Maricopa Community Colleges

Edu289Official Course Description:  MCCCD Approval: 5-26-2009

NUR180PN  2009 Fall – 2010 Fall

L+L  11.0 Credit(s)  22.0 Period(s)  18.7 Load  Occ

Practical Nursing Theory and Science II

Holistic practical nursing concepts and theories related to care of childbearing, pediatric, adult, and geriatric clients.  Role of the practical nurse collaborating with other members of the healthcare team.  Concepts of health promotion and disease/illness prevention.  Nursing care based upon integration of pathophysiology, nutrition, communication and physical, biological and psycho -social sciences.  Information technology in performing and documenting client care.  Emphasis on nursing care related to pediatric, child-bearing families, and adult clients with selected alterations in health; concepts of delegation, prioritization and management of care for the practical nurse based on the core values of the nursing program.

Prerequisites: NUR160PN.

 

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MCCCD Official Course Competencies:

 

 

NUR180PN  2009 Fall – 2010 Fall

Practical Nursing Theory and Science II

 

1.          Demonstrate therapeutic communication skills and caring behaviors to clients and their families across the lifespan. (I)

2.          Utilize the practical nursing program philosophy and core values when providing client care. (I-VI)

3.          Demonstrate critical thinking skills and problem-solving to provide holistic nursing care to clients. (II)

4.          Describe types, classifications, pharmacokinetics, and pharmacodynamic properties of selected drugs. (II)

5.          Apply principles of safe medication administration for childbearing, pediatric, adult, and geriatric clients. (II)

6.          Perform data collection techniques for childbearing, pediatric, adult, and geriatric clients. (II)

7.          Implement the established plan of care for childbearing, pediatric, adult, and geriatric clients. (II, III)

8.          Implement an established teaching plan that targets identified learning needs for clients and their families across the lifespan. (II, III)  

9.          Apply anatomy and physiology, and pathophysiologic concepts to the care of clients with selected health alterations across the lifespan. (II, III)

10.        Explain nutritional concepts that support health promotion and disease prevention to   clients across the lifespan. (II, III)

11.        Recognize client’s expected stages of growth and development. (II, III)

12.        Integrate physical, biologic, psycho-social, cultural, and spiritual aspects into the established plan of care. (II, III, IV)

13.        Identify basic health promotion, disease/illness prevention, and health restoration strategies for pediatric and child-bearing clients, adult and geriatric clients. (III)

14.        Demonstrate safe techniques and competent care in providing interventions for clients receiving intravenous therapy. (IV)

15.        Calculate medication dosages safely and accurately. (IV)

16.        Practice within the regulatory, legal and ethical frameworks of practical nursing. (IV)

17.        Participate in activities to prepare for response to internal and external disasters. (IV)

18.        Demonstrate safe performance of selected clinical skills/procedures for childbearing, pediatric, adult, and geriatric clients. (IV)

19.        Collaborate with members of the healthcare team to provide safe and competent nursing care. (IV, V)

20.        Communicate significant client findings and events to the registered nurse and other members of the healthcare team. (V)

21.        Manage a group of clients under the direction of a registered nurse using time management, interpersonal communication, delegation and organizational skills. (V)

22.        Apply elements of technology and information management to document and report client findings and conditions. (VI)

 

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MCCCD Official Course Outline:

 

 

NUR180PN  2009 Fall – 2010 Fall

Practical Nursing Theory and Science II

 

