursday 1130-1200 Unit 1 Tutoring

     

    Assignments:

    Community Teaching Project Poster Boards/Brochures must be completed and turned in no later than 1700

    5    

    Unit 2

    Feb. 15th

    Wednesday 0830-1230

     

     

     

     

     

     

     

     

    Feb. 16th

    Thursday 0830-1130 & 1300-1600

     

     

     

     

     

     

     

     

     

    Feb. 17th 

    Friday

    1500-1900

     

     

     

     

    Skin Integrity

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Community Teaching Project/Clinical Rotation

     

    Unit Exam 1

     

    Required Reading:

     

    • Jarvis: Chapter 12:  Skin, Hair, and Nails

                            Chapter 13:  Head, Neck, and Related Lymphatics

     

    • Potter and Perry: Chapter 31 pgs. 544-567 only

     

    HP: Discuss prevention of skin cancers

     

     

    2nd Dosage Calculations Exam

     

    Instructor Supervised Peer Check-off

    • PS:  Inspect wounds
    • PS:  Inspect skin lesions
    • PS:  Inspect the oral cavity (also part of Nutritional
    • assessment)
    • PS:  Inspect the spine
    • PS:  Inspect the skin color/tone

     

    Unit 1 Exam Review 1130-1200

     

    Heart Health Fair – 1500-1900 at Hobbs Fletcher Center

     

     

    6    

    Unit 2

    Feb. 22nd

    Wednesday 0830-1230

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Feb. 23rd  

    Thursday  0830-1130 at assigned facility & 1300-1500 charting and post conference in class

     

    Sensory Perception

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    All concepts and PS to date

     

     

     

     

     

     

     

     

    Required Reading:

     

    • Jarvis: Chapter 14:  Eyes

                            Chapter 15:  Ears

                            Chapter 16:  Nose, Mouth, and Throat

     

    Instructor Supervised Peer Check-off

    • PS:  Assess pain
    • PS:  Inspect external eyes
    • PS:  Assess hearing on the basis of conversation
    • PS:  Hearing using whisper and/or finger rubbing test
    • PS:  Assess visual acuity
    • PS:  Inspect external ear

     

    Wednesday Unit 2 Tutoring 1230-1300

    End of Unit 2

     

     

    Feb 23rd *Clinical rotation #1 Groups 1-4

    Group 4 – clinical site #1 (HHC)

    Group 2 – clinical site #1 (HHC)

    Group 3 – clinical site #2 (YCH)

    Group 1 – clinical site #3 (NLH)

     

     

     

     

    7   

    Unit 3

    Mar. 1st

    Wednesday 0830-1230

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Mar. 2nd  

    Thursday  0830-1130 & 1300-1500

     

     

     

    Gas Exchange

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Perfusion

     

    Unit Exam 2

     

    Required Reading:

     

    • Jarvis: Chapter 18:  Thorax and Lungs

     

    • Potter and Perry: Chapter 31 pgs. 567-571 only

     

    HP:  Discuss prevention of hypertension and promotion of medication adherence

    HP:  Discuss promotion of smoking cessation

     

    Instructor Supervised Peer Check-off

    • PS:  Evaluate breathing effort (rate, patterns, chest
    • expansion)
    • PS:  Auscultate lung sounds
    • Instructor Supervised Peer Check-off
    • PS:  Inspect chest shape
    • PS:  Assess gag, swallow, and cough reflexes

    Required Reading:

     

    • Jarvis: Chapter 19:  Heart and Neck Vessels

                            Chapter 20:  Peripheral Vascular System and Lymphatic

                            System

     

    • Potter and Perry: Chapter 31 pgs. 571-580 only

     

    Instructor Supervised Peer Check-off

    • PS:  Evaluate face for movement, symmetry, and sensation
    • PS:  Inspect for jugular venous distention
    • PS:  Auscultate heart sounds
    • PS:  Inspect and palpate extremities for pulses, skin color, capillary refill, edema, temperature tenderness, and hair growth

    8  

    Unit 3

    Mar. 8th

    Wednesday 0830-1230

     

    Mar. 9th

    Thursday  0830-1130 at assigned facility & 1300-1500 charting and post conference in class

