Prioritized Gordon’s Functional Health Care Patterns Nursing Diagnosis (at least 2) Planning (outcome/goal) Measureable goal during your shift (at least 1 per Nursing diagnosis) PrioritizedIndependent and collaborative nursing interventions; include further assessment, intervention and teaching (at least 4 per goal) Rationale (use APA citations) Evaluation Goal Met, partially met, or not Met & Explanation Current Medications Medications (with APA citations Route Frequency Dose(& range) If out of range, why? Mechanism of action Onset of action Common side effects Nursing considerations Specific to this client
Scale 4 (Excellent) 3 (Good) 2 (Minimally Competent) 1 (Unsatisfactory) Point CRITERIA 10 8 5 3 8.Planning/Goals& Evaluation Goal is measureable, realistic, related to the problem; Data supports if goal is met, not met with appropriate revisions Goal is not measureable, realistic, related to the problem; Data somewhat supports if goal is met, not met with appropriate revisions Goal is not measureable, not realistic, related to the problem; Data vaguely supports if goal is met, not met with inappropriate revisions Goal is not measureable, not realistic, not related to the problem; Data does not support if goal is met, not met with inappropriate revisions 9. Implementation & Rationale Identifies 4 independent interventions with teaching; Scientific rationale is supported textbook citation [Evidence Base Information] Identifies 3 independent interventions with teaching; Scientific rationale is somewhat relevant & supported with citation Identifies 2 independent interventions with teaching; Scientific rationale is vaguely relevant & not supported from textbook Identifies 1 independent interventions with teaching; Scientific rationale is not relevant & not supported from textbook 10. Medications all MAR medications with relevant side effects and nursing considerations specific to patient and reasons why patient is receiving drug. Lists all MAR medications but does not include relevant side effects and nursing considerations specific to patient and why patient is receiving drug. most of the MAR medications with relevant side effects and nursing considerations specific to patient and why patient is receiving drug. Lists some MAR medications but does not include relevant side effects and nursing considerations specific to patient. CRITERIA 5 4 3 1 11. General Organization Accurate APA format, Appropriate citations &references, No spelling or grammar errors 1-2 APA format errors, Some citations, references are appropriate, Minimal spelling or grammar errors Many APA format errors, Inappropriate citations or references, Many spelling or grammar errors No APA formatting, No citations or references included, many spelling or grammar errors TOTAL: COMMENTS:
Describe the role of the in the prevention and detection of cancer. b. Care of central venous access. c. Administration d. IV Piggyback medication administration. e. Blood Glucose monitoring f. Calculation of BMI and IBW g. Hemoccult test h. Urine Dipstick Medication Math Test Week/ Date Class Objectives Content Outline Student Assignments Describe the nursing management of patients receiving chemotherapy, radiation therapy, and biologic and targeted therapy. Describe the collaborative care and nursing management of the patient with venous thrombosis, including superficial thrombophlebitis and deep vein thrombosis. Describe the nursing management of the patient receiving anticoagulation therapy. Identify importance of conducting specimen collection and phlebotomy. Demonstrate competence in the ability to perform IV insertion and parental medications in a variety of clinical setting and modes of delivery. Care and medication administration through central vascular access devices Gordon’s 11 functional conceptual framework. Use the nursing process, evidenced based practice, therapeutic communication, teaching/learning principles and role development as applied in the medical surgical setting Specimen collection, phlebotomy ATI Content Mastery Series Pharmacology ATI Content Mastery Series Fundamentals section on medication, plus pharmacology books and CD\DVD’s Use CD\DVD’s to review understanding of content, questions to class in preparation for the Medication math test- this must be passed with at least an 85% in order to pass medications and pass the class. (Clinical Med-Math Test, weekly Med-Math
