Description
Nursing Evolution for the class Advanced Medical Surgical Nursing: Promoting Wellness in the Critically III.
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Course Outline
The Course Outline below serves as a course roadmap, displaying the topics and
activities intended to be covered each week. This schedule is subject to change in the
event of extenuating circumstances.
•
•
Objectives reflect the teaching activities that, if engaged in, are intended to lead
to specific, measurable student learning outcomes.
Course Activities and Assignments outline the teaching strategies used
and the assessment requirements that students are to fulfill throughout the
duration of the course.
*Refer to the assignment rubrics in your course for specific grading criteria, if
applicable. Rubrics can be found in the My Grades section and/or in your
assignment dropbox.
Outline of
topics,
objectives,
and
activities
Week
Topic
Objectives
Activities & Assignments
1
Introduction: Orientation, Syllabus review
Reading
Critically Ill Introduction to Care of the Critically
Patient
Ill Patient
• Lewis & Heitkemper
o Ch. 1
1. Integrate the nursing process
o Ch. 9
while developing a
o Ch. 65
comprehensive plan care to
• Pharmacology Made Easy
the critically ill patient.
o Introduction
2. Construct priorities in care
for the critically-ill patient Content Outline
using applicable concepts:
perfusion, oxygenation,
• Introduction to care of the
intracranial regulation, fluid
critically ill patient
regulation,
• Exemplar: altered critically-ill
infection/inflammation,
patient
tissue integrity, pain,
metabolism, nutrition,
Specific Course Activities
elimination, mobility, safety,
collaboration, and health
• Nursing process
promotion.
• Concept map
Outline of
topics,
objectives,
and
activities
Week
2
Topic
Oxygenation
Objectives
Activities & Assignments
3. Propose specific
• Group work: Teaching plan
interprofessional
using ATI template
collaboration/team
• Socrative
management involvement to
• Role of nurses
meet the needs of the
• Worksheet
critically ill patient.
• Safe dosage
4. Examine the pharmacologic,
• Pain management
nutritional, developmental,
and teaching needs of the
ATI
critically ill patient.
• ATI Adult medical–surgical
Concept: Safety
review module
o Ch. 2
1. Integrate the nursing process Reading
while developing a
comprehensive
•
Lewis & Heitkemper
plan alterations in
o Ch. 27
oxygenation.
o Ch. 67
2. Construct priorities in care
for the critically ill patient
Content Outline
using applicable concepts:
perfusion, oxygenation,
• Exemplar: ARDS
intracranial regulation, fluid
regulation,
o Critical elements
infection/inflammation,
tissue integrity, pain,
▪ Respiratory
metabolism, nutrition,
failure
elimination, mobility, safety,
▪ PE
collaboration, and health
▪ Chest trauma
promotion.
▪ Pneumothorax
3. Propose specific
▪ Hemothorax
interprofessional
▪ Mechanical
collaboration/team
ventilation
management involvement to
▪ Chest tubes
meet the needs of the
▪ Neuromuscular
critically ill patient with
blockade
alterations in oxygenation.
4. Examine the pharmacologic, Specific Course Activities
nutritional, developmental,
Outline of
topics,
objectives,
and
activities
Week
Topic
Objectives
and teaching needs of the
critically ill patient with
alterations in oxygenation.
Activities & Assignments
• Pharmacology Made Easy
o
•
Neuromuscular
blockers
o Respiratory drugs
Group Work: Case scenarios
ATI
•
•
•
ATI system disorder
templates
ATI medication templates
ATI adult medical–surgical
review module
o
o
o
o
Ch. 17
Ch. 19 (pp. 111–116)
Ch. 24–26
Ch. 94 (pp. 636–638)
Assignments
•
ATI Targeted Med–Surg
Practice Assessments
o
o
•
3
Perfusion
Respiratory
Fluid, electrolyte, and
acid base
Quiz 1
1. Integrate the nursing process Reading
while developing a
comprehensive plan care to
• Lewis & Heitkemper
the critically ill patient with
o Ch. 31
alterations in perfusion.
o Ch. 33
2. Construct priorities in care
o Ch. 35
for the critically ill patient
using applicable concepts:
Content Outlinewwo
perfusion, oxygenation,
intracranial regulation, fluid
Outline of
topics,
objectives,
and
activities
Week
Topic
Objectives
Activities & Assignments
regulation,
• Exemplar: acute coronary
infection/inflammation,
syndrome
tissue integrity, pain,
o Critical elements
metabolism, nutrition,
▪ lethal
elimination, mobility, safety,
dysrhythmias
collaboration, and
▪ aneurysms
health promotion.