I.          Caring for the Pediatric/Child-Bearing Client and Family

            A.        Therapeutic Communication

            B.        Therapeutic Environment 

            C.        Support Systems

II.        Critical Thinking

            A.        Establishing Priorities

            B.        Care of Adult/Geriatric Clients with Alterations of the Respiratory System

                        1.         Anatomy and Physiology

                        2.         Pathophysiological Concepts

                                    a.         Acid/Base Imbalance

                        3.         Laboratory and Diagnostic Examinations

                                    a.         Normal Findings

                                    b.         Abnormal Findings and Significance

                                    c.         Potential Complications

                                    d.         Practical Nurse Responsibilities

                        4.         Selected Disorders of the Respiratory System

                        5.         Medical Management

                        6.         Nursing Process

                        7.         Pharmacokinetics/Pharmacodynamics for Selected Pharmacological Classifications

            C.        Care of Adult/Geriatric Clients with Alterations of the Circulatory System

                        1.         Anatomy and Physiology

                        2.         Pathophysiological Concepts

                        3.         Laboratory and Diagnostic Examinations

                                    a.         Normal Findings

                                    b.         Abnormal Findings and Significance

                                    c.         Potential Complications

                                    d.         Practical Nurse Responsibilities

                        4.         Selected Disorders of the Circulatory System

                        5.         Medical Management

                        6.         Nursing Process

                        7.         Pharmacokinetics/Pharmacodynamics for Selected Pharmacological Classifications

            D.        Care of Adult/Geriatric Clients with Alterations of the Hematologic and Lymphatic System

                        1.         Anatomy and Physiology

                        2.         Pathophysiological Concepts

                        3.         Laboratory and Diagnostic Examinations

                                    a.         Normal Findings

                                    b.         Abnormal Findings and Significance

                                    c.         Potential Complications

                                    d.         Practical Nurse Responsibilities

                        4.         Selected Disorders of the Hematologic and Lymphatic System

                        5.         Medical Management

                        6.         Nursing Process

                        7.         Pharmacokinetics/Pharmacodynamics for Selected Pharmacological Classifications

            E.         Care of Adult/Geriatric Clients with Alterations of the Immune System

                        1.         Anatomy and Physiology

                        2.         Pathophysiological Concepts

                        3.         Laboratory and Diagnostic Examinations

                                    a.         Normal Findings

                                    b.         Abnormal Findings and Significance

                                    c.         Potential Complications

                                    d.         Practical Nurse Responsibilities

                        4.         Selected Disorders of the Immunologic System

                        5.         Medical Management

                        6.         Nursing Process

                        7.         Pharmacokinetics/Pharmacodynamics for Selected Pharmacological Classifications

            F.         Care of Adult/Geriatric Clients with Alterations of the Urinary System

                        1.         Anatomy and Physiology

                        2.         Pathophysiological Concepts

                        3.         Laboratory and Diagnostic Examinations

                                    a.         Normal Findings

                                    b.         Abnormal Findings and Significance

                                    c.         Potential Complications

                                    d.         Practical Nurse Responsibilities

                        4.         Selected Disorders of the Urinary System

                        5.         Medical Management

                        6.         Nursing Process

                        7.         Pharmacokinetics/Pharmacodynamics for Selected Pharmacological Classifications

            G.        Care of Adult/Geriatric Clients with Alterations of the Neurological System

                        1.         Anatomy and Physiology

                        2.         Pathophysiological Concepts

                        3.         Laboratory and Diagnostic Examinations

                                    a.         Normal Findings

                                    b.         Abnormal Findings and Significance

                                    c.         Potential Complications

                                    d.         Practical Nurse Responsibilities

                        4.         Selected Disorders of the Neurological System

                        5.         Medical Management

                        6.         Nursing Process

                        7.         Pharmacokinetics/Pharmacodynamics for Selected Pharmacological Classifications

            H.        Care of Adult/Geriatric Clients with Alterations of the Reproductive System

                        1.         Anatomy and Physiology

                        2.         Pathophysiological Concepts

                        3.         Laboratory and Diagnostic Examinations

                                    a.         Normal Findings

                                    b.         Abnormal Findings and Significance

                                    c.         Potential Complications

                                    d.         Practical Nurse Responsibilities

                        4.         Selected Disorders of the Reproductive System

                        5.         Medical Management

                        6.         Nursing Process

                        7.         Pharmacokinetics/Pharmacodynamics for Selected Pharmacological Classifications

            I.          Care of the Antepartum Client and Family

