NUR 392

ADELPHI UNIVERSITY
COLLEGE OF NURSING AND PUBLIC HEALTH
Bachelor of Science in Nursing Program

NUR 392
Fundamentals of Patient Centered Nursing Care
COURSE SYLLABUS
Subject to Change

NAME: Jasmine L. Travers

OFFICE: Manhattan Faculty Room
EMAIL: jtravers@adelphi.edu

COLLEGE OF NURSING AND PUBLIC HEALTH

COURSE OVERVIEW
COURSE NUMBER:

NUR 392- 900

COURSE TITLE: Fundamentals of Patient Centered Nursing Care

CREDIT HOURS:

7 credits:
4 theory; 2 clinical; 1 laboratory

SEMESTER/YEAR: Fall 2014

ASSIGNED DAY/TIME: Mon 4- 7:20pm
FACULTY:

Jasmine L. Travers, AGNP-C, RN, CCRN

PreREQUISITES: 0302-232 (Informatics); BIO 210 (Pathophysiology); BIO 208

(Microbiology); Chem 109 (Physiological Chemistry); BIO 209 (Genetics); 0302-233
(Nutrition)
CoREQUISITES: 0302-387 (Intro to Prof Nursing Practice); 0302-391 (Health
Assessment); 0302-388 (Pharmacology I); 0302-390 (Integration Seminar I)
COURSE DESCRIPTION:
Students will learn foundational concepts and skills necessary for providing patient
centered nursing care. Students demonstrate skills in the laboratory setting with a focus
on providing safe, high quality care and recognizing and preventing patient
complications. Clinical and simulation lab experience will emphasize beginning critical
reasoning, clinical judgment, and communication skills.
This course has four (4) credits of classroom theory, a one (1) credit laboratory
component, and a two (2) credit clinical experience.
COURSE OBJECTIVES:
At the completion of this course, the student will achieve the following objectives:
Baccalaureate Program Outcome

Course Objective:

Plan and provide patient-centered nursing

care that contributes to safe and high
quality outcomes.

1. Implement patient-centered care that

reflects an understanding of techniques
for ensuring patient safety.
2. Implement interventions for patients
experiencing acute and chronic pain,

3.
Apply critical thinking skills in
implementing the nursing process.

1.
2.

Respect cultural diversity and the

uniqueness of all individuals.

1.

Apply evidence-based knowledge from

nursing and the sciences as the basis for
practice.

1.

Integrate informatics and communication

technologies to improve patient care
outcomes.

1.

2.

2.

Exhibit professional role development.

1.
2.
3.

Collaborate and communicate effectively

with patients and families and as a
member of the interdisciplinary health care
team.

TEACHING METHODS:
Discussion
Case studies
Assigned readings
Podcasting

1.
2.

altered mobility, nutritional deficits,

skin alterations, oral, fluid and
electrolyte alterations, elimination, and
oxygenation needs.
Safely administer medications using
proper technique and assessing for side
effects.
Formulate nursing diagnoses for
patients with selected bio-psychosocial
alterations.
Formulate and implement a plan of
care.
Incorporate individuals personal and
cultural reactions to illness into holistic
nursing care.
Deliver care that reflects patient and
family preferences.
Integrate best evidence and best
practices in providing nursing care.
Integrate beginning knowledge of
informatics in the clinical setting.
Respect and protect privacy of patient
information.
Demonstrate behavior consistent with
the ANA code of ethics for nurses and
ANA scope and standards of practice.
Discuss ethical and legal considerations
relevant to the holistic care of patients.
Recognize role participation of nurses
in patient safety and quality initiatives.
Use professional communication and
collaboration skills to deliver evidencebased, patient-centered care.
Utilize principles of therapeutic
communication when interacting with
the patient and family.

