COURSE SYLLABUS

Course Information
Course Name: Practical Nursing III (Part 2)
Course Number / Section: NUR 103BB/1W1
Term / Year: Summer 2017
Days: T
Times: T-9-1150, 1300-1550
Class Hours: 3
Lab Hours: 0
Clinical / Work Experience Hours: 9 (120 Hour precepted focused client care)
Credit Hours: 6

Instructor Information
Instructor: Sharon Freeman, MSN, RN
Office Location: LLP, Martin Bldg, Rm 100K
Office Days / Hours: Mon 9-12 & Wed 9-11
E-Mail: sfreeman@spcc.edu
Phone: 704-272-5418

Supervisor Information
Name: Alice Bradley, M.Ed., BHS, RT(R)
E-Mail: abradley@spcc.edu
Phone: 704-290-5832

L. L. POLK CAMPUS (Polkton)

680 Hwy. 74 West
Polkton, NC 28135
704-272-5300

OLD CHARLOTTE HIGHWAY CAMPUS (Monroe)

4209 Old Charlotte Hwy.
Monroe, NC 28110
704-290-5100

Summer 2017
COURSE DESCRIPTION

This course is designed to assimilate the concepts within the three domains of the individual, healthcare,
and nursing. Emphasis is placed on biophysical and psychosocial concepts, professional behaviors,
healthcare systems, health policy, and quality improvement. Upon completion, students should be able
to demonstrate the knowledge, skills, and attitudes necessary to provide safe, quality, and individualized
entry level nursing care.

PREREQUISITE/COREQUISITE COURSES / SKILLS

Enrollment in Practical Nursing Program

Current Listing as a Nurse Aide in North Carolina (admission requirement)
Current CPR certification (admission requirement)
BIO 165,BIO 166, ENG 111, PSY 150, NUR 101, NUR 102, NUR 103AB

REQUIRED TEXTBOOK(S)

Ogden, S. J., & Fluharty, L. K. (2016). Calculation of Drug Dosages. St. Louis: Elsevier.

Taber's Cyclopedic Medical Dictionary. (2013). Philadelphia: FA Davis.

Tradewell, G. M., & Beare, P. G. (2015). NCLEX PN Review. Philadelphia: FA Davis.

Vallerand, A. H., & Sanoski, C. A. (2017). Davis's Drug Guide for Nurses. Philadelphia: FA Davis.

Williams, L. S., & Hopper, P. D. (2015). Study Workbook for Understanding Medical Surgical Nursing.
Philadelphia: FA Davis.

Williams, L. S., & Hopper, P. D. (2015). Understanding Medical Surgical Nursing. Philadelphia: FA Davis.

OTHER REQUIRED MATERIALS AND SUPPLIES

ATI Computer Testing

Student Uniform
Stethoscope
Blood pressure cuff
Penlight
Bandage scissors
Watch with second hand
1-1 inch Notebook for Lab

Summer 2017
COURSE OUTCOMES: INDIVIDUAL DOMAIN

Upon completion of this course, the learner will be able to assimilate all concepts within the domain of
the individual related to common alterations in health.
1. Participate in evaluating the concepts of the holistic individual and client response in the
promotion of health, wellness, illness, quality of life, and the achievement of potential.
2. Participate in evaluating the concepts of the holistic individual and client response in the
promotion of health, wellness, illness, quality of life, and the achievement of potential.

COURSE OUTCOMES: NURSING DOMAIN

Upon completion of the course, the learner will be able to provide safe, culturally competent,
therapeutic nursing care to individuals with common health alterations.
1. Practice professional nursing behaviors, within the legal practice boundaries of the practical
nurse, incorporating personal responsibility and accountability for continued competence.
2. Participate in providing evidence-based nursing care, from an established plan of care, based on
biophysical, psychosocial, and cultural needs of clients in various stages of growth and
development while assisting them to attain their highest level of wellness.
3. Participate in the nursing process to provide individualized, safe, and effective nursing care in a
structured setting under supervision.
4. Demonstrate caring behaviors in implementing culturally-competent to diverse clients across
the lifespan.
5. Participate in collaboration with the interdisciplinary healthcare team as assigned by the RN to
support positive individual and organizational outcomes in a safe and cost effective manner.
6. Reinforce and/or implement the teaching plan developed and delegated by the RN to promote
the health of the individuals, incorporating teaching and learning principles.

