module 1. role of the nurse as a member within the...

Los Angeles Southwest College Associate Degree Nursing Program

Curriculum Threads and Content by Course

Course Provider of Care Manager of Care Member of the

Profession Nursing 501A Fundamentals Universal Self-Care

Developmental Health Deviation Self-Care Module 1. Role of the nurse as a member within the profession

Identify steps of the nursing process

Identify self-care deficits and apply nursing process in formulating plan of care

Identify scope of nursing practice

Identify role of the nurse within the context of the healthcare team

A. Overview of Orem’s Self-Care Theory B. Scope of nursing practice, standards of competence, nurse practice act C. Nursing process overview D. Medication math review Medication math

review (proportions, decimals)

Module 2. Self-care requisite and nursing assessment

Interview and communication skills

Pain scale Identify role of nurse in ensuring adequate pain management

A. Beginning interviewing and communication skills B. Health assessment: inspection and observation

Demonstrate techniques used to gain trust: sincerity, eye contact

C. Skills of basic physical assessment – order of assessment D. Health assessment in data collection

• Universal self-care requisites Documentation skills

• Developmental self-care requisites • Health deviation self-care

requisites E. Pain assessment

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Course Provider of Care Manager of Care Member of the Profession Nursing 501A Fundamentals Universal Self-

Care Developmental Health Deviation

Self-Care Module 3. Standard

precautions O2 Saturation

Universal Self-Care Requisite: Air and Water

Use of nasal

cannula, mask, humidification

A. Asepsis Hand washing • Chain of infection Bath and linen changes

• Interrupting the chain of infection Use of suction for airway clearance

• Standard precautions B. Personal Hygiene and basic comfort

measures Grooming-nails and hair C. Oxygenation and Perfusion:

Assessment, inspection and auscultation Demonstration of vital signs measurements: TPR, B/P

• Vital signs: Temperature, pulse, respiration, blood pressure

• Skills of assessing cardiovascular, peripheral vascular, respiratory and skin status Pulses: Radial ,

pedal, apical Heart sounds, S1 S2

• suctioning A. Oxygen therapy and Nursing

Interventions • delivery modes/interventions Inspecting mucous membranes,

capillary refill skin color, temp

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Self-Care Module 4. Geriatric

Assessment Normal aging Assessing client

affect Poly-pharmacy identification and prevention

Elder abuse and abuse reporting Universal Self-Care Requisite:

Balance between Activity and Rest Safety and fall prevention

A. Body Mechanics Assessing levels

of consciousness (LOC)

Poly-pharmacy and nursing interventions, teaching needs

B. Mobility: ROM; Ambulatory/Aids Transfer & Positioning Depression and

aged C. Hazards of immobility D. Assessment of older adults: Assessing client

affect

Geriatric myths vs. the normal aging process

Module 5. Foods that affect urinary and bowel elimination

Use of laxatives and elderly

Intake & output Drugs that affect urinary and bowel elimination

Universal Self-Care Requisite: Elimination

Lab studies related to urinary system

Urinary: Monitor and teach

regarding overuse of laxatives

A. Urinary Assessment /urine characteristics

Psychosocial impact of incontinence

B. Specimen collection & diagnostic tests Techniques of specimen collection:

C. Urinary Incontinence D. Altered Urinary Elimination: UTI; Cystitis

Clean catch, Midstream urine collection

E. Interventions and Nursing Care: I&O; Catheter care Bowel Urinary catheter

insertion and care F. Bowel incontinence G. Bowel irregularities: Diarrhea; Constipation; Fecal impaction; Enemas

I & O, Catheters, Enemas H. Intervention: Bowel and bladder

training

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Self-Care Module 6. Nutritional

Assessment: Dietary history; Inspection of mouth

Assess for psychosocial consequences produced by physiological changes in aging causing self-care deficits.

Restraints Ethical decision making Universal Self-Care Requisite: Food

A. Nutritional Assessment Nasogastric B. Digestion and nutrition Gastric tube

feeding Nutrition and ethical decision making in end stage care

• normal nutrients • types of enteral diets Oral Care Post mortem care • diet supplements C. Risk factors and oral problems Cultural diversity Tube feedings,

Advanced Directives

-anorexia, clients in restraints D. Eating patterns r/t dentition Stress response & coping mechanism

E. Nothing by mouth (NPO) F. Feeding tubes G. TPN

Death and dying

Module 7. Skills for medication administration:

Dosage Calculations/ Medication administration

Safe administration principles

Universal self Care Requisite Nursing Interventions and Medication Administrations Reading physician

orders

A. Dosage Calculations* A. Oral, topical routes B. Pharmacology Demonstrate

administration of oral and topical meds

C. Medication administration B. Anti-diarrhea drugs D. Oral, topical routes

E. Anti-diarrhea drugs C. Laxatives F. Laxatives D. Enemas G. Enemas Metamucil *Students must pass dosage calculations before going on to Nursing 501B

Docusate Biscodyl Fleets enema

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Course Provider of Care Manager of Care Member of the Profession Nursing 501B: Beginning Medical-

Surgical Nursing Universal Self-Care

Developmental Health Deviation Self-Care

Module 1. Injection techniques: intramuscular, SC and intradermal injections

Assess level of sedation

Universal Self-Care Requisite A. Pharmacokinetics: Absorption, Distribution and metabolism of drugs.

