Beruflich Dokumente
Kultur Dokumente
CREDITS:
6 credits (4 theory, 2 clinical)
FACULTY:
Lynn Coletta Simko, PhD, RN, CCRN
Clinical Associate Professor
515 Fisher Hall
412 396-5096
simko@duq.edu
PREREQUISITES:
Pharmacology for Nursing Practice I
Pharmacology for Nursing Practice II
Pathophysiology for Nursing Practice
Adult Health & Illness
Fundamentals of Nursing Practice and Clinical Ethics
Health Assessment + Lab
COURSE PLACEMENT:
Senior Year, Summer Semester
COURSE DESCRIPTION:
This course will focus on the assessment and management of adults with unstable and complex
system alterations. The course will emphasize the assessment of functioning, adaptation, and
recovery for patients with high acuity illnesses and clinical problems. Selected sub-acute and
high acuity acute care settings will be utilized for clinical practice.
COURSE OBJECTIVES:
1. Analyze the needs of adult patients with complex acute conditions
2. Identify nursing diagnoses for complex acutely ill patients and their families.
3. Identify nursing diagnoses for complex critically ill patients and their families.
4. Evaluate a nursing care for adults with complex acute and critical conditions using evidence-
based practice research
5. Collaborate with adult patients and families, and members of the health care team to
communicate healthcare priorities and needs.
6. Recognize the psychosocial needs of critically ill adult and family.
7. Evaluate the achievement of patient care outcomes for complex acutely ill patients and their
families.
COURSE CONTENT:
The following standards for nursing practice have been incorporated into the course:
ANA Standards of Nursing Practice
AMSA Standards of Practice for Medical-Surgical Nursing Practice
ANA Code of Ethics for Nurses
Unit I: Respiratory/Cardiovascular
Unit II: Neurology
Unit III: Burns/Organ donation
Unit IV: Multiple Trauma/Emergency Surgery
INSTRUCTIONAL STRATEGIES:
Some examples: (you may add or delete)
Lecture
Class/group discussion
Cooperative learning
Application of concepts to case studies
Audio-visual aids
Computer-assisted instruction
Self-learning modules
Required readings
Clinical practice
Clinical conferences
Laboratory practice
Simulated practice
Study groups
EVALUATION:
Six Pop Quizzes 30% (10 Points each, 5% each) 60 points
*HESI Specialty exam 35% 100 points
Midterm Examination 35% 60 points
Total 100% 220 points
*Students will have a Critical Care HESI in UPNS 400 at the end of the term during final
examination week. The HESI is counted as 35% of the final course grade.
GRADING SCALE:
95 - 100 A
92 - 94.99 A-
89 - 91.99 B+
86 - 88.99 B
83 - 85.99 B-
78 - 82.99 C+
Grading Scale
HESI Scoring Letter Grade
Test Score
Interval
>1050 100 A
1000-1049 96 A
950-999 92 A-
900-949 88 B
850-899 83 B-
800-849 78 C+
750-799 74 C
700-749 70 D
650-699 65 D
600-649 62 F
550-599 58 F
500-549 54 F
450-499 50 F
CLINICAL EXPERIENCE:
The student will demonstrate competent and safe nursing practice skills on a medical-surgical
/step-down interventional/telemetry unit. Students will be assigned to care for a patient in the
critical care area with a specified nurse. The student is expected to participate in the care of a
critically ill patient. Faculty and student will complete a written evaluation of competencies at
midterm and at the end of the course. Students and faculty will meet to discuss clinical
performance at midterm and at the end of the semester, during finals week. At this time the
student and faculty will complete written evaluations of performance. ***Students must
achieve a satisfactory final faculty clinical evaluation to pass the course.
If a student misses a clinical day it must be made up at the end of the semester. If no clinical
days are missed the student is excused from the clinical make-up week at the end of the semester,
however if your clinical faculty called off on a clinical day, then the entire clinical group must be
present for the make-up week at the end of the semester.
MATH PROFIENCY REQUIREMENT
All students are to complete required math competency assessments at each level of the nursing
program. The math competency is given with the UPNS 426. Leadership and Management
Course.
REQUIRED TEXT(S):
Ignativicius, D., & Workman, L.M. (2016). Medical-Surgical Nursing: Patient-
Centered Collaborative Care. (8th ed.). St Louis, MO: Saunders, Elsevier.
Sole, M. L., Klein, D., & Moseley, M. (2017). Introduction to Critical Care Nursing.
(7th ed.). St Louis, MO: Saunders, Elsevier.
Aehlert, B. (2018). ECGs Made Easy (6th ed.). St. Louis, MO: Saunders, Elsevier.
RECOMMENDED TEXT(S):
Recommend a hard copy of this book.
Huff, J. (2017). ECG Workout: Exercises in Arrhythmia Interpretation. (7th ed)Philadelphia PA:
Wolters Kluwer
UPNS 400 Critically Ill Adult Summer 2018 Page 4 of 8
ACADEMIC INTEGRITY:
Students are subject to the School of Nursing and University Academic Integrity Policies which
can be found in the Undergraduate Student Handbook on the Nursing DORI Intranet site. Please
review this document carefully.
Nursing has been determined to be the profession with the highest integrity. Therefore
cheating in any form cannot be tolerated. Any attempt to cheat on an exam in this course will
result in an automatic failure for the course. This includes but is not limited to any notes, phone
or device that could be used to gain information during the test. Clear instructions will be given
regarding test protocol so there can be no excuse for violation of these directives.
All written assignments should be composed using Microsoft Word and following the writing
style and format guidelines of the American Psychological Association (APA), current edition.
Students are encouraged to use the University Writing Center if assistance with writing is
needed.
All course email communication will be sent via the DUQ email account. Students are
responsible to regularly check their DUQ account to obtain course information and updates.
Students with a disability who are or may be requesting classroom, clinical or testing
accommodations must do so through the Office of Freshman Development and Special Student
Services (412-396-6657) by the end of the second week of classes. Reasonable learning
accommodations cannot be granted without verification from this office.
Brain Tumors
th th
June 18 & 20 2018 Closed Head Injury Sole: 366-371
Quiz 4
CORE Presentation
REQUIRED TEXTBOOKS:
Aehlert. B. (2018). ECGs Made Easy, (6th) ed. St. Louis, Elsevier.
Sole, M. L. Klein, D.G. Moseley, M.J., (2017). Introduction to critical care nursing (7th ed.).
St. Louis, Elsevier.
UPNS 400 Critically Ill Adult Summer 2018 Page 7 of 8
Ignatavicius D., & Workman, M.L. (2016). Medical-Surgical Nursing: Patient Centered
Collaborative Care, (8th ed). St. Louis, Elsevier.
Huff, J. (2017). ECG Workout: Exercises in Arrhythmia Interpretation 7th ed. Philadelphia, PA:
Lippincott Williams & Wilkins
If you buy this book as a hard copy book you will also have access to the e-book. This book has
cards to study from with the rhythm strip and answers on the back. Has more practice strips and
covers torsades de points.