COURSE OUTCOMES: HEALTH CARE SYSTEM DOMAIN

Upon completion of the course, the learner will be able to safely provide therapeutic nursing care within
the healthcare system for individuals with common alterations in health.
1. Practice professional nursing behaviors, within the legal practice boundaries of the practical
nurse, incorporating personal responsibility and accountability for continued competence.
2. Utilize informatics to access, manage, and communicate client information and validate best
practices.
3. Participate in providing evidence-based nursing care, from and established plan of care, based
on biophysical, psychosocial, and cultural needs of clients in various stages of growth and
development while assisting them to attain their highest level of wellness.
4. Participate in Quality Improvement (QI) by identifying hazards and error and by the suggesting,
to the RN, changes to improve the client care process.
5. Practice professional nursing behaviors, within the legal practice boundaries of the practical
nurse, incorporating person responsibility and accountability for continued competence.

Summer 2017
Teaching Facilities and Resources:

Classroom Audiovisual Aids

Lab (Campus & Clinical) Computer Assisted Instruction

Library Moodle

Hospital libraries Simulation lab

Assessment Technologies Institute (ATI)

PROGRAM OUTCOMES

Upon completion of the Practical Nursing Program, the graduate will:

1. Participate in evaluating the concepts of the holistic individual and client response in the
promotion of health, wellness, illness, quality of life, and the achievement of potential.

2. Practice professional nursing behaviors, within the ethical-legal practice boundaries of the
LPN, incorporating personal responsibility and accountability for continued competence.

3. Participate in providing evidence-based nursing care, from an established plan of care, based
on biophysical, psychosocial and cultural needs of clients in various stages of growth and
development while assisting them to attain their highest level of wellness.

4. Reinforce and /or implement the teaching plan developed and delegated by the registered
nurse to promote the health of individuals, incorporating teaching and learning principles.

5. Participate in the nursing process to provide individualized, safe and effective nursing care in a
structured setting under supervision.

6. Demonstrate caring behaviors in implementing culturally-competent, client-centered nursing

care to diverse clients across the lifespan.

7. Participate in Quality Improvement (QI) by identifying hazards and errors and by suggesting,
to the RN, changes to improve the client care process.

8. Utilize informatics to access, manage, and communicate client information.

9. Participate in collaboration with the interdisciplinary healthcare team, as assigned by the

registered nurse, to support positive individual and organizational outcomes in a safe and cost
effective manner.

METHODS OF EVALUATION

Summer 2017
GRADING SCALE

SPCC has adopted a college-wide 10-point grading scale for all courses except where mandated
otherwise by accrediting agencies. This course will use the following scale:

A= 93-100
B= 85-92
C= 80-84
D=69-79
F= below 69

Classroom
Unit Exams (3) 80%
ATI 05%
Quiz, misc, case studies 15%
Clinical satisfactory/unsatisfactory

Grading for ATI will consist of the following: You will be required to turn in 25 questions each week and
will receive one grade for the semester, 8/8 will be 100, 7/8 will be 87, so forth, so on. You will also
receive a grade for the NCLEX predictor. Achieving 95-100 % will be 100, achieving 90-94 will be 90 and
anything less than 89 will be an 80 and require remediation.

You must have a cumulative average of 80 on all Unit exams, before the annotated bibs, projects,
quizzes, careplans and ATI are included into your grade. Refer to Test Taking Policy for details. You must
pass math, lab competencies and Clinical with a satisfactory evaluation.