Assess level of pain using pain scale

B. Pharmacology Therapy • antibiotics Patient Teaching: Side effects, adverse effects, and drug interactions.

• antiviral drugs P.C.A. • anti diabetic • anticoagulation therapy • controlled substances –

• addiction C. Administering injections Balance between Activity/Rest A. sleep pharmacotherapeutics: sedatives; hypnotics B. pain pharmacotherapeutics: headaches; analgesics Module 2. Universal Self Care Requisite: Prevention of Hazards A. Perioperative care

• surgical asepsis • wound healing physiology and

processes B. Drugs used for surgery and acute pain management C. Assessment of skin integrity D. Infection control

Application of hot and cold Sequential compression stockings

Wound assessment Drainage tubes

Dressing changes Isolation techniques Anesthetic agents; Inhalation and intravenous agents

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Profession Nursing 501B: Beginning Medical-Surgical Nursing

Universal Self-Care


Module 3. USCR Health Care Deviation Hazards (Safety) A. Infectious Disorders: AIDS & HIV B. Transmission C. Infection control measures D. Sociocultural aspects E. Nursing care Module 4. Foods with

necessary electrolytes

Prepare IV bag and tubing and begin infusion

Universal Self Care requisite: Water A. Fluid and electrolyte balance B. Electrolyte imbalances Assessment of

F&E balance

C. Fluid imbalances Assessment of IV site D. Nursing care of patients with F&E

imbalance Hydration assessment

E. IV Therapy: Weight measurement

Review lab studies: electrolytes; ABG’s

F. Arterial Blood Gas (ABG) Intake & output • normal ABG levels • acid-base balance in homeostasis

Module 5. Universal Self Care Requisite: Alteration in Food intake A. Diabetes Mellitus: types; Dx tests B. Acute complications: diabetic ketoacidosis; hypoglycemia; hyperosmolar, hyperglycemic hyperosmolar non-ketotic coma C. Chronic Complications D. Pharmacology Drug Therapy E. Nursing Care during acute phase

Diabetic diets; Carbohydrate counting

Diabetic patient education Accucheck

Urine ketone measurement Types of insulins; Oral Diabetic drugs Use of insulin pumps

6




Profession Nursing 501B: Beginning Medical-Surgical Nursing

Universal Self-Care


Module 6. Identify activity and rest self-care needs

Elderly and hip fractures;

Neurovascular assessment of extremities: Capillary refill and peripheral vascular checks

Universal Self Care Requisite: Activity and Rest Rehabilitation

needs Deviation: Altered Mobility A. Musculoskeletal Trauma

• Fractures and complications Traction assessment: Inspection of t x n weights and patient alignment

• Compartment syndrome • Soft tissue injuries carpal tunnel

syndrome B. Traction: Skeletal; Skin C. Amputation

Cast care: D. Surgical intervention Patient teaching: Mobility in bed, use of trapeze; Transfers, ambulation, etc

• open reduction and internal fixation

• hip and knee replacement E. External devices

• cast care Pin care external F. Mobility considerations fixators. G. Herniated disc Log rolling

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Profession Nursing 502A: Intermediate Medical-Surgical Nursing

Universal Self-Care


Module 1. Universal Self Care Requisite Activity & Rest

SCR: Mobility & Safety Hazards

Elderly and hip fractures;

Ambulate client using assistive device

Deviation: Activity & Rest A. Assessment Rehabilitation needs A. Musculoskeletal Disorders: Physiological

changes environmental changes which would place client at risk

Osteoporosis, osteomyelitis Application of

heat B. Musculoskeletal inflammation & connective tissue disorders osteoarthritis; rheumatoid arthritis; Psychosocial

consequences related to deficits

gout; lupus C. Diagnostic tests B. Patient

teaching: Minimizing

D. Pharmacology E. Nursing Interventions Nonsteroidal

analgesics negative consequences of disability

Cox 2 inhibitors

Module 2. Universal Self Care Requisite Administering eye

and ear drop Elderly sensory changes and deficits

Sterile dressing changes

Solitude and Social Interaction A. Sensory disorders, eyes: inflammatory disorders, eye trauma, cataracts, glaucoma, retinal detachment macular degeneration, refractive errors, retinoblastoma, enucleation blindness, strabismus.

Reverse isolation techniques Topical antibiotics Broad spectrum antibiotics

Ears: external otitis media mastoiditis, inner ear disorders, Hearing impairment B. Pharmacology: optic and ophthalmic drugs

Topical beta blockers USCR: (alt skin integrity) hazards

Integumentary: Timolol C. Fluid and electrolyte imbalance re: burns: rules of nines

Miotic-Pilocarpine

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Universal Self-Care


Module 3. Precautions with radiation

Universal Self Care Requisite Hazards A. General principles of Oncology: prevention, detection, risk factors; nursing care; -pharmacology: alkylating drugs antimetabolites, vinca alkaloids biologic response modifiers monoclonal

Central line I.V.

antibodies Module 4. Universal Self Care Requisite:

Bladder irrigation

Elimination Urinary catheterization A. Renal: -obstructive pathology: bladder

and prostate cancer -Obstructive uropathy benign: prostate hypertrophy, hydronephrosis, urolithiasis B. Genital-Urinary Male Reproductive -inflammation (pyelonephritis) -defects: hydrocele, phimosis hypospadias, cryptorchidism C. Pharmacology Urinary: -antiseptics, analgesics stimulants, antispasmodics