                        1.         Anatomy and Physiology

                        2.         Pathophysiological Concepts

                        3.         Laboratory and Diagnostic Examinations

                                    a.         Normal Findings

                                    b.         Abnormal Findings and Significance

                                    c.         Potential Complications

                                    d.         Practical Nurse Responsibilities

                        4.         Selected Disorders of the Antepartum Client

                        5.         Medical Management

                        6.         Nursing Process

                        7.         Pharmacokinetics/Pharmacodynamics for Selected Pharmacological Classifications

            J.          Care of the Intrapartum Client and Family

                        1.         Anatomy and Physiology

                        2.         Pathophysiological Concepts

                        3.         Laboratory and Diagnostic Examinations

                                    a.         Normal Findings

                                    b.         Abnormal Findings and Significance

                                    c.         Potential Complications

                                    d.         Practical Nurse Responsibilities

                        4.         Selected Disorders of the Intrapartum Client

                        5.         Medical Management

                        6.         Nursing Process

                        7.         Pharmacokinetics/Pharmacodynamics for Selected Pharmacological Classifications

            K.        Care of the Postpartum Client and Family

                        1.         Anatomy and Physiology

                        2.         Pathophysiological Concepts

                        3.         Laboratory and Diagnostic Examinations

                                    a.         Normal Findings

                                    b.         Abnormal Findings and Significance

                                    c.         Potential Complications

                                    d.         Practical Nurse Responsibilities

                        4.         Selected Disorders of the Postpartum Client

                        5.         Medical Management

                        6.         Nursing Process

                        7.         Pharmacokinetics/Pharmacodynamics for Selected Pharmacological Classifications

            L.         Care of the Neonate

                        1.         Anatomy and Physiology

                        2.         Pathophysiological Concepts

                        3.         Laboratory and Diagnostic Examinations

                                    a.         Normal Findings

                                    b.         Abnormal Findings and Significance

                                    c.         Potential Complications

                                    d.         Practical Nurse Responsibilities

                        4.         Selected Disorders of the Neonate

                        5.         Medical Management

                        6.         Nursing Process

                        7.         Pharmacokinetics/Pharmacodynamics for Selected Pharmacological Classifications

            M.        Care of Pediatric Clients with Alterations of the Circulatory System

                        1.         Anatomy and Physiology

                        2.         Pathophysiological Concepts

                        3.         Laboratory and Diagnostic Examinations

                                    a.         Normal Findings

                                    b.         Abnormal Findings and Significance

                                    c.         Potential Complications

                                    d.         Practical Nurse Responsibilities

                        4.         Selected Congenital/Pediatric Disorders of the Circulatory System

                        5.         Medical Management

                        6.         Nursing Process

                        7.         Pharmacokinetics/Pharmacodynamics for Selected Pharmacological Classifications

            N.        Care of Pediatric Clients with Alterations of the Hematologic & Lymphatic System

                        1.         Anatomy and Physiology

                        2.         Pathophysiological Concepts

                        3.         Laboratory and Diagnostic Examinations

                                    a.         Normal Findings

                                    b.         Abnormal Findings and Significance

                                    c.         Potential Complications

                                    d.         Practical Nurse Responsibilities

                        4.         Selected Disorders of the Hematologic and Lymphatic System

                        5.         Medical Management

                        6.         Nursing Process

                        7.         Pharmacokinetics/Pharmacodynamics for Selected Pharmacological Classifications

            O.        Care of Pediatric Clients with Alterations of the Immune System

                        1.         Anatomy and Physiology

                        2.         Pathophysiological Concepts

                        3.         Laboratory and Diagnostic Examinations

                                    a.         Normal Findings

                                    b.         Abnormal Findings and Significance

                                    c.         Potential Complications

                                    d.         Practical Nurse Responsibilities

                        4.         Selected Congenital/Pediatric Disorders of the Immune System

                        5.         Medical Management

                        6.         Nursing Process

                        7.         Pharmacokinetics/Pharmacodynamics for Selected Pharmacological Classifications           

            P.         Care of Pediatric Clients with Alterations of the Respiratory System

                        1.         Anatomy and Physiology

                        2.         Pathophysiological Concepts

                        3.         Laboratory and Diagnostic Examinations

                                    a.         Normal Findings

                                    b.         Abnormal Findings and Significance

                                    c.         Potential Complications

                                    d.         Practical Nurse Responsibilities

                        4.         Selected Congenital/Pediatric Disorders of the Respiratory System

