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NSG 336 -MSI Syllabus and Content Schedule
St. John’s College of Nursing
Springfield, Illinois
Medical-Surgical Nursing I – Syllabus
Fall 2017
Medical-Surgical Nursing I is an introduction to the fundamental concepts of medical-surgical nursing. Students are introduced to an evidence-based practice framework with an emphasis on learning the principles of safety and quality. Initial exposure to critical reasoning will be developed through the use of critical thinking skills. Professional nursing roles are explored with special attention to communication and caring. The learning environment includes application of concepts via the use of classroom, simulation, laboratory practice, and the clinical area.
St. John’s Hospital Library, HESI Testing and Remediation, Evolve/Elsevier online learning tools, textbooks, Canvas, Simulation Center, St. John’s Hospital Meditech, St. John’s Hospital clinical sites (CVCU, Neuro, Surgical, Orthopedics, wound care)
Grading Scale: A = 93-100
B = 85-92
C = 77-84
D = 70-76
F = <70
Grades will be determined by rounding a .49 down and a .50 up. Rounding of grades considers only the 1/10 decimal place. Therefore, if a student earns a 92.445 the grade earned is a 92. If a student earns a 92.54 the grade earned is a 93.
For all courses with a clinical or lab component, St. John’s College of Nursing pre-licensure students must earn at least a C average on all exams to pass the course. Test averages are calculated prior to adding in papers, projects, and other non-exam scores. If the average of all the tests is less than a C, the pre-licensure student earns the test average for the course. If the average of all tests is a C or greater, all the remaining course assignments are calculated in the final grade. Students who do not earn a C when exams are averaged fail the course, regardless of the grades on other non-exam course activities.
The student must meet all the course objectives in order to successfully complete the course. This is accomplished by obtaining a satisfactory clinical evaluation. The clinical experience is evaluated as satisfactory or unsatisfactory by the faculty. The theory grade will constitute the course grade as long as a “satisfactory” is obtained in clinical. If a student receives an “unsatisfactory” in clinical, the student receives an “F” for the course and a course grade of 64.
The student must pass the calculation test with a score of 84% to proceed in this course. Passing the calculation test denotes safe accountability with medication administration.
Exams (78% of Course Grade) | % of course grade |
1. 6 Exams (40-50 questions) | 60% (10% for each exam) |
2. Cumulative Final Exam (75-100 questions) | 18% |
Other assignments not included in exam scores | |
1. HESI Proctored Exam | 4% |
2. Accountable Demonstrations (4 total) | 4% (1% for each demonstration) |
3. Calculation Test | 2% |
4. HESI Practice Exam by due date | 2% |
5. Patient Teaching Presentation | 8% |
6. Assigned HESI modules/quizzes by due date | 2% |
Students are expected to assume responsibility for maintaining current awareness of their course grade status; progress can be accessed via Canvas.
NSG 336 -MSI Syllabus and Content Schedule
Students who are unable to attend a learning experience are expected to initiate contact with faculty (by phone message or email). For clinical: initiate contact with clinical faculty on the day of the clinical absence. Students need to identify missed learning opportunities and submit their plan for remediation. Faculty will discuss and may revise the plan. Additional clinical hours, written work, etc. may be required.
Faculty are not expected nor encouraged to make up excessive absenteeism. This is reserved for highly unusual circumstances, not the occasional absence for unpredictable events. Faculty are not always in the position to adapt or adjust their schedules nor are they obligated or encouraged to do so.
It is the student’s responsibility to contact the appropriate faculty member to request an extension on an assignment. Any request must be made to the specific faculty member, in writing, prior to the time the assignment is due. Assignments that are submitted after the deadline without prior communication with the specific instructor will result in a grade of zero.
NSG 336 -MSI Syllabus and Content Schedule
When an extension is requested, it is the faculty member’s responsibility to specify to the student, in writing, the date and time of the deadline in which the assignment must be submitted or the denial of the extension. This information should be recorded on the counseling record and signed by the student and the instructor. A copy of this request should be attached to the counseling record. If the assignment is not submitted by the established date/time, the grade for that assignment shall become a zero.
NSG 336 -MSI Syllabus and Content Schedule
Students may not have any belongings on, under, within, or hanging from their table, person, or chair during tests. Belongings include: cell phones, tablets, laptops, watches with internet access, cameras, glasses with internet access, drinks, food, anything that can take a picture, video, or voice recording, and hats. Faculty may ask you to remove anything further that may interfere with the validity and honesty of the test.
NSG 336 -MSI Syllabus and Content Schedule
Title: Mosby’s Drug Guide for Nursing Students, 12th ed.
Authors: Skidmore-Roth
Publisher: Elsevier |
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Title: Transcultural Concepts in Nursing Care, 7th ed.