Methods of Evaluation (Clinical)

1. A midterm and final evaluation conference will be completed on each student. Other
conferences may be scheduled as needed.
2. You will need to meet all course objectives satisfactory for the term.
3. An Unsatisfactory (U) clinical grade will be recorded for one or more of the following
behaviors:
a. Failure to meet course objectives
b. Failure to practice safely as described in South Piedmont Community College
Technologies Department Dismissal Policy.
c. Honor Violation related to clinical experience
d. Unsatisfactory or incomplete clinical papers
e. Failure to comply with clinical policies.

Summer 2017
Practical Nursing Test Taking Policy

You are expected to be present for all testing periods.

In the event of absence of an exam you are to:
o Call course faculty at least one hour prior to the exam.
o There will be no grade penalty for the first missed exam.
o You are to arrange a date and time to take the exam
o Failure to follow this procedure will result in a grade of zero (0) for the exam or quiz.
o A grade of 85 is required on the math quiz prior to administering medications in the
clinical setting. A grade of less than 85 will require the following: You will make an
appointment with the faculty to review math problems. You will complete remediation
assigned by the faculty. You will take a second math exam. Failure to achieve an 85 on
the second math exam will result in meeting with the Program Director to discuss your
ability to continue in the nursing program.
A second absence for a scheduled exam will result in a 5% reduction from your grade. (The
above procedure must be followed)
Make up for unannounced quizzes are at the discretion of the course faculty. You will receive a
zero (0) for an absence for an unannounced quiz.
If you know in advance of a scheduled test that you will be absent, prior arrangements must be
made with the course faculty to take the test. Failure to do so will place you at risk for receiving
a zero (0) on the scheduled test.
You and your peers will be required to remain in the classroom for the entire testing time-
frame.
Exams & Quiz Reviews are completed for every exam and quiz.
o Exams & Quizzes are only returned after every student has taken the exam.
o Tests will be graded, analyzed and discussed within a one-week period following the
test.
o Tests will not be returned until you and all of your peers have taken the exam.
o Tests can only be reviewed when returned in class, or by appointment, within 5 school
days of the class review.
If you score less than an 80 on a test, you are strongly encouraged to make an appointment
with course instructor.

ATI Policy

You are required to complete all scheduled ATI computer exams. Must turn in 25 ATI questions
or NCLEX style questions every week to your class instructor.
ATI has been nationally recognized as a valid and reliable tool to assist students in preparation
for the NCLEX.
Achievement of a level two score on ATI proctored exams is considered proficient and predicts a
high probability of passing the NCLEX, therefore students in SPCC nursing courses will be
required to complete all scheduled ATI proctored exams, and encouraged to achieve at least a
level two score.
The nursing faculty recommends remediation for students who do not achieve a level two score,
and therefore the faculty asks for any student who has not achieved a level two on any ATI
proctored exam, to follow the ATI remediation template and turn this in to your instructor.

Summer 2017
 Remediation is to be turned into your class instructor during class or office only. No paper work
will be accepted in the clinical setting.
It is recommended that you maintain a copy of remediation notes for your review
Failure to complete the ATI assessment and turn in remediation will result in an incomplete
grade for the course
During NUR 103bb, you will take the proctored exam for NCLEX-PN Predictor

PAPER AND PROJECT POLICY

Grades for papers and projects will be applied after you have achieved a cumulative course
average of 80 on all course exams and final exam.
Extra credit is not given in any nursing courses

MEDICATION GUIDELINES

Administration of all medications in NUR 103 will be supervised by the faculty until the faculty
deems you are safe to administer medications alone. Students administer medications after
passing the math quiz with a grade of 85 or higher.

ACADEMIC INTEGRITY

Students enrolled at South Piedmont Community College are responsible for upholding standards of
academic integrity. An academic integrity violation includes cheating and plagiarism. It is your
responsibility to learn more about how to avoid academic integrity violations by referring to the current
SPCC Student Handbook, enrolling in one of SPCCs Study Skills classes, or contacting library staff for
help.

