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Nursing Practice Review

I.     Course Prefix/Number: NUR 261

       Course Name: Nursing Practice Review

       Credits: 7(5 lecture:6 lab)

II.    Prerequisite

Graduate of a professional nursing program who needs to meet the requirement for licensure or practice in a controlled setting. Consent of department chair required.

III.   Course (Catalog) Description

This course covers a review of basic professional nursing practice for the graduate nurse. It provides both didactic and clinical experience to meet state requirements. Knowledge of professional nursing practice is assumed and necessary to be successful in the course. This course will satisfy the requirement for refresher/update course described by the Illinois Department of Financial and Professional Regulation (IDFPR). Student may repeat NUR 261 one time.

IV.   Learning Objectives

Upon completion of NUR 261 the student is prepared to:
    1.    Discuss importance of the Illinois Nursing and Advanced Practice Nursing Act & Rules for the Administration of Nursing and Advanced Practice Nursing Act.
    2.    Demonstrate knowledge of ethical responsibilities in theory and practice.
    3.    Demonstrate legal accountability in nursing practice.
    4.    Utilize current technology as part of the learning process.
    5.    Demonstrate effective communication skills with peers and health team members in acute care settings taking into account cultural diversity.
    6.    Utilize critical thinking in applying the nursing process to patient care.
    7.    Demonstrate knowledge and clinical competence in skills required in nursing practice (example: physical assessment, documentation, medication administration, lab values, fluid and electrolytes.)
    8.    Demonstrate the assessment of the skin, hair and nails; head and neck; lungs and thorax; heart and vascular system; abdomen; muscoloskeletal; and neurologic system.
    9.    Identify alterations in fluid and electrolytes.
    10    Describe current nutritional requirements and alteration in the pediatric and adult client.
    11.    Discuss the current care of the maternal-newborn client.
    12.    Implement the current appropriate care of the medical client in regard to cardiac disease, respiratory compromise, neurologic deficits, trauma, psycho-social issues and integument/musculoskeletal integrity.
13.    Implement the appropriate current care of the surgical client in regard to cardiac disease, respiratory compromise, neurologic deficits, trauma, psycho-social issues and integument/musculoskeletal integrity.

V.    Academic Integrity

Students and employees at Oakton Community College are required to demonstrate academic integrity and follow Oakton's Code of Academic Conduct. This code prohibits:

• cheating,
• plagiarism (turning in work not written by you, or lacking proper citation),
• falsification and fabrication (lying or distorting the truth),
• helping others to cheat,
• unauthorized changes on official documents,
• pretending to be someone else or having someone else pretend to be you,
• making or accepting bribes, special favors, or threats, and
• any other behavior that violates academic integrity.

There are serious consequences to violations of the academic integrity policy. Oakton's policies and procedures provide students a fair hearing if a complaint is made against you. If you are found to have violated the policy, the minimum penalty is failure on the assignment and, a disciplinary record will be established and kept on file in the office of the Vice President for Student Affairs for a period of 3 years.
Details of the Code of Academic Conduct can be found in the Student Handbook.

VI.   Sequence of Topics

Classroom/Lecture                                                Lab
                 1                 Basic Review: Test Taking Skills                            Practice:
                                    Time Management                                                    Nursing Process
                                    Infection Control                                                        Infection Control
                                    Med. Administration & Calculations                       Medication Administration
                                    Standards of Nursing Practice,                               Lab Values
                                    Illinois Nursing & Advanced Practice Act
                 2                 Health Assessment                                               Case Studies related to
                                    A & P Review:                                                       Assessment Skills                           
                                    Head and Neck
                 3                 Health Assessment (continued)                              Case Studies related to
                                    GI/GU                                                                  Assessment Skills
                 4                 Care of Client With Alteration in                           Case Studies related to
                                    Fluids & Electrolytes                                     Assessment Skills

