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NS 211 Culturally Competent Care of the Child-Rearing
Family Evelyn Chapman
Instructor’s Contact Information:- Course Information:- Office: West Hall Room 403 Meeting Day(s): Mondays & Wednesdays Office Hours: Monday 6:30-7:30 Meeting time: Mondays 5:00-6:30pm Wednesdays 11:00am-12:00pm Email: ………………………. Classroom location: West Hall M-Rm 404/W-Rm 402 Phone: ……………………… Course Credits: 2 Preferred communication method: Blackboard email COURSE DESCRIPTION: Lecture Hours: 1.5 Credits (22.5 hrs) Clinical/Lab Hours: 0.5 Credits (22.5 hrs) This course is designed to focus on family-centered care to meet the needs of the childrearing family. Relationships among family members, children, and adolescents are discussed. Clinical settings provide an opportunity to integrate and correlate theory and the Institute of Medicine’s core competencies by caring for children with health problems from infancy through adolescence. Emphasis is placed on culturally competent care of the family and their children, and the application of the nursing process as a basis for critical thinking. Essential concepts include prioritization, communication, providing patient education and facilitating continuity of care following discharge. Students are expected to successfully complete the NYS approved Child Abuse and Maltreatment program.
COURSE REQUISITES:
Pre-Requisites: Co-Requisites:
- NS 206 - Culturally Competent Care of the Child-Bearing Family - NS 255 - Culturally Competent Care of the Adult with Health Alterations II - NS 261 – Trends in Professional Nursing STUDENT LEARNING OBJECTIVES: Upon successful completion of the course the student will be able to:
1. Identify the expected growth and development pattern of the pediatric population. (SLO 1)
2. Identify the five universal characteristics of families and explain the influences of culture, ethnicity, and religion on the family.
(SLO 1,2)
3. Differentiate between effective and ineffective family coping patterns. (SLO 1, 3)
4. Provide examples of anticipatory guidance for caregivers of infants and children. (SLO 1, 3)
5. Describe the cognitive, emotional and moral development that occurs during each phase of pediatric development. (SLO 1, 3)
6. Identify at least three nursing responsibilities related to the care of the newborn, toddler, school-age child and adolescent. (SLO 1, 3)
7. Identify the signs, symptoms, treatments, preventative care and related nursing care for newborn, toddler, school-age child and
adolescent. (SLO 1, 2, 3)
8. Identify five health concerns and related interventions or preventative measures in the care of pediatric population. (SLO 1, 2, 3, 4)
9. Identify at least five potential indicators of neglect or abuse of and the role of the nurse if such situations are encountered. (SLO 1, 2,
ESSENTIAL QUESTIONS:
1. How is the physical assessment exam adapted to the child’s age and developmental level?
2. What are several possible roles for nurses in preventing traumatic injuries, poison ingestion, and environmental injuries?
ATTIRE:
Students are expected to attend class in the required college uniform as described in the School of Nursing Student Handbook. ATTENDANCE AND PUNCTUALITY: The value of a college education depends upon full participation in academic classes. Students are expected not only to receive information and to pass examinations, but also to participate actively in class. For that reason, regular attendance is important. The college experience also is meant to prepare students to undertake meaningful careers and to develop the kind of professional behavior appropriate to obtaining gainful employment. Because excellent classroom attendance and participation are the foundation for the attainment of these goals, School of Nursing has instituted the following policy.
- Regular and prompt attendance at all classes, labs and clinical practice sites is required. Lateness is defined as greater than 10 minutes after the scheduled start time of the class or clinical. Attendance is taken by the instructor for each clinical and class session to confirm presence and insure accuracy in implementing this policy. Attendance records are maintained by the theory instructor in the electronic registration system.
- Students are responsible for missed class material.
- Class/Theory absences are a serious matter and are weighted accordingly:
a. Absence
i. Absenteeism may indicate a problem with commitment to the program and/or make it impossible for the student to meet the course objectives. Due to the critical nature of the nursing field, attendance and punctuality are of primary importance. Accordingly, any three (3) absences for classes that meet twice per week, or any two (2) absences for classes that meet once per week will lower the student’s grade by one whole letter grade. Once a student has incurred four (4) absences he or she will be administratively withdrawn from the course and will be required to repeat the course the following semester that the course is offered. ii. Class lateness may also indicate a problem with commitment to the program, is unprofessional, and is inconsiderate to faculty and peers. Two episodes of lateness will be equal to one absence. Students may NOT enter a classroom if the sign on the door reads “class in session” has been posted. Students will only be admitted during a break in the lecture. iii. Delayed openings due to inclement weather that occur on clinical, skills, or simulation lab days - faculty will notify students of arrival time.