                        5.         Medical Management

                        6.         Nursing Process

                        7.         Pharmacokinetics/Pharmacodynamics for Selected Pharmacological Classifications

            Q.        Care of Pediatric Clients with Alterations of the Digestive System

                        1.         Anatomy and Physiology

                        2.         Pathophysiological Concepts

                        3.         Laboratory and Diagnostic Examinations

                                    a.         Normal Findings

                                    b.         Abnormal Findings and Significance

                                    c.         Potential Complications

                                    d.         Practical Nurse Responsibilities

                        4.         Selected Congenital/Pediatric Disorders of the Digestive System

                        5.         Medical Management

                        6.         Nursing Process

                        7.         Pharmacokinetics/Pharmacodynamics for Selected Pharmacological Classifications

            R.        Care of Pediatric Clients with Alterations of the Genitourinay System

                        1.         Anatomy and Physiology

                        2.         Pathophysiological Concepts

                        3.         Laboratory and Diagnostic Examinations

                                    a.         Normal Findings

                                    b.         Abnormal Findings and Significance

                                    c.         Potential Complications

                                    d.         Practical Nurse Responsibilities

                        4.         Selected Congenital/Pediatric Disorders of the Genitourinary System

                        5.         Medical Management

                        6.         Nursing Process

                        7.         Pharmacokinetics/Pharmacodynamics for Selected Pharmacological Classifications

            S.         Care of Pediatric Clients with Alterations of the Endocrine System

                        1.         Anatomy and Physiology

                        2.         Pathophysiological Concepts

                        3.         Laboratory and Diagnostic Examinations

                                    a.         Normal Findings

                                    b.         Abnormal Findings and Significance

                                    c.         Potential Complications

                                    d.         Practical Nurse Responsibilities

                        4.         Selected Congenital/Pediatric Disorders of the Endocrine System

                        5.         Medical Management

                        6.         Nursing Process

                        7.         Pharmacokinetics/Pharmacodynamics for Selected Pharmacological Classifications

            T.         Care of Pediatric Clients with Alterations of the Musculoskeletal System

                        1.         Anatomy and Physiology

                        2.         Pathophysiological Concepts

                        3.         Laboratory and Diagnostic Examinations

                                    a.         Normal Findings

                                    b.         Abnormal Findings and Significance

                                    c.         Potential Complications

                                    d.         Practical Nurse Responsibilities

                        4.         Selected Congenital/Pediatric Disorders of the Musculoskeletal System

                        5.         Medical Management

                        6.         Nursing Process

                        7.         Pharmacokinetics/Pharmacodynamics for Selected Pharmacological Classifications            U.            Care of Pediatric Clients with Alterations of the Neurological System

                        1.         Anatomy and Physiology

                        2.         Pathophysiological Concepts

                        3.         Laboratory and Diagnostic Examinations

                                    a.         Normal Findings

                                    b.         Abnormal Findings and Significance

                                    c.         Potential Complications

                                    d.         Practical Nurse Responsibilities

                        4.         Selected Congenital/Pediatric Disorders of the Neurological System

                        5.         Medical Management

                        6.         Nursing Process

                        7.         Pharmacokinetics/Pharmacodynamics for Selected Pharmacological Classifications            V.            Care of Pediatric Clients with Alterations of the Integumentary System

                        1.         Anatomy and Physiology

                        2.         Pathophysiological Concepts

                        3.         Laboratory and Diagnostic Examinations

                                    a.         Normal Findings

                                    b.         Abnormal Findings and Significance

                                    c.         Potential Complications

                                    d.         Practical Nurse Responsibilities

                        4.         Selected Congenital/Pediatric Disorders of the Integumentary System

                        5.         Medical Management

                        6.         Nursing Process

                        7.         Pharmacokinetics/Pharmacodynamics for Selected Pharmacological Classifications            W.       Care of Pediatric Clients with Sensory/Perceptual Alterations

                        1.         Anatomy and Physiology

                        2.         Pathophysiological Concepts

                        3.         Laboratory and Diagnostic Examinations

                                    a.         Normal Findings

                                    b.         Abnormal Findings and Significance

                                    c.         Potential Complications

                                    d.         Practical Nurse Responsibilities

                        4.         Selected Congenital/Pediatric Sensory/Perceptual Disorders

                        5.         Medical Management

                        6.         Nursing Process

                        7.         Pharmacokinetics/Pharmacodynamics for Selected Pharmacological Classifications            X.            Care of Pediatric Clients with Psychological/Mental Health Disorders