9





Universal Self-Care


Module 5. Universal Self Care Requisite:

V.S. Height & weight measurement

Community-based nursing care across the lifespan

Referrals

Human Functioning Developmental Self Care Requisite

Administering vaccines A. Community health nursing

1.Overview of health care delivery systems

Phlebotomy 2.Health promotion and prevention 3. Communicable disease screening and treatment T.B., S.T.D. Health assessment

4.Childhood vaccines Developing client care plans 5. Mental health counseling

6.Environmental hazard detection -lead poising, food poising Client education 7.Nursing care of chronic disease (home health care) 8. Public health /home health agencies 9. Role of the nurse ADN & PHN Module 6. Lab

albumin s: Serum

Universal Self Care Requisite: Hazards A. Hematology, platelet and coagulation disorders: clotting pathway physiology; leukopenia & neutropenia; leukemias,-malignant lymphomas & multiple myelomas; hodgkins; -disseminated intravascular clotting

CBC and differential

B. Blood & Blood component: Therapy, transfusion reaction C. Nursing care D. Pharmacology

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Course Provider of Care Manager of

Care Member of the

Profession 502B. Medical-Surgical Nursing Universal Self-Care


1. Universal Self-Care Requisite Water Priming IV tube Elderly clients A. Intravenous Therapy -Care of central line are more -Central venous catheter infusion and maintenance

susceptible to complication due to age related changes

-Assessment of IV sites

-Intravenous piggyback infusion -Administration of IV, IVPB, IVP -Intravenous iv push medication

-Total parenteral nutrition (TPN) -At risk for fluid -TPN & Intralipids -Intralipid therapy and electrolyte -IV tube -Volumetric control imbalance -IV pump control 2. Alteration in Universal Self-Care Requisites Food (part.1)

-Fluid over load -ACCU checks risk -objective data and

A. Gastrointestinal Disorders -Changes in the subjective data 1. Motility GI system that collection -Gastroenteritis occur with aging -physical assessment o-Ileus -Common GI system -vomiting complaints of GI -oral feeding -GERD function are -tube feeding 2. Inflammatory Disorders related to dietary -documentation -Appendicitis and nutritional Physical assessment -Diverticulum factors -GI assessment -Diverticulosis

-Gastric analysis Diverticulitis -Inflammatory bowel disorders -Teaching (Crohn's disease ulcerative) -Gastric lavage (ulcerative colitis) (iced) -Peptic ulcer disease -Blood transfusions -Irritable bowel syndrome

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Course Provider of Care Manager of Care Member of the Profession 502B. Medical-Surgical Nursing Universal Self-

Care Developmental Health Deviation Self-Care

3. Obstructive Disorders NG tube-suction Home bowel prep for diagnostic procedures

Elderly are -Bowel cleaning susceptible to -Hypertrophic pyloric steno sis -Checking for gag CNS SE of -Anal rectal malformations reflex post

procedure Antiemetics drugs

-Cancer -Bowel obstructions -Determining

sensitivity to iodine

-GI bleed -These drugs may

produce con- -insertion of NG tubes

fusion 4. Pharmacology -Dosage should be reduce & monitor them closely

-Performing guaic testing for occult blood

5. Diagnostic Tests -Labs

-X-Rays -Increase risk in

gastric ulcer in the elderly is related to use of NSAIDS

-Procedures Meds: -Endoscopy Antiemetics -Colonoscopy -Antiulcer agenda -Radiologic studies Antihelmintics -Barium swallow -Conscious sedation -Proton pump inhibitor (PPI) therapy

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Alterations In Universal Self-Care Requisites (Food part.2)

Ostomy care -Ambulation of client

A. Structural Defects NG-tube suction -Esophageal atresia -Measuring and -Hiatal hernias charting contents

from gastric suctions

-Biliary Atresia B. Malabsorption syndromes -Celiac disease -Short bowel syndrome -Nursing

responsibilities for liver biopsy

Alteration In Universal Self-Care Requisites (Food part.3)

A. Hepatic Disorders -Analyze liver

function test -Hepatitis -Cirrhosis -Cholecystitis -OSHA standard

for hepatitis immunization

-Pancreatitis -Cancer -Jaundice -Cholelithiasis -Standard

precaution B. Diagnostic Tests (ERCP) -Antibiotics C. Pharmacology -Insulin

replacement -TPN

-H2 blocks

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5. Alterations In Universal Self-Care Requisites Hazards

A. Endocrine Disorders -Hypothalamic disorders -Thyroid disorders -Parathyroid disorders -Adrenal disorders -Pheochromocytoma B. Diagnostic Tests C. Pharmacology 6. Alteration In Universal Self-Care Requisites Activity & Rest

A. Peripheral Vascular Disease - Raynaud’s phenomenon -Venous thrombosis -Varicose veins -Chronic venous insufficiency -Pulmonary embolism B. Diagnostic Test C. Pharmacology

Assessment for trousseau’s signs

-Chvostek's sign -Doppler use Glucocorticoids -Mineral corticoids -Parathyroid agents -Pituitary agents -Anti thyroid agents -Thyroid agents -Anticoagulants -Thrombolytic agents