Should you choose to participate in an academic integrity violation, which includes but is not limited to
cheating on tests, turning in homework done by or copied from someone else, turning in documents
from the Internet and claiming the work as your own, plagiarizing within papers, or performing or aiding
others in activities that are academically dishonest, you will receive an F or 0 for that work. The
instructor will notify you in writing of the details of the academic integrity violation and that an F or
0 has been given for the assignment. This grade must be included in the calculation of the final grade
for the class. The violation and grade will be reported to the instructors supervisor, the Vice President
of Academic Affairs/CAO, and the Vice President of Student Services for further disciplinary action,
which ranges from a reprimand to expulsion. Refer to the SPCC catalog or the current SPCC Student
Handbook for the complete Academic Integrity Policy and disciplinary sanctions.

ATTENDANCE

Regular attendance and participation are essential to student learning and successful completion of a
course. South Piedmont Community College recognizes that students are adults with many
responsibilities and occasionally absences are unavoidable. However, absences in no way lessen the
students responsibility for meeting the requirements of the course.

Summer 2017
Attendance in Traditional or Web-Enhanced Classes
Traditional or web-enhanced courses are seated classes in which students attend on campus or at other
designated physical locations. Absences are counted from the first official meeting of the course
regardless of when the student registers for, or enters, the course.

Students are responsible for all work missed during their absence. Instructors are not required to accept
makeup or missed work; therefore, acceptance of makeup or missed work is at the discretion of the
instructor.

Attendance may be used as a factor in determining the final grade for a course. This factor must be
included in the instructor's syllabi. Instructors are responsible for discussing their syllabi at the first class
meeting of a course.

Instructors may withdraw students who violate the instructors attendance policy as outlined in the
course syllabus. In the event that a student's absences in a course exceed 12.5 percent of the course
contact hours, the instructor may submit a Withdrawal Form to the Office of Student Services and a
grade of WI (Withdrawal by Instructor) will be assigned. Prior to submitting the Withdrawal Form, the
instructor will attempt to notify the student of the impending withdrawal. The 12.5 percentage is
calculated by doubling the number of course contact hours as listed in the College catalog. For example,
the 12.5 percent point for a three (3) contact hour course is 6 class hours. The College does not
differentiate between excused and unexcused absences in calculating course attendance.

Punctuality is also essential to student learning. Students are expected to arrive to class meetings on
time and to stay for the entire class period. Arriving late or leaving early disrupts the learning
environment. Each instructor is responsible for addressing punctuality in the course syllabus at the first
class meeting of the course.

Attendance in Distance Learning Classes (100% Online)

Distance learning courses are taught totally online via the Moodle course management system. Student
"attendance" in online courses is defined as active participation in the individual online course. Active
participation is tracked through weekly login records, submission/completion of assignments by the
posted due dates, completion of tests, and communication with the instructor as outlined in the course
syllabus. If a student fails to maintain active participation for a period equivalent to 12.5 percent of the
total instructional days for the semester/term and has made no contact with the instructor, the
instructor may withdraw the student from the course by submitting a Withdrawal Form to the Office of
Student Services and a grade of WI (Withdrawal by Instructor) will be assigned. Prior to submitting the
Withdrawal Form, the instructor will attempt to notify the student of the impending withdrawal.

The inactivity period equivalent to 12.5 percent is defined as follows:

10 instructional days for a 16-week course
8 instructional days for a 12-week course
5 instructional days for an 8-week course

For any situation which results in the student being unable to log into his/her online course, the student
is responsible for contacting the instructor.

Summer 2017
Department Requirements
A curriculum department may be more stringent in its attendance requirements but cannot be more
lenient. If a department decides to have more stringent attendance requirements, then all instructors in
the department must incorporate these requirements into their syllabi and advise their students of
these requirements at the first class meeting of each course. If an external accrediting agency requires a
more stringent attendance policy for a program in a department than the Colleges attendance
requirements, that requirement will be incorporated into the syllabi. Changes to the Colleges
attendance requirements must be approved in advance by the Vice President of Academic Affairs/Chief
Academic Officer.

