NEW MEXICO JUNIOR COLLEGE
Care of Patients with Chronic Conditions
|A.||Course Title:||Care of Patients with Chronic Conditions|
|B.||Course Number:||NU 214A - 30412|
|K.||Time Zone:||Mountain Time|
|L.||Prerequisite(s):||Successful completion of Nursing Pharmacology, Health & Illness Concepts I, Health Care Participant, Assessment and Health Promotion|
|M.||Corequisite(s):||Health and Illness Concepts II, Professional Nursing Concepts I|
The focus of this course is the provision of safe, evidence-based nursing care across the lifespan for patients with chronic conditions in a variety of settings. This course builds upon the student's current knowledge of nursing concepts and utilizes a combination of laboratory and clinical settings. The student is given the opportunity to demonstrate ethical, safe, evidence-based nursing care for patients with chronic conditions. The student also demonstrates understanding of appropriate health care policy, finance, and regulatory environments effecting patients with chronic conditions. The student practices effective communication techniques with health care team members and patients with chronic conditions. The student also demonstrates effective use of the nursing process and nursing informatics/technologies in the nursing care to patients with chronic conditions. This is a four credit hour course. Prerequisites: NU 203 Health and Illness Concepts I, NU 123AHealth Care Participant, NU 123B Nursing Pharmacology, NU 124A Assessment and Health Promotion Corequisites: NU 203 Health and Illness Concepts II, NU 213 Professional Nursing Concepts
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.
Required Course Materials
1. Dress code for Classroom and Clinical Laboratory activities:
- See Student Nurse Handbook
2. Blue Lab Skills Kit- for purchase only in the NMJC bookstore
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 2 Blue Skills Bag for purchase in Bookstore only
You can buy your books online at the NMJC Bookstore.
Course Grading Scale:
Grading Scale Letter Grade
90 – 100 A
80 – 89.99 B
77 – 79.99 C
67 – 76.99 D
0 – 66.99 F
Course Grading Policy:
A final course average of 77% or higher is required for a passing course grade. The final course grade will be calculated utilizing the following criteria:
Grade Components for NU214A Grade % Distribution
IV Calculation Exam 20%
Dysrhythmia’s Exam 14%
Skills Cluster Comprehensive Exam 14%
ATI- Proctored Exams 2%
Diabetic Learning Project 12%
Care Plans (2) 20%
Student Simulation Prep 8%
Clinical Documentation forms 10%
ATI Virtual Skills & Quiz Ticket to class
Clinical Course Objectives/Competencies Pass/Fail
Psychomotor Skills Checklist Pass/Fail
Documentation in SimChart Pass/Fail
Clinical Simulation Pass/Fail
ATI: Nurse’s Touch and Real Life Pass/Fail
a. Calculation of Course Grade:
IV Calculation Exam
The student will be given a proctored computer examination to assess mastery of IV Calculations. The student must make a 95% or greater on the calculation exam. If the student did not make 95% or greater, the student will be given a second opportunity to make 95% or greater. The student’s first exam grade will be the student’s grade in the gradebook. If the student is unsuccessful after the second attempt the student will not pass the course. See course calendar for dates and times.
NMNEC calculation guidelines:
1. Calculate infusion rates and times for intravenous administration
2. Calculate volumes between milliliters per hour and drops per minute
3. Calculate total/end infusion times for intravenous fluids
4. Calculate amounts/times to administer IV push medications
5. Calculate infusion rates/times for intermittent (piggyback) infusions
6. Determine dosages based on a patient’s clinical data (age, weight, vital signs or lab results)
7. Calculate rates/dosages/amounts for intravenous medication drips
The student will be given a proctored computer examination to assess mastery of dysrhythmia’s. See course calendar for dates and times.
Skills Cluster Comprehensive Exam:
The student will be given a proctored computer examination to assess mastery of skills learned in Level 3. See course calendar for date and time.
Per NMJC policy, faculty has 10 days to post grades. Exam scores are usually posted in Canvas within 24-48 hours.
If it is absolutely necessary to miss an exam for an excusable reason, the student must notify faculty at least 2 hours prior to the exam. A time and date for a makeup exam will be arranged. The exam may be a different version or format.
Assessment Technology Institute Proctored Exams:
The student will take proctored exams and remediate. The student will earn a grade per the ATI grading policy. See grading policy in the handbook.
