House Bill 2504

Spring 2014 Course Syllabus

RNSG-2514-74 - Intg Care Client Complex Hlth Needs

Faculty Information
SemesterSpring 2014
InstructorMacNeill, Shirley Beth
Phone(409) 984-6365
Allied Health
Chair:Margaret Gongre
Phone:(409) 984-6354
Hours:M-Fr 8:00 - 10:00
Building:Allied Health (AH)
MyLamarPA Be sure to check your campus E-mail and Course Homepage using MyLamarPA campus web portal ( When you’ve logged in, click the email icon in the upper right-hand corner to check email, or click on the “My Courses” tab to get to your Course Homepage. Click the link to your course and review the information presented. It is important that you check your email and Course Homepage regularly. You can also access your grades, transcripts, and determine who your academic advisor is by using MyLamarPA.
Course Information
Course Number11369
Course Description Application of a systematic problem-solving process and critical-thinking skills to provide comprehensive nursing care to diverse clients/families across the life span with complex health care needs including, but not limited to, complex childhood/adolescent diseases, complicated perinatal care, acute mental illness, complex perioperative care, serious adult health problems and health issues related to aging. Emphasis on tertiary disease prevention, maintenance/restoration and collaboration with members of the interdisciplinary health team. Topics include the role of the nurse as client advocate and coordinator of care and applicable competencies in knowledge, judgment, skills and professional values within a legal/ethical framework. The course requires recognition and response to all aspects of clients’ needs in the face of crises. Continuing with the integrated approach, the concepts of growth and development, therapeutic communication, stress-adaptation, safety and wellness/illness are further explored for individuals of all age groups.
Course Prerequisites RNSG 1423 Introduction to Professional Nursing for Integrated Programs

RNSG 1260 Clinical
Required Textbooks Ackley, B. J., & Ladwig, G. B. (2014). Nursing diagnosis handbook: A guide to planning care (10th ed.). St. Louis, MO: Mosby Elsevier.

American Psychological Association (2009). Concise rules of apa style (6th ed.). Washington, D. C.

NCLEX® Review 10,000: Study software for NCLEX-RN® - Powered by PrepU Philadelphia: Lippincott, Williams and Willkins.

North Carolina Concept-Based Learning Editorial Board (2011). Nursing: A concept-based approach to learning. Upper Saddle River, New Jersey Pearson Education, Inc.


Students must have access to a PC laptop or desktop with:

o Ready access to a PC or Macintosh laptop or desktop with:

o Windows Vista or 7; or MacOSX 10.7.5 or later

o Latest version of Mozilla FireFox, Google Chrome browser, and/or Internet Explorer 9

o Standard browser plug-ins: Adobe Flash, Adobe Acrobat Reader, Apple Quicktime, Java

o Computer hardware less than three years old with working webcam and microphone

Students must have High Speed Internet Connection:

o Wired DSL or Cable Broadband access

o Wireless or Wireless Mobile Broadband connections are not recommended for use during testing but may be used during course browsing

Mobile Devices and the Blackboard Mobile App

o Students cannot complete a course using only a mobile device or the Blackboard Mobile App

o Blackboard does not support browsers on mobile devices (iOS or Android)

Students must have access to Microsoft Office 2010 or higher.

This is an integrated curriculum, which means that all books are used beginning with the first semester.
Attendance Policy Research has shown a cause and effect relationship between attendance and college success.
Course Grading Scale 90-100 = A 80-89 = B 75-79 = C 60-74 = D Below 60 = F
Determination of Final Grade A final course grade of 75% is necessary for a student to pass this course. A final course grade of 75% is necessary for the student to pass this course. The final course grade is calculated as follows: Unit Exam 1 = 15%, Unit Exam 2 = 15%, Unit Exam 3 = 15%, Discussion Board Posts (averaged together) = 15% and Final Exam = 40%. Daily Grades (example: Discussion Board posts) will not be included in grade calculation until 75% average on exams is achieved. All exams must be taken. Students will be allocated a specific amount of time for each exam. Students unable to take a scheduled exam due to an extreme emergency must notify the instructor prior to the exam.
Final Exam Date June 5, 2014 - 8:00 AM
Major Assignments Unit Exam I – Tuesday April 29, 2014 0500-1900

