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Nsp2781.doc

BROWARD COLLEGE
COURSE OUTLINE
LAST REVIEW: 2009-2010
NEXT REVIEW: 2014-2015
STATUS: A

COURSE TITLE: Refresher Nurse Update
COMMON COURSE NUMBER: NSP2781 (NSP 2860)
CREDIT HOURS: 5
CONTACT HOUR BREAKDOWN
CLOCK HOURS:

PREREQUISITE(S): Active Florida R. N. license, Current BLS Certificate (Health Care Provider),
Physical Examination

COREQUISITE(S): NONE
PRE/COREQUISITE(S): NONE
COURSE DESCRIPTION
(750 characters, maximum):
This course has been developed to review current theory in relation to nursing practice so that the inactive
R.N. may be able to move with confidence into a staff nurse orientation and return to practice. The
material presented will emphasize trends in nursing practice and nursing education today changes in the
fundamentals of nursing skills necessary for providing effective nursing care in a variety of situation and a
reasonable comprehensive review of the up to date nursing management of the adult patient with a
medical surgical problem.

UNIT TITLES
1.

Page 1 of 23
BROWARD COLLEGE
COURSE OUTLINE
Common Course Number: NSP2781 (NSP 2860)
Unit 1 Introduction
General Outcome: Upon successful completion of this course, the students should be able
to demonstrate safe, effective nursing care for medical-surgical patients. The student shall: Be able to describe the purpose of the course.
Specific Measurable Learning Outcomes:
Upon successful completion of this unit, the student shall be able to:
Identify the requirements of continuing education for license renewal. Use the units as tools for independent study. Demonstrate familiarity with the learning resource program and audio visual equipment. Identify the professional organizations and publications currently available to nurse. Give five other resources aside from text to supplement this course. Complete the hospital orientation check list. Identify codes and/or numbers used for emergencies. Identify the method of charting medications administered. Demonstrate the selection of a vein and the insertion of the needle into a vein. Demonstrate how to calculate the number of gtts/min. from a physician's order, with a given set. Demonstrate aseptic technique when changing a sterile dressing. Demonstrate aseptic technique when catherizing a simulated model. Page 2 of 23
BROWARD COLLEGE
COURSE OUTLINE
Common Course Number: NSP2781 (NSP 2860)
Unit 2 Communication
General Outcome:
The student shall: Be able to describe methods for effective
communication in nursing practice.
Specific Measurable Learning Outcomes:
Upon successful completion of this unit, the student shall be able to:
Select specific information to be recorded. Demonstrate knowledge of medical abbreviations. Demonstrate the procedure for correcting errors when charting. State several methods of promoting effective communications. Name the two major types of communication. Identify the components of the nursing process. Identify sources of information utilized in planning patient care. Indicate the role of members of the health care team. Understand the organization flow of the nurses station. List the responsibilities of the team leader. Indicate the role of the nursing in primary nursing. Plan and evaluate teaching needs for a specific patient. List the four processes used for physical assessment. Give the steps to perform a complete physical assessment. Care for a patient needing complete supportive care doing the following: Identify all drugs administered to the patient. Demonstrate awareness of patient safety factors. Page 3 of 23
BROWARD COLLEGE
COURSE OUTLINE
Common Course Number: NSP2781 (NSP 2860)
Unit 3 Nursing Today
General Outcome:
The student shall: Be able to describe current nursing practice.
Specific Measurable Learning Outcomes:
Upon successful completion of this unit, the student shall be able to:
Explain the purpose of the Nurse Practice Act. State the legal responsibilities of a registered nurse in matters pertaining to: Identify the legal aspects of bedside care for a selected patient needing custodial care. Discuss "Incident Report" procedures and forms. Discuss "Medication Error" procedure and forms. Name the three types of fires and extinguishers. Review the code and procedure for fires at clinical facility. Page 4 of 23
BROWARD COLLEGE
COURSE OUTLINE
Common Course Number: NSP2781 (NSP 2860)
Unit 4 Human Needs
General Outcome:
The student shall: Be able to describe methods utilized in meeting basic
human needs.
Specific Measurable Learning Outcomes:

