NRSG 2730 - Medical-Surgical Nursing II

7 sem hrs cr (5 lecture; 2 clinical/lab)

This course applies the core concepts that provide the basis for the knowledge, skills, and attitudes that are essential for providing safe nursing care including pharmacological management for adults with alterations in health that are primarily acute in nature. Prerequisite: NRSG 1720 Medical-Surgical Nursing I , NRSG 1340 Mental Health Nursing   Prerequisite or Corequisite: ENGL 1020 , PSYC 2130 , or COMM 2025 ; BIOL 2230  

In rare and unusual circumstances, a course prerequisite can be overridden with the permission of the Department Lead for the discipline. 

Transfer (UT) or Non-Transfer Course (UN): UN

At the completion of this course, students will be able to demonstrate the following competencies and behaviors: 

• PROFESSIONAL BEHAVIORS: Apply ethical, legal and regulatory frameworks of nursing and standards of professional nursing practice. 
  • Conduct self in a professional manner in dress and conduct while caring for clients and interacting with clients, instructors, peers, and the health care team. 
  • Practice within the legal, ethical and regulatory frameworks of the nursing profession and the standards of professional nursing practice. 
  • Demonstrate accountability for nursing care given by self. 
• COMMUNICATION: Apply effective communication techniques including information and technology. 
  • Apply effective communication techniques with clients and members of the healthcare team using oral, written, and electronic forms of communication. 
  • Report and document assessments, interventions, and progression toward client outcomes with minimal assistance of instructor. 
  • Use course tools to communicate relevant, accurate, and complete information to clients, significant support persons, and health care team. 
• ASSESSMENT: Assess subjective and objective data to identify actual or potential health alterations. 
  • Demonstrate the ability to collect subjective and objective data to identify actual or potential health alterations. 
  • Perform physical and psychosocial assessments, utilize normal and abnormal findings and other supportive data to identify appropriate nursing diagnoses with minimal instructor assistance. 
  • assess the client and significant support person(s) and identify learning strengths, barriers, and educational needs. 
  • Identify trends in laboratory findings and discuss nursing implications 
  • Assess community resources which are available to assist the client to meet health outcomes. 
• CLINICAL DECISION MAKING: Use clinical decision making to provide safe and effective evidenced-based nursing care 
  • Use clinical decision making to provide safe and effective evidenced based nursing care 
  • Utilize assessment data to evaluate the client’s condition, and plan care. 
  • Evaluate the client’s progression toward planned outcomes, identify modifications to care which are needed to assist client to meet outcomes. 
• CARING INTERVENTIONS: Implement caring interventions that incorporate principles of dignity, diversity, safety and knowledge. 
  • Implement caring interventions that incorporate principles of dignity, diversity, safety and knowledge. 
  • Discuss the care regimen as prescribed by the health care provider with clinical instructor and health care team. 
  • Continue to demonstrate competency in previously learned psychomotor skills and theory and apply these to the clinical setting. 
  • Utilize theory knowledge regarding disease processes and human physiology to identify clinical signs and symptoms. 
  • Plan care based on an understanding of disease process. Identify varied treatment modalities and implement with instructor assistance. 
• TEACHING: Implement an individualized teaching plan to meet the learning needs of patients, families, and/or groups. 
  • Implement an individualized basic teaching plan to meet the educational needs of patients, families, and/or groups. 
  • Teach the client and significant support person(s) the information and skills needed to achieve desired learning outcomes 
  • Evaluate learning that has taken place and identify how the teaching plan may be modified. 
• COLLABORATION: Collaborate when planning and implementing care. 
  • Collaborate with clients and significant support persons to identify health goals and promote optimal health maintenance 
  • Identify and interact with members of the health care team who are involved in the coordination of cost effective, competent care with positive quality outcomes. 
  • Interact with client, support person(s), clinical instructor, and members of the health care team to identify and solve problems which may impede the achievement of client goals and outcomes. 
• COORDINATION and MANAGEMENT: Examine various principles of managing care. 
  • Using basic principles of managing care, identify prioritization of client needs and nursing actions to ensure positive outcomes. 
  • Discuss available resources, time constraints and environmental factors which impact the management of the client’s care. 
  • Identify aspects of the client’s care which may be delegated to qualified assistive personnel with instructor guidance.