House Bill 2504

Spring 2011 Course Syllabus

RNSG-2535-30 (Integrated Client Care Mngt)

Faculty Information
SemesterSpring 2011
InstructorMacNeill, Shirley Beth
Phone(409) 984-6365
Allied Health
Chair:Janet Hamilton
Telephone:(409) 984-6354
Hours:M-Th 8-11, F by appointment
Building:Allied Health (AH)
Room #:116
Course Information
Course ID #10566
Course Subject-Number-SectionRNSG-2535-30
Course TitleIntegrated Client Care Mngt
Course Description Application of patient assessment skills, critical thinking, and independent nursing interventions to care

for diverse patients/families throughout the life span whose health care needs may be difficult to

predict. Emphasis is placed on collaborative clinical decision-making, nursing leadership skills, and

patient management. Topics include the significance of professional development, trends in nursing

and health care and applicable knowledge, judgment, skills and professional values within a

legal/ethical framework. The concepts of growth and development through the life-cycle, safety,

therapeutic communication, stress adaptation, wellness/illness, and professionalism are further


Course Prerequisites RNSG 2514 Integrated Care of the Client with Complex Health Care Needs.
Required Textbooks Textbooks, Reading Material, and Resources

Ackley, B. J., & Ladwig, G. B. (2008). Nursing diagnosis handbook: A guide to planning care (8th ed.).

St. Louis, MO: Mosby Elsevier.

American Psychological Association (2005). Concise rules of APA style. Washington, D.C.

Best practices: Evidence-based nursing practice (2nd ed.). (2006). Philadelphia: Lippincott, Williams &


Evolve Case Studies

Finkelman, A. W. (2006). Leadership and management in nursing. Upper Saddle River, New Jersey:

Pearson, Prentice Hall.

Ignatavicius, D. D. & Workman, M. L. (2010). Medical-surgical nursing critical thinking for collaborative

care (6th ed.). St. Louis, MO: Elsevier Saunders.

Langford, R. W. & Thompson, J. D. (2005). Mosbyˇ¦s handbook of diseases (3rd ed.). St. Louis, MO:

Elsevier Saunders.

McKinney, E. S., Jones, S. R., Murray, S. S. & Ashwill, J. W. (2009). Maternal-child nursing (3rd ed.).

Philadelphia: Elsevier Saunders.

NCLEX® Review 4000: Study software for NCLEX-RN® (individual version) CD-ROM for Windows.

Philadelphia: Lippincott, Williams & Wilkins.

NCLEX-RN Review Book of Choice

Varcarolis, E., Halter, M. (2009). Essentials of psychiatric mental health nursing: A communication

approach to evidence-based care. St. Louis, MO: Elsevier Saunders

NOTE: This is an integrated curriculum, which means that all books are used throughout the program.

Students should be aware that the bookstore usually returns all their books before mid-semester, so

please buy your books as soon as possible.

Readings and resources will be assigned throughout the modules. Some of these resources will be

available through Gateˇ¦s Memorial Libraryˇ¦s electronic reserves. Others will be Internet resources

available through links in the course.

Learning Objectives student to develop the particular skills, knowledge, and attitudes needed for success in the field of

Associate Degree Nursing.

Upon completion of RNSG 2535, the student will have been given the opportunity to:

„h use a systematic problem solving process and critical thinking skills to assist patients of all ages

and developmental stages with complex health problems meet their needs.

„h evaluate the effectiveness of communication skills in collaboration with members of the

multidisciplinary health care team.

„h analyze the effectiveness of patient and family teaching in relation to health maintenance/health


„h demonstrate leadership and management skills in caring for small groups of diverse patients across

the life span.

„h develop, implement, and evaluate a plan of care for diverse patients/families across the life span

whose health needs may be difficult to predict.

„h demonstrate the ability to make safe and ethical collaborative clinical decisions for diverse

patients/groups of patients.

„h analyze the implications of the Nurse Practice Act.

„h relate the importance of individual professional development to the advancement of nursing


„h use current technology and literature to enhance patient care and the profession of nursing.