Upon successful completion of this unit, the student shall be able to:
Use safe and effective techniques for administering drugs via: Chart, record and report medications given Charting of medications given or omitted. Demonstrate ability to transpose measurements from the apothecary, metric and household systems. State signs and symptoms of hyponatremia, hypernatremia, hypokalemia, hyperkalemia, hypocalemia, hypercalimia and hypochloremic. Define metabolic and respiratory imbalance. Identify five do's for administering blood. Identify six don'ts for administering blood. Name three common therapeutic diets and foods permitted on them. Name the basic nutrients and their functions. Page 5 of 23
BROWARD COLLEGE
COURSE OUTLINE
Common Course Number: NSP2781 (NSP 2860)
Demonstrates awareness of three different religions and how their beliefs affect patient care. List the five stages of dying according to Kubler-Ross. State ways of helping the family of the dying patient. Page 6 of 23
BROWARD COLLEGE
COURSE OUTLINE
Common Course Number: NUR2781 (NSP 2860)
Unit 5 The Surgical Patient
General Outcome:
The student shall: Be able to describe perioperative nursing care.
Specific Measurable Learning Outcomes:

Upon successful completion of this unit, the student shall be able to:
Assess the needs of the patient with an inflammation as to: Institution of appropriate nursing care measures. Appropriate reporting and recording of data. Assess the nursing needs of a patient with an infection. Assess the patient's learning needs as regards prevention and treatment of infections. Define the types of isolation technique and the purpose for the use of each. Maintain sterile technique while doing procedures calling for surgical asepsis. Identify the psycho-social needs of the pre-operative patient. List the areas of teaching to be considered by the nurse when preparing the patient for surgery: Information related to the specific surgical procedure to be performed. Information related to the nurse patient activities before, during and after surgery. List the reasons for the use of common diagnostic tests on the pre-operative patient, including X-rays, blood chemistry, CBC, urinalysis, EKG, and coagulation studies. List the methods utilized for collection of specimens: List the preparations that must be checked prior to surgery. Differentiate between the various types of anesthesia (general, spinal, local). Assess the psychological and physical needs of the patient immediately following surgery. Demonstrate nursing skills (ex. comfort, activity, fluid and electrolyte balance, and prevention of complications). Identify all drugs administered to patient. Implement and evaluate care plan as needed. Describe the functions of the infection control nurse. Give the nursing measures to prevent infection. Page 7 of 23
BROWARD COLLEGE
COURSE OUTLINE
Common Course Number: NUR2781 (NSP 2860)
Unit 6 G.I. and Endocrine
General Outcome:
The student shall: Be able to describe the care of a patient with an alteration G. I
or Endocrine.
Specific Measurable Learning Outcomes:

Upon successful completion of this unit, the student shall be able to:
Describe the individualized nursing care for persons experiencing common symptoms of diarrhea, constipation, nausea and vomiting. Identify the categories of common medications, actions, side effects, etc. in the following: Describe the systematic assessment including nursing history and physical assessment of a patient with a G. I. disorder. Discuss the nurse's role in assisting with the following diagnostic procedures: Describe or perform insertion of a Levine tube. Describe or perform insertion of Salem-Sump. Plan care for a patient with a nasal gastric and/or Salem Sump which is connected to suction. Identify signs and symptoms, treatment and nursing care of a person with carcinoma of the stomach. Care for a selected patient who has had a gastric resection: Identify all medications administered to patient. Page 8 of 23
BROWARD COLLEGE
COURSE OUTLINE
Common Course Number: NUR2270 (NSP 2860)
Identify principles and nursing measures when administering care to a person with a gastrostomy tube, including feeding, emotional factors, rehabilitation, patient and family teaching. Differentiate between the following intestinal and stomach tubes including their purposes and the nursing responsibilities: Demonstrate the irrigation of a colostomy. Identify the different types of colostomies. Explain the nursing responsibilities for a patient who has had a liver biopsy. Identify the etiology, incidence, signs and symptoms, treatment and nursing care for a patient with hepatitis (serum and infectious). Page 9 of 23
BROWARD COLLEGE
COURSE OUTLINE
Common Course Number: NSP2781 (NSP 2860)
Unit 7 Cardiac
General Outcome:
The student shall: Be able to describe the care of a patient with an alteration in
cardiac function.
Specific Measurable Learning Outcomes:

