Course Title: Medical Surgical I & Mental Health Nursing
Course Code: NSG525 Clinical II
Credit hours: 3.0
Clinical: 135 total hours (45 contact hours per credit)
Description:
This course is designed to develop application of the nursing process in the care of acutely and chronically ill patients, as well as patients with mental health disorders. The roles of medical- surgical and mental health nurses are examined across roles, including the role of coordinator of care transitions. Interprofessional collaboration is emphasized to enhance safe, quality nursing care in a variety of clinical settings. Clinical experiences integrate the concepts of caring, collaboration, communication, cultural sensitivity, community, and clinical judgment to facilitate the well-being of individuals and to prepare the student as a provider of care. In the clinical setting, students will care for patients with select medical, surgical, and/or mental health problems in various settings, demonstrate knowledge of pathophysiology and psychosocial dynamics, apply the nursing process, utilize information technology, interact with other health care professionals, and practice clinical decision making and critical inquiry while caring for culturally diverse, ill adults.
Program: MSN Nursing
Program Outcomes:
Upon completion of their program, the student should be able to:
1.
Prioritize patient-centered care using clinical judgment and the nursing process. (Knowledge for Nursing Practice, Person-Centered Care)
2.
Collaborate with patients, families and team members to provide safe and culturally competent care. (Population Health, Quality and Safety)
3.
Integrate evidence-based practice within diverse clinical settings to deliver optimal care. (Scholarship, Systems-Based Practice)
4.
Minimize risk of harm to patients and providers through both systems effectiveness and individual performance. (Quality and Safety)
5.
Use informational technology to communicate, mitigate error, support decision making, and manage patient care. (Informatics and Healthcare Technologies)
6.
Evaluate quality improvement processes to enhance patient outcomes. (Quality and Safety)
7.
Integrate professionalism and advanced leadership skills within the interdisciplinary healthcare
environment. (Interprofessional Partnerships, Professionalism, Personal,
Professional, and Leadership Development)
8.
Analyze national and global policies, legislative concepts, and economics to address population outcomes. (Professionalism)
Course Learning Objectives:
Upon completion of this course, the student will be able to:
1.
Provide safe and effective care to enhance patient outcomes in adult medical surgical and mental health patient care settings.
2.
Demonstrate patient-centered care using clinical judgment in the decision-making process.
3.
Demonstrate professionalism and interdisciplinary collaboration.
4.
Utilize effective communication and documentation techniques when providing nursing care in adult medical surgical and mental health clinical settings.
5.
Demonstrate an ethically and culturally sensitive nursing process while caring for diverse patients in adult medical surgical and mental health patient care settings.
Upon successful completion of simulations, students should be able to:
1.
Integrate scientific evidence from nursing and biopsychosocial disciplines, and safety and quality improvement when caring for adult medical surgical and mental health patients in a structured setting.
2.
Integrate concepts of standardized nursing care to adults with physical and/or mental health disorders in a structured setting.
3.
Demonstrate evidence-based prioritization of care and safe and effective clinical decision- making when caring for standardized adult medical surgical and mental health patients.
4.
Demonstrate professional communication and collaboration with peers, faculty, and standardized patients within a simulated environment.
5.
Implement the use of information technology to research, document, and complete activities.
6.
Effectively demonstrate use of the electronic health record (EHR) to promote safe and effective interprofessional communication based on assimilation of the standardized patient care experience.
Upon successful completion of the clinical experience, students should be able to:
1.
Synthesize theories, models and research findings inherent to nursing practice, education and management to provide patient care in the adult medical surgical and mental health populations focused on the achievement of successful outcomes.
2.
Incorporate organizational and culturally sensitive client and population centered concepts in the planning, delivery, management, and evaluation of direct and indirect evidence-based health promotion care and services to the adult medical surgical and mental health populations.
3.
Demonstrate effective communication and documentation techniques when providing nursing care in the adult medical surgical and mental health clinical settings
4.
Use informational technology to communicate, mitigate error, support decision making, and manage patient care in the adult medical surgical and mental health care settings.
5.
Evaluate quality improvement processes to enhance safe and effective patient outcomes.