Absences for Religious Observances

According to the SPCC Religious Observances Policy (1.17), two excused absences each semester (fall and
spring) for religious observances required by the faith of a student are permitted.

Census Dates
Entry into classes at SPCC requires students to have physically attended or to have logged into their
Moodle courses in order to be counted for FTE purposes. Entry into a course must occur by the census
date/10 percent point for the course. Census dates differ depending on the type of course in which the
student is registered:

Traditional or web-enhanced classes: Students must be physically present by the census date/10 percent
point for the course. Students who have not attended any class meeting by the census date will be
considered Never Attended and removed from the course.

Distance learning or online classes: Students must log into Moodle AND complete the Start Up Activity
by the census date/10 percent point in the course. Students who have not logged into Moodle and
completed the Start Up Activity by the census date will be considered Never Attended and removed
from the course.

Blended classes: Students must log into Moodle AND complete the Start Up Activity by the census
date/10 percent point in the course OR must have physically attended a seated class meeting by the
census date/10 percent point in the course. Students who have neither logged into Moodle and
completed the Start Up Activity by the census date NOR attended a seated class meeting by the census
date will be considered Never Attended and removed from the course.

CLASS ATTENDANCE

It is critical that you attend class; therefore, one class absence per semester is allowed without penalty.
The consequence of more than one class absence will be determined by each program. If there is an
emergency and you cannot attend class, it is necessary to call the instructor and notify him/her so that
the assignment for the next class can be given. Should you find it necessary to miss class, you are
responsible for all assignments and material covered during the absence.

Summer 2017
CLINICAL ATTENDANCE

You must report to clinical on time, as designated each semester, by the clinical instructor. You must
call at least 30 minutes prior to the beginning of the clinical time if you are going to be late. Do NOT
leave a message. Talk to your instructor and/or preceptor. Failure to comply with this procedure may
result in dismissal from the program.

One absence each semester is allowed in the clinical setting, except the summer session when no
absences are allowed. Extenuating circumstances may allow exceptions for this rule. Make up for
clinical absence will be required and completed at the end of the semester. Leaving clinical experiences
before the scheduled completion time will be considered an absence. Faculty must be notified any
time that the student leaves the clinical experience.
It is your responsibility to be punctual. It is of utmost importance that you are on time in the clinical
setting because the staff members are relying on your presence, and the client is relying on you for
his/her care. Two tardies will constitute one clinical absence. If you are late for clinical and cannot
receive report on time from the off going nurse, then you will be dismissed for the day and this will
count as a clinical absence. If you are late, but able to receive report from the off going nurse, you will
be given a tardy.

Appointments and personal business needs to be scheduled at times other than class or clinical time.

LIBRARY LITERACY

As part of SPCCs commitment to institutional effectiveness and student success, it is critical for you to
learn how to use the resources in the library. All new students are required to take the online library
orientation along with the new student orientation when registering. Many classes require research
projects and papers that use library resources, and you should know how to use the resources
effectively.

Students coming to campus or attending online can find a variety of tutorials, links to resources, the
library orientation, and other helpful information by going to SPCCs website and clicking on Libraries.
Students have access to over 25,000 items in the libraries. Resources include books, magazines,
newspapers, videotapes, and DVDs. The libraries also offer several online databases including NC LIVE.
NC LIVE offers over 100 databases, 25,000 electronic books, and over 500 audiobooks to meet your
needs whether you are on campus or at home online. The library staff provides a wide variety of services
such as assistance with using the computers, formatting papers, searching the Internet, and answering
your research questions.

Summer 2017
ADA POLICY

If you feel you need accommodations due to a disability, you should contact the Disability Services
Provider in the counseling offices of the Student Services Division on either the L. L. Polk campus or the
OCH campus.