     

    Gas Exchange and Perfusion

     

     

     

    All concepts and PS to date

     

     

     

    Continue Practice with Gas Exchange and Perfusion assessment skills

     

    Unit 2 Exam Review 1230-1300

     

     

    March 9th *Clinical rotation #2 Groups 1-4

    Group 3 – clinical site #1 (HHC)

    Group 1 – clinical site #1 (HHC)

    Group 2 – clinical site #2 (YCH)

    Group 4 – clinical site #3 (NLH)

     

     

     

    9  

    Unit 3

    Mar. 15th

    Wednesday 0830-1230

     

     

     

     

     

     

     

     

     

    Mar. 16th

    Thursday 0830-1130 at assigned facility & 1300-1500 charting and post conference in class

     

    Elimination

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    All concepts and PS to date

     

     

    Required Reading:

     

    • Jarvis: Chapter 21:  Abdomen

     

    • Potter and Perry: Chapter 31 pgs. 586-589 only

     

    Instructor Supervised Peer Check-off

    • PS:  Inspect the abdomen
    • PS:  Auscultate for bowel sounds
    • PS:  Palpate the abdomen for tenderness and distension
    • PS:  Exam stool

    HP:  Discuss prevention of colorectal cancers

     

    Mar 16th *Clinical rotation #3 Groups 1-4 (Formative Evaluation)

    Group 4 – clinical site #1 (HHC)

    Group 2 – clinical site #1 (HHC)

    Group 1 – clinical site #2 (YCH)

    Group 3 – clinical site #3 (NLH)

     

     

     

    Formative Evaluation must be submitted in Canvas by 2359

    10  

    Unit 3

    Mar. 22nd  

    Wednesday 0830-1230

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Mar.23rd Thursday  0830-1130 at assigned facility & 1300-1500 charting and post conference in class

     

    Mobility

    Neurologic

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    All concepts and PS to date

     

     

    Required Reading:

     

    • Jarvis: Chapter 22:  Musculoskeletal System

                            Chapter 23:  Neurologic System

     

    • Potter and Perry: Chapter 31 pgs. 595-605 only

     

    HP:  Discuss promotion of exercise across the lifespan

     

    Instructor Supervised Peer Check-off

    • PS:  Inspect gait and functional ability
    • PS:  Inspect joint range of motion and spine
    • PS:  Inspect muscle size, symmetry, strength
    • PS:  Assess mental status and level of consciousness
    • PS:  Evaluate speech
    • PS:  Assess for PERRLA
    • PS:  Assess using Glasgow Coma Scale

    Wednesday Unit 3 Tutoring 1230-1300

    End of Unit 3

     

    Assignment:

    ATI Practice Assessment - RN Fundamentals must be taken and remediated by 04/05/17 submit in Canvas by 2359

     

    Mar 23rd *Clinical rotation #4 Groups 1-4

    Group 1 – clinical site #1 (HHC)

    Group 3 – clinical site #1 (HHC)

    Group 4 – clinical site #2 (YCH)

    Group 2 – clinical site #3 (NLH)

    March 27th – March 31st

     

    No Class

     

    Spring Break!!!

     

    11    

    Unit 4

    April 5th  

    Wednesday 0830-1230

     

     

     

     

     

     

     

    April 6th

    Thursday 0830-1130 & 1300-1500

     

     

     

     

     

     

    Reproduction/Sexuality

     

     

     

     

     

     

     

    Physical Assessment Across the Life Span

    Development

    Immunity

     

     

    Unit Exam 3

     

    Required Reading:

     

    • Jarvis: Chapter 17:  Breast and Axillae

                            Chapter 24:  Male Reproductive System

                            Chapter 25: Anus, Rectum, and Prostate

                            Chapter 26: Female Genitourinary System

     

    • Potter and Perry:  Chapter 31 pgs. 580-586 & 589-595 only

    HP:  Discuss prevention of reproductive infections and cancers

    1st Proctored ATI: RN Fundamentals

    Remediate per policy and submit in Canvas by 04/19/2017

     

    Required Reading:

     

    • Jarvis:  Chapter 30:  The Pregnant Female

     