Major Assignments Assignments

The student is responsible for self-directed learning and must be an active, continual learner. Students

are responsible for all information outlined in the course syllabus. The student is expected to attend

course activities, read assignments, complete work assignments, answer objectives, use the library,

seek appropriate learning experiences, give reports, and complete other learning assignments and

activities in pursuit of the program's aims and objectives of the individual units of study. As a selfreliant,

autonomous, and independent learner, the student will interact appropriately with faculty and

peers to avoid miscommunication or disruption of the educational environment.

Specific learning activities are designed to enhance the studentˇ¦s learning experience in relating

nursing theory to clinical practice. Learning activities may include:

„h interactive instruction. „h laboratory activities.

„h case studies. „h Computer Assisted Instruction (CAI).

„h audio-visual aids. „h independent study groups.

„h handouts. „h discussion.

„h models/specimens. „h quizzes.

Reading Assignments and Skimming Assignments: When asked to read a text, an article or some

other resource, the student should look carefully at the material so as to understand the meaning of

what is being presented. For example, if you are asked to read a chapter in the textbook, you are

expected to know and to at least begin to understand the information being presented by the time you

complete the reading.

In comparison, skimming consists of familiarizing yourself with the materials being covered. When

asked to skim materials, it is a good practice to read the first and last sentences of the paragraphs

within the text. If you do not get the gist of the passage, read more. The student should also pay

attention to titles, headings, images and tables so to become familiar with the basic ideas presented.

NOTE: Reading assignments are given as a guideline and are not all inclusive. Information covered in

the VN Program, on handouts, and in other resources used in instruction may be included on exams.

Exams: You will complete five electronic exams during the course. All exams are worth 100 points. The

due dates for completion of the exams are listed in the module. Exams are multiple choice, short

answer, select all that apply, and true/false. No essay questions are included. Questions for the exams

will be randomly selected so no two students have the same test. Each test item is of equal weight, so

no student has an easier or more difficult test to take. There are no test retakes available.

Students will not be allowed to progress to next course unless 75% average on exams is achieved.

Daily Assignment and Activities: In support of workplace competencies and in preparation for the

NCLEX exam, you will complete multiple assignments and activities each week. These include Evolve

Case Studies and other activities. Daily activities and assignments are averaged with discussions and

are worth 12% of your final grade. Daily Grades (example: Discussion Board posts, Evolve Case

Studies, Care Plans, Clinical Summaries, Special Assignments, etc.) will not be included in grade

calculation until 75% average on exams is achieved.

RNSG 2535

Integrated Client Care Management

2010 Lamar State College ˇV Port Arthur Page 8 of 11

NOTE: NCLEX 4000 50 item exams for designated topics must be completed and submitted as

instructed with a minimum score of 75% to pass this assignment and course. Students are to scan and

submit or submit the NCLEX 4000 exam report as a Word document but it is a pass/fail assignment ˇV

not graded

Individual Discussion Postings: Discussion among and between classmates is a major component of

this course. At several points in this course, you will be asked to respond to a provocation from the

instructor. Your response should consist of complete sentences and should be meet the requirements

listed in each discussion assignment instructions. Additionally, you are required to post thoughtful and

scholarly responses to other student postings when directed. Discussions are averaged into the daily

grades and worth 12% of your final grade.

Discussion Topics There are eight (8) modules in this course. Each module represents one week of activity.

1. Alterations in Immune Function & Alterations in GI function

2. Alterations in Hematologic Function & Alterations in Cardiovascular Function

3. Alterations in Reproductive Functioning & Complications Associated with Perinatal Function

4. Management 1 & Management 2

5. Complex Respiratory Insufficiency & Impairment of Musculoskeletal Function

6. Complex Metabolic Malfunction & Uncontrolled Cellular Growth

7. Degeneration of Sensorimotor Function & Alterations in Cognitive Process

8. Emergency Nursing and Disaster Management

Attendance Policy Research has shown a cause and effect relationship between attendance and college success. A student who is absent for 3 days may be dropped from the program by the program director. Attendance and participation in all asynchronous discussions is expected and demonstrates professional behavior and accountability. It is the student's responsibility to notify the instructor prior to any absence.
Determination of Final Grade Grading Policy

A 75% average on all exams, final course grade of at least 75% and proper submission of all assigned

NCLEX 4000 exams is necessary for the student to pass this course. Students will not be allowed to

progress to next course unless 75% average on exams is achieved.