                 5                 Care of Maternal-Newborn Client                           Case Studies related to care of

                                    Pain Management                                                    Maternal-Newborn Client
                 6                  Care of Medical Client                                             Case Studies incorporating all of
                                    Cardiac, Respiratory, Neuro,                                   above
                                    Trauma,  Psycho-social Aspect
                 7                 Care of Surgical Client                                             Case Studies incorporating all of
                                    Cardiac, Respiratory, Neuro,                                   above
                                    Trauma, Psycho-social Aspect
                 8                 Care of Child/Young Adult                                        Case Studies
                                    Cardiac, Respiratory, Neuro,
                                    Trauma, Psycho-social Aspect
                 9                 The Aging Adult                                                         Case Studies
                                    Physical & Cognitive
                                    Impairment of Elderly
                                    End of Life
                10                Psychiatric Impairments:                                          Case Studies
                                    of adults and children
                                    Management Content

VII.  Methods of Instruction

Lectures, theory review, audiovisuals, case studies, clinical practicum, lab practicum

VIII. Course Practices Required

This course incorporates classroom instruction, lab practicum and clinical experiences. The course is structured in the following manner:

Lecture full day - (8 AM - 4 PM) - total 72 lecture hours

Lab practice - One open lab day - No appointment with Lab Manager

Clinical Practicum (begins second week) -  2 days per week, 7 AM - 3 PM, total 96 clinical hours

IX.   Instructional Materials

Note: Current textbook information for each course and section is available on Oakton's Schedule of Classes.

Books, case studies, interactive computer programs.

Lewis, Sharon; Heitkemper, Margaret; Shannon, Dirksen. Medical Surgical Nursing: Assessment and Management of Clinical Problems, 6th edition, Mosby, 2004           

Keltner, Psychiatric Nursing, 4th edition, Mosby, 2003. Ladewig. Contemporary Maternal-Newborn Nursing Care, 6th edition, Prentice Hall, 2006.

X.    Methods of Evaluating Student Progress

Grades:  92-100 = A
82-91  = B
75-81  = C
68-74  = D
0 - 67 = F1.   

Weekly tests.                       
2.    Weekly physical assessment practice.
3.    Presentation on a selected physical assessment skill.
4.    Participation in group activities.                       
5.    Final comprehensive written exam
6.    Final physical assessment exam.
7.    Passing score = 75.

Failure in clinical will result in failure of the course.

XI.   Other Course Information

A.    Students are expected to attend all scheduled campus nursing classes and clinical
practicums. Client Care requirements demand that all students must be on time for
clinical experience. Absence from clinical experience will affect a student's ability to
meet course objectives and can result in failure in the course.

B.    Class Policy on:

Make-Up Exams:
Periodic pre-scheduled examinations shall be given throughout the semester. Anyone
who misses an exam may be allowed, at the discretion of the instructor, to take the test
at a later date.

Incomplete Grades:  See College catalog.

Late Assignments:
Written work is a requirement of the course. Failure to submit completed written
assignments constitutes an unsatisfactory grade in the course unless arrangements
have been made with the instructor.

C.  Support Services
    Learning Center
    Instructional Technology
    Instructional Media Services
    Enrollment Management - Enrollment, registration, evaluation and record-keeping
    Office of Research - Surveys and reports
    Health Services - health forms, physicals, and medical tests
    Bookstore - textbooks
    College Relations - Publications and Marketing

If you have a documented learning, psychological, or physical disability you may be entitled to reasonable academic accommodations or services. To request accommodations or services, contact the Access and Disability Resource Center at the Des Plaines or Skokie campus. All students are expected to fulfill essential course requirements. The College will not waive any essential skill or requirement of a course or degree program.

Oakton Community College recognizes the broad diversity of religious beliefs of its constituencies. The College has embraced a practice of shared responsibility in the event a religious observance interferes with class work or assignments. Students who inform instructors in advance of an intended absence for a major religious observance will not be penalized. The instructor will make reasonable accommodations for students, which may include providing a make up test, altering assignment dates, permitting a student to attend another section of the same course for a class period or similar remedies. Instructors are not responsible for teaching material again. Instructors should inform students of this practice at the beginning of the semester so that arrangements can be made accordingly. Similar consideration is accorded to faculty, staff and administrators and is provided for in their respective contracts.