Diabetic Learning Project: Each student will complete a diabetic learning project. The guidelines and grading rubric for the assignment will be posted in Canvas.
Care Plans (2): Each student will complete a care plan on a patient in the clinical setting on 2 separate rotations. The guidelines and grading rubric for the assignment will be posted in Canvas.
Student Simulation Preparation: Each student will prepare for the clinical simulation prior to the simulation. The guidelines and grading rubric for the assignment will be posted in Canvas.
Clinical Documentation Forms: Each student will be responsible for completing the required document forms. The guidelines and grading rubric for the assignment will be posted in Canvas.
ATI skill modules- Ticket to class
Each skill 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 each lab. See Course Assignments below for consequences of a missed assignment.
Clinical Course Objective/ Competencies, Formative evaluation, Summative evaluation:
Student clinical requirements must be up to date before the semester begins to obtain entrance into clinical agencies. Students will take care of patients with chronic conditions across the lifespan. 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 and name tag. All electronic devices need to be on silent mode. Students will perform assessments and psychomotor skills learned so far and then document them in the academic electronic health record. Students must meet the clinical course objectives and competencies in order to successfully pass the course regardless of grades on exams or assignments.
Students must attend all scheduled clinical (see schedule). If there is an extenuating circumstance and the student needs to be late or miss a clinical, students must notify the faculty before the clinical begins. All missed clinical (excused and unexcused) must be made up. See student handbook for absence policy.
Halfway through and at the end of the clinical, students will complete the Clinical Evaluation and submit it electronically through Canvas. The faculty will complete the faculty section and return it to the student. If the evaluating nursing faculty/clinical instructor determine that the student is not performing satisfactorily during clinical rotations, the student will be counseled and areas of concern will be addressed. A corrective action plan and/or learning contract may be developed and signed by the faculty member/clinical instructor and the student. If an action plan and/or learning contract are initiated, the student must satisfactorily complete all requirements listed in the action plan and/or learning contract in order to pass the clinical portion of the course. At the end of the semester, each of the course competencies needs to be at a Satisfactory level or above to successfully pass the course. 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.
Psychomotor skills checklist: The student is required to demonstrate proficiency in all psychomotor skills check offs within the set time limit. The student will be given three opportunities to demonstrate proficiency. If the student is unable to successfully complete the skill within the allotted time frame the student will make up the skill that was not. The student will have a different faculty member for the check off on the second attempt. If the student is unsuccessful after the second attempt, two different faculty members will be present at the third attempt to assess proficiency.
If unable to demonstrate proficiency to faculty members within the three opportunities, the student will not pass the course.
Must wear clinical uniform on skills check off days following the clinical uniform guidelines in the handbook or will not be allowed to check off. This includes having name tag, hair pulled back, tattoos covered and no facial piercings.
Clinical Simulations: The student is required to participate in clinical simulation assignments. The clinical simulation assignments will allow the student to demonstrate, ethical, safe, and effective nursing care to the patients with chronic conditions.
Must wear clinical uniform on simulation day following the clinical uniform guidelines in the handbook or will not be allowed to participate in simulation. This includes having name tag, hair pulled back, tattoos covered and no facial piercings.
Documentation in SimChart:
The student must complete all assigned activities. Specific guidelines will be discussed during class.
An assignment is considered to be, but not limited to the following:
• Exams, care plans, journals, ATI products, standardized exams (ATIs, etc.), pass/fail assignments, quizzes, posters, presentations, laboratory skills assessments and projects.
• All assignments must 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.
• 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 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, you must email the assignment to your instructor and it will be timed and dated according to the time and date that 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.
The student must satisfactorily complete all pass/fail assignments and achieve at least the minimum passing score designated (if specified) for the assignment in order to pass the course. Failure to complete all assignments in the course could result in course failure.
A pass/fail assignment is one in which the student is required to complete by the designated due date. Including Module Zero, which is to be completed by the due date, for every course, every semester, and no exceptions.
For most pass/fail assignments, the assignment is considered “passed” once it is completed by the due date, no matter what score is achieved. Some pass/fail assignments may have a certain score that must be achieved by the due date in order to pass but 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 the remaining time in the nursing program.
