ࡱ> NPMc &bjbj B;xY\xY\ VVVVVjjj8T<j77f22222   6666666$8S;6V     6VV226$$$ RV2V26$ 6$$R1j32`1ύA_4z2670772;;<j3;Vj38  $     66i    77    ;          > :  GROSSMONT COLLEGE Official Course Outline NURSING 256 CLINICAL REASONING SKILLS FOR FOURTH SEMESTER NURSING STUDENTS 1. Course Number Course Title Semester Units Semester Hours Based on a 16-18 week format NURS 256 Clinical Reasoning 1.5 4.5 laboratory Skills for Fourth Semester 72-81 total hours Nursing Students 2. Course Prerequisites None. Corequisite NURS 230 or equivalent Recommended Preparation None. 3. Catalog Description This course is designed so that fourth semester nursing students may practice advanced medical/surgical nursing techniques and clinical reasoning skills under the direct supervision of a nursing faculty member. Experiences may involve practice with clinical reasoning skills required on the National Council Licensure Examination, and participation in patient simulations with the option of low or high-fidelity simulation. High fidelity simulation may be used as a means of providing students with scenarios involving critical, life-threatening patient scenarios they might not ordinarily encounter in the clinical setting. This course is offered on a Pass/No Pass basis only. This is an elective course in the Nursing Program. 4. Course Objectives The student will: Examine clinical reasoning skills in a variety of advanced medical/surgical patient care situations, including critical, life-threatening events. Appropriately execute advanced nursing procedures on high fidelity simulated mannequins. Prioritize nursing care for patients with advanced health care problems. Formulate teaching strategies for patients and families to achieve specific outcomes. Examine the effects of cultural influences on the delivery of nursing care. Examine the role of evidence-based research in clinical nursing practice. 5. Instructional Facilities Low or High fidelity simulation laboratory. Standard classroom. NURSING 256 CLINICAL REASONING SKILLS FOR FOURTH SEMESTER NURSING STUDENTS page 2 6. Special Materials Required of Student a. ڰAPP nursing student uniform with embroidery. b. ڰAPP photo name badge. c. Bandage scissors. d. Watch with second hand indicator. e. Stethoscope. f. Penlight. g. I-clicker2. 7. Course Content Advanced clinical reasoning skills required on the National Council Licensure Exam. Select topics from advanced medical/surgical nursing theory, skills, and procedures, including critical, life-threatening events. Clinical judgment in select advanced patient care scenarios. Role of the nurse as provider of care, manager of care, and member within a discipline. 8. Method of Instruction Case Presentations. Multimedia resources. Guided discussion of clinical reasoning examples. Demonstrations. Patient scenarios utilizing low and high fidelity simulation. 9. Methods of Evaluating Student Performance Verbal questioning. Clinical simulation. Final exam demonstrating mastery of course content for fourth semester nursing course. 10. Outside Class Assignments a. Practice of nursing skills in skills lab. b. Video viewing of topics such as heart and lung sounds, ECG interpretation, and hemodynamic monitoring. c. Assigned readings from nursing textbooks and reference articles related to a variety of nursing topics. d. NCLEX practice questions. 11. Texts Required Text(s): Pellico, L.H. Focus on Adult Health Medical-Surgical Nursing, 1st edition. Philadelphia: PA. Lippincott Williams and Wilkins. 2013. b. Supplementary texts and workbooks: None. Addendum: Student Learning Outcomes Upon completion of this course, our students will be able to do the following: Appropriately execute complex nursing care in simulated patient care situations. Satisfactorily meet the individual students clinical objectives. Date approved by the Governing Board: December 13, 2016   ,/79:<OUZ`i{ü|o_Th[MhjOJQJh4hca6CJOJQJaJh46CJOJQJaJh4OJQJh[Mh[>*OJQJh[MOJQJh[Mh:OJQJ h[MhMh h[Mh{E h[Mhca h[Mh9- h[Mhj h[Mh'Hh[Mhca>*OJQJh4hca>*OJQJh4h4>*OJQJh[MhcaOJQJ -./{| N a b { |  @pd*$  `$d*$gd: $ `4$d  `x$d*$ 'd*$ d*$ d*$     % ) / 8 ; < M N b f z 깮̣Ę̹vk`vh[Mh~O[OJQJh[MhjOJQJh[Mh`8OJQJh[Mhca>*OJQJh4hDOJQJh4h MOJQJh[Mh MOJQJh4hnLOJQJh[MhcaOJQJh[MOJQJh[Mh:OJQJh4OJQJh[Mh{EOJQJh[MhzOJQJh[Mh9-OJQJ!|  & F @pd*$gd=C $@pd @pd*$ @pDd*$^`D      6 > ? 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