    • Potter and Perry: Chapters 11-14

                

    HP:  Discuss postpartum assessments/care and infant feeding

    HP:  Discuss assessments of the elderly

    HP:  Discuss promotion of pediatric chronic disease management

    PS:  Perform simulated developmental screenings

    Unit 3 Exam Review 1130-1200

    12

    Unit 4

    Apr. 12th

    Wednesday 0830-1230

     

     

     

     

    Apr. 13th  

    Thursday 0830-1130 at assigned facility & 1300-1500 charting and post conference in class

     

    Complete Health Assessment

     

     

     

     

     

    All concepts and PS to date

     

     

     

     

     

     

     

    Required Reading:

     

    • Jarvis:  Chapter 28: The Complete Physical Assessment: Infant, Child,

                              and Adolescent

                              Chapter 27: The Complete Physical Assessment: Adult

                              Chapter 29: Bedside Assessment and Electronic Health

                               Recording

     

    Apr. 13th *Clinical rotation #5 Groups 1-4

    Group 3 – clinical site #1 (HHC)

    Group 1 – clinical site #1 (HHC)

    Group 2 – clinical site #2 (YCH)

    Group 4 – clinical site #3 (NLH)

     

     

     

     

    13    

    Unit 4

    Apr. 19th

    Wednesday 0830-1230

     

     

     

    Apr. 20th   

    Thursday 0830-1130 at assigned facility & 1300-1500 charting and post conference in class

     

     

     

     

    Head to Toe Assessment

     

     

    All concepts and PS to date

     

     

    2nd Proctored ATI: RN Fundamentals

    Remediate per policy and submit in Canvas by 04/27/2017

     

    Head to Toe Physical Assessment Practice

     

    Unit 4 Tutoring 1230-1300

     

    Apr. 20th *Clinical rotation #6 Groups 1-4 (Summative Evaluation)

    Group 4 – clinical site #1 (HHC)

    Group 2 – clinical site #1 (HHC)

    Group 3 – clinical site #2 (YCH)

    Group 1 – clinical site #3 (NLH)

     

     

    Summative Evaluation Due in Canvas by 2359

     

     

     

     

    14

    Apr. 26th

    Wednesday 0830-1200 &

    1300-1600

     

     

    April 27th

    Thursday

    0830-1200 & 1300-1600

     

     

     

    Head to Toe Assessment

     

     

    Simulated Clinical: Newborn Assessment,

    Immunizations, Ante, Intra, and Postpartum assessments

     

     

     

    Unit Exam 4

     

    Head to Toe Physical Assessment Practice

     

     

     

    PS:  Perform simulated newborn assessments (Apgar and vital signs)

     

    *Simulation lab:  Immunization, family with child, community

    PS:  Perform simulated administration of Immunizations  

    *Simulation lab:  Ante, intra, postpartum normal; normal newborn.  Most common hospital admission HP2020

    PS:  Perform simulated assessments of male and female reproductive organs

    PS:  Perform simulated pregnancy assessments (uterine fundal height and fetal heart rate)

                 PS:  Perform simulated care during labor/birth

    15

    May 2nd, Monday, by 2359

     

     

     

    May 3rd

    Wednesday

    0830-1200 & 1300-1600

     

    May 4th

    Thursday

    0830-1200 & 1300-1600

     

     

     

     

     

     

     

     

     

     

     

     

    Head to Toe Assessment Skill Check-off

     

    Monday, May 2nd

    Must Submit 3 assignments in Canvas by 2359

    1.  Formal Care Plan

    2.  All Documentation in SimChart

    3.  Summative Evaluation Due

     

    Head to Toe Assessment Check-off – Peer

     

    Unit 4 Exam Review 1200-1230

     

     

    Head to Toe Assessment Skill Check-off - Instructor

    ATI Skills Modules Ticket to Class Due

    Physical Assessment Skill Check-off

    16

    Finals Week

    Tuesday, May 9th

    1300-1500

     

    Final Conferences

     

     

     

    Comprehensive Final Exam

     

     

     

     

    Mandatory Final Conferences Thursday, May 11th 0900-1100 with Advisor