▪ CABG
3. Propose specific
▪ pacemaker
interprofessional
collaboration/team
Specific Course Activities
management involvement to
meet the needs of the
• Dysrhythmia worksheet
critically ill patient with
• Skill station
alterations in perfusion.
• Group work: American Heart
4. Examine the pharmacologic,
Association:
nutritional, developmental,
and teaching needs of the
o STEMI
critically ill patient with
o NSTEMI
alterations in perfusion.
o ACS guidelines
• Incorporate at least 5 NLCEX
questions
ATI
•
•
ATI Adult Medical Surgical
Review Module
o Ch. 27 (pp. 162–163)
o Ch. 28–29
o Ch. 37–38
Pharmacology Made Easy
o
o
o
Cardiac medications
Vasopressors
Shock
Assignments
•
ATI Targeted Med–Surg
Practice Assessment
o Cardiovascular
Outline of
topics,
objectives,
and
activities
Week
4
Topic
Metabolism
and Fluid
Regulation
Objectives
Activities & Assignments
• ATI Practice Assessment
o RN pharmacology
online practice 2016 B
• Quiz 2
1. Integrate the nursing process Reading
while developing a
comprehensive plan care to
• Lewis & Heitkemper
the critically ill patient with
o Ch. 47–49
alterations in metabolism
(DKA, HHS) and fluid
Content Outline
regulation (DI, SIADH).
2. Construct priorities in care
• Exemplars: DKA, HHS, DI,
for the critically ill patient
SIADH
using applicable concepts:
• Critical Elements
perfusion, oxygenation,
intracranial regulation, fluid
o Metabolism
regulation,
o DKA
infection/inflammation,
o HHS
tissue integrity, pain,
• Fluid Regulation
metabolism, nutrition,
elimination, mobility, safety,
o DI
collaboration, and health
o SIADH
promotion.
3. Propose specific
Specific Course Activities
interprofessional
collaboration/team
• Compare/contrast chart
management involvement to
worksheet
meet the needs of the
• Pharmacology Made Easy
critically ill patient with
o Endocrine
alterations in metabolism and
• Incorporate at least 5 NCLEX
fluid regulation.
questions
4. Examine the pharmacologic,
nutritional, developmental, ATI
and teaching needs of the
critically ill patient with
• ATI adult medical surgical
alterations in metabolism and
review module
fluid regulation.
o Ch. 77
o CH. 82–83
Outline of
topics,
objectives,
and
activities
Week
Topic
Objectives
Activities & Assignments
Assignments
•
•
•
5
Liver
Failure
Nutrition
ATI Targeted Med–Surg
Practice Assessment
o Endocrine
Focused Review Hours
o After ATI practice
assessment:
Pharmacology
Quiz 3
Reading
1. Integrate the nursing process
• Lewis & Heitkemper
while developing a
o Ch. 38
comprehensive plan care to
o Ch. 43
the critically ill patient with
alterations in nutrition.
Content Outline
2. Construct priorities in care
for the critically ill patient
• Exemplar: Liver failure
using applicable concepts:
• Critical Elements
perfusion, oxygenation,
o cirrhosis
intracranial regulation, fluid
o hepatitis
regulation,
o pancreatitis
infection/inflammation,
tissue integrity, pain,
Specific Course Activities
metabolism, nutrition,
elimination, mobility, safety,
• Nursing process
collaboration, and health
• Liver flowsheet
promotion.
• Case study (p. 637)
3. Propose specific
• Targeted assessment: GI
interprofessional
collaboration/team
ATI
management involvement to
meet the needs of the
• ATI System disorder
critically ill patient with
templates
alterations in nutrition.
• ATI Adult medical surgical
4. Examine the pharmacologic,
review module
nutritional, developmental,
o Ch. 54–55
and teaching needs of the
Outline of
topics,
objectives,
and
activities
Week
Topic
Objectives
critically ill patient with
alterations in nutrition.
Activities & Assignments
• Pharmacology Made Easy: GI
medications
Assignments
•
•
6
Head
Injuries
Intracranial regulation
ATI Targeted Med–Surg
Practice Assessment
o Gastrointestinal
Quiz 4
Reading
1. Integrate the nursing process
• Lewis & Heitkemper
while developing a
o Ch. 55–57
comprehensive plan care to
o Ch. 60–62
the critically ill patient with
alterations in intracranial
Content Outline
regulation.