Upon successful completion of this unit, the student shall be able to:
Define the electrophysiology of the heart. State the physiologic cause of angina pectoris and describe the typical characteristics of a patient experiencing an attack of angina. List signs and symptoms for a myocardial infarction. Compare the difference of the following D tests: Define the following including treatment and nursing care: Describe classification, actions, mode of administration and side effects of the following drugs: Page 10 of 23
BROWARD COLLEGE
COURSE OUTLINE
Common Course Number: NSP2781 (NSP 2860)
Write a care plan for a patient with an M. I.; include the following: Differentiate between digitalization and digitalis toxicity. Identify the signs and symptoms of cardiac arrest. Identify signs and symptoms found in patients with CHF and pulmonary edema. Write a hypothetical plan for the use of rotating tourniquets; including purpose, rotation, direction, time span and removal. Describe two theories about the etiology of hypertension. Differentiate between the types of hypertension. Identify foods that would be appropriate for a low sodium diet. Given a list of the following blood or blood related disorders, describe the symptoms, treatment and nursing care of each: Page 11 of 23
BROWARD COLLEGE
COURSE OUTLINE
Compare the symptoms and treatment of anemia's due to blood loss, destruction of red blood cells, and bone marrow failure. Page 12 of 23
BROWARD COLLEGE
COURSE OUTLINE
Common Course Number: NSP2781 (NSP 2860)
Unit 8 Respiratory
General Outcome:
The student shall: Be able to describe the care of a patient with an alteration in
respiratory function.
Specific Measurable Learning Outcomes:
Upon successful completion of this unit, the student shall be able to:
Define the following diagnostic tests and the nursing implications of each. Page 13 of 23
BROWARD COLLEGE
COURSE OUTLINE
Common Course Number: NSP2781 (NSP 2860)
CPAP (continuous positive airway pressure) Demonstrates a systematic approach in physical assessment of the respiratory system utilizing: Define the normal arterial blood gas values. State the significance of given results of arterial blood gases in relationship to respiratory alkalosis and respiratory acidosis. Page 14 of 23
BROWARD COLLEGE
COURSE OUTLINE
Common Course Number: NSP2781 (NSP 2860)
Discuss the nursing implications for patients receiving IPPB treatment. Provide for the safety of the patient receiving 0 therapy. Identify signs and symptoms, treatment and nursing care involved in the following conditions: Describe the incidence, causative agents, prognosis, medical and surgical treatment and signs and symptoms of carcinoma of the lung. Explain etiology, signs and symptoms, treatment and nursing care of a patient with the following: Explain the purpose and placement of one or more chest tubes. Give indications for and the nursing management for: Care for a selected patient with a respiratory disorder: Identify all drugs administered to patient. Perform other activities such as: Collection of sputum, 0 delivery systems, IPPB, suctioning (oral, tracheal), closed chest drainage, tracheostomy care, and ABG's. Page 15 of 23
BROWARD COLLEGE
COURSE OUTLINE
Common Course Number: NSP2781 (NSP 2860)
Unit 9 Neurology and Musculoskeletal
General Outcome:
The student shall: Be able to describe the nursing care of a patient with an
alteration in neurological or musculoskeletal function.
Specific Measurable Learning Outcomes:
Upon successful completion of this unit, the student shall be able to:
Gather and record the following data about neurological patients and identify changes that would indicate improvement or regression of the patient's condition: Inability to cooperate with physical activities Disorientation to time, place and person Lack of response to painful stimuli (purposeful and non-purposeful) Variations to blood pressure, pulse and respirations Explain the following diagnostic procedures: Page 16 of 23