                        1.         Anatomy and Physiology

                        2.         Pathophysiological Concepts

                        3.         Laboratory and Diagnostic Examinations

                                    a.         Normal Findings

                                    b.         Abnormal Findings and Significance

                                    c.         Potential Complications

                                    d.         Practical Nurse Responsibilities

                        4.         Selected Congenital/Pediatric Psychological/Mental Health Disorders

                        5.         Medical Management

                        6.         Nursing Process

                        7.         Pharmacokinetics/Pharmacodynamics for Selected Pharmacological Classifications

III.       Holism

            A.        Life Span Development of the Pediatric/Child-Bearing Client and Family

1.         Developmental Stages and Transitions for Pediatric/Child-Bearing Client and Families

                        2.         Expected/ Unexpected Body Image Changes

                        3.         Situational Role Changes

            B.        Self-Care for the Pediatric/Child-Bearing Client and Family

                        1.         Basic Care and Comfort

                        2.         Assistive Devices

                        3.         Elimination

                        4.         Mobility/Immobility

                        5.         Nutrition and Oral Hydration

                        6.         Personal Hygiene

                        7.         Rest and Sleep

                        8.         Pain Management

                                    a.         Pharmacological Palliative/ Comfort Care Measures

                                    b.         Non-pharmacological Palliative/Comfort Care Measures

            C.        Health Promotion and Disease Prevention for the Pediatric/Child-Bearing Client and Family

                        1.         Risk Factors

                        2.         Health Screening Programs

                        3.         Immunizations

                        4.         Lifestyle Choices

                        5.         High Risk Behaviors

                        6.         Referral Process

                        7.         Continuity of Care

                        8.         Family Planning

                        9.         Human Sexuality

IV.       Safe Practice

            A.        Selected Clinical Skills/Therapeutic Procedures

                        1.         Role of the Practical Nurse

                        2.         Safe Use of Equipment

                        3.         Emergency Procedures

                        4.         Internal and External Disaster Preparedness

                        5.         Care of the Patient with a Chest Tube

                        6.         Care of the Patient Receiving a Blood Transfusion

                        7.         Care of the Patient with a Tracheostomy

                        8.         Electrocardiogram/Cardiac Monitoring

                        9.         Intravenous Infusion Therapy/Venipuncture

                                    a.         Scope of the Practical Nurse

                                                (1)        Arizona State Board of Nursing

                                                (2)        Legal Implications

                                                (3)        Documentation

                                    b.         Blood Collection

                                    c.         Principles of IV Therapy

                                    d.         Routine Care and Maintenance

                                                (1)        Catheter Site Care

                                                (2)        Flushing with Saline or Heparinized Saline

                                                (3)        Client Evaluation

                                                (4)        Equipment

                                    e.         Complications/Adverse Reactions

                                                (1)        Local

                                                (2)        Mechanical

                                                (3)        Systemic

                                    f.          Insertion of Peripheral-Short IV Catheters

                                    g.         Discontinuation of Peripheral IV Catheters

                                                (1)        Peripheral-Short

                                                (2)        Peripheral Midline

                                    h.         Pharmacokinetics/Pharmacodynamics for Select IV Fluids and

                                                Medications

                                                (1)        Hypo-/Iso-/Hypertonic Solutions

                                                (2)        Premixed/Admixture Medications     

                                    i.          Dosage Calculations/Regulating Rates

                                    j.          Administration of Select Intravenous Solutions

                                                (1)        Un-medicated Solutions

                                                (2)        Premixed/Admixed Medications

                        10.       Clinical Skills/Therapeutic Procedures for the Child-Bearing Client/Family/Neonate

                                    a.         Data Collection

                                    b.         Use of Isolette/Warmer

                        11.       Clinical Skills/Therapeutic Procedures for the Pediatric Client

                                    a.         Data Collection

                                    b.         Medication Administration

                                                (1)        Dosage Calculations              

V.        Role Development

            A.        Roles and Responsibilities of the Practical Nurse

                        1.         Manager of Care

                                    a.         Concepts of Management and Supervision

                                    b.         Client Care Assignments

                                    c.         Conflict Resolution

                        2.         Provider of Care

                                    a.         Verbal/Telephone Orders

                                    b.         Review/Sign Off Orders

                        3.         Member of Profession

                                    a.         Nursing Organizations

                                    b.         Regulatory Agencies

                                    c.         Staff Education

VI.       Information Management and Technology

            A.        Documentation

                        1.         Electronic Medical Records (EMR)

            B.        Client Report

            C.        Online Databases and Library Resources

 

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