• 3rd missed assignment:
o Student will be required to meet with the Administrative Nursing Review Committee to discuss the 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.
GRADES ARE NOT ROUNDED. STUDENT RECEIVE’S EXACTLY THE GRADE EARNED.
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:
Upon successful completion of this course, the student should be able to:
1. Incorporate diverse patient values, beliefs, and attitudes, into plan of care for patients with chronic illness.
2. Identify and interpret factors for improvement in patient safety and nursing practice.
3. Utilize an evidence-based practice approach to the delivery and evaluation of nursing care to chronically ill patients across the lifespan.
4. Utilize policies and procedures with the healthcare setting.
5. Participate as a member of the healthcare team in the delivery of care.
6. Utilize appropriate technology for the delivery of nursing care to chronically ill patients.
Upon successful completion of this course, the student will:
1. Demonstrate ethical practice in the delivery of nursing care to patients with chronic conditions.
2. Apply understanding of the principles of safe nursing care for patients with chronic conditions.
3. Demonstrate knowledge of appropriate evidence-based protocols when providing nursing care to patients with chronic conditions.
4. Apply understanding of appropriate health care policy, finance, and regulatory environments in the care of patients with chronic conditions.
5. Communicate effectively with patients with chronic conditions and health care team members.
6. Demonstrate an understanding of the technology used in the care of patients with chronic conditions.
7. Utilize the nursing process to deliver nursing care to patients with chronic conditions.
Level Objective Course Competencies: Upon successful completion of this course, the student will:
1.1 Apply patient’s values, beliefs and attitudes to the patient’s plan of care.
1.2 Using effective communication, apply the patient’s expressed values, beliefs, and attitudes to nursing care.
1.3 Identify health care resources for diverse patient populations at the local, regional, and national levels.
2.1 Identify factors present in clinical settings that promote or hinder a culture of safety and caring.
2.2 Anticipate, identify, and eliminate potentially harmful situations in nursing the patient with chronic illness.
2.3 Interpret and evaluate system contributions and staff response to clinical errors and near misses in nursing the patient with chronic illness, with guidance.
2.4 Implement evidence-based procedures to reduce harm, promote safety, and improve care in nursing the patient with chronic illness, with guidance.
2.5 Analyze gaps between local/clinical site and best practice and system factors that support or hinder adoption of best practices.
3.1 Apply evidence in providing care to patients with chronic health problems.
Level Objective Course Competencies: Upon successful completion of this course, the student will:
3.2 Identify patient/family preferences and values and their effect on the delivery of optimal care.
3.3 Assess outcomes of care when using evidence-based approaches.
3.4 Implement evidence based protocols/pathways when providing nursing care.
4.1 Demonstrate clinical competency in care delivery to the chronic patient in lab and practice settings.
4.2 Use effective communication style with team members in care of patients with chronic illness.
4.3 Identify how healthcare policy, finance, and regulatory environments relate to the care of patients with chronic illness.
4.4 Demonstrate ethical practice in the delivery of care to patients with chronic illness.
4.5 Advocate for patients with chronic illness.
5.1 Collaborate effectively within the inter-professional team, with guidance.
5.1 Build on own strengths and compensate for limitations as a team member.
5.3 Recognize leadership behaviors and begin to incorporate these behaviors into nursing practice.
6.1 Document planning, implementation and evaluation of nursing care of patients with chronic illness using available technology.
6.2 Incorporate health care resources in sharing health information with patients with chronic illness.
6.3 Safely operate appropriate technology in the delivery of care to chronically ill patients.
Students will be held responsible for the information on these pages.
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 firstname.lastname@example.org.
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.
All cell phones and pagers must be turned off when the student is participating in any lecture, laboratory, or other learning activity.
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.
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.
Free tutoring services are available to all NMJC students through Brainfuse and the Academic Success Center located in Mansur Hall room 123 and 124.
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 Tuesday, November 21, 2017. All students are encouraged to discuss their class status with the professor prior to withdrawing from the class.
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 professor may change the outline as warranted or needed.
Teaching Strategies used during instruction in NU214A include:
Discussion Case Studies
Assessment Audiovisual Media
Internet Resources Care Plans
Lab Simulation Concept Maps
Role-Play Assessment Technology Institute (ATI)
Examinations Clicker questions
See Canvas for assignments and required reading