- Designated clinical hours must be met to achieve clinical objectives and for course completion. Clinical absences are a
serious matter and are weighted accordingly.
a. Notification of clinical absence
i. The student is responsible to notify both the School of Nursing at 646-393-8620 and the individual clinical instructor at least ½ hour before the scheduled experience starting time.
b. Clinical Absence
i. Students are required to attend ALL clinical, including clinical seminars for the bachelor’s program. A clinical absence may indicate a problem with commitment to the program and/or make it impossible for the student to meet the clinical objectives of the course. Accordingly, a clinical absence will necessitate a review by the instructor to determine the student’s ability to meet the course objectives, and as such will require clinical make-up , or may result in a failure (U) for the clinical. Clinical failure automatically means failure in the course. ii. Clinical lateness may also indicate a problem with commitment to the program, is unprofessional, and may affect patient care. Two episodes of lateness will be equal to one absence. Students may NOT participate in a clinical if they are late and will be sent home by the clinical instructor. iii. Absence or lateness from Skills Lab or NS 209 Assessment Lab will require clinical make-up prior to the next lab in order to meet the clinical objectives of the course. iv. According to the health care policy of the institution, a three-day consecutive absences requires clearance from a physician prior to returning to class/clinical.
- A student may be dismissed from the clinical setting at the discretion of the clinical instructor if the absence or lateness makes it impossible for the student to meet the clinical objectives of the course. Clinical dismissal constitutes an absence and may result from but not limited to; lateness of more than 10 minutes, unprepared for clinical assignment, or febrile. Clinical Practice Clinical experiences are arranged by Monroe College through contractual agreements with the agencies that are committed to nursing education. Monroe College does not pay the agencies nor do the agencies pay Monroe College. Monroe College must abide by the rules and regulations of the agency. Therefore, agency policies and accepted professional standards of conduct for nurses must be followed. Clinical rotation schedules are established by faculty to meet the learning needs of the students. Students cannot switch assigned clinical rotations. If a student has an extraordinary situation, the student may request a change in clinical rotation in writing to the Clinical Coordinator. The request will be reviewed by the faculty and the Clinical Coordinator will inform the student of the decision. ACCOMMODATIVE SERVICES:
Testing Procedures
- Testing will be done by two proctors: 2 Faculty or 1 Faculty and 1 Staff
- Students place all backpacks, bags, electronics and cell phones at the front of the room.
- Electronics and cell phones must be turned off.
- Completion time for exams will be written on the board.
- Students may not leave the room during testing. If necessary, a student must be escorted to bathroom.
- Upon completion of testing, students may be permitted to leave the room at the discretion of the faculty. Students that are given permission to leave the room after they have completed testing must do so quietly. STANDARDIZED TESTING POLICY:
- Assessment Technologies Institute®^ ( ATI ) is an assessment and remediation program used to reinforce student understanding of major content areas in nursing and to enhance student NCLEX success.
- Each course topical outline lists weekly ATI Tutorial assignments, including a Practice Assessment and 2-hour Focused Review. These assessment and remediation activities will help students prepare for the course required Proctored Assessment.
- Proctored standardized testing is utilized to determine the learner’s mastery of course content. Each nursing course includes a mandatory Proctored Assessment and Focused Review for course completion. The goal is to achieve a Proficiency Level 2 or higher on this end-of-course assessment. Students scoring below Level 1 are required to meet with the course instructor to develop an academic plan. The length of time of the assigned focused review depends on the level achieved on the Proctored Assessment as follows: Level 3 – 1 hour focused review and 1 Active Learning Template (ALT) Level 2 – 2 hours focused review and 2 ALTs Level 1 – 3 hours focused review and 3 ALTs Below **Level 1 – 4 hours focused review and 4 ALTs
- Completion of all ATI course requirements and score achievement on the proctored assessment will be counted as a** percentage of the overall course grade. Course requirements include the following:
▪ Tutorial assignments (Targeted assignments in NS 255)
▪ Practice Assessments A and B with 2 hour Focused Review for each assessment.