Authors: Andrews/Boyle
Publisher: Lippincott Williams & Wilkins |
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Title: Mosby’s Manual of Diagnostic and
Laboratory Tests, 5th ed.
Author: Pagana
Publisher: Elsevier |
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Title: Nursing Diagnosis Handbook, 11th ed.
Authors: Ackley/Ladwig
Publisher: Elsevier |
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Title: Basic Nursing: Concepts, Skills & Reasoning, 1st ed.
Authors: Treas/Wilkinson
Publisher: FA Davis |
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Title: Medical-Surgical Nursing, 9th ed.
Authors: Lewis/Dirksen/Heitkemper/Bucher
Publisher: Elsevier |
Week | Dates
|
Clinical/ Skills Lab
and Assignments |
Theory Concepts
and Assigned Reading |
1 | 8/14 – 8/18 | Skills Lab (0800-1300) – report to room 127 at SJC on your assigned clinical day
· Syllabus and Content Schedule · Communication · Nursing student intros (practice) · Slip knot for restraints · Hygiene, oral care, foot care, nail care and occupied bed-making – video and practice · Bedpans and urinals – video/demo and practice · Handwashing – video and practice · Verify all can log into Evolve and HESI · Review of student responsibilities and expectations in clinical setting
|
FRIDAY LECTURER: CASPER
· Orientation to course and syllabus · Sign Affirmation Agreement
Lecture content: · Professional Roles and Legal Issues Read: Basics pg. 1549-57 · Ethics scenarios · Activity and Mobility · Safety and Risk for Injury Read: Basics pg. 657-8, 671-5 |
2 | 8/21 – 8/25 | Skills Lab (0800-1300) – report to Simulation Center
· Body mechanic safety · Transfers (bed to stretcher, bed to w/c, bed to chair with all weight-bearing levels) · Walker, cane, and crutch use · Total knee and total hip replacements · Range of motion |
FRIDAY LECTURER: CASPER
Lecture content: · Asepsis and Infection Read: Basics pg. 609-14, 617-26, 630-2 · Wound Healing and Ulcers Read: Basics pg. 1224-32, 1235-39, 1244-54 · IV skin assessment
|
3 | 8/28 – 9/1 | Skills Lab (0800-1300) – report to Simulation Center
· Sterile gloving – video/demo and practice · Wound dressing changes (sterile technique) – video/demo and practice § Dry § Wet to damp § Irrigation § Cultures § Negative pressure § Montgomery straps · Documentation r/t dressing changes · Suture and staple removal – demo and practice · Blood spills |
FRIDAY LECTURER: BAKER
TEST 1
Lecture content: · Medication Administration Read: Basics, pgs 746-792 · Pain Read: Basics pgs 1090-1098; Lewis pgs 102-127
Proof of TB test and immunizations must be turned in to Occupational Health Services by this week or you will not be able to attend clinical. |
4 | 9/4 – 9/8 | Skills Lab (0800-1300) – report to Simulation Center
· 0800-0900 – Practice for proficiency · 0900-1100 – Accountable demonstration for sterile gloving and sterile wet-damp dressing change (worth 1%) · Peripheral blood sugars with CBL (bring laptop) · Partners practice patient scenarios · Time to work on Drug Calculation/Medication modules on Evolve
|
FRIDAY LECTURER: BAKER
Calculation Test – must achieve an 84% to pass the test; must pass the test to progress in MSI course
Bring Ackley book to class
Lecture content: · Nursing Process Read Basics pgs 55-75, 81-98, 102-113, 118-132
|
5 | 9/11 – 9/15 | Skills Lab (0800-1300) – report to Simulation Center
· Medication administration – demo and practice § Oral meds § Subcutaneous injections § Intramuscular injections · Review clinical reasoning form
|
FRIDAY LECTURER: CASPER
TEST 2
Lecture content: · Urine: UTIs, Retention, Stones, Incontinence, Diversions Read: Basics pg. 1015-20, 1023-25, 1026-30, 1033 and Lewis pg. 1033-38, 1044-49, 1055-62 |
6 | 9/18 – 9/22 | Skills Lab (0800-1300) – report to Simulation Center
· 0800-0900 – Practice for proficiency · 0900-1100 – Accountable demonstration for medication administration (worth 1%) · Accountable demonstration: First Clinical Day (worth 1%) · Patient assignments · Review clinical reasoning form and its use · Assure all can login into Meditech |
FRIDAY LECTURER: CASPER
Lecture content: · Bowel: diarrhea, constipation, incontinence, diversions Read: Basics pg. 968-72, 976-80, 985-88 · Enteral nutrition Read: Basics pg. 934-40 · Sleep and Rest Read: Basics pg. 1207-16 and Lewis pg. 96-100
|
7 | 9/25 – 9/29 | Clinical Unit (0700-1000) – meet clinical instructor in the Main Lobby; review chart the night before; receive nursing report in the morning
Assigned pairs of students will provide hygiene care, vital signs, and assessment (per assessment class schedule.) One student will be responsible for Meditech documentation and reporting-off to the nurse. The other student will be responsible for turning in clinical paperwork. Both students should work on documentation and paperwork together.