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Profession 503A: Advanced Medical Surgical Nursing

Universal Self-Care


Role of the Nurse As Manager Of Care Conduct Team Conferences Pre/Post

Identify quality assurance process and components of JCAHO accreditation

I. Assessment of employment settings (for the ADN nurse)

A. Career pathways B. Components of hospital organizational structure

Assigning and delegating to team members 1. Centralized and decentralized

2. Nursing delivery systems a. Total patient care Communication

with: health care team

b. Team nursing c. Primary care d. Functional nursing II. Planning and Implementing Client Care Evaluation of

team/ assignment A. Management concepts 1. Management vs. leadership 2. Delegation and supervision Conducting shift

reports 3. Problem solving and decision making B. Communication within the health care team C. Time management III. Evaluation A. Quality assurance B. Accreditation (JCAHO)

15





Universal Self-Care


I. Universal Self-Care Requisite: Air Identify normal heart sounds and point of maximal impulse

Self-Care Deficit: SCR: Personal and social hazards

Interpret: Troponin, BNP A. Cardiovascular Disorders Management of

pain/oxygenation 1. Assessment A. assessment Lead Placements: Lead II, MCL, 12 leads

Physical assessment -life styles Normal abnormal heart sounds -risk factors

Inspect Jugular veins and identify JVD

Identify change from normal sinus rhythm to:

Evaluate peripheral pulses Cardiac diagnostic tests 2. Alteration in Universal Self-Care

Requisite: Oxygen -sinus brad, tachycardia Sense of Normal B. Cardiac Rhythms

-ventricular tach, and atrial tach

1. Life threatening dysrhythmias Impact of Self-Care Requisite on social and spiritual outlook

-atrial flutter -atrial and vent. fibrillation

Solitude Personal health habits

-1st,2nd,3rd, degree Av-block -bigeminy -asystole -pacemaker Meds: Cardiac glycosides Antianginal Selected ACLS Drugs: 1. Atropine 2. Lidocaine 3. Adenosine 4. Amiodarone

16





Universal Self-Care


II. Overview of Cardiac Physiology Cardiovascular Diet

Age as a risk factor for (CAD)

Meds: Invasive Monitoring

Alteration in Self-Care Requisite: Air Antilipid agents Coronary Artery Disease (CAD) Selected: -pressure bag -Atherosclerosis Low Sodium Diet Diuretic therapy -pap -Stable vs. Unstable angina Anticoagulant -arterial line -myocardial infraction Agencies -cvp 1. Complications of myocardial infraction Fibrinolytic

Therapy -map

a. arrhythmias pawp b. congestive heart failure Vasopressor c. cardiogenic shock Agencies d. pulmonary embolism Selected

Calcium channel blockers and beta blockers Agents that decrease a. Preload b. After load Selected Angiotensin Converting agents

17





Universal Self-Care


III. Teaching Assessment 1. Disorders of the Heart Preventive aspects Pre& Post cardiac

catheterization Infective endocarditis a. sub acute b. acute Identify

pericardial friction rub

Diagnostic Tests -blood cultures -cardiac catheterization Alteration in Self-Care Requisites: Activity & Rest

Measurement of Pulsus Paradoxes

2. Pericarditis -infectious Specific

Antibiotics -non infectious -hypersensitive or auto immune Complications: NSAIDS -pericardial effusion -cardiac tamponade 3. Acute/Chronic Pericarditis Diagnostic Study -Cardiac Catheterization pressure tracing

18



Course Provider of Care Manager of Care Member of the Profession 503A: Advanced Medical Surgical

Nursing Universal Self-Care


3. Myocarditis Universal Self-Care Requisite: Mobility

Safety for the geriatric client

Assess for F. Diagnostic Test Diastolic murmur Non conclusive Systolic Murmur Alteration in Universal Self-Care Requisite: Air

Holosytolic Murmur

IV. Valvular Heart Disease Systolic Crescendo murmur

-mitral valve stenosis -mitral valve regurgitation -mitral valve prolapse Decrescendo Diastolic murmur Diagnostic Tests 1. EKG 2. Echocardiogram - Aortic valve stenosis - Aortic valve Regurgitation

19





Universal Self-Care


Renal Interpretation of renal-labs

Sense of normalcy for the geriatric client

Renal diet/ Protein/fluid restriction

A. Chronic Glomerulonephritis -Causes -Diagnostic studies -quality of life B. Renal Failure -safety: protection

from hazards Renal dialysis diet

1. Acute renal failure (ARF) Monitoring daily weight cardiac EKG changes

-Uremia Dietary

supplements -Acute tubular necrosis 2. Diagnostic Studies C. End Stage Renal Disease (ESRD) Kayexalate

phosphate binders vitamin D erythropoietin agents

1. 1973 legislative changes 2.Dialysis Catheter care -Peritoneal -Hemodialysis -Continuous renal placement therapy Assessment of