2. Construct priorities in care
• Exemplar: head injury
for the critically ill patient
o Critical elements
using applicable concepts:
perfusion, oxygenation,
▪ CVA
intracranial regulation, fluid
▪ ICP
regulation,
• Exemplar: SCI and stroke
infection/inflammation,
tissue integrity, pain,
Specific Course Activities
metabolism, nutrition,
elimination, mobility, safety,
• Nursing process
collaboration, and health
•
promotion.
• ATI Medication template
3. Propose specific
interprofessional
o tPa
collaboration/team
• Flowsheet—worksheet
management involvement to
• Chart—ischemic/hemorrhagic
meet the needs of the
stroke (p. 155)
critically ill patient with
• System disorder templates
alterations in intracranial
• Bondi website
regulation.
4. Examine the pharmacologic, ATI
nutritional, developmental,
Outline of
topics,
objectives,
and
activities
Week
Topic
Objectives
and teaching needs of the
critically ill patient with
alterations in intracranial
regulation.
Mobility
Activities & Assignments
• ATI Adult medical–surgical
review modules
o Ch. 3
o Ch. 5
o Ch. 14–16
• Pharmacology Made Easy
o Neurological system
1. Integrate the nursing process
medications, Part 1
while developing a
comprehensive plan care to
the critically ill patient with Assignments
alterations in mobility.
2. Construct priorities in care
• ATI Targeted Med–Surg
for the critically ill patient
Practice Assessment
using applicable concepts:
perfusion, oxygenation,
o Neurosensory and
intracranial regulation, fluid
musculoskeletal
regulation,
• ATI Practice Assessment
infection/inflammation,
o RN adult medicaltissue integrity, pain,
surgical online
metabolism, nutrition,
practice 2016 B
elimination, mobility, safety,
• Quiz 5
collaboration, and
health promotion.
3. Propose specific
interprofessional
collaboration/team
management involvement to
meet the needs of the
critically ill patient with
alterations in mobility.
4. Examine the pharmacologic,
nutritional, developmental,
and teaching needs of the
critically ill patient with
alterations in mobility.
7
Shock,
Sepsis,
Burns
Fluid
Reading
Regulation/Infection/Inflammation
• Lewis & Heitkemper
Outline of
topics,
objectives,
and
activities
Week
Topic
1.
2.
3.
4.
Objectives
Activities & Assignments
Integrate the nursing process
o Ch. 13
while developing a
o Ch. 24
comprehensive plan care to
o Ch. 66
the critically ill patient with
alterations in fluid regulation Content Outline
and infection/inflammation.
Construct priorities in care
• Exemplar: shock/sepsis
for the critically ill patient
• Critical elements
using applicable concepts:
o MODS
perfusion, oxygenation,
o SIRS
intracranial regulation, fluid
• Exemplar: Burns
regulation,
infection/inflammation,
Specific Course Activities
tissue integrity, pain,
metabolism, nutrition,
• Nursing process
elimination, mobility, safety,
• Shock table
collaboration, and health
• Case scenarios
promotion.
Propose specific
o Shock
interprofessional
o Burns
collaboration/team
• System disorder template
management involvement to
• Burns table
meet the needs of the
critically ill patient with
ATI
alterations in fluid regulation.
Examine the pharmacologic,
• ATI adult medical–surgical
nutritional, developmental,
review module
and teaching needs of the
o Ch. 56
critically ill patient with
o Ch. 58
alterations in fluid regulation.
o Ch. 75
Tissue Integrity
1. Integrate the nursing process
while developing a
comprehensive plan care to
the critically ill patient with
alterations in tissue integrity.
2. Construct priorities in care
for the critically ill patient
Assignments
•
ATI Targeted MedSurg
Practice Assessment
o
o
•
Immune system
Renal and urinary
Focused Review Hours
Outline of
topics,
objectives,
and
activities
Week
Topic
Objectives
using applicable concepts:
perfusion, oxygenation,
intracranial regulation, fluid
regulation,
infection/inflammation,
tissue integrity, pain,
metabolism, nutrition,
elimination, mobility, safety,
collaboration, and health
promotion.
3. Propose specific
interprofessional
collaboration/team
management involvement to
meet the needs of the
critically ill patient with
alterations in tissue integrity.
4. Examine the pharmacologic,
nutritional, developmental,
and teaching needs of the
critically ill patient with
alterations in tissue integrity.