Laboratory observation
Laboratory practice
Laboratory simulation
Assigned DVDs
Clinical experiences

METHODS OF EVALUATION:
Theory:
15%: Exam #1
20%: Exam #2
30%: Exam # 3 (includes comprehensive questions)
10%: Quizzes (2) worth 5% each
P/F: Concept Map #1 Case Study
10%: Concept Map #2 (in class individual open book)
10%: ATI Rubric
5%: Prep U Homework Assignments Rubric (minimally 120 questions)
___________________________________________________
Total: 100%
Clinical: Pass/ Fail (see Clinical Evaluation Tool)
Laboratory: Pass/ Fail (see Laboratory Performance Evaluation)
A student must pass both the laboratory and clinical components of the course in order to
pass the entire course. Failure of either the theory, clinical or laboratory portion of the
course constitutes a failure of the course. In order to progress in the nursing sequence,
the student must earn a letter grade of C+ (77) or better in this course.
Questions for the exams will be taken from classroom lectures, discussions, labs, required
readings and DVD. Quizzes and exams may contain medication calculation questions.
All questions are application questions of varying difficulty and are modeled after the
NCLEX (State Board Licensing Exam).
Objectiveexaminationswillcompriseatleast80%ofthefinalgradeinthe392course
andinallnursingcourseswithaclinicalcomponentandpharmacology.Studentsmust
achieveaweightedequivalentgradeof77%orhighercumulativeaverageonall
combinedassessmentsi.e.,exams,quizzes,finals,ATIexam,conceptmapandPrepU.
StudentswhoachievebelowtherequisiteC+willbeassignedafinalgradethat
equalsthegradeearnedinthecourse.
Exam #1 is worth 15% of your final grade and will include questions on topics
covered in class/ lab/ DVD. (50-55 questions in 65 minutes)

 Exam #2 is worth 20% of your final grade and will include questions on topics
covered in class/ lab/DVD/med calculation questions. (50-55 questions in 65
minutes)
Exam # 3, the Final Exam, is worth 30% of your final grade. The final exam will
include comprehensive questions and medication calculation questions. (100-105
questions in 2 hours)
2 (10 -12 questions each in 15 minutes) quizzes: 5% each.10%
Concept Map Assignment #1:.P/ F
Concept Map Assignment #2:.................................10%
ATI (65 questions in 65 minutes and Rubric)..10%
PREP U Homework Assignment (Rubric)..5%
REQUIRED TEXTBOOK (S):
Electronic Resource:
Doc U Care electronic record. Order this Online Service (6 months required)
thepoint.lww.com/docucare
Mosby's Nursing Video Skills - Student Version DVD 3.0, 4th Edition: Basic,
Intermediate, and Advanced Skills ISBN: 9780323088633
Nursing Central [software]. (2013).Charlottesville, VA: Unbound Medicine, Inc.
Nursing Lab Pack (to be distributed during lab)
Ochs, G. (2013) Study Guide for Fundamentals of Nursing. St. Louis, Missouri: Mosby, Inc.
ISBN: 9780323084697
Potter, P., & Perry, A., Stockert, P., & Hall, A. (2013). Fundamentals of Nursing.
(8th Ed.). St. Louis, Missouri: Mosby/ Elsevier. ISBN: 9780323079334
Potter, P., & Perry, A. (2013). Clinical Nursing Skills and Techniques. St. Louis,
Missouri: Mosby, Inc. ISBN: 9780323083836
PrepU for Taylor's Fundamentals of Nursing | LWW
www.lww.com/.../product_PrepU-for-Taylor's-Fundamentals-of-Nurs...
Jun 23, 2011 PrepU for Taylor's Fundamentals of Nursing by Carol Taylor .
Order this Online Service (6 months minimally required)