Bruit thrill

D. Complication of Dialysis Iron agencies diuretic (specifics) ace inhibitors (specific) steroids (specific)

E. Kidney Transplantation -Recipient selection -Donor sources -Surgical procedure F. Complications of transplantation

Immuno suppressive therapy

20




Profession 503B: Psychiatric Nursing Universal Self-Care


Module 1. Introduction to Normalcy, Solitude, and Social Interaction

Verbal & non-verbal communication skills

A. Foundations for Practice in Psychiatric and Community Mental Health Nursing

1. Introduction to Contemporary Psychiatric-Mental Health Nursing

Mental status assessment 2. Legal/ethical issues

3. Culture 4. Therapeutic Relationships and

Effective Communication Skills

5. The Nursing Process in Psychiatric-Mental Health Nursing

6. Mental Status Exam B. Solitude/Social Interaction/ Health Deviation

1. Stress, Anxiety, and Coping 2. Crisis Interaction

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Course Provider of Care Manager of Care

Member of the Profession 503B: Psychiatric Nursing Universal Self-


Module 2. Alteration in Universal Self-Care Requisite: Solitude/Social Interaction

Dietary considerations with drugs

Psychopharmacology and the elderly

Antianxiety(anxiolytic) medications

-Antipsychotics A. Foundations for Practice in Psychiatric and Community Mental Health Nursing

-Antidepressants -Mood stabilizers -Psychostimulants (sympathomimetics) 1. The Biological Basis of Mental

Illness -Sedative-hypnotics 2. Psychopharmacology -Medications to treat

extrapyramidal side effects

3. Electroconvulsive therapy and other biological therapies

B Solitude/Social Interaction/Health Deviation

1. Schizophrenia and other Psychotic disorders 2. Mood Disorders 3. Grief and loss

4. Suicide Module 3. Alteration in Universal Self-Care Requisite: Normalcy

Mental health promotion, maintenance and preventive interventions

Identify the RN role in managing individual, family, and group therapy modalities

A. Foundations for Practice in Psychiatric and Community Health Nursing 1. Health Promotion, maintenance and preventive interventions 2. Cognitive-behavior therapy 3. Group therapy and therapeutic groups 4. Family therapy 5. Milieu therapy

22




Profession 503B: Psychiatric Nursing Universal Self-Care


B. Solitude/Social Interaction/Health Deviation

1. Anxiety disorders 2. Personality disorders 3. Eating disorders 4. Somatoform disorders 5. Dissociative disorders Module 4. Alteration in Developmental Self-Care Requisites/Alterations in Universal Self-Care Requisite: Hazards to Human Functioning and Human Well Being

Discuss mental health considerations across the lifespan

Identify community-based resources for substance abuse care and continuing care

Identify professional responsibilities in reporting abuse/neglect

A. Foundations for practice in Psychiatric and Community Mental Health Nursing 1. Developmental and psycho- logical theories of mental illness 2. Children 3. Adolescents 4. Elderly 5. Community mental health nursing B. Alteration in Universal Self-care Requisite: Hazards to human life, human functioning and human well being 1. Delirium, dementia, and amnesic disorders 2. Substance-related disorders 3. Victims and victimizers Violence: abuse , neglect 4. HIV/AIDS

23




Profession 506A. Pediatric Nursing Universal Self-Care Developmental Health Deviation Self-Care

DEVELOPMENTAL UCSR Infant head to toe Parenting-types, Skin turgor assessment

Review Orem’s Self Care Theory

Unit 1- Infancy assessment (3, 6, 9,

12 mths) roles, responsibilities Data collection

Child Development Vital signs of signs and symptoms

Leadership-review Physical Emotional and social

patterns of the infant 3, 6, 9, 12 mths)

Grandparents- the new infant- Emotional Normal Skin Care

(diaper rash prevention)

types Social Communication

skills- Age appropriate

Team leading Feeding and bathing

techniques Team Member

ALTERATION IN USCR: FOOD I & O Time Management Safety measures

(G&D, 1-12 mths) Weigh diapers

Gastrointestinal Function/Dysfunction Infant urine collection,

Vomiting Pharmacology for

infants and children Charting(on going) Marasmus Infant positioning

for feeding, Diarrhea Review use of I.V. pump

Pyloric Stenosis Pre-Post op care

of abdominal surgery

FTT Emesis

assessment(projectile) Thrush PKU Daily weight Hernia Diet for age Intussusceptions (DFA) Special diet Mega Colon 1mo-12mo dietary

restrictions Biliary Atresia Dental development

Dietary intake assessment

Meds: Vitamins/Iron

Dietary restriction NPO Ht. & Wt. Antibiotics DFA

24




Profession 506A. Pediatric Nursing Universal Self-Care


ALTERATION IN USCR: AIR Age appropriate communication and care

Signs of discomfort

Team leading Pre/ Post Conf. (

on going for View ear Ear,Nose,Throat Instilling ear

drops course)

Dysfunction bottle feed –

C.L./C.P.(special nipple)

Otitis Media Cleft lip, palate Infant positioning ALTERATION IN USCR: AIR Home care of the infant/child with a respiratory illness

Vital signs Respiratory Lab results Dysfunction Respiratory precautions

Bronchiolitis, Colds, RSV,RDS, RAD Teaching regarding infant positioning for sleep

SIDS, Meningitis, Dietary restrictions

Antibiotics

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ALTERATION IN USCR: HAZARDS Applications of ointment to skin

Guardianship Dietary restrictions

Team leading Limits of parenting skills

Pre/ Post Conf. ( on going for Integumentary Preventions of

excessive scratching to skin

Transition issues Steroid Creams course) Eczema Kinship care Pruritus

Patient teaching Antibiotics ( oral and topical)