▪ Proctored Assessment and completion of level-determined Focused Review as stated above
Achievement on the proctored assessment will be counted as a percentage of the overall grade as follows:
Proctored Assessment Score Level 3 = 5% Proctored Assessment Score Level 2 = 3% Proctored Assessment Score Level 1 = 1% Proctored Assessment Score Level <1 = 0% ATI credit is calculated into the grade provided the overall grade for unit exams, final exam, and other course work is 74.5% or greater. DOCUCARE ASSIGNMENTS DocuCare Assignments = Pass/Fail
- DocuCare assignments are mandatory in select courses. Late assignments will not be accepted after 7 days from the due date. All DocuCare assignments are required to be completed to meet the clinical objectives or will result in clinical failure of the course. APP Credit - 3% will be included in the student grade for attendance, participation, and professionalism. Students will be subject to disciplinary action and loss of percentage points for non-adherence. GRADING POLICY:
- All students must achieve a passing grade in both theory and clinical.
- A clinical failure automatically results in a failure of the course, regardless of the current theory grade. A grade of 75% or higher is a passing grade in theory. Clinical grade is either Satisfactory or Unsatisfactory.
- A missed test or assignment will result in a grade of zero (0). All exams/quizzes will be administered ONLY in the scheduled time. There will be no make-up exam/quizzes except in the cases of (1) death or funeral arrangements of an immediate family member (parent, sibling, spouse, child, grandparent); (2) documented hospitalization or episodic medical condition of the student; (3) documented court appearance. Make-up exams/quizzes for these circumstances will be allowed up to one week following the missed exam/quiz. All make-up exams will incur a 10 point deduction meaning the maximum grade of 90% can be achieved.
Students are expected to be fully aware of the college’s requirements and expectations regarding academic honesty and scholarly integrity. If a student is unsure whether his action(s) constitute a violation of the Code of Academic and Scholarly Integrity, then it is that student’s responsibility to consult with the instructor to clarify any ambiguities. Academic Dishonesty Definitions Activities that have the effect or intention of interfering with education, pursuit of knowledge, or fair evaluation of a student’s performance are prohibited. Examples of such activities include, but are not limited to, the following definitions:
A. CHEATING: Using or attempting to use unauthorized assistance, material, or study aids in examinations or other academic
work.
B. PLAGIARISM: Using the ideas, data, or language of another without specific or proper acknowledgment.
C. FABRICATION: Submitting contrived or altered information in any academic exercise.
D. MULTIPLE SUBMISSIONS: Submitting without prior permission, any work submitted to fulfill another academic requirement at
Monroe or any other institutions.
E. MISREPRESENTATION OF ACADEMIC RECORDS: Misrepresenting or tampering with or attempting to tamper with
any portion of a student’s transcripts or academic record, either before or after coming to Monroe College.
F. FACILITATING ACADEMIC DISHONESTY: Knowingly helping or attempting to help another violate any provision of the Code.
G. UNFAIR ADVANTAGE: Attempting to gain unauthorized advantage over fellow students in an academic exercise.
The highest standards of academic honesty must guide the students in their preparation of all assignments and writing of all examinations. The following rules will apply in all cases:
1. Each student’s work shall be the result of the student’s own effort.
2. Each student shall cite appropriately the ideas and work of others when it is incorporated into the writing of papers.
3. Each student will follow the directions of the instructor with regard to permissible materials in a room at the time of
examinations.
4. No student shall give or receive any assistance whatsoever or communicate in any way with another student during an
examination.
5. No student shall attempt to obtain or disseminate the content of an examination prior to or after distribution by the instructor.
6. No student may submit the same work to more than one instructor without the prior approval of the instructor involved.