on LWW.com , ISBN/ISSN:9781451118452

Recommended Text:
Silvestri, L.A. (2014). Saunders Comprehensive Review for the NCLEX-RN Examination
(6th Ed). St. Louis, Missouri: Elsevier. ISBN-10: 1437708250
SUGGESTED RESOURCES/ WEBSITES:
American Nurses Association http://nursingworld.org
Agency for Healthcare Research and Quality http://www.ahrq.gov
Institute of Medicine - http://www.iom.edu
Institute for Healthcare Improvement - http://www.ihi.org/ihi
Institute for Healthcare Improvement Open School for Health Professions
http://www.ihi.org/OpenSchool
The Joint Commission - http://wwwjointcommission.org
National Database of Nursing Quality Indicators - https://www.nursingquality.org/
National Quality Forum - http://www.qualityforum.org
https://www.ncsbn.org/Social_Media.pdf
http://www.nursingworld.org/FunctionalMenuCategories/AboutANA/SocialMedia/Social-Networking-Principles-Toolkit/Fact-Sheet-Navigating-the-World-ofSocial-Media.pdf
http://www.nursingworld.org/FunctionalMenuCategories/AboutANA/SocialMedia/Social-Networking-Principles-Toolkit/Tip-Card-for-Nurses-Using-SocialMedia.pdf
http://www.nursingworld.org/FunctionalMenuCategories/AboutANA/SocialMedia/Social-Networking-Principles-Toolkit/6-Tips-for-Nurses-Using-Social-MediaPoster.pdf
COLLEGE OF NURSING AND PUBLIC HEALTH POLICIES
In addition to the items below, all College of Nursing and Public Health
policies, as outlined in the Adelphi University College of Nursing and Public
Health Student Handbook (Handbook), will be strictly enforced.

MEDICATION CALCULATION PROFICIENCY:

Students must pass a medication calculation examination before they will be allowed to
administer medication in the clinical area with professor supervision (See the Handbook
for grade requirements.)

OBJECTIVE TESTING POLICY:

Objectiveexaminationswillcompriseatleast80%ofthefinalgradeinthe392course
andinallnursingcourseswithaclinicalcomponentandpharmacology.Studentsmust
6

achieveaweightedequivalentgradeof77%orhighercumulativeaverageonall
combinedassessmentsi.e.,exams,quizzes,finals,ATIexam,conceptmapandPrepU.

ATI EXAMS AND RESOURCES:

ATI (Assessment Technologies Institute) Exams are designed to measure student

competencies in a number of nursing disciplines and to provide students with data on
how their knowledge compares with that of nursing students throughout the United
States. The exams and rubric comprise 10% of each students final course grade in
applicable nursing courses. Students will have access to online and written resources
provided by ATI throughout their tenure in the SON. Students are strongly encouraged to
utilize the resources in order to foster success in the program.
POTENTIAL CLOSING OF UNIVERSITY DUE TO: Snow, Pandemic or Emergency
Educational Plan
If the University is closed due to an emergency, please log into the courses Moodle
Electronic classroom each day for instructions & possible assignments. Instructions for
using Moodle can be found on the Universitys Moodle site.

ACADEMIC HONESTY:

Students must abide by the honesty statements (See below and

http://academics.adelphi.edu/policies/honesty.php) and the Code of Ethics of Adelphi University
(See http://academics.adelphi.edu/policies/ethics.php), as well as the Code of Ethics for Nurses
with Interpretive Statements (ANA, 2001) (See the Handbook)
Adelphi University Code of Academic Honesty

The code of academic honesty prohibits behavior, which can broadly be described
as lying, cheating, or stealing. Violations of the code of academic honesty will
include, but are not limited to, the following:
1.

Fabricating data or citations

2.

Collaborating in areas prohibited by the professor

3.

Unauthorized multiple submission of work

4.

Sabotage of others work, including library vandalism or manipulation

5.

Plagiarism: presenting any work as ones own that is not ones own

6.

The creation of unfair advantage

7.

The facilitation of dishonesty

8.

Tampering with or falsifying records

9.

Cheating on examinations through the use of written materials or giving or

receiving help in any form during the exam, including talking, signals, electronic devices,
etc. (http://academics.adelphi.edu/policies/honesty.php)

DISABILITY POLICY FOR ADELPHI UNIVERSITY:

Adelphi University is committed to the success of all its students.