Unit Exam II – Tuesday May 13, 2014 0500-1900

Unit Exam III – Tuesday May 27, 2014 0500-1900

Final Exam – Thursday June 05, 2014 0500-1900

Calendar of Lecture Topics and Major Assignment Due Dates Week 1: Concepts

Development ¡V Concept 7 pp. 339-395

Week 2: Concepts

Acid-Base Balance- Concept 1 pp. 2-25

Fluids and Electrolytes ¡V Concept 11 pp. 517-597, Skills pp. 115-155

Week 3: Concepts

Unit Exam I April 29, 2014 0500-1900

Oxygenation ¡V Concept 21 pp. 1215-1291, Skills pp. 274-333

Week 4: Concepts

Perfusion ¡V Concept 22 pp. 1293-1513, Skills pp. 334-357

Week 5: Concepts

Unit Exam II Tuesday May 13, 2014 0500-1900

Tissue Integrity ¡V Concept 30 pp. 1873-1934, Skills pp. 403-444

Inflammation ¡V Concept 16 pp. 885-938

Week 6: Concepts

Mobility ¡V Concept 19 pp. 1055-1156, Skills pp. 228-273

Intracranial Regulation ¡V Concept 17 pp. 939-976

Week 7: Concepts

Unit Exam III Tuesday May 27, 2014 0500-1900

Reproduction ¡V Concept 23 pp. 1515-1578, Skills pp. 358-402

Week 8: Concepts

Violence ¡V Concept 31 pp. 1934-1996

Final Exam Thursday June 05, 2014 0500-1900
General Education/Core Curriculum Student Learning Outcomes
Communication skills:Students will demonstrate effective written, oral and visual communication.

Critical Thinking Skills:Students will engage in creative and/or innovative thinking, and/or inquiry, analysis, evaluation, synthesis of information, organizing concepts and constructing solutions.

Empirical and Quantitative Skills:Students will demonstrate applications of scientific and mathematical concepts.

Teamwork:Students will demonstrate the ability to work effectively with others to support a shared purpose or goal and consider different points of view.

Social Responsibility:Students will demonstrate intercultural competency and civic knowledge by engaging effectively in local, regional, national and/or global communities.

Personal Responsibility:Students will demonstrate the ability to connect choices, actions and consequences to ethical decision-making.

Program Student Learning Outcomes The Upward Mobility Nursing Program provides educational experiences that offer opportunities for the student to:

1. Function within the legal, ethical and regulatory standards for the professional nurse.

2. Use a systematic problem-solving process to provide safe, individualized, evidence-based nursing care and coordinate care for a limited number of patients who have complex needs with predictable or unpredictable outcomes in various health care settings.

3. Adopt an approach to nursing practice that promotes safety for patients, significant others, self, and members of the healthcare team.

4. Collaborate with members of the interdisciplinary health care team to provide optimum, evidence-based, and safe care to patients.

5. PSLO ALPHA: Reading skills - Demonstrates comprehension of content-area reading material.
Course Student Learning Outcomes In accordance with the mission of Lamar State College - Port Arthur, this course encourages the student to develop the particular skills, knowledge, and attitudes needed for success in the field of Associate Degree Nursing. Upon completion of RNSG 2514, the student will have the opportunity to:

1. Develop and implement a teaching plan for a client/family to promote health maintenance/health restoration based on assessment data.

2. Demonstrate the ability to utilize critical thinking skills to make safe and ethical clinical decisions.

3. Use a systematic problem solving process.

4. Develop and implement a plan of care for a diverse client/family across the life span with complex health care needs in a variety of health care settings.

5. Identify behaviors that indicate psychosocial/mental health deviations, and appropriate nursing interventions.

6. Demonstrate a working knowledge of the implications of the Nursing

Practice Act.

7. Apply therapeutic communication skills with diverse clients and families.

8. Recognize opportunities for client advocacy and professional development activities.

9. Collaborate in multidisciplinary planning to provide care for clients/ families with complex health care needs.

10. Identifies all main ideas, supporting details, and vocabulary in reading material; demonstrates a full understanding of the reading.
Academic Honesty Academic honesty is expected from all students, and dishonesty in any form will not be tolerated. Please consult the LSC-PA policies (Section IX, subsection A, in the Faculty Handbook) for consequences of academic dishonesty.
Facility Policies
  • No food or tobacco products are allowed in the classroom.

  • Only students enrolled in the course are allowed in the classroom, except by special instructor permission.

  • Electronic devices (including but not restricted to cell phones, MP3 players, and laptop computers) shall not be used during examinations unless specifically allowed by the instructor.

  • Use of electronic devices during normal class hours distracts other students, disrupts the class, and wastes valuable time. Instructors have an obligation to reduce such disruptions.

  • Turn your cellphones to vibrate when you enter the classroom.

    No cell phones should be visible during class. Additional classroom policies include:The following behaviors will result in the student being asked to cease the action, lose five (5) points on the next exam, and/or leave the classroom or labs: using cell phones, talking while the instructor is giving instructions or during class discussions/presentations; or displaying a rude or negative attitude/behavior to the instructor or other students.
Additional Information I will not discuss your grades over the phone. If you want to discuss your grades, you must come to my office, in person, or we can discuss by email.

Important Information
ADA Considerations The Americans 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 Violations Some material in this course may be copyrighted. They may be used only for instructional purposes this semester, by students enrolled in this course. These materials are being used fairly and legally. No one may distribute or share these copyrighted materials in any medium or format with anyone outside this class, including publishing essays with copyrighted material, uploading copyrighted material to Facebook or YouTube, or painting or performing copyrighted material for public display.

Copyright violation is not the same thing as plagiarism. Plagiarism is intellectual dishonesty. Offenses of plagiarism result in lower grades or failing scores, and professors and the college strictly enforce plagiarism rules. There is never any acceptable use of plagiarism. Copyright violation is a legal offense, punishable by large fines and penalties.