Impetigo Infant hygiene Genitourinary Care of GU area Cryptorchism

Hydrocele Diaper support Child Abuse Shaken baby Reporting,

assessing head to toe

Battering sexual

Infant response (affect assessment) Stranger anxiety

26






ALTERATION USCR:ACTIVITY Assessment of Infant Reflexes

Age appropriate communication and care

Pre-Post surgery Spinal protection


on going for Neurosensory Functions Spina Bifida Monitoring food

and liquid intake course)

DEVELOPMENTAL USCR Food intake

Words in home Miscellaneous Process in home Antibiotics

Training regression

Antipyretics Toilet training

ALTERATION USCR:ACTIVITY & Food preparation REST Sanitary precaution

Fever of unknown origin

Cooling measures Immunizations Age appropriate- (1-12 mo) Sleep assessment Sleep patterns

Care of a croupette

27






UNIT 2- Head to toe assessment


Use of oximeter Team leading TODDLER/PRE-SCHOOLER and saturation

levels Pre/ Post Conf. ( on going for DEVELOPMENTAL USCR 13 mos-4yrs

Child Development 13 mo-24 mo course) Physical 24 mo-36 mo ER care-trach

care,

Emotional 3 yrs- 4 ½ yrs Social oxygen therapy, ALTERATION USCR:AIR Food patterns and

tolerances

Cardiovascular Vitamins/Iron Dysfunction Ht. and Wt.

ranges

Congenital heart Antibiotics Disease Tetra logy of Fallot Vital Signs-

normal/abnormal Cardiac medication Transposition

Congenital Heart S&S cardiac arrhythmias

(Lanoxin) pulse rate < 70 child, <90 infant

Failure Patient Ductus Prepare for

cardiac cath Arteriosus Coarctation of the vaporizer, mist

tent Aorta S&S Ductus Venosus Respiratory

assessment

Respiratory Dysfunction Sweat test Epiglottis Positioning, chest

percussion Croup Laryngotracheo-Bronchitis Pneumonia Cystic Fibrosis

28






Unit 2 Special diet Age appropriate communication and care

Dietary restrictions

Team leading ALTERATION IN USCR:FOOD Pre/ Post Conf. (

on going for Stool specimen Gastrointestinal Lab results-toxic

levels course)

Dysfunction Home safety precautions

Celiac Disease Chelating therapy Parasites Lab results-toxic

levels Kwashiorkor Therapies of

choice Plumbism Emesis/Lavage

Poisoning Corrosive/non-corrosive High protein diet vitamins

Enzyme therapy IVPB therapy

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Unit 2 DFA Age appropriate communication and care

Pre/Post Operative care

Team leading Multidisciplinary approach ALTERATION USCR: ACTIVITY & Pre/ Post Conf. (

on going for REST Hernias Food arrangement Vision/hearing

screen course)

Diaphragmatic Umbilical Neuro checks Orientation to

the Inguinal Review of cast care Neuromuscular environment

Dysfunction Care of traction Cerebral Palsy (Skin care)

(ADL) Loc/Neuro assessment Types

Fracture’s Respiratory precautions Traction Age appropriate

Bryant’s S&S of common CD’s

Lumbar puncture Sensory Impairment Seizure

precautions Deaf & Blind Meningitis Physical

assessment of ears and throat

Seizure Disorder Anticonvulsive

medication Types Communicable Instilling ear

drops(under 5 yrs)

Disease Antibiotics Immunizations (over 5 yrs) Conjunctivitis Childhood Disease Ear, Nose, Throat Tonsillitis Ear Drops

30



Course Provider of Care Manager of

Care Member of the



Unit 3 – School Age DFA Age appropriate communication and care

Head to toe assessment 5-12 yrs


on going for DEVELOPMENTAL USCR Ht. & Wt. Child Development Cont. Neuro check course) Physical Seizure

precautions (epidural/subdural

Emotional hematoma) Social (school related) Glasgow Coma Scale S&S Assessment of cognitive

impairment ALTERATION USCR:ACTIVITY & REST ADL in school Assessment of

M.R./M.R. alterations Neuromuscular Dysfunctions Head Trauma Assessment of

A.D.D./A.D.H.D. Cognitive Impairment Mental Retardation Head Circumference A.D.D. Measurement, neuro

status Cerebral Malformations S&S Intracranial

Pressure (Shunt malfunction/infection)

Types(Micro/ Hydrocephalus) Idiopathic Epilepsy Types NPO (post surgery 24-

48 hrs. shunt assessment)

Precautions Guillian Barre’s syndrome I.V.P.B. (non-scalp) Spinal Cord Injuries Anticonvulsive drugs

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ALTERATION USCR:AIR ADL home/school Age appropriate communication and care

Lab results Team leading Cardiovascular Pre /post surgery

wound care Pre/ Post Conf. ( on going for Dysfunction Personal hygiene

Rheumatic Fever Skin Care course) Asthma S&S

Respiratory assessment, allergies

ALTERATION IN USCR:FOOD DFA Gastrointestinal Dysfunction Special diet Appendicitis Food allergies Use of inhaler,

aerosol machine, USCR:AIR Environmental

restrictions Respiratory Asthma Tonsillitis Pre/post surgical

care Tonsillectomy Sterile Isolation ALTERATION IN USCR:ACTIVITY Dressing change

techniques (open/occlusive)