If you have a disability that may impact your ability to carry out assigned course work,
and are not enrolled in the Learning Disabilities Program, it is important that you contact
the staff in the Disability Support Services Office (DSS), University Center, Room 310,
(516) 977-3145 DSS@adelphi.edu. DSS will review your concerns and determine with
you appropriate and necessary accommodations. All information and documentation of
disability is confidential.

ONLINE COURSE EVALUATIONS:

During the last two weeks of each semester, students receive an email notifying them
that online course evaluations are available for each course in which they are enrolled.
Student evaluations are anonymous; individual respondents cannot be identified. The
results of course evaluations are not available to instructors until after the end of the
semester and after course grades have been submitted. Students are strongly encouraged
to participate in this important activity.

CLASS COMMUNICATION:

The mode for general communication to the class is via classroom announcements
(Moodle) and Adelphi e-mail, the official method of communication.

RELIGIOUS OBSERVANCES:

Students who anticipate being absent from class due to religious observances must notify
the instructor within two weeks of the first class session. This will allow the instructor
and student adequate time to make suitable arrangements to satisfy any missed
coursework. Please refer to policy in CNPH student handbook regarding clinical
absences.

MOBILE ELECTRONIC DEVICE

All students in N392 are required to have a PDA/Smartphone fully charged, operational
and loaded with the software by Nursing Central. This must be brought with you to
every clinical!!
TOPICAL OUTLINE:

Biophysical Conditions:
Introduction to age related physiologic alterations
Human responses to homeostatic imbalances
Hygiene
Patients environment
Impact of hygiene on body/ health
Importance of skin assessment
Techniques for hygiene: mouth, perineal, foot care, feet and nails, anti-embolic
devices, hair, shaving, eye/ear care, feeding, toileting, dressing
Bedmaking: principles, techniques
Safety
National safety initiatives
Human factors and patient safety
Teamwork and collaboration
Reimbursement and safety/ quality initiatives
Sensory perception deficit: Hearing and Vision
Fire/ electrical/radiation safety
Falls/ risk assessment
Fall prevention
Restraints/ alternatives
Joint Commission National Patient Safety Goals: Pt. ID, communication, etc.
Emergency preparedness (intro)
Quality indicators
Delegation/ time management
Immobility/ Activity
Body mechanics: nurse (back injury) and pt.
Proper pt. positioning/ body alignment
Techniques for lifting / transfers
Assessing mobility
Effects of immobility on body systems: CV, pulm, GI/ GU, psychological
effects, skin,
Nursing interventions to prevent/ relieve complications of immobility: turning/
positioning, coughing/ deep breathing/ early ambulation, hydration, leg
exercises, passive and active ROM, diet, etc.
Benefits of exercise/ assisting with ambulation
Assistive devices (crutches, walkers)
Medication Administration
Medication safety/ root cause analysis/ culture of safety
Medication reconciliation
Error prone abbreviations
Drug names, classification, action, adverse drug effects
Principles of safe med administration: 6/7 rights, 3 checks
Routes, administration techniques

Evaluation of effects
Medication errors
Correct documentation of med. Administration
Fluids and Electrolytes: Intravenous Infusion
Principles of fluid balance in body: compartments: extracellular/ intracellular,
osmosis, renal regulation, thirst/ neuro, etc. Intake output
Alterations: hypovolemia/ hypervolemia, shock, assessment, interventions
Intake output
IV therapy: solutions: colloids vs. crystalloids, theory behind appropriate
solutions choice and monitoring, types of access, complications, monitoring flow
rates, changing IV bottles and tubing, care of IV lock, discontinuing IV infusion,
documentation (I&O record)
Administering blood transfusions: blood types, blood products, administration
sets, transfusion reactions, and ethical/ religious issues
Principles of electrolytes
Lab values for electrolytes
Electrolyte imbalances
Acid/ Base Balance
Physiology of acid/ base regulation
Four abnormalities: signs/ symptoms, interventions
Basic ABG analysis
Compensation
The Nursing Process (Using Concept Mapping)
Components of nursing process
Intro to concept mapping and care planning
Asepsis / Infection Control
Role of microorganisms in infection
Chain of infection cycle
Drug resistance
Risk factors for infection
Regulatory agencies: CDC, OSHA, and health dept.
Cleaning, disinfection and sterilization
Medical asepsis: hand washing, etc.
Surgical asepsis: principles of sterile technique, surgical hand-washing, sterile
gloving
PPE: proper use
Isolation precautions/ psychological effects/preventing nosocomial infections
Skin Integrity & Wound Care
Wound healing: principles/ phases, factors affecting, etc.
Complications of wounds
Wound care (including pressure ulcer care, assessment)
Pressure ulcer care, assessment (staging)
Heat and cold therapy