Successful completion of the course requires the student to complete the readings, view the videos,

interact in the online discussions, complete the required assignments, and participate in course

activities. Questions and disagreements concerning points/grades on assignments must be raised with

the faculty member prior to the end of the course. In cases where final grades are ˇ§on the borderlineˇ¨

between two grades, the faculty reserves the right to use the level and quality of class participation as

the determination of the final grade. Students must earn a grade of at least ˇ§Cˇ¨ to receive credit

towards the ADN degree. Any grade lower than a ˇ§Cˇ§ will require the student to repeat the course.

All participation will be electronically monitored. Late assignments may be penalized for every day late

after the date and time due, unless prior arrangements have been made with the faculty.

Grades will be calculated using the following percentage distributions:

90 to 100% = A 75 to 79% = C 00 to 59% = F

80 to 89% = B 60 to 74% = D


raded Course Components Percentage of Final Grade

Unit Exam 1 12%

Unit Exam 2 12%

Unit Exam 3 12%

Unit Exam 4 12%

Daily Grades (example: Discussion Board posts, Evolve

Case Studies, Care Plans, Clinical Summaries, Special

Assignments, etc.)


Final Exam 40%

TOTAL 100%

Daily Grades (example: Discussion Board posts, Evolve Case Studies, Care Plans, Clinical Summaries, Special Assignments, etc.) will not be included in grade calculation until 75% average on exams is achieved.

Final Exam Date March 25, 2011 - 12:00 PM
Campus Policies
Lamar State College - Port Arthur

Mission Statement

Lamar State College-Port Arthur is an open-access, comprehensive public two-year college offering quality instruction leading to associate degrees and a variety of certificates. The college, a member of The Texas State University System, has provided affordable, quality educational opportunities to residents of the Southeast Texas area since 1909.Lamar State College-Port Arthur embraces the premise that education is an ongoing process that enhances career potential, broadens intellectual horizons, and enriches life. The faculty, staff, and administration share a commitment to a mission characterized by student learning, diversity, and community service. The foundations for student success include compensatory education programs designed to fulfill our commitment to accommodate students with diverse goals and backgrounds, technical education programs that provide for the acquisition of the skills and demeanor necessary for initial and continued employment, and a core curriculum that develops the values and concepts that allow the student to make a meaningful contribution in the workplace or community. Student achievement is measured by the completion of courses and programs of study, successful performance following transfer to a baccalaureate program, and the attainment of individual goals.

Lamar State College-Port Arthur operates in the belief that all individuals should be:

* Treated with dignity and respect;

* Afforded equal opportunity to acquire a complete educational experience;

* Given an opportunity to discover and develop their special aptitudes and insights;

* Provided and opportunity to equip themselves for a fulfilling life and responsible citizenship in a world characterized by change.

 College Grading Scale

Below 59F

(Some specialized programs may have different grading scales)


 Academic Dishonesty

Academic dishonesty in any form will not be tolerated.  Please consult the student handbook for consequences of academic dishonesty.  These policies will be strictly enforced.


 Facility  Policies

        No food, drinks, or tobacco products are allowed in the classroom.

        Only students enrolled in the course are allowed in the classroom.

        Cell phones and/or pagers are allowed ONLY on vibrate mode. Leaving the classroom to answer a page or phone call may constitute an absence or a tardy.


 Special Considerations

         The American with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Special Populations Coordinator, Room 231, in the Madison Monroe Building. The phone number is (409) 984-6241.

Copyright ©2010 Lamar State College - Port Arthur. All Rights Reserved.