Meditech documentation: ADLs, Pain, Safety Record, Rounding Assessment, Wound Assessment, System Assessment as appropriate, and Fall Assessment
First three pages of clinical reasoning form to be completed and turned into Canvas.
1000-1100 – Post-conference, review clinical reasoning form
1100-1300 – Simulation Center · Urinary catheter insertion (male and female) – video/demo and practice
|
FRIDAY LECTURER: BAKER
TEST 3
· Fractures Read: Lewis pgs 1462-1493 · Perioperative nursing Read: Lewis pgs 301-347
Midterm self-evaluation to be submitted to clinical faculty by 10/3 at noon.
|
8 | 10/2 – 10/6 | Clinical Unit (0700-1000) – review chart the night before; receive nursing report in the morning
Assigned pairs of students will provide hygiene care, vital signs, and assessment (per assessment class schedule.) One student will be responsible for Meditech documentation and reporting-off to the nurse. The other student will be responsible for turning in clinical paperwork. Both students should work on documentation and paperwork together.
Meditech documentation: ADLs, Pain, Safety Record, Rounding Assessment, Wound Assessment, System Assessment as appropriate, and Fall Assessment
Assigned students will begin giving 0900 medications once accountable demonstration is satisfactorily completed.
Entire clinical reasoning form to be completed and turned into Canvas.
1000-1100 – Post-conference, review clinical reasoning form
1100-1300 – Accountable demonstration for catheter insertion (worth 1%)
|
FRIDAY LECTURER: BAKER
Lecture content: · Hypertension, Coronary Artery Disease, Stable Angina, and Peripheral Vascular Disease Read: Lewis pgs 681-700, 702-718, 802-809 · Venous Thromboembolism Read: Lewis pgs 816-828 |
10/9 – 10/13 | FALL BREAK | (Just kidding…) | |
9 | 10/16 – 10/20 | Clinical Unit (0700-1145) – review chart the night before; receive nursing report in the morning
Students no longer paired starting this week. Each student will be responsible for own Meditech documentation and clinical reasoning form.
Meditech documentation: ADLs, Pain, Safety Record, Rounding Assessment, Wound Assessment, System Assessment as appropriate, and Fall Assessment
1-3 assigned students will be administering medications each clinical.
Entire clinical reasoning form to be completed and turned into Canvas.
1200-1300 – post-conference; clinical evaluations to be done with clinical instructor |
FRIDAY LECTURER: CASPER
TEST 4
Lecture content: · Dementia, Alzheimer’s, Delirium Read: Lewis pg. 1399-1409, 1411-18 · Visual and Auditory Problems Read: Lewis pg. 368-76, 378-82, 384-6, 391 |
10 | 10/23 – 10/27 | Clinical Unit (0700-1145) – review chart the night before; receive nursing report in the morning
Meditech documentation: ADLs, Pain, Safety Record, Rounding Assessment, Wound Assessment, System Assessment as appropriate, and Fall Assessment
1-3 assigned students will be administering medications each clinical.
Entire clinical reasoning form to be completed and turned into Canvas.
1200-1300 – post-conference
|
FRIDAY LECTURER: CASPER
Lecture content: · Pneumonia, Aspiration and Oxygen Administration Read: Lewis pg. 500-506 and Basics pg. 1297-1301, 1303-4, 1309-14 · Client Teaching Read: Basics pg. 856-60, 862-65
|
11 | 10/30 –
11/3 |
Clinical Unit (0700-1145) – review chart the night before; receive nursing report in the morning
Meditech documentation: ADLs, Pain, Safety Record, Rounding Assessment, Wound Assessment, System Assessment as appropriate, and Fall Assessment
1-3 assigned students will be administering medications each clinical.
Entire clinical reasoning form to be completed and turned into Canvas.
1200-1300 – post-conference
|
FRIDAY LECTURER: BAKER
TEST 5
Lecture content: · Obesity Read: Lewis pgs 874-891 · Diabetes Read: Lewis pgs 1120-1154
Paired students to sign-up for teaching topic this week.
|
12 | 11/6
– 11/10 |
Clinical Unit (0700-1000) – review chart the night before; receive nursing report in the morning
Meditech documentation: ADLs, Pain, Safety Record, Rounding Assessment, Wound Assessment, System Assessment as appropriate, and Fall Assessment
1-3 assigned students will be administering medications each clinical.
Entire clinical reasoning form to be completed and turned into Canvas.