Elimination
1. Integrate the nursing process
while developing a
comprehensive plan care to
the critically ill patient with
alterations in elimination.
2. Construct priorities in care
for the critically ill patient
using applicable concepts:
perfusion, oxygenation,
intracranial regulation, fluid
regulation,
infection/inflammation,
tissue integrity, pain,
metabolism, nutrition,
elimination, mobility, safety,
Activities & Assignments
o ATI practice
assessment: med–surg
• Quiz 6
Outline of
topics,
objectives,
and
activities
Week
8
Topic
Review of
Concepts
Objectives
collaboration, and health
promotion.
3. Propose specific
interprofessional
collaboration/team
management involvement to
meet the needs of the
critically ill patient with
alterations in elimination.
4. Examine the pharmacologic,
nutritional, developmental,
and teaching needs of the
critically ill patient with
alterations in elimination.
Review of concepts
•
•
Activities & Assignments
Content Outline
Perfusion, oxygenation,
• Review of concepts
intracranial regulation, fluid
regulation,
Specific Course Activities
infection/inflammation,
tissue integrity, pain,
• Nursing process
metabolism, nutrition,
• Game—Jeopardy
elimination, mobility, safety,
• NCLEX questions
collaboration, and health
• ACLS.net (ACLS training
promotion
center)
Proctored exam
Assignments
•
9
Course
Evaluation
ATI Proctored Exam
o RN adult medical–
surgical nursing 2016
Content Outline
•
•
Review of concepts
Evolution Statement
Assignments
Outline of
topics,
objectives,
and
activities
Week
10
Topic
Final Exam
Objectives
Activities & Assignments
• Focused Review Hours
o After ATI proctored
exam
• Active Learning
Engagement
• Nursing Evolution
Content Outline
•
Comprehensive Final exam
Assignments
•
Comprehensive Final Exam
Nursing Evolution Rubric
Exit
Meets Expectations
Approaches Expectations
Reflects on current theory and clinical
class with concepts and theories using the
Program Learning Outcomes and BSN
Essentials listed in the syllabus
Points:
Points:
3.3 (33.00%)
2.508 (25.08%)
1. Reflects on current theory class and
clinical and how courses support each
other (transfer of knowledge to apply to
clinical)- Focused to Current Term. 2.
Synthesizes theories and concepts from
liberal education to build an
understanding of the human experience.
3. Uses skills of inquiry and analysis to
address practice issues 4. Applies
knowledge of social and cultural factors in
the care of populations encountered in
this course.
1. Limited reflection on current theory class
and clinical and how courses support each
other (transfer of knowledge to apply to
clinical)- Focused to Current Term. 2.
Limited synthesis of theories and concepts
from liberal education to build an
understanding of the human experience 3.
Use limited skills of inquiry and analysis to
address practice issues 4. Applies limited
knowledge of social and cultural factors in
the care of populations encountered in this
course.
Develops an effective communication
style for interacting with current
patients, families, and the
interdisciplinary health team when
providing holistic, patient centered
nursing care to populations encountered
in this course.
Points:
Points:
3.4 (34.00%)
2.584 (25.84%)
1. Reflects on providing holistic patient
care to populations encountered in this
course. 2. Describes inter-collaborative
involvement (i.e. Interprofessional rounds;
consultations and interaction with PT/OT;
Respiratory Therapy, Pharmacist
consultation—describe their role/
contribution.)
1. A limited reflection on providing holistic
patient care to populations encountered in
this course. 2. Describes limited intercollaborative involvement
Models leadership when providing safe,
quality nursing care; coordinating the
healthcare team; and when tasked with
oversight and accountability for care
delivery.
Points:
Points:
3.3 (33.00%)
2.508 (25.08%)
1. Describe an event that demonstrates: •
application of leadership concepts, skills
and decision making in the provision of
high quality nursing care, • healthcare
team coordination • the oversight and
accountability for care delivery 2.
Describe an event that demonstrates
leadership, appropriate teambuilding and
collaborative strategies to effectively
implement patient safety and quality
improvement initiatives within the context
of the interprofessional team
1. Describes limited leadership concepts,
skills and decision making in the provision
of high quality nursing care, healthcare
team coordination and the oversight and
accountability for care delivery 2. Limited
description of an event that demonstrates
leadership, appropriate teambuilding and
collaborative strategies to effectively
implement patient safety and quality
improvement initiatives within the context of
the interprofessional team
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