Describe or demonstrate an assessment for a patient with musculoskeletal trauma. Describe or demonstrate assessment for a patient with a burn Discuss rationale for appropriate wound care. Demonstrate proper technique when performing care. Demonstrate safe and appropriate use of ambulatory devices. Identify purpose of Therapies: Hot, cold, alternative. Demonstration/Return Demonstration-Group a. Integumentary/ Wound Assessment b. Musculoskeletal/ ROM assessment/Body mechanics c. Wound Care – Wound assessment and Staging, Wet to Dry, Wound Packing. d. Wound Vac /Drainage System. e. Ostomy Care – colostomy, iliostomy. f. Hot and Cold Therapies. Med Math Test ATI Content Mastery Series section on Wound care, plus CD\DVD review. Henke’s – Ch. 5, Pg. 84 – 99; Ch. 6, Pg. 101-129. Week/ Date Class Objectives Content Outline Student Assignments Week 4 Demonstrate competency when performing previously learned skills. Review of skills to date Mid-Term Skills Competency Testing Med-Math Review covered skills Med Math Henke’s: Ch. 1-6 Week 5 CLO# 2, 23 g Demonstrate understanding of various assessments and diagnostic used in identifying the presence of complex acute health problems and how they apply to the nursing care you provide to your patient. Describe or demonstrate an assessment for a patient with respiratory disorders. Gordon’s 11 functional conceptual framework. Use the nursing process, evidenced based practice, therapeutic communication, teaching/learning principles and role development as applied in the medical surgical setting Reproductive Disorders nursing procedures Sitz bath Skills Activities: Watch Video Respiratory Assessment Cardiovascular/Circulatory Assessment Bladder Assessment Discuss/Demonstrate: Preoperative Nursing CarePost -operative Nursing Care ATI Content Mastery Series Pharmacology Smith – Ch. 22, Pg. 787- 791, Pg. 792- 797, Pg. 1169-1171, Ch. 30- Pg. 1176 – 1178, Pg. 1202- 1212, Pg. 1214- 1223; Lewis – Ch. 26, 27, 28, 29. Video Pearson – online
Describe teaching/learning principles in proving therapeutic nursing care to clients/patients in the preoperative and postoperative phase of care. Describe or demonstrate use of various nursing procedures- Sitz bath CBI Incentive spirometer Chest Physiotherapy Post-op exercises Tracheostomy Care and Suctioning Chest –Tubes Principles/Nursing Care CBI Perioperative nursing procedures Incentive spirometer Chest Physiotherapy Post-op exercises Tracheostomy Care and Suctioning. Chest-Tube Principles and Nursing Care Video/DVD/Demonstrate Sitz Bath Continuous Bladder Irrigation Respiratory administration Suctioning – nasotracheal, oral, tracheostomy. Use of Incentive Spirometer Use of Ambubag Chest Physiotherapy Post -operative Exercises. Tracheostomy Care and Suctioning. Chest Tube Principles/Care. Demonstration/Return Demonstration-Group Henke’s – Ch. 7, Pg. 142-189. Week 6 Demonstrate knowledge of the nursing process, therapeutic care and other strategies to provide competent health assessment for patients when planning their care. Gordon’s 11 functional conceptual framework. Use the nursing process, evidenced practice, therapeutic communication, teaching/learning principles Watch video/DVD Assessment of Eye and Ears. Assessment of elimination problems and management Enema Administration a. volume enema, b. Small volume enema, c. Return flow enema – Ch. 11- Pg. 295- 29, Pg. 301 – 310, Ch. 23 – Pg. 819- 826, 827-837, 838 – 845, Ch. 23- Pg. 846 – 855, Ch. 19 – Pg. 663- 678.
Parenteral Feeding - Preparation and administration. Medication Math Week/ Date Class Objectives Content Outline Student Assignments CLO# 2, 3, 4, 23 h, Describe or demonstrate an assessment for a patient with an eye and ear problem. Describe or demonstrate an assessment for a patient with a Nutritional and or elimination problem Describe or demonstrate appropriate technique when performing – Enteral feeding Parenteral feeding and role development as applied in the medical surgical setting Lewis, Ch. 6 and Ch. 40 Video Pearson – online Henke’s – Ch. 8, Pg. 203-227; Ch. 9. Pg. 237 -263. Week 7 CLO# 2, 23 c, h, j Demonstrate knowledge of the nursing process, therapeutic care and other strategies to provide competent health assessment for patients when planning their care. Describe or demonstrate an assessment for a patient with a gastrointestinal and genitourinary problem Describe or demonstrate appropriate technique when performing- Intake and Output Enemas Gordon’s 11 functional conceptual framework. Use the nursing process, evidenced based practice, therapeutic communication, teaching/learning principles and role development as applied in the medical surgical setting Fluid and Electrolyte balance such as acid base balance, fluid volume deficit or excess, hypo and hyper disorders of electrolytes and the nursing care involved Intake and Output Skills Activities: Video/DVD/Demonstration: Monitoring of intake and output. Monitoring IV intake. Neurologic Assessment a. Physical assessment for basic neurological assessment. b. Assessing level of consciousness. – Ch. 23- Pg. 763-766, Pg. 796 – 797, Ch. 29- Pg. 1128-1134, Ch. 29. – Pg. 1135 – 1138, Pg. 1136 – 1138, Pg. 1139 – 1145, Pg. 1146 – 1150, Pg. 1151 – 1160. Lewis - Ch. 17, 25, and 46. VideoPearson – online Henke’s – Ch. 12, Pg.