1000-1300 – report to Simulation Center for med-error, safety, and diabetes/pneumonia simulation
|
FRIDAY LECTURER: BAKER
Lecture content: · Fluids and electrolytes Read: Lewis pgs 270-294 · GERD and Hiatal Hernia Read: Lewis pgs 900-905
|
13 | 11/13
– 11/17 |
Clinical Unit (0700-1145) – review chart the night before; receive nursing report in the morning
Meditech documentation: ADLs, Pain, Safety Record, Rounding Assessment, Wound Assessment, System Assessment as appropriate, and Fall Assessment
No medications – Students will be completing Head-to-Toe Assessments for Health Assessment
Entire clinical reasoning form to be completed and turned into Canvas.
|
FRIDAY LECTURER: CASPER
Test 6
Lecture content: · Stress and Adaptation Read: Basics pg. 249-56 · Spirituality Read: Basics pg. 340-45 · Culture Read: Andrews Ch. 1 & 2 |
14 | 11/20 –
11/21 |
Tuesday: All students will take HESI Proctored Exam (times and rooms TBD)
|
Thanksgiving Break: Wednesday, Thursday, Friday |
15 | 11/27 –
12/1 |
Final Clinical Evaluations with clinical instructor
HESI Remediation: Room 228 |
Patient Teaching Presentations
|
16 | 12/4
– 12/8 |
Finals Week
MSI Final: Friday December 8 9AM-11AM
|
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NSG 336 -MSI Syllabus and Content Schedule
Detailed HESI Assignments and Due Dates |
1. Modules 3, 4, 5, 8, 9 with quizzes (must score 80%)
Due: Friday, September 8 at midnight |
2. HESI Practice Exam (must score 80%)
Due: Sunday, November 12 at midnight |
3. HESI Proctored Exam
Due: Tuesday, November 21 |
4. HESI Remediation |
HESI Testing Policy
HESI is a web-based assessment and review program used throughout St. John’s College prelicensure curriculum to reinforce student-centered learning and to predict success on the NCLEX licensing examination. These resources serve as a learning tool while identifying areas where a student may be in need of additional strategies to improve studying and test-taking skills to successfully pass the NCLEX examination.
Following the HESI Specialty and Comprehensive Exit Examinations, students may be required to remediate. The remediation requirements are dependent on individual student’s HESI scores for each exam. HESI exam scores can be indicative of the student’s success within the program and NCLEX.
Expectations
Each nursing student will be assigned an account on the Evolve website. This site offers students student-centered learning opportunities. Individual courses will specify their specific expectations and requirements.
NSG 336 -MSI Syllabus and Content Schedule
Proctored Exams
NSG 336 -MSI Syllabus and Content Schedule
Remediation
NSG 336 -MSI Syllabus and Content Schedule
HESI Score: 850 or Above
4 % Points *Remediation recommended, but not necessary |
Recommended Remediation:
1) Complete the online remediation provided in the HESI Student Access specific to the proctored or exit exam. 2) Develop two 10 question custom quizzes in the Adaptive Quizzing identifying two content areas of weakness based on your HESI Exam Student Report. Continue to take these quizzes until 80% correct is achieved on each quiz. |
HESI Score: 750-849
2 % Points *(1) additional % point will be awarded if remediation is completed by set due date |
Required Remediation:
1) Complete the online remediation provided in the HESI Student Access specific to the proctored or exit exam. A minimum of five hours of study is required. 2) Develop three 10 question custom quizzes in the Adaptive Quizzing identifying three content areas of weakness based on your HESI Exam Student Report. A score of 80% or greater on each quiz is required for successful completion. Quizzes may be taken multiple times. 3) Select one HESI Case Study in a content area of weakness and complete with a score of 80% or greater. |
HESI Score: 700-749
1 % Point *(1) additional % point will be awarded if remediation is completed by set due date |
Required Remediation:
1) Complete the online remediation provided in the HESI Student Access specific to the proctored or exit exam. A minimum of six hours of study is required. 2) Develop four 10 question custom quizzes in the Adaptive Quizzing identifying four content areas of weakness based on your HESI Exam Student Report. A score of 80% or greater on each quiz is required for successful completion. Quizzes may be taken multiple times. 3) Select one HESI Case Study in a content area of weakness and complete with a score of 80% or greater. |
HESI Score: 699 or Below
0 % Points *(1) % point will be awarded if remediation is completed by set due date |
Required Remediation:
1) Complete the online remediation provided in the HESI Student Access specific to the proctored or exit exam. A minimum of six hours of study is required. 2) Develop four 10 question custom quizzes in the Adaptive Quizzing identifying four content areas of weakness based on your HESI Exam Student Report. A score of 80% or greater on each quiz is required for successful completion. Quizzes may be taken multiple times. 3) Select two HESI Case Studies in a content area of weakness and complete with a score of 80% or greater.
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Approved CA 08/2016