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Pain / Comfort / Sleep

Physiology of pain
Performing a pain assessment
Basic principles of pain management/ 5th vital sign, etc.
Pharmacologic / PCA
Non-pharmacologic
Factors affecting pain perception
Sleep: cycle, factors affecting
Nursing interventions to promote sleep
Perioperative Nursing Care
Categories of surgery
Informed consent
Caring for operative clients legal rights
Preoperative teaching and counseling
Preoperative physiologic, psychosocial, spiritual and cultural assessments
Preoperative nursing care, medications, preoperative teaching
Intraoperative nursing role and nursing care including medication interactions,
patient safety
Documentation
Postoperative nursing assessments: ABCs, wounds, drains, complications, etc.
Complications atelectasis, emboli, shock, respiratory depression, pain, injury
Comprehensive postoperative nursing interventions
Nutrition/ Enteral and Parenteral Therapies
Types of diets / restrictions
Principles of enteral nutrition
Care of PEG tubes/ NG tubes
Aspiration preventing, recognizing, intervening
TPN: administering, complications, etc.
Urinary Elimination
Normal voiding
Factors affecting: meds, elderly, fluid intake, muscle tone, disease states, etc.
Assessment: history, intake and output, UA, collecting specimens, diagnostic
studies
Alterations: incontinence, UTI, retention
Catheterization: inserting, care of pt. with indwelling
Collecting specimens
Urinary diversion: ileal conduit
Nursing interventions: bladder training
Bowel Elimination
Common alterations in bowel functioning: constipation, diarrhea, incontinence,
and impaction, enemas. Ostomies: care, nutrition, etc.
Factors influencing: diet, mobility, hydration, meds, etc.
Assessment: history, diagnostic studies

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Oxygenation
Basic asp; mechanics of breathing
Factors affecting resp (meds, immobility, age,)
Assessment: hypoxia, hypo/ hyperventilation
Interventions, pulse ox, suctioning, O2 therapy, C & DB, postural drainage, chest
PT, peak flow, chest tubes (intro), nebs, artificial airways, Tracheostomy care
Documentation
Privacy of patient information (HIPAA)
Interdisciplinary Communication (SBAR)
Legal issues/ JCAHO
Methods/ formats, Giving report
Computerized charting
Loss/ Grief and Dying
Factors affecting grief/ dying
End of life care (comfort care), Supporting family
Postmortem care
CLASS SCHEDULE 392
WEEK
Week 1
9/8/14
Week 2
9/15/14

Week 3
9/22/14
Week 4
9/29/14
Week 5
10/6/14
Week 6
10/13/14

TOPIC

ASSIGNED
READINGS/
ACTIVITIES
Intro to Quality Patient Care/ Health Potter text: Chapters 2
Care Delivery System
39, 28 (425-427)
Hand hygiene
Prep U
Hygiene
Promoting Patient Safety
Potter text: 27 & 47
View Safe Patient
Immobility/ Activity
Handling video link
on Moodle
Prep U
Medication Administration
Potter text: 31
Prep U

DUE DATES/
Supplemental
ATi
Chapters:
1, 2, 3, 24, 25,
37

Quiz#1
(15minutes: 10-12 questions)
Fluids and Electrolytes
Principles of IV therapy
EXAM #1 (week 1-4 content)
(60 minutes: 50-55 questions)
Acid Base Balance Part I &11