& REST Integumentary Dysfunction Burns First aid/ER care External Signs of shock Internal Cellulitis Antibiotics Dermatophytosis(ringworm) Broncodilators Scabies I.V. therapy Pediculosis capitis Topical meds Bee Stings Antifungal

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ALTERATION USCR:WATER Daily wts. Age appropriate communication and care

Lab work/results Team leading Genitourinary Skin assessment Pre/ Post Conf. (

on going for Dysfunction I.V. Therapy Nephrotic Syndrome Blood

transfusions course)

ALTERATION USCR:AIR Hematological Dysfunction Antibiotics Leukemia Sickle Cell anemia Hemophilia Lupus Erythematosis ALTERATION USCR:HAZARDS Infectious Disease Scarlet Fever Respiratory

restrictions (home Measles Types Varicella (Chicken Pox)

33






ALTERATION IN USCR;ACTIVITY DFA Age appropriate communication and care

First aid/ER care Team leading & REST Hot/Cold

compresses Pre/ Post Conf. ( on going for First aid

Musculoskeletal Dysfunction Hot/Cold compresses

Techniques of immobility

course) Traumatic Injuries Contusion Techniques of

immobility Slings, splints

Dislocation Sprain Slings, splints Traction care Strain Fracture’s Vitamins Traction (type) Congenital defects Club foot Osteogensis imperfecta Misc: Accidents School, play, auto

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Unit 4 – Adolescent Head to toe assessment


Coping mechanisms

Team leading DEVELOPMENTAL Pre/ Post Conf. (

on going for USCR 13-17 yrs Group therapy Responses to

growth and development changes

Individual therapy

course) Adolescent Development Physical Placement Emotional Individual/Group Social Meeting Dietary

Counseling

ALTERATION USCR:SOLITUDE & Psychotropic drugs SOCIAL INTERACTION Feeding Methods

Supervised meals

(REVIEW) Psychosocial Disorders Schizophrenia DFA Anti-social Depression/Suicide Caloric evaluation Substance Abuse Gastrointestinal Dysfunction Obesity Anorexia Bulimia

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Course Provider of Care Manager of Care Member of the Profession 506A. Pediatric Nursing Universal Self-


ALTERATION USCR:FOOD Skin Care Age appropriate communication and care

Topical ointment Team leading Diet changes Pre/ Post Conf. (

on going for Integumentary DFA Dysfunction Diet evaluation Antibiotics course) Acne Multiple

medications S&S, Limited activity ALTERATION USCR: HAZARDS

Immunization Infectious Disease Enteric isolation PPD Mononucleosis Social restrictions Hepatitis Behavioral

changes

Types AIDS Sexually Scoliosis

screening Transmitted Diseases Scoliosis (parental

consent) Tuberculosis Scoliometer ALTERATION USCR: ACTIVITY & REST Muscular Skeletal Disorders Scoliosis Muscular Dystrophy

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Teen Pregnancy Safe sex and pregnancy prevention education


Counseling Teen parenting ER care Abortion Sexual Assault Antibiotics/ Birth Control

Prevention(Morning After Pill)

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Profession 506B. Maternal Nursing Universal Self-Care


Module 1: Developmental and Normal reproductive care and health promotion

BSE Universal Self-Care Requisites TSE A. Trends and Issues in Maternity Nursing Calculation of

ovulation period B. Definitions of Terms C. Expanding Roles in Maternity Nursing Diagnostic D. Statistics Hormonal Ass. E. Cultural Diversity Sonogram Module 2: TPAL (GTPAL) USCR- Air: Physical Foundations of Reproduction

Calculating EDC Diagnostic tests Amniocentesis ultrasound

A. Female and Male Reproductive Organs B. Menstruation

Labs: ABO incompatibility

C. Infertility D. Pharmacology: Androgens, ovulation, stimulants, infertility agents RH Factor

non stress/stress test

Module 3: USCR- Food: Pregnancy

Positioning A. Development and physiology of the embryo and fetus Deep tendon

reflex B. Physiological aspects of pregnancy TPAL (GTPAL) C. Psychosocial aspects of pregnancy Meds: D. Parent education NSAIDS E.Anterpartal care Infertility Agents F. AIDS & pregnancy -Androgens G. Complication of pregnancy -Ovulation Stimulants

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H. Complication of prenatal period- abortion, hypertensions, eclampsia (PIH) previa, abruption, varicosities, RH factor, TORCH infection, HELP, incompetent cervix, hydatidiform mole thyroid problem, cardiac disorders, DM, premature ROM, amniotic fluid embolism, ruptured uterus dystocia, precipitate labor, cord prolapse, cord compression, ectopic pregnancy, rubella, STD/HIV

Assessment of the client in labor

Maternal and fetal monitoring Nitrazine Test Fern Test Positioning Oxygenation- 8- 10 L pm-Mask 4-6 L pm-NC

I. Physical abuse of the pregnant women BOA packs J. Teen pregnancy Nutrient diet

catheterization in pregnant women

Module 4: USCR-Hazards: Parturition

Meds: A. Presentations and Positions Mag-Sulfate B. Mechanisms of labor (calcium channel) C. Diagnostic Tests and Procedures Blockers review D. Pharmacology: Anti-tocolytic agents,

oxytocin, beta-adrenergics reproductive related agents.