Topics & Learning Activities
Unit Topics & Activities Learning Objective Supported Points Available
Unit 1
Topics:
Medical-Surgical: Review of the Acute Care Environment and Role of the Acute Care Nurse, including Interprofessional Collaborative Practice
Mental Health: Interpersonal Communication, Legal & Ethical Issues, Treatment Modalities, Psychiatric/Mental Health Care Settings and Therapeutic Programs
Student Resources: Online Course Resources
Assignment(s):
•
Introduction Discussion Board
•
Timesheet
•
Student Professionalism Agreement
1, 2, 4, 5, 6
50
0 C/I
0 C/I
Unit 2
Topics:
Medical-Surgical: Review of Fluid/Electrolyte/Acid-Base Balance
Mental Health: Review of Legal and Ethical Issues and Treatment Modalities, Settings, and Therapeutic Programs
Student Resources: Online Course Resources
Assignment(s):
•
Clinical Reflection or Non-Clinical Reflection
•
Timesheet
1, 2, 3, 4, 5,
6
50
0 C/I
Unit 3
Topics:
Medical-Surgical: Review of Perioperative Nursing Care
Mental Health: Review of Psychiatric Mental Health Assessment (subjective and objective data)
Student Resources: Online Course Resources
Assignment(s):
•
Timesheet
1, 2, 4, 5, 6
0 C/I
Unit 4
Topics:
Medical-Surgical: Review of Disorders of the Respiratory System
Mental Health: Review of Loss & Grief
Student Resources: Online Course Resources
Assignment(s):
•
Clinical Reflection or Non-Clinical Reflection
•
Timesheet
1, 2, 3, 4, 5,
6
50
0 C/I
Unit 5
Topics:
Medical-Surgical: Review of Disorders of the Gastrointestinal System, specifically Crohn’s Disease, Ulcerative Colitis, Gastroesophageal Reflux Disease, Obesity, & Diseases of Motility
Mental Health: Review of Anger, Hostility, & Disruptive Behavior
Student Resources: Online Course Resources
Assignment(s):
•
Timesheet
1, 2, 3, 4, 5,
6
0 C/I
Unit 6
Topics:
Medical-Surgical: Review of Gastrointestinal Disorders, specifically small and large bowel obstruction, enteral & parenteral nutrition, gall bladder disease, peptic ulcer disease, appendicitis,
peritonitis & diverticular disease
Mental Health: Review of Addiction & Dependence
Student Resources: Online Course Resources
Assignment(s):
•
Clinical Reflection or Non-Clinical Reflection
•
Timesheet
1, 2, 3, 4, 5,
6
50
0 C/I
Unit 7
Topics:
Medical-Surgical: Review of Cardiovascular System Disorders
Mental Health: Review of Anxiety Disorders
Student Resources: Online Course Resources
Assignment(s):
•
Timesheet
1, 2, 3, 4, 5,
6
0 C/I
Unit 8
Topics:
Medical-Surgical: Review of Disorders of the Hematological System, specifically anemias, thrombocytopenia/platelet defects, and peripheral vascular occlusion disease)
Mental Health: Review of Somatic Symptom Illnesses and Sleep/Wakefulness Disorders
Student Resources: Online Course Resources
Assignment(s):
•
Clinical Reflection or Non-Clinical Reflection
•
Timesheet
1, 2, 3, 4, 5,
6
50
0 C/I
Unit 9
Topics:
•
Medical-Surgical: Review of Disorders of the Genitourinary & Renal Systems
•
Mental Health: Review of Mood Disorders
Student Resources: Online Course Resources
Assignments:
•
Timesheet
1, 2, 3, 4, 5,
6
0 C/I
Unit 10
Topics:
•
Medical-Surgical: Review of Disorders of the Neurological System, specifically Dementia, Alzheimer’s disease, Parkinson Disease, and Headache
•
Mental Health: Review of Eating & Obsessive- Compulsive Disorders
Student Resources: Online Course Resources
Assignments:
•
Clinical Reflection or Non-Clinical Reflection
Timesheet
1, 2, 3, 4, 5,
6
50
0 C/I
Unit 11
Topics:
•
Medical-Surgical: Review of Seizures and Epilepsies
•
Mental Health: Review of Personality Disorders
Student Resources: Online Course Resources
Assignment(s):
Timesheet
1, 2, 3, 4, 5,
6
0 C/I
Unit 12
Topics:
Medical-Surgical: Review of Hypo/Hyperthyroidism
Mental Health: Review of Schizophrenia
Student Resources: Online Course Resources
Assignment(s):
Clinical Reflection or Non-Clinical Reflection
Timesheet
1, 2, 3, 4, 5,
6
50
0 C/I
Unit 13
Topics:
Medical-Surgical: Review of Diabetes Mellitus
Mental Health: Review of Neurodevelopmental & Cognitive Disorders
Student Resources: Online Course Resources
Assignment(s):
Timesheet
Abbreviated Care Plan
1, 2, 3, 4, 5,
6
0 C/I
100
Unit 14
Topics:
Medical-Surgical: Review of Disorders of the Immune System
Mental Health: Review of Abuse, Violence, Trauma, & Stressor Related Disorders
Student Resources: Online Course Resources
Assignment(s):
Timesheet
Full Care Plan
1, 2, 3, 4, 5,
6
0 C/I
100
Unit 15
Topics:
Medical-Surgical: Review of Disorders of the Musculoskeletal System
Mental Health: Suicide
Student Resources: Online Course Resources
Assignment(s):
Timesheet
Final Clinical Paperwork
1, 2, 3, 4, 5,
6
0 C/I
0 C/I
Unit 16
Topics:
Medical-Surgical & Mental Health: Pulling it all Together & Looking ahead
Student Resources: Online Course Resources
Assignment(s):
Timesheet
Clinical Goals: Final Self-Evaluation
1, 2, 3, 4, 5,
6, 7, 8, 9,
10, 11, 12
0 C/I
50
Graduate Grade Scale
A
90.00% -100.00% B
80.00%-89.99% F
0.00-79.99%
Grade Summary Points
Discussion Board Assignment
50
vSim & Docucare Assignments
400
Clinical Reflections, & Final Self- Evaluation (50pts per assignment)
350
Clinical Evaluation
100
Care Plans (50 pts per assignment)
100
Total
1000
Passing grade is 800/1000 points or 80%
POLICIES
University policies, such as attendance philosophy, notification of absences, extenuating circumstances, accommodation requests, academic dishonesty, late policy, grading and grading symbols, and student conduct are included in the University catalog. Students should reference the catalog for the complete listing of policies.
Note: In some cases, program and/or course specific information may be appended to the syllabus as an addendum. In these instances, students must consider the syllabus to be inclusive of any appended information, and as such, students must adhere to all course requirements as described in the document in its entirety.