Chapters: 49, 56

5%
Potter text: 41
Prep U

Chapters:
12,13,14,40

ATi Chapters: 4651

15%
Due
Potter text: 41
Prep U
Prep U minimally 40 Week 1-4
questions
Potter text:
ATi Chapters: 8, 7,
16-20
26.28, 32
Prep U

Nursing Process Part I

12

Week 7
10/20/14

Week 8
10/27/14

Nursing Process Part II:

Mapping

Concept Begin work on Case

Study for Concept Map
#1 in class (group work)
Asepsis/ Infection Control
Potter text: 28
Prep U
Quiz #2
5%
(15 minutes: 10-12 questions)
Potter text: 48
Skin Integrity/ Wound Care
Prep U

Week 9
11/3/14

Oxygenation

Week 10
11/10/14

Exam#2 (week 5-9 content)

(60 minutes: 50-55 questions

Week 12
11/24/14

Urinary Elimination

Potter text: 45 & 46

Prep U

Bowel Elimination
Pain/ Comfort and Sleep

ATi Chapters: 44,

43

Potter text: 42, 43 & 50

Perioperative Nursing Care

Graded Assignment: 10% ATi Chapters: 38,

Prep U
41

Week 13
12/1/14

CONCEPT MAP #2 IN CLASS

(90minutes: open book individual
work during class)
Documentation /
Interdisciplinary communication

Week 14
12/8/14

Loss/ Grief and Dying

Delegation and Time Management
ATi EXAM: Friday or Sunday.
Prep U Questions due

Week 15
12/15/14

Concept Map
#1
Due (Pass/
Fail).
Each
student
submits
individual
work
ATi Chapter: 55
ATi Chapters:
53

Potter text: 40
ATi Chapters: 53
Prep U
20%
Due
Potter text: 44
Prep U
Prep U minimally 40 Week 5-9
questions
ATi Chapters: 39,
54

Nutrition
Week 11
11/17/14

SupplementalATi
Chapters:
26,
27, 10, 11

Final Exam
Comprehensive Exam
(2 hours: 100-105 questions)

Potter text: 24, 26

SBAR Exercise in Class
Prep U
Potter text: 35, 36 & 21
5% grade
10%
Prep
U
Total
minimally
120 questions
Rubric grade
30%

13

ATiChapter:5, 6
Practice Exam
Due ATi
Due in Class
PrepU Week
10-14
minimally
40
questions

ATi Chapters:
36, 33

Addendum:
Grading Policy
Please note:
If a student does NOT take Exam #1, Exam #3 (the Final Exam) will be worth 45% of
the course grade instead of the usual 30%.
If a student does NOT take Exam #2, Exam #3 (the Final Exam) will be worth 50% of
the course grade instead of the usual 30%.
If a student does NOT take Exam #1 or Exam #2, Exam #3 (the Final Exam) will be
worth 65% of the course grade.
If a student does NOT take Quiz#1 or Quiz#2, Exam #3 (the Final Exam) will be worth
35% of the course grade.
If a student does NOT take Quiz#1 and Quiz#2, Exam #3 (the Final Exam) will be worth
40% of the course grade.
If a student does NOT complete Prep U assignment, Exam #3 (the Final Exam) will be
worth 35% of the course grade.
If a student does NOT take Concept map 2, Exam #3 (the Final Exam) will be worth 40%
of the course grade.
.
EXAMINATION MAKE-UP:
Students must be present for all exams. If an exam is missed, or a student arrives late for
an examination for a legitimate reason, a make-up exam may be arranged with your
professor. ATi exams must be arranged with Ms. K Nicholson if your clinical is scheduled
on ATi exam day.
If you are absent for the Final Exam, for a legitimate reason, arrangements must be made
with your professor to take an Alternative FINAL EXAM during the final week of the
semester or the student will get a incomplete for the course.

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