Terbutaline Anti-tocolytic Agents E. Preterm Labor Oxytocins F. Complications of Labor Beta-Adrenergic G. Types of delivery Pain- Medications H. Operative obstetrics - IM, IV, Epidural I. Alternative birthing room/centers Oxygenation Antibiotics

J. Nursing care of mother and child

Cervidal Steroid- Dexamethasone

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Module 5: USCR Hazards: Postpartal Period

Teaching:: Breast feeding, care of the breast

Bubble HE Assessment:

A. Definition Fundus, breast, bladder, lochia B. Anatomical Changes

C. Clinical Considerations perineum rectum D. Psychosocial Aspects E. Immediate and Ongoing care Review Homan’s

Sign F. Six week postpartum exam G. Pharmacology Breast milk

expression H. Postpartal Complication Thrombophlebitis, pulmonary edema, hemorrhoids, mastitis, puerperal blues, post partum psychosis and depression, anxiety, loss and grief, post partum hemorrhage. UTI, constipation.

Ice pack Warm pack Diet- Regular Meds:

I. Pharmacology: RH (D) Immune Globulin, Rubella vaccine

Rhogam Rubella MVI

J. Nutrition in postpartum FeSo4 Mylicon Lactation/non lactation, breast feeding, weight regulation

Simethicone Phenobarb IM Contraceptive

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Module 6: Developmental Self-Care Requisites & USCR Air: Newborn Nursing

Care of the normal newborn

Gestational Age Assessment

A. Immediate Care of newborn in the delivery room

Apgar Score

B. Physiological Changes Newborn resuscitation C. Physical Assessment

D. Nursing Care Babinski in NB E. Infant nutrition F. Medications Cord Care G. Registration of the newborn Feeding- Infant

Thermoregulation H. Diagnostics I. Complications of the Newborn Oxygen Therapy Problems in the newborn-prematurity, postmaturity, maternal age/substance abuse, RDS,PDA, meconium aspiration, sepsis, hyperbilirubin, retrolental fibroplasias, temperature regulation, necrotizing enterocolitis, NICU emergency, FAS (Fetal Alcohol Syndrome)

Bili Lights Exchange Transfusion (Observation) Heel Stick

Cold Stress Occult Stool J. Fetal Age Determination K. Psychosocial/ emotional level- trust vs. mistrust need for stimulation.

PKU Hearing Screening

Social workers hold drug babies. L. End of Life Issues Abdominal Girth. M. Cardiac Anomalies Urinalysis

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Module 7: USCR-Hazards: Health Issues Of Men and Women

Anticipatory Guidance

Contraceptives

STD Agents A. Family Planning Options B. Sexually Transmitted Diseases HRT C. Menopause and Osteoporosis D. Bleeding Disorders E. Menstrual Disorders F. Vaginitis G. Cystocele and Rectrocele H. Pharmacology: Estrogen/ Progestin Replacement agents, oral contraceptives, calcium regulator agents

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Profession Nursing 527: Nursing Process Universal Self-Care

Developmental Health Deviation Self-Care Module 1. Identify nursing

process as a problem solving process

What is the NP, steps in the NP, Relationship among the steps

A. Critical Thinking Competence B. Nursing Process Overview

Module 2. A. Conceptual Framework (CF) B. Orem’s Self-Care theory C. Glossary of terms: Self care, Universal Self Care Requisite, Developmental Self care requisites, Self care deficits, self care agency, nursing systems and technology D. Relationship between CF and NP Modules 3 & 4 Organize and

cluster data Assess cognitive functions, sensory impairments,

TPR, B/P, skin turgor, edema, pain

Universal Self Care Requisites A. Assessment & Nursing Dx Distinguish

between relevant and irrelevant data

Collecting & examining data, data sources Impairment in mobility

B. Validation of data Utilize positioning

as a therapeutic measure

C. Communicating & recording data Identify and document assessment findings

A. Air, assessment of VS; H2O: B. Nutritional assessment fluid balance Identify hazards C. Activity & Rest : Pain assessment, sleep disturbance Monitor for

alterations in elimination (I&O)

Identify functioning that is altered from a sense of normal

D. Prevention of Hazards: E. Elimination F. Human Functioning G. Social Interaction & Solitude

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Profession Nursing 527: Nursing Process Universal Self-Care

Developmental Health Deviation Self-Care Module 5. Developmental Self-Care Requisites Develop

beginning interviewing skills

A. Developmental Factors -Assessment -Age & Sex -Social & Cultural -Values & Beliefs Practice writing

nursing diagnoses -Lifestyle factors -Stressors Identify domains Formulating Nursing Diagnosis

P (problems: self care demands) E (evidence) S (signs and symptoms) (health care deviations) Module 6. Practice writing

goals

A. Planning and setting goals patient outcomes B. Domains: Cognitive, Affective psychomotor Module 7. Utilize

interventions learned 501A

Modify communication to accommodate sensory deficits in the elderly

Formulate complete nursing care plan

A. Intervention B. Evaluation

Evaluate measurable outcomes

Indicate termination of plan or reassessment

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Profession Universal Self-Care


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module 1. role of the nurse as a member within the...

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