BROWARD COLLEGE
COURSE OUTLINE
Common Course Number: NSP2781 (NSP 2860)
Identify three or more questions under each of the following headings that could be asked of a neurological patient to determine his orientation: List behaviors which reflect his attitudes or feelings about his state of health. (Discuss these behaviors in relation to the stages of the patients reaction to loss (denial, anger, bargaining, acceptance). Identify all drugs administered to patient State the purposes and demonstrate log rolling. Identify the following for a patient with Parkinson's disease: Identify the dosage, route of administration, side effects, etc of the following in regard to a patient with a neurological disorder: Identify and explain the function of the following structures: Page 17 of 23
BROWARD COLLEGE
COURSE OUTLINE
Common Course Number: NSP2781 (NSP 2860)
Demonstrate by performance the understanding of the following: Demonstrate effective R. O. M. exercise. Identify at least four common principles that will guide the nurse in proper use of body mechanics. Identify five symptoms that may occur with a fracture with the use of: Include the following when caring for a selected patient with a hip pinning. Page 18 of 23
BROWARD COLLEGE
COURSE OUTLINE
Common Course Number: NSP2781 (NSP 2860)
Explain major causes for amputations. Describe nursing care of a patient, pre and post-op who is to have an amputation of an extremity. Include the following: Identify action, dosage, route of administration and side effects of the following drugs: List five things to check on a post-operative patient with a leg cast. Page 19 of 23
BROWARD COLLEGE
COURSE OUTLINE
Common Course Number: NSP2781 (NSP 2860)
Unit 10 Oncology and Chemotherapy
General Outcome:
The student shall: Be able to describe the care of a patient with an alteration in an
oncologic problem.
Specific Measurable Learning Outcomes:
Upon successful completion of this unit, the student shall be able to:
Give the three methods in treatment of cancer Distinguish between malignant and benign. Discuss the following diagnostic procedures: Outline the care of a terminally ill patient with specific attention to family involvement. Identify the following categories of chemotherapy. Page 20 of 23
BROWARD COLLEGE
COURSE OUTLINE
Common Course Number: NSP2781 (NSP 2860)
10.10 State the components and use of Brompton's Cocktail.
Page 21 of 23
BROWARD COLLEGE
COURSE OUTLINE
Common Course Number: NSP2781 (NSP 2860)
Unit 11 Urological System
General Outcome:
The student shall: Be able to describe the care of a patient with an alteration in
the urological system.
Specific Measurable Learning Outcomes:
Upon successful completion of this unit, the student shall be able to:
List three symptoms of urinary tract disease. Describe the following tests used to diagnose problems of the urinary tract: State the maximum amount of urine that may be removed during catherization. List several measures to help a patient void. Explain the closed urinary drainage system. Distinguish between internal and external devices for hemodialysis. 11.10 Describe how to check for patency of shunt.
11.11 Care for a dialysis patient.
11.12 Demonstrate proper aseptic technique for insertion of an indwelling Foley catheter on a
11.13 Perform and record Foley catheter care.
11.14 Discuss the nursing management of a patient with renal calculi.
11.15 Obtain urine specimens for the following:
Page 22 of 23
BROWARD COLLEGE
COURSE OUTLINE
Common Course Number: NSP2781 (NSP 2860)
11.16 Identify three urological diseases and the nursing care for each.
11.17 Identify the action, route of administration, dosage, side effects, etc. of the following
Page 23 of 23

Source: http://www.broward.edu/outlines/NSP2781.pdf

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