Copyrighted material can be used if permission from the material’s creator is obtained, or if its use meets the standards of fair use in an educational setting. For example, a student can quote a line from Shakespeare’s Hamlet in a report without violating copyright but still be guilty of plagiarism if the quotation is not properly documented.

If you are in doubt about what material can be freely used, ask your professor or contact the Dean of Library Services, at (409) 984-6216.
Assessment Statement Assessment is a process by which LSCPA can help you learn better and gauge the level of progress you have made to attain knowledge, skills, beliefs, and values. It also helps your professors understand how to improve teaching and testing methods in your classes, and it helps each department understand and improve degree and certificate programs.

Periodically LSC-PA will collect assessment data for research and reporting purposes, including statistical data and sometimes copies of your work. Be assured that all material the college uses for assessment purposes will be kept confidential. To ensure anonymity, your name will be removed from any material we use for assessment purposes, including video-recorded performances, speeches, and projects.

If you object to allowing LSC-PA to use your material for assessment purposes, submit a letter stating so to your professor by the 12th class day. You will still be required to participate in whatever assessments are being done; we just won’t use your data.

What’s the difference between assessment and grades? The grades you get on papers, projects, speeches, and assignments are specific types of focused assessment. LSC-PA’s assessment efforts include class grades, surveys, standardized tests, and other tools.
Privacy Notice Federal privacy laws apply to college students. This means that college employees, including instructors, cannot divulge information to third parties, including parents and legal guardians of students. Even if the students are minors, information about their college work cannot be shared with anyone except in very limited circumstances.

Anyone requesting information about a student should be referred to the Registrar. Instructors will be notified in writing by that Office about what information may be released and to whom.

Please remember that releasing private information about a student, however innocuous it may seem, can be a violation of federal law, with very serious consequences.

Circumstances under which information may be released:

An adult student may submit, to the Registrar, a handwritten, signed note granting permission for release of information. The note must specify what information may be divulged, and it must specify the name of the person to whom the information may be given.

A parent or guardian may be given access to information about a student by providing a copy of a filed tax return that shows that the student was listed as a dependent of that parent or guardian. The tax return must be for last complete tax year. Again, this documentation must be submitted to the Registrar’s Office.

A parent or guardian may be given access to information about a student if the student logs on to and sends an email to the Registrar granting permission. The email must specify what information may be given and the name of the person to whom it may be given.

Co-enrollment students are protected by the same privacy laws as adult students.

The Registrar’s office is located in the Student Center room 303B, and can be reached at (409) 984-6165.

College-Level Perspectives This course helps add to the students’ overall collegiate experience in the following ways:

  • Establishing broad and multiple perspectives on the individual in relationship to the larger society and world in which s/he lives, and to understand the responsibilities of living in a culturally and ethnically diversified world.

  • Stimulating a capacity to discuss and reflect upon individual, political, economic, and social aspects of life in order to understand ways in which to be a responsible member of society.

  • Developing a capacity to use knowledge of how technology and science affect their lives.

  • Developing personal values for ethical behavior.

  • Developing the ability to make aesthetic judgments.

  • Using logical reasoning in problem solving.

  • Integrating knowledge and understand the interrelationships of the scholarly disciplines.

Degree Plan Evaluation A Degree Plan Evaluation will help you determine which classes you need to complete your program.

  1. Sign in to your account.

  2. Click on the “My Services” tab.

  3. Click on the “Student” tab.

  4. Click on Student Records.

  5. Click on Degree Evaluation.

  6. Select the term you are planning on registering for (i.e. Summer I, Summer II, Fall, or Spring)

  7. Verify that the Curriculum Information (your MAJOR) is correct

  8. Click on “Generate New Evaluation” at the bottom of the screen.

  9. Click the radio button next to Program

  10. Click on the Generate Request button.

All of the classes that you have taken that apply to your declared major will be listed on the right. If you have a class that still needs to be completed, a “NO” will be listed on the right next to the required class.

HB 2504 This syllabus is part of LSC-PA’s efforts to comply with Texas House Bill 2504.

Lamar State College - Port Arthur


Lamar State College - Port Arthur, a member of The Texas State University System, is an open-access, comprehensive public two-year college offering quality and affordable instruction leading to associate degrees and a variety of certificates. The College embraces the premise that education is an ongoing process that enhances career potential, broadens intellectual horizons, and enriches life.

Core Values

  • Shared commitment by faculty, staff and administration to a mission characterized by student learning, diversity, and community involvement

  • General education/core curriculum that develops the values and concepts that allow the student to make a meaningful contribution in the workplace or community

  • Academic and technical programs designed to fulfill our commitment to accommodate students with diverse goals and backgrounds, using a variety of delivery methods, on and off campus

  • Technical education programs that provide for the acquisition of the knowledge, skills and behavior necessary for initial and continued employment

  • Student achievement characterized by attainment of individual goals and measured by successful accomplishments and completion of curriculum

  • Co-curricular opportunities that develop social, financial and civic acuity


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; and,

  • provided an opportunity to equip themselves for a fulfilling life and responsible citizenship in a world characterized by change.

Copyright ©2011 Lamar State College - Port Arthur. All Rights Reserved.