7. No student shall act in a way that endangers the academic integrity of the College.
8. Any student who has information about or observes any form of academic dishonesty is expected to bring the information forth to the
Chairperson of the School of Nursing or faculty member of choice. Student Evaluations of Course and Instructor Monroe College students have an important voice in the academic community and an obligation to give an honest assessment of their instruction and coursework. As an expectation of every course, students will complete an anonymous, online course evaluation questionnaire. By doing so, students provide information used to enhance the relevance of the course content and effectiveness of the instruction you experienced. The course evaluation period will be announced by the Academic Office during the course of the semester. In addition to the online evaluation, there are additional evaluations for the Nursing Program. Topic Outline with Readings, ATI, and Docucare Assignments – Spring 2016
Week 3 Monday 5/ 5-6:30p Care of the Child (GI/GU Disorders) Care of Newborn-Infant and Toddler Physical Assessment Review - GI/GU Systems A. Cleft Lip/Cleft Palate/TEF B. GER/Pyloric Stenosis/Intussception C. Celiac Disease/PKU/Hirschprungs Disease D. Pre-Op and Post-Op Care E. Cultural-Nutritional Implications F. Medications: Gluten-Free diet; Protein- free diet McKinney, et al: Chapter 38, 45, 46 Pediatric: Respiratory Syncytial Virus (RSV); Jennifer Gandhi
Week 4 Monday 5/ 5-6:30p Wednesday 5/25 * 11:00-12:00PM EXAM 1 Care of the Child with Cardiovascular Alteration CHD, Cardiac Defects; Endocarditis; Rheumatic Fever-Scarlet Fever; Kawaski Disease Care of the Child (Neuro and MusculoSkeletal Disorders) Care of Newborn-Infant Toddler and Preschooler Physical Assessment Review - Neurological and MS Systems A. Spina Bifida (Meningocele/Myleomeningocele) B. Hydrocephalus//Meningitis//Seizure Disorders C. Scoliosis//Fractures; Cast Care D. Duchenne Muscular Dystrophy//Cerebral McKinney, et al: Chapter 34, 46, 52
Palsy Juvenile Rheumatoid Arthritis E. Febrile Seizures/Safety (Accidental Poisoning) F. Child Abuse Assessment and Prevention G. Lead Poisoning H. Cultural-Nutritional Implications//Medications I. Medications: Tylenol/ Dilantin J. Pediatric Triage Week 5 Monday 5/ NO CLASS on Monday 5/ Tutorials: Learning System Nursing Care of Children 1 – Practice Test Week 6 Monday 6/ 5-6:30p Care of the School-Age Child A. Infectious Diseases B. Immunizations C. Lice D. Pinworms E. Cultural-Nutritional Implications F. Medications G. CCC Application: Best Practices for Preventing Overweight and Obesity in Children from Diverse Cultures McKinney, et al: Chapter 49 Andrews & Boyle: Chapter 6 EBP 6-1, page 131
E. Diabetes Mellitus 2//Obesity F. Mononucleosis G. Accidents and Trauma H. Cultural-Nutritional Implications I. Medications J. CCC Application: Predictors of Unprotected Intercourse of Adolescents Girls K. CCC Application: When Health Care Provider Decisions Clash with Parental Preference Andrews & Boyle: Chapter 6 EBP 6-2, page 145 and EBP 6-3, page 148 Week 8 Monday 6/ 5-6:30p
• IOM/QSEN: LEWIS BLACK STORY
• CURRENT EVENTS CASE STUDY
Week 9 Monday 6/ 5-6:30p Care of the Child with Surgical Needs A. Cleft lip/Cleft Palate B. Tonsillitis C. Scoliosis D. Fractures E. Wilms Tumor F. Pain assessment and management G. Cultural-Nutritional Implications H. Nursing Implications: Pre-Op and Post- Op Care I. Pain Assessment and Medications: PCA pump McKinney, et al: Chapter 35, 50 Practice Assessment: RN Nursing Care of Children 2013A and 2-hour Focused Review
Week 10 Monday 7/
NO CLASS
Week 11 Monday 7/ Care of the Child with Special Needs A. Anemias: Sickle Cell Anemia B. Hemophilia McKinney, et al: 2, 3, 4, 6, 7,
5-6:30p
C. ADHD
D. Autism E. Downs Syndrome F. Systemic Lupus Erythematsous (SLE) G. Cultural-Nutritional Implications H. Medications Chapters 41, 47, 53, 54
Week 11 *Tuesday 7/ 5-6:30p Note date change -no lecture on 7/ NOTE: Tuesday Class this week Care of the Child: SPECIAL TOPICS A. The Child with Cancer: Leukemia/ ALL/AML/Hodgkins Lymphoma B. Wilms Tumor C. Turners Syndrome D. Other –Sudden Infant Death Syndrome (SIDS) E. Death of a Child: Loss and Grieving F. Cultural-Nutritional Implications,Medications McKinney, et al: Chapters 36, 48 Practice Assessment: RN Nursing Care of Children 2013B and 2-hour Focused Review
Week 12 Monday 7/ *Monday 7/18 5:00-6:00PM EXAM 3 Week 13 Monday 7/ 5-6:30p **Monday 7/25 5:00-6:00PM Mandatory: ATI Nursing Care of Children Proctored Assessment
- Cumulative Review for Final Proctored Assessment: RN Nursing Care of Children 2013 *Mandatory
(length of time depends on level achieved) *Mandatory Week 14 Monday 8/ *Monday 8/1 5:00-6:30PM FINAL EXAM CUMULATIVE Focused Review: Focused Review for Pharm Proctored Assessment (length of time depends on level achieved) *Mandatory