COURSE WITHDRAWAL

South Piedmont Community College recognizes that from time to time, it may be necessary for a
student to withdraw from a course. You may withdraw from any course and receive a grade of "W"
following the Drop/Add period and through the 70% point of the term. You must complete a
"Withdrawal Form" available in the Student Services Office. This form must be signed by you and your
advisor and turned in to the Student Records Office.

Students who withdraw through the 60% point of the term and who are receiving federal financial aid
(Title IV programs) are required to repay funds for which they are not eligible due to withdrawal.

STUDENT RIGHTS AND RESPONSIBILITIES / CODE OF CONDUCT

Student rights and responsibilities can be found in the SPCC Student Handbook on the SPCC website,
www.spcc.edu.

Course Schedule (Subject to change)

South Piedmont Community College

Practical Nursing Education
NUR 103BB Summer 2017
Tentative Schedule and Outline

Summer 2017
Date Concept Topics Assigned
Reading/Learning
Activites
May 30, Unit I Med/Surg Book:
June 6 Individual Domain Acute Renal Failure Chapter 37 850-869
1. Fluid & Electrolytes Chronic Renal Failure
2. Infection Dialysis
3. Inflammation Glomerulonephritis
Nephritis

May 30, Unit II Pancreatitis

June 6 Individual Domain Liver disease Med/Surg Book
1. Metabolism Gall bladder Chapter 28, 35
2. Inflammation Leukemia
3. Cellular Regulation Sickle cell anemia
4. Inflammation Hemophilia
Inflammatory bowel
diseases
June Unit III: MI Med/Surg:
13, 20 Individual Domain Angina Chapter 24, 25
1. Perfusion Life Threatening
2. Infections Dysrhythmias
Tuberculosis Exam 1 (Unit 1&2)
June 13 0900

Jun 13, Unit IV Thermoregulation r/t Med/Surg:

20 Individual Domain multi-system injury or Chapter 9, 55
1. Thermoregulation failure
2. Perfusion Shock(hypovolemic,
3. Immunity cardiogenic,
4. Tissue integrity neurogenic, septic) EKG quiz: June 20 0900
5. infection Anaphylactic shock
Lupus
Burns
Septicemia

Summer 2017
June 27 Unit IV
July 11, Individual Domain Increase intracranial Med/Surg:
17 1. Intracranial Regulation pressure Chapters 48, 49
2. Perfusion Head injuries
3. Mobility CVA/TIA Exam 2 (Unit 3&4):
4. Cognition Herniated nucleus June 27 0900
pulpous
Spinal cord injuries
Parkinsons
Alzheimers
Dementia
Delirium

July 11 Unit VI Cataracts Med/Surg:

& 17 Individual Domain Glaucoma Chapter 51, 52
1. Sensory/Perception Macular
2. Mobility Degeneration Lecture
Menieres Syndrome Case studies
Group discussions

July 11 Unit VII Leadership principles Med/Surg:

& 17 Nursing Domain Commitment to Chapters 3
1. Professional Behaviors profession
2. Assessment Assign to the LPN
3. Clinical decision Participates with the lecture
4. Teaching & Learning RN in Holistic Health Case Studies
5. Collaboration Assessment across Group Discussions
Healthcare Domain the lifespan for Bib cards due
1. Safety normal and abnormal Simulation lab
2. Advocacy collection
3. Health policy Decision-making Exam 4 (Units 5,6,7):
4. Health care systems Prioritization of care July 18 0900
5. Ethics Participates with the
6. Accountability RN in patient
7. Quality Improvement education

National Patient
Safety Goals
Professional
organizations
Types of
reimbursement
(Medicare, Medicaid,
Private)

Summer 2017
 The role of the LPN in
Emergency
Preparedness
(Disasters,
Bioterrorism and First
Response)
Diagnostic Related
Grouping (DRG)
Allocation of
resources
Ethical dilemmas
Professional
development
Just culture
Quality Improvement
Cycle (Plan-do-study-
act)

July 19 ATI Proctored Exam 0900

July 20 ATI Proctored Exam